Professor Joseph J Y SungFaculty of Medicine

Professor Joseph J Y SungFaculty of Medicine

Ensuring Clinical Competence

System-based Integrated CurriculumSystem-based Integrated CurriculumH

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NervousDisorder

ChildHealth

ReproductiveMedicine

Mobility

ENT/Eye/Skin/ID

Surgery

Medicine

Surgery

Medicine

Final MB

1 2 3 4 5

SSM

BasicClinicalSkillsSP

SSPS SSM

Clin

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Clin

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SSMSPS

Internship

Early Clinical ExposureEarly Clinical Exposure

Clinical Teaching

• Working as part of the Medical Team– Ward round– Assisting procedures– On call

• Small group (3-4 students) teaching

• Assistant Internship

Continuous Assessment

Observed

Structured

Long

Examination

Record

Outcome measured

• Attitude and Skill in History Taking– Appropriateness of language, instruction– Detail history include social and emotional assessment– Competency working in a busy medical unit

• Examination technique– Technique of physical examination– Accuracy of physical findings

• Summing up, Interpretation of findings– Presentation of findings– Discuss differential diagnosis

Final MB examination

History

Short case 1Short case 2

Format

• Three sessions of 20 minutes A: History (in Cantonese)

B: Short case I– CNS– CVS– Endo OR Joints OR ECG OR CT/MRI

C: Short case II– Abdo– RS– Fundi OR Skin OR X-ray/CT scan

Short Cases

• The examination of the system will consist of 3 parts– Examination technique will be tested on

surrogates (not real patient)

– Identification of abnormal signs will be made from a set of physical findings (may be in the form of audio-visual presentation)

– Interpretation and discussion of the disease will be tested

Passing the clinical examination

• pass 4 out of 6 examiners(given at least 3 or more marks by any 4 examiners)

AND

• Total mark is 16 or more (out of 36)

Final Surgery Exam 2006

• Written papers- paper 1 (MCQs) [4 hrs]

carries 200 marks

- paper 2 (R-type MCQs + MEQs) [3 hrs]

R-type – 80 marks

MEQs – 120 marks

- total marks: 400 marks

• OSCE [2.5 hrs]– total 21 stations and 20

of them carrying marks– 10 marks for each

station– total marks: 200 marks

Introduction of Learning Outcome

Continuous Education

• Advances in Medicine Course (accredited by HK Medical Council)

• 2-year program to review all major subjects in Medicine

• Emphasize on case discussion, management algorithm and journal critique

Diploma Programme in Advances in Medicine

No. of Students Each Year

0

50

100

150

200

250

No. of Students 179 65 122 151 241 101

Year03/04

Year04/05

Year05/06

Year06/07

Year07/08

Year08/09