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The EBP module is based on problem-based tutorials and small-group practicals, with supplementary whole class sessions. In the first semester of Year 1, during "Informatics and Decision Week", students are introduced to the central role of evidence-based practice in medical decision-making. They are also exposed to informatics tools such as computer databases (e.g. MEDLINE, EMBASE, HealthSTAR), Internet resources, and multimedia CD-ROM learning materials to facilitate practising evidence-based medicine. Thereafter, the rest of the first two years of the MBBS program are organised around eight major organ system blocks. Two EBP practical sessions per block, lasting two hours each, are scheduled.
A video patient consultation where a clinician interviews a real patient and takes a clinical history, a process that closely resembles an outpatient visit is presented in the first EBP session. The class is then led by a faculty member to explore the video interview and to identify the patient's problems. Collectively and interactively, students then formulate relevant answerable clinical questions to problem-solve. They are then guided through a targeted literature search, in real time online, to identify suitable scientific papers that would answer their clinical questions at hand. Their take-home task is to read, understand and critically appraise the chosen paper, and in the process acquire new knowledge and learn key skills in epidemiology and biostatistics. In the second EBP the students in small groups discuss and debate the relative merits and shortcomings of the paper, and apply their findings to the patient's problems from the video consultation, thereby completing the bedside-to-bench-to-bedside loop. |
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Tuberculosis (TB) remains an important health problem in Hong Kong and in other parts of the world. Due to its worldwide association with HIV infection, poverty and migration, even developed post-industrialised communities like Hong Kong are vulnerable. There are important global changes occurring in the clinical presentation and the modes and patterns of spread of tuberculosis. It is a disease that affects not only the individual, but the community
surrounding that person.
The aim of this clerkship is to help students draw together all of the different aspects of epidemiology, control and clinical management which they need to know about in order to attain competency in the area of tuberculosis. Students will be encouraged to synthesize knowledge gained in their previous years such as microbiology, pathology and pharmacology, and relate it to the clinical problems as well as practice their clinical skills.
To help students achieve these aims the Tuberculosis clerkship is conducted as joint collaborative teaching of the University of Hong Kong, Department of Health and the Hospital
Authority. |
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Tobacco smoking is the single most preventable cause of premature death. Reducing tobacco attributable diseases requires preventing initiation of tobacco use to reduce the risk of becoming addicted and treating tobacco dependent persons so as to help them quit
smoking.
It is now well established that a combination of counselling and nicotine replacement therapy or pharmacological blockage of nicotine induced dopamine release with Bupropion are cost-effective approaches to achieving smoking cessation. The median societal costs of smoking cessation treatments (US$300-1500 per life year gained) are about one twenty-fifth the costs of more than 300 other common medical treatments. It has been shown that advice from a general practitioner is an effective intervention that can initiate successful
attempts at quitting.
The aim of this Year 4 Multi-disciplinary block Smoking Cessation Skills programee is to help students acquire experience and skills for the treatment of tobacco dependency in routine clinical practice. These skills are essential for all practitioners regardless of their preferred
specialty as all practitioners encounter patients, who smoke. |
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The Health Research Project is an opportunity for each student to learn and apply concepts, skills and knowledge to a real, topical and important health care issue in a problem-based learning framework. Students will further develop their skills in group work and evidence-based medicine. The project is carried out in small groups. The process is firmly in line with the problem-based learning (PBL) philosophy i.e. the responsibility is on the students to identify, appraise and report a topic. Tutors and other Faculty members will give assistance, but on request from the students. Students determine their own timetable and arrange their own group meetings as they wish throughout the year. Support is also given in the form of the specially designed, comprehensive Project Manual of methods and advice on
conducting a researchproject, designed to facilitate the PBL approach which is available at http://www.hku.hk/facmed/index.html. Research and numerical methods will be illustrated
through workshops including statistical workshops in Semester 2.
The project is a Faculty-wide project, with members from throughout the Li Ka Shing Faculty of Medicine. Co-ordination is based in the Department of Community Medicine. Tutors come
from all Faculty Departments and from outside the Faculty.
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The Patient Care (Feel-Link) Project (PCP[FL]) has been implemented in the New Medical Curriculum (NMC) since its inception. In the past few years, the focus of the PCP(FL) was to help students develop a patient/client-centred approach to the practice of medicine. To achieve this, the students followed and interviewed a patient/client in an effort to discover the patient/client's lived experience regarding issues of health and illness. Since then, we proposed a revised and improved version of the Patient Care Project with the elements of "Feel" and "Link" to align with the pedagogical philosophy of the NMC. Due to the success of the PCP(FL), the programme is being expanded to include nursing as well as medical students, providing more opportunities to recognise the lived experiences of patients/clients with different types of medical problems. The programme will arrange for each pair/group of three students to interact with a patient/client with different medical problems. This allows students the opportunity to thoroughly experience and appreciate the patient/client's conception and experience of health and illness. This is the first step in enhancing interdisciplinary co-operation and understanding between nursing and medical students.
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The Patient Care (Mother-Baby) Project (formerly Maternal Fetal Project) is an extension of the year 1 Patient-Care (Feel-Link) Project. The exercise involves pairs or triplets of year 2 medical students recruiting a woman in the third trimester of pregnancy and visiting the mother and baby after birth and again around 3 months later. HKU Department of Paediatrics picks up the students who are required to continue to follow the family for up to 18 months after birth in order to monitor and learn about growth and development. Through client visits and tutorials, students have the opportunity to learn psychosocial issues related to (1) care and support in pregnancy, (2) the experience of childbirth, and (3) attachment,
bonding, and motherhood.
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The School of Public Health contributes to the Year-1 and Year-2 undergraduate nursing curriculum through Life-span Developmental Psychology Applied to Nursing and Sociology of
Health & Illness.
ˇ§Life-span Developmental Psychology Applied to Nursingˇ¨ is designed to provide nursing students with an introduction to life-span developmental psychology and its application in the field of nursing. The developmental process is discussed from a systems perspective and within the Chinese cultural context and aims to enable students to relate and apply psychological concepts to the area of health and well-being. In addition, the course provides students with an introduction to health psychology and selected areas of applied psychology. Throughout the course, there will be a balance between theory, research and
practical applications.
ˇ§Sociology of Health & Illnessˇ¨ introduces the discipline of medical sociology with specific reference to the nursing profession. It emphasizes the effect of social groups and collective factors in affecting individual behavior, health and illness behavior in particular. The macroscopic and microscopic perspectives in understanding the issues of health and illness are examined and the issues discussed are exemplified within the context of the current
health care environment and local setting. |
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The School of Public Health contributes to the undergraduate Bachelor of Chinese Medicine curriculum through teaching and learning in statistical methods, epidemiologic principles
and study design and social medicine. |
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