SEMESTER IV

MBBS II
Gastrointestinal System Block
Handbook
2017/2018
MBBS II Gastrointestinal System Block 2017/2018

Page
Code of Conduct 1
About the Gastrointestinal System Block 4
Timetable 5
Lectures
– Schedule 9
– Learning Outcomes 11
Practicals and Workshops
– Schedule 17
– Learning Outcomes 19
Clinical Skills 22
Medical Humanities Programme 23
Professionalism in Practice Programme 26
Community-based Teaching: Patient Care (Feel-Link) Project (PCP-FL) 28
Problem-based Learning (PBL)
– Schedule and List of PBL Tutors 30
– Notes of Students 31
 MBBS II Gastrointestinal System Block 2017/2018

Code of Conduct
(I) Student’s Rights
All students shall have the right to:
 Enjoy a safe learning environment;
 Express own opinions and feelings;
 Use and access to school facilities, services and resources;
 Establish and join student societies;
 Acquire knowledge and skills leading to award of a degree if the required standard is reached.

(II) Student’s Responsibilities

 Be punctual and attend school activities prepared;
 Participate fully in the learning process;
 Complete assignments and comply with the timeline;
 Reach the academic standards required in the programme;
 Use proper language and observe dress code;
 Work and co-operate with peers and staff members (including office staff, healthcare staff);
 Refrain from aggressive and intimidating behavior;
 Treat patients’ information in confidentiality (see Section VIII).

(III) Academic Misconduct (*Academic dishonesty will constitute a disciplinary case, which may
result in disciplinary action being taken on you)
 Cheating in examination;
 Plagiarism (see Section III (b));
 Misrepresentation of data: research projects;
 Allowing another student to represent your work as his/her own;
 Forgery or alternation of official records or documents including attendance records or
“doctor/nurse” status;
 Manifest attitude or behavior which is detrimental or illegal, involving people in the direct
context of teaching/learning activities i.e. Patients.

(a) Use of Teaching Materials

 Course materials are for teaching purposes and are not meant for circulation without the
consent from individual teachers/ departments;
 Unauthorized photographing, recording and video-taping of lectures and/or practical
sessions are strictly forbidden;
 Any unauthorized recording and/or downloading of teaching materials would
constitute a disciplinary case;
 For PBL Tutorials, distribution of tutor guides to students is strictly forbidden;
 Instructions of using/ dealing with specimens and manikins should be adhered.

(b) Plagiarism
 Any unacknowledged use, as one’s own, of the thoughts, writing, inventions or work of
another person, whether or not such work has been published, will be an act of
plagiarism and is also a serious misconduct;
 In addition to printed forms of work (e.g. a journal paper or lecture handouts), work in
electronic form such as a website, or an audio-visual production is also bound with
copyright protection;
 More information about plagiarism can be retrieved on-line via
http://www.hku.hk/plagiarism.

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 MBBS II Gastrointestinal System Block 2017/2018

(c) Class Attendance & Signing Attendance

 Attend all teaching classes according to the timetable;
 Sign the attendance sheet for each lesson (if any); DO NOT sign attendance for another
person which is considered as a form of forgery and is a serious misconduct;
 Seek prior approval from the Faculty before taking leave of absence from any
class/examinations (Absence due to sickness must be supported by a sick-leave
certificate from a registered doctor while justifications are required for absence on non-
medical grounds).

(IV) Non-Academic Misconduct (*Non-academic misconduct may result in disciplinary actions taken
on you, e.g. severe reprimand and termination of student status)
 Manifest attitude or behaviour which is illegal or detrimental to people in the general context;
 Verbal/physical abuses: endangers or threatens the health or safety of university members;
 Harassment;
 Disrupt/obstruct university activities or services;
 Thievery;
 Unauthorized conduct: unauthorized entry to and/or presence at, possession of, use of any
university facilities/resources;
 Causing damage/destruction to university property.

(V) Professional Attitude and Behavior of a Medical Student

(a) Professional Attitude
 Demonstrate honesty and integrity;
 Be prepared to admit deficiencies in knowledge, understanding or skills;
 Be aware of own’s strengths and weaknesses; Seek help, guidance, support or advice to
overcome difficulties;
 Face mistakes or failings positively; Be ready to accept fair and reliable criticism or
evaluation from teachers, fellow schoolmates and/or patients;
 Accept responsibilities and consequences for your own decisions and actions;
 Treat all other students, teachers, and staff members with respect and dignity;
 Speak and listen and respect the rights of others; Show tolerance and acceptance of all
genders, ethnics, races, religions;
 Show respect towards school property and resources;
 Respect of the “patient”: dead or alive, organ or whole, physical or mental issue.

(b) Attire
 Be neatly and decently dressed when attending classes, whether they are held in
wards or not;
 Patient contact: dress appropriately to inspire confidence of the patients in you as a
healthcare professional, and also avoid being the vehicle of transmission infection
(cleanliness).

(c) Use of Cell Phone

 Keep them turned off or “silent mode” during class;
 DO NOT talk on cell phone or send messages during class;
 DO NOT send or receive test/exam materials (Serious Academic Misconduct);
 DO NOT take or distribute inappropriate digital photos.

(d) Eating and Drinking in Class

 DO NOT eat or drink (except water) in all classrooms unless with prior approval from
the Faculty Office.

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 MBBS II Gastrointestinal System Block 2017/2018

(e) Behaviour in Wards/Clinics

 Showing courtesy and consideration for everybody (including patients, doctors, nurses,
fellow students, and other staff ) in the ward;
 Consult the tutors/ ward managers/ nurses on duty in wards for advice before
performing patient clerking;
 Follow the infection control guidelines of the Faculty/ teaching hospitals concerned;
 DO NOT engage in excessive “social” activities in patient care setting.

(VI) Patient Contact

 Patients have the right to decide what happens to their own bodies; Valid consent should be
obtained before starting clinical enquiry or examination, and patients have a right to refuse;
 Conduct history taking or examination with due care to patient’s dignity and comfort;
 Remember to thank patient after completing the learning process;
 Remember to restore the clothing or positioning of the patient to his/her original or desirable
status;
 Remember to put back the files/records properly.

(VII) Chaperone Policy for Physical Examination

 Clinical chaperone for the purpose of witness and thus protection to both doctor (student) and
patient for physical examination;
 Female chaperone is required to be present for physical examination of female patients by
male students;
 Provide clear explanation and seek consent from the patient concerned before physical
examination;
 The chaperone should have the knowledge to assess the appropriateness of the examination /
procedure as well as the way in which they are done;
 Adequate “screening” during physical examination requiring patient body exposure, and the
chaperone should be in the sight of the patient.

(VIII) Patient Confidentiality

 DO NOT take patient records away from the wards/clinics, and DO NOT photocopy them
even for learning purpose;
 DO NOT disclose, in various means of oral or written format, by telephone or fax, or
electronically, any medical information in connection with the management of a patient;
 DO NOT release private information that you may have obtained during the course of your
studies.

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 MBBS II Gastrointestinal System Block 2017/2018

About the Gastrointestinal System Block

Course Description
Nutrition, which is essential to life, is one of the most important functions of the gastrointestinal system. In
the gastrointestinal system module, its basic structure, functions, biochemical processes, microbiology and
pathology are discussed. The pharmacological and public health aspects are also covered. The interplay
between these different fundamental aspects of the gastrointestinal system will be illustrated by four clinical
problems. These clinical problems are based on some conditions that are seen in Hong Kong today. Through
these problems, students will further comprehend the basic sciences of the gastrointestinal system.

Learning Outcomes
By the end of this module, students will be able to:
 Demonstrate a basic understanding of the structure and function of the constituents of the gastrointestinal
system.
 Demonstrate a basic understanding of the key concepts and terminology in anatomy, physiology,
biochemistry, pharmacology, behavioural science, public health, microbiology, pathology and radiology
which are relevant to the gastrointestinal system.
 Describe and explain the mechanisms of common disease processes that affect the gastrointestinal
system.
 Demonstrate knowledge of the public health care aspects of diseases affecting the gastrointestinal system.
 Appreciate the role of the doctor, the functions of the health care system in Hong Kong, and the
relevance of medical ethics and economics to the practice of medicine.

Email Address Phone No.

Block Coordinator Dr Walter WK Seto,
Medicine
Administrative / Clerical Staff Ms Susanna Chow [email protected] 3917 9320
at the Faculty Office
Ms Rosana Mo [email protected] 3917 6845
Miss Yiu Wing Yan [email protected] 3917 9083

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 MBBS II Gastrointestinal System Block 2017/2018

As of October 09, 2017

Gastrointestinal System Block Timetable
Week 1
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Time
28.8.2017 29.8.2017 30.8.2017 31.8.2017 1.9.2017 2.9.2017
8:30-9:20 L1 [ULT1]
9:30-10:20 L2 [ULT1]
10:30-11:20
11:30-12:20
12:30-1:20 MBBS II Overview
conducted by
Programme
Co-Directors
(Gps 1-21)
12:30-1:30
[LT1]
1:30-2:20
2:30-3:20
3:30-4:20 Briefing on
4:30-5:20 Enrichment Year
3:30-4:00
5:30-6:20 [LT1]

Week 2
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Time
4.9.2017 5.9.2017 6.9.2017 7.9.2017 8.9.2017 9.9.2017
8:30-9:20 L3[LT2] L9 [LT2] L12 [LT2]

9:30-10:20 L4 [LT2] L7 [PLT] L10 [LT2] Medical Ethics and L13 [PLT]
10:30-11:20 L5 [LT2] L8 [PLT] L11[LT2] Law Progamme: L14 [PLT]
Whole Class Lecture
(1)
(Gps 1-23)
9:30-11:00
[LT2]
11:30-12:20 Talk on Enrichment L6 [PLT]
Year:
University of Bristol
11:30-12:30
[LT2 & LT3]
12:30-1:20 Briefing Session by
University of
Glasgow
12:30-13:15
[PLT]
1:30-2:20 Anatomy Dissection
2:30-3:20 PiP Programme: Anatomy Practical Clinical Skills Practical VI
Briefing Session on (Gps 1-23) (Gps 9-13) (Pre-lab Talk)
3:30-4:20 (Gps 1-23)
Clinical Visit 2:30-5:30 2:30-5:30
4:30-5:20 (Gps 1-23) [MDL1-3] [PCB101-104] 2:00-3:00
2:30-4:30 [ADL]
[LT2] Anatomy Dissection
Practical VI
5:30-6:20
(Gps 1-23)
3:00-6:00
[ADL]

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 MBBS II Gastrointestinal System Block 2017/2018

Week 3
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Time
11.9.2017 12.9.2017 13.9.2017 14.9.2017 15.9.2017 16.9.2017
8:30-9:20 L15 [LT2] L16 [LT2] L19 [PLT] Chemical Pathology
Workshop I&II
(Gps 1-23)
8:30-10:30
[LT2]
9:30-10:20 PBL Case 1 T1 L17 [LT2] L18 [PLT] PBL Case 1 T2
10:30-11:20 (Gps 1-23) Public Health MH Programme: (Gps 1-23) Medical Ethics and
9:45-11:45 Practical I Whole Class Session 9:45-11:45 Law Progamme:
[TRs] (Gps 1-23) (1) [TRs] Whole Class Lecture
10:30-12:30 (Gps 1-23) (2)
[LT2] 10:30-11:30 (Gps 1-23)
[PLT] 10:30-11:30
[LT2]
[Cancelled]
11:30-12:20
12:30-1:20 L20 [PLT] L21 [LT2] Briefing on
2:00-2:50 12:00-12:50 mentorship
programmes
(Gps 1-23)
11:30-12:30
[LT2]
1:30-2:20 CIPS: Anatomy Dissection PiP Programme:
2:30-3:20 Briefing Session PCP: Practical VII Clinical visit
(Gps 1-23) Briefing Session (Pre-lab Talk) (Dental)
3:30-4:20 2:00-4:00 Pathology Practical I (Gps 1-23) (Gps 17-18)
(PCP Gps 1-45) (Gps 1-23)
[LT2 & LT3] 2:30-4:30 2:00-2:45 1:30-5:30
3:15-5:15 [ADL]
4:30-5:20 [LT2-LT4] [Block T, Student
4:30-5:30 Anatomy Dissection MH Programme:
Lab] Workshop
[LT2-LT4/TRs/SRs] Practical VII
(Gps 1-23) (Gps 19-23)
5:30-6:20 14:00-17:00
2:45-6:00
[ADL] [EXH/SR5]

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 MBBS II Gastrointestinal System Block 2017/2018

Week 4
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Time
18.9.2017 19.9.2017 20.9.2017 21.9.2017 22.9.2017 23.9.2017
8:30-9:20 Lecture on Research L22 [LT2] L23 [LT2]
Ethics
(By Prof JM
Nicholls)
(Gps 1-23)
[LT2]
9:30-10:20 PBL Case 1 T3/ MH Programme: PBL Case 2 T2 MH Programme:
10:30-11:20 PBL Case 2 T1 Medical Ethics and Whole Class Session (Gps 1-23) Workshop
(Gps 1-23) Law Programme: (2) 9:45-11:45 (Gps 1-4)
11:30-12:20 9:45-11:45 (Gps 1-23) [TRs] 9:30-12:30
Whole Class Lecture
[TRs] (3) 9:30-10:30 [A202 & A203]
(Gps 1-23) [LT2]
10:30-12:00
[LT2]

[class will be
reschedule in MSS
teaching block]
12:30-1:20
1:30-2:20 PiP Programme: PiP Programme: PiP Programme: PiP Programme: PiP Programme:
2:30-3:20 Clinical visit Clinical visit Clinical visit Clinical visit Clinical visit
(Dental) (Dental) (Dental) (Dental) (Dental)
3:30-4:20 (Gps 1-2) (Gps 3-4) (Gps 5-6) (Gps 9-10) (Gps 7-8)
1:30-5:30 1:30-5:30 1:30-5:30 1:30-5:30 1:30-5:30
4:30-5:20 [cancelled] [cancelled] [cancelled]
Biochemistry Biochemistry
Practical Biochemistry Biochemistry MH Programme: Practical
(Gps 6-11) Practical Practical Workshop (Gps 1-5)
2:30-5:30 (Gps 18-23) (Gps 12-17) (Gps 5-8) 2:30-5:30
[BTL] 2:30-5:30 2:30-5:30 2:30-5:30 [BTL]
[BTL] [BTL] [A202 &A203]
Public Health
Public Health Clinical Skills Practical II
Practical II (Gps 14-18) (Gps 11-14;17-23)
(Gps 15-16) 2:30-5:30 2:30-4:30
3:30-5:30 [PCB101-104] [SR1-4/HKJC-S2]
[HKJC-S3]
5:30-6:20

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 MBBS II Gastrointestinal System Block 2017/2018

Week 5
Time MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
25.9.2017 26.9.2017 27.9.2017 28.9.2017 29.9.2017 30.9.2017
8:30-9:20 L24 [PLT]
9:30-10:20 PBL Case 2 T3/ MH Programme: L25 [PLT] PBL Case 3 T2 L26 [LT2]
10:30-11:20 PBL Case 3 T1 Workshop Pathology Practical II (Gps 1-23) L27 [LT2]
(Gps 1-23) (Gps 9-13) (Gps 1-23) 9:45-11:45 11:00-11:50
9:45-11:45 9:30-12:30 10:30-12:30 [TRs] *Rescheduled from
[TRs] [A202 &A203] [Block T, Student October 3, 2017*
11:30-12:20 Lab]
12:30-1:20
1:30-2:20 PiP Programme: PiP Programme: Anatomy Dissection
2:30-3:20 Clinical visit PCP-FL Clinical visit Practical VIII MH Programme:
(Dental) Visit (Dental) (Pre-lab Talk) Conversations and
3:30-4:20 (Gps 11-12) (Gp 23) (Gps 1-23)
(PCP Gps 1-45) Connections
4:30-5:20 1:30-5:30 2:30-5:30 1:30-5:30 2:00-2:45 (Gps 1-23)
[ADL] 2:30-3:30
PCP-FL Public Health Anatomy Dissection [LT1]
Visit Practical II Practical VIII
(PCP Gps 1-45) (Gps 1-10) (Gps 1-23)
2:30-5:30 2:30-4:30 2:45-5:30
[SRs] [ADL]
Please read Grant’s
Dissector 15th Ed.
Pg. 114-116
5:30-6:20

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 MBBS II Gastrointestinal System Block 2017/2018

Week 6

Time MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

2.10.2017 3.10.2017 4.10.2017 5.10.2017 6.10.2017 7.10.2017

8:30-9:20 L27 [PLT] L28 [LT2] Talk on Radiology

*Rescheduled to for Anatomy
September 29, Dissection Practical
2017* IX
(Gps 1-23)
8:30-9:30
[LT2]
*Reschedule to
October 12, 2017*
9:30-10:20 MH Programme: Anatomy Dissection
Conversations and Practical IX
Connections (Pre-lab Talk)
(Gps 1-23) (Gps 1-23)
09:30-10:30 9:30-10:30
[LT2] [ADL]
Anatomy Dissection
10:30-11:20 Microbiology Practical IX
Practical (Gps 1-23)
11:30-12:20
(Gps 1-23) 10:30-1:00
10:30-12:30 Public Holiday: [ADL]
Public Holiday:
[Block T, Student Day following
The day following
Lab] Chinese Mid-Autumn
National Day
Festival
12:30-1:20 Town Hall For a
13:00-14:00
[LT1]
1:30-2:20 PiP Programme:
2:30-3:20 PCP-FL Clinical visit Clinical Skills
Visit (Dental) (Gps 1-4)
3:30-4:20 (Gps 19-20)
(PCP Gps 1-45) 2:30-5:30
2:30-5:30 1:30-5:30 [PCB101-104]

MH Programme:
4:30-5:20 Workshop
5:30-6:20 (Gps 9-13)
2:00-5:00
[A203 & A203]
*Rescheduled to
October 13, 2017*

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 MBBS II Gastrointestinal System Block 2017/2018

Week 7

Time MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY

9.10.2017 10.10.2017 11.10.2017 12.10.2017 13.10.2017 14.10.2017
8:30-9:20 Talk on Radiology
for Anatomy
Dissection Practical
IX
(Gps 1-23)
8:30-9:30
[LT1]
*Reschedule from
October 6, 2017*
9:30-10:20 PBL Case 3 T3/ L29 [LT2] L30 [LT2] PBL Case 4 T2 MH Programme:
10:30-11:20 PBL Case 4 T1 Medical Ethics and MH Programme: (Gps 1-23) Workshop
(Gps 1-23) Law Programme: Whole Class Session 9:45-11:45 (Gps 14-18)
9:45-11:45 Workshop (4) [TRs] 09:30-12:30
[TRs] (Gps 1-23) (Gps 1-23) [A202-A203/ LT4]
10:30-12:30 10:30-11:30
[LT2] [LT2]
11:30-12:20
12:30-1:20 Staff-Student
Consultative Meeting
12:00-1:00
[SR4]

*Reschedule to late
October*
1:30-2:20 MH Programme: MH Programme: MH Programme:
2:30-3:20 PCP-FL PCP-FL Workshop Workshop Workshop
Visit Visit (Gps 14-18) (Gps 5-8) (Gps 9-13)
(PCP Gps 1-45) (PCP Gps 1-45) 2:00-5:00 2:00-5:00 2:00-5:00
3:30-4:20 2:30-5:30 2:30-5:30 [CBH] [CBH] [MTC]

PiP Programme: PiP Programme: MH Programme:

Clinical visit Clinical visit Workshop
4:30-5:20 (Dental) (Dental) (Gps 1-4)
(Gps 21-22) (Gps 13-14) 2:00-5:00
1:30-5:30 1:30-5:30 [SR1]

Clinical Skills MH Programme:

(Gps 19-23) Workshop
2:30-5:30 (Gps 19-23)
[PCB101-104] 2:30-5:30
[SR2]

PiP Programme:
Clinical visit
(Dental)
(Gps 15-16)
1:30-5:30

Clinical Skills
(Gps 5-8)
2:30-5:30
[PCB101-104]
5:30-6:20

(Class representatives and group leaders are invited to the Staff-Student Consultative Meeting to give
feedback on the block.)

Should a teacher fail to turn up for 10 minutes after the designated teaching schedule, a student
representative should report this to the Faculty Office so that we can help to follow up with the relevant
teacher / department. Please note that you are not supposed to leave the classroom unless you are officially
informed to do so.

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 MBBS II Gastrointestinal System Block 2017/2018

Ms Rosana Mo Tel.: 3917 6845

Miss Yiu Wing Yan Tel.: 3917 9083
Ms Susanna Chow Tel.: 3917 9320
Faculty Office’s counter Tel.: 3917 9346

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 MBBS II Gastrointestinal System Block 2017/2018

Schedule of the Lectures

No. Topic Teacher Department Date Time Venue

1 General anatomy of the abdomen Dr LK Chan Biomedical 2017-09-01 08:30-09:20 *ULT
Sciences 1
2 Innervation, blood supply and Dr LK Chan Biomedical 2017-09-01 09:30-10:20 ULT1
lymphatic drainage of the GI tract Sciences
3 Histological features of esophagus, Prof GSW Tsao Biomedical 2017-09-04 08:30-09:20 LT2
stomach and intestines Sciences
4 Histology of the digestive glands: Prof GSW Tsao Biomedical 2017-09-04 09:30-10:20 LT2
salivary glands, liver and the pancreas Sciences
5 Gross anatomy of the GI tract, liver and Dr LK Chan Biomedical 2017-09-04 10:30-11:20 LT2
the pancreas I Sciences
6 Gross anatomy of the GI tract, liver and Dr LK Chan Biomedical 2017-09-08 11:30-12:20 PLT
the pancreas II Sciences
7 Development of the digestive system Dr MCH Biomedical 2017-09-05 09:30-10:20 PLT
Cheung Sciences
8 Pathology of small and large bowel Dr Rex Au Pathology 2017-09-05 10:30-11:20 PLT
Yeung
9 Pathology of the esophagus and cardia Dr RCL Lo Pathology 2017-09-06 08:30-09:20 LT2
10 Introduction to radiology of the Dr K Chiu Diag 2017-09-06 09:30-10:20 LT2
gastrointestinal system Radiology
11 Gastroduodenal secretions and control Dr AMS Poon Biomedical 2017-09-06 10:30-11:20 LT2
Sciences
12 Viral hepatitis, serological tests, Prof JSM Peiris Public Health 2017-09-07 08:30-09:20 LT2
immunization for
Microbiology
13 Helicobacter pylori Dr SSY Wong Microbiology 2017-09-08 09:30-10:20 PLT

14 Pathology of peptic ulcers, gastritis and Prof IOL Ng Pathology 2017-09-08 10:30-11:20 PLT
gastric cancer
15 Digestive enzymes Prof DKY Shum Biomedical 2017-09-11 08:30-09:20 LT2
Sciences
16 Aggressive factors and ulcer healing Dr GPH Leung Pharmacology 2017-09-12 08:30-09:20 LT2
drugs
17 Functions of the liver Prof DKY Shum Biomedical 2017-09-12 09:30-10:20 LT2
Sciences
18 Control of biliary and pancreatic Dr AMS Poon Biomedical 2017-09-13 09:30-10:20 PLT
secretions Sciences
19 Pathology of hepatitis and cirrhosis Prof IOL Ng Pathology 2017-09-13 08:30-09:20 PLT
20 Pathology of liver tumours and gall Prof IOL Ng Pathology 2017-09-13 14:00-14:50 PLT
stones
21 Motility of the GI tract Dr AMS Poon Biomedical 2017-09-14 12:00-12:50 LT2
Sciences
22 Absorption along the GI tract: Dr NS Wong Biomedical 2017-09-20 08:30-09:20 LT2
membrane transport Sciences

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 MBBS II Gastrointestinal System Block 2017/2018

No. Topic Teacher Department Date Time Venue

23 Diarrhea - nutritional, fluid and Dr AMS Poon Biomedical 2017-09-21 08:30-09:20 LT2
electrolyte consequences Sciences
24 Drugs affecting motility of the GI tract Dr GPH Leung Pharmacology 2017-09-27 08:30-09:20 *PLT
25 Pathology of the pancreas Dr RCL Lo Pathology 2017-09-27 09:30-10:20 *PLT
26 Gastrointestinal microbiology and Dr SSY Wong Microbiology 2017-09-29 09:30-10:20 LT2
infection
27 Antibacterial treatment of enteric Dr JCW Mak Pharmacology 2017-09-29 11:00-11:50 LT2
infections
28 Geography, migration, development and Dr DKM Ip Public Health 2017-10-04 08:30-09:20 LT2
disease burden
29 The gut microbiome in complex chronic Dr YH Tam Public Health 2017-10-10 09:30-10:20 LT2
disease
30 Treating hepatitis and parasitic Dr EHC Tang Pharmacology 2017-10-11 09:30-10:20 LT2
infections
Venue
LT2 = Lecture Theatre 2, G/F, William MW Mong Block, 21 Sassoon Road
*LT1 = Lecture Theatre 1, G/F, William MW Mong Block, 21 Sassoon Road
*PLT = Pathology Lecture Theatre, University Pathology Building, Queen Mary Hospital
*ULT1= Underground Lecture Theatre 1, LG 1/F, New Clinical Building, Queen Mary Hospital

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 MBBS II Gastrointestinal System Block 2017/2018

Learning Outcomes of the Lectures

Lecture 1: General anatomy of the abdomen

 Describe the boundaries of abdominopelvic cavity including the skeletal boundaries, anterlateral muscles,
inguinal canal and muscles of the posterior abdominal wall.
 Define the surface anatomy of anterior abdominal wall including the horizontal and vertical planes
commonly used to divide the abdomen into different regions.
 Describe the peritoneum, divisions of peritoneal cavity and peritoneal derivatives.
 Explain the general arrangement of abdominal contents.
[Dr LK Chan, Biomedical Sciences]

Lecture 2: Innervation, blood supply and lymphatic drainage of the GI tract

 Describe the anatomical relationship of esophagus to other structures in mediastinum.

 Identify the physiological constrictions of esophagus and know their clinical importance.
 Summarise the anatomical features of the stomach and intestine and their relationships.
 Explain the enteric innervation, blood supply and lymphatic drainage of esophagus and other GI organs.
[Dr LK Chan, Biomedical Sciences]

Lecture 3: Histological features of esophagus, stomach and intestines

 Distinguish the key histological features of stomach and its regional variations (cardiac, fundus and
pylorus).
 Describe the histology of small and large intestines and their functional adaptations.
[Prof GSW Tsao, Biomedical Sciences]

Lecture 4: Histology of the digestive glands: salivary glands, liver and the pancreas

 Describe the histology and functions of major types of salivary glands.

 Describe the histological organization and functions of liver and pancreas.
[Prof GSW Tsao, Biomedical Sciences]

Lecture 5 & 6: Gross anatomy of the GI tract, liver and the pancreas I & II

 Summarise the general arrangement and characteristic features of the GI tract.

 Illustrate the gross anatomy and relationships of liver, biliary tracts and pancreas with the GI tract.
 Explain what is portal hypertension and regions where veins may be distended.
[Dr LK Chan, Biomedical Sciences]

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 MBBS II Gastrointestinal System Block 2017/2018

Lecture 7: Development of the digestive system

Describe:
 the formation of the primitive gut from the dorsal part of the yolk sac and the contribution of both the
endoderm and mesoderm to the gut wall.
 the development of the foregut: rotation of the stomach, duodenum, liver, gall bladder, pancreas and the
lesser sac. The development of the spleen will be mentioned though it is not part of the digestive system.
 the development of the midgut, illustrating herniation, the rotation, reduction and differential growth of
the anterior and posterior limbs, descent of the caecum with the appendix, and the fixation of the
different regions of the gut become retroperiotoneal.
 the development of the hindgut, the partition of the cloaca, and the development of the anal canal.
 the angiology of the gut in relation to its embryological development.
 the basis of anomalies of gastrointestinal development.
[Dr MCH Cheung, Biomedical Sciences]

Lecture 8: Pathology of small and large bowel

 Layered organization of gastrointestinal system.

 Autonomic innervation of gastrointestinal tract and the enteric nervous system.
 Main functions of gastrointestinal tract: digestion and absorption of nutrients.
 Overview of GI secretory & motility functions.
 Neural and chemical control of gastrointestinal functions.
 Control of GI motility and secretion during a meal.
[Dr Rex Au Yeung, Pathology]

Lecture 9: Pathology of the esophagus and cardia

 Describe the pathology of esophagitis (particularly reflux esophagitis), Barrett’s esophagus, and
adenocarcinoma of gastro-esophageal junction.
 Describe the etiological factors, gross and microscopic features, and spread of carcinoma of the
esophagus, particularly of squamous cell carcinoma.
[Dr RCL Lo, Pathology]

Lecture 10: Introduction to radiology of the gastrointestinal system

 Describe the principles of visualization of the bowel in radiology.

 Describe the radiological anatomy on cross-sectional imaging of the abdomen.
 Discuss common radiological findings on contrast study of bowel.
[Dr K Chiu, Diagnostic Radiology]

Lecture 11: Gastroduodenal secretions and control

 Describe the ionic mechanism and regulation of gastric acid secretion.

 Describe the secretion and function of pepsinogen.
 Describe the gastric mucus and bicarbonate secretion and the gastric mucosal barrier.
 Describe the secretion and function of intrinsic factor and the consequence of its deficiency.
 Describe duodenal secretions and their function.
[Dr AMS Poon, Biomedical Sciences]

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 MBBS II Gastrointestinal System Block 2017/2018

Lecture 12: Viral hepatitis, serological tests, immunization

 List the viruses that cause hepatitis and describe their epidemiology.
 Demonstrate understanding of the pathogenesis and mechanisms of persistence of the hepatitis viruses.
 Interpret serological reports.
 Describe the principles and practice of immunization against hepatitis A and B.
[Prof JSM Peiris, Public Health for Microbiology]

Lecture 13: Helicobacter pylori

 State the basic bacteriology and pathogenic mechanisms of Helicobacter pylori.

 Describe the disease associations of Helicobacter pylori.
 Indicate the pros and cons of different laboratory tests for the diagnosis of Helicobacter pylori infections.
 Define the principles of therapy of diseases related to Helicobacter pylori.
[Dr SSY Wong, Microbiology]

Lecture 14: Pathology of peptic ulcers, gastritis and gastric cancer

 Briefly describe the etiology, pathogenesis, pathology and complications of peptic ulcer disease.
 Describe the relationship between Helicobacter pylori and peptic ulcer, gastritis and gastric cancer.
 Recognize the etiology, pathology and complications of gastric cancer.
[Prof IOL Ng, Pathology]

Lecture 15: Digestive enzymes

 Explain how step-wise digestion of protein, carbohydrate and fat is achieved, by classifying digestive
enzymes (peptidases, saccharidases and lipases) in terms of site of origin (glands, surface epithelia) and
mode of action.
 Explain clinical consequences of deficiency in a digestive enzyme, e.g. milk (lactose) intolerance.
 Describe the basic pathway of synthesis, storage, secretion and activation of pro-enzymes (zymogens).
 Explain how zymogen secretion is enhanced, by defining secretagogues and describing the intracellular
events following secretagogue-binding to the exocrine cell surface.
[Prof DKY Shum, Biomedical Sciences]

Lecture 16: Aggressive factors and ulcer healing drugs

 Define the defensive and aggressive factors for peptic ulceration.

 Explain the mechanisms of antisecretory and mucosal protective agents in the treatment of
gastroduodenal ulcers.
 Describe the strategies of treatment for gastroduodenal ulcers.
[Dr GPH Leung, Pharmacology & Pharmacy]

Lecture 17: Functions of the liver

 Describe the essential role of the liver in

(i) amino-acid metabolism in particular synthesis of urea.
(ii) bilirubin conjugation and secretion (part of the haem degradation pathway).
 Explain the clinical consequences of derangements in these activities of the liver.
[Prof DKY Shum, Biomedical Sciences]

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 MBBS II Gastrointestinal System Block 2017/2018

Lecture 18: Control of biliary and pancreatic secretions

 Describe the enzymatic and aqueous components of pancreatic exocrine secretions and their functions.
 Describe the phases for the control of pancreatic exocrine secretion and demonstrate understanding of the
vagal and hormonal regulation in the intestinal phase.
 Demonstrate knowledge of the components of biliary secretion.
 Describe the digestive functions of bile salts and excretory functions of biliary secretions.
 Describe the control of biliary secretion.
[Dr AMS Poon, Biomedical Sciences]

Lecture 19: Pathology of hepatitis and cirrhosis

 Identify the morphological changes of liver in hepatitis and cirrhosis.

 Explain the causes and complications of hepatitis and cirrhosis.
[Prof IOL Ng, Pathology]

Lecture 20: Pathology of liver tumours and gall stones

 Identify the main types of tumours of the liver.

 Distinguish between the risk factors, epidemiology, morphology and behavior of hepatocellular
carcinoma and cholangiocarcinoma.
[Prof IOL Ng, Pathology]

Lecture 21: Motility of the GI tract

 Describe the swallowing reflex.

 Describe the motility of the oesophagus during swallowing.
 Describe the motor function of the stomach: receptive relaxation, mixing and emptying.
 Describe the motor function of small and large intestine.
 Describe defecation reflex.
[Dr AMS Poon, Biomedical Sciences]

Lecture 22: Absorption along the GI tract: membrane transport

 Describe the basic structure of biological membranes.

 Classify membrane translocation systems, describe the four common steps in the transport of solute
molecules, and the special features of each system.
 Describe the translocation systems used in the gastrointestinal tract to absorb Na+, C1-, amino-acids and
di-, tri- and tetra-peptides, and mono-saccharides.
 Describe the molecular basis of:
- cystic fibrosis (intestinal block).
- hartnup disease (neutral amino aciduria).
[Dr NS Wong, Biomedical Sciences]

Lecture 23: Diarrhea – nutritional, fluid and electrolyte consequences

 Describe the transepitheliel transport of solutes and water.

 Describe the causes of diarrhea.
 Discuss the consequences of diarrhea with regard to the fluid and electrolyte balance, and the basis of
oral rehydration therapy.
[Dr AMS Poon, Biomedical Sciences]

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 MBBS II Gastrointestinal System Block 2017/2018

Lecture 24: Drugs affecting motility of the GI tract

 Explain the pharmacological profiles of prokinetic agents for upper GI motility disorders.
 Demonstrate understanding of the mechanisms of action for drugs used in the treatment of diarrhoea and
constipation.
[Dr GPH Leung, Pharmacology & Pharmacy]

Lecture 25: Pathology of the pancreas

 Appreciate the spectrum of pathologies in the pancreas.

 Demonstrate an understanding of the pathophysiology and pathogenesis in pancreatic diseases.
[Dr RCL Lo, Pathology]

Lecture 26: Gastrointestinal microbiology and infection

 Identify the normal defence mechanisms and microbial flora of the gastrointestinal tract and their
relationship to enteric and intra-abdominal infections.
 Recognize the common causes of enteric infections and their presentations.
 Summarize the principles of management and prevention of enteric infections.
[Dr SSY Wong, Microbiology]

Lecture 27: Antibacterial treatment of enteric infections

 Identify the different classes of antibacterial drugs which are useful in the treatment of various types of
enteric infections.
 Describe the mechanisms of antibacterial actions of these drugs, their pharmacokinetic properties and the
characteristic adverse effects.
[Dr JCW Mak, Pharmacology & Pharmacy]

Lecture 28: Geography, migration, development and disease burden

 Recognize the concept of disease burden as measured by mortality, morbidity, financial cost, and other
indicators including quality-adjusted life years (QALYs) and disability-adjusted life years (DALYs).
 Understand the usefulness and limitation of routine data in reflecting the disease burden posed by
different diseases.
 Describe the geographical distribution and the reasons for variation in occurrence of different
communicable and non-communicable gastrointestinal diseases.
[Dr DKM Ip, Public Health]

Lecture 29: The gut microbiome in complex chronic disease

 Describe the gut microbiome and its symbiotic relation with its host.
 Enumerate exposures that might affect the gut microbiome.
 Identify complex chronic diseases where the gut microbiome is and is not currently thought to play a role.
 Identify the potential role of the gut microbiome in diagnosis, risk stratification, prevention and treatment
of complex chronic diseases.
[Dr YH Tam, Public Health]

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 MBBS II Gastrointestinal System Block 2017/2018

Lecture 30: Treating hepatitis and parasitic infections

 Identify the antiviral drugs which are useful in the treatment of hepatitis B and C.
 Describe the pharmacology of antiviral agents and their adverse effects.
 List the medications which are useful in the treatment of protozoal and helminthic infections and identify
their action targets.
[Dr EHC Tang, Pharmacology & Pharmacy]

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 MBBS II Gastrointestinal System Block 2017/2018

Schedule of the Practicals and Workshops

Anatomy

Practical Groups Date Time Venue

1-23 2017-09-06 14:30-17:30 MDL1-3

Dissection Practical Groups Date Time Venue

VI 1-23 2017-09-08 14:00-15:00 Anatomy Dissecting Lab. (Pre-lab talk)
15:00-18:00 Anatomy Dissecting Lab.
VII 1-23 2017-09-14 14:00-14:45 Anatomy Dissecting Lab. (Pre-lab talk)
14:45-18:00 Anatomy Dissecting Lab.
VIII 1-23 2017-09-28 14:00-14:45 Anatomy Dissecting Lab. (Pre-lab. talk)
14:45-17:30 Anatomy Dissecting Lab.
IX 1-23 2017-10-12 08:30-09:30 LT1 (Talk on Radiology)
1-23 2017-10-06 09:30-10:30 Anatomy Dissecting Lab. (Pre-lab talk)
10:30-13:00 Anatomy Dissecting Lab.

Biochemistry

Practical Groups Date Time Venue

6-11 2017-09-18 14:30-17:30 Biochemistry Teaching Lab.
18-23 2017-09-19 14:30-17:30 Biochemistry Teaching Lab.
12-17 2017-09-20 14:30-17:30 Biochemistry Teaching Lab.
1-5 2017-09-22 14:30-17:30 Biochemistry Teaching Lab.

Public Health

Practical Groups Date Time Venue

I 1-23 2017-09-12 10:30-12:30 LT2
II 11-12 2017-09-22 14:30-16:30 SR1
13-14 2017-09-22 14:30-16:30 SR2
15-16 2017-09-19 15:30-17:30 HKJC-S3
17-18 2017-09-22 14:30-16:30 SR4
19-20 2017-09-22 14:30-16:30 SR3
21-23 2017-09-22 14:30-16:30 HKJC-S3
1-2 2017-09-27 14:30-16:30 HKJC-S1B
3-4 2017-09-27 14:30-16:30 SR2
5-6 2017-09-27 14:30-16:30 SR3
7-8 2017-09-27 14:30-16:30 SR4
9-10 2017-09-27 14:30-16:30 SR6

Microbiology

Practical Groups Date Time Venue

1-23 2017-10-03 10:30-12:30 Block T, Student Lab

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 MBBS II Gastrointestinal System Block 2017/2018

Pathology

Practical Groups Date Time Venue

I 1-23 2017-09-13 15:15-17:15 Block T, Student Lab
II 1-23 2017-09-27 10:30-12:30 Block T, Student Lab

Chemical Pathology

Workshop Groups Date Time Venue

I&II 1-23 2017-09-15 08:30-10:30 LT2

Location of Laboratories, Lecture Theatre and Tutorial Rooms

 MDL1-3 Multi-disciplinary Laboratories 1-3, G/F, Laboratory Block, 21
Sassoon Road
 Anatomy Dissecting Lab. L1-01, Laboratory Block, 21 Sassoon Road
 LT1 Lecture Theatre 1, G/F, William MW Mong Block, 21 Sassoon
Road
 Biochemistry Teaching Lab. G19, G/F, Laboratory Block, 21 Sassoon Road
 SR1-4 Seminar Rooms 1-4, G/F, Laboratory Block, 21 Sassoon Road

SR6 Seminar Room 6, LG 1/F, Laboratory Block, 21 Sassoon Road

 HKJC-S2 Seminar Room, Rm G-03, G/F, The Hong Kong Jockey Club
Building for Interdisciplinary Research, 5-7 Sassoon Road
 Block T, Student Lab Rm 019 & Rm 025, 2/F, Block T, Queen Mary Hospital

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 MBBS II Gastrointestinal System Block 2017/2018

Learning Outcomes of the Practicals and Workshops

Anatomy

Practical: Histology of the GI tract

 Describe the histological arrangement of the esophagus.

 Distinguish the key histological features of the stomach and its regional variations (cardiac, fundus and
plyorus).
 Compare and contrast the histological features and functional properties of small and large intestines.
 Describe the structure and function of intestinal villi and glands.
 Recognize the importance of renewal of the epithelium lining the GI tract.
 Describe the function of the lymphoid tissues present in the GI tract.
[Prof G Tsao/Prof SK Chung/Miss M Machado/Prof W Wu/Dr S Ma/Dr J Yang]

Dissection Practical VI: Anterior abdominal wall and inguinal region

 Define the boundaries of the abdominopelvic cavity including skeletal boundaries, anterolateral muscles,
inguinal canal, muscles of the posterior abdominal wall.
 Illustrate the surface anatomy of anterior abdominal wall such as the horizontal and vertical planes
commonly used to divide the abdomen into different regions.
[Dr LK Chan/Dr G Tipoe/Prof G Tsao/Miss M Machado/Dr M Huen/Dr J Yang]

Dissection Practical VII: Abdominal cavity

 Summarise the peritoneum, divisions of peritoneal cavity and peritoneal derivatives.

 Explain the general arrangement of abdominal contents.
[Dr LK Chan/Dr G Tipoe/ Dr M Huen/Miss M Machado/Prof G Tsao/Dr J Yang]

Dissection Practical VIII: Abdominal cavity (cont.) and mesenteric vessels

 Describe anatomical features and their relationships of stomach and intestine.

 Summarise the blood supply and lymphatic drainage of the gut.
[Dr LK Chan/Dr M Huen/Miss M Machado/Dr G Tipoe/Prof G Tsao/Dr V Yip]

Dissection Practical IX: Posterior abdominal viscera and wall

 Define the retroperitoneal space – organs, relationships, blood vessels.

 Explain the cross-sectional anatomy of abdomen.
 Summarise the cross-sectional anatomy of retroperitoneal structures.
[Prof PL Khong] - for ‘Talk on Radiology’
[Dr LK Chan/Dr M Huen/Miss M Machado/Dr G Tipoe/Prof G Tsao/Dr J Yang]

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 MBBS II Gastrointestinal System Block 2017/2018

Biochemistry

Practical: Biochemical tests for disease of the liver

 Demonstrate understanding of the principles of selection of enzymes and proteins for diagnosis of liver
diseases.
 Demonstrate understanding of the clinical usefulness of liver function/dysfunction tests and the
limitations in their diagnostic uses.
[Dr JWY Ho]

Public Health

Practical I & II: Evidence-based Practical I & II

 Learn how to set and test a research hypothesis.

 Understand and interpret p-values and 95% confidence intervals.
 Summarise the purpose for and identify the typical features of a case-control study design.
 Discuss the strengths and weaknesses of a case-control study design.
 Calculate and interpret effect measures (such as relative risk and odds ratio).
 Distinguish between random error and bias when interpreting results.
 Describe the epidemiology of common gastrointestinal diseases.
[Tutors as advised]

Microbiology

Practical: Gastrointestinal infections

 Explain the methods for laboratory diagnosis for gastrointestinal and intra-abdominal infections
including viral infections of the liver.
 Interpret basic laboratory testing results in the diagnosis for gastrointestinal and intra-abdominal
infections including viral infections of the liver.
 Describe the proper ways of collecting and handling specimens for diagnosis of gastrointestinal
infections.
 Recognize the role of the laboratory in the diagnosis and investigation of outbreaks of enteric infections.
[Dr SSY Wong]

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 MBBS II Gastrointestinal System Block 2017/2018

Pathology

Practical I: Pathology of esophageal cancer, peptic ulcer, gastric cancer and acute appendicitis

 Describe the gross pathology and histology of peptic ulceration and its complications.
 Describe the gross pathology and histology of carcinoma of the stomach.
 Recognize the pathology of acute appendicitis.
[Dr RCL Lo]

Practical II: Pathology of hepatitis, cirrhosis and liver cancer

 Describe the histology of hepatitis.

 Describe the gross pathology and histology of cirrhosis and liver cancer.
[Dr RCL Lo]

Chemical Pathology

Workshop I: Liver function test

 Discuss chemical pathology of liver function tests include ALT, AST, ALP, GGT, different fractions of
bilirubins, total proteins, and albumin.
[Dr ECY Law]

Workshop II: Plasma proteins and enzymes

 Discuss selected plasma proteins and enzymes with significant clinical usefulness, e.g. ceruloplasmin,
albumin, haptoglobin, transferrin, immunoglobulins, some amino acids and diagnostic enzymes in
muscle, cardiac liver, pancreatic, bone, and red cell pathologies.
[Dr ECY Law]

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 MBBS II Gastrointestinal System Block 2017/2018

Clinical Skills for the Gastrointestinal System

Topic
Abdominal examination

Learning Outcomes
By the end of the sessions, students will be able to:
 Demonstrate understanding of the principles and basic techniques of abdominal examination.
 Demonstrate how to insert a peripheral intravenous line.

Activities
1. Surface anatomy of the abdomen. Recognition of signs of chronic liver disease.
2. Examination of abdomen. Setting up of intravenous lines.

An introduction to the surface anatomy of the abdomen will be given. Signs of chronic liver disease will be
demonstrated by clinical slides.

The group will then be divided into 4 sub-groups of 10-12. Each sub-group will have a hands-on learning
exercise of physical examination of abdomen. During the session the technique will first be demonstrated
and then in pairs, each student will examine each other’s abdomen. In addition, each student will learn the
technique of setting up an intravenous line.

Physical examination of abdomen will be re-visited again in Year III. The present sessions serve only as an
introduction.

N.B. Students are required to bring along their own stethoscopes to the clinical skills session.

Schedule
Groups Date Time Venue Tutors
9-13 2017-09-07 14:30-17:30 PCB101-104
14-18 2017-09-21 14:30-17:30 PCB101-104
1-4 2017-10-06 14:30-17:30 PCB101-104
19-23 2017-10-12 14:30-17:30 PCB101-104
5-8 2017-10-13 14:30-17:30 PCB101-104
Venue
PCB101-106 = Rooms 101-106, Suen Chi Sun Clinical Skills Laboratory and Simulation Training Centre,
1/F, Pauline Chan Building, 10 Sassoon Road
0-0

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 MBBS II Gastrointestinal System Block 2017/2018

Medical Humanities Programme

Vision
To deepen the experience of being human, to cultivate humaneness, to be a humanitarian

Mission
To help nurture the development of medical students into caring physicians who are capable of a deeper
understanding of the human condition and thus provide better care to the patients as well as to themselves.

Background
There is a need for doctors to be aware that the human and humane aspects of medical practice go hand in
hand with the benefits reaped through science and technology. Undoubtedly, finding cures for disease, drugs
to delay ageing, and developing stem cell therapies to reverse degenerative disorders are of critical
importance, but of equal importance is alleviating the suffering of patients with chronic illnesses and
incurable diseases.

The study of the humanities in medicine has come to encompass contributions from history, literature,
philosophy, sociology, visual arts, performing arts, religious studies, ethics and law; and has naturally led to
the development of a discipline in medical curricula called Medical Humanities (MH). Internationally, the
specific goals of MH curricula vary from school to school but at its heart is the generation of new inquiries
and reflections which will enable students to understand illness and health in the wider context of the lives of
people, and also bring insight into the complexities and ambiguities of issues involved in medical care and
practice.

Through MH, students learn to appreciate the nature and meaning of patients’ suffering and their aim to live
meaningful lives despite their illnesses. In addition, doctors, through the exercise of judicious and ethical
decisions, can learn to be humane to themselves and to their colleagues, take care to avoid punishing work
schedules, recognise the limits of their expertise, and avoid as much as possible (or face up to), making
mistakes.

The medical humanities programme reframes the biomedical focus of the MBBS curriculum and is woven
into all 6 years of the curriculum. It links to, and augments, the other foundational and disciplinary learning,
with an emphasis on five core themes under four different genres.

Themes Genres
Doctor and patient stories Narrative and literature (including poetry)
Culture, spirituality and healing Performance (drama, music)
History of medicine Film
Death, dying and bereavement Visual arts (painting, photography, multimedia)
Humanitarianism
* Any theme can be exploring using any genre, and vice versa.

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 MBBS II Gastrointestinal System Block 2017/2018

Upon completion of the 6-year undergraduate programme in medical humanities, students will achieve
learning outcomes which align with the University teaching and learning aims. Students will be able to:

Programme Learning Outcomes Alignment with HKU Aims

A. Examine the values underpinning what is meant Aim 1: Pursuit of academic/professional excellence,
by being human, humanistic and humanitarian as critical intellectual enquiry and life-long
a doctor and as a member of the human race learning
B. Demonstrate skills of reflective thought and Aim 2: Tackling novel situations and ill-defined
critical analysis in dealing with ill defined problems
problems and situations in illness and healing Aim 3: Critical self-reflection, greater understanding
of others, and upholding personal and
professional ethics
C. Articulate the many dimensions and contexts of Aim 4: Intercultural understanding and global
human experience in health and illness citizenship
Aim 5: Communication and collaboration
D. Discuss the role of culture, traditions, ethical and Aim 3: Critical self-reflection, greater understanding
spiritual concerns in health and illness of others, and upholding personal and
professional ethics
Aim 4: Intercultural understanding and global
citizenship
E. Demonstrate professional competencies and Aim 1: Pursuit of academic/professional excellence,
humanitarian values in the relief of suffering and critical intellectual enquiry and life-long
the betterment of mankind and society learning
Aim 6: Leadership and advocacy for the
improvement of the human condition

Overview of Year 2
The second year of the medical humanities programme builds upon what the students were introduced in the
first year – what is meant by the medical humanities, its relevance to enabling the wellbeing of patients and
doctors themselves, and how historical events shapes the way medicine is currently practiced. It was also an
opportunity for students to experience new teaching and learning formats in which stories, films, performance
and mindful practice exercises were used to explore the issues relating to who is the person behind the white
coat, and to appreciate events which shaped the planning and delivery of medical care in Hong Kong from
museum visit and a medical heritage walk.

This second year of the medical humanities curriculum will focus on fostering the acquisition of knowledge
and the development of humanistic skills in students which will enable them to develop into true practitioners
in the art and science of medicine.
Whilst advances in biomedical science, new drugs, innovative surgical techniques and improved medical
technology have cured more patients and led to a growing population of chronically ill patients, it has also
resulted in medicine being increasingly practiced as a biomedical speciality with little in the way to
understand the suffering of patients and the loss of meaning in their lives as chronically ill patients or when
no cure is possible. The second year curriculum will provide opportunities to explore how suffering can be
recognised in the patients, and to discuss approaches which medical humanities can facilitate doctors to bring
healing to their patients.

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 MBBS II Gastrointestinal System Block 2017/2018

Learning Outcomes
By the end of the Year 2 programme, students will be able to:
 Discuss why despite the advances in modern medical practice, patients continue to suffer as a result of
their illness.
 Describe how engagement in the medical humanities will enable doctors to recognise the nature of
suffering in their patients and as a result open up opportunities to bring healing
 Identify the occasions (and situations) which have brought about suffering to doctors and medical
students and how these can help doctors to evolve from biomedical specialist to physician-healers.
 Discuss ways in which medical humanities can help the medical profession to build better public trust of
doctors, and to improve the morale in the medical profession.

Schedule
Date Time Groups Venue Activity
2017-09-08 11:30-12:30 1-23 PLT Whole Class Session (1)
2017-09-13 10:30-11:30 1-23 PLT Whole Class Session (1) [cancelled]
2017-09-20 09:30-10:30 1-23 LT2 Whole Class Session (2) [cancelled]
2017-09-21 14:30-17:30 5-8 A202-A203 Workshop
2017-09-22 09:30-12:30 1-4 A202-A203 Workshop
2017-09-15 09:30-12:30 19-23 EXH/SR5 Workshop
2017-09-26 09:30-12:30 9-13 A202-A203 Workshop
2017-09-29 14:30-15:30 1-23 LT1 Conversations and Connections
2017-10-04 09:30-10:30 1-23 LT2 Conversations and Connections
2017-10-06 14:00-17:00 9-13 A202-A203 Workshop
*Rescheduled to October 13, 2017*
2017-10-11 10:30-11:30 1-23 LT2 Whole Class Session (4)
2017-10-11 14:00-17:00 14-18 CBH Workshop
2017-10-12 14:00-17:00 5-8 CBH Workshop
2017-10-13 09:30-12:30 14-18 A202- Workshop
A203/LT4
2017-10-13 14:00-17:00 1-4 SR1 Workshop
2017-10-13 14:00-17:00 9-13 MTC Workshop
2017-10-13 14:30-17:30 19-23 SR2 Workshop

Venue
LT1 = Lecture Theatre 1, G/F, William MW Mong Block, 21 Sassoon Road
LT2 = Lecture Theatre 2, G/F, William MW Mong Block, 21 Sassoon Road
A202-A203 = Room A2-02 & Room A2-03, 2/F, William MW Mong Block, 21 Sassoon Road

N.B. Please refer to the MBBS II Medical Humanities Handbook for further details.

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 MBBS II Gastrointestinal System Block 2017/2018

Professionalism in Practice Programme

The Professionalism in Practice (PIP) Programme will run over the first three years of the 6-year MBBS
curriculum. Each year the programme will focus on certain expected attributes of a good doctor which reflect
professionalism – Year 1: being humanistic and ethical, Year 2: being an expert resource and Year 3: being a
skilled clinician. It will also serve as a foundation for subsequent learning in the Family Medicine and
Primary Care curriculum, complement the formal Medical Ethics and Humanities programmes and further
enhance the “Medical Ethics, Professional Attitudes and Behaviour” theme of the medical curriculum.

Aim
The aim of the PIP Programme is to begin developing students’ awareness and understanding of the nature of
medical professionalism through experiential learning and early clinical contact under the guidance of
frontline primary care doctors.

MBBS II Theme
The doctor in the context of health care systems and as a guide for navigating the local health care system
and services

Learning Outcomes
By the end of the second year PIP programme, students will be able to:
 Compare the structure and function of the health care system in Hong Kong and in selected overseas
settings.
 Describe the range of health care services that are available to Hong Kong citizens.
 Discuss the utilization and perception of various services by patients.
 Recognize the contribution and roles of other health care professionals in our health care system.
 Explain how the role of the doctor as a patient advocate relates to professionalism.

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 MBBS II Gastrointestinal System Block 2017/2018

Schedule
Date Time Group Venue Activity
2017-09-05 14:30-16:30 1-23 LT2 Briefing Session on Clinical Visit
2017-09-15 13:30-17:30 17-18 - Clinical Visit (Dental)
2017-09-18 13:30-17:30 1-2 - Clinical Visit (Dental)
2017-09-19 13:30-17:30 3-4 - Clinical Visit (Dental)
2017-09-20 13:30-17:30 5-6 - Clinical Visit (Dental)
2017-09-21 13:30-17:30 9-10 - Clinical Visit (Dental)
2017-09-22 13:30-17:30 7-8 - Clinical Visit (Dental)
2017-09-25 13:30-17:30 11-12 - Clinical Visit (Dental)
2017-09-27 13:30-17:30 23 - Clinical Visit (Dental)
2017-10-04 13:30-17:30 19-20 - Clinical Visit (Dental)
2017-10-11 13:30-17:30 21-22 - Clinical Visit (Dental)
2017-10-12 13:30-17:30 13-14 - Clinical Visit (Dental)
2017-10-13 13:30-17:30 15-16 - Clinical Visit (Dental)

N.B. Please refer to the MBBS II PIP Handbook for further details.

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 MBBS II Gastrointestinal System Block 2017/2018

Community-based Teaching: Patient Care (Feel-Link) Project (PCP-FL)

The Patient Care (Feel-Link) Project [PCP(FL)] provides MBBS and BNurs students the opportunities to
recognise the lived experiences of patients/clients with different types of medical problems. Students will be
divided into groups of two to three students (involving MBBS and Bnurs students) to interact with a
patient/client with different medical problems. This gives the 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.

The PCP(FL) gives you the opportunity to meet and develop a relationship with a patient/client with the
initial help of health care/service professionals. By following an individual patient/client for a period of time,
you can develop an important understanding of the psychosocial aspects of health care, such as health and
illness and their effects upon an individual and his/her family’s life. Through the PCP(FL), you can also
“feel” how patients/clients and their health care providers feel, and act as a “link” person between
patients/clients and health care providers through information and experience sharing.

Objectives
 To provide an effective learning vehicle for the understanding of the psychosocial aspects of health care
through interaction with patients/clients and their families for a period of time.
 To provide students opportunities to “feel” the feelings of the experience of illness from the perspective
of patients/clients (and their families). In addition, students will have the opportunity to “feel” the
experience of doctors and health care or service providers and other health care providers in delivering
patient/client care in the current health care environment.
 To promote the linkage among students, doctors/health care/service professionals and patients/clients by
establishing mutual sharing of information and feelings.

Schedule
Date Time PCP-FL Group Venue Activity
2017-09-12 14:30-16:30 1-45 LT2-LT4 Briefing Session
16:30-17:30 1-45 LT2-
LT4/TRs/SRs
2017-09-25 14:30-17:30 1-45 - Visit
2017-09-26 14:30-17:30 1-45 - Visit
2017-10-03 14:30-17:30 1-45 - Visit
2017-10-09 14:30-17:30 1-45 - Visit
2017-10-10 14:30-17:30 1-45 - Visit
Venue
SR1-2 = Seminar Rooms 1-2, G/F, Laboratory Block, 21 Sassoon Road
TR = Tutorial Rooms, 1/F, William MW Mong Block, 21 Sassoon Road
A203 = Room A2-03, 2/F, William MW Mong Block, 21 Sassoon Road
HKJC-S1A = Room G-01, G/F, The HKJC Bldg for Interdisciplinary Research, 5 Sassoon Road
HKJC-S4 = 4/F, Rm 4-02, The HKJC Bldg for Interdisciplinary Research, 5 Sassoon Road

Learning Outcomes
By the end of the tutorial, students will be able to:
 Define the concept of stress.
 Identify the social factors which influence stress.
 Discuss how social factors influence stress.
 Discuss the relationship between stress and illness.
 Identify factors that moderate the effects of stress on health
 Identify the major issues that patients and their families face when adapting to chronic illness and discuss the coping
techniques
 Explain the situational and individual influences on coping and adaptation.
 Identify different approaches of inter-disciplinary collaboration.
N.B. Please refer to the Patient Care (Feel-Link) Project Manual for more details.

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 MBBS II Gastrointestinal System Block 2017/2018

MBBS II Gastrointestinal System Block

PBL Groups
Schedule
Case/Tutorial Date Time
Case 1 Tutorial 1 2017-09-11 09:45-11:45
Case 1 Tutorial 2 2017-09-14 09:45-11:45
Case 1 Tutorial 3 / Case 2 Tutorial 1 2017-09-18 09:45-11:45
Case 2 Tutorial 2 2017-09-21 09:45-11:45
Case 2 Tutorial 3 / Case 3 Tutorial 1 2017-09-25 09:45-11:45
Case 3 Tutorial 2 2017-09-28 09:45-11:45
Case 3 Tutorial 3 / Case 4 Tutorial 1 2017-10-09 09:45-11:45
Case 4 Tutorial 2 2017-10-12 09:45-11:45

List of Tutors
Group Venue Tutor Department
1 TR3 Dr MCW Chan Public Health
2 TR4 Dr Dana Vackova Public Health
3 TR5 Dr Kenneth Hon Public Health
4 TR6 Dr Joseph Liu Public Health
5 TR7 Dr VPY Tan Medicine
6 TR8 Prof XY Guan Clinical Oncology
7 TR9 Dr GPH Leung Pharmacology and Pharmacy
8 TR10 Prof K Man Surgery
9 TR11 Dr Christy Hui (case 1-2), Psychiatry
Dr Gabriel Hung (case 3-4)
10 TR12 Prof L Poon Microbiology
11 TR13 Dr Louise Wong (case 1), Microbiology
Dr RKH Kok (case 2-4)
12 TR14 Prof WW Tu Paediatrics and Adolescent Medicine
13 TR15 Dr LYL Cheng Biomedical Sciences
14 TR16 Prof SK Chung Biomedical Sciences
15 TR17 Dr JH Chen Biomedical Sciences
16 TR19 Dr B Gao Biomedical Sciences
17 TR20 Dr QZ Lian Biomedical Sciences
18 TR21 Dr MAKY Lung Biomedical Sciences
19 TR22 Dr SKY MA Biomedical Sciences
20 TR24 Dr ENY Poon (case 1) Biomedical Sciences
Dr SYW Shiu (case 2),
Dr VSF Chan (case 3-4)
21 TR25 Prof D Chan (case 1-2), Biomedical Sciences
Dr JWY Ho (case 3-4)
22 TR26 Dr R Au-Yeung (case 1), Pathology
Prof IOL Ng (case 2-4)
23 TR27 Dr M Wong (case 1-2), Pathology
Dr KW Chan (case 3-4)

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 MBBS II Gastrointestinal System Block 2017/2018

Venue
TR = Tutorial Rooms, 1/F, William MW Mong Block, 21 Sassoon Road

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 MBBS II Gastrointestinal System Block 2017/2018

Notes to Students

Attendance

(a) Attendance at PBL tutorials is compulsory.

(b) For cases of absence on medical ground, students are required to submit medical proof to the Faculty
Office within 7 days after the date of the tutorial from which they are absent.

(c) For cases of absence without any reason or justification, a progressive mark deduction system on the
assessment will be imposed, e.g. 10% of the overall marks will be deducted from absence from one
tutorial, 20% mark deduction for absence from two sessions, and so on and no mark will be given in
case of absence from more than 50% of the tutorials.

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