Bachelor of Medicine and Bachelor of Surgery

Program Introduction

  • Duration of Study

    The normal duration of this program is 6 years,and the maximum duration is 8 years.

  • Teaching Approach

    Face-to-face Teaching

  • Teaching Language

    English

  • Academic Field

    Medicine

  • Course Introduction

    The Faculty of Medicine of Macau University of Science & Technology (MUST) offers a Bachelor of Medicine & Bachelor of Surgery (MBBS) program similar to MBBS courses offered in U.K. and other countries. The curriculum is competency based consisting of five years of formal course followed by one year of internship. The main objective of the course is to create ‘tomorrow’s doctors’ in Macao who would be compassionate, caring and competent in delivery of effective and efficient patient care. Course begins with foundation module and progresses through various basic sciences and clinical clerkships.


    Phase I : Introduction to Medical Education & Training

    Phase I of the course begins with three months of orientation program emphasizing course structure, importance of appropriate communication skills, language proficiencies, ethical and moral values, humanity and duties of the doctor. It also introduces students to the application of basic sciences in clinical context along with concepts of active learning and evidence basic practice. Block is followed by a period of formative assessment to familiarize students with examination requirements and practice.


    Phase I : Biomedical Science in Clinical context course

    Phase I continues with system (organ) blocks of five weeks each. Teaching in these blocks will be organized with integration of anatomy, physiology, biochemistry, pharmacology, pathology, microbiology based on clinical scenarios. There will written and practical summative examinations at the end of Years 1 and 2, followed by six weeks of elective period before students progress to third year of Phase II program.


    Phase II : Clinical Foundation Clerkships

    Third year of clinical foundation course with three rotations is held at hospital, family medicine and community health clinics to learn basic clinical examination skills with real patients across various specialties. Students will have opportunity to acquire abilities to make diagnosis based on comprehensive history taking and physical examinations prior to any routine and supportive investigation are undertaken. Course will end with third summative written and clinical examination again followed by four weeks of elective.


    Phase III : Clinical Advanced Clerkships

    Advanced clerkship of six months duration will be an extension of clinical foundation course to consolidate clinical diagnostic skills with interpretation of investigation and management of patients from paediatrics to geriatrics and mental health. These clerkship will be offered at network of hospitals and clinics beyond the University teaching hospital (UH). Formative evaluation of students’ logbooks and clinical competence will be undertaken as a part of continuous assessment.


    Phase IV : Clinical Specialty Clerkship & Assistant Internship

    Specialty clerkship is a year long program related to Surgery, Internal Medicine, Obstetrics and Gynaecology, Paediatrics, Family Medicine, Community Medicine and other specialties. Emphasis in this clerkship will be on management issues. After progressing through Phase I, II and part of Phase III modules, it is expected that students have acquired sufficient skills to participate in active management of patients as an Assistant Interns as a part of interprofessional team. After completion of specialty clerkships and a period of revision students will appear for final examination to obtain degree certificate of MBBS.


    Electives

    Students will be offered six weeks of electives in Macau and beyond at the end of first, second, third and final years to broaden their learning and participating experience in health care projects, volunteerism, international health. Students will work with nominated supervisor to guide and certify their active involvement.


    Internship

    After successful accomplishment at the MBBS exam, medical students will undertake 12 months of compulsory and supervised internship at recognized training units in Macao and beyond. Macao University of Science and Technology will monitor internship program to ensure interns have obtained good clinical experience; and supervisors have signed their logbooks to document satisfactory completion of internship.



Study Plan


Students are required to complete the courses shown as follows:

(a) Core Curriculum from Table 1.

(b) Elective Curriculum from Table 2.

(c) Undertake 12 months of compulsory and supervised internship during the sixth years.

Table 1

Subjects

Type

Study Period (Week)

Hours per week

Introduction to study of medicine

Core

14

20

Biomedical sciences in clinical context - Respiratory System

"

5

20

Biomedical sciences in clinical context - Cardiovascular System

"

5

20

Biomedical sciences in clinical context - Gastrointestinal System

"

5

20

Biomedical sciences in clinical context - Urogenital System

"

5

20

Biomedical sciences in clinical context -  Musculoskeletal System

"

5

20

Biomedical sciences in clinical context - Nervous System

"

5

20

Biomedical sciences in clinical context - Head & Neck System

"

5

20

Biomedical sciences in clinical context - Haematology &  Immunology System

"

5

20

Biomedical sciences in clinical context - Endocrine System

"

5

20

Introduction to clinical skills

"

6

24

Medicine-related Clinical foundation clerkship

"

8

24

Surgery-related Clinical foundation clerkship

"

8

24

Family medicine and Community medicine-related Clinical foundation clerkship

"

8

24

Medicine-related Clinical advanced clerkship

"

6

24

Surgery-related Clinical advanced clerkship

"

6

24

Family medicine and Community medicine-related Clinical advanced clerkship

"

6

24

Internal Medicine-related Clinical Specialty   Clerkship and Assistant Internship

"

8

25

Obstetrics and Gynecology-related Clinical Specialty   Clerkship and Assistant Internship

"

8

25

Pediatrics-related Specialty Clinical Clerkship and Assistant Internship

"

8

25

Surgery-related Specialty Clinical Clerkship and Assistant Internship

"

8

25

Family and community Medicine-related Specialty Clinical Clerkship and Assistant Internship

Core

8

25

Subspecialty-related Specialty Clinical Clerkship and Assistant Internship

"

8

25

Language & Communication Skills

"

40

2

Medical ethics, humanities and law

"

10

1.5

Interpersonal Skills Workshop

"

5

4

Alternative medicine

"

10

1.5

TOTAL 

220 weeks

527 hours

Table 2

Subjects

Type

Study Period (Week)

Hours per week

Students are required to choose three electives from the following curriculum:

Special Topic in Medicine (1)

Elective

6

5

Special Topic in Medicine (2)

"

6

5

Special Topic in Medicine (3)

"

6

5

Special Topic in Medicine (4)

"

6

5

TOTAL 

18 weeks

15 hours



Course Description

MBBS (Bachelor of Medicine and Bachelor of Surgery)

“Creating tomorrow’s medical doctors”

Course Description 

PHASE ONE: FOUNDATION BLOCK

Phase I of the course begins with three months of orientation program emphasizing course structure, importance of appropriate communication skills, language proficiencies, ethical & moral values, humanity and duties of the doctor. It also introduces students to application of basic sciences in clinical context along with concept of active learning and evidence-based practice. This block will be followed by a period of formative assessment to familiarize students with examination requirements and techniques. 

MBBS101 INTRODUCTION TO STUDY OF MEDICINE

The foundation block focuses on the basic knowledge which year 1 medical students need to prepare themselves for up-coming systems blocks and beyond. It covers basic anatomy, cell biology, immunology, physiology, pharmacology, and microbiology. This block aims to give an overview to health and diseases (clinical medicine), the practice of medicine on a personal level (doctor/patient relationship and medical ethics) and on a population level (healthcare in Macau). In parallel, students will have hands-on experience in practical and clinical skills classes to enhance their learning experience.

MBBS102 LANGUAGE & COMMUNICATION SKILLS

The Language and Communications block focuses on improving the students’ ability to communicate effectively, both in speech and also in writing. It covers introduction to Language and Communications, the importance of communication in medicine, presentation skills and poster making, grouping up, student-led lectures, making posters & discussion forum, discussion forum, poster presentations.

MBBS103 MEDICAL ETHICS, HUMANITIES AND LAW (MEHL)

The MEHL is a longitudinal teaching module covering the 5-year study of the MBBS program. A variety of well-structured lectures and interactive experiential learning activities is the mainstay of MEHL for delivering abstract and intuitive concept such as self-understanding, human nature, as well as life and death. The teaching of legally associated issues, for example the definition of medical incidents, patient’s right, liabilities of medical-related legal persons, legal regulations applicable to medical services, etc., is another inevitable component constituting the MEHL. In particular, the MEHL also focuses on the education of Constitution and Basic Law, with the hope of fostering our students to become skillful and law-abiding medical professionals equipped with a passion of serving not just the local society but also the country.

MBBS104 INTERPERSONAL SKILLS WORKSHOP

The course aims to assist the student in developing fundamental communication skills and professional behavior upon which they will build their future medical practice. 

PHASE ONE : BASIC & APPLIED BIOMEDICAL SCIENCES

Phase I will continue with nine blocks of five weeks each consisting of respiratory, cardio-vascular, gastrointestinal, urogenital, musculoskeletal, central nervous, head & neck, haematology and immunology, and endocrine systems. Teaching in these blocks will be organized with integration of anatomy, physiology, biochemistry, pharmacology, pathology, microbiology based on clinical scenarios. There will be written and practical summative examination at the end of gastrointestinal and endocrine systems followed by four weeks of elective period before students’ progress to third year of Phase II program.

MBBS105 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - RESPIRATORY SYSTEM

This block aims to provide a basic understanding of normal structure and function of the respiratory system and pathology, microbiology, immunology, radiology, diagnosis and treatment and management of common respiratory diseases. It covers basic anatomy, cell biology, immunology, physiology, pharmacology, and microbiology.

MBBS106 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - CARDIOVASCULAR SYSTEM

The cardiovascular system block focuses on the heart and vasculature. This block aims to provide a comprehensive survey of the structure and function of the various components of the cardiovascular system, followed by how these structures and functions can go wrong in a few common cardiovascular diseases.

MBBS107 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - GASTROINTESTINAL SYSTEM

The gastrointestinal system block focuses on the gastrointestinal tract and its associated structures like the pancreas, liver and gallbladder. The block starts with a comprehensive survey of the structure and function of the various components of the gastrointestinal system followed by how these structures and functions can go wrong in a few common gastrointestinal diseases. This block aims to provide a basic understanding of normal structure and function of the gastrointestinal system and pathology, microbiology, immunology, radiology, diagnosis and treatment and management of common gastrointestinal diseases.

MBBS201 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - UROGENITAL SYSTEM

The urogenital system block utilizes an interdisciplinary approach to cover the fundamental knowledge covering the structure, function, and pathogenesis of urogenital system.

MBBS202 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - MUSCULOSKELETAL SYSTEM

The musculoskeletal system block focuses on the limbs and the back. In this system block, students will start with a comprehensive survey of the structure and function of the various components of the musculoskeletal components of the limbs and the back. The pathogenesis and management of common musculoskeletal conditions will be discussed in lectures, as well as in team-based learning and practical sessions.

MBBS203 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - NERVOUS SYSTEM

The nervous system block focuses on the nerves and neuronal network which make up the central and peripheral nervous systems. In this system block, students will learn a comprehensive treatment of the anatomy of central and peripheral nervous system structures, followed by the physiology and pathophysiology of the central and peripheral nervous system. Throughout the block, we will also explore the drugs used to modulate nervous system function in the treatment of disease.

MBBS204 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - HEAD & NECK SYSTEM

The head & neck system block aims to provide the knowledge on the structure and function of different parts of the head, neck and skin; the derangement of the various structures in the head, neck and skin in common diseases affecting them; the mechanisms of some common symptoms and signs of head, neck and skin diseases; the principles of the medical and surgical management of some common diseases affecting head, neck and skin.

MBBS205 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - HAEMATOLOGY & IMMUNOLOGY SYSTEM

The hematology and immunology (H/I) block focuses on fluid connective tissue, blood, which is dynamic perfusion of vasculature with specialized cells in plasma. Definition of hematology is the study of blood and its related diseases, whereas immunology is the study of the immune system. In this system block, an overview of the structure and function of H/I systems and the consequences of dysfunction of the H/I system and its related diseases and strategies of treatments against H/I systems would be discussed.

MBBS206 BIOMEDICAL SCIENCES IN CLINICAL CONTEXT - ENDOCRINE SYSTEM

The endocrine system block focuses on the normal functions of the endocrine systems and the diseases that occur as a result of disorders of endocrine function. In this system block, students will learn about the anatomy, histology and the physiology of the endocrine system. Students will also learn about the importance of calcium, vitamin D and glucose regulation by the endocrine system. They will study the involvement of hormones in development and growth and how adipose tissues contribute to hormone release. In addition, they will learn about clinical features of several hormonal disorders. Lastly, they will study the general and pharmacological management of common endocrine disorders.

YEAR 3

CLINICAL-BASED TEACHING IN HOSPITALS

  • Introduction to Clinicalskills

  • MBBS301 INTRODUCTION TO CLINICAL SKILLS

  • MBBS302 MEDICINE-RELATED CLINICAL FOUNDATIONCLERKSHIP

  • MBBS303 SURGERY-RELATED CLINICAL FOUNDATION CLERKSHIP MBBS304 FAMILY MEDICINE AND COMMUNITY MEDICINE-RELATEDCLERKSHIP

PHASE TWO : JUNIOR CLERKSHIP

The third year of clinical foundation course with three rotations will be held at hospital, family medicine and community health clinics to learn basic clinical examination skills with real patients across various specialties. Students will have an opportunity to acquire competency and skills in making diagnosis based on comprehensive history taking and physical examinations before any routine and supportive investigation are undertaken. Course will end with third summative written and clinical examination followed by four weeks of elective.

YEAR 4-5 CLINICAL-BASED TEACHING IN HOSPITALS

  • MBBS401 MEDICINE-RELATED CLINICAL ADVANCEDCLERKSHIP

  • MBBS402 SURGERY-RELATED CLINICAL ADVANCEDCLERKSHIP

  • MBBS403 FAMILY MEDICINE AND COMMUNITY MEDICINE-RELATED CLINICAL ADVANCED CLERKSHIP

  • MBBS404 INTERNAL MEDICINE-RELATED CLINICAL SPECIALTY CLERKSHIP AND ASSISTANT INTERNSHIP

  • MBBS405 SURGERY-RELATED SPECIALTY CLINICAL CLERKSHIP AND ASSISTANTINTERNSHIP

  • MBBS406 OBSTETRICS AND GYNECOLOGY-RELATED CLINICAL SPECIALTY CLERKSHIP AND ASSISTANTINTERNSHIP

  • MBBS407 PEDIATRICS-RELATED SPECIALTY CLINICAL CLERKSHIP AND ASSISTANT INTERNSHIP

  • MBBS408 SUBSPECIALTY-RELATED SPECIALTY CLINICAL CLERKSHIP AND ASSISTANT INTERNSHIP

  • MBBS409 FAMILY AND COMMUNITY MEDICINE-RELATED SPECIALTY CLINICAL CLERKSHIP AND ASSISTANTINTERNSHIP

  • MBBS410 ALTERNATIVEMEDICINE

PHASE THREE : SENIOR CLERKSHIP

The senior clerkship of six months duration will be, in practice, an extension of clinical foundation course to consolidate clinical diagnostic skills with interpretation of investigation and management of patients from paediatrics to geriatrics, Ophthalmology, Dermatology & Ear, Nose, Throat Senior clerkship will be done at hospitals and clinics. There will be summative Objective Structured Clinical Examination (OSCE) at the end of clerkship along with formative evaluation of students’ logbooks and clinical competence as a part of continuous assessment.

PHASE THREE: SPECIALTY CLERKSHIP & ASSISTANT INTERNSHIP

Specialty clerkship is a year long program consisting of six rotations of eight weeks each comprising specialties of surgery, medicine, Obstetrics & Gynaecology, Paediatrics, Family Medicine, Psychiatry, Community Medicine and other subspecialties. Emphasis in this clerkship will be on management issues. After progressing through Phase I, II and part of III modules, it is expected that students have acquired sufficient skills to participate in active management of patients as an Assistant interns along with interprofessional team. After completion of specialty clerkships and a period of revision, students will need to write the final examination.

YEAR 6: WORKING UNDER SUPERVISION - CLINICAL INTERNSHIP IN HOSPITALS

After successful accomplishment at the final examination, medical students will undertake 12 months of compulsory and supervised internship of 4 rotations with 3 months each at recognized training units in local or overseas hospitals. The University will monitor the internship program to make sure interns have obtained good clinical experience; and supervisors have signed their logbooks to document satisfactory completion of internship before they can fulfill the degree requirements.

MBBSE01/MBBSE02/MBBSE03: ELECTIVES

Students are given opportunities to enrich themselves by hands-on experience in health-related research, which can be either basic science or clinical in wet lab, dry (virtual AI lab), hospitals, companies, volunteerism in local or overseas organizations. The electives are self-initiated to learn with the supervision and guidance from the designated supervisor from MUST Medical Faculty and the hosting organizations.


Degree Requirements

MBBS program adopts a year-based system instead of a credit-based system. Students have to pass and fulfil all the graduation requirements as stipulated in the study plan (including compulsory, elective courses and internship) within the prescribed study period; students who do not satisfy the criteria for passing an assessment in the first attempt shall be required to take the supplementary assessment. Failure in the supplementary assessment will require that the student repeats the whole year of the medical program containing that course, block, or rotation. Students can enroll in these courses according to the requirements of the program and their interests. They may retake or enroll in other elective courses if they fail. After successfully passing all the assessments in the MBBS program, medical students will undertake a 12-month compulsory, supervised internship at recognized training units (hospitals or medical institutions) in Macao and beyond. After completing the Specialty Clerkship and revision period, students need to undergo and pass the final assessment before they can be awarded the Bachelor of Medicine and Bachelor of Surgery.

Qualifications of Graduation

Upon approval from the Senate of the University, a student shall be eligible for the award of the degrees of MBBS if: 1.The student has satisfied the prescribed program requirements and has passed all the assessments as prescribed in the study plan of the MBBS program; 2.The student has abided by the regulations of the University; 3.The student has cleared all fees and charges and returned all University property and equipment borrowed.