内外全科医学学士学位

课程简介

  • 课程期限

    本课程正常修业期限为6,最长修业期限为8年。

  • 授课方式

    面授课程

  • 授课语言

    英文

  • 学术领域 / 知识范畴

    医学

  • 课程介绍

    澳门科技大学医学院开办的内外全科医学学士学位课程的设置是参考了英国及其他国家的课程结构与内容。课程以培养学生的能力为基本,包括五年的常规课程及一年的实习。本课程的主要目标是为澳门培育明日医生,使他们具备同理心、爱心及技术和能力以提供有效和高水平的医疗护理服务。课程由基础模组开始,进阶至各种基础科学和临床实习。


    第一阶段:医学教育及培训导论

    第一阶段的课程,首三个月为导读课程,重点让学生了解课程结构、沟通技巧的重要性、语言能力、道德伦理、人文素质和医生的职责。课程引导学生在临床上应用基本科学的概念,积极学习及循证实践。该模组完成后会进行评估,使学生熟悉考试要求和技巧。


    第一阶段:结合临床个案来学习生物医学教育

    第一阶段会继续采用每个学习模组为期五周的教学方式,此模组的教学是按不同的临床个案,与解剖学、生理学、生物化学、药理学、病理学、微生物学等知识整合。医科生需在第一学年和第二学年结束前进行一个总结性的笔试和实务考试,另外再完成六星期的选修课程后,才进入第三学年第二阶段的学习。


    阶段:临床基础见习

    第三年的基础临床课程分别在医院、卫生中心和社区诊所三个地方进行轮转,从学生面对真实患者时学习各种不同领域的基础临床检查技能。让学生有机会在常规和辅助性检查前学习透过询问病史和体格检查作出诊断的能力。课程结束时将进行第三次笔试和临床技能考试,接着是四星期的选修课程。


    第三阶段:临床高阶见习

    为期六个月的高阶见习是实践临床基础课程的延伸,从小儿科到老人科以及精神科患者检查和管理的阐述,巩固临床诊断技能。于高阶见习期内,学生将被安排至澳门科大医院和诊所进行实习。见习结束后不会有总结性考试,然而,学生的临床日志和临床能力将会纳入并作为连续性评估的一部分。


    第四阶段:专科临床见习与实习助理

    专科见习为期一年,涵盖外科,妇产科,儿科,家庭医学,社区医学和其他亚专科。见习的重点是处理问题。通过第一,二阶段以及第三阶段的模组学习后,学生应该掌握到足够的技能,以实习助理的角色,协助专业间团队参与患者的处理。在完成专科见习和复习期后,学生将进行期末考试,以获取内外全科医学学士学位。


    选修科目:

    学生在第一,二,三和最后一个学年结束前可修读一门为期6周的选修科目,有助广阔视野,让他们在卫生保健专项,志愿服务,国际卫生等获取经验。学生将与指定的导师一起工作以确保其参与的积极性。


    实习:

    在成功通过内外全科医学学士学位课程的考核后,学生将在澳门及境外的认可培训单位接受为期12个月的认可临床实习,澳门科技大学将监督学生的实习情况,以确保学生获得良好及充份的临床经验。学生需要得到导师对其实习记录的认可,签署确认完成实习并符合要求后,学生方及格完成整个课程的要求。


学习计划

学生必须完成如下所示的课程

(一)修读附件二表一的必修科目。

(二)修读附件二表二的选修科目。

(三)学生须在第六学年进行为期一年内外全科的临床实习。

表一

科目

种类

学习期(周)

每周学时

医学教育与培训

必修

14

20

生物医学 - 呼吸系统

"

5

20

生物医学 - 心血管系统

"

5

20

生物医学 - 肠胃系统

"

5

20

生物医学 - 泌尿生殖系统

"

5

20

生物医学 - 肌骼系统

"

5

20

生物医学 - 中枢神经系统

"

5

20

生物医学 - 特殊感官、颈及皮肤

"

5

20

生物医学 - 血液及免疫系统

"

5

20

生物医学 - 内分泌系统

"

5

20

临床技能预习

"

6

24

内科 – 临床基础见习

"

8

24

外科 – 临床基础见习

"

8

24

社区及家庭医学– 临床基础见习

"

8

24

内科 - 临床高级见习 (包含特殊感官)

"

6

24

外科 - 临床高级见习 (包含急诊医学)

"

6

24

社区及家庭医学– 临床高级见习 

(包含精神健康及精神医学)

"

6

24

内科 - 临床高级见习及助理实习

"

8

25

妇产科 - 临床高级见习及助理实习

"

8

25

儿科 - 临床高级见习及助理实习

"

8

25

外科 - 临床高级见习及助理实习

"

8

25

社区及家庭医学 – 临床高级见习及助理实习

"

8

25

附属专科 – 临床高级见习及助理实习

"

8

25

语言与沟通技巧 

"

40

2

医学伦理、人文与法律

"

10

1.5

人际关系技能工作坊

"

5

4

另类医学

"

10

1.5

表二

科目

种类

学习期(周)

每周学时

学生须从下列四门科目中选修三门科目:

医学专题(一)

选修

6

5

医学专题(二)

选修

6

5

医学专题(三)

选修

6

5

医学专题(四)

选修

6

5


科目简介

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.


学习要求

内外全科医学学士学位课程的编排是采用学年制,而非学分制。 学生必须修读完成学习计划规定的表(一)中的必修科目;学生如在总结性笔试和客观结构化临床考试中未能通过者,可准予补考一次。补考不合格者须重读该学年所有学科。 学生按课程的需要及个人的兴趣修读选修科目,如选修科目不通过,需重修或改选其他选修科目。 学生获成功通过内外全科医学学士学位课程的所有考核之后,将在澳门及境外的认可培训单位(医院或医疗机构) 担任驻院实习医生,接受为期12个月的训练和评核。 学生在完成专科见习和复习期之后,需要进行并通过终期考核,方可获授予内外全科医学学士学位。

毕业资格

学生须符合下列各项规定,并经大学学术及教学委员会通过可获颁发学士学位﹕ 1.在所属课程之修业期内完成及通过学习计划的要求; 2.遵守大学的修读守则; 3.缴清指定费用及归还所借的大学财物。