1. Year 4 Report for Curriculum Day 2007 based on Year-4 Committee Meeting held Jun 2007

2. Overview 4 Departments: OG, PSY, PAE, CFM 4 x 10 week modules End of Module exam x 4 Integrated End of Year exam 5 separate exams must be passed Medical Elective 4-6 weeks

3. External Examiners’ comments 2006/7 Panel of Examiners’ meeting after End-of Year Exam 2006/7 + written report One external examiner from each of 4 Depts (O&G, PYS, PAE, CFM)

4. Summary of External Examiner Comments Generally very positive EOY exam well organized, fair and discriminating High quality of distinction students Students tidy & polite Overall impressed by good performance of students Surrogates thoroughly briefed

5. Concerns “Checklist approach” to history taking ? reflects emphasis on book knowledge Problem for non-Cantonese speaking examiners Students less mature than graduate students in US - might affect their interaction with surrogates/patients

6. Suggestions Scoring system by surrogates More directed and specific information to be given to students e.g. “you are a first year doctor … These changes to be incorporated into 2007/8 exam

7. Clinical Module Curriculum Coordinator Reports for 2006/7 & course/exam plans for 2007/8 O&G PYS PAE CFM

8. Dept Community & Family Med No major problem identified during 2006/7 Proposed changes for 2007/8 –infectious diseases and primary care would be introduced –Better integration of Community Med & Family Med teaching –Additional attachments to be added e.g. Qualigenics Clinic visits –More clinical teaching to be provided in light of student comments to increase clinical contact

9. Dept Obstetrics & Gynaecology - changes implemented 2006/7 Course –All tutorials scheduled on Fridays –Sessions on counseling skills - “SHARP” introduced –Online logbook transferred from “cyber tutor” to Faculty website –All SSM reports submitted online Assessments –Formative Assessment - “Pass/ Fail” system adopted for clinical competence assessment –5 Pick-N EMQs were added to the MCQ –Raw MCQ and OSCE scores transformed before assigning grades –Transformed grades uploaded to Faculty website for students

10. Dept Obstetrics & Gynaecology – plans for 2007/8 Course –All introductory lectures video-taped last module & now web- based narrated lectures –Mainly clinical skill lab & clinical attachment in first week –Labour ward rotation – submit case report online & 18 midwife adjunct tutors appointed to supervise & monitor –O&G ward rotation - encourage active participation in ward rounds Assessments –EMQ added to Formative Assessment –Global assessment (from 0 to 10) by supervisors –Written paper = 40 MCQs (30 type A MCQs and 10 pick-N EMQs) and 6 short answer questions (SAQs) –Oral exam = 3 interactive OSCE questions in Clinical Skill Lab

11. Dept of Paediatrics – changes implemented 2006/7 Student R-type MCQs used in the Formative MCQ - mixed response Summative MCQs – reduced from 100 to 50 + 70% new questions Embedded viva stations (8 min) in OSCE – increased from 2 (2 scenarios & 2 examiners) to 3 stations (1 scenario and 1 examiner) Top 10% of students from each module invited to distinction viva with External Examiner No significant changes planned for 2007/8

12. Department of Psychiatry No major modifications to be implemented in Psychiatry module for 2007/8 as the External Examiner was fully satisfied with the current program; earlier comments have already been built in the module teaching

13. Student results on web Only grades and quartile shown Detailed results (including raw and transformed marks) administrator view Differences in exam components of 4 Dept – web format to accommodate this Initial Pass/Fail to be posted before final transformed grades finalised & displayed Students only see own grades & quartiles

14. Student Picture and details

15. Student view

16. Update on Learning Outcomes In progress Completed by Dept CFM & Dept O&G

17. 5-day Week “University will maintain the existing 5.5-day teaching week for full-time Undergraduate Programmes with classes scheduled as far as practicable only for Mondays to Fridays. Clinical activities at the teaching hospital and research activities will also continue on Saturdays (& even Sundays) as appropriate”. (Press release Jan 07) All 4 Depts schedule formal teaching on weekdays with some optional tutorials/sessions on weekends if necessary

18. Thank you

19. 3+3+4 reform