Chang Gung University Medical School

1
Chang Gung University Medical School

• Departments of Anatomy and Premedicine
• Sou-De Cheng, PhD

2
The Medical Education Systemin Chang Gung

• Chang Gung Memorial Hospitals (Taipei 1976/12,
  Linkou 1978/12)
• Medical Education Committee
• Chang Gung Medical College (1987/04)
• Medical School of 5-year curriculum
• 50 college-graduated students per year for four
  years
• Switched to 7-year curriculum for senior
  high-graduated students
• Chang Gung University (1997/08)
• President Chia-Chu Pao, PhD (?????)
• Vice President and Dean of Academic Affairs
  Jan-Kan Chen, PhD (??????????)
• Dean of Student Affairs Ying-Chung Chen, PhD
  (??????)
• Director of Student Guidance and Counseling
  Section Chia-Yih Liu, MD (?????)
• College of Medicine
• Dean Fu-Chan Wei, MD (?????)
• Associate Dean Kwang-Huei Lin, PhD (??????)
• Medical School
• Chairman Ji-Tseng Fang, MD (??????)
• 100 senior high-graduated students per year

3
Entering Medical School

• Five-year curriculum
• From 1987 to 1990
• Through examination and interviewing
• Basic medicine (years 1 and 2)
• Clinical medicine (years 3 and 4)
• Internship (year 5)
• Seven-year curriculum
• From 1991 to the present
• Through Recommendation and Interviewing
• Registered/RI/Quota approved by Ministry of
  Education
• 2007 (29/35/95) 2008 (13/40/95) 2009 (30/45/95)
• Through entrance examination (the rest)
• The extra number beyond the quota for aborigines,
  off-shore islanders, oversea Chinese, Olympia
  medalists, children of personnel of foreign
  affairs, etc.

4
Curriculum in Medical School - 1

• General Education
• Arts, Data Processing, Economics, History,
  Interpersonal Communication, Jurisprudence,
  Languages, Literatures, Mathematics, Philosophy,
  Psychology, Right of Intellectual Property,
  Sociology, Webpage Design, etc.
• Offered by Center of General Education
• Ren-Shen Lee, PhD (?????)
• Basic Sciences
• Biology, Calculus, Chemistry, Organic Chemistry,
  Physics, etc.
• Designed for med students
• Offered by Center of General Education
• Behavioral and Social Sciences
• Offered by Department of Medical Humanities and
  Sociology
• Yu-Shien Ko, MD (?????) Shu-Ching Chang, PhD
  (?????) Ya-Ping Lin, PhD (?????)

5
Curriculum in Medical School - 2

• Basic Medicine courses offered by the
  Departments of
• Anatomy (Pin Ouyang, PhD ?????)
• Biochemistry and Molecular Biology (Tzu-Chien Van
  Wang, PhD ?????)
• Microbiology and Immunology (Ming-Ling Kuo, PhD
  ?????)
• Pathology (Chien-Feng Sun, MD ?????)
• Physiology and Pharmacology (Hung-Li Wang, PhD
  ?????)
• Public Health and Parasitology (Lian-Chen Wang,
  PhD ?????)
• PBL (6 hours in 3 days per week during the 2nd
  semester of the 4th year)
• Medical License Exam I
• Clinical Medicine (years 5 and 6) courses offered
  by the departments located at Chang Gung Memorial
  Hospital, Linkou
• Internship (year 7) All CGMHs (at Keelung,
  Taipei, Linkou, Childrens, Taoyuan, Chiayi, and
  Kaoshiung)
• Graduation
• Medical License Exam II

6
Topics at Sun Yet-Sen Cancer Center (????????)
tomorrow

• Professor Maxine Papadakis, MD
• Consequences of Unprofessional Behavior in
  Medical Trainees
• Huiju Carrie Chen, MD, MSEd
• Academic Standards Student Progress and
  Remediation
• Stanley Yang Shaw, MD, Ph.D.
• Academic-Industrial Ties in Training and Beyond
  Conflicts of Interest and Translational
  Discovery
• C. Jason Wang, MD, PhD
• Who would you choose to be your doctor? Holistic
  review of medical school applicants

7
The Mentors

• 4 Class Mentors (???) for 100 students of each
  grade
• 2 Guidance Counselors (?????) for grades 1 to 4
• 100 Family Mentors (????) for students from
  grades 1 to 7
• i.e. No. 5 students of all grades constitute
  family five.
• 120 Clinical Mentors (????) for grades 5 to 7
  (including Traditional Chinese Medical students)

8
Class Mentors

• Faculty of Center of General Education (grades 1
  2)
• Faculty of Basic Medical Curriculum (grades 3
  4)
• Faculty of Clinical Medical Curriculum (grades 5
  6)
• Meet with 25 students periodically
• Attend class meetings
• Visit students at dormitory
• Solve problems
• Emotional problem
• Academic performance problem
• Physical problem
• Psychological problems (backed up by Student
  Guidance and Counseling Section, Center of
  Student Affairs, ????????)

9
Guidance Counselors

• Dr. Mei-Chin Lin, PhD (grades 1 2)
• Dr. Lian-Chen Wang, PhD (grades 3 4)
• Back up Class Mentors
• Solve serious problems
• Academic performance problem
• Psychological problem (backed up by Student
  Guidance and Counseling Section, Center of
  Student Affairs)
• Meet with visiting parents
• Assign specific mentor for delayed students
• Carrier previewing
• Informal discussion with alumni or senior
  students

10
Family Mentors

• No. 5 students of all grades constitute family
  five.
• Senior and not-so-senior physicians
• Meets with family members once per semester
  usually
• Offer the primary guidance for 1st year med
  students, who visits and shadows the mentor to
  realize what the doctor is
• Family members communicate with each other
  through years.

11
Clinical Mentors

• 120 attending physicians
• Students (including 50 students of School of
  Traditional Chinese Medicine ??? each year) from
  years 5 to 7 during clinical training
• Averagely a mentor for 4 students
• Meet the students every month
• Report to the Committee of Medical Education
  (???????) of CGMH

12
The Cases Occurred Often

• Absence in classes
• Monitoring the attendance by TA
• Assigned seats
• Calling a roll
• Quiz exam
• Deduction on the grade of the course
• Deduction on the grade of students conduct if
  reported to the Center of Student Affairs
• The student who is reported for absence for more
  than 23 hours in a semester will be expelled from
  school.

13
The Cases Occurred Sometimes

• Fail in academic performance
• Instant Monitoring System
• Collect the grade of each exam of major courses
  instantly
• Fill in excel file
• Rank among students
• Monitor the obvious up and down of the temporary
  ranks
• Look for the reasons behind
• Contact students, roommates, TAs, teachers, or
  even parents
• Help students realize and analyze the situation
• Expelled while accumulating fail grades in more
  than of credit hours for two semesters
• Expelled while gain the fail grades in more than
  2/3 of credit hours in a semester
• Expelled if one cannot pass all the courses in 7
  2 years
• The remediation
• Assign study mate and catch up before next exam
• If failed, one needs to pass the courses before
  entering the 5th grade
• Setup for the courses taking in the future
  semesters

14
The Cases Occurred Sometimesin last 5 years

• Cases identified in last five years
• Schizophrenia, 1 case
• Major depressive disorder, 3 cases
• Obsessive compulsive disorder, 1 case
• Generalized Anxiety disorder, 1 case
• Bipolar disorder, 1 case
• Handling procedure
• Meet the student
• Contact roommates, Guidance and Counseling
  Section, and parents
• Refer to a psychiatrist in hospital
• Other problems among roommates, contacts
• The students involved
• Dorm keeper (??) for switching roommates
• Student Guidance and Counseling Section, Center
  of Student Affairs
• Parents

15
Rare cases

• Cheating, smuggling, or substitution in an exam
• Collect the evidence and witness
• Talk with the student
• Report to the Center of Student Affairs
• If approved by the Praising and Punishing
  Committee for Students (???????), the behavior
  will be considered as a major demerit, and the
  student may even be expelled.

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• Thank you for your attention!
• Any comments or questions please.