Chest Medicine

Clinical Elective Program for Foreign Medical Students

November 2015

 

The core practices of Department of Chest Medicine include general chest medicine, clinical respiratory physiology, respiratory infections and immunology, thoracic oncology, critical care medicine, and respiratory therapy. The following training program designed as one-month elective, equivalent to clerkship and internship training for local students, aims to help the foreign medical students understand the basic principles of chest medicine practices and the indications of special examinations for the pulmonary diseases, by providing them the opportunities for direct observation of the procedures.

 

A. Registration and Duty

a) Usual work day is from 7:30 am to 17:30 pm.

b) Clerk and Intern should attend The Joint Pulmonary Image Seminar at National Taiwan University Hospital every Friday afternoon held by Taiwan Society of Pulmonary and Critical Care Medicine.

 

B. Basic knowledge acquirement

a). understand the normal anatomy of the chest.

b). understand the principles, conventional diagnosis and treatment of various chest diseases.

c). learn the basic ability of chest X-rays reading.

d). understand the interpretation of the blood gas analysis and pulmonary function test.

e). learn to perform proper technique of chest physical examination, especially lung auscultation.

f). understand the principles, differential diagnosis and treatment of various acute and chronic respiratory failure.

g). understand the principles, and management of patients with mechanical ventilation support in ICU.

 

C. Clinical course content

a). attend patient care under the guidance of residents and attending physician

b). attend teaching-oriented outpatient clinic services.

c). attend the weekly teaching rounds at the wards

d). case presentation of new patient, focused on chest X-ray interpretation

e). attend the weekly conference, including multidiscipline case conference,  lung cancer meeting, critical care conference, and ICU case discussion…

 

D. Hospice care

a). learn from interdisciplinary training team to integrate hospice medicine

b). learn team-work communication skills, clinical patient care, as well as medical knowledge about hospice care

c). learn the nutrition and fluid management of terminal patients.

d). recognize the pre-dying symptoms, and the related palliative treatment

 

Medical student is asked to choose a case for discussion with his/her attending physician as supervisor, resident and nurse regarding physical assessment, infection control and other basic skills required for the case reported.

Medical student is asked to choose a case for discussion with his/her attending physician as supervisor, resident and nurse regarding physical assessment, infection control and other basic skills required for the case reported.

 

D. Agenda

Time	Monday	Tuesday	Wednesday	Thursday	Friday
07:40－08:30		teaching rounds (Consultant)	Case discussion	Teaching (attending/fellow)	Journal/Discharge meeting
08:30－12:00	ward rounds	ward rounds	ward rounds	ward rounds	OPD teaching rounds
					11:00 ~ 11:30 Basic knowledge teaching
13:30－15:00
15:00－16:00	Multidicipline meeting				ICU case discussion
16:00－17:00	lung cancer specialist  meeting	Respiratory therapy Journal meeting		Grand rounds
17:00－18:00			Critical care Journal/discharge discussion
18:00－20:00		CXR teaching

 

E. Faculty

Lin Fang-Chi-----assistant professor, clinical respiratory physiology section physician, general thoracic disease, bronchoscopy

Chou Kun-Ta---- assistant professor, respiratory physiology section physician, general chest diseases, Sleep Medicine

Su Kang-Cheng ------ clinical respiratory physiology section physician, lecturer in general chest diseases, respiratory diseases

Shiao Tsu-Hui ------- clinical respiratory physiology section physician, general chest diseases, Sleep Medicine

Shih Jen-Fu ------respiratory infection and Immunology, general physician lecturer chest diseases, occupational medicine

Feng Jia-Yih -------respiratory infection and Immunology, general physician lecturer chest diseases, respiratory tract infections

Pan Sheng-Wei -----respiratory infection and Immunology, general physician lecturer chest diseases, respiratory tract infections

Liu Yung-Yang ---assistant Professor, clinical respiratory physiology section physician, general chest diseases, Sleep Medicine

    Chen Yuh-Min ----Professor, general chest diseases, thoracic oncology

    Chiou Zhao-Hua-- Assistant Professor, general chest diseases, thoracic oncology

Luo Yung-Hung --Thoracic oncology physician lecturer in general chest diseases, thoracic oncology

Lai Shinn-Liang ---- general physician lecturer in general chest diseases, thoracic oncology

Chaong Heng-Sheng --- general thoracic section physician, lecturer in general thoracic disease, bronchoscopy

Chen Wei-Chih--- General Branch chest physician general chest diseases, critical care medicine

Ho Li-Ing---- respiratory therapy section physician, lecturer in general chest diseases, medical respirator

Chen Yen- Wen---- respiratory therapy section physician, lecturer in general thoracic disease, hyperbaric oxygen learn

Yu Wen-Kung -----respiratory therapy section physician, general thoracic disease, hyperbaric oxygen learn

Kao Hsin-Kuo----- respiratory therapy section physician, general chest diseases, medical respirator

Yang Kuang-Yao---- Associate Professor, respiratory therapy section physician, general thoracic disease, critical care medicine

 

E. Contact

Department Director, Dr. Zhang Si Chan, MD., PhD.

 

Teaching Program Director, Dr. Yang Kuang-Yao, MD. PhD.

 

 

F. Reference Book:

1. Murray and Nadel's Textbook of Respiratory Medicine, 6th Edition

2. Fishman's Pulmonary Diseases and Disorders, 5th edition

3. Diagnostic Imaging: Chest, 2nd Edition

4. Felson’s Principles of Chest roentgenology, 3^rd Edition