Block Learning Guide

(BLG)

Block II
Hematoimmunology System (HIS)

Medical Undergraduate Program

Academic Year 2020-2021
Faculty of Medicine
Universitas Padjadjaran

1
General description:
In this block, the students will learn Biomedical Sciences, Clinical Sciences,
Bioethics and Humanities, and Public Health in Hematoimmunology System, and
have medical skills training as well as character and professionalism development
related to this system. The learning and training process will be conducted for six
weeks, while the feedback session will be conducted at 7th and 8th weeks.

Learning topics and references:

In this block, the students will learn about:

No. Topics References

1 Hematologic organs Moore Clinically Oriented Anatomy 8th Ed. 2018,
Ch. 5 (pp. 1154-1172), Ch. 5 (pp. 1144-1151)

Junqueira's Basic Histology 12th Ed.

2 Genetic information
3 Erythrocyte
Textbook of Biochemistry with Clinical Correlations
Devlin 5th Edition 2002, Ch. 4, 5, 6
Junqueira's Basic Histology 12th Ed., Ch. 12 (pp.
248-263), Ch. 13 (pp.264-274)
Wintrobe’s Clinical Hematology 13th Ed 2014, Ch.
22-35.
Textbook of Biochemistry with Clinical Correlations
Devlin 5th Edition 2002, Ch. 18
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 33
Junqueira's Basic Histology 12th Ed., Ch. 12 (pp.
248-263)
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 33
Nelson Textbook of Pediatrics 21st Ed 2019
Textbook of Biochemistry with Clinical Correlations
Devlin 5th Edition 2002
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 33.
Textbook of Biochemistry with Clinical Correlations
Devlin 5th Edition 2002, Ch. 15 (pp. 678)

2
4 Blood plasma
5 Hemoglobin and iron
metabolism
6 The concept of stem cells
7 Thrombocytes, Hemostasis
and Blood Coagulation
8 Lymphoid organ and
lymphatic system
9 Leukocytes
10 Chemotherapy
11 Microbes and Parasites
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 33.
Textbook of Biochemistry with Clinical Correlations
Devlin 7th Edition 2010, Ch. 24 (pp. 1053-1071)
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 33 (pp. 445), Ch. 41 (pp. 527-
536)
Junqueira's Basic Histology 12th Ed., Ch. 12 (pp.
248-263), Ch. 13 (pp.264-274)
Wintrobe’s Clinical Hematology 13th Ed 2014, Ch.
45 (pp.1043-1057)
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 37 (pp. 483-490)
Harrison's Internal Medicine 7th Ed 2008, Ch. 109-
112 (pp. 718-735)
Wintrobe’s Clinical Hematology 13th Ed 2014, Ch.
18
Basic and Clinical Pharmacology Katzung 14th Ed
2018, Ch. 34 (pp. 608-625)
Moore Clinically Oriented Anatomy 8th Ed. 2018
Junqueira's Basic Histology 12th Ed., Ch. 14
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016
Robbins Basic Pathology 10th Ed 2017.
Junqueira's Basic Histology 12th Ed., Ch. 12-13
Guyton and Hall Textbook of Medical Physiology
13th Edition 2016, Ch. 34
Junqueira's Basic Histology 12th Ed.
Harrison's Internal Medicine 7th Ed 2008, Ch. 104-
105 (pp. 677-699)
Basic and Clinical Pharmacology Katzung 14th Ed
2018, Ch. 54 (pp. 948-976)
Jawetz Medical Microbiology 27th Ed 2016, Ch.
1,3,9,29,30,46
3
 Paniker's Textbook of Medical Parasitology 8th Ed,
Ch.1,10-20,23

12 The principles of laboratory Wintrobe’s Clinical Hematology 13th Ed 2014, Ch. 1

examination
13 The principles of Basic and Clinical Pharmacology Katzung 14th Ed
pharmacology 2018, Ch. 1-5 (pp. 1-74)

14 Immune system and diseases Robbins Basic Pathology: Ch. 4-5 (97-180)
Jawetz Medical Microbiology 27th Ed 2016
Basic and Clinical Pharmacology Katzung 14th Ed
2018,
Harrison's Internal Medicine 19th Ed.: (2013-2212)

15 Neoplasia Robbins Basic Pathology: Ch. 6 (190-237))

16 Anemia and Polycthemia Harrison's Internal Medicine Ed. (392-423)
Harrison's Internal Medicine (625-723)
Barbara Bates Physical Examination, Ch. 1-4 (1-125)

Wintrobe Clinical Heamtology 13 ed.: Ch. 1-2 (1-35)

Wintrobe Clinical Heamtology 13 ed.: Ch. 1-2 (1-35)

17 Lymphadenopathy Robbins Basic Pathology: Ch. 4-5 (97-180)

18 Determinants of Health and Oxford Textbook of Global Public Health 6th Ed,
concept of health risk 2015, Ch. 2.1, 2.9, 6.4, 7.6.
19 Introduction to health
behaviour, health education
and health promotion

20 Occupational health:
Chemicals that can induce
malignancy

21 Genomics and improving

health
22 Risk perceptions and
communication
23 The Concepts of Disease in Gordis L. Epidemiology 5th Ed. Philadelphia:
Epidemiology Elsevier Health Sciences; 2014
24

4
 Measures in Epidemiology &
Vital Statistics
25 Chance and probability
26 Descriptive statistic
27 Screening and diagnostic
testing
Rosner BA. Fundamentals Of Biostatistics:
Thomson-Brooks/Cole; 2006
Gordis L. Epidemiology 5th Ed. Philadelphia:
Elsevier Health Sciences; 2014

Trigger situations:
For the 6-week discussion sessions, Tutors and the students can use the
following trigger situations:

1. Thalassemia:
Paparan Direktur P2PTM Kemkes RI (dr. Cut Putri Arianie, M.H.Kes) pada
Webinar “Indonesia Maju Menuju Zero Kelahiran Talasemia Mayor”
(https://drive.google.com/drive/folders/1FNBCrmeDY9RfH68fbmC6QUvVMFSHDxkB)

2. Leukemia:
a. Scientific paper entitled “Unmet Clinical Needs and Economic Burden of
Disease in the Treatment Landscape of Acute Myeloid Leukemia”:
https://www.ajmc.com/view/unmet-needs-and-economic-burden-disease-
treatment-landscape-aml
b. eNewspaper article about leukemia patients:
https://lifestyle.kompas.com/read/2010/02/08/15082335/leukemia.bukanlah.voni
s.mati

3. Systemic Lupus Erythematosus:

a. Situasi Lupus di Indonesia (Infodatin Lupus 2017 Kementerian Kesehatan RI):
https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&cad=rja&u
act=8&ved=2ahUKEwjB1dyAt87sAhXSSH0KHSH1BjwQFjAAegQIAxAC&url=https%3A
%2F%2Fwww.kemkes.go.id%2Fdownload.php%3Ffile%3Ddownload%2Fpusdatin%2
Finfodatin%2FInfodatin-Lupus-2017.pdf&usg=AOvVaw2qLFD7l3i5q1WE-
ZMWMmmw
b. Video about SLE patient:
https://www.youtube.com/watch?v=OfpKLik5RAY

5
Medical Skills Program:
The topics of Medical Skills Program are:
1. History taking and physical examination in pale and bleeding
2. History taking and physical examination in allergy and other immunologic
disorders
3. Demonstration and interpretation of blood smear
4. Interpretation of routine and complete blood test results
5. Demonstration and interpretation of skin test before antibiotic administration
6. Personal health education for anemia prevention and for prevention of
allergic reaction recurrence.

Seminars (SEKAR: Seminar Pakar):

During the seminars, the students will get insights and inspiration from:
1. Experts who will share recent advancements in diagnosis and treatment in
hematologic and immunologic diseases.
2. Governmental institutions about health system challenges in the management
of hematologic and immunologic diseases.
3. Thalassemia, leukemia, and SLE patients who will share their stories as disease
survivors.
4. Case-triggered discussions regarding ethical aspect of VCT in HIV.

Student assessment:
Student assessment will be conducted using the following methods:
1. Formative test
2. Written student journal/portfolio
3. Individual idea essay
4. Tutor journal
5. Idea festival

Feedback system plays pivotal role in this student assessment methods.