INSIDE THIS ISSUE FP Issue174 · Dr PONG Fei Fung 龐飛鳳 Non-HKSAR ... Dr WONG Yu Tak ... It came as the saddest news to know that our longtime friend Dr. Siu Che Hung, Paul passed

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Issue 174August 2018

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Our College congratulates Prof. Rosie Young and Prof. Cindy Lam, who were recognized with honours on the HKSAR Establishment Day (1 July 2018) by Government of Hong Kong SAR.

Prof. Rosie T T Young, our Honorary Fellow (1995), was awarded the Grand Bauhinia Medal (Chinese: 大紫荊勳章 , GBM).

Prof. Cindy L K Lam, our Chief Censor and Honorary Fellow (2011), was awarded the Medal of Honour (MH) (Chinese: 榮譽勳章 , MH).

Our College is also deeply grateful for Prof Young and Prof. Lam’s dedication over the past years, which have substantially advanced the discipline of Medicine. We would like to send our heartiest appreciations to their outstanding contributions to our community.

I have just attended the Advisory Committee on Primary Care Directory. The important discussion point is the Implementation of maintenance for listing in Primary Care Directory. I must stress that the College assists Members to gather their CME points and through the Hong Kong Academy of Medicine, a CME Administrator to submit to the Medical Council. The College provides the most diverse CME/CPD activities for primary care doctors in Hong Kong.

Primary Care Office (PCO) is to proceed with the checking mechanism proposed and to exercise discretion for the first round of CME/CPD checking in 2017 for all existing enrolled doctors and dentists in the Directory. For those not fulfilling the requirement they would be inactivated from the Directory if such requirement is not fulfilled upon the second round of CME checking in 2018. Enrolled doctors are to attain at least 30 CME points for the period 1 January to 31 December 2017, or 1 July 2017 to 30 June 2018 in order to obtain the Medical Council of Hong Kong (MCHK) CME Certificate for that period for maintaining in the Directory. Subsequent application for re-activation will require submission of the CME Certificate issued by the MCHK for the past calendar year, i.e. 2018.

Under the CME Programme for Practising Doctors by the Medical Council who are not taking CME Programme for Specialists, a doctor who has acquired 90 or more CME points in a “three-year CME cycle” will be given approval to use the title "CME-Certified”. This will allow them to remain in the Directory for 3 more years until the next CME-Certified

is issued. Those who are in the Specialist registration are already CME compulsory and will automatically maintain in the Primary Care Directory. Participating doctors who have obtained 30 or more CME points in a single year within their three-year CME cycle will be “awarded a Certificate” to certify that they have achieved a satisfactory level of CME activity during that particular year. This will only allow them to remain in the Directory for one year.

The implication of inactivation will prevent the enrolled doctors from participation in vaccination subsidy scheme from 2019 onwards but will not affect the scheme in 2018. So please make sure you get enough CME points in 2018 to fulfil the requirement for maintenance in the Directory!

There has been a lot of talking on the newly proposed District Health Centre (DHC) in the Kwai Tsing District. Dr. Lau Ho Lim and I have a breakfast meeting with Prof. Sophia Chan and her colleagues from Food and Health Bureau to discuss the model setting. On the topic of analogy of DHC to a Mega Health Maintenance Organization (HMO), the Bureau is to include conditions in the tender application to prevent preferential treatment or resource allocation to a particular HMO’s affiliated doctors. All Primary Care Directory listed doctors working in the district will automatically be included in the network of doctors unless he/she opts out. There will be no doctors in the DHC Hub or Satellite Centres.

The Service Model of DHC is to provide primary prevention activities and some secondary prevention activities. Tertiary prevention activities will not be provided by DHC and must be implemented by doctors only. There will be no “reverse referral”. All referrals to dietitians, physiotherapists or occupational therapists will only be made by doctors. The DHC will emphasise patient empowerment. There will be a fixed subsidy or reimbursement scheme to doctors in the network for care of patients with chronic diseases. For new patients who have been triaged by DHC and referred to network doctors, government subsidy will be provided for 2 consultations, one for diagnosis and one for initial assessment. For network doctors’ “old” patients with these known chronic diseases, government subsidy will be provided for one consultation each year for annual assessment. Doctors’ involvement in advising, monitoring and assessing DHC services is an integral part of the plan and the significance is recognised.

Message from the President

01 Message from the President

02 Message from the President (con’t), College News:

Membership Committee News

03 Obituary: Dr. Siu Che Hung Paul

04 Photo Gallery: HKPCC 2018 “Family Physician: Nexus of the New Era of Primary Care”, The 31st Hong Kong College of Family Physicians Conferment and the 29th Dr. Sun Yat Sen Oration, 24th June 2018

11 College News: Congratulatory Message for Prof. Cindy Lam, Board of Vocational Training and Standards News

12 Special Column: In Response to “How Patient Suicide Affects Physicians”

13 Young Doctors’ Column: 蠑螈與人生

14 News Corner: A Glance of Standardization for Automated Blood Pressure Devices?

15 College News: 15 Meeting Highlights, Classified

Advertisements 16 HKCFP Trainees Research Fund 2018 /

HKCFP Research Seed Fund 2018

18 Learning Points from Board of Education: Interest Group in Dermatology – The 66th Meeting held on 7 July 2018

20 Board of Education News

24 College Calendar

(Continued on page 2)

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COLLEGE NEWS

The Council approved, on recommendation of the Chairlady of the Membership Committee, the following applications for membership in June - July 2018:

Membership Committee News

Associate Membership (New Application)Dr FOK Wai Ming, Joshua 霍偉明Dr FUNG Andrew Yat Wang 馮逸弘Dr LAM Chi Hang 林志恒Dr LAU Valerie Wing Yee 劉詠怡Dr LIU Hin Yeung 廖衍揚Dr PONG Fei Fung 龐飛鳳

Non-HKSAR Membership (New Application)Dr WONG Yu Tak 黃裕德

Reinstatement of Associate MembershipDr LEE Chung Yan 李頌恩Dr LIEW Ket Vui, Edmund 劉國偉

Student Membership (New Application)Ms CHAU Kei Wai 周琦瑋Ms CHEUNG Ada See Wai 張思慧Mr CHEUNG Tsun Wai 張峻瑋Ms FOK Alvina Jada 霍昭穎Ms HO Manda Hiu Ting 何曉婷Ms HO Suet Ying 何雪盈Mr HUI Wai Fung 許惠峰Mr LAI Chi Kit 黎智傑Ms LAI Ge Woon, Gevon 黎智媛Ms LAM Kwan Wa, Charis 林君樺Mr LAU Hiu Fung, Hugo 劉曉峰Mr LEE Jerrold 李嘉朗Ms LEE Sin Hang 李善恒Ms LEUNG Wing Tung 梁詠彤Ms LI Hoi Lam 李凱琳Mr LI Hung Wai 李鴻葳Mr LO Man Kin 盧民健Mr LUI Tsz Yin 雷梓賢Ms MUI Ellen Hoi-Ling 梅凱菱Ms NG Chi Wing, Carrie 吳芷詠Ms NGAI Suet Yi 魏雪兒Mr PANG Chun Sum 彭竣琛Ms SO Man Kwan 蘇文君

Ms TSANG Po Man 曾寶雯Ms TSUI Heung Ching 徐向澄Mr WONG Calvin Alexander 黃朗晞Ms WONG Ming Yan 王銘恩Ms WONG Stephanie Sze Wing 黃施穎Ms WONG Yuen Ting 黃婉婷Mr WU Chin Weng 胡展穎Mr YU Kwun Nam 余冠南Mr YU Siu Chung 余紹聰

Resignation from Associate MembershipDr CHAN Wang Him 陳泓謙Dr CHUI Tsz Hang 徐芷珩Dr MAK Ho Yan, Queenie 麥可人Dr WONG Ka Wai 王嘉慧

Resignation from Affiliate MembershipMs HO Kit Yee, Celina

Terminated from FellowshipDr CHENG Chor Ho 鄭楚豪

Terminated from Associate MembershipDr CHONG Ching Suen 莊清宣Dr FUNG On Yee, Connie 馮安兒Dr HO Pak Yin 何柏賢Dr KWAN See Lai, Janet 關思禮Dr LAM Chun Hung 林俊雄Dr LAU Tin Wai 劉天慧Dr LAU Wing Sze, Mandy 劉詠思Dr LEE Hau Leung, Calvin 李效良Dr NG Wing Yan 伍穎茵Dr NGAN William 顏偉廉Dr TAM Kin Kwok 譚建國Dr WONG Chi Yan 黃智恩Dr WONG Ching Ka, Olivia 王靖嘉Dr WONG Lai Han, Helena 王勵嫻Dr WONG Yu Shing, Lawrence 黃譽盛Dr YEUNG Sze Ying 楊思瑩Dr YIP Kai Sun 葉啟新Dr ZHAO Yan 趙艷

Terminated from Non-HKSAR MembershipDr LAO Cheok Un 劉灼玄Dr LI Zhuo 李卓Dr LU Jingjie 盧婧潔Dr ZHOU Ping 周萍

Message from the President (Con’t)(Continued from page 1)

DHC will fill the present gap of difficult access to allied health services in the private sector in a particular district. We have every reason to support the establishment of the DHC, to utilise them and to consolidate our role as patient’s family doctor.

Our College has lost a great comrade in the path of establishing Family Medicine as a discipline in Hong Kong. There are no words to describe the tremendous sadness we felt upon hearing the shocking news of the passing away of Dr. Siu Che Hung, Paul on 31 July 2018. Dr. Siu had selflessly served the College for many years. He had held a number of important posts in the Council in the early days

of our formation. He was a long time Council member and Examiner of our College with enthusiastic participation in different Boards, Committees and College activities. He was a towering figure and impressed us with his pony tail hair style. Last year he received the long service award as Examiner of the Conjoint Examination at our Conferment Ceremony in 2017. Dr. Siu was one of our leaders and his contribution to the development of Family Medicine in Hong Kong will never be forgotten. The friendship and memory of Dr. Siu with the College will always be long lived and be in our hearts. May he rest in peace!

Dr. Angus MW CHANPresident

OBITUARY

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It came as the saddest news to know that our longtime friend Dr. Siu Che Hung, Paul passed away on 31 July 2018 after a brave battle against a cancerous disease.

Paul graduated at The University of Hong Kong and had special interest in Obstetrics and Gynaecology in the initial years after working at Alice Ho Miu Ling Nethersole Hospital, United Christian Hospital and Our Lady of Maryknoll Hospital. He soon developed keen interest in Family Medicine and attained the Fellowship of our College. He had been working as Council member, examiner and member/convener of various committees of the College for years.

Paul had actively committed to community works, too, medically or non-medically related. He had served in prominent positions in many community committees, including St. John’s Ambulance Brigade, Hong Kong Road Safety Association, Wanchai District Junior Police Call etc, just to mention a few. He was a District Councilor of Wanchai District 2004 – 2011.

Paul had diversified hobbies, ranging from yachting, golf, and fast cars in the early years, to reading and gourmet food hunting in the retiring years.

The deadly disease came hideously one year ago, and he faced the treatment calmly and bravely.

Paul is survived by his wife Judith, and daughter Yvonne.

By Dr. Wai Heung Wah, Hayles

A church service will be held at 2:30pm on 25 August 2018 (Saturday), in St. Mary’s Church at 2A Tai Hang Road (just opposite St Paul’s Hospital), to be followed by cremation in Cape Collinson.

Dr. Siu Che Hung, Paul 1947 – 2018

PHOTO GALLERY

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Hong Kong Primary Care Conference 2018“Family Physician: Nexus of the New Era of Primary Care”

Our 8th Hong Kong Primary Care Conference was successfully held from 23rd to 24th of June 2018, with overwhelming response of over 500 registered delegates. Once again, this annual hallmark conference has unfailingly shown its importance as a fertile platform for bringing family physicians, academicians and various primary care professionals together to enhance primary care.

This year’s theme “Family Physician – Nexus of the New Era of Primary Care” rekindled the vital role of family physicians in responding to the ever challenging healthcare ecosystem and to delivering cost-effective, sustainable and patient-centred health care. The conference was graced with eminent icons in Primary Care including Prof. Sophia Chan (Secretary for Food and Health, Food and Health Bureau, HKSAR), Prof. Donald Li (The WONCA World President-elect), Dr. Constance Chan (Director, Department of Health, HKSAR), among many others. We were honored to have three distinguished plenary speakers, namely Dr. Constance Chan, Prof. Richard Hobbs and Prof. Samuel Wong, who have inspired us on the increasing role of Family Medicine in building and sustaining a robust primary health care system to meet the various challenges.

Besides the stimulating and thought-provoking plenary lectures, we also had a wide array of relevant and well-structured programmes delivered by a range of excellent speakers with diverse backgrounds and experiences.

I would like to take this opportunity to express my sincere appreciation to the officiating guests, speakers and moderators for their valuable support, sponsors for their generosity, conference advisors for their guidance, all members of the Conference Organising Committee and secretariat for their hard work, last but not the least, all the delegates for their participation which have made the conference a huge success.

Chairlady of HKPCC Organizing Committee, Dr. Lorna Ng

(From left to right) Dr. Liang Jun, Dr. William Wong, Dr. Lau Ho Lim, Dr. Constance Chan, Dr. Angus Chan, Prof. Richard Hobbs, Dr. Donald Li, Dr. Lorna Ng, Ms. Samantha Chong Coffee Break Symposium

Group photos of invited guests before the opening ceremony

Dr. Lorna V Ng, Chairlady, HKPCC Organising Committee, HKCFP

PHOTO GALLERY

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Plenary I Plenary III

Dr. Lau Ho Lim (left) presenting souvenir to Dr. Constance Chan, JP (right)

Plenary II

Dr. Lau Ho Lim (left) presenting souvenir to Prof. Richard Hobbs (right)

Dr. Chan Hung Chiu (left) presenting souvenir to Prof. Samuel Wong (right)

The MCs Dr. Simon Luk (left) and Dr. Tse Sut Yee (right) Group photo of invited guests

Opening Ceremony

Opening Speech by the President of The HKCFP, Dr. Angus Chan

Prof. Sophia Chan, JP, giving her speech

Ribbon Cutting Ceremony

Dr. Angus Chan (middle) presenting Best Research Paper Award to Dr. Regina Sit (right) and Dr. Chan Kwok Wai (left)

Dr. Angus Chan (left) presenting Best Trainee Research Paper Award to Dr. Tse Tak Kei (right)

PHOTO GALLERY

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Seminar A Seminar B

Dr. Catherine Chen (right) presenting souvenir to Prof. Lo Wai Kei (left)

Dr. Regina Sit (left) presenting souvenir to Prof. Albert Lee (right)

Seminar C

Dr. Catherine Sze (left) presenting souvenir to Dr. Patrick Chiu (right)

Seminar F

Dr. Judy Cheng (middle) presenting souvenir to Dr. Wendy Wong (left) and Dr. Vincent Chung (right)

Workshop 1

Dr. Tse Sut Yee (right) presenting souvenir to Dr. Ruby Wong (left) and Dr. Stanley Lai (middle)

Seminar D

Dr. Lorna Ng (left) presenting souvenir to Prof. Lawrence Wong (right)

Dr. Lorna Ng (left) presenting souvenir to Dr. Vincent Ip (right)

Seminar E

Dr. Regina Sit (left) presenting souvenir to Dr. Joyce Tang (right)

Workshop 2 Workshop 3

Dr. Regina Sit (left) presenting souvenir to Dr. Allen Ngai (right)

Dr. Regina Sit (left) presenting souvenir to Dr. Paco Lee (right)

Ms. Margaret Lam (left) presenting souvenir to Dr. Gemma Law (right)

Ms. Margaret Lam (left) presenting souvenir to Dr. Victor Lui (right)

PHOTO GALLERY

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Clinical Case Presentation

Dr. Angus Chan (left) and the winner of Clinical Case Presentation Competition, Dr. Koong Ying Leng, Agnes (3rd from left) and her team

Free Paper Presentation

Dr. Angus Chan (left) presenting Best Poster Presentation Gold Award certificate to Ms. Hung Shuk Yee (right)

Dr. Angus Chan (left) presenting Best Poster Presentation Silver Award certificate to Ms. Wong Bo Chu (right), receving the certificate on behalf of Ms. Emily Ma

Dr. Angus Chan (left) presenting the Best Poster Presentation Bronze Award certificate to Dr. Zheng Lifeng (right)

Dr. Angus Chan (left) presenting the Best Oral Presentation Award certificate to Dr. Hu Pei Lin (right)

Clinical Audit and Research Forum

(From left to right) Dr. Alfred Kwong, Prof. Martin Wong, Prof. Doris Young, Dr. Wendy Tsui, Dr. Edwin Chan, Dr. Liew Su May, Dr. Hanafi Nik Sherina, Prof. Khoo Ee Ming

Coffee Break Symposium

Dr. Catherine Sze (left) presenting souvenir to Dr. Lee Yuk Tong (right)

Dinner Symposium

Dr. Lam Wing Wo (left) presenting souvenir to Dr. Joshua Wong (right)

Dr. Lam Wing Wo (left) presenting souvenir to Dr. Rose Ting (right)

Dr. Lam Wing Wo (left) presenting souvenir to Prof. Tang Siu Wa (right)

Lunch Symposium

Dr. Kwan Yu (left) presenting souvenir to Dr. Chan Hok Sum (right)

Dr. Kwan Yu (left) presenting souvenir to Dr. Terry Ma (right)

PHOTO GALLERY

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The 31st Hong Kong College of Family Physicians Conferment Ceremony and the 29th Dr Sun Yat Sen Oration, 24th June 2018Dr. David V. K. Chao, Chairman, Internal Affairs Committee, HKCFP

Dr. Donald Li, Ms. Siobhan Rawlin, Dr. Kaye Atkinson, Prof. Doris Young, Prof. Cindy Lam and Adj. Asst. Prof. Tan Tze Lee (from left to right)

Dr. Billy Chiu, Dr. Lau Ho Lim, Dr. Angus Chan, Prof. Mary Ip and Dr. Stephen Foo (from left to right)

Dr. Albert Kong, Dr. William Wong, Dr. Angus Chan, Dr. Leong Che Hung, Prof. Lau Chak Sing, Dr. Chan Hung Chiu, Dr. Donald Li and Prof. Joseph Lau (from left to right)

Dr. William Wong, Dr. David Chao, Dr. Chan Hung Chiu, Prof. Joseph Lau, Dr. Kaye Atkinson, Prof. Doris Young, Dr. Angus Chan, Adj. Asst. Prof. Tan Tze Lee, Dr. Stephen Foo, Dr. Lau Ho Lim, Prof. Martin Wong and Dr. Donald Li (from left to right)

Prof. Cindy Lam, (left) Prof. Sophia Chan (middle) and Dr. Angus Chan (right)

Prof. John Leong (left), Prof. Rosie Young (middle) and Dr. Leong Che Hung (right)

The 31st Fellowship Conferment Ceremony of the Hong Kong College of Family Physicians (HKCFP) and the 29th Dr Sun Yat Sen Oration were held on the 24th June 2018 at the Hong Kong Academy of Medicine Building in Wong Chuk Hang.

We are extremely grateful towards the government officials, university colleagues, our sister colleges’ representatives from overseas, representatives of the Hong Kong Academy of Medicine and local specialty colleges, overseas dignitaries and doctors’ organisations for their participation in celebrating the joyful successes of our Conjoint Fellows, Exit Examination and Diploma in Family Medicine (DFM) colleagues. We are also most thankful towards the aforementioned friends, colleagues and peers who have made our College’s academic events and the conferment ceremony highly successful.

After the introduction of the Official Platform Party by our Public Orator Dr. Maria Leung, our College President Dr. Angus Chan officially declared the ceremony opened. Dr. Kaye Atkinson, Censor-in-Chief Elect of the Royal Australian College of General Practitioners (RACGP), represented our Australian sister College to give a welcome speech also. There were 20, 20, 15 and 16 doctors awarded HKCFP Fellowship, RACGP Fellowship, Exit Examination Certificate, and Diploma in Family Medicine, respectively. Awards of the Dr. Peter C. Y. Lee Best Candidate in Fellowship Examination 2017, Outstanding Candidate in Exit Examination 2018, the HKCFP Best Research Award 2017, and HKCFP Research Fellowship 2018 were delivered on stage also. The ceremony was concluded by Prof. Sophia Chan, Secretary for Food and Health, Food and Health Bureau of the Hong Kong Special Administrative Region and our Dr. Sun Yat Sen Orator this year, delivering the 29th Dr. Sun Yat Sen Oration titled, “Time to Change: Recommitting Primary Health Care”.

We organised group photo session with successful candidates after the ceremony proper. We are very much obliged for all the College officials’ support and the cooperation of our successful candidates by staying behind at the venue after the ceremony.

All these would not have happened without the most efficient secretariat support led by Ms. Erica So and a tremendous helpers’ team to ensure the smooth running of the occasion, including Dr. Ko Wai Kit and Dr. Chan Chi Wai, Edmond (Coordinators), Dr. Chan Man Li (Usher), Dr. Chan Ngai Ping (Marshalling Officer), Dr. Fok Peter Anthony (Marshalling Officer), Dr. Kwan Yu (Marshalling Officer), Dr. Lau Kin Sang, Kinson (Usher), Dr. Leung To Fung (Marshalling Officer), Dr. Wang Hua Li, Jenny (Usher) and Dr. Yeung Wai Man, Raymond (Usher). Last but not least, we would like to thank all the family members, colleagues and friends who have participated in the Ceremony to witness their beloved ones receiving their honours on this very special occasion.

PHOTO GALLERY

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Dr. David Chao (left), Prof. Joseph Lui (middle) and Dr. Billy Chiu (right)

Dr. Ngan Po Lun (left), Prof. Martin Wong (middle) and Dr. Au Chi Lap (right)

Dr. Stephen Foo (left) and Prof. Daniel Chan (right)

Dr. William Wong (left) w i t h P r o f . G i l b e r to Leung (right)

Dr. Tsui Sik Hon (left) and Dr. Billy Chiu (right)

Dr. Kwan Yu and Dr. Leung To Fung (Marshall ing Of f icers) leading the Officiating Procession into the hall Group photo of platform guests on stage

D r . A n g u s C h a n d e l i v e r i n g t h e welcome speech on behalf of HKCFP

Dr. Kaye Atkinson d e l i v e r i n g t h e welcome speech on behalf of RACGP

Dr. Chan Hung Chiu and Adj. Asst. Prof. Tan Tze Lee with Conferment helpers:

Dr. Peter Anthony Fok, Dr. Kinson Lau, Dr. Jenny Wang, Dr. Chan Man Li, Dr. Ko Wai Kit, Dr. Chan Hung Chiu, Adj. Asst. Tan Tze Lee, Dr. Maria Leung, Dr. Edmond Chan, Dr. Kwan Yu, Dr. Leung To Fung, Dr. Chan Ngai Ping and Dr. Raymond Yeung (from left to right)

Dr. Donald Li (middle), Dr. Edmond Chan (6th from the left), Dr. Peter Anthony Fok (1st from the left) with successful candidates

Dr. Donald Li (8th from the right), Adj. Asst. Prof. Tan Tze Lee (7th from the right) and Dr. David Chao (6th from the right) with successful candidates and guests

Platform guests taking a group photo

PHOTO GALLERY

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Dr. Chan Pui Chuen (middle) receiving the Dr. Peter C. Y. Lee Best Candidate Award in Fellowship Examination 2017 from Dr. Angus Chan (left) and Dr. Kaye Atkinson (right)

Dr. Lau Ho Lim on stage introducing the 29th Dr Sun Yat Sen Orator, Prof. Sophia Chan

Dr. Samuel Wong (middle) receiving the Outstanding Candidate Award in Exit Examination 2018 from Dr. Angus Chan (left) and Prof. Doris Young (right)

Dr. Or K a Yan ( le f t ) r e c e i v i n g t h e B e s t Research Award 2017

Dr. A ngus Chan (r ight ) presenting the Dr. Sun Yat Sen Oration certificate to Prof. Sophia Chan (left)

Dr. Kwong Siu Kei (left) receiving the Research Fellowship Award 2018

Prof. Sophia Chan delivering the 29th Dr. Sun Yat Sen Oration

Council members and platform guests taking a group photo with new HKCFP / RACGP Fellows

Council members and platform guests taking a group photo with successful Exit Examination candidates

Dr. Chan King Hong (5th from the right) taking a group photo with successful candidates and helpers

Council members and platform guests taking a group photo with DFM diplomats

Dr. Wendy Tsui (3rd from the right), Prof. Doris Young (4th from the right), Dr. Jenny Wang (1st from the right) and Dr. Ko Wai Kit (1st from the left) taking a group photo with successful candidates and winner of Research Fellowship Award 2018, Dr. Kwong Siu Kei (2nd from the left)

COLLEGE NEWS

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Board of Vocational Training and Standards News

Reminder:Application for Recommendation for Exit Examination

To all Higher Trainees,

For those who prepare to sit for 2019 Full Exit

Examination, please submit the application letter

and the checklist for recommendation for Exit

Examination before 30th September 2018.

Late applications WILL NOT be entertained.

Should you have any enquiries, please contact Ms.

Charlotte Cheung or Ms. Kathy Lai at 2871 8899.

Higher Training Subcommittee

Board of Vocational Training and Standards

Professor Cindy Lo-Kuen LAM, JP, our Chief Censor and Honorary Fellow (2011), was awarded the Medal of Honour (MH) (Chinese: 榮譽勳章 , MH) on 1 July, 2018, in recognition of her contribution to health services and corruption prevention. The Medal of Honour is awarded to distinguished members of the society who have made important contributions to community service in a district or in a particular area for a long period of time.

Professor Lam is the Danny D. B. Ho Professor in Family Medicine and Head of the Department of Family Medicine and Primary Care of the University of Hong Kong.

She graduated with the M.B.B.S. (HK) and obtained the M.D. (HK) from the University of Hong Kong. She is a specialist in Family Medicine, Fellow of the Hong Kong Academy of Medicine (Family Medicine), Fellow of the Royal College of General Practitioners and Honorary Fellow of the Hong Kong College of Family Physicians. She is Chief Censor of the HKCFP and a Co-Chair of the Grant Review Board of the Health and Medical Research Fund of the Food and Health Bureau, Government of Hong Kong SAR. She is a member of various local professional committees including the Steering Committee for Primary Healthcare Development and the Task Force on Colorectal Cancer Screening, Government of Hong Kong SAR. She served as a member of the Corruption Prevention Advisory Committee, ICAC from 2011 to 2017. She is a member of the Working Party on Research and Working Party for Mental Health of the World Organization of Family Doctors (WONCA). She has a special interest in continuous quality improvement in primary care. Her main research areas are health-related quality of life measurement, primary care health services outcome evaluation and Mental health in primary care. She has published more than 300 peer-reviewed journal articles and book chapters.

Our College is delighted that Professor Lam’s dedication to the advancement of Family Medicine and primary care was recognized with honour. We would like to add our cheers to her outstanding contributions to our community.

Congratulations

Diabetes Care for Adults in Primary Care Settings Hypertension for Adults in Primary Care Settings Preventive Care for Older Adultsin Primary Care Settings Preventive Care for Children in Primary Care Settings Module on Fall in Elderly Module on Visual Impairment Module on Cognitive Impairment

A4 Summary Charts under theHong Kong Reference Frameworks

Quick reference for :

View the summary charts

If you want to obtain the hard copies, please call or send email to –

Primary Care Office Telephone Number : 3576 3431Email address : [email protected]

SPECIAL COLUMN

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In response to “How Patient Suicide Affects Physicians” (Young Doctors Column, Family Physician Links, July 2018 )

A reflection of “How Patient Suicide Affects Physicians“Dr. Wun Yuk Tsan (an old doctor)

I feel sad on reading the article in the Young Doctors Column in the July issue of the Family Physicians Links. I first experienced the same tragedy when I was young and naive in general practice. But, alas, it was not the only tragedy of the same kind in my professional life.

The first patient was a teenager whom I had attended throughout his years in secondary school. His mother brought him to me because he was very disappointed with his results in the public examination (then called School Leaving Certificate examination, equivalent to the DSE nowadays). I tried to comfort him and encouraged him to face the challenge for more than 30 minutes. I let him go when I saw a glimpse of relief on his face, ensuring him that he could come to talk with me again if he wished. I did not charge for that consultation as I knew the whole family well. He never returned. He jumped to his death from his home 7-10 days later. It took me some hard time to pull myself out from the bad feelings after the tragedy. And, only years later that I realized my mistake in that consultation. I should have let him do the talking, instead of the patronizing “comforting and encouraging”.

I described one of my later tragedies in a case report published in the Hong Kong Practitioner (January 1996;18(1):10): “Depression In General Practice: Two Case Reports” with a psychiatrist’s comments. This is available from the HKU Library Digital Initiative, HK Journals Online (I still recommend this case report to the trainees):http://hkjo.lib.hku.hk/archive/files/12d62302a0348c71fc3198499938ce1c.pdf.

We had very limited clinical training on real patients with suicidal ideation. We usually learn the management of depression from textbooks and role-plays. But the real patients with severe depression behave differently. Moreover,

self-concealment (actively hiding distressful information from others) is common in suicidal patients. One study reported that up to 78% of hospitalized patients denied having suicidal thoughts in the week before taking their own lives (Busch KA, Fawcett J, Jacobs DG. Clinical correlates of inpatient suicide. Journal of Clinical Psychiatry. 2003;64:14–19).

There is another article that we should read: “The Family Physician: What Sort of Person” by Brody (Fam Med 1998;30(8):589-93). He said that the virtues of a healing person included humility, compassion, and forgiveness. Humility means “a realistic knowledge and acceptance of one’s limits and weakness”. Compassion is derived from “to suffer with”. Physicians “must feel comfortable admitting mistakes to peers, confident that they will be understood and forgiven. The abilities to forgive our peers, forgive our patients, and forgive ourselves are all linked.”

I am not defending myself, nor my colleagues, for making mistakes with suicidal patients. Though I wish not, I would predict that similar mistakes would be made by doctors in future. We have been told not to make mistakes, been taught to learn from mistakes (made by us or others), but seldom been taught how to recover from the psychological trauma consequent on our mistakes. We need time and help to pass through grief.

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YOUNG DOCTORS COLUMN

不經不覺，已經行醫七年了。入醫學院已經是

十多年前的事。朋友問我當初為甚麼選擇醫

科，不禁勾起很多回憶。

還記得高中時的我，最喜歡是生物科。大學聯

招時，我首七個志願都是七間大學的生物系。

後來是因為一些師友的勸告，才在最後一刻改

報醫科。

那時我很喜愛在圖書館看生物科技的書籍。這

世界充滿奇妙的生命，是遠超越我們所能理解

的。我記得我在一本圖文集中看見一隻名叫蠑

螈的生物。牠有四肢再生的能力。就算一整隻

手被咬斷，他也能把整隻手再生出來。這能力

是其他生物所沒有的。我想：如此神奇的生物，

是偶然出現的麼？還是有一位奇妙的造物主創

造牠？我偏向於相信後者。但為什麼這位奇妙

的造物主只給蠑螈有這種能力，而其他生物卻

沒有？這一點我就想不通了。

入了醫學院以後，在無盡的課業中，我漸漸地

忘記了蠑螈。每天都是上課、上病房。在醫學

院，考試合格不是必然的事。我們很多同學都

活在壓力下。為求合格，我們對人體讀得很深

入，甚至於一條血管、一條神經的走向也能滾

瓜爛熟，但對人體以及生命的奇妙卻麻木了，

當然更失去了欣賞大自然的閒情。

直至有一天，在整形外科的課堂上，我又看到

了蠑螈。教授說：我們可以複製生物，又可以製

造多種藥物改變人體，卻始終想不透蠑螈的再

生能力。小小的蠑螈所擁有的奇妙力量，遠超

人類所能測度，也許只有造物主才能明白。

看着小蠑螈的照片，聽著教授的話，我又想起

造物主。衪創造了奇妙的世界，但祂的心意也

蠑螈與人生

許不是人所能測度的。如何才可以認識祂呢？

如果一條小蠑螈也被給予能力，那麼我們人類

又被賦予了甚麼？人類比蠑螈高等多了。我們

的存在，會不會也是被賦予的呢？

我在醫學院第五年，在整形外科病房裏，認識

了小 B。她是個一歲的小女孩，因被人關在家

裏，後遇上火災，她逃不了，被烈火燒傷了四成

皮膚。她本來活不了，卻被消防員救了。教授替

她做了多次手術，把人工皮膚植上。她身上到

處是植皮，看了也心酸。

我每天探望小 B。看着她流淚的臉，和滿身的人

工植皮，我又想起了蠑螈。為什麼造物主不把

再生能力給予小 B？對蠑螈來說，斷手斷腳也是

小事。如果小 B 有再生能力，這點燒傷就算不了

甚麼。但她是人，沒有再生能力。我閉上眼睛，

就想起她被困家中烈火燒身的情景。全知全能

的造物主容許這場火災發生在她身上，卻又藉

我們的手救了她，把人工皮膚植上，使她重獲

新生。這是為甚麼呢？

小 B 適應了新的皮膚，愈發健康，常常要爬出牀

外玩耍。我在畢業前夕，再次回到病房，想看小

B。一看，她的牀已經空了。護士說她已經出院

了。我發呆良久，但也感到欣慰，因為我知道小

B 已經像一條康復了的小蠑螈，回到她本來的

世界了。

以後我每次行山涉水，看見蠑螈，我都會想起

造物主的奇妙。衪也是我們所不能測透的。衪

容許世間無盡的苦難發生，卻又給予人心有

愛，又賦予我們各有能力，使我們可以改變別

人的生命，讓社會再生。也許人類社會，就是一

隻大蠑螈，在無盡傷痛中，不斷再生。

“ 神造萬物，各按其時成為美好，又將永生安

置在世人心裏。然而，神由始至終的作為，人不

能參透。＂望各位醫生在忙碌中也抽片刻停下

來，觀察自然，思想造物之奇妙。同時也發揮所

學，照顧病人，幫助世人在苦難中重建人生，再

現生命中的美好。

Dr. Lee Ho Ming

“Submissions of articles to Young Doctors Column with up to 1200 words are always welcome. Gift vouchers will be given as a token of appreciation if the articles are selected for publication. Email: [email protected]”

NEWS CORNER

14“Submissions of articles to News Corner with up to 500 words are always welcome.

Gift vouchers will be given as a token of appreciation for good works if the articles are selected for publication. Email: [email protected]”

Hypertension is a common disease and draws attention from both medical professions and the general public. Automated blood pressure measuring devices are now commonly used by the public. However, how is their accuracy evaluated?

There are several protocols to evaluate the accuracy of the device, namely AAMI (Association for the Advancement of Medical Instrumentation) protocol which is required by the FDA before products can be sold in the US market; EN 1060-4 protocol developed by European Committee for Standardization (CEN) which is required for CE mark before products can be sold in the EU market. In addition, the BHS (British Hypertension Society) protocol and ESH-IP (European Society of Hypertension International protocol) are also commonly used, which are not formally required by any market.

In 2009 the International Organization for Standardization (ISO) developed another standard which was largely based on the AAMI and CEN standard. A revised version of the American National Standards Institute (ANSI)/AAMI/ISO was developed in 2013. This year, AAMI/ESH/ISO are jointly developing a universal protocol for the growing need for validation of blood pressure machine.

Compiled by Dr. Yip Chun Kong, Sam

The validation protocol involves recruitment of participants with their blood pressure measured by test device compared against mercury sphygmomanometer or accurate non-mercury devices by same-arm sequential BP measurement. The ESH-IP requires 33 participants compared to 85 for the ANSI/AAMI/ISO. ESH-IP recruit general population of adults aged >25 years and require separate studies for special populations (e.g. pregnancy), while ANSI/AAMI/ISO recruit participants aged >12 years and additional 35-45 participants for subgroup study. ESH-IP recommends use of mercury sphygmomanometer, whereas ANSI/AAMI/ISO accepts any manometer with maximum error +/-1 mm Hg.

Both ESH-IP has pass/fail criteria for individual BP reading and individual participants based on the number of readings with absolute test-reference BP difference <5, 10, 15 mm Hg, while ANSI/AAMI/ISO based on mean BP difference and standard deviations. Interestingly, the two approaches are statistically interchangeable with the two protocols allowing similar maximum levels of probability for tolerable error of <10 mmHg in BP measurement.

A Glance of Standardization for Automated Blood Pressure Devices?

ReferenceEoin O'Brien, Eamon Dolan and George S. Stergiou, Achieving reliable blood pressure measurements in clinical practice: It's time to meet the challenge, The Journal of Clinical Hypertension, 20, 7, (1084-1088), (2018).

Sample of achieving a pass criteria in both protocol:

COLLEGE NEWS

15

Meeting Highlights

The 2nd session of the “Certificate Course on Bringing Better Health to Our Community 2018” co-organized with Queen Elizabeth Hospital was held on 30 June 2018. Dr. Chan Kam Tim, Specialist in Cardiologist, Consultant, Department of Medicine, Queen Elizabeth Hospital, delivered a lecture on “New AHA Hypertension Guideline”; Dr. Ho Ka Ming, Ken, Associate Consultant, Department of Family Medicine & General Outpatient Clinic, Queen Elizabeth Hospital, delivered a lecture on “Role of Ambulatory Blood Pressure Monitoring in Kowloon Central Cluster GOPC”; Ms. Intonia Chow, Senior P h y s i o t h e r a p i s t , D e p a r t m e n t o f Physiotherapy, Queen Elizabeth Hospital, delivered a lecture on “Practical Tips on Home Exercise for Hypertension.”

Prof. Shinichi Oka, Director-General of AIDS Clinical Centre, International Medical Centre of Japan, Japan, delivered a lecture on “The Evolution of HIV Treatment Guidelines” on 11 July 2018.

Certificate Course on Bringing Better Health to Our Community 2018

Dinner Symposium on 11 July 2018

Dinner Symposium on 13 July 2018

Interest Group in Counselling

Dr. Lai Chih-Kuan, a Physician with expertise on smoking cessation from Taipei Veterans General Hospital , Taiwan, delivered a lecture on “Innovative Smoking Cessation Therapy Methodology” on 13 July 2018.

Ms. Wong Ka Yan, Angela, Approved Counselling Supervisor of the Hong Kong Professional Counselling Association, delivered a lecture on “Workshop on Satir Family Therapy for family doctors「家庭如何塑造人」工作坊” on 14 July 2018.

Dr. Yau Kin Chung (right, Moderator) and Dr. Mary Kwong (left, Council Member) presenting a souvenir to Dr. Lai, Chih-Kuan (middle, Speaker) during the lecture on 13 July 2018.

Dr. Lau Wai Yee, Aster (left, Moderator), presenting a souvenir to Ms. Wong Ka Yan, Angela (right, Speaker) during the lecture on 14 July 2018.

Dr. Memie Kwok (right, Moderator) presenting a souvenir to Prof. Shinichi OKA (left, Speaker) during the lecture on 11 July 2018.

Dr. Lai Siu Wai (left, Moderator) and Dr. Chan Hung Chiu (right, Council Member) presenting a souvenir to Dr. Chan Kam Tim (middle, Speaker) during the lecture on 30 June 2018.

Dr. Lai Siu Wai (left, Moderator) and Dr. Chan Hung Chiu (right, Council Member) presenting a souvenir to Dr. Ho Ka Ming (middle, Speaker) during the lecture on 30 June 2018.

Dr. Lai Siu Wai (left, Moderator) and Dr. Chan Hung Chiu (right, Council Member) presenting a souvenir to Ms. Intonia Chow (middle, Speaker) during the lecture on 30 June 2018.

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“Invites applicants for full-time doctor in Evangel Hospital – shift-duty in General Out-patient throughout the week and on-site overnight call. Please send C.V. and enquiry to [email protected]”

COLLEGE NEWS

16

HKCFP Trainees Research Fund 2018 /

HKCFP Research Seed Fund 2018

The Research Committee of HKCFP is proud to continue to offer the two research funds, The

Trainees Research Fund and the Research Seed Fund.

The Trainees Research Fund will be opened to all registered HKCFP trainees and is made of

four awards (each up to HK$5,000). It is envisaged it will help trainees especially (but not limited

to) those doing research projects as their exit examination. Those who have funding support

elsewhere will not be considered.

The Research Seed Fund is open to all HKCFP members when a maximum of $10,000 award will

be made to the successful applicant to assist the conduction of a research project.

Winners of the award will receive 50% of the approved grant up front and the remainder 50%

upon completion of the project.

**Please note that each applicant can only apply either one of the above Funds**

Assessment Criteria for both funds:

1. Academic rigor of the paper (e.g. originality, methodology, organisation and

presentation);

2. Relevance and impact to family medicine & primary care (e.g. importance of the topic

and the impact of the findings on the practice or development of the discipline); and

3. Overall budget

Each Research project submitted will be assessed according to the above assessment criteria set

by the selection panel. Please send your submission to:

Research Committee, HKCFP

803-4, 8/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong by

post or by email: [email protected]

Please indicate the research funding title e.g. “HKCFP Trainees Research Fund 2018” or “HKCFP

Research Seed Fund 2018” on your research project upon submission.

Submission Deadline: 31st October 2018Supported by HKCFP Foundation Fund

Department of Family Medicine and Primary Care of The University of Hong Kong is actively recruiting primary care doctors who are prepared to take medical students into their practices for teaching purposes.

• As part of the Professionalism in Practice Programme (PIP), each student will attach individually or in pairsto the same preceptor for three half-day sessions over the first two years of medical school. Through early attachment to a primary care doctor, students will focus on developing an understanding of what it means to be a doctor and how professionalism is practiced in real life. The dates of the attachment are flexible.

• During the Family Medicine Junior Clerkship – Family Practice Attachment (FPA) of the fourth year of medical school, each student will attach to a family practice in the community for two half-day sessions over nine-week period. These attachments are on a one-to-one basis, and are scheduled at regular intervals throughout the clerkship.

Most doctors find that teaching medical students is a rewarding experience, and that the satisfaction gained often more than compensates for the minor disruption to the practice. Those who volunteer to teach will be offered an honorary academic appointment at The University of Hong Kong, which is a quotable appointment. CME and CPD accreditation has been given to these teaching activities by the Quality Assurance and Accreditation Committee of Hong Kong College of Family Physicians (HKCFP) towards the award of the Certificate of Quality Assurance. Our honorary teachers are entitled to use HKU’s facilities including the library and email access to the HKU portal.

Fellows and members of the HKCFP are most eligible, and enquiries from other doctors would also be welcome. No previous experience is necessary - interest and motivation to pass on your expertise are much more important.

Please complete and return the reply-slip below. If you would like more information about our programmes, please contact us by email ([email protected]) or telephone (2518-5657).

Professor Cindy L.K. Lam Head, Department of Family Medicine and Primary Care The University of Hong Kong

___________________________________________________________________________REPLY SLIP

To : Department of Family Medicine and Primary Care, The University of Hong Kong, 3/F., Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong Kong(Email: [email protected] / Fax: 2814-7475)

I am interested in taking medical students for Professionalism in Practice Programme (PIP) Family Medicine Junior Clerkship – Family Practice Attachment (FPA)

Name: ____________________________________________ (English) _________________________ (Chinese)

Office Address: ______________________________________________________________________________

E-mail Address: _______________________________________________________________________________

Office Tel. No. : _________________________________ Fax. No. : ___________________________________

Date: ________________________________________ Signature: ______________________________________

The University of Hong Kong Family Practice Attachments for Medical Students

3/F Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong KongTel: (852) 2518-5657 · Fax: (852) 2814-7475 · E-mail: [email protected]

LEARNING POINTS FROM BOARD OF EDUCATION

18

Interest Group in Dermatology – The 66th Meeting held on 7 July 2018

Dr. Yuen Chi Hang and Dr. Yue Kam Lun (College Members)

Theme : Dermatology Case Studies

Speaker : Dr. Lam Yuk Keung Specialist in Dermatology and

Venerology

Moderator : Dr. Lam Wing Wo Board of Education

Dr. Lam shared five interesting cases with us.

The first case was an elderly gentleman with extramammary Paget’s Disease (EMPD). EMPD is a neoplastic disease. The majority is primary EMPD (>75%) which arises from intraepidermal apocrine glands or pluripotent keratinocyte stem cells. On the other hand, secondary EMPD arises from epidermotropic spread from underly ing adenocarcinoma in dermal adnexal glands or from internal organ neoplasm. EMPD accounts for 6.5% of all cutaneous Paget’s disease and affects mostly older people (age 50-80), and it is more common in male in Asian population (F:M ratio = 1:6). Vulva is the most common site (up to 65%), followed by perianal area (20%) and male genitalia (14%). EMPD may present as slow-growing, often pruritic, well-demarcated erythematous scaly plaques, sometimes with erosions, giving rise to a “strawberries and cream” appearance. It often mimics benign inflammatory dermatosis, so high degree of suspicion is essential for early diagnosis. Differential diagnoses include infection, intertrigo, psoriasis, eczema, contact dermatitis, SCC and Bowen’s disease. It is important to screen for associated malignancies, e.g. female genitourinary cancer and breast cancer in vulva EMPD, male genitourinary cancer in penoscrotal EMPD, and lower GI cancer in perianal EMPD. The mainstay of treatment is surgical excision. The prognosis is generally good but long term follow-up is required to detect possible recurrence.

The second case was two siblings with tinea capitis. Tinea capitis affects predominately preadolescent children. In HK, the most common causative dermatophyte is Microsporum canis, which is usually contracted from infected cats or dogs. In US and some cities of UK, Trichophyton tonsurans is more common and it is contracted by close contact. Tinea capitis may present as scalp scaling, patchy alopecia with scales/block dots/pustules, and Kerion formation.

(Disclaimer: All advice and sharing in the meeting are personal opinions and bear no legal responsibility. All patients’ identities are kept confidential.)

Differential diagnoses include seborrheic dermatitis, psoriasis, discoid lupus, impetigo, alopecia areata, traction alopecia, and trichotillomania. Wood’s lamp is helpful as M. canis will show a green fluorescence. Investigations include skin scrapping and hair plucking. Treatment is oral antifungal: griseofulvin for M. canis, while oral terbinafine for T. tonsurans. Affected children should be excluded from school until treatment have been commenced. Familial screening should be done especially in T. tonsurans cases as they are anthropophilic and are highly infectious. Infected pets should also be treated.

Dr. Lam showed the case of Congenital Melanocytic Nevi (CMN) to us. He showed us the concern of CMN including cosmetics, malignant changes and neurocutaneous melanosis. If the CMN size is < 20 cm, the risk of malignant change is less than 1 %. For size of CMN > 20 cm, the risk of malignancy is < 5%. For its management we can observe the lesion if its size is < 20cm. If its size is > 20 cm, we may need to have MRI of the CNS to rule out neurocutaneous lesion. And we can have surgery or laser treatment of CMN. Giant CMN poses a significantly increased risk of melanoma.

Dr. Lam shared a case of CA-MRSA to us. He explained the diagnosis of CA-MRSA based on genetic composition and the criteria of diagnosis. The treatment of CA-MRSA includes oral septrin and doxycycline (not for <12 yrs old). The importance of notification of CA-MRSA to CHP was discussed and treatment by CHP often includes empirical decolonization therapy for all patients and their close contacts.

Finally, Dr. Lam presented a case of rosacea including symptoms and signs with overview of the first line treatment.

Next MeetingThe next meeting will be on 1 September 2018 (Saturday). The guest speaker is Dr. Loo King Fan, Steven, a Specialist in Dermatology and Venereology, who will speak to us on “Role of Topical Treatment on AD Patients”. All members are welcome and encouraged to present their cases and problems for discussions or role play. Please send your cases to our secretariat ([email protected]) 2 weeks before the date of presentation.

MANAGEMENT OF URGENT CLINICAL CONDITIONS

HONG KONG SANATORIUM & HOSPITAL

LI SHU PUI SYMPOSIUM 2018

Date : Sunday, 9 September 2018Venue : Ballroom, JW Marriott Hotel Hong Kong08:50 – 09:00 Welcome Dr. Walton LI

09:00 – 09:30 Keynote Lecture 1: Stroke Service at HKSH – Our Progress Dr. Patrick LI

Symposium 1 Medical Emergency Conditions Chairperson Dr. Henry TONG | Dr. Axel HSU

09:30 – 09:45 Acute Retrosternal Pain Dr. Raymond CHAN

09:45 – 10:00 Wheezing and Shortness of Breath Dr. LAM Bing

10:00 – 10:15 Acute Renal Failure – Call Nephrologist Dr. LAI Kar Neng

10:15 – 10:30 Critical Care Physician in ICU, Any Difference? Dr. Raymond LEE

10:30 – 10:40 Q & A

10:40 – 11:00 Coffee Break

Symposium 2 Emergency Surgical Conditions Chairperson Dr. SIU Wing Tai | Dr. CHAN See Ching

11:00 – 11:15 Acute Abdomen Dr. Daniel TONG

11:15 – 11:30 Epistaxis, Stridor and Sudden Hearing Loss Dr. Ambrose HO

11:30 – 11:45 Acute Aortic Emergencies Dr. LAW Yuk (HKU)

11:45 – 12:00 Common Sports Injuries Dr. Jimmy WONG

12:00 – 12:10 Q & A

12:10 – 13:00 Li Shu Pui Lecture Chairperson Dr. TSOI Tak Hong Acute Stroke Services and Management Strategies Dr. Mark ALBERTS

13:00 – 14:00 Lunch

Symposium 3 Other Emergency Clinical Services Chairperson Dr. Eric MAN | Dr. Natalie LEE

14:00 – 14:15 Critical Conditions in Obstetrics Dr. CHAN Wan Pang

14:15 – 14:30 Pancytopenia – Management Strategies Dr. Raymond LIANG

14:30 – 14:45 Neonatal Emergency Conditions Dr. KO Lee Yuen

14:45 – 15:00 Interventional Radiology and the Critically Ill Dr. Jimmy YUEN

15:00 – 15:10 Q & A

15:10 – 15:40 Keynote Lecture 2 : Endocrine Emergencies – Immediate and Follow Up Management Dr. LO Kwok Wing

15:40 – 16:00 Coffee Break

Symposium 4 GP Forum Chairperson Dr. YAU Wah Hon | Dr. Cynthia SHUM

16:00 – 16:15 Radiophobia – Facts and Fallacies Dr. Garrett HO

16:15 – 16:30 Sudden Loss of Vision Dr. Marcus MARCET

16:30 – 16:45 Dental Emergencies Dr. Walter LI | Dr. Raymond CHOW

16:45 – 17:00 Pain Management: Current Concepts Dr. LEE Tsun Woon

*Content is subject to change without prior notice

REGISTRATION IS ON A FIRST COME, FIRST SERVED BASISReserve your place at www.hksh.com/lsp2018

CME Accreditation Pending | CNE 5.5 Points | CPD (Allied Health) PendingRegistration Deadline: Friday, 24 August 2018 or Once the Quota is Full | For Medical Professionals Only

Hong Kong Sanatorium & Hospital I A member of HKSH Medical Group I TEL 2835 8800 I www.hksh-hospital.com

BOARD OF EDUCATION NEWS

20

A certificate will be presented at the end of the course for those achieving ≧80% of attendance.

CME accredited by HK College of Family Physicians 2 credit points and HK Medical Association 2 credit points (for MCHK non-specialist). (pending)

CNE points accredited by OLMH: CND 2 credit points.

Limited car parking can be reserved, on first come first serve basis

RSVP : Tel: 2354 2440 (Ms. Clara Tsang, OLMH) Fax: 2327 6852

Refresher Course for Health Care Providers 2018/2019Jointly organized by

Hong Kong Medical AssociationThe Hong Kong College of Family Physicians

Our Lady of Maryknoll Hospital

Venue : Training Room II, 1/F, OPD Block, Our Lady of Maryknoll Hospital 118 Shatin Pass Road, Wong Tai Sin, Kowloon

Time : 14:15 to 16:15

Dates Topics Speakers

8 Sep 2018 Urology update for primary care Dr. CHU Wing HongPrivate specialist in Urology

6 Oct 2018 Sports Medicine Dr. Vincent YUSpecialist in Orthopaedics, KWH

10 Nov 2018 Common foot and ankle problems Dr. LEE Hin LunSpecialist in Orthopaedics, KWH

8 Dec 2018 Primary care cardiology conditions and ECGs Dr. LEUNG Sum KinPrivate specialist in Cardiology

12 Jan 2019 Home physiotherapy Ms. Dora FUNGPT(I), OLMH

16 Feb 2019 Sports nutrition Ms. LAM Nga SzeDietitian, OLMH

9 Mar 2019 Inflammatory skin conditions in primary care Dr. IP Fong Cheng, FrancisSpecialist in Dermatology and Venereology,Department of Health

27 Apr 2019 Children and adolescent mental health challenges in primary care Dr. LAM Wing WoPrivate family doctor

11 May 2019 Upper gastrointestinal/liver diseases- an update for primary care Dr. WONG Wai ChuenSpecialist in Gastroenterology & Hepatology,OLMH

1 Jun 2019 Alarming skin conditions in adults and elderlies Dr. NG Shun ChinSpecialist in Dermatology and Venereology, Department of Health


21

Venue 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong

AdmissionFee

MembersNon – membersHKAM Registrants

FreeHK$ 300.00HK$ 150.00

All fees received are non-refundable and non-transferable.

Accreditation 2 CME points HKCFP (Cat. 4.3)2 CPD points HKCFP (Cat. 3.15) 2 CME points MCHK

Language Lecture will be conducted in Cantonese.

Registration Registration will be first come first served.Please reserve your seat as soon as possible.

Note Participants are encouraged to present own cases for discussion. Please forward your cases to the Co-ordinator via the College secretariat 2 weeks prior to meeting.

Activities are supported by HKCFP Foundation Fund. Please wear a surgical mask if you have respiratory tract infection and confirm that you are afebrile before coming to the meeting. Please wear an appropriate dress code to the hotel for the Scientific Meeting. Private video recording is not allowed. Members, who wish to review the lecture, please contact our Secretariat.

1 September 2018 Saturday

Board of Education Interest Group in Dermatology

Aim To form a regular platform for interactive sharing and discussion of interesting dermatological cases commonly seen in our daily practice

Theme Role of Topical Treatment on AD Patients

Speaker Dr. Loo King Fan, StevenSpecialist in Dermatology & Venereology

Co-ordinator & Chairman

Dr. Lam Wing WoThe Hong Kong College of Family Physicians

Time 1:00 p.m. – 2:00 p.m. Lunch2:00 p.m. – 4:00 p.m. Theme Presentation & Discussion

Venue 5/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong

AdmissionFee

MembersNon – membersHKAM Registrants

FreeHK$ 300.00HK$ 150.00


Accreditation 2 CME points HKCFP (Cat. 4.3)2 CPD points HKCFP (Cat. 3.15) 2 CME points MCHK

Language Lecture will be conducted in English and Cantonese.


Note Participants are encouraged to present own cases for discussion. Please forward your cases to the Co-ordinator via the College secretariat 2 weeks prior to meeting.

HKCFP would like to thank HKMA for supporting this educational activity.

Sponsored by Leo Pharma

15 September 2018 Saturday

Board of Education Interest Group in Counselling

Aim (1) To form a regular platform for interactive sharing and discussion of various counseling cases commonly seen in our daily practice;

(2) To booster the competencies in counseling of family practitioners through case discussion and practising self awareness

Theme Introduction of Common Counseling Approaches

Speakers Dr. Lau Wai Yee, Aster (Specialist in Community Medicine)Dr. Ho King Yip, Anthony(Specialist in Family Medicine)Dr. Lo Sze Mon, Dana(Specialist in Family Medicine)

Co-ordinator & Chairman

Dr. Lau Wai Yee, AsterThe Hong Kong College of Family Physicians

Time 2:30 p.m. – 4:00 p.m. Lecture & Theme Presentation 4:00 p.m. – 4:30 p.m. Discussion

RegisterOnline

RegisterOnline

20 September 2018 Thursday

Pre-Diabetes: Why and How should we treat? Prof. Ian William CAMPBELL

Emeritus Professor of Medicine, Medical School, University of St Andrews

Chairman Dr. Tsui Hing Sing, RobertThe Hong Kong College of Family Physicians

Time 1:00 p.m. – 2:00 p.m. Registration and Lunch2:00 p.m. – 3:30 p.m. Lecture & Discussion

Venue Sung Room, 4/F, Sheraton Hong Kong Hotel & Towers, 20 Nathan Road, Kowloon, Hong Kong

AdmissionFee

College Fellow, Full or Associate MembersOther Categories of MembersNon-Members

Free (Deposit required)HK$ 450.00HK$ 550.00


Accreditation 2 CME points HKCFP (Cat. 4.3) 2 CME points MCHK Up to 2 CPD points (Subject to submission of satisfactory report of Professional Development Log)

Language Lecture will be conducted in English.


Sponsored by Merck Pharmaceutical (HK) Ltd

RegisterOnline


22

September’s session:Date 28 September 2018 (Friday)

Time 2:30 p.m. - 3:30 p.m.

Topic "Update of the Management of Diabesity" by Dr. Encoh Wu

Admission Free for Members

Accreditation 1 CME point HKCFP (Cat. 4.2) 1 CME point MCHK Up to 2 CPD points (Subject to submission of satisfactory report of Professional Development Log)


RegisterOnline

Date/Time/CME Venue Topic/Speaker/Co-organizer Registration

8 September 20182:15 – 4:15 pm

Training Room II, 1/F, OPD Block, Our Lady of Maryknoll Hospital, 118 Shatin Pass Road, Wong Tai Sin, Kowloon

Urology update for primary careDr. Wing Hong CHUPrivate specialist in Urology

Ms. Clara TsangTel: 2354 2440

13 September 20181:00 – 3:00 pm

Lecture Theatre, G/F, Block K, United Christian Hospital, 130 Hip Wo Street, Kwun Tong, Kowloon

Minor Orthopaedic Procedures and InjectionsDr. Esther CHOW Ching San(Associate Consultant,Department of Orthopedic & Traumatology, United Christian Hospital)

Ms. Polly TaiTel: 3949 3430 or Ms. Cordy Wong Tel: 3949 3087

Community Education ProgrammeOpen and free to all membersHKCFP CME points accreditation (Cat 5.2)

Free to membersHKCFP 2 CME points accreditation (Cat 4.3)

Structured Education Programmes

Date/Time/CME Venue Topic/Speaker(s) Registration

5 September 18 (Wed)

2:00 – 5:00 p.m. Seminar Room, G/F, Block A, Queen Elizabeth Hospital

Drug AbuseDr. Leung Kwan Wai, Amas & Dr. Fan Yuen Shan, Patricia

Ms. Mandy LeungTel: 3506 8613

2:30 – 5:00 p.m. SB1034, 1/F, Special Block, Tuen Mun Hospital

Update Management of Haematological Disease - RBC, WBC & PlateletDr. Tsang Kam Wah & Dr. Hong Ka Yi

Ms. Eliza ChanTel: 2468 6813

2:30 – 5:30 p.m. Room 21, Kwun Tong Community Health Centre

Approach to Abnormal Laboratory Results in Asymptomatic Patients Part I (Raised ALP/ALT/Bilirubin/ Electrolyte Disturbance/Renal Impairment)Dr. Leung Hilching, Eunice & Dr. Luk Sze Wan, Candy

Ms Polly TaiTel: 3949 3430

3:45 – 5:45 p.m. Multi-function Room, NAHC clinic, G/F, Tsan Yuk Hospital

Handling Pyschological Problems: Angry PatientsDr. Esther Pang

Ms. Cherry WongTel: 2589 2337

5:30 – 7:30 p.m. Seminar Room, 3/F, Li Ka Shing Specialist Clinic, Prince of Wales Hospital

Common ENT Problem: Hoarness, Hearing LossDr. Chung Hiu Yeung, Arthur & Dr. Ng Hok Wai, Vincent

Ms. Carmen KwongTel: 2632 4371

6 September 18 (Thu)

4:30 – 6:00 p.m. Room 614, 6/F, Ambulatory Care Centre, Tuen Mun Hospital

Update Management of CV Disease Including IHD and AF Dr. Ho Shu Wan & Dr. Tsui Sau In


5:00 – 7:00 p.m. Room 041, 2nd Floor, Pamela Youde Nethersole Eastern Hospital

Clinical Psychology in Family Medicine 11Dr. Leung Wing Mun

Ms W L KwongTel: 2595 6941

Monthly Video Viewing SessionMonthly video viewing sessions will be scheduled on the last Friday of each month at 2:30 – 3:30 p.m. at 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong.

August’s session:Date 31 August 2018 (Friday)Time 2:30 p.m. - 3:30 p.m.Topic “Update on GERD Management guidelines : From

World Gastroenterology Organisation (WGO) guidelines to Asia Pacific consensus” by Dr. Raymond WM Wong

Admission Free for MembersAccreditation 1 CME point HKCFP (Cat. 4.2)

1 CME point MCHK Up to 2 CPD points (Subject to submission of satisfactory report of Professional Development Log)


RegisterOnline

Amendments to Certificate Course on Bringing Better Health to Our Community 2018Please note the speaker of the topic “GOLD 2018 Guideline & Smoking Cessation” for the last session on 22 September 2018 has been changed to Dr. Ling Sai On (Associate Consultant, Department of Respiratory Medicine, Kowloon Hospital). Thank you.


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2:00 – 5:00 p.m. Seminar Room, G/F, Block A, Queen Elizabeth Hospital

Health Maintenance Organisation (HMO) in Hong KongDr. Law Man Fong & Dr. Chan Fung Yuen



Community Resources for End of Life CareDr. Ng Kai Man & Dr. Wong Kar Shing


2:30 – 5:30 p.m. Multi-media Conference Room, 2/F, Block S, United Christian Hospital

Management of an Infertile CoupleDr. Yau Chi Yan, Davy & Dr. Hui Yuk Ting, Candy


3:45 – 5:45 p.m. Lecture Theatre, 5/F, Tsan Yuk Hospital Interesting Cases ReviewDr. Kam Ting Ting



Chonic Cardiology Problem: IHD, CHF, AF *Dr. Zhao Haifeng, Eric & Dr. Wong Lok Lam




Introduction of Primary Care Research and its Methodology Dr. Ho Tsz Bun & Dr. Tang Hoi Yan



Allied Health Talk – PodiatristDr. Leung Wing Mun



2:00 – 5:00 p.m. Seminar room, G/F, Block A, Queen Elizabeth Hospital

Polypharmacy and Rational PrescribingDr. Ho Ka Ki & Dr. Li Wing Kiu



Eye Injuries and Ocular EmergencyDr. Chan Cheuk Ming


2:30 – 5:30 p.m. Multi-media Conference Room, 2/F, Block S, United Christian Hospital

Management of Adverse IncidentsDr. Lim Martina & Dr. Lai Hoi Lin


3:45 – 5:45 p.m. Lecture Theatre, 5/F, Tsan Yuk Hospital Management of Common Fractures in OPD SettingDr. Tsang Tat Chi



Pharmacy Management in Primary Care Clinic (Drug and Vaccine Storage)Dr. Wen Yongna, Wendy




Clinical Approach to Pregnancy Related Psychological / Psychiatric ProblemsDr. Chung Ka Chun & Dr. Ho Chung Yu



Better Patient Communication 1Dr. Sin Ming Chuen



2:00 – 5:00 p.m. Room 7, 8/F, Yau Ma Tei GOPC Consultation Enhancement (Physical Examination and Video Consultation)Dr. Li Chun Ying, Janice & Dr. Noh Young Ah



Clinical Approach to Depression / Bipolar DisorderDr. Chan Cho Shan


2:30 – 5:30 p.m. G/F, Block K, United Christian Hospital Update on Management of BPHDr. Wong Yu Man, Tracy & Dr. Chan Ki Fung, Dickson


3:45 – 5:45 p.m. Lecture Theatre, 5/F, Tsan Yuk Hospital Management of Patients with Anxiety Disorders in Family MedicineDr. Tik Tsz Ling, Nicola



Bipoloar Affective Disorder, Hypomania, Personality DisorderDr. Leung Yuen Yee, Yuki & Dr. Zhao Haifeng, Eric




Community Psychiatric Service Dr. Leung Hor Yee & Dr. Lee Kar Fai



Clinical Psychology in Family Medicine 12Dr. Leung Wing Mun


“Restricted to members of HKCFP. The views expressed in the Family Physicians Links represent personal view only and are not necessarily shared by the College or the publishers. Copyrights reserved.”

Contact and Advertisement Enquiry Ms. Alky Yu Tel: 2871 8899 Fax: 2866 0616 E-mail: [email protected]

The Hong Kong College of Family Physicians Room 803-4, 8th Floor, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Hong Kong

Red : Education Programmes by Board of EducationGreen : Community & Structured Education ProgrammesPurple : College Activities

Back row (left to right): Dr. Sin Ming Chuen, Ms. Alky Yu, Dr. Sze Hon Ho, Dr. David Cheng, Dr. Fok Peter Anthony, Dr. Cheuk Christina, Dr. Tam John Hugh and Dr. Ken Ho

Front row (left to right): Dr. Heidi Fung, Dr. Wendy Tsui, Dr. Catherine Ng, Dr. Anita Fan and Dr. Natalie Siu

Feature: Dr. David Cheng Dr. Tam John Hugh Section Editor Deputy Section Editor

News Corner: Dr. Sze Hon Ho Dr. Natalie Siu Section Editor Deputy Section Editor

After Hours: Dr. Judy Cheng Dr. Yip Tze Hung Section Editor Deputy Section Editor

WONCA Express: Dr. Ho Ka Ming Dr. Fok Peter Anthony Section Editor Deputy Section Editor

Photo Gallery: Dr. Maria Leung Dr. Christina Cheuk Section Editor Deputy Section Editor

Board of Education News: Dr. Alvin Chan Section Editor

Board Members: Dr. Chan Man Li Dr. Ngai Ka Ho Dr. Heidi Fung Dr. Sin Ming Chuen Dr. Alfred Kwong Dr. Tsui Hiu Fa Dr. Law Tung Chi

Chief Editor :Dr. Catherine Ng

Deputy Editors: Dr. Anita FanProf. Martin WongDr. Natalie Yuen

Board Advisor :Dr. Wendy Tsui

FP LINKS EDITORIAL BOARD 2018

www.hkcfp.org.hk

[email protected]

2871 8899

The Hong Kong College of Family Physicians

To find out more, contact us:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

12

Conjoint Written Examination 2018 - AKT segment

13 14 15

2:15 – 7:30 p.m. Structured Education Programme

162:15 – 7:00 p.m. Structured Education Programme8:30 p.m.HKCFP Council Meeting

17

6:30 - 9:30 p.m.CME Dinner Symposium

18

2:00 – 4:00 p.m.Interest Group in Medical Humanities

19

3:00 - 6:00 p.m.Conjoint Examination - 2nd OSCE Examiners’ Training Workshop

20 21

Conjoint Written Examination 2018 - KFP segment

22

2:15 – 7:30 p.m. Structured Education Programme7:00 - 9:00 p.m.Pre-Exit Exam Workshop

23


24 252:30 – 5:30 p.m.AEC2:30 – 5:30 p.m.Certificate Course on Bringing Better Health to Our Community 2018

26 27 28 29


302:15 – 7:00 p.m. Structured Education Programme7:00 - 9:00 p.m.Pre-Exit Exam Workshop (Video Session)

31

2:30 – 3:30 p.m.Video Session

11:00 – 4:00 p.m.Interest Group in Dermatology2:30 – 5:30 p.m.Module V - Counseling Skills Workshop

2 3 4

9:00 p.m.DFM Board Meeting



7 82:30 – 5:30 p.m.Module III - Introduction to Family Therapy

9 10 11 12


132:15 – 7:00 p.m. Structured Education Programme9:00 p.m.Board of Conjoint Examination Meeting

14 15

2:30 – 4:30 p.m.Interest Group in Counselling

16 17 18

1:00 – 3:30 p.m.Co-organized CME Lecture on Alzheimer’s Disease with HKADA

19


201:00 – 3:30 p.m.CME Lecture2:15 – 7:00 p.m. Structured Education Programme8:30 p.m.HKCFP Council Meeting

21 222:00 – 4:00 p.m.Certificate Course on Bringing Better Health to Our Community 20182:30 – 5:30 p.m.Module III - Clinical Audit & Quality Assuarance

23 24 25 26


27


28

2:30 – 3:30 p.m.Video Session

292:30 – 5:30 p.m.Module V - Musculoskeletal WorkshopModule II Tutorial

COLLEGE CALENDAR

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INSIDE THIS ISSUE FP Issue174 · Dr PONG Fei Fung 龐飛鳳 Non-HKSAR ... Dr WONG Yu Tak ... It came as the saddest news to know that our longtime friend Dr. Siu Che Hung, Paul passed

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