Message from the President Issue 90 August 2011 1 THE HONG KONG COLLEGE OF FAMILY PHYSICIANS Family Physicians Links INSIDE THIS ISSUE 01 Message from the President 02 College News: 02 Conferment Ceremony 2011 03 CMOD, Board of Vocational Training and Standards News, Classified Advertisements 04 Conjoint Examination News 05 FP Links – Logo Competition 06 Board of Diploma in Family Medicine – Lectures 07 18 th Hong Kong International Cancer Congress 08 Feature: Interview with Professor Gabriel Leung, JP, Undersecretary for Food and Health, on Primary Care Development in Hong Kong 10 Oasis: Happiness is a Journey 11 News Corner: Screening of Ovarian Cancer / Beneficial Effect of Smoking Cessation on Operative Outcomes 12 Learning Points from Board of Education 13 Board of Education News 16 College Calendar On July 21, 2011, I attended the 45 th Annual Singapore Malaysia Congress Medicine Induction Comitia & Congress Opening as one of the Hong Kong Academy of Medicine (HKAM) delegates. Dr. the Hon. York Chow, GBS, JP, our Secretary for Food and Health, was conferred the Honorary Fellowship of the Academy of Medicine, Singapore (AMS). Dr. Chow also delivered the 20 th Gordon Arthur Ransome Oration “Bridges and Gaps in Healthcare”. On July 22, 2011, the HKAM delegates attended the Joint Council Meeting of AMS, Academy of Medicine of Malaysia (AMM) and HKAM to share experience on our postgraduate specialist training and continuous professional development programs. AMS, similar to HKAM, is a professional institution of medical and dental specialists for postgraduate specialist training and continuous professional development. The Academy has Colleges and Chapters of Anaesthesiologists, Dental Surgeons, Emergency Physicians, Obstetricians and Gynaecologists, Paediatrics and Child Health, Physicians, Radiologists, Surgeons (including Orthopaedic Surgeons and Otorhinolaryngologists), Ophthalmologists, Pathologists, Public Health and Occupational Physicians, and Psychiatrists. However, the College of Family Physicians is a separate institution. Family Medicine is neither one of the 39 specialties nor sub-specialties of AMS. This is also similar to AMM. We are indeed fortunate in Hong Kong to be one of the constituent Colleges of HKAM, with our special skills in holistic care recognized by our other specialist colleagues. We should therefore always remind ourselves to deliver the highest possible standards of care to our community. Dr. the Hon. York Chow and HKAM delegates Group photo with HKAM delegates Presidents of Fraternal Colleges at AMS Induction Comitia
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THE HONG KONG COLLEGE OF FAMILY …(Dr. Chan Chi Wai, Dr. Wong Chak Tong, Dr. Ko Wai Kit, Dr. Maria Leung) and Ushers (Dr. Catherine Ng, Dr. Pang Siu Leung, Dr. Cindy Cheung and Dr.
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OnJuly21,2011,Iattendedthe45thAnnualSingapore Malaysia Congress MedicineInductionComitia&CongressOpeningas one of the Hong Kong Academy ofMedicine (HKAM)delegates.Dr. theHon.YorkChow,GBS,JP,ourSecretaryforFoodandHealth,wasconferred theHonoraryFellowshipof theAcademyofMedicine,Singapore (AMS).Dr.Chowalsodeliveredthe20thGordonArthurRansomeOration“BridgesandGapsinHealthcare”.OnJuly22,2011,theHKAMdelegatesattendedtheJointCouncilMeetingofAMS,AcademyofMedicineofMalaysia(AMM)andHKAMtoshareexperienceonourpostgraduatespecialisttrainingandcontinuousprofessionaldevelopmentprograms.
AMS, similar toHKAM, isaprofessionalinstitutionofmedicalanddentalspecialistsforpostgraduate specialist trainingandcontinuous professional development.TheAcademyhasCollegesandChaptersofAnaesthesiologists,DentalSurgeons,EmergencyPhysicians,ObstetriciansandGynaecologists, Paediatrics and ChildHealth,Physicians,Radiologists,Surgeons(including Orthopaedic Surgeons and
Reminder: Application for Recommendation for Exit Examination
Reminder: Submission of Training Logbook for Certification of Completion of Basic Training
Board of Vocational Training and Standards News
ToallHigherTrainees,
Forthosewhopreparetosit forexitexaminationin2012,pleasesubmittheapplicationlettersandthechecklistsforrecommendationforexitexaminationbefore30 September 2011.
Full-time,half-day& locumdoctorswanted inGP.Attractiveremunerationandflexiblehours.Interested,please contac t Dr. LI at 9662 3540 or email [email protected]
Dr. Chan introducing the history, preparation and security of theexamination.
Dr. Chu i p resent ing the examinat ion in fo rmat ion to the candidates.
5
COLL
EGE
NEW
S
ENTER THE FP LINKS LOGO DESIGN COMPETITION
for a chance to have
YOUR WORK AS THE SYMBOL OF FP LINKS and WIN $2,000 of VOUCHERS!
Your challenge is to design a logo that represents FP links, the College newsletter of the Hong Kong College of Family Physicians.
FP links has the following missions:• To disseminate the College News to College members;• To report news of various College Boards and Committees;• To provide a channel for dissemination of information or articles related to Family Medicine,
either clinical or non-clinical;• To act as a bridge for communication between members and the College.
The inaugural edition of FP links was published in March 2004
WE NEED A NEW LOOK!Your logo should meet the following criteria:• Embody the characteristics and identity of our College newsletter;• Be clear and appropriate for a medical newsletter;• Be your own original piece of work;• Be flexible enough to work across a range of material, including online and print;• Submitted in jpg format (size preferably <5MB).
Submit your logo by 30 September 2011 to [email protected], and remember to include:• An explanation of what your logo represents;• Your title, name, email address, mailing address, and daytime phone number.
All entries will be acknowledged and once received, will become the property of FP Links. They will be judged by the FP Links Editorial Board and the competition winner will be announced via FP Links
and the College website. The winner will also be contacted individually by our staff.
If you have any queries about the logo design competition, please contact Ms. Carmen Cheng at 2528 6618.
NOW GO AND GET DESIGNING!5
COLL
EGE
NEW
S
6
COLL
EGE
NEW
S
Topics and Speakers :
Dates Topics Speakers
27 Aug 2011 (Sat) Module V – Consultation Skill Workshop I Dr. Au Chi Lap
3 Sept 2011 (Sat) Module V – Consultation Skill Workshop II Dr. Chan Chi Wai
17 Sept 2011 (Sat) Module V – Orthopaedic Injection Workshop Dr. Lau Hoi Kuen
Co-ordinator : Dr. Wong Pak Hoi Member,TheBoardofDiplomainFamilyMedicine,HKCFP
Registration : Registration will be first come first served. For registration or any enquiry, please call the College secretariat, Ms. Dickie Lam at 2861 0220. All cheques are payable to “HKCFP Holdings and Development Limited”. Please mail the cheque to Rm 802, 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai. All fees received are non-refundable and non-transferable.
Board of Diploma in Family Medicine (DFM) - Lectures
To: HKCFP,Room802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.
Iwouldliketoattendlecture(s)ofModule V atCouncilChamber,Room802,8/F,DukeofWindsorSocialServiceBuilding,
15HennessyRoad,Wanchai,HongKong.
Name :
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8
FEAT
URE Interview with Professor Gabriel Leung, JP, Undersecretary for
Food and Health, on Primary Care Development in Hong Kong
Dr. Wendy Tsui, Specialist in Family Medicine, Hospital AuthorityProfessor Martin Wong, Specialist in Family Medicine, the Chinese University of Hong KongDr. Catherine Ng, Specialist in Family Medicine, Hospital Authority
ThehealthcarefinancingmodelofHongKongisdifferentfromthatofothercountries,andpeopleneedtopayoutof theirownpockets forhealthservices.Withsuchamodelofhealthcarefinancing,developing a whole-person, continuous care,withelementsof familycareandcomprehensivepreventive initiatives is another challenge. So,one importantstepweneedtomove forward isto findasuitablemodelofhealthcarefinancing,which can promote primary care developmentwithaFamilyMedicineconcept.Simplyhavingaslogantopromotetheconceptofcontinuouscare,preventionandchronicdiseasesmanagement isnotenough.Thereshouldbereformsintheservicedeliverymodel,which is indeedourgoal for thenextseveralyears.Tostartwith,inthepublicsector,thereshouldbecoordinationofservicesdeliveredbyFamilyMedicineSpecialistClinicsandGeneralOutpatientClinics.Anotherdevelopment is toestablishcommunityhealthcentres,withpossiblecollaboration and coordination of health careprovidedbyChineseMedicineClinics,ElderlyHealthCentres,Men’sHealthClinics,Women’sHealthClinics,StudentHealthServiceandMaternityandChildHealthCentres.Thesearerelativelysimpleastheyinvolvemainlyservicetransformation,andthegovernmentandtheHospitalAuthorityareworkingcloselyonthis.Apartfromthat,thegovernmentisalsomeetingnon-governmentorganizationswhichcurrentlyofferone-stophealthservicesdeliveredbypersonnelotherthandoctors.Asfortheprivatesector,establishingagoodnetworkisimportant.Wecanlearnnetworkingfromthesuccessstoriesfromothercountries. Ibelieveelectronichealthrecordsimplementationwillhelpinthisdevelopment.
“Submissions of articles to Feature 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]”
Healthcare financing reform isabigchallenge.Currently, health care financing in Hong Kongincorporates the concepts of point of care onepisodicbasisand fee-for-servicedelivery.Thisisactuallynot themodel inothercountrieswithsuccessfulprimarycaresystems.Ourfutureservicedeliverymodelshouldpromotepatient-centredcare,andthemostsuitablemodelofhealthcarefinancingshouldbedevisedfromthat.Thisisourintermediatetolongtermgoal.
Our vocational training in Family Medicine places lots of emphasis on clinical skills. Hence, our trainees may not have in-depth knowledge about primary health care concepts. How to attract young trainees to join the field of primary care?
The formationofprimarycare teamsshouldbecompetency based. We should focus on whatcompetenciesweneed,ratherthanwhatspecialtiesweneed.PrimarycareismorethanFamilyMedicinealone.Withmorepeoplehavingapassioninprimarycare,pocketsandclustersofexpertisewilldevelop.Whensuchmomentumiscreated,moretraineeswillbeattractedforsure.Factorslikefutureprospects,jobnatureandreturnsaffectthechoiceofspecialtiesofmedicalandnursinggraduates.However,someyoungtraineesmayneedtrueexperiencebeforetheycanfindtheirrightpath.
Rewardingprimarycareproviders is important.This should not only be limited to health careprofessionalsperformingcomplexprocedures.Inoverseascountries, there isawidediversityofservicesprovidedbyprimarycareprofessionals.Somereceivesubspecialtytraining.Havingdiversity
Professor Gabriel Leung in his of f ice, with Dr. Wendy Tsui (right), Dr. Catherine Ng (left)
How do you feel about the role of public sector in primary care provision, especially when apparently more resources have been invested in secondary and tertiary care?
Primarycaredevelopmentisa longjourney.Yet, Iamstilloptimisticabouttheprospects.EstablishingthedepartmentofFamilyMedicineandPrimaryHealthcare inthepublicsector isalreadya largebreakthrough.Everyspecialtyis important,butweneed toprioritize theserviceneeds.Thepublicsector isnot supposed todominate themarketshare inprimarycare.Rather, ithas the roleoftrainingprovision,prototypesettingandservicemodeltesting,andultimatelypromotingtheservicemodelwhichsuitsHongKongtootherstakeholders,includingtheprivatesector.Hence,thepublicsectorshouldplacemoreemphasisonquality,withquantitybeingthesecondarygoal.Infact,theprivatesectorhavegoodpotentialtotakeupthatquantity,asthemarketisnotsaturatedyet.Oneshorttointermediatetermgoal for thepublic sector is toestablishagoodqualityhealthcaremodel.However, Ialsounderstandthat itmaynotbetranslateddirectlyto theprivate sector,whichmayhavedifferentcharacteristics. It is important thatweshareandlearntogether.Onesuccessfulexampleisthepublic-private-interfaceprojectinTinShuiWai,whichformsagoodfoundationinprimarycareintheterritory.Tomakethispossible,mutualtrustbetweenthepartieswithoutbeingprejudicialisimportant.Weshouldgohand-in-hand,understandeachother’sdifficulties,andmovestep-by-steptowardsbettercollaboration.
How do you feel about our college’s role in primary care? Are we heading in the right direction?
Ihavealwaysbeensupportingyourcollege.Therearemoreandmoremembersandfellows,and itiswellrecognizedbyoverseascollegesandotherspecialties.Ifthereiswidermembershipbase,yourcollegewillplayanevenmore important role inprimarycare.
Wewould like toexpressour sincere thanks toProfessorLeungforhisprecioustimeandsharing.
Professor Gabriel Leung: “The future of primary care in Hong Kong is full of challenges so we need to join hands together.”
Professor Leung with Dr. Wendy Tsui (right), Professor Martin Wong (left)
What is the essence of preventive care?
Preventivecareisnotequaltoscreening.Itisaboutestablishing a long term relationship with the
10
OASI
S
Happiness is a Journey
We convince ourselves that life will be better after we get married, have a baby, then another. Then we are frustrated that the kids aren't enough and we'll be more content when they are. After that we're frustrated that we have teenagers to deal with. We will certainly be happy when they are out of that stage. We tell ourselves that our life will be complete when our spouse gets his or her act together, when we get a nicer car, are able to go on a nice vacation, when we retire. The truth is, there's no better time to be happy than right now.
If not now, when?
Your life will always be filled with challenges. It's best to admit this to yourself and decide to be happy anyway. One of my favorite quotes comes from Alfred D Souza. He said, "For a long time it had seemed to me that life was about to begin - real life. But there was always some obstacle in the way, something to be gotten through first, some unfinished business, time still to be served, a debt to be paid. Then life would begin. At last it dawned on me that these obstacles were my life". This perspective has helped me to see that there is no way to happiness. Happiness is the way. So, reassure every moment that you have. And treasure it more because you shared it with someone special, special enough to spend your time...and remember that time waits for no one...
So stop waiting until you finish school, until you go back to school, until you lose ten pounds, until you gain ten pounds, until you have kids, until your kids leave the house, until you start work, until you retire, until you get married, until you get divorced, until Friday night, until Sunday morning, until you get a new car or home, until your car or home is paid off, until spring, until summer, until fall, until winter, until you are off welfare, until the first or fifteenth, until your song comes on, until you've had a drink, until you've sobered up, until you die, until you are born again to decide that there is no better time than right now to be happy.
“Submissions of articles to News Corner with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciations for good works if the articles are selected for publication. Email: [email protected]”
Next MeetingThenextmeetingwillbeonSaturday3rdSeptember2011.TheguestspeakerisDr.ShihTaiCho,SpecialistinDermatology&Venereology.HewillspeaktousonCommonMis-diagnosis.
Dates : 16 November 2011 (Wednesday) 19 November 2011 (Saturday)
Organizers & : Department of Surgery, Our Lady of Maryknoll HospitalCourse Directors Dr. Meng Chia Shing, William Consultant in charge, Dept. of Surgery, Our Lady of Maryknoll Hospital
The Hong Kong College of Family Physicians Dr. Kwong Bi Lok, Mary Chairlady, Board of Education, The Hong Kong College of Family Physicians
Co-ordinator : Dr. Chan Wan Yee, Winnie Board Member, Board of Education, The Hong Kong College of Family Physicians
Time : 1:30 p.m. - 3:30 p.m.
Venue : Conference Room, 1/F, Outpatient Building, Our Lady of Maryknoll Hospital, 118 Shatin Pass Road, Wong Tai Sin, Kowloon.
Contents : 1. Lecture 2. Live demonstration of various minor OT procedures 3. In vitro hands-on practicum - Local anaesthetics / digital nerve block - Office minor OT Surgical instruments / sterilization technique - Suturing skills - Proctoscopy + banding / injection of haemorrhoids - Injection of keloid scar - I&D abscess - Simple excisions - Wedge excision of ingrown toenails
For those who are interested in starting off simple minor procedures in own practice, or as a refresher course
Course Fee : HK$ 500.00 for the whole course All cheques payable to “HKCFP Education Ltd”
Enrolment : Please call Ms. Yvonne Lam at 2861 0220 for details. Registration will be first come first served. (To register please mail in the reply slip below with your cheque)
Award : A “Certificate of Attendance” will be awarded to those who have attended both sessions
Accreditation : 2 CME Point HKCFP (Cat. 5.2) per afternoon session
REPLY SLIP
To: HKCFP, Room 802, 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, H.K.
I would like to attend “Workshops on Office Minor Surgical Procedures”.
Enclosed please find the cheque (made payable to HKCFP Education Limited) being payment as Course Fee.
Date & Time Topics
Please sign if you wish to attend Enrolment Deposit
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.
Language LecturewillbeconductedinEnglishandCantonese.
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.
Refresher Course for Health Care Providers 2011/2012 – Radiation - medically and non-medically related in daily practiceMr.NelsonLamOurLadyofMaryknollHospital&HongKongMedicalAssociation