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Message from the PresidentIssue 80October 2010

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THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

Family Physicians Links

INSIDE THIS ISSUE

01 MessagefromthePresident02 CollegeNews: 02 MessagefromthePresident,ExternalAffairs

CommitteeNews 03 BVTSNews,AGM&AnnualDinner,SpecialtyBoard

News 04 CMOD,MembershipCommitteeNews,Classified

Advertisements 05 BoardofDiplomainFamilyMedicine 06 HKCFPResearchFellowship2011

07 TheHKCFPAwardfortheBestResearchof2010 08 HongKongCheck201109 LettertotheEditor10 Feature:PromotingMentalWellness12 AfterHours:MedicalMissionTripinMyanmar13 NewsCorner:What’shappeningwithRosiglitazone?14 LearningPointsfromBoardofEducation15 Advertisement16 BoardofEducationNews20 CollegeCalendar

Professional Development

In thepast fewweeks, I travelled tothree different places where I haveengaged inprofessionaldevelopmentactivities.Firstly, Iwas invitedby theMacauHealthBureauas theExternalExaminerfortheassessmentofdoctorsingeneralpracticefortheirpromotions.IwenttoameetingwiththeOfficialsoftheBureauinMacautodiscussfinalizingthecriteria forassessment.Macauhasadifferent systemof theenrollmentandtrainingofmedicalpractitioners.Tosit for theexamination, thesedoctorsneedat least5yearsofexperiencesingeneralpracticeundertheBureau.Theyhave topresent thecurriculumvitaesimilar toourBasicvocational traininglogbook which should list in detailsthedurationofexposures in variousmedicalservices,both inhospitalandgeneral practice. Three examinerswould be appointed by the Macaugovernmentwhichwillbegazetted intheannouncementof theassessment.Candidatesare requiredtosubmitallrelevant documents within a statedperiod of time, so that these threeexaminers can assess and mark thedocuments.Markingcriteriaareclearlylaiddowninthegazetteandexaminerswillhave to follow thesecriteria.Thesecondpartwillbeanoralexaminationwhich wi l l last for s ixty to ninetyminutes.Thethreeexaminerswill taketurnstoaskquestionseitherasatestofthecandidate’smedicalknowledgeortoclarifyanymattersarising fromthelogbook.Markswillbegivenaccording

to thecandidate’s responseto the quest ions ra i sed.In order to get a pass, thesumofmarks fromthe twosegmentsshould be higher than 50%, whichmeanspromotiontoahighermedicalgrade as well as salary increments.

This issomethingquitedifferent fromour current system of assessmentof postgraduate qualification whichonly tests knowledge and skills, butdoes not take into considerationpracticeexperienceandothermedicaleducationalactivities. Isthereanythingwe can learn from this, especiallyfor those general practitioners whohave started private practice beforeformal vocat ional t ra in ing beingavailable to them in Hong Kong?

MysecondtripwastoShundedistrictof Guangdong Province. Throughthe introductionofShundeMinYuenTong (Hong Kong) 旅港順德綿遠堂,a charitable organization in supportof medical education in Hong Kongand thenativeShunde, Iwas invitedto part ic ipate in a Symposium inShunde 順德區北滘醫院《粵港社區醫療服務論壇》with the tit le《健康管理理論在社區醫療服務中的實踐》organized by the Southern MedicalU n i v e r s i t y 南方醫科大學 , B e i j i a oHospital順德區北滘醫院and佛山市順德區衛生和人口計劃生育局. Theother

(Continued on page 2)

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Message from the President(Continued from page 1)

External Affairs Committee News

HKAM Tripartite Congress on 12 - 14 November

TheFirstTripartiteCongressoftheHongKongAcademyofMedicine,AcademyofMedicineofMalaysia,andAcademyofMedicine,Singapore,willbeheld from12 to14November2010at theAcademyBuilding.ThethemeoftheCongressis"BenefitsandRisksofRecentMedicalAdvances".Asoneofthe15constituentCollegesoftheAcademy,Dr.BillyChiuwillchair thesectionofAdvances inEmergingInfectionon13November,Dr.GeneTsoiandDr.LamWingWowouldalsobecontributingindeliveringlectureson13Novemberand14Novemberasfollows:

13November:ReviewofSwineFlu(H1N1)inHongKong2009–themultiplerolesofaFamilyPhysicianbyDr.GeneTsoi,President

14November:Roleof familyphysicians inmentalhealthbyDr.LamWingWo,CouncilMemberandChairmanofPublicEducationCommittee

YouwillfindourFMChoir,ledbyDr.KennyKung,followingonfromitsexcellentperformanceinWONCAConferencelastyear,performingintheWelcomeReceptionoftheTripartiteCongresson12NovemberinthepresenceofColleaguesfromthe15Collegesand3Academies.

TheTripartiteCongresswillbeanopportunitytoenablethecrossAcademysharingonknowledgeandexperience,andtoexpandyournetworkwithcolleagues fromtheother14Colleges.YouarehighlyrecommendedtoattendtheCongress.

Forregistrationandmoredetails,pleasechecktheCongressWebsiteathttp://www.hkam.org.hk/tripartite/.

HKCFP Secretariat

speaker,Dr.GengQingshan is theDeputyDirector-Generalof theDepartmentofHealthofGuangdongProvince.Dr.CheungManKuenjoinedmetogoatshortnotice. I introducedtothemthemissionofourCollege,whatwehavedoneinthepast30yearsandthecoredomainsofFamilyMedicine.Dr.Cheungtalkedaboutthetrainingpathwayandactivitiesoftraineesenrolledinvocationaltraining.Shealsosharedwiththemherowntrainingexperienceandemphasizedthevalueoftraininginherprofessionaldevelopment.WereceivedalotofinterestingquestionsfromtheaudienceandtheywereverykeentoknowhowourexperienceswouldbeabletoassistthemtodevelopastructuredtraininginShunde.Evenlocaltelevisionreporterswerepresenttohaveashortinterviewwithmeaboutthepurposeofourvisit.

Arewereadytotakeupthechallengetoassistourcountryinthehealthcarereformbasedonapropersystemoffamilydoctorsbasedinthecommunity?Thedevelopmentofaproperandappropriatetrainingmodeltakingintoaccountsregional,geographicalandculturaldifferencesisoftheutmostimportance.StandardsettingandassessmentmusttakeintoconsiderationofthelevelofserviceandresourcesavailableinalargecountrywithhugepopulationlikeChina.Wemustbepragmaticbeforewecanachievearealisticgoalstepbystep.Ihopeouryoungergenerationoffellowscantakeupthismostworthwhilechallengetocontributetoourcountry.

ThethirdplaceIhavevisitedwasCairnswhereIwasinvitedtotheannualAcademicSessionoftheRoyalAustralianCollegeofGeneralPractitionerson6thOctober.ImetoldfriendsandsupportersofourCollegeincludingDrs.DavidGame,WesFabb,BethJaneandofcourseDr.ChrisMitchellwhomIhaveenjoyedaverycloseworkingrelationshipinthepasttwoyears.ThisisthemostimportantoccasionofRACGPtopresentalltheawardsandhonourstotheirCollegeFellows,whohavecontributedtotheCollegeactivitiesselflesslyovertheyears.Withourlonghistoryofpartnership,Ihavetosendthemmycongratulationsinperson.CongratulationsagaintoProf.ClaireJacksonwhohasbeenelectedasthePresidentofRACGPforthecomingtwoyears.

Dr.GeneWWTsoiPresident

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Annual General Meeting & Annual Dinner

Specialty Board News

The HKCFP 33rd Annual General Meeting

Date: 4thDecember2010(Saturday)

Time: 18:00

Venue: YatTungHeen(GreatEagleCentre)2/F,GreatEagleCentre,23HarbourRoad,Wanchai,HongKong

Admission: Membersonly

The HKCFP 33rd Annual Dinner

Date: 4thDecember2010(Saturday)

Time: 19:00 Reception19:30 Chinese-StyleDinner

Venue: YatTungHeen(GreatEagleCentre)2/F,GreatEagleCentre,23HarbourRoad,Wanchai,HongKong

Admission: Membersandtheirfamilies,freeofcharge

Carparking: 4/F-7/F,GreatEagleCentreTwo-hourfreeparkingwouldbeavailable,andticketswouldbecollectedduringthedinner.

Registration: RegistrationforAnnualDinnerwillbemadeonfirst-come-first-servebasis.PleasereserveyourseatviaCollegeSecretariatassoonaspossible.(Tel:25286618)

TheSpecialtyBoardispleasedtoannouncethatthefollowingcandidateshavesuccessfullypassedtheExitExaminationofHKCFPin2010.

Dr.AiDawnTeresaHiuFayDr.ChanChiKeungDr.ChanKaManDr.ChanKinWaiDr.ChanLitPingDr.ChanShuiLingDr.ChangKaFaiDr.ChengSaiYip,RonaldDr.ChoyPuiSangDr.FungHoiTikDr.FungKinChor

Dr.IpChungHo,RonaldDr.KwokPikKiDr.LaiKitPingDr.LamSunChingDr.LauKinSang,KinsonDr.LeungCheukWingDr.LeungYuHangDr.LiWingShun,VincentDr.MokYuenFan,JenniferDr.SoMeiHoDr.TamHoShan

Dr.TamManWaiDr.TingFeiYinDr.TsangHingFaiDr.TseHingChoiDr.TseTsuiYee,EmilyDr.TsoKaHin,KathleenDr.WuChingPingDr.WuWingKeung,RickyDr.YuChingChingDr.YuenFuLam

Congratulationstoyouall.

Dr.ChanMingWai,AngusChairman,SpecialtyBoard

Board of Vocational Training and Standards News

BVTS Sponsorship for the 18th WONCA Regional Conference for Asia 2011The 10th WONCA Rural Health World Conference, WONCA Cebu City, 2011

TheBoardofVocationalTrainingandStandards ispleasedtoannouncethe following informationonThe 18th WONCA Regional Conference for Asia 2011, WONCA Cebu CitytobeheldinFebruary2011.

Theme : ParadigmofFamilyMedicine:BridgingofOldTraditionswithNewConceptsDates : 21-24February2011Venue : WaterfrontCebuCityHotel&Casino,SalinasDrive,Lahug,CebuCity, 6000PhilippinesRegistrationFee : Pleasereferto http://woncacebu2011.org/registration-information/registered-delegates/Website : http://woncacebu2011.org/

Applicationforsponsorshipisopentoallcurrentvocational trainees (Basic&Higher). Pleasekindlysubmityourapplicationon or before 30 November 2010totheChairmanoftheBoardofVocationalTrainingandStandardsregardingtheSponsorshipforOverseasConference.

AlldecisionsaresubjecttothefinalapprovaloftheBoard.

Formoreinformation,pleasecontactMsCarmenChengat25286618.

BVTS

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Full-time GP/ Locum/ Various Specialists/ Partnership wanted. 九龍商場鋪,WelcomeJoint Investment.Basic+Bonus+ExcellentProspect.

[email protected]

PositionsVacant

HavenofHopeChristianService invitesapplicationsforfull-timeFamilyPhysician.Basicsalaryplusvariablepay.Interestedpartiespleasesende-mailtose@hohcs.org.hkorcontactMs.Liubyphoneat27033230.

24 HRS G/F Clinic near North Point MTR Station, spacious, modern furnishedwithcomputerization forrental/take-over,walk-in-and-practiceforambitiousdoctorsatgoodBargainPrice.ContactMsAmyChan92126654.

ClinicAvailable

Classified Advertisements

"Council Member-On-Duty" (CMOD) System

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

Forthismonth,from15thOctoberto14thNovember,2010,Dr.MarkChanandDr.AngusChanwillbe theCouncilMembersonduty.Pleasefeel freetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsaboutanythingrelatingtoourCollegeandFamilyMedicine. YoucanreachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected]. Oncewereceiveyourcallormessage,wewillgetintouchwithyoudirectlyassoonaswecan.

Dr.TonyCKLeeCo-ordinator,CMODSystem

Dr.MarkChan Dr.AngusChan

TheCouncilapproved,onrecommendationof theMembershipCommitteeChairman, the followingapplicationsformembershipinAug - Sept 2010withCouncilMeeting:

Associate Membership (New Application)

Dr. CHAN Kwin Wah 陳筠華

Dr. CHAU Hoi Ki, Samantha 鄒凱琪

Dr. HO Pui Gi 何佩芝

Dr. KWONG Kam Tim, William 鄺錦添

Dr. KWONG Lok See 鄺樂詩

Dr. KWONG Sheung Li 鄺尚理

Dr. LEUNG Hung Cho 梁雄初

Dr. NG Yue Chun, John 吳雨春

Dr. SUEN Gee Kwang, Victoria 孫芷筠

Dr. TSANG Wai Kong, William 曾偉剛

Dr. TSUI Wing Hang 徐穎珩

Dr. WAN Pui Chu, Christina 溫佩珠

Dr. WONG Ka Lun 黃家麟

Dr. YU Chung Kwan, Cellina 茹頌君

Dr. YUEN Ching Yi 袁靜怡

Dr. ZHU Gui Xia 朱貴霞

Dr. WANG Kin Fong, Teresa 王建芳

Membership Committee News

Transfer from Associate Membership to Fellowship

Dr. CHUNG Sze Pok 鍾思博

Resignation of Associate Membership

Dr. HO Kai Wah, Kevin 何啟華

Dr. LAM Wai Kuen 林偉權

Dr. LAU Ying Hon 劉英漢

Dr. LEUNG Ho Yee, Christina 梁皓怡

Dr. LEUNG King Yuk 梁景鈺

Dr. PANG Chi Kin, Jonathan 彭志堅

Dr. WONG King Chuen 王景全

Dr. WONG Sze Nga 黃詩雅

Transfer from Student to Associate Membership

Dr. CHAN Ming Ning 陳明寧

Reinstatement of Full Membership

Dr. KAN Siu Man 簡嘯文

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Date : 13 & 27 November, 2010 (Saturdays)

Topics and Speakers :

Dates Topics Speakers

13 November Module III Care for the Elderly & Chronic Illness Professor Daniel T P Lam

27 November Module III Anticipatory Care Dr. David V K Chao

Co-ordinator : Dr. Au-yeung Shiu Hing Member,TheBoardofDiplomainFamilyMedicine,HKCFP

Venue : 8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong

Time : 2:15pm–5:00pm LectureandDiscussion

Accreditation : 3CMEPointsHKCFP(Category4.3)

3CMEPointsMCHK

Registration Fees (Pleasetickasappropriate):

Topics HKCFP Member Non-member

Module III Care for the Elderly & Chronic Illness HK$200.00 HK$400.00

Module III Anticipatory Care HK$200.00 HK$400.00

Capacity : 20 Doctors

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 Education Ltd”. Please mail the cheque to Rm 701, 7/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, HK. All fees received are non-refundable and non-transferable.

Board of Diploma in Family Medicine (DFM)

To:HKCFP,Rm701,7/F,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HK.(Fax:28660981)

DearSir/Madam,

Iama*Member/Non-MemberoftheHongKongCollegeofFamilyPhysicians.(*Pleasedeleteasappropriate)

IwouldliketoattendModule III at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

Name :

Tel No. :

Email :

Date :

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HKCFP Research Fellowship 2011

Introduction

The HKCFP Research Fellowship was established by the Hong Kong College of Family

Physicians to promote research in family medicine. The grant is up to the value of HK$100,000.

It provides the successful candidate with protected time to develop research skills. Applicants

are expected to have regular contact with a nominated supervisor with research doctorate degree or equivalent.

Eligibility

Applicants for the HKCFP Research Fellowship must be active fellows, active full members or

associate members of the HKCFP. New and emerging researchers are particularly encouraged to

apply.

Selection criteria

Applications will be judged on*:

• training potential of applicants

• relevance to family medicine and community health

• quality

• value for money

• completeness (incomplete or late applications will not be assessed further).

* Please note that new researchers and those at an early stage

of their research careers are encouraged to apply.

How to apply

1. Application form, terms and conditions of the Fellowship can be downloaded from www.hkcfp.org.hk

or obtained from the College Secretariat, HKCFP at Rm. 802, 8/F, Duke of Windsor Social

Service Building, 15 Hennessy Road, Hong Kong. Tel: 2861 0220 Fax: 2866 0981

2. Applicants must submit:

• the completed application form,

• the signed terms and conditions of the HKCFP Research Fellowship,

• a curriculum vitae from the principle investigator,

• a curriculum vitae from the co-investigator(s), AND

• a curriculum vitae from the supervisor.

3. Applications close: March 31, 2011. Late applications will not be accepted.

4. Applications must be sent to Chairman, Research Committee, The Hong Kong College of

Family Physicians, Rm. 802, 8/F, Duke of Windsor Social Service Building, 15 Hennessy

Road, Hong Kong.

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The HKCFP Award for the Best Research of 2010

The Research Committee of the Hong Kong College of Family Physicians has an Award for the

Best Research of the Year 2010. All members and fellows of the College are invited to participate

and submit their research papers to the Research Committee for selection. The Award would be

presented at the Conferment Ceremony in 2011.

Entry and assessment criteria are listed below:

Entry Criteria:

1. The principal investigator has to be a member or fellow of the Hong Kong College of

Family Physicians.

2. The research must be original work of the investigator(s).

3. The research should be done in Hong Kong.

4. The research must have been completed.

5. The paper should be presented under the standard headings of Abstract, Introduction,

Methodology, Results, Discussion and Conclusion. References should be listed in full

at the end in Harvard or Vancouver format.

Assessment Criteria:

1. How relevant are the topic and finding to Family Practice?

2. How original is the research?

3. How well designed is the methodology?

4. How well are the results analysed and presented?

5. How appropriate are the discussion and conclusion(s) drawn?

6. How useful are the results for patient care in Family Practice?

7. How much effort is required?

Each research project submitted will be assessed according to the seven criteria listed above by

a selection panel. Each criterion may attract a different weighting to be decided by the selection

panel. Please send your submission to: Research Committee, HKCFP, Rm. 802, 8/F., Duke of

Windsor Social Service Building, 15 Hennessy Road, Hong Kong.

DEADLINE OF SUBMISSION: 31st January, 2011.

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HONG KONG CHECK 2011CONTINUOUS HOME EVALUATION OF

CLINICAL KNOWLEDGE

Published by the Royal Australian College of General Practitioners for the last 25 years,Check is one of the most successful continuous medical education journals in the world.

The Hong Kong College of Family Physicians, in collaboration with the Royal Australian College of General Practitioners, runs a Hong Kong version of the Check program.

It comes in case presentation format and examines a different medical topic every other month.

Now the Hong Kong Check for 2011 (6 issues) is open for subscription. Those who wish to subscribe please fill in the form below and mail it back to the Editor with payments. The subscription rates will be $550 for members and $850 for non-members.

Members who subscribe to the Hong Kong Check 2011 will be awarded CME credit points for satisfactory completion (at least 75% of the questions) of the HKCFP “Check on Check” program issued at the end of the year.

Editor,The Hong Kong Practitioner,HKCFP,Room 802, 8th Floor, Duke of Windsor Social Service Building,15 Hennessy Road, Hong Kong.

I am a *Member / Non-member of the Hong Kong College of Family Physicians.

I wish to subscribe to the Hong Kong Check for the year 2011. Enclosed please find cheque payment of $550 / $850 (payable to HKCFP Education Ltd.)

Signature : ____________________________

Name : ____________________________

Address : ____________________________

____________________________

Tel : ____________________________

Date : ____________________________

*Please delete as appropriate

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The EditorThe FP LinksThe HK College of Family Physicians7th Floor HKAM Jockey Club Bldg99 Wong Chuk Hang RoadAberdeen, Hong Kong

20th September 2010

Dear Sir,

Assessment of Family Physician

I read with interest the President’s Message in the HKCFP – Family Physician Links Issue 75, September 2010 – Dr. Gene Tsoi discussed the captioned, with reference to the Practice Assessment, Clinical Audit and Consultation Skill Assessment CSA; “…most of the cases seen [at CSA] by examiners are stable and well controlled diabetes, hypertension …”

Some examiners are aware of such phenomenon, the causes of which I shall not dwell on here. With the current CSA format, we use a specific tool, a specific criterion referencing rating system. However, the limitation being we can only have 2 hours [120 minutes] examination time; and for all practical purposes [definitely not by intention] only 6-7 cases can be rated.

Over the past 2-3 years there have been proposals to address the aforementioned undesirable issues. (A) The new CSA will have 6 hours of live video recording, which are triple the current examinable time. (B) A minimal of 18-24 cases [not yet finalized] will be recorded – which tally to three to four times the current CSA clinical loading. (C) Examiners will have the authority to choose “non-chronic cases”, as they feel fit, to better assess the real life clinical challenges to family physicians.

By the way, there is also new proposed criterion for Clinical Audit CA, hoping to address more on impact factor / outcome changes. There should also be a new Research Segment - which I shall leave for others to deliberate.

I certainly hope that President, members of College and members of public would be pleased to note certain Teams and Committees’ members are constantly working to improve the quality of family medicine practice.

Dr. Steven Y K HO

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Promoting Mental Wellness

Dr. Inness Wan Kwong YuAssociate Consultant, Department of Family Medicine and Primary Healthcare

Nomatterwherewepractise-inprivateclinics,

inHospitalAuthorityGeneralOut-PatientClinics

(GOPCs)orinFamilyClinicsforcivilservants-we

mustallhaveencounteredpatientswithmental

disturbanceintheprimarycaresetting.Dueto

variouslimitationsandconstraintsinthehealth

caresystem,handlingthesepatientsposesa

greatchallengetomanyofus.

HongKongiswell-knowntobenerve-racking

and competitive; people have high stress

levelsand longworkinghours.Newsabout

domesticviolenceandsuicidearenotrare in

themedia.Mentalhealthissueshaveattracted

public interestover thepast fewyears.The

PolicyAddress2009-2010hasstatedtheneed

tostrengthenmentalhealth services inour

community.Developmentofwell-organized

mental health services involving various

disciplinesisoftheutmostimportanceinorder

tocaterfortheincreasingdemandofpatients

withmentalhealthproblemsandtopromotethe

healthydevelopmentofoursociety.

AMentalWellnessCentrewassetupinKowloon

WestClusterGOPCslastyeartopromotemental

wellbeingsofpatients.Manypatientsseenin

theprimarycaresettingareintheearlystage

ofdiseasemanifestations.Same formental

healthdiseases,manypatientsmaypresentwith

earlymooddisordersormayonlyhavemental

disturbancesfromdailystressorsratherthanthe

onsetofafull-blownmentaldisorder.Studiesin

westerncountriesshowthatthereareanumber

ofpatientswhoattendtheir familyphysicians

beforecommitting suicides. If theycanbe

identifiedandtreatedearly,diseaseprogression

canbehalted.Community resourcescanbe

conservedfortreatingpatientswithseveremood

disorders,therebyreducingtheoccurrenceof

suicideanddomesticviolence.

The Mental Wellness Centre aims at earlyidentif ication of mental disorders, earlyin te r vent ion fo r pat ient s w i th ment a ldisturbances,andpromotingpublicawarenesson importanceofmentalhealth.Forpatientsattendingoneofthe23GOPCsinKowloonWestCluster,weperformmentalhealthscreeningbyusingtheWHO-5Wellbeing Indexscreeningform.PositivelyscreenedpatientswhomeetourcriteriaorthosepresentingwithsymptomsofmildmentaldisturbancearethenreferredtotheMentalWellnessCentrefor individualandgroupinterventions.Patientsareassessedbythecasemanager,eitheranadvancedpracticenurseoranalliedhealthprofessional.Afteraninitialassessment,briefpsychologicalsupportandcounsellingwillbeprovidedaccordingly.Problemsolvingtechniques,relaxationexercises,stressmanagementtechniques,waystotackleinsomnia, lifestyleredesignandpromotionofpositivethinkingandlifeattitudeintheformatof individualorgroupcounsellingareoffereddependingonpatients’needsandpreferences.PatientshavingmoreseverementaldisturbanceareassessedbyClinicalPsychologistandFamilyMedicinespecialistforfurtherinterventionandmanagement.Weeklyteammeetingsareheldforcasediscussionandmonitoringofpatientprogress.

RelaxationGroupTherapy

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Inan8-monthperiod(August2009-March2010),morethan500patientsattendedourMentalWellnessCentre,around300patientscompletedtheserviceandwerealreadydischargedinanaverageoflessthan4-5individualattendances.70%ofthemweredischargedwithouttheneedof further follow-ups.Mostof themsufferedfrommildmooddisturbance,mildanxietyandmildadjustmentdisorders.ThemeanWHO-5scoringwas8.9(cut-off:13)beforereceivinginterventions,while themeanpostWHO-5scoringwas14.5ondischarge.

Family physicians play important roles inpreventionandearlyintervention.Hypertension,

diabetes,osteoporosis screeningandmany

otherhealthscreeningshavebeenwell-accepted

andtherearestructuredscreeningprograms

inprimarycareclinicsandinthecommunityfor

thesephysicaldiseases.Mentalwellbeingisan

importantaspectofbeinghealthyasdefined

bytheWHO.TheMentalWellnessCentreisa

pilotmulti-disciplinarymentalhealthprojectin

GOPCsforearlydetectionandinterventionof

mentaldisorders.Withincreasingresourcesfrom

thegovernment formentalhealthproblems,

wehopenewmentalhealthservicescanbeset

upintheprimarycaretoaddresstheincreasing

demandforpatients.

“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]”

AFTE

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URS

12"Submissions of articles to After Hours with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciation if the articles are selected for publication. Email: [email protected]"

Thecaseswesawtherewere just likewhatwesaw ingeneraloutpatientclinics.Thereweredifferenttypesofcases;mostofthemwererelatedtohygieneproblemssuchas fluandgastroenteritis.TBwasmorecommonthere.Somepatientspresentedwithchroniccough,andsomepresentedwithTB lymphnodes.Theyalsosuffered frommanydentalproblemsas theyhadnotoothbrushes.Luckily,alocaldentistjoinedustoprovidesomebasicdentalservicessuchasextractionandfilling.Though therewereonlya few typesofbasic simpledentalequipments, theywereadequatetoaccomplishmanydifferentdentaltreatments.Formanyofthecases,theyneededfurtherinvestigationsanddrugtreatments.However,somepeoplecouldnotaffordtheexpensesanddiedasaconsequence.Somealarmingcaseswereencounteredsuchassevereweight loss,generalizedweaknesssuchthat thepatientcouldnot riseupfrombed,achildpresentedwithchronicbleedingfromthehardpalate,awomanshoweda largemassontheskinnear themouth……Whatpeopleneeded therewasfurthercheckups,investigationsandtreatments.

SuchproblemswouldneverhappeninHongKong;everypersoninHongKongcanseedoctorsandenjoyhealthcareservicesirrespectiveoftheirwealth.Somepatientsin Hong Kong even misuse our system, repeatedlyrequestingunnecessaryinvestigations.Ifwecanrelocatesomeoftheresourcesfromwealthiersocietiestopoorercountriesmorelivescouldbesaved.Ifeltsogratefultolive inawell-developedsociety.WeshouldthankGodandtreasurewhatwehave.

People inMyanmararehappy. Indeed, theyappeartobehappier thanweare inHongKong.Every timewegavesmallgifts to themorperformedsmall favours,theywereveryhappyandmuchsatisfied.Althoughtheyarephysicallypoorandlive insimplehouseswith littlefurnituresandtornclothings, theyarementally richerthanus.

Actually,lifecanbesimple!!

Thiswasmyfirstmedicalmissiontrip.Thetripwasverymeaningfuland it impactedmy interpretationon themeaningof life. Iwould liketosharethisbeautiful tripwithyouall.

Thedaybeforestartingthemedicalservices,wevisitedaschool fordeaf-mutechildren. Itprovidedschoolingforchildrenfrompre-schooltothe10thgrade.Ittaughtspeechreading,signlanguage,fingerspelling,reading,writingandcalculation.Somesimplevocationaltrainingsweregivensuchassewing,tailoring,knitting,stitching,andbasiccomputertraining.

Thebuildingwasold, thefloorandthewindowswerebroken, therewasnoair-conditioning, the lightwasdim……howeverdespite thepoorenvironment thechildrenpaidextremeattentionandtheteacherswereverypatient.Isawoneteachershowingalittleboyhowto readspeechbypickingup theboy’ssmall fingersandtouchingtheirown lips,allowingthemtofeel themovementandvibrationofthelips.IsawtheLOVEfromthat teacher.Childrenhere learnedhappily,growingupwithhealthymindssothattheycanliveandearnontheirown, independently.Weplayedgameswiththemandtheylaughedhappilyandsmiledsweetly.Theywerefilledwithhappinesswhenwegavethemsmallgiftssuchasballoonsandcolourpens.ThiswasnoteasilyfoundinHongKongkids.

ThenwehadfourdaysofmedicalservicesinMyanmar.Thefirstdaywestayedatthevillage,thesecondattheYMCAclinic,thethirddaywewenttoavolunteercenterandonthefourthdaywestayedatanotherfarmvillage.

At thebeginningof serviceeachday,wegave themhealth talks, such as teaching them how to washtheirhandsproperly,how tobrush their teeth,howtomaintaingoodhygieneandappropriateposturewithmanualwork.Thereafter,westartedourmedicalservices,givingpatientsdrugsandhealthadvice.Someofourvolunteerworkersplayedwith themandweallhadalotoffun.

Dr.ChanYuenYan,StellaResidentSpecialist,NewTerritoriesEastCluster,HospitalAuthority

Medical Mission Trip in Myanmar

Childrenindeaf-muteschool

Onehappylittleboywhoismentallyretarded

Queuinguptoseethedoctor

Childreninthevillage

"Submissions of articles to News Corner with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciation if the articles are selected for publication. Email: [email protected]"

What’s happening with Rosiglitazone?

Recentlytheuseof theantidiabeticagentrosiglitazonehasbeensubjecttocontroversy.On

29September,2010, theHospitalAuthorityannouncedthat twopreparations,Avandiaand

Avandamet,whichcontainrosiglitazoneasanactivecomponent,wouldberemovedfromits

drugformulary.Thereareapproximately2,000patientscurrentlyreceivingrosiglitazoneinpublic

hospitalsandout-patientclinics. Theyarerecommendedtocontinuethemedicationuntilthe

nextfollow-upappointmenttoensureoptimalglycaemiccontrol.ThedecisionoftheHAis in

accordancewiththerecommendationfromtheCommitteeonMedicinalProductsforHuman

UseoftheEuropeanMedicinesAgency.1

Sowhatdoesthecurrentevidencesayaboutrosiglitazone?Twoimportantstudiesoffercaveats

onitspharmacovigilanceinclinicalpractice.

Grahamandcolleaguesstudied the riskofseriouscardiovascularharmby rosiglitazoneas

comparedwithpioglitazone,anotherthiazolidinedionemarketedintheUS.2Theyconducteda

nation-wide,retrospectivecohortstudyof227,571Medicarebeneficiariesaged>65yearswho

initiatedtreatmentwitheitherdrugfromJuly2009-June2009andwhowerefollowed-upforup

to3yearsaftermedication initiation. ItwasfoundfromCoxproportionalhazardmodelsthat

rosiglitazonewasassociatedwithstroke(Hazardratio[HR]1.27,95%C.I.1.12-1.45),heartfailure(HR

1.25,95%C.I.1.16-1.34),all-causemortality(HR1.14,95%C.I.1.05-1.24)andacompositeofacute

myocardialinfarction,stroke,heartfailureanddeath(HR1.18,95%C.I.1.27-2.08)whencompared

withpioglitazone. Its largesamplesizeandtherobuststudymethodologyforanalysisofthis

inceptioncohortwereimpressiveandgivethestudycredibility,despiteitsretrospectivenature.

Anotherstudywhichaddscautiontorosiglitazone’susestemsfromanupdatedmeta-analysis

of randomizedcontrolledtrials reviewingtheeffectsof rosiglitazonetherapyonmyocardial

infarction(MI)andmortality.3Thisincludedatotalof56trials,or35,531patientsreceivingeither

a rosiglitazoneoracontrolmedication. Itwas foundthat rosiglitazonetherapysignificantly

increased the riskofMI (odds ratio [OR]1.28,95%C.I.1.02-1.63),whichpoints towardsan

unfavourablebenefit toriskratioforrosiglitazone. Thesetwostudieswerepublishedinvery

highimpactinternationaljournals.

However,futurestudieswillnotsimplyendhere,asneweroralhypoglycaemicagentscontinue

tobemarketed,andevaluatedfortheirefficacyandsafetyprofiles.

Compiled by Prof. Martin Wong

References:

1. EuropeanMedicinesAgencyupdateonongoingbenefit-riskreviewofAvandia,AvandametandAvaglim. PressRelease22

July,2010. Availableat:http://www.ema.europa.eu/docs/en_GB/document_library/Press_release/2010/07/WC500094981.pdf.

Accessedon30September,2010.

2.GrahamDJetal.Riskofacutemyocardialinfarction,stroke,heartfailure,anddeathinelderlyMedicarepatientstreatedwith

rosiglitazoneorpioglitazone.JAMAdoi:10.1001/jama.2010.920.

3.NissenSEetal.Rosiglitazonerevisited.Anupdatedmetaanalysisofriskformyocardialinfarctionandcardiovascularmortality.

ArchInternMeddoi:10.1001/archinternmed.2010.207.

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Interest Group in Dermatology – the 21st Meeting on 4th September 2010

Dr. Wong Nai Ming (Co-ordinator)Board of Education

(Disclaimer:Alladviceandsharinginthemeetingarepersonalopinionsandbearnolegalresponsibility.Allpatients’identitiesarekeptconfidential.)

The21stDermatologyInterestGroupmeetingwasheldon4thSeptember,2010.OurspeakerwasDr.LoKuenKongwhowasjustretiredfromConsultantDermatologistandHeadofSocialHygieneServiceof theGovernment.OursponsorwasGaldermaHongKongLtd.Thetopicwas“SunandSkin”.

Thereareessentially three typesofUltravioletradiation(UVR)inSunlight:

1. UVC(100-290nm)hastheshortestwavelengthandusuallycannotpenetrate theozone layerandreachtheearth’ssurface.

2.UVB (290-320nm)has longerwavelength,ableto reach skin sur face, causing tanning andacutesunburn(300nmUVBis1000timesmoreerythrogenicthan360nmUVA).

3.UVA(320-400nm)haseven longerwavelength,able to reach deep into skin, releasing freeradicals, causingDNAdamageand inducingpremalignant lesions / cancersof the skin. Itcanalso leadtophotoagingbybreakingdowncollagen and elastin (as distinguished fromchronological ageing, thewrinklesaredeepandcoarse,and thereare increasedmottledpigmentation, xerosis, telangiectasia, skinatrophy,solarkeratosisandelastosis).

Toprotectagainstsunlight,thefollowingpracticaltipscanbegiventoourpatients:

1. avoidsun’speakUVhours-between10amand4pm

2.seekshadeswheneverpossible

3.wear long-sleeveshirts,hats,sunglasses;bringumbrellas

4.wearbroadspectrumsunscreendailyyearroundespeciallyon face. (N.B.UVAraysarepresentyear roundandcanpenetratethroughglassesandwindows).Reapply sunscreenpreferablyeverytwohours.

Beneficialeffectsofsunscreenincludepreventionagainstacutesunburnanderythemaandchronicphotoaging,protectionofphotosensitiveskinandpreventionofskincancers.

Sunscreenusedshouldhavea broadspectrumagainstbothUVAandUVB rays.The inorganicphysicalblockers (e.g. titaniumdioxideandzincoxide)areusuallymoreeffective inblockingbothUVBandUVArays.Thenewerorganicsunscreene.g.MexorylXLandTinosorbMaresaidtohavecomparablefiltereffects.

Inchoosingapropersunscreen,theUSSkinCancerFoundationrecommendsaSunProtectionFactor(SPF)ofatleast15.SPFmeasuresthelengthoftimeasunscreenproduct(inastandardquantityof2mg/squarecm)protectsagainstskinerythema fromUVB,comparedtothetimefortheskintoreddenwithoutprotection.Forexample, ifyounormallyburnwithin10minutesofUVRexposure,aproductwithSPF15will theoreticallyallowyoutostayout15timeslongerwithoutburning(i.e.150minutes).Similarly,aproductwithSPF30shouldallowyoutostayoutfor300minutes.

However,oneshouldnotethataproductwithSPFof15canalreadyblock93%ofUVBandaproductwithSPFhigherthan30canblockanadditional4%ofUVB(i.e.97%)only.Nomatterhowhigh is theSPF,there isnoproductthatcanblockout100%ofUVBrays.OneshouldalsonotethatSPFratingisameasurementofprotectionaffordtoUVBraysonlyandthereisstillnointernationalconsensusonevaluationofUVAprotection.

Although sunlight isbeneficial for synthesisofVitaminDat theskin, there isstillnoconvincingevidencethat increasingaperson’sconventionallynormal serum 25 Hydroxy Vitamin D level hasdefinitehealthbenefits, especially in reducingcolorectalcancer risks. In factmostpeoplecanobtainampleVitaminDfromacombinationofdiet,oral supplementsand incidentalprotectedsunexposure. It isthereforenotadvisabletoaskourpatientstohaveregularintentionalUVexposurejustforthepurposeofobtainingsufficientVitaminD.

Ournextmeetingwillbeon6thNovemberwithDr.HenryChantalkingtousonCosmeticDermatology.

Dr.MaryKwong,Dr.LoKuenKongandDr.WongNaiMing(fromlefttoright)

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30th Annual Refresher Course 2010

* * * 2nd Announcement * * *

The30thAnnualRefresherCourse (ARC)willbeheld fromNovember21,2010toDecember12,2010.TherewillbefiveLuncheonLecturesandfourWorkshops.

2CMEpointswillbeawardedforeachLuncheonLectureand3CMEpoints foreachWorkshopaccordingtoCategory4.5.MCQswillbedistributed foreachsessionof theRefresherCourse, i.e. therearea totalof9MCQpapers. TheMCQanswershavetobereturnedtotheCollegeSecretariatontheoriginalquestionformswithin2weeksofthecompletionoftheRefresherCourse (latestbyDecember31,2010). Amemberwillbeawarded1extraCMEpointforascoreofover60%foreachMCQpaper.Upto2CPDpoints(ContinuousProfessionalDevelopment)willalsobeawardedforeachsession(subjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog);amaximumoftwopointscanbescoredforeachsession.

As it isahistory forsuchaneducationalprogramtobeheldcontinuously forquarteracentury inHongKong, thosewhohaveattended70%ormoreofallthesessionsoftheRefresherCoursewillbeawardeda“CertificateofAttendance”.

MemberswhohaveattendedtheARCtenconsecutiveyearsormorewillbeawardedone freeadmission.Subsequently,memberscanenjoyanother freeadmissionafterevery fiveconsecutiveyearsofpaidARCattendance.

Registration is now open and must be made before 15thNovember2010. Asthenumberofspaceis limited, itwillbeofferedonfirstcomefirstservedbasis. Pleasealsonotethatadmission feesarenot refundable.Ten free registrations foreachLectureandWorkshopwillbeofferedtostudentmemberswhowishtoapply for freeregistration,pleasecallMs.DickieLamat28610220before15thNovember2010.

Registrationformcouldbeenclosed.

Venue : CrystalBallroom,Basement3, HolidayInnGoldenMileHotel, 50NathanRoad,Tsimshatsui,Kowloon

Time : 1:00p.m.–2:15p.m.BuffetLunch 2:15p.m.–3:30p.m.Lecture 3:30p.m.–3:45p.m.Discussion

Date November28(Sun)

Topics Mental Health Workshop

1. New Era in Managing GAD

2. The Challenge of Improving Adherence in

Depressive Patients

Speakers Dr. Kwan Ka Lik

Dr. Cindy Chiu

Moderator Dr. Chan Chi Wai

Sponsor Pfizer Corporation Hong Kong Limited

Sunday Workshops

Date November21(Sun)

Topics Cardiovascular Workshop

1. Optimize Hypertension Treatment in Daily

Practice

2. Reducing Complications in Acute Coronary

Syndrome Patients

Speakers Dr. Wu Chee On

Dr. David C. K. Hu

Moderator Dr. Francis W. T. Lee


Date December02(Thur)

Topic Cardiology

Multi-risk Factors Approach to Address the 70%

Residual CV Risk of your Statins Treated Patients

Speaker Dr. Cheng Chun Ho

Moderator Dr. Au-yeung Shiu Hing

Sponsor Abbott Laboratories Limited

Date December07(Tue)

Topic Asthma

Update in the Management of Asthma

Speaker Dr. Grace Law

Moderator Dr. Tong Siu Man

Sponsor GlaxoSmithKline Limited

Date November30(Tue)

Topics Gastroenterology and Nephrology

1. Update on Management of GERD and H. P. Eradication

2. RAS Blockade and Organ Protection

Speakers Dr. Cheung Ting Kin

Dr. Leung Tat Chi, Godwin

Moderator Dr. Au Chi Lap

Sponsor Takeda Pharmaceuticals Taiwan, Limited

Hong Kong Branch

Luncheon Lectures

Date November23(Tue)

Topic Vaccination

Treatment and Prevention of Pneumococcal

Infection in Children

Speaker Dr. Ng Kwok Keung, Daniel

Moderator Dr. Au-yeung Shiu Hing


Date November25(Thur)

Topics Cardio-thoracic

1. Impact of Early Disease Detection on the Prevention of Heart Disease and Stroke

2. Minimal Invasive Surgery for Lung Cancer

Speakers Dr. Mak Yiu Kwong, Gary

Dr. Chui Wing Hung

Moderator Dr. Ma Ping Kwan

Sponsors AstraZenaca Hong Kong Limited and

Covidien, Tyco Healthcare (HKSAR) Ltd.

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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.

Accreditation 2CMEPointsHKCFP(Cat.5.2)

Website Formoredetails,pleaselinktohttp://www.hicc.org

Registration HKCFP members are entitled complimentary registration for the 3 days programme (100 full registrations are offered free at a first come first served basis). Please contact the College secretary, Ms. Priscilla Li at 2528 6618 for registration.

Date December05(Sun)

Topics Mood Disorder Workshop

1. Sleep Circadian Rhythm and Depression

2. HKU Visiting Professor – Doctor Mental Health

3. Review of Treatment to Depression

Speakers Professor Chen Char Nie

Professor Amanda Howe

Dr. Richard Fung

Moderator Dr. Yeung To Ling

Sponsor Servier Hong Kong Limited

Date December12(Sun)

Topics Hepatitis Workshop

1. Stopping Antiviral Drugs – Who and When

2. (to be confirmed)

Speaker Professor Chan Luk Yuen

Moderator Dr. Yeung To Ling

Sponsor GlaxoSmithKline Limited

Venue : CrystalBallroom,Basement3, HolidayInnGoldenMileHotel, 50NathanRoad,Tsimshatsui,Kowloon

Time : 1:00p.m.–2:15p.m.BuffetLunch

2:15p.m.–4:15p.m. Lectures

4:15p.m.–4:45p.m.Discussion

Registration FeesRegistrationfeesforthewholeRefresherCourse(includingfiveLuncheonLecturesandfourWorkshops)are:

Members : HK$600.00Non-members : HK$1200.00HKAMRegistrant : HK$700.00

SpotadmissionfeeforeachLuncheonLectureorWorkshopis:

Members : HK$150.00Non-members : HK$300.00HKAMRegistrant : HK$200.00

FM Trainees Package: FullCourse : HK$400.00SundayWorkshops : HK$150.00for4WorkshopsLuncheonlecture : HK$80.00each

Remarks: Topicsmaybesubjecttochange. Lecture(s)/Workshop(s)willbeconductedinEnglish.

4 November 2010 Thursday17th Hong Kong International Cancer Congress (3-5 November)

TopicandSpeaker:

Family Physicians’ Role in Cancer Prevention and Diagnosis –

The Role of Family Medicine in Strategies for the Integration

of Cancer Prevention and Diagnosiss

Dr. Lyndal TrevenaTheUniversityofSydney,Australia

Co-organizer TheUniversityofHongKong

Time 2:00p.m.–3:30p.m.Lecture&Discussion

Venue LectureTheatre4,LiKaShingFacultyofMedicineCenter,TheUniversityofHongKong

6 November 2010 Saturday

Board of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Theme Cosmetic Dermatology

Speaker Professor Henry H. L. ChanSpecialistinDermatology

Co-ordinator&Chairman

Dr. Wong Nai MingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:15p.m.Lunch2:15p.m.–4:00p.m.ThemePresentation&Discussion

Venue 5/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong

AdmissionFee MembersNon–membersHKAMRegistrants

FreeHK$300.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

Accreditation 2CMEPointsHKCFP(Cat.4.3)2CPDPointsHKCFP(Cat.3.15)2CMEPointsMCHK

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.

SponsoredbyGalderma Hong Kong Limited

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October’s session:

Date 29October,2010(Friday)

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

Topic Update of Management of Atopic Dermatitis –

Dr. Yeung Chi Keung

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)

1CMEPointMCHK

Upto2CPDPoints(Subjecttosubmission

ofsatisfactoryreportofProfessional

DevelopmentLog)

Language LecturewillbeconductedinEnglish.

Monthly Video Viewing Sessions –

MonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.atLectureHall,4/F,Dukeof

WindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

November’s session:

Date 26November,2010(Friday)

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

Topic Advances in Diagnosis & Management of

Rheumatic Diseases: RA, Ankylosing Spondylitis,

SLE & Fibromyalgia – Dr. Tsui Hing Sum

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)

1CMEPointMCHK

Upto2CPDPoints(Subjecttosubmission

ofsatisfactoryreportofProfessional

DevelopmentLog)

Language LecturewillbeconductedinEnglish.

Community Education ProgrammesOpenandfreetoallmembers

HKCFPCMEpointsaccreditation(Cat5.2)

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

13 November 2010 (Sat)

2:30–4:30p.m.

2CMEpoints

TrainingRoomII,1/F,OPDBlock,

OurLadyofMaryknollHospital

Refresher Course for Health Care Providers

2010/2011 – Practical Handling of Anxiety and

Depression in Primary Care Setting (Interactive)

Dr.ChanSukYin

OurLadyofMaryknollHospital&HongKong

MedicalAssociation

Ms.ClaraTsang

Tel::23542440

Fax:23276852

13 November 2010 (Sat)

2:15–3:45p.m.

2CMEpoints

LectureTheatre,G/F,BlockF,

UnitedChristianHospital,Kwun

Tong,Kowloon

CME Course for Health Personnel 2010 –

Update on PCOS

Dr.HoYauBong

HongKongMedicalAssociation(KECN)&

UnitedChristianHospital

Ms.GaryWong

Fax:35135548

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Structured Education ProgrammesFreetomembersHKCFPCMEpointsaccreditation(Cat4.3)

Date/Time/CME Venue Topic/Speaker(s) Registration19 Oct 10 (Tue)5:30–8:00p.m.3CMEpoints

AB1028,1/F,MainBlock,TuenMunHospital

Practice Visit - ReviewDr.ChuTsunKit

MsChanTel:24686813

20 Oct 10 (Wed)2:15–4:45p.m.3CMEpoints


Chronic Disease Management ModelDr.CheukTatSang

MsChanTel:24686813

2:15–5:15p.m.3CMEpoints

Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Eating Disorders in General PracticeDr.KwongSheungLiandDr.HoPuiGi

Ms.CordyWongTel:35133087


LectureTheatre,6/F,TsanYukHospital

Common Symptom Complaints - NumbnessDr.CheungChiHong,David

Ms.ManChanTel:25892337

21 Oct 10 (Thur)2:15–5:15p.m.3CMEpoints

Classroom,G/F,TseungKwanOHospital

Eating Disorders in General PracticeDr.HungWaiShanandDr.ChanNgaiPing



Room614,AmbulatoryCareCentre,TuenMunHospital

Traditional Chinese Medicine in Hong KongDr.LeungHoiLikandDr.LeeHoiYing

Ms.ChanTel:24686813


Room41,2/F,PamelaYoudeNethersoleEasternHospital

Health Care Systems in Different CountriesDr.KwanWingYan

Ms.KwongTel:25956941

27 Oct 10 (Wed)2:15–4:45p.m.3CMEpoints


Compensation System for IODDr.HoTszBun

Ms.ChanTel:24686813


ConferenceRoom,1/F,BlockF,UnitedChristianHospital

Approach to Abnormal Laboratory Results in Asymptomatic Patients (Part I) (Raised ALP/ALT, Electrolyte Distribances)DrTsuiWingHangandDrWanPuiChu




Emergency Facilities in ClinicDr.TamYickSin,Denise



LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Consultation Skills-Pillfalls and AssessmentDr.ChanTingBong

Ms.SusannaTongTel:26323480

28 Oct 10 (Thur)2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital

Approach to Abnormal Laboratory Results in Asymptomatic Patients (Part I) (Raised ALP/ALT, Electrolyte Distribances)Dr.YeungSzeWaiandDr.CheungYanKit




Update on Asthma ManagementDr.HoTszBunandDr.WongChakTong

Ms.ChanTel:24686813

3 Nov 10 (Wed)2:15–4:45p.m.3CMEpoints


Emergency Endocrinological ProblemsDr.SzeSiuLam

Ms.ChanTel:24686813



Update of Management of Chronic Hepatitis B&C and HCC SurveillanceDr.KwokTszTikandDr.ChanHauTing




Journal ClubDr.CheungManHa


4 Nov 10 (Thur)2:15–5:15p.m.3CMEpoints


Update of Management of Chronic Hepatitis B&C and HCC SurveillanceDr.YiuKamYiandDr.FuSiuSaap,Michelle

Ms.CordyWongTel:35133087Tel:24686813



Emergency Endocrinological ProblemsDr.LeungHorYeeandDr.ChanLaam

Ms.ChanTel:24686813



Management of Anorectal Pain, Bleeding, LumpsDr.ChengKwanChui


10 Nov 10 (Wed)2:15–4:45p.m.3CMEpoints


Social Worker in the CommunityDr.MokKwanYeung

Ms.ChanTel:24686813



Management of Sleeping DisordersDr.ChengYingWaiandDr.YuenChingYi




Review of FM TrainingDr.WanWingFai



LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Difficult Patients: Non-compliant, Manipulative, Angry, AggressiveDr.JudyCheng

Ms.SusannaTongTel:26323480

11 Nov 10 (Thur)2:15–5:15p.m.3CMEpoints


Management of Sleeping DisordersDr.ManFungYiandDr.LiMingYin




Sick Leave Certificates and Disability AllowanceDr.CheukTatSangandDr.ChanYinHang

Ms.ChanTel:24686813



ECG in PracticeDr.LeungWingMun


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Red : Education Programmes by Board of Education

Green : Community & Structured Education Programmes

Blue : Clinical Attachment / Certificate Course / ARC

Purple : College Activities

Dr.AlvinChanDr.EdmondChanDr.ChanManLiDr.ChanTingBongDr.JudyChengDr.AnitaFanDr.FungHoiTik,HeidiDr.KennyKungDr.AlfredKwongDr.DorothyLawDr.MariaLeungDr.NgaiKaHoDr.SinMingChuenProf.MartinWongDr.WongYuFaiDr.YipChunKong,Sam

Chief Editor :

Dr.WendyTsui

Deputy Editor

Dr.CatherineNg

Deputy Editor :

Dr.NatalieYuen

Editorial Board Members :

Section Coordinator (Oasis)

Section Coordinator (Feature/ Trainee Column)

Section Coordinator (After Hours)

Section Coordinator (WONCA Express)

Section Coordinator (Photo Gallery)

Section Coordinator (News Corner)

FP LINKS EDITORIAL BOARD 2010

Sunday Monday Tuesday Wednesday Thursday Friday Saturday17

OSCERehearsal

18

1:00 – 3:45 p.m.ImprovingAsthmaCare:TheIndividualandCommunityApproach

19

5:30 – 8:00 p.m.StructuredEducationProgramme

20


21

1:00 – 3:45 p.m.FibromyalgiaMythsandFacts2:15 – 7:00 p.m.StructuredEducationProgramme9:00 p.m.CouncilMeeting

22 23

1:00 – 4:45 p.m.CertificateCourseonRespiratoryMedicine2:15 – 3:45 p.m.CommunityEducationProgramme

24 25 26 27


28


29

2:30 – 3:30 p.m.BoardofEducationVideoSession

30

31

OSCEExam

1 2

6:00 – 8:00 p.m.2ndASM2011OrganisingCommittee

3


4


5 6

1:00 – 4:00 p.m.BoardofEducationInterestGroupinDermatology

7 8 9 10


11


12 13

1:00 – 4:45 p.m.CertificateCourseonRespiratoryMedicine2:15 – 4:45 p.m.DFMModuleIII–CarefortheElderly&ChronicIllness2:15 – 4:30 p.m.CommunityEducationProgramme

14 15 16

9:00 p.m.BoardofConjointExaminationMeeting

17 18

9:00 p.m.CouncilMeeting

19 20

21

1:00 – 4:45 p.m.ARC–CardiovascularWorkshop

22 23

1:00 – 3:45 p.m.ARC–Vaccination

24 25

1:00 – 3:45 p.m.ARC–Cardio-thoracic

26

2:30 – 3:30 p.m.BoardofEducationVideoSession

27

2:15 – 4:45 p.m.DFMModuleIII–AnticipatoryCare

28

1:00 – 4:45 p.m.ARC–MentalHealthWorkshop

29 30

1:00 – 3:45 p.m.ARC–GastroenterologyandNephrology

1 2 3 4

6:00 p.m.AGM7:00 p.m.AnnualDinner

“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”Contact and Advertisement EnquiryMs Teresa LeeTel: 2861 1808E-mail: [email protected] Hong Kong College of Family Physicians7th Floor, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Hong Kong

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