the hong kong college of family physicians family … · 2015. 10. 2. · highlights of the 25th...

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1 Message from the President THE HONG KONG COLLEGE OF FAMILY PHYSICIANS Family Physicians Links Issue 100 June 2012 01 Message from the President 02 Photo Gallery 04 College News 04 25 th Fellowship Conferment Ceremony and the 23 rd Dr. Sun Yat Sen Oration 06 Message from the President [cont.], CMOD 07 FP Links News, Membership Committee News, Board of Vocational Training and Standards News 08 Public Education Committee News – World Family Doctor Day 19 th May 2012 13 QA&A News – CME / CPD Compliance, Report on the Resuscitation Council of Hong Kong Inauguration 26 th May 2012 10 Trainee Column: Family Physicians Engaging in Whole Person Care – RICE 與我的成長歷程 11 Feature: Family Physician as a Researcher – Training Course of Research & Biostatistics for Professionals 14 Executive Corner: Council Member-On-Duty (CMOD) System 15 News Corner: Male Cancer and “Wee Wee” / Male Sex, Beauty and “Wee Wee” 16 Board of Education News 20 College Calendar INSIDE THIS ISSUE The Primary Care Office of the Department of Health, together with the Education Bureau and the Hong Kong College of Family Physicians, have organized a themed competition entitled “Primary Care - Family Doctor as Your Health Partner” (基層醫療 各有所「醫」專題比賽) aiming to raise awareness on the importance of primary care and the family doctor concept with the general public. Participants of the competition submitted entries in any form, such as short video clip, photo, poster, slogan, reflective journal, or project, with an aim to bring out the message about primary care and the concept of family doctor in a pleasing way. A prize giving ceremony for the winners of the competition for both the open group and the secondary school students took place on 19 th May 2012, the World Family Doctor Day at Citywalk, Tsuen Wan. After the ceremony, Prof. Donald Li, WONCA Asia Pacific Regional President, made a short presentation to celebrate World Family Doctor Day and to congratulate the winners for their brilliant achievements. Our College has also organized a forum 「那些年,我們一起看過的家庭醫生」 to promote family doctor concepts to the community. Dr. Allan Ngan, Chairman of Public Education Committee, together with committee members Drs. Chan Wing Yan, Cheung Kwok Leung, Zabo Chung and Edmund Lam shared their personal experience of themselves and their patients to illustrate the concept of comprehensive, patient-centred, continuous, preventive and coordinative care of Family Medicine. World Family Doctor Day Dr. Ruby Lee and Mr. Richard Yuen, Permanent Secretary for Food and Health Bureau Dr. Ruby Lee Presented the Certificates to Prize Winners. (Continued on page 6)

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Page 1: THE HONG KONG COLLEGE OF FAMILY PHYSICIANS Family … · 2015. 10. 2. · Highlights of the 25th Hong Kong College of Family Physicians Conferment Ceremony and the 23 rd Dr. Sun Yat

1

Message from the President

THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

Family Physicians LinksIssue 100June 2012

01 MessagefromthePresident02 PhotoGallery04 CollegeNews 04 25thFellowshipConfermentCeremonyandthe23rd

Dr.SunYatSenOration 06 MessagefromthePresident[cont.],CMOD 07 FPLinksNews,MembershipCommitteeNews,Board

ofVocationalTrainingandStandardsNews 08 PublicEducationCommitteeNews–WorldFamily

DoctorDay19thMay2012 13 QA&ANews–CME/CPDCompliance,Reportonthe

ResuscitationCouncilofHongKongInauguration26thMay2012

10 TraineeColumn:FamilyPhysiciansEngaging inWholePersonCare–RICE 與我的成長歷程

11 Feature:FamilyPhysicianasaResearcher–TrainingCourseofResearch&BiostatisticsforProfessionals

14 ExecutiveCorner: CouncilMember-On-Duty (CMOD)System

15 NewsCorner: MaleCancerand“WeeWee”/MaleSex,Beautyand“WeeWee”

16 BoardofEducationNews20 CollegeCalendar

INSIDE THIS ISSUE

ThePrimaryCareOfficeoftheDepartmentof Health, together with the EducationBureau and the Hong Kong College ofFamilyPhysicians,haveorganizedathemedcompetitionentitled“PrimaryCare-FamilyDoctorasYourHealthPartner” (基層醫療–各有所「醫」專題比賽) aiming to raiseawarenesson the importanceofprimarycareandthefamilydoctorconceptwiththegeneralpublic.

Participantsof thecompetitionsubmittedentries inany form, suchas short videoclip, photo, poster, slogan, reflectivejournal,orproject,withanaimtobringoutthemessageaboutprimarycareand theconceptoffamilydoctorinapleasingway.

Aprizegivingceremonyforthewinnersofthecompetition forboththeopengroupand the secondary school students took

placeon19thMay2012, theWorldFamilyDoctorDayatCitywalk,TsuenWan.

Aftertheceremony,Prof.DonaldLi,WONCAAsiaPacificRegionalPresident,madeashortpresentation tocelebrate WorldFamilyDoctorDayandtocongratulatethewinnersfortheirbrilliantachievements.

OurCollegehasalsoorganizeda forum「那些年,我們一起看過的家庭醫生」

topromotefamilydoctorconceptstothecommunity.Dr.AllanNgan,ChairmanofPublic Education Committee, togetherwithcommitteemembersDrs.ChanWingYan, Cheung Kwok Leung, Zabo ChungandEdmundLamshared theirpersonalexperienceofthemselvesandtheirpatientstoillustratetheconceptofcomprehensive,patient-centred,continuous,preventiveandcoordinativecareofFamilyMedicine.

World Family Doctor Day

Dr.RubyLeeandMr.RichardYuen,PermanentSecretaryforFoodandHealthBureau

Dr.RubyLeePresentedtheCertificatestoPrizeWinners.

(Continued on page 6)

Page 2: THE HONG KONG COLLEGE OF FAMILY PHYSICIANS Family … · 2015. 10. 2. · Highlights of the 25th Hong Kong College of Family Physicians Conferment Ceremony and the 23 rd Dr. Sun Yat

HKPCC 2012 Photos

Chairlady Dr. Lorna Ng delivering the welcome message

President Dr. Ruby Lee delivering the congratulatory message

Programme Book Cover Competition

winner Dr. Shek Hon Wing Dr. Ruby Lee presenting a souvenir to

Dr. Shek Hon Wing

Dr. Lorna Ng presenting a souvenir to dinner symposium speaker Dr. Irene Lai Dr. Lorna Ng presenting a souvenir to dinner symposium speaker Dr. Daniel Chu

Seminar C speaker Dr. Richie Yeung Seminar C speaker Dr. Vincent Kwan

Workshop Four speaker Mr. Edward Chan Workshop Four speaker Dr. Carina Li Workshop Four speaker Ms. Terry Mo

HKPCC guests and VIPs

Workshop One speaker Prof. Martin Wong

Winner of the 1st Clinical Case Presentation Competition

HKPCC Committee members

Dr. Ruby Lee presenting a souvenir to Prof. Doris Young

Distinguished Speakers of the Four Plenary Sessions

Dr. Ruby Lee presenting a souvenir to Ms. Sylvia Fung

Dr. Ruby Lee presenting a souvenir to

Prof. Yuen Kwok Yung

Seminar A speakers

We had a full house this year

Workshop Two speaker Dr. Andy Cheung (left)

Workshop Three speakers Mr. Peter Poon (second from the left) and Ms. Eve Loong (second from the right)

Winner of the Best Research Award - Prof. Martin Wong

Ribbon cutting in the Opening Ceremony

Our officiating guests and VIPs

One of the judges of Full Paper Competi-

tion - Prof. William Wong

Dr. Lorna Ng presenting a souvenir to lunch symposium speaker Prof. Kathryn Tan

Dr. Ruby Lee presenting a souvenir to

Prof. Jiten Vora

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Workshop One speaker Prof. Martin Wong

Winner of the 1st Clinical Case Presentation Competition

HKPCC Committee members

Dr. Ruby Lee presenting a souvenir to Prof. Doris Young

Distinguished Speakers of the Four Plenary Sessions

Dr. Ruby Lee presenting a souvenir to Ms. Sylvia Fung

Dr. Ruby Lee presenting a souvenir to

Prof. Yuen Kwok Yung

Seminar A speakers

We had a full house this year

Workshop Two speaker Dr. Andy Cheung (left)

Workshop Three speakers Mr. Peter Poon (second from the left) and Ms. Eve Loong (second from the right)

Winner of the Best Research Award - Prof. Martin Wong

Ribbon cutting in the Opening Ceremony

Our officiating guests and VIPs

One of the judges of Full Paper Competi-

tion - Prof. William Wong

Dr. Lorna Ng presenting a souvenir to lunch symposium speaker Prof. Kathryn Tan

Dr. Ruby Lee presenting a souvenir to

Prof. Jiten Vora

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Page 4: THE HONG KONG COLLEGE OF FAMILY PHYSICIANS Family … · 2015. 10. 2. · Highlights of the 25th Hong Kong College of Family Physicians Conferment Ceremony and the 23 rd Dr. Sun Yat

Highlights of the 25th Hong Kong College of Family Physicians Conferment Ceremony and the 23rd Dr. Sun Yat Sen Oration, 3rd June 2012 – Part 1

ThisyearmarkstheSilverJubilee,the25thAnniversaryoftheHongKongCollegeofFamilyPhysicians(HKCFP)FellowshipConfermentCeremony.Thisextremelyjoyfuloccasionhasbeencoupledwiththe23rdDr.SunYatSenOration.TheceremonywassuccessfullyheldlastSunday,on3rdJune2012attheHongKongAcademyofMedicineBuilding.

TheHKCFPhas invitedmanygovernmentandclinical leaders, includinggovernmentofficials,universitycolleagues,oursistercolleges’ representatives fromoverseasaswellas localspecialtycollegesandmanyother localandoverseasdignitariestojoin intocelebratethesuccessofourConjointExaminationFellows,ExitExaminationandDiploma inFamilyMedicine (DFM)candidates.Wearemostgrateful thatwehavereceivedtremendoussupportfromtheaforementionedcolleaguesandpeerstomakethisyear’sceremonyarealsuccess.

After the introductionof theOfficialPlatformparty,Dr.RubyLee,ourCollegePresident,deliveredanopeningspeech. Itwas followedbythewelcomingspeechofDr.JennieKendrick,Censor-in-Chiefof theRoyalAustralianCollegeofGeneralPractitioners(RACGP).AftertheexchangesofgiftsbetweentheHKCFPPresidentandtheRACGPCensor-in-Chief,ProfessorDorisYoungwasawardedanHonoraryFellowshipoftheHKCFPforhertremendousachievements inpromotingthedevelopmentofFamilyMedicineinHongKongandheroutstandingcontributionstotheCollegeinthepastyears.

Thereweretwenty-sixdoctorsawardedHKCFPFellowship,twenty-twodoctorsawardedRACGPFellowship,forty-twodoctorsawardedExitExaminationCertificate,andsevendoctorsawardedDFM.Awardsforthebestcandidate inFellowshipExamination2011,theHKCFPBestResearch2011,andHKCFPResearchFellowship2012werealldeliveredonstage.TheceremonywasconcludedbyProfessorLeeSumPinggivingusaveryenlightening23rdDr.SunYatSenOrationentitled“WitherHealthcare”.

PleasewatchoutformorehighlightsontheconfermentceremonyintheJulyissueofFPLinks.

Dr.DavidV.K.ChaoChairman,InternalAffairsCommittee

(from left to right) Prof. Lee Sum Ping, Dr. Stephen Foo, Prof. Lee’s

wife, Prof. Rosie Young, Dr. Ruby Lee, Dr. Lau Ho Lim, Dr. Chan

Hung Chiu(from left to right) Dr. Albert Kong, Prof. Lau Chak Sing, Prof. Donald Li, Prof. Ng Pak Cheung

(from left to right) Dr. Kenny Kung, Prof. Doris Young and Prof. Cindy Lam(from left to right) Dr. Angus Chan, Prof. Donald Li, Prof. Doris

Young, Dr. Ruby Lee and Dr. Gene Tsoi

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Prof. Lee Sum Ping delivering the 23rd Dr. Sun Yat Sen Oration

Prof. Doris Young receiving the HKCFP Honorary Fellowship

Exchange of gifts between HKCFP and RACGP

Prof. Lee Sum Ping receiving the Dr. Sun Yat Sen Gold Medallion

Dr. Jennie Kendrick delivering a speech

Prof. Doris Young, Honorary Fellow of HKCFP

2012, being introduced on stage

Dr. Ruby Lee, HKCFP President, delivering the opening speech

(from left to right) Dr. Amy Chiu, Dr. Linda Hui,

Dr. Jennie Kendrick, Dr. Lorna Ng(from left to right) Dr. Lau Ho Lim, Dr. Patrick Li, Dr. Ma Kwong Hon, Dr. Mak Sin Ping,

Dr. Ruby Lee, Prof. Fok Tai Fai, Dr. Chan Hung Chiu, Dr. David Chao, Dr. Roch Lee

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

T h e R e s u s c i t a t i o nCouncilofHongKong(RCHK)wasestablishedby e igh t found ingorganizations,namelytheAuxiliaryMedicalService, the CollegeofSurgeonsofHongKong,theHongKong

College of Anaesthesiologists, the Hong KongCollegeofCardiology,theHongKongCollegeofEmergencyMedicine, theHongKongRedCross,HongKongSt.JohnAmbulanceandourCollege.The Chairlady of our Board of Education, Dr.MaryKwong, is theHonorarySecretaryofRCHK.Dr.Kwonghasofferedunfailingsupport toCPReducationandhascontributedenormouslytotheestablishmentofRCHK.

TheaimsofRCHKare topromote theexchangeof knowledgeand informationamongdifferentorganizations with relevant interest, to adviseon best practice and to provide training in

resuscitation, aswell as raisepublic awarenessof resuscitation inHongKong,andtoharmonizeguidelinesandrecommendations in resuscitationthroughconsensusamongmembers. TheCouncilalsofostersscientificresearchinresuscitation,andrepresentsHongKong toestablish relationshipswithotherresuscitationbodiesinternationally.

The official opening ceremony of RCHK tookplaceon26thMay2012attheSt.JohnAmbulanceBuildingwithDr.theHonYorkChow,SecretaryforFoodandHealth,astheGuestofHonour.

(Continued from page 1)

Message from the President

Dr.MaryKwongandDr.BillyChiu.

Int roduct ion of HKCFP QAProgrammeatTheCollegeofDental Surgeons 2012 SpringScientificMeeting

Multi-specialtyMedicalMegaConference

(fromleft toright)Dr.SKChan,Dr.RubyLee,Dr.RochKHLee,President of the College ofDentalSurgeons

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

Forthismonth,from15thJune2012to14thJuly2012,Dr.AuChiLapandDr.ChanWingYanwillbetheCouncilMembersonduty.Pleasefeelfreetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsaboutanythingrelatingtoourCollegeandFamilyMedicine.YoucanreachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyoudirectlyassoonaswecan.

Dr.TonyCKLeeCo-ordinator,CMODSystem

Dr.AuChiLap Dr.ChanWingYan

Inauguration of the Resuscitation Council of Hong Kong

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Reminder: Submission of Training Logbook for Certification of Completion of Basic Training

ToallBasicTrainees,

YouareadvisedtoapplyfortheCertificateofCompletionofBasicTrainingwithin3monthsafterthecompletionoffour-yearbasicvocationaltraining.Ifyoudon’thavethatcertificate,youarerequiredtopaytheannualtrainingfee(BasicTraining)yearly.

Shouldyouhaveanyenquiries,pleasecontactourCollegeSecretaries,Ms.CarmenChengorMr.BrianChanat25286618.

BasicTrainingSubcommitteeBVTS

TheMembershipCommitteeapproved,on recommendationof theChairladyof theMembershipCommittee,thefollowingapplicationsformembershipinMay 2012:

Membership Committee News

Resignation from Associate Membership

Dr. CHAN Chi Wai, Nixon 陳 志 偉Dr. CHEUNG Hon Yuen 張 瀚 源Dr. LIM Tiong Khong 林 仲 康Dr. LAU Cynthia Siu Wai 劉 小 瑋Dr. WONG Chit Ching 黃 哲 貞

Resignation from Student Membership

Mr. NGAN, William 顏 偉 廉

Transfer from Associate to Fellow Membership

Dr. YEUNG Hoi Pun 楊 海 彬

Associate Membership (New Application)

Dr. AU Tai Kwan, Eva 區 大 鈞

Dr. CHAN Kwok Hung, Addi 陳 國 雄

Dr. CHAN Yin Pui 陳 延 珮

Dr. CHEUK Yau Chun 卓 幼 真

Dr. CHEUNG Sze Wan, Peggy 張 思 蘊

Dr. LEE Pui Man 李 培 文

Dr. TSANG Hoi Ham 曾 海 涵

Reinstatement of Associate Membership

Dr. TSANG Yat Fai 曾 日 暉

Before elaborating my story of developing the Logo of Family Physicians Links, I would like to give my sincere gratitude to FP Links for providing me a precious opportunity to participate in this logo design competition.

When I first saw this competition announcement on FP Links Newsletter, I was really interested as it alerted me to the fact that there is no specific logo for the newsletter FP Links apart from the College logo. It really motivated me to apply

for the competition as it is a challenge for me to give birth to a logo, a unique one for FP Links, which marks a milestone for the College newsletter.

In the beginning, I had several raw ideas linked with logo design, for example a “cross” sign which gives people a health care related thinking, a “doctor” sign which links with physicians etc. I would like the new logo to express a concept that the link is providing all family doctors a media for communication and platform for information sharing. Finally, I chose “Stethoscope” as the logo’s major symbolic component since all doctors and the majority of the public are familiar with this significant instrument. With the thinking that it would be more meaningful if the sign is composed of “FP Links”, I designed the stethoscope by using 3 important letters – “F”, “P” and “L”. Referring to the above picture, the left part of the logo is a stethoscope, its right earpiece is a letter ‘P’ for Physicians, the left earpiece is a letter ‘F’ for Family and the lower part of stethoscope is a letter ‘L’ for Links. The right part of logo is the full name of FP Links with the black font meaning staidness and sensitivity. There are 2 people (family doctors) linked together in red and jointly you can see a “happy face”.

FamilyPhysiciansLinks

FP Links NewsMy Journey in Developing the Logo of FP Links

Miss Man ChanAdministrative Executive, FM & PHC, Hong Kong West Cluster

Dr.RubyLeepresentedtheprizetoMissManChan(left)

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Public Education Committee NewsWorld Family Doctor Day 19th May 2012

Eachyear,the19thofMayisaspecialdayforallofus,as it istheWorldFamilyDoctorDayproposedby theWONCAsince2010.On the specialdaythisyear,OurCollegehadaspecialpubliceventin collaboration with the Primary Care Office,DepartmentofHealth,andtheEducationBureauof the Hong Kong Government. This was theAward Presentation Ceremony of the ThemedCompetitionentitled‘FamilyDoctorasyourhealthpartner’, followedby theFamilyDoctorForumorganizedbythePublicEducationCommitteeofOurCollege. Itwassuccessfullyheld inCitywalk,TsuenWanintheafternoonof19thMay2012.

Dr. Ngan Po Lun, Chairman, Public Education Committee

TheEventwasaddressedbyMr.RichardYuen,thePermanentSecretary forFoodandHealth,emphasizingtheGovernment’spolicyonenhancingprimary care.Theeventwasalsoofficiated byDr.ThomasTsang, theControllerof theCentreforHealthProtection,DepartmentofHealth;Dr.CheungKwokWah,thePrincipalAssistantSecretaryofEDB;Dr.RubyLee,thePresidentofOurCollege;Professor Donald Li, the WONCA Asia PacificRegional President; and Professor Cindy Lam,ProfessoroftheDepartmentofFamilyMedicineandPrimaryCare,TheUniversityofHongKong.

The themed competition aims to promote thefamilydoctorconceptandraisepublicawarenessabout the impor tance of primar y care. Theresponsefrombothstudentandopengroupswasveryenthusiastic,havingmorethan800entries, intheformsofphotographs,videos,posters,slogans,questionnaire researches, demonstrating theimportanceoffamilydoctorsinprimarycare.

Many of the entries from dif ferent categorieswere of a very high standard, and brilliantlyillustratedthecoreconceptsofFamilyMedicineinanimpressivemanner.Allthewinningworksarenowavailableonthewebsiteof thecompetition:https://www.primarycare2012.com/

Dogotothewebsitetohavealookatthewinningworks,andtomentionafewsplendidones:

• Winnerofthevideocategoryintheopengroup:「小明去打針」:This lovelyvideodemonstratesthecloserelationshipbetweenthefamilydoctor(playedbya5 year-oldboy) and thepatient(playedbyhis3year-oldyoungerbrother)!

• Winnerof thevideocategory in the studentgroup:「醫生病了」:This video illustrates thevastdifference in theconsultationsbetweenthe familiar familydoctor (李家庭醫生)andtheunfamiliarrelievingdoctor(黎諦賈醫生)!

OfficiatingGuestsontheStage:(fromlefttoright)Dr.CheungKwokWah,Dr.ThomasTsang,Mr.RichardYuen,Dr.RubyLee,Prof.DonaldLi.

Dr.EdmundLam,Dr.NganPoLun (Judgesfor thegamesection)andtheMCSammy.

PrizeWinnersandOfficiatingGuests.

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TheDramaPerformedbyTheProfessional ‘ExplorationTheater’(赫墾坊劇團).

(Fromleft toright)Dr.EdmundLam,Dr.SydneyCheung,Dr.NganPoLun,Dr.ChanWingYan,Dr.ZaboChung,Prof.CindyLam,Dr.RubyLee,Dr.LauHoLim,Dr.BillyChiu,Prof.SamuelWong.

Prof.DonaldLidelivering theWorldFamilyDoctorDayOpeningSpeech.

PublicEducationCommitteeMembersontheStagefortheHealthForumwiththeChineseTitleof「那些年,我們一起看過的家庭醫生」.

• Winner of the “other” category in the opengroup: a verywell-designedposterwith thetitle‘FamilyDoctor,FamilyTree’, illustratingthecomprehensiveandcontinuingcarebythefamilydoctor,and the long-termhealthpartnershipwithallthefamilymembers

• Andthis istheMUSTlistenone:Firstrunner-upof the“other”category intheopengroup,anexcellentandprofessionalsongwiththetitle「一人一醫生」,performedby themostwonderfulvoiceofourFMspecialist,Dr.KennyKungfromtheNTEastCluster!

T h e re w a s a l s o a ve r y i n te re s t ing d r a mademonstrat ing the family doc tor concept,per formed by the professional ‘ExplorationTheater’(赫墾坊劇團),withMr.KarleyNgasa‘stranger’patient,visitinghisfamilydoctoroutoftheofficehour,andMs.LamChunChun,as theprettyfamilydoctorexplainingtohimtheessenceofFamilyMedicine.

ThesecondpartofthepubliceventontheWorldFamilyDoctorDaywashavingthefamilydoctorsfromourCollegeas themaincharacters.Firstly,wehadProf.DonaldLi, theWONCAAsiaPacificRegionalPresident,OurCensor&PastPresident,togivean introductionof theWONCAand theWorldFamilyDoctorDay. Itwas followedupbyahealth forum,withtheChineseTitle「那些年,我們一起看過的家庭醫生」,heldby fivemembers

of the Public Education Committee, includingDr.ChanWingWan,Loretta;Dr.CheungKwokLeung,Sydney;Dr.ZaboChung;Dr.LamWingWo,Edmund;andI.

We had shar ing of our own ex per ience inencounteringourown familydoctors, echoingon the importanceofhavinga familydoctor forabetterhealth.Wealsousedseveralmodifiedcases from our own practices to demonstratethe four impor tant roles of family doc tors:havingcomprehensiveandholisticcare,keepingcontinuityofcare,emphasizingdiseaseprevention,andhavingcoordinatedcarefortheirpatients.

Finally,Ihadabriefsummarybyusingthedifferentplayersinasoccermatch,thestriker,themidfielder,thedefender,andthegoalkeeper,astheanaloguetodemonstratetheutmostimportantroleoffamilyphysiciansintheprimarycaresetting.

We hope that through the close par tnershipandcollaborationwithdifferentshakeholders inPrimaryCare,OurCollegecanfurtherpromotetheimportanceofFamilyMedicine,foreachandeveryindividual, for thehealthcaresystem,and forabettercommunityasawhole.

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Family Physicians Engaging in Whole Person CareRICE 與我的成長歷程Dr. Dana LoMedical Officer, University Health Service, The Polytechnic University

剛拜讀過蔡惠宏醫生近日刊登於明報周刊題為“望聞問切”及“診症功力”的文章,內容提及RICE (RICE是指Reason, Idea, Concern and Expectation of Consultation)在診症過程的重要性。適逢剛剛完成六年家庭醫學專科培訓,我回望過去的歲月,原來我運用RICE的模式也隨著年月一起成長了。

猶 記得 第一次 聽 到 R I C E 概 念,始 於第一 年當上 駐院醫生(Res ident)的時候。那時候我在公立醫院接受家庭醫學專科的首年醫院培訓(Hospi ta l -based training),一星期才有一個下午回到所屬的家庭醫學部門上課(structured seminar),學習包括RICE等理論。由於首兩年必須被外借到例如內外婦兒骨等其他專科工作吸取經驗,有感其他專科醫生大多也不是這樣診症的,所以上完課之後自然一早把甚麼RICE理論拋諸腦後了。

第三年進入社區培訓(Community-based training),我被調回普通科門診(GOPC)工作。GOPC簡直是新紮醫生的“少林寺”,病人多但時間少,而病症的種類又未必一定簡單,稍一不留神,隨時跌入陷阱而不自知,但同時間又要確保準時完場以便開夜診時段。當年的我,診症技巧尚未成熟,只好以“日趕夜趕”的速度,及恐防趕得太急,會跌進陷阱的心情來診症。當時首要任務,是要能夠在GOPC安全地生存,那有心情思考RICE呢?

我在第四年已經適應了門診生活,開始準備專科的中期試(Conjoint Fellowship Examination - Clinical Examination)。我是一位很乖的考生,參加了各式各樣

的精讀班,也自製和互相交換模擬試題。很多人說問中RICE有分,所以大家也認為RICE多麼重要!我就是這樣抱著問少一條也隨時會不合格的心情,開始強迫自己平日診症時只要“得閒”就問人RICE,來熟練考試模式。當然,這樣問出來的機械化效果,現在回想起來,也感到甚為“搞笑”!

我真正能把RICE融入每天恆常診症中,是要待我到第五、第六年的專科培訓(Higher training),那時候我巳離開了醫管局轉到大學醫療保健處工作。大學的診症環境理想,我終於擁有自己的診症室,病人可以輕易選擇指定醫生覆診,我也可以因應病人需要,預約一些例如輔導或小手術等特別時段來安排病人覆診。原來,RICE不是靠背出來的,有時候未必會順次序出現,也未必要把這四條問題逐一以“我問你答”的形式詢問,因為不少時候只要細心聆聽和意會,病人往往已經明顯地自己表達出來了。因此,RICE並非在“得閒”的時候才可以問的奢侈問題;相反,如果能夠一早就洞悉到病人的RICE,從而適當地回應病人各方面的訴求,那診症自然會變得有效率。

我沒有奇怪,為何要在自己畢業那麼多年後,才開始明白RICE的意義,因為每一位醫生也必須經過多年來的經驗和培訓才能夠成長。尤其我們家庭醫學,先苦後甜;未必有手起刀落的快速成功感,但卻擁有一群與我們一起成長同行的病人。我深信:“不經一番寒切骨,那得梅花撲鼻香?”

羅思敏醫生,寫於二零一二年四月二十四日,台灣音樂之旅

六年專科培訓前的實習醫生

六年專科培訓後的家庭醫生

“Submissions of articles to Trainee Column with up to 1200 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]

Family Physicians play multiple roles in the health community. They deliver comprehensive, whole person health care to our population, and strive for advancements in the medical field by conducting clinic audit and research. In this issue of the Trainee Column, Dr. Dana Lo shares how she polished her consultation skills by applying the principle of “RICE”, while Dr. Catherine Chen features the Training Course of Research and Biostatistics for Medical Professionals.

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Family Physician as a ResearcherTraining Course of Research & Biostatistics for Medical Professionals

Dr. CHEN Xiao Rui, Catherine, College Member (Candidate in the training course)

I attended the“CertificateCourseofResearch&BiostatisticsforMedicalProfessionals”organizedbytheCollegeduringJuly-August2011.This intensive,four sessionworkshopwasdesigned to introducedifferent schemesof studydesignsandcommonbiostatisticsusedinclinicalpracticeandtoenhanceour interest and ability to conduct primary careresearch. I foundthisworkshophighlyeducationaland it is a joyful experience to get to know theessential components of carr ying out c l inicalresearchwithinsuchashortperiodand learn fromtheexperienceofeminentscholars invitedbyourCollege.

Speakers : Professor Cindy L.K. Lam, ProfessorSamuelY.S.Wong,Dr.WongKaiChoiandProfessorMartinC.S.Wong

Moderators : Dr.JanetC.Y.Tam,Dr.MarkS.H.Chan,Dr.FrancisW.T.LeeandDr.ChanChiWai

The classroom format of this workshop allowedparticipantsto interact freelywithspeakersandtheparticipantslefthavinghadanenrichingexperience.TheworkshopstartedwithProf.CindyLam’slecture.Her lecturecoveredthebasicsofMedicalResearchwithintroductionsonthedifferenttypesofresearchincludingobservational studiesand interventionalstudies.Avery inspiringpartofher lecturewasthattheparticipantsweredividedintofourgroups,witheachgroupdesigningaresearchtopicandpresentingtheirprojecttoothergroupsforcomments.Itsoundsdifficultbutallofthefourgroupshadbrilliant ideasandpresentedourdesigned-on-the-spotprojectstothefellowcolleagues. I rememberthatourteammemberspresentedaresearchprojectonmanaginglowbackpainandwewereverymuchimpressedbytheconstructiveandenlightening feedback fromothergroupmembers.

ThenextsessionwasgivenbyProf.SamuelWongand he introduced to us the basic principles offormulating research questions and setting uphypothesis.Healsospokeonhowtouseandsetupresearchquestionnairesandpitfalls toavoidduringdata collectionandentry.Mostofuswerebasicorhigher traineesof theCollegeandweall foundit ratherdifficult to formulateaworkable researchquestion inourdailypractice. Prof.Wongclearlyexplainedwhatsortsof topicswereacceptable inFM research.Healso stressed the importanceoffeasibilityandlogisticswhenconsideringtheresearchtopics and encouraged us to communicate withexperts/cliniciansatourworkingenvironmentandtohaveextensive readingsof the literature in thefieldof interest. Mostofusaredoingorplanning

todoquestionnairestudy,butwhatmakesagoodquestionnaire?Fromhis lecture,weunderstoodtheimportanceofreliabilityandvalidityofquestionnaires t ud y and s te p s to fo l low in q ue s t ionna i redevelopment.

Statistics isalwaysachallengingtasktousresearchbeginners. In thethirdsession,Dr.WongKaiChoi,anexperiencedpsychiatristaswell asa scientist,introduced how to deal with common statisticalproblemsinclinicalresearch,includingthecalculationofsamplesize,samplingmethodology,howtochoosedifferentdescriptivestatisticsandhowto interpretthescientificfindings.Moredetailsaboutthislectureareavailableathttp://kcclinic.com.Informationaboutcommonpsychiatricdisorderscanalsobefound.

The lastsessionof theworkshop ison introductionof literaturereviewandresearchprotocol/proposalwritinggivenbyProf.MartinWong.Hedemonstratedtousclearlyhowtostartanefficientliteraturereviewandwheretofindtherelevantinformationinthelargedatabaseworld.Hethenexplainedtoustheessentialcomponents of a complete research protocol/proposal, i.e.presentation,background,objectives,methods,ethicalconsiderations,timetable,resources,references and appendices. This can ef ficientlyfacilitatefutureplanningandimplementationoftheresearchproject.Gettingapaperpublishedisbynomeanseasy,howeverwithhisexperiencesharing,welearnedthetipsofhowtoprepareamanuscript instructuredformatsandclearlayoutssoundly.

Ifoundthisworkshopusefulnomatterforbeginnersorexperienced researchers since the topicsherecover almost all we need to know in performingclinic research.Therefore, Ihaveno reservation torecommend thisworkshop tomycolleagueswhohaveinterestinconductingclinicalresearch.

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QA&A News – CME/CPD Compliance

DearFriendsandColleagues,

ThismessagejustactsasaremindertoallourMembersandFellowstoobtainadequatepointsofCME/CPDwhenthereisstillabouthalfayeartothedeadlineofCME/CPDsubmission.

ToensureyoucanobtaintheCMEcertificateeveryyear,dorememberthatyouhaveobtainwith30CME/CPDpoints;andfortheQAcertificatewhichisissuedevery3years,itrequiresnolessthan60CMEpointsandatleast30CPDpoints,ina3-yearcycle.AllHKAMfellowsarerequiredtoobtainaminimumof90points,includingatleast15CPDpointsandnomorethan75CMEpoints,ina3-yearcycle.

TherearealsomanyenquiriesconcerningthewaytogainCPDpoints,thefollowingliststheexamplesofgainingCPDpointsformembers’andfellows’reference:

• ContinuousProfessionalDevelopment(CPD)Logs,allformscanbedownloadfromourwebsite(CollegeWebsite>Downloads>QualityAssurance>DownloadApplication)

I. Self-appraisalactivitiesonlectures,seminarsandworkshopsorganizedbytheBoardofEducation II. ReadingjournalarticlespublishedintheHKPractitionerorHKMedicalJournal III. EvidenceBasedPractice(EBP)reportwiththereferencetoajournalarticlepublishedintheHKPractitioner,the

HKMedicalJournal,orinanindexedorrefereedMedicalJournal IV. Practiceaudit,reviewandappraisal;includeclinicalaudit,evidence-basedmedicalprotocolandpreventivecare

audit V. Structuredlearningactivities,suchasportfolioforselflearningplan

• Activitiesrelatedtoteaching,educationaldevelopmentandresearch I. Teaching/tutoringmedicalstudentsinFamilyMedicine II. ClinicalsupervisionofvocationaltraineesinFamilyMedicine III. ActingasexaminerfortheConjointHKCFP/RACGPFellowshipExaminationorHKCFPExitExamination IV. BeingaCPRinstructororaninstructorfortheAssessmentEnhancementCourseorganizedbytheCollege V. Beingamoderatororspeaker VI. Beingachairperson/speakerofthepre-approvedsmallgroupdiscussion VII. ResearchworkrelatedtothefieldofGeneralPractice/FamilyMedicine VIII.Publishingjournalarticles,booksorthesis

• Activities related toprofessionaldevelopment, suchasdemonstrationofcompetence inFamilyMedicinebycompletingacourseofstudyandpassingtheConjointHKCFP/RACGPFellowshipExamination,SpecialtyBoardExitexamination,thebasiclifesupport(CPR)assessmentorganizedbytheCollege,diplomaexaminationsorganizedbytheCollege,passingprofessionalexamination(membership/ fellowship,etc)oracademicexamination(diploma/masterdegree,etc)relevanttoGeneralPractice/FamilyMedicine

• Activitiesrelatedtoqualitydevelopment;includingparticipatinginaqualityassuranceactivity,exercise,workshoporclinicalattachmentorganizedbytheCollege

Youmayrefertothe“TheRegulationofAwardofQualityAssurance”(Collegewebsite>QA&A>CPDOptions,atthebottomofthepage)orcontactourCollegeSecretariatMissYvonneLambyphone:28610220orbyemail:[email protected].

Thankyou.

Dr.BillyChiuChairman,QualityAssurance&AccreditationCommittee

Report on the Resuscitation Council of Hong Kong Inauguration 26th May 2012

26thMay2012marksanewchapter for theResuscitationendeavor inHongKong.InthebeautifulGrandHallofSt.JohnAmbulanceTower,theInauguralScientificMeetingcumOpeningCeremonyoftheResuscitationCouncilofHongKong(RCHK)wasofficiated.Ourcollege,HKCFPisoneofthefoundingorganizationandtheother foundingmembers includeAuxiliaryMedicalServices,CollegeofSurgeonsofHK,HKCollegeofAnaesthesiologists,HKCollegeofCardiology,HKCollegeofEmergencyMedicine,HKRedCrossandHKSt.JohnAmbulance.

Themainobjectiveof theCouncil includeadvocacy forbestpractice,education, research and development in resuscitation; of fering acollaborativeplatformforsharingandexchangeofinformation,knowledgeanddatarelatedtoresuscitationacrossdifferentorganizationsandintothecommunity;engagingpublicforresuscitationtrainingandpractice;

togetherwithrepresentingHKfornational,regionalandinternationalnetworkingandbenchmarking.

Theceremonywasjoinedby12membersofHKCFP:Dr.MaryKwongBiLok(HonorarySecretaryofResuscitationCouncil),Dr.DavidChanSzeLuen,Dr.KittyChanKitChi,Dr.BillyChiuChiFai,Dr.FrancisHoKamWai,Dr.LeoKongCheWan,Dr.AsterLauWaiYee,Dr.PeterLeeKarYun,Dr.FrancisLeeWanTsi,Dr.PaulSiuCheHung,Dr.DorothyToKitYuk,andDr.LukeTsangChiuYee,bearingwitnessesforthishistoricevent.WearealsohonoredtohaveDr.AmyChiuPuiYin(HeadofPrimaryCareOffice)tojoinourgroupphoto.

WeshalljoinhandswithRCHKinpromotingexcellenceinresuscitationacrossthemedicalprofessionandintothecommunity.

Dr. Chan Sze Luen, DavidChairman, CPR Subcommittee

(Fromlefttoright))Dr.FrancisHoKamWai,Dr.LeoKongCheWan,Dr.MaryKwongBiLok,Dr.AmyChiuPuiYin,Dr. Luke Tsang Chiu Yee, Dr. Aster Lau Wai Yee,Dr.DorothyToKitYuk,Dr.BillyChiuChiFai,Dr.DavidChanSzeLuen

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TheCouncilMember-on-duty (CMOD)systemwassetup inMarch2001and ithasbeen

runningsmoothly formore than10yearsbynow.TheCMODsystem isanalternativeand

convenientchannelofcommunication for fellowsandmembers tovoiceoutsuggestions,

queries,doubts,concernsandcommentsabout issues relating toourCollegeandFamily

Medicine.TwoCouncilmembersareon-dutytotakeuptheenquirieseverymonth.

Forthepastyears,theCMODsystemhadreceivedenquiriesandcommentsonexam,training,

QA&Aprogramme,andotheraspectsrelatedtoFamilyMedicine.Allenquirieswerehandled

immediately and selectedcasesweredirected to respectiveBoardsorCommittees for

necessaryfollow-upactions.CMODremainsasanimportantandeffectivechanneltoenhance

thecommunicationsbetweentheCollegeandourfellows&members.

TheCommitteewouldliketoexpresssinceregratitudetoallCouncilmemberswhohadacted

ason-dutymembersintherosteransweringtheenquiriesandgivingtheirinvaluableadvice.

Belowpleasefindtheno.ofenquiriesreceivedforthepast5years(2007toApril2012)foryour

information.

Year No. of enquiries received

2007 0

2008 1

2009 6

2010 1

2011 2

2012(toApril2012) 2

CMODalwayswelcomessuggestionsandhopesthatmorefellowsandmemberswouldmake

useofthissystemtovoiceouttheiropinionsandconcerns.

Dr.TonyC.K.LeeCo-ordinator,CMODSystem

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"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]"

Male Cancer and ‘Wee Wee’1

FDADrugSafetyCommunication:5-alphareductaseinhibitors(5-ARIs)mayincreasetheriskofamoreseriousformofprostatecancer.

On6thSeptember2011,theU.S.FoodandDrugAdministration(FDA)informedhealthcareprofessionalsthattheWarnings and Precautionssectionofthelabelsforthe5-alphareductaseinhibitor(5-ARI)classofdrugshasbeenrevisedtoincludenewsafetyinformationabouttheincreasedriskofdevelopinghigh-gradeprostatecancer.Thisriskappearstobelow,buthealthcareprofessionalsshouldbeawareofthissafetyinformation,andweightheknownbenefitsagainstthepotentialriskswhendecidingtostartorcontinuetreatmentwith5-ARIsinmen.

ThenewsafetyinformationisbasedonFDA’sreviewoftwolarge,randomizedcontrolledtrials—theProstateCancerPreventionTrial (PCPT)andtheReductionbyDutasterideofProstateCancerEvents(REDUCE)trial—whichevaluateddailyuseoffinasteride5mgversusplacebofor7yearsanddailyuseofdutasteride0.5mgversusplacebofor4years,respectively,forthereductionintheriskofprostatecancerinmenagedatleast50years.Thetrialsdemonstratedanoverallreductioninprostatecancerdiagnoseswithfinasteride5mganddutasteridetreatment.Thisoverallreductionwasduetoadecreasedincidenceoflowerriskformsofprostatecancer.However,bothtrialsshowedanincreasedincidenceofhigh-gradeprostatecancerwithfinasterideanddutasteridetreatment.

Drugsinthe5-ARIsclassarefinasteride(marketedasProscar(finasteride5mg)andPropecia(finasteride1mg)anddutasteride(marketedasAvodart).Dutasterideisalsoavailableincombinationwithtamsulosin,underthebrand-nameJalyn.

Proscar,Avodart,andJalynareapprovedtoimprovesymptomsofanenlargedprostategland(benignprostatichyperplasiaorBPH).ProscarandAvodartarealsoapprovedtoreducetheriskofurinaryretentionorsurgeryrelatedtoanenlargedprostate.Propeciaisapprovedtotreatmalepatternhairloss.

Theadditionalinformationforhealthcareprofessionalsisasfollows:

• Beawarethat5-ARIsmayincreasetheriskofhigh-gradeprostatecancer.• Priortoinitiatingtherapywith5-ARIs,performappropriateevaluationtoruleoutotherurologicalconditions,including

prostatecancer,thatmightmimicbenignprostatichyperplasia(BPH).• Beawarethattreatmentwith5-ARIsleadstoanapproximate50%reductionofprostate-specificantigen(PSA)by6months;

however,individualpatientsreceiving5-ARIsmayexperiencevaryingdecreasesinPSAvalues.Therefore,anyconfirmedincreaseinPSAwhileona5-ARImaysignalthepresenceofprostatecancerandshouldbeevaluated,evenifthatPSAisinthenormalrangeofmennottakinga5-ARI.

• Knowthat5-ARIsarenotapprovedforthepreventionofprostatecancer.

FinasterideLabelChanges

On11thApril2012,theU.S.FoodandDrugAdministration(FDA)announcedchangestotheprofessionallabelsforPropecia(finasteride1mg)andProscar(finasteride5mg)toexpandthelistofsexualadverseeventsreportedtoFDA,assomeoftheseeventshavebeenreportedtocontinueafterthedrugisnolongerbeingused.Erectiledysfunctionafterstoppinguseofthesedrugswasaddedasaknowneventin2011.Thenewlabelchangesinclude:

• ArevisiontothePropecialabeltoincludelibidodisorders,ejaculationdisorders,andorgasmdisordersthatcontinuedafterdiscontinuationofthedrug.

• ArevisiontotheProscarlabeltoincludedecreasedlibidothatcontinuedafterdiscontinuationofthedrug.• ArevisiontoboththePropeciaandProscarlabelstoincludeadescriptionofreportsofmaleinfertilityand/orpoorsemen

qualitythatnormalizedorimprovedafterdrugdiscontinuation.

Despitethefactthatclearcausallinksbetweenfinasteride(PropeciaandProscar)andsexualadverseeventshaveNOTbeenestablished,thecasessuggestabroaderrangeofadverseeffectsthanpreviouslyreportedinpatientstakingthesedrugs.Informationabouttheseadverseeventsmaybeimportanttoindividualpatients.Therefore,prescribersandpatientsneedtobeawareofthem,aspartofadiscussionofriskandbenefitsoffinasteridewhendeterminingthebesttreatmentoptions.

Proscar(finasteride5mg)andPropecia(finasteride1mg)bothcontaintheactiveingredientfinasterideandbelongtoaclassofprescriptionmedicinescalled5alpha-reductaseinhibitors.

Proscar(finasteride5mg)wasapprovedbyFDAin1992andisindicatedforthetreatmentofbothersomesymptomsinmenwithbenignprostatichyperplasia(BPH).ItisalsoapprovedtoreducetheriskofurinaryretentionortheneedforsurgeryrelatedtoBPH.

Propecia(finasteride1mg)wasapprovedbyFDAin1997foruseinmalesonlyandisindicatedforthetreatmentofmalepatternhairloss.

FDAbelievesthatfinasterideremainsasafeandeffectivedrugforitsapprovedindications.Healthcareprofessionalsandpatientsshouldconsiderthisnewlabelinformationwhendecidingthebesttreatmentoption.

References:1. FDADrugSafetyCommunication:5-alphareductaseinhibitors(5-ARIs)mayincreasetheriskofamoreseriousformofprostatecancer.U.S.Food

andDrugAdministration,www.fda.gov.(accessed6Sep2011)2. QuestionsandAnswers:FinasterideLabelChanges.U.S.FoodandDrugAdministration,www.fda.gov.(accessed11April2012)

Compiled by Dr. Ho Ka Ming

Male Sex, Beauty and ‘Wee wee’2

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Training Course on Practice Management

Introduction:

Practicemanagement isvery important toanypracticingdoctors irrespectiveofwhetheryouarepracticing inpublicorprivatesetting.ItisoneofthequalityassuranceaccrediteditemandanareatoassessaFamilyMedicinespecialist'scompetency.Masteringsuchknowledgeandskillcanpreventtheforeseeablemedicalandlegalrisksandfacilitateourdailypracticemoreeffectivelyandefficaciously.

Dates : 22July(Sunday),28July(Saturday),18August(Saturday)&25August(Saturday),2012

Time : 2:30p.m.–4:30p.m.

Venue : 8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HK.

CME / CPD Points : HKCFP:2CMEpointsforeachsession(Cat4.3)

MCHK:2CMEpointsforeachsession

Language : MainlyEnglish(Cantonesewhenrequired)

Lecture 1) Physical Setting and Insurance (2 hours)Date : 22July2012(Sunday)Speaker : Dr.FooKamSo,StephenChairman : Dr.HungWaiYin,WinsonContents : Rules&regulationsrelatedtosettingupaclinic (MedicalCouncil requirement&InlandRevenue

Departmentrequirement);Office,nurseanddoctor’s insuranceandindemnity(LabourDepartmentrequirement&roleofMedicalProtectionSocietyinprofessionalsupportandindemnityfordoctors);Generalclinicdesign(reception/staff,consultationroom,dispensary,waitingroom,medicalrecordetc)withconsiderationgiventopatientprivacyandstaffsafety;Diagnosticequipment&varioustreatmentfacilities;Protocol&emergencycareinGPsettingincludingBLS,resuscitationequipment.

Lecture 2) Management of Pharmacy, Dispensary and Dangerous Drug (2 hours)Date : 28July2012(Saturday)Speaker : Dr.ChanChungYuk,AlvinChairman : Dr.TamChungYin,JanetContents : Dangerousdrugordinancerecord,storageanddestruction;Druglabelingcriteria(safeprescribing

andproperdispensing);Medicineandvaccinationstock&storage;Howtoorganizeandmanagethedispensary;Nursetrainingtoavoidmishap;RiskmanagementandIncidencereport.

Lecture 3) Effective Clinic Operation & ManagementDate : 18August2012(Saturday)Speaker : ProfessorLiKwokTung,DonaldChairman : Dr.KennyKungContents : Staff recruitment, jobdescriptionand training (importanceofChaperone; regularmeeting);

Confidentialityandprivacyordinance(accountingsystem,security,backup,passwordsetc.);Medicalrecord(computer&manualsystem), importanceofdocumentation inmedicalrecord,sick leave,medical report,consentprocess; Investigation, laboratory test filling,callbacksystem, referralsystem;Age/sexregister,diseaseregister,developingprotocols (operationalmanualsforallstaff),qualificationassurance,clinicalaudit,research&teachinginGPsetting.

Lecture 4) Infection Control and Occupational SafetyDate : 25August2012(Saturday)Speaker : Dr.NgMingShingChairman : Dr.LamTakMan,CatherineContents : Infectioncontrolmeasures inclinic (ventilation, fevercohort,PPE&handhygiene);Common

disinfectedandsterilizationitemsandprocedure;Medicalwastemanagement;OccupationSafetyandHealth(OSH);Infectiousdiseasereport.

Course Fee : Members: HK$1,200 (full course) HK$500 (spot admission for each lecture)

Award : Candidates,whohavesuccessfullycompleted4lectures,willbeissuedalettertocertifyofattendancewiththenameofthecandidatebyBoardofEducation,HKCFP.

Registration will be first come first served. For registration or any enquiry, please call the College secretariat, Mr. Marco Cheng at 2861 0220. All cheques are payable to “HKCFP Education Ltd”. Please mail the cheque to 8/F, Duke of Windsor Social Services Building, 15 Hennessy Road, Wanchai, H.K. All fees received are non-refundable and non-transferable.

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Training Course of Research & Biostatistics for Medical Professionals

Objectives: • Introduction on different schemes of study designs • Elaborate on different common biostatistics used in clinical practice • Critically appraising research articles and apply the useful findings in our patient care• Enhance our interest and ability to clinical research in primary care

Dates : 8Sept,16Sept,22Sept&7Oct,2012(Saturdays&Sundays)

Time : 2:00p.m.–5:00p.m.

Venue : CouncilChamber,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,H.K.

Target group : Primarycareprofessionalswhoare interested inattaining thebasic researchskillandlearningmoreonbiostatistics

Course Fee : Members–HK$1,200forwholecourse(HK$500foreachspotadmission)

Non-members–HK$2,400forwholecourse($800foreachspotadmission)

(Allchequespayableto“HKCFPEducationLtd”.Allfeesreceivedarenon-refundableandnon-transferable).

CME/ CPD Points : HKCFP:3CMEpointsforeachsession(Cat4.4) MCHK:3CMEpointsforeachsession

Award : Thosewhohaveattended75%ormoreofallthesessionswillbeawardeda“CertificateofAttendance”.

Capacity : 30doctors

Programme Schedule

Dates Topics Speakers Moderators

8Sept(Sat) -Introductiontomedicalresearch-Researchgovernanceandethics-Typesofresearch-Observationsstudies:casecontrolstudy,survey,cohortstudy-Interventionalstudies,randomizedcontroltrial(RCT)

Dr.ChinWengYee Dr.CheungKwokLeung

16Sept(Sun) -Basicprincipleofformulatingaresearchquestion-Hypothesissetting-Usingandsettingquestionnairesinresearch-Datacollectionandentry:caretobetakenof

Prof.WongYeungShan,Samuel

Dr.FuSauNga

22Sept(Sat) -Calculationofsamplesize-Samplingmethod:randomization,simplesampling,stratifiedsampling-Classificationofdata-Descriptivestatistics-Significancetests-Interpretationofconfidenceinterval,p-value,relativerisk,oddratio,riskreduction-Introductiontocommonstatisticalsoftware

Dr.WongKaiChoi Dr.ChanManLi

7Oct(Sun) -Literaturereviewforresearch-Writinguparesearchprotocol/proposal-Writinguparesearchreport-Publishingyourresearchfinding

Prof.WongChiSang,Martin

Dr.ChanChiWai,Edmond

REPLY SLIP

To: HKCFP,Room802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,H.K.

Iama*Member / Non-memberofTheHongKongCollegeofFamilyPhysicians.(*Please delete as appropriate)

Iwouldliketoattend“TrainingCourseofResearch&BiostatisticsforMedicalProfessionals”.

Name:____________________________________________Tel:___________________________Date:_______________________

Email:_________________________________________________________________________________________________________

*** Registration will be first come first served. For any enquiry, please call the College secretariat, Mr. Marco Cheng at 2861 0220. ***

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4 July 2012 Wednesday

Flu & Pneumococcal Vaccination1.PneumococcalVaccinationoftheElderlyinthe21stCentury

Prof. David FedsonM.D.

2.NewOptionsforInfluenzaVaccinationDr. Hung Fan Ngai, Ivan

Specialist in Gastroenterology and Infectious Diseases, M.D.

Chairman Dr.AuYeungShiuHingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:00p.m.BuffetLunch2:00p.m.–3:00p.m.Lecture3:00p.m.–3:15p.m.Discussion

Venue JadeBallroom,2/F,EatonHotel,380NathanRoad,Jordan,Kowloon

AdmissionFee MembersNon–membersHKAMRegistrants

FreeHK$450.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

Accreditation 2CMEpointsHKCFP(Cat.4.3)2CMEpointsMCHKUpto2CPDpoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language LecturewillbeconductedinEnglish.

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

Sponsoredbysanofi-aventis Hong Kong Ltd.

7 July 2012 Saturday

Board of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Theme Psoriasis and Related Diseases

Speaker Dr.DrYeungChiKeungSpecialistinDermatology

Co-ordinator&Chairman

Dr.WongNaiMingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:00p.m.Lunch2:00p.m.–3:15p.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.

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

SponsoredbyGalderma Hong Kong Limited

Monthly Video Viewing SessionMonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

June’s session:

Date 29June2012(Friday)

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

Topics 1. The Role of Family Physicians in Liver Transplant – Dr. Tsoi Wai Wang, Gene2. Liver Transplantation – Prof. S. T. Fan

Admission FreeforMembers

Accreditation 1CMEpointHKCFP(Cat.4.2)1CMEpointMCHKUpto2CPDpoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language Lectureswillbeconductedin1.Cantoneseand2.English.

July’s session:

Date 27July2012(Friday)

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

Topic Skin Diseases of the Hands & Feet– Dr. Lee Tze Yuen

Admission FreeforMembers

Accreditation 1CMEpointHKCFP(Cat.4.2)1CMEpointMCHKUpto2CPDpoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language LecturewillbeconductedinCantonese.

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Structured Education ProgrammesFreetomembersHKCFPCMEpointsaccreditation(Cat4.3)

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

27 Jun 12 (Wed)

2:15–4:45p.m.3CMEpoints

E1034AB,1/F,MainBlock,TuenMunHospital

Orthopaediatic EmergencyDr.ChengChuiChing

Ms.ElizaChanTel:24686813

2:15–5:15p.m.3CMEpoints

Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Evidence Based MedicineDr.FuSiuSaap&Dr.KwanSzeSing

Ms.CordyWongTel:35133087

5:15–7:15p.m.2CMEpoints

LectureTheatre,5/F,TsanYukHospital Drug Incidents in GOPCDr.TseungKwanHang

Ms.ManChanTel:25892337

28 Jun 12 (Thur)

2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital Prostate Problems (video viewing)Dr.LamKinMan

Ms.CordyWongTel:35133087

4:00–6:00p.m.2CMEpoints

Room614,AmbulatoryCareCentre,TuenMunHospital

Experience Sharing on the Process of Medical and Psychological Care, and Outcome of DM in a Family Medicine Specialist ClinicDr.ChuTsunKit

Ms.ElizaChanTel:24686813

5:00–7:00p.m.2CMEpoints

Room41,2/F,PamelaYoudeNethersoleEasternHospital

Health Care Reforms in Hong Kong – Why is it necessary?Dr.ChuWaiSing,Daniel

Ms.KwongTel:25956941

04 Jul 12 (Wed)

2:15–4:45p.m.3CMEpoints

E1034AB,1/F,MainBlock,TuenMunHospital

Principles of Family MedicineDr.LiShunHoi

Ms.ElizaChanTel:24686813

2:15–5:15p.m.3CMEpoints

Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Family Life Cycle and Patient’s Illness BehaviourDr.ChanFuLeung&Dr.TsuiHiuFa

Ms.CordyWongTel:35133087

5:15–7:15p.m.2CMEpoints

LectureTheatre,5/F,TsanYukHospital Problem Solving/Diagnostic SkillsDr.DavidCheung

Ms.ManChanTel:25892337

05 Jul 12 (Thur)

2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital Family Life Cycle and Patient’s Illness BehaviourDr.YuenMingWai&Dr.ChanKamSum

Ms.CordyWongTel:35133087

4:00–6:00p.m.2CMEpoints

Room614,AmbulatoryCareCentre,TuenMunHospital

Collaboration of Family Medicine with Other SpecialtiesDr.HoChungYu

Ms.ElizaChanTel:24686813

5:00–7:00p.m.2CMEpoints

Room41,2/F,PamelaYoudeNethersoleEasternHospital

Update on Pneumococcal Infection & VaccinationDr.TseungChiHang

Ms.KwongTel:25956941

11 Jul 12 (Wed)

2:15–4:45p.m.3CMEpoints

E1034AB,1/F,MainBlock,TuenMunHospital

FM Curriculum and TrainingDr.WongChunFai

Ms.ElizaChanTel:24686813

2:15–5:15p.m.3CMEpoints

Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Communication Skills and Doctor-patient RelationshipDr.LeeHungFai&Dr.LeungSzeMun

Ms.CordyWongTel:35133087

5:00–7:30p.m.3CMEpoints

LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Introduction to Family MedicineDr.CheungYu

Ms.CrystalLawTel:26323480

5:15–7:15p.m.2CMEpoints

LectureTheatre,5/F,TsanYukHospital Introduce IMHP – Model of Case ManagerDr.CharlesNgai

Ms.ManChanTel:25892337

12 Jul 12 (Thur)

2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital Communication Skills and Doctor-patient RelationshipDr.CheungYanKit&Dr.FanWingChi

Ms.CordyWongTel:35133087

4:00–6:00p.m.2CMEpoints

Room614,AmbulatoryCareCentre,TuenMunHospital

Vaccination UpdateDr.KwanShuTo

Ms.ElizaChanTel:24686813

5:00–7:00p.m.2CMEpoints

Room41,2/F,PamelaYoudeNethersoleEasternHospital

Nurse Led Clinic – Diabetes ClinicDr.LeungTsiMei

Ms.KwongTel:25956941

18 Jul 12 (Wed)

2:15–4:45p.m.3CMEpoints

E1034AB,1/F,MainBlock,TuenMunHospital

Prospects & Working Opportunities of Family Medicine TraineesDr.HoTzeBun

Ms.ElizaChanTel:24686813

2:15–5:15p.m.3CMEpoints

Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

ICPC CodingDr.FungHoiTik

Ms.CordyWongTel:35133087

5:15–7:15p.m.2CMEpoints

LectureTheatre,5/F,TsanYukHospital Management of Common ENT Diseases in OPD SettingDr.LeonNgai

Ms.ManChanTel:25892337

19 Jul 12 (Thur)

2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital ICPC CodingDr.LaiKitPing

Ms.CordyWongTel:35133087

4:00–6:00p.m.2CMEpoints

Room614,AmbulatoryCareCentre,TuenMunHospital

Atrial FibrillationDr.SzeLungYam

Ms.ElizaChanTel:24686813

5:00–7:00p.m.2CMEpoints

Room41,2/F,PamelaYoudeNethersoleEasternHospital

Setting up of an Occupational Health CentreDr.WongMongSze

Ms.KwongTel:25956941

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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2:30 – 5:30 p.m.ConjointInformationSeminaronOSCESegmentforCandidates

25 26 27

2:15 – 7:15 p.m. StructuredEducationProgramme9:00 p.m.PostAEC2012

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2:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.BoardofConjointExaminationMeeting

29

2:30 – 3:30 p.m.BoardofEducation-VideoSession

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2:00 – 4:00 p.m.TrainingCourseonPracticeManagement

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1:00 – 3:15 p.m.CMELunchSymposiumLecture2:15 – 7:15 p.m. StructuredEducationProgramme9:00 p.m.PostAEC2012

5

2:15 – 7:00 p.m. StructuredEducationProgramme

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1:00 – 3:15 p.m.InterestGroupinDermatology

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3:00 – 6 :00 p.m.Conjoint2012FirstExaminersTrainingWorkshop

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2:15 – 7:30 p.m. StructuredEducationProgramme9:00 p.m.PostAEC2012

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2:30 – 4:30 p.m.TrainingCourseonCounselinginFamilyMedicine

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9:00 p.m.BoardofEducationMeeting

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2:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.CouncilMeeting

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2:30 – 5:30 p.m.AECCourse

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2:30 – 4:30 p.m.TrainingCourseonPracticeManagement

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9:00 p.m.PostAEC2012

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9:00 p.m.BoardofConjointExaminationMeeting

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2:30 – 3:30 p.m.BoardofEducation-VideoSession

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2:00 – 4:00 p.m.TrainingCourseonPracticeManagement2012

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Red :EducationProgrammesbyBoardofEducation

Green :Community&StructuredEducationProgrammes

Purple :CollegeActivities

“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”Contact and Advertisement EnquiryMs.CarmenChengTel:25286618Fax:28660616E-mail:[email protected],HKAMJockeyClubBuilding,99WongChukHangRoad,HongKong

BackRow(left toright):Dr.ChungChakCheong,Dr.SzeHonHo,Dr.HoKaMing,Dr.AlfredKwong,Dr.SinMingChuen,Dr.ChanManLiFrontRow (left to right):Dr. JudyCheng,Ms.CarmenCheng,Dr.WendyTsui,Dr.CatherineNg,Dr.HeidiFung

Dr.AlvinChanDr.ChanManLiDr.ChanTingBongDr.JudyChengDr.ChungChakCheongDr.AnitaFanDr.FungHoiTik,HeidiDr.HoKaMingDr.AlfredKwongDr.DorothyLawDr.MariaLeungDr.NgaiKaHoDr.SinMingChuenDr.SzeHonHoDr.WongYuFaiDr.WongYuShing,Lawrence

Chief Editor :Dr.CatherineNg

Deputy Editors: Prof.MartinWong

Dr.NatalieYuen

Board Advisor :Dr.WendyTsui

Board Members :

FP LINKS EDITORIAL BOARD 2012

Section Coordinator (Oasis)Section Coordinator (Feature / Trainee Column)

Section Coordinator (After Hours)

Section Coordinator (WONCA Express)

Section Coordinator (Photo Gallery)

Section Coordinator (News Corner)

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