message from the president college of family physicians links

Message from the President

Issue 142December 2015

Family Physicians

Links

1

INSIDE THIS ISSUE

THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

01 MessagefromthePresident

02 CollegeNews:

02 MessagefromthePresident(cont.),CouncilSection

03 CMOD,QA&ACommitteeNews

04 MembershipCommitteeNews

05 BoardofConjointExaminationNews,ClassifiedAdvertisement

06 MeetingHighlights

08 Feature:OldandNewLooksofGOPC–KowloonEastClusterKwunTongJockeyClubGeneralOutpatientClinicandKwunTongCommunityHealthCentre

10 NewsCorner:TheHiddenDiabeticPatients

11 BoardofEducationNews

16 CollegeCalendar

(Continued on page 2)

Novemberhasbeenanotherbusymonth.

HKCFP was one the three Colleges under HKAM being invited toparticipateintheacademicexchangesymposiumentitled“InnovationsinResidencyTraining in theUniversityofChicagoandHongKong”whichwasco-hostedbytheHongKongAcademyofMedicineandtheUniversityofChicago.ThesymposiumwasheldattheHKAMbuildingonMonday2November,2015andtheparticipantswerespiltintothreegroupswiththreespecialtyCollegesas facilitators:FamilyPhysicians,Surgeons,andPhysicians.

Group photo- "Innovations in Residency Training in the US and Hong Kong"Symposiumon2November2015

OurCollegewasrepresentedbyDr.RubyLeeandDr.WilliamWongasspeakersandDr.DavidChaoasthefacilitatorforthesession“InnovationsinFamilyMedicine/GeneralPracticeResidencyProgrammes”togetherwithspeakersfromUniversityofChicago,namelyDr.MariEganandDr.MarkPotter.BoththeHKCFPandtheUniversityofChicagopresentedthecharacteristics,commonalitiesanddifferencesoftheirFamilyMedicinetrainingprogrammesandexchangedviewsonthefuturedirectionsoftrainingstructureandcontents.OtherColleges likePaediatriciansandEmergencyMedicine joinedthissubgroupfordiscussiontoenhancetheir trainingprogrammes. Itwasaveryenlighteningexperience tosharewithalltheparticipantsofthesymposium.Icancategoricallysayourtrainingisamongstthebestintheworld!

HKAMhostedalecturedeliveredbyDr.AtulGawande,MD,MPH,whoisarenownedauthor,surgeonandpublichealthresearcherfromtheU.S.,titled"BeingMortal:MedicineandWhatMatters intheEnd"on12thNovember2015.Dr.Gawandebeganhislecturebysharinghispersonalexperienceforendoflifecare.Herecognizedthatwell-beingformostpeopleislargerthanmeresurvival.

His humanistic approach in end of life care is in fact an excellentreflection of what we have always aspired to in Family Medicine:quintessential patient-centred care. I am surprised to learn 50%ofAmericanspassedaway indignity inhospicesasa resultof theObamacare.HongKonghasa long longway togo. In fact, familydoctorsinothercountriescontributesubstantiallyinendoflifecareandsomeareevenheadofhospices.Dr.Gawandehasawebsitededicatedto themedicalcommunity, theAriadneLabs (www.ariadnelabs.org)

COLLEGE NEWS

2

HKCFP Council meeting annual attendance summary (from December 2014 to November 2015)

Council Section

TheCollegeCouncildecidedintherecentCouncilMeetingtopublishtheannualaccumulativeCouncilMeetingattendanceofCouncilmembersformembers’informationandreference

Council Members Position Term Attended

1 Dr.AngusMWCHAN President December2014-December2016 11/11

2 Dr.LAUHoLim Vice-President(GeneralAffairs) December2013-December2015 10/11

3 Dr.DavidVKCHAOVice-President(EducationandExaminations)

December2014-December2016 10/11

4 Dr.BillyCFCHIU HonorarySecretary December2014-December2016 11/11

5 Dr.YUENShiuMan HonoraryTreasurer December2014-December2016 6/11

6 Dr.RubySYLEE ImmediatePastPresident December2014-December2016 6/11

7 Dr.AUChiLap Member December2012-December2015 10/11

8 Dr.AlvinCYCHAN Member December2013-December2016 10/11

9 Dr.CHANHungChiu Member December2012-December2015 9/11

10 Dr.CHANKinLing Member December2014-December2017 4/11

11 Dr.MarkSHCHAN Member December2012-December2015 10/11

12 Dr.CHANWingYan Member December2014-December2017 10/11

13 Dr.DanielWSCHU Member December2014-December2017 4/11

14 Dr.MaryBLKWONG Member December2013-December2016 8/11

15 Dr.TonyCKLEE Member December2013-December2016 2/11

16 Dr.LornaVNG Member December2014-December2017 5/11

17 Dr.NGANPoLun Member December2014-December2017 7/11

18 Dr.GeneWWTSOI Member(Co-opt) December2014-December2015 3/11

19 Dr.WendyWSTSUI Member December2013-December2016 7/11

20 Dr.WilliamCWWONG Member December2012-December2015 6/11

(Continued from page 1)

Message from the Presidentanditcontainslotsofprofessionalmaterialrelatedtoendof lifecare. Ifyouhavetime,please lookupthe"Serious IllnessConversationGuide". Itapplieswellwhenwe facepatientswithserious life threateningdisease.

At theendof themonth,HKCFPsentadelegationto at tend the inauguration of the Cross- StraitMedicineExchangeAssociationCooperationCentrein Chongqing, China. The delegation was led byDr. Donald Li, Dr. Lau Ho Lim, Dr. Gene Tsoi, Dr.DanielChu,Dr.DanaLo,Dr.JennyWangand Ihadcontributedtodeliver lecturesandworkshopsatthismeeting.TheMainlandnewhealthcarepolicyhasputa lotofemphasisonprimarycareand intendstotrainanextra150,000primarycaredoctorswithinthenextfiveyears.This isacolossaltaskbeyondourimagination!TherewillbemoreexchangesbetweenHongKongandtheMainlandintheyearstocome.

Onbehalfof theCollege, IwisheveryoneawarmWinterSolstice,MerryChristmasandaveryHappyNewYear!

Fromlefttoright:Dr.DanielChu,Dr.LauHoLim,Dr.DonaldLi,Dr.AngusChan,Dr.GeneTsoi,Dr.JennyWangandDr.DanaLo

COLLEGE NEWS

3

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

From15thDecember2015to14thJanuary2016,Dr.SimonAuandDr.LorettaChanwillbetheCouncilMembers-On-Duty.Pleasefeelfreetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsonanythingrelatedtoourCollegeandFamilyMedicine.YoucanreachusbycontactingtheCollegeSecretariatbyphone:28718899,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyoudirectlyassoonaswecan.

Dr.TonyC.K.LeeCo-ordinator,CMODSystem

Dr.SimonAu Dr.LorettaChan

“Council Member-On-Duty” (CMOD) System

HKCFP Additional & CME Accreditation for year 2015Application deadline: 29 February 2016DearMembers,

Thecreditpointscoreof2015QA&AProgrammeisgoingtobefinalizedattheendofyear2015.PleasekindlylogintotheCollegewebsitehttp://www.hkcfp.org.hk/tocheckyourlatestCME/CPDreport.

TheapplicationforAdditionalAccreditationand/orCME/CPDpointsmissingforJanuarytoDecember2015isnowopen.Pleasesubmitthefollowingapplication(s)totheSecretariatbeforetheapplicationdeadline:

1. Additional Accreditation This isonlyforactivitieswhichhad NOT been accreditedbyQA&ACommitteebeforeactivitiesstarted.

Youareadvisedtosubmitthe“ApplicationformforAdditionalAccreditation”with$300administrationfeemadepayableto“HKCFPEducationLtd.”Supportingdocumentssuchasattendancerecord,photocopiesofevents,transcriptsorpublishedarticlesarerequired.

2. Report on CME/CPD points missing This isonly foractivitieswhichhad been pre-accreditedbyQA&ACommitteebeforeactivitiesstarted.

If thecreditpointsaremissingfromyourcreditpointscorereport,pleasefill inthe“ApplicationformforCME/CPDAccreditationofPre-accreditedactivity”.Supportingdocumentssuchasattendancerecord,photocopiesofevents,transcriptsorpublishedarticlesarerequired.

Application Forms are available at the College websitehttp://www.hkcfp.org.hkQualityAssurance&AccreditationCMEAccreditation(1)ApplicationformforAdditionalAccreditation(inPDFformatorWordformat).(2)ApplicationformforCMEAccreditation(inPDFformatorWordformat).

Youareadvisedtosubmitthecompletedapplication(s)beforetheapplicationdeadline:- byPost:TheHongKongCollegeofFamilyPhysicians,Rm803-4,HKAMJockeyClubBuilding,99WongChuk

HangRoad,Aberdeen;OR- byEmail:[email protected];OR- byFax:(852)28660616

LatesubmissionwillNOTbeconsidered.

TheapplicationresultsaresubjecttothefinaldecisionoftheQA&ACommittee.ShouldyouhaveanyquestiononCME/CPD,pleasecontactMs.WingYeungorMs.CarmenTongatat28718899.

Thankyouverymuchforyoursupport.

Dr.KingChanChairmanQA&ACommittee

QA & A Committee News

COLLEGE NEWS

4

New!!

Giving you the whole picture of the module at a glance

TheCouncilapproved,onrecommendationof theChairladyof theMembershipCommittee, thefollowingapplicationsformembershipinOct – Nov 2015:

Membership Committee News

Associate Membership (New Application)Dr CHAN Kiu Pak 陳翹百Dr LEE Wing Lam 李詠琳

Fellowship (Reinstatement)Dr YEUNG Fun Na 楊芬妮

Resignation from Associate MembershipDr LAI Yuet Ting 賴悅婷

Resignation from Alliliate Membership Dr HENDERSON Cassandra

Suspension from Alliliate Membership Ms LAU Wai Kee, Vicky 劉慧祺Ms LAU Wai King 劉慧琼Ms TONG Pui Wai 唐佩慈

Suspension from Associate Membership Dr CHENG Chi Man 鄭志文Dr CHENG Chui Ching 鄭翠菁Dr CHENG Suen Bun 鄭璿斌Dr CHEUNG Ka Wai, Karen 張家慧Dr FAN Wing Chi 范穎芝Dr FONG Yeuk Yee Maggie 方若怡Dr FUNG To Wa 馮杜華Dr HO Chu Sek 何柱石Dr KAM Ka Lok 甘家樂Dr KWA Carina 柯嘉明Dr KWONG Chi Ho 鄺智豪Dr LAI Chor Yat 黎初一Dr LAI Ming Yuet 賴明月Dr LAI Pui Hung 黎沛雄Dr LAM Hiu Tan 林曉丹Dr LAW Siu Hang 羅肇衡Dr LEUNG Hung Cho 梁雄初Dr LEUNG Siu Kau 梁紹裘Dr LI Lai Ming Helen 李麗明Dr LIEW Ket Vui, Edmund 劉國偉Dr LO Chi Kin 羅子健Dr NG Hoi Yan, Alexandra 吳凱恩Dr NG Kwok Chuen, Bradford 吳國銓Dr SIT Sin Fan, Cynthia 薛倩芬Dr SO Mei Kuen 蘇鎂涓Dr TAI Chun Chung 戴俊聰Dr TANG Sai Kit, Bernard 鄧世傑Dr THIN Kyi 陳自健Dr WAT Ming Sun, Nelson 屈銘伸Dr WONG Chin Pang 王展鵬Dr WONG Ling Ngan, Anna 黃凌雁Dr WONG Sean Man, Natalie 黃善敏Dr WONG Wing Yu 王穎瑜Dr WOO Chung Ming 胡仲明Dr YAN Ka Shing 甄嘉勝Dr YU Ho Ming, Andy 余浩明

Suspension from FellowshipDr BARNETT Rosemary Anne Dr CHAN Yu Sang, Dickson 陳雨生Dr HA Kwok Leung 夏國樑Dr WAT Pui Kwan, Judy 屈姵君

Suspension from Full MembershipDr CHOO Kwong Yin 朱廣仁

Suspension from Non-HKSAR FellowshipDr CHAN Kwok Tat 陳國達Dr FUNG Siauw Chin, Susan 馮小勤

Suspension Non-HKSAR MembershipDr CHEANG Fong I 鄭鳳怡Dr FERNANDO Elizabeth Dr KING Benedict 金沛仁Dr LEONG Weng Kun 梁永權Dr LI Mujun 李慕軍

Suspension from Student MembershipMs LAM Luk Ping 林菉萍

COLLEGE NEWS

5

Board of Conjoint Examination News

TheBoardofConjointExamination ispleased toannounce that the followingcandidatespassed the29thConjointHKCFP/RACGPFellowshipExamination(ClinicalSegment)2015.

Heartfelt Thanks to Case-writers

TheBoardofConjointExaminationwouldalsoliketotakethisopportunitytothankthefollowingexaminersparticipatingincasewritinginvarioussegmentsoftheConjointExaminationthisyear.TheircontributionsurelywidenedthequestionbankaswellasmaintainingthehighstandardsoftheFellowshipExamination.

Congratulationstoyouall.

Dr. Peter CY Lee Best Candidate Award

TheBoardofConjointExaminationispleasedtoannouncethatDr.KwanSinMan,whopassedtheConjointExaminationatonesettingandachievedthebestperformance,willbeawardedtheDr.PeterCYLeeBestCandidateAward2015.

CongratulationstoDr.Kwan.

Dr.ChanHungChiuChairmanBoardofConjointExamination

Dr.BienTseFangBarryDr.ChanKaLokCarrollDr.ChanSuenHoMarkDr.ChanWanYeeWinnieDr.ChanWingYanLorettaDr.ChanYinHangEdwinDr.ChaoVaiKiongDavidDr.MichaelChengDr.CheungHardKingDr.ChuiSiuHangBillyDr.HoKaMing

Dr.IpPangFeiDr.KennyKungDr.LamTakManCatherineDr.LauHoLimDr.LauKamTongDr.LauKinSangKinsonDr.LeeChunKitTonyDr.LeeWanTsiFrancisDr.LeungKwanWaMariaDr.NgChingLuenDr.NgMeiPo

Dr.SinKaLingDr.SiuPuiYiDr.SoChingYeeGloriaDr.TamHoShanDr.TsimKoonLanDr.TsoiLaiToSammyDr.TsuiKwokBiuDr.WongChakTongDr.WuTszYuenDr.YeungWaiManDr.YuSzeKaiFrances

Thanksagainfortheircontributionandcontinualsupportthroughouttheseyears.

Dr.ChanKamSumDr.ChowTszLingDr.ChuiManDr.ChungSzeTingDr.DaoManChiDr.IongKaIDr.KamTingTing

Dr.KwanSinManDr.KwongSheungLiDr.LamYingYingDr.LauSekFungSpikeDr.LeeSumDr.LeungLokHangDr.MakWingHang

Dr.MokKaYeeDr.NgWaiTongDr.OrKaYanDr.ShumChiShanWinnieDr.SzeSiuLamDr.TseTakKeiDr.TsuiHiuFa

Dr.WongHiuLap

Dr.YeungLamFung

Dr.YeungYeeMei

Dr.YuenMingWai

Dr.TingSzeMan

Dr.WuChunYu

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FamilyMedicineSpecialistrequired.PrimaryHealthcareMedicalgroup,ISO&ACHSaccredited,seeksfamilydoctortoworkinanaccreditedtrainingpractice.pleaseemailcvwithcontactdetailstolinda@otandp.com

COLLEGE NEWS

6

Meeting Highlights

Interest Group in Dermatology

CME Lecture on 1 November 2015


Interest Group in EBMCME Lecture on 12 November 2015


Dr.PaulSiu(right,Moderator)presentingasouvenirtoDr.TamYatCheung(left,Speaker)duringthelectureon7November2015

Dr.ChanSzeLuen,David(right,Moderator)presentingasouvenirtoDr.SiuYuetChung,Axel(left,Speaker)duringthelectureon1November2015

Dr.LeeWanTsi,Francis(right,Moderator)andDr.KwongBiLok,Mary(left,Councilmember)presentingasouvenirtoDr.LoManWai(middle,Speaker)duringthelectureon5November2015

Dr.LeeWanTsi,Francis(3rdfromtheright,SpeakerandModerator)presentingsouvenirstoDr.ChanSuenHo,Mark(3rdfromtheleft,Tutor),Dr.LauKinSang,Kinson(2ndfromtheleft,Tutor),Dr.LauWaiYee,Aster(2ndfromtheright,Tutor),Dr.KoSiuHin(1stfromtheright,Tutor)andDr.HuiLaiChi,Primus(1stfromtheleft,Tutor)duringthelectureon14November2015

Dr.TsuiHingSing,Robert(left,Moderator)andDr.KwongBiLok,Mary(right,Councilmember)presentingasouvenirtoProf.MichaelNauck(middle,Speaker)duringthelectureon12November2015

Dr.ChanChungYuk,Alvin(right,Moderator)andDr.KwongBiLok,Mary(left,Councilmember)presentingasouvenirtoDr.MingKengTeoh(middle,Speaker)duringthelectureon27November2015

Dr.ChanChungYuk,Alvin(right,Moderator)andDr.KwongBiLok,Mary(left,Councilmember)presentingasouvenirtoMs.JaimeLam(middle,Speaker)duringthelectureon27November2015

Dr.ChanChungYuk,Alvin(right,Moderator)andDr.KwongBiLok,Mary(left,Councilmember)presentingasouvenirtoDr.AlisonMetcalfe(middle,Discussant)duringthelectureon27November2015

Dr.TamYatCheung,SpecialistinPaediatrics,deliveredalectureon“AtopicDermatitisinInfants:PreventionandManagement.”on7November2015.

Dr.SiuYuetChung,Axel,Specialist inEmergencyMedicine,Consultant,A&EDepartment,NorthDistrictHospital,deliveredalectureon“What’sNewin2015ILCORInternationalResuscitationGuideline?”on1November2015.

Dr. Lo Man Wai, Specialist inNeurology,deliveredalectureon“ANewApproachforTreatingElderlyPatientSufferingfromPost-HerpeticNeuralgia”on5November2015.

Dr.LeeWanTsi,Francis,Co-ordinatorof InterestGroup inEBM,deliveredalectureon“HowEvidenceBasedMedicineHelpsYoutoDealwithDifficultPatients”on14November2015.

Prof. Michael Nauck, Head of theDiabeteszentrumBadLauterberg,Harz,Germany,deliveredalectureon“AdvanceTreatmentofT2DMManagement–BeyondHbA1cControl”on12November2015.

OurCollegeco-organizedwiththeMedicalProtectionSocietya lecturewiththethemeof“MPS–HKCFPMedicolegalSeminaronTakingValidConsent–WhatItTakes”.Itwasheldon27November2015.Ms.JaimeLam,Partner,MayerBrownJSM,deliveredalectureon“RecentDevelopmentsandMontgomery-ImpactonHKCases?”andDr.MingKengTeoh,HeadofMedicalServices(Asia),MedicalProtectionSociety,deliveredalectureon“SharedDecisionMaking”.Moreover,Dr.AlisonMetcalfe,HeadofMedicalServices,MedicalProtectionSociety,togetherwithMs.JamieLamandDr.MingKengTeohdeliveredthecasescenariosanddiscussion.

COLLEGE NEWS

7

Annual Refresher Course 2015

Dr.AsterLau(right,Moderator)presentingasouvenirtoDr.HesterCheung(left,Speaker)duringthelectureon22November2015

Dr.TsuiHingSing,Robert(left,Moderator)andDr.FooKamSo,Stephen(right,Censor)presentingasouvenirtoProf.StephanJacob(middle,Speaker)duringthelectureon24November2015

Dr.AuYeungShiuHing(left,Moderator)presentingasouvenirtoDr.WongManLok(right,Speaker)duringthelectureon26November2015

Dr.KwongBiLok,Mary(right,Councilmember)presentingasouvenirtoDr.ChanChiKin(left,Speaker)duringthelectureon29November2015

Dr.KwongBiLok,Mary(right,Councilmember)presentingasouvenirtoDr.HungYuTak(left,Speaker)duringthelectureon29November2015

Dr.AsterLau(right,Moderator)presentingasouvenirtoDr.TungFuYin(left,Speaker)duringthelectureon22November2015

The 1st session of the Annual RefresherCour se 2015 w i th the theme “L ates tManagement on Haemorrhoidal Diseaseand Depressed Patient Workshop” washeld on 22 November 2015. Dr. HesterCheung,ConsultantofColorectal team inDepartmentofSurgery,PYNEH,delivereda lectureon“Update in theManagementofHaemorrhoidalDisease”andDr.TungFuYin,PrivatePsychiatrist,delivereda lectureon “ABetterManagementofDepressedPatients”.

The2ndsessionof theAnnualRefresherCourse2015with thetheme“DiabeticObesity”washeldon24November2015.Prof.StephanJacob,endocrinologist/diabetologist,expert innutrionandaclinicalhypertensionspecialist(ESH),deliveredalectureon“PracticalManagementofDiabeticObesity”.

The3rd sessionof theAnnualRefresherCourse2015with thetheme“Hypertension”washeldon26November2015.Dr.WongManLok,Australiantrainedcardiologistskilledincardiacdiagnosticsandinterventions,deliveredalectureon“AmbulatoryBloodPressureMonitoring(ABPM)”.

The 4th session of the Annual RefresherCourse2015withthetheme“CardiovascularWorkshop”washeldon29November2015.Dr.HungYuTak,StaffCardiologist,SirRunRunCardiacandDiagnosticCentre,StTeresa’sHospital,delivereda lectureon“DurationofDoubleAnti-PlateletTherapy-What’s theEvidence”andDr.ChanChiKin,HonoraryAssistantProfessor,DepartmentofMedicine,ChineseUniversityofHongKong,delivereda lecture on “Update of Dyslipidemia andArrhythmiaManagement”.

8

FEATURE

Dr. Siu Pui Yi, Dr. Fung Hoi Tik, FM & PHC, Kowloon East Cluster, Hospital Authority

Old and New Looks of GOPC – Kowloon East Cluster Kwun Tong Jockey Club General Outpatient Clinic and

Kwun Tong Community Health Centre

The Kwun Tong Jockey Club General OutpatientClinic(KTJCGOPC)wasestablishedin1964andhadservedthecommunityformorethanhalfacentury.InMarch2015, itwas relocated toYuetWahStreetandrenamedas theKwunTongCommunityHealthCentre(KTCHC).ThisprojectwasmadepossibleasitwaspartoftheKwunTongDistrictredevelopmentplan.

KTCHC ismanagedby theDepartmentofFamilyMedic ine and Pr imar y Health Care under theKowloon Eas t C lus te r (K EC) of the Hos pi ta lAuthority. It is the firstCHC located in theurbanarea and is developed according to the PrimaryCare Development Plan s tated in Hong KongStrategyDocumentpublishedin2010.Improvementin facilities,environmentandworkflowareaimedatenhancing theprovisionofqualityprimarycareservicestopatientsinthecommunity.

KTJCGOPC vs KTCHC

1. Relocationleadstoimprovementsinfacilitiesandenvironment.Thecontrastsarewellillustratedinthefollowingphotos(Fig.1to6).

“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]”

2.KTCHCaimsatenhancinghealthcareservicesto

patientsandbringsalongthefollowingchanges:

i) More c l in ica l space with modern ised

equipments and facilities

The clinical area of KTCHC is expanded by

60%whencomparedwith theprevious site,

Fig. 1 Building of KTJCGOPC and KTCHC

Fig. 4 Treatment rooms of KTJCGOPC and KTCHC

Fig. 2 Registration Counters of KTJCGOPC and KTCHC

Fig. 5 Pharmacies of KTJCGOPC and KTCHC

Fig. 3 Waiting area of KTJCGOPC and KTCHC

Fig. 6 Washrooms of KTJCGOPC and KTCHC

9

FEATURE

Fig. 7 Consultation rooms of KTJCGOPC and KTCHC

Fig. 8 Electronic queuing display system

Fig. 9 Self-service area

Fig. 10 Kwun Tong Jockey Club GOPC

with substantial increase in the number of

consultationrooms(Fig.7)aswellasspacein

thedispensingarea.

With the use of electronic queuing display

system (Fig.8),patientscanwaitcomfortably

in thewaitinghallanddonotneedtocrowd

outside the consultation rooms. There is

also a self-service area (Fig. 9) for patients

tomeasure theirbloodpressure,heightand

weight.

ii) Triage Clinic

In order to enhance the gatekeeping role

of Family Physicians, a triage clinic was set

up at KTCHC to manage routine referrals

of predefined surgical and or thopaedics

condit ions f rom KEC general outpatient

clinicsandotherreferrerstotheSurgicaland

Orthopaedics Specialist Outpatient Clinics

(SOPCs) of the United Christian Hospital.

Comprehensiveassessmentandmanagement

includingadditionalhospital investigations,

expanded drug formular y and ef fec t ive

referral systemtoSOPCareprovidedby the

clinic.

iii) Ch ron i c d i sea se management – R i s k Assessment and Management Programme (RAMP)

With the ageing population, it is expected

that theburdenof chronic illnesses suchas

diabetes mellitus (DM) and hyper tension

(HT)will increase.KTCHCprovidesabetter

environment forpatients toundergoRAMP

DMcomplicationsassessmentandRAMPHT

riskassessment.

iv) Nurse and Allied Health Clinics (NAHCs)

Multidisciplinary team in NAHCs provides

assessment and management of common

health problems, namely wound care, fall

prevention, continencecareand respiratory

rehabilitation.

v) Smoking Counseling and Cessation Service In thepast,patients fromKwunTonghad to

gotoclinics inotherareassuchasNgauTau

Kokforsmokingcessationservice.Thisservice

isnowestablishedinKTCHC.Multidisciplinary

team of trained anti-tobacco nurses and

doctorswouldofferprofessionalcounseling,

follow-up services and pharmacotherapy if

required.

KTJCGOPChadcompleted itsmissionafter

51yearsofactiveserviceandbecameapiece

of precious memor y of our patients and

colleagues (Fig.10).KTCHCwillcontinue the

important roleofprimarycareprovisionand

strive to improvehealthcareservices to the

localcommunity.

10

NEWS CORNER

The Hidden Diabetic Patients

Hiddendiabeticpatients,atermI recentlyacquaintedwith, referstothosepatientswithdiabeteswhoremainedundiagnosed.Doyouhaveanyideahowmanyofthemarethereinthecommunity?

On4thOctober,2015, I representedourCollegetospeakondiabetes inthecommunity inapressconferenceorganizedbyDiabetesHongKong. Inthepressconference,Dr.LiKaFai,ChairmanoftheDiabetesHongKong,highlightedthat therearecurrently300,000hiddendiabeticpatients inHongKong. IechoedDr.Li’s figurewiththedataextractedfromtheThematicHouseholdSurveyReportNo.50, released in2012. Itstatedthatonly5%people inHongKongwasknowntohavediabetes.However,thewellquotedprevalencefordiabetesinHongKongis10%.Thisrepresentedthat5% of the population might have “hidden diabetes”.

TheGovernmenthas recently released the latestTHSReportNo.58 inmid-October,2015.Themostupdateddataisthat331,300residentsinHongKonghaddiabetes,equivalentto4.8%ofthepopulation.Thatmeanstherearestillmorethan350,000people inHongKongwithundiagnoseddiabetes!Threeyearsdowntheroad,nothinghaschanged!

This isanastonishingfigure.Thesepatients,upontheir firstpresentation,mayhavesufferedfrommyocardial infarction,strokeor legamputation.We,family doctors, advocates of continuity of care, preventive and comprehensive care, are at a pivotal position to help identifying these hidden patients through our daily clinical encounters.

Accordingto theHongKongReferenceFramework forDiabetesCare forAdults inPrimaryCareSettingswhichadvocatesforrisk-basedscreeningapproach,thegeneralpopulationwithageatorabove45yearsofage;thosewithhypertension;subjectswhoareoverweight;andindividualswithfamilyhistoryofdiabetes…aresuitabletargetsfordiabetesscreening.

Todate, therearesome1,500doctors registered in thePrimaryCareDirectory (PCD).SupposeeachdoctorinthePCDisabletomotivateonesuchat-riskpatienteveryweektoundergodiabetesscreening,heorshewillbeableto identify5to10diabetespatientseveryyear.Eachyear,upto15,000morediabetespatientswillbeidentifiedandofferedprompttreatment.With350,000hiddendiabeticpatients,such“rateofdiagnosis”iscertainlystillfarfromideal,giventhefactthattherewillbepopulationgrowthaswell.IbelievetheGovernmenthasacompellingobligationtodealwiththisissue,beitinmotivatingmorecolleaguestojoininthePCDorincentivizingthepublictoinvolveinevidence-basedpreventivecareactivities.

November14eachyear is theWorldDiabetesDay.Take thisdayas themilestone, and startidentifyingourhiddendiabetespatients.Threeyears later,when theGovernment released itsnewTHSreport,perhapswemaybeable tochangetheunhealthysituationonhiddendiabeticpatients.Ofcourse, identification is justtheveryfirststep.Howtobettermanagesuchpatients iscomplicatedwhichrequiresawarenessandactionsfromthepublicandprivatesectors.

Compiled by Dr. Alvin CY Chan

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

Dr.thehonorableKoWingMan(高永文),ThehonorableLaiTungKwok(黎棟國),Dr.thehonorableLeungKaLau(梁家騮),Dr.LauChakSing(劉澤星),MrsWu,DistinguishedGuests,Colleagues,Friends,LadiesandGentlemen:

WelcomeallandthankyouforattendingouropeningceremonyandInternationalScientificMeeting.Thisisthe4thAnnualScientificMeetingofRCHK,jointlyorganizedwith the Hong Kong Red Cross, the InternationalFederationofRedCrossandtheRedCrescentSocieties.IamgratefultoHKRedCrossforthetremendoussupport,especiallythanksMs.GraceLoforthecoordination.

RCHKwasestablished in theyear2012with the8foundingmembers:AuxiliaryMedicalServices,HongKongRedCross,HongKongStJohnAmbulanceplus5academicColleges.

FormingRCHKisnotaneasytask.Dr.LauChorChiu(劉楚釗),Dr.ChowYuFat(周雨發)andIhadtaken2yearstoholdvariousmeetings,togetthesupportfromtheAcademyColleges,andthewellestablishedCommunityResuscitationOrganisations.

Despitedifferentbackground,whatbringustogetherareourcommonMissionsandVisions:RCHKwillofferacollaborativeplatform-

1. Toadvocateforbestpractice,education,researchanddevelopmentinresuscitationinHongKong.

2. Weshareinformationandknowledge,acrossdifferentorganizationsfromhospitalsandcommunity,&willrepresentHongKongfor internationalnetworking

2015 Resuscitation Council of HK (RCHK) Cardiopulmonary resuscitation (CPR) skills are essential for all healthcare professionals. CPR saves lives and it would be beneficial if more general public also acquires this skills. It is with this vision that the Resuscitation Council of Hong Kong (RCHK) is promoting bystanders CPR. As a founding member of RCHK, we are delighted to share with you the opening speech by Dr. Mary Kwong, Chairlady of RCHK in the 4th Annual Scientific Meeting of RCHK, jointly organized with HK Red Cross, the International Federation of Red Cross and the Red Crescent Societies.

TheGuestsofHonourforthemeeting,Dr.KoWingMan,BBS,JP,SecretaryforFoodandHealth(frontrow,5thfromleft)andMr.LaiTungKwok,SBS,IDSM,JP,SecretaryforSecurity(frontrow,5thfromright),togetherwithspeakersandotherguests.

andbenchmarking.Internationally,RCHKaimstojointheInternationalLiaisonCommitteeonResuscitation(ILCOR).Wearenowthe“Associate”memberofResuscitationCouncilofAsia(RCA).RCHKwishtocollectall theresuscitationtrainingactivitiesdatainHongKongforstatisticaluseandpresentationinRCA,internationally.

Howtoimprovethesurvivalrate&thesurvivaloutcomeofapersonsufferingsuddencardiacarrestout-of-hospital,isagreatchallengetoResuscitation.I,personally,hadapainfulrecall.Nooxygen,nobloodflowtothebrainforeveryminuteofdelayinresuscitation,meansmoredamagetothevictim,totheanoxicbrain.Toimprovethesurvivalrateandneurologicaloutcome,immediateresuscitationbyatrainedlaypersonnear-by,whatwecallbystanderCPRorbystandercardiopulmonaryresuscitationbeforearrivalofambulanceisaMUST.CPRseemsveryintimidatingtothepublic.Then,howcanweincreasethebystanderresuscitationrate?Theansweristoprovidethemtrainingandknowledge,empowertheirconfidence,applaudtheirattitudeandwillingnesstodoCPR,andprotectthembyGoodSamaritanLaw.AllourInstitutionmembersarecontinuouslyencouragingCPRtrainingtoallmembersandlaypeopleinthepublic.Morethanthat-Iamdelightedtoreportthat:

1. HongKongCollegeofCardiology,steeredwithEducationBureau,supportedbyRCHKina3-yearproject “Jockey Club- Heart safe-School”, hassuccessfullyequippedover1,000schoolswithAED(AutomaticExternalDefibrillator),andhastrained

Chairlady's Speech by Dr. Mary BL Kwong

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BOARD OF EDUCATION NEWS

morethan12,000schoolpersonnelwithCPRskillandAEDoperation.Theimpressivehistoryofhavingsaved4precious livesduringthisproject isveryencouraging.Then,whynotincorporateCPRtrainingCourse intoSchool&Collegecurricula,which isacceptedabroad;orevenasoneof theextra-curricularactivities.Dr.ChungChinHung(鍾展鴻),asearlyas2007,hasadvocatedtoteachCPRinschool,writtenintheEditorialoftheHongKongJournalofEmergencyMedicine1

2. RCHKsupports“MassCommunityCPRTraining”.ThesuccessfuleventwasorganisedbyTseungKwanOHospital,&SaiKungDistrictCouncil,heldinJan2015with260participantsfromthepublic.

3. Inthecomingyear,2016,RCHKwillsupportanotherbreakthroughevent.”CPRmarathon”,heldbyTheHongKongSociety forEmergencyMedicineandSurgery.Teamswillconduct“chestcompression-onlyCPR”hopingtobreaktheWorldrecord.“The2010AmericanHeartAssociationCPRguidelines2recommendbystanders, toperformhigh-qualitychestcompression-onlyCPR,priortothearrivalofemergencypersonnel.”ActuallyinHongKong,afterSARS,Dr.LamKinKwan(林建群)&Dr.LauFeiLung(劉飛龍)hadadvocated“compression-onlyCPR”toincreasethewillingnessofbystanderstoperformCPR3,statedintheirpaper,intheyear2007

IappreciatethevisionsoftheseHKforerunners,theircontributionsshouldberecognisedinternationally,ifwehavearepresentativeinRCAorILCOR.IamferventlyhopingthatRCHKwillachievethisrole.

The recent Paris terror at tacks, aler t us to thepreparednessofunexpecteddisaster.

RCHKisoneofthesupportingorganisationsoftheHongKongJockeyClubDisasterPreparednessandResponseInstitution.Their1stAnnualconference,co-organisedwiththeHongKongCollegeofEmergencyMedicine,heldafewweeksago,putemphasisonstrengtheningCommunity engagement, “From Community toEmergencyRoom”.Wehaveacommonvision.Toecho,asaveryfirststep,RCHKhopestoequipourHongKongpeople,withskill&knowledgeofresuscitation,andtoaccomplishbystanderCPR.

Atpresent,RCHKhas14 Institutionalmembers.Wewelcomedifferentorganizationswithsimilarmissions&visions,to joinourCounciltomakeHongKonganinternationallyknown,healthier&safercity for localpeopleandtourists.

Ladiesandgentlemen,lastlybeforeIendmyspeech,Iwouldsay“Withoutyoursupportandcontributions,RCHKcouldnotmoveforward.”Thankyouverymuchforyourattention.

Reference:

1. ChungCH,Extendingcardiopulmonaryresuscitationtrainingtoschools,Editorial,HongKongJournalofEmergencyMedicine,Vol.14(3),Jul2007.

2. FieldJM,HazinskiMF,SayreMR,Chameides I.SchexnayderSM,HemphillR,etal.Part1:executivesummary: 2010 American Hear t AssociationGuidelines for Cardiopulmonary ResuscitationandEmergency,CardiovascularCare.Circulation2010;122(18Suppl3):S640-56.

3. LamKK,LauFL,ChanWK,WongWN:Effectofsevere acute respiratory syndrome (SARS) onbystanderwillingnesstoperformcardiopulmonaryresuscitation(CPR)—Iscompression-onlypreferredto s tandard CPR? Prehospi ta l Disas t Med2007;22(4):325–329

Fromlefttoright:Dr.AlvinChan,Dr.MarkChan,Dr.MaryKwong,Dr.ChanSzeLuen,Dr.KoSiuHinandDr.HuiLaiChi

Representatives from founding and institutional membersattendingtheAnnualGeneralMeetingofRCHK.

Backrow(fromlefttoright):Dr.LudwigTsoi(HongKongSocietyforEmergencyMedicineandSurgery),Dr.JohnnieChan(TheHongKongLifeSavingSociety),Dr.JohnLiu(TheHongKongCollegeofAnaesthesiologists),Dr.HoHiuFai(TheHongKongCollegeofEmergencyMedicine)andDr.NgChingLuen(TheHongKongCollegeofFamilyPhysicians)

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9 January 2016 SaturdayBoard of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Theme Approach to Common Facial Dermatosis

Speaker Dr. Chan Hau Ngai, KingsleySpecialistinDermatologyandVenereology

Co-ordinator&Chairman

Dr. Lam Wing WoTheHongKongCollegeofFamilyPhysicians

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

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

AdmissionFee

MembersNon–membersHKAMRegistrants

FreeHK$300.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

Monthly Video Viewing SessionMonthlyvideoviewingsessionwillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

January’s session:

Date 29January2016(Friday)

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

Topic “Osteoporosis: Where are we now? What shall we go next?” – Dr. Lee Ka Wing

Admission FreeforMembers

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

Language LecturewillbeconductedinEnglish.

Community Education ProgrammeOpenandfreetoallmembersHKCFPCMEpointsaccreditation(Cat5.2)

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

9 Jan 20162:15–4:15p.m.

TrainingRoomII,1/F,OPDBlock,OurLadyofMaryknollHospital,118ShatinPassRoad,WongTaiSin,Kowloon

Handling Hair and Nail problems in Primary CareDr.TinSikCHENG,SpecialistinDermatology,SocialHygieneService,DepartmentofHealth

Ms.ClaraTsangTel:23542440

Structured Education ProgrammesFreetomembersHKCFP2CMEpointsaccreditation(Cat4.3)

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

6 January 16 (Wed)2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,

BlockS,UnitedChristianHospitalPersonal data OrdinanceDr.CheukHiuYing&Dr.LimMartina

Ms.PollyTaiTel:39493430

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital

Vocational Training Program for Family Medicine in Hong KongDr.ChanHam

Ms.ElizaChanTel:24686813

4:45–6:45p.m. Multi-functionRoom,NAHCclinic,G/F,TsanYukHospital

Menopausal HealthDr.LiHangWunRaymond

Ms.CherryWongTel:25892337

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 Coordinator via the College secretariat 2 weeks prior to meeting.

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

SponsoredbyGlaxoSmithKline Limited

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.

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7 January 16 (Thu)4:00–6:00p.m. Room614,AmbulatoryCareCentre,

TuenMunHospitalUsing Family Medicine Approach in Adolescent PatientDr.ChanKaHo&Dr.SzeChungFai


5:00–7:00p.m Room041,2/F,PamelaYoudeNethersoleEasternHospital

Basic Communication SkillDr.TsuiPunNang

Ms.KwongTel:25956941

2:15–5:15p.m. LectureTheatre,8/F,AmbulatoryCareBlock,TseungKwanOHospital

Personal data OrdinanceDr.PunYatHei&Dr.WongHongKiuQueenie


13 January 16 (Wed)

2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Update on management of cerebrovascular vascular accidentsDr.KamNgarYinIrene&Dr.ChanKilPakKilpatrick



Motivational Interviewing (Part 1)Dr.WongManKin



Common symptom complaints - Joints painDr.LeeChunHui


5:30–7:30p.m. SeminarRoom,3/F,LiKaShingSpecialistClinic,PrinceofWalesHospital

Dermatology UpdateDr.SusannaTing

Ms.CrystalLawTel:26323480

14 January 16 (Thu)

4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital

Quaternary Prevention in Primary CareDr.LauLaiNa&Dr.LeeKarFai



Update on management of cerebrovascular vascular accidentsDr.LeungChingChing&Dr.WongSzeKei


5:00–7:00p.m. Room041,2/F,PamelaYoudeNethersoleEasternHospital

Family medicine: core values; family physicians functionsDr.LauCheukNamMathew


20 January 16 (Wed)


Health problems of doctors & management of burnoutDr.SuenGeeKwangVictoria&Dr.YeungKaYuDoogie



Application of Evidence Based Medicine: Update on the Use of Antibiotics in Primary Care SettingDr.YuenChingYan



Osteoporosis and OsteomalaciaDr.LeungYuenYeeYuki


21 January 16 (Thu)


Management of Abnormal Lab Result in Family Medicine Practice IIDr.SoLokPing&Dr.LeeSikKwan


2:15–5:15p.m. ConferenceRoom2,8/F,AmbulatoryCareBlock,TseungKwanOHospital

Health problems of doctors & management of burnoutDr.KwokYeeMingElaine&Dr.LamLaiChoEugenia



Management of common abnormal ECG in clinic settingDr.EvaCheng


27 January 16 (Wed)


Common symptoms in orthopaedics (overuse syndrome e.g trigger finger, wrist pain, elbow pain)Dr.HouJing&Dr.LeeWingLam



Family Life CycleDr.ChungKaChun



Video Review: Consultation skills analysis with LAPDr.KoWaiKit



FM forwardDr.EricHui


28 January 16 (Thu)


Common symptoms in orthopaedics (overuse syndrome e.g trigger finger, wrist pain, elbow pain)Dr.XuShaowei&Dr.LaiKitPingLoretta



Legal and Ethical Guidelines for Sponsorship in MedicalDr.TsuiSauIn&Dr.SungCheukChung



Professional misconductsDr.ChanWeiKwanRita


14


“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”

Contact and Advertisement Enquiry Ms. Alky Yu

Tel: 2871 8899 Fax: 2866 0616 E-mail: [email protected]

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

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

Backrow(lefttoright):Dr.DorothyLaw,Dr.DavidCheng,Dr.HoKaMing,DrYipTzeHung,Dr.AlfredKwong,Dr.SinMingChuen,Dr.SzeHonHoandDr.JudyChengFront row (left to right): Dr. Natelie Siu, Dr. Catherine Ng,Dr.WendyTsuiandDr.AnitaFan

Dr.AlvinChan Section Editor (Oasis)Dr.ChanManLi Section Editor (Feature)Dr.DavidCheng Dr.JudyCheng Section Editor (After Hours)Dr.ChristinaCheukDr.FokPeterAnthonyDr.FungHoiTik,HeidiDr.HoKaMing Section Editor (WONCA Express)

Dr.AlfredKwongDr.DorothyLawDr.MariaLeung Section Editor (Photo Gallery)Dr.NgaiKaHoDr.SinMingChuenDr.SiuPuiYi,NatalieDr.SzeHonHo Section Editor (News Corner)

Dr.WongYuFaiDr.YipTzeHung

Chief Editor :Dr.CatherineNg

Deputy Editors: Prof.MartinWongDr.NatalieYuenDr.AnitaFan

Board Advisor :Dr.WendyTsui

Board Members :

FP LINKS EDITORIAL BOARD 2015

www.hkcfp.org.hk

[email protected]

2871 8899

The Hong Kong College of Family Physicians

To find out more, contact us:

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COLLEGE CALENDARSunday Monday Tuesday Wednesday Thursday Friday Saturday

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1:00 – 4:30 p.m. ARC2015

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2:15 – 7:30 p.m. StructuredEducationProgramme6:30 p.m.HKPCCMeeting

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

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2:30 – 5:30 p.m.DFMModuleIIIEvidence-BasedMedicine

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2:15 – 7:00 p.m. StructuredEducationProgramme8:30 p.m.CouncilMeeting

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

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2:30 – 3:30 p.m. BoardofEducation-VideoSession9:00 p.m.BoardofConjointExaminationMeeting

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message from the president college of family physicians links

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