投影片 1 - Hong Kong College of Orthopaedic Surgeons

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Newsletter 2003-2004 (Issue 2)
Corresponding Address:
Room 905, 9th Floor,
Hong Kong Academy of Medicine Jockey Club Building,
99 Wong Chuk Hang Road,
Aberdeen, Hong Kong
E-mail: [email protected]
Website: http://www.hkcos.org.hk
Phone: (852) 2871-8722
Fax:
(852) 2873-4077
Editorial Board
Dr. Robert Y.P. Chang
Dr. Chan Chi-wai
Contents:
Editorial ………….....................……………………………………………………………….………………... P.2
Welcome Address by Prof. Leung Kowk-sui, President of HKCOS, at the HKCOS
Conferment Ceremony ……....................…………………………………………..................… P.3
Speech to the College of Orthopaedic Surgeons
by Prof. Sung JY Joseph at HKCOS Conferment Ceremony ………………………………..... P.4
Successful Candidates of HKCOS/FRCSEd Exit Examination 2003 ……….…….……….. P.6
MRCS Passer 2003 …….....................……………………………..…………………………..….….… P.7
Examiners for MRCSEd/HKICBSC Final Assessment Examination, March 2004 ...… P.7
“Subspecialty in Rehabilitation” by Dr. SY Chun ...........……………………………..……..… P.7
Application to the First Fellow of Subspecialty in Rehabilitation ......................... P.9
Continuous Professional Development (CPD) ...……………………………………………..…….… P.9
Announcement for the Program of “Master of Science/Postgraduate Diploma
in Sports Medicine and Health Science, 2004”...…………………………………………………..… P.9
P.1
Newsletter 2003-2004 (Issue 2)
Editorial
2003 has not been a good year for everyone in Hong Kong. Many people cried for the death of
Leslie Cheung and Anita Mui. Even more people cried and had their hearts broken when SARS
wreaked havoc in Hong Kong. Many of our doctors joined in the battle. Day by day we heard
news of comrades brought down by SARS. Our hearts sank and our eyes swollen from the
crying when colleagues who had valiantly fought the battle made the ultimate sacrifice for the
people of Hong Kong. But SARS did not just make Hong Kong infamous. SARS also made our
medical professionals famous locally and internationally. Prof. Joseph Sung, one of the SARS
heroes, gave his speech at our Annual Banquet.
“In my view, the SARS calamity actually has a silver lining. Never before had the health care
profession been embraced by the public with such high regards and popularity….”
“Never before had the health care workers themselves realize the sacredness of their job and
the unique opportunity we are given to provide comfort (both physical and mental) to those
who are in need…”
The full script of Prof. Sung’s invaluable speech has been printed out for you to savour. But the
damage of SARS did not stop on 2nd June. Many people, including our comrades, are still living
under the fear of AVN. Your College has continued the sacred duty to help those in need.
Together with the HKOA, we issued a detail statement concerning avascular necrosis. This has
helped colleagues understand the condition and explain to patients. With more knowledge of
AVN, our patients’ fear was reduced and trust restored.
2003 is also a year of joy. Our conjoint Exit Exam was a success in every way. The overseas
examiners were very pleased with the smooth conduct. Our candidates had an impressive
passing rate of almost 70%. For the HK Academy of Medicine Best Original Research by
Trainee, two of our trainees were short-listed for the final. Dr Leung Hon Bong then won the
Bronze Medal. It was really no mean feat. Our warmest congratulations to Dr Leung!
2003 is also a busy year. Your Council has been on overdrive. In the early days of the College,
there were just 3 or 4 Council meetings in a year. In 2003, there were 12 Council meetings,
with the longest lasting from 6pm to about 11:30pm. To underscore this point, Irene, our Exec
Secretary, has clocked over 100 hours of overtime just attending our various meetings. Our
President Prof. KS Leung’s article will give you a detail account. The development of our
Rehabilitation subspecialty is moving full steam ahead. Dr. Chun’s article will provide you all
the information in case you have missed all our letters and briefings.
You must share our feelings that this Editorial and Newsletter is rather outdated. We cannot
agree more. Developments in so many aspects have been moving on so rapidly that this
printed form of Newsletter will never be “News” letter. The printed form is also not
environmentally friendly, costs more manpower and money and time. In the future, only the
electronic format will be sent out and you can check out any new developments at our website.
A simple printed format will be sent out to the few who opt to have the printed version, but we
can guarantee you that it will not be “News” letter.
If memory can be dragged and dropped into the Trash bin as on a computer, that is the most
appropriate fate for 2003. The rising stock price and property price heralds a good year ahead.
May I wish you all a prosperous and meaningful year!
Newsletter 2003-2004 (Issue 2)
Welcome Address at the HKCOS Conferment Ceremony (December 5, 2003)
Prof. KS Leung
President of HKCOS
Professor Sung, Professor Learmonth, Professor Qiu, Presidents and representatives of
the sister colleges, guests, fellows, ladies and gentlemen,
It is my great pleasure to welcome you all to the 10th congregation of the Hong
Kong College of Orthopaedic Surgeons.
This is a special event for many of us:
2003 has been a very special year to all medical professionals in Hong Kong. The
profound and long lasting effect of SARS changed the profiles of medical professionals in
many aspects. Despite of the difficult time, many of our trainees took part in the battle
and yet managed to complete their orthopaedic training. My heartfelt congratulations to
them all.
To our professional, we planned and actively participated in the management of the
possible complications of the disease. The orthopaedic professionals, under the auspice
of the College and the Hong Kong Orthopaedic Association, drafted the guidelines for the
management of one of the complications of the disease, a very timely response to this
very emotional issue.
While we are all well prepared for the possible return of the disease, the College would
like to move forward with our plan for more collaboration with various professional
bodies in the world. The college was also busy with the establishment of the Orthopaedic
Rehabilitation subspecialty, and in the preparation of the publication of the 50 years of
Orthopaedics in Hong Kong.
Looking forward, there are many tasks that the college need to accomplish in
the coming year: the further development and accreditation of subspecialties, the
modification and improvement of our training programs in response to the change in the
organisation of the training units, the consolidation of the relationship with our Mainland
Chinese professionals and perhaps, to participate in the reform of the medical
professionals, to booster the spirit of professionalism which was so severely affected by
the general atmosphere on top of the very demoralizing disease.
Here, I would like to solicit your help
and participation in all these activities.
Finally, I would also like to thank you all
for joining us this evening, to all the
fellows that support the activities of the
college, the council and the various
committees for their contributions,
our
external and
local examiners for their
hard work in the past one week. Last but
not least, I wish you a very joyful year of
2004!
Thank you.
Prof Learmonth presents souvenir to
Prof KS Leung and Dr SH Yeung
P.3
Newsletter 2003-2004 (Issue 2)
Speech to the College of Orthopaedic Surgeons at HKCOS Conferment
Prof. Sung JY, Joseph
Vice-President
Hong Kong Academy of Medicine
Professor KS Leung, Prof. Qiu, Prof. Learmonth, colleagues, ladies and gentlemen, let me
begin by congratulating the fellows and members of your college in achieving a major
milestone in their career and indeed in their life today.
In the last 12 months, Hong Kong has gone through a period of, what I called, Dark Ages.
We have braced the financial crisis and suffered from economic downturn. SARS struck,
bringing Hong Kong to an almost standstill. The government has faced major difficulties
in launching and implementing its policy. The public is bitter and emotions are high.
Under this economic and political climate, all sectors suffer and the health care
profession is no exemption. Hospital jobs are being slashed. Contracts will be terminated
at a fixed period of time. Private sector is struggling. A lot has been said about privatepublic interface, but little has been materialized. Morale is low and grievance is flooding.
Do we see any light at the end of the tunnel?
In my view, the SARS calamity actually has a silver lining. Never before had the
health care profession been embraced by the public with such high regards and
popularity. During the period of SARS epidemics, thousands of thankful letters,
hundreds of phone call and countless number of blessings from the public had given the
frontline workers the best support to continue in their fight against this natural disaster.
Comments from local and international professionals, as well as those from the 2 SARS
review panels have been positive. The SARS Expert Panel reported in Oct 2003 says “The
committee has studied in considerable details the chronology of events during the SARS
epidemic in Hong Kong and heard a great deal of evidence from individuals and
organizations that come from a wide background. The story that emerges is one of great
courage and dignity, as Hong Kong struggled against this new disease.” The Report of
Hospital Authority Review Panel commented on the performance of health care workers
as “many healthcare workers, managers, government officials and others made heroic
efforts in the face of danger to fight the disease and limits its effects… It is important to
acknowledge that these were civilians sent into the theatre of war, with no end to the
battle in sight and no grand plan for victory. The enemy was unforgiving and under
certain circumstances extremely virulent. There were health care workers who
volunteered to fight on the very frontline in ICUs, some taking their expertise from one
ICU to another, following closely as the battle shifted…”
P.4
Newsletter 2003-2004 (Issue 2)
Speech to the College of Orthopaedic Surgeons at HKCOS Conferment
Never before had the health care workers themselves realize the sacredness of
their job and the unique opportunity we are given to provide comfort (both
physical and mental) to those who are in need. When we started to see young,
healthy men and women came down with the pulmonary illness and became so
breathless that they could not even talk or finish their meal in just a matter of a few days;
when we were forbidden to visit our loved one and hold their hands even when they were
in critical condition, when we watched on TV the quarantine of Amoy Garden with their
residents leaving their home in tears and sorrow, our lives began to change. All too often,
we have taken things in our life for granted. We did not realize how frail our health and
physical wellness could be. They can be taken away from us overnight in a swift of
natural disaster. We did not treasure people that we saw everyday, our family, husband
and wife, parents and children, our colleagues and our friends, until the day when we can
only see them on the monitor outside the hospital ward kept out of bound to visitors. We
could not care less about the sanitary conditions of our environment, until the day when
we saw the name of our apartment were listed on newspaper because one of our
neighbor got SARS and being admitted to hospital. Value of life has been re-evaluated.
Priorities have been re-assessed. Attitudes have been changed. When we face a patient
in the clinic or in our hospital these days, we are reminded that these are human being
with flesh and bones. They are not merely a diagnosis, a diseased organ, or worse still a
case need to be disposed.
Never before the community of Hong Kong stand up in such solidarity, in face of
great difficulty and danger. I saw thousands of volunteers on the street cleaning the
environment and helping the elderly people in their homes. I heard artist, singers and
composers came to together singing “We shall overcome”. Personal interests were put
aside, politics and agenda were at least temporarily ignored, yet humanity and love
prevailed.
Hong Kong has an admirable professional standard that is comparable to any developed
country around the world. The medical profession is not just embraced for its standard of
clinical practice, but also for its professionalism and ethics. As our orthopedic surgeons
have now taken the prime responsibility to look after the aftermath of SARS, namely the
complication of medical therapy, the challenge is on your shoulder. As a new member of
this fraternity, the credibility of the profession is as much a responsibility of yours as of
mine.
Once again, my congratulations to the new graduates of the College of Orthopedics of
Hong Kong and Edinburgh.
P.5
Newsletter 2003-2004 (Issue 2)
Successful Candidates of HKCOS/FRCSEd Exit Examination 2003
BAN Chung-man, John
CHAN Ka-wah
CHAN Wai-lam
CHENG Kin-hung, William
CHEUNG Wai-yuen
CHEUNG Wang-yan, Warren
CHIU Wing-fat
HO Hon-shuen
IP David
LEE Kin-bong
(PYNEH)
(KWH)
(KWH)
(QEH)
(QMH)
(TKOH)
(PMH)
(UCH)
(PYNEH)
(QEH)
LEE Kin-man
LEE Man-fai
MAN Shui-wah
OR Yu-wah
TSE Wing-lim
TSE Yu-nang, Benny
WONG Lok-yan
WONG Nang-man, Raymond
WONG Sze-hung
YEN Chi-hung
(QMH)
(NDH)
(QEH)
(UCH)
(PWH)
(PMH)
(PMH)
(UCH)
(CMC)
(KWH)
Dr James Rob congratulates Dr R Wong
Successful candidates happily toast to each other
Successful candidates take picture
with those who passed them
Clinical exam at TMH – examiners
and observers at TMH clinical exam
HKCOS Council, examiners & guests
from other Colleges
Past and present QEH surgeons take
photo with Dr. SF Lam
P.6
Newsletter 2003-2004 (Issue 2)
Examiners for MRCSEd/HKICBSC Final
Assessment Examination, March 2004
MRCS Passer
CHAN Pui-kwan
CHENG Hi-shan
CHEUNG Pak-chiu
FONG Wai-ho, David
LAM Hoi-yan
LI Pang-hei
MAK Kin-cheung
SUN Kin-wai, Kelvin
Wong Kar-fai, Richard
WONG Tak-man
WONG Wing-yee
YIP Wing-hang, Gary
YUNG Wai-yin, Ambrose
(TKOH)
(PYNEH)
(PWH)
(UCH)
(AHNH)
(YCH)
(QMH)
(TMH)
(TKOH)
(KWH)
(TKOH)
(QEH)
(PMH)
Acknowledgement to the following fellows
who will represent HKCOS to be examiners for
MRCSEd/HKICBSC Final
Assessment Examination, March 2004 :
Prof. Leung Ping-chung
Dr. Lau Pui-yau
Dr. Lee Wai-keung
Dr. Mak Kan-hing
Dr. Paul Tse
Subspecialty in Rehabilitation
Dr. SY Chun
There were enthusiastic discussions a few years back when Professor Keith Luk was
holding the office of Presidency of our College on this subspecialty of rehabilitation.
Finally the Hong Kong Academy of Medicine approved the formation of the Specialty
under the Hong Kong College of Orthopaedic Surgeons in parallel to the same
subspecialty under the Hong Kong College of Physicians.
Under the instruction of the Council of the HKCOS, a Working Group was formed
accordingly.
The first meeting of this Working Group was convened on 29 July 2003. Its
members consisted of Professor Leung Kwok-sui, President of our College, who chaired
this first meeting, and Dr. Chen Erh-heng, Dr. Chin Ping-hong, Dr. Choi Sum-hung, Dr.
Chun Siu Yeung, Dr. Kwok Hau-yan and Dr. Wong man-shun. After introduction by
Professor Leung, Dr. Chun was invited to be the Chairman of the Working Group and Dr.
Chin the Co-chairman.
At the second Working Group meeting, Dr. Wong Man-shun had kindly drawn up the draft
of the Proposed Procedures and Guidelines for setting up this subspecialty as well as its
Curriculum. Suggestion and amendments were made at the meeting.
The revised version was then presented to the Executive Council of HKCOS, with further
discussion, clarification and amendments made.
Subsequently a briefing session was held at Princess Margaret Hospital during one of its
inter-hospital Saturday meeting on 1 November 2003. There were enthusiastic discussion
and many questions raised and answered. Another briefing session was held at Duchess
of Kent Children’s Hospital on 10 January 2004.
P.7
Newsletter 2003-2004 (Issue 2)
Subspecialty in Rehabilitation
Firstly the College will exercise the admission of the First Fellows in this
Subspecialty. It was decided that a fellow of the College need to satisfy the basic
requirement before being admitted to become the First Fellow. He must be a fellow of
the Hong Kong Academy of Medicine (HKAM). This is the primary requirement laid down
by the HKAM. A Fellow of the College admitted through an exit examination should
possess s post-fellowship working experience in orthopaedic training centre(s) accredited
by the College for a minimum of 3 years. A Foundation Fellow of the College should have
a clinical working experience in orthopaedic training centre(s) for a minimum of 10 years.
Also an active fellow of the College other than the above two Categories should have
post-fellowship orthopaedic clinical practice of more than 6 years and for at least 3 years
in active clinical practice immediately before the date of application. All Fellows who have
satisfied the basic requirement, will then be assessed by one or more external assessors
with high international academic standing in the field of Rehabilitation appointed by the
Executive Council of the College before the Fellow is being admitted as First Fellow of the
Subspecialty.
The Executive Council of the HKCOS at its 13th Council meeting had approved the
admission procedure by sending out invitation letters to all Fellows of our College inviting
them to apply if they satisfy the basic requirement. The deadline of this application was
set on 31 January 2004 (overseas Fellows is allowed two more weeks). This is an one-off
exercise. After receiving all the applications, the Council will examine the application
forms and submit those who qualified to the assessment of the external assessors. Once
passed by the external assessors, the College will have its First Fellows.
The Executive Council will then proceed to firstly submit the final list of First Fellow to the
HKAM for approval and secondly will form a Subspecialty Board of Rehabilitation (in
Orthopaedic Surgery).
Once being approved and the Subspecialty Board formed, the Board will carry
out the mission of accreditation of training centres, trainers, its CME or CPD
activities and looking after the training curriculum.
The Board will be
responsible for the setting up, keeping and promoting the professional standard
in orthopaedic rehabilitation.
Indeed this is a great step forward in the development of orthopaedic surgery in Hong
Kong and our College. With this new subspecialty, the College has provided those young
and up-coming orthopaedic surgeons who may have special interest in orthopaedic
rehabilitation a much better opportunity and environment. We must thank our pioneers
Professor Sir Harry Fang and Dr. S. F. Lam and others’ contribution in building up the
rehabilitation services of today’s magnitude and size of service to the community.
P.8
Newsletter 2003-2004 (Issue 2)
Application to the First Fellow of Subspecialty in Rehabilitation
Extension of Deadline for application to First Fellow of Subspecialty in Rehabilitation
The deadline has been extended until the date of formal establishment of training program.
The exact date is not yet fixed, but probably in July this year. So please hand in your
application if you have not yet done so.
( for details please refer to your College homepage at http://www.hkcos.org.hk )
Continuous Professional Development (CPD)
The Academy is actively promoting individual colleges to develop CPD program with a view
to replace the existing CME programs. Your council has considered the system in several
countries including Canada and Australia. We have found the Australian system more
structured. Some fellows who are also fellow of the Australian College are satisfied with its
function. Their system may involve surgical audit, e.g. log book, peer review and voluntary
reporting of morbidity. The CME committee will further investigate the possibilities.
Announcement for the Program of “Master of Science/Postgraduate Diploma
in Sports Medicine and Health Science, 2004”
Program
Master of Science/Postgraduate Diploma in Sports Medicine and health Science
Organizer
Organized by the WHO-CUHK Collaborating Centre for Sports Medicine & Health Promotion
Department of Orthopaedics and Traumatology
School of Public Health
Commencing Date
September 2004
Contact
For those interested, please contact Phoebe Leung by E-mail: [email protected]
P.9