28
Message from the President Issue 132 February 2015 THE HONG KONG COLLEGE OF FAMILY PHYSICIANS F amily P hysicians Links 1 INSIDE THIS ISSUE Family Physicians Links 01 Message from the President 02 College News: 02 Message from the President (cont.), CMOD, Classified Advertisements 03 The 37 th HKCFP Annual General Meeting and Annual Dinner 08 Board of Vocational Training and Standards News, QA & A Committee News 09 The HKCFP Award for the Best Research of 2014 10 HKCFP Research Fellowship 2015 11 HKCFP Trainees Research Fund 2015 / HKCFP Research Seed Fund 2015 12 Online Membership Directory 13 Oasis: Who is Happy? The Peacock and The Crow 14 Feature: Family Medicine across Generations - Interview with Grandfather Foo and Kevin 17 News Corner: Exercise, should we adjust our target for a fully sedentary patient? 18 College News: Diploma in Family Medicine – FIRST Announcement 20 Certificate Course in Family Medicine – FIRST Announcement 21 29 th Conjoint HKCFP/RACGP Fellowship Examination – SECOND Announcement 23 Learning Points: Interest Group in Dermatology – the 45 th Meeting on 3 Jan 2015 24 Board of Education News 28 College Calendar The honeymoon is over. In fact there is no honeymoon at all and no rest for the wicked. This job description is simply hard work and responsibility. I remembered a few years back our immediate past President Dr. Ruby Lee had mentioned to me the love and care from others. At the time my initial thought was everybody loved the pretty Ruby! Now the ugly Angus has the same feeling with all the congratulation messages from home and abroad. The love and care originates from everybody who wishes the College and Family Medicine to go forward and to strive for the best. My first outing was to “yum cha” at Sheung Wan Maxim’s Palace for the first meeting of the HKCFP Photography Club. The big table was filled up with members and of course dim sum. Thank you to Dr. Lo Ling and Dr. David Chao for organizing this activity. During the chit chat camera models, lens adaptors, and lenses all came into the discussion. Dr. Lau Ho Lim is the photography encyclopedia. He could tell you anything and everything about photo taking and camera price. I would not waste my time to google anymore. Everyone showed off their “cannons” and soon disappeared into the mist of seafood stalls and temples in Sheung Wan. If you have any hobby that can be promoted to members in their leisure, please let me know. I had a very interesting dinner with Dr. Chow Pak Chin, President of the Hong Kong College of Ophthalmologists and his Council members. Dr. Chow expressed his viewpoints on the interaction between ophthalmologists and optometrists. His Council is very keen for family doctors to engage more in primary eye care. They are also looking into the possibility of FM trainees attached to private ophthalmologists for learning sessions. We do feel this can be the first of many opportunities for collaboration between different Colleges to enhance their trainees’ experience. On 9 th January 2015, Drs. Lau Ho Lim, David Chao, Billy Chiu, Ms. Erica So and I attended a briefing on Electronic Health Record (eHR) by Mr. Sidney Chan, Head (eHR) and Dr. KM Choy, Consultant (Private-Public Partnership) of the Food and Health Bureau. They updated us on eHR Bill legislation, major concerns on patient choice, privacy protection and recent development on safe deposit box for patient data. This is a great leap forward compared to what we had heard two years ago. Its first phase of implementation is likely to commence at the end of this year or beginning of next year. There is no financial incentive, software or hardware support from the government. However, for good patient care, there is food for thought for every practicing doctor to participate. Please look up more detail from its official website: http://www.ehealth.gov.hk/ If you have read South China Morning Post recently on articles relating to doctors needing postgraduate training before commencing their own primary care clinics. Dr. Louis Shih, President of Hong Kong Medical Association believes the training system is in need of a major revamp. (Continued on page 2)

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Page 1: Message from the President COLLEGE OF FAMILY …My firstouting was to “yum cha” at Sheung Wan Maxim’s Palace for the first meeting of the HKCFP Photography Club. The big table

Message from the President

Issue 132February 2015

THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

Family Physicians

LinksFamilyPhysiciansLinks

1

INSIDE THIS ISSUE

FamilyPhysiciansLinks

01 MessagefromthePresident02 CollegeNews:

02MessagefromthePresident(cont.),CMOD,ClassifiedAdvertisements

03 The37thHKCFPAnnualGeneralMeetingandAnnualDinner

08 BoardofVocationalTrainingandStandardsNews,QA&ACommitteeNews

09 TheHKCFPAwardfortheBestResearchof2014

10 HKCFPResearchFellowship201511 HKCFPTraineesResearchFund2015/

HKCFPResearchSeedFund201512 OnlineMembershipDirectory

13 Oasis:WhoisHappy?ThePeacockandTheCrow

14 Feature:FamilyMedicineacrossGenerations-InterviewwithGrandfatherFooandKevin

17 NewsCorner:Exercise,shouldweadjustourtargetforafullysedentarypatient?

18 CollegeNews:DiplomainFamilyMedicine–FIRSTAnnouncement

20 CertificateCourseinFamilyMedicine–FIRSTAnnouncement

21 29thConjointHKCFP/RACGPFellowshipExamination–SECONDAnnouncement

23 LearningPoints:InterestGroupinDermatology–the45thMeetingon3Jan2015

24 BoardofEducationNews28 CollegeCalendar

Thehoneymoon isover. In fact thereis no honeymoon at all and no restfor thewicked.This jobdescription issimply hard work and responsibility.I remembered a few years back ourimmediatepastPresidentDr.RubyLeehad mentioned to me the love andcarefromothers.AtthetimemyinitialthoughtwaseverybodylovedtheprettyRuby! Now the ugly Angus has thesamefeelingwithallthecongratulationmessagesfromhomeandabroad.Theloveandcareoriginatesfromeverybodywho wishes the College and FamilyMedicinetogoforwardandtostriveforthebest.

Myfirstoutingwasto“yumcha”atSheungWanMaxim’sPalaceforthefirstmeetingoftheHKCFPPhotographyClub.Thebigtablewasfilledupwithmembersandofcoursedimsum.ThankyoutoDr.LoLingandDr.DavidChaofororganizingthisactivity.Duringthechitchatcameramodels, lensadaptors,andlensesallcameintothediscussion.Dr.LauHoLimisthephotographyencyclopedia.Hecouldtellyouanythingandeverythingaboutphototakingandcameraprice. Iwouldnotwastemytimetogoogleanymore.Everyoneshowedofftheir“cannons”andsoondisappearedintothemistofseafoodstallsandtemplesinSheungWan.Ifyouhaveanyhobbythatcanbepromotedtomembersintheirleisure,pleaseletmeknow.

Ihadavery interestingdinnerwithDr.ChowPakChin,PresidentoftheHongKongCollegeofOphthalmologistsandhisCouncilmembers.Dr. Chow expressed his viewpoints on the interaction betweenophthalmologistsandoptometrists.HisCouncil isverykeenfor familydoctorstoengagemoreinprimaryeyecare.TheyarealsolookingintothepossibilityofFMtraineesattachedtoprivateophthalmologists forlearningsessions.WedofeelthiscanbethefirstofmanyopportunitiesforcollaborationbetweendifferentCollegestoenhancetheir trainees’experience.

On9thJanuary2015,Drs.LauHoLim,DavidChao,BillyChiu,Ms.EricaSoandIattendedabriefingonElectronicHealthRecord (eHR)byMr.SidneyChan,Head (eHR)andDr.KMChoy,Consultant (Private-PublicPartnership)of theFoodandHealthBureau.TheyupdatedusoneHRBill legislation,majorconcernsonpatientchoice,privacyprotectionandrecentdevelopmentonsafedepositboxforpatientdata.This isagreat leapforwardcomparedtowhatwehadheardtwoyearsago. Itsfirstphaseof implementation is likely tocommenceat theendof thisyearorbeginningofnextyear.Thereisnofinancialincentive,softwareorhardwaresupportfromthegovernment.However,forgoodpatientcare,thereisfoodforthoughtforeverypracticingdoctortoparticipate.Pleaselookupmoredetailfromitsofficialwebsite:http://www.ehealth.gov.hk/

IfyouhavereadSouthChinaMorningPostrecentlyonarticlesrelatingtodoctorsneedingpostgraduatetrainingbeforecommencingtheirownprimarycareclinics.Dr.LouisShih,PresidentofHongKongMedicalAssociationbelievesthetrainingsystemis inneedofamajorrevamp.

(Continued on page 2)

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2FamilyPhysiciansLinks

COLLEGE NEWS

Backrow(lefttoright):Ms.CrystalYung,Dr.AlvinChan,Dr.SimonAu,Dr.ChanKinLing,

Dr.NganPoLun,Dr.ChanWingYan,Dr.ChanHungChiu,Dr.MarkChan,Dr.DanielChu,Dr.WilliamWong,Dr.TonyLee,Ms.EricaSo

Frontrow(lefttoright):Dr.GeneTsoi,Dr.BillyChiu,Dr.LauHoLim,Dr.RubyLee,

Prof.CindyLam,Dr.AngusChan,Dr.StephenFoo,Dr.DonaldLi,Dr.DavidChao,Dr.QuincyYuen,Dr.MaryKwong

Absentees:Dr.LornaNg&Dr.WendyTsui

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

From15thFebruary2015to14thMarch2015,Dr.ChanHungChiuandDr.AlvinChanwillbetheCouncilMembersOnDuty.Pleasefeelfreetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsonanythingrelatedtoourCollegeandFamilyMedicine.YoucanreachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyoudirectlyassoonaswecan.

Dr.TonyC.K.LeeCo-ordinator,CMODSystem

Dr.ChanHungChiu Dr.AlvinChan

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

ClinicforshareAfully furnishedTCMclinicwantedtosharewithadoctor,situated inShamshuipo.Rent$15,000/permonth. InterestpleasecallMs.Lee27399557

Invitesapplicantsforfulltime/parttimepositioninEvangelHospitalandgeneraloutpatientclinicsinKowloon.PleasesendyourC.V.andenquirytocplusclinic@gmail.comDr.BillyChui.

Classified Advertisements

OfficeAvailable PositionVacant

Message from the President(Continued from page 1)

He advocates a voluntary accreditation course,possiblylastingfortwoyearstoequipfreshgraduates.Dr. Donald Li, President of Hong Kong Academyof Medicine and the ex-President of our Collegehighlightstheneedtotrainthosewhodecideagainstpostgraduatestudies,but infavourofstartingaclinicwhilestill inexperienced.Their lackofexperienceandtrainingposesaproblem toqualityandefficiencyinprimarycare. I cannotagreemorewithDonald!Mandatory training forprimarycaredoctors/ familyphysicians is an unequivocal universal trend tosafeguardnot just theknowledgebut thequality,standardandattitudeof themostvaluableassetofanyhealthcaresystem,TheFamilyDoctors.ForcertaintherewillbeongoingdiscussionamongstthedifferentstakeholdersandtheMedicalCouncilofHongKong.

Don’tmiss theopportunity to joinusat theWoncaAsiaPacificRegionalConferenceandtheCrossStraitmeetingatTaipei inMarch2015. Dr.DonaldLiwillbe the plenary speaker on “When doctors VoiceOutAdvocacy–AnotherService toBeProvidedbyFamilyDoctors.Dr.WilliamWongwillspeakon“Thechallengeofprimarycareresearch intheAsiaPacificRegion”.Iwillspeakintheconferenceaswell.

TheChineseNewYear isfastapproaching. Itakethisearlyopportunity to say“KungHeiFatChoy”andwishingyouallthebestofluckintheYearoftheGoat!

Dr.AngusMWChanPresident

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3FamilyPhysiciansLinks

COLLEGE NEWS

The37thAnnualGeneralMeeting(AGM)and37thAnnualDinneroftheHongKongCollegeofFamilyPhysiciansweresuccessfullyheldon13thDecember2014(Saturday)attheRunRunShawHalloftheHongKongAcademyofMedicine,thankstothegreatsupportbyallourparticipatingmembersandfellows.OurnewPresident,Dr.AngusChanledtheExecutives,CouncilandCollegememberskick-startedtheeveningwiththeAGMgoingthroughthevariousoperationalmattersrelatedtotheCollege.AbriefCouncilmeetingwasconductedtoconfirmthechairmanshipofvariousboardsandcommitteesforthecomingyear.

TheAnnualDinnercommencedrightafterthat.WeweremostgratefultohaveDr.MonicaWong-HeadofPrimaryCareOffice,DepartmentofHealth,HongKongSAR,Dr.TsangManWo,specialistinEndocrinology,Diabetes&Metabolism,andMr.AndrewLaufromtheSunTakDistrictMinYuenTongofHongKongjoiningusforthedinner.

WewouldliketoexpressourthankstoDr.TsimKoonLan,KathyandDr.LukManHei,MatthewforhelpingasMCsoftheAnnualDinnerandledusthroughaveryenjoyableevening,andwewouldalsoliketothankDr.LoLingtobeourvolunteerphotographeragainthisyear.Dr.AngusChanexpressedtheCollege’sgratitudetowardsallcollaboratingpartners,theCollegeCouncilandallBoardsandCommittees,CollegeFellowsandMembers,andthesecretariatfortheirunfailingsupporttomake2014averyfruitfulyearforall.TheCollegethankedDr.ChongManYuk,aretiringCouncilMember,forhispastcontributiontowardstheCollege.Dr.RubyLee,Dr.AngusChan,Dr.LauHoLimandDr.DavidChaopresentedgiftcouponstothesecretariatstaffasatokenofappreciationfortheirhardworkovertheyear.Itwasthenfollowedbyvariousboardsandcommitteesproposingavoteofthankstoallmembersandfellowsfortheircontinuingsupport.Successfulexaminationcandidateswereinvitedtosharewiththeaudienceabouttheirexperiencesandthoughts.TheyincludedDr.KwongLokSee,Dr.EstherYuandDr.ChauKaVaiwhopassedtheConjointFellowshipExamination,theExitExaminationandtheDiplomainFamilyMedicinerespectively.

Variousentertaininggamesincludingaphonegameandbingowereconducted,followedbythemarvelloussingingperformancesbyDr.KennyKung,Dr.ChanHungChiu,PeterandDr.YeungWaiMan,Raymond.ForthefirsttimeinthehistoryofourCollegefunctions,wewereprivilegedtohaveDr.MayLamandherhusband,Mr.BernardYimtoperformanelegantflamencodanceandguitarplayforus.Thankstothethoughtfulgenerositiesofourcouncilmembers,friendsandrelatedorganisations,theluckydrawwascarriedoutsuccessfullytoconcludetheannualdinneronahighnote.Wewouldliketotakethisopportunitytothankallthecolleagueswhohavehelpedtomaketheeveningaveryenjoyableoccasionagain.

The 37th Annual General Meeting and 37th Annual Dinner of the Hong Kong College of Family Physicians

Dr. David V. K. Chao, Chairman of Internal Affairs Committee

Dr.RubyLee(middle)chairingtheHKCFPAGMbeforehandingovertothenewPresidentDr.AngusChan

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4FamilyPhysiciansLinks

COLLEGE NEWS

Dr.SimonAu(middle)withourdistinguishedguests,Mr.AndrewLau(left)andDr.TsangManWo(right)

Dr.MonicaWong(left),HeadofPrimaryCareOffice,Mr.AndrewLau(middle)andDr.MaryKwong(right)

Awelcoming speechby thenewPresident,Dr.AngusChan

ToastingproposedbyPresident,Dr.AngusChan(7thfromtheleft)withCouncilMembers

CouncilMemberswithdistinguishedguests

The2015newCollegeExecutives(lefttoright):Dr.BillyChiu(HonorarySecretary),Dr.LauHoLim(Vice-President,GeneralAffairs),Dr.AngusChan(President),Dr.DavidChao(Vice-President,EducationandExaminations)andDr.QuincyYuen(HonoraryTreasurer)

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5FamilyPhysiciansLinks

COLLEGE NEWS

(Fromlefttoright):Dr.AlvinChan,Dr.StevenHo,Dr.KingChan,Dr.KathyTsim,Dr.RubyLee,Dr.AngusChan,Dr.ChanHungChiu,Dr.AndrewIp,Dr.LornaNg,Dr.WilliamWong,Dr.MaryKwong,Dr.DavidChaoandDr.LauHoLim

(Fromlefttoright):Dr.LorettaChan,Dr.LornaNg,Dr.SimonAu,Dr.WanKwongYuandDr.CatherineLam

Councilmembersandstaff

GroupphotoofConjointExaminationsuccessfulcandidateswithmembersoftheBoardofConjointExamination

Groupphotoofpharmaceuticalcompanies’representatives,distinguishedguestandmembersoftheBoardofEducation

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6FamilyPhysiciansLinks

COLLEGE NEWS

GroupphotoofDiplomainFamilyMedicinesuccessfulcandidateswithmembersoftheBoardofDiplomainFamilyMedicine

GroupphotoofExitExaminationsuccessfulcandidateswithexaminersandmembersoftheSpecialtyBoard

MembersandstaffoftheHongKongPrimaryCareConferenceOrganisingCommittee

MembersandstaffoftheEditorialBoard

Sharingbya successfulConjoint Examinationcandidate,Dr.KwongLokSee

MembersandstaffoftheInternalAffairsCommitteeandPhotographyClub

Sharingbya successfulD F M E x a m i n a t i o ncandidate,Dr.ChauKaVai

Sharing by a successfulE x i t E x a m i n a t i o ncandidate,Dr.EstherYu

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7FamilyPhysiciansLinks

COLLEGE NEWS

Dr.StephenFoo(left)presentinga luckydrawprizetoDr.SiuPingCheong(right)

Prof.CindyLam(left),presentinga luckydrawprize toDr.KoWaiKit(right)

OurMastersofCeremony,Dr.MatthewLuk(left)andDr.KathyTsim(right)withDr.DavidChao(middle),ChairmanofInternalAffairsCommittee

Dr.AngusChan(left)presentingtheGrandPrizetothewinner,Mr.WongPingKi(right)

Dr.DavidChao(left)presentingaluckydrawprizetoDr.CheungMeiYee(right)

Dr.LauHoLim(left)presentinga lucky draw prize to Dr.CatherineChen(right)

Dr.RubyLee(left)presentingaluckydrawprizetoDr.ChungSzePok(right)

Dr.DavidChao(right)presentingthesouvenirtotheflamencodanceperformer,Dr.MayLam (middle)and theguitarist,Mr.BernardYim(left)

Dr.DavidChao(right)presentinga souvenir toourvolunteerphotographer,Dr.LoLing(left)

Dr.DavidChao(right)presentingaprizetoDr.WaiHeungWah(left)forwinningthe“PhotographyVotingCompetition”.

FlamencodanceperformancebyDr.MayLam

FlamencodanceperformancebyDr.MayLam(left)andMr.BernardYim(right)

GroupsingingledbyDr.ChanHungChiu,Dr.KennyKungandDr.YeungWaiManwithCouncilmembersandguests

(Fromlefttoright)Dr.ChanHungChiu,Dr.RubyLee,Dr.YeungWaiMan,Dr.DavidChaoandDr.KennyKung

Ourmusicband(fromlefttoright),Dr.KennyKung,Dr.ChanHungChiuandDr.YeungWaiMan

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8FamilyPhysiciansLinks

COLLEGE NEWS

Board of Vocational Training and Standards News

Reminder: Submission of Annual Checklist / Logbook for Completion of Higher TrainingToallHigherTrainees,

PleaseberemindedthatallhighertraineesshouldsubmittheoriginalcopyofannualchecklisttoourBoardeitherbyregisteredpostorin-persononorbefore27th February 2015 (Friday).Latesubmissionwillnotbeaccepted.

Fortheapplicationforcertificationofcompletionofhighertraining,pleasemakesurethattheapplicationformandchecklistforcompletionofhighertrainingarecompletedandreturnedtogetherwiththeoriginalcopyofyourtraininglogbookonorbefore27th February 2015 (Friday).

Thetrainingexperienceof2014WILL NOTbecountedifthetraineefailstosubmitthechecklistbeforethedeadline.

HigherTrainingSubcommittee

BVTS

Reminder: Enrolment of Higher TrainingBasictraineeswhohavecompleted4-yearbasicvocationaltrainingandattainedahigherqualificationinFamilyMedicinecanbeenrolledintothehighertrainingprogramme.

ForthosewhopreparetositfortheExitExaminationin2017,pleasesubmittheapplicationforhighertrainingonorbefore27th February 2015 (Friday)inordertomeettherequirementforsittingExitExamination.TheapplicationformcanbeavailablefromtheCollegeSecretariatordownloadedfromtheCollegewebsite.

PleasecontactMs.CarmenTongat25286618foranyqueries.

HigherTrainingSubcommittee

BVTS

Higher Training Introductory SeminarAHigherTrainingIntroductorySeminarwillbeheldinMarch2015forallnewlyenrolledhighertrainees,currenttraineesandclinicalsupervisors.Theseminarisdesignedtohelphighertraineesandsupervisorstounderstandourtrainingprogrammemorecomprehensively.

Detailsoftheseminarareasfollows:

Speaker: Dr.LuiLuenPun,Benny(DeputyChairman,HigherTrainingSubcommittee)Date : 21st March 2015 (Saturday) *updated as at February 2015

Time : 2:30–4:30p.m.Venue : FunctionRoomII,2/F HongKongAcademyofMedicineJockeyClubBuilding 99WongChukHangRoad,Aberdeen,HongKong

PleasecontactMs.CarmenTongat25286618foranyqueries.

QA Certificate and CME Certificate go PAPERLESSDearMembers,

MayIexpressmyutmostgratitudeandthanksforyoursupportallalongontheCollege’seco-friendlyproject.

Since2007,QA&ACommitteehasbeensuccessfullystartingtheweb-basedCMEreportwhichhelpssignificantlyinsavingtheconsumptiononpaperandpostalaswellasreducingtheworkloadoftheSecretariat.WewouldnowliketoannouncethattheCMEandQACertificateswillgopaperlessstartingfromthecomingissue(2014).

TheCMEreport2014isexpectedtobefinalizedinFebruary2015,whiletheelectroniccopyofCMEcertificate2014wouldbeavailableontheCollege’shomepagehttp://www.hkcfp.org.hkstartingfromMarch2015.Memberscanlogintotheirownaccounttodownloadthecertificatesanytime.MoredetailswouldbeannouncedthroughemailandFPLinksMarchissue.

For any enquiry, please feel free to contact our secretariat Ms Wing Yeung or Ms Carmen Tong [email protected].

QA & A Committee News

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9FamilyPhysiciansLinks

COLLEGE NEWS

The HKCFP Award for the Best Research of 2014

TheResearchCommitteeoftheHongKongCollegeofFamilyPhysiciansiscallingforTheAwardfor

TheBestResearchoftheYear2014.AllmembersandfellowsoftheCollegeareinvitedtoparticipate

andsubmittheirresearchpaperstotheResearchCommitteeforselection.TheAwardwillbepresented

attheConfermentCeremonyin2015.

Entry and assessment criteria are listed below:

Entry Criteria:

1. Theprincipal investigatorhas tobeaMemberoraFellowof theHongKongCollegeof

FamilyPhysicians.

2. Theresearchmustbeoriginalworkoftheinvestigator(s).

3. TheresearchshouldbeconductedinHongKong.

4. Theresearchmusthavebeencompleted.

5. Thepaper shouldbepresentedunder the standardheadingsofAbstract, Introduction,

Methodology,Results,DiscussionandConclusion.Referencesshouldbelistedinfullatthe

endinVancouverformat.

Assessment Criteria:

1. HowrelevantarethetopicandfindingstoFamilyMedicine?

2. Howoriginalistheresearch?

3. Howwellistheresearchdesignedinthemethodology?

4. Howwellaretheresultsanalyzedandpresented?

5. Howappropriatearethediscussionandconclusion(s)drawn?

6. HowusefularetheresultsforpatientcareinthedisciplineofFamilyMedicine?

7. Howmucheffortisrequiredtocompletetheresearchstudy?

Each researchproject submittedwill be assessed according to the seven criteria listed aboveby a

selectionpanel.Eachcriterionmayattractadifferentweighting tobedecidedby theselectionpanel.

Please sendyour submission to:ResearchCommittee,HKCFP,Rm803-4, 8/F,HKAMJockeyClub

Building,99WongChukHangRoad,Aberdeen,HongKong.

DEADLINE OF SUBMISSION:31 March, 2015

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10FamilyPhysiciansLinks

COLLEGE NEWS

HKCFP Research Fellowship 2015

Introduction

TheHKCFPResearchFellowshipwasestablishedbytheHongKongCollegeofFamilyPhysicianstopromoteresearch inFamilyMedicine.TheGrant isup to thevalueofHK$100,000.ApplicantsareexpectedtohaveregularcontactwithanominatedsupervisorwithMasterorequivalentdegreeorabove.

Eligibility

Applicants for theHKCFPResearchFellowshipmustbeactiveFellow,FullmemberorAssociateMemberoftheHKCFP.Newandemergingresearchersareparticularlyencouragedtoapply.However,full-timeacademicstaffofUniversitieswouldnotbeeligibletoapply.

Selection criteria

Applicationswillbejudgedon*:•Trainingpotentialofapplicants•RelevancetoFamilyMedicineandcommunityhealth•Quality•Valueformoney•Completeness(incompleteorlateapplicationswillnotbeassessedfurther)

*Pleasenotethatnewresearchersandthoseatanearlystageoftheirresearchcareersaredefinedasthosewhohavenotledamajorresearchprojectorhavefewerthan5yearsofresearchexperience.

How to apply

1. Applicationform,termsandconditionsoftheFellowshipcanbedownloadedfromwww.hkcfp.org.hkorobtainedfromtheCollegeSecretariat,HKCFPatRm803-4,8/F,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HongKong.Tel:25286618Fax:28660616.

2. Applicantsmustsubmit: • Thecompletedapplicationform; • ThesignedtermsandconditionsoftheHKCFPResearchFellowship; • Curriculumvitaefromtheprincipalinvestigator; • Curriculumvitaefromtheco-investigator(s)(nomorethantwopages)AND, • Curriculumvitaefromthesupervisor.

3. Applicationscloseon:March 31, 2015.Lateapplicationswillnotbeaccepted.

4. Applicationscanbeeithersent: By post toChairman,ResearchCommittee,TheHongKongCollegeofFamilyPhysicians,Rm

803-4,8/F,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HongKong;Or,by [email protected]

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11FamilyPhysiciansLinks

COLLEGE NEWS

HKCFP Trainees Research Fund 2015 /

HKCFP Research Seed Fund 2015

TheResearchCommitteeofHKCFPisproudtocontinuetoofferthetworesearchfunds,TheTrainees

ResearchFundandtheResearchSeedFund.

TheTraineesResearchFundwill beopened to all registeredHKCFP trainees and ismadeof four

awards(eachuptoHK$5,000).Itisenvisageditwillhelptraineesespecially(butnotlimitedto)those

doingresearchprojectsastheirexitexamination.Thosewhohavefundingsupportelsewherewillnotbe

considered.

TheResearchSeedFundisopentoallHKCFPmemberswhenamaximumof$10,000awardwillbe

madetothesuccessfulapplicanttoassisttheconductionofaresearchproject.

Winners of the awardwill receive50%of the approvedgrant up front and the remainder 50%upon

completionoftheproject.

Assessment Criteria for both funds:

1. Academicrigorofthepaper(e.g.originality,methodology,organisationandpresentation);

2. Relevanceandimpacttofamilymedicine&primarycare(e.g.importanceofthetopicand

theimpactofthefindingsonthepracticeordevelopmentofthediscipline);and

3. Overallbudget

EachResearchprojectsubmittedwillbeassessedaccordingtotheaboveassessmentcriteriasetbythe

selectionpanel.Pleasesendyoursubmissionto:

ResearchCommittee,HKCFP

803-4,8/F,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HongKongbypostor

byemail:[email protected]

Pleaseindicatetheresearchfundingtitlee.g.“HKCFPTraineesResearchFund2015/HKCFPResearch

SeedFund2015”onyourresearchprojectuponsubmission.

Submission Deadline:31st August 2015

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COLLEGE NEWS

Online Membership Directory – For Local Registered Doctors*

Reply Slip

Pleaseindicateyourconsenttolistthefollowinginformationonline.

Consent

1 Name : (English) ________________________(Chinese)___________ Yes/No

2 Gender : M/F Yes/No

3 Nature of Practice : Private/HA/DH/University/Others:___________________ Yes/No

4 Practice Address : (English) ____________________________________________ Yes/No

____________________________________________

____________________________________________

(Chinese)____________________________________________ Yes/No

____________________________________________

____________________________________________

5 Practice Phone no. : _____________________________________________________ Yes/No

DearMembers,

TheHKCFPpromotestheroleoftheFamilyPhysician inthecommunity.Weareprovidingavoluntarymembershipdirectoryforthegeneralpubliconourwebsitetofurtherachievethisaim.Thankyouallwhohavegiventheconsenttomakethedirectoryasuccess.

AsmembersoftheHKCFP,wewishtoincludeyouonthislist,soastoallowthegeneralpublictofindaFamilyPhysicianintheirdistrictorcommunity.

TheCollegewillsoonupdatetheonlinemembershipdirectory. Ifyouwishtoupdateoraddyourpracticeinformationintheonlinemembershipdirectory,pleasekindlyfilloutthefollowingdetailsandreturntotheCollegesecretariat

Bypost : TheHongKongCollegeofFamilyPhysicians,Room803-4,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen

ByEmail : [email protected]

ByFax : 28660616

The information listed below would not be published unless we have your clear instruction of consent.Bydoingso,youarevoluntarilyconsentingtohavethisinformationavailableforthegeneralpublic.

Dr.MarkChanChairman,Web&ComputerCommittee

*All listed doctors must be registered with the Hong Kong Medical Council.

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13FamilyPhysiciansLinks

OASIS

A crow lived in the forest and was absolutely satisfied in life. But one day he saw a swan. “This swan

is so white,” he thought, “and I am so black. This swan must be the happiest bird in the world.”

He expressed his thoughts to the swan. “Actually,” the swan replied, “I was feeling that I was the hap-

piest bird around until I saw a parrot, which has two colors. I now think the parrot is the happiest bird

in creation.” The crow then approached the parrot. The parrot explained, “I lived a very happy life until

I saw a peacock. I have only two colors, but the peacock has multiple colors.”

The crow then visited a peacock in the zoo and saw that hundreds of people had gathered to see him.

After the people had left, the crow approached the peacock. “Dear peacock,” the crow said, “you are

so beautiful. Every day thousands of people come to see you. When people see me, they immediately

shoo me away. I think you are the happiest bird on the planet.”

The peacock replied, “I always thought that I was the most beautiful and happy bird on the planet. But

because of my beauty, I am entrapped in this zoo. I have examined the zoo very carefully, and I have

realized that the crow is the only bird not kept in a cage. So for past few days I have been thinking that

if I were a crow, I could happily roam everywhere.”………

Who is happy?

http://www.moralstories.org/happy-peacock-crow/

(本欄資料由 心靈綠洲--個人成長及危機處理中心 提供,特此鳴謝。)

*

Who is Happy? The Peacock and The Crow

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14FamilyPhysiciansLinks

FEATURE

Dr. Judy Cheng & Dr. Fok Peter Anthony

Family Medicine across Generations –Interview with Grandfather Foo and Dr. Kevin Foo

child,withmyfather’sguestsdiscussingfamilymedicinearoundthedinnertable,unconsciouslyIrealizedthatfamilymedicineinvolvesmorehumaninteraction,awiderrangeofpatientsfrompediatricstoelderly,isnotorganspecificbutalso involvespsychologicalandemotionalneedsof thepatientand is lessmotivatedbymoney.Duringundergraduatetraining,Istartedtoexploremoredeeplymyknowledgeonfamilymedicineandtheprinciples itstandsfor.Istartedtotagalongmyfather’sfamilymedicinegatheringsandcommittedmyself totraining inFamilyMedicineasmymedicalcareer.Ihaveneverexperiencedpressurefrommyfatherinmyexaminationsorinthechoiceofmyprofession.

Dr.StephenFoo:Kevin’spersonality isactuallyverywellsuitedtowork inFamilyMedicine.Thewayhehandlesproblemsandhisability tocommunicatewithpeoplemakeshimwellsuitedtopractice inFamilyMedicine. IamdelightedthatKevincanpracticewhathehaschosenandthatheishappywithhiswork.IalwaysemphasizetomytraineesthatyoumustalwaysenjoyyourworktobeagoodFamilyPhysician.IneverinsistKevintochooseFamilyMedicine.Inmylife,IhaveneverbeenapersontohavepremeditativeintentionsandIhaveenjoyedlifemorebygoingwiththeflow.ItisveryimportantthatKevinshouldenjoyhisworkandlife.

Weactuallyhad lesscommunicationwhenKevinwasamedicalstudentandIdidn'tpreachFamilyMedicinetohim.WebecamemuchcloserwhenKevinstartedtopracticeFamilyMedicineandweshareddifficultiesduringdailypracticeandconsultations.OurcommoninterestinFamilyMedicinehasbroughtuscloserasafatherandsonandhelpedtakenourrelationshiptoanotherlevel.

Dr. Stephen Foo, we know that one of your greatest challenges of your time was to establish the HKCFP and negotiate specialty recognition for family medicine. What do you perceive the greatest challenges for young and aspiring family doctors such as Kevin in the 21st century?

Dr. Stephen Foo: One of the greatest challenges issettingupone’sownprivateclinicandmaintainingone’sautonomyasanindependentdoctorincurrenteconomicconditions.Rental inHongKonghasbeenescalatingfastandcompetitionisprogressivelyfierce.Thismakesitmuchhardertorunone’sownindividualpractice.Oneoftheoptionsisservingasamedicalofficerinpublicoraresidentmedicalofficerinprivatehospitals.Toovercomethesechallenges,oneruleofthumbistoadheretothefundamentalprinciplesof familymedicinewhichareneverwrongirrespectiveofdifferencesingeographyortime–interpersonalcontact,care,concern,empathyandrapport.Heedlessofthechallengesinthe21stcentury,youngFamilyPhysicianshavetorememberthatourdutiesaretoourpatientsandweshouldconsidertheirproblemsfrom their stand points. Rather than comparing ourincomewithsurgeonswhocanperformmanysurgeries

TheFPlinkshasbeenveryhappytoinviteouresteemedandreveredGrandfatherFooinourfeatureinterview.Dr.StephenFoohasbeeninterviewedmanytimesbeforebutwhatmakesthisinterviewstandoutiswewillbechattingwithDr.StephenFooandhissonDr.KevinFootogether.ManyofushaveknownthispairofFamilyPhysiciansbutitisnotthatoftenwehearthemtalkingabouteachotherandtheirrelationship.

Outofoursurpriseanddelight,wealsohadaveryspecialguestattendingourinterview–theelegantandlovelyMrs.MariaFoo!

Dr. Stephen Foo, how did you encourage Kevin to follow your footsteps to become not only a doctor but also a family physician?

Dr.StephenFoo:MywifeandIneverpushedourchildrenintheiracademicstudies.Myself,Iwasverybusywithmyclinicandworkandusedtogetoffworklateeverynightat9pm.KevinwasonlyinprimaryschoolthenandheusedtofinishhishomeworkonhisownoppositemeonmystudytablewhilstIwaspreparingdocumentsfortheCollege.

I think itwasasubconscious influence forhimandhebecameinterestedinmedicineaftersecondaryschoolonhisownaccord.FamilyMedicinewasalsohisownchoice.KevinwasactuallytheBestHousemanofYearinSurgeryandIwasthinkingmaybethiskidwantedtobeasurgeon.ButitturnedouthisfirstandonlychoicewasFamilyMedicine.

Kevin what were your inspirations to become a Family Physician?

Dr.KevinFoo:Duringmy internship, I alsoconsidered surger yandorthopedicsasmyprofession but thesespecialtiesinvolveaverystressfullifestyleanddonotencompasspatientcareholistically.Asa

“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]

(fromlefttoright)Dr.PeterFok,Dr.StephenFoo,Mrs.MariaFoo,Dr.KevinFooandDr.JudyCheng

Dr.StephenFooandDr.KevinFoo

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15FamilyPhysiciansLinks

FEATURE

makingafortune,oursatisfactionshouldbeintermsofpatients’appreciationandrespect. Weshouldstrivetogainone’sownhappinessthroughhelpingothers.Ihavemanypatientsfromoverseaswhovisitedmeforachat,showingtheirappreciationswhilespendingtheirvacationinHKduringChineseNewYear.Thisiswhatmakesmylifemeaningfulandhappyasa familyphysician. (仁心仁術)BenevolenceappliessomuchmoretoFamilyMedicinethanotherbranchesofmedicine.Ialwaystellmytraineesnottobedisheartenedbytherelatively less incomeinourspecialty.Weare inamuchbetterpositiontogainrespectfromourpatients.Theworldischanging.FamilyMedicineisprogressingfast.It isgettingmoreuniversalandacceptable. In fact,asDirectorof theDiplomaofFamilyMedicineformorethanadecade,Ihavewitnessedmany other specialists apply for the diploma oncetheycontemplatestarting theirownpractice to learncommunicationandotherGPskills.

How do you perceive these challenges Kevin?

Dr.KevinFoo:Itotallyagreewithmyfather.Wecanonlyovercomethesechallengesbyprotectingourcorevalues.Therearemanyexternalfactorsthatarebeyondourcontrolandourpracticeshouldnotbegovernedbymonetaryrepaymentalone.Public awarenessand recognitionofFamilyMedicineasaspecialtyby itsownmerits isachallenge.ButIbelieveaslongaswestandfirmandfulfillourownroles,positivechangeswillgraduallytakeplacewiththehelpofgovernment’spolicytopromoteFamilyMedicine,privatehospitalstoestablishFamilyMedicineCentresandgradualpublicrecognition.WehavetoplaceconfidenceinFamilyMedicineasittrulyisaself-sustainablesystemandisbeneficialtoourhealthcaresystem.

AnotherchallengeisourcurrenttrainingsystemwithinthepublicsettingwherewecannotgenuinelypracticeFamilyMedicine.MyfatherhasbeenagreattrainerasaprivateFamilyPhysicianpassingonhislifeexperiencetohismentees. Thesystemnowisteachingtraineeshowtodispenseacasewithin3-5minutesandwecanhardlytreatourpatientswithcareandconcern.Ifoundthistypeoftrainingnotchallengingandmonotonousforme.ButIdoknowthatmanypartiesareworkingtoimprovethiscondition.

What suggestions do you have for the future of Family Medicine in Hong Kong?

Dr.KevinFoo: I thinkmoreemphasiscanbeplacedontraining in theprivatesectorwhere traineescankeepincontactwithamentorwhoisanexperiencedFamilyPhysician.FamilyMedicinetrainingintheprivatesectorismorelivelyandappealingandtraineesneedtohaveaglimpseofotherchoicestheyhaveapart fromworkingin thepublicsector.Undergraduatetraining isalsoanareawhichneedstobeworkedon. I think ithasmuchimprovedalreadysincewhenIwasamedicalstudent.ItakemedicalstudentsmyselfandtheyareintroducedFamilyMedicinesinceYear1ratherthanjustarotationduringYear4.UndergraduateteachinghasdefinitelyplacedmoreemphasisonFamilyMedicine. I thinktheycanbenefitmorefrommorefrequentvisitstoprivateGPs.Hencemoretrainersarerequiredintheprivatesector.

Dr.StephenFoo: Itwouldactuallybeverydesirabletoincorporateacertainperiodoftraininginprivateforourtraineesforexample3months.Butalotofdifficultiesareanticipated,likelimitationofresources.Trainersneedtobepaidtodothejobwell.Protectedtimehastobeassignedtotraineesapartfromservicing.KevinandIoftendiscusshowprimarypublicservicessuchasGOPDsandthevariousdifferencesamongst thepublic/privatesectorcanbeimproved.Ithinkthefrustrationsourtraineeshave,theyarenotabletopracticeinthepublicsettingswhattheyhavelearntinthetrainingperiod.

Dr.KevinFoo:A lotofcasesdealtwith inourconjointexaminationsarenotcasesoftenseeninGOPDsettingssuchastravelmedicine,HIVpostexposureprophylaxis,casespresentingwithpyelonephritis,acutefracturecasesrequiringurgentX-rayswhicharenotreadilyavailableinGOPDs.Afterdiscussingwithmyfather,Irecognizethattheseareveryrealcaseswhichareoftenencounteredintheprivatesector.IcametorealizethatIwasnotabletopracticewhatIhadlearntintheGOPDsettingandthatwaswhyIdecidedtoacquirefurthertrainingintheprivatesector.IthinkthefactmyfatherisanexperiencedprivateFamilyPhysicianhashelpedmemakethedecisiontobetrainedinprivateasIwasmoreinformedabouttheprivatemarket.

Dr.StephenFoo:Iinitiallydidn’tknowKevinhaddecidedtopracticeintheprivatesector.NowheisintheHongKongSanatorium&HospitalFamilyMedicineTrainingCentre,I thinkhehasmore learningopportunitiesandbetteranalyticaltrainingforhisdecisionmaking.

Dr. Stephen Foo, you are socially very active, professionally you hold many posts, you also exercise regularly including playing badminton as many people know, yet you have a remarkably close relationship with your family and children. How do you balance your work and family?

Dr.StephenFoo:IhavebeenveryfortunateandIowealottomywifeMariawhohasbeenunconditionallysupportiveandtoleranttomywork.Mywifealwayssaysmyrealwifeis theCollege. Iusedtofinishclinicat9o’clock intheeveningandcontinuetoperformCollegedutiesafterwork.I remember in thenonComputerAgewhenwedidn'thaveemailsandIwouldbebusyfaxingdocumentstotheCollegesecretariesat2amforpreparationoftheupcomingmeetings.Mywifetookupthemainburdentocarefortheupbringingofourfourchildren.

N o w i s t h e moment where we invite our special guest – Mrs. Maria Foo to talk. Maria, how did you find t h e e n e r g y i n bringing up four children with Dr. S t e p h e n F o o being so busy with his work?

Mrs.MariaFoo: Ihavebeenveryfortunatetootohavesuchlovelyandintelligentchildren.IusedtostudyinanAmericanschoolandwasmoreopentoaself-motivated

Dr.StephenFoo(middle)takingphotowithhiswifeMrs.MariaFooandhissonDr.KevinFoo.

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16FamilyPhysiciansLinks

FEATURE

educationsystem.Itwasnotouraimtotrainthemupforgreatachievements.Moralprinciples(孝悌忠信)werethemostimportantissueforusinourchildren’seducation.Werespectedtheirowndecisionsaslongastheydidn’tfailtheirexams.OurchildrenhadaveryhappychildhoodastheywerenotforcedtospendtheirtimeinhomeworkandIwasn'ta“monsterparent”. Iencouragedthemtoreadmoreandthinkmoreoften.

Kevin, how do you balance work, family and health?

Dr. Kevin Foo: One of the core values emphasizedin Family Medicine is the unity of family members.Throughoutmyupbringing,familyhasalwaysbeenveryimportanttome.Geographically,Iliveclosetomyparentssothismakes iteasytospendtimewiththem. Ispendqualitytimewithmywifeduringweekends.AlsoImakeitahabittoschedulemytimeforregularexercise–Ithinkitisimportanttopracticewhatwepreach.

Dr.StephenFoo:Sportshasalsobeenan importantaspect inmy lifeevensincesecondaryschool. Iwasasportscaptain inWahYanCollege, representing theschool invariousinterschoolsportcompetitions.Sportsandregularexerciseprovideatimeformetorelaxandrecuperate.Manypeoplecomplaintheydon’thavetimeforexercise,butmostofthetimeitisaboutself-discipline,timecontrolandprioritization.Inowhavedancingclassesthreetimesaweekwithmywife.Kevinalsolearnthowtowaltzwithussometimes.

Dr.KevinFoo:Ihavebeenmuchinfluencedbymyfather’spassionforsports.MywifeandIarenowlearningtennistogether. Ithinkwecancombinefamilytimeandsportstogethertobecomea“healthyfamily”.

Dr. Stephen Foo, you have much experience having held many important posts in the medical field and in our College in the past 30 years. How do you share this plethora of experience with Kevin?

Dr.StephenFoo: IsharemyexperiencewithKevin inaveryliteralsense–IusedtotakehimtoCollegeeventssuchasNewYeargatheringsandmeetdifferentpeopleinthemedicalfield.Throughourdiscussions,hegraduallybegan to realizewhatbeingadoctormeantand toascertaintheroleofaFamilyPhysician.AlsoIthinkKevinhasdifferentperceptions thathehas toexperiencethroughvarious levelsofhisprofessionalcareer. Forinstance,hisbeingamemberoftheorganizingcommitteeoftheHongKongPrimaryCareConference(HKPCC)isaverygoodexperienceforhim.

Dr. Stephen Foo, you have trained up many Family Specialists in the past. How do you train Kevin?

Dr. Stephen Foo: To be honest, I never train himpurposefullyorsystematically.ThebesttrainingIofferedhimwastobearolemodelmyself. Ibelieve it isnotamatterofshowingKevinhowthingsshouldbedonebuttoallowhimchanceandexperiencetoexplorebyhimself.Wedidnothaveanydeliberatetrainingsessionstogetherbut Iwouldsharemycasesandexperiencewithhim

whentheoccasionraises.AlotalsodependedonKevin’sownobservationand initiatives forself improvement.MywifeandIdidnotbelieveourchildrenwouldlearnbyreprimandingthem.Thebestmethodtotrainchildrenand indeedtotrainupasuccessfulFamilyPhysician istomotivate them. Throughouthis training,mymainemphasistoKevinwastofocusonpatientsatisfactionandnotfinancialrewards.KevinandIalsohaveanevolvingrelationshipashematuresprofessionally.Nowwealsolearnfromeachother.

Kevin, what was the most memorable experience you have with your father in the medical field? Do you share cases with your father?

Dr.KevinFoo:It’sverytruewhenmyfathermentionedourrelationship isevolving.WhenIwasamedicalstudent,Ididn'tcommunicateasmuchwithmyfathermedically.AfterstartingmytrainingasaFamilyPhysician,IfoundIhadmuchmorecommongroundwithmyfatherandsharedthedifficultiesIencounteredasaFamilyPhysician.Beinginthesamespecialtyhasdefinitelybroughtusclosertogether.Weenjoya lotofcasesharingespeciallysince IhavebecomeaFamilyPhysicianintheprivatesectorastherearesimilaritiesinpatients’diseasepatternsandexpectationsinmanagement.Basicallythereisnogenerationgapbetweenusandwebothbenefitfromcasediscussions.

Dr. Stephen Foo, what life motto do you want to pass on to Kevin?

Dr.StephenFoo:There isnodistinctmotto Ineedtopasson.Kevinneedstodevelophisownpersonalvaluesthroughthevirtueofhisownwisdomashematures. IonlywanttopassontheattitudeIholddearinmylifeandprofession.Toputitsimply,IwouldbeaveryhappyfatherseeingKevinbecomingagoodfamilydoctor.Ibelievebybeingagoodrolemodelisgoingtobethebestinfluenceonthenextgeneration.

Kevin, what do you think is the greatest legacy from your father?

Dr.KevinFoo: I thinkthemost importantthingI learntfrommyfather ishissincerityandpassion inhiswork.Hisdevotionandsensitivitytohispatients isaconstantremindertomethatourprofession’stoppriorityispatientcareandsatisfaction insteadofa financial return.Themedicalprofessionnowadays ismoreprofitdrivenwithaneglect in familymedicineprinciples.My fatherhasenjoyedan immenselysatisfactoryrelationshipwithhispatients.IrememberhimreceivingmanyChristmascardsandgifts fromgratefulpatients. AnotherthingI learntfrommyfatherisdiligenceandthecontinuouscraveforlearning.My fatheraccumulates100-200CMEpointsannually throughmultiple coursesand lectures.Weessentiallyhavenogenerationgapasmyfatherisatthetopofthegamewithceaselessmedicalupdates.Apartfromhisownlearning,heisalsoceaselesslypassingonhisknowledgeandexperiencetothenextgenerationandtrainingFamilyPhysicians.Thishasalso inspiredmetotakemedicalstudentsandpassonmyownknowledge.

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17FamilyPhysiciansLinks

NEWS CORNER

Exercise, should we adjust our target for a fully sedentary patient?

The19theditionofStandardCharteredHongKongMarathonheldon25thJanuary2015attractedover70000participants.Inadditiontothefullmarathon,a10kmrunandahalfmarathonwerealsoheld.Marathonisdefinitelyagoodchoiceofexercisebutrequirescertaindegreeoftrainingandpractice.Currentguidelinessuggested150minutesormoreofmoderateactivityeachweek,butitisquiteoftenthatourpatientsfinditdifficulttoengageinlongexerciseafterbusywork.Ifwereducethetargetexercisetime,isitstillbeneficial?OnJanuary21,therearetwoarticlespublishedintheBMJthatdiscussedtheabovequestions.

Inthefirstarticle,DrBarretoarguedthat,toreduceprematuremortality,policiesshouldfocusongettingfullyinactivepeopletodoa littlephysicalactivity ratherthanstrivingfor theentirepopulationtomeetcurrentphysicalactivityrecommendations.

Inthesecondarticle,DrSparlingcommentedthatolderadultsfinditdifficulttomeetmoderateandvigorousexercise targets.Given thatadose-responseexists forphysicalactivityandhealthbenefits,achange inmessagetoreducesedentarytimeandincreaselightactivitiesmayprovetobemorerealisticandpavethewaytomoreintensiveexercise.

Inseven large longitudinal,observational studiesDrBarretoexamined, the researchersshowedthat thegreatestdifferencesinmortalityriskwerebetweenthemostsedentaryandtheslightlymoreactive,“suggestingthatpeoplewhoaresedentarycouldhavetheirriskofallcausemortalitygreatlyreducedwithrelativelyminorincrementsinphysicalactivity.”Allbutoneofthesevenstudiesshowedthatpeoplejudged“somewhatactive”wereatalowermortalityriskcomparedwithinactivepeople,andtheriskreductionsforthe“somewhatactive”grouprangingfrom14%to37%acrossthestudies.

InastudyconductedinNorwayamong56,072people,thosewhoengagedinasingleweeklyexercisesessionhadlowercardiovascularmortalitythaninactivepeople,leadingtoarelativeriskinmenof0.71(95%confidenceinterval,0.59-0.86)comparedwithinactivemen.Inwomen,thesinglesessiondroppedtherelativeriskevenmoredramatically,to0.56(95%confidenceinterval,0.44-0.71).

“Smallincrementalincreasesinphysicalactivityshouldbepromotedinaslowlyprogressivemannertomaximisehealthbenefitsandminimisepotentialadverseeffects,”DrBarretowrote.

DrSparlingadvisedthatexerciserecommendationsshouldfocusonintroducinglightactivitythroughouttheday, increasinglightactivitiesby30minutesdaily,andreducingprolongedsittingbystandingorstrolling1or2minuteseveryhour.Peoplecouldbeadvisedtogetupfromtheirchairduringcommercials,paceduringtelephoneconversations,andtake5-minutewalksthreetimesaday.

“Wearenotproposingthatthe150minuteaweekstandardbeabandoned.Rather,ourpurposeistoremindcolleaguesthatabroadperspectivetocounselling isalreadyembeddedintheguidelinesandthatawholedayapproachforoldersedentarypatientsmayhelpthemmovetowardstherecommendedactivitylevels,”DrSparlingaddressed.

References:1. BMJ2015;350:h23

2. BMJ2015;350:h100

Compiled by Dr. Yip Chun Kong, Sam

"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]"

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18FamilyPhysiciansLinks

COLLEGE NEWSDiploma in Family Medicine (HKCFP) First Announcement

TheBoardispleasedtoannouncethattheDiplomaCourseinFamilyMedicine(DFM)organizedbyTheHongKongCollegeofFamilyPhysicianswillcommenceinJuly2015.

ThecourseconsistsofFIVEmodules.ModulesI&IIwillbedeliveredbyLocalDistanceLearning.ModulesIII,IV&Vconsistoflectures,seminars,tutorials,workshopsandclinicalattachments.ThewholecourserequiresONEyearofpart-timestudies.

Detailsofthecourseareasfollows:

1. Objectives:

i) Toprovideknowledgeable,pragmaticandstructuredteachinginFamilyMedicineformedicalpractitioners. ii) Toencourageprofessionaldevelopmentofpractisingmedicalpractitionersand toprovidean intermediate step to fellowship

qualificationsinFamilyMedicine. iii) ToimprovestandardsandqualityinthepracticeofFamilyMedicine.

2. *Syllabus:

ThecourseconsistsofFIVEcompulsorymodules.Doctorsgraduatedfromthecourseareexpectedtohaveacquired: i) CurrentconceptsaboutnatureofFamilyMedicine. ii) Knowledgeandskillsinconsultation,counsellingandproblemsolving. iii) Knowledgeandskillsincommonpracticeproceduresandemergencycarerequiredforgoodqualityfamilypractice. iv) UnderstandingstowardstheroleofFamilyDoctorsasgatekeepersofthehealth-caresystemandinprovidingcost-effectiveprimarycare

tothecommunity.

Module I – Principles of Family Medicine (Distance Learning)

Aims: 1.LearnconceptsofFamilyMedicine 2.UnderstandtheroleandscopeofaFamilyDoctor

Contents: DefinitionofFamilyPhysicians,FamilyPhysicians’Functions,CoreValuesofFamilyMedicine,Consultation,FutureofFamilyMedicine

Module II – Common Problems in Family Medicine (Distance Learning)

Aims: 1.Enhanceconsultation,communicationandproblemsolvingskills 2.GainknowledgeincommonandchronicdiseasesinFamilyMedicine

Contents: SelectedtopicsfromClinicalPsychology,DiabetesMellitus,LowBackPain,COPD,AtopicEczema,ElbowMass,FacialRashes,HealthPsychology,AllergicRhinitis,Urethritis,UrineIncontinence,etc.

Module III - Essentials of Family Medicine (Structured Seminars and Tutorials)

Aims: 1.StrengthenknowledgeinFamilyMedicine 2.UnderstandthepotentialgrowthofFamilyMedicine 3.DevelopresearchandteachingskillsinFamilyMedicine

Contents: PracticeManagement,CareofElderly&ChronicIllnesses,AnticipatoryCare,ClinicalAudit&QualityAssurance,IntroductiontoFamilyTherapy,Research&TeachinginFamilyMedicine,EvidenceBasedMedicineandCriticalAppraisal

Module IV - Clinical Updates (Updates and Clinical Attachment)

Aims: Acquire in-depthknowledgeandpracticalskills inselectedspecializedareas includingMedicine,Surgery,Geriatrics,ENT,Orthopaedics&Traumatology,Accident&EmergencyMedicine,andInfectiousDiseases

Contents: THREEUpdateseminarsandONEclinicalattachmentonselectedspecialties includingMedicine,Surgery,Geriatrics,ENT,Orthopaedics&Traumatology,Accident&EmergencyMedicine,andInfectiousDiseases(subjecttoavailability)

Module V - Practical Family Medicine (Practical Workshops)

Aims: Enhancepracticalandcommunicationskills inFamilyMedicinebyPracticalWorkshops inselectedareas includingCPR,ConsultationSkills,CounsellingSkills,Women’sHealth,OrthopaedicInjectionandMusculo-SkeletalMedicine

Contents: 44compulsoryand2electivePracticalWorkshops inselectedareas includingCPR,ConsultationSkills,CounsellingSkills,Women’sHealth,OrthopaedicInjectionandMusculo-SkeletalMedicine

Module III & V will be scheduled in Saturday and Sunday afternoons.

3. Articulations:

TheCourseallows(uptoafixedmaximumpercentageoftheCourseunits)articulationsorcrossrecognitionofpreviousFamilyMedicinetrainingprogrammesthatprovidelearningunitsequivalenttothatoftheabovesyllabus.Participantswhowishtoapplyforsucharticulationshavetosubmitevidenceofrelevanttrainingtogetherwiththeirapplication.Thegrantingofarticulations ishowever,completelyatthediscretionanddecisionoftheBoardofDFM.

4. *Schedule:

The whole course requires ONE year of part-time studies.

JunetoSeptember2015 ModuleINovember2015toJanuary2016 ModuleIIJuly2015toMay2016 ModuleIII,IV&VMay2016 FinalExamination

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19FamilyPhysiciansLinks

COLLEGE NEWS5. Admission Requirement:

MedicalPractitionerwithBachelor’sdegreeinMedicine

6. Teaching Staff:

ApanelofexperiencedacademicmedicalprofessionalsinFamilyMedicine,hospitalspecialistsandexperiencedFellowsorTrainersofHKCFPwillbeinvitedtoteachintheprogramme.

7. Teaching Medium:

#English(Cantonesemaybeusedinsomeseminars,workshopsandclinicalattachments)

8. Course Fees:

Wholecourse:

HK$30,000formembersofHKCFP

HK$60,000fornon-members

(A discount of HK$3,000 for early birds who apply on/before May 17, 2015)

IndividualModule: Members Non-members

ModuleI(DistanceLearning–PrinciplesofFamilyMedicine) $4,000 $8,000

ModuleII(DistanceLearning–CommonProblemsinFamilyMedicine) $4,000 $8,000

ModuleIII(StructuredLectures&Seminars) $3,000 $6,000

ModuleIV(Updates&ClinicalAttachment) $3,200 $6,400

ModuleV(PracticalWorkshops) $5,000 $10,000

Examination $9,000 $18,000

AdministrationFee $4,000 $8,000

All fees must be paid upon application and before commencement of the course. Fees paid are NON-TRANSFERABLE and NON-REFUNDABLE.

9. Awards/Credits:

i) ADiplomainFamilyMedicineissuedbyHKCFPwillbeawardedtocandidateswhohavesatisfiedalltherequirementsandhavepassedalltherequiredassessmentandtheFinalExamination.

ii) TheDiplomaisaQuotable QualificationofTheMedicalCouncilofHongKong.iii) Upto50CMEand10CPDcreditpointswillalsobeawardedtocandidatesatsatisfactorycompletionof theCoursebytheQA&A

CommitteeofHKCFP.

10. Application Procedure:Application is now open

AcompletedapplicationformmustbereturnedtoTheHongKongCollegeofFamilyPhysicianswiththefollowing:

i) PhotocopyofthecurrentAnnualPracticingCertificate;ii) Arecentphotooftheapplicant(passportsize);iii) Asigned“DisclaimerofLiability”;iv) AnapplicationfeeofHK$200bycrossedchequepayableto“HKCFPHoldingsandDevelopmentLimited”.Thisfeeisnon-refundable;v) ACourseFeeofHK$30,000(orHK$60,000ifnon-member)bycrossedchequepayableto“HKCFPHoldingsandDevelopmentLimited”.This

feeisnon-refundableunlesstheapplicationisunsuccessful.

Everysuccessfulapplicantwillbenotifiedbyanofficialletterofadmission.

Informationandapplication formsareobtainableat theCollegeorcanbedownloadedat theCollegewebsite (http://www.hkcfp.org.hk).Memberswhowerenotadmittedinthecoursein2014havetosendintheirapplicationagainiftheywanttostudythecoursethisyear.PleasecontacttheCollegesecretariat,Mr.JohnLeeat25286618foranyqueries.

11. Application Deadline: June 21, 2015

Comments From Former DFM Graduates

- TheContent isuseful indailypractice. Icanhavehands-onpracticalskills. Icanpolishmycommunicationskillsduringthelectures&workshops.

- IcanunderstandtheroleofFamilyPhysiciansasgatekeepersofhealth-caresystemandbetterknowabouttheirrole inthesociety.Ialsoacquiretheskillsoncriticalappraisal.

- Therearesessionsofclinicalupdatesforupdatingknowledge.ModuleI,II&IIIcouldhelpimprovingmyknowledge.ModuleI,II&IIIcouldimprovemyunderstandingofFamilyMedicine.Sessionsinconsultationareinvaluableinimprovingmycommunicationskills.

Dr.AuChiLapChairmanTheBoardofDFM

*Coursesyllabusandschedulemaybesubjecttochangewithoutpriornotification

#CantoneseandEnglishwillbeusedasthelanguageforteachingandexamination.

CPRTrainingWorkshop Women’sHealthWorkshop OrthopaedicInjectionWorkshop MusculoskeletalWorkshop

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20FamilyPhysiciansLinks

COLLEGE NEWSCertificate Course in Family Medicine (HKCFP) FIRST Announcement

TheBoardispleasedtoannouncethattheCertificateCourseinFamilyMedicine(CFM)organizedbyTheHongKongCollegeofFamilyPhysicianswillcommenceinJuly2015.

ThecourseconsistsofTHREESegments.SegmentIandSegmentIIwillbedeliveredbyLocalDistanceLearning.SegmentIIIconsistsofworkshops.ThewholecourserequiresFIVEmonthsofpart-timestudies.

Detailsofthecourseareasfollows:

1. Objectives:i) Toprovideknowledgeable,pragmaticandstructuredteachinginFamilyMedicineformedicalpractitionersii) Toencourageprofessionaldevelopmentofpracticingmedicalpractitionersandtoprovideanintermediatesteptoattaindiploma

qualificationsinFamilyMedicineiii) ToimprovestandardsandqualityinthepracticeofFamilyMedicine

2. *Syllabus: ThecourseconsistsofTHREEcompulsorysegments.Doctorsgraduatedfromthecourseareexpectedtohaveacquired:i) CurrentconceptsaboutnatureofFamilyMedicineii) Knowledgeandskillsinconsultationiii) Knowledgeandskillsinsomecommonpracticeproceduresrequiredinfamilypracticeiv) UnderstandingtowardstheroleofFamilyDoctorsasgatekeepersofthehealth-caresystemandinprovidingcost-effectiveprimary

caretothecommunity

Segment I – Principles of Family Medicine (Distance Learning)

Aims: 1.LearnconceptsofFamilyMedicine 2.UnderstandtheroleandscopeofaFamilyDoctorContents: DefinitionofFamilyPhysicians,FamilyPhysicians’Functions,CoreValuesofFamilyMedicine,Consultation,FutureofFamilyMedicine

Segment II- Common Problems in Family Medicine (Distance Learning)

Aims: 1.Enhanceconsultation,communicationandproblemsolvingskills 2.GainknowledgeincommonandchronicdiseasesinFamilyMedicineContents: SelectedtopicsfromClinicalPsychology,DiabetesMellitus,LowBackPain,COPD,AtopicEczema,ElbowMass,FacialRashes,Health

Psychology,AllergicRhinitis,Urethritis,UrineIncontinence,etc.(Subjecttoselection)

Segment III - Practical Family Medicine (Practical Workshops)

Aims: EnhancepracticalskillsandconsultationskillsinFamilyMedicinebyPracticalWorkshopsinsomeselectedareasContents: OrthopaedicInjectionandConsultationSkills

3. *Schedule:ThewholecourserequiresFOURmonthsofpart-timestudies.JulytoOctober2015 SegmentI&II1-dayworkshopinOctober2015 SegmentIII

4. Admission Requirement:MedicalPractitionerwithBachelor’sdegreeinMedicine

5. Teaching Staff:ApanelofexperiencedacademicmedicalprofessionalsinFamilyMedicine,hospitalspecialistsandexperiencedFellowsandTrainersofHKCFPwillbeinvitedtoteachintheprogramme.

6. Teaching Medium:#English

7. Course Fees:HK$9,000formembersofHKCFPHK$18,000fornon-membersAll fees must be paid upon application and before commencement of the course. Fees paid are NON-TRANSFERABLE and NON-REFUNDABLE.

8. Awards/ Credits:i) ACertificateinFamilyMedicineissuedbyHKCFPwillbeawardedtocandidateswhohavesatisfiedalltherequirements.ii) 10CMEcreditpointswillalsobeawardedtocandidatesatsatisfactorycompletionoftheCoursebytheQA&ACommitteeofHKCFP.

9. Application Procedures:Application is now open

AcompletedapplicationformmustbereturnedtoTheHongKongCollegeofFamilyPhysicianswiththefollowing:i) PhotocopyofthecurrentAnnualPracticingCertificate;ii) Arecentphotooftheapplicant(passportsize);iii) Asigned“DisclaimerofLiability”;iv) AnapplicationfeeofHK$200bycrossedchequepayableto“HKCFPHoldingsandDevelopmentLimited”.Thisfeeisnon-refundable;v) ACourseFeeofHK$9,000(orHK$18,000ifnon-member)bycrossedchequepayableto“HKCFPHoldingsandDevelopmentLimited”.This

feeisnon-refundableunlesstheapplicationisunsuccessful.

Everysuccessfulapplicantwillbenotifiedbyanofficialletterofadmission.

InformationandapplicationformsareobtainableattheCollegeorcanbedownloadedattheCollegeWebsite(http://www.hkcfp.org.hk).PleasecontacttheCollegesecretariat,Mr.JohnLeeat25286618foranyqueries.

10. Application Deadline: June 21, 2015

Dr.AuChiLapChairman,TheBoardofDFM

*Coursesyllabus,scheduleandavailabilitymaybesubjecttochangewithoutpriornotification.#CantoneseandEnglishwillbeusedasthelanguageforteachingandexamination.

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21FamilyPhysiciansLinks

COLLEGE NEWSTWENTY- NINTH CONJOINT HKCFP/RACGP FELLOWSHIP EXAMINATIONSECOND Announcement

TheBoardofConjointExaminationispleasedtoannouncethefollowinginformationontheTwenty-ninthConjointFellowshipExaminationwiththeRoyalAustralianCollegeofGeneralPractitionerstobeheldin2015.

(1) REQUIREMENTS AND ELIGIBILITY

AllcandidatesMUSTbeatthetimeofapplicationfortheExaminationandatthetimeoftheConjointExamination:1.FULLORASSOCIATEmembersofBOTHHKCFPANDRACGP*

2.FULLYREGISTEREDwiththeHongKongMedicalCouncil* (*Documentaryevidenceisrequiredwiththeapplication-includingavalidRACGPnumber.) (Note :AllcandidatesarerequiredtorenewtheirRACGPmembershipfortheyear2015/2016before31July

2015.FailuretocomplywiththerulemayresultindenialofadmissiontotheExam.)

Inaddition,theymustbeEITHERCATEGORYIORCATEGORYIICANDIDATES:-

(a) CATEGORY I CANDIDATESaregraduatedoctorswhoareundergoingorhavecompletedafullyapprovedvocationaltrainingprogrammeasoutlinedintheCollege’sHandbookforVocationalTraininginFamilyMedicine.

Aftersatisfactorycompletionoftwoyearsofapprovedtraining,CategoryIcandidatesortraineesmayapplytosittheWrittenExamination,boththetwosegmentsofwhichmustbetakenatthesameattempt.Aftersatisfactorycompletionoffouryearsofsupervisedtraining,CategoryIcandidatesmayapplytosittheClinicalExamination.

(Note:AllCategoryIcandidateswhoarecurrentvocationaltraineesandapplytosittheWrittenExaminationMUSTsubmitevidenceofcompletionofatleast15monthsofapprovedtrainingby31March2015,togetherwiththeapplication.ThosecurrentvocationaltraineeswhoapplyfortheClinicalExaminationMUSTsubmitevidenceofcompletionofat least39monthsofapprovedtrainingby31March2015, togetherwith theapplication.CandidateswhohavealreadycompletedvocationaltrainingMUSTsubmitevidenceofcompletionofvocationaltraining,togetherwiththeapplication.

Part-timetraineesmustsubmitevidenceofcompletionoftheirvocationaltrainingbythetimeoftheWrittenExaminationbeforetheycanapplytosittheexamination.)

(b)CATEGORY II CANDIDATESaredoctorswhohavebeenpredominantly ingeneralpracticefornotlessthanfiveyearsby30June2015.

CategoryIIcandidatesmayopttoonlysitfortheWrittenExaminationatthefirstandsubsequentapplication.

Enquiriesabouteligibilitytosit theexaminationshouldbedirectedtotheChairmanoftheBoardofConjointExamination.

The eligibility of candidates of both categories is subject to the final approval of the Board of Conjoint Examination, HKCFP.

Application will not be processed unless all the documents are submitted with the application form.

(2) FORMAT AND CONTENTS

A.WrittenExaminationKeyFeatureProblems(KFP),and,AppliedKnowledgeMultipleChoiceQuestions(MCQ)

B.ClinicalExaminationObjectiveStructuredClinicalExamination(OSCE)

(3) PRE-REQUISITE FOR CLINICAL SEGMENTS

AllcandidatesapplyingtositfortheClinicalExaminationoftheConjointFellowshipExaminationMUSTpossessaCPR (Competence inCardiopulmonaryResuscitation)certificate issuedbytheHKCFP*.Thisvalidityof thiscertificatemustspanthetimeatwhichtheapplicationfortheExaminationismadeANDthetimeoftheClinicalExamination.

Application will not be processed unless the pre-requisite is fulfilled.

*Note: In regarding the CPR certificate as issued by the HKCFP, the CPR workshops & examinations for 2015 will be held on 28 February - 1 March 2015 and 21 – 22 March 2015 respectively. Details regarding the workshop / examination can be referred to the News of Board of Education (on pg. 24). Please register with our

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22FamilyPhysiciansLinks

COLLEGE NEWS

College secretariat at 2528 6618 IMMEDIATELY if you do not hold a valid CPR certificate issued by HKCFP and intend to sit for the Conjoint Examination 2015.

(4) CRITERIA FOR A PASS IN THE ExAMINATION

AcandidatewillberequiredtopasstheentireWrittenExaminationinonesitting.Thatis,ifonefailstheWrittenExamination,boththeKFPandMCQsegmentshavetobere-taken.SuccessfulWrittenExaminationresultcanberetainedforthreeyears(untiltheClinicalExaminationof2018).

TheClinicalExaminationcanonlybetakenaftersuccessfulattemptoftheWrittenExamination. IfonefailstheClinicalExamination,alltheOSCEstationshavetobere-taken.

AcandidatehastopassboththeWrittenandtheClinicalExaminations inordertopasstheConjointHKCFP/RACGPFellowshipExamination.

(5) APPLICATION AND ExAMINATION FEES

Applicationformsareavailable fromtheCollegeSecretariatatRoom803-4,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HongKong.YoumayalsodownloadtheapplicationformsfromourCollegewebsite,www.hkcfp.org.hkPleasenotethatthedeadlineforapplicationis15 April 2015.

ForbothCATEGORY I orCATEGORY II CANDIDATES:

-FullExamination(Written+Clinical) $28,000-WrittenExamination $8,080plusAdministrativeFee$9,040-FirstattemptonClinicalExamination $10,880-SubsequentattemptonClinicalExamination $10,880plusAdministrativeFee$9,040

Pleasemakethechequepayableto“HKCFP Education Limited”.IfacandidateappliesfortheFullExaminationandfails the Written Examination, the fee ($10,880) paid for the Clinical Examination will be refunded.

(6) REFUND POLICY

Ifacandidatewishestowithdrawfromtheexamination,andwrittennotificationofwithdrawalisreceivedbytheCollege60daysormorepriortothedateoftheexamination,hewillreceivearefundof$18,960(forthewholeexamination),$8,080(forthewrittenexamination)or$10,880(fortheclinicalexamination).Theadministrationfeeof$9,040willnotberefunded.

NorefundofanyamountwillbegivenifwrittennoticeofwithdrawalisreceivedbytheCollegewithin60daysofthedateoftheexamination.

Allfeespaidarenottransferabletosubsequentexaminations.

(7) IMPORTANT DATES

• 15April2015(Wednesday) ClosingDateforApplications• 30August2015(Sunday) ConjointExamination–WrittenExamination(MCQ)• 6September2015(Sunday) ConjointExamination–WrittenExamination(KFP)• 25October2015(Sunday)(tentative) ConjointExamination-OSCE

(8) ELECTION TO FELLOWSHIP

MembersshouldbeawarethatpassingtheConjointFellowshipExaminationdoesNOTequatewithelectionto theFellowshipofeither theHongKongCollegeofFamilyPhysiciansor theRoyalAustralianCollegeofGeneralPractitioners.ThosewishingtoapplyforFellowshipofeitherorbothCollege(s)shouldensurethattheysatisfytherequirementsoftheCollege(s)concerned.

EntryformsforFellowship,MembershipandAssociateshipoftheHongKongCollegeofFamilyPhysiciansandtheRoyalAustralianCollegeofGeneralPractitionersareavailablefrombothCollegewebsite(www.hkcfp.org.hk/www.racgp.org.au).YoumayalsocontacttheHKCFPSecretariat,Room803-4,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HongKong.Tel:25286618,Fax:28660616.

Dr.ChanHungChiuChairmanBoardofConjointExamination

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23FamilyPhysiciansLinks

LEARNING POINTS FROM BOARD OF EDUCATION

Interest Group in Dermatology - The 45th Meeting on 3 January 2015

Dr. Tse Kwok Lam - College Member

Theme : Clinical Approach to Alopecia

Speaker : Dr.LeeTzeYuen SpecialistinDermatologyandVenereology

Moderator : Dr.LamWingWo Edmund,Coordinator,BoardofEducation

Learning points

On3Jan2015DrLeeTzeYuendiscussedthetopicClinical approach to alopecia.

Lifecycleofhairsconsistsof3phases:Anagenphase,CatagenphaseandTelogenphase.Anagenphaseisthegrowingphase.Itusuallylastsfor3yearsandincludes85%ofallhairs.Catagenphasephaseistheinvolutionphasewhichlastsforonly3weeks(only1%ofhairs).Afterwardshairsgointothetelogenphasewhichistherestingstage.Hairsareshedafter3months.Normalanagentotelogenratioisaround6:1(85%:14%).

Importantquestionsinapproachingalopecia:1. Generalizedorlocalizedtypeofalopecia?2. Scarringornon-scarringtypeofalopecia?3. Otherabnormalsignse.g.erythema, lichenification,

scaling…

Thefirstcasewasamiddle-agedmanwithscalppruritusandgradualonsetofapatchofalopecia.Hewasworriedaboutalopeciaareata(AA).Physicalexaminationshowedlocalizedandnon-scarringlesionwitherythema,lichenificationandill-definedmargin.ThediagnosiswaschronicdermatitisratherthanalopeciaareatasinceAAarenon-inflammed,non-scalywithwell-definedborders.Exclamationmarkhairsarehairswhichlookedlikeexclamationmarks.TheyareindicativeofactivehairlossinAA.

Thesecondcasewasachildwithapatchoflocalizedandnon-scarringalopecia.Thelesionwaswell-definedwitherythema,whitescalesandbrokenhairsatcentre.ThediagnosiswastineacapitiswhichcouldbeconfirmedbyWood’slight,directmicroscopyandfungalculture.Topicalantifugal(azolegroup)couldbeusedformildcases.

Thethirdcasewaslocalizednon-scarringalopeciaagainbutthelesionwasnon-inflammedwith irregularborderandbrokenhairsamong longernormalones---typicaloftrichotillomaniawhichisaformofalopeciacausedbyintentionalorunintentionalpullingofhairs. Inchildrenit isoftenatemporaryhabittic.Counsellingisthemostimportantaspectofmanagement.

Localizedscarringtypesofalopeciaare lesscommonthanthenon-scarringtypes.Morpheaanddiscoidlupuserythematosuswerediscussed.

Generalizedalopeciacanalsobedividedintonon-scarringandscarringtypes.Commoncausesofnon-scarringtypes:telogeneffluvium,androgeneticalopecia(AGA),alopecia

Dr.LeeTzeYuen(left)andDr.LamWingWo(right)

totalis,systemicdiseases.Scarringtypecanbeduetoburnortrauma.

Causesoftelogeneffluvium:childbirth,febrileillness/majoroperation,starvationdiet,metabolic(hypothyroidism,irondeficiency),emotionalstress,drugs,chronicsystemicdiseases.Telogeneffluviumusuallyoccurs3-4monthsafter thetriggeringeventbecausetheeventcausessuddenconversionoflargeamountofhairsfromanagentotelogenphase.Thesetelogenhairsremainonscalpfor3monthsandthentheydropoffalltogether.Spontaneousrecoveryhappensinmostcasessocounsellingcansettlepatients’anxiety.

Androgeneticalopecia(AGA)showstypicalsigns:anteriorhair-linerecession,thinningofhairsatvertex,normalhairdensityatsidesandback,normallookingscalpandhairs.

ManagementofAGA:1. Counselling2. Finasteride(Propecia)3. 5%minoxidil:25%successfulonlybutnomajorsideeffects4. Surgicaltreatment: a)Hairtransplant b)Scalpreduction c)Syntheticfibreimplants

Tosummarize,alopeciacanusuallybediagnosedbylookingforthesefeatures:generalizedorlocalized,scarringornon-scarringandotherabnormalsigns.

WeappreciatedDr.Leeforsharinghisexperience.

Next meetingThenextmeetingwillbeon7March2015 (Saturday).Theguestspeaker isDr.YeungChiKeung,Specialist inDermatology.Hewillspeaktouson“ClinicalApproachtoEczemaManagement”.Allmembersarewelcomeandencouragedtopresenttheircasesandproblemsfordiscussionsorroleplay. Pleasesendyourcasestooursecretariat([email protected])2weeksbeforethedateofpresentation.

(Disclaimer:Alladviceandsharinginthemeetingarepersonalopinionsandbearnolegalresponsibility.Allpatients’identitiesarekeptconfidential.)

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7 March 2015 Saturday

Board of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Theme Clinical Approach to Eczema Management

Speaker Dr. Yeung Chi Keung

SpecialistinDermatologyandVenereology

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.

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.

SponsoredbyGlaxoSmithKline Limited

Only 2CPRTrainingandExaminationWorkshopswillbeheldin2015(28February,1Marchand21,22March).

Asnooneisguaranteedtopassinthefirstattempt,memberswhoplantosit for the2015ConjointExaminationanddonotpossessa validHKCFPCPRCertificateare stronglyadvised to registerforourCPRsession.Membersare remindedthatavalidHKCFPCPRCertificate isapre-requisite forenrolmentof theConjointExamination. Members who plan to sit for the 2015 ConjointExaminationarealsoremindedtocheckthevalidityoftheirHKCFPCPRCertificatetomakesurethatitisvalidatthetimeofapplicationandalsoatthetimeClinicalExamination. HKCFPCPRcertificatesarevalidfor2years.

1st Announcement: January College News

CPR Training and Examination Workshop 2015

28 Februuary – 1 March 2015 Saturday and Sunday

CPR Training and Examination Workshop

Time 2:00p.m.-6:00p.m.

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

Talks 1.CPRBasicLifeSupport-PrinciplesandTechniques2.PitfallsinCPRandDemonstrationonAutomatedDefibrillator3.Medico-legalAspectofCPR4.UpdatesinGuidelines

Training Hands-ontraining,supervisedbyHKCFPCPRInstructors

Accreditation 3CMEpointsHKCFP(Cat.4.4)3CPDpointsHKCFP(Cat.3.11)forpassingCPRExamination

Co-organizer TheHongKongCollegeofCardiology

Capacity 50doctors

AdmissionFee:

Members(Attend Training and Examination Workshop) HK$600.00

Non-members(Attend Training and Examination Workshop) HK$1,200.00

Members with expired CPR certificate (HKCFP)(Attend Training and Examination Workshop) HK$200.00

Members with valid AHA Certificates(Require to sit for Examination Only) HK$200.00

Non-members with expired CPR certificate (HKCFP)(Attend Training Workshop and Examination) HK$400.00

Allchequespayableto“HKCFP Education Ltd”.

Allfeesreceivedarenon-refundableandnon-transferable.

EachsuccessfulcandidatewillbeawardedaCPRCertificatevalidfor2years,alsoaccreditedbyRCHK.PleasecontactMs.WindyLauat25286618forregistrationon/before20 February 2015.

LATE APPLICATIONS WILL NOT BE ENTERTAINED.

Conjoint examination application deadline: 15 April 2015

* REMARKS: you are not suggested to take the CPR trainingworkshopandexaminationduringyourpregnancy.

10 March 2015 Monday

Gender specific issues in the management of osteoporosisDr. David L. Kendler, MD

Associate Professor of Endocrinology, Faculty of Medicine, University of British Columbia, Canada

Chairman Dr. Au Yeung Shiu HingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:00p.m. RegistrationandLunch2:00p.m.–3:30p.m. LectureandDiscussion

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

AdmissionFee

CollegeFellow,FullorAssociateMembersOtherCategoriesofMembersNon-Members

Free

HK$350.00HK$450.00

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.

SponsoredbyGlaxoSmithKline Limited

24FamilyPhysiciansLinks

BOARD OF EDUCATION NEWS 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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Community Education Programme

OpenandfreetoallmembersHKCFPCMEpointsaccreditation(Cat5.2)

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

11 March 2015

2:15–4:15p.m.

TrainingRoomII,1/F,OPDBlock,OurLady

ofMaryknollHospital,118ShatinPassRoad,

WongTaiSin,Kowloon

Musculoskeletal Assessments and Rehabilitation

Ms.JaneMAN,OccupationalTherapist(OMLH)

Ms.ClaraTsang

Tel:23276852

Monthly Video Viewing Session

MonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

March’s session:

Date 27March2015(Friday)

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

Topic Management of Insomnia & the use of Hypnotics

– Dr. Chiu Siu Ning

Admission FreeforMembers

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

Language LecturewillbeconductedinEnglish.

February’s session:

Date 27February2015(Friday)

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

Topic 1. Glycemic Index - Non-alcoholic Fatty Liver Disease

2. Understanding Fats: Good VS Bad

Admission FreeforMembers

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

Language LecturewillbeconductedinEnglish.

28 March 2015 Saturday

Board of Education Interest Group in Counseling

Aim (1)Toformaregularplatformforinteractivesharinganddiscussionofvariouscounselingcasescommonlyseeninourdailypractice;(2)Toboosterthecompetenciesincounselingoffamilypractitionersthroughcasediscussionandpractisingselfawareness

Theme Talking to Teenagers with Suspected Substance Abuse

Speaker Miss Leung Yuk Kuen

SocialWorker

Co-ordinator&Chairman

Dr. Lau Wai Yee, AsterTheHongKongCollegeofFamilyPhysicians

Time 2:30p.m.–4:00p.m. ThemePresentation4:00p.m.-4:30p.m. Discussion

Venue 8/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.

25FamilyPhysiciansLinks

BOARD OF EDUCATION NEWS

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Structured Education ProgrammesFreetomembersHKCFP2CMEpointsaccreditation(Cat4.3)

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

4 March 15 (Wed)

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Clinical Approach to Erectile Dysfunction & Presentation of Male Genital Malignancies in GOPDr.WanKaYan

Ms.ElizaChanTel:24686813

5:00–7:30p.m. SeminarRoom,3/F,LiKaShingSpecialistClinic,PrinceofWalesHospital

Learning DisorderDr.SteveYeung&Dr.LeeSum

Ms.CrystalLawTel:26323480

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

Family Life Cycle and Patient’s Illness BehaviourDr.YingGardChingDerek&Dr.LauKaMan

Ms.CordyWongTel:39493087

5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital,30HosptialRoad,HongKong

Nurse Led Clinics Review: Nursing Intervention for Female patients on Continence Care & Complicated Wounds SharingDr.StephenChou

Ms.ElaineCheungTel:25892337

5 March 15 (Thur)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Family life cycle and Patient’s illness behaviour Dr.ChowPuiYinMelody&Dr.ChungSzeTing

Ms.CordyWongTel:39493087

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

Clinical Approach to Infertility (Male & Female) Dr.WongChunFai&Dr.HoChungYu

Ms.ElizaChanTel:24686813

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

Sharing on experience of the International Diabetes Federation meetingDr.MichelleLo

Ms.KwongTel:25956941

11 March 15 (Wed)

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Community Resources on Patient Empowerment for Chronic Diseases in NTWDr.LuiLokKwan&Dr.LamSiuPing

Ms.ElizaChanTel:24686813

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

Paediatric Emergency in General Practice Dr.LeeEdnaTinWai&Dr.LeeShekHangHenry

Ms.CordyWongTel:39493087

5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Management of Common Cardiac Diseases in Primary Care Dr.CarmenChan

Ms.ElaineCheungTel:25892337

12 March 15 (Thur)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Paediatric Emergency in General Practice Dr.WongSzeKei&Dr.HouJing

Ms.CordyWongTel:39493087

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

Community Resources for Palliative Care and Bereavement Support in NTWC Dr.TangKinSze&Dr.HsuKwokFai

Ms.ElizaChanTel:24686813

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

Common Skin Problems in FMDr.IvanChoi

Ms.KwongTel:25956941

18 March 15 (Wed)

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Common Sport InjuriesDr.LuiWaiCheung&Dr.TsuiFelix

Ms.ElizaChanTel:24686813

5:00–7:30p.m. SeminarRoom,3/F,LiKaShingSpecialistClinic,PrinceofWalesHospital

Evidence Base Approach in Back PainDr.ShirleyChoi

Ms.CrystalLawTel:26323480

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

"Video Viewing: An Update on Common Hair, Nail and Sweat Gland Conditions"Dr.DavidLUKChiKong

Ms.CordyWongTel:39493087

5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital,30HosptialRoad,HongKong

Tutor/tutee MeetingAll

Ms.ElaineCheungTel:25892337

19 March 15 (Thur)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Volunteer Doctor (e.g. MSF) Dr.MokKaYee&Dr.CheukHiuYingAngie

Ms.CordyWongTel:39493087

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

Abnormal Lab Result - When to Refer AED? Dr.TangKinSze&Dr.HsuKwokFai

Ms.ElizaChanTel:24686813

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

LAP video reviewDr.LeungKaFai

Ms.KwongTel:25956941

25 March 15 (Wed)

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital How to Conduct a Good PresentationDr.PangKitHing&Dr.TongKaHung

Ms.ElizaChanTel:24686813

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

Adolescent Sexuality Dr.LeeWingMeiDickinson&Dr.WongKoonYinYvonne

Ms.CordyWongTel:39493087

5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Management of Common Eye Diseases in OPD SettingDr.IanWong

Ms.ElaineCheungTel:25892337

26 March 15 (Thur)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Adolescent Sexuality Dr.YuenMingWai&Dr.ChanKamSum

Ms.CordyWongTel:39493087

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

Postgraduate Training for Common Mental Health Problems Seen in Primary Care Setting Dr.SzeSiuLam&Dr.KwokVincci

Ms.ElizaChanTel:24686813

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

Journal ClubDr.IvanChoi

Ms.KwongTel:25956941

26FamilyPhysiciansLinks

BOARD OF EDUCATION NEWS

Page 27: Message from the President COLLEGE OF FAMILY …My firstouting was to “yum cha” at Sheung Wan Maxim’s Palace for the first meeting of the HKCFP Photography Club. The big table

香港家庭醫學學院

仝人恭賀

Page 28: Message from the President COLLEGE OF FAMILY …My firstouting was to “yum cha” at Sheung Wan Maxim’s Palace for the first meeting of the HKCFP Photography Club. The big table

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

“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”Contact and Advertisement EnquiryMs. Alky Yu

Tel: 2528 6618

Fax: 2866 0616

E-mail: [email protected]

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

Backrow(lefttoright):Dr.HoKaMing,Dr.ChanManLi,Dr.FokPeterAnthony,Dr.SzeHonHoFrontrow(lefttoright):Dr.LawTungChi,Dr.NatalieSiu,Dr.MariaLeung,Dr.CatherineNg,Dr.WendyTsui,MissCarmenChengandDr.AlfredKwong

Dr.AlvinChan Section Coordinator (Oasis)Dr.ChanManLi Section Coordinator (Feature)Dr.DavidCheng Dr.JudyCheng Section Coordinator (After Hours)Dr.ChristinaCheukDr.AnitaFanDr.FokPeterAnthonyDr.FungHoiTik,HeidiDr.HoKaMing Section Coordinator (WONCA Express)Dr.AlfredKwongDr.DorothyLawDr.MariaLeung Section Coordinator (Photo Gallery)Dr.NgaiKaHoDr.SinMingChuenDr.SiuPuiYi,NatalieDr.SzeHonHo Section Coordinator (News Corner)Dr.WongYuFaiDr.YipTzeHung

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Dr.NatalieYuen

Board Advisor :Dr.WendyTsui

Board Members :

FP LINKS EDITORIAL BOARD 2014

28FamilyPhysiciansLinks

COLLEGE CALENDARSunday Monday Tuesday Wednesday Thursday Friday Saturday

22 23 24 25 26 27

2:30 – 3:30 p.m. VideoSession

28

2:00 – 6:00 p.m. CPRTrainingWorkshop

1

2:00 – 6:00 p.m. CPRExamination

2 3 4

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

5

1:00 – 3:30 p.m. PCOWorkshop12:15 – 7:00 p.m. StructuredEducationProgramme

6 7

1:00 – 4:00 p.m. InterestGroupinDermatology2:30–5:00 p.m.DFMResearch&TeachinginFamilyMedicine

8 9 10

1:00 – 3:30 p.m.CMELecture

11

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

12

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

13 14

2:30–5:00 p.m.DFMAnticipatoryCare

15 16 17 18

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

19

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

20 21

2:00 – 6:00 p.m. CPRTrainingWorkshop

22

2:00 – 6:00 p.m. CPRExamination

23 24 25

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

26

1:00 – 3:30 p.m. PCOWorkshop22:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.BoardofConjointExaminationMeeting

27

2:30 – 3:30 p.m. VideoSession

28

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

29 30 31 1

8:00 p.m.57thSpecialtyBoardMeeting

2 3 4