2015 June - Family Physicians Links
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Transcript of 2015 June - Family Physicians Links
Message from the President
Issue 136June 2015
THE HONG KONG COLLEGE OF FAMILY PHYSICIANS
Family Physicians
Links
INSIDE THIS ISSUE
1
01 MessagefromthePresident
02 CollegeNews:
02MessagefromthePresident(con't.),CMOD,MembershipCommitteeNews,
03BoardofDiplomainFamilyMedicineNews,BoardofVocationalTrainingandStandardsNews,
04HKCFPTraineesResearchFund2015/HKCFPResearchSeedFund2015
05 WONCAExpress:
05Reportofthe2015WONCAAsiaPacificRegionalConference,Taipei
06ReflectionfrommyTaiwanWONCATrip
08 Feature:WoundcareserviceinDepartmentofFM&PHC–HongKongWestCluster
10 NewsCorner:AnAppleaDayKeepstheDoctorAway–aMythoraTruth?
11 LearningPointsfromBoardofEducation:ReportontheEvidence-basedMedicine(EBM)-InterestGroupMeetingWorkshopon18April2015
13 BoardofEducationNews
16 CollegeCalendar
ThebusiestandexcitingweekendoftheCollegehasjustpassed.TheHongKongPrimaryCareConference2015hasattractedmorethan500attendees.Thisisdefinitelyarecordbreaker.CongratulationtoDr.LornaNg,ChairladyoftheOrganizingCommittee,herteamandthesecretariat-theyhaveworkedtiredlesslytomakethisConferencesuccessful.Theprogrammeswerewell-structuredunderthetheme“StayCaring,GoExcellinginPrimaryCare”.
Theplenarylectureswereinformative,innovativeandchallenging.ThelectureofDr.DonaldLion“ExcellenceinPrimaryCare,EthicalDilemmas”broughtusthemotto“Opusmedicinaesalus”whichfeaturesonthelogooftheHongKongAcademyofMedicine,meaningthephysicianleadsthewaytogoodhealth.Inthisprocesswefacednumerousethicalissuesanddilemmaswhichchallengedourclinicalcompetencyandintegrity.
ProfCindyLamtalkedon“WeNeedtheFamilyDoctorMorethanEverintheEraofMulti-disciplinaryPrimaryCare”.ShehighlightedtheimportanceofhavingFamilyDoctorsinfavourablehealthoutcomesinHongKongandenlistedthemulti-disciplinaryapproachinchronicdiseases.Thegadgetshebroughttotheaudienceimmediatelycuredeverybody’ssleepapnoea.Ifyoustilldon’tknowRAMPandPEP,speaktoCindy!
ThetalkofProfRodgerCharltonon“FamilyMedicinein2050,AVisionthroughaCrystalBall”walkedusthroughtheimportanceofconsultationskillsindailyclinicalpracticeanddiscussedthefuturedevelopmentsandchallengesfacedbyprimarycarephysicians.IamcertainwewillonlybeabletolistentothesewonderfullecturesatHKPCC.
ImmediatelyonSunday31stMay2015wehadour28th FellowshipConfermentCeremony.Itwas intriguingtoseesomanynewFellowsandDiplomatsandsomewere fromMacau.Imentionedtothem“CollegeisyourforeverhomeinyourFamilyMedicinelife,fromcradletograve”.IhadmadeDr.DonaldLi,oneofourmostdistinguishedFellows,averybusymanthisweekend.Hedeliveredthe26thDr.SunYatSenOrationwiththetitle“MakingaDifference:AJourneyinFamilyMedicine”.ThistrulyhighlightedthecontributionofFamilyDoctorinlocalandinternationalarenas.
Thisyear’sHonoraryFellowship, thehighesthonourof thisCollegewasawardedtoDr.JennieKenDrick.Dr.KenDrickwastheformerCensor-in-Chief
The Hong Kong Primary Care Conference 2015
The 28th Fellowship Conferment Ceremony and the 26th Dr. Sun Yat Sen Oration
GroupPhotoatHKPCC2015
Dr.DonaldLireceivingtheDr.SunYatSenGoldMedallion
(Continued on page 2)
2
COLLEGE NEWS
of the Royal Austral ianC o l l e g e o f G e n e r a lPractitioners.Shehadbeenourexternalexaminer forthe Conjoint FellowshipExaminationforoversevenyears. Shedeserved theh ig he s t p r a i se fo r he rcontributiontothisCollege.I was ver y pleased herhusbandDr.GuanYeowasheretowitnesshergloryastherightfulrecipient.
Dr.KoWingMan,SecretaryforFoodandHealthcandidlycommentedat theConferenceand theConfermentCeremony.“Well,therearealotofpeople”.“Thequeueisverylong”.Thissimplysumsupthesuccessofthetwoevents.
ItwasinterestingtoreadthearticlefromtheeditoroftheHKMANewsApril2015issue.HKCFPcannotsupporttheideaofestablishinganewCollegeofPrimaryCare.Theestablishmentofanotherorganizationunderthenameof“College”willbemisleadingtothepublicandprobablytoothermedicalcolleaguesaswell,astoitsstatusinrelationtootherconstituentstatutoryCollegesundertheHongKongAcademyofMedicine.
Letmemakeitcrystalclear,theaimandspiritofthisCollegeistopromotePrimaryCareandFamilyMedicineinHongKong.Nothingmoreandnothingless!ThemightofthisCollegeisnotbuiltbyme.ItisthepurehardworkofalltheenthusiasticFamilyPhysiciansoverthepast37years.Now
DearCollegemembers,
Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.
From15thJune2015to14thJuly2015,Dr.AuChiLapandDr.MaryKwongwillbetheCouncilMembers-On-Duty.Pleasefeelfreetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsonanythingrelatedtoourCollegeandFamilyMedicine.YoucanreachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyoudirectlyassoonaswecan.
Dr.TonyC.K.LeeCo-ordinator,CMODSystem
Dr.AuChiLap Dr.MaryKwong
“Council Member-On-Duty” (CMOD) System
TheMembershipCommitteeapproved,onrecommendationoftheChairladyoftheMembershipCommittee,thefollowingapplicationsformembershipinApril – May 2015 :
Membership Committee News
Assoicate Membership (New Application)Dr Chui Wai May Amy 徐 慧 美Dr Suen Victoria Gee Kwang 孫 芷 筠Dr Wong Wai Chung 黃 偉 忠
Assoicate Membership (Reinstsatment)Dr Wong Chung Yan 王 頌 恩
Affiliate Membership (New Application)Ms Hui Yun Ho 許 潤 好Ms Lee Siu Har Judy 李 小 霞Mr Wong Yiu Ming 黃 耀 明
(Continued from page 1)
Message from the PresidentwehavetheCertificatecourse,Diplomacourse,ConjointFellowshipExaminationwithRACGPandExitExaminationleadingtospecialiststatusinFamilyMedicine.Eachlevelformsasteppingstonetowardsthenextlevel.IamalsoveryproudtheCollegeisexportingitsexpertisetoMacauandChinainorganizingdiplomaandcertificatecoursesthere.
Anyregisteredmedicalpractitionersonthegeneralorspecialist listsof theHongKongMedicalCouncilcanparticipate in thecertificateanddiplomacoursesofthisCollege.Thesecoursesprovideknowledgeable,pragmaticandstructuredteachinginFamilyMedicineandencourageprofessionaldevelopmentofpracticingmedicalpractitioners.Thosewith5yearsofexperienceinprimarycarepracticecansitfortheConjointFellowshipExaminationasCategoryIIcandidates.CategoryIcandidatesarebasictraineeswith4yearsofvocationaltraininginFamilyMedicine.Thepassingrateofthisexaminationisbetween56%to74%overthepastthreeyearsandin2013thebestcandidatewasfromCategoryII.Thereisnobarriertoanyonewhowantstolearntheknowledge,skillsandattitudesinPrimaryCareandFamilyMedicine.TheCollegeisactivelylookingintotheCategoryIIFellowstrainingpathwayatthisverymoment.
Wearenotcouchpotatoesandourarmsareabsolutelystraightandcannotbetwisted.AllmycolleaguesinthisCollegehaveworkedtheirsocksoff toprovideall thenecessaryeducationalneedstoanydoctorswillingtolearn.IamcertainbothHKMAandHKCFPcanworktogethertoenhancethestandardofprimarycaredoctorsandpromotecontinuingmedicaleducationamongthem.
Dr.JennieKenDrickwasconferredHonoraryFellowshipofTheHongKongCollegeofFamilyPhysicians
3
COLLEGE NEWS
Board of Vocational Training and Standards News
Reminder: Submission of Application
for Certification of Completion of
Basic Training
Tothosewhowillcompletebasictraining,
Youareadvised toapply for theCertificate
of Completion of Basic Training within 3
months upon completion of the four-year
basicvocational training.Pleasesubmityour
applicationandtraininglogbooktothecollege
officeduringofficehours.Failtodosowillbe
chargedanannualtrainingfee.
Shouldyouhaveanyenquiries,pleasecontact
CarmenorOdeliaat25286618.
BasicTrainingSubcommittee
BoardofVocationalTrainingandStandards
Board of Diploma in Family Medicine (DFM) News
TheBoardofDFMispleasedtoannouncethatthefollowingcandidateshavesuccessfullypassedthe12thDiplomaCourseinFamilyMedicine2014-2015.
Congratulationstoallthesuccessfulcandidates.
DistinctionTheBoardofDFMispleasedtoannouncethatDr.TingSzeManhasachievedthehighestoverallscoreandwillbeawardedthetitleofDistinction.
Dr.AuChiLapChairmanBoardofDFM
Dr.CheongLokTaiDr.CheukTatSangDr.ChoiLapHimDr.KwongYimKamDr.LaiYuetTingDr.LamSioChong,David
Dr.LamSioTengDr.LamWingYiDr.MaManFeiDr.MaYuYanDr.MungShunYeeDr.NgWaiLan
Dr.NgaiMing,LeonDr.NganHiuTingDr.SiuSheungYan,PattyDr.TingSzeManDr.TongManChun,TerenceDr.TsangSauHang,Caroline
Dr.WongChongHeiDr.WongKaKinDr.WongPikWa,CarrieDr.WongWaiPangDr.YeungSioLeng
UNIVERSITY HEALTH SERVICE
Part-time Medical OfficerThe University Health Service (UHS) of The Hong Kong Polytechnic University is an accredited community-based training centre by The Hong Kong College of Family Physicians. The University invites applications for the part-time Medical Officer post in UHS. Duties: provide primary health care, health counselling, promote health education and perform administrative duties. Qualifications: registrable with The Medical Council of Hong Kong and fluency in spoken English and Cantonese. A higher qualification in Internal Medicine or Family Medicine is an advantage. Post specification and application form are available from the Human Resources Office (Homepage: http://www.polyu.edu.hk/hro/job.htm, Email: [email protected], Fax: 2764 3374). Application closing date: Recruitment will continue until the position is filled.
For further details about the University, please vitsit www.polyu.edu.hk
4
COLLEGE NEWS
HKCFP Trainees Research Fund 2015 /
HKCFP Research Seed Fund 2015
The Research Committee of HKCFP is proud to continue to offer the two research funds, The Trainees
Research Fund and the Research Seed Fund.
The Trainees Research Fund will be opened to all registered HKCFP trainees and is made of four
awards (each up to HK$5,000). It is envisaged it will help trainees especially (but not limited to) those
doing research projects as their exit examination. Those who have funding support elsewhere will not be
considered.
The Research Seed Fund is open to all HKCFP members when a maximum of $10,000 award will be
made to the successful applicant to assist the conduction of a research project.
Winners of the award will receive 50% of the approved grant up front and the remainder 50% upon
completion of the project.
Assessment Criteria for both funds:
1. Academic rigor of the paper (e.g. originality, methodology, organization and presentation);
2. Relevance and impact to family medicine & primary care (e.g. importance of the topic and
the impact of the findings on the practice or development of the discipline); and
3. Overall budget
Each research project submitted will be assessed according to the above assessment criteria set by the
selection panel. Please send your submission to:
Research Committee, HKCFP
803-4, 8/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong by post or
by email: [email protected]
Please indicate the research funding title e.g. “HKCFP Trainees Research Fund 2015/ HKCFP Research
Seed Fund 2015” on your research project upon submission.
Submission Deadline: 31st August 2015
5
WONCA EXPRESS
Report of the 2015 WONCA Asia Pacific Regional Conference, Taipei
Dr.ChungTzeNangJohnSpecialistinFamilyMedicine
The2015WONCAAsiaPacificRegionalCoference(APRC)washeld inTaipei from4th to8thMarch2015attheTaipeiInternationalConventionCentre.ThiseventwasstagedbytheTaiwanAssociationofFamilyMedicineandattracted,accordingtotheorganisers,500overseasdelegatesand4,000Taiwandelegates.ThenumberofregistrationsmadeitaminiWONCAworldconference,asremarkedbyProfessorMichaelKidd,PresidentofWONCA,intheopeningceremony,andthevenueneverappearedthatcrowded.
ThethemeoftheConferencewas“FamilyMedicine:NewHorizonsandChallenges”. KeynotesweredeliveredbyProfessorMichaelKidd(Australia),ProfessorAmandaHowe(UK)andProfessorRobertRakel(USA).Coincidentally,ProfessorRakelalsogavethekeynoteaddressinthe1995WONCAWorldConferenceheldinHongKongorganizedbytheHKCFP.
PlenaryspeechesweredeliveredbyDr.JungkwonLee(SouthKorea),Dr.Yi-LienLiu(Taiwan), ProfessorDonaldLi (HongKong),ProfessorYi-XinZheng(China),ProfessorRyukiKassai(Japan),ProfessorLeeGanGoh(Singapore)andProfessorDorisYoung(Australia).
TheOpeningCeremonywasgracedby thepresenceoftheVicePresidentofTaiwan.SecuritywasunprecedentedintheWONCAconference–bagchecksandbodyguardseverywhere.However,theVPspokewellandwassupportiveoffamilymedicine.
TheKeynotesandPlenariescoveredawiderangeoftopicsfromtheworldofWONCA,integratedcare,theimportanceofcontinuingcomprehensivecare,promotingfamilymedicine,patientadvocacy,familymedicinedevelopmentinChina,workoftheGrandmastersinfamilymedicine,researchanddriversforchange.
Topicsinthebreakoutsessionswerecomprehensive,rangingfromteachingconsultationskills,pre-travel immunisations,osteoarthritis,diabetes,osteoporosis,informationtechnology,socialscienceresearch,sarcopenia,healthpromotion,geriatricmedicine,communityhealth,smokingcessation,palliativecare,ruralmedicinetooccupationalmedicineetc.
Thesessionswerewellattendedand thequalityof thepresentationswasgood.Thepostersectionwasthriving.Therewereavastnumberofposters.Theareadrewaconstantstreamofdelegates.Thiswasoneof themostsuccessfulp o s t e r s e c t i o n s i n a W O N C Aconferenceinmyexperience.
T h e t r a d e e x h i b i t i o n w a s w e l lrepresented,againagoodexampleinmyexperience.Therewerequiteafewhigh-techvendorswhowouldprobablybeofmostinteresttoTaiwandelegates.The book booth was of particularinteresttoo,sellingmedicalbooksinEnglishandChinese.Furthermore,thereweretheWONCAboothandWONCArelatedactivitiesbooths.Comingup,wehavetheworldconferenceinRiodeJaneiroin2016,AsiaPacificRegionalConferenceinPattaya in2017,world
conference inSeoul in2018andtheAsiaPacificRegionalConferenceinKyotoin2019.Somarkyourdiaries.
InthefirsttwodaysoftheConferencetherewastheCross-StraitQuadripartiteConferenceonFamilyMedicineheldintandemwiththemainconference.Theseperiodicseriesofconferencewasstartedinthe1990’swhenDr.PeterLeewasPresidentof theHKCFP, initiallyheldamongHongKong,MacauandMainland(calledtripartiteconferencethen),withTaiwanincludedlateron.Iwonderwherethenextonewouldbeheld -HongKongorMainland,asMacauandTaiwanalreadyhavehadtheirturns?
Therewasa largecontingent from theHKCFP,over40accordingtoregistrations.Theypresentedfreepapersandweremostactiveinposterpresentations.
Thevenueitself, I felt,wasbeginningtoshowitsage.Thecomplexwasnotveryspaciousbutadequate– themostspaciousandimpressiveauditoriumwasnotleasedforthisconference,as I foundoutwhileexploring thebuilding.Signagewasjustadequatebuttheroomswereeasyenoughtobefound.Onequibbletomakeisthelecturetheatrefortheplenarysessions–justtoosmallfortheattendance.Peoplewerestandingorsittingonthefloor.
Tea/coffeebreakswereablink-and-you-will-miss-itaffair.Selfservicestationswerelocatedoutsidethetradeexhibitionandnotwelladvertised.However,onceyouhadfoundthem,youwouldbetreatedtotea,coffeeandsomedeliciousChinesedimsum. Iguess thatwasprobablywhy theykept it lowkey!Lunchwasprovidedfreebutonehadtoqueueforitasapparentlytheamountwaslimited,butIdidnotseeanyoneturnedaway.Whatyougotwasveryinterestingandtasty.ItwasbentoboxTaiwanstylewithageneroushelpingofmeatorfish,rice,vegetablesandpickles,almostJapaneseinfeeling.Everyoneatewithchopsticks,includingfellowattendeesfromthewestandAfrica!
All inall, itwasamemorableconference,not themostillustriousAPRCbut Icameawayfeelingrefreshed,withareaffirmedcommitmenttoFamilyMedicineanddedicationtomypatients.ThesightsofTaipeialsomadethisoccasionmoreworthwhile,abonus.
Now,willtheHKCFPgoforanotherWONCAconference?
ThePresidentleadingtheteam(Fromlefttoright):Dr.DanaLo,Dr.AngusChan,Dr.MarkChan,Dr.JohnChungandDr.LauHoLim
Dr.JohnChung(left)andDr.LauHoLim(right)sharingtheirexperiences
6
WONCA EXPRESS
Reflection from my Taiwan WONCA trip
Dr.EvaTKAu(MBChB(CUHK),MRCP(UK),FHKCFP,FRACGP,DFM(HKCFP),DPD(Cardiff),DCH(Sydney))MedicalOfficerUniversityHealthService,theHongKongPolytechnicUniversity
IthadbeenmygreatpleasuretojointheTaipeiWONCA2015. Theconference themethisyearwas“Family Medicine: New Horizons and Challenges in Asia-Pacific Region”. Iaminterestedintravelmedicineandhadpresentedaposterwiththetopic,“The Application of a New Online Travel Health Program in a University Health Service in Hong Kong – An Initial Experience”.Pre-travelimmunizations,CounselingandMedicineisincategoryA1oftheconferenceandtotal4posterswerepresentedunderthiscategory. Atravelhealthsymposiumwasheldonday2oftheconference.Participantshadthehonorto listento1)Dr.SharleneChengofNationalTaiwanUniversityHospital talkingaboutPre-travelVaccination,2)Dr.Pin-HuiLeeofTaiwanCenters forDiseaseControl(TaiwanCDC)presentingInternationalTravel-relatedInfectiousDiseasesinTaiwan,and3)Dr.Wei-FongKao,theChiefofDepartmentofEmergencyMedicineofTaipeiMedicalUniversity, sharinghisexperiencesinmanaginghighaltitudeillness.
With global izat ion and increasing number ofinternational travelers, travelmedicine is agreenbranchofmedicinethathasbeengainingimportance.Professional groups have been forming since theeightiethcentury. TheInternationalSocietyofTravelMedicinewas formed in1989,while theAsiaPacificTravelHealthSocietywasformedin2000.TheFaculty
ofTravelMedicineoftheRoyalCollegeofPhysiciansandSurgeonsofGlasgowwasestablished in2006.AccordingtoDr.SharleneCheng, in2008,NationalTaiwanUniversityHospitalandTaiwanCDChadjointlyestablishedaTrainingCentreofTravelMedicine,whichhadbeen responsible forprovidingservicesandeducation to thepublic,medicalprofessionalsandresearchintravelmedicine.InHongKong,travelhealthsymposiumshadbeenheldbydifferentmedicalorganizations in thepast. Itwouldbegreat that inthefuture,aspecializedtravelmedicinetrainingbodycanbedeveloped inHongKong. Regularmeetingandexperiencesharingamongmedicalprofessionalsofferingtravelmedicineservicewouldbeofamplebenefit toboth thehealthcareprovidersand thetravelers.
InTaiwan,thereare26hospitalswithTravelMedicineClinic. InHongKong, travelhealth consultationsareofferedbybothpublicandgovernmentclinics.Currently,theDepartmentofHealthruns2travelhealthcentreslocatedinWanchaiandCheungShaWan.These2clinicsaretheonlyplacesinHKwheretravelerscangetYellowFevervaccine.Thereare6otherprivateclinicsontheTravelHealthClinicDirectoryoftheInternationalSocietyofTravelMedicine*;UniversityHealthService(UHS)oftheHongKongPolytechnicUniversity(PolyU)
Fromlefttoright:Dr.NFCheng,Dr.JennyHLWang,Dr.WKKo,Dr.AngusChan(PresidentoftheHongKongCollegeofFamilyPhysicians),Dr.DanaLo,Dr.EvaAu
7
WONCA EXPRESS
Posterroundandknowledgesharing
FamilymedicinephysiciansfromTaiwanandHongKongenjoyingTaipeicuisinetogetherafterconference.
From left to right:Dr.DanaLo (secondauthor),Dr.EvaAu (firstauthor)oftheposter“theApplicationofaNewOnlineTravelHealthPrograminaUniversityHealthService inHongKong–an initialexperience”
isoneof them. PolyUasapioneer inHongKongofferingacredit-bearingcompulsoryService-Learningsubjecthasbeensendingstudents todevelopingcountrieslearningtooffervolunteerservices. Inviewoftimeconstraintinface-to-faceconsultation,plusthewidescopeof informationtocover inatravelhealthconsultation,anonlinetravelhealthprogrammewasdeveloped.StudentswererequiredtostudytheonlinematerialsincludingPowerPointpresentationsandwrittenmaterials,pasttheonlinequizbeforecomingtoclinicforaconsultationwithdoctorandvaccination.Usingtheprogramme,theface-to-faceindividualconsultationcanbesignificantlyreducedfrom30minutesto5minutes.
Travelhealthclinicsusuallyofferpre-travelplusorminuspost-travelconsultations.Preventionisbetterthancure.Apre-travelconsultationaimsfordiseaseandaccidentpreventionbyanalyzing the individualhealth risksrelatedtothatspecificitinerary,whichincludesbutnotlimitingtoinfectiousdiseasepreventionbyvaccinationandmedication. Counselingandadviceremainthemost importantpartofapre-travelconsultation. Intheconference,Dr.SharleneCheng talkedaboutthe“Main InstructionTargets forTravelers (4F’,4S’)”inwhich4F representingFood,Fluids,Flies,Flirts;while4SrepresentingSafecars,Swimming,SunandStress.Discussiononfoodandwatersafety,insectbiteprevention,andavoidanceofzoonoticdiseasesshouldalwaysbe included in theconsultation. While roadtrafficaccidentsremainthenumberonecauseofdeathAboard,travelersshouldberemindedthattrafficcanbechaoticandvehiclescanbepoorlymaintainedinsome
developingcountries.Riskrelatedtowateractivitieslikescubadivingisanotherhealthtopictocover.Preventionofsunburnparticularly intravelerstakingdoxycyclineasmalarialprophylaxisshouldbementioned. Travelcanbestressfulbothphysicallyandpsychologically,especially inhumanityaidsworker;preparation forpossibilityofunplannedincidentsis important.All inall,travelmedicineisawidescopeofmedicine.Howto includeall theabovetopics inapre-travelhealthconsultationisyetanotherchallengetotravelhealthphysicians.
Apart fromgainingmedical knowledge, themostvaluablethingfromthistripwouldbemakingfriendswithagroupoffamilyphysiciansfromHongKong.ItisespeciallytreasurabletomeetDr.MarkChanwhoformerlystudiedinthesamesecondaryschoolasmineandisactuallymy“bigbrother”;wehadapleasurablechatabouttheoldgoodtime.
*http://www.istm.org/AF_CstmClinicDirectory.asp
8
FEATURE
Ms. Lau Wai King, Advanced Practice Nurse (ET), Hong Kong West Cluster, Hospital Authority
Nurse-led Wound Care Service in Department of FM & PHC – Hong Kong West Cluster
IntroductionTheNurse-ledWoundCareServicewasestablished intheGeneralOutpatientClinics (GOPCs)ofHongKongWestCluster(HKWC)since2009.Thepurposeofsettingupwoundclinicaimstoprovidecomprehensivewoundcaretreatmentandon-goingevaluationtopromoteearlywoundhealingaswellastopreventreoccurrenceofanypotential skinbreakdowncomplications.ThewoundcareclinicsaremanagedbyanAdvancedPracticeNursewithEnterostomalTherapistprofessionalqualificationandworkcollaborativelywithspecialtynurseswhohavereceivedspecialisedtraininginwoundcaremanagement.
InHKWC, themainbulkofwoundcare servicesaredelivered in WoundClinics locatedatvariousGOPCsnamely the Kennedy Town Jockey Club GOPC, theAberdeenJockeyClubGOPCandtheNurse&AlliedHealth Clinic, Tsan Yuk Hospital. However, referralconsultationsareavailableforallGOPCsintheHKWCincludingtheTungWahHospitalGOPC.Besides, thewoundclinicalsoacceptsreferralfromotherservices/unitssuchasCommunityNurseService(CNS),VisitingMedicalPractitioner(VMP)ServiceforResidentialCareHomesforDisabilityandSurgicalUnitsofQMH.
In thepast fewyears, thevolume loadofwoundcareservicehasbeenescalatingand itposeddifficultiesforserviceexpansiontomeetsuchdemand includingunavailabilityofspacetohousewoundcareproductsandequipment,needlesstomentionabouttheprivacyconcernfrompatientsandoccupationalhealthhazardconcernsfornursingstaffatthepointofservicedelivery.WithsupportfromtheHospitalAuthorityonafullscaleofrenovation
“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]”
projectsundertakinginHKWCGOPCs,thewoundcareclinicsarenowwell-resourced in termsof spaceandequipmentsoastosecurethebestqualityprovisionofwoundcareservices.
Wound management TheAPN(ET)directsthedevelopmentandimplementationofanindividualizedplanofwoundcarebasedontheneedsidentifiedandgoalsmutuallysetwiththepatient/carerthrough(1)providingholisticpatientassessment,(2)makingrecommendationforwoundcareproducts,(3)performingconservativesharpdebridement,and(4)providingongoingassessmentandevaluation.
Allpatientsare referredaccording to theThree-tierCollaborationModelonWoundCarei.e.fromtheGOPCnursesto AdvancedPracticeNurse (WoundCare)andNurseConsultant (WoundCare).Themutual referralmechanismisinitiatedbetweenAdvancedPracticeNurseandNurseConsultantforcomplicatedwoundmanagement.
Wound care outcome In2013-2014,therewereover3,000attendancesinthesewoundclinics.Theaverageattendance rateof90%.reached forbothnewandsubsequentcasesamongthematotalof56%werewithwoundhealedand39%had shown improvement in the wound condition.Thepatients’ feedbackonourwoundclinicservice isencouragingas85%of themprovidedratingof“VeryGood”and15%gaveratingof“Good”.Thewoundclinicevenreceived lay referralviaWord-of-mouth fromtheservicerecipients.
AED1.01%
Others1.82%CNS
1.21%
GOPC
dressing
39.68%Healed
5 6 . 2 8 %
Leg ucler28%
Surgical: infected/gapped wound, Post I & D wound 35%
Traumatic25%
Burn & Scald6%
Pressure ucler4%
Others: Dog bite, Cancerous Wound, Gout
2%
Leg ucler
Surgical: infected/gapped wound,Post I & D wound
Traumatic
Burn & Scald
Pressure ucler
Others: Dog bite, CancerousWound, Gout
Outcome
Wound care training to nursing staffWhile facingwithescalatingdemandon thewoundcare service, clinical competencyofnursing staffonwoundcaremanagementisofprimeconcernandabigchallengefornursesworkinginGOPCs.
In-serviceonsitewound trainingandwoundcoursesareprovidedbytheAPN(ET)atscheduled intervals toenhancenursesapplicationofknowledgeandskillson
woundcaremanagement.Nursesundergoingsuperviseddirectpracticegain confidenceandcompetencybyreceivingdirect feedbackandappreciationfrombothclinicalsupervisedpracticeandmost importantly fromthepatientstheyarecaringfor.Besides,regularwoundseminarsaredeliveredtoallstaff includingnursesanddoctorstokeepabreastof thecurrentknowledgeandcompetenceintheareaofwoundcare.
9
FEATURE
Wound care education to patientsEffectivewoundmanagementwithsatisfactoryoutcomecannotbeachievedwithoutpatient’sengagement,totalcomplianceandparticipation.It isawellknownfactthatthroughstructured healtheducationandpromotion ,wecantransferknowledgeandskillsofcare,producechangesinhealthseekingbehaviourandthusimprovinghealthstatusbothinindividualsandcommunity.ToenablethenotionofPatientEmpowerment,thewoundclinicnotonlyaimstoassesswoundinasystematicmannerandprovidethebestappropriatetreatment,butalsoequipspatientswithbasicskinandwoundcareknowledgetherebypreventingwounddeteriorationandcomplications.
Wound Clinic consultation room
The wound care pamphlet to patients
Advance Wound Products
Foreverywoundclinicvisit,fullexplanationonthewoundtreatmentandconditionaregiven.Thepatientsareencouragedtodiscussqueriesandproblemsinrelationtothewoundcaretreatment.Asaresult,thecompliancerateofattendanceisover95%forsubsequentcare.
As par t of wound education, patients are given apamphletwithphotos illustratingmaterialsneededforwoundcare, steps for self-dressing ifapplicableandsignstolookoutforseekingmedicalattention.
Wound care studyTwostudieshadbeenconductedto illicit thepatients’woundcareperception.Thefirststudyis“Understanding patients’ knowledge and behaviour in wound management”,The resultsgeneratedare importantforhealthcareprofessionals inplanningappropriateandculturally-orientedwoundcareeducationand inempoweringpatientsonself-management,thusreducingriskofwounddeteriorationandcomplicationswhichotherwisewouldincreasehealthcareburden.
The second study is “How useful is Wound Care Clinic in empowering patients to manage wound themselves?”The resultsshownthatpatientscanbeempoweredtomanagetheirwoundscorrectlyandtimelythroughdetailedexplanationandillustrativeeducationalmaterials. In conclusion, this would help preventwounddeteriorationandsubsequentdevelopmentofcomplicationsatprimarycare level, thus reducingtheburdenonsecondarycare.
ConclusionInprimaryhealthcaresetting,commonencountersofwoundcaremanagementstemfromchronicnon-healingwoundssuchasthoseprimarilycausedbytraumainjuriesand/orsecondary tootherchronicdiseasesconditionlikediabetesmellitus,poor circulation inperipheralvascularorneuro-vasculardisease.Ongoingnursingstaffcompetencytrainingandpatienteducationonwoundcarearecrucialelements toachievethebestpossiblewoundhealingoutcomes.
The evidence-based practice helps target availableresourcestothebestefficiencyandeffectivenessgainonthewoundcareservicedeliveryandinreturnpermitssafeprimarylevelofwoundcarewhichisinlinewiththeHospitalAuthorityMission–KeepingPeopleSafeandHealthyintheCommunity.
10
NEWS CORNER
An Apple a Day Keeps the Doctor Away – a Myth or a Truth?
‘一日一蘋果,醫生遠離我’isanidiomwealwayshearwhenkidsareaskedtoeathealthy.Butasanidiomperse,doesitreallyholdtruewhenputtothetestofmodernscience?
Onewouldwonder,whendidthisrhymefirstappear?WasitaChinesesayingoratranslationfromanotherculture?
Interestingly,itfirstappearedasanEnglishphraseinPembrokeshireoftheWalesabout150yearsago1,2.IntheFebruary1866editionofNotesandQueriesmagazine,theparentstatementwas‘Eatanappleongoingtobed,andyou’llkeepthedoctorfromearninghisbread’. Afterundergoingaseriesofmodificationsandevolutioninthe19thand20thcenturies, itfinallybecame‘Anappleadaykeepsthedoctoraway’1,fromwhichourChineseversionprobablyoriginates.
Applesownalonghistoryofexistence.TheappletreeswererumoredtobefirstfoundinanareabetweentheCaspianSeaandtheBlackSea.Archaeologistshavefoundevidencethathumansstartedtoenjoyeatingapplessinceatleast6,500B.C.3andappleswereevenoneofthefavoritefruitsofancientGreeksandRomans3.
Moreandmorescientificevidenceisgrowingaroundthebenefitsofhavingfruits.Whataboutapples?Isthereanythingspecialaboutapples?
Applesarebackedbyscientificevidencetobebeneficialtohealthinanumberofways,asillustratedinthetablebelow4.
Ingredients / Characteristics Suggested benefits to health
Vitamin C Boostingbodyimmunity
Insoluble fibres Helpingwithintestinalmovement
Pectin (a soluble fibre) Loweringbloodpressure,bloodsugarleveland‘bad’cholesterol
Antioxidants (phytonutrients and quercetin) Fightingagainst free radicals (implicated invariousagerelateddiseasese.g.Alzheimer’sdisease)
Low in calorie Foodoptionforweightreduction
Butwhatfollowsis,canthesetrulybetranslatedtoconcretehealthbenefitsthathelpkeepdoctorsaway?
AstudyrecentlypublishedinJAMAInternalMedicineinMay2015hasprovideduswithsomeinsightsintothisquestion.
A totalof8,000plusadultsolder than18yearsold from2007-2008and2009-2010NationalHealthandNutritionExaminationSurveywereinvitedtocompletea24-hourdietaryrecallquestionnaire,whichwasassumedtoreflecttheirusualdietarypattern.Dailyappleeatingwasdefinedasconsumptionofanequivalentofatleastasmallappledaily,or149gofrawapple.Theprimaryoutcomeofsuccessat‘keepingthedoctoraway’wasspecifiedasnomorethanasinglevisit(selfreported)toaphysicianduringthepastyear5.
Of8,399eligibleparticipants,753(9.0%)wereappleeaterswhile7,646(91.0%)werenonappleeaters.Theassociationofdailyappleeatingandsuccessat‘keepingthedoctoraway‘isstatisticallyaffirmativeinthecrudeanalysis,butisnolongersignificantafteradjustment forsocio-demographicandhealth-relatedcharacteristics.Theonlyassociationwithappleeatersthatwasprovedstatisticallysignificantwasamarginalsuccessinavoidingprescriptionmedications5.
Despitethatthisstudyhasanumberofshortcomings,whichincludefailuretoassessthecauseandeffectrelationship,confoundingcharacteristicsofthesubjectgroupsandsoledependenceonself-reportingforthedietary information5, itprovidesuswithabitofscientificevidencethatturnsouttoproveagainstthistheory.
‘Anappleadaykeeps thedoctoraway’maynotbecorrectwhentestedstatistically,but itdoesconveyastrikinglyimportantmessage-buildingupahealthylifestyle.Asphysicians,especiallyinthedisciplineoffamilymedicine,weshouldalwaysbearinmindourcrucialroleinpromotinganticipatorycareanddiseasepreventionamongourpopulation.
Anappleadaymaynotabsolutelykeepdoctorsaway,buttheessenceandspiritbehindwouldhelptodoso.
References: 1. MartinG.Anappleadaykeepsthedoctoraway-meaningandorigin.[homepageontheInternet].1996-2015[cited2015May16].Availablefrom:http://
www.phrases.org.uk/meanings/an-apple-a-day.html2. ElyM.Historybehind ‘Anappleaday’ -TheWashingtonPost. [homepageonthe Internet].2013 [cited2015May16].Available from:http://www.
washingtonpost.com/lifestyle/wellness/history-behind-an-apple-a-day/2013/09/24/aac3e79c-1f0e-11e3-94a2-6c66b668ea55_story.html3. SharpT.Apples:Healthbenefits,risks&nutritionfacts. [homepageontheInternet].2014[cited2015May16].Availablefrom:http://www.livescience.
com/44686-apple-nutrition-facts.html4. HunterA.Willanappleadaykeepthedoctoraway?-howstuffworks.[homepageontheInternet].2009[cited2015May16].Availablefrom:http://health.
howstuffworks.com/mental-health/human-nature/health-myths/an-apple-a-day.htm5. DavisMA,BynumJP,SirovichBE.Associationbetweenappleconsumptionandphysicianvisits:appealingtheconventionalwisdomthatanappleaday
keepsthedoctoraway.JAMAInternalMedicine2015;175(5):777-783.
Compiled by Dr. David Cheng / Dr. Alfred Kwong
"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]"
11
LEARNING POINTS FROM BOARD OF EDUCATION
Report on the Evidence-based Medicine (EBM) — Interest Group Meeting Workshop on 18 April 2015Report by Dr. Chan Suen Ho Mark (Moderator)
Theme : Evidence based practice — How to get reliable evidence at point of care within two minutes
Venue : CouncilChamber,HKCFPOffice,8/F,DukeofWindsorSocialServiceBuilding
Time : 2:15pm-5pm
Attendance : 41
Speaker : Dr.FrancisWTLee,Groupcoordinator
Dr.KinsonLau,Groupmember
Dr.FrancisWTLee isaspecialist inFamilyMedicine.Hegraduated fromtheUniversityofHongKongandisanexperienced familyphysicianboth in thepublicandprivatesector.Dr.Lee’s interest iseducationandpromotionofEBM.Dr.LeeisoneofthelongestservingBoardMemberoftheEducationBoard.
Dr.KinsonLau,Specialist inFamilyMedicine,graduatedfromUniversityofLiverpoolandhasreceivedtrainingintheUKwithspecial interest inEBM.BothDrs.LeeandLauhavebeenpromotingthepracticeofEBMamongourcolleaguesforthepast10years.
Dr.FrancisWTLeespokeonthemeaningofevidencebasedmedicineanddevelopment.Medicinecomprisedknowledge,valueandpractice;acombinationofpersonalbeliefandvalue,education,andexperiencewithcontinualstudyofapplicable literature.However,weallknow inMedical literature, therearebiases in research,errorsinclinical reasoningandgaps inevidence; it isalsoatranslationofepidemiologytodecisionmaking.
Evolution of the term and meaning of EBMFormal assessment of medical interventions usingcontrolledtrialsstarted from1940s; in1972,ProfessorArchieCochrane,expressedtheideaofEBMinhisbookEffectivenessandEfficiency:RandomReflectionsonHealthServices.Bylate1980s,PracticalMethodologywasdevelopedbygroupsworkingatDukeUniversityinNorthCarolina(DavidEddy)andMcMasterUniversityinTorontobyGordonGuyattandDavidSackett.
WhileatMcMasterUniversity,Sackettpublishedthefirstofaseriesofarticlesadvisingclinicianshowtoreadclinicaljournals.LainChalmersestablishedtheCochraneCentreinOxford in1992, laterexpandedintoan internationalcollaborationofcentres,nowthirteen innumberwith11,500researchers.
Definition of EBM “… the process of finding, appraising, and usingcontemporaneous research findingsas thebasis formedicaldecisions”RosenbergandDonald(1995)
“Evidencebasedmedicine isa setofprinciplesandmethodsintendedtoensurethattothegreatestextentpossible,medicaldecisions,guidelines,andothertypesofpoliciesarebasedonandconsistentwithgoodevidenceofeffectivenessandbenefit.”Eddy(2005)
Greenhalgh(2010)usedadefinitionthatemphasizedtheuseofquantitativemethods:“theuseofmathematicalestimatesoftheriskofbenefitandharm,derivedfromhigh-qualityresearchonpopulationsamples,to informclinicaldecision-makinginthediagnosis,investigationormanagementofindividualpatients”
The one by Sacket t and colleagues is the mostcommonly:”Conscientious,explicitandjudicioususeofcurrentmedicalevidenceinmakingdecisionsaboutthecareofindividualpatients”
EBM: what it is not (or should not be)EBMisneitheroldhatnorimpossibletopractice,itshouldnotbeconductedonlyfromivorytowersandarmchairs;obviously,not“cookbook”medicine;andwouldnotbe“hijacked”bypurchasersandmanagerstocutthecostsofhealthcare.
EBM isnot restricted to randomized trialsandmeta-analyses;Basicscienceand immunologycanbegoodevidence;andweallknowsometherapeuticmeasuresor interventionscannotbesubjectedtorandomization(Sackett).
Mostimportantofallshouldbeascientificmindtohandlethevastnewandoldinformation,artfullynegotiatewithandapplytothepatientinfrontofus.
Suggested reading:WhatEBMIsand IsNot.DavidSackettetal .BMJVol312,13Jan1993
EBMandthepracticingclinician.FinlayAMcAlister, IanGrahametal.JGenInternMed1999;14:236-242
EBM:amovement incrisis?Greenhalgh,BMJ2014;348doi:http://dx.doi.org/10.1136/bmj.g3725 (Published13June2014)
JonathanBelsey.Whatisevidencebasedmedicine.http://www.medicine.ox.ac.uk/bandolier/painres/download/whatis/ebm.pdf
Part IIDr.KinsonLaurevisedonthenatureofquestionsoneasks.
Backgroundquestionsarewhat,where,why,howvsForegroundquestionsaremoreofdiagnosis,prognosis,
(Disclaimer:Alladviceandsharinginthemeetingarepersonalopinionsandbearnolegalresponsibility.Allpatients’identitiesarekeptconfidential.)
12
LEARNING POINTS FROM BOARD OF EDUCATION
andtreatment;withincreasingexperienceofdiseases,wewillbeaskingmoreontheforegroundquestions.
The best evidence depends on the type of questions:- Howoneasksquestion,leadstohowoneanswersthe
questions.- What are the problems? Would be answered by
observation,e.g.qualitativeresearch.- How common is the problem? i.e. what is the
frequency,occurrence?Answeredbysurvey,randomorconsecutivesamples.
- Doesthispatienthavethisproblem? Isadiagnosisquestion,couldbeapproachedbyrandomsamplingwithsomegolddiagnosticstandard.
- Howwilltheproblemevolve?Isaprognosisquestion,couldbeansweredbycohortstudies,followupofaselectedsample.
- Howcanwealleviate theproblem? Is therapyorintervention,bestbyRCT.
OK, how to do EBM?The5stepsare:
1. Formulateananswerablequestion2. Trackdownthebestevidence3. Criticallyappraisetheevidence4. Apply theevidencewith individualbasedclinical
expertiseandpatientconcerns5. Evaluatetheoutcome=audit
The Boolean LogicBoolean logic refers tothe logical relationshipamongsearchterms,namedaftertheIrishmathematicianGeorgeBoole.BooleanSearchingontheInternetisusedinonlineliteraturesearches.TheprincipalBooleanoperatorsareAND,ORandNOT.
TheuseofANDwillnarrowthesearchsoonegetsfewerresults;ORbroadenstheresearch,usuallyusedtosearchforsynonyms;NOTisforexcludingterms.
Barriers to practice of EBMUnderstanding of EBM: perception, concept andknowledge,anddoctor’sownsubjectivevalue;Skepticism
aboutguidelines;Lackofknowledgeand lackofbasicskills(infindingevidenceandinappraisal);Andcertainlytherearebarriersfromthehealthcaresystem:financing,cost-effectiveness,differentstakeholders’andpatients’valuesandchoices.
Atapersonal level, it isadmittingwedon’tknowthatstartsall, theknowledgehowtogettheskillstoobtaincurrentbestevidenceandevidenceresourcesatthepointofcarewithtimelimitation.
What sort of evidence (help) are there?Evidence ranges fromoriginalarticles, journals, thentherearesynopsisofstudiese.g.evidencebasedjournalabstracts;synthesis,e.g.systematicreviews,mostnotablybyCochrane,ACPJCandEvidenceUpdates; furtherupthereareevidence-based journalabstractegEBM,ACPJC.; more practically, there are summaries .e.g.Dynamed,ACPMed;computeriseddecisionsupport.
Dr. Lauwenton todemonstratehisexperiencewithvariouswebsources,including:
BMJ be s t p r ac t ice; C l in ic a lev id ence.bmj.com;The Cochrane l ibrar y; dynamed.ebscohost.com;essentialevidenceplus.comanduptodate.com,theclinicalknowledgesummariesbyNHS.
Aninterestingdiscussionwithactiveparticipationfromthefloorbroughtthemeetingtoanencouragingending.
Take home message:Takehomemessage:Itisdemonstratedthatreliableclinicalinformationcanindeedberetrievedintwoorthreeminutes.
Try togethandonDynamed. (YourmembershipwithRACGPandtheteachingatUniversitieswillpay.)
Useful links:http://bestpractice.bmj.com/best-practice/welcome.htmlhttp://clinicalevidence.bmj.com/x/index.htmlhttp://www.thecochranelibrary.comhttps://dynamed.ebscohost.comhttp://annals.org/journalclub.aspxhttp://www.essentialevidenceplus.comhttp://www.uptodate.com/home
Photostakingattheworkshop
13
BOARD OF EDUCATION NEWS
ASSESSMENT ENHANCEMENT COURSE (AEC) FOR FAMILY PHYSICIANS 2015
Organizer : AssessmentEnhancementSub-committee,BoardofEducation,HKCFP
Tutors : FamilyMedicineSpecialists,FellowsofHKCFPandRACGP
Supervisors : Dr. Tam Chung Yin, Janet and Dr. Chan Chi Wai
Co-ordinator : Dr. Lai Sheung Siu
Objectives : 1. Toimproveclinicalknowledge,problemsolvingandconsultationskillsthroughdifferent
workshops
2. Toimprovephysicalexaminationtechniqueandclinicproceduralskillsthroughhands-on
experience
3. Toprovideopportunity for inter-professional communicationand social network
expansionthroughself-helpgroups
4. Toimprovetimemanagementthroughsimulatedexamination
Venue : DukeofWindsorSocialServiceBuildingandHKAMJockeyClubBuilding
Date : 6months’coursestartingfromApril2015
CourseStructure : Thecoursewillconsistof4maincomponents:
1. Seminars
2. Workshops
3. Self-helpGroupSupport
4. MockExam
SeminarsandWorkshopswillbearrangedonSaturdayafternoons(2:30p.m.to5:30p.m.)
Accreditation : Upto15CMEpoints(Category4.4)&5CPDpoints(Category3.15)forthewholecourse
CourseFee : Members : HK$3,200(Wholecourse)
HK$900(Spotadmissionforeachseminarorworkshoponly)
Allchequespayableto“HKCFP Education Ltd”
AllFeesreceivedarenon-refundableandnon-transferable.
Capacity : 50doctorsmaximum
Enrolment : Enrolmentisnowopen.PleasecalltheCollegeSecretariat,Ms.TeresaLiuorMr.JeffCheng,at2528
6618fordetails.Successfulapplicantswillbeinformedlater.
Disclaimer : Allcasesandanswersaresuggestedbyourtutorsonly.Theyarenotstandardanswersfor
examination.
Remarks : Post-AEC training coursewillbeorganizedforcategory2candidateswhohaveenrolledinAEC.
Assessment Enhancement Course 2015Timetable for Workshop
Date Topics Venue
25April2015(Sat)2:30–5:30p.m.
Introduction DukeofWindsorSocialServiceBuilding,Wanchai
16May2015(Sat)2:30–5:30p.m.
ApproachtoPhysicalComplaints DukeofWindsorSocialServiceBuilding,Wanchai
13June2015(Sat)2:30–5:30p.m.
ProperPhysicalExaminationCommonClinicProcedures
DukeofWindsorSocialServiceBuilding,Wanchai
18July2015(Sat)2:30–5:30p.m.
VivaPractice:Enhance InterprofessionalCommunication
DukeofWindsorSocialServiceBuilding,Wanchai
15August2015(Sat)2:30–5:30p.m.
ProblemSolvingSkills DukeofWindsorSocialServiceBuilding,Wanchai
19September2015(Sat)2:30–6:00p.m.
MockExam HKAMJockeyClubBuilding,99WongChukHangRoad
4 July 2015 Saturday
Board of Education Interest Group in Dermatology
Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice
Theme New Management Update on Rosacea and Facial Redness
Speaker Dr. Wong Sai SiongSpecialistinDermatology
Co-ordinator&Chairman
Dr. Siu Che Hung, PaulTheHongKongCollegeofFamilyPhysicians
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 LecturewillbeconductedinEnglishandDiscussionwillbeinEnglishorbilingual
Registration Registration will be first come first served.Please reserve your seat as soon as possible.
Note Participants are encouraged to present own cases for discussion. Please forward your cases to the Coordinator via the College secretariat 2 weeks prior to meeting.
HKCFP would like to thank HKMA for supporting this educational activity.
SponsoredbyGalderma Hong Kong Limited
25 July 2015 Saturday
Board of Education Interest Group in Counseling
Aim (1)Toformaregularplatformforinteractivesharinganddiscussionofvariouscounselingcasescommonlyseeninourdailypractice;
(2)Toboosterthecompetenciesincounselingoffamilypractitionersthroughcasediscussionandpractisingselfawareness
Theme Balint Group - "Dose Calibration" of Doctor-patient Relationship
Speaker Dr. Lau Wai Yee, Aster
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 Coordinator via the College secretariat 2 weeks prior to meeting.
Monthly Video Viewing Session
MonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.
June’s session:
Date 26June2015(Friday)
Time 2:30p.m.-3:30p.m.
Topic “Dr., Am I Suffering from Sexually Transmitted Infection?” – Dr. Lee Tze Yuen
Admission FreeforMembers
Accreditation 1CMEpointHKCFP(Cat.4.2)1CMEpointMCHKUpto2CPDpoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)
Language LecturewillbeconductedinCantonese.
July’s session:
Date 31July2015(Friday)
Time 2:30p.m.-3:30p.m.
Topic “Cardioprotective role of Beta-blockers in Hypertension & other Cardiovascular Diseases” - Dr. J.M. Cruickshank
Admission FreeforMembers
Accreditation 1CMEpointHKCFP(Cat.4.2)1CMEpointMCHKUpto2CPDpoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)
Language LecturewillbeconductedinEnglish.
14
BOARD OF EDUCATION NEWS Pleasewearasurgicalmaskifyouhaverespiratorytractinfectionandconfirmthatyouareafebrilebeforecomingtothemeeting. PleasewearanappropriatedresscodetotheHotelfortheScientificMeeting. PrivateVideoRecordingisnotallowed.Members,whowishtoreviewthelecture,pleasecontactoursecretariat.
Structured Education ProgrammesFreetomembersHKCFP2CMEpointsaccreditation(Cat4.3)
Date/Time/CME Venue Topic/Speaker(s) Registration
2 July 15 (Thu)
2:15–5:15p.m. Auditorium,G/F,HospitalMainBlock,TseungKwanOHospital
FM Training in HK & OverseasDr.YuenMingWai&Dr.YeungKaYuDoogie
Ms.CordyWongTel:39493087
4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital
Application of FM Principle in Common Mental ProblemDr.ChanChiHo&Dr.WongChunFai
Ms.ElizaChanTel:24686813
5:00–7:00p.m. Room041,2/F,PamelaYoudeNethersoleEasternHospital
Management of common hand musculoskeletal problem Dr.MathewLau
Ms.KwongTel:25956941
8 July 15 (Wed)
5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Principles of Family Medicine: the Art of Communication SkillsDr.PLTsang
Ms.ElaineCheungTel:25892339
5:30–7:30p.m. SeminarRoom,3/F,LiKaShingSpecialistClinic,PrinceofWalesHospital
Genogram Dr.TinYuenYing
Ms.CrystalLawTel:26323480
2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Principle of Family MedicineDr.LamSiuPing
Ms.ElizaChanTel:24686813
2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital
Case Presentation (Emergency in General Practice)Dr.LeeKaYunPeter&Dr.ChingRosemaryHinNga
Ms.CordyWongTel:39493087
2:15–5:15p.m. MeetingRoom,G/F,BlcokQ,UnitedChristianHospital
Introduction of Family Medicine (for New KEC FM Trainees)Dr.DavidChao
Ms.CordyWongTel:39493087
9 July 15 (Thu)
2:15–5:15p.m. LectureTheatre,8/F,AmbulatoryMainBlock,TKOH Case Presentation (Emergency in General Practice)Dr.ChanSoWai&Dr.KwokYeeMing
Ms.CordyWongTel:39493087
4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital
Application of Mindfulness in Primary Care SettingDr.HungChiBun
Ms.ElizaChanTel:24686813
15 July 15 (Wed)
2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Vocational Training Program for Family Medicine In Hong KongDr.SoMeiKuen
Ms.ElizaChanTel:24686813
2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UCH FM Training in HK & OverseasDr.ChanWingChiAnnie&Dr.WongKoonYinYvonne
Ms.CordyWongTel:39493087
5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Problem Solving and Diagnostic Skills in a Family Medicine ConsultationDr.DavidLee
Ms.ElaineCheungTel:25892339
16 July 15 (Thu)
2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Update on Management of DMDr.WongSzeKei&Dr.KamNgarYin
Ms.CordyWongTel:39493087
4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital
Management of Multi-morbidity in Primary Care SettingDr.ChanChing&Dr.TangKinSze
Ms.ElizaChanTel:24686813
5:00–7:00p.m. Room041,2/F,PamelaYoudeNethersoleEasternHospital
Care of Infant ProblemDr.RickyWong
Ms.KwongTel:25956941
22 July 15 (Wed)
2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Consultation ModelsDr.LuiLokKwan
Ms.ElizaChanTel:24686813
2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital
Hormonal Replacement TherapyDr.AlvinaLo&Dr.XuShaowei
Ms.CordyWongTel:39493087
5:30–7:30p.m. SeminarRoom,3/F,LiKaShingSpecialistClinic,PrinceofWalesHospital
Infectious Disease Update (Ebola, Influenza, Middle East Respiratroy Syndrome) Dr.LeeSum
Ms.CrystalLawTel:26323480
5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Common Symptom Complaints - Abdominal PainDr.KHTseung
Ms.ElaineCheungTel:25892339
23 July 15 (Thu)
2:15–5:15p.m. LectureTheatre,8/F,AmbulatoryMainBlock,TKOH Hormonal Replacement TherapyDr.LeeShekHang&Dr.CheukHiuYingAngie
Ms.CordyWongTel:39493087
4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital
Legal and Ethical Guidelines for Sponsorship in MedicalDr.ChanKaHo&Dr.YuenChingYan
Ms.ElizaChanTel:24686813
5:00–7:00p.m. Room041,2/F,PamelaYoudeNethersoleEasternHospital
Common Vulval and Vaginal ConditionsDr.LauSoLingCatilyn
Ms.KwongTel:25956941
29 July 15 (Wed)
2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UCH Euthanasia, Organ TransplantationDr.WongHongKiuQueenie&Dr.PunYatHei
Ms.CordyWongTel:39493087
2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Clinical Approach to Electrolyte Disturbances (Na, K, Ca) in Primary Care with Case IllustrationDr.TSUISauIn
Ms.ElizaChanTel:24686813
5:15–7:15p.m. Multi-functionRoom,NAHCclinic,G/F,TsanYukHospital
Allied Health Talk - Speech TherapyDr.StephenChou
Ms.ElaineCheungTel:25892339
30 July 15 (Thu)
2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Euthanasia, Organ TransplantationDr.YingGardChing&Dr.HouJing
Ms.CordyWongTel:39493087
4:00–6:00p.m. Room614,AmbulatoryCareCentre,TuenMunHospital
Clinical Approach & Management of Psychological Problems in ElderlyDr.LauLaiNa&Dr.SungCheukChung
Ms.ElizaChanTel:24686813
5:00–7:00p.m. Room041,2/F,PamelaYoudeNethersoleEasternHospital
Sharing of Experience in WONCADrKwanWingYanWendy
Ms.KwongTel:25956941
15
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Red : EducationProgrammesbyBoardofEducationGreen : Community&StructuredEducationProgrammesPurple : CollegeActivities
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Dr.AlvinChan Section Editor (Oasis)Dr.ChanManLi Section Editor (Feature)Dr.DavidCheng Dr.JudyCheng Section Editor (After Hours)Dr.ChristinaCheukDr.FokPeterAnthonyDr.FungHoiTik,HeidiDr.HoKaMing Section Editor (WONCA Express)
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Chief Editor :Dr.CatherineNg
Deputy Editors: Prof.MartinWongDr.NatalieYuenDr.AnitaFan
Board Advisor :Dr.WendyTsui
Board Members :
FP LINKS EDITORIAL BOARD 2015
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COLLEGE CALENDARSunday Monday Tuesday Wednesday Thursday Friday Saturday
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ENTUpdate
15 16
9:00 p.m.DFMBoardMeeting
17
2:15 – 7:15 p.m. StructuredEducationProgramme
182:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.HKCFPCouncilMeeting
19 20
21 22
7:00 p.m.SpecialtyBoardCSASubcommitteeMeeting
23 24
2:15 – 7:15 p.m. StructuredEducationProgramme
252:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.BoardofConjointExaminationMeeting
26
2:30 – 3:30 p.m. VideoSession
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28 29 30 1 2
2:15 – 7:00 p.m. StructuredEducationProgramme7:00 p.m.SpecialtyBoardSegmentCoordinatorsMeeting
3 4
1:00 – 4:00 p.m. InterestGroupinDermatology
5
3:00 - 6:00 p.m.1stExaminerWorkshoponOSCE
6 7 82:15 – 7:15 p.m. StructuredEducationProgramme
92:15 – 7:00 p.m. StructuredEducationProgramme
10 11
12 13 14 15
2:15 – 7:15 p.m. StructuredEducationProgramme
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2:15 – 7:00 p.m. StructuredEducationProgramme8:30 p.m.HKCFPCouncilMeeting
17 182:30 – 5:30 p.m. AEC20151:00 – 4:00 p.m. CertificateCourseonBringingBetterHealthtoOurCommunity2015
19 20 21 22
2:15 – 7:15 p.m. StructuredEducationProgramme
232:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.BoardofConjointExaminationMeeting
24 25
2:30 - 4:30 p.m. CounselingInterestGroup
26 27 28 292:15 – 7:15 p.m. StructuredEducationProgramme
302:15 – 7:00 p.m. StructuredEducationProgramme
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2:30 – 3:30 p.m. VideoSession
1