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


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

Case Presentation (Emergency in General Practice)Dr.LeeKaYunPeter&Dr.ChingRosemaryHinNga


2:15–5:15p.m. MeetingRoom,G/F,BlcokQ,UnitedChristianHospital

Introduction of Family Medicine (for New KEC FM Trainees)Dr.DavidChao


9 July 15 (Thu)

2:15–5:15p.m. LectureTheatre,8/F,AmbulatoryMainBlock,TKOH Case Presentation (Emergency in General Practice)Dr.ChanSoWai&Dr.KwokYeeMing



Application of Mindfulness in Primary Care SettingDr.HungChiBun


15 July 15 (Wed)

2:15–4:45p.m. AB1034,1/F,MainBlock,TuenMunHospital Vocational Training Program for Family Medicine In Hong KongDr.SoMeiKuen


2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UCH FM Training in HK & OverseasDr.ChanWingChiAnnie&Dr.WongKoonYinYvonne


5:15–7:15p.m. LectureTheatre,5/F,TsanYukHospital Problem Solving and Diagnostic Skills in a Family Medicine ConsultationDr.DavidLee


16 July 15 (Thu)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Update on Management of DMDr.WongSzeKei&Dr.KamNgarYin



Management of Multi-morbidity in Primary Care SettingDr.ChanChing&Dr.TangKinSze



Care of Infant ProblemDr.RickyWong


22 July 15 (Wed)

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


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

Hormonal Replacement TherapyDr.AlvinaLo&Dr.XuShaowei


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


23 July 15 (Thu)

2:15–5:15p.m. LectureTheatre,8/F,AmbulatoryMainBlock,TKOH Hormonal Replacement TherapyDr.LeeShekHang&Dr.CheukHiuYingAngie



Legal and Ethical Guidelines for Sponsorship in MedicalDr.ChanKaHo&Dr.YuenChingYan



Common Vulval and Vaginal ConditionsDr.LauSoLingCatilyn


29 July 15 (Wed)

2:15–5:15p.m. Multi-mediaConferenceRoom,2/F,BlockS,UCH Euthanasia, Organ TransplantationDr.WongHongKiuQueenie&Dr.PunYatHei


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


5:15–7:15p.m. Multi-functionRoom,NAHCclinic,G/F,TsanYukHospital

Allied Health Talk - Speech TherapyDr.StephenChou


30 July 15 (Thu)

2:15–5:15p.m. Auditorium,G/F,TseungKwanOHospital Euthanasia, Organ TransplantationDr.YingGardChing&Dr.HouJing



Clinical Approach & Management of Psychological Problems in ElderlyDr.LauLaiNa&Dr.SungCheukChung



Sharing of Experience in WONCADrKwanWingYanWendy


15

BOARD OF EDUCATION NEWS

Red : EducationProgrammesbyBoardofEducationGreen : Community&StructuredEducationProgrammesPurple : CollegeActivities

“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”Contact and Advertisement Enquiry Ms.AlkyYuTel:25286618Fax:28660616E-mail:[email protected],8thFloor,HKAMJockeyClubBuilding,99WongChukHangRoad,HongKong

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

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

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

Dr.WongYuFaiDr.YipTzeHung

Chief Editor :Dr.CatherineNg

Deputy Editors: Prof.MartinWongDr.NatalieYuenDr.AnitaFan

Board Advisor :Dr.WendyTsui

Board Members :

FP LINKS EDITORIAL BOARD 2015

16

COLLEGE CALENDARSunday Monday Tuesday Wednesday Thursday Friday Saturday

14

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


252:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.BoardofConjointExaminationMeeting

26

2:30 – 3:30 p.m. VideoSession

27

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


10 11

12 13 14 15


16

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


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


31

2:30 – 3:30 p.m. VideoSession

1

2015 June - Family Physicians Links

Documents

Transcript of 2015 June - Family Physicians Links