Message from the President - Family Physicians Links

Message from the PresidentIssue 78August 2010

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THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

Family Physicians Links

Smoking Cessation

INSIDE THIS ISSUE

01 MessagefromthePresident02 CollegeNews:

02 MessagefromthePresident,BVTSNews03 HouseManagementCommitteeNews,CMOD04 BoardofConjointExaminationNews,Membership

CommitteeNews05PublicEducationCommitteeNews06 WebandComputerCommitteeNews09BoardofDiplomainFamilyMedicine(DFM)10 17thHongKongInternationalCancerCongress

11 Oasis:一生不可少的八種朋友

12TraineeColumn:NewlyrecruitedtraineeinFamilyMedicine

14 NewsCorner:HotDrugIssue-Thiazolidinedione

15 Advertisements

17 LearningPointsfromBoardofEducation

18 BoardofEducationNews

24 CollegeCalendar

TherewasapresentationbytheDepartmentofHealth (DH)at theCouncilmeetingofHongKongAcademyofMedicine(HKAM)inJuneseekingcollaborationbetweenthetwo organizations to promote smokingcessationinHongKong.TheDepartmentofHealthadvocatedthattreatmentoftobaccodependenceasan issuecuttingacrossallspecialties,andassuchcorecompetencyin tobaccodependencetreatmentshouldbe possessed by all specialists. DH hassuggestedthatHKAMmaycontemplatethefollowingareasofcollaborationwithDH:

1. Support the formationofa panel or a faculty of specialists on smokingcessationand tobaccocontrolunderHKAM.ThefacultywillcompriseHKAMfel lows, some of whom may havebeenconferredasTobaccoTreatmentSpecialists (TTS)viaaccreditedtraining.The panel/ faculty wi l l serve as afacilitators/trainers’ pool fortrainingonsmokingcessationinthepostgraduate/fel lowship training programme ofrespectivecolleges.Theymayalsobeinvitedtojoinoverseasassignmentsontraininghealthcareprofessionals intheregionor themainland,onbehalfofaWHOcollaboratingcentre.

2. Incorporate treatment of tobaccodependenceintopostgraduatetrainingand fellowshipexamination.Thiswillhelpenhancetheknowledgeandskillson smoking cessation and integratesmokingcessationintothedailypracticeofspecialists.

T h e C o u n c i l o f H K A M h a se n d o r s e d t h e p r o p o s e dcollaboration. Itwillbeanon-goingworkingrelationshipwithDHandseriesofevents intermsofmediapromotion,trainingofTTSandfutureplanswill follow.As theHKAM is thestatutorybody to set standards in training andassessment,therewillbestrongimplicationsforallCollegesintheseaspects.Membersandespeciallytraineeswillneedtoacquireadequate knowledge and skills in themanagement of tobacco dependence.Here Iwould like toemphasize thatnotonly tobacco,butall substanceabuseoraddiction should be covered along thesame line of thought. Family Physicianshaveapointofvantagetodealwiththesepatients,be it“healthy”smokersorthosealreadysuffering fromCHDorCOPD,orschool children and teenagers who arevulnerabletothetemptationofsubstanceabuse.Wecanalwayshelp themduringtreatmentorprevention,ortaketheroleofeducator/advocate.However,wehave toaskourselveswhetherwearewell-trainedto assume the responsibility, or are weonly justdoingcase findingand referralouttootherhealthcareprofessionals,suchas nurses or counselors. Therefore, theCollegewill need to review the trainingprogrammetoensurethat futuretraineescansatisfy therequirementofknowledgeand skills in tobacco dependence, withproperassessment.

(Continued on page 2)

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Reminder:SubmissionofTrainingLogbookforCertificationofCompletionofBasicTraining

ToallBasicTrainees,

Forthosewhohavecompletedfour-yearbasicvocationaltraining,pleasesubmityourtraininglogbookforcertificationofcompletionofbasictrainingassoonaspossible.Logbookshouldbesubmittedwithin3monthsofcompletionofbasictraining,otherwisetraineeswillhavetocontinuepayingtheannualtrainingfee.

Shouldyouhaveanyenquires,pleasecontactourcollegeexecutives,Ms.CarmenChengandMr.PatrickWuat25286618.

BasicTrainingSubcommittee

BVTS

*****

Reminder:ApplicationforRecommendationforExitExamination

ToallHigherTrainees,

Forthosewhopreparetositforexitexaminationin2011,pleasesubmittheapplicationlettersandthechecklistsforrecommendationforexitexaminationbefore30September2010.

Lateapplicationswillnotbeentertained.

Shouldyouhaveanyenquires,pleasecontactourcollegeexecutives,MsCarmenChengandMrPatrickWuat25286618.

HigherTrainingSubcommittee

BVTS

Board of Vocational Training and Standards News

FellowshipinHongKongAcademyofMedicineisthebeginningofalife-longprofessionaldevelopment.Itwasnevermeanttobetheend-pointofourtrainingandmedicaleducation.Whileotherspecialtieshaveevolvedanddevelopedvarioussub-specialtieswhicharemoretechnologyoriented,FamilyMedicinestandsoutuniquelyinitscorecompetency.Themostimportantattributesprofoundlyinvolveinter-personalcommunicationandinteractions,humanityandlifeexperiencethroughoutoureverydayclinicalpractice.Everypersonwemeetintheconsultationroomisdifferentinspiteofthefactthathe/shemayhavesimilarcomplaintsorsymptoms;thisneedsnofurtherelaborationtoourmembers.Thereisnoquestionaboutthebasiccontinuousupdateaboutmedicalandtechnologicaldevelopmentwhichisamustforeverydoctor,nomatterwhatspecialtyoneisin.

ForourAMFellows,thisisanopportunitytodevelopaspecialinterestinclinicalpractice.DHhaspledgedtosetuptheWHOCollaboratingCentreonSmokingCessationandwillstarttrainingassignmentsin2011-2012.ExpertsfromMayo’sClinicwillcometoHongKongtoconductcoursesforfutureTTS.IwillencourageourAMFellowswhoareinterestedinthisnewventuretojoininwhendetailsofrecruitmentareannounced.Thetrainingwillnotjustbenefitthedevelopmentofknowledgeandskillsintobaccodependencebutitwillalsohelpustackleothersubstanceabusescenarios.IshallrepresenttheCollegeinthispanelbuteventuallyyoursupportismostcrucialforthefuturesuccessinthepromotionofsmokingcessationinHongKongandotherpartsoftheworld.PleaselookoutforannouncementinthecomingissuesofFPLinks.

Havearelaxingandenjoyablesummerbreak.

Dr.GeneWWTsoiPresident

Message from the President(Continued from page 1)

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SHouse Management Committee News

Temporary Closure of Wanchai Office for Renovation

DearMembers,

PleasenotethattherenovationattheofficeinDukeofWindsorSocialServiceBuildinginWanchaiwillbecarriedoutfrommid-AugusttilllateOctober.Thepremiseswillbeclosedduringthisperiod.

Thestaff inWanchaiwillcontinuetheirsupporttorespectiveboardsandcommitteesattheAcademybuildinginWongChukHang.AllcallstothesecretariatinWanchaiwillbedivertedtothesecretariatinWongChukHang.

Thedateofre-openingofWanchaiofficeissubjecttotherenovationprogress.TheexactdatewouldbeannouncedASAP.PleasefeelfreetovisittheCollegewebsitehttp://www.hkcfp.org.hkorcallat25286618fortheupdatesoftherenovation.

Thankyouforyourunderstandingandco-operation.Weapologiseforanyinconveniencecaused.

HKCFPSecretariat

Staff Movement

Ms.RachelMokhasresignedfromherpositionasAdministrativeExecutiveoftheSpecialtyBoard,QA&ACommittee,andInternalAffairsCommitteeeffectivefrom15August2010.

TheCollegeappreciatesherfineanddedicatedcontributionforthepast21/2years.WewouldliketoextendthemostsincerethankstoRachel.Rachelhasanewcareerprospectwhichwewishherallthebest.

HKCFPSecretariat

"Council Member-On-Duty" (CMOD) System

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

Forthismonth,from15thAugusttill14thSeptember,2010,Dr.LiangJunandIwillbetheCouncilMembersonduty.Pleasefeelfreetomakeuseof thischanneltovoiceyourdoubts,concerns,queries,andcommentsaboutanything relating toourCollegeandFamilyMedicine. Youcan reachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyoudirectlyassoonaswecan.

Dr.TonyCKLeeCo-ordinator,CMODSystem

Dr.LiangJun Dr.LeeChunKit,Tony

Executives&CollegeSecretariesatlunchgathering

Fromlefttoright:AngelCheung,PriscillaLi,WinnieaLee,TeresaLee,CarmenCheng,CharlotteSham,DickieLam,PatrickWu,PeterWong,RachelMok,Dr.GeneTsoi,Dr.LawTungChi,TeresaLiu,SnowdyLee,CrystalYung,EricaSo,WindyLau

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S Board of Conjoint Examination NewsReport on OSCE 2010 Information Seminar for Candidates

andfail foraparticulardomain ineachquestion.Thecandidatesweregivenachancetomarkthescenariowiththerespectivekeyfeaturechecklistthemselves,sothattheycouldunderstandhowtoassessaparticulardomainandhowtoachievethepasscriteriaineachparticulardomain.

Therewas lotsof interactionandtheatmospherewas friendly.Thecandidateswereenthusiasticand there were lively discussions. Looking atthe statistics from the feedback forms, mostcandidatesbenefitedfromthisseminarandfoundit veryuseful. The largemajorityof attendeesagreed that the seminarhelped in their OSCEpreparation, and provided useful informationregardinghowtheirperformancewillbeassessed.

Theafternoonwasfruitfulforboththecandidatesand Board Members . I t i s hoped that theadditional informationgainedbycandidateswillhelptranslatetheirhardworkintosuccessinafewmonthstime!

The informationseminaronOSCEsegmentwasheldon20June2010.Theroomwaspackedwith31candidates (Cat I:23,Cat II:8)andmembersfromtheBoard-Chairman,ChiefExaminer,OSCECoordinatorandSecretariat.

TheseminarstartedwiththewarmwelcomebyourChairmanDr.ChanHungChiu.Dr.Chanexplainedtothecandidatesoursettingof theexaminationand questions. He also explained the securitymeasuresinourexamination.

Dr.ChuiSiuHangBilly,ourOSCECoordinator,presentedinformationconcerningtheexaminationanddemonstratedvideosofrole-playedcaseswithtwodifferentscenarios,showingcandidateswithdifferentperformances.

We presented the marking scheme and wentthroughthesettingof thedomainofeachcase.We also explained the reason behind usingessentialmarkingpoints todividebetweenpass

OSCE2010InformationSeminarforCandidates

TheCouncilapproved,onrecommendationof theMembershipCommitteeChairman, the followingapplicationsformembershipinJuly 2010withCouncilMeeting:

Associate Membership (New Application)

Dr. CHEUNG Yan Kit 張人傑

Dr. CHO Yin Fan 曹燕芬

Dr. HEATH, Robert Barrie 希斯

Dr. LEUNG Kin Nin, Kenneth 梁健年

Dr. LAU Wing Sze 劉詠思

Dr. LEE Yan Chi, Vivien 李恩慈

Membership Committee News

Dr. TAM Wing Yi, Cherry 譚穎兒

Dr. TSE Sut Yee 謝雪兒

Dr. WONG Kwai Sheung 黃桂嫦

Student Membership (New Application)

Mr. NGAN William 顏偉廉

Non-HKSAR Membership (New Application)

Dr. KUNG Olivia 龔鈺婷

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SPublic Education Committee NewsOur third book – FAMILY DOCTOR : 家庭醫學手冊之三家庭醫生–一家人的好朋友

SinceNovember2005,theHongKongCollegeofFamilyPhysicianshasstartedtopublisharticlestoeducatethepublicondifferenthealthtopics intheperspectiveoffamilymedicineinnewspapercolumnsregularly.Someofthosepublishedarticleswerecaptured in家庭醫學手冊之伴我同行and家庭醫學手冊之二家庭醫生whichwerepublishedin2007and2008respectively. Followingthesuccessofthesepublications,wearegladtoinformyouthatthethirdbookfortheseries,家庭醫學手冊之三家庭醫生–一家人的好朋友 is justpublishedinJuly2010. WesincerelywishthesepublicationscanbringoutasignificanteducationalimpactonthepublicandcontributetothedevelopmentofaknowledgeablepopulationthatformsthefoundationofrobustprimarycareinHongKong.

Asabenefitformembers,wewouldprovideyouadiscountpriceat$60(includingpostalcharge)percopyandwewishyouenjoyreadingitandshareitwithyourfamily,friends,colleaguesandpatients.Whynottakealookattherecommendationbelowandfaxyourorderformtous?Shouldyouhaveanyenquiries,pleasecontactMs.CarmenChengorMr.PatrickWuat25286618.

ORDER FORMTo: HKCFP Room 701, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong (Fax No. 2866 0241)

*Pleasecircleyourcategoryofmembership.

I would like to purchase __________ copy / copies of 家庭醫學手冊之三家庭醫生–一家人的好朋友 .

Enclosed please find cheque payment of HK$ .*** All cheques are payable to “HKCFP Education Ltd”.***

Name :

Postal Address :

Email Address :

Tel No. :

Date :

I am a(an) *Affiliate / Student / Associate / Full / Fellow member of the Hong Kong College of Family Physicians.

這本結集副題為《家庭醫生–一家人的好朋友》，令我想起「醫療之家」（Medical Home）的概念，這個概念提倡「一人一醫生」，以家庭醫生為主導，全面掌握及觀察病人的健康狀況，並且在有需要時轉介病人尋求最恰當的醫療服務，如此種種，正切合現時香港基層醫療的發展方向。

食物及衛生局副局長梁卓偉教授

我一向主張香港大力發展家庭醫學。這不僅從資源運用作考慮，更重要是透過家庭醫生時刻對市民健康貼身、貼心的照料，我們的醫療體系才能與病人，甚至整個社會，建立一種相知互信的關係，讓醫生跳出治病的框框，全面照顧市民健康。

香港大學李嘉誠醫學院院長李心平教授

《家庭醫學手冊之三︰家庭醫生–一家人的好朋友》一書，正正反映了家庭醫生預防和治療疾病所發揮的功能。看了這本書，便會明白為甚麼社會需要大力推動家庭醫學，讓廣大市民的健康得到保障。

香港中文大學醫學院院長霍泰輝教授

今時今日的醫療系統太過複雜，不單止，我們的疾病系統也愈來愈複雜，單靠一個人，憑一種想法，找一個醫生，未必就能對症下藥，我們要打的是聯防，由「家庭醫學專科醫生」毫無失誤地判斷來球、攔截來球（分析病症），再將來球交到稱職的球員（其他專科醫生）手上面，展開攻勢（治療疾病），最後戰勝入網（病人痊癒），這才是我們作為病人的生存之道。

香港電台第一台健康節目《精靈一點》主持人邵國華

要令一家人生活舒適，無後顧之憂，如果你認為一個合拍的伴侶、聽話的孩子、一份滿意的工作、一家可靠的銀行、一個穩健的投資組合能夠幫你達成人生願望，你更不可缺少的，是一個認識你們、關心你們，重視你們身、心、靈整體健康的良師益友–家庭醫生，是你們一家人的好朋友。

《黃巴士》兒童生活雜誌總編輯及一口田慈善教育基金創辦人許芷茵

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S Web and Computer Committee NewsAn Analysis of HKCFP Website

Report from Dr. Simon So, Web Master and Vice-Chairman

Introduction

IthasbeentwoyearssincetheWebsiteofTheHongKongCollegeofFamilyPhysicianshasbeenrevised,strivingtoprovideaplatformthat isconvenient,comprehensive,caring,technologicallyadvancedaswellasaestheticallypleasing.

TheInternetitselfhasgrowndramaticallythesefewyearsbehindthescene,mostofitsdevelopmentisintheareaof Internetmarketing,whereallthe‘footprints’ leftbyvisitorsarereviewed.Wehaveincorporatedsomeofthesetechnologiesintoourwebsite,anditwillbesurprisingandenlighteningtoanalysetheresults.

Visitor Trends Analysis

Onaveragewehavearound2500to3000visitseachmonth,ofwhich2000are‘uniquevisitors’,meaningabout500to1000arerevisitsbythesamepeople.Eachvisithas3.76pagesviewed.Eachpersonspentaround3minutesonthewebsite.

Itissurprisingtoknowthateachmonthwehaveanaverageof4%‘uniquevisits’overthesetwoyears.Itmeansthesiteattractsfirst-timevisitorsconsistently.Howeverthereisa44%bounce rateeachmonth.

Bouncerate=Totalnumberofvisitorswhoviewedonlyonepage/Totalnumberofvisits.

Visitorswhohavevisitedonlyonepagemayfindthesitenotinterestingand/orgottheinformationfromthefrontpage,andleftstraightaway. Ideallya lowbouncerate isgood,whereafrontpageleadspeople intothe insidepages.Theinterpretationcouldbethatpeopleareinterestedin‘FamilyMedicine’,butbeinganinternalsitewithoutmuchinformationondiseaseentities,manypeoplesimplyleft.

Commoncountriesofvisitinorderofmostvisits/month:

Visitors’ Computer Capabilities Analysis

Consistentwithother internetstudies,80%ofpeopleuseInternetExplorer,while10%useFirefox,theother10%useChromeandSafari.OfthosewhousedInternetExplorerfromWindows,40%useversion8.0,30%use7.0,and

Site Usage

2,596 visits came from 58 countries/territories

Visits2,596% of Site Total: 100.00%

Pages/Visit3.756Site Avg: 3.75 (0.00%)

Avg. Time on Site00:02:59Site Avg: 00:02:59 (0.00%)

% New Visits56.93%Site Avg: 55.32% (2.92%)

Bounce Rate44.34%Site Avg: 44.34% (0.00%)

Country/Territory

Hong Kong

United States

China

Australia

Taiwan

Macau

India

Canada

Philippines

United Kingdom

Visits

2,104

64

59

44

36

35

33

24

23

20

Pages/ Visit

4.08

2.33

3.78

3.36

1.25

1.37

2.21

2.08

1.65

1.55

% New Visits

50.05%

95.31%

81:36%

84.09%

91.67%

54.29%

93.94%

95.83%

100.00%

100.00%

Bounce Rate

38.74%

65.62%

54.24%

52.27%

83.33%

85.71%

63.64%

75.00%

82.61%

80.00%

1-10 of 58

Avg. Time on Site

00:03:15

00:01:59

00:04:07

00:01:55

00:00:30

00:00:18

00:02:24

00:00:39

00:01:21

00:00:10

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Sanother30%useversion6.0.Version6.0 isseverelyhandicappedintermsof function.A lotofnewlydevelopedprotocolswereonlyincorporatedafterversion7.0.Suchfunctionsrangefromdisplayingoverlappingpicturesandtransparentpictures,interactiveloginsandotherinteractionssuchasappointmentbookingandcalendarviewing.

Mostvisitorsuseamonitorand/orabove19 inches,withscreenresolutionof1024x768orabove.Only3%use800x600resolution,whichmeansaveryoldmonitorat17inches.Thishasdesignimplicationsconcerningthewidthofthewebsite.

Thereare5%visitingcomputerswithnoJavasupport.ManyloginfunctionsandmenumovementsrequiresJava.Itmeans5%ofusersareunabletologintooursiteeveniftheyaremembers.JavasupportisavailableeveninInternetExplorer6,butitcanbeturnedoffifyousetaveryhighsecurity.Someusersmaynotrealisetheyhaveaveryhighsecuritysettingwhichimpairswebloginfunction.

How do they find us? Traffic Analysis

40%ofvisitsare‘direct’. Itmeansthepersonknowsthelinkofwww.hkcfp.org.hkdirectly.Another50%foundusviagoogleoryahooorbing(allsearchengines).Therest includesHKAM,RACGP,Baidu,UCH.home,HKU,PolyU,FMSHK,Medicine.org.hk,ASK,Facebook,pdqa.gov.hk,afpm.org.my,and icmecpd.hk..There isplentyof roomfordevelopmentonthereferringsites.Highrankinghealthsitesshouldalsobereferringtous,suchasHospitalAuthorityofHongKong,AmericanFamilyPhyisicans,newspaperhealthforumsetc.

Withinthesearchengine,mostpeoplefoundusviathekeywords:hkcfp,hongkongcollegeoffamilyphysiciansorvariant,hongkongpractitioner,familymedicine,fhkam,hkcfpeducation,familydoctorhongkong,elilillynationalclinicalauditcenter,家庭醫學etc..Needlesstosaythesekeywordshavesignificantmeaningsaswellasdevelopmentpotentials.

Forthesearchtermof‘FamilyMedicine’,wecurrentlyrankNo.1ingoogle.hk,4thinyahoo.com.hk,howeverwedonotrankatallingoogle.comoryahoo.com(whereastheAmericanFamilyPhysiciansranktopinboth).

What do they view? Content Analysis

Content Performance

Pageviews9,752% of Site Total: 100.00%

UniquePageviews7,450% of Site Total: 100.00%)

Avg. Time on Page00:01:05Site Avg: 00:01:05 (0.00%)

Bounce Rate44.27%Site Avg: 44.27% (0.00%)

% Exit26.68%Site Avg: 26.68% (0.00%)

$ Index$0.00Site Avg: $0.00 (0.00%)

Page Title

College of Family Physicians

Your CME Points

課程月歷

Guides to Vocational Training-Introduction

Diploma in Family Medicine (HKCFP)

Download

The Examination Construct

Hong Kong College of Family Physicians

Events Calendar

Past Archives

Introduction of Exit Examination of Vocational Training in Family Medicine

The Hong Kong Practitioner

FP Links

Search

Categories of Members

President Message

Contact Details

Photo Album of the College

Current Council 2010

Pageviews

2,467

332

244

238

195

174

173

168

154

149

147

135

131

127

125

119

116

106

103

Unique Pageviews

1,754

269

204

196

174

119

141

112

132

64

126

101

97

70

76

89

89

68

95

Bounce Rate

27.40%

89.29%

57.14%

53.85%

78.33%

0.00%

90.91%

33.33%

45.45%

0.00%

50.00%

51.61%

35.29%

0.00%

14.29%

64.29%

40.00%

0.00%

71.43%

% Exit

24.28%

64.76%

14.75%

15.97%

48.21%

6.90%

21.97%

7.14%

14.29%

4.03%

12.93%

38.52%

30.53%

4.72%

4.00%

20.17%

48.28%

3.77%

47.57%

$ Index

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Avg. Time on Page

00:01:01

00:03:13

00:00:18

00:01:09

00:01:09

00:00:20

00:01:17

00:00:28

00:00:53

00:00:22

00:00:50

00:01:09

00:01:13

00:00:17

00:00:52

00:01:11

00:01:31

00:01:09

00:02:07

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S What more can we do? - Promotion of Health and Family Medicine on the Web in Hong Kong and aboard

TheInternetispowerfulenoughtobankruptnewspapers.Thefirstpointofresearchforanyinformationisnowtheinternet,andisthenewbattlegroundforpowerandpublicinfluence.AneffectiveefforttowardshealthpromotionandoffamilymedicineontheinternetcanmeanjudiciousmonopolyofprimaryhealthcareinHongKongandAsia,inaveryshorttime.Whatshouldwebedoing?

1. Keywords and Links Promotion

Forastart,weshouldlandonthefirstpagewhenpeoplesearchfor“FamilyMedicine”and“FamilyPhysicians”,bothinHongKongSearchEnginesandaboard.SearchEnginesratetheimportanceofasitebyboththequalityofthesite, thenumberof importantsites linkingtothesaidsite,andthepresenceofcompetitors. Inordertoachievethis,wemusthaveacontentrichdisease-basedsite,a facebookpage,anarticleofourselves inwikipedia,manyarticleswrittenbymembersinvaroiusforums/onlinenewspaperswithalinkreferringbacktooursite,andadviseotherimportantsitesthatweexistandtheyshouldaddalinkreferringtousifpeoplesearchforfamilymedicine,the listgoesonandon. Ifwearecovetous,anyonesearchingforailmentterms(suchasasthma)shouldalsofindus.Thatmeanswehavetodotheabovealloveragainforeachailmentterms,inbothEnglishandthelocallanguage.

2. A Doctor’s List

Weshouldalsorunadoctors’practisingsearchlistinHK,similartotheotherexistingsearchlists,butwithanaddonsearchtermforanyprimarycarephysicianswhohavecertifiedqualificationsinFamilyMedicine,beitdiplomaorfellowship.

3. Content Enrichment

Adisease-basedrichwebsite issorely lacking inHongKong.WecanbecometheforefrontofprimarycareinHongKongandChinaifwehaveanexternalsite insteadofaninternalone,whichisA.)diseasebased,B.)currenthealthaffairbased(withpublicstatementsconcerningdailyhealthcarenews),inEnglish,TraditionalandSimplifiedChinese.Itissimpletosay,butwillrequireconcertedefforts,jointvisions,quickresponse,unification,anda lotmoremedical inputcomparedtonow.However ifachievedtherewillbeamuchgreaterpublicinfluence,andmayevenbeeconomicgainsatpersonalandcollegelevels.

4. Articles and Videos

PromotionofourstatuscanbeachievedifwestartseedingarticlesandeducationvideosacrosstheinternetinHongKongandaboardinreputedwebsites.Thearticlesshouldbesignedbythedoctor’snameaswellasunderthecollege’sname.Theyshouldbeonvariouscommondiseasesthatthepublicareinterestedin,oftensearchedabout, incantonese,andnotaboutfamilymedicineconcepts.Theyarethekindthataresimpletowrite,underwellacceptedguidelines,butthepublicarehungryaboutsimplybecausetherearenosucharticleswrittenbyanyonewithauthorityincantonese.

5. Coming up

Onthepracticalside,thereareseveral internaldevelopmentsplannedbutnotyetexecuted, includingonlineregistrationof lectures,andonlinepayment ifsecurityconcernsareresolved.Thissupportsmorepaperlesscommunicationwithmemberswithagreener,fasterandcosteffectivesystem.

In Conclusion

Iguess itwill requireahugecollaborativeeffort,effortsthathaveno immediategains, ifwearetoachieveanyoftheabove.On the web,wecouldriseabovebeingjustoneofthespecialists,butastheprimarycareitself forHongKong.Tohelpthewebgrow,moreresources in termsof timefromvariousboardsandmemberswouldcertainlybenecessary.Onalighterside,havingaspecialinterestinprogramming,internetandmedicine,Ihopemyprogrammingofthenewhkcfpwebsitehasmadelifeeasierforeveryone.FeelfreetocontacttheWebCommitteeforanyrequests,jointventures,insightfulvisions,orsimplyifyouwanttojoinustohelpout.Alasthewebcommitteeconsistsofonlyafewpeople,weneedalotmorepeopletohelpout,theworkisnon-computerrelated.

9

COLL

EGE

NEW

S

Date : 4 September, 2010 (Saturday)

Topic : Orthopaedic Injection Workshop

Speaker : Dr. Lau Hoi Kuen

Chairman : Dr. Wong Pak Hoi Member, The Board of Diploma in Family Medicine, HKCFP

Venue : Multi-functionRoom,1002A,10/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad, Wanchai,HongKong

Time : 2:15pm–5:15pm LectureandDiscussion

Accreditation : 3CMEPointsHKCFP(Category4.4)

3CMEPointsMCHK

Registration Fees (Please tick as appropriate):

HKCFP Member Non-member

Orthopaedic Injection Workshop HK$500.00 HK$1,000.00

Capacity : 20 Doctors

Registration : Registration will be first come first served. For registration or any enquiry, please call the College secretariat, Ms Dickie Lam at 2528 6618. All cheques are payable to “HKCFP Holdings and Development Limited”. Please mail the cheque to Rm 701, 7/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, HK. All fees received are non-refundable and non-transferable.

Board of Diploma in Family Medicine (DFM)

To:HKCFP,Rm701,7/F,HKAMJockeyClubBuilding,99WongChukHangRoad,Aberdeen,HK.(Fax:28660241)

DearSir/Madam,

Iama(an)*Member/Non-MemberoftheHongKongCollegeofFamilyPhysicians.(*Please delete as appropriate)

IwouldliketoattendOrthopaedic Injection Workshop on 4 September, 2010 (Saturday) atMulti-functionRoom,

1002A,10/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

Name :

Tel No. :

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11

OASI

S

一生不可少的八種朋友

　　隨著生活節奏的加快，社會的浮躁和功利，人與人之間有著太多分不清的是非真偽，以至於我們對「朋友」

的稱謂產生了畏懼。那麼，真正的朋友究竟是什麼樣的，人的一生到底需要什麼樣的朋友呢？美國作家帕爾指

出，「不要指望一位密友帶給你所需要的一切。」另一位作家湯姆拉思則認為，以下八種朋友是必不可少的。

成就你的朋友他們會不斷激勵你，讓你看到自己的優點。

　　這類朋友也可稱之為導師型。他們不一定是你的師長，但他們一定會在某些領域具有豐富的經驗，能經常

在事業、家庭、人際交往等各方面給你提供許多建議。人生中擁有這種朋友會成為你最大的心理支柱，也常常

會成為能夠「左右」你的「偶像」。

支持你的朋友一直維護你，並在別人面前稱讚你。

　　這類朋友可謂是「你幫我，我幫你」，相互打氣，使得彼此成為對方成長的墊腳石。在一個人的成長過程

中，朋友的支持與鼓勵是最珍貴的。當你遇到挫折時，這類朋友往往可以幫你分擔一部分的心理壓力，他們的

信任也恰好是你的「強心劑」。

志同道合的朋友和你興趣相近，也是你最有可能與之相處的人。

　　與他們在一起，會讓你有心靈感應，俗稱「默契」。你會因為想的事、說的話都與他們相近，經常有被觸摸

心靈的感覺。和他們交往會幫助你不斷地進行自我認同，你的興趣、人生目標或是喜好，都可以與他們分享。這

種穩固的感受「共享」會讓你獲得心理上的安全感，因為有他們，你更容易實現理想，並可以快樂地成長。

牽線搭橋的朋友認識你之後，很快把你介紹給志同道合者認識。

　　這類朋友是「幫助型」的朋友。在你得意的時候，他們的身影可能並不多見；在你失意的時候，他們卻會

及時地出現在你面前。他們始終願意給予你最現實的支持，讓你看到希望和機會，幫助你不斷地得到積極的心

理暗示。

給你打氣的朋友好玩、能讓你放鬆的朋友。

　　有些朋友，當我們有了心事，有了苦惱時，第一個想要傾訴的對象就是他們。這樣的朋友會是很好的傾聽

者，讓你放鬆，在他們面前，你沒有任何心理壓力，總能讓你發洩出自己的「鬱悶」，讓你重獲平衡的心態。

開闊眼界的朋友能讓你接觸新觀點、新機會。

　　這類朋友對於人生也是必不可少。他們可謂是你的「大百科全書」。這類朋友的知識廣、視野寬、人際脈

絡多，會幫助你獲得許多不同的心理感受，使你成為站得高、看得遠的人。

給你引路的朋友善於幫你理清思路，需要指導和建議時去找他們。

　　這類朋友是「指路燈」。每個人都有困難和需要，一旦靠自己力量難以化解時，這類朋友總能最及時、最

認真地考慮你的問題，給你最適當的建議。在你面對選擇而焦慮、困惑時，不妨找他們聊一聊，或許能幫助你

更好的理順情緒，瞭解自己，明確方向。

陪伴你的朋友有了消息，不論是好是壞，總是第一個告訴他們。他們一直和你在一起。

　　這種朋友的心胸像大海、高山一樣寬廣，不管何時找他們，他們都會熱情相待，並且始終如一地支持你。他

們是能讓你感到滿足和平靜的朋友，有時並不需要他們太多的語言，只是默默地陪著你，就能撫平你的心情。

http://www1.hcshb.gov.tw/vtweb/epaper_detail.aspx?ID=42 (本欄資料由心靈綠洲--個人成長及危機處理中心提供，特此鳴謝。)

Timeflies,reallyflies.

IcannotbelievethatIamafamilymedicinetraineenow.Meetingthenewinternsduringmy firstday in thehospitalbasedtrainingletmerecognisethat Ihavegonethroughaharshyearofinternshipandhaveturnedanewpageofmycareer.

I am lucky that I canwork ina specialty Ilike.WhenIwent intothemedicalschool, Ireallywantedtobeafamilyphysician.Ihavebeen livingandstudying inYuenLong,aruralyetsimpleplace,formanyyears.WhenIwasakid,IwasworriedifIwoulddieoffluasIwasdebilitatedbyfever.Tome,doctorsarethemosttrustworthypeople.Ifeltbetterafterseeingadoctorevenwithouttakingmedications.Theircare,abilitytolistentomyproblem,comfortablevoiceandfirmreassurancemakemefeelbetter.‘Doctor’perseisamagicdrugaswell.

AfterIenteredthemedicalschool, IrealizedthattherearesomanydifferentspecialtiesotherthanMedicineandSurgery.Radiology,Anesthesiology,Pathology,Microbiology,A&E,Oncology,Familymedicine……IthoughtaboutwhichcareerpathIshouldchoosewhenIgraduate.

Communication, communication and communication

Iliketointeractwithpatients.Althoughmanyofthetimetheseinteractionsmaybringfrustration,disappointment,angerandothernegativefeelings,Ithinkgoodcommunicationcansolvemostproblems.Itisanarttomastersuchskill.Italsodrivesmetolearnmoreinmycareer.Ibelievepracticemakesperfect.SoIchooseFamilyMedicinethatIcaninteractwithpatientsmost.Iwillhavemanyconversationswithmypatientbythenatureofmypractice.Howtogainastranger’strustinsuchashortcontacttime?Theauthorizeddoctorcoatornicesuitisnotenough.IthinkIcanlearnmoreasafamilyphysician.

Long term relationships

Althoughallalongourtrainingwasfocusedonhospitalspecialties, I realizedthat,tomostofthepatients,hospitalmedicinecomposesonlyasmallpartofmedicalcare in their life.Forthosewithrelativelygoodpasthealth, theymaygotohospitalonlyat theveryendof theirlife.Nowadays,manyofthepatientswithchronicillnesseslikeDMandHTwill followupintheGOPC.Goodandcompetentfamilyphysiciansreallydoaffectthehealthstatusofgeneralpublicverymuch.Withoutus,themedicalsystemcannotbesustainable.Thepeopleandthesystemitselfwantgoodfamilydoctors.Bybuildingupthelongtermrelationshipwithourpatients,wegaintheirtrustandrapport.Wecangettoknowthepatientmore,understandtheir“RICE”,offertimelytreatment,educateonhealth issuesandmodifytheir lifestylegradually. Icherishsuchdoctor-patientrelationship.

Dr. Ada Cho, Basic Trainee, Kowloon West Cluster

KWCnewlyrecruitedFMresidenttraineein2010.(Iaminthe2ndrow,3rdfromleft)

Newly recruited trainee in Family Medicine

TRAI

NEE

COLU

MN

12

“Minor” complaints

Duringmyinternship, Icanstillnoticetheverytrivialcomplaintsfromthein-hospitalpatients.It is trivial in thesensethatunlikely tokill,but theymaycausegreatdiscomfortorstress topatients. Intheacutehospitalsettings,weseldomseriouslyaddressedthesecomplaints.Wemay treat thesymptomsby reflex likepiriton to insomnia, triact todyspepsia, lactulose toconstipation,panadoltoheadache.Wedidnotstoptolistenforawhileanddigintothehiddenagenda.Iwon’tconsidermyselfas“smallpotato”todealwitheveryminorcomplaintbutinsteadtriedtolistenandthinkcarefullytodelineatetheunderlyingcausesandsolvetheirproblems.Hippocratesshouldbeagoodfamilydoctorashesaid“Curesometimes,treatoften,comfortalways”.

Holistic care

Iexperiencedthefragmentedcareduringthehospitalrotation.Ican’tevenrememberhowmanyconsultationreferralformsIhavetofill induringin-patientcare.It is idealtotreatapersonbutnotjustthedisease.IrememberonceintheundergraduateFMtutorial,mytutorpointedoutoneimportantthing:trytoknow“who”hasthedisease.Treatingpatientsfromdifferentwalksoflife,educationalbackground,co-morbidity,andsocialsupportscanbetotallydistinct.Besidesthat,theymayhavemultiplecomplaintsandtheirproblemscanbecomplicatedbybiopsychosocialfactors.FamilyPhysiciansarethetypeofdoctorwhoiswillingandcompetenttolookafteralltheseareas.

One of my seniors in the department whosharedwithus in the internsbriefingsessiononhisroughroadtobecomingaFMspecialistwhenhepassedhisexitexam lastyear. Iwasdeeplyimpressed.Nowadays,thereisalreadyawell-establishedstructuredtrainingprogramforus. If I really like it,whynot justgoahead?Therosyprospectofourselvesisnotdependentonthespecialtyitselfbuthowwecreateourpath.

“Submissions of articles to Trainee Column with up to 1200 words are always welcome. Gift vouchers will be given as a token of appreciations for good works if the articles are selected for publication. Email: [email protected]”

Thepreciousmoment:signingthecontractTR

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

Hot Drug Issue - Thiazolidinedione

Diabetesmellitus(DM)iscommoninHongKong,yetacomplicatedanddifficult-to-treatchronicdisease.Apartfromthetraditionaloralhypoglycaemicagentssuchassulfonylureaandmetformin,thiazolidinedionewasonceahopeforthosewithpoorlycontrolledDM.Manypatientswhoarereluctanttostartinsulininjection,orareintoleranttothesideeffectsofmetforminorsulphonylureaswouldopttotryrosiglitazoneorpioglitazoneasanalternative.

However,thereisnowgrowingconcernaboutthesafetyofrosiglitazoneespeciallyregardingthecardiovascular(CV)aspect,althoughthecurrentevidenceisstillinconclusive.Ameta-analysisbyNissenandWolskiin2007suggestedthatrosiglitazoneincreasedtheriskofmyocardialinfarction(MI)andCVdeath,butthevalidityofsuchevidencewasbeingquestioned.1Therewerealsostudies(namelyADOPT,DREAM,RECORD)comparingrosiglitazonetootheranti-diabeticagentsorplacebo;theylookedatacompositeofmajoradversecardiovascularevents(2.6%vs.2.4%),myocardial infarction(1.4%vs.1.2%)andstroke(1.8%vs.1.9%)betweenpatientstakingrosiglitazoneandpatientstakingacomparator,respectively.Forthesetrials,astatisticallysignificantdifferencewasnotdemonstrated.2-4

Newerdatain2010showedmoreevidencesuggestingthatrosiglitazoneposedsignificantCVriskstopatients.5Twometa-analysesincluding10newrandomizedtrialsshowthattheriskofacuteMIis30to80%higheramongpatientswithdiabetestakingrosiglitazonethanamongthosereceivingplacebo.6,7Whencomparingrosiglitazonewithotheranti-diabeticagents,suchasthesulfonylureasormetformin,thehazardratioislower,althoughitisstillgreaterthan1.IncomparisonwiththeFDA’s2007meta-analysis,theneweranalysesshowedhigheroddsratiosformajoradverseCVevents,myocardialinfarction,andseriousischemiceventsinpatientsreceivingrosiglitazone.

Severalnewdatasetsfrombothclinicaltrialsandobservationalstudiesshowthatpioglitazoneeitherconferrednoincreasedcardiovascularriskor, insomecircumstances,protectedagainstmyocardialinfarction.5Inonecase,FDAinvestigatorsperformedaretrospectivecohortstudyof225,000MedicarePartDbeneficiarieswhoreceivedeitherrosiglitazoneorpioglitazonefrom2006to2009;theyfoundthattheriskofacardiovasculareventordeathwasnearly25%higherifthepatientwastakingrosiglitazoneratherthanpioglitazone.8

Theassessmentofthecardiovascularsafetyofrosiglitazoneisstillongoing.FDAiscurrentlylookingattheprimarydata fromoneof theaforementionedstudies, theRECORDstudy,alongwithotherobservationalstudies.TheRECORDstudyassessedtheoverallCVsafetyofrosiglitazone,whenaddedtometforminorsulfonylurea,comparedtometforminplussulfonylurea.TheFDA’sreviewisexpectedtobecompletedsoonandthereshouldbesomenewinformationcomingoutinduecourse.Asofnow,FDAhasprovidedsomewarningsandprecautionsasfollows:

i) UseofrosiglitazoneinpatientswithestablishedNYHAClassIIIandIVheartfailureiscontraindicated.Thedrugisalsonotrecommendedinpatientswithsymptomaticheartfailure.

ii) Rosiglitazonecausesorexacerbatescongestiveheartfailureinsomepatients.Signsandsymptomsofheartfailure (i.e.excessive, rapidweightgain,dyspnoea,and/oroedema)shouldbemonitoredafter treatmentinitiationandafterdosage increase. Ifheart failuresignsandsymptomsoccur, theconditionshouldbemanagedappropriatelyanddiscontinuationordosereductionofrosiglitazonemustbeconsidered.

iii)Co-administrationofrosiglitazoneandinsulinisnotrecommended.iv)Co-administrationofrosiglitazoneandnitratesisnotrecommended.7

Complied by Dr. Sze Hon Ho, Specialist in Family Medicine

References:

1. NissenSE,WolskiK.Effectofrosiglitazoneontheriskofmyocardialinfarctionanddeathfromcardiovascularcauses.N Engl J Med2007;356:2457-2471.

2. DagenaisGR,GersteinHC,HolmanR,etal.Effectsoframiprilandrosiglitazoneoncardiovascularandrenaloutcomesinpeoplewithimpairedglucosetoleranceorimpairedfastingglucose:resultsoftheDiabetesReductionAssessmentwithramiprilandrosiglitazoneMedication(DREAM)trial.Diabetes Care2008;31:1007-1014.

3. VibertiG,KahnS,GreeneD,etal.ADiabetesOutcomeProgressionTrial(ADOPT).Diabetes Care2002;25:1737-1743.4. HomePD,PocockSJ,Beck-NielsenH,CurtisPS,GomisR,HanefeldM,JonesNP,KomajdaM,McMurrayJJ;RECORD

StudyTeam.Rosiglitazoneevaluatedforcardiovascularoutcomesinoralagentcombinationtherapyfortype2diabetes(RECORD):amulticentre,randomised,open-labeltrial.Lancet.2009;373:2125-2135.

5. RevisitingtheRosiglitazoneStory—LessonsLearned;CliffordJ.Rosen,M.D.;PostedbyNEJM•July21st,20106. Idem.Rosiglitazonerevisited:anupdatedmeta-analysisofriskformyocardial infarctionandcardiovascularmortality.

Arch Intern Med2010June28(Epubaheadofprint).7. FoodandDrugAdministration.Briefingdocument:July13-14,2010meetingoftheEndocrinologicandMetabolicDrugs

AdvisoryCommittee.8. GrahamDJ,Ouellet-HellstromR,MacurdyTE,etal.Riskofacutemyocardialinfarction,stroke,heartfailure,anddeathin

elderlyMedicarepatientstreatedwithrosiglitazoneorpioglitazone.JAMA2010June28.

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Interest Group in Dermatology – the 20th Meeting on 3rd July 2010

Dr. Wong Nai Ming (Co-ordinator)Board of Education

(Disclaimer:Alladviceandsharinginthemeetingarepersonalopinionsandbearnolegalresponsibility.Allpatients’identitiesarekeptconfidential.)

The 20th Dermatology Interest Group meeting washeldon3rdJuly2010.OurspeakerwasDr.ChanShuYu,adermatologist inprivatepracticeandoursponsorwasGaldermaHongKongLtd.The topicwas“SkinTumours”.

Inthemanagementofskintumours,wefamilydoctorshavean importantrole in identifyingthetumoursandtheirprecursorsintheirearlystagesandmakingsuitablereferralforearlytreatment.Wealsohavearoleinpatienteducationoncarcinogenavoidance.

Numerousagentsare identifiedascarcinogensofskincancers,bothendogenousandexogenous.Themostimportant one is UV radiation: chronic exposure isrelatedtosquamouscellcarcinoma (SCC)andactinickeratosis whereas intense intermittent exposure isrelatedtobasalcellcarcinoma (BCC)andmelanoma.TheamountofUVradiationreceivedofcoursedependsongeographical latitude, timingof theday, individualskinthicknessanddegreeofpigmentation,andphoto-protectivemeasuresetc.

There are a numberofpre-cancerous keratinocyticlesionsandthefollowingwerediscussedinthelecture:

• Ac tinic keratosis usually appears as ir regularbut sharply defined erythematous, scaly “roughspots”onsun-exposedskinofelderly.Theriskofdevelopmenttoskincancerrangesfrom1%to20%andthecourse isunpredictable.Modernconceptfavours early treatment, either by cryotherapy,electrocauteryortopical5-flurouracil.

• Bowenoidpapulosis iscausedbyHPVinfectionandappearsaspigmentedwartyplaquesatgenitalia.TheyareessentiallySCC-in-situ.

• Epidermodysplasia verruciformis isanautosomalrecessivedisorderwith increasedsusceptibility totype5&8HPVinfectioncausingwidespreadplanewart-likeorpityriasisversicolor-likemaculopapulesatextremities,withahighchanceofdevelopingintoSCC.

• Bowen’sdiseaseappearsassolitary,sharply-defined,pinkorredmaculopapulesatsun-exposedpartsofbodyandareSCC-in-situwith3%to5%chanceofdevelopingintoSCC.

There are three common types of skin cancers inhumans, SCC ar ises f rom suprabasal epidermalkeratinocyteswhileBCCandmelanomaarederivedfrombasallayers.

SCCareusuallyprecededbypre-cancerouslesions.Oneshouldalwaysremainvigilantforchangesinsymptomslikepain, itchiness,bleedingandsigns liketenderness,erosion,induration,increasedsize,increasedscales,‘uglylooking’etc.Thefollowingaresomeoftheriskfactorsofmetastasisand recurrence inSCC:diameter>2cm,depth>4mm,involvingbone/muscle/nerve, locationonlip/ear,arisingfromoldscars,and immunosuppressedpatients.

BCCisoneof thecommoncancers inhumansand itsincidence is increasing inyoungpopulations. Inmostcasesthetumourhasarolledborder.Itislocallyinvasiveanddistantmetastasis isuncommon.MorpheaformBCCisusuallymoreaggressivethantheothersubtypesbecauseittendstobemoreinfiltrative.Thebestchanceofcureisbyadequateexcisionoftheprimarytumourasrecurrentdiseaseismoredifficulttotreat.

The incidenceofcutaneousmelanomahas increasedsignificantlyworldwideduring the last fewdecadesand itaccounts for80%ofallskincancerdeaths.Sunexposureisagainthemost importantriskfactor.Thereisalso increased risk for thosewith largequantitiesof melanocytic naevi (>100), those with atypical ordysplasticnaevi,andthosewith largecongenitalnaevi(>20cm). However, overall only 20% of melanomasare derived from pre-existing melanocytic naevi.In western societies, the commonest melanomais superficial spreading type in sun exposed areaswhi le the commonest melanoma in or ientals i sacrolentiginous type. A high index of suspicion isimportant forearlydiagnosis -observe theABCDEchecklist,namelyAsymmetry,Border,Colour,Diameter/Difference,Elevation/Evolving.Breslow thickness isthemost importantprognosticfactor inearlystagesofmelanomas.

It isunnecessarytoadvisepatientstohavetotalsolaravoidance.Behaviouralmodifications likeavoidanceofpeakUVBperiodsandphoto-protectivemeasures(wide-brimhat,sunscreen,sunglasses,long-sleevedandlight-colouredclothings)aremorepractical.

Ournextmeetingwillbeon4thSep2010withDr.KKLospeakingtouson“SunandSkin”.Groupmembersarewelcometopresent theircases fordiscussion.Pleasecontactoursecretaryat28610220preferablytwoweeksbeforeourmeetingforfurtherarrangements.

Dr.MaryKwongandDr.ChanShuYu

Certificate Course on Respiratory MedicineCo-organized by

American College of Chest Physicians (Hong Kong and Macau Chapter)Hong Kong Thoracic Society

The Hong Kong College of Family Physicians Sponsored by GlaxoSmithKline Limited and The Homecare Medical Ltd.

Dates : 25 September, 9, 23 October and 13 November, 2010 (Saturdays)Time : 1:00 – 2:15 pm Lunch 2:15 – 4:45 pm Lectures & DiscussionCME/ CPD Points : HKCFP : 3 CME Points for each session (Cat. 4.4) MCHK : 3 CME Points for each session HKCP : Pending Up to 2 CPD Points (Subject to submission of Satisfactory report of Professional Development Log)Venue : HKMA, 5/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai.Course : Members (HKCFP or HKTS/ACCP) : HK$100 HKAM Registrants : HK$150 Non-members : HK$200 (All fees received are non-refundable and non-transferable.)Co-ordinators : Dr. Tse Pak Yiu Senior Medical Officer, Tseung Kwan O Hospital Dr. Francis W. T. Lee Member of Board of Education, The Hong Kong College of Family PhysiciansAward : Those who have attended 75% or more of all the sessions will be awarded a “Certificate of Attendance”Capacity : 60 participants

Programme Schedule

Dates Topics Speakers Moderators

25Sept(Sat) 1. Smoking and Lung Health; Smoking Cessation

2. COPD – Why Some Patients are Better Managed?

Dr. Thomas Y. W. MokChief of Service, Respiratory Medical Department, Kowloon Hospital

Dr. Maureen M. L. WongConsultant, Department of Medicine & Geriatrics, Caritas Medical Centre

Dr. Francis Lee

9Oct(Sat) 1. Management of Tuberculosis: Local Perspective

2. Evaluation and Management of Obstructive Sleep Apnoeain Adults

Dr. C. K. ChanSenior Medical Officer, TB & Chest Service, Department of Health

Dr. Kah Lin ChooSenior Medical Officer, Department of Medicine, North District Hospital

Dr. Ngan Po Lun

23Oct(Sat) 1. Asthma: Updates on Management

2. Community Acquired Pneumonia; Updates on Management

Dr. Fanny W. S. KoAssociate Consultant, Department of Medicine & Therapeutics, Prince of Wales Hospital

Dr. H. S. ChanConsultant, Department of Medicine, Alice Ho Miu Ling Nethersole Hospital

Dr. Francis Lee

13Nov(Sat) 1. Lung Cancer: Towards Earlier Diagnosis and Updates onTreatment

2. Approach and Management of Pleural Effusion

Dr. James C. M. HoAssistant Professor, Department of Medicine, Queen Mary Hospital

Dr. Johnny W. M. ChanConsultant, Department of Medicine, Queen Elizabeth Hospital

Dr. Ngan Po Lun

*** All cheques payable to “HKCFP Education Ltd”. For any enquiry, kindly contact College Secretariat, Ms Dickie Lam at 2528 6618. ***

REPLY SLIP

To: HKCFP, Room 701, 7/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, H.K. (Fax no.: 2866 0241)

I am a *Member/HKAM Registrant/ Non Member of The Hong Kong College of Family Physicians or HKTS/ACCP Member. (*Please delete as appropriate) I would like to attend “Certificate Course on Respiratory Medicine”.

Name: ____________________________________________ Tel: _______________________________ Date: _______________________________

Email: ____________________________________________________________________________________________________________________

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1 September 2010 Wednesday

TopicandSpeaker:

Importance of Screening Patients with Suboptimal Erection Hardness

Dr. George Lee, MB Associate Professor of Surgery,

Consultant Urological Surgeon, Faculty of Medicine,University of Malaya Medical Center of

the University of Malaya, Malaysia

Chairman Dr. Au-yeung Shiu HingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:15p.m.BuffetLunch2:15p.m.–3:45p.m.Lecture&Discussion

Venue CrystalBallroom,Basement3,HolidayInnGoldenMileHotel,50NathanRoad,Tsimshatsui,Kowloon

AdmissionFee MembersNon–membersHKAMRegistrants

FreeHK$300.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

Accreditation 2CMEPointsHKCFP(Cat.4.3)2CMEPointsMCHKUpto2CPDPoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language LecturewillbeconductedinEnglish.

Registration Registration will be first come first served.Please reserve your seat as soon as possible.

SponsoredbyPfizer Corporation (HK) Ltd.

3 September 2010 Friday

TopicandSpeaker:

Strontium Ranelate: From the Mode of Action to the Anti-fracture Efficacy

Dr. Justin Cheng Specialist in Orthopaedics & Traumatology

Chairman Dr. Au Chi LapTheHongKongCollegeofFamilyPhysicians


Venue Sung&MingRoom,4/F,SheratonHotel,20NathanRoad,Kowloon


FreeHK$300.00HK$150.00

4 September 2010 Saturday

Board of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Theme Sun and Skin

Speaker Dr. Lo Kuen KongConsultantDermatologistin-charge

Co-ordinator&Chairman

Dr. Wong Nai MingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:15p.m.Lunch2:15p.m.–4:00p.m.ThemePresentation&Discussion

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


FreeHK$300.00HK$150.00


Accreditation 2CMEPointsHKCFP(Cat.4.3)2CPDPointsHKCFP(Cat.3.15)2CMEPointsMCHK

Language LecturewillbeconductedinEnglishandCantonese.


Note Participants are encouraged to present own cases for discussion.Please forward your cases to the Co-ordinator via the College secretariat 2 weeks prior to meeting.

SponsoredbyGalderma Hong Kong Limited





SponsoredbyServier Hong Kong Ltd.

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Please wear a surgical mask if you have respiratory tract infection and confirm that you are afebrile before coming to the meeting. Please wear an appropriate dress code to the hotel for the scientific meeting. Private Video Recording is not allowed. Members, who wish to review the lecture, please contact our secretariat.

17 September 2010 Friday

TopicandSpeaker:

Advances in Diagnosis and Management of Rheumatic Disease

Dr. Tsui Hing SumSpecialist in Rheumatology

Chairman Dr. Francis W. T. LeeTheHongKongCollegeofFamilyPhysicians


Venue PearlBallroom,2/F,EatonHotel,380NathanRoad,Jordan,Kowloon


FreeHK$300.00HK$150.00




Capacity 60participants


SponsoredbyJanssen Pharmaceutica

19 September 2010 Sunday

Medico-legal Alert on “Dollars & Sense: The Law and Ethics of Medical Charges and Professional Fees”

TopicsandSpeakers:

1. The MCHK Perspective: Ethical Principles of Professional Fees

Dr. Tse Hung Hing Chairman, Ethics Committee, The Medical Council of Hong Kong

Past President of The Hong Kong Medical Association

2. The Legal Perspective: Kickbacks and Overcharging

Mr. Chris HowseSolicitor, Head of Medico-legal Dept.,

Richards Butler in Association with Reed Smith LLP

3. A Medical Professional’s Perspective

Dr. Li Kwok Tung, DonaldVice-President (General Affairs) of HKAM,

Past President of the Hong Kong College of Family Physicians, WONCA Asia Pacific Regional President

4. The MPS Perspective: Are There Boundaries?

Dr. Teoh Ming KengHead of Medical Services Asia, Medical Protection Society

Co-organizers TheHongKongAcademyofMedicine,MedicalProtectionSocietyandTheHongKongCollegeofFamilyPhysicians

Chairmen Dr. Leon Tong and Dr. Solomon T. L. YeungTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:00p.m.LightLunch2:00p.m.–5:00p.m.Lectures&Discussion

Venue TheBallroom,Level7,LanghamPlaceHotel,555ShanghaiStreet,Mongkok,Kowloon

AdmissionFee Members/Fellows(HKCFP/HKAM)Non–members/Non–fellows

Free

HK$300.00




Registration Registration will be first come first served and must be made at least 7 days before the date of the activity.Please reserve your seat as soon as possible.

Sponsoredby Medical Protection Society and

The Hong Kong College of Family Physicians

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Monthly Video Viewing Sessions –

MonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.atLecture Hall, 4/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

August’s session:

Date 27August,2010(Friday)

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

Topic Update of Management of Atopic Dermatitis – Dr. Yeung Chi Keung

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)1CMEPointMCHKUpto2CPDPoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)


September’s session:

Date 24September,2010(Friday)

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

Topics 1. Understanding Fats: Good VS Bad – Ms. Sylvia S. W. Lam2. The Unmet Needs in Coronary Arterial Diseases – Dr. Chris K. Y. Wong

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)1CMEPointMCHKUpto2CPDPoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)


Community Education ProgrammesOpenandfreetoallmembersHKCFPCMEpointsaccreditation(Cat5.2)

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

11 September 2010 (Sat)2:30–4:30p.m.2CMEpoints

TrainingRoomII,1/F,OPDBlock,OurLadyofMaryknollHospital

Refresher Course for Health Care Providers 2010/2011 – Screening Colonoscopy and Update in Colorectal SurgeryDr.WilliamC.S.MengOurLadyofMaryknollHospital&HongKongMedicalAssociation

Ms.ClaraTsangTel::23542440Fax:23276852

18 September 2010 (Sat)2:15–3:45p.m.2CMEpoints

LectureTheatre,G/F,BlockF,UnitedChristianHospital,KwunTong,Kowloon

CME Course for Health Personnel 2010 – Party Drug PoisoningDr.HermanLeeHongKongMedicalAssociation(KECN)&UnitedChristianHospital

Ms.GaryWongFax:35135548

Structured Education ProgrammesFreetomembersHKCFPCMEpointsaccreditation(Cat4.3)

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

19 Aug 10 (Thu)

2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital

Common Symptoms in OrthopedicsDr.HungWaiShanandDr.KwongLokSee

MsCordyWongTel:35133087

24 Aug 10 (Tue)


AB1028,1/F,MainBlock,TuenMunHospital

Clinical Audit - ReviewDr.KwokVincci

MsChanTel:24686813

25 Aug 10 (Wed)



Management of Unwanted PregnancyDr.CheukTatSang

Ms.ChanTel:24686813


Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Communication Skills and Doctor-patient RelationshipDr.KwongSheungLiandDr.WanPuiChu

Ms.CordyWongTel:35133087

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LectureTheatre,6/F,TsanYukHospital

Air Travel EmergencyDr.LeungYinChing,Tracy

Ms.ManChanTel:25892337


LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Recurrent UTIDr.CheungHoYuen

Ms.SusannaTongTel:26323480

26 Aug 10 (Thur)



Communication Skills and Doctor - Patient RelationshipDr.YeungSzeWaiandDr.ZhuGuixia



Room614,AmbulatoryCareCentre,TuenMunHospital

Management of Chronic Bowel ProblemsDr.CheukTatSangandDr.ChuTsunKit

Ms.ChanTel:24686813


Room41,2/F,PamelaYoudeNethersoleEasternHospital

Common Councselling Techniques for Daily ConsultationDr.LeungTsiMei,Violet

Ms.KwongTel:25956941

31 Aug 10 (Tue)



Critical Appraisal – Use of ARBDr.LeeKarFai

Ms.ChanTel:24686813

1 Sep 10 (Wed)



Risk Management Workshop Part 2Dr.ChanYinHangandDr.CheungSzeMan

Ms.ChanTel:24686813



Management of Menopausal SymptomsDr.ChanNgaiPingandDr.ChanHauTing




Red BookDr.NgaiMing,Leon




Practice Assessment – HA and Private PerspectiveDr.YuSzeKa,Frances


2 Sep 10 (Thur)



Management of Menopausal SymptomsDr.YiuKwanandDr.LiMingYiu




Sex EducationDr.YipChunKong

Ms.ChanTel:24686813



Erectile DysfunctionDr.KwongKamTim


7 Sep 10 (Tue)



Doctor’s Responsibility: Patient, Society, ProfessionDr.NgMeiPo

Ms.ChanTel:24686813

8 Sep 10 (Wed)



Normal Pregnancy, Pregnancy Problems and Postnatal CareDr.HoTszBun

Ms.ChanTel:24686813



CA Lung: What the Family Physicians Should KnowDr.LeungWahShing




Angry / Manipulative PatientsDr.LaiSumYin


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9 Sep 10 (Thur)


Classroom,G/F,TseungKwanOHospital

Age Related Macular DegenerationDr.PatrickLi




Social Worker In The CommunityDr.ChanChingandDr.TangKinSze

Ms.ChanTel:24686813

14 Sep 10 (Tue)



Empty Nest: Problems and SolutionsDr.KwokVincci

Ms.ChanTel:24686813

15 Sep 10 (Wed)



Anticipatory Care at Different AgesDr.SzeSiuLam

Ms.ChanTel:24686813



Qualitative ResearchProfessorLamTaiPong




Review of FM TrainingDr.WanWingFai




Healthcare Payment Systems in Asia-pacific RegionDr.KwokSiuKee


16 Sep 10 (Thur)


Classroom,G/F,TseungKwanOHospital

Introduction of Community ResourcesDr.LeungYuenKinandDr.CheungYanKit




Emergency Neurological ProblemsDr.HoChungYuandDr.NgMeiPo

Ms.ChanTel:24686813



Men’s Health ServiceDr.LiHeiLim


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Red : Education Programmes by Board of Education

Green : Community & Structured Education Programmes

Blue : Clinical Attachment / Certificate Course / ARC

Purple : College Activities

Dr.AlvinChanDr.EdmondChanDr.ChanManLiDr.ChanTingBongDr.JudyChengDr.AnitaFanDr.FungHoiTik,HeidiDr.KennyKungDr.AlfredKwongDr.DorothyLawDr.MariaLeungDr.NgaiKaHoDr.SinMingChuenProf.MartinWongDr.WongYuFaiDr.YipChunKong,Sam

Chief Editor :

Dr.WendyTsui

Deputy Editor

Dr.CatherineNg

Deputy Editor :

Dr.NatalieYuen

Editorial Board Members :

Section Coordinator (Oasis)

Section Coordinator (Feature/ Trainee Column)

Section Coordinator (After Hours)

Section Coordinator (WONCA Express)

Section Coordinator (Photo Gallery)

Section Coordinator (News Corner)

FP LINKS EDITORIAL BOARD 2010

Sunday Monday Tuesday Wednesday Thursday Friday Saturday15 16 17

5:30 – 8:00 p.m.StructuredEducationProgramme

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19


20

1:00 – 3:30 p.m.TheFactsandMythsofHPVVaccines

21

2:15 – 5:15 p.m.DFMModuleVConsultationSkillWorkshopI2:15 – 3:45 p.m.CommunityEducationProgramme

22 23 24

1:00 – 3:30 p.m.AdvanceManagementonAllergicRhinitis,NasalPolyps&Rhinosinusitis5:30 – 8:00 p.m.StructuredEducationProgramme

25


26

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

27

2:30 – 3:30 p.m.VideoSession

28

2:15 – 5:15 p.m.DFMModuleVConsultationSkillWorkshopII

29 30 31


1

1:00 – 3:45p.m.ImportanceofScreeningPatientswithSuboptimalErectionHardness2:15 – 7:30 p.mStructuredEducationProgramme

2


3

1:00 – 3:45p.m.StrontiumRanelate:FromtheModeofActiontotheAnti-fractureEfficacy

4

1:00 – 4:00 p.m.BoardofEducationInterestGroupinDermatology2:15 – 5:15 p.m.DFMModuleVOrthopaedicInjectionWorkshop

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8


9


10 11

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

12

ConjointWrittenExamination-KFP

13 14


15


16

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

17

1:00 – 3:45 p.m.AdvancesinDiagnosisandManagementofRheumaticDisease

18

2:15 – 3:45 p.m.CommunityEducationProgramme

19

1:00 – 5:00 p.m.Medico-legalAlert

ConjointWrittenExamination-MCQ2:00 – 6:00 p.m.MCQStandardization

20

6:00 – 10:00 p.m.MCQStandardization

21 22 23 24

2:30 – 3:30 p.m.VideoSession

25

1:00 – 4:45 p.m.CertificateCourseonRespiratoryMedicine

26 27 28

9:00 p.m.BoardofEducationMeeting

29 30

9:00 p.m.BoardofConjointExaminationMeeting

Application Deadline

for recommendation for Exit Exam (BVTS)

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Message from the President - Family Physicians Links

Documents

Transcript of Message from the President - Family Physicians Links