Family Physician – Nexus of the New Era of Primary Care

HONG KONG PRIMARY CARE CONFERENCE 2018 Family Physician – Nexus of the New Era of Primary Care

23 – 24 June 2018 (Saturday – Sunday)

May ISSUE Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Message from the Organizing Committee

On behalf of the Hong Kong College of Family Physicians and 2018 Hong Kong Primary Care Conference (HKPCC) Organizing Committee, I am delighted to invite you all to the 8th HKPCC conference to be held on June 23rd – 24th 2018 at the Hong Kong Academy of Medicine (HKAM) Jockey Club Building, Aberdeen, Hong Kong. This coming year’s theme, “Family Physician – Nexus of the New Era of Primary Care” rekindles the vital role of family physicians in responding to the ever challenging healthcare ecosystem and to deliver cost-effective, sustainable and patient-centered health care. For the past decades, emphasis on primary care in Hong Kong has gained recognition with the development of primary care conceptual models and reference frameworks by the Primary Care Office, enhancement of patient care through the Electronic Health Record Sharing System (eHRSS), improvement of accessibility to private primary healthcare with the Health Care Voucher Scheme, promotion of preventive care including the Vaccination Subsidy Scheme and the implementation of feasible service models to enhance community-based primary care services delivery. With an increasingly ageing population bringing more chronic conditions and complex comorbidities, Hong Kong is facing tremendous challenges in addressing the demand for healthcare services with an already overburdened public hospital system, despite ongoing primary care reforms. Recently, the key findings of the Population Health Survey conducted by the Department of Health showed a high prevalence of non- communicable diseases including hypertension and diabetes, with many people living with these conditions unrecognized. The HKSAR government under the leadership of newly appointed Chief Executive Mrs Carrie Lam and Secretary for Food and Health Professor Sophia Chan, has accorded priority to boost primary healthcare services and as such as has set up a steering committee for the further development of primary care. The World Organization of Family Doctors supports the view that general practice is pivotal to the success of primary health care in developed countries e.g. Australia. General practice provides primary, continuing, comprehensive and coordinated holistic health care to individuals and families in their communities, these elements place general practice at the center of an effective primary health care system. Family physicians, with their attributes which includes playing an effective coordinating role in health care provision, will be beneficial strategic partners in further enhancing primary care development in Hong Kong. Over the years, our annual hallmark conference has served as an inspiring platform for bringing together international and local experts, family physicians, dentists, nurses, allied health practitioners and other primary care providers to promote collaborative and networking opportunities in addressing present and future challenges. It offers a rich milieu for sharing the latest scientific updates, research activities as well as an open exchange of experiences and views on recent developments and trends in primary care. This coming 2018, we will go green with the issuing of electronic certificates of attendance for our participating delegates as well as a web-based electronic program book. I welcome you to another exciting experience with this forthcoming conference.

Dr. Lorna NG Chairman, Organizing Committee Hong Kong Primary Care Conference 2018

2 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Conference Information

Date : 23 – 24 June 2018 (Saturday-Sunday)

Venue : Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Official Language : English

Academic Accreditation : Applications are in progress and details will be announced later.

Organizer : The Hong Kong College of Family Physicians

Conference Secretariat : Exhibition & Advertisement: Ms. Teresa Liu Publication: Ms. Crystal Yung QA Accreditation: Mr. John Ma Registration: Ms. Windy Lau Scientific: Ms. Suki Lung General: Ms. Alky Yu / Ms. Erica So

Contact Details : Tel No. : (852) 2871 8899 Fax No. : (852) 2866 0616 Email : [email protected]

Supported by : HKCFP Foundation Fund

3 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Scientific Programme at-a-glance

23 June 2018 (Saturday)

14:00 - 15:00 Registration and Welcome Drinks

15:00 - 15:30 Opening Ceremony

15:30 - 16:15 Plenary I (Dr.Constance Chan) Partnership with Primary Care in Action against Non-communicable Diseases

16:15 - 17:00 Plenary II (Prof. Richard Hobbs) Preventing Stroke in Atrial Fibrillation and the Contribution of Primary Care Research

17:00 - 17:20 Coffee Break and Poster Presentation - Part 1 #

Seminar A Seminar B Free Paper - Workshop 1 Hyperuricemia and 17:20 - 18:35 Avoid Medical Mishaps: Oral Presentation Oral Health: What Family Chronic Kidney Patient Centred Care # Doctors Need to Know Disease Part 1

18:45 - 21:00 Dinner Symposium

24 June 2018 (Sunday)

08:15 - 09:00 Registration

Workshop 2 Seminar C Pharmacological Clinical Case Ankle Sprain, Clinical Audit and 09:00 - 10:15 Management of Presentation Taping and Exercise # Research Forum Patients with Cognitive Prescription Competition Impairment

10:15 - 10:35 Coffee Break and Poster Presentation - Part 2 #

Seminar D Seminar E Free Paper - Workshop 3 Updates on Stroke Incorporating Seminar F Oral 10:35 - 11:50 Dementia Care in Management and Travel Medicine Chinese Medicine Presentation Primary Care Rehabilitation in into your General in Primary Care # Primary Care Practice Part 2

11:50 - 12:35 Plenary III (Prof. Samuel Wong) The Role of Family Medicine in People with Multimorbidity

12:40 - 14:00 Lunch Symposium

# Active CME/CPD points will be accreditated to presenters.

Disclaimer Whilst every attempt will be made to ensure all aspects of the conference mentioned will take place as scheduled, the Organizing Committee reserves the right to make changes to the programme without notice as and when deemed necessary prior to the Conference. (Supported by HKCFP Foundation Fund)

4 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Registration Form

Title *: Prof. / Dr. / Mr. / Mrs. / Ms. HKCFP Member ID #: ______Surname: ______Given Name: ______Institution *: HA / DH / University / Private Hospital / Private Group / Solo Practice Occupation: Doctor / Nurse / Student / Allied Health ______/ Others ______Contact No.: ______(Office) (Mobile) (Fax) Address: ______Email^: ______Remarks: * Please circle as appropriate. # Please contact the administrative staff Ms. Priscilla Li at [email protected] for membership application. ^ Details or updates would be sent by email. REGISTRATION Member Non-member A) Conference Registration ® Registration to the conference is required.  Complimentary  HK$1000 B) Workshop Registration ® First come first served. ® Cheques will be returned to unsuccessful registrants. 23 June Workshop 1: 17:20 – 18:35 HK$300 HK$500 (Saturday) Oral Health: What Family Doctors Need to Know   Workshop 2: 09:00 – 10:15  HK$300  HK$500 24 June Ankle Sprain, Taping and Exercise PrescriptionFULL (Sunday) Workshop 3: 10:35 – 11:50 HK$300 HK$500 Dementia Care in Primary Care  

Date COMPLIMENTARY SYMPOSIA COMPLIMENTARY TRANSPORTATION^^

23 June Dinner HK$50  Wong Chuk Hang MTR > HKAM: 14:15 - 15:00 18:45 – 21:00  (Saturday) Symposium Enrolment Deposit**  HKAM > Wong Chuk Hang MTR: 21:15 24 June Lunch  HK$50 12:40 – 14:00 **  Wong Chuk Hang MTR > HKAM: 8:30 - 9:00 (Sunday) Symposium Enrolment Deposit **Enrolment Deposit: Seats for symposia is limited. Registrants are required to send the ‘Enrolment Deposit cheque’ for symposia enrolment. - At the back of the cheque: please write your name and the symposium –Dinner (23 June) or Lunch (24 June) that you wish to enroll. - Each cheque is for ONE activity’s registration only, please make sure to send in the corresponding number of cheques. - The respective cheque would be returned when attending the activity, otherwise the deposit cheque would NOT be returned and instead it will become a contribution to HKCFP. ^^Complimentary Transportation: Circular coach service would be provided within the mentioned periods. Pre-registration is required. PAYMENT METHOD Please send completed registration form with crossed cheque(s) payable to “HKCFP Education Ltd” to the Conference Secretariat. Please use SEPARATE cheques for payment of membership fees (if applicable), conference and workshop(s) registration fees.

CONFERENCE SECRETARIAT Registration : Ms. Windy Lau CME / CNE : Mr. John Ma Tel : (852) 2871 8899 Scientific : Ms. Suki Lung / Ms. Crystal Yung Fax : (852) 2866 0616 Others : Ms. Alky Yu / Ms. Erica So Email : [email protected] Address : HKCFP, Room 803-4, 8/F, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Signature: ______Date: ______

Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Adverse Weather Arrangement for Conference

Before Conference  Typhoon Cyclone Warning Signal Conference will be conducted as usual. No.1 or 3 / Amber or Red Rainstorm Warning

 Typhoon Cyclone Warning Signal No. 8 or above / Black Rainstorm Warning

The Conference on Saturday will be cancelled if at or after 12:00nn, 23 June 2018 (Saturday) 1) Tropical Cyclone Warning Signal No.8 or above is hoisted / remains in force, OR 2) Rainstorm Black Warning is issued / remains in force.

The Conference on Sunday will be cancelled if at or after 6:30am, 24 June 2018 (Sunday) 1) Tropical Cyclone Warning Signal No.8 or above is hoisted / remains in force, OR 2) Rainstorm Black Warning is issued / remains in force. During Conference  Tropical Cyclone Warning Signal No.8 Conference will be suspended if circumstances allow*. or above is hoisted / Rainstorm Black (*Organizing Committee may also consider to cancel Warning is issued while activity is in the conference upon special circumstances, if needed.) progress

In case of cancellation of conference,  Conference’s Registration fees: Non-refundable and Non-transferrable  Workshop’s Registration fees: Fully refunded to registrants

7 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Updates on Conference WORKSHOPS Following the opening of workshops’ registration since January, we’ve received overwhelming responses to our workshops’ registration! We thank you for your tremendous support! If you have not yet registered, reserve your seat by returning your registration form to us RIGHT NOW! Seats are expected to go fast as our workshops are one of the most popular highlights in the conference programme! Workshop 1 Oral Health: What Family Doctors Need to Know Workshop 2 Ankle Sprain, Taping and Exercise Prescription FULL Workshop 3 Dementia Care in Primary Care

COMPLIMENTARY TRANSPORTATION Complimentary transportation for participants would be provided during the conference with details as follows. Pre-registration for transportation is required.

Date Origin Destination Time

Wong Chuk Hang MTR HKAM Jockey Club Building 14:30 -15:00^ 23 June (Saturday) HKAM Jockey Club Building Wong Chuk Hang MTR 21:15

24 June (Sunday) Wong Chuk Hang MTR HKAM Jockey Club Building 8:30 - 9:00^

^ Circular coach service would be provided within the mentioned periods.

8 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday)

Seminar C Pharmacological Management of Patients with Cognitive Impairment Dr. Patrick K.C. CHIU MBBS (HK), MRCP (UK), FHKCP, FHKAM (Med), MMedSc (HK), FRCP (Glasgow) Consultant, Division of Geriatrics, University Department of Medicine, Queen Mary Hospital

Dr. Chiu is a Specialist in Geriatrics in Queen Mary Hospital, Grantham Hospital, Fung Yiu King Hospital and Tung Wah Hospital. He received his post-graduate training in memory disorders in the UK in 1999 under the supervision of Professor Gordon Wilcock (currently the Emeritus Professor of Geratology, Nuffield Department of Clinical Neurosciences, University of Oxford, UK). Dr. Chiu continued to provide clinical care to patients with memory disorder in Hong Kong West cluster since his return from overseas training. He is currently the consultant in-charge of Memory Clinic in Queen Mary Hospital. Dr. Chiu dedicates much of his professional time to academia and teaching. He is Honorary Clinical Associate Professor in the University Department of Medicine and the Department of Family Medicine and Primary Care, LKS Faculty of Medicine at The University of Hong Kong. He is the Program Director (Hong Kong Island) and examiner of the Specialty Board in Geriatric Medicine of the Hong Kong College of Physician. Dr. Chiu is also an active member of several public health bodies. He is the honorary secretary of the Hong Kong Society of Aging Research and a council member of the Osteoporosis Society of Hong Kong. He is also the cluster representative in the Task Force on Dementia Community Support Scheme which is led by Food and Health Bureau, HKSAR. Dr. Chiu’s research interest includes pharmacological treatment in Alzheimer’s disease. He is currently leading his team to participate in a multi-centre phase III clinical trial to investigate on the safety and efficacy of a potential pharmaceutical drug for prodromal to mild Alzheimer’s disease. Dr. Chiu has been an invited speaker and chairman at numerous scientific meetings and he is also a regular invited journal reviewer for peer review journals.

Dementia is a progressive neurological and degenerative syndrome. The most common type of dementia is Alzheimer’s disease (AD), followed by vascular dementia. In general, management of dementia can be divided into non-pharmacological and pharmacological strategies that target the cognitive and non- cognitive symptoms.

Currently, there are no cures for progressive dementias including AD. However, there are two classes of pharmacological treatment for symptoms of AD. The first class aims at correcting the reduction of cholinergic neurotransmission through cholinesterase inhibitors (e.g. rivastigmine, donepezil, galantamine). The other class is based on N-methyl-D-aspartate (NMDA) receptor blockade (e.g. Memantine). There is convincing evidence that cholinesterase inhibitors have efficacy in improving cognition and global functioning at all stages of AD. Memantine was approved by the US Food and Drug Administration for the symptomatic treatment of moderate-to-severe AD. Use of memantine in moderate- to-severe AD has been shown to improve cognition and global functioning. It is also associated with an improvement in secondary outcome measures of activities of daily living and behavior. Doctors should be mindful of the potential unrealistic expectations of patients and their family to the medications (e.g. hoping for cure of AD). Careful explanation should be provided before starting the pharmacological therapy.

If non-pharmacological treatment of potential causes of behavioural and psychological symptoms of dementia (BPSD) is unsuccessful, pharmacological therapy can be considered for BPSD that cause extreme distress or pose an imminent threat of harm to self or others. A variety of medications have been used to treat BPSD including antipsychotics and other drugs. These drugs have variable efficacy and effectiveness, depending on the target symptom and class of medication. It should be prescribed at the lowest effective dose for the shortest possible duration, taking into account the significant risks compared with potential benefits.

9 Hong Kong Primary Care Conference 2018 “Family Physician – Nexus of the New Era of Primary Care” 23 – 24 June 2018 (Saturday – Sunday) Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong

Organizing Committee 2018

Chairlady: Dr. NG Lorna

Advisors: Dr. CHAN Ming Wai, Angus Dr. CHAO Vai Kiong, David Dr. FOO Kam So, Stephen Dr. LAU Ho Lim

Business Manager: Dr. CHIU Chi Fai, Billy

Scientific Subcommittee- - Scientific Coordinators: Dr. CHIANG Lap Kin Dr. SIT Wing Shan, Regina - Scientific Subcommittee Members: Dr. CHEN Xiao Rui, Catherine Dr. CHIN Weng Yee Dr. SZE Pui Ka, Catherine Dr. TSE Sut Yee

Publication Subcommittee- - Publication Coordinator: Dr. CHENG Ghar Yee, Judy - Publication Subcommittee Members: Dr. CHENG Hei Wan, Lian Dr. LEUNG Cheuk Wing, Vienna Dr. TSIM Koon Lan, Kathy

Competition Coordinators- - Clinical Case Presentation Competition Dr. KWAN Yu Coordinator: - Poster Presentation Coordinator: Dr. KWAN Wing Yan, Wendy

Nurse Planners: Ms. CHONG Yuen Chun, Samantha Ms. LAM Choi Hing, Margaret Ms. WONG Bo Chu

Allied Health Planner: Ms. FUNG Brigitte

Registration & Enquiry

E-mail : [email protected] Tel : (852) 2871 8899 Fax : (852) 2866 0616 Website : www.hkcfp.org.hk