刀 The College of Surgeons of Hong Kong 緣NEWSLETTER
CUTTING EDGE
25 th ANNIVERSARY SPECIAL EDITION 廿 五 週 年 特 別 號
www.cshk.org CUTTING EDGE
Cutting Edge:
theOfficial Newsletterof the CSHK, SINCE 1994!
his issue of Cutting Edge is a special Every effort has been attempted in order to keep edition for the celebration of the the information complete, by searching through 25th Anniversary of the CSHK. We boxes of dusty files, interviewing busy people Tbelieve that it is a golden opportunity for us who might know something, matching the rusty to reminisce the history of CSHK in different photos to the correct event. Nevertheless, if you aspects in the past two and half decades. find some of the information showed in this issue However, the mission is proven to be a difficult are missing or faulty, please accept my apology. one if not impossible. So much information is You are more than welcome to let us know the missing and incomplete, or at least they are correct information, if you think you know hiding somewhere. People’s memories on some something. facts are fading. As usual, it is always hard to gather all the articles to publish on time ……. !
Some facts about our Cutting Edge The first issue was published in April 1994 , more than 20 years ago! The Chief Editors over the years:
Dr Man-hei Dr Samuel Dr Angus Dr Cliff Dr Chad SHIU Po-yin KWOK Chi-wai CHAN Chi-chiu CHUNG Cheuk-wa TSE (from year 1994 (from year 1996 (from year 2000 (from year 2005 (from year 2011 to year 1995) to year 1999) to year 2004) to 2010) to current)
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Evolution of the front page Since 2013, full page 1994-2005, the early photo is used version were only on cover page words and no pictures! This was the first issue of Cutting Edge published in April 1994
2006-2012, photo covers half of page
Editorial Board Members Year 1994-1995 Editor : Dr Man-hei SHIU Editorial Board Members : Dr Siu-ping HUI, Dr James ST HWANG, Dr Walter WK KING, Prof. Arthur KC LI, Dr Michael KW LI, Dr Chun-yin WATT, Prof. William WEI, Dr Kwok-kee WONG Year 1996-1999 Editor : Dr Samuel P Y KWOK Editorial Board Members : Prof. Sydney SC CHUNG, Prof. Sheung-tat FAN, Dr Siu-ping HUI, Dr James ST HWANG, Dr Walter WK KING, Prof. Joseph WY LAU, Dr Heng-tat LEONG, Prof. Arthur KC LI, Dr Michael KW LI, Dr Man-hei SHIU, Prof. William WEI, Dr Kwok-kee WONG, Dr Andrew WC YIP Year 2000-2004 Editor : Dr Angus C W CHAN Editorial Board Members : Prof. Stephen WK CHENG, Prof. Sydney SC CHUNG, Prof. Sheung-tat FAN, Dr James ST HWANG, Dr Walter WK KING, Prof. Paul BS LAI, Dr David TY LAM, Prof. Joseph WY LAU, Dr Heng-tat LEONG, Prof. Arthur KC LI, Dr Michael KW LI, Dr Andrew WC YIP Year 2005-2010 Editor : Dr Cliff C C CHUNG Editorial Board Members : Dr Sharon WW CHAN, Dr Michael CW CHENG, Dr Michelle WY CHENG, Dr Hester CHEUNG, Prof. Kent-man CHU, Dr SK CHU, Dr Ronald PK HO, Dr TL KWAN, Dr Ava KWONG, Dr David TY LAM, Dr Hung LAU, Dr William CS MENG, Prof. Ronnie TP POON, Dr Florence YM SIK, Dr Wing-tai SIU, Dr Chad CW TSE, Dr James CH WONG
Year 2011-current Editor : Dr Chad C W TSE Editorial Board Members : Dr KC CHAN, Dr Ricky WK CHAN, Dr Sharon WW CHAN, Dr Michael CW CHENG, Dr Hester CHEUNG, Dr SK CHU, Dr Weida DAY, Dr Ronald PK HO, Dr Ava KWONG, Dr Jane CY LAU, Dr Edgar YK LAU, Dr YM LEE, Dr Michael WY LEUNG, Dr Dennis CK NG, Dr Calvin SH NG, Dr Ada TL NG, Dr WT SIU, Dr Alfred CC WONG, Dr James CH WONG, Dr Simon KH WONG
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CONTENTS 1-2 Editorial 4-28 Congratulatory Remarks 29-31 History of the Formation of the College of Surgeons of Hong Kong P.47-52 P.53 33-34 Message from the President 35-36 Message from the Censor-in-Chief 37-38 Message from the Honorary Secretary 39-44 Six Specialty Boards “A Letter to P.55-64 the Future Chairman of my Specialty Board after 25 years” Cardiothoracic Surgery General Surgery Neurosurgery P.65-66 P.67-69 Paediatric Surgery Plastic Surgery Urology 45-46 Management Structure of the College of Surgeons of Hong Kong 47-52 Spotlight on “Timeline on the P.71-72 History and Formation of the College” 53 What Do You Know about the College Mace? 尋找完美的樹 54 Learn more about the 25th 當我們下次在林中散步時，可試試能否能找到 Anniversary Logo and Slogan 一棵完美的樹。完美的樹是怎樣的呢？我想它 有以下條件：樹幹需畢直向上生長；所有樹枝都 55-64 Topic on Film “Silver Jubilee 完整，沒有斷枝或枯枝；全部的葉片皆是全綠葉， Celebration” 沒有任何一片呈枯黃或被蟲蛀過，樹幹樹皮完 好無缺，沒受過任何破壞。 65-66 Women’s Chapter
如果你找到這樣的一棵樹，你真幸運，因為這樣 67-69 Young Fellows Chapter 的樹在現實中並不存在。 71-72 Off-the-Scalpel － Interview with 其實真正的樹，樹幹都是自然彎曲的，因為它經 Dr The Hon CH LEONG 歷過風吹雨打；大自然中的樹上都有枯枝，有些 還有小鳥在上面築巢，樹皮通常都經多重破壞， 73-81 Words of Blessings from Fellows, 然而它越遭受破壞，我們越愛它 Members and Trainees 們。當你真正了解時，才明白這是 82 The College Secretariat & 美的真諦。 Announcement Cover photo by 83 Council of the College Dr Alfred WONG 84-85 Souvenir Collection Catalogue CUTTING EDGE
CONGRATULATORY REMARKS f r o m Mr The Honorable Chun-Ying LEUNG Chief Executive Hong Kong Special Administrative Region
I am delighted to congratulate the College of Surgeons of Hong Kong on its 25th anniversary.
Since its inception in 1990, the College has stood by its vision: to be a global leader in surgical education and practice. It has made significant contributions to the advancement of the practice of surgery in Hong Kong, providing quality training and continuing professional development, while promotion close collaboration with overseas partners.
Hong Kong, I am proud to say, is blessed with top surgeons and surgical centres. Indeed, its membership counts more than 1000 Fellows in six surgical specialties and over 200 Members. This could not have been possible without the remarkable work of the College over these 25 years.
I am pleased to note that, as part of its 25th anniversary, the College has organised a mentorship programme for Year 1 and Year 2 medical students from the University of Hong Kong, the Chinese University of Hong Kong and the Student Surgical Association of Hong Kong.
Our healthcare system faces an aging population and rising public expectations. More than ever, we need to count on the College to continue nurturing talented surgeons, while advancing surgery and patient care for the benefit of our community.
I congratulate the College of Surgeons of Hong Kong on its outstanding achievements and extend my best wishes for its next 25 years.
(C Y Leung) Chief Executive Hong Kong Special Administrative Region
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Dr Wing-Man KO Secretary for Food and Health Bureau Hong Kong Special Administrative Region
Over the past 25 years, the College of Surgeons of Hong Kong has made remarkable contributions to the advancement of knowledge in the field of surgery. It has been instrumental in providing postgraduate training, examination and accreditation of surgeons in Hong Kong. Its support to surgeons in their commitment to life-long learning and continuous upgrading of their knowledge and skills through continuous medical education helps uphold the highest surgical standards in our medical sectors.
In addition, the College has been keeping pace with the changing needs of the healthcare sector as well as the latest technological advancement to ensure its continuing contribution to the development of the medical profession. The College’s commitment to groom dedicated and outstanding surgeons in the new generation is particularly important to meet modern healthcare needs.
I warmly congratulate the College of Surgeons of Hong Kong on its 25th anniversary and wish the College continued success in the years ahead.
Dr Wing-Man KO Secretary for Food and Health Bureau Hong Kong Special Administrative Region
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Dr Constance Hon-Yee CHAN Director of Health Department of Health
I am delighted to have this opportunity to express my most sincere congratulations to the College of Surgeons of Hong Kong on its 25th anniversary.
In the past quarter of a century, the College has devoted to fulfilling its mission of upholding high standards of practice of surgery, conducting structured fellowship examinations and accreditation of surgeons, as well as providing continuing medical education for surgeons in Hong Kong. Under the leadership of the College, generations of junior doctors had been trained to be competent surgeons who are playing leading roles in different sectors of our healthcare system.
I am confident that in the years ahead, the College will continue its fine tradition to strive to sustain leadership excellence in surgical education and practice. Once again, congratulations to the College on reaching this important milestone and I wish the College continued success in scaling new heights of achievement.
Dr Constance CHAN Director of Health Department of Health
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Prof. John Chi-Yan LEONG Chairman Hospital Authority
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Dr Pak-Yin LEUNG Chief Executive Hospital Authority
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Dr Donald Kwok-Tung LI President Hong Kong Academy of Medicine
On behalf of the Hong Kong Academy of Medicine, it gives me great pleasure to extend our heartiest congratulations to the College of Surgeons of Hong Kong on the occasion of your 25th anniversary in 2015.
Over the past 25 years, the College of Surgeons of Hong Kong has made impressive achievements in promoting the advancement of medical knowledge in the context of surgery, and providing professional surgical training using state-of-the-art technology in Hong Kong. The College has set out high standards of good surgical practice, which fulfill the profession’s expectation of all competent surgeons.
It is rewarding to train new generations of specialists who take pride in providing safe, professional patient care of high standards. Sharing the same vision with the College of Surgeons of Hong Kong, the Academy looks forward to working closely with your College to maintain the highest professional standards, achieve perfection in both medical knowledge and postgraduate training of surgical specialists bolstering the health and well-being of our community.
May I once again congratulate the College on its remarkable accomplishment. On this auspicious occasion, I wish the College continuous success in the years ahead. Congratulations and Happy Anniversary!
With warmest regards,
Dr Donald Li President Hong Kong Academy of Medicine
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Prof. Joseph Wan-Yee LAU Chairman, The Medical Council of Hong Kong Past President, The College of Surgeons of Hong Kong
On behalf of the Medical Council of Hong Kong, I wish to extend my warmest congratulations to The College of Surgeons of Hong Kong and its fellow on the memorable occasion of its 25th Anniversary.
Since its establishment in 1990, the College has been committed to upholding the highest surgical standard and in promoting advances in both the science and the art of surgery. The College is commendable for its untiring efforts and remarkable achievements in inspiring and nurturing highly professional and full-fledged surgeons serving the community with virtues, and in maintaining a leadership position in surgical education and practice on the international platform. Its invaluable contributions to the medical profession and to the community have been well recognized, both locally and internationally.
25 years is an important landmark. I am sure the College will continue its efforts to scale new heights and excellence. May I wish the College every success in its future endeavours.
Professor LAU Wan-yee, Joseph, SBS Chairman The Medical Council of Hong Kong
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Mr Ian RITCHIE Immediate Past President The Royal College of Surgeons of Edinburgh
It is with great pleasure that I write to congratulate you on completing 25 years of great achievement as a College of Surgeons. The original intention of institutions such as Colleges was to protect its Fellows and Members and, while that is part of the role of any Guild or College, surely the most important part is to support the development of surgery as part of the armamentarium of care that we can deliver for our patients.
My personal experience of the College of Surgeons of Hong Kong over the past 15 years is that the College has helped to maintain and develop standards in surgical practice in Hong Kong. It is true to say that the standards of surgical practice and the levels of care in surgery delivered in Hong Kong are amongst the highest in the world and that is in no small measure due to the activities of the College of Surgeons of Hong Kong.
The Royal College of Surgeons of Edinburgh congratulates the College of Surgeons of Hong Kong on 25 years of development and exemplary activity.
Ian K Ritchie Immediate Past President The Royal College of Surgeons of Edinburgh
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Prof. David AK WATTERS President Royal Australasian College of Surgeons
It was a great pleasure for me to be present to celebrate your 25th Anniversary of the founding of the College of Surgeons of Hong Kong. I was honoured to represent the RACS as its President on such an auspicious occasion, and to participate in the convocation, and subsequent celebration. The commemorative plate we gave you was crafted by Indigenous artists of the Wathaurong tribe, who live on West side of Corio bay in the Geelong region of Victoria. The symbols stand for wind and water. It represents Australia and New Zealand’s rich indigenous history, and its red color the red earth of the centre of Australia. Indigenous Health has been a particular focus of our College during 2015.
It was particularly special for me to share in your Anniversary because I have also been a fellow of the College of Surgeons of Hong Kong for most of those 25 years, having spent the year 1991 at the Chinese University of Hong Kong and the Prince of Wales Hospital, Shatin.
You can be proud of what your College has achieved in a short time. The RACS has had, and will continue to have, many opportunities to collaborate with neighbouring countries in the SE Asian region, many of which are less fortunate than ourselves, and look to us to support their efforts to champion surgical standards, and build capacity in surgical education and training. Now that your College has ‘come of age’ you will also find increasing opportunities to contribute to the development of surgery in the ASEAN region as well as your ongoing support to other regions of China.
Thank you for your hospitality to myself and my wife, Olga, during the meeting. It was a truly memorable occasion and we enjoyed sharing it with you officially.
Yours sincerely
Professor David Watters OBE President Royal Australasian College of Surgeons
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Prof. Michael GRIGG Immediate Past President Royal Australasian College of Surgeons
It is difficult to believe that its only twenty-five years since the College of Surgeons of Hong Kong came into being. So much has been achieved in such a short period including the prominent position that CSHK has come to occupy in the international arena of surgical colleges and professional organisations.
The Royal Australasian College of Surgeons (RACS) has long regarded the CSHK with special affinity, not least because so many of our fellows have gained valuable post fellowship surgical experience in Hong Kong and established lasting friendships and relationships. Indeed the opportunities to share surgical education, surgical training and surgical experiences with CSHK are very much cherished by the Australasian College.
The Royal Australasian College of Surgeons has traditionally held its Annual Scientific Congress in either Australia or New Zealand but in 2008 it chose to have its meeting “off-shore” for the first time. It was an easy choice and the ASC was held in Hong Kong. It was an enormous success not least because of the participation of the CSHK. There was palpable mutual respect at this meeting between our two Colleges and that has firmly cemented the CSHK in the heart of the RACS.
There is little doubt that the world is changing and threats to professionalism abound. The roles of professional organisations in maintaining standards of training and practice are challenging but possibly never more important. It should be abundantly clear to all that CSHK has responded to these difficult challenges in meaningful and effective ways.
On behalf of all within RACS – the Council, the fellowship and the staff – may I express very best wishes for your 25th year celebrations. May I also express congratulations on your many achievements to date. The RACS looks forward to the future with CSHK with confidence, respect and friendship, and in the expectation of even greater achievements in the years ahead.
Yours sincerely
Prof. Michael Grigg, FRACS Immediate Past President Royal Australasian College of Surgeons
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Dr Andrew L. WARSHAW Immediate Past President American College of Surgeons
To the College of Surgeons of Hong Kong,
It has been my privilege to know and work with the outstanding surgeons of the Hong Kong College of Surgeons. I have had the opportunity to observe your excellence and contributions to innovation and patient care at first-hand as we have exchanged visits. In particular, the interactions between the College of Surgeons of Hong Kong and the American College of Surgeons are a source of learning for both and a bridge between our countries to the benefit of both.
Congratulations on your 25th Anniversary.
Andrew L. Warshaw, MD, FACS, FRCSEd (Hon) Immediate Past President American College of Surgeons
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Prof. Shan WANG President Chinese College of Surgeons
Dear friends of the College of Surgeons of Hong Kong, On behalf of the Chinese College of Surgeons (CCS), I extend my warmest congratulations to all faculty, staff, students and alumni on the 25th Anniversary of the College of Surgeons of Hong Kong. This milestone provides a great opportunity to reflect upon the history of the College and the significant contributions it has made to the advancement of knowledge in the field of surgery. As you mark 25 years of success, you have every reason to be proud of the College’s past and excited about its future. Since it was incorporated in 1989, the College has aimed to be a global leader in surgical education and practice. For 25 years this outstanding college has enabled students and surgeons to acquire the knowledge and skills necessary to excel in the field of surgery. Over the years, the College has established itself as an extremely innovative and inclusive institution for training, examination and accreditation of surgeons in Hong Kong. The CCS has been collaborating with the College, and I myself was privileged to be awarded the “Honorary Fellowship” by the College in 2013. I applaud the College’s fine faculty and staff on its success in training our surgeons. I am confident that the next 25 years will see the College continue to offer surgeons, locally and internationally, an opportunity to improve their surgical skills. Congratulations once again for having achieved this memorable 25th Anniversary milestone. Indeed, the College of Surgeons of Hong Kong has truly lived up to its responsibility of upholding the highest surgical standards, promoting advances in both the science and the art of surgery, and providing quality training for surgeons in Hong Kong.
Sincerely yours,
WANG Shan President Chinese College of Surgeons
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Miss Clare MARX President The Royal College of Surgeons of England
It is wonderful to see the College of Surgeons of Hong Kong celebrate its 25th anniversary. All those who have contributed to the College since its establishment should be proud of their achievements. As a global surgical community we must ensure patients around the world receive the best surgical care possible. Your College has a key role in sharing best practice in surgery through education and training programmes and shared learning.
Your 25th anniversary is both a time for reflection on what’s been achieved and an opportunity to address the challenges that face the surgical profession, ensuring that as surgeons we continue to deliver an outstanding standard of care across the globe.
Once again, congratulations on reaching this tremendous landmark.
Kind regards
Clare Marx President The Royal College of Surgeons of England
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Prof. Frank G. DUNN Immediate Past President Royal College of Physicians and Surgeons of Glasgow
I am delighted to provide this congratulatory note on the Silver Jubilee of the College of Surgeons of Hong Kong. The College has been a leader in the provision of standards for surgeons in Hong Kong and in provision of a training programme of excellence. The Royal College of Physicians and Surgeons of Glasgow are delighted to be associated with the College of Surgeons of Hong Kong and are very keen to build on this association going forward in the areas of training, assessment and education.
With kind regards
Professor Francis G Dunn Immediate Past President Royal College of Physicians and Surgeons of Glasgow
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Dr Kiki LUKMAN President The College of Surgeons of Indonesia
On behalf of the College of Surgeons of Indonesia, I would like to congratulate the College of Surgeons of Hong Kong for reaching the 25th Anniversary this year with outstanding international achievement. The College of Surgeons of Hong Kong is now well recognized as an institution that has an important leading role in the advancement of modern surgical science, technology, and training, especially in the Asia – Pacific region. Therefore, it is a great honor for me and our college to be part of the celebration. We hope that this will strengthen the close collaboration between the two Colleges and all surgical colleges across the globe to promote high quality and accessible global surgery.
Best Regards
Kiki Lukman President The College of Surgeons of Indonesia
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Mr Declan MAGEE President Royal College of Surgeons in Ireland
The Royal College of Surgeons, founded in 1784, is delighted to send warm congratulatory wishes to its sister College, the College of Surgeons of Hong Kong, on the occasion of its Silver Anniversary. RCSI has had many connections with Hong Kong surgery, Hong Kong surgeons and Hong Kong medicine generally over very many years. Indeed, we had a most successful Overseas Meeting in the wonderful setting of Hong Kong in 2002. In recent years there has been increasing collaboration between all Colleges of Surgery worldwide and we in RCSI certainly look forward to much fruitful cooperation with our worldwide colleagues including those in the College of Surgeons of Hong Kong for many years to come.
Once more warm congratulations and sincere wishes for continued success in the future.
Declan J. Magee President Royal College of Surgeons in Ireland
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Dr Peter Toh-Lee WONG President College of Surgeons, Academy of Medicine of Malaysia
I would like to extend felicitous and warmest greetings from the Council and Members of the College of Surgeons of Malaysia on the occasion of the 25th Anniversary of the College of Surgeons of Hong Kong.
This is indeed a great milestone in the history of your College and we are happy to note that your College has developed into a leading institution which is well recognized on the international platform.
I look forward to greater collaboration and networking between our two Colleges.
Dr Peter Wong Toh Lee President College of Surgeons, Academy of Medicine of Malaysia
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Dr Arturo E. MENDOZA, JR Immediate Past President Philippine College of Surgeons
On behalf of the Board of Regents of the Philippine College of Surgeons, it is my distinct honor and great pleasure to extend my warmest greetings to The College of Surgeons of Hong Kong as you celebrate your Silver Jubilee during this auspicious occasion. Your 25th Anniversary theme "Sincerity and Skill Shining Silver", appropriately express your College's values, as you give extreme importance to a strong heritage of commitment and sincerity in providing the highest quality of training in order to deliver optimum surgical care. Even your theme for the conjoint congress, which aims to achieve the best outcomes in surgery using available resources is indeed very timely and realistic for Asian surgeons in the face of myriads of problems as they aim to provide the highest quality surgical care in the midst of very challenging and difficult situations. With very brilliant and dedicated leaders, further strengthened by equally resolute and talented young and energetic generation of surgeons , there is no doubt that your College will realize its vision and mission of assuming a leading role in training and surgical practice in Asia and the world.
In fine, allow me to extend my sincerest thanks for your invitation on this very important event as I wish you a very successful and eventful celebration.
Arturo E. MENDOZA, JR., FPCS, FACS Immediate Past President Philippine College of Surgeons
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CONGRATULATORY REMARKS f r o m Prof. Kesavan ESUVARANATHAN Immediate Past President College of Surgeons, Singapore Academy of Medicine, Singapore
The College of Surgeons, Hong Kong and College of Surgeons, Singapore have always been close. On the occasion of the College of Surgeons, Hong Kong’s Silver Jubilee, let me take the opportunity to congratulate you and your entire council for the wonderful work you have done to promote collegiality and camaraderie among Hong Kong surgeons and for bringing the standards of Hong Kong surgery to ever greater heights. May God bless you all as you continue daily to bring healing to patients through your excellent skills and compassionate hearts.
Best regards,
Professor Kesavan Esuvaranathan Immediate Past President College of Surgeons, Singapore Academy of Medicine, Singapore
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CONGRATULATORY REMARKS f r o m Assoc. Prof. Vajarabhongsa BHUDHISAWASDI Immediate Past President Royal College of Surgeons of Thailand
On behalf of the Royal College of Surgeons of Thailand, I wish to extend my warmest congratulations to The College of Surgeons of Hong Kong on the occasion of her 25th anniversary.
Since her inception 25 years ago, The College of Surgeons of Hong Kong has significantly contributed to the advancement of the surgical practice in Hong Kong and has worked dedicatedly to uphold high standards of surgical care and services through provision of surgical education and training which are well recognized internationally.
I look forward to further developing our relationship and wish the executive members and staff at The College of Surgeons of Hong Kong every success in the years to come.
Assoc. Prof. Vajarabhongsa BHUDHISAWASDI Immediate Past President Royal College of Surgeons of Thailand
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CONGRATULATORY REMARKS f r o m Dr The Honorable Edward Che-Hung LEONG Founding President The College of Surgeons of Hong Kong
I write as the Founding President to congratulate our prestigious College on her 25th Anniversary. In extending my congratulations I like to express my appreciation, as a fellow, to the successive Councils for their leadership in bringing the College to what it is today.
Much has changed in this quarter of a century for the better; we see a much gel cohesive College with Council comprising members from every factions of surgical practices in Hong Kong – the universities, the public and private sectors; we see a continuous cooperation with surgical bodies nationally and internationally; we see the College taking up the role of setting standards for new and senior fellows and a move towards credentialing – all for public good. Needless to say, the role of the College will become more complex – with ever enlarging fellowship members and with the need to catch up with the rapid advances of medical science.
Yet the 2 basic mottos of the College cannot be shaken: • To set and determining structured training programmes for trainees and to assess their standards for acquisition of Fellowship, a stepping stone for specialist status and qualifications; • To be totally vigilant as a bearer of standards be it the ethics, the moral or the practise of surgery and her specialties.
Today, more than ever, the College must embarked on designing and providing training programmes and facilities for fellows to develop and to be competent in the rapidly advanced technologies of surgical practices. No fellows should be barred from the practise of modern techniques, yet each must be properly trained and assessed. The college has a responsibility to provide such facilitations.
It is only with these that the College can and will march triumphantly into the next 25 years and beyond.
Dr The Honorable Edward Che-Hung LEONG Founding President The College of Surgeons of Hong Kong
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Prof. Arthur Kwok-Cheung LI Past President The College of Surgeons of Hong Kong
It gives me great pleasure to offer my congratulations to the College of Surgeons of Hong Kong on the occasion of its Silver Jubilee.
A professional body entrusted with the overall advancement of surgical training, education and practice in Hong Kong, the establishment of the College in 1989 is a major landmark in the history of surgical development in the territory.
In the 25 years that ensue, the growth of surgical knowledge in breadth and depth has been phenomenal, the curriculum of medical schools the world over has been revamped many times, new surgical techniques and equipment have been introduced, and a lot of changes have taken place in medical and health care. Meantime the College has spared no effort in disseminating new knowledge and pioneering new directions through international collaboration and sharing. It has set rigorous standards for local practitioners to follow. It has organised continuous education and training programmes to keep surgeons in Hong Kong abreast of the state of the art. It has promoted the development of surgical sub-specialties to improve patient care. Most of its activities have been duly recorded in different issues of the Cutting Edge, the College's official newsletter, published during the same period.
Now an internationally-recognised leader in the field of surgery, the College has come a long way in the past quarter of a century. I take great pride in its many accomplishments and feel privileged to be part of this glorious heritage. I wish the College continued success in the years to come.
Arthur K C Li Past President The College of Surgeons of Hong Kong
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Dr Samuel Po-Yin KWOK Past President The College of Surgeons of Hong Kong
Congratulations to the College of Surgeons of Hong Kong for its establishment for 25 years since 1989.
The surgical community should be grateful to its perpetual effort in the provision of training and assessment of surgical trainees at a high level of standard.
Dr Samuel Kwok Past President The College of Surgeons of Hong Kong
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Prof. Chung-Kwong YEUNG Past President The College of Surgeons of Hong Kong
On the occasion of the 25th Anniversary of the College of Surgeons of Hong Kong, I am very pleased to congratulate all those who have contributed to its success.
I commend my predecessors, all Fellows and Members for their unfailing support to this highly respected College.
May the concerted efforts of the College continue to spark new breakthroughs to foster fully-fledged surgeons and elevate surgical standard.
Prof. Chung-kwong YEUNG Past President The College of Surgeons of Hong Kong
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Dr Hung-To LUK Immediate Past President The College of Surgeons of Hong Kong
The year 2015 marks the Silver Jubilee of The College of Surgeons of Hong Kong. I am proud to be one of her Fellows since foundation. I witnessed the development of our College from strength to strength through collaborative efforts of all Fellows. Through structured training program and Continued Medical Education, we are able to maintain a high standard of surgical practice to safeguard the welfare of our society throughout these years. I look forward to a bright future ahead and glad to see many friends in the celebration dinner in September.
Dr HT Luk Immediate Past President The College of Surgeons of Hong Kong
28 CUTTING EDGE History of the Formation of the College
of Surgeons e t me begin by cong rat u l at ing of Hong Kong our College on its 25th Anniversary, Las the Founding President. On this auspicious occasion, it is indeed an hounour to be invited to write on the “History of the Formation of the College of Surgeons of Dr The Hon Hong Kong”. Furthermore, CH LEONG I consider it duty bound.
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I would like to approach this topic came at the opportune time. To orthopedics and dental surgery. in 4 areas: form a “College of Surgeon” as an Wisdom and rationality ultimately Why was the College necessary; institute under the umbrella of this prevailed, members from those statutory body would give the much The peculiarities and difficulties disciplines decided to form their needed “muscle” for the College to in the formation and how these own Colleges. be the true standard bearer of the were overcome; surgical disciplines. While there is one agreed unified Some significant developments; “College of Surgeon” positioning of and The next question was whether there the subspecialties is essential, after should be a new institution or should My personal view of ways ahead. all though basic surgical training the HK Surgical Society transformed and general surgical principles into a College. Members of the are similar, advance subspecialty Why was the HK Surgical Society made the training could be very different. right decision — the Society was General consensus gained the College necessary disbanded and transformed into a upper hand —internationally As a medical discipline matures, College. recognized subspecialties there is always a tendency and could form “Boards” under the a need for the establishment of College with representation. a platform where people of like- The peculiarities Five “boards” were therefore minds and interests could gather and difficulties in to exchange knowledge or even established — cardiothoracic for social interplay. Surgeons or the formation of surgery, neurosurgery, paediatric medical doctors with an inclination surgery, plastic surgery and on the surgical disciplines are no the College urology. Ophthalmology and different. It was on this basis that Otorhinolaryngology, which For the College to function properly, a HK Surgical Society was formed, were more independent surgical especially in its formative stage holding functions for all surgeons disciplines and with more required the co-operation and — public lectures, surgical forums, coordination of all the “ factions” fellows, were with the approval presidential addresses and even of the local surgical disciplines — of the Academy, established as annual social functions. Such a surgeons from the 2 university “Faculties” under the College with body, however is at best, as was surgical departments, the public the understanding that when described, a “semi social club”. hospital surgical services and the their fellow numbers reached As the surgical discipline further private sectors. I was “chosen” a predetermined figure by the matures, and spur by the yearn for to be the Founding President not Academy (50), the parent College determining standards for surgical because of my abilities but because (College of Surgeon) could propose training and practice to answer the of my non-partisan basis. The to the Academy to grant status for needs of the community, strong first Council therefore was well “Faculties” to form independent calls emerge from more visionary represented by members of all Colleges. In the course of time, the members of the fraternity that factions. On this basis, I am grateful College of Ophthalmologist and a more formal surgical body be to the fellows for their support and College of Otorhinolaryngologist established to determine, set and members of the Council for their were therefore formed. No, we approve standards for surgical visions and cooperation to ensure a have not loss any fellows, but we strong College. training and practice. Yet, such have actually gained two faithful a body would be frustrating to How wide should this College brothers — many fellows of these its promoters unless it has the extend, was the next issues on two new College retained and statutory power to promogate its the agenda. There were thoughts maintained their fellowship of the ideals. that this being a “surgical college”, College of Surgeons. Our College The formation of the Hong Kong it should encompass all surgical was therefore all set and ready to Academy of Medicine by statute disciplines — including gynecology, “take off”.
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Significant developments
The underlying principle of the Academy and for that matter the Colleges is to set standards — standards not just to satisfy local needs but standards that are universally recognized. It is imperative therefore that fellowship of the College be internationally accepted and the flag of College of Surgeons of HK flutter high and proud in the international world of surgery. It is a daunting task, but it MUST be done!
This “infant” College must look for an international acclaimed partner to introduce and support us in the international surgical brotherhood. We were therefore most fortunate and grateful to have the Royal College of Surgeons of Edinburgh agreeing to hold “conjoint” fellowship examination with us, such that any trainee who succeeded in the exam becomes both a fellow of the College of Surgeons of HK and the Royal College of Surgeons of Edinburgh. Internationally, therefore the Fellowship and therefore the standards of the HK College is equivalent to that of an ancient Edinburgh College with heritage and repute. This, “fairy godmother” was a “god send”, but it also reflects the fruition of close bondage between the surgical forefathers of HK and should those from Scotland. To them, we should be forever indebt.
Promoting the College at its infancy is essential. As the Founding President, I attended most international surgical meetings to “sell” our College, including the International Association of Colleges and Academies Presidents (IACAP) meetings and manage to host one of the meetings in Hong Kong. I am grateful to many of my successors who carried on these traditions and became a seasoned “salesman” of the College. International recognition, international connections and international networking remain the single most important element for our College to succeed, and for that matter for the Academy and for Hong Kong.
My thought ahead
With solid foundations set, the College must move ahead, we should not be just living in past laurels.
YES, the College is charged to set standards, to accredit training and to vet bona fide surgeons and to provide facilities for conferences, education and professional developments that fellows are required to comply, but these are only the basic. The College must do more: Influence government on surgical manpower needs; Provide training facilities for fellows; in particular in “new” procedures; Set training and practice guidelines for “new” procedures; and Influence hospitals in the provision of satisfaction facilities for the practice of surgery and its different subspecialties and ensure that only bona fide surgeons would be allowed to practice surgery.
These and many others are tall orders for the future leaders of the surgical brotherhood; yet there is no turning back, nor could we shy away from such challenges. The Academy of Medicine and the different Colleges were approved by the people of Hong Kong on the premise that we are the bearers of standards. This, we have to do. Furthermore, the society expects standards to be more stringent as medical developments progress.
The College of Surgeons of HK, as one of the major College of the Academy, must take a leadership role. It is only through this, that we are not just “taking off” but “taking off with flying colours” as we march into our next 25 years and beyond.
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Message from the PRESIDENT
workshops, and more modules are underway to be launched. Prof. ith the unfailing support from Fellows and Members and George Wong from PWH and Dr. CC all our local and overseas collaborating partners, our Foo from QMH had attended CMS Silver Jubilee Celebrations had the curtains drawn with Fellowships organized by the Harvard Wa loud applaud. I am honored to be the President at this momentous event in Medical School this year and they our history. will be well equipped to lead the College in formulating simulation- Anniversary is a time for reflection and planning the way forward. Reading based surgical training in the future. the names engraved on the plates of the President’s medallion reminds me of the stalwarts preceding me who had made a difference for our College. All To ensure the sustained production past presidents, councilors, and many other Fellows who have contributed of sufficient competent surgeons to the College were being honored and remembered at the Silver Jubilee to meet society needs, workplace- Anniversary Closing Ceremony and Annual Dinner. It is our duty to review their based assessment will be introduced achievements and carry their ideals and visions. to our six surgical specialties. Competence-based assessments Our College has grown from a relatively small surgical society to an have already been made mandatory international recognized professional institution with 25 years of efforts and for basic trainees, and it will be dedication. Reaching such an important milestone, it is a moment to look introduced to the six specialties as a ahead at the mountains we must still climb. compulsory requirement for sitting Surgeons today need to acquire knowledge and skills that reach beyond the the exit exams or admission to classic teaching models of surgical education, and cover such variety of topics fellowships. as leadership, health care management and communications. At the same In the United States, United time, technology innovates and advances faster than we can imagine. Our way Kingdom, and Australia, a high of learning and the way of practice of surgery has utterly transformed. Our percentage of General Surgeons patients’ expectations and patient-doctor relationship have also undergone are undertaking further training radical changes. in other surgical subspecialties. A Of course as specialists we shall always be challenged to learn more, to variety of reasons were cited, such research and publish more, and to keep raising our standards. The College as a perception that further training should seize the windows of opportunities from these challenges. The was necessary for employment, a implementation of 65-hour work policy among public hospitals inevitably sense that pursuing subspecialized meant trainees’ clinical exposure is reduced, but the expectations and demand training is a road to achieving for surgery will remain. Simulation-based education has become a world-wide mastery and excellence. On the trend and partake increasingly important roles in surgical training. We have other hand, there are concerns on already developed simulation courses including acute abdomen and anatomy over-subspecialization as competent
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surgeons should be able to manage of Medicine, Colleges will embark on to promulgate our training and a broad caseload of emergency setting up a credentialing system. examination system to the mainland care. In response to the call for more The Department of Standards led so as to plant our root of influence. subspecialty exposures from Fellows, by our founding President Dr CH My message would not be complete the College had launched one to LEONG will continue to guide us to without a full appreciation of the two-year post-fellowship training chart the course. efforts of all those who have worked programs in seven subspecialties The College would not have so hard over the past 25 years to in general surgery. These include today’s achievements if we are make the College the success it has Breast Surgery, Colorectal Surgery, self-complacent and not open for become. Only with the continuous Endocrine Surgery, Head and Neck academic exchange. Networking support from our Fellows and Surgery, Hepatobiliary & Pancreatic with surgical professionals outside Members, the College will be able Surgery, Upper Gastrointestinal Hong Kong will be another to charter its missions and vision Surgery and Vascular Surgery. The important endeavour to expand and accomplish more legendary College will keep abreast of the and enhance the College profile. achievements. Your continuous evolution in surgical training to be Closer collaboration with our support is, as always, indispensable. on par with international standards. longstanding partner the Royal Apart from training and examination, College of Surgeons of Edinburgh another mission of the College is and other overseas counterparts to safeguard surgical standards. must be strengthened. Leveraging Credentialing has been widely the diversity of caseloads in the adopted in other parts of the world mainland, academic exchange to improve patient safety by ensuring through clinical attachment and clinicians practice within the bounds attending conferences must be of their training and competency, nourished. We should also explore and within the capacity of the opportunities as a result of the MOU service in which they are working. between HKAM and National Health Under the advocacy of the Academy and Family Planning Commission
Prof. Stephen CHENG President Queen Mary Hospital
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Message from the CENSOR- IN-CHIEF
Dear Fellows, 3) Train-the-trainer
workshop on Safer Operative would like to report to you some of our achievements in surgical Surgery (SOS) and training under our College. Without the continuous support from all of you, the College would not be able to deliver all these to our Non-Technical TraineesI and Fellows. skills for Surgeons (NOTSS) 1) Simulation training for Basic Surgical With Prof. Simon Paterson- Trainees Brown from the Royal College Thanks to the Task Force in developing a series of simulation training, of Surgeons of Edinburgh, the first training workshop on acute abdomen was successfully the College had conducted conducted in July 2013. The workgroup is currently working on the the SOS / NOTSS workshop syllabus of communication skills for surgical efficiency. It is hopeful in in March 2015. The SOS future, the College can incorporate similar workshop in the regular and workshop is an interactive mandatory training for all the basic surgical trainees. multi-disciplinary workshop for the operating theatre team 2) Surgical trainings for trainees from training (surgeons, anaesthesiologists and OT nurses), which involve centers in mainland China lectures, simulated operating In view of the increasing number of trainees from mainland centers scenarios, interactive group taking part in the MHKICBSC examination, the College had organized a discussions and audience mock examination cum a “train the examiners” workshop at The First response systems. NOTSS Affiliated Hospital, Zhejiang University School of Medicine (FAHZUSM) course covers the human on 1-2 February 2015 in Hangzhou. More than 20 Mainland candidates factors and how these can enrolled in the Mock Exam and 60 trainers and examiners participated influence surgical performance. in the workshop. As the non-technical skills
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underpin good surgical one of the facilitators and surgery. A big number of performance, the College sees valuable experience from the senior colleagues from an opportunity to collaborate Royal College of Surgeons of different subspecialties had with the Hospital Authority on Edinburgh were instrumental come together, discussed and offering this area of training to in lifting the quality of our debated on the criteria and specialist surgeons as well as professional examinations. training scheme leading to the the operation theatre teams. recognition of subspecialty training in a number of training 5) Subspecialty 4) Examiners’ centers in Hong Kong. training in General training Surgery An examiners’ training course was held in Aug 2014, The General Surgery Board which provided the latest has launched the subspecialty update of the examination training in hepato-biliary and methodology and techniques pancreatic surgery, upper to our College examiners. GI surgery, vascular surgery, Prof. Peter McCollum, Exam breast surgery, endocrine Convenor of RCSEd, was surgery and head and neck
Prof. Paul LAI Censor-in-Chief Prince of Wales Hospital
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Message from the HONORARY SECRETARY
The Academy is referred to Medical Registration for vetting of equivalence of such qualifications, and the Academy usually refers and Fellowship the matter to the College. Qualifications in UK, Australia and United States ther than the initial batch of grandfathers, most are generally considered specialist surgeons in Hong Kong have gone through equivalent and the College the following path: 1. Being a medical practitioner in has little discretion to OHong Kong with Basic Registration at Medical Council, 2. Completed disagree. As a result, most the required training and passed the exit examination prescribed by the of such applications are College, and awarded Fellowship of the College with endorsement by successful and their name the College Council, 3. Submitted by College to Academy for award of will be included in the Fellowship of the Academy, and then 4. Submitted to Medical Council for Specialist Registry. These Specialist Registration. practitioners can also apply for Fellowship of our College without Examination, where Alternative paths have developed over our College can have more these years. say. However, even if such application is successful, 1. Medical practitioners in accredited Mainland Centres can go through our College will not submit the required training and passed the exit examination prescribed these Fellows for admission by the College and be awarded Fellowship of our College. If such as Fellows of the Academy, practitioner subsequently obtained basic registration in Hong Kong who would need to have through licentiate examination and internship, he can apply to obtained specialist status by the Academy for Academy Fellowship and to Medical Council for passing examination in Hong Specialist Registration. Such practitioners enjoys the same privileges Kong. Specialists who are not as a Fellow of our College in practicing as a specialist in Hong Kong. Fellows of our College cannot 2. Medical practitioners in Hong Kong who had gone through serve as trainers or examiners surgical training and examination leading to a qualification that is of the College but otherwise considered broadly equivalent to that of a specialist practicing in their privileges as specialists Hong Kong can apply to Medical Council for Specialist Registration. are the same.
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When Medical Council disciplines There are recent incidents when the surgical profession. Rather a medical practitioner by removing the Medical Council elected not than a structured questionnaire his/ her basic registration, it to remove the basic registration of that tends to put words into the follows automatically that the the defendant, but rather referred College’s mouth, the College will medical practitioner will lose his the defendant to the Education & appreciate more the opportunity / her right to practice as a doctor Accreditation Committee of the to give opinion from a wider and as a specialist at the same Medical Council for consideration perspective considering the whole time. If that medical practitioner of removal from specialist case, the surgeon’s training, happens to be a Fellow of our registration. Such decisions have experience, continued education College, our College will usually little precedence and opened up and development, and his track remove the name of that Fellow a number of uncertainties. Firstly, record in similar cases. While from our Fellows list for at least the duration of removal and the public safety is paramount, the the concurrent period, with procedure for reinstatement were College also wishes to see Fellows application for reinstatement only not clearly laid down. If a Fellow being fairly treated. entertained afterwards and when of our College is removed from the There are careless ways to lose the basic registration is restored. Specialist list, he can still practice your Fellowship. Failure to pay When the Medical Council handed medicine but not as a specialist in up your subscription is one. down a suspended sentence of surgery. The College still lacks a Failure to comply with CME/ CPD removal from basic registration, precedence to determine whether requirements is another. If you are or when the sentence of removal the Fellowship of our College practicing and your Fellowship is is withheld subjected to judicial should be removed at the same terminated with our College, this review, our College will impose time. Secondly, the College, which will be reported to the Academy removal of Fellowship only when has been pivotal in assessing and and will eventually affect your the removal from basic registration qualifying doctors as surgical Academy Fellowship and your is in effect. This is basing on the specialists, was not given adequate Specialist Registration. Such premise that a doctor considered opportunity to opine whether troubles are totally avoidable. unfit to practice in Hong Kong will the defendant should remain as also be considered unfit to be a a surgical specialist. The College Fellow of our College. Our College, of course fully realizes that the of course, has the discretion to maintenance of the Specialist impose a shorter or longer period Registry is entirely within the of removal of College Fellowship as jurisdiction of the Medical deemed fit, however, explanation Council, however, the College can for the difference should be in certainly give valuable advice, place. basing on our understanding of
Dr Chi-wai MAN Honorary Secretary Tuen Mun Hospital
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“A Letter to the future Chairman of IX my Specialty Board after 25 years” Specialty Boards CARDIOTHORACIC SURGERY
Dear Chairman,
am writing to congratulate you on being elected as active involvement of Board members. This has given Hong Kong the Cardiothoracic Board Chairman of the CSHK in an international’ blue-print’ for hosting educational activities 2040. in the specialty. In 2015, in anticipation of future developments in implementing training, educational contracts, work-based TheI Cardiothoracic Board was set up in 1994 with 12 initial assessments and a cardiothoracic curriculum have been Founding Members and 5 Fellows were subsequently eligible for introduced following hard work by Board members who have a membership after completing recognized time in the Specialty , commitment to embrace continued progress in the structure of having previously passed the Fellowship examination in general training and to better meet the needs of its trainees. surgery. The Cardiothoracic Surgery community remains small in Hong Kong but the Board has represented it proudly since With the support of the College, there have been major its inception and there are now 48 Fellows registered with the developments in Cardiothoracic Surgery in Hong Kong. College in this Specialty. Since 2004 the Board has collaborated Minimal-invasive surgery has been popularized and refined with the Royal College of Surgeons of Edinburgh (RCSEd) in thoracic surgery and also embraced by the cardiac and the Academy of Medicine in Singapore to instigate and community. The heart and lung transplant and artificial heart propagate a tripartite exit examination in cardiothoracic surgery. programmes have expanded and in the field of aortic surgery, Successful candidates from Hong Kong receive certification from cardiothoracic specialists have taken the lead in the development the Edinburgh and Hong Kong Colleges and the exam has gone and implantation of the most advanced techniques. These from strength to strength. An external review was conducted in developments whilst benefiting the people of Hong Kong also 2010 by a previous President of the Society for Cardiothoracic provide substantial research opportunity. Surgery of Great Britain and Ireland and his report concluded Our Board Members have close relationships with world that the examination process ‘exceeded international standards’ renowned cardiothoracic centers in the United Kingdom, the and particularly impressive was the quality assurance United States, Europe, and many prestigious centers in Asia programme overseen by the RCSEd. This has been further and Mainland China. These linkages will be further enhanced modified to keep pace with changes in the exam process and and expanded over the next few years with the support of candidates from Hong Kong and Singapore can be assured of Board members and to the ultimate benefit of the Hong Kong an examination which is both fair and transparent. Last year, in community both professionals and patients alike. light of the success of the tripartite process, the Chief Examiner for the CTS Board was invited to conduct an external review of As you are now celebrating the golden jubilee of the College, I the exam processes of the Examination Board of the European wish you can continue the hard work for further development of Society for Cardiothoracic Surgery, an indication of the standing Cardiothoracic Surgery in Hong Kong. our Regional examination has achieved internationally. Best wishes, Three training centers now provide a total of 14 recognized Malcolm training posts and this year for the first time, Tuen Mun Hospital was recognized for training in Thoracic surgery for trainees on rotation from their main center. Over time, with the support of the Board, local trainees have also been supported in periods of overseas training, most notably the United Kingdom and the United States allowing them to return with enhanced skill sets to benefit the local community. Since 2006 a Specialty Update Prof. Malcolm Course has been run alternately with the National University UNDERWOOD Hospital, Singapore with full support from the Board and the Prince of Wales Hospital
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GENERAL SURGERY
Dear Chairman,
t is my pleasure to write to you as the General open surgery in a lot of surgical diseases. I am sure with Surgery Board Chairman for the year 2013- technological advances, newer modalities of treatment had 2016. The College of Surgeons of Hong Kong was replaced laparoscopic surgery now. Surgeons nowadays may Iestablished in 1990 and General Surgery was one of the be laughing at my generation of surgeons for using such specialty boards. During the first 2 decades of the College, stone aged technology. we had developed our own membership examination and Sub-specialization of general surgeon now should be well extended our training system to our motherland. I think we established. You may not know that it took the College, or are having structured rotation of our trainees with mainland the GS Board to be more specific, more than a decade to centres. establish a subspecialty training system. I am sure both I have also witnessed the adoption of new modality of our surgeons and the public have been benefited from treatment in surgery, especially endoscopy and laparoscopic structured training. surgery. I think endoscopy is still part of our daily practice Another seven years, Hong Kong will end its status as but I am not sure if laparoscopic surgery is still practiced Special Administrative Region. I wish the College will still now. It may have been put in the museum. Laparoscopic be growing strong and keep its relationship with overseas surgery had been a revolutionary invention in my time of professional bodies. training and developed into standard treatment replacing
Dr Heng-tat LEONG North District Hospital
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Picture 1 Inspection of all 7 neurosurgical centres in 1999 led by the Edinburgh College Specialty Board Chairman Mr. James Steers and the Hong Kong team
Picture 2 The first FRCS Ed NEUROSURGERY (Surgical Neuology) 2004
Dear Chairman,
Neurosurgical Training in 25 years (1990 versus 2015)
specialist neurosurgeon in 1990 went Chairman, committee member of the Specialty Board, and through very strict general surgical training two Edinburgh College representatives (Mr. James Steers for three years when the Primary and Final and Mr. Richard Cowie), in preparation for the conjoint FRCS AFRCS diploma pass rates were in the region of 10 and 30%. diploma examination (Picture 1). Neurosurgical training was not structured but as long as Formal locally organized examination for specialists was this happened after a formal surgery-in-general training conducted in 1998, 1999, 2001, 2002 and 2003. With these in an organized neurosurgical service in a regional centre training and assessment experience, the first conjoint FRCS for 4 years, one was qualified to be appointed as consultant Ed. for Surgical Neurology was conducted in 2004 (Picture neurosurgeon in a government or Hospital Authority 2). This historic moment in 2004 represented a gradual unit. Under this old colonial system, the highly talented, maturation of neurosurgical training from purely motivation motivated and academically the best medical graduates of the to one with robust structure: 1960s and 70s, such as Peter Wu and S.C. So, both became 1. To select the best 4 candidates who have passed their neurosurgeons of international standard, heading the MRCS diploma examination in a territory-wide exercise Department of Neurosurgery at Queen Elizabeth Hospital 2. Mandatory training in trauma, research methodology and and the Academic Unit at Queen Mary Hospital. primary research experience In the early 1990s at the beginning of establishing the 3. Rotation of one year to two centres outside the parent unit specialist registry, the number of specialist neurosurgeons 4. Logbook operative experience of a minimum of 120 cases was estimated to be less than 20. In 2015 we now have a total per annum number of specialist neurosurgeon >70, one-third working 5. Logbook of educational cases in neuropathology, in the private sector and two-third in public hospitals. Our neuroradiology and neurology training programme has evolved from the colonial days of minimum structure to the intermediate period of “local exit examination” 1997-2003 and the final strictly structured conjoint FRCS Ed. (Surgical Neurology) from 2004 onward. In 1997 we have our first batch of higher neurosurgical trainees, a total of 8 candidates, to have their training, operation and educational cases logbook closely examined and a structured viva conducted by a panel of College- Prof. Wai-sarg appointed examiners. In 1999 a conjoint inspection of all POON 7 neurosurgical training centres was conducted by the Prince of Wales Hospital
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PAEDIATRIC SURGERY
Dear Chairman,
am writing to congratulate you to be elected as the Minimal-invasive surgery is popularized to decrease Paediatric Surgery Borad Chairman of CSHK in the post-operative pain and scar morbidity. Advances in 2040. prenatal and neonatal surgery enable us to treat babies with I lethal congenital abnormalities. More subspecialties in Paediatric Surgery was one of the six recognized surgical Paediatric Surgery have been developed, not only improving specialties when the College was founded in 1990. Looking the standard of surgical care in children, but also providing back 25 years, although Paediatric Surgery is a small more research opportunities. Our Board Members have specialty, it is growing steadily to meet the needs for our close linkage with world renowned centres and international society. From 1990 to 2015, the College has trained 16 associations in the field of Paediatric Surgery. paediatric surgeons. The first CSHK-RCSEd conjoint exit examination in Paedaitric Surgery was held in 2000. In As you are now celebrating the golden jubilee of the 2015, there are 27 active specialists in Hong Kong. We have College, I wish you can continue your hard work for further three Paediatric Surgery training centres in Hong Kong., development in Paediatric Surgery in Hong Kong. providing nine higher surgical trainee posts. Best wishes, Under the support from the College, there are major Michael developments of Paediatric Surgery in Hong Kong.
Dr Michael Wai-yip LEUNG Queen Elizabeth Hospital
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The Exit Examination in Plastic Surgery of 2014 with Prof Gregory Evans as the External Examiner
PLASTIC SURGERY Examiners and successful candidates celebrating Dear Chairman, after the announcement of results at the 2014 Exit Examination lease kindly accept my sincerest congratulations to trainers and trainees, regular examinations, and defined you being appointed to this prestigious position to continuous medical education activities. Trainees also have take care of the further development and training of ample opportunities going overseas to major centres to learn Pthe specialty of plastic surgery under the College of Surgeons and absorb new ideas and techniques. We are setting up and of Hong Kong. conducting our own courses for members for both training needs and for preparing for examinations. Our examination Rome was not built in a day. Looking back, it has been the format and standard are refined time and again and are kept blood, sweat and tears of numerous predecessors, slowly but comparable to the most advanced systems. Our syllabus is steadily building up bit by bit, to accumulate in the specialty tailored to be fit for purpose to meet our patients’ needs. We what we see today. are writing our own textbooks. We are providing professional The first formal beginning was in 1967 when the Society of advice to government bodies and our members sit on the Plastic and Reconstructive Surgery was founded by 4 prominent panels of consultative committees and important policy- foreign trained plastic surgeons of Hong Kong origin. Since making groups. We are active in providing education via the media to the general public. We host international conferences about that time, there were isolated surgeons in various public and Hong Kong plastic surgery is now on the world map. hospitals taking up and specializing in aspects of the specialty Our number had more than doubled since the inception of such as cleft lip and palate, burn surgery, difficult wounds, the Board. Yet, last but not the least, it is amazing to see the head & neck cancer, facial trauma, reconstruction of traumatic specialty remaining so healthily united and committed. defects and even aesthetic surgery. By the seventies, the trend towards specialization brought plastic surgery forwards and As a leader in the field, I must congratulate you again on having full time specialists appeared, first in the university units and such a glorious past and now with a wonderfully brilliant future then other hospitals, with the formation of plastic surgery ahead. The trail behind will always be the solid support for the teams. These grandfathers received training both overseas and continued success of the specialty in the next 25 years. locally in their parent centres. Dr David SY Wong The beginning of the College and the establishment of the Chairman, Board of Plastic Surgery under it provided an opportunity for Board of Plastic Surgery on the specialty to define its standard of training and assessment Silver Jubilee of so that there can be benchmarking. This was an important the College of Surgeons landmark in the development. There has always been a close collaboration and interchange with the Edinburgh College in these matters and we continue to derive benefit from the model of a world-class leader. Dr David Sau-yan There have been evolution and maturation since the recent 25 WONG years. We now have our own recognized hospitals, registered Prince of Wales Hospital
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UROLOGY
A letter to Chairlady of Urology Board 2040 The Urology Board has accredited five mainland centres for urology training by 2015. Urology trainees from Hangzhou March 2015 (written), have just come to my centre to prepare for their membership March 2040 (to be read) examination. Over twenty five years, our system of structured training and objective examination is assimilated into a Chairlady, nationwide system for urology specialist admission. You and Urology Board, your Board Committee members have to travel through 28 College of Surgeons of Hong Kong provincial training centres every 5 years for accreditation and as standard keepers in examinations. After all, there are only Dear Ada, 7 years before 2047, the time when our systems in Hong Kong and the rest of China are expected to merge. I feel more than glad that I do not need to do these daunting hough you might have just seen me recently in your loads of work. I’m sure you and the new brave generation of clinic for my very private and personal ailment, urologists can ride on the tide and take urology in Hong Kong don’t be surprised to feel a sense of detachment in to greater heights. Do remember this 83-year-old past Urology Tthis letter from me. Indeed, when you read this letter on the Board Chair and reserve him a seat in the College Golden occasion of the Golden Jubilee of our College as incumbent Jubilee banquet! (Minced beef, please) Chairlady of the Urology Board, it has been lodged with the College for a quarter of a century after being written by me as Best wishes to you, the Urology Board and the College! Urology Board Chairman on the occasion of the College Silver MAN, Chi Wai Jubilee. This grotesque parallel communication aims to allow Urology Board Chairman 2010-2016 you to reminisce over what Urology Board is like in my time, and to allow me to record what I found gazing down my crystal ball about Urology Board under you. The Urology Board was formed with 60 grandfathers in 1994. xamination date for the upcoming diet of Urology Exit Seven training centres through 13 diets of examinations Examination was fixed at 7-8 September 2015. The had churned out 63 urologists by 2015. At the same pace, number of candidates would be 8. The same format of examinationE would be maintained. Hospital inspection of 5 centres an additional 100 urologists are trained by your time. Given the ability for urologists to work to very ripe ages, there must is scheduled in the afternoon on the first day of examination. be nearly two hundred actively practicing urologists in your Examination question writing workshop was scheduled on 18 Board. Out of the 119 Urology Specialists in my time, only 47 April 2015. The following diet will be in March 2016. Urology were in public service. The government remains prudent in Examinations will be conducted in March each year starting then. her public healthcare investment and the number of urologists working in the private sector doubles by your time. They have a A pre-examination interview would be conducted for all large share of clinical material and under you provide training examination candidates on 4 Jul 2015 to assess the preparedness in sizable urology practice groups. Simulation training just of the candidates. Poorly prepared candidates with slim take root in my time and by yours, virtual reality training opportunity of passing the examination will be given advice to becomes portable, diversified and serves as an important postpone their attempt. Such candidates will be given full refund element for practice base assessment of trainees. Requirements if they withdraw according to advice from the Board. However, are now in place under you for certain level of achievements they can still go ahead with the examination on their own volition with virtual reality skills training before real patient contact. and therefore no appeal mechanism would be required.
In my days, urology is still part of surgical department in major Dr C W Man hospitals. By your time, Departments of Urology with their Chairman own wards, protected staff, equipments and budget is standard Urology Board for major district hospitals. In my days, urologists are general urologists and some may have special interest in specific areas. By your time, subspecialty training is well in place, usually for 2 more years after the 6 years of training to qualify in general urology. The Academy has already recognized Urology as a Faculty under the College of Surgeons, and the Medical Council has already had specialist registrations for uro-oncology, female and reconstructive urology, stone and endourology, andrology, and pediatric urology. The Academy in 2014 has agreed in principle to allow double fellowships for each College. By your time, each urologist has double Dr Chi-wai fellowships, one in general urology and the other in his/ her MAN subspecialty. Tuen Mun Hospital
44 CUTTING EDGE MANAGEMENT STRUCTURE OF THE COLLEGE OF SURGEONS OF HONG KONG
COUNCIL President: Prof. Stephen W. K. CHENG
Committees
External Editorial Board of Education & Internal Affairs Administration Finance CME / CPD Research Scientific Affairs Surgical Practice Examination
Vice President: Vice President: Chairman: Chairman: Chairman: Chairman: Chairman: Chairman: Censor-in-Chief: Prof. Prof. Enders K. W. Dr Chi-wai MAN Prof. Philip W. Y. Dr Samuel P. Y. Prof. Simon S. Prof. Chung- Prof. Kent- Prof. Paul B. S. LAI Edward C. S. NG CHIU KWOK M. NG mau LO man CHU LAI Editorial Board of Editor-in-chief: Cutting Edge Prof. Paul B. S. LAI Dr Chad C. W. TSE Younger Fellows Chapter Dr Emily Y. L. LAI Women's Chapter Dr Ada NG
Corporate Business Development Communication Secretariat Subcommittee Sub-Committee
Chairman: General Manager: Chairman: Dr Chad C. W. TSE Ms. Stephanie H. S. HUNG Prof. Philip W. Y. CHIU
Board of Examiners Appeal Board
Chairman: Chairman: Prof. Paul B. S. LAI Prof. Paul B. S. LAI
45 CUTTING EDGE MANAGEMENT STRUCTURE OF THE COLLEGE OF SURGEONS OF HONG KONG
COUNCIL President: Prof. Stephen W. K. CHENG
Department
Department of China Affairs Department of Development Department of Education Department of Standards
Director: Director: Director: Director: Prof. Joseph W. Y. LAU Prof. Chung-kwong YEUNG Prof. Kent-man CHU Dr The Hon Che-hung LEONG
• To advise the College on the • To advise the College on • To advise the College in • To advise the College on the development of China Affairs strategies for and development of development of training courses matters relating to standard Simulation Training related to examinations and monitoring examination design
Specialty Board The Specialty Boards were responsible for the establishment and supervision of training programmes and exit examinations, with guidelines formulated for accreditation of hospital training and hospital inspections.
Cardiothoracic General Surgery Neurosurgery Paediatric Surgery Plastic Surgery Urology
Chairman: Chairman: Chairman: Chairman: Chairman: Chairman: Prof. Malcolm John UNDERWOOD Dr Heng-tat LEONG Prof. Wai-sang POON Dr Michael W. Y. LEUNG Dr Sau-yan WONG Dr Chi-wai MAN
Program Director: Program Director: Program Director: Program Director: Program Director: Program Director: Dr David L. C. CHEUNG Dr Siu-kee LEUNG Dr Wai-man LUI Dr Kenneth K. Y. WONG Dr Hon-ping CHUNG Dr Ming-kwong YIU
Task Force on Subspecialty Training Subcommittee Training in General Surgery
Chairman: Chairman: Dr Heng-tat LEONG Dr Heng-tat LEONG
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Timeline on the history and SPOTLIGHT formation of the College
Dr The Hon Edward Prof. Arthur Che-hung LEONG Kwok-cheung LI Founding President President 1989 - 1993 1993 - 1996
1989 1990 1991 1992 1993 1994
1992 The first conjoint examination with the Royal College of Surgeons of Edinburgh took place in 1992 1994 First College newsletter “Cutting Edge” 1989 The College of Surgeons 1993 The College of Surgeons of of Hong Kong was Hong Kong held its first Annual Joint established in 1989 Scientific Meeting in 1993 Specialty Fellowship The Fellows’ Dinner Examination in General Surgery
1990 Inauguration of the College in Oct 1990 CSHK Inaugural Dinner Joint Specialty Fellowship Examination in Urology
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Timeline on the history and he forerunner of the College was Tthe Hong Kong Surgical Society, formation of the College which was founded by Professor GB Ong in the early sixties.
Prof. Joseph Wan-yee LAU President 1996 - 1999
1994 1995 1996 1997 1998 1999
1995 1997 • In 1995, Specialty Boards of the • The CME programme was launched in 1997. Surgeons of Hong Kong (CSHK), the Hong College in Urology, Neurosurgery, Kong College of Orthopaedic Surgeons • The Hong Kong Intercollegiate Board of Paediatric Surgery and Cardiothoracic (HKCOS), the Hong Kong College of Surgery were formed, with General Surgical Colleges (HKICBSC) was established in December 1997 to coordinate and undertake Otorhinolaryngologists (HKCORL) and Surgery and Plastic Surgery later the Hong Kong College of Emergency added to the list. joint surgical training assessment and membership examinations under the College of Medicine (HKCEM). • In 1995, the Overseas Scientific Meeting was conjointly held with the • The College of Surgeons of Joint Memorandum of Understanding Overseas Meeting of Royal College of Surgeons of Edinburgh. Hong Kong and the Royal between HKCOS, HKCORL, RCSEd RCSEd jointly with CSHK Australasian College of Surgeons The Fellows’ Dinner signed a Memorandum of Understanding. Since then, Hong Kong trainees may elect to follow the Australasian system for advanced surgical training. The Fellows’ Dinner
The College First Issue of Annals Mace The Basic Surgical Skills Exit Course (BSSC) Assessment of the Board of Plastic Surgery
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Prof. Sydney Sheung-chee Prof. Kwok-hung LO CHUNG President President 1999 - 2002 2002 - 2004
1999 2000 2001 2002 2003
2000 • Over the years, the ASM was very well received and the Council decided to further the ASM in the year 2000 and carry out Scientific Surgical Symposia on a regular basis. In the same year, the Joint Specialty Fellowship Professor G. B. Ong Lecture was reactivated as an annual event. Examination in Neurosurgery Mrs. Esther F. C. Wu Memorial Fund Travelling Scholarship
Joint Specialty Fellowship Examination in Cardiothoracic Surgery
Joint Hospital Surgical Grand Annual Scientific Meeting Round
Joint Specialty Fellowship Examination in Paediatric Surgery
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Dr Samuel Po-yin KWOK President 2004 - 2007
2004 2005 2006 2007
2004 2005 2006 • Department of Standards • In 2006, the organization and conduction was established in 2005. of membership and various exit Fellowship examinations were streamlined. It was resolved that • A tripartite arrangement clinical examinations should be held in a hospital- was agreed upon between based training centre, while examinations involving the Royal College of oral and written tests could be held in the HKAM Surgeons of Edinburgh, the Jockey Club Building. Academy of Medicine of Singapore and the College of Surgeons of Hong Kong with a view that equivalent examinations being held Establishment of Younger in Singapore would also be Fellows Chapter recognized. A Memorandum of Understanding of the tripartite arrangement was signed on 27 October 2005 Diploma Ceremony and Annual Dinner during the RCSEd diploma ceremony in Hong Kong. The Opening Ceremony of • With this new development, Conjoint Scientific Congress trainees from Singapore and Hong Kong can sit for the examinations in both places.
From Annals to Surgical Practice
Conjoint The New Edition of Scientific Cutting Edge Congress with RCSEd
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Prof. Chung-kwong YEUNG Dr Hung-to LUK President President 2007 - 2010 2010 - 2013
2007 2008 2009 2010 2011
2009 2007 2010 • Department of First Joint Meeting with the Macau Development was Surgical Association Spring Dinner established in 2007. • The first batch of six candidates from Beijing took the MRCS Part I and 2 Examinations in Hong Kong in 2007.
First MHKICBSC Part 1 and 2 Establishment of Women’s Examination Chapter
First MHKICBSC Part 3 (OSCE) Examination
Monograph “Healing with the Scalpel-From the First Colonial Surgeons to the College of 2008 Surgeons of 2nd World Endoscopy Doctors Conference & • Following the adoption of the new CME/CPD Hong Kong” 2nd Macau-HK Surgical Scientific Meeting Guidelines of the Hong Kong Academy of Medicine (HKAM), our College revised our CME/CPD programme in January 2008 so that it is aligned with the principles and guidelines of the Academy. Conjoint Scientific Meeting with RACS
The Logo of College’ s Marathon of 20th Anniversary 20th Anniversary
First Conduction of Accreditation of Golf day of 20th Anniversary Training Centres in Mainland
Closing Ceremony of 20th Anniversary
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Prof. Stephen CHENG President 2013 - 2016/ To Date
2012 2013 2014 2015 2016
RTHK Radio Programme 2012 2015 Accreditation of Mainland Mentorship Training Centres in General programme Surgery and Urology
25th Anniversary Marathon Closing Ceremony of 25th Anniversary
The Student Surgical Association of Hong Kong is Clinical Attachment affiliated to the College Programme for Younger Fellows in Mainland 25th Anniversary Lunch Symposium
Train the Trainer Workshop Subspecialization in General Surgery
First Acute Abdomen Workshop of The Logo of Simulation Training College's 2011 2014 25th Anniversary • Department of th Education was Opening Ceremony of 25 Anniversary formed in 2011.
th Objective Structured Clinical Examination (OSCE) Celebration of 25 Anniversary
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Younger Fellows held the mace during WHAT the Diploma Conferment Ceremony DO YOU KNOW about the College
Travelling Mace Mace?
Why the mace was produced? The production of the College mace was initiated by the Council in 1996 and finished by the end of 1998 after thorough discussions. Following the long- lasting British tradition, large organizations will have a mace which represents the symbol of the organization. How the mace was designed? The mace weighs approximately 80 pounds with 1m long. The mace costed HKD300,000 at the time of production. The College mace and the Medallion were donated by our Past Presidents. The mace was produced in solid brass with Gold/Silver Plating. It consists of a central shaft carrying a gold (plated) dragon and surmounted by badge of office. The badge has areas of red enamel. There was matte silver plated shaft and polished silver sphere at base. Lower end of the shaft fitted with sphere embossed with titles in raised letters. The crest represents a house. The dragon represents Chinese, while the dragon and the knife represent Chinese surgeons. This College crest was originated from the Hong Kong Surgical Society, with minor add-on at the moment the College logo was produced. When the mace is used? The mace is usually used during formal and official occasions of the College, including the Diploma Conferment Ceremony. It is used in any meetings to mark the presence of the College by leading the procession or putting on or in front of the stage. The mace is a symbol representing the authority of the College since a new President of the College will take office in every three years. Who is the mace bearer? There was no appointment for mace bearer. The Council requests a young and strong Councilor as the bearer, occasion by occasion. This is due to the weight of the College Mace as it follows the British tradition, which the mace is more representable with heavy weight. In recent years, the College appoints the representative from the Younger Fellows Chapter as the mace bearer. A travelling mace in lower weight has been produced recently for easier carriage.
53 CUTTING EDGE Learn more about th the 25Anniversary Logo and Slogan Sincerity & Skill Shining Silver 精誠游刃亮銀輝
When asked to think of a slogan commemorating to relieve the suffering of all souls.” [Sun Xi-Miao the upcoming silver jubilee of our College, the （孫思邈）581-702AD]. I therefore assemble these glittering surgical blades on our College logo words to form the slogan: immediately come to my mind. The shining silvery “精誠游刃亮銀輝” and translated that into English sharp surgical scalpel is indisputably the most with alliteration: prominent piece in our armamentarium, despite the increasing role of endoscopic and minimal “Sincerity & Skill Shining Silver”. The slogans can access surgery. The best crafted scalpel is just a be expanded into a short poem, in Chinese and piece of cold steel and will become a healing tool English, as follows: only in skill hands. The ultimate skill of dissection with knifes was embodied in the Chinese fable of 精誠無間 游刃有餘 “Dismembering of the Ox by the Master Chef”. 燦亮銀輝 竭力不渝 With extreme accuracy and precision, the most Sincerity in our every heart, skilled dissector can find ample space in natural body crevices to maneuver his blade freely like Skill groomed to its best. swimming, thus separating body parts effortlessly Shining silver our healing art, (游刃有餘) . Persevering without rest. Best wishes to our College! The best skill alone does not make a good surgeon. Devotion and sincerity to the welfare of the patient would be the determining factor. The ultimate devotion and sincerity of a healer is embodied in Da Yi Jing Cheng（大醫精誠）, the Chinese version of Hippocratic Oath. One passage from that reads: “When the great master heals, he settles down his mind and gives up his desires. Dr Chi-wai MAN Honorary Secretary Pity and care radiates from his heart as he vows
54 CUTTING EDGE Topic FILMon Silver Jubilee Celebration A BIG THANK YOU to our Fellows and Members The College organized various commemorative activities to celebrate the Silver Jubilee. We express our gratitude to your intrinsic support, without your participation, the events would not be successful. Let’s capture the happiest moments!
Kick off the Celebratory Year – The Opening Ceremony of the 25th Anniversary on 13 September 2014 More than 400 distinguished guests, Fellows and Members witnessed this important milestone of the College, and united with fellow colleagues to congratulate the Silver Jubilee.
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Unify the Spirit of Surgeons – The Standard Chartered Hong Kong Marathon 2015 on 25 January 2015 Despite the cool weather, energetic runners demonstrated perseverance to complete their race and strive for good performance.
Share Insight of the Latest Surgical Knowledge in different Surgical Specialties – The 25th Anniversary Lunch Symposium in January, April, August, and November 2015 This is a valuable platform for academic exchange, with renowned experts shared with us the latest surgical knowledge and skills.
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Surgeons ON THE AIR – RTHK radio programme We collaborated with the RTHK for two radio programmes and promoted public education. Our Council Members and fellow colleagues were the guest speakers for various episodes. For Radio 1 “ 精靈一點 ”, the theme of the series was “Evolution of Surgical Technology in the past 25 years in Hong Kong”. For Radio 5, “ 香江暖流－健康是福 ”, our fellow colleagues shared the ideas of various surgical diseases and surgical story.
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Nourish Our Next Generation of Surgical Leaders – CSHK 25th Anniversary Mentorship Programme 2015 Through clinical attachments in the private clinic / hospital setting, research opportunities, sporting activities, family gatherings, to name just a few, mentors and mentees met up and shared the experience and lifelong advice.
The finale of Silver Jubilee Celebration – The Closing Ceremony of the 25th Anniversary on 12 September 2015 This is an unforgettable occasion to mark the closing of the celebratory year, more than 450 distinguished guests, Fellows and Members joined this event and enjoyed the remarkable atmosphere.
We look forward to your continuous support to the College for more years to come.
Dragon dance Group photo marked the of the Past closing of the Presidents Silver Jubilee Celebration
Performance of “Skin to Skin” Band
Dr York CHOW and Dr Samuel KWOK performed at the Annual Dinner
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RCSEd/CSHK Conjoint Scientific Congress 2015 Asian Surgical Association 20th Asian Congress of Surgery 11-13 September 2015
he scientific congress co-organized with the Royal College of Surgeons of Edinburgh and the Asian Surgical Association 20th Asian Congress of Surgery was grandly held on 11-13 September 2015 at the Hong Kong Convention and Exhibition Centre, it was well attended by nearly 800 delegates from all Tover the world. The theme of the congress was “Surgery for Tomorrow’s Asia”. More than 110 international experts have participated in the Congress. Renowned speakers from different surgical specialties gathered together to share with us the newest skills and knowledge and our distinguished chairmen facilitated vivid discussions between the speakers and the audience. All delegates enjoyed the knowledge-filled atmosphere during the Congress. More than 140 abstracts were received this year for oral, poster and video presentation. This year, we launched the brand new awards – The Best Poster Award & The Best Poster Award (1st Runner Up). In addition, the abstracts were demonstrated electronically in the E-poster stations.
11 September 2015 Opening Ceremony of the Asian Surgical Association 20th Asian Congress of Surgery
Music Performance
Introduction of ASA Past Presidents and Councillors by Dr Yiu-che CHAN, ASA Opening Remark by Dr Sarah LAU Secretary General. Opening Speech by Guest of Honor, Dr the Hon Wing-man KO
Stage Party
Welcome Speech Conferment of Conferment of Conferment of by Dr Albert CHAN, Honorary Fellowship Honorary Fellowship Honorary Fellowship Congress President of to Prof. Katsuhiko to Prof. David to Prof. Shew-ping th YANAGA WATTERS CHOW Drum Performance the ASA 20 ACS
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Law-Lui Lecture RACS Foundation Lecture GB Ong Lecture
Lunch Symposium on Surgery and Scars Nursing Session Free Paper Session for Nurses
General Session Endocrine Surgery Paediatric Surgery
Hepatobiliary & Pancreatic Surgery I Extra Free Paper Session I
Breast Surgery Plastic Surgery
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12 September 2015 Opening Address by President of RCSEd & President MC of the Opening Address of CSHK
RCSEd Presidential Lecture CSHK Presidential Lecture
GB Ong Lecture Plenary Free Paper Session
Poster Round Advancing Standard of Current Cardiovascular Practice I
Advancing Standard of Current Cardiovascular Practice II Upper Gastrointestinal Surgery
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Motion Picture Session Extra Free Paper Session II
Hepatobiliary & Pancreatic Surgery II
Lunch Symposium on Treatment of Complicated Infected Wound
Vascular Neurosurgery: The Asian Experience Complications – Avoidance Practice
Colorectal Surgery Urology
13 September 2015
Surgical Grand Round E-poster Station
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RCSEd/CSHK Conjoint Diploma Conferment Ceremony 2015 CSHK Silver Jubilee Closing Ceremony cum Annual Dinner 12 September 2015
The College proudly presented the RCSEd/CSHK Conjoint Diploma Conferment Ceremony 2015 at the Hong Kong Convention and Exhibition Centre on 12 September 2015 at the Hong Kong Convention and Exhibition Centre to celebrate the outstanding achievements of international leaders and welcome new Fellows and Members of the College. The CSHK Sliver Jubilee Closing Ceremony cum Annual Dinner was held in this conjunction and more than 450 guests had attended this memorable occasion.
Prof. O James GARDEN, Dr Heong-keong PANG, Regius Professor of the Chief of Service of Clinical Surgery and Department of Surgery at Director of Surgical Centro Hospitalar Conde Distance Learning at the de Sāo Januário, Macau University of Edinburgh, (C.H.C.S.J) was bestowed was bestowed the the AD HOMINEM Honorary Fellowship of FELLOWSHIP of the the College College
Dr Albert Wai-cheung YUEN was awarded Dr Kwok-lai YUEN was awarded of the Prof. Wai-keung LEUNG was awarded the College Medal for his outstanding Fellowship Without Examination of the the Fellowship in Dental Surgery Without service to local surgical community RCSEd Examination of the Edinburgh College
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The GB Ong The China Medal The Conjoint The Conjoint MOrth The John Smith Medal MRD Medal RCSEd/FCDSHK (Int) Medal Medal
Dr Shirley Yuk-wah LIU Dr Ian Albert LAI Dr Patricia Po-chu YAM Dr Hill-ying YIP Dr Kai-sun LAW
The Li Shields’ The Bestst Research Prize) of The Best Research Medal Award (1 The HKICBSC the Year 2014 Award (2nd Prize) of Membership the Year 2014 Examination Award
Dr Mina CHENG Dr Jeremy TEOH Dr Kin-pan AU Dr Jeffrey Man-hin YU
The Best Poster The Best Poster Award Award The Best Scientific st Paper Award (1 Runner up) The Best Motion Picture Award
Dr James Dr Zhe YANG Chun-wai KONG Dr Yuk LAW
Dr Anthony Kwong-wai FONG
The Best Original Paper Award of the Year 2014
Dr Edwin KW CHAN (Co-authors: KH LEE, Bess SY TSUI, Sammi Dr Donald LI delivered the Arthur LI Oration titled “Surgical Patient YS WONG, Kristine KY Care: Keeping it in the Family” PANG, Jennifer WC MOU and Peter YH TAM)
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Hiking activity OMEN’S HISTORY and CHAPTER FORMATION & EXPECTATION to FUTURE DEVELOPMENT
he Women’s Chapter was established in November 2008, with Dr Ava Kwong as founding chairlady. The inauguration of the Women’sT Chapter took place on 22nd January 2009 in the witness of the past presidents and present College committee and members. In 2008, the College recognized that there was an increasing proportion of females being admitted to medical school, and in some classes, over half of the BBQ gathering medical students were females! Surgery, a previously perceived male career due to the long duration of training and working hours, is traditionally NOT the most popular choice amongst females. It is important that Surgery attracts the most elite in either gender into the field of surgery. The Women’s Chapter has been formed to address female specific needs so that a surgical career can become more appealing to all. Our mission is to promote surgery as a career for women and enhance professional advancement amongst female surgeons. We also aim to facilitate Coffee-tasting workshop social, clinical and academic interactions amongst women surgeons and to encourage a balanced
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lifestyle so that women will be able to excel Looking beyond Hong Kong, we would like to broaden our in a surgical career and yet can still enjoy a horizons and to learn from established international societies good family life. for female surgeons such as “The Association of Women Surgeons” (AWS) was founded in 1981 when Patricia Numann, Over the past 7 years, our membership has MD, FACS, invited as many female surgeons as she could been growing, with 191 members in total. We identify to breakfast at the October meeting of the American have organized 2 very successful mentorship College of Surgeons. The visions of AWS are: To enhance and schemes for medical students in 2010 & facilitate interaction among women surgeons throughout the 2014. The aim of the Mentorship program world, to foster an environment supportive of personal values is to reinforce the connection between and individual diversity, and to advance the highest standards medical students and women surgeons, to of competence and ethical behavior. The Women’s Chapter introduce surgery and to provide assistance of CSHK has similar vision, and we will continue to strive for to medical students and to allow medical excellence. Our future aspirations are: to inspire, encourage and enable students to explore the daily routine and women surgeons to realize their professional and personal goals. lives of surgeons. A total of 102 mentors and mentees have joined the program, and the feedback has been very positive. Work-life balance is vital for surgeons, and female surgeons are no exceptions. The Women’s Chapter has organized a series of events including hiking activities, BBQ gatherings, coffee-tasting workshops, wine tasting events, photography classes, make- up workshops.... just to name a few. These Wine tasting event social events allowed surgeons to have a time to relax, make new friends, and to catch up with old colleagues.
Founding Chairlady & Committee Make-up workshop
Dr Ada NG Queen Mary Hospital Founding Committee & Current Committee (2013-current)
66 CUTTING EDGE Younger Fellows Chapter
his year marks the 25th Anniversary of The College of Surgeons of Hong Kong (CSHK). The Younger Fellows Chapter is comparatively youngT with its history back to 2004. The first In April 2004 Dr Chad TSE, the founder of the group of HK Younger Fellows Younger Fellows Chapter and currently a joining the Australia Council Member of the College of Surgeons YF Forum in Apr 2004, with of Honk Kong, was among the first Dr Ann KOBLE (President of RACS), Dr Alex KWOK, Dr Chad TSE, five young surgeons attending the Dr Wilson TSANG, Dr Kenneth NG & Dr. Younger Fellows Forum of Royal Kin-chun CHAN (CSHK) Dr Chad TSE was deeply inspired by Australasian College of Surgeons the Younger Fellows Chapter of RACS (RACS). It is an annual international forum for young surgeons and success of the forum. He was dedicated from various countries and of different surgical specialties. to establish a Younger Fellows Chapter for The forum serves as a platform for intellectual exchange young surgeons in Hong Kong. The idea was of topics focusing on non-clinical interests, including greatly supported by Dr Samuel KWOK, the President work-life balance, career development etc which of CSHK, Dr Andrew YIP and the College Council. are of importance to young surgeons.
Progenitors of Younger Fellow Workgroup Prof. Philip CHIU, Dr Michael LEUNG, Dr Samuel KWOK (President), (Program for the YFC) in May 2005 Dr Chad TSE, Dr Yee-man LEE & Dr Shek SZETO
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Workgroup on Younger Fellows Chapter was established with Dr Chad TSE being elected the Convenor. It was decided that Fellows of CSHK with no more than 10 years of Fellowship be entitled to membership of Younger Fellows Chapter of CSHK.
The missions of Younger Fellows Chapter include the followings: • To act as a conduit of the Younger Fellows’ views to be represented to the Council • To work for the interests of the Younger Fellows and the College as a whole Younger Fellows Chapter 2007-2009 • To enhance a sense of belonging and fraternity amongst From left to right: Dr Ronald Pak-kin HO; Dr Kin-chun CHAN; Dr Tim-lok KWAN; the Younger Fellows Dr Vana Suk-ha CHAN; Dr Chad Cheuk-wa TSE (Members of the Committee Dr Weida DAY; Dr Shiu-hei TSANG; Dr Kwan-lun HO are not in the photo) In 2007, the Younger Fellows Chapter of CSHK was chartered. Dr Tim-lok KWAN was elected the chairman and Dr Chad TSE the advisor. There were a total of seven committee members serving the posts of chairman, vice-chairman, secretary, treasurer, internal affairs, publication and research.
Dr Ronald HO and Dr Weida DAY were elected chairmen in 2010 and 2012 respectively. In 2014, Dr Ricky CHAN took up chairmanship with Drs Edmond WONG, Patrick CHUNG, Emily LAI, Younger Fellows Chapter 2009-2011 Derek LEE, Ka-Wing MA and Carmen HO serving From left to right: Dr Calvin Sze-hang NG; Dr Randolph as committee members. Hung-leung WONG; Dr Oliver Chun-yin CHAN; Dr Thomas Kai-chi CHENG; Dr Billy Yeung-kit LAM; Dr Kenneth Kam- fung FU; Dr Ronald Pak-kin HO; Dr Tim-lok KWAN
Throughout the years the Younger Fellow Chapter has been supported by its members and CSHK. A number of activities were organized since its establishment. In 2009, a delegate team of Young Fellows visited Kiang Younger Fellows Chapter 2011-2013 Wu Hospital ( 鏡湖醫院 ) in Macau. From left to right: Dr Billy Yeung-kit LAM; Dr Pak-kin HO; Dr Henry Kin-ming JOENG; Dr Thomas Kai-chi CHENG; Dr Weida DAY; Dr Jason Yiu-kin WAT; Dr Wai-kit MA; Dr Kellen Ka-lun CHUI
Younger Fellows Chapter 2013-2015 From left to right: Dr Derek Man-kit LEE; Dr Ka-wing MA; Dr Emily Yat- ling LAI; Dr Ricky Wai-keung CHAN; Dr Weida DAY; Dr Edmond Ming-ho WONG; Dr Ho-yu CHUNG; Dr Kit-man HO Kiang Wu Hospital Visit on 18-19 July 2009 in Macau
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In 2011 we organized a 3-day trip to visit Zhongshan School of Medicine, SYSU ( 廣州中山大學醫學院 ). Besides, a Younger Fellows Chapter member will be selected to be the delegate representing CSHK to attend Younger Fellows Forum of RACS annually.
RACS Younger Fellows Forum 2013
廣州中山醫院外科交流團 on 24-26 June 2011
We have participated in Annual Scientific Meeting of CSHK as speakers, and were guest speakers in various career talks and symposia. Our members also actively volunteered as mentors in Younger Fellows Chapter Mentorship Program in 2014.
Women's Chapter and Younger Fellows Chapter participated into the Lunch Sympoisum of the RCSEd/CSHK Conjoint Scientific Congress 2012
Various social gathering were held, including joint professional wine tasting party in 2010, coffee tasting in 2014 and wine tasting in 2014, with the latter two being co-organized with Women's Chapter. Younger Fellows Chapter Symposium for sharing of Medecins Sans Frontieres was held in 2012. In recent years the Younger Fellows Chapters members have supported CSHK by participating in Standard Chartered Hong Kong Marathon as part of the marathon team of CSHK. Younger Fellows Chapter Symposium 2012-Sharing of Medecins Sans Frontieres on 12 September 2012
Joint Professionals Gathering – Summer Wine Taste Party on 13 August 2010 Women’s Chapter and the Younger Fellows Chapter jointly organized a social wine tasting gathering on 12 September 2014 as the social programme of the RCSEd/CSHK Conjoint Scientific Congress 2014
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CUTTING EDGE Off-the-Scalpel Interview with L : Dr The Hon Che-hung LEONG C : Dr Chad TSE W : Dr Weida DAY Dr The Hon CH LEONG
t is a honour for us to be able to interview Dr The Hon Che-hung LEONG, the Founding President of the College of Surgeons of Hong Kong, to share with us his Ipersonal values, beliefs, and his remarkable achievements. Dr LEONG is not only a respectable medical expert; he has also contributed wholeheartedly to the community, committing himself to various public and charity services. There are so much to learn from Dr LEONG!
I usually schedule my operations in early morning from 7am to 9am, or in the evening or weekend, in order to avoid crashing with my public work. I always try to maintain a high participation rate in various public posts and establish a close tie with all the activities of the posts. Sometimes, I have to scarify some of my time in private practices in order to fulfilling my public posts duty.
If I take up a public post, I will try my best to accomplish its goals. I have to refine my surgical skills to make Dr Chad TSE (Chief Editor) and Dr Weida DAY (Editor) interviewed Dr sure that operations are nicely done with minimal LEONG at Dr LEONG’s office chance of having complications C & W: We all know that you are very busy in your medical or any take back practice. Outside your work, how do you usually spend operation. Then your leisure time? I can make the L: I must say, I am a workaholic. best full use of the remaining time for I spend most of my time on working and utilize my time the public work. after work in public and charity services. Serving the public and charity services offers great learning experience C & W: Could you share with us your thoughts & beliefs in for me. Every post I take up is a challenge to me. In order participating in public services? to balance the medical practice and the public work, time As a doctor, we all have vast knowledge in medical management is important. L: field. However, when it comes to the field of public C & W: How do you strike a balance between your medical and charity services, we are no longer any authority. practice and public services? Can you give us some tips on Nevertheless, the professional image of a doctor as being your time management? neutral and impartial, does help when participating in
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public services since doctors are largely respected in the community for such quality. As a surgeon, being unbiased and evidence based is just something we practice everyday! Moreover, doctors have the chance to meet people from all social classes. By speaking and interacting with them, we have the opportunity to understand our society.
Doctors should not be deteched from the society like in the old times, and more involvement in the community work is encouraged. Participation into public work enables us to learn more about our society and look things with different perspectives.
When surgeons participate in the public services, EQ is very important. There may have conflict of interest between different parties, so we have to listen to opinions from different stakeholders, and with discussion base on objective evidence, figures and data. Throughout communication is vital in difficult situation. It is very important that there should not have any personal agendas or interest when devoting to the public services.
C & W: Amongst all the public posts that you have served, which one is the most challenging and memorable? How would you manage the challenging work? The challenging part during the formation of the College L: Many of my public services are challenging and was to balance the interests and opinions by different memorable. I can share with you my experience in parties, and we should involve different groups into the participating in the formation of the Hospital Authority. I College in order to maintain a high level of representation. served the Hospital Authority for many years, participated I really appreciate that I had the chances to take up into the formation and establishment of the Hospital different posts during time of crisis. There is much Authority. I joined a number of Planning Committees, in difference when you manage an organization in the time which I took up 3 Chairmanships and eventually became of crisis compare with the time of peace. the Chairman of the Hospital Authority. C & W: What advice you would like to provide with us? At that time, the challenging work was to find solutions to retain staff by using the comparable budget provided L: It is the responsibility of the College to look after the by the Government. Finally, a solution was devised. We training for Fellows before and after their Fellowship, and adopt the flexible spending account to encash allowance the morale of practice, in addition to the provision of CME which was not utilized by staff so as to retaining them. programmes. The College has to provide the opportunity and framework for the Fellows to aquire new surgical Other challenging works were the formation of the Hong technology. For example, in Britain, the operation lists of Kong Academy of Medicine and the College of Surgeons the training hospitals would be sent to the College so that of HK. In the old days, we had to go to the UK for the Fellows interested could observe and learn the operation Fellowship Examination and we did not have a structured of their choice. Our College could provide a similar service training programme. Upon the handover of Hong Kong to and centralize the work. Mainland China in 1997, the surgical community in Hong Kong had to maintain professional autonomy and define We have to understand that surgery itself could well be their own professional standard, as we could no longer a science, but the practice of surgery is an art. An art rely on the British system. The establishment of the HK includes a lot to do with our own personal experience and Academy of Medicine was governed by law. It formed decision which is something very abstract, and is hard to an umbrella containing various Colleges of different teach and explain. specialties. The Academy is unique in the way that it is the only one among the world established by law.
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Words I write to congratulate the College on her 25th Anniversary in the capacity of the Founding President. of blessings Much effort have been made by the successive leaderships of the College, the Fellows and our staff to bring the College to what it is today; and despite our relative from Fellows, young age, we stand abreast with other surgical institutions some much more senior, into the world map of surgery. Yet history should not be forgotten, and I would like to reminisce two items during the Members and formation of our College, to take stock as we march into the future. No new professional institution could be formed with dignity and in a commanding Trainees position and consider its representativeness unless it has the participation from every factions of that professions discipline. I was blessed that as the Founding President the inaugural Council has the ownership of the private practicing surgeons, the different surgical departments of the public hospitals, and the departments of surgery of our two medical schools. A newly borne College would find great difficulties sanding on her own feet unless it has the care and support of many more senior Colleges. The College of Surgeons of Hong Kong was fortunate to have many fairy god mothers, in particular the Royal College of Surgeon of Edinburgh, who had catapult us into the international surgical arena. To them we should be forever grateful. I am confident that the College will advance from strength to strength as we march into the next quarter of a century and beyond. My heartfelt congratulations to everyone at the College of Surgeons of Hong Kong, past and present, who have supported the College’s tremendous work in transforming surgical practice and training. It is a great privilege to be a Fellow of the College and I look forward to many more years of Prof. Lord Ara DARZI successful collaboration to come! Honorary Fellow of CSHK Dr Edward Che-hung LEONG Founding President of CSHK
73 I am pleased to congratulate the CUTTING EDGE College of Surgeons of Hong Kong on its 25 year anniversary. This has been an important time in the development of surgery and for the surgical profession in Hong Kong. I was fortunate to be elected to As Immediate Past President of The Royal Fellowship at the beginning when I College of Surgeons of Edinburgh and as an was undertaking a sabbatical term Honorary Fellow of The College of Surgeons from my position in Zambia, with of Hong Kong, It gives me Great pleasure the Surgical Team 3 under Walter to congratulate The College of Surgeons of King and Prof Arthur K C Li. th Hong Kong on their 25 Anniversary. The Mr Ian K RITCHIE I wish the College well for its next past 25 Years have been marked by steady Immediate Past 25 years and service to the people progression and continuous improvement President of The Royal College of Surgeons of of Hong Kong. such that The College of Surgeons of Hong Kong is recognised worldwide as a premier Edinburgh Congratulations CSHK! Honorary Fellow of institution. Congratulations and here is to CSHK the next 25 years.
Congratulations on having achieved this memorable 25th anniversary milestone. The CSHK is an extremely innovative and inclusive institution for training, Prof. David AK examination and accreditation of WATTERS President of The Royal surgeons in Hong Kong. I am confident Australasian College Prof. Shan WANG that the next 25 years will see The of Surgeons President of The CSHK to offer surgeons, locally and Chinese College of internationally, an opportunity to Surgeons Honorary Fellow of improve their surgical skills. CSHK
Dr Chad Cheuk-wa TSE Have an excellent meeting and Council Member, QEH a very successful next 25 years. I have the happiest of memories of Best wishes to the my visits to Hong Kong. College, and the HK surgical Field. Prof. Robert Charles MASON Honorary Fellow of CSHK
A very blessed & happy 25th Anniversary Prof. Kent-man CHU to the College and all my special Friends Council Member, QMH in Hong Kong.
All The Best ! Prof. London Lucien From us all in Singapore. OOI Looking forward to the Honorary Fellow of next 25 Years ! CSHK
74 CUTTING EDGE Congratulations to the CSHK on your 25th anniversary. As Young Fellows in Urology, we Congratulations on would like to thank the College CSHK’s 25th anniversary for the support during our higher and a quarter-century of surgical training programme and in great achievements! May I the Exit Exam in Urology. wish the College every success Prof. Anthony TEOH We look forward to contributing for many more years to come. PWH to the College in the capacity of Younger Fellows.
Dr Jeremy TEOH Trainee, PWH
Congratulations to the College of Surgeons of Hong Kong for your 25 years of amazing achievement in maintaining the highest standard of professionalism in the practice of 2012 Urology Fellows Department of Surgery surgery. Tung Wah Hospital Dr Cheung-hing CHENG (TMH), Dr Yi CHIU (PMH), Dr Chak-lam CHO (KWH), Dr Kwok-leung HO (PMH), Dr Ada NG (QMH), Dr Chi-hang YEE (PWH)
th Whilst celebrating the 25 Anniversary Being a young surgeon brought up by the of the College of Surgeons of Hong College, it is a great pleasure to convey Kong, we are compelled to reflect my warmest congratulations and sincere how far the College has fulfilled its best wishes on the silver anniversary of the high mission and led to its renowned College. May the College continue to be reputation internationally. The College the regional leader in surgical training and is vital in maintaining professional education in the years to come. integrity, advancing standards, and will Dr Yiu-che CHAN guide us to improve patient-care. QMH
精 誠 團 結，傲 視 同 儕； 百 尺 竿 頭，更 進 一 步！
Congratulations!~ College has reached an important milestone after 25 years of excellent development. Best Wishes to the College for continued success!~
Dr Alex TSANG NDH Dr Sandy NG Trainee, TMH
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I am pleased to be part of the members in celebrating the College’s 25th Anniversary. May the College continue to pioneer the surgical field, to serve the general public, to teach the future talents, and to lead us I would like to extend my to become one of the most prestigious warmest congratulations professions. to College of Surgeon of Dr Wong-hoi SHE HK on its 25th anniversary. QMH On this joyous occasion, I wish College can continue to maintain its leadership position in the international For the past 25 years, the College has worked surgical arena. Dr Karen Lok-man tirelessly and selflessly for the benefit of TUNG all surgeons in Hong Kong. It took an PYNEH immeasurable amount of dedication, vision and collaboration to achieve this. The sacrifice and sense of service involved is an inspiration to us all. Thank you very much. Dr C. Nicholas Hong Kong is a place where KOTEWALL west meets east, and an Trainee, QMH important gateway modern medicine entering into China. In this 25th anniversary of CSHK, hope we can play a Thanks to all our seniors and Fellows key role in establishing and leading the College to its now improving the standard of international status and yet still surgical training in our country, expanding and maturing. May hence the improvement of I wish the College grow in patients’ outcome. strength and determination to serve not just the surgical field but community as a whole and many more 25 Dr Xina LO years to come. NDH
Dr Justina CHAN POH Congratulations on the 25th anniversary. Wish the College to thrive for many Dr Wai-yin CHU years to come. TMH
Dr Ben WONG On this happy occasion, I would like to express my Trainee, POH heartfelt thanks and appreciation for the contributions of the College in providing continuing medical education for us young surgeons to enhance the quality of services delivered in the specialty. May I Dr Grace LIU wish the College every success in the many years Trainee, PYNEH ahead.
76 CUTTING EDGE Congratulations ! Wish you every success in the years to come.
Congratulations to the College of Surgeons of Hong Kong for its twenty-fifth anniversary, a milestone of its history. Best Wishes for the College to continue to grow and lead us to go from strenght to strength in the surgical field in the years to come. Dr Calvin TSUI UCH
Dr Peter CHAN YCH
Congratulations! Celebrating our Silver Jubilee!
Silver jubilee is a celebratory milestone of CSHK for its momentous achievement in advancing surgical standard and educating generations of generations of surgeons in our territory. Happy 25th anniversary!
Dr Shirley LIU PWH Dr Wilson CHAN UCH
My wishes to College: I would like to take this opportunity to express my sincere gratitude and congratulations to our College's 25th anniversary.
舞 金 刀 培 育 妙 手 Dr KM CHAN 賀 銀 禧 傳 承 仁 心 PMH
My heartiest congratulations on the 25th Anniversary of the CSHK! Surgical practice and training have changed a lot since my training days. This brought substantial challenges to our College and yet it tackled them well. Dr Susanna TAM Proud of CSHK and carry on the excellent work in UCH Dr Maket WONG the years to come! KWH
77 CUTTING EDGE The College is just like a big family. I am proud to be a member of this family. May I wish this family grow bigger and the bondings among family members get The Silver Jubilee of the College carries stronger! personal significance for it was also at the age of 25 that I embarked on my journey as a trainee to become a Fellow of this select brotherhood. For that I shall always be indebted. Congratulations on your 25th and may we go from strength to strength in the years to come! Dr Peter YM WOO KWH
Dr Tsun-miu TSUI YCH
Enlightening our scalpel. I must have been one of those first few batches of trainees of the College. Back then, graduating on the different side of the harbour struck a difference. Short of a teaching hospital, we country boys travelled around and met teachers all over - the same local examiners in fellowship examinations. College has since grown into one big family, with warm fraternity joining all surgeons over Hong Kong. Congratulations! Dr David LAM Private Practice
Dr Dennis NG NDH
Congratulations to Hong Kong College of Surgeons on its 25th Anniversary! 25 years ago, a group of surgeons established our own Surgical College Congratulations! For 25 years, in Hong Kong. Since then, we have the College of Surgeons of made footprints in bringing about Hong Kong had witnessed the rapid developments in Surgery. transition of our homeland with all Hong Kong people; had faced May we further advance our science of Dr Edmund MT countless challenges, but also surgery locally, greater China, Asia and CHEUNG opportunities and remained the world! Private Practice strong. May I congratulate the College again with my best wishes!
I would like to offer the College of Surgeons of Hong Kong my most sincere congratulations upon its achievements over the past 25 years and wish it every success in the coming future.
Dr Sherby Suet- ying PANG Dr Eric CHOI Trainee, QMH TMH
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As the leader of the surgery education, I hope more and more young doctors can join in this big family and benefit from the College ! of Surgeons of Hong Kong For faithfully upholding the standards upon which our specialty has been established, and Long live our College! Dr Jianhui LI for nurturing the generations of surgeons to come who will build upon those standards, May she advance from strength I salute the College. May the College grow to strength! from strength to strength, year upon year! Dr Alan Dart-loon SIHOE Dr Alphonse On-shing POON
May we keep climbing new heights of success, quality, forever and after. Congratulations! Congratulations to all concerned at this magnificent Prof. Jack Chun-yiu CHENG anniversary. Having worked in Hong Kong just prior to its formation, I saw how the Royal Australasian College Congratulations to the College of Surgeons of Hong of Surgeons and The College of Surgeons of Edinburgh Kong on their Silver Jubilee. Having been involved contributed to surgical training. However, these organisations since the beginning I cannot believe how quickly could not provide the true fellowship, collegiality and the time has passed. Over the years the College has maintenance of standards that the CSHK has achieved. kept me up to date with events in Hong Kong and I congratulate the College. It is a testament to the quality and maintained my interest even at great distance. I wish vision of those responsible that the College has achieved so the College good fortune and strength over the next much in this time. 25 years, to continue its sterling work both at home Enjoy your well earned celebrations. As one of the more senior surgeons Dr Simon Daryl Jelby WOODS and overseas.. Dr Graham Thomas SUNDERLAND of the College, I am very happy to send in my congratulations to all.
Dr Philip Cheung HSIEH
Congratulation to the College of Surgeons of Hong Kong. May our College continue to lead our profession to new heights.
Dr Eddy Hok-chin CHAN
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I wish to send my hearty congratulations on the 25th Anniversary of the College of Surgeons of Hong Kong. I am proud to be a Fellow of our College all these years and wish every success to our College in the future.
Dr Raymond Sheng-wu WANG
It takes 25 years for a new born growing up to a healthy and powerful man; it takes 25 years for the College of Surgeons of Hong Kong growing up to a famous and promising association; let's work together to perfect it. Dr Dongjie YANG
The blessings and wishes from our guests, Fellows and Congratulations to the CSHK. 25 years of Members were put on the backdrop of the RCSEd/CSHK Friendship, Fellowshipexcellence. and Professional Conjoint Diploma Conferment Ceremony 2015 at the Dr Brown Simon PATERSON Hong Kong Convention and Exhibition Centre
May I wish the continuous success of the College in maintaining a high standard of training and surgical fraternity for the next generations! Very many congratulations on your silver jubilee. Dr Wai-kit MA Dr John Fredrick CHESTER
Congratulation from an "Orthopaedic fellow" of CSHK. I was already a FCSHK before my mother College Thank you, The College of Surgeons, for your "Hong Kong College of Orthopaedic Surgeons, HKCOS wisdom and vision, your support and passion, in " was established. shaping the legacy of the profession in the past I belong to an "old" generation when both orthopaedic 25 years, and embraced the three distinct areas: trainees and surgical trainess sit for the same fellowship th examination. competence, safety, and quality. The College Anniversary! has always ready and determined to assist us Congratulations! Happy 25 I am sorry that I have made little contribution to in an abundance of ways, highlighting the need the College in past 20 years. But I have witnessed its growth and outstanding achievement. in continue to enhance our knowledge and our Dr Wang-lung LUK skills, making us “forever a caring surgeon”. Best wishes to the College! Dr Hok-leung WONG Dr Frank Yu-kai YU
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Congratulations to the College of Surgeons of Hong Kong on the Silver Jubilee Celebration. May our College continue to be the light Happy 25th anniversary. For the benefit of humankind, May the College of the surgical world, And may this light continue to shine in continue to thrive and Prosper for the many many years to come! 25x25 more years and beyond! Dr John Siu-man LEUNG Prof. Paul Kwong-hang TAM It is my honor to be your member, Happy 25 th anniversary, I will always be with you, I am always full of power for obtaining more knowledge every time I Congratulate on the achievement get messages from CSHK. Thank you!!! made in the past 25 years! Continue to persevere in the training and making of world class surgeons. Dr Xiaobo XU
Dr Max Yat-lun MAK
As a Founding Fellow, I am proud of the work of the College and the efforts th Anniversary made to upgrade the standard of surgical Very nice design of 25th Ann logo practice in Hong Kong. Congratulations! Warm congratulations to 25 to the College of Surgeons of Hong Kong! Dr Frederick Man-lee LEUNG Dr Timothy Sim-chuan TEOH The College of Surgeons of Hong Kong is very great. The trainings and examinations for surgical trainees are perfect. I hope CSHK will be more famous in the worldwide in surgical training. Congratulations to an outstanding College
Dr Jinfu TAN on your 25th youthful strenghth Anniversary. and vibrancy, With all the its A quarter century of contributions from College has fufilled a vital role ,not only in the budding and seasoned fellows are the development of surgery in Hong Kong cornerstones for the College to inept, but also on the International stage. May you survive, thrive, grow, glow and shine. continue to flourish in the years to come
Dr John FENN Prof. Alan GIBB
Silver Jubilee represents the establishment of our College for one All the best. quarter of a century. With our united support, our College would continue to Dr Raymond Shiu-ki LI flourish for decades after decades.
Dr Kai-yuen PANG
Congratulations and felicitations on your achievements. Congratulations and carry on the 25 years of hard work and collaboration excellent surgical standards for across different specialties has not been years to come. easy but it has been worth while. Dr Sing-cho SO Dr Peter Hsin TUNG
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THE COLLEGE SECRETARIAT
The College Secretariat constitutes 16 colleagues, all with devotion to provide good service to our Fellows and Members. General Manager Training Section CME Section Ms Stephanie HUNG Ms Chloe CHAN Ms Iris WONG Mr Jeff HUNG Exam Section General Administration Mr Ki LAM and HR Section Ms Claudia CHUNG Ms Rebecca LIAUW Mr Frank LAM Event & Publication Section Mr Johnny YAU Ms Jesper CHOW IT and Technical Section Mr Ken LI Ms June YU Ms Cathy FUNG Ms Jasmine KWONG Accounting Mr Wallace LAM Mr Michael YICK
ANNOUNCEMENT UPDATE OF PERSONAL PARTICULARS TO THE COLLEGE
It is important for Fellows and Members to update the College of their contact information. The information is vital to ensure that Fellows and Members would receive the most up-to-date information and to be informed of the College’s developments, examination information, revision of regulations and guidelines, CME programmes and activities, and other issues that you may concern. Should you have any updates on personal particulars, please fill out the attached update of personal form and submit to us via [email protected] or by fax at 2515 3198.
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COUNCIL OF THE COLLEGE
President Stephen WK CHENG Queen Mary Hospital
Vice President Edward CS LAI Private Practice (External Affairs)
Vice President Enders KW NG Prince of Wales Hospital (Internal Affairs)
Hon. Secretary Chi-wai MAN Tuen Mun Hospital
Hon. Treasurer Philip WY CHIU Prince of Wales Hospital
Censor-in-Chief Paul BS LAI Prince of Wales Hospital
Council Members Kent-man CHU Queen Mary Hospital Chiu-ming HO Private Practice Kam-hung KWOK Queen Elizabeth Hospital Simon YK LAW Queen Mary Hospital Heng-tat LEONG North District Hospital Chi-fai NG Prince of Wales Hospital Simon SM NG Prince of Wales Hospital Wai-sang POON Prince of Wales Hospital Wing-tai SIU Hong Kong Sanatorium & Hospital Po-chor TAM Private Practice Chad CW TSE Queen Elizabeth Hospital Andrew WC YIP Private Practice
Ex officio Councillor Hung-to LUK Private Practice
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Souvenir Collection Catalogue *************************************************************************************************** Souvenirs for Sale
1. College Tie available in various colors $180@ A B C D E
3. T-shirt $80@
Blue with Light Blue Champagne Golden Brownish white with yellow yellow in yellow red in stripes stripes dotted in dotted check pattern pattern pattern
F G H
Size of the displayed: M
4. Polo-shirt $100@
Red with Blue with Purple dark red red and with flower stripes white pattern stripes
2. Passport Holder $180@
Size of the displayed: M
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Souvenir Order Form ITEMS PAYMENT (HKD$) 1. College Tie (A) ______piece(s) (B) ______piece(s) (C) ______piece(s) (D) ______piece(s) (E) ______piece(s) (F) ______piece(s) (G) ______piece(s) (H) ______piece(s) 2. Passport Holder ______piece(s) 3. T-shirt Size (S): ______piece(s) Size (M): ______piece(s) Size (L): ______piece(s) 4. Polo Shirt Size (S): ______piece(s) Size (M): ______piece(s) Size (L): ______piece(s) TOTAL PAYMENT Collection Method (Tick as appropriate) ❏ In person (College Secretariat Office) ❏ Courier (to mailing address) *(A courier charge of HKD$ 30 would be applied to the order of the above souvenirs. Free courier for any purchase over HKD$ 500)
Contact Information
Title ______Surname ______Given Name ______
Mailing Address ______
______
Contact no. ______Email Address ______
Payee signature ______Date ______*Purchase is on a first-come-first-serve basis. A courier charge of HKD$ 30 would be applied to the order any of the above souvenirs. Free courier for any purchase over HKD$ 500.
Payment Delivery of your purchase would be valid upon recipient of order form and payment. Payment can be made in person or by cheque made payable to “The College of Surgeons of Hong Kong Limited” to the following address: Room 601, Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong
Opening hours & Enquiry Monday - Friday (9:00am - 5:40pm), Saturday, Sunday & Public Holidays (Closed) Enquiry Hotline: 2871 8799 Fax: 2518 3200 Email: [email protected]
For Office Use Date of order ______Payment by ______
❏ Cash ❏ Cheque (no.: ______)
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Contact Us Editorial Board Room 601, 6/F, Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Hong Kong Tel : (852) 2871 8799 Fax : (852) 2515 3198 Email : [email protected] Website : www.cshk.org