Professor Richard YH Yu SYNAPSE
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SYNAPSEJANUARY 2011 RESTRICTED TO MEMBERS ONLY Photographer Professor Richard YH Yu SYNAPSE CONTENTS Special Articles 3 The President´s Annual Report 2010 − KN Lai 6 The President’s Address at the Fellowship Conferment Ceremony 2010 − KN Lai 8 The 15 th AJS McFadzean Oration 2010 − Geoffrey Ma The Search for the Right Balance : A Question of Judgement 12 Council News Scientific Section 17 Sir David Todd Lecture − HF Tse New Era of Regenerative Medicine for Cardiovascular Diseases 19 Best Thesis – Gold Award Winner − YL Lau Good Collateral Circulation Predicts Better Outcome in Patients with Intracranial Large Artery Occlusive Disease 20 Best Thesis – Silver Award Winner − YT Au Yeung Tests Used in the Subtype Classification and Outcome of Treatment in Primary Aldosteronism 21 Best Thesis – Bronze Award Winner − L Li A Prospective Study on the Significance of Quality of Life Measurement and Clinical Factors in Prediction of Survival in Chinese Patients with Hepatocellular Carcinoma 22 Events and Announcements 25 Examinations and Results 25 Training Room 603 Hong Kong Academy of Medicine Jockey Profile Doctor Club Building 27 Professor Zhong Nan-Shan − John Mackay 99 Wong Chuk Hang Road Aberdeen Hong Kong Tel 2871 8766 Fax 2556 9047 email [email protected] College Website http://www.hkcp.org Synapse Editorial Board Editor : Dr Carolyn PL KNG Assistant Editor : Dr John MACKAY Co-Editors : Dr TF CHAN Dr Johnny WM CHAN Dr Jenny YY LEUNG Dr ML SZETO Ex Chief-Editor : Prof Philip KT LI Prof Mathew MT NG All Copyrights reserved by the Hong Kong College of Physicians No part of Synapse can be reproduced without the prior approval from the Hong Kong College of Physicians. SPECIAL ARTICLES The President´s Annual Report 2010 KN Lai President, HKCP n the year of the Tiger and busier working hours, the This Annual Report outlines the 2010, the Hong Kong SAR promotion prospect in Medicine various events and achievements Isustained peaceful progress is less despite our devoted and of all the College Committees in her politics. With a vigilant relatively stable workforce. We that deserve the attention of and attentive approach, our must proactively address these our Members and Fellows. medical community successfully issues in order to maintain our My heartiest gratitude and smothered the threat of Swine flu. attraction to the fresh medical appreciation goes to all Chairmen, At times of crisis, our profession graduates. I sincerely hope the Members of the Committee, the always proves its quality, alertness incoming President will discuss Boards and the Secretariat for and readiness. thoroughly with the Hospital having done such a magnificent This is my last annual report Authority on these issues. Any job. Briefly, I would like to since elected to the Office in Department of Medicine with highlight some of the important 2004. I appreciate greatly the less than appropriate manpower changes. support from the Council and I and resources can compremise would like to thank all Fellows the service in the hospital Education and and Members for having given me within a short time. The new Accreditation Committee the opportunity and honor to serve Chief Executive of the Hospital Under the very capable you. While our College continues Authority should be aware of this. Chairmanship of Dr. Loretta to flourish with fellowship Meanwhile, our College maintains Yam, the committee further exceeding 1,350, we must not be strong academic and collegiate improved the examination format, complacent as we have noticed links with overseas physician scoring system, remedial training less applications for physician colleges in London, Edinburgh, program, and written guideline of training over the last two to Glasgow, Australasia, Malaysia the dissertation thesis. Several three years. Physician training and Singapore. Our interaction new developments in training is demanding both in time and with physician societies in China were established in the last 12 skill. Nowadays, most specialties remains active directly through months. in Hospital Authorities hospitals the College and indirectly through can adopt a five-day week our specialty societies. Our 1. To raise awareness about arrangement as they have few College continues to improve clinical risk among our emergency admissions but this our computerization system in trainees and improve is not the case in Medicine. All training and examination matters clinical management, the medical units admit emergency allowing paper documentation to College collaborated with patients seven days a week and be conducted from the desktop the Hospital Authority to 52 weeks a year. Not only longer computer using the Web. develop a Self Learning Tool SYNAPSE • JANUARY 2011 3 SPECIAL ARTICLES (SLT). In essence, SLT is assessment for another 106 of Medicine at the University an educational e-learning candidates. of Auckland, has been tool which tests Basic and elected President of the Royal Advanced Internal Medicine 5. The current CME/CPD cycle Australasian College of Physicians (AIM) trainees using clinical will end on 31 December in May 2010. Dr Jennifer scenarios in the form of 2010. The College decided Alexander, CEO of the RACP, multiple choice questions to continue to adopt the visited the College Chamber on with scenario development current “Principles and September 3, 2010. and appropriate explanations. Guidelines on CME/CPD These questions are 2008” and “CME/CPD Examination Committee administered through a Operational Guidelines 2008” tailor-made software and for the new CME/CPD cycle Annually, two written Part I, three information technology to commence from 1 January written Part II, and two clinical system hosted online by the 2011. PACES examination are now Hospital Authority. The SLT held in Hong Kong. The local is expected to be applied National and International PACES examination centres have to all three years of Basic Liaison Committee increased to ten. Prof Matthew Physician Training. Ng (the Chairman) is serving Under the dedicated the MRCP(UK) Part I Examining 2. In accordance with the Chairmanship of Professor W.K. Board as HK representative training structure stated in the Lam, the committee continued while Prof KN Lai is the HK Guidelines on Postgraduate to liaise with national and representative at the MRCP (UK) Training in Internal Medicine, international professional bodies Part II Examining Board and , Fourth Edition, July 2007 in Medicine on matters of mutual Policy Board. it is mandatory for Palliative interest, including postgraduate Medicine and Rehabilitation training, professional A new format of station 5 was to be trained concurrently examinations, scientific and commenced in the October 2009 with AIM and AIM or Geriatric academic interaction and PACES examination. Candidates Medicine respectively. It continuous professional were required to undertake a therefore follows that trainees development in the practice of focused history and targeted who pass the Exit Assessment Internal Medicine. examination pertinent to the in Palliative Medicine or presenting problem. Rehabilitation as the first Our College continued to provide The College has proposed to specialty cannot be accredited input and professional assessment the MRCP(UK) Central Office to in the respective specialty to the three Royal Colleges of invite UK PACES examiners to until they have passed the Physicians in United Kingdom Exit Assessment in AIM or with regard to local clinicians deliver lectures on Stations 1 and Geriatric Medicine. nominated for College Fellowship. 3 on a Training Day, to be held on the Saturday after one of the 3. The College was satisfied Dr Neil Dewhurst, Consultant two PACES examinations. The that there are now sufficient Cardiologist and General first training day is scheduled for numbers of Fellows and Physician, Perth Royal Infirmary, March 2011. Trainers in Medical Oncology and Honorary Senior Lecturer in to merit Specialty Board Medicine, University of Dundee, Scientific Committee status, such that the specialty is the new President of the can become independent Edinburgh College with effect The Scientific Committee under from the Specialty Board from 1 March 2010. the chairmanship of Professor in Haematology and Y.L. Kwong organized a Scientific Mr. Ian WR Anderson, has been Haematological Oncology. Meeting of Hong Kong College elected as the President of the The Specialty of Medical of Physicians on October 9-10, Glasgow College for three years. Oncology thus became an 2010 with over 450 participants. Sir Richard Thompson KCVO independent Specialty Board The Gerald Choa Memorial DM FRCP has been elected as with effect from April 2010. Lecture was delivered by the new President of the London 4. The Specialty boards had Professor T.F. Fok. Hon Chief College. conducted annual assessment Justice Geoffrey Ma gave the AJS for 260 trainees and exit Professor John Kolbe, Professor McFadzean Oration. 4 SYNAPSE • JANUARY 2011 SPECIAL ARTICLES Research Committee general medical affairs this year. Sir Neil Douglas as profile doctors A career talk was delivered to who have contributed vastly to The Research Committee under medical students of the University medicine in China and in the the chairmanship of Professor of Hong Kong in November United Kingdom. K.S. Wong selected four young 2009. Our College also drafted investigators for Distinguished a position paper to the Food and Research Paper Award. All were Administration and Finance Health Bureau on a consultation invited to present their papers Committee paper entitled: “Introduction of in the Annual Scientific Meeting the concept of advance directives We are grateful to our Hon of the College in October 2010, in Hong Kong”. Treasurer for his very shrewd with a medal award for the best book-keeping such that the presenter. Synapse College remains in a healthy state financially. Membership Committee Synapse under the editorship of Dr. C. Kng continued its important Finally no word of appreciation or Under the chairmanship of Dr. role of fostering communication thanks can express my gratitude Patrick Li, 44 applicants were between the College and its to the two Vice-Presidents, proposed for Membership and 54 Fellows, Members and trainees.