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Newsletter 2003-2004 (Issue 2) Contents: Editorial ………….....................……………………………………………………………….………………...P.2 Welcome Address by Prof. Leung Kowk-sui,

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Presentation on theme: "Newsletter 2003-2004 (Issue 2) Contents: Editorial ………….....................……………………………………………………………….………………...P.2 Welcome Address by Prof. Leung Kowk-sui,"— Presentation transcript:

1 Newsletter 2003-2004 (Issue 2) Contents: Editorial ………….....................……………………………………………………………….………………...P.2 Welcome Address by Prof. Leung Kowk-sui, President of HKCOS, at the HKCOS Conferment Ceremony ……....................…………………………………………..................…P.3 Speech to the College of Orthopaedic Surgeons by Prof. Sung JY Joseph at HKCOS Conferment Ceremony ……………………………….....P.4 Successful Candidates of HKCOS/FRCSEd Exit Examination 2003 ……….…….………..P.6 MRCS Passer 2003 …….....................……………………………..…………………………..….….…P.7 Examiners for MRCSEd/HKICBSC Final Assessment Examination, March 2004...…P.7 “Subspecialty in Rehabilitation” by Dr. SY Chun...........……………………………..……..…P.7 Application to the First Fellow of Subspecialty in Rehabilitation.........................P.9 Continuous Professional Development (CPD)...……………………………………………..…….…P.9 Announcement for the Program of “Master of Science/Postgraduate Diploma in Sports Medicine and Health Science, 2004”...…………………………………………………..…P.9 P.1 Editorial Board Dr. Robert Y.P. Chang Dr. Chan Chi-wai Corresponding Address: Room 905, 9th Floor, Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong E-mail: Website: Phone: (852) 2871-8722 Fax: (852) 2873-4077

2 Newsletter 2003-2004 (Issue 2) Editorial 2003 has not been a good year for everyone in Hong Kong. Many people cried for the death of Leslie Cheung and Anita Mui. Even more people cried and had their hearts broken when SARS wreaked havoc in Hong Kong. Many of our doctors joined in the battle. Day by day we heard news of comrades brought down by SARS. Our hearts sank and our eyes swollen from the crying when colleagues who had valiantly fought the battle made the ultimate sacrifice for the people of Hong Kong. But SARS did not just make Hong Kong infamous. SARS also made our medical professionals famous locally and internationally. Prof. Joseph Sung, one of the SARS heroes, gave his speech at our Annual Banquet. “In my view, the SARS calamity actually has a silver lining. Never before had the health care profession been embraced by the public with such high regards and popularity….” “Never before had the health care workers themselves realize the sacredness of their job and the unique opportunity we are given to provide comfort (both physical and mental) to those who are in need…” The full script of Prof. Sung’s invaluable speech has been printed out for you to savour. But the damage of SARS did not stop on 2nd June. Many people, including our comrades, are still living under the fear of AVN. Your College has continued the sacred duty to help those in need. Together with the HKOA, we issued a detail statement concerning avascular necrosis. This has helped colleagues understand the condition and explain to patients. With more knowledge of AVN, our patients’ fear was reduced and trust restored. 2003 is also a year of joy. Our conjoint Exit Exam was a success in every way. The overseas examiners were very pleased with the smooth conduct. Our candidates had an impressive passing rate of almost 70%. For the HK Academy of Medicine Best Original Research by Trainee, two of our trainees were short-listed for the final. Dr Leung Hon Bong then won the Bronze Medal. It was really no mean feat. Our warmest congratulations to Dr Leung! 2003 is also a busy year. Your Council has been on overdrive. In the early days of the College, there were just 3 or 4 Council meetings in a year. In 2003, there were 12 Council meetings, with the longest lasting from 6pm to about 11:30pm. To underscore this point, Irene, our Exec Secretary, has clocked over 100 hours of overtime just attending our various meetings. Our President Prof. KS Leung’s article will give you a detail account. The development of our Rehabilitation subspecialty is moving full steam ahead. Dr. Chun’s article will provide you all the information in case you have missed all our letters and briefings. You must share our feelings that this Editorial and Newsletter is rather outdated. We cannot agree more. Developments in so many aspects have been moving on so rapidly that this printed form of Newsletter will never be “News” letter. The printed form is also not environmentally friendly, costs more manpower and money and time. In the future, only the electronic format will be sent out and you can check out any new developments at our website. A simple printed format will be sent out to the few who opt to have the printed version, but we can guarantee you that it will not be “News” letter. If memory can be dragged and dropped into the Trash bin as on a computer, that is the most appropriate fate for 2003. The rising stock price and property price heralds a good year ahead. May I wish you all a prosperous and meaningful year!

3 Newsletter 2003-2004 (Issue 2) Welcome Address at the HKCOS Conferment Ceremony (December 5, 2003) Prof. KS Leung President of HKCOS Professor Sung, Professor Learmonth, Professor Qiu, Presidents and representatives of the sister colleges, guests, fellows, ladies and gentlemen, It is my great pleasure to welcome you all to the 10th congregation of the Hong Kong College of Orthopaedic Surgeons. This is a special event for many of us: 2003 has been a very special year to all medical professionals in Hong Kong. The profound and long lasting effect of SARS changed the profiles of medical professionals in many aspects. Despite of the difficult time, many of our trainees took part in the battle and yet managed to complete their orthopaedic training. My heartfelt congratulations to them all. To our professional, we planned and actively participated in the management of the possible complications of the disease. The orthopaedic professionals, under the auspice of the College and the Hong Kong Orthopaedic Association, drafted the guidelines for the management of one of the complications of the disease, a very timely response to this very emotional issue. While we are all well prepared for the possible return of the disease, the College would like to move forward with our plan for more collaboration with various professional bodies in the world. The college was also busy with the establishment of the Orthopaedic Rehabilitation subspecialty, and in the preparation of the publication of the 50 years of Orthopaedics in Hong Kong. Looking forward, there are many tasks that the college need to accomplish in the coming year: the further development and accreditation of subspecialties, the modification and improvement of our training programs in response to the change in the organisation of the training units, the consolidation of the relationship with our Mainland Chinese professionals and perhaps, to participate in the reform of the medical professionals, to booster the spirit of professionalism which was so severely affected by the general atmosphere on top of the very demoralizing disease. P.3 Here, I would like to solicit your help and participation in all these activities. Finally, I would also like to thank you all for joining us this evening, to all the fellows that support the activities of the college, the council and the various committees for their contributions, our external and local examiners for their hard work in the past one week. Last but not least, I wish you a very joyful year of 2004! Thank you. Prof Learmonth presents souvenir to Prof KS Leung and Dr SH Yeung

4 Newsletter 2003-2004 (Issue 2) P.4 Prof. Sung JY, Joseph Vice-President Hong Kong Academy of Medicine Professor KS Leung, Prof. Qiu, Prof. Learmonth, colleagues, ladies and gentlemen, let me begin by congratulating the fellows and members of your college in achieving a major milestone in their career and indeed in their life today. In the last 12 months, Hong Kong has gone through a period of, what I called, Dark Ages. We have braced the financial crisis and suffered from economic downturn. SARS struck, bringing Hong Kong to an almost standstill. The government has faced major difficulties in launching and implementing its policy. The public is bitter and emotions are high. Under this economic and political climate, all sectors suffer and the health care profession is no exemption. Hospital jobs are being slashed. Contracts will be terminated at a fixed period of time. Private sector is struggling. A lot has been said about private- public interface, but little has been materialized. Morale is low and grievance is flooding. Do we see any light at the end of the tunnel? In my view, the SARS calamity actually has a silver lining. Never before had the health care profession been embraced by the public with such high regards and popularity. During the period of SARS epidemics, thousands of thankful letters, hundreds of phone call and countless number of blessings from the public had given the frontline workers the best support to continue in their fight against this natural disaster. Comments from local and international professionals, as well as those from the 2 SARS review panels have been positive. The SARS Expert Panel reported in Oct 2003 says “The committee has studied in considerable details the chronology of events during the SARS epidemic in Hong Kong and heard a great deal of evidence from individuals and organizations that come from a wide background. The story that emerges is one of great courage and dignity, as Hong Kong struggled against this new disease.” The Report of Hospital Authority Review Panel commented on the performance of health care workers as “many healthcare workers, managers, government officials and others made heroic efforts in the face of danger to fight the disease and limits its effects… It is important to acknowledge that these were civilians sent into the theatre of war, with no end to the battle in sight and no grand plan for victory. The enemy was unforgiving and under certain circumstances extremely virulent. There were health care workers who volunteered to fight on the very frontline in ICUs, some taking their expertise from one ICU to another, following closely as the battle shifted…” Speech to the College of Orthopaedic Surgeons at HKCOS Conferment

5 Newsletter 2003-2004 (Issue 2) Speech to the College of Orthopaedic Surgeons at HKCOS Conferment P.5 Never before had the health care workers themselves realize the sacredness of their job and the unique opportunity we are given to provide comfort (both physical and mental) to those who are in need. When we started to see young, healthy men and women came down with the pulmonary illness and became so breathless that they could not even talk or finish their meal in just a matter of a few days; when we were forbidden to visit our loved one and hold their hands even when they were in critical condition, when we watched on TV the quarantine of Amoy Garden with their residents leaving their home in tears and sorrow, our lives began to change. All too often, we have taken things in our life for granted. We did not realize how frail our health and physical wellness could be. They can be taken away from us overnight in a swift of natural disaster. We did not treasure people that we saw everyday, our family, husband and wife, parents and children, our colleagues and our friends, until the day when we can only see them on the monitor outside the hospital ward kept out of bound to visitors. We could not care less about the sanitary conditions of our environment, until the day when we saw the name of our apartment were listed on newspaper because one of our neighbor got SARS and being admitted to hospital. Value of life has been re-evaluated. Priorities have been re-assessed. Attitudes have been changed. When we face a patient in the clinic or in our hospital these days, we are reminded that these are human being with flesh and bones. They are not merely a diagnosis, a diseased organ, or worse still a case need to be disposed. Never before the community of Hong Kong stand up in such solidarity, in face of great difficulty and danger. I saw thousands of volunteers on the street cleaning the environment and helping the elderly people in their homes. I heard artist, singers and composers came to together singing “We shall overcome”. Personal interests were put aside, politics and agenda were at least temporarily ignored, yet humanity and love prevailed. Hong Kong has an admirable professional standard that is comparable to any developed country around the world. The medical profession is not just embraced for its standard of clinical practice, but also for its professionalism and ethics. As our orthopedic surgeons have now taken the prime responsibility to look after the aftermath of SARS, namely the complication of medical therapy, the challenge is on your shoulder. As a new member of this fraternity, the credibility of the profession is as much a responsibility of yours as of mine. Once again, my congratulations to the new graduates of the College of Orthopedics of Hong Kong and Edinburgh.

6 Newsletter 2003-2004 (Issue 2) Successful Candidates of HKCOS/FRCSEd Exit Examination 2003 BAN Chung-man, John(PYNEH) CHAN Ka-wah (KWH) CHAN Wai-lam (KWH) CHENG Kin-hung, William (QEH) CHEUNG Wai-yuen (QMH) CHEUNG Wang-yan, Warren (TKOH) CHIU Wing-fat (PMH) HO Hon-shuen (UCH) IP David (PYNEH) LEE Kin-bong (QEH) P.6 Dr James Rob congratulates Dr R Wong Successful candidates happily toast to each other Successful candidates take picture with those who passed them Past and present QEH surgeons take photo with Dr. SF Lam Clinical exam at TMH – examiners and observers at TMH clinical exam HKCOS Council, examiners & guests from other Colleges LEE Kin-man (QMH) LEE Man-fai (NDH) MAN Shui-wah (QEH) OR Yu-wah (UCH) TSE Wing-lim (PWH) TSE Yu-nang, Benny (PMH) WONG Lok-yan (PMH) WONG Nang-man, Raymond (UCH) WONG Sze-hung (CMC) YEN Chi-hung (KWH)

7 Newsletter 2003-2004 (Issue 2) P.7 MRCS Passer CHAN Pui-kwan(TKOH) CHENG Hi-shan(PYNEH) CHEUNG Pak-chiu(PWH) FONG Wai-ho, David(UCH) LAM Hoi-yan(AHNH) LI Pang-hei(YCH) MAK Kin-cheung(QMH) SUN Kin-wai, Kelvin(TMH) Wong Kar-fai, Richard(TKOH) WONG Tak-man(KWH) WONG Wing-yee(TKOH) YIP Wing-hang, Gary(QEH) YUNG Wai-yin, Ambrose(PMH) Examiners for MRCSEd/HKICBSC Final Assessment Examination, March 2004 Acknowledgement to the following fellows who will represent HKCOS to be examiners for MRCSEd/HKICBSC Final Assessment Examination, March 2004 : Prof. Leung Ping-chung Dr. Lau Pui-yau Dr. Lee Wai-keung Dr. Mak Kan-hing Dr. Paul Tse Subspecialty in Rehabilitation Dr. SY Chun There were enthusiastic discussions a few years back when Professor Keith Luk was holding the office of Presidency of our College on this subspecialty of rehabilitation. Finally the Hong Kong Academy of Medicine approved the formation of the Specialty under the Hong Kong College of Orthopaedic Surgeons in parallel to the same subspecialty under the Hong Kong College of Physicians. Under the instruction of the Council of the HKCOS, a Working Group was formed accordingly. The first meeting of this Working Group was convened on 29 July 2003. Its members consisted of Professor Leung Kwok-sui, President of our College, who chaired this first meeting, and Dr. Chen Erh-heng, Dr. Chin Ping-hong, Dr. Choi Sum-hung, Dr. Chun Siu Yeung, Dr. Kwok Hau-yan and Dr. Wong man-shun. After introduction by Professor Leung, Dr. Chun was invited to be the Chairman of the Working Group and Dr. Chin the Co-chairman. At the second Working Group meeting, Dr. Wong Man-shun had kindly drawn up the draft of the Proposed Procedures and Guidelines for setting up this subspecialty as well as its Curriculum. Suggestion and amendments were made at the meeting. The revised version was then presented to the Executive Council of HKCOS, with further discussion, clarification and amendments made. Subsequently a briefing session was held at Princess Margaret Hospital during one of its inter-hospital Saturday meeting on 1 November 2003. There were enthusiastic discussion and many questions raised and answered. Another briefing session was held at Duchess of Kent Children’s Hospital on 10 January 2004.

8 Newsletter 2003-2004 (Issue 2) P.8 Subspecialty in Rehabilitation Firstly the College will exercise the admission of the First Fellows in this Subspecialty. It was decided that a fellow of the College need to satisfy the basic requirement before being admitted to become the First Fellow. He must be a fellow of the Hong Kong Academy of Medicine (HKAM). This is the primary requirement laid down by the HKAM. A Fellow of the College admitted through an exit examination should possess s post-fellowship working experience in orthopaedic training centre(s) accredited by the College for a minimum of 3 years. A Foundation Fellow of the College should have a clinical working experience in orthopaedic training centre(s) for a minimum of 10 years. Also an active fellow of the College other than the above two Categories should have post-fellowship orthopaedic clinical practice of more than 6 years and for at least 3 years in active clinical practice immediately before the date of application. All Fellows who have satisfied the basic requirement, will then be assessed by one or more external assessors with high international academic standing in the field of Rehabilitation appointed by the Executive Council of the College before the Fellow is being admitted as First Fellow of the Subspecialty. The Executive Council of the HKCOS at its 13th Council meeting had approved the admission procedure by sending out invitation letters to all Fellows of our College inviting them to apply if they satisfy the basic requirement. The deadline of this application was set on 31 January 2004 (overseas Fellows is allowed two more weeks). This is an one-off exercise. After receiving all the applications, the Council will examine the application forms and submit those who qualified to the assessment of the external assessors. Once passed by the external assessors, the College will have its First Fellows. The Executive Council will then proceed to firstly submit the final list of First Fellow to the HKAM for approval and secondly will form a Subspecialty Board of Rehabilitation (in Orthopaedic Surgery). Once being approved and the Subspecialty Board formed, the Board will carry out the mission of accreditation of training centres, trainers, its CME or CPD activities and looking after the training curriculum. The Board will be responsible for the setting up, keeping and promoting the professional standard in orthopaedic rehabilitation. Indeed this is a great step forward in the development of orthopaedic surgery in Hong Kong and our College. With this new subspecialty, the College has provided those young and up-coming orthopaedic surgeons who may have special interest in orthopaedic rehabilitation a much better opportunity and environment. We must thank our pioneers Professor Sir Harry Fang and Dr. S. F. Lam and others’ contribution in building up the rehabilitation services of today’s magnitude and size of service to the community.

9 Newsletter 2003-2004 (Issue 2) P.9 Application to the First Fellow of Subspecialty in Rehabilitation Extension of Deadline for application to First Fellow of Subspecialty in Rehabilitation The deadline has been extended until the date of formal establishment of training program. The exact date is not yet fixed, but probably in July this year. So please hand in your application if you have not yet done so. ( for details please refer to your College homepage at ) Continuous Professional Development (CPD) The Academy is actively promoting individual colleges to develop CPD program with a view to replace the existing CME programs. Your council has considered the system in several countries including Canada and Australia. We have found the Australian system more structured. Some fellows who are also fellow of the Australian College are satisfied with its function. Their system may involve surgical audit, e.g. log book, peer review and voluntary reporting of morbidity. The CME committee will further investigate the possibilities. Announcement for the Program of “Master of Science/Postgraduate Diploma in Sports Medicine and Health Science, 2004” Program Master of Science/Postgraduate Diploma in Sports Medicine and health Science Organizer Organized by the WHO-CUHK Collaborating Centre for Sports Medicine & Health Promotion Department of Orthopaedics and Traumatology School of Public Health Commencing Date September 2004 Contact For those interested, please contact Phoebe Leung by E-mail:

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