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Reform of the regulation of medical practitioners in Hong Kong: a comparison and a survey Dr TK Chan MBChB MRCS LLM Assistant Professor, Anatomy Li Ka Shing Faculty of Medicine The University of Hong Kong
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The blame? Beauty centre individual rules/regulation Medical doctor individual rules/regulation
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Current regulation Non-specialists can practise as a general practitioner independently without any postgraduate training in family medicine; do not have to regularly revalidate their licenses; and may give invasive cosmetic treatment even without a specialist’s qualification in plastic surgery or dermatology.
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It has 47 members. 11 are elected members from the profession The rest are the nominees of the Privy Council, the Universities, the Royal Colleges and the Licensing Corporations. There were 3 lay members. GMC in the 50s
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Disciplinary process Penal Cases Committee Disciplinary Committee Investigation Hearing and decision making
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The Disciplinary Committee: 6 of the 18 members were directly elected members of the GMC. Any member of the GMC on the Penal Cases Committee is precluded from serving on the Disciplinary Committee when that same case is under inquiry.
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Licensed doctors do not have to revalidate their license or receive any compulsory education
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It comprises 12 members. 6 are lay members and 6 medical members, all of whom are appointed by Privy Council against specified criteria and competencies. GMC nowadays
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Disciplinary process Case examiners Fitness to Practice Panel Investigation Hearing and decision making Investigation Committee Interim Order Panel
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Council members cannot serve as case examiners or sit on the Investigation Committees, or Fitness to Practise Panels
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All licensed doctors have to revalidate every five years by having regular appraisals.
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Medical Council of Hong Kong comprises 28 members. 14 are elected members from the profession. There are 4 lay members. MCHK nowadays
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Disciplinary process Preliminary Investgiation Committee Disciplinary Inquiry Investigation Hearing and decision making
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There are 7 members on the Preliminary Investigation Committee. The quorum of a meeting is 3, at least 2 of which are council members. For Disciplinary Inquiries, 5 council members or 3 council members + 2 independent assessors will form a quorum. Disciplinary process
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Licensed doctors on the General Register are not required to receive any continuing education or revalidate their license. Continuing medical education is only required for registered specialists who want to remain on the Specialist Register. Revalidation
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Singapore nowadays Complaints Committee Disciplinary Tribunal Investigation Hearing and decision making Interim Order Committee
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All licensed doctors have to participate in compulsory continuing medical education Singapore nowadays
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Taiwan nowadays Central, municipality, or county authorities Committee on the Discipline of Physicians Investigation Hearing and decision making
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All licensed doctors have to participate in compulsory continuing medical education and submit documentary proof of completed continued education every six years to renew their practice license. Taiwan nowadays
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Constitution of regulators Revalidation of medical professionals Tackling concerns about medical professionals Proposed changes in Hong Kong
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A cross-sectional telephone survey from 8 December 2012 to 13 December 2012 The telephone numbers of households were generated by random-digit dialing Methodology of the survey
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A total of 1066 eligible respondents were reached and 811 completed the interview. Sample data were weighted to adjust for their difference from the general population Methodology of the survey
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