Career Development Forum 2014

for Medical Students

23 January 2014

Co-organizers: The Chinese University of Hong Kong Medical Alumni Association Faculty and Planning Office, Faculty of Medicine

General Introduction of Specialties

1. Emergency Medicine

2. Anaesthesiology

3. Family Medicine

4. Internal Medicine

5. Obstetrics & Gynaecology

6. Ophthalmology

7. Orthopaedics &Traumatology

8. Radiology

9. Surgery

10. Paediatrics

1. EMERGENCY MEDICINE

Speaker: Dr Leung Tsz Hang

Emergency Medicine

• A&E = Gatekeeper (NOT Post Office) of the Hospital

• Are you able to:

Be breadth rather than depth?

Be flexible, multi-task and set priorities on tasks?

Use the least to do the most?

Dig out red flags but have to tolerate uncertainty?

Be a calm conductor to a chaotic orchestra?

Make decisive decisions from reasonable reasons?

Emergency Medicine

• Future of A&E

Trauma co-ordinating service

Diagnostic ultrasound

Sports medicine

Disaster and administrative medicine

Pros Cons

Shortest working hours (48hrs/wk) of all specialties (even < pathology)

Shift work, have “N” duty when you are AC / CONS

Every day is a new day, no patient burden

No care continuity, patient unlikely to send you a thank you card

You know how to manage a wide range of common problems

Have to rely on others for more difficult and specific problem

2. ANAESTHESIOLOGY

Speaker: Dr Louis Mok

What do we do?

• Provides anaesthesia

Pre-, intra- and post-operative management

Inside and outside operating theatre

• Pain medicine

• Intensive care

• Resuscitation and stabilisation of the critically ill

• Scientific research

What do we look for?

• Vigilance

• Safe

• Able to work under stressful situation

• Commitment to the book-works

What is the training like?

• 6-year vocational training program

Clinical anaesthesia

ICU

Elective options/Non-anaesthesia clinical experience

• 2 exams

Intermediate; pharmacology & physiology

Final Fellowship; clinical

Passing rate ~40-60%

Training pathway

1st – 2nd yr

3rd - 5th yr 6th yr Fellow

Register with HKMA

Intermediate exam

Final exam Exit assessment

Subspecialty training:

Pain, paeds, cardiac etc.

3. FAMILY MEDICINE

Speaker: Dr Judy Cheng

Family Medicine

• Around 70% of clinic consultations are made with

primary care practitioners in the private sector

Family Medicine

• Vocational Training

Cat I: 4 years basic training: 2 Hospital Based + 2 Community Based

Cat II: 5 years general practice

Conjoint HKCFP/RACGP Fellowship

written (2 yrs) + clinical (4 yrs)

FHKAM(FM)

Family Medicine Career Development • Different settings:

Public hospital, private hospital

Clinics

Public ( Triage clinics, GOPDs, boat and village clinics, DH clinics) NGOs Group practices, solo practices

Office: administrative work, universities

• Different sub-specialties

Mental health ( family therapy, couple counselling)

Womens/ Mens health

Childcare development

Dermatology ( Aesthetics)

Sexual health

Musculoskeletal

Career Development

• Different roles

Academia: Teaching/ Research

Counsellor

Minor surgeries

Administrative work: clinic, public health

• Different patients and co-ordinated care with different medical

professions

• Different stages of health care: acute, chronic, primary

prevention, palliative …

4. INTERNAL MEDICINE

Speaker: Dr Alice Mok

Internal Medicine

• Originates from German Innere Medizin

• Combines laboratory science and patient care

• Physicians / Internists

• Prevention – Diagnosis – Treatment

• Invisible – Visible

• Life saving – Dying

Subspecialties

• Cardiology

• Endocrinology

• GI & Hepatology

• Geriatric Medicine

• Haematology

• Infectious Disease

• Nephrology

• Neurology

• Respiratory Medicine

• Rheumatology

• Clinical Pharmacology and

Therapeutics

• Critical Care Medicine

• Palliative Medicine

• Immunology & Allergy

• Rehabilitation

• Internal Medicine

• (Medical Oncology)

Training pathway

• Basic physician Training

MRCP exam (Part I + Part 2 written, Part 2 Paces)

Usually 3 years

• Higher Physician Training

Dual training of 2 subspecialties (AIM + Own Subspecialty)

1 intermediate + 1 exit exam for each subspecialty + 1 dissertation

Usually 2 + 2 years

Fellow of College of Physician

Thank you!

5. OBSTETRICS & GYNAECOLOGY

Speaker: Dr Chan Oh Yee

HKCOG

• Training: 6 years

• Basic (1st - 4th yr) and higher trainee ( 5th – 6th yr)

• 6 – 12months elective attachment/research

• On call: a 1 in 3 to 1 in 5 rota.

• Logbook

Trainer

Formative and summative assessment

Log of experiences

OSATS

20 case reports

• Exam:

MRCOG

part 1: HO – 3rd year

SOE: 3rd year

Part 2: 5th year

USG exam

FHKAM (OG)

• Post fellowship training -- subspecialty training

MFM, oncology, urogynae, subfertility

• http://www.hkcog.org.hk

6. OPHTHALMOLOGY

Speaker: Dr Byron Chu

Minimum of 6 years to become a specialist

• 2+4 Training and Exam system

2 years of Basic training

4 years of Higher training

• Passing Part B

AFCOpthHK

MRCSEd (Ophthalmology)

• Passing Part D

FCOpthHK

FHKAM (Ophthalmology)

Sub-specialties

• Cornea & External Eye (Anterior Segment)

• Glaucoma

• Neuro-ophthalmology

• Oculoplastics

• Vitreo-Retina & Macula (Posterior Segment)

Career development

• LOTS of out-patient care

• Plenty of challenging and rewarding operations

• Competent general ophthalmologist

• Develop special interest/competency in subspecialty

• Research – regardless of whether one is a University or

HA staff

7. ORTHOPAEDICS & TRAUMATOLOGY

Speaker: Dr Jason Mok

Orthopedic

What we do:

• Deal with the musculoskeletal system

• Out-patient clinic

• Ward round

• Operation

Anatomy

Mechanics

Know the implants and equipment

Large varieties

Orthopedic

Training:

• Basic surgical trainee – 2 years

Same as surgery

MRCS exam

• Higher orthopedic trainee – 4 years

Fellowship exam

• Specialist

Orthopedic

Subspecialties:

• Trauma

• Spine

• Hand

• Foot and ankle

• Sport

• Joint

• Pediatric

• Tumor

8. RADIOLOGY

Speaker: Dr Simon Wong

Radiology

• Diagnostic

Plain radiograph

Fluoroscopy

Ultrasound

Computer tomography

Magnetic Resonance

Imaging

• Interventional

Non-vascular

Vascular

Training requirement

• A minimum of 6 years

• Basic Specialist Training

At least one year of post-registration clinical experience outside radiology (eg.

Internal Medicine, General Surgery, Paediatrics, Emergency Medicine, Obstetrics

& Gynaecology, Orthopaedics, etc).

First FRCR examination (after starting radiology training)

Anatomy and Physics

• Final FRCR (Part A) examination (after passing 1st FRCR)

6 single best answer (SBA) papers (CVS, MSK, GI, GU, Paediatric, CNS)

• Final FRCR (Part B) examination (after passing 2A and completed 3 years

radiology training)

Reporting session, rapid reporting session, oral examination

http://www.rcr.ac.uk http://www.hkcr.org/

Training requirement

• Higher Specialist Training

Two years started immediately after passing IIB

• Exit assessment for fellowship

After completion of Higher Specialist Training

Training records, appraisal reports, 30-minute oral assessment

http://www.rcr.ac.uk http://www.hkcr.org

Applicants may find the points below of

assistance…

• Get a good CV as a medical student (eg, anatomy prize)

• Undertake a portfolio of mainstream acute care clinical posts in Foundation

Years

• Consider whether your clinical skills will be enhanced by spending a period

of time in core training in acute care clinical specialties such as medicine,

surgery or paediatrics. However, entry directly from FY2 is permissible.

• Take or create any opportunity for audit/research in an imaging topic

• Foster links with local radiology departments (eg sit in on reporting, attend

relevant MDT meetings)

• Consider an elective in radiology as a student or during Foundation Years

The Royal College of Radiologists

Becoming a Clinical Radiologist

http://www.rcr.ac.uk/

9. SURGERY

Speaker: Dr Vicky Wong

Basic Surgical Trainee

• General surgery

• Ortho

• ENT

• CTS

• NS

Rotation

• 2 years rotation: 3m or 6m

• At least

6m: general surgery

6m: emergency surgery eg AED, ICU, ortho

• Places:

gen surg

ortho

CTS/ NS/ urology/ENT/ plastic surgery/paediatric surgery

AED/ ICU

Examination

• The college of surgeon of Hong Kong (http://cshk.org/)

• HKICBSC Membership Part 1: MCQ (basic science)

• HKICBSC Membership Part 2: MCQ (clinical)

• HKICBSC Membership Part 3: OSCE/VIVA

Examination

• The college of surgeon of Hong Kong (http://cshk.org/)

• HKICBSC Membership Part 1: MCQ (basic science)

• HKICBSC Membership Part 2: MCQ (clinical)

• HKICBSC Membership Part 3: OSCE/VIVA

Complete part 1, 2 and 3 + 2 years surgical training =

member

Higher Surgical Trainee

• Fully registered with the Medical Council of Hong Kong

• The Ordinary Membership of CSHK

• Pass the Conjoint Selection Exercise of Higher Surgical Trainees

Can FAIL twice only

• Obtain a Higher Surgical Training post

Gen surgery

Ortho

Urology

NS

CTS

Plastic

ENT

Paediatric

Higher Surgical Trainee

• 4 or 5 years training period

• Fellowship exam

=> Pass fellowship exam + complete training requirement

= specialist

10. PAEDIATRICS

Speaker: Dr Cheng Ling Ling

Paediatrics Training

• Basic Training : ~ 3 years to reach membership

Exams:

Part 1 paper

Part 2 paper and clinical

• Higher Training: ~ 3 years to reach fellowship

Log books

Dissertation

Viva exam

• Fellowship:

Overseas training

Exit for Paediatrics Specialist

• Hospital based :

HA ( HKCP, peripheral hospital )

subspecialty training

Private

• MCH / Child Assessment Centre

• Private Clinic base

Thank you!