the hong kong college of family physicians family … · 2015. 10. 2. · dr. sze lung yam dr. sze...

Message from the PresidentIssue 92October 2011

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THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

Family Physicians Links

INSIDE THIS ISSUE

01 MessagefromthePresident02 CollegeNews: 02 CMOD,34thHKCFPAnnualGeneralMeeting,34thHKCFP

AnnualDinner,PublicEducationCommitteeNews 03 MessagefromthePresident(cont.),HKCFPAnnual

ReportGoesPaperless,SpecialtyBoardNews 04 AGMofSocietyofGeneralPracticeoftheChinese

MedicalAssociation,MembershipCommitteeNews,ClassifiedAdvertistments

05 BoardofDiplomainFamilyMedicine–Lectures

06 HKCFPResearchFellowship2012 07 TheHKCFPAwardfortheBestResearchof201109 AfterHours:CyclinginTuscany10 TraineeColumn:GenogramDrawingMadeRidiculouslySimple!12 NewsCorner:FDARecommendsNewRestrictions,

Contraindications,andDoseLimitationsforSimvastatintoReducetheRiskofMuscleInjury

13 LearningPointsfromBoardofEducation14 BoardofEducationNews20 CollegeCalendar

On11thSeptember,2011,ourHonorarySecretary,Dr.LawTungChiwasmarriedtoDr.SunnyLi.ManymembersofourCollegeattendedtheweddingtowitnesstheirloveandhappiness.CongratulationstoDr.LawandDr.Li,andweallwishthemalonghappylifetogether.

On the Saturday afternoon of 17 th

September, Ihad thegreatpleasure tojointheFamilyMedicineandGeneralOut-PatientClinicsRetreatof theKowloonCentralClusterat the保良局羅傑承北潭涌渡假營ledbyDr.ChanKingHong.Theactivitywasverywellorganizedanditwasgreatfuntobeabletojoinandmeetbotholdandnewfriends.Theobjectivesoftheretreatwereservicequality,researchandcommunicationenhancement.

Ontheeveningof24thSeptember, Ihadanothergreatopportunity tomeetourtraineesatadinnergatheringorganizedby BVTS. I would l ike to thank theChairmanofBVTS,Dr.QuincyYuen,theChairmenoftheHigherandBasicTrainingSubcommittee,Dr.BillyChiuandDr.PangSiuLeung,andboardmembersDr.EdwinChan,Dr.LawTungChi,Dr.BennyLuiandallthetraineeswhohavejoinedthedinner.

FamilyMedicineandGeneralOut-PatientClinicsRetreatoftheKowloonCentralCluster.Dr.ChanSzeLuen,Dr.RubyLeeandDr.ChanKingHong(fromlefttoright)

Trainersandtraineesenjoyingthegroupdiscussion

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BVTSSocialDinnerGathering

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“Council Member-On-Duty” (CMOD) System

DearCollegemembers,

Wearestillprovidingthisalternativechannelofcommunicationforyoutoreachus.Doletushaveyourideasandcommentssothatwecanfurtherimproveourservicestoallthemembers.

Forthismonth,from15thOctober2011to14thNovember2011,Dr.MarkChanandIwillbetheCouncilMembersonduty.Pleasefeelfreetomakeuseofthischanneltovoiceyourdoubts,concerns,queries,andcommentsaboutanythingrelatingtoourCollegeandFamilyMedicine.YoucanreachusbycontactingourCollegeSecretariatbyphone:25286618,byfax:28660616,orbyemail:[email protected],wewillgetintouchwithyouassoonaswecan.

Dr.TonyCKLeeCo-ordinator,CMODSystem

Dr.MarkChan Dr.TonyCKLee

17th December 2011, Saturday

17th December 2011, Saturday

34th HKCFP Annual General Meeting

34th HKCFP Annual Dinner

Time : 18:00

Venue : RegalPalace 3/F,RegalHongKongHotel,88YeeWoStreet,CausewayBay,HongKong

Admission : CollegeMembersonly

Time : 19:00Reception

19:30Chinese-StyleDinner

Venue : RegalPalace 3/F,RegalHongKongHotel,88YeeWoStreet,CausewayBay,HongKong

Admission : CollegeMembersandtheirfamilies,freeofcharge.Registrationinadvanceisrequired

Registration : RegistrationforAnnualDinnerwillbemadeonfirst-come-first-servebasis.PleasereserveyourseatviaCollegeAdministrativeStaff,Ms.WindyLau/Ms.PriscillaLi,[email protected]/[email protected].

Carparking : Youareadvisedtousethepublicparkingarealocatedin • PaliburgPlaza(EntranceatIrvingStreet,nexttoRegalHongKongHotel) • LeeGardenTwo(EntranceatPenningtonRoad) • WindsorHouse(EntranceatGreatGeorgeStreet)

Public Education Committee News

The"SurveyonInfluenzaVaccination inHongKong” isavailableonlineattheCollegewebsiteforourmemberstoreportthenumberof influenzavaccinedosesadministeredfrom1stSeptember2011to31st

October2011.ThereportingdeadlineforthisfirstphaseofdatacollectionisFriday4thNovember2011.One(1)CPDpoint(Cat3.7)willbegiventomemberswhoparticipateinboththefirstandsecondphases.Thetimingofthesecondphaseofdatacollectionwillbeannouncedinduecourse.

Dr.LamWingWo,EdmundChairman,PublicEducationCommittee

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Onbothoccasions, Iwasmostdelighted thatmanytraineesareinterestedinresearch.Primarycare is now a WHO prioritywith tremendouspotentialinresearchandpublications.HongKongispartofChina,anationholdinganimportantroleinworld'shealthwithitsemergingprimarycare.HongKongisalsopartofSoutheastAsia,aglobalmicrocosmwithhugediversity.Weareinauniquepositionduetofactorssuchasmigrantpopulationanduniversalaccesstohealthcare,andprimarycareresearchcanprovideevidence-basedanswerstomanycommonclinicalquestions.

On18thSeptember,Dr.ChanPangFeiandDr.LukKamHungrepresentedusattheHongKongCollegeofPaediatricians2011PaediatricUpdatetoshareourexperienceinclinicalauditinbothpublicandprivate

(Continued from page 1)

Message from the President

Dr. Chan Pang Fai (left) and Dr. Luk Kam Hung (second left)attendingthePaediatricUpdate

HKCFP Annual Report Goes Paperless

DearCollegemembers,

Topreserveourenvironment, itwasdecidedattheCollege's366thCouncilMeetingthathardcopiesofAnnualReportsWILL NOTbesenttoyourmailingaddresseffectivefrom2011.MemberswillbenotifiedbybothpostalmailandemailoncetheelectronicAnnualReportisavailablefordownloadintheCollegewebsite.

Shouldyouhaveanyquerieson theabovearrangement,pleasedonothesitate [email protected].

Thanksforyourkindsupport.

Dr.LawTungChiHonorarySecretary

TheSpecialtyBoard ispleased toannounce that the followingcandidateshavesuccessfullypassed theExitExaminationofHKCFPin2011.

Specialty Board News

Dr.ChanChiWingDr.ChanChinPingDr.ChanPuiWaiDr.ChanYingHoDr.ChauKaiManDr.ChenXiaoRui,CatherineDr.CheungHardKingDr.CheungManHaDr.CheungNgaiFungDr.ChingTakKwan,JoyceDr.ChowChongKwanDr.ChungChakCheongDr.ChungKinWingDr.FokPeterAnthony

Dr.FungPakKeiDr.HoKaMingDr.HungChiBunDr.IpYanYanDr.KwanWingYan,WendyDr.KwanYuDr.KwokVincciDr.LaiSheungSiuDr.LaiSiuWaiDr.LamWaiChi,RockyDr.LamWaiHang,EddieDr.LauChiHungDr.LeeKaPikDr.LeeKarFai

Dr.LeeManKeiDr.LeungToFungDr.LeungWaiManDr.LiYuenYuenDr.LimMoKinDr.LoLingDr.NgMeiPo,JackieDr.NgPakHimDr.PoonMingWaiDr.ShuenChuenKwok,MarianaDr.SinKaLingDr.SitWingShanDr.SzeLungYamDr.SzePuiKa

Dr.TamKitPingDr.TangKinSzeDr.WongHoCheongDr.WongKwokHoiDr.WongKwok,KittyDr.WongManKinDr.WongSzeNgaDr.WongTakLungDr.WongYuFaiDr.WongYukShanDr.YipTzeHungDr.YipWahYungDr.YoungSukChing

Congratulationstoyouall!

Dr.TsuiWingSze,WendyChairlady,SpecialtyBoard

clinics.Clinicalaudit isausefulqualityassuranceexerciseforcontinuousprofessionaldevelopmentnotjustforus,butforotherspecialitiesaswell.

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TheCouncilapproved,onrecommendationof theMembershipCommitteeChairlady, the followingapplicationsformembershipinSeptember 2011 CouncilMeeting:

Membership Committee News

Associate Membership (New Application)

Dr. LAU Sek Fung Spike 劉錫峰

Dr. WAN Jason Cheong Pui 溫昌培

Dr. WU Chun Yu 胡振宇

Dr. YEUNG Yee Mei 楊綺薇

ClinicAvailable

Classified Advertisements

Accredited Private FM Centre invites Specialists forsessionalconsultations,1-2/wkCardiologists,ENT,Psychiatrists,OphthalmologistsandGynecologistsmost welcomed. Profit sharing + Bonus. Send [email protected](Attention:AmyCHAN)

Accredited Private FM Centre invites energetic Doctors tojoinforexpandingservices.Basic/higherFM Trainee, A&E Officers, specialists welcomed.AttractiveBasic+ProfitSharing±[email protected](Attention:AmyCHAN)

FMtraineevacancyatMaOnShan.Musculoskeletalmedicine trainingwithexcellentprospect.Flexibleworkinghours,3weeksannual leave.Basicsalaryplusbonus.Tel:90162909

G/F Clinic near North Point MTR with 2 consultation rooms, modern furnishedwithcomputerization forrental/GOODBARGAINPRICEfortake-over,walk-in-and-practice.AvailableImmediately.ContactMs.AmyCHAN92126654.

Full-time GP/ Locum/ Specialists wanted. 九龍商場鋪,WelcomeJointInvestment.Transparent&generousBonus + Excellent Prospect. Dr. Kam 3165 [email protected]

PositionsVacant

AGM of Society of General Practice of the Chinese Medical Association

The AGM of the Society of General Practice ofthe Chinese Medical Association was held inXian thisyearon16thSeptember. TheMinisterofHealthChanZhu isnowHonoraryPresident,andsince the top-downorder fromStateDepartmentto “develop” general practice was given, muchprogresshavebeenmade.Train-the-trainercourseshave been organized in different provinces andcitiesandthereismorerecognitionofprimarycaredoctorswithnewfinancialincentives.

Iwas invitedasakeynotespeakerandspokeon“Meeting thechallengesofbeingagood familydoctor”.Inthediscussion,Ihaveraisedmyconcernsonthe limitationsgeneralpractitionersare facingunderthepresentprimarycaresystem.

Dr.DonaldLiDr. Donald Li at the AGM of the Society of GeneralPracticeoftheChineseMedicalAssociation

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Topics and Speakers :

Dates Topics Speakers

12 Nov 2011 (Sat) Module III – Introduction to Family Therapy Dr. Daniel W. S. Chu

19 Nov 2011 (Sat) Module III – Practice Management Prof. Donald K. T. Li

3 Dec 2011 (Sat) Module V – Musculoskeletal Workshop Mr. Luck Li

10 Dec 2011 (Sat) Module III – Anticipatory Care Dr. David V. K. Chao

17 Dec 2011 (Sat) Module III – Care for the Elderly & Chronic Illness Prof. Daniel T. P. Lam

Co-ordinators : Dr. Au-yeung Shiu Hing & Dr. Wong Pak Hoi BoardMembers,TheBoardofDiplomainFamilyMedicine,HKCFP

Venue : CouncilChamber,Room802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad, Wanchai,HongKong

Time : 2:30p.m.–5:00p.m.LectureandDiscussion

Accreditation : 3CMEPointsHKCFP(Category4.3) 3CMEPointsMCHK

Registration Fees (Pleasetickasappropriate):

Dates Topics HKCFP Member Non-member

12 Nov 2011 (Sat) Module III – Introduction to Family Therapy HK$200 HK$400

19 Nov 2011 (Sat) Module III – Practice Management HK$200 HK$400

3 Dec 2011 (Sat) Module V – Musculoskeletal Workshop HK$400 HK$800

10 Dec 2011 (Sat) Module III – Anticipatory Care HK$200 HK$400

17 Dec 2011 (Sat) Module III – Care for the Elderly & Chronic Illness HK$200 HK$400

Capacity : 20 Doctors

Registration : Registrationwillbefirstcomefirstserved.Forregistrationorenquiries,pleasecalltheCollegesecretariat,Ms.DickieLamat28610220.Allchequesarepayableto“HKCFPHoldingsandDevelopmentLimited”.PleasemailthechequetoRm802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai.All feesreceivedarenon-refundableandnon-transferable.

Board of Diploma in Family Medicine (DFM) - Lectures

To: HKCFP,Room802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

(Fax:28660981)

DearSir/Madam,

Iama*Member/Non-MemberoftheHongKongCollegeofFamilyPhysicians.(*Pleasedeleteasappropriate)

Iwouldliketoattendlecture(s)ofModuleIII/VatCouncilChamber,Room802,8/F,DukeofWindsorSocialService

Building,15HennessyRoad,Wanchai,HongKong.

Name :

Tel No. :

Email :

Date :

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HKCFP Research Fellowship 2012

Introduction

The HKCFP Research Fellowship was established by the Hong Kong College of Family

Physicians to promote research in family medicine. The grant is up to the value of HK$100,000.

It provides the successful candidate with protected time to develop research skills. Applicants

are expected to have regular contact with a nominated supervisor with research doctorate degree or equivalent.

Eligibility

Applicants for the HKCFP Research Fellowship must be active Fellows, active Full Members or

Associate Members of the HKCFP. New and emerging researchers are particularly encouraged

to apply.

Selection criteria

Applications will be judged on*:

• training potential of applicants

• relevance to family medicine and community health

• quality

• value for money

• completeness (incomplete or late applications will not be assessed further).

* Please note that new researchers and those at an early stage

of their research careers are encouraged to apply.

How to apply

1. Application form, terms and conditions of the Fellowship can be downloaded from www.hkcfp.org.hk

or obtained from the College Secretariat, HKCFP at Rm. 802, 8/F, Duke of Windsor Social

Service Building, 15 Hennessy Road, Hong Kong. Tel: 2861 0220 Fax: 2866 0981

2. Applicants must submit:

• the completed application form,

• the signed terms and conditions of the HKCFP Research Fellowship,

• a curriculum vitae from the Principal investigator,

• a curriculum vitae from the co-investigator(s), AND

• a curriculum vitae from the supervisor.

3. Applications close: March 31, 2012. Late applications will not be accepted.

4. Applications must be sent to Chairman, Research Committee, The Hong Kong College of

Family Physicians, Rm. 802, 8/F, Duke of Windsor Social Service Building, 15 Hennessy

Road, Hong Kong.

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The HKCFP Award for the Best Research of 2011

The Research Committee of the Hong Kong College of Family Physicians has an Award for the

Best Research of the Year 2011. All members and fellows of the College are invited to participate

and submit their research papers to the Research Committee for selection. The Award will be

presented at the Conferment Ceremony in 2012.

Entry and assessment criteria are listed below:

Entry Criteria:

1. The principal investigator has to be a Member or Fellow of the Hong Kong College of

Family Physicians.

2. The research must be original work of the investigator(s).

3. The research should be done in Hong Kong.

4. The research must have been completed.

5. The paper should be presented under the standard headings of Abstract, Introduction,

Methodology, Results, Discussion and Conclusion. References should be listed in full

at the end in Harvard or Vancouver format.

Assessment Criteria:

1. How relevant are the topic and findings to Family Practice?

2. How original is the research?

3. How well-designed is the methodology?

4. How well are the results analysed and presented?

5. How appropriate are the discussion and conclusion(s) drawn?

6. How useful are the results for patient care in Family Practice?

7. How much effort is required to complete the research study?

Each research project submitted will be assessed according to the seven criteria listed above by

a selection panel. Each criterion may attract a different weighting to be decided by the selection

panel. Please send your submission to: Research Committee, HKCFP, Rm. 802, 8/F., Duke of

Windsor Social Service Building, 15 Hennessy Road, Hong Kong.

DEADLINE OF SUBMISSION: 31st January, 2012.

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9"Submissions of articles to After Hours with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciation if the articles are selected for publication. Email: [email protected]"

AFTER HOURSOctober

b y D r . J U D Y CHENG , H I GHER T R A I N E E N T EC

The following depicts the tortous details of a 5 day cycling tour in Tuscany at the height of summer 2011.

CYCLING IN TUSCANY

he ed i tor ia l team of AFTER HOURS endeavors to s tay t r ue to our

principles in each of our issues that i s to on l y pub l i sh h igh l y entertaining and leisurely articles which have no hints of hard work at all. But alas, I may be the first and last of our team to publish such a brow sweating ordeal of which I have described in detail below.

The beginning started with a brochure displaying pretty idyllic vineyards in the mist of a rising Tuscan sun. What better way to explore the very bowels of Tuscany than cycling along the picturesque village lanes amongst a meadow laden with flowers? So the trio of us set o with much enthusiasm on our 5 day bicycle tour of Tuscany in

Italy. Little did we notice the small print of warning at the very back of the brochure stating that cyclist had to be quite fit and take care not to exert themselves too despite the factthat this was not Tour de la France.

We were quite cocky after the first hour of cycling and congratulating ourselves that we weren’t too far behind from our fellow travelers. By the end of the day, we could hardly find the strength to eat or find the bit of buttock that cou ld s i t comfortably on a hard c h a i r . S o I h a v e detailed our chronicles:

Monday

Setting offfrom Florence. We stop at a beautiful vineyard for lunch and wine tasting in its century old cellar. Then it’s all uphill and downhill all the way to Greve.

Tuesday

GreveWe set off for a loop tour in Greve where we visit the 11th century abbey of Badia di Passignano and enjoy dinner at the Michelin awarded Osteria di Passignano.

Wednesday

PanzanoWe stop at this small town where we meet Dario Cecchini, one of the most famous

Tuscan butchers (shown in photo below). Dario has appeared in Jamie Oliver’s cookbooks!

Thursday

RaddaWe meet many other friendly fellow cyclist on our way who shout - “the girls again!” They have repeated the route twice whereas we’re still finishing one lap.....

Friday

SienaAt last we arrive at the beautiful medieval city of Siena. Most importantly- we survive the trip!

A Tuscany summer

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Daily Events

Genogram Drawing Made Ridiculously Simple!

Drawing a genogram is a basic and importanttaskforeveryfamilydoctor,especiallyforFMexitexamcandidates. Thereareproblemswith thetraditionalhand-drawngenogram:

1) Needtoupdate theageofvariousmembersinthegenogrameveryyear.Althoughyoucanchoosetowritedowntheyearofbirth insteadoftheagewhiledrawingthe initialgenogram,itisactuallyquitetroublesometofigureouttheactualageofeachpersonwhenyouarereadingthegenogramduringaconsultation.

2) Whenyouaddnewmembers toanexistinggenogram,suchasanewbaby,oranewmaritalrelationship,youmayhavenospace todrawthem,andyoumayneedtoredrawthewholegenogram.

3) Difficult toadda lotof information toeachmemberonthegenogram,anddifficulttokeepthegenogramtidywhenyouneedto rewritetheinformation.

4) Nowadaysfamilymedicineclinicsarebecomingmorecomputerized.Youmaywanttostorethegenograminanelectronicformat.

IwouldliketosharewithyouagoodsolutionthatIhavefound:averyuserfriendlycomputerprogramthatcanproduceasmart lookinggenogramwithonlyafewclicksandkeystrokes!

With theuseof several short-cutkeys, youcancreateabigfamilyjustlikeGODcreatedmankind!Letmeguideyouthroughthisexcitingprocess…

Bypressing the letter“W”,you’vecreatedaman!(And“E”forwoman,Man+Woman=“WE”)

Bypressingtheletter“M”,you’vecreateda“mate”forthisman,justlikeGODcreatedawifeforAdam!

Bychoosingan individualandpressingtheletter“S”,thecouplegivesbirthtoason…

By press ing “D” t wice,you’vecreatedtwoyoungersistersforthisboy!

Dr. TB Chan, Higher Trainee, New Territories East Cluster

Youcancontinuetopress“M”tocreateawifefortheson,andcontinuetocreategrandchildrenasyou like.However, the genogrambecomesmessy…

Noneedtoworry,a simple click onthe“Autoarrange”keywillmake theg e nog r a m lo o kgreatagain!

Nowyoucanstartentering information foreachmemberinthegenogram.Youcanenterthedateofbirth foreach individual, andenterallothermedicalandsocialhistoryinthe“Comment”part.

The genogram willshow the date ofb i r t h o n t h e to pof each individual,a n d t h e a g e w i l lbe calculated andshown inside eachindividual’ssymbol.

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By selecting “Comments” from the “Display”pulldownmenu,thegenogramwillbecomeveryinformative!Youcanalsoselectarelationshiplinebetween couplesa n d a l t e r t h e i rrelationship.Inthisexample,theelderdaughterdivorcedher hus band a l lbecauseofyou!

Finally,youneedto indicatewhoare livingwithwhom.Simplypressonthe“Ctrl”keyandselecttheindividualswiththemouse,thenrightclickthemouseandchoose“NewHousehold”, youwillmakethemlivetogether!

Inorder to indicate the indexpatient, youcanselect thepersonandclick the“enlarge font”buttontomakehimorhermoreobvious.

Withthispowerfulcomputerprogram,youcanputanyonetodeathwithonekeystroke!Byselectingan individualandpress“X”, thepersonwilldieimmediately! You canwrite down the causeof death, the age andtheyearofdying in thecommentpart.

Toshowthelegendforthesymbolsusedineachparticulargenogram,simplypointthemousetoanemptyplaceonthechartandpress“Y”,andyouwillgetthefollowinglegends.

“Submissions of articles to Trainee Column with up to 1200 words are always welcome. Gift vouchers will be given as a token of appreciations for good works if the articles are selected for publication. Email: [email protected]”

Now that youhavecreatedabasicgenogram,theageofeach individualwillchangeeachyearastimegoesby,andyoucanedittheinformationof each individual and alter their relationshipsas frequentlyasyou like. Youcanalsoaddnewpersons to thisgenogrameasily. The symbolsofeach individualcanbemovedfreelybysimplemousedragging,andyoucanmovethewholesub-familybyselectingalltheindividualsanddraggingthemtogether.

Howcanyoustoregenogramsonyourcomputerandrecall themduringbusyconsultations? Youcanusepatient’s IDnumberorcasenumberasthefilenames.WiththepowerfulsearchfunctionofWindows7,youcansearchandopenaspecificgenogram f i le within f ive seconds! ( Warmreminder: for GOPC doctors who are storingthese genograms in their personal computersfor thepurposeofexitexam,neverkeepany IDnumberor identifiablepersonal information inyourcomputers.Ithinkusingcasenumbersasfilenamesshouldbeacceptable).

Are thereany imperfectionswith thisseeminglyperfectgenogramdrawingprogram?

1) Itcostsmoney,althoughitisquiteaffordable.

2) When tak ing a family h is tor y f rom yourpatients, theywillusually tell you theageofthe individuals in their families, insteadof thedateofbirthofeachperson. Therefore,youwillneedtotranslatetheageintoyearofbirthif youwant toshow theage. E.g.anage32personshouldhavebornin1978,thenyouneedtoenter1978tomakethesymbolshowsage32within it. Howcomewecannotentertheageandlettheprogramcalculatetheyearofbirthforus? Tomake lifeeasier Ihavepreparedaconversiontable,sothatIcanquicklysearchfortheyearofbirthforeachgivenage.

Interestedcolleaguescantakea lookatthiswebsite:www.genopro.com

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"Submissions of articles to News Corner with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciation if the articles are selected for publication. Email: [email protected]"

FDA Recommends New Restrictions, Contraindications, and Dose Limitations for Simvastatin to Reduce The Risk of Muscle Injury

On6thAugust2011,theU.S.FoodandDrugAdministration(FDA)recommendedlimitingtheuseofthehighestapproveddoseofthecholesterol-loweringmedication,simvastatin(80mg)becauseofitsincreasedriskofmyopathy.Simvastatin80mgshouldbeusedonlyinpatientswhohavebeentakingthisdosefor12monthsormorewithoutevidenceofmyopathy.Simvastatin80mgshouldnotbestartedinnewpatients,includingpatientsalreadytakinglowerdosesofthedrug.FDAisalsorequiringchangestothesimvastatinlabeltoaddnewcontraindications(shouldnotbeusedwithcertainmedications)anddoselimitationsforusingsimvastatinwithcertainmedicines.

Myopathyisaknownsideeffectofallmedicationsbelongingtothestatingroup.Patientswithmyopathymaypresentwithmusclepain, tendernessorweakness,andelevationofcreatinekinase intheblood.Thehigherthedoseofstatinused,thegreatertheriskofdevelopingmyopathy. Rhabdomyolysis,themostseriousformofmyopathy,mayresult inrenalfailure.Patientswithrhabdomyolysismayhavedarkorredurineandfatigue,inadditiontotheirmusclesymptoms.

Data summary:TherecommendationsarebasedonFDA’sreviewoftheStudyoftheEffectivenessofAdditionalReductionsinCholesterolandHomocysteine(SEARCH)trial.Itwasaseven-year,randomized,double-blindedclinicaltrialcomparingtheefficacyandsafetyofsimvastatin80mgtosimvastatin20mg,withorwithoutvitaminB12andfolate,insurvivorsofmyocardialinfarction.

52patients(0.9%)inthe80-mggroupversus1patient(0.02%)inthe20-mggroupdevelopedmyopathy(definedasunexplainedmuscleweaknessorpainwithaserumCK>10timestheupperlimitofnormal[ULN]).22patients(0.4%)inthe80-mggroupversusnopatientinthe20-mggroupdevelopedrhabdomyolysis(definedasunexplainedmuscleweaknessorpainwithserumCK>40timesULN).Therewerenofatalitiesrelatedtorhabdomyolysis.

Therisksformyopathyandrhabdomyolysiswithsimvastatin80mgwerehighest inthefirst12monthsoftreatment,5per1000person-yearsand2per1000person-years,respectively,anddecreasedto1per1000person-yearsand0.4per1000person-yearsafterthat.

Olderageandfemalesexareassociatedwithincreasedriskofmyopathy. InSEARCH,theriskofmyopathywasapproximatelydoubledinpatientstakingacalciumchannelblocker, inparticulardiltiazem.Approximately60%ofthecasesofmyopathywereassociatedwithageneticvariantwhichaffectsthecodingofthetransporterresponsibleforsimvastatinuptakeintotheliver.Thisvariantincreasestheplasmaconcentrationofsimvastatin,thusincreasingtheriskofmyopathy.

ThefindingsfromtheSEARCHtrialaresupportedbyanalysesoftheFDA’sAdverseEventReportingSystem(AERS)database,whichshowthatthelevelofreportingoffatalrhabdomyolysisassociatedwiththe80-mgdoseofsimvastatinhasbeenhigherincomparisonwithlowerdosesofsimvastatinor lowerdosesofmostotherstatins. Inaddition,clinicaltrialdatafromotherlong-termstatintrialsshowedhigheroverallratesofmyopathyandrhabdomyolysis inpatientstreatedwithsimvastatin80mgversuslowerdosesofsimvastatin.

Recommendations to healthcare professions:1. Maintainpatientsonsimvastatin80mgonly if theyhavebeentakingthisdosefor12ormoremonthswithoutevidenceof

muscletoxicity.2. Donotstartnewpatientswithsimvastatin80mg.3. ConsideralternativestatinifpatientsdonotmeettheirLDLcholesterol(LDL-C)goalonsimvastatin40mg.4. Followtherecommendations in thesimvastatin-containingmedicine labels regardingdrugsthatmay increasetheriskof

muscleinjurywhenusedwithsimvastatin.5. Switchpatientswhoneedtobeinitiatedonadrugthatinteractswithsimvastatintoanalternativestatinwithlesspotentialfor

thedrug-druginteraction.

Simvastatin Dose Limitations: Previous simvastatin label New simvastatin labelAvoidsimvastatinwith: Contraindicatedwithsimvastatin:•Itraconazole •Itraconazole•Ketoconazole •Ketoconazole•Erythromycin •Posaconazole(New)•Clarithromycin •Erythromycin•Telithromycin •Clarithromycin•HIVproteaseinhibitors •Telithromycin•Nefazodone •HIVproteaseinhibitors •Nefazodone •Gemfibrozil •Cyclosporine •DanazolDonotexceedsimvastatin10mgdailywith: Donotexceedsimvastatin10mgdailywith:•Gemfibrozil •Amiodarone•Cyclosporine •Verapamil•Danazol •Diltiazem (Note:ThesedrugsarecontraindicatedwithSimcorasSimcorisonly availablewith20mgor40mgofsimvastatin.)Donotexceed20mgsimvastatindailywith: Donotexceed20mgsimvastatindailywith:•Amiodarone •Amlodipine(New)•Verapamil •Ranolazine(New)Donotexceed40mgsimvastatindailywith:•Diltiazem

Avoidlargequantitiesofgrapefruitjuice(>1quartdaily)

Compiled by Dr. Kwong Siu Kei, AlfredReferences:

1. FDADrugSafetyCommunication:Newrestrictions,contraindications,anddoselimitationsforZocor(simvastatin)toreducetheriskofmuscleinjury.Availablefrom

http://www.fda.gov/Drugs/DrugSafety/ucm256581.htm#Simvastatin_Dose_Limitations#Simvastatin_Dose_Limitations

2. Zocor(simvastatin)tablets–PrescribingInformation.MERCK&CO.,INC.Availablefromhttp://www.accessdata.fda.gov/drugsatfda_docs/label/2011/019766s077s082lbl.pdf

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Interest Group in Dermatology - The 26th meeting on 3rd September 2011

Dr. Wong Nai Ming, Co-ordinator Board Member, Board of Education

(Disclaimer:Alladviceandsharinginthemeetingarepersonalopinionsandbearnolegalresponsibility.Allpatients’identitiesarekeptconfidential.)

Dr.FooKamSo,StephenandDr.ShihTaiCho

Theme : Common Misdiagnoses

Speaker : Dr.ShihTaiCho,Dermatologist inPrivatePractice

Moderator : Dr.WongNaiMing,Co-ordinator,BoardofEducation

Dr. Shih Tai Cho is a dermatologist in privatepractice. During themeeting,Dr.Shih sharedwithushispersonalexperiencewhenfacedwithcommonmisdiagnoses in skindiseasesandhisapproachtomanagement.

Learning points:In making a diagnosis of eczema, always notethe multi-morphologies like redness, dryness,desquamation, itchinessetc.atdifferentsitesofinvolvement. Thisdiagnostic feature is inclearcontrast toskindiseasewithsinglemorphology,e.g. chickenpox. Dr.Shih tends toavoidusingtopicalsteroidonface,andpreferstousetopicalcalcineurin inhibitorsexcept for theveryyoung.Howeverhe findstopicalcalcineurin inhibitors inotherbodyareasnotaseffective.

Scabiesisoneofthemosteasilymisseddiagnosisas it can also present with dif ferent types ofmorphologies (including urticaria), as the skinlesionsaremostlyduetosensitivity reactions tothescabiesantigen. Always look forareas likegroinsandaxillaeas theparasitespreferwarm,moist locations.Acarefulhistorytakingofrecentcontactandfamilyhistoryisuseful,thoughitisnotuncommonthatthesehistoriescannotbeelicited.Indoubtfulcases,DrShihrecommendsusinganti-scabiestreatmentonabasisoftherapeutictrial.

Ifone findsa tinea infectionofhandsand feetdifficult to treat,always thinkof thealternativediagnosisofpompholyxwhichcanbeaggravatedbyhotweather,anxietyandexcessivesweatingofthehandsandfeet.

Rosaceacanco-existwith facialeczema. Itcanalsobeinducedbyuseoftopicalsteroidintreatingfacialeczema–SteroidRosacea. Look for thepresenceofseborrhea,telangiectasiaandrelativelack of itchiness. Ask for aggravating factorslike hot environment, inadequate rest, anxietyetc.Thephysiciancanadviseagainstuseofoilymoisturizers,trytostopusingtopicalsteroidsbutwarnaboutreboundphenomenon,andprescribetopicalcalcineurin inhibitors inadditiontousualanti-rosaceamedications.

In seborrhoeiceczema, look for involvement inearcanalandscalpmargin. Avoidusingtopical

steroid. Use topical ketoconazole shampooonface, scalpandear canal. Sometimesonecanprescribeshortcourseoforalitraconazoleaswell.

In treating atopic eczema, empathic attitudetowardsboth thepatient and thecarer is veryimportanttogaintheircooperation. Tryto instillthe concept of avoiding excessive cleaniness,avoidhot tub-bath, restrictbathing to less thanfiveminutes,andusesimpleemollientsasmuchaspossiblepreferablyat leastthreetofourtimesper day. Adding a short course of oral anti-staphylococcalantibioticsduringacute flare ishelpfultoreduceuseoftopicalsteroids.

Pityriasisalbacanbedifferentiated fromvitiligoeasilybyusingUVlightinadarkroom:vitiligowillshowdepigmentationwhereas inpityriasisalbatheinvolvedareaswillhavesimilarappearanceassurroundingskin.

Inmelasma,bordersareusually indistinctwhereasin solar lentigines, thebordersareusuallywell-defined.

Syringomas usually only involve lower eyelidswhereasplanewartsusually involveotherpartsoffaceaswellandthesurfaceofwartsareusuallymorerough.

Next MeetingThenextmeetingwillbeonSaturday5thNovember2011. The guest speaker is Dr. Chan Shu Yu,SpecialistinDermatologyandVenereology.HewillspeaktousonNailDisorders.

All members are welcome and encouraged topresenttheircasesandproblemsfordiscussionsor role play. Please send to our secretar iat([email protected])2weeksbeforethedateofpresentation.

Pleasewearasurgicalmaskifyouhaverespiratorytractinfectionandconfirmthatyouareafebrilebeforecomingtothemeeting. Pleasewearanappropriatedresscodetothehotelforthescientificmeeting. PrivateVideoRecordingisnotallowed.Members,whowishtoreviewthelecture,pleasecontactoursecretariat.

31st Annual Refresher Course 2011

* * * 2nd Announcement * * *

The 31st Annual Refresher Course (ARC) will be held fromNovember27,2011toDecember18,2011.TherewillbefourLuncheonLecturesandfourWorkshops.

2CMEpointswillbeawardedforeachLuncheonLectureand3CMEpoints foreachWorkshopaccordingtoCategory4.5.MCQswillbedistributed foreachsessionof theRefresherCourse, i.e. therearea totalof8MCQpapers. TheMCQanswershavetobereturnedtotheCollegeSecretariatontheoriginalquestionformswithin2weeksofthecompletionoftheRefresherCourse (latestbyDecember31,2011). Amemberwillbeawarded1extraCMEpointforascoreofover60%foreachMCQpaper.Upto2CPDpoints(ContinuousProfessionalDevelopment)willalsobeawardedforeachsession(subjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog);amaximumoftwopointscanbescoredforeachsession.

As it isahistory forsuchaneducationalprogramtobeheldcontinuouslyforonequarterofacenturyinHongKong,thosewhohaveattended70%ormoreofall the sessionsof theRefresherCoursewillbeawardeda“CertificateofAttendance”.

MemberswhohaveattendedtheARCfortenconsecutiveyearsormorewillbeawardedone freeadmission.Subsequently,memberscanenjoyanother freeadmissionafterevery fiveconsecutiveyearsofpaidARCattendance.

Registration is now open and must be made before 15thNovember2011. Asthenumberofspaceis limited, itwillbeofferedonfirstcomefirstservedbasis. Pleasealsonotethatadmission feesarenot refundable.Ten free registrations foreachLectureandWorkshopwillbeofferedtostudentmemberswhowishtoapply for freeregistration,pleasecallMs.DickieLamat28610220before15thNovember2011.

RegistrationformcouldbefoundonPage19.

Venue : CrystalBallroom,Basement3,HolidayInn GoldenMileHotel,50NathanRoad, Tsimshatsui,Kowloon

Time : 1:00p.m.–2:00p.m.BuffetLunch

2:00p.m.–3:30p.m.Lecture

3:30p.m.–3:45p.m.Discussion

Date December4(Sun)

Topics MentalHealthWorkshop

1. TheMoonandTheMood:CircadianRhythmandDepression

2. UpdatesinOsteoporosisTreatment

Speakers 1.Dr.MakKiYan2. Dr.CheungTakCheong

Moderator Dr.WanKwongYu

Sponsor Servier Hong Kong Limited

Sunday Workshops

Date November27(Sun)

Topics CardiovascularWorkshop

1. ManagementofRenalHypertension2. StatinBenefitsBeyondLipidLowering

Speakers 1.Dr.JonathanYung2.Dr.KoWaiChin

Moderator Dr.TongLeonGeorge

Sponsor Pfizer Corporation Hong Kong Limited

Date December6(Tue)

Topic BPHManagement

PracticalTipsonManagementofLUTS&BPH

Speaker Dr.TamPoChor

Moderator Dr.Au-yeungShiuHing

Sponsor GlaxoSmithKline Limited

Date December8(Thur)

Topic Osteoporosis

Osteoporosis:Wherearewenow?Whatshould

wedonext?

Speaker Dr.LeeKaWing,Gavin

Moderator Dr.AuChiLap,Simon

Sponsor GlaxoSmithKline Limited

Luncheon Lectures

Date November29(Tue)

Topic Vaccination

UpdateonPneumococcalInfectionandVaccination

Speaker Dr.HungFanNgai,Ivan

Moderator Dr.TongSiuMan


Date December1(Thur)

Topic StrokePrevention

NewAdvancesinStrokePreventioninAtrialFibrillation:AWorldwithoutWarfarin?

Speaker Dr.SiuChungWah,David

Moderator Dr.LeeWanTsi,Francis

Sponsor Boehringer Ingelheim Hong Kong Ltd.

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Date December11(Sun)

Topics MoodDisorderWorkshop

1. BreakingtheBarrierstoEffectiveTreatmentinDepression

2. SomatizationPhenomenoninPrimaryCareSetting

Speakers 1.Dr.ChanKwokTung2.Dr.KanChungSing

Moderator Dr.YeungToLing,Solomon


Date December18(Sun)

Topics HypertensionandHepaticWorkshop

1. UpdateonHypertensionManagement2. GlycemicIndex-FattyLiver

Speakers 1.Dr.ChanWaiKwong2.Dr.LeungInSon

Moderator Dr.ChanChiWai,Edmond

Sponsor Takeda Pharmaceuticals Taiwan Ltd

Venue : CrystalBallroom,Basement3,HolidayInn GoldenMileHotel,50NathanRoad, Tsimshatsui,Kowloon

Time : 1:00p.m.–2:00p.m.BuffetLunch

2:00p.m.–4:15p.m.Lectures

4:15p.m.–4:30p.m.Discussion

RegistrationFeesRegistrationfeesforthewholeRefresherCourse(includingthreeLuncheonLecturesandfourWorkshops)are:

Members : HK$600.00

Non-members : HK$1200.00

HKAMRegistrant : HK$700.00

SpotadmissionfeeforeachLuncheonLectureorWorkshopis:

Members : HK$150.00

Non-members : HK$300.00

HKAMRegistrant : HK$200.00

FMTraineesPackage:

FullCourse : HK$400.00

SundayWorkshops : HK$150.00for4Workshops

Luncheonlecture : HK$80.00each

Remarks: Topicsmaybesubjecttochange. Lecture(s)/Workshop(s)willbeconductedinEnglish.

5 November 2011 Saturday

Board of Education Interest Group in Dermatology

Aim Toformaregularplatformforinteractivesharinganddiscussionofinterestingdermatologicalcasescommonlyseeninourdailypractice

Topic Nail Disorder

Speaker Dr. Chan Shu YuSpecialistinDermatology&Venereology

Co-ordinator&Chairman

Dr. Wong Nai MingTheHongKongCollegeofFamilyPhysicians

Time 1:00p.m.–2:15p.m.Lunch2:15p.m.–4:00p.m.ThemePresentation& Discussion

Venue 5/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong

AdmissionFee MembersNon–membersHKAMRegistrants

FreeHK$300.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

Accreditation 2CMEPointsHKCFP(Cat.4.3)2CPDPointsHKCFP(Cat.3.15)2CMEPointsMCHK

Language LecturewillbeconductedinEnglishandCantonese.

Registration Registration will be first come first served.Please reserve your seat as soon as possible.

Note Participants are encouraged to present own cases for discussion.Please forward your cases to the Co-ordinator via the College secretariat 2 weeks prior to meeting.

SponsoredbyGalderma Hong Kong Limited

20 November 2011 Sunday

Board of Education Interest Group in Neuro-musculoskeletal

Aim ToformaregularplatformforsharinganddevelopingknowledgeandskillintheNeuro-musculoskeletal

Topic Common Musculoskeletal Problems in Primary Care

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Monthly Video Viewing Session

MonthlyvideoviewingsessionswillbescheduledonthelastFridayofeachmonthat2:30–3:30p.m.at8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong.

October’s session:

Date 28October2011(Friday)

Time 2:30p.m.-3:30p.m.

Topic Genital Lesions: Sexually Transmitted or Not? – Dr. Lee Tze Yuen

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)1CMEPointMCHKUpto2CPDPoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language LecturewillbeconductedinEnglish.

November’s session:

Date 25November2011(Friday)

Time 2:30p.m.-3:30p.m.

Topics 1. Understanding Fats: Food VS Bad - Dr. Sylvia S. W. Lam2. Therapeutic Strategies to Prevent Diabetic Nephropathy: The ROADMAP Study - Prof. Jan Menne

Admission FreeforMembers

Accreditation 1CMEPointHKCFP(Cat.4.2)1CMEPointMCHKUpto2CPDPoints(SubjecttosubmissionofsatisfactoryreportofProfessionalDevelopmentLog)

Language LecturewillbeconductedinEnglish.

Community Education Programmes

OpenandfreetoallmembersHKCFPCMEpointsaccreditation(Cat5.2)

Date/Time/CME Venue Topic/Speaker/Co-organizer Registration

12 November 2011 (Sat)2:30–4:30p.m.2CMEpoints

TrainingRoomII,1/F,OPDBlock,OurLadyofMaryknollHospital,118ShatinPassRoad,WongTaiSin,Kowloon

Refresher Course for Health Care Providers 2011/2012 – Handling Common Community GI Symptoms and What not to MissDr.CeciliaWongOurLadyofMaryknollHospital&HongKongMedicalAssociation

Ms.ClaraTsangTel:23542440Fax:23276852

Capacity 40doctors

Accreditation 2CMEPointsHKCFP(Cat.4.3)2CPDPointsHKCFP(Cat.3.11)2CMEPointsMCHK

Language LecturewillbeconductedinEnglishandCantonese.

Registration Registration will be first come first served.Please reserve your seat as soon as possible.

Note Participants are encouraged to present own cases for discussion.Please forward your cases to the Co-ordinator via the College secretariat 2 weeks prior to meeting.

Speaker Dr. Ip Kit Kuen, AndrewSpecialistinFamilyMedicine

Co-ordinator&Chairman

Dr. Au Chi LapTheHongKongCollegeofFamilyPhysicians

Time 2:00p.m.–3:45p.m.ThemePresentation3:45p.m.–4:00p.m.Discussion

Venue 8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,HongKong

AdmissionFee MembersNon–membersHKAMRegistrants

FreeHK$300.00HK$150.00

Allfeesreceivedarenon-refundableandnon-transferable.

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Infectious Disease Clinical Attachment for Family PhysiciansDates : 3,10,17,31January2012 7,17,21,28February2012 6,13,20,27March2012

Organizers & : Princess Margaret HospitalCourse Directors Dr.ThomasSo InfectiousDiseaseCentre,PrincessMargaretHospital

The Hong Kong College of Family Physicians Dr.KwongBiLok,Mary Chairlady,BoardofEducation,TheHongKongCollegeofFamilyPhysicians

Objectives : - ToupdateFamilyPhysiciansontopicsininfectiousDiseases - Toprovideopportunitiesfor familyphysiciansto learnInfectiousDisease in

clinicalpractice - TofacilitateexchangeofideasbetweenInfectiousDiseaseandGeneralPractice

colleagues

Course Structure : Theattachmentwillconsistof12twohourlysessions,includinglectures,interactivecasediscussionandsimulationtraining.

Onesessionperweekfrom2:00p.m.-4:00p.m.onTuesdays(ExceptforJanuaryduetoChineseNewYearHolidays)

Time : 2:00p.m.–4:00p.m.

Venue : SeminarRoom2,16/F,BlockS[IDC],PrincessMargaretHospital

Topics : 1) TravelandInfection,Pre-travelandPost-travelCare; 2) DiagnosticsinPrimaryCare,AntibioticAllergy,AppropriateUseofAntibiotics; 3) InfectionandInfestationintheElders; 4) PregnancyandInfection,CommonGynaecologyicalInfection; 5) SimulationTrainingintheClinicManagementofInfectiousDisease; 6) EmergingInfectionintheCommunity; 7) InfectiousDiseaseEmergencyinPrimaryCare; 8) UpdateinManagementofILIsandCAP; 9) ApproachtoFeverinChildhood,ViralExanthema; 10) OverviewofSexuallyTransmittedInfection,CommonSkinInfection; 11) ViralHepatitis,InfectiousDiarrhea,FoodPoisoning; 12) UpdateinChildhoodVaccination.

Course Fee : HK$2,600(Allchequespayableto“HKCFP Education Limited”)

Enrolment : PleasecallMs.YvonneLamat28610220fordetailson or before 15th November, 2011.

Registrationwillbefirstcomefirstserved.

Certification : Acertificateofattendancewillbeawardedunderthenamesoforganizersforparticipantwhohasover80%attendance.

Accreditation : Upto15CMEpoints(Category4.8)&5CPDpoints(Category3.16)forthewholeattachment.

REPLY SLIP

To:HKCFP,Room802,8/F,DukeofWindsorSocialServiceBuilding,15HennessyRoad,Wanchai,H.K.

Iwouldliketoattend“Infectious Disease Clinical Attachment for Family Physicians”.

Enclosedplease findthecheque (madepayabletoHKCFP Education Limited)beingpaymentasCourseFee.

Date & Time Topics

Please sign if you wish to attend Enrolment Deposit

Name:__________________________________________Tel:_________________________Date:__________________________

Email:_________________________________________________________ChequeNo.:_________________________________

Structured Education ProgrammesFreetomembersHKCFPCMEpointsaccreditation(Cat4.3)

Date/Time/CME Venue Topic/Speaker(s) Registration20 Oct 11 (Thur)2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital Community Resources for Dysfunctional Families (Violence, Marital, Parenting Problems)Dr.FuSiuSaap,MichelleandDr.KwanSzeSing

Ms.CordyWongTel:35133087

4:00–6:00p.m.2CMEpoints

Room614,AmbulatoryCareCentre,TuenMunHospital

Health Reform in the USADr.ChanChing

Ms.ChanTel:24686813


Room41,2/F,PamelaYoudeNethersoleEasternHospital

Smoking Cessation - Experience from Mayo ClinicDr.LaiSukYi

Ms.KwongTel:25956941

26 Oct 11 (Wed)2:15–4:45p.m.3CMEpoints

AB1038,1/F,MainBlock,TuenMunHospital Common Gynaecological Problems in Family MedicineDr.MokKwanYeung

Ms.ChanTel:24686813


LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Common Gynaecological Problem – Menorrhagia, Oligomenorrhea, Dysmenorrhea, Chronic Pelvic PainDr.NgWaiTongandDr.ChowTszLing

Ms.CrystalLawTel:26323480


LectureTheatre,6/F,TsanYukHospital Immunisations / Vaccination - OverallDr.LaiSumYin

Ms.ManChanTel:25892337

27 Oct 11 (Thur)4:00–6:00p.m.2CMEpoints


Rational PrescribingDr.LiShuiHoi

Ms.ChanTel:24686813



Children with Learning Difficulties & Their FamilyDr.KwongKamTim,William


2 Nov 11 (Wed)2:15–4:45p.m.3CMEpoints

AB1038,1/F,MainBlock,TuenMunHospital Approach to Chest PainDr.ChengChuiChing

Ms.ChanTel:24686813


Multi-mediaConferenceRoom,2/F,BlockS,UnitedChristianHospital

Family and HealthDr.HoPuiGiandDr.ChengYingWai



LectureTheatre,6/F,TsanYukHospital Review of FM TrainingDr.WelchieKo


3 Nov 11 (Thur)2:15–5:15p.m.3CMEpoints

Auditorium,G/F,TseungKwanOHospital Family and HealthDr.ManFungYiandDr.KwongSheungLi




Sick Leave Certificate and Disability AllowanceDr.NgYeungShing

Ms.ChanTel:24686813



Introduction to Community Health Call CentreDr.SinMingChuen



AB1038,1/F,MainBlock,TuenMunHospital Research MethodsDr.LiShunHoi

Ms.ChanTel:24686813



Confidentiality and Patient RightsDr.TsuiWingHangandDr.SiuMingYing



LiKaShingSpecialistClinic,3/F,SeminarRoom,PrinceofWalesHospital

Meta – Analysis and Randomized Control TrialDr.NgYueChun

Ms.CrystalLawTel:26323480


LectureTheatre,6/F,TsanYukHospital Genital Infection, STDDr.PaulineMa



Auditorium,G/F,TseungKwanOHospital Confidentiality and Patient RightsDr.YeungSzeWaiandDr.KwongLokSee




Positive PsychologyDr.CheukTatSang

Ms.ChanTel:24686813



Use of Cardiovascular Risk Stratifications ToolsDr.ChengKwanChui



AB1038,1/F,MainBlock,TuenMunHospital Update Management for Hepatitis BDr.WongChunFai

Ms.ChanTel:24686813



Contraception and Hormonal Replacement TherapyDr.WanPuiChuandDr.SoTsangYim



LectureTheatre,6/F,TsanYukHospital Primary Health Care System in HK – Strengths, Weaknesses & Potentials for DevelopmentDr.WendyTsui



Auditorium,G/F,TseungKwanOHospital Contraception and Hormonal Replacement TherapyDr.FanWingChiandDr.LeungSzeMun




Development of Family MedicineDr.HoChunYu

Ms.ChanTel:24686813



LAP Video ReviewDr.YeungWaiManandDr.LeungPuiSha


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REGISTRATION FORMH.K.C.F.P.Room 802, Duke of Windsor Social Service Building,15 Hennessy Road, Wanchai, Hong Kong

Dear Sir / Madam,

I am a Member/ Non-Member of the Hong Kong College of Family Physicians.

The whole course:-

Four Luncheon Lectures and Four Workshops Members : HK$600.00 ( )(Including fee for Certificate of Attendance) Non-members : HK$1200.00 ( ) HKAM Registrants : HK$700.00 ( ) FM Trainees : HK$400.00 ( )

Spot admission:-

Nov 27 (Sun) Cardiovascular Workshop ( ) 1) Management of Renal Hypertension 2) Statin Benefits Beyond Lipid Lowering

Nov 29 (Tue) Vaccination ( ) Update on Pneumococcal Infection and Vaccination

Dec 01 (Thur) Stroke Prevention ( ) New Advances in Stroke Prevention in Atrial Fibrillation: A World without Warfarin?

Dec 04 (Sun) Mental Health Workshop ( ) 1) The Moon and The Mood: Circadian Rhythm and Depression 2) Updates in Osteoporosis Treatment

Dec 06 (Tue) BPH Management ( ) Practical Tips on Management of LUTS & BPH

Dec 08 (Thur) Osteoporosis ( ) Osteoporosis: Where are we now? What should we go next?

Dec 11 (Sun) Mood Disorder Workshop ( ) 1) Breaking the Barriers to Effective Treatment in Depression 2) Somatization Phenomenon in Primary Care Setting

Dec 18 (Sun) Hypertension and Hepatic Workshop ( ) 1) Update on Hypertension Management 2) Glycemic Index - Fatty Liver

Member : HK$150.00 X _________ lecture/workshop(s)Non-member : HK$300.00 X _________ lecture/workshop(s)HKAM Registrant : HK$200.00 X _________ lecture/workshop(s)FM Trainee : HK$150.00 for 4 Sunday workshops HK$80.00 X _________ luncheon lecture(s)

Enclosed please find a cheque (made payable to “HKCFP Foundation Fund”) of HK$ ___________________ being payment in full for the above.

Name:_______________________________________________________________________________________________

Email:_________________________________________________________________________________________________

Tel:_____________________________________________Date:_____________________________________________

31stAnnualRefresherCourseNovember27–December18,2011

THE HONG KONG COLLEGE OF FAMILY PHYSICIANS

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Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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ConjointExamination2011-OSCERehearsal

17

6:00 – 9:00 p.m.ExitExamFeedbackSession

18

9:00 p.m.BVTSMeeting

19

2:15 – 7:15 p.m. StructuredEducationProgramme8:00 p.m.BasicTrainingIntroductorySeminar

20

2:15 – 7:00 p.m. StructuredEducationProgramme9:00 p.m.CouncilMeeting

21 22

23 24 25 26

2:15 – 7:30 p.m. StructuredEducationProgramme

27


28

2:30 - 3:30 p.m.BoardofEducation-VideoSession

29

30

ConjointExamination2011-OSCEExam

31 1 2


3


4 5

1:00 - 4:00 p.m.InterestGroupinDermatology

6 7 8 9


10

2:15 – 7:00 p.m. StructuredEducationProgramme6:30 p.m.HKPCCMeeting6:30 – 8:30 p.m.CSAStandardizationWorkshop9:00 p.m.BoardofEducationMeeting

11 12

2:30 – 4:30 p.m.CommunityEducationProgramme2:30 – 5:00 p.m.DFMModuleIII-IntroductiontoFamilyTherapy

13 14 15

9:00 p.m.BoardofConjointExaminationMeeting

16

1:30 - 3:30 p.m.WorkshoponOfficeMinorSurgicalProcedures2:15 – 7:15 p.m. StructuredEducationProgramme

17

2:15 – 7:00 p.m.StructuredEducationProgramme9:00 p.m.CouncilMeeting

18 19

1:30 - 3:30 p.m.WorkshoponOfficeMinorSurgicalProcedures2:30 – 5:00 p.m.DFMModuleIII-IntroductiontoPracticeManagement

20

2:00 - 4:00 p.m.InterestGroupinNeuro-musculoskeletal

21 22

7:30 – 9:30 p.m.PAStandardizationWorkshop

23 24 25

2:30 - 3:30 p.m.BoardofEducation-VideoSession

26

27

1:00 - 4:30 p.m.ARC-CardiovascularWorkshop

28 29

1:00 - 3:30 p.m.ARC-Vaccination

30 1

1:00 - 3:30 p.m.ARC-StrokePrevention

2 3

Red :EducationProgrammesbyBoardofEducation

Green :Community&StructuredEducationProgrammes

Purple :CollegeActivities

“RestrictedtomembersofHKCFP.TheviewsexpressedintheFamilyPhysiciansLinksrepresentpersonalviewonlyandarenotnecessarilysharedbytheCollegeorthepublishers.Copyrightsreserved.”

Contact and Advertisement Enquiry

Ms.CarmenChengTel:25286618Fax:28660616E-mail:[email protected]

TheHongKongCollegeofFamilyPhysicians7thFloor,HKAMJockeyClubBuilding,99WongChukHangRoad,HongKong

BackRow(lefttoright):Dr.NgaiKaHo,Dr.ChanTingBong,Dr.SzeHonHo,Prof.MartinWong,Dr.NatalieYuen,Dr.AnitaFan,Dr.SinMingChuen,Dr.EdmondChan,Dr.AlfredKwongFrontRow(lefttoright):Dr.SamYip,Ms.CarmenCheng,Ms.TeresaLee,Dr.WendyTsui,Dr.CatherineNg,Dr.HeidiFung

Dr.AlvinChanDr.EdmondChanDr.ChanManLiDr.ChanTingBongDr.JudyChengDr.AnitaFanDr.FungHoiTik,HeidiDr.KennyKungDr.AlfredKwongDr.DorothyLawDr.MariaLeungDr.NgaiKaHoDr.SinMingChuenDr.SzeHonHoDr.WongYuFaiDr.YipChunKong,Sam

Chief Editor :Dr.CatherineNg

Deputy Editors: Prof.MartinWong

Dr.NatalieYuen

Board Advisor :Dr.WendyTsui

Board Members :

FP LINKS EDITORIAL BOARD 2011

Section Coordinator (Oasis)

Section Coordinator (Feature/ Trainee Column)

Section Coordinator (After Hours)

Section Coordinator (WONCA Express)

Section Coordinator (Photo Gallery)

Section Coordinator (News Corner)

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