Introduction to Postgraduate Specialist Training Prof. LAU Chak-sing President Hong Kong Academy of Medicine
HKAM Corporate Video HKAM Corporate Video
Founding of HKAM Medical Council of Hong Kong set up in June 1957 The need to establish a SR discussed since 1968 Government formed a Working Group in 1986 The Working Group Report (Halnan Report) released in 1988 Government appointed a HKAM Preparatory Committee in 1990 The Hong Kong Academy of Medicine Ordinance (Cap 419) passed by the Legislative Council in 1992 The Academy formally established in 1993
Statutory Power of HKAM The Academy is the only statutory body in Hong Kong to train, assess and accredit specialists. The Academy admits registered medical and dental practitioners as Fellows if they fulfill the training and examination requirements of the Academy. According to the MRO and DRO, a specialist must fulfill the CME requirements if he/ she wishes to maintain his/her name in the SR. The Academy is the organization to determine the CME requirements for the SR.
Objectives of HKAM To promote the advancement of the art and science of medicine To foster the development of continuing medical education To promote the integrity of the medical profession and improve the standards of such practice To promote the improvement of health care for HK citizens To foster a spirit of co-operation among medical practitioners To facilitate the exchange of information and ideas in relation to the art and science of medicine
Organisation Structure of HKAM Academy Council Education Committee and other committees Including Appeals Committee, Finance & Investment Committee, House Committee, Membership Committee, Editorial Board Secretariat
Specialty Colleges Hong Kong College of Anaesthesiologists Hong Kong College of Community Medicine College of Dental Surgeons of Hong Kong Hong Kong College of Emergency Medicine Hong Kong College of Family Physicians Hong Kong College of Obstetricians & Gynaecologists College of Ophthalmologists of Hong Kong Hong Kong College of Orthopaedic Surgeons Hong Kong College of Otorhinolaryngologists Hong Kong College of Paediatricians Hong Kong College of Pathologists Hong Kong College of Physicians Hong Kong College of Psychiatrists Hong Kong College of Radiologists College of Surgeons of Hong Kong
Recognition of Specialties Currently, 67 specialties have been recognised by the Medical Council and Dental Council on the recommendation of the Academy. Fellowship statistics (as of December 2017) Over 7,700 Fellows College Number of Fellows Anaesthesiologists 527 Community Medicine 197 Dental Surgeons 297 Emergency Medicine 373 Family Physicians 460 Obstetricians & Gynaecologists 499 Ophthalmologists 304 Orthopaedic Surgeons 464 Otorhinolaryngologists 169 Paediatricians 641 Pathologists 284 Physicians 1,707 Psychiatrists 392 Radiologists 543 Surgeons 938 Total 7,795
Postgraduate Specialist Training Hong Kong Academy of Medicine Jockey Club Building
Specialist Training & Examinations 2 to 4 years basic training Pass the Intermediate Exam of an Academy College 2 to 4 years higher specialist training Pass the Exit Exam of an Academy College A total of 6 years specialist training: the duration of basic/ higher training varies in different Colleges
Becoming an Academy Fellow Register with MCHK and DCHK (in General Register) To apply for a training post (HA/ DH) approved by Academy Colleges Complete training and pass intermediate and exit examinations Nominated by Academy College to become an Academy Fellow Admission vetted and approved by the Academy
HKAM New Fellows (2007 2017) (First Fellowship only) College 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 Grand Total Anaesthesiologists 14 16 18 24 15 13 26 24 28 13 22 213 Community Medicine 18 10 11 6 8 16 7 14 6 5 5 106 Dental Surgeons 8 12 6 9 6 13 10 6 15 17 13 115 Emergency Medicine 21 19 17 5 21 7 12 32 18 20 172 Family Physicians 18 22 34 32 55 52 28 20 21 10 10 302 Obstetricians and Gynaecologists 11 13 11 4 14 18 24 16 16 12 15 154 Ophthalmologists 9 9 14 10 5 8 13 5 20 11 9 113 Orthopaedic Surgeons 10 22 6 11 8 12 18 18 23 17 20 165 Otorhinolaryngologists 4 5 5 1 8 7 2 7 8 6 5 58 Paediatricians 12 16 16 15 14 8 16 17 18 26 23 181 Pathologists 14 4 6 6 10 14 2 13 7 11 8 95 Physicians 70 63 54 66 70 85 65 60 63 43 21 660 Psychiatrists 10 24 34 15 10 9 30 20 19 22 20 213 Radiologists 8 19 13 16 15 25 24 25 21 36 28 230 Surgeons 22 31 25 21 25 37 35 35 35 43 26 335 Grand Total 249 285 270 241 284 324 312 312 300 290 245 3,112 Average: 283/year
HKAM Total Fellows College College 2007 2017 Increase Anaesthesiologists 325 527 62% Community Medicine 86 197 129% Dental Surgeons 198 297 50% Emergency Medicine 210 373 78% Family Physicians 177 460 160% Obstetricians and Gynaecologists 372 499 34% Ophthalmologists 199 304 53% Orthopaedic Surgeons 311 464 49% Otorhinolaryngologists 119 169 42% Paediatricians 485 641 32% Pathologists 208 284 37% Physicians 1,090 1,707 57% Psychiatrists 187 392 110% Radiologists 327 543 66% Surgeons 645 938 45% Grand Total 4,939 7,795 58%
No. of Fellow Specialist Training Duration (From Basic to Higher recognized by HKAM ) 350 300 250 200 >=120 (10yr) >=108 & <120m (>=9 & < 10 yr) >=96 & <108m (>= 8 & < 9 yr) >=84 & <96m (>=7 & < 8 yr) >=72 & <84m (>=6 & < 7 yr) 150 5% 3% 5% 100 50 13% 0 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 >=120 (10yr) 32 21 20 19 10 19 9 15 9 6 5 >=108 & <120m (>=9 & < 10 yr) 15 9 6 6 5 5 10 8 6 8 10 >=96 & <108m (>= 8 & < 9 yr) 15 19 18 6 8 14 13 17 9 9 20 >=84 & <96m (>=7 & < 8 yr) 38 48 32 29 27 26 35 32 32 52 42 >=72 & <84m (>=6 & < 7 yr) 149 188 194 181 234 260 245 240 244 215 168 74%
Continuing Medical Education / Continuous Professional Development (CME/CPD) All Fellows must fulfill CME/CPD requirements to maintain their Fellowship. Currently, Fellows are required to obtain 90 points in a 3-year cycle. Failure to do so will result in removal of Academy Fellowship (and removal of one s name from the SR).
Continuing Medical Education (CME) Perceived to focus on updating medical knowledge
Continuous Professional Development (CPD) Competencies relevant to present practice profiles, which may change over the years
CME/CPD System a continuous life-long learning process for Academy Fellows maintain, develop or increase the knowledge, skills and competencies relevant to the specialty enhance professional performance enable the delivery of quality professional care and safe standard of practice to patients remain competent throughout professional career
List of activities for CME/CPD 1. Participation as an Attendee in Formal College Approved Activity (FCAA) 2. Chairing / Presenting at FCAA 3. Self-study 4. Publications 5. Research 6. Development of New Technologies or Services 7. Undergraduate and Postgraduate Training 8. Conducting Examinations 9. Postgraduate Courses
List of activities for CME/CPD (Cont d) 10. Development of CME/CPD or Knowledge-Translation Materials 11. Quality Assurance, and Audits 12. Activities for Improvement of Patient / Medical Care 13. Grand Rounds in Training Units 14. Reviewers of Hong Kong Medical Journal (HKMJ), Journals of Academy Colleges, and Indexed Journals 15. Hands-on Clinical Attachment Programme 16. Other Non-medical Professional Development Activities
CME/CPD points obtained by Fellows (Cycle 2014-16) College No. of Fellows Taking CMECPD (min. 90 pts req.) Average Total Points / Fellow (without capping) Anaesthesiologists 441 141.95 Community Medicine 159 102.14 Dental Surgeons 254 108.26 Emergency Medicine 303 160.73 Ophthalmologists 259 109.18 Otorhinolaryngologists 149 131.50 Paediatricians 559 178.75 Pathologists 243 131.68 Psychiatrists 316 111.09 Radiologists 433 103.32 Total 3116 Average 133.08 * Data generated for Colleges joining icmecpd only Minimum CME/CPD requirement in a 3-year cycle: 90 points Fellows who are exempted from CME and those having the 1st cycle less than 90 pts required are excluded.
Anaesthesiologists Community Medicine Dental Surgeons Emergency Medicine Ophthalmologists Otorhinolaryngologists Paediatricians Pathologists Radiologists Average Total CMECPD Points / Fellow (Cycle 2014-16) 200 180 160 140 120 100 80 60 40 20 0 Average Total CMECPD Points / Fellow
icme/cpd App The icmecpd App has been developed since 2015 to facilitate Fellows (and event organisers) to use smartphone or tablet for attendance capture. Available at App Store / Google Play
Facilities at HKAM The Academy building is a multi-functional building with various facilities for Fellows and organisers to rent (e.g. Grand Hall, lecture theatres, medical library, functions rooms, meeting rooms, Fellow s Lounge and BBQ facilities)
HKAM Press Established in October 2002 Provide professional publishing services for a wide range of publications in Hong Kong and internationally Publications include journals, books, newsletters and Academy s own indexed medical journals and many more Contact E-mail Website : hkampress@hkam.org.hk : http://www.hkampress.org/
Funded Projects generously funded by Hong Kong Jockey Club Innovative Learning Centre for Medicine (HKJC ILCM) Opened in December 2013 Hong Kong Jockey Club Disaster Preparedness and Response Institute (HKJC DPRI) Opened in August 2014
HKJC ILCM Established in 2013 Provide innovative simulationbased learning and research for safe and quality patient care Initiated to set up the Hong Kong Simulation Alliance with six local organisations Affiliation with the Center for Medical Simulation
HKJC ILCM Virtual Reality Room Skills and Procedures Room Operating Theatre Patient Ward Specialist Out Patient Room Debriefing Rooms
Medical Education Conference Year Theme 7-8 Feb 2015 Medical and Healthcare Education along the Continuum 28 May 2016 Postgraduate Education Assessment 27 May 2017 Modern Trends in Medical Education 5 May 2018 Cultivating Professionalism and Research in Medical Education
HKJC DPRI Established in 2014 Provide capacity building and training on disaster preparedness and response, and promote community resilience in Hong Kong Collaborating Partners
Regional Collaborations China Signed a new MOU with the National Health and Family Planning Commission of the People s Republic of China on 31 Oct 2015 On the Standardisation of General / Specialist Medical Training to continue and extend the collaboration in training of general practitioners and medical specialists
Regional Collaborations China HKAM representatives attend various meetings/ seminars / forums in China to exchange views and experiences in specialist training with our Mainland counterparts and experts.
Regional Collaborations China HKAM College Collaboration with Mainland China College of Emergency Medicine offers training programmes at the University of Hong Kong Shenzhen Hospital College of Family Physicians organises training courses in Shunde for doctors in Mainland China; Mainland China doctors can also come to Hong Kong to attend a professional development course
Regional Collaborations China HKAM College Collaboration with Mainland China College of Orthopaedic Surgeons works closely with Beijing Jishuitan Hospital (candidates from Jishuitan Hospital can sit the examinations organise by the College and they have exchange of rotation programmes for their trainees) College of Surgeons have some accredited training centres in Mainland China; Mainland China trainees can sit the examinations organise by the College; Hong Kong trainees will also have clinical attachments in the training centres in Mainland China
Regional Collaborations Macau MOU signed with the Department of Health of the Macau SAR Government, October 2004 to assist in the assessment of specialists in Macau in the public medical services
Regional Collaborations Southeast Asia Jointly with the Academy of Medicine of Malaysia (AMM) and Academy of Medicine, Singapore (AMS) to hold a Tripartite Congress every 3 years 1 st AMM-AMS-HKAM Tripartite Congress in November 2010, Hong Kong 2 nd AMM-AMS-HKAM Tripartite Congress in August 2013, Singapore 3 rd AMM-AMS-HKAM Tripartite Congress in August 2016, Malaysia A joint Council meeting is also held annually.
International Collaborations Europe Collaborate with the University of Manchester WHO Collaborating Centre for Emergency Medical Teams and Emergency Capacity Building to support the WHO Emergency Medical Team Initiative (EMT) to set minimum standard for global disaster medical teams Co-organise with WHO EMT Initiative to conduct EMT Global Meeting to establish the global emergency medical team network Provide training support to National Disaster Emergency Medical Teams in China including the Mainland and HK
International Collaborations North America Collaborative agreement signed between the HKJC ILCM and the Centre for Medical Simulation (CMS) in December 2013 to run simulation instructor courses and extend CMS Fellowship for those who successfully completed the course to help the development of simulation faculty National Academy of Medicine has expressed interest in collaborating with HKAM, especially in the area of health policy fellowships
International Collaborations North America IMELF (International Medical Education Leaders Forum Co-organised the 1st International Medical Education Leaders Forum-Hong Kong Academy of Medicine (IMELF-HKAM) with the Royal College of Physicians and Surgeons of Canada in May 2017
Contact HKAM Address: 10/F, HKAM Jockey Club Building 99 Wong Chuk Hang Road, Aberdeen Hong Kong Contact No.: (852) 2871 8888 Fax No.: (852) 2505 5577 E-mail: Website: hkam@hkam.org.hk www.hkam.org.hk
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