College Annual Report 2001-2002
College Annual Report 2001-2002
College Annual Report 2001-2002
Council’s Report
Accreditation
Education
Examination
House
Information Technology
Membership
Professional & General Affairs
Review
Financial Statements
President
Prof. LEUNG Nai-kong 梁乃江教授
Vice President
Prof. FOK Tai-fai 霍泰輝教授
Hon. Secretary
Prof. LOW Chung-kai, Louis 盧忠啟教授
Hon. Treasurer
Dr. KO Wai-keung, Frederick 高偉強醫生
Members
Hon. Auditor
Mr. Walter MA 馬景華會計師
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It has been another memorable year for me to serve you as the College President after the
excitement of the 10th anniversary celebration in December 2001. At our 10th anniversary,
we were honoured to have the participation of many local and overseas medical dignities,
in particular the presidents and representatives of our sister colleges and societies from
the Chinese Mainland, Taiwan, Malaysia, Singapore, United Kingdom and U.S.A. The
anniversary scientific meeting on ‘Primary Health Care in Paediatrics’ attracted a large
number of registrants and drew lively discussions. The 10th Anniversary Monograph is a
valuable record of the work of the Council; achievements of the standing committees and
training centers; together with photographic archives of the activities of the College in the
initial ten years. I am grateful to the hard work of the organizing committee; contributions
from our overseas guests; participation of the seven local Paediatric Subspecialty Societies
and our members for making the events successful. Through these events, the College
has further strengthened our relationships with our local and overseas partners in the
advancement of paediatrics and child health.
During the past year, training and education remain on the top of the agenda of our
College. The Accreditation and Education Committees have been given the arduous task to
review and revise the training curriculum. Following the deliberations of the anniversary
scientific meeting on “Primary Health Care in Paediatrics”, the Council had resolved that
all trainees, with their basic training starting in Year 2003, will undergo mandatory training
in child health for six months. At the same time, basic trainees will also have to undertake
the ‘Paediatric Advanced Life Support (PALS)’ course orgainsed by our College. This
revised curriculum will ensure that all our basic trainees will have adequate experience and
exposure in community as well as in emergency paediatrics.
The Council has also made clarifications on the ‘Guidelines on higher training’ and
requires all trainees who will be sitting the Exit Assessment from Year 2004 onwards, to
fulfill all the training requirements as stipulated in the guidelines. Trainees and training
supervisors are advised to study the guidelines carefully. The College always encourages
trainees to enroll early in a training programme in order to ensure adequate supervision
as well as uniformity of training. Retrospective accreditation of training consumes time
and effort. Therefore, the Council has started to levy an administrative fee for vetting
applications for retrospective accreditation. The Accreditation Committee has been busy
in conducting accreditation visits and completed a round of visits to the training units
under the Department of Health. With the re-organization of the delivery of services in the
Hospital Authority and in accordance with the directive from the Hong Kong Academy of
Medicine, accreditation of training in the Hospital Authority would be on a cluster basis
in the future. The College will strive to approve programmes that will match training
with service needs while maintaining the standard and quality of training and education.
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Currently the Accreditation Committee is in the process of visiting the maternal and child
health centres of the Department of Health for the purpose of accreditation of training in
child health.
The Intermediate Examination and the Exit Assessment are the College’s formal
mechanisms of assessment of our trainees. A Pass in those examinations is required for the
advancement to Membership or Fellowship of the College. High and uniform standards
are always maintained by the Examination Committee and its Board of Examiners. The
Intermediate Examination is held jointly with the Royal College of Paediatrics and Child
Health (RCPCH) and, until the end of 2003, the Royal College of Physicians of the United
Kingdom. On the other hand, the Diploma of Child Health (DCH) Examination is a test
of knowledge of child health, and therefore, has a lower entrance requirement. The DCH
Examination is currently held jointly with RCPCH. Such collaboration is necessary to
ensure that the examinations are in line with international standards.
The College has an important role to play in health promotion and child advocacy. The
College has a strong stand against cigarette smoking. The College joined the Hong Kong
Council on Smoking and Health and other relevant governmental and non-governmental
bodies in organizing an anti-smoking programme. To promote the World Stop Smoking
Day, our College, together with the Hong Kong Paediatric Society and the Hong Kong
Society of Paediatric Respirology, held a press conference on “Stop Smoking for Our
Children's Sake”, which was widely publicized in the mass media and drew a lot of
public attention. A ‘tobacco-control kit for paediatricians’ would be available soon to
provide resource materials for our members in their fight against smoking. I would like to
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appeal to all our members to join in the fight against smoking to protect the health of our
children. Through the Professional and General Affairs Committee, the College reflected
our views to the relevant authorities on various health issues, in particular subjects such
as child pornography, human organ transplantation, brain death and dangerous drugs. The
promotion of child health to the community is carried out by the Hong Kong College of
Paediatricians Foundation Ltd., which has organized educational programmes for teachers,
social workers and child care professionals.
The Hong Kong Journal of Paediatrics, an official publication of the College and the Hong
Kong Paediatric Society is now being published quarterly each year. The challenges faced
by the editorial board include adequate number of quality articles and financial support.
The College pledges our full support to the Journal and has taken over the secretarial work
of the Journal since October, 2002.
During summer, our College held two successful scientific meetings in the Mainland.
The 4th Guangdong-Hong Kong Paediatric Exchange Meeting, a biennial joint event with
the Guangdong Pediatric Society was held in Panyu in July and was again a resounding
success. There were 150 participants with 40 joining from Hong Kong. It was delighted to
see that some of our members delivered their papers in Putonghua. With the improvement
in movement across the border, it is hoped that future exchange meetings could be held in
Hong Kong. We look forward to playing host to our Guangdong colleagues. Further, we
were overwhelmed by the warmth and hospitality of our hosts during our visit to Urumqi
Children Hospital in Urumqi, Xinjiang in August. We shared our experiences and had frank
exchanges with the staff of the hospital and members of the Xinjiang Pediatric Society.
We were delighted to have the Vice-Mayor and the Vice-Director of Health of Urumqi as
our guests of honour at the banquet organized by the College. All participants found the
visit rewarding, which has resulted in a better understanding of the paediatric practice and
training in the Mainland and in establishing a formal link with our Mainland colleagues.
The College will continue to build up our network with our sister organizations in the
Mainland in the coming years.
The membership of the College has reached 561. 410 Fellows are practising in Hong
Kong, and they play a major role in providing a high standard of health care to the children
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of Hong Kong. The College is committed to ensure that the highest standard of education
and training is provided to our members. The College is also committed to the well being
of the children of Hong Kong. To accomplish our mission, the College needs your support
and contributions. I wish to express my sincere thanks to the members of the Council,
Committees and Subcommittees for their advice, dedication and counsel in guiding me
to serve you and the College. It has been a pleasurable experience to me to have the
opportunity to work with such nice and devoted colleagues, who have always placed the
College affairs on their top priority. I also wish to express my gratitude to the Director of
Health and the Chief Executive of the Hospital Authority for their support in our training
policy and for allowing training activities to take place in their institutions. Most important
of all I wish to thank all members for your support and participation. I look forward to
your continued advice and guidance.
Council’s Report
The Hong Kong College of Paediatricians celebrated its 10 th Anniversary last year. To
commemorate this important event, the College planned a series of initiatives to document
the achievements of our College over the past 10 years. The 10 th Anniversary Publication
of the Hong Kong College of Paediatricians 1991-2001 was published under the able
leadership of Dr Jane Kan Chang and her editorial board highlighting the achievements
of the various standing committees as well as providing a photographic record of the
activities of our College over the past ten years. Our College has indeed succeeded in
promoting postgraduate training, research and the practice of paediatrics to the highest
professional and ethical standards in Hong Kong. The publication also contains the
congratulatory messages from governmental and non-governmental organisations in Hong
Kong, presidents of sister Colleges from around the world and presidents of paediatric
subspecialty societies of Hong Kong.
227 persons attended the Scientific Meeting held on 8 th and 9 th December 2001 for
the College Tenth Anniversary Celebration. The meeting was organised under the
chairmanship of Professor Tai Fai Fok and was the highlight of the educational activities of
our College last year. The theme of the meeting was “Primary Health Care in Paediatrics”.
Professor Nem Yun Boo (President, College of Paediatrics, Academy of Medicine of
Malaysia), Professor David Hall (President, Royal College of Paediatrics and Child
Health), Dr Lai Yun Ho (Chairman, Chapter of Paediatricians, Academy of Medicine
of Singapore), Professor Calvin Sia (Representative, American Academy of Pediatrics),
Professor Xiru Wu (President, Chinese Pediatric Society), Professor Tsu Fuh Yeh
(President, Taiwan Pediatric Association) and Dr Chun Bong Chow (Representative, Hong
Kong College of Paediatricians) made presentations on the current state of development
of primary child health care in different parts of the world. Representatives of seven
subspecialty societies participated in a special symposium entitled “Paediatric Subspecialty
Interfacing with Primary Health Care”. There was also a Free Paper Session at this
stimulating scientific meeting.
At the Tenth Annual General Meeting held on the 8th December 2001, Dr Chok Wan Chan,
Dr Alex Kwok Hing Chan and Dr Maurice Ping Leung were elected as Council Members of
the College for the years 2001-2004. Mr Peter Mark and Mr Walter Ma were appointed as
Honorary Legal Advisor and Honorary Auditor of the College respectively. Dr Yen Chow
Tsao, Dr Wilfred Cheuk Wa Leung and Dr Chris Lap Fai Woo were co-opted as Council
Members for a period of one year. During the year 2001/2002, six Council Meetings were
held during which the eight standing committees (Accreditation, Education, Examination,
House, Information Technology, Membership, Professional and General Affairs and
Review Committees) as well as the Hong Kong College of Paediatricians Foundation made
their reports to Council.
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In recent years, the need to strengthen the interface between primary care together with
secondary and tertiary care in hospitals has been repeatedly emphasised by policy makers.
The Hong Kong College of Paediatricians has responded to the changing health care
needs of children and adolescents by an extensive review of the training curriculum. Our
College is aware of the great need to provide a comprehensive training programme that
matches training with service demands. Our College is of the opinion that the way forward
would be to train more multi-task general paediatricians with wide experience in looking
after children and adolescents in their homes or in the community and the hospital will
be used as a resource. The need to strengthen training in child health and the practice of
paediatrics in primary care had been thoroughly discussed at the Roundtable Discussion on
Community Paediatrics convened by our College in November 2000 and also in the Tenth
Anniversary Scientific Meeting. The Council has recently resolved that all trainees starting
their Basic Training Programme in 2003 will have to undergo training in child health for
six months on the recommendation of the Accreditation and Education Committees. This
was announced by our President in his message to Fellows, Members and Associates in the
October issue of the College Newsletter. A provisional understanding has been reached
with the Department of Health regarding the rotation of College trainees to Maternal and
Child Health Centres (MCHCs) for training. The Chief Executive of the Hospital Authority
has acknowledged our request for due consideration of manpower provision by the Hospital
Authority to paediatric departments of the HA hospitals in the light that our College will
implement the new Basic Training Programme in 2003. The curriculum of the Higher
Training Programme in Paediatrics is also under comprehensive review by the College
Accreditation and Education Committees. Members of the Accreditation Committee are in
the process of visiting four MCHC clusters in Hong Kong for the accreditation of trainers,
training programme and training facilities at these training clusters.
Accreditation of Training
Our College has recently received an application for support for temporary medical
registration for clinical teaching in a private hospital. Based on a guideline issued by
the Hong Kong Academy of Medicine, our College has issued a “Guidance Notes on
Application for Support for Temporary Medical Registration for Clinical Teaching in a
Private Hospital” to guide future applications. The most up-dated version of the Guidelines
on Higher Training in Paediatrics and recent Council resolutions relevant to Basic and
Higher Training in Paediatrics were sent to all Chiefs of Service and Training Supervisors
of accredited training units in January 2002. These three important documents can be
viewed on the College Homepage.
Hong Kong Academy of Medicine. The information provided by Professor TF Fok on the
proposed New Territories East Cluster has facilitated the Accreditation Committee in the
formulation of a guideline on accreditation of training in a hospital cluster. Accreditation
revisits to the Clinical Genetic Service and the Child Assessment Service were conducted
on the 10th July 2002 and 7th August 2002 respectively by two teams appointed by Council.
Both the Clinical Genetic Service and the Child Assessment Service have been accredited
for a 6-month module in the Basic Training Programme and for 1 year in the Higher
Training Programme. As mentioned previously, the accreditation of MCHC clusters is in
progress.
The Education Committee continued to organize lectures and bedside teaching for
Associates of the College. Three Paediatric Update seminars had been held focussing on
genetics, neurosurgery and nuclear medicine. The Paediatric Advanced life Support (PALS)
course was held between 17th-21st July 2002 and the function was well attended. Council
approved the recommendation to include the PALS course as an essential part of Basic
Training Programme. With effect from the 1st July 2005, all applications for Membership
should be accompanied by a certificate of attendance and successful completion of the
assessment of the PALS course or its equivalence. This announcement can be viewed on
the College Homepage (special announcement). The Joint Scientific Meeting with the
Hong Kong College of Physicians was held on 26th and 27th October 2002.
The Guideline on Febrile Convulsions has been widely disseminated. A survey will
be conducted to assess whether the guideline has resulted in a change in practice. The
Guideline on Gastroenteritis has been completed and has now been sent for review by a
panel of experts. Members of the Professional and General Affairs have been actively
involved in an anti- smoking campaign through the formation of a Paediatric Anti-smoking
Task Force with representations from our College, the Hong Kong Paediatric Society and
the Hong Kong Society of Paediatric Respirology. A press conference on “Stop Smoking
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for Our Children’s Sake” was held on 29th May 2002. The Professional and General affairs
Committee had responded to a number of consultation documents including
i) Proposed legislation for the prevention of child pornography
ii) Guidelines on Life-sustaining Trea0tment in the Terminally Ill
iii) Amendment for the Human Organ Transplant Regulation
iv) Guidelines on Certification of Brain Death
Most of our Fellows are participating actively in the College Continuing Medical
Education (CME) programme. Only one Fellow failed to fulfill the CME requirement in
the 1999/2001 cycle and this Fellow had been approved for Remedial CME Programme.
In view of the impending implementation of mandatory CME for all doctors beginning
1st January 2005, the Honorary Secretary had written to all COSs of accredited training
institutions informing them to encourage their trainees to participate in CME voluntarily
and to register with the HKAM as the CME administrator. The CME programme for non-
specialist was launched by the HKAM on 3 rd February 2002. The Medical Council of
Hong Kong regulation required CME cycles to be synchronized with the issuance of the
Annual Practising Certificates with effect from the 1st January 2005. All Fellows will be
required to start a new 3-year CME cycle with effect from January 2005. All Associates
will need to join a mandatory 3-year CME cycle as from January 2005. Doctors entering
into specialist or non-specialist CME (January 2005 - December 2007) after January 2005
will need to satisfy the CME requirement pro rata. Practising Certificates will only be
issued every 3 years.
The 4th Guangdong-Hong Kong Paediatric Exchange Meeting was held on the 13 th July
2002 in the Cheung Lung Hotel in Panyu. The meeting was well attended by colleagues
form Guangdong and Hong Kong and the meeting was a success both scientifically and
socially. On the invitation of the Medical Director of the Urumqi Children Hospital, 23
Fellows of the College and their families participated in the Urumqi-Hong Kong Paediatric
Exchange Meeting held on 11th and 12th August 2002. Professor NK Leung and other
participants gave presentations on the training and the development of paediatrics and
paediatric subspecialties in Hong Kong. College Fellows at the meeting were overwhelmed
by the generous hospitality shown to them by staff of the Urumqi Children Hospital during
their brief stay in Xinjiang.
The Hong Kong Journal of Paediatrics is now published quarterly and the Editor-in-
Chief Professor CY Yeung has repetitively appealed to Fellows, Members and Associates
to actively support our Journal by submitting articles especially on original research for
publication. The Secretariat of the Hong Kong Journal of Paediatrics has been relocated to
the Secretariat of the Hong Kong College of Paediatricians. Future correspondence should
be addressed to the Editor-in-Chief at Room 808, the Hong Kong Academy of Medicine
Jockey Club Building in Wong Chuk Hang.
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Two computer workshops for practising private paediatricians were organised in June 2002
and attended by 24 Fellows. Future educational activities are planned and will take place
at the HKAM or HAHO. Since November 2001, the College News has been sent by email
to all Fellows, Members and Associates every 2 weeks.
Examinations
The entry requirement for MRCPCH Part One Examination remains to be 18 months from
the date of graduation given on the primary medical certificate; and for Part Two Written
Examination, having passed the Part One Examination within 7 years. For the Part Two
Oral and Clinical Examinations, candidates must have completed a period of training in an
accredited hospital of not less than two and a half years from the date of graduation given
on their diploma of medical qualification, and have not less than 12 months experience in a
post involving the emergency care of paediatric patients within the 5 years before the date
of examination. The Intermediate Examination of our College, being a joint examination
with MRCPCH examination of the Royal College of Paediatrics and Child Health, has
similar entry requirements. In addition, candidates must be fully registered medical
practitioners actively practising in an accredited training centre/cluster in Hong Kong.
Membership
By the end of November 2002, there are 410 Fellows, 19 Overseas Fellows, 64 Members, 2
Overseas Members and 66 Associates.
Total Income for Year 2001/2002 was approximately 3 times more than that of last year.
(HK$4,928,808 compared to HK$1,689,324 of last year). This significant increase was
mainly contributed by a HK$3 million donation from Providence Foundation Limited
established as the “H. M. Lui Memorial Fund” for the exclusive use of postgraduate study
and research in liver disease and related discipline in children awarded annually. However,
subscriptions and admission fees received this year were not substantial due to fewer
applications for Admission. Other income derived was from DCH Examination; PALS
Course and donations received from the following sponsors in support of College’s various
functions for which we would like to extend our appreciation:
Operating surplus for Year 2001/2002 was HK$3.6 million, which was approximately
450% compared to last year (HK$0.8 million). Together with our accumulated funds (being
net assets of our College), our operating surplus will become HK$7.3 million, represented
mostly by bank deposits. However, please bear in mind that out of HK$7.3 million, the
HK$3 million donation as mentioned above, was an exceptional income specified for
restricted use and could not be considered as a normal recurrent source of income for the
years to come.
Last but not least, I would like to extend my sincere thanks to Walter Ma & Company who
arranged for auditing our financial report again this year.
Standing Committees
The Committee held five meetings (64th to 68th meetings dated 11/12/2001, 25/03/2002,
11/06/2002, 27/08/2002, and 15/10/2002) this year and all meetings were well attended
by Committee Members. During the year, two new resolutions were made by the College
Council: that only minutes of Council Meeting would be adopted as formal documents
while those of Committees or Subcommittees would be used as reference only, and
that announcements of the new accreditation rules and guidelines would be made by
Honorary Secretary of the College to ensure uniformity of wording and interpretation. The
Committee deliberated a wide variety of events, conducted a diversified range of activities
and made relevant recommendations to the College Council throughout the year. Below is
a summary of important events achieved by the Committee.
1. Accreditation of Institutions
2. Accreditation of Trainers
A letter was sent out to all chiefs of service of accredited institutions to solicit
their views on the subject and replies revealed majority views from hospitals
agreed that:
a) Trainer in Higher Training should have a minimum of 3 years post-higher
training experience (in full time clinical practice).
b) There should be no change in present trainer: trainee ratio.
The results were noted and would be put into consideration when the
trainers’ qualification needed to be modified. However the Committee would
encourage training units to lower the ratio if they had sufficient trainer
manpower within their departments for benefit of their trainees.
3.5 One Set of Accreditation Criteria for Local and Overseas Trainees
The College Council stresses on the importance of equality and fairness on
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accreditation criteria for both local and overseas trainees. Both have to be
supported by log data, declaration and supervisor’s support.
4. Accreditation of Trainee
cases arose, the Council had full discretion to make a decision based
on individual case merit, such as intention of training, medical and
other reasons accepted by the Council.
5.1 Further to the letter sent on 31 st May 2001 by Professor Louis C.K. Low
to all the Chiefs of Service regarding the Guidelines on Higher Training in
Paediatrics, there has been concern on the interpretation of the sentence “The
following training requirements will be strictly enforced on 1 st July 2001
irrespective of the stage of training of the trainee”. After much deliberation
at the Council meeting held on 29th October 2001, Council resolved that:
With effect from the 1st July 2001 and thereafter, ALL trainees entering into
Higher Training in Paediatrics should adhere to the Guidelines on Higher
Training (vide infra). During the interim period between 1 st July 2001 and
30th June 2004, the College would deal with minor infractions of these rules
by trainees sympathetically provided there is a good reason. ALL trainees
sitting the Exit Assessment in June 2004 or thereafter, irrespective of the
date of commencement of training, should fulfill ALL of the following
training requirements:
5.1.1 The duration of supervised Higher Training should be no less than 3 years in
College accredited centres.
5.1.2 There should be at least 2 years of hospital-based paediatrics, of which not
less than 12 months should be devoted to general paediatrics with acute
emergency hospital admission of children not restricted to any age group or
paediatric subspecialty.
5.1.3 The trainee may opt to undergo training for not more than 12 months in one
paediatric subspecialty (as defined in the Guideline for Paediatric Training)
inclusive of the 6 months obligatory rotation to local and overseas training
centres should such a rotation be through the same paediatric subspecialty
opted for.
5.1.4 The trainee may also opt to undergo training for not more than 12 months in
child health related specialties (e.g. child psychiatry, maternity child health
clinics, school health service, etc.) of which not more than 6 months should
be spent in any single specialty and inclusive of the 6 months obligatory
rotation to local and overseas training centres should such a rotation be
through the same child health related specialty.
5.1.5 All trainees must undergo a 6-month obligatory rotation through other
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5.4 The College Honorary Secretary would also make announcements via letters
to all COSs, the College Newsletter and Website for information of all parties
concerned immediately. It would be useful to send a reminder to all training
units and to announce the Guidelines on Higher Training in the Newsletter
every 6 months to reinforce Council's resolution.
The Task Force was appointed by the College Council on 4 th May 2000, with
membership from the College Accreditation, Education, Membership, Examination
and Review Committees, as well as representatives from the Department of Health,
the Hospital Authority, University Departments of Paediatrics, and College Fellows.
This diversified composition ensures that needs and concerns of this project are
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The Task Force convened a Meeting with the Subspecialty Groups, Chiefs of
Service, Training Supervisors and Paediatrics Consultants of Training Units on 22 nd
February 2002 to update participants of the progress of work of the Task Force,
provide information and collect opinions as well as feedback on the proposed
Questionnaires from all subspecialty groups. This was followed by excellent
exchange of views and opinions regarding the subject matter and all subspecialty
groups were requested to submit their completed Questionnaires before end of June
2002 to facilitate consideration of accreditation of higher training in the paediatric
subspecialties within the College.
At the 10th Anniversary of the College, the Committee prepared a 10-year report at
the Celebration Monograph which summarized all the Committee activities. The
information derived from the Anniversary Seminar on “Interfacing with Paediatric
Subspecialties” contributed significantly to our understanding of paediatric
subspecialty development in Hong Kong and facilitated our accreditation of
paediatric subspecialty training in the future.
During the year 2002, the Accreditation Committee with the mandate from the
College Council effected a Manpower Survey which revealed that, as on 31st May
2002, the College has in total accredited 181 trainers in paediatrics and enrolled
57 basic and 63 higher trainees (an overall trainer: trainee ratio of 1.5 to 1.0). The
results were submitted to the Education Committee of the Hong Kong Academy of
Medicine for planning and projection of future manpower requirement for medical
specialties to be used as reference for all key stakeholders within Hong Kong.
CONCLUSION
The past twelve months have been a memorable period of significant activities
and progress for the Accreditation Committee, as evidenced by the work achieved
throughout the period. We are especially encouraged to witness the accomplishment of
accreditation activities at institution, trainer and trainee levels, as well as adoption of the
Committee’s policy recommendations by the College Council. We are pleased to observe
commencement of clustering between different paediatric departments and child health
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services within the HKSAR. This collaboration between various institutions well serves to
maximize manpower and resources and also supports the missions of paediatric training
and accreditation. The future offers even more challenges for the Committee, especially
in the areas of subspecialty higher training and quality assurance of training programmes.
Strengthening of our training in general paediatrics, primary care and preventive paediatrics
will continue to be viewed with importance. Work ahead is formidable, but we are fortunate
to have a competent and cooperative team of committee members, many of whom are also
key figures at other standing committees of the College. This specially intended overlap
enables the Accreditation Committee to work in good harmony and to interact efficiently
with diversified functions of the College. The other assets of this Committee are the honour
to have our College President, Professor NK Leung, and College Honorary Secretary,
Professor Louis Low, sitting in our Committee. Their invaluable contribution is vital and
essential for all the work we have achieved during the period of this report. We strongly
believe that the successful fulfillment of our duties is dependent on the transparency,
reliability and accountability of the Accreditation Committee, on effective communications
with and support from all College Fellows and trainees, and good relationships with other
sister colleges within the Academy. We are privileged to be able to serve at this important
groundbreaking stage, and will strive to achieve our objectives with your valuable support!
Standing Committees
1. Membership
This year Prof Maurice Leung retired from the Education Committee after long years of
service. Dr Lettie Leung was newly appointed to the Committee.
2. Meetings
The training curriculum for Basic & Higher Training was the major focus of review
during the year. The following resolutions had been adopted and endorsed by Council.
1. The core paediatric program for Basic Paediatric Training would not be less
than 30 months
2. Retrospective recognition of time spent in other specialties for trainees
desiring to switch over would not exceed 6 months for Accident &
Emergency, General Medicine, GOPC, MCHC; and would not exceed 3
months for Anaesthesia, Dermatology, Obstetrics/Gynaecology, Pathology,
Psychiatry, Radiology, Surgery
3. The proposed period for recognition must conform with the prescription of
not more than 6 months in other approved disciplines in the one year flexible
program section
4. Mandatory CME
Another major issue which came under consideration by the Committee was the
promulgation by Medical Council of Mandatory CME for all practitioners, which would
be implemented in 2005 and linked to registration (renewal of practicing certificate) in
2008. The following resolutions had been adopted.
4.1 CME for Specialist Trainees
1. The College would provide CME for our Trainees, who would all come
under the Medical Council category of doctors not taking CME program for
specialists
2. The College would subscribe only to HKAM as CME administrator and
accreditor
3. Paediatric Update Seminars, PALS Course, Joint Scientific Meetings and
other College-run education activities would be designated as Non-Specialist
CME activities for our Trainees.
4. The logistics would be handled by CME Subcommittee.
4.2 CME for Non-Specialists (Non-Dedicated CME Activity)
1. Since the Medical Council had required CME activities designated for
specialist trainees to be open to all non-specialists as well, the College
could open up Paediatric Update Seminars, PALS Course & Joint Scientific
Meetings to other non-specialists under the HKAM category of Non-
dedicated CME Activity for non-specialists.
2. The Postgraduate Paediatric Course would not be open to non-specialists and
would remain restricted to registered Basic Paediatric Trainees since bedside
clinical teaching was involved..
3. Other College-run activities could be additionally designated as CME for
non-specialists at the discretion of the respective organisers or Standing
Committee according to the appropriateness of the subject matter.
4. There would be a need to consider a quota and a fee for non-specialists
attending these College activities. The logistics would need to be worked
out.
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Three seminars were conducted in 2002 instead of the usual four because of the tight
schedules of the year:
The first seminar examined the impact of Clinical Genetics on Paediatric Medicine in
the Human Genome era, while in the second seminar, Nuclear Medicine physicians
provided a comprehensive review of what modern day Nuclear Medicine can offer
in the various subspecialty areas of paediatrics. The third Update, deferred from
June and October, was the first of two parts conducted by a guest panel of Paediatric
Neurosurgeons on recent advances in a number of important paediatric neurosurgical
problems commonly faced by paediatricians.
Firstly the program was arranged to match with the recent de-linking of the Part II
Written Examination from the Clinical Examination, so that all slide quizzes and
clinical data workshops were scheduled in the first term before the Written Examination
in July.
Secondly, in line with the new training curriculum on Primary Care Paediatrics being
launched by the College, a third term was added after the October Clinical Examination
as a “module” in Community Paediatrics and Child Health focusing on issues in child
health, social, developmental and behavioural paediatrics.
All Basic Trainees would now go through this Course in the second year of their Basic
Training as a component of their curriculum.
The Course ran from 26 April to 27 December spanning 32 weeks. The re-structured
program now comprised 62 teaching sessions, with 12 lectures, 12 interactive oral
sessions, 6 slide quizzes, 5 clinical data workshops, 1 clinical demonstration and 26
bedside teaching, and was held at 16 sites. Twenty two trainees who had completed 12
months Basic Training attended the Course.
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7. Scientific Meetings
The 4th Guangdong-Hong Kong Paediatric Exchange Conference was held in Panyu,
Guangdong on 13 July. There were six plenary lectures presented by Fellows of our
College. The meeting was extremely well received.
The Urumqi Children Hospital Study Tour (10-17 August) was attended by a delegation
of 23 Fellows and accompanying persons, and had been a resounding success. Twelve
plenary talks were given by College delegates at the Urumqi-Hong Kong Paediatric
Exchange Meeting held at Urumqi Children Hospital on 11-12 August and were very
well received.
These joint meetings had not only enriched academic exchange, but had also provided
opportunities to foster friendship and linkages with our Mainland colleagues, as well as
to enhance fraternity amongst our Fellows & Members.
A Joint Scientific Meeting with the Hong Kong College of Physicians would be held on
26-27 October 2002. Three Fellows were invited to deliver Symposium lectures.
For Category B activities, a total of 884 credit hours were accredited for 15
paediatric units, 2 study groups and 7 private hospitals.
272 out of 288 Fellows (94.5%) in the CME cycle January 2002 - December
2002 had satisfied the minimum requirement, with 16 Fellows failing to obtain
40 points at the end of their second CME year.
For the cycles July 1999-June 2001 (1 Fellow), July 2000-June 2002 (22
Fellows), and January 2001 - December 2003 (24 Fellows), all had satisfied the
minimum requirements.
A random audit on the 2001 Annual Return Forms from 5% of Fellows was
conducted. All records audited were found substantiated except for one
case of Category D self-study claim, which required adjustment because of
misunderstanding on technicalities of reporting.
9. Acknowledgements
The Committee wishes to record a note of sincere appreciation and thanks to our guest
speakers for their most valuable contribution to our scientific meetings and courses.
The Committee also wishes to acknowledge the valuable contributions of all College
Fellows who assisted as lecturers and tutors in the Joint Scientific Meetings, PALS
Course, Postgraduate Paediatric Course & Paediatric Update Seminars, as well as the
generous and unfailing support from all the Paediatric Departments/Service Units of the
Hospital Authority and Department of Health.
Attendance
CME Fellow Mem & Other Total
Date Topic Speaker Venue
point Assoc
7 April Paediatric Update 1: Genetics in Paediatric Practice (Moderator: Dr Stephen LAM Tak Sum) HAHO 3 73 6 5 84
• Human Genome Project - Dr Stephen LAM Tak Sum (CGS)
• Current Status of Paediatric Genetic Service - Dr Ivan LO Fai Man (CGS)
• Recent Development of Molecular Genetic Diagnosis - Dr Tony TONG (CGS)
• Can Amnio - PCR Replace Conventional Cytogenetic - Dr LEUNG Wing Cheong (QMH)
Study for Women with Positive Biochemical Screening
for Down Syndrome
• Genetic Analysis of Cleft Lip & Palate - Dr Keith WONG (HKU)
13 July 4th Guangdong-HK Paediatric Exchange Conference Panyu, 6 30 4 20 54
• Management of Congenital Heart Diseases in the Neonate - Dr CHAU Kai Tung Adolphus (GH) Guangdong
• Pilot Epilepsy Registry of Children in HK - Dr Sharon CHEUK (KWH)
• Update on Gastroenteritis Management - Dr POON Kin Hung (TMH)
• Recent Advances in Asthma - Dr Alfred TAM
• Non-invasive Ventilation in Children - Dr TSOI Nai Shun (QMH)
• Long Term Survivors of Childhood Cancer - Prof Patrick YUEN (PWH)
17-21 4th Paediatric Advanced Life Support Course Dr Alfred HU YOUNG , (Heart Institute HKAM 12 14 15 91 120
July (Instructor & Provider Courses) for Children, Hope Children’s Hospital,
(Organised by Professional & General Affairs Committee) Illinois)
Dr David JAIMOVICH (Hope Children’s
Hospital, Illinois)
Dr Arno ZARITSKY (University of Florida
Medical Center, Florida)
Dr CHEUNG Kam Lau (PWH)
Prof Maurice LEUNG
Dr TSOI Nai Shun (QMH)
Dr Robert YUEN (KWH)
Dr HUI Yim Wo (PMH)
Dr MIU Ting Yat (QEH)
Attendance
CME Fellow Mem & Other Total
Date Topic Speaker Venue
point Assoc
Standing Committees
Three Examination Committee Meetings were held in 2002 (up to October). Co-
ordinators for different examinations were elected: Dr. Patricia Ip & Dr. Betty Young
for DCH, Dr. M. C. Chiu & Prof. Louis Low for Joint MRCPCH / Intermediate
Examination, and Prof. T. F. Fok & Dr. LI Chi Keung for Exit Assessment. Two Part
I examinations were held yearly. The Part II Written examination had been delinked
from the Clinical Examination, and was held twice yearly in July and November. Two
Part II Clinical Examinations were held in February and October every year. Exit
Assessment was conducted twice a year in December and June. Joint DCH Examination
was held once a year in September / October. Thus, a total of 7 examinations were held
a year, namely two Part I, two Part II Written, two Part II Oral & Clinical, and one DCH
examination.
Two Part I Examinations were held in January and September; and two Part II
Examinations were held in February and October.
Results
Part I (Jan 02)
No. of candidates: 25
No. of pass: 9 (Pass rate: 36%)
Prof. Louis Low and Dr. M. C. Chiu represented our College in the MRCPCH Part I & Part
II Boards in UK respectively.
3. EXIT ASSESSMENT
Two Exit Assessments were held in December 2001 and June 2002.
No. of candidates:-10
No. of pass :- 7 (Pass rate: 70%)
No. of candidates:- 12
No of Pass: 11 (Pass rate: 92 %)
In September this year, our College organized with RCPCH the second Joint DCH
Examination, awarding DCH (International) by RCPCH and DCH (HK) by HK College
of Paediatricians.
The Written Section of the examination was held in September at the Hong Kong
Academy of Medicine, and the Clinical Section in October at United Christian Hospital
and Pamela Youde Nethersole Eastern Hospital (PYNEH).
Local Examiners:- Dr. Patricia Ip (host examiner), Dr. Betty Young (host
examiner), Dr. Y. C. Tsao, Dr. Paul Tam, Dr. S. F. Hung,
Dr. C. W. Chan
UK Examiners:- Dr. M. Rossiter, Prof. J. Osborne, Dr. M. Williams, Dr. R. Beach
No. of candidates:- 29
No. of pass: 12 (Pass rate: 41%)
The Medical Council of Hong Kong has approved the qualifications of DCH
(International) & DCH (Hong Kong) to be quotable in Hong Kong.
Standing Committees
The College Secretariat is now served by two full-time secretaries, Mrs Christine Leung
and Ms Connie Lui. With increasing activities of the College and its standing committees,
it was necessary for our College to recruit another staff and Ms Elaine Leung took up her
appointment as a full-time assistant secretary in April 2002. The College Chamber was
restructured and renovated to accommodate our Secretariat staff. The conference room
in the College chamber will be available for college-related activities and enquiries and
booking should be directed to the College Secretariat. The Secretariat of the Hong Kong
Journal of Paediatrics has been relocated to the Secretariat of the Hong Kong College
of Paediatricians. All future correspondence to the Editor-in-Chief Professor CY Yeung
should be addressed to Room 808, The Hong Academy of Medicine Jockey Club Building,
99 Wong Chuk Hang Road. A projected annual expenditure of the Secretariat will be about
HK$0.75 million. All enquiries can be directed to the College Secretariat between 9:00 am
and 5:00 pm on weekdays and between 9:00 am and 1:00 pm on Saturdays by telephone
to 2871 8871 and by facsimile to 2785 1850 or by email to hkcpaed@netvigator.com. The
domain name of the College is www.paediatrician.org.hk. Our College chamber is graced
by the presence of our President Professor NK Leung several days a week.
Standing Committees
In the previous year, we have focused our work on consolidating and refining the College
Web page as well as improving communication among our Fellows with the help of
information technology.
www.paediatrician.org.hk is the electronic hallmark of our college. We value this web page
most and updating has never been interrupted. Some features of the College web pages are
worth mentioning ------
1. Section on “Continuing Medical Education” has always been the most frequently
visited site. We have made it informative and have encompassed all accredited
forthcoming Category A and Category B activities in this column. In addition, we have
kept an 18-month archive of these activities for easy reference.
2. The number of useful links related to paediatrics and medicine has been increased
to a record high of 99! We have examined these websites one by one, and we hope
these would be the electronic bridge between our Fellows and the world. What is
more precious about this column is that our College Secretariat has been updating and
verifying these sites every 4-6 weeks.
3. Full text of Hong Kong Journal of Paediatrics is now available on line in the
Members’ column. Back issues tracing back to January 2002 are also available.
4. Guidelines, official statements and announcements made by our College have been
included for reference. Position papers on smoking cessation kit, non-polio enterovirus
infection, cord blood banking, vaccines and venoms, sports and health in children and
Harvard Report are available with a click.
5. Reports and announcements made by various Committees have been posted in the web
page. These include recent council resolutions, PALS training, overseas training, Exit
35
In-house computing system is the functioning heart of our College secretariat. We have
helped in refining the system and in hooking it with the lease line of Hong Kong Academy
of Medicine to facilitate continuous Internet access in the College chamber. With this help,
we have introduced new services and upgraded old ones:
1. e News ----- first introduced in November 2001, we have issued 15 e-News. The
e-News provides up-to-date announcement of the College as well as forthcoming CME
activities. Dissemination of this via Internet has saved much of the labour of our staff
and has optimized our communication with our Fellows.
2. On line registration and car park reservation for paediatric update series were
conducted as usual.
3. Sending regular Newsletter via Internet rather than ordinary mail.
More and more Fellows are getting to utilize computers. Over 70% of our Fellows have
utilized emails in communication. To assist the less initiated, two computer workshops
were held (25/6/2002; 27/6/2002) and 27 Fellows were provided hand on training. These
workshops were well received and the Committee is planning to organize more workshops
for our Fellows.
The Hong Kong Academy of Medicine has been working on Membership and learning
Management System (MLMS). This system uses Smart Card technology to maintain
membership database, to facilitate e Learning and to generate reports on various statistics.
Dr KO Po Wan, secretary of IT Committee, is representing our College to give opinion
to the Academy as regards design and content. Also we are studying a Bar code system
proposed by Dr Bill Chan for CME registration of attendance.
The Committee is happy to have had a fruitful year. Our college Secretariat and our
Committee members, particularly Dr Ko Po Wan deserve special commendation.
Standing Committees
During the last year, 19 Associates were admitted. 18 Members (17 from existing
Associates) were enrolled and 18 Fellows were elected after passing the Exit Examination
and 1 Fellow was transferred to as Overseas Fellow.
Fellows 410
Members 64
Associates 66
Overseas Fellows 19
Overseas Members 2
Standing Committees
Scope of Work
The Professional and General Affairs Committee focused its effort in the organization of
anti-smoking programmes with Dr Chow Chun-bong as the coordinator.
The College collaborated with the Hong Kong Council on Smoking and Health (COSH),
the Tobacco Control Office of the Department of Health and the Department of Community
Medicine of the University of Hong Kong to organize an anti-smoking programme. A
tobacco-control kit for paediatricians would be available soon to equip local paediatricians
with more background knowledge on this issue.
In response to the World Stop Smoking Day, our College held a press conference on 29th
May 2002 jointly with the Hong Kong Paediatric Society and the Hong Kong Society of
Paediatric Respirology. The theme of the press conference was “Stop Smoking for Our
Children's Sake”. Our stand and proposals were presented at the conference.
38
The clinical guideline on Febrile Convulsion had been completed and was distributed to
members of the College. The clinical guideline on Gastroenteritis was completed and
under review by an expert panel before dissemination to members. The development of the
clinical guideline on Acute Bronchiolitis was in progress.
We aim at producing one set of guideline each year. This can give the College and
participating medical practitioners ample time to review our practice after implementation
of the guidelines.
The PALS course was again jointly organized with the Heart Institute for Children, Hope
Children’s Hospital, Illinois, USA. The Instructor Course was held on 17 th July 2002
and the Provider Course I and II on 18th-19th and 20th-21st July respectively at the Hong
Kong Academy of Medicine Building. There were 121 doctors, nurses and allied health
professionals who attended the Provider Courses and eight attended the Instructor Course.
We invited Dr Alfred Hu Young and Dr David Jamovich and Dr Arno Zaritsky to be our
overseas faculty members. It was the first time that we invited Dr Arno Zaritsky who is the
editor of the new PALS course content and director of the Division of Paediatric Critical
Care at University of Florida Medical Center. Other local faculty members included:
Dr Cheung Kam-lau
Dr Hui Yim-wo
Dr Maurice Leung
Dr Miu Ting-yat
Dr Nelson Tsoi
Dr Robert Yuen
The Professional and General Affairs Committee has studied and prepared, on behalf of the
College, position papers on issues relating to child health and in response to public
consultation or other professional bodies. These included:
• Consultation Document on proposed legislation for the prevention of Child Pornography.
• Consultation on Guidelines on Life-sustaining Treatment in the Terminally Ill drafted
by the Hospital Authority Working Group on Clinical Ethics.
• Consultation on Amendment for Human Organ Transplant Regulation.
• Consultation on Guidelines on Certification of Brain Death drafted by the Hong Kong
Society of Critical Care Medicine upon invitation by the Hospital Authority.
• Consultation on Guidelines on Proper Prescription and Dispensing of Dangerous
Drugs by Registered Medical Practitioners promulgated by the Hong Kong Medical
Council.
39
The Committee would like to acknowledge contributions from the following Fellows in the
preparation of these position papers:
Dr Chan Kwok-yin
Dr Chiu Man-chun
Dr Chow Chun-bong
Prof Fok Tai-fai
Dr Patricia Ip
Dr Li Chi-him
Dr So Kwan-tong
Dr Nelson Tsoi
Newsletter
The Committee continued to publish the College Newsletter at a 2-monthly interval. With
the increasing use of computers among our members, the distribution is now distributed by
electronic means. The Editors were:
Dr Patricia Ip
Dr Ko Po-wan
Dr Chris Woo
Dr Betty Young
Standing Committees
The Review Committee did not meet during the year as there was no appeal or complaint
received.
Dr Chan Yat Tung, Eric 陳日東醫生 Dr Fan Ling Wah, Stephanie 范凌華醫生
Dr Fu Yu Ming 符儒明醫生 Dr Fung Tsui Hang, Sharon 馮翠姮醫生
Dr Hung Chi Wan, Emily 洪之韻醫生 Dr Tam Ka Man, Carmen 譚嘉敏醫生
Dr Kwok Man Lai 郭文勵醫生 Dr Lam Chuen Fat, Albert 林傳發醫生
Dr Kwok Mei Kwun 郭美均醫生 Dr Chan Sin Hang, June 陳善珩醫生
Dr Lai Ying 黎 嬰醫生 Dr Lau Yu 劉 瑜醫生
Dr Ng Hak Yung 吳克勇醫生 Dr Loung Po Yee 梁寶兒醫生
Dr Tang Yiu Cho, Quepanthio 鄧耀祖醫生 Dr Tang Miu Sze 鄧妙詩醫生
Dr Wan Hoi Shan 尹海珊醫生 Dr Yuen Lai Kei 袁麗琪醫生
Dr Pau Chee Kit, Benjamin 包志傑醫生
Delegates from Hong Kong attending 4th Guangdong / Hong Kong Paediatric
Exchange Meeting in Panyu, China on July 13, 2002