Surgical Training in Hong Kong - CSHK · 2016-03-17 · Surgical Training in Hong Kong Dr Randolph...

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Surgical Training in Hong Kong Dr Randolph H.L. WONG MBChB, FRCSEd(CTh), FCSHK, FHKAM, FCCP Associate Consultant, Cardiothoracic Surgeon Younger Fellow Chapter College of Surgeons of Hong Kong Career Talk 2010

Transcript of Surgical Training in Hong Kong - CSHK · 2016-03-17 · Surgical Training in Hong Kong Dr Randolph...

  • Surgical Training in Hong Kong

    Dr Randolph H.L. WONGMBChB, FRCSEd(CTh), FCSHK, FHKAM, FCCP

    Associate Consultant, Cardiothoracic SurgeonYounger Fellow Chapter

    College of Surgeons of Hong Kong

    Career Talk 2010

  • extremely unaffordable, only for selected few

    Gaggexxu

  • extremely tough and challenging, only for selected few

    surgical training

  • http://www.pathconsultddx.com/pathCon/largeImage?pii=S1559-8675(06)70488-0&figureId=fig1http://www.wjes.org/content/1/1/4/figure/F2

  • http://www.google.com.hk/imgres?imgurl=http://www.thaindian.com/newsportal/images/Michael%2520Jackson-125250.jpg&imgrefurl=http://www.thaindian.com/newsportal/tag/skin-graft&usg=__aMAqNFuL_6mHHgsor6i2y69OiJQ=&h=303&w=210&sz=41&hl=en&start=138&zoom=1&um=1&itbs=1&tbnid=1PDhpLdchKEHqM:&tbnh=116&tbnw=80&prev=/images%3Fq%3Dburn%2Bskin%2Bgraft%26start%3D120%26um%3D1%26hl%3Den%26sa%3DN%26rlz%3D1T4SNYN_en-GBHK284HK285%26ndsp%3D20%26tbs%3Disch:1http://upload.wikimedia.org/wikipedia/commons/6/6f/Intestinal_Obstruction.JPG

  • http://www.youtube.com/watch?v=V-X4ZK2tQOk&feature=youtube_gdata_playerhttp://www.youtube.com/watch?v=7tTGfYCqH5w&feature=youtube_gdata_playerhttp://www.google.com.hk/imgres?imgurl=http://my.clevelandclinic.org/PublishingImages/heart/evInternaliliacarterypreservation_lg.jpg&imgrefurl=http://my.clevelandclinic.org/heart/disorders/aorta_marfan/evabdomaneurysmpost.aspx&usg=__4D51A-6jnANfQSYYdSpX7px6jhI=&h=600&w=600&sz=60&hl=en&start=4&zoom=1&um=1&itbs=1&tbnid=M_WU6eGT8cy2QM:&tbnh=135&tbnw=135&prev=/images%3Fq%3Dendovascular%2Bstenting%26um%3D1%26hl%3Den%26rlz%3D1T4SNYN_en-GBHK284HK285%26tbs%3Disch:1http://www.ideasforsurgery.com/wp-content/uploads/2008/01/megachannel.gif

  • It’s challenging! 能力越大,責任越大

    • Courage• Sense of responsibility• Crisis management• Prioritization• Technical expertise• Team work• Innovation• Commitment to excellence

  • Challenges• Long working hours • Frequent on‐call duty 

    – Range from 1 in 3 to 1 in 5– c.f. Oncology, psychiatry 4 times per month– c.f. Pathology, no need to be on‐call/air‐call

    • Highest divorce rate  in USA• Burn out • Promotion Opportunity  /☺• Work – Life balance is achievable

  • It’s rewarding

    http://ih4c.wordpress.com/2010/01/04/aaron/svg-2009-50th-in-texas-079/

  • Rewards

    • Save lives• Patient’s respect and gratitude• Technical satisfaction• Promotion• Private Practice

  • Giants

    PresenterPresentation Notes1888 - 1889      G.P. Jordan 1889 - 1896      J. Cantlie 1896 - 1897      J.C. Thompson 1897 - 1905      A. Rennie 1905 - 1912      W.V.M. Koch 1915 - 1945      K.H. Digby 1945 - 1948      J. Cray (acting) 1948 - 1963      F.E. Stock 1964 - 1982      G.B. Ong 1983 - 2008      J. Wong 2008 -      S.T. Fan

  • Intake of training posts• BST Male : Female• 2000  ‐ 16 ~1 : 1• 2008 ‐ 37• 2009 ‐ 75• 2010 ‐ 82 ~1 : 6‐8• HST• 2008 ‐ 41• 2009 ‐ 35• 2010 ‐ 41

  • Surgical Training: Current status

    • Overall highly acclaimed programme• Individual surgical exposure subjected to a variety of factors, e.g. institution, niche 

    • Less operative exposure when compared from “older” generation of surgeons

    • More training into minimal invasive surgery

  • Training structure in Hong KongMedical School

    Basic Surgical training

    Higher Surgical Training

    Specialist in Surgery

    Exit Examination

    Intermediate examination

    Sub-specialization

    2-3 yearsBasic Surgical Skills CourseATLS

    4-5 yearsResearch Requirement

    5 + 1 year internship

    +/- Oversea training

    PresenterPresentation NotesBasic surgical training provided by public hospital in Hong Kong, the process is solely under the governance and evaluation of CSHKDuring the basic training, BSTs have to rotate through 6 months Orthopedics, 6months General surgery and 12 months subspecialtyThe intermediate examination comprises Part I and II which are MCQ tests and Part III which is clinical examination. Afterward, they will join the HST selection exercise of which they will be designated to be trained in the surgical subspecialty: General surgery, neurosurgery, CTS. PRAS, Urology, Paediatric surgery

  • Surgical Subspecialties

    • Cardiothoracic Surgery• General Surgery

    – Colorectal– Hepatobiliary – Upper GI– Vascular

    • Neurosurgery• Paediatric Surgery• Plastic and Reconstruction Surgery• Urology

  • To increase your exposure to surgical field

    • Summer attachment to interested surgical team

    • Oversea elective to various surgical units• Choose your interested team to have internship

    • Take Paper I&II of HK Intercollegiate Board of Surgical Colleges Membership Examination (Part 1 & 2) during internship

  • Please visit: http://www.cshk.org

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  • Thank you!

    Surgical Training in Hong KongSlide Number 2Slide Number 3Slide Number 4Slide Number 5Slide Number 6It’s challenging! �能力越大,責任越大�ChallengesIt’s rewardingRewardsGiantsSlide Number 12Intake of training postsSurgical Training: Current statusTraining structure in Hong KongSurgical SubspecialtiesTo increase your exposure to surgical fieldPlease visit: http://www.cshk.orgSlide Number 19Thank you!