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1
Overcoming Diagnostic
Issues and Training
Program for
Doctors in Hong Kong and
China
Dr. Ignatius YuClinical Professor and Head,
Division of Occupational and Environmental Health
Associate Director (Research), School of Public Health and Primary Care
The Chinese University of Hong Kong
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Occupational Medicine
The effects of work on health
The effects of health on work
A clinical specialtyDealing with individual patients
A specialty in preventive medicine (public health)
Dealing with groups of working people
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Prescribed Occupational Diseases in Hong Kong
Compensation LegislationEmployees’ Compensation Ordinance (48)
Pneumoconiosis Compensation Ordinance (3)
Occupational Deafness Compensation Ordinance (1)
Preventive Legislation Occupational Safety and Health Ordinance - Notification of Occupational Diseases
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DiagnosisEmployees’ Compensation Ordinance
The process for confirming the diagnosis of occupational disease is unclear
Pneumoconiosis Compensation OrdinanceDiagnosis and assessment by a designated Pneumoconiosis Medical Board with specialists in occupational medicine and respiratory medicine
Occupational Deafness Compensation OrdinanceDiagnosis and assessment by a statutory Occupational Deafness Medical Committee with representatives from all related disciplines (Occupational Medicine, ENT, Audiology)
Designated hearing test centers for medical examination and hearing assessment
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Occupational Physicians
Medical specialists in Occupational Medicine
Medical practitioners trained in Occupational Medicine but have not achieved specialist status
Medical practitioners offering medical services to companies and factories but without formal training in OM
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3 Levels of Formal Training
Diploma in Occupational Medicine
Master in Occupational Medicine
Specialist in Occupational Medicine
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Specialist in Occupational Medicine
Hong Kong Academy of MedicineHong Kong College of Community Medicine
Occupational Medicine Subspecialty Board
3 years basic trainingan academic course with the taught component in occupational medicine/ occupational health equivalent to that of a master coursePart I Examination (8 hours of written examination)
3 years higher specialist trainingPart II Examination
Written Papers (6 hours)Practical/Clinical Examination (5 stations)
Part III (Exit) Examination
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Occupational Physicians in Hong Kong
Currently, there are only about 20 fully qualified occupational physicians in Hong Kong (most are in universities and the government) but unfortunately, not all of them are actively involved in occupational health programs for various reasons.
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Occupational Physicians in Hong Kongthe missing block
most occupational safety and health programs at company level are without any input from occupational physicians
company doctors/'contract doctors' curative treatment, pre-employment examinations (to screen out
unfit applicants), controlling sick leave may not have received training in OM
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Value-Adding Contributions From Occupational PhysiciansAt the territory-wide level, advice on
appropriate legislation and policy
health information systems for occupational accidents and diseases (with their skills in epidemiology and biostatistics)
strategies and the practical aspects of dealing with major occupational and environmental incidents
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Value-Adding Contributions From Occupational PhysiciansAt the company level,
the engagement of an occupational physician will enable the company to adopt a more pro-active approach than the current one that places too much emphasis on screening out unfit workers and on curative treatment. a comprehensive occupational health program may benefit from the contributions from an occupational physician
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Where Do We StandWhere Should We Stand
protect workers health
prevent diseases and injuries
promoting occupational health good health is good business good matching improves production
efficiency and leads to better physical and mental health