A Practical Note on Obese Children with Obstructive Sleep Apnoea

每月自修資料請細閱以下文章，並利用第十五頁之答題紙完成自我評估測驗。香港醫學會持續醫學進修計劃參加者如於二零零五年六月十五日前，將已填妥之答題紙傳真或寄回本會秘書處，將可獲持續醫學進修一個積分點；至於是期自我評估測驗之答案，將刊於下一期《持續醫學進修專訊》之中。(本會秘書處傳真號碼：2865 0943)

MONTHLY SELF-STUDY SERIESPlease read the following article and complete the self-assessmentquestions. Participants in the HKMA CME Programme will be awarded1 credit point under the Programme for returning completed answersheet on p.15 via fax (2865 0943) or by mail to the HKMA Secretariaton or before 15 June 2005. Answers to questions will be provided inthe next issue of the HKMA CME Bulletin.

May 2005 •二零零五年五月持續醫學進修專訊

THE HONG KONG

MEDICAL ASSOCIATION

The Hong Kong Medical Association is dedicated to providing a coordinated CME programme for all members of the medical profession. Under the HKMA CME Programme, a CMEregister is installed to document the CME efforts of doctors and special CME avenues are provided. The Association strives to foster a vibrant environment of CME throughout themedical profession. Both members as well as non-members of the Association are welcome to join us. You may contact the HKMA Secretariat for details of the programme.香港醫學會致力推動持續醫學進修，醫學會體察到業界有必要設立完善的持續進修計劃，為同僚建立有系統的進修記錄機制，以及為全科醫生提供適切的進修課程。藉著這個計劃，我們期望將優良的進修傳統推展至醫學界中每一角落，同時為業界締造一個充滿活力的進修文化。我們誠意邀請你參與醫學會持續進修計劃，不論你是否醫學會的會員，均歡迎你同來與我們一同學習，以及享用醫學會為所有醫生設立的進修記錄機制。如欲了解香港醫學會持續醫學進修計劃的詳情，請聯絡本會秘書處查詢。

A Practical Note onObese Children withObstructive SleepApnoea SyndromeDr. Ng Kwok Keung, DanielConsultant PaediatricianM.Med.Sc., F.H.K.A.M., F.R.C.P.

Dr. Lam Yuen YuSenior Medical OfficerM.B. B.S., M.R.C.P., F.H.K.A.M.(Paed.)

Mr. Chan Chung HongResearch AssistantB.Sc.

IntroductionPrevalence of obesity is increasing in Hong Kong. Datafrom 2000/01 school year found that approximately 14%of primary and 12% of secondary school students wereobese.1 It was higher than the figures reported in lastdecade.2, 3 Obesity is a well-known major risk factor ofcardiovascular and metabolic disorders. However, theimpact of obesity on sleep in children is frequently ignoredin the literature. Sleep problems can lead to deteriorationof day-time achievement and social life. This paper willdiscuss the impact of obesity on sleep as well as themanagement of obesity in children.

Obesity in ChildrenCommonly used definition of obesity included weightgreater than 120% median weight for height (MWH).4, 5

Local reference data were available.6, 7

BMI (Body mass index) is less useful in paediatric populationas adult cut-off value of 30 kg/m2 for obesity and25 kg/m2 for overweight could not be directly used inpaediatric population. It is because normal BMI is dependenton age and gender. International cut- off values of BMI fordefining obesity and overweight at different age andgender were reported.8 Thus, a statistical norm should beused in pediatrics population with respect to age andgender. For Hong Kong, the cut-off values for obesity is97th centile in boys and 98th centile in girls and the cut-offvalues for overweight is 88th for boys and 90th for girls.9

For practical purpose, it is convenient to use the cut off of90th centile and 97th centile of BMI as the definition ofoverweight and obesity in Hong Kong children. Local dataon BMI distribution were available.9

General practitioners should routinely measure both weightand height for children attending their clinics. These datashould be charted and track changes overtime. Weightreduction or maintenance regime should be recommendedif a trend towards obesity was found. Early identificationand correction of obesity in children should be the key toprevent adverse outcome of childhood obesity.

Obesity and Obstructive Sleep ApnoeaSyndrome (OSAS)Childhood obesity is definitely associated with a higherrisk for OSAS as OSAS was reported in 13 to 27% ofobese children from various pediatric studies.9 A recentcase controlled study by Wing et al demonstrated thatobese children in Hong Kong were more prone to develop

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p.3p.3A Practical Note on Obese Children with Obstructive Sleep Apnoea

OSAS as compared with normal control.10 A review ofcases referred to our sleep laboratory for polysomnographyfound that nearly half of obese children referred to ourlaboratory had OSAS.11 The major underlying reason islikely related to the adipose tissue deposition in pharynxcausing obstructions in the airway while asleep.

Obese children with OSAS face a double challenge as bothOSAS and obesity imposed risks to the cardiovascular system.9

Children with OSAS were found to have impaired daytimeperformance,12-14 hyperactivity15 and failure to thrive.15

As the co-morbidity of OSAS and obesity impaired childhealth and daytime performance of children, OSAS in obesechildren should be promptly diagnosed.

Management of OSAS in Obese ChildrenGeneral practitioners are the first line medical personnel whocan screen obese children for OSAS. General practitionershould actively ask for habitual snoring, the hallmarksymptom of OSAS in obese subjects at consultation. Blundenet al found that only 15.2% of parents of children with highrisk of sleep problem raised sleep problems to GP.16 For obesechildren with habitual snoring and other complaints likeexcessive daytime drowsiness or fatigue, unrefreshed sleep,impairment of daytime performance and cardiovascularabnormality, e.g. hypertension, OSAS should be suspectedand referral to overnight polysomnography should be made.

Adenotonsillectomy (T & A) should be considered inmoderate and severe OSAS. Weight reduction should beencouraged in obese children with co-existing OSAS as Williet al17 reported resolution of sleep apnoea after weight lossin 5 morbidly obese children. As children with OSAS hadincreased energy expenditure during sleep (SEE),18 one shouldbe aware that treatment of OSAS by T&A may be associatedwith weight gain secondary to decreased energy expenditureduring sleep.18 Close follow-up after resolution of OSAS isessential to detect and manage early trend of further weightgain which may lead to relapse of OSAS. In obese childrenwho has persistent OSAS after T & A or those who are notfit for surgical treatment, non-invasive ventilation can beoffered together with weight reduction.

Weight Reduction RegimeA weight reduction program requires a carefully plannedcalorie-reduced diet and a regular exercise program. A studyin pre-adolescents found no weight loss if only dietaryrecommendations were given without exercise.19 Thereshould be close monitoring by physicians to avoidcomplications. Input from psychologists to providebehavioural therapy to patients and parents are helpful inimproving the outcome.19-21

Dietary Intervention

For older children and adolescents, a weight reduction dietusually provides 1,000 to 1,500 kcal daily (4.2 to 6.3 MJ).Diet less than 1,000 kcal is usually not advised.22 The dietshould provide at least 60% of estimated averagerequirement for the child’s age.22 The weight loss is usuallymore marked in first few weeks and less subsequently. Arealistic and practical target should be set. Half to onekilogram weight loss per month is usually well tolerated. Inan active growing child, maintaining a static body weight isalso an acceptable alternative. A practical and achievablegoal should be set at the start to increase chance of successand prevent abandonment.

Exercise Programme

Moderate exercise is usually recommended for weightreduction. Different exercise levels are defined by heart rate.23

Intensity of exercise level is commonly classified by metabolicenergy equivalent (MET) to facilitate study in the field withoutheart rate monitor. One MET refers to activity equivalent toeating or relaxed standing or supine rest. In the authors’department, children and their parents are asked to notedown the exercise level associated with the exercise programdesigned by the physiotherapist. (Table 1) They are asked toundertake similar moderate exercise level, as measured bysubjective assessment of exertion level, with other personallypreferred activities 5 times per week. Exercise interventionalso served as a life style modification in obese children tobreak their sedentary life style.

Table 1: Energy Expenditure of various physical activities

EnergyRecreational MET expenditureActivities (ml/kg/min) (kcal/kg/min)

Trampoline 3.5 0.06Walking 3.5 0.06Gymnastics 4 0.07Table Tennis 4 0.07Bicycling 4 0.07Badminton 4.5 0.08Descending stairs 4.9 0.09Basketball 6 0.11Dancing(aerobic, ballet, modern) 6 0.11Jogging 7 0.12Football 8 0.14Tennis 8 0.14Ascending stairs 9.6 0.17Swimming 10 0.18Squash 12 0.21

1 MET = 0.01768 kcal/kg/min

p.4 A Practical Note on Obese Children with Obstructive Sleep ApnoeaH

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Life Style ModificationGenesis of childhood obesity depends on both non-modifiable factors and modifiable factors. Non-modifiablefactors included genetic factor, gestation age and ethnicity.However, the actual causes of obesity depended heavily onmodifiable factors. One of the most important modifiablefactors is the perception of obesity by children and parents.From authors’ personal observation, it is common for obesechildren and their parents to neglect the health consequencesof obesity and accept their current status. Unawareness ofthis problem and continuation of their unhealthy lifestylemay further increase the degree of obesity. Family physiciansshould identify such a problem and discuss with both theobese children and parents for the adverse consequences ofobesity. Effective interventions should be recommended toobese children. In addition, education to both the childrenand parents on healthy lifestyle is very important. Anappropriate dining pattern should be recommended. Healthyeating pattern involving the input from children, parents andschools. Family meals should always be recommended as itensured a more nutritious meal and good eating habits.24 Arecent studies show that more family mealtime per week isassociated with better health and psychosocial well beingof adolescents 25 Parent could serve as a role model of healthyeating habit for children during family mealtime.

Parents should avoid using food as a reward. Sedentarypursuits should be limited, for example excessive televisionviewing, video gaming and Internet surfing especially thoseassociated with snack food and fizzy drinks consumption.Parents should encourage an increase in casual activities,e.g. walking to school, and reduced usage of remote control.In addition, long-term engagement of sport should berecommended for obese children.

ConclusionChildren with obesity and OSAS face a vicious cycle of obesityworsening OSAS which in turn leads to increasedconsumption of food to ward off daytime sleepiness.Together, these two phenomena have an exaggerated impacton different systems, especially the cardiovascular system.GP should be prepared to work with the family to break thevicious cycle and make referral for sleep studies in thoseobese children with snoring.

Key Messages1. Obesity is closely associated with obstructive sleep

apnoea syndrome (OSAS).2. Both obesity and OSAS impose considerable risk to the

cardiovascular system.3. Referrals to sleep study should be made if an obese

child had habitual snoring with or without otherdaytime symptoms.

4. OSAS is relieved by weight reduction in obese children.5. Adenotonsillectomy or non-invasive ventilation are

accepted treatment for obese OSAS children.

6. In children, weight reduction program includes dietaryintervention, exercise intervention and lifestylemodification.

22. Jeffereys K. Nutrition for child with feeding difficulties. In:Shaw V and Lawson M editors. Clinical Paediatric Dietetics.2nd Editions : Blackwell Publishing; 2001.

23. Pollock ML, Wilmore JH. Exercise in Health and Disease:Evaluation and Prescription for Prevention and Rehabilitation.2nd ed. Philadelphia: WB Saunders Company; 1990.

24. Gillman MW, Rifas-Shiman SL, Frazier AL, et al. Family dinnerand diet quality among older children. Arch Fam Med 2000;9: 235-40.

25. Eisenberg ME, Olson RE, Neumark-Sztainer D et al. CorrelationsBetween Family Meals and Psychosocial Well-being AmongAdolescents. Arch Pediatr Adolesc Med 2004; 158: 792-6.

References:

1. Department of health. Obesity. http://www.info.gov.hk/dh/diseases/ncd/eng/obesity.htm accessed: 10-9-2004.

2. Department of Health. Health Problems of PrimarySchool Children in 95/96. http://www.info.gov.hk/dh/diseases/text_version/ph&eb/v6n2/v6n2-1t1.txt accessed:10-9-2004.

3. Leung SS, Ng MY, Lau TF. Prevalence of obesity inHong Kong children and adolescents aged 3-18 years.Zhonghua Yu Fang Yi Xue Za Zhi 1995; 29: 270-2.

4. Jelliffe DB. The assessment of the nutritional status ofthe community, WHO Series No. 503. WHO, Geneva1966.

5. Jelliffe DB, Jelliffe EFP. Advances in internationalmaternal and child health 1986 Vol 6. Clarendon Press1986; 66-78.

6. Leung SSF, Lau JTF, Tse LY et al. Weight for age andweight for height reference for Hong Kong childrenfrom birth to 18 years. J Paediatr Child Health 1996;32: 103-9.

7. Leung SFF, Cole TJ, Tse LY et al. Body Mass Indexreference curves for Chinese children. Ann Hum Biol1998; 25: 169-74.

8. Cole TJ, Bellizzi MC, Flegal KM et al. Establishing astandard definition for child overweight and obesityworldwide: international survey. BMJ 2000; 320: 1240-3.

9. Ng DKK, Lam YY, Kwok KL et al. Obstructive sleepapnoea syndrome and obesity in children. Hong KongMed J 2004; 10: 44-8.

10. Wing YK, Hui SH, Pak WM et al. A controlled study ofsleep related disordered breathing in obese children.Arch Dis Child 2003; 88: 1043-7.

11. Chau KW, Ng KK, Kwok KL et al. Survey of childrenwith obstructive sleep apnoea syndrome in Hong Kongof China. Chin Med J (Engl) 2004; 117: 657-60.

12. Marcus CL. Sleep-disordered breathing in children. AmJ Resp Crit Care Med 2001; 164: 16-30.

13. Ali NJ, Pitson D, Stradling JR. Natural history of snoringand related behaviour problems between the ages of 4and 7 years. Arch Dis Child 1994; 71: 74-6.

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HKMA CME BulletinMonthly Self-Study Series

Call for Articles

Since its publication, the HKMA CME Bulletin has become one of the most popular CME readings for doctors. This monthlypublication has been serving more than 6,300 readers each month through practical case studies and picture quizzes. Toenrich its content, we are inviting articles from experts of different specialties. Interested contributors may refer to the GeneralGuidance below. Other formats are also welcome. For further information, please contact Miss Cynthia Chan at 2527 8452 orby email at [email protected].

General Guidance for Authors

(1) Intended readers : General practitioners(2) Length of article : Approximately 8-10 A-4 pages in 12-pt fonts in single line spacing(3) Review questions : Recommended to include 10 self-assessment questions in true-or-false format. (It is

recommended that analysis and answers to most questions be covered in the article.)(4) Language : English (preferably with an optional Chinese introduction of 200-300 words)(5) Key Lessons : Recommended to include, if possible, a key message in point-form at the end of the article(6) Highlights : It is preferable that key messages in each paragraph/section be highlighted in bold types(7) Others : List of full name(s) of author(s), with qualifications and current appointment quoted(8) Deadline : All manuscripts for publication of the month should reach the Editor before the 15th of the

previous month

All articles submitted for publication are subject to review and editing by the Editorial Board.

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14. Gozal D. Sleep disordered breathing and schoolperformance in children. Pediatrics 1998; 102: 616-20.

15. Schechter MS, Section on Peiatric Pulmonology,Subcommittee on Obstructive Sleep Apnoea Syndrome.American Academy of Pediatrics. Technical Report:Diagnosis and Management of Childhood ObstructiveSleep Apnoea Syndrome. Pediatrics 2002, 109: e69.

16. Blunden S, Lushington K, Lorenzen B et al. Are Sleepproblems under-recognised in general practice? ArchDis Child 2004; 89: 708-12.

17. Willi SM, Oexmann MJ, Wright NM et al. The effects ofa high protein, low fat, ketogenic diet on adolescentswith morbid obesity: body composition, bloodchemistries, and sleep abnormalities. Pediatrics 1998;101: 61-7.

18. Marcus CL, Carroll JL, Koerner CB et al. Determinantsof growth in children with the obstructive sleepapnoea syndrome. J Pediatr 1994; 125: 556-62.

19. Hills AP, Parker AW. Obesity management via diet andexercise intervention. Child Care Health Dev 1988; 14:409-416.

20. Epstein LH, Wig RR, Steranchak L et al. Comparison offamily based behavior modification and nutritioneducation for childhood obesity. J Pediatr Psychol1980; 5: 25-36.

21. Israel AC, Stolmaker L, Andrian CA. The effects oftraining parents in general child management skills ona behavioral weight loss program for children. BehavTher 1985; 16: 169-80.

Self-Assessment Questions(Please indicate true or false to the following questions)

1. BMI larger than 30 kg/m2, the definition of obesity inadults, can also be applied to children.

2. A commonly used definition of obesity is weightgreater than 120% of median weight for height.

3. In Hong Kong, prevalence of childhood obesity isaround 12-14%.

4. General Practitioner should routinely measure bothweight and height for children attending their clinics.

5. Childhood obesity is associated with a higher risk forobstructive sleep apnea syndrome. (OSAS)

6. Parents will actively report the sleep problems, if any,during clinic visit.

7. OSAS can be diagnosed by clinical history alone.8. Both OSAS and obesity imposed risks to the

cardiovascular system.9. Treatment of OSAS by adenotonsillectomy may lead to

further weight gain in obese children.10. The optimal weight reduction is 5 to 10 kg per month

in obese children.

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Please answer the questions for each quiz below by returning the completed answer sheet printed on page 15. This exercise will attract 0.5 CME point for participants completingBOTH quizzes. Answers and explanations will be provided in the next issue.

請回答下列問題並填妥第十五頁之答題紙交回本會秘書處，參加者將可獲持續醫學進修積分點零點五分，請注意，參加者必須同時回答兩個小測驗之問題。至於今期之答案將刊於下一期《持續醫學進修專訊》之中。

Clinical Case Study專科個案剖析

Clinical Cardiology Series臨床心臟科個案研究

A 30 year old gentleman, who enjoyed good past health,complained of recent fast palpitations that were abruptin onset. One day, he visited the ER department withpalpitations that lasted for more than 1 hour. Onadmission, the blood pressure was 120/70 mmHg. ECGwas done and was shown below.

What is your diagnosis?

a. SVT with aberrancy

b. Atrial fibrillation with aberrancy (AF)

c. Ventricular fibrillation (VF)

d. Ventricular tachycardia (VT)

1. Which of the following(s) is/are correct (you may choosemore then one item)?

a) LVH d) P pulmonaleb) RVH e) P mitralec) Right axis deviation f) Atrial ectopic

Options d and f are correct. This gentleman was in sinusrhythm with normal axis. The P wave amplitude increasedto 4 mV and was peaked in shape. By definition, any Pwave amplitude greater than 2.5 mV would be classifiedas P pulmonale, which signified right atrial enlargement.There was no ventricular hypertrophy. There were frequentatrial ectopics with slightly variable morphologies of Pwaves.

2. After admission to the ward, he complained ofpalpitations again, ECG was done and was shown below.Blood pressure was 130/80. What was the arrhythmia?

a) Sinus tachycardiab) Ventricular tachycardiac) Atrial Flutterd) Mutlifocal atrial tachycardia

Option C is correct – patient had atrial flutter with 2:1 block.The second ECG showed a ventricular rate of around 170/min. The atrial rate was around 300/min and was saw-toothed especially in the inferior leads.

Atrial arrhythmia is common in patients with COAD. It isusually difficult to convert it back to sinus rhythm duringthe acute exacerbation. The aim is to control the heart rateand to relieve hypoxemia so that it will convert back tosinus rhythm afterwards spontaneously. Indeed, the heartrate of this gentleman was initially controlled with diltiazemand it reverted back to sinus rhythm spontaneuously afterthe exacerbation of COAD subsided.

Answers to April 2005Clinical Cardiology Series臨床心臟科個案研究二零零五年四月份答案

The content of the Office Cardiology Series is provided by:

Dr. So Yui ChiM.R.C.P. (U.K.), M.R.C.P. (Ireland), M.H.K.C.P.

Dr. Li Siu Lung, StevenM.B.,B.S.(H.K.), M.R.C.P.(U.K.), F.H.K.A.M., F.H.K.C.P.., F.R.C.P.(Glasg.), F.R.C.P.(Edin.), Specialist in Cardiology

Dr. Wong Shou Pang, AlexanderF.R.C.P., F.H.K.A.M.(Med.), F.H.K.C.P., Specialist in Cardiology

臨床心臟科個案研究之內容誠蒙蘇睿智醫生、李少隆醫生及

王壽鵬醫生提供。

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p.7Clinical Case Study 專科個案剖析

The content of the Dermatology Series is provided by:Dr. CHAN Loi-yuen & Dr. TANG Yuk-ming, WilliamSpecialists in Dermatology & Venereology皮膚科病例研究之內容誠蒙陳來源醫生及鄧旭明醫生提供。

A 55 year old Chinese male noticed periungual swellingover his left index finger for over one year. The lesion grewin size slowly and was occasionally tender. There was alsodeformity over that finger nail. There was no precedingtrauma. His general health was good. Physical examinationrevealed a 5 mm translucent cyst with depression grooveover the nail.

1. What is the clinical diagnosis?

2. What is the underlying cause?

3. How would you confirm the diagnosis?

4. What are the investigations?

5. What are the treatments?

Dermatology Series皮膚科病例研究

A 28 year old Chinese male noticeddarkening of the skin over his axillaefor few years. There was nosymptom. His general health wasgood. Physical examination revealeddarkening of colour, roughness,increased skin markings and drynessover his axillae and back of neck.Multiple skin tags were also present.His body weight was about 85 Kg.

Answers to April 2005Dermatology Series皮膚科病例研究二零零五年四月份答案

1. What is the clinical diagnosis?The diagnosis is acanthosis nigricans (AN). This patient hasthe pseudo-AN subtype.

2. What are the different subtypes of this dermatosis?There are five types of AN. Type 1 is the hereditary, benignAN. Type 2 is the benign AN and is associated with variousendocr ine d i sorders such as type 1 d iabetes ,hyperandrogenetic states, Cushing’s disease, Addison’sdisease and hypothyroidism. Type 3 is the pseudo-AN andis associated with obesity. Type 4 is the drug-induced ANand may be due to nicotinic acid, stilbestrol or oralcontraceptives. Type 5 is the malignant AN and usually dueto adenocarcinoma, or lymphoma. In type 5, ANinvolvement is more extensive and severe; and can involvelips, palms and soles.

3. What is the underlying mechanism?AN is caused by hyperinsulinemia associated with insulinresistance. Insulin binds to insulin-like growth factorreceptors in the skin cells, resulting in hyperplasia of skin.

4. What are the investigations?There is elevated fasting blood insulin level. Screening fordiabetes should also be done. Further evaluation to ruleout endocrinopathy and malignancy are usually notrequired in obese patients or those with l imitedinvolvement.

5. What are the treatments?Weight loss can resolve type-3 AN and has beneficial effecton other types of AN. Improvement may be obtained withtopical keratolytics, tretinoin, corticosteroids, dermabrasion,laser and cryotherapy. More severe form of AN may betreated with isotretinoin or acitretin. It should be noted thatpatients with AN are at a higher risk of atherosclerosis andsubsequent cardiovascular disease, hypertension,dyslipidaemia and impaired glucose tolerance.

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CME Event 講課簡介 Venue & Time 地點及時間

Registration: Please fill in and return the Registration Form together with a cheque of adequate amount made payable to “The Hong Kong MedicalAssociation” to 5/F Duke of Windsor Social Service Building, 15 Hennessy Road, Hong Kong. Each lecture will carry 1 CME point under theMCHK/HKMA CME Programme (unless otherwise stated). Accreditation from other colleges is pending. (The Secretariat fax no.: 2865 0943)

報名方法: 請填妥表格連同支票寄交香港灣仔軒尼詩道十五號溫莎公爵社會服務大廈五樓，支票抬頭請書明支付「香港醫學會」。參加者可獲醫務委員會/香港醫學會持續醫學進修計劃積分一分（除特別註明外）。其他專科學院之學分尚在申請中。(秘書處傳真號碼: 2865 0943)

Please register for participation. First come, first served. 名額有限請早登記

CME Lecture for June 2005二零零五年六月之進修講課

6 June 2005 (Monday)ED - An Early Marker for Vascular Diseases ?

Dr. Graham JacksonF.R.C.P.Consultant CardiologistGuy’s and St Thomas’ Hospital Trust, The United Kingdom

This symposium is free-of charge

The luncheon and symposlum are sponsored by Pfizer Corporation.

The Ballroom, Level 2Langham Hotel Hong Kong(Former Great Eagle Hotel)8 Peking Road, TSTLunch: 1:00 – 2:00 p.m.Lecture: 2:00 – 3:00 p.m.

九龍尖沙咀北京道八號朗廷酒店（前鷹君酒店）二樓宴會廳午宴：下午一時至二時正講課：下午二時至三時正

The HKMA Dr. Li Shu Pui Professional EducationCentre2/F, Chinese Club Building21-22 Connaught Road Central, HKLecture: 2:00 - 3:00 p.m.Light lunch will be started at 1:15 p.m.香港中環干諾道中二十一至二十二號華商會所大廈二樓香港醫學會李樹培醫生專業教育中心講課：下午二時至三時正[茶點於下午一時十五分開始]

9 June 2005 (Thursday)HKMA Structured CME Programme with HKS&H –Advances in Interventional Radiology

Dr. Ai Ho Gong, VictorM.B., Ch.B., F.R.C.R., F.H.K.C.R., F.H.K.A.M. (Radiology),Specialist in Radiology

This symposlum is co-organized with Hong Kong Sanatorium & Hospital.

:

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

I would like to register for the following CME lecture(s):本人欲報名參加以下講課：

Please “�” as appropriate. 請在適用處加上「�」號

Free of Charge Lecture 6 June 2005 : ED – An Early Marker for Vascular Diseases ?

HKMA Members CME ParticipantsHK$50 HK$80

9 June 2005 : Advances in Interventional Radiology � �28 June 2005 : Update on the Management of Urinary Stone Disease � �30 June 2005 : Update on Liver Cancer Management � �

I enclose herewith a cheque of現隨表格付上支票一張作為講課之報名費用 HK$港幣

Name 姓名: Tel No. 電話: Fax No. 傳真:

HKMA Membership No. 會員編號or HKMA CME No. 或進修號碼: Signature 簽名:

Data collected will be used and processed for the purposes related to the MCHK/HKMA CME Programme only. All registration fees are not refundable or transferable.個人資料將用於有關香港醫學會持續醫學進修計劃之事宜。所有報名費用將不給予退還或轉授予其他會員。

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The Ballroom, Level 2Langham Hotel Hong Kong(Former Great Eagle Hotel)8 Peking Road, TSTLunch: 1:00 - 2:00 p.m.Lecture: 2:00 - 3:00 p.m.九龍尖沙咀北京道八號朗廷酒店（前鷹君酒店）二樓宴會廳午宴：下午一時至二時正講課：下午二時至三時正

Crystal Ballroom, B3, Holiday Inn Golden Mile HK50 Nathan Road, TST, KlnLunch: 1:00 - 2:00 p.m.Lecture: 2:00 - 3:00 p.m.九龍尖沙咀彌敦道五十號金域假日酒店地庫三樓麗晶殿午宴：下午一時至二時正講課：下午二時至三時正

28 June 2005 (Tuesday)Update on the Management of Urinary Stone Disease

Dr. Lee Chan Wing, FrancisB.Sc.Med.(Syndey), M.B.,B.S.(Syndey), F.R.C.S.(Ed.), F.R.A.C.S., F.A.C.S., F.C.S.H.K., F.H.K.A.M.(Surgery)Specialist in Urology

The course is sponsored by Roche Hong Kong Limited

30 June 2005 (Thursday)Update on Liver Cancer Management

Dr. Chui Ka Keung, AlbertM.B.,B.S.(N.S.W.), F.R.O.S.(Ed.), F.R.A.C.S., F.C.S.H.K., F.H.K.A.M.(Surgery), M.D.(University NSW)Specialist in Surgery

The course is sponsored by Roche Hong Kong Limited

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The Hong Kong Medical Association Kwong Wah Hospital

Registration: Please fill in and return the Registration Form on p.13 together with a cheque of adequate amount made payable to“The Hong Kong Medical Association” to 5/F Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai,Hong Kong. Each lecture will carry 3 CME points under the MCHK/HKMA CME Programme.

報名方法：請填妥第十三頁之表格連同支票寄交香港灣仔軒尼詩道十五號溫莎公爵社會服務大廈五樓，支票抬頭請書明支付「香港醫學會」。參加者可獲醫務委員會／香港醫學會持續醫學進修計劃積分三分。

• Venue : Lecture Theatre, 10/F., Yu Chun Keung Memorial

Medical Centre, KWH

• Time : 2:00 – 5:00 pm

• Fee : HK$50 per lecture for HKMA members

HK$80 per lecture for CME Participants

S I N C E 1 8 7 0

Lecture Date Topic

II 15 May 2005 Medicine

1. Coloproctology for Primary Care PhysiciansDr. Lau Ying Yu, PatrickMedical Officer, Dept of Surgery, KWH

2. Vascular Diseases for Primary CareDr Chiu Kai Ming, LeoSenior Medical Officer, Dept of Surgery, KWH

III 26 June 2005 Surgery & Radiology

1. Benign Prostate DiseaseDr. Law In ChakConsultant, Dept of Surgery KWH

2. Interventional Radiology: Indications and ApplicationDr. Raymond ChanMedical Officer, Dept of Radiology, KWH

‧ 地點：廣華醫院余振強紀念中心十樓演講廳

‧ 時間：下午二時至五時

‧ 報名費用：醫學會會員－每課堂港幣五十元正

持續進修參加者－每課堂港幣八十元正

Light snacks and lecture notes will be provided. 敬備茶點及講義

HKMA Structured CME Programme at Kwong Wah Hospital香港醫學會－廣華醫院分科進修課程

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The Hong Kong Medical Association Queen Elizabeth Hospital

HKMA Structured CME Programme at QEH/KWH – Registration Form香港醫學會分科進修課程報名表格

I enclose herewith a cheque of現隨表格付上支票一張作為講課之報名費用：HK$港幣

Name 姓名: Tel No. 電話: Fax No. 傳真:

HKMA Membership No. 會員編號or HKMA CME No. 或進修號碼： Signature 簽名:

Data collected will be used and processed for the purposes related to the MCHK/HKMA CME Programme only. All registration fees are not refundable or transferable.個人資料將用於有關香港醫學會持續醫學進修計劃之事宜。所有報名費用將不給予退還或轉授予其他會員。

Please “� ” as appropriate. 請在適用處加上「�」號

Light snacks and lecture notes will be provided. 敬備茶點及講義

First come, first served. 名額有限　請早登記

HKMA Structured CME Programme at Queen Elizabeth Hospital香港醫學會－伊利沙伯醫院分科進修課程

I would like to register for the following lecture(s):本人欲參加下列講課：

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HKMA Members CME Participants(Non-HKMA members):

香港醫學會會員持續進修參加者（非香港醫學會會員）

HK$50 港幣五十元正 HK$80 港幣八十元正

KWH15 May 2005: Medicine26 June 2005: Surgery & Radiology

QEH5 Jun 2005: Surgery5 July 2005 (Tue): ENT (2 CME points only) Re

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‧Venue : Lecture Theatre, G/F, Block M, QEH

‧Time : 2:00 – 5:00 pm(Please note the 5 July lecture will be from 2:00-4:00)

‧Fee : HK$50 per lecture for HKMA members

HK$80 per lecture for CME Participants

‧地點：伊利沙伯醫院M座地下演講廳

‧時間：下午二時至五時

（七月五日之講課時間為下午二時至四時）

‧報名費用：醫學會會員－每課堂港幣五十元正

持續進修參加者－每課堂港幣八十元正

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

Lecture Date Topic

III 5 Jun 2005 Surgery

1. Current Management of Abdominal Aortic AneurysmDr. Tse Cheuk WaSpecialist in General Surgery

2. Acute Pancreatitis and its ManagementDr. Chia Nam HungSMO, Dept of Surgery, QEH

3. Benign Breast DiseaseDr. Mimi PoonSpecialist in General Surgery

IV 5 Jun 2005 (Tue) ENT2:00 – 4:00 p.m. 1. Diseases of the Ear2 CME pts only Dr. Yu Hip Chofor this lecture COS, Dept of ENT

2. Diseases of the NoseDr. Lai Hin WangConsultant, Dept of ENT

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Please return completed answer sheet to the HKMA Secretariat on or before 15 June 2005 for documentation. 1 CME point will be awarded for answeringthe Monthly Self-Study Series (I) and an extra 0.5 CME point for completing the Clinical Case Study (II). (Fax: 2865 0943)

請回答所有問題，並於二零零五年六月十五日前將答題紙傳真或寄回至香港醫學會。參加者將可獲持續醫學進修積分點─每月自修系列：一分；「專科個案剖析」系列：零點五分。（傳真號碼: 2865 0943）

姓名Name:

香港醫學會會員編號或持續進修編號HKMA Membership No.or HKMA CME No.:

香港身份證號碼HKID No.:

簽名Signature:

聯絡電話Contact Tel. No.:

X X ( X )

ANSWERS TO APRIL 2005 ISSUE香港醫學會持續醫學進修計劃每月自修資料二零零五年四月號答案

(I) A Practical Note on Obese Children with Obstructive Sleep Apnoea

(Please indicate “T” or “F” in each box.)

“Anaemia in Cancer Patients”

(II) Clinical Case Study

(Please answer both quizzes and write down the answers in the space provided.)

(A) Clinical Cardiology Series

(B) Dermatology Series

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Answer Sheet for May 2005二零零五年四月號答題紙

1. F 6. F2. T 7. F3. F 8. F4. T 9. T5. T 10. F

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May 2005 HKMA CME Programme Fax answer sheet toMonthly Self-Study Series - A practical note on obese children 1 Fax: 2865 0943with obstructive sleep apnoea syndrome by 15 June 2005

15 May 2005 Janssen Pharmaceutica Ms. Rebecca Lee(Sun) ADHD Workshop 5 Tel: 2738 61479:30 am - 6:00 pm Langham Hotel, TSTMay 2005 The Federation of Medical Societies of Hong Kong

The Hong Kong Medical Diary Monthly Self-Study Series – 1“Thiazolidinediones, adipoectin and insulin resistance”

15 May 2005 HKMA CME Programme, Kwong Wah Hospital Members: $50(Sun) HKMA Structured CME Programme at KWH (2) – 3 3 – 3 2.5 3 1 – 1.5 2 1.5 2 3 3 3 Non-M: $802:00 - 5:00 pm Coloproctology for Primary Care Physicians and Vascular Tel: 2861 1979

Diseases for Primary CareLecture Theatre, 10/F, Yu Chun Keung Memorial Medical CentreKwong Wah Hospital, Kln

17 May 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Tue) Combined Head and Neck Meeting 1 Tel: 2871 883010:00 - 11:00 am A.K.C. Surgical Library, 4/F, Clinical Sciences Building, PWH17 May 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Tue) 2nd Certificate Course on Practical Diabetes Care 21:30 - 3:30 pm for General Practitioners (Group B) - Session 6

Tung Wah Eastern Hospital Diabetes Mellitus Centre17 May 2005 HKMA – Tai Po Community Network CME Programme Tel: 2597 4630(Tue) Type 2 Diabetes – Changing the treatment paradigm to achieve goals 1.51:30 - 3:45 pm Capital Seafood Restaurant, 1/F, Fortune Plaza, Tai Po17 - 18 May 2005 Hong Kong College of Emergency Medicine Ms. Juana Ng(Tue - Wed) Advanced Cardiovascular Life Support Provider Course (ACLS) 10# 8# 4# – 4# Tel: 2871 8877

A&E Training Center, Tang Shiu Kin Hospital,282 Queen’s Road East, Wan Chai, HK

17 May 2005 HA – Pok Oi Hospital, Internal Medicine Dept Dr. Eddie Chow/(Tue) Case presentation: patient with fever 1 Carmen Cheung9:00 - 11:00 am Conference Rm1AB, 1/F Admin Building, Pok Oi Hospital Tel: 2486 842018 May 2005 HKU – Faculty of Medicine Dr. Susanna Lai Yeung(Wed) Intensive Course entitled “Domestic Violence and 5 Tel: 2241 50249:30am - 5:00 pm Suicide: Prevention and Intervention Using a Public Health Approach”

Kong Siu Luey Lounge, Robert Black College, The University of Hong Kong18 May 2005 HA – Pamela Youde Nethersole Eastern Hospital, Family Medicine Dept Amy Ng(Wed) Hypertension in Pregnancy 1 Tel: 2595 68871:15 - 2:45 pm Lecture Theatre, G/F, Multicentre Block B, PYNEH18 May 2005 HKMA CME Programme Tel: 2861 1979(Wed) Putonghua Certificate Course for Medical Practitioners (Session 9) 1 – – 1 1 1.5 – – 1 – – – 1.5 1.5 Member: HK$1,5001:30 - 3:15 pm HKMA Dr. Lu Shu Pui Professional Education Centre, 2/F, N-Member: HK$1,900

Chinese Club Building, 21-22 Connaught Road Central, Hong Kong18 May 2005 Hong Kong Academy of Medicine Miss Agnes Chung(Wed) Approach and Management of Common Knee Problems 2 Tel: 2871 88962:00 - 3:30 pm Lecture Theatre, M Block, Queen Elizabeth Hospital, Kowloon18 May 2005 Hong Kong Doctors Union Tel: 2388 2728(Wed) Contemporary Issues in HIV Disease (Video Cassette Session) 12:15 - 3:15 pm Room 901, Hang Shing Bldg, 363-373, Nathan Road, Kln18 May 2005 HK Institute of Analytical Psychology Dr. Katherine Kot(Wed) Addiction: A Failed Attempt Towards Initiation 1.5 Tel: 2881 88606:30 - 8:00 pm Room 411 Personal Development, Counseling Centre, Hong Kong University19 May 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Thur) Combined Breast Cancer Meeting 1 Tel: 2871 88301:00 - 2:00 pm Meeting Room, Dept. of Clinical Oncology, PWH19 May 2005 Hong Kong Sanatorium & Hospital Ms. Cianca Ng(Thur) Luncheon Seminar on Diabetes Mellitus 2 1 Tel: 2835 88002:00 - 4:00 pm Auditorium, 4/F Li Shu Pui Block, Hong Kong Sanatorium & Hospital19 May 2005 PHM-Review Meeting Ms. Isabella Wong(Thur) Review Meetings in areas related to Public Health Medicine 2 Tel: 2871 88446:00 - 7:30 pm Wu Chung House, Wanchai20 May 2005 HKU - Faculty of Medicine Dr. Susanna Lai Yeung(Fri) Intensive Course entitled “Domestic Violence and Suicide: 5 Tel: 2241 50249:00 am - 5:00 pm Prevention and Intervention Using a Public Health Approach”

Kong Siu Luey Lounge, Robert Black College, The University of Hong Kong20 May 2005 Our Lady of Maryknoll Hospital - Department of Medicine and Geriatrics Tel: 2320 2121(Fri) Special Friday Grand Round Title: Recent Evidence in the 112:30 - 1:45 pm Treatment of Cardiovascular Risks in Diabetes

Conference Room D, 1/F, OPD Block20 May 2005 Union Hospital Ms. Fion Chow(Fri) Advances in surgical management of hepatocellular carcinoma 1 1 0.5 1 Tel: 2608 31842:00 - 3:00 pm Seminar Room, 2/F, Medical Centre, Union Hospital20 May 2005 HKU – Faculty of Medicine Mr. Anthony Yiu(Fri) Therapeutic Recreation Programs for Elders with Stroke – An Integrative 3 Tel: 2241 51332:00 - 5:00 pm Holistic Approach

Level LG, Room 103, KKLeung Building, The University of Hong Kong20 May 2005 HKU – Centre on Behavioral Health Miss Loretta Fung(Fri) Therapy in the Satir Model - Advanced Course for Practitioners 3 Tel: 2589 05106:30 - 9:30 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam

* Colleges accreditation pending# Total CME points for entire course

CME Calendar持續進修日程

CME Accreditation 進修積分Date/Time Function Remarks/

Contact Info日期/時間活動備註及聯絡電話

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20 - 21 May 2005 Osteoporosis Society of Hong Kong Tel: 2162 6253(Fri - Sat) ISCD/ IOF densitometry Course 8#

Hong Kong Convention & Exhibition Centre21 May 2005 HKU - Faculty of Medicine Mr. Lobo Yau(Sat) Pre-Hospital Trauma Life Support (PHTLS) Provider Course (Day 2) 5 Tel: 2855 48857:45 am - 4:45 pm St John Ambulance Association, St John Tower,

2 MacDonnell Road, Hong Kong21 May 2005 HA - Yan Chai Hospital, Anaesthesiology Dept Degina Lau(Sat) Acute Pain Management: Scientific Evidence by Australian and 1 Tel: 2417 84539:00 - 10:00 am New Zealand College of Anaesthetists

Conference Room 2, 3/F Block B, YCH21 May 2005 HK Institute of Analytical Psychology Dr. Katherine Kot(Sat) The Father. Who is He? 3 1.5 Tel: 2881 88609:00 am - 1:00 pm Robert Black College, Hong Kong University21 May 2005 HA - Princess Margaret Hospital, Cardiology Dept Ms. Ellen Fok/(Sat) Practical Issues in the Use of Anti-Platelet and Anti-Thrombotic Agents 3 Ms Esvin Chan1:30 - 4:30 pm Hall, Princess Margaret Hospital Tel: 2990 377121 May 2005 HKU - Centre on Behavioral Health Miss Loretta Fung(Sat) Psychotherapy and Counselling in Action 2005 3 Tel: 2589 05102:00 - 5:00 pm Centre on Behaviioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pokfulam21 May 2005 HKU - HKU Family Institute Ms. Gloria Chau(Sat) Certificate Course in Family Therapy for Medical Professionals (Session 2) 3 Email:2:00 - 5:00 pm Lecture Hall, HKU Family Institute, 5/F Tsan Yuk Hospital, [email protected]

30 Hospital Road, Sai Ying Pun, HK21 May 2005 HA - United Christian Hospital Ms. Marina Pun(Sat) Hypertension: treat to target? 2 Tel: 3513 48882:15 - 3:45 pm Lecture Theatre, G/F, Block P, UCH21 - 22 May 2005 Osteoporosis Society of Hong Kong Tel: 2162 6253(Sat - Sun) 6th Regional Osteoporosis Conference 7#

Hong Kong Convention & Exhibition Centre22 May 2005 Hong Kong Doctors Union Tel: 2388 2728(Sun) The 74th HKDU Sunday Afternoon Symposium 1.51:00 - 4:00 pm Lecture Hall, 8th Floor, Block G, Princess Margaret Hospital,

Kwai Chung, N.T.22 May 2005 Hong Kong Sanatorium & Hospital $300 for whole(Sun) Certificate Course in Recent Medical Advances for General Practitioners 3 15# – 20# 2 – 0.5 2# 3 – 3 – 3 course, $50 per1:00 - 5:00 pm (Session 10- Endocrinology) lecture

Auditorium, 4/F, Hong Kong Sanatorium and Hospital, 2 Village, Ms. Stella LauHappy Valley, HK Tel: 2835 8800

22 May 2005 CUHK - Department of Medicine and Therapeutics Ms. Noel Tam(Sun) CUHK Diploma Programme in Advances in Medicine 2005 – 3 Tel: 2632 31731:30 - 4:30 pm 2006 - a) Movement Disorders

Kai Cheong Tong, G/F Postgraduate Education Center,Prince of Wales Hospital, Shatin, HK

22 May 2005 HKMA CME Programme, Queen Elizabeth Hospital Members: $50(Sun) HKMA Structured CME Programme at QEH (2) - Paediatrics 3 3 – 3 2.5 3 1 – 1.5 1.5 1 3 3 3 Non-M: $802:00 - 5:00 pm (1) Providing Better Care to the Adolescent Patient: Include Tel: 2861 1979

a Psychosocial History(2) Common Cardiac Problems in Childhood(3) Management of Gastroenteritis in Children(4) Neonatal JaundiceLecture Theatre, G/F, Block M, Queen Elizabeth Hospital, Kln

22 May 2005 CUHK - Department of Medicine & Therapeutics Ms Charmaine Lee(Sun) Professional Diploma Programme in Diabetes Management 122# – 10# — 82# 5# – – – 18# 20# – – 122# 18# Tel: 2632 57522:00 - 6:00 pm and Education Year 04/05 - Module 4 (D2)

Room 301A, 3/F, Postgraduate Education Centre,Prince of Wales Hospital, Shatin NT

22 May 2005 CUHK - Department of Medicine and Therapeutics Tel: 2632 5752(Sun) Certificate Course in Obesity and Weight Management 4 10# 4 5# 3 4.5 4.52:00 - 6:30 pm – Interactive Workshops (M2W1)

Multi-Function Room, 1/F., Postgraduate Education Centre,Prince of Wales Hospital, Shatin, NT

22 May 2005 Hong Kong Doctors Union Tel: 2388 2728(Sun) The 75th HKDU Sunday Afternoon Symposium 23:30 - 6:00 pm Lecture Hall, 8th Floor, Block G, Princess Margaret Hospital, Kwai Chung, N.T.22 May 2005 CUHK - Department of Medicine and Therapeutics Ms. Noel Tam(Sun) CUHK Diploma Programme in Advances in Medicine 2005 - 2006 - b) 3 Tel: 2632 31735:00 - 8:00 pm New Therapies for Epilepsy

Kai Cheong Tong, G/F Postgraduate Education Center,Prince of Wales Hospital, Shatin, HK

23 May 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Mon) 2nd Certificate Course on Practical Diabetes Care for 21:30 - 3:30 pm General Practitioners (Group A) - Session 6

Tung Wah Eastern Hospital Diabetes Mellitus Centre Ms. Diane Lee24 May 2005 Department of Clinical Oncology, PWH/ HKCR Tel: 2871 8830(Tue) Combined Head and Neck Meeting 110:00 - 11:00 am A.K.C. Surgical Library, 4/F, Clinical Sciences Building, PWH




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24 May 2005 HKMA CME Programme Member: $50(Tue) The New Molecular Markers for Different Cancers, 1 N-Member: $801:00 - 3:00 pm How They can be implemented in Your Practice Tel: 2861 1979

The Ballroom, Level 2, Langham Hotel Hong Kong, 8 Peking Road, TST24 May 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Tue) 2nd Certificate Course on Practical Diabetes Care for 21:30 - 3:30 pm General Practitioners (Group B) - Session 7

Tung Wah Eastern Hospital Diabetes Mellitus Centre24 May 2005 Hong Kong Society of Endocrinology, Metabolism & Reproduction Dr. Choi Cheung-hei(Tue) (HKSEMR), Diabetes Division Tel: 2958 8888/6:45 - 10:00 pm ABC Series of Symposia on Diabetes: O 1.5 2958 2086

Obesity and Diabetes(1) Lifestyle modification for obesity in DM patients(2) Medical management of obesity in DM patients(3) Surgical management of obesity in DM patientsBallroom, 2/F, Langham Hotel, 8 Peking Road, Tsimshatsui, Kln

24 - 25 May 2005 HKU Ms. Gloria Chau(Tue - Wed) Two-days Pre-Conference Workshop for the Couples of the World: 10# Tel: 2859 5300

The Many Faces of Modern Couples (topic to be confirmed)To be confirmed

25 May 2005 Our Lady of Maryknoll Hospital - Department of Medicine and Geriatrics Tel: 2320 2121(Wed) Grand Round: Case Presentation 112:30 - 1:45 pm Conference Room D, 1/F, OPD Block25 May 2005 HKMA CME Programme Tel: 2861 1979(Wed) Putonghua Certificate Course for Medical Practitioners (Session 10) 1 – – 1 1 1.5 – – 1 – – – 1.5 1.5 Member: HK$1,5001:30 - 3:15 pm HKMA Dr. Lu Shu Pui Professional Education Centre, 2/F, N-Member: HK$1,900

Chinese Club Building, 21-22 Connaught Road Central, Hong Kong25 May 2005 Hong Kong Academy of Medicine Miss Agnes Chung(Wed) 1. Management of dementia 2 Tel: 2871 88962:00 - 4:00 pm 2. Surgical Treatment on Extremity Bone Sarcoma and Recent Advances

Lecture Theatre, M Block, Queen Elizabeth Hospital, Kowloon25 May 2005 Dept of Clinical Oncology, PWH Ms. Diane Lee(Wed) News from ASCO 1 Tel: 2871 88302:30 - 3:30 pm Lecture Room, Dept of Clinical Oncology, PWH25 May 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Wed) Journal Critique 1 Tel: 2871 88302:30 - 3:30 pm Lecture Room, Dept of Clinical Oncology, PWH25 May 2005 Hong Kong College of Emergency Medicine Ms. Juana Ng(Wed) Conjoint Toxicology Round (every other months) 2 Tel: 2871 88775:00 - 7:30 pm Lecture Theatre, G/F, Block F, Ng Wing Tong Block, UCH26 May 2005 HKU Ms. Gloria Chau(Thu) Half-day Workshop for the Couples of the World: The Many Faces 3 Tel: 2859 53009:45 am - 12:45 pm of Modern Couples - Behavioural Approaches to Couple Therapy

BP International House26 May 2005 HA - Tuen Mun Hospital Anita Au Yeung(Thu) Community Medical Programme Topic “Acute Stroke Management” 1 Tel: 2468 57772:00 - 3:00pm D1002, Discussion Room, 1/F, Main Block, Tuen Mun Hospital26 - 27 May 2005 HKU Ms. Gloria Chau(Thu - Fri) Evening Workshops for the Couples of the World: The Many Faces 6# Tel: 2859 5300

of Modern Couples - Couple EnrichmentBP International House

26 - 28 May 2005 HKU Ms. Gloria Chau(Thu - Sat) Couples of the World: The Many Faces of Modern Couples 10# Tel: 2859 5300

(2.5-day Conference)BP International House

27 May 2005 HKDU Tsuen Wan Study Group & Tsuen Wan Adventist Hospital Dr. Ng Yu Kin(Fri) Endolaparoscopic Surgery 1 Tel: 2414 48811:00 - 3:00 pm Auditorium, Longway Hall, 19 Tsuen King Circuit, Tsuen Wan Adventist Hospital27 May 2005 Phonak Hearing Centre Hong Kong Ltd. Ms. Sandy Chan(Fri) Start From Zero – OAE/ BAER/ ASSR for Early Detection, 1.5 Tel: 2311 28281:00 - 3:30 pm Identification and Intervention of Hearing Loss Luncheon

Maple Room, Intercontinental Hong Kong, TST, Kln27 May 2005 HKMA – Sha Tin Doctors Network, co-joint with Union Hospital; Mr. Andy Lau(Fri) CUHK Centre for Health Education and Health Promotion; 1 Tel: 8100 39671:15 - 3:00 pm Hong Kong Council on Smoking and Health; Hong Kong Men’s

Health Forum; Hong Kong Primary Care FoundationSmoke and Cardiopulmonary Health Certificate Course - Session 2Seminar Room, 2/F, Medical Centre, Union Hospital,18 Fu Kin Street, Tai Wai, Shatin, N.T.

27 May 2005 OM-Review Meeting Ms. Isabella Wong(Fri) Skin cancer (based on AFOM 2002 Paper A Question 3); 2 Tel: 2871 88442:30 - 4:30 pm Nerve conduction test

25/F, Harbour Building, Central, HK27 May 2005 HA - Queen Elizabeth Hospital, Emergency Medicine Dept Ms. Eva Lui(Fri) HKCEM College Tutorial (Topic: Rat Poison) 2 Tel: 2958 64734:30 - 6:00 pm A&E Conference Room, 1/F, Block F, QEH




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27 May 2005 The Hong Kong Society of Community Medicine Dr. Kwan See Lai,(Fri) Effective partnership with mass media 1 Janet6:30 - 7:30 pm Lecture Hall, The Federation of Medical Societies of Hong Kong, Tel: 2149 5161

4/F, Duke of Windsor of Social Service Building, 15 Hennessy Road, Hong Kong27 May 2005 HKU – Centre on Behavioral Health Miss Loretta Fung(Fri) Therapy in the Satir Model – Advanced Course for Practitioners 3 Tel: 2589 05106:30 - 9:30 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam27 - 28 May 2005 HKU - Faculty of Medicine Ms. Gloria Wong(Fri - Sat) Advanced Medical Life Support (AMLS) - Provider Course 10# Tel: 2855 4886

C3, Main Block, Skills Development Centre, Department of Surgery,University of Hong Kong Medical Centre, Queen Mary Hospital,Pokfulam, Hong Kong

28 May 2005 HA / HKCCM Ms. Isabella Wong(Sat) Case presentations and journal presentations in areas related 3 Tel: 2871 88449:30 am - 12:00 noon to Administrative Medicine

Seminar Room 1, M/F, Hospital Authority Building28 May 2005 The Society for Advancement of Bipolar Affective Disorder Tel: 2815 5111(Sat) REACH - Toward a better understanding of bipolar disorder 2.51:00 - 5:00 pm Langham Hotel, Tsimshatsui, Kln28 May 2005 Department of Health Ms. Fiona Chan(Sat) Orthopaedic Assessment of Common Lower Limb problems 1.5 Tel: 2753 96462:30 - 4:00 pm Lecture Room, Ngau Tau Kok Family Medicine Training Centre,

2/F, Ngau Tau Kok Polyclinic, 60 Ting On Street, Ngau Tau Kok, Kln29 May 2005 HKU - Faculty of Medicine Ms. Gloria Wong(Sun) Advanced Medical Life Support (AMLS) – Insturctor Course 5 Tel: 2855 48867:45 am - 6:50 pm C3, Main Block, Skills Development Centre, Department of Surger y,

University of Hong Kong Medical Centre, Queen Mary Hospital,Pokfulam, Hong Kong

29 May 2005 HKU Ms. Gloria Chan(Sun) One-day Post-Conference Workshop for the Couples of the World: 5 Tel: 2859 53009:45 am - 5:00 pm The Many Faces of Modern Couples - 2 Parallel Sessions:

1. Hypnosis and Sex Therapy2. Couples with DepressionHKU Meng Wah Building

29 May 2005 The Association of Licentiates of Medical Council of Hong Kong Tel: 2327 2869(Sun) (1) Indications of Renal Transplantation, Operation Procedure, 31:00 - 5:00 pm Complications and Post-operative Treatment

(2) The Growth and Development of Young Chinese Children九龍亞皆老街147B號醫院管理局大樓M/F演講廳

30 May 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Mon) 2nd Certificate Course on Practical Diabetes Care for 21:30 - 3:30 pm General Practitioners (Group A) - Session 7

Tung Wah Eastern Hospital Diabetes Mellitus Centre30 May 2005 The Obstetrical and Gynaecological Society of Hong Kong & Dr. Lam Siu Keung(Mon) The Hong Kong Society of Neonatal Medicine Tel: 3517 50567:30 - 8:30 pm Recent Advances in Human Milk Proteins 1

Granville and Nathan Ballroom, Conrad Hong KongPacific Place, 88 Queensway Road, HK

31 May 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Tue) Combined Head and Neck Meeting 1 Tel: 2871 883010:00 - 11:00 am A.K.C. Surgical Library, 4/F, Clinical Sciences Building, PWH31 May 2005 HA – Caritas Medical Centre, Family Medicine Dept Ms. Helen Lo(Tue) co-joint with HKCFP, HKDU, HKMA & HKAM Tel: 3408 79211:30 - 2:45 pm Depression in children and adolescent 1

Staff Lounge, 1/F Wai Oi Building, CMC31 May 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Tue) 2nd Certificate Course on Practical Diabetes Care 21:30 - 3:30 pm for General Practitioners (Group B) - Session 8

Tung Wah Eastern Hospital Diabetes Mellitus Centre31 May 2005 HKU - Centre on Behavioral Health Miss Loretta Fung(Tue) Psychotherapy and Counselling in Action 2005 3 Tel: 2589 05104:00 - 7:00 pm Centre on Behaviioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pokfulam31 May - 1 Jun 2005 HKU - Faculty of Medicine Ms. Gloria Wong(Tue - Wed) Advanced Medical Life Support (AMLS) - Provider Course 10# Tel: 2855 4886

C3, Main Block, Skills Development Centre, Department of Surger y,University of Hong Kong Medical Centre, Queen Mary Hospital,Pokfulam, Hong Kong

31 May - 4 Jun 2005 Department of Neurosurgery and the Crosby Laboratories Dr. Fan Yiu Wah(Tue - Sat) for Neurosurgical Research at the University of Michigan Tel: 2855 3368

13th International Symposium on Brain Edema and Conference 10# 16#on Intracerebral HemorrhageUniversity of Michigan in Ann Arbor, Michigan, USA

Jun 2005 The Federation of Medical Societies of Hong KongThe Hong Kong Medical Diary Monthly Self-Study Series – 1“Management of Hypertension (Is There Anything New?)”




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1 Jun 2005 HA – Castle Peak Hospital, Psychiatry Dept Ms. Fion Ling(Wed) Mental Aspects of Child and Adolescent Obesity 2 Tel: 2456 784311:30 - 1:00 pm Lecture Theatre, Blk D, CPH1 Jun 2005 HKMA CME Programme Tel: 2861 1979(Wed) Putonghua Certificate Course for Medical Practitioners (Session 11) 1 – – 1 1 1.5 – – 1 – – – 1.5 1.5 Member: HK$1,5001:30 - 3:15 pm HKMA Dr. Lu Shu Pui Professional Education Centre, 2/F, N-Member: HK$1,900

Chinese Club Building, 21-22 Connaught Road Central, Hong Kong1 Jun 2005 Hong Kong Academy of Medicine Miss Agnes Chung(Wed) Update on Cervical Smear Screening 2 Tel: 2871 88962:00 - 3:30 pm Lecture Theatre, M Block, Queen Elizabeth Hospital, Kowloon1 Jun 2005 Dept of Clinical Oncology, PWH Ms. Diane Lee(Wed) News from ASCO 1 Tel: 2871 88302:30 - 3:30 pm Lecture Room, Dept of Clinical Oncology, PWH1 Jun 2005 HA – Infectious Disease Control Centre & Infection Control Branch Mr. Ivan Wong(Wed) 10th Clinical Infection and Public Health Forum 1 Tel: 3523 01836:00 - 7:00 pm Lecture Theatre, G/F, CHP Building2 Jun 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Thur) 2nd Certificate Course on Practical Diabetes Care for General Practitioners 19:30 - 10:30 am - Ward Round (Optional)

Tung Wah Eastern Hospital Diabetes Mellitus Centre2 Jun 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Thur) Combined Breast Cancer Meeting 1 Tel: 2871 88301:00 - 2:00 pm Meeting Room, Dept. of Clinical Oncology, PWH2 Jun 2005 Hong Kong Doctors Union Tel: 2388 2728(Thur) Advances in the Treatment of Heart Disease (Video Cassette Session) 12:15 - 3:15 pm Room 901, Hang Shing Bldg, 363-373, Nathan Road, Kln2-3 Jun 2005 HKU - Faculty of Medicine Course Secretariat(Thu-Fri) Head & Neck Course 2005: Reconstruction and Rehabilitation in Head 10# Tel: 2855 4885

and Neck Surgery - Pedicle FlapsUnderground Lecture Theatre, New Clinical Building,Queen Mary Hospital, HK

3 Jun 2005 Hong Kong Baptist Hospital Tel: 2339 8888(Fri) Management of pain in surgery 1.58:00 - 9:30 am The Chapel, 9/F, Hong Kong Baptist Hospital3 Jun 2005 HKU - Centre on Behavioral Health Miss Loretta Fung(Fri) Therapy in the Satir Model - Advanced Course for Practitioners 3 Tel: 2589 05106:30 - 9:30 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam3 - 4 Jun 2005 HA – Caritas Medical Centre Ms. Irene Shiu(Fri - Sat) American Heart Association Advanced Cardiovascular Life Support 10# Tel: 3408 7444

Provider Course (ACLS-P)Resuscitation Training Centre Caritas Medical Centre,111 Wing Hong Street, SSP, Kln

4 Jun 2005 Management Society for Healthcare Professionals Ms. Nancy Kit(Sat) Medico-Legal Problems – the Underestimated Risks 3 3.5 – 3 3 3.5 1.5 2 2 3.5 0.5 3 3.5 3.5 Tel: 2861 26689:00 - 12:30 pm Kowloon Shangri-La Hotel4 Jun 2005 HKU – HKU Family Institute Ms. Gloria Chau(Sat) Certificate Course in Family Therapy for Medical Professionals (Session 3) 3 Email:2:00 - 5:00 pm Lecture Hall, HKU Family Institute, 5/F Tsan Yuk Hospital, [email protected]

30 Hospital Road, Sai Ying Pun, HK4 Jun 2005 HKU – Centre on Behavioral Health Miss Loretta Fung(Sat) Therapy in the Satir Model - Advanced Course for Practitioners 5 Tel: 2589 05102:30 - 8:00 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam5 Jun 2005 St. Teresa’s Hospital Surgical Committee Dr. Lawrence(Sun) Learning in Surgery 2 – 1 1.5 0.5 1.5 Siu Hung Chan10:00 - 11:30 am 9/F, Conference Room, St. Teresa’s Hospital, Kowloon Tel: 2780 22265 Jun 2005 CUHK – Dept of Medicine & Therapeutics Ms. Isabella Fu(Sun) CUHK Diploma Programme in Advanced Internal 3 15# 10# 20# 5# 1 2# 18# 18# Tel: 2632 39961:30 - 4:30 pm Medicine 2004-05 - Electrolyte abnormalities

Plaza Conference Centre, 35/F Central Plaza, 18 Harbour Road, HK5 Jun 2005 HKMA CME Programme, Queen Elizabeth Hospital Members: $50(Sun) HKMA Structured CME Programme at QEH (3) - Surgery 3 3 – 3 2.5 3 1 – 1.5 1.5 1.5 3 3 3 Non-M: $802:00 - 5:00 pm (1) Current Management of Abdominal Aortic Aneurysm Tel: 2861 1979

(2) Acute Pancreatitis and its ManagementLecture Theatre, G/F, Block M, Queen Elizabeth Hospital, Kln

5 Jun 2005 CUHK - Department of Medicine & Therapeutics Ms Charmaine Lee(Sun) Professional Diploma Programme in Diabetes Management 122# – 10# – 82# 5# – – – 18# 20# – – 122# 18# Tel: 2632 57522:00 - 6:00 pm and Education Year 04/05 - Module 4 (D3)

Room 301A, 3/F, Postgraduate Education Centre,Prince of Wales Hospital, Shatin NT

5 Jun 2005 CUHK - Dept of Medicine & Therapeutics Ms. Isabella Fu(Sun) CUHK Diploma Programme in Advanced Internal Medicine 2004-05 – 3 15# 10# 20# 5# 1 2# 18# 18# Tel: 2632 39965:00 - 8:00 pm End stage renal failure

Plaza Conference Centre, 35/F Central Plaza, 18 Harbour Road, HK6 Jun 2005 HKMA CME Programme Tel: 2861 1979(Mon) ED- An Early Marker for Vascular Diseases 11:00 - 3:00 pm The Ballroom, Level 2, Langham Hotel Hong Kong (Former

Great Eagle Hotel), 8 Peking Road, TST



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6 Jun 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Mon) 2nd Certificate Course on Practical Diabetes Care for General 21:30 - 3:30 pm Practitioners (Group A) – Session 8

Tung Wah Eastern Hospital Diabetes Mellitus Centre7 Jun 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Tue) Combined Head and Neck Meeting 1 Tel: 2871 883010:00 - 11:00 am A.K.C. Surgical Library, 4/F, Clinical Sciences Building, PWH7 Jun 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital(Tue) 2nd Certificate Course on Practical Diabetes Care for General 2 Tel: 2388 27281:30 - 3:30 pm Practitioners (Group B) - Session 9

Tung Wah Eastern Hospital Diabetes Mellitus Centre8 Jun 2005 Hong Kong College of Emergency Medicine Ms. Juana Ng(Wed) Basic Life Support Provider Course (BLS) 5 4 2 — 2 Tel: 2871 88778:30 am - 4:30 pm A&E Training Centre, Tang Shiu Kin Hospital, 282 Queen’s Road East, Wan Chai8 Jun 2005 Our Lady of Maryknoll Hospital - Department of Medicine and Geriatrics Tel: 2320 2121(Wed) Journal Club 112:30 - 1:45 pm Conference Room D, 1/F, OPD Block8 Jun 2005 HKMA CME Programme Tel: 2861 1979(Wed) Putonghua Certificate Course for Medical Practitioners (Session 12) 1 – – 1 1 1.5 – – 1 – – – 1.5 1.5 Member: HK$1,5001:30 - 3:15 pm HKMA Dr. Lu Shu Pui Professional Education Centre, 2/F, N-Member: HK$1,900

Chinese Club Building, 21-22 Connaught Road Central, Hong Kong8 Jun 2005 Hong Kong Academy of Medicine Miss Agnes Chung(Wed) 1. Recent Advances in Immunisation 2 Tel: 2871 88962:00 - 4:00 pm 2 Bone Lesion: X-ray Reading and Principles of Management–

Orthopaedic Tumour Surgeon’s PerspectiveLecture Theatre, M Block, Queen Elizabeth Hospital, Kowloon

8 Jun 2005 Dept of Clinical Oncology, PWH Ms. Diane Lee(Wed) News from ASCO 1 Tel: 2871 88302:30 - 3:30 pm Lecture Room, Dept of Clinical Oncology, PWH8 Jun 2005 The Hong Kong Society of Dermatology & Venereology Ms. Rebecca Leung(Wed) 3 Case Presentations and Discussions 3 Tel: 2116 43226:00 - 8:30 pm YMT Dermatology Clinic, 12/F, Yaumatei Specialist Clinic Extension,

143 Battery Street, Kln9 Jun 2005 Hong Kong Sanatorium & Hospital, Orthopaedic Clinical Meeting Dr. Wu Wing Cheung(Thur) Orthopaedic Clinical Meeting 1 1 – 1 1 – 1 1 – – 1 Tel: 2835 78908:30 - 9:30 am Room 1103, 11/F, Li Shu Pui Block, Hong Kong Sanatorium & Hospital9 Jun 2005 HKMA – Sha Tin Doctors Network Ms. Kandy Wan(Thur) Continuous Medical Education Course on Pain Management – 1 Fax: 2807 24961:15 - 3:00 pm Advanced Management of Low Back Pain

Ballroom, Royal Park Hotel, Shatin9 Jun 2005 HKMA, HK Sanatorium & Hospital Member: $50(Thur) HKMA Structured CME Programme with HKS&H 2005 (Jan - Jun) – 1 1 – 1 1 1 0.5 – 0.5 – – – 1 1 1 N-Member: $801:30 - 3:00 pm Advances in Interventional Radiology Tel: 2861 1979

HKMA Dr. Li Shu Pui Professional Education Centre, 2/F,Chinese Club Building, 21-22 Connaught Road Central, HK

10 Jun 2005 Union Hospital Ms. Fion Chow(Fri) Diagnostic markers of infection in infants 1 1 1 Tel: 2608 31842:00 - 3:00 pm Seminar Room, 2/F, Medical Centre, Union Hospital10 Jun 2005 HKU - Centre on Behavioral Health Miss Loretta Fung(Fri) Therapy in the Satir Model - Advanced Course for Practitioners 3 Tel: 2589 05106:30 - 9:30 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam10 Jun 2005 The Obstetrical & Gynaecological Society of Hong Kong Dr. Lam Siu Keung(Fri) Maternal screening for Trisomy 21 and Trisomy 18 1 Tel: 3517 50568:30 - 9:30 pm Seminar Room II, M/F, Hospital Authority Building, Argyle Street, Kln13 Jun 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Mon) 2nd Certificate Course on Practical Diabetes Care for 21:30 - 3:30 pm General Practitioners (Group A) – Session 9

Tung Wah Eastern Hospital Diabetes Mellitus Centre14 Jun 2005 HA – Pamela Youde Nethersole Eastern Hospital, Ms. Erica Chung(Tue) Paediatrics Dept co-joint with Stanford University, USA 2 Tel: 2595 64107:30 - 9:30 pm Teleconference

Lecture Theatre, G/F, Multicentre Block B, PYNEH14 Jun 2005 Department of Clinical Oncology, PWH/ HKCR Ms. Diane Lee(Tue) Combined Head and Neck Meeting 1 Tel: 2871 883010:00 - 11:00 pm A.K.C. Surgical Library, 4/F, Clinical Sciences Building, PWH14 Jun 2005 Hong Kong Doctors Union & Tung Wah Eastern Hospital Tel: 2388 2728(Tue) 2nd Certificate Course on Practical Diabetes Care for General 21:30 - 3:30 pm Practitioners (Group B) – Session 10

Tung Wah Eastern Hospital Diabetes Mellitus Centre14 Jun 2005 HKU - Centre on Behavioral Health(Tue) Psychotherapy and Counselling in Action 2005 Miss Loretta Fung4:00 - 7:00 pm Centre on Behaviioral Health, The University of Hong Kong, 3 Tel: 2589 0510

G/F Pauline Chan Building, 10 Sassoon Road, Pokfulam14 - 17 Jun 2005 World Society for Stereotactic and Functional Neurosurgery Dr. Fan Yiu Wah(Tue- Fri) WSSFN 14th Meeting of the World Society for Stereotactic 10# 18# Tel: 2855 3368

and functional neurosurgeryRome, Italy

15 Jun 2005 Hong Kong College of Emergency Medicine Ms. Juana Ng(Wed) Basic Life Support Provider Course (BLS) 5 4 2 – 2 Tel: 2871 88778:30 am - 4:30 pm A&E Training Centre, Tang Shiu Kin Hospital, 282 Queen’s Road East, Wan Chai



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Note: For each issue of the CME Bulletin, we shall try our best to include all the CME activities for the month, which are made known to the Association Secretariat. Thecredit points awarded by each college are herein indicated for members' reference only. While we try our best to ensure the information to be most accurate andup-to-date, members interested in any of these functions are advised to check with the respective organizers for confirmation of the details.

Pharmaceutical advertisements are welcome. For advertising rates and placement details, please contact Ms. Cynthia Chan, Executive Officer atTel: 2527 8452, Fax: 2865 0943 or email: [email protected]

Your comments to the HKMA CME Bulletin are mostly welcome. Please send your opinion to Dr. Wong Bun Lap, Bernard, Editor of HKMA CME Bulletin, by fax at2865 0943 or via e-mail at [email protected].

15 Jun 2005 HA – Tuen Mun Hospital Ms. Anita Au Yeung(Wed) Basic Infection Control Training 3 Tel: 2468 57779:00 am - 1:00 pm D1002, Discussion Room, 1/F, Main Block, Tuen Mun Hospital15 Jun 2005 Our Lady of Maryknoll Hospital – Department of Medicine and Geriatrics Tel: 2320 2121(Wed) Grand Round: Case Presentation 112:30 - 1:45 pm Conference Room D, 1/F, OPD Block15 Jun 2005 HA – Pamela Youde Nethersole Eastern Hospital, Family Medicine Ms. Amy Ng(Wed) Management of Hypertension Protocol in Primary Care Setting 1 Tel: 2595 68871:15 - 2:45 pm Lecture Theatre, G/F, Multicentre Block B, PYNEH15 Jun 2005 HKMA CME Programme Tel: 2861 1979(Wed) Putonghua Certificate Course for Medical Practitioners (Session 13) 1 – – 1 1 1.5 – – 1 – – – 1.5 1.5 Member: HK$1,5001:30 - 3:15 pm HKMA Dr. Lu Shu Pui Professional Education Centre, 2/F, N-Member: HK$1,900

Chinese Club Building, 21-22 Connaught Road Central, Hong Kong15 Jun 2005 Hong Kong Academy of Medicine Miss Agnes Chung(Wed) 1. Common Foot and Ankle Problems 2 Tel: 2871 88962:00 - 4:00 pm 2. Treatment of Osteo Arthritis and Adult Joint Reconstruction

Lecture Theatre, M Block, Queen Elizabeth Hospital, Kowloon15 Jun 2005 Hong Kong Doctors Union Tel: 2388 2728(Wed) Clinical Case Reviews: The Medical/ Legal Aspects of Pain Management 12:15 - 3:15 pm (Video Cassette Session)

Room 901, Hang Shing Bldg, 363-373, Nathan Road, Kln15 Jun 2005 Dept of Clinical Oncology, PWH Ms. Diane Lee(Wed) News from ASCO 1 Tel: 2871 88302:30 - 3:30 pm Lecture Room, Dept of Clinical Oncology, PWH16 Jun 2005 Department of Clinical Oncology, PWH/HKCR Ms. Diane Lee(Thur) Combined Breast Cancer Meeting 1 Tel: 2871 88301:00 - 2:00 pm Meeting Room, Dept. of Clinical Oncology, PWH16 Jun 2005 PHMH – Review Meeting Ms. Isabella Wong(Thur) Review Meetings in areas related to Public Health Medicine 2 Tel: 2871 88446:00 - 7:30 pm Wu Chung House, Wanchai17 Jun 2005 HKU – Faculty of Medicine Mr. Lobo Yau(Fri) Hands-on Cadaver Advanced Laparoscopic Gastrointestinal 4.5 Tel: 2855 48858:45 am - 6:10 pm Surgery Course (Day 1)

Skills Development Centre, Department of Surgery, University of Hong KongMedical Centre, Queen Mary Hospital

17 Jun 2005 HKMA - Sha Tin Doctors Network, co-joint with Union Hospital; Mr. Andy Lau(Fri) CUHK Centre for Health Education and Health Promotion; 1 Tel: 8100 39671:15 - 3:00 pm Hong Kong Council on Smoking and Health;

Hong Kong Men's Health Forum; Hong Kong Primary Care FoundationSmoke and Cardiopulmonary Health Certificate Course - Session 3Seminar Room, 2/F, Medical Centre, Union Hospital, 18 Fu Kin Street,Tai Wai, Shatin, N.T.

17 Jun 2005 HKU – Centre on Behavioral Health Miss Loretta Fung(Fri) Therapy in the Satir Model – Advanced Course for Practitioners 3 Tel: 2589 05106:30 - 9:30 pm Centre on Behavioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pakfulam18 Jun 2005 HKU – Faculty of Medicine Mr. Lobo Yau(Sat) Hands-on Cadaver Advanced Laparoscopic Gastrointestinal 5.5 Tel: 2855 48858:45 am - 4:30 pm Surgery Course (Day 2)

Mortuary L2, Department of Anatomy, Faculty of Medicine Building,The University of Hong Kong

18 Jun 2005 The Hong Kong Polytechnic University – Department of Ms. Cathy Chan(Sat) Rehabilitation Science 5 Tel: 6016 13179:00 am - 5:00 pm Contemporary Approach in Quality of Life Measurement:

Measuring Subjective Wellbeing and Using The International Wellbeing IndexRoom ST 522, The Hong Kong Polytechnic University

18 Jun 2005 World Cancer Research Fund Hong Kong Ms. Heidi Lau(Sat) Diet, Lifestyle and Cancer Prevention - Getting the Message Across 5 5 4 2 Tel: 2529 502511:00 am - 5:00 pm J. W. Marriot Hotel18 Jun 2005 Hong Kong Geriatrics Society Tel: 2749 8228(Sat) 2005 Annual Scientific Meeting 3.512:30 - 11:00 pm Ballroom of the Sheraton Hotel, Tsimshatsui18 Jun 2005 HKU – Centre on Behavioral Health Miss Loretta Fung(Sat) Psychotherapy and Counselling in Action 2005 3 Tel: 2589 05102:00 - 5:00 pm Centre on Behaviioral Health, The University of Hong Kong,

G/F Pauline Chan Building, 10 Sassoon Road, Pokfulam



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