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Hong Kong trauma system started from 1994. Before that, there is no interdisciplinary collaboration. This year, Professor Donald Trunkey, an US trauma expert advised on the development of trauma services through a multi-disciplinary approach. 24-hour trauma service has embarked the next year sequent...

Before we can engage colleagues, in the speaker’s opinion, we should admit that there is real crisis in physician morale. Over half of physicians are burned out. This affects everyone. The lecture has been dedicated for anyone who has to lead people on a daily basis, and in particular in a busy wo...

ICU beds are expensive and critical resources in modern healthcare. Its under provision would jeopardise the quality of healthcare, while its over provision overburden the limited resources. However, there is no hard and fast rule on what is the optimal number of ICU beds for a given population. Hon...

Background Our hospitals Digestive Medicine Centre has a diverse patient population including those who may not understand English and/or Chinese. Patients who come to our centre for colonoscopy arrangement require adequate and clear instructions of bowel preparation. As colorectal cancer is the se...

Financial technology promises to bring improvements to many areas in banking and finance, including payment, deposit, and wealth management. How will traditional financial institutions and technology companies respond to these opportunities? What challenges will they face? How should they work with ...

Evidence points to many benefits of "early palliative care" to improve patients' quality of life while living with a serious illness. Yet most trials of early palliative care have not included patients with hematologic malignancy (HM). Unfortunately, patients with HM are also known to have heavy sym...

There are challenges of teaching junior doctors on patient safety. For junior doctors, particularly interns, those at the start of their professional career, found it difficult to identify with patient safety as a discipline, so they did not prioritize it. In part this was because those with little ...

Osteoarthritis of the knee is a common degenerative disorder affecting the local population. The prevalence of knee osteoarthritis is 13% in female and 7% in male based on a local study. In end stage osteoarthritis, surgical intervention is warranted when conservative measures failed. High tibial os...

When asked, most people will answer the question "why did you go into healthcare?" with "because I wanted to make a difference". Yet once in the work force, this often becomes increasingly difficult due to overburdened systems, lack of sufficient staff, poor morale....the list can go on. The researc...

Phalangeal fractures of the hand are common and potentially debilitating. The majority of these fractures may be treated conservatively. Surgery may speed recovery and avoid complications such as malunion and arthrosis in selected cases. A variety of procedures offer either relative or absolute stab...

The approach to prenatal diagnosis has been revolutionised by advances in prenatal molecular diagnostics. The most important breakthrough in prenatal screening using maternal plasma cell-free fetal DNA as a non-invasive prenatal testing (NIPT) for fetal chromosomal abnormalities was discovered by Pr...

The Gram-negative bacterial pathogen Klebsiella pneumoniae has consistently evolved over the past two decades, generating genetic variants that exhibit mixed phenotypes of hyper-resistance and hypervirulence including carbapenem-resistant K. pneumoniae (CRKP), hypervirulent K. pneumoniae (HvKP) and ...

Risk, in regulatory terms, is usually considered in terms of risk to patients, but students and practitioners may, themselves be at risk  of harm or self-harm in environments where they are unsupported or subject to unreasonable demands. Students and doctors are at risk of poor performance because...

Influenza infection can lead to a variety of neurologic complications including influenza‐associated encephalitis/encephalopathy, acute necrotizing encephalitis, febrile convulsion, acute encephalopathy with biphasic seizures and late reduced diffusion, acute disseminated encephalomyelitisas, Guil...

One of the many education outcomes among medical graduates is to prepare their readiness to serve the public or to embark on specialist training. Clinical training would be essential to achieve these objectives. Apart from the two university-affiliated teaching hospitals (Prince of Wales Hospital an...

The World Health Organization defines palliative care as a way of caring for people with life-threatening illnesses which focuses on quality of life, through the prevention and relief of suffering by prevention and management of pain and other problems, physical, psychological and spiritual. In 2014...

Many challenges have evolved in the health care system that support the need for interprofessional collaboration. Over time, separate specialties and professions have been created to focus on specific aspects of patients’ health and care such that a single profession today cannot adequately me...

Support Operations are one of the critical functions in hospital operations. At the new 1800-bed Woodlands Health Campus (WHC) in Singapore, support operations were identified as a key area for innovation.  A coherent strategy was developed in tandem with clinical services planning to provide e...

Globally, Plasmodium vivax and P. falciparum malaria are the most important causes of malaria. Falciparum malaria is generally the most severe form of disease which causes the majority of malaria deaths. Nevertheless, vivax and knowlesi malaria can also result in severe disease and even mortality. I...

In the 21st century clinicians are confronted with increasingly complex ethical challenges in their medical practice.  These include everyday relational issues such as truth-telling, consent, medical confidentiality, assessing capacity, conflicts with colleagues, patients and their relatives ov...

Modern health systems remain built around acute care in hospitals. These miracle factories have delivered dramatic improvements in life expectancy, but they were ill adapted to cope with the consequences of their success – an ageing population with a complex mix of chronic health conditions and so...

The demonstrated capacity of immune cells to kill tumor cells suggests that they could be used to treat cancer. Conceivably, immune cells could overcome the resistance of cancer cells to standard treatment modalities while sparing normal tissues. Results of recent clinical trials with autologous T c...

Each year, influenza viruses circulate worldwide and are responsible for a considerable burden of medical visits, hospitalizations and deaths, especially at the extremes of age, among the very young and the very old. Older adults are more vulnerable to influenza illness and less likely to benefit fr...

The term FinTech, a portmanteau of "financial technology", is used to describe new digital technology which has the potential to improve the delivery of financial services. FinTech helps companies, business owners, and consumers to better manage their financial operations, processes, and daily lives...

Electrophysiological recording (IONM) during neurosurgical, orthopedic, and vascular surgery are gradually becoming part of standard medical practice, mainly because it provides information regarding the functional integrity of the nervous system. The merits of IONM have been extensively reported in...

In order to tackle with the growing pressure on the healthcare system in Hong Kong, it is important for all nurse leaders to develop leadership competencies and build up high performing teams regardless of their level of responsibilities and working background. From 9th to 20th October 2017, a group...

Knee osteoarthritis (OA) is one of the most common degenerative diseases that cause disability in elderly people. An epidemiological study by Felson et al showed that about 30% of all adults have radiological signs of OA; 8.9% of the adult population has clinically significant OA of the knee or hip,...

Medical professionalism is the belief system that formulates and upholds the values and standards of medical practice. It underpins our social contract with society that allows us to self-regulate and maintain autonomy. Changing expectations from patients and doctors as well as the introduction of d...