News

2021-01-26

會長通訊:為什麼西醫工會要改選用郵寄方式投票進行幹事會選舉?| President's Message - Why we change to Postal Secret Ballot for our council election?

為什麼西醫工會要改選用郵寄方式投票進行幹事會選舉?   在宣布重新組織香港西醫工會2020年周年大會後,我們收到了會員就尋求更好的幹事會選舉方法的詢問。 從新邨西醫協會到香港西醫工會的這54年間,由於候選人之間的競爭也較溫和,我們一直都使用授權票進行幹事會選舉。到目前為止,選舉以授權票的方式進行一直很奏效,特別是在公平和經濟效益方面。 但是,由於授權票的認證困難,今年的幹事會選舉面臨巨大挑戰,據義務秘書稱,他甚至無法在2020年11月19日預定的周年大會前認證所有授權票以至香港西醫工會於原定日期不能如期進行周年大會。 正如我之前所述的一樣,使用西醫工會的傳統授權票投票機制可能對西醫工會的會員選擇他們最喜歡的候選人有以下不公平和不利之處: 1. 會員委任的授權會員可能不清楚或沒有根據該委任醫生的真實意願在周年大會上投票給其屬意的候選人。 2. 由於授權票是可以複製的,因此會員有時可能會有機會改變主意並發送多於一張授權票,這樣會使西醫工會辦公室的認證過程變得困難,並可能導致錯誤和出 現濫用授權票的情況; 3. 不論會員姓名或會員編號的任何手寫錯誤的授權票將被作廢,其會員可能不獲通知;因此,西醫工會的幹事會決定聘請第三者公司的協助下改用郵寄方式投票,它具有以下優點: 1. 會員可以以自己的意願選擇投票給自己認為最適當的候選人; 2. 簡化填劃選票。您只需要劃「剔號」給您投選的候選人。在任何情況下,會員在各特定類別所投選的候選人不得超過所允許的數目; 3. 這次我們聘請第三者公司,以避免或最大程度減低義務秘書和秘書處工作人員之間的不和諧不協調以及減少發生糾紛的機會; 4. 在2019冠狀病毒病大流行期間,我們通過郵寄投票的方式以遵循社區隔離的安排,加強政府傳染病控制措施。 然而,僱用第三者公司對本會帶來額外的成本。幸運的是,我們已經聯繫並說服了多年來一直為香港醫學會管理選票的第三者公司,這次可以為我們提供協助。費用亦不算太高,為即將舉行的2020年度香港西醫工會周年大會,收取、核實、盤點選票並報告選舉結果的費用為25,000港元。 香港西醫工會的2020年度周年大會就讓我們轉用郵寄投票的方式吧。 1. 首先,選票只包含候選人的姓名供會員投選。各會員請注意,在各特定類別所投選的候選人不得超過所允許的數目,否則整張選票將被作廢; 2. 第二,只能將填妥的選票放入選票專用的信封中,不能附帶任何文件,然後妥善封口。若會員未能把選票妥善封口於選票專用的信封內,而與其他文件一同放入印有回郵地址的信封的話,選票則將被作廢; 3. 第三,在寄出選票之前,請先完成並在會員確認書上簽名,然後將其確認書與已封口的選票信封(包含已打「剔號」的選票)一同放入尺寸較大的回郵信封中,以確保您的選票是有效的; 4. 第四,如果你不確定,請閱讀”填寫及郵寄說明”並按照步驟進行,不然,您可以致電秘書處或西醫工會的幹事尋求協助。希望透過轉用郵寄投票進行幹事會選舉的方式,香港西醫工會2020年度周年大會幹事會選舉可以達至公開公正和成功的。 祝大家牛年健康快樂。   楊超發醫生   Why we change to Postal Secret Ballot for our council election?   After our announcement of reorganizing our 2020 HKDU AGM, we received enquiries from members for a better method for council election. All through these 54 years from EDA to HKDU, we have been using proxies for council election as there was not much competition among the candidates for election. So far, the proxy method for election served us well, especially in the way of fairness and saving money for the Union. However, this year's council election faced a great challenge due to the disharmony and difficulties in verification of the proxies, so much so that proxies could not be verified, according to Hon. Secretary, even before the scheduled 2020 HKDU AGM on 19th November 2020 leading to its crash. As I have reported before, using our traditional proxy system might have the following unfairness and disadvantages to our members in selecting their favorite candidates: 1. Member in appointing an appointee could not know how and whom the appointee would choose the candidates in the AGM according to his/her genuine wishes. 2. Since proxy form could be copied, a member sometimes could have the chance to change his/her mind on further thoughts and send in more than one proxy form which would make verification process in HKDU office difficult and might lead to error and abuse; 3. Any handwriting error in member’s name and membership number would void the proxy form which the member might not be aware; As such, our council has decided to switch to Postal Secret Ballot with the help of Third-Party Company which has the following advantages: - 1. A member can choose which candidates he/she likes of his/her own accord in his/her own private environment; 2. The filling of ballot paper is made simple. You only have to tick the candidates of your choice. Under no condition that a member voter can tick more candidates than the number allowed for that specific category of candidates; 3. We hire a Third-Party Company this time to avoid or minimize the disharmony between the Hon. Secretary and the secretariat staff and also to reduce any chance of dispute; 4. In this period of COVID-19 pandemic, we follow the government infectious disease control measures by enforcing social distancing through Postal Secret Ballot. However, hiring a Third-Party Company means extra cost to the Union. Luckily, we have contacted and convinced the Third-Party Company which has been managing Ballot Papers for the Hong Kong Medical Association for years to help us this time. And the cost is not too much, i.e., HK$ 25,000 for receiving, verifying, counting ballots and presentation of the results in the coming 2020 HKDU AGM. Now let us turn to the format of actual Postal Secret Ballot for HKDU 2020 council election this time. 1. Firstly, the Ballot paper only contains the names of the candidates for you to tick. You are cautioned not tick any number more than that specific for each category of candidates, otherwise the whole Ballot paper will be voided; 2. Secondly, only the Ballot paper can be put into the envelope specific for the Ballot Paper. If the Ballot Paper is not sealed within its designated Ballot Paper Envelope and just inserted into the Return Address Envelope together with other documents, the Ballot Paper will be voided; 3. Thirdly, before you send out the Ballot paper, please complete and sign the Member Acknowledgement sheet and put it together with the sealed Ballot Paper Envelope containing the ticked Ballot Paper, into the large self-addressed Return Envelope to provide statement to make sure your Ballot paper is valid; 4. Fourthly, in case you are not sure, please read the instruction sheet for filling and returning the Ballot Paper and follow the steps, or else you can phone up the secretariat or our council members for help. We wish that by changing to Postal Secret Ballot for our council election, we can achieve a fair, open and successful 2020 HKDU Council Election this time. Wishing you a Happy and Healthy Chinese Year of the Ox.   Dr. Yeung Chiu Fat Henry

2021-01-25

會長通訊 – 香港西醫工會發生了什麼事情?| President’s Message - What has happened to HKDU?

香港西醫工會發生了什麼事情?   這是18年來的第一次,香港西醫工會的周年大會於2020年11月19日被逼取消。我們必須在1至2個月內重新組織另一次周年大會。 令我驚訝的是,在2020年11月19日的周年大會上,我們的義務秘書表示他無法履行其職務,無法核實在周年大會之前收到的所有授權票。原因是他沒有收到秘書處的授權名單。秘書處表示,收到了超過570多張授權票,其中大多數是在提交截止日期之前的1至2小時才收到,即在2020年香港西醫工會周年大會召開前2天才收到。事實上,秘書處在周年大會召開前兩天的周二和周三加了夜班,並在我們的義務秘書的監督下核實授權票。 事實上,秘書處在周年大會召開前兩天的周二和周三加了夜班,並在我們的義務秘書的監督下核實授權票。 關於驗證標準和無效授權票的原因如下: 1. 授權票上的醫生名稱不是香港西醫工會會員; 2. 會員超過6個月未繳交會費; 3. 無法識別授權票上的名稱; 4. 授權票上的簽字日期超出了寄回授權票的期限; 5. 已填寫的授權票的影印本是不能接受的; 6. 有地方出錯但填寫的醫生沒有在旁刪改簡簽作實; 7. 會員名稱與會員編號必須準確及對稱; 8. 重複或甚至多份相同醫生簽署的授權票。 若收到重複或甚至多份相同醫生簽署的授權票,秘書處必定會努力與簽署的醫生聯繫,以核實他們真正信任及委任的被委託者行使的授權票,還必須確保授命醫生已書面確認。否則,其授權票將無效。 獲得授權票的個別會員將收到其清單,說明有效授權票的數量和無效授權票的數量及被作廢的原因。 由於今次是香港西醫工會秘書處的第一次在如此短的時間內處理如此多的授權票,同時又受到了我們義務秘書的干擾,因此最終的授權票名單僅能在周年大會召開之前提供。但正如我們尊敬的義務秘書長所說,他尚未核實授權票表格,而事實上,據秘書處稱,他本人確實在周年大會上對每份授權票進行了為期三天的檢查。由於有會員對被核實和被取消的授權票數量的準確性提出質疑,因此周年大會很難對包括幹事會會員選舉在內的任何議程項目進行討論和審議。(這是由現場僱用的律師認同的。) 作為周年大會主席,我別無選擇,只能建議於2020年11月19日取消周年大會,並盡快組織並舉辦2020年度香港西醫工會周年大會。除了幾乎所有在場40名會員鼓掌同意,沒有其他異議。(其實大會的法定人數是必需符合出席會員加上授權票人數等於或超過50人)。 周年大會的4天後,我們在2020年11月23日召開了一次緊急幹事會會議,討論以不觸犯香港西醫工會的任何章程和規定為由舉辦另一次周年大會的事宜。但是,由於出席會議的幹事人數不足,緊急幹事會會議流會。對於留下的5名幹事,我們進行了深入的討論,大家都同意籌備舉行另一次周年大會,並將授權票發送給會計師事務所進行驗證,以減少將來發生分歧的機會。 不久之後,我們於2020年12月10日再次舉行了一次緊急幹事會會議,以解決舉行另一次周年大會上未解決的問題。幸運的是,這次我們有8位幹事出席了該次緊急會議,與會人數亦超過了幹事會會議所需的法定人數。 我們認真研究了香港西醫工會的憲法和規則。我們研究了在疫症大流行期間舉行周年大會並通過郵寄方式把授權票寄回辦公室的問題。我們探討了2020年11月19日出席會議的40多名會員中打算於週年大會上投票,但最終不能投票的問題。我們亦顧及到有參選人現時退選後影響會員投票意向的問題。最終,我們在出席的8名幹事之間達成了一致協議,決議在即將舉行的周年大會透過第三方公司通過 郵寄 不記名投票的方式選出關鍵幹事和其餘的幹事,以消除將來發生爭議的機會。 我們將選出一間獨立的第三方公司,不論是律師事務所還是會計師事務所,或兩者兼有,以在周年大會之前收到郵寄的不記名選票,為我們核實選票並為我們計算選票結果。我們希望通過這種方式,2020年11月19日的糾紛不會再發生。通過這種方式,我們可以減少會員之間在周年大會上的社交聚會的風險,以防止感染新型冠狀病毒。我們將無法承受在新聞媒體上出現有關香港西醫工會周年大會爆發新型冠狀病毒的影響。 我想讓您們尊貴的會員知道的另一件事是,本會幹事會決定向警方舉報香港西醫工會的機密文件在幹事會不知情和未批准的情況之下被廣泛發佈到公共媒體上,包括面書。如果任何會員得知有關於洩露香港西醫工會的機密文件的新消息,請讓我或我們的秘書處知道,以便我們能夠採取措施制止披露機密文件對我們香港西醫工會造成更多的傷害。 祝大家有一個安全及健康的聖誕!   楊超發醫生 President’s Message - What has happened to HKDU?   For the first time in 18 years, our Annual General Meeting (AGM) crashed on 19 Nov 2020. We have to re-organize another AGM again within one to two months. I was astonished to learn before AGM on 19 Nov 2020 that our Hon. Secretary said that he could not fulfil his duties in verifying all the proxies received before the AGM. The reason was he did not receive the list of proxies from the secretariat. According to the secretariat, there were more than 570 proxies received, with most of them received just before the deadline of submission, i.e. 2 days before the AGM. In fact, the HKDU secretariat worked overtime at nights on Tuesday and Wednesday, two days before the AGM to verify the proxies under the supervision of our Hon. Secretary. The reasons for voided proxies are as follows:- 1. Name of doctor is not HKDU member; 2. The member has not paid membership for over 6 months; 3. The names cannot be recognized; 4. The date on the proxy form is after the deadline for return of proxy forms; 5. Photocopy of signed proxy forms; 6. Corrections in the proxy form without being initialized by the doctor completing that particular proxy form; 7. Member’s name does not match with membership number; 8. Duplication or multiplication of proxy forms. For those double or multiple proxy forms submitted, the HKDU secretariat worked hard to contact the appointors for verification of the actual appointees to whom they had really trusted and proxied, and also of course had to make sure the appointors had written confirmations to substantiate their final decisions. Otherwise, the proxies would be voided. Individual members who received proxy authorization would be given his/her list for checking the number of valid proxy forms and the number of invalid proxy forms authorized to them with the reasons given. Since this was the first time in the history of HKDU that the secretariat had to handle so many proxies in such a short time with the unprecedented disturbance from the Hon. Secretary, the final proxy list was only available just before the AGM. As the Hon. Secretary said he had not verified the proxy forms, (in fact, according to the secretariat, he did come up to the office for 3 days before the AGM looking into each individual proxy form as he wished). As there were members questioning the accuracy of the number of proxies being verified and being disqualified, it was difficult for members in the AGM to carry on discussion and deliberation of any agenda item including the election of council members. (This was agreed by an employed lawyer on site.) As Chairman of the AGM, I had no better alternative but to suggest canceling the AGM on 19 Nov 2020 and start to reorganize another AGM as soon as practicable. There was no objection except applause from nearly all the 40 members present. (In fact, by constitution we must need the number of members present plus proxies to be equal or more than 50 to form a quorum for our General Meeting.) We held an Emergency Council Meeting (ECM) 4 days later on 23rd November 2020 to discuss the reorganization of another AGM in a way not to infringe any constitution and rule of HKDU. But the ECM was aborted due to an inadequate number of council members present forming a forum. For the 5 council members staying behind, we thoroughly discussed and agreed to hold another AGM, this time with all the proxy forms sent to an Accounting Firm for verification to decrease the chance of disagreement in the future. Shortly later, we held another ECM again on 10th December 2020 to solve the unsolved problems of holding another AGM. Fortunately, we got 8 council members present at the ECM this time, the number of members present was more than that required for a forum of council meeting. We studied seriously the HKDU constitution and rules. We looked into problems of holding AGM with proxy forms sent into the office during this pandemic. We looked into the problems of 40 members present on 19th November 2020 who were not able to vote in the AGM. We studied the problems of withdrawal of some candidates during this interim period which would have influenced on the voting decision from members. Ultimately, we reached unanimous agreement among 8 members present to hold the coming AGM for the election of council members and key posts by means of Postal Secret Ballot through a Third-Party Company to prevent any chance of disputes in the future. We shall choose an independent Third-Party Company, either a Law Firm or Accounting Firm or both, to receive the Postal Secret Ballots, verify the Postal Ballots for us and to count the Postal Ballots for us before the AGM. We wish by such means, the disputes on 19th November 2020 would not happen again. And by such way, we can cut down the risk of social gathering in AGM to avoid the chance of our members being infected with COVID-19. We would not be able to stand the challenge of having any member in our AGM being infected by COVID-19 and criticized by the public and news media. Another thing I would like to let you know is that the council decided to report to the police the recent happenings of the HKDU’s confidential documents being widely posted in the public media, including Facebook without the council’s knowledge and approval. If members have new sources of such information concerning the leaking of HKDU confidential documents, please let me or our secretariat know so that we can take immediate actions to stop any more harmful effects due to disclosure of confidential documents caused to our HKDU. Have a safe and healthy Christmas 2020!   Dr. Yeung Chiu Fat Henry

2021-01-25

會長通訊:您相信我嗎?| President's Message:Do you believe in me?

您相信我嗎? 在即將舉行的幹事會選舉中,我被指控在過往的24年我以錯誤的方式領導香港西醫工會。看到這樣的虛偽指責我真的很茫然。然而我想藉此機會來澄清一些醫生向我們許多會員發送的某些電子郵件和whatsapp消息中出現的虛假指責。 1. 香港西醫工會的會員人數 新邨西醫協會(EDA)和現在的香港西醫工會(HKDU)的會員人數從未達至2000人,更不用說2500人了。最近幹事會批核了30萬港元到會員發展委員會去實行各方面的活動去吸引更多新會員的加入。 2. 委員會和幹事會的財務狀況 自從我擔任EDA以及後來的HKDU的會長以來,香港西醫工會的資產亦保持平穩增長,從不足一百萬港元增長到現在的超過六百萬港元。在我擔任會長以來的年頭中,每個委員會都以盡可能不出現任何赤字的方式行使職務,自負盈虧。實際上,我們的目標是在每個西醫工會的活動中獲得一定的收益。每個活動的預算都是由每相關委員會提出,並由幹事會批准。收入和支出帳戶將由工會核數師審核隨後予職工會登記局進行檢查,並由所有會員於每年的週年大會上提出並通過。稅務局從未就任何稅務事宜寫信給本會。我們亦未知道任何幹事在稅務局進行任何稅務調查活動。 3. 香港西醫工會的帳目查詢 最近,我們邀請了對香港西醫工會的帳目有疑問的幹事前往西醫工會,與相關委員會主席及我們的義務司庫及本人進行詳細討論,希望能使事情變得清楚,並盡可能消除他的疑慮。不幸及出乎意料的是,即使在幹事會正式邀請一個月之後,他也沒有參加任何討論和驗證。我們對此感到十分無奈難過及遺憾。 4. 週年晚會上的奢侈消費 根據報告,2016年至2019年周年晚宴的開支已包括香港西醫工會50週年晚宴的開支。對於本會50週年晚宴的賬目,我們僅虧損了30,000港幣的宴會費用(此典禮支出包括50桌檯費和近600位來賓和貴賓席券)。當天貴賓包括我們的行政長官、食物及衞生局局長、政制及內地事務局局長、中央人民政府駐香港特別行政區聯絡辦公室的代表、中華醫學會會長、廣州市南方醫院代表(我們在中國大灣區的香港執業 醫生項目的合作夥伴)及許多其他友會會長以及香港醫學和非醫學專業機構的代表,濟濟一堂,振興會務。 5. 帳目上的差異 如此說來,2018年至2019年的現金差額為100萬港元是惡意的不實陳述。根據香港西醫工會的義務司庫的意見,該差異是由於當年度在一種會計系統更改為另一種會計系統的結果。香港西醫工會並沒有因為數字差別而造成任何實際損失。根據報導,我很遺憾得知我們的義務司庫為何不知道本會帳戶的數目。據我們的秘書處稱,本會共有5個帳戶。恆生銀行有一個儲蓄戶口及一個活期賬戶。自香港西醫工會成立以來,就一直有這些賬戶。本會還根據政府專業服務發展資助計劃的要求在上海商業銀行開設了另外一個儲蓄及活期賬戶,以獲取政府就本會的延續醫學進修活動提供補貼,資助我們於瑪嘉烈醫院舉辦的週日下午研討會。 在恒生銀行開設的新帳戶是用於與Vital Base International Limited的聯合項目,本會的電子藥品平台以及新設計的香港西醫工會延續醫學進修視頻網站及主頁面。該帳戶將由香港西醫工會和Vital Base聯合審核。職工會登記局的代表於今年7月3日及9月28日來檢查我們的帳目。如以往一樣,他們在最後一次到本會辦公室的探訪時亦對我們的帳目文件等報告感到滿意。對於有一則某傳媒對香港西醫工會的惡意歪曲報導,您應該已經閱讀了上一期會訊中的特別會長通訊以及發送給各會員的快速通訊系統電子郵件的澄清內容。 你相信我及我們大部份盡心盡力為工會義務工作的幹事嗎? 這完全取決於您了。   楊超發醫生 Do you believe in me?   In the coming Council election, I am accused of having led the Union for 24 years in a wrong manner. I am really at a loss on sighting such statement. However, I would like to take this opportunity to clarify on the misrepresentations as presented in some emails and whatsapp messages sent to many of our members by some doctors. 1. Number of HKDU members The number of members of the Estate Doctors Association (EDA) and now the Hong Kong Doctors Union (HKDU) has never reached the number of 2,000 and not to mention 2,500. The council has recently allotted a budget of HK$300,000 to the membership development committee to provide more initiatives to attract more new members to the Union. 2. Financial situation of committees and council Since my presidency in EDA and later HKDU, there has been continuous growth of HKDU assets from less than one million Hong Kong dollars to more than six million by now. All through the years since my presidency, our principle is to let every committee hold function in a way of not to incur any deficit if possible. In actual fact, we aim to have some money gain in each HKDU function. The budget of every function is proposed by each committee and endorsed by the council. While the Income and Expenditure accounts would be audited and later inspected by The Registry of Trade Unions and subsequently proposed and passed in the Annual General Meeting by all members each year. Inland Revenue Department (IRD) has never written to our Union on any tax matters. We are not aware of any tax investigation exercise by the IRD aroused by any council member yet. 3. HKDU accounts enquiries We had recently invited the council member who had queries on HKDU accounts to come forward to our Union ofce to have detailed discussion with the involved committee Chairman, Hon. Treasurer and President with the hope to make things clear and to clear up queries as much as possible. Unfortunately, and unexpectedly he did not turn up for any discussion and verification even after one month of formal invitation by the council. We felt very sorry for him 4. Extravagant spending on annual dinner The expenditure in 2016 to 2019 annual dinners as reported was made up to include that for the HKDU 50th anniversary dinner. For the account of the 50th anniversary dinner, we had a minimal loss of only HK$30,000 for a banquet of 50 tables and nearly 600 guests and VIPs including our Chief Executive, Secretary for Food and Health, Secretary for Constitutional and Mainland Affairs Bureau, representatives of Liaison Ofce of the Central People's Government in the HKSAR, President of Chinese Medical Association, representatives of Nang Fang Hospital of Guangzhou (our partner in the project of Hong Kong doctors practicing in Greater Bay Area of mainland China) and many other Presidents and representatives of local medical and non-medical professional bodies. 5. Account discrepancy The so said discrepancy of cash of HK$ 1 million in 2018 to 2019 account is a malicious, untrue, misleading accusation. According to the opinion of our Union’s Hon. Treasurer, the discrepancy was due to a consequence of change of one accounting system to another accounting system in that year. The was no actual loss by the Union as asserted. I am sorry to learn that our Hon. Treasurer reported not to know or be aware of the number of HKDU accounts. According to our Secretariat, there are altogether 5 accounts. There is one saving and one current account in Hang Seng Bank. These accounts have been there since the establishment of the Union. There are two additional current accounts with Shanghai Commercial Bank which were opened by the Union as required by the Government to hold up Government CME subsidy fund from the Professional Service Development Assistance Scheme for funding some of our Princess Margaret Hospital Sunday Afternoon Symposia. The most recent account opened with Hang Seng Bank is for the Joint Project with Vital Base International Limited for our e-pharm platform and the newly designed HKDU CME-Video and Homepage. This account will be jointly audited by HKDU and the Vital Base. The representatives of Registry of Trade Unions came to check our accounts on 3 Jul 2020 and 28 Sep 2020 this year. They were satised with our accounts presented at their last visit to the HKDU ofce as usual. For other malicious accusations against our HKDU by one newspaper report, you should have read the clarifications in the Special President’s Message presented in the last Bulletin and in the RCS email to all of you. Do you believe in me and most of our devoted council members? Can you bear the damaging consequences caused to our union by a few irresponsible members? It’s totally up to you.   Dr. Yeung Chiu Fat Henry

2020-10-15

會長通訊:現在是時候談論“遠程醫療”了 | President's Message:It is time to talk on “Telemedicine”

現在是時候談論“遠程醫療”了       我在2020 年9 月22 日西醫工會的網絡醫學研討會上對各會員說,由於2019 冠狀病毒病不會在短期內消失,因此本會的醫學延續進修活動將會繼續透過Zoom 和面書進行直播。根據我們食物及衞生局局長的說法,2019冠狀病毒的疫苗要到2021 年冬季才能在香港使用。因此,我們將盡最大努力在未來2 年內為會員盡可能組織更多的網上醫學延續進修活動。 隨著我們於2020 年9 月27 日在九龍彌敦道363-373 號恆成大廈803 至 804 室西醫工會新辦公室的裝修工程開始,我們希望新辦公室能於2020 年11 月上旬開始投入服務。本會非常感謝各會員和朋友的慷慨捐助,新辦公室將擁有更大的空間,約600 平方尺的聚會場所,場地可容納30 人。我們將會安裝適當的視聽設備及器材為會員組織更多活動,包括網絡研討會。 隨著冬季的蒞臨,流感和2019 冠狀病毒病將在社區中傳播漫延,我們應該依靠衞生防護中心提供的有關每種病毒的本地監測數據。各會員應該認識到,流感和2019 冠狀病毒病的症狀相似並重疊,但兩者同時感染的例子已有記錄在案。唯一的區別是嗅覺及味覺衰退是感染新冠病毒的特有癥狀。我們必須注意,地塞米松被看作是救治2019 冠狀病毒病重症病人的一大突破,但皮質類固醇實際上會延長流感病毒的複制。我們應該鼓勵所有市民在這個冬天進行流感疫苗接種。 隨著2019冠狀病毒病全球大流行,一些會員已經實踐了某種程度遠程醫療,我在2020年9月14日通過ZOOM在施政報告諮詢會議上向林鄭月娥女士亦強調了這一點。   遠程醫療和患者管理   我說隨著人工智能、大數據、雲端和網絡安全技術的爆炸性增長,基於傳感器的硬件的成功研發,從而以更低的價格改進了功能以及智能設備與Internet Plus 計劃的無縫集成,現在是在2019 冠狀病毒大流行期間實施遠程醫療和患者管理的最佳時機。   人工智能和大數據技術可幫助醫生在短的時間內從大量數據中獲得見解。雲和網絡安全技術允許這種轉換以經過認證的安全方式發生在連接到網上的任何地方。將其與MEWS 之類的系統相結合,使醫生能夠更詳細地管理患者,並減輕他們本來就繁重的工作量,而又不犧牲其護理質量。   因此,除了通過我們針對高風險群組的教育和疫苗接種舉措,促進了我們先前在預防醫學方面的成就之外。我們建議香港的下一次醫療改革應著重於通過遠程醫療和患者管理加強預防藥物和早期疾病管理,在醫生與病人的關係上,診症將不再局限於單向性的病人求診,而是持續、主動及協作的醫療護理,以期及早找出病患並作出診治。在公共醫療的層上,配以類似「改良早期預警評分」(MEWS) 的長期自動化監察和評估系統、政府將會更有效率地按病者的風險及需要而作出資源調配。   政府可以推行什麼方針在香港開展遠程醫療和患者管理?   在推行方面,政府應該考慮通過各社區裡的「診所醫生」,從自己的病人名單中,選取和登記有需要及合適參加「遠程患者管理」計劃的病人,並負責教育這些病人正確的使用方法,幫助他們取得「居家協作診治」的成效。此舉將會是,通過社區「診所醫生」網絡,來實踐「把資源投放於病人端」(Hospital Decentralization)的施政方法;將會為正在面對沉重壓力的公共醫療系統,帶來一定的舒緩作用。   另外政府可以從兩方面提供撥款: 1「. 病人端」- 資助合適參加「遠程患者管理」計劃者,購買經「診所醫生」或合資格組織認可的醫療器具,以及支付相關的診治計劃和醫療雲端平台服務費用; 2「. 診所醫生端」- 資助參加「遠程患者管理」計劃的診所,提升「醫學資訊科技」的設備和知識,為落實「互聯網+ 醫療」在香港社會上的推行做好準備。   2019 冠狀病毒病導致許多患者接受遠程醫療,現在是政府將遠程醫療制度化並將遠程醫療和患者管理納入香港醫療體系的時候了。 作為第一步,本會幹事會已經成立了一個遠程醫療工作小組來研究相關問題。在2019 冠狀病毒病大流行之前,遠程醫療在香港並沒有像其他國家(例如美國和英國)那樣廣泛被使用和實踐。在2019 冠狀病毒病大流行之後,患者和醫生對遠程醫療越來越適應。 這項改革應為醫療服務提供者將高質量的遠程醫療納入其實踐創造機會及條件,並明確規定專業遠程醫療的最低要求,其中包括: 1. 為最低標準作出指引,要求醫生在斷症前需要先取得適時及合乎醫療級別的重要醫療數據; 2. 定下網絡安全標準,包括儲存及分柝醫療數據的平台保安。如美國的《健康保險流通與責任法案》(HIPAA) ; 3. 規範用作互聯網診症的「醫療器具」的準確度及安全性。如國家藥品監督管理局(NMPA) 和美國食品藥品管理局(FDA) 的醫療器械認證。 您的意見對這個重要的議題是非常需要的!   楊超發醫生 It is time to talk on “Telemedicine”   I spoke to our members in the HKDU webinar on 22nd September 2020 that since the COVID-19 would not go away soon, our CME activities will still be organized through the internet by Zoom and Facebook live. According to our Secretary for Food and Health, the vaccine for COVID-19 will not be available in Hong Kong till winter of 2021. As such, we shall try our very best to organize as many e-CMEs as possible for our members in the coming 2 years. With the start of decoration of our new HKDU ofce in Rooms 803 – 804, Hang Shing Building, 363-373 Nathan Road, Kowloon on 27th September 2020, we would expect our new HKDU ofce to operate in early November 2020. Many thanks to the generous donations from our members and friends, we shall have a meeting place of around 600 square feet which can accommodate 30 persons. We shall be installing appropriate audiovisual equipment to cater for our members’ activities including webinars. With the coming of winter time, influenza and COVID-19 will be co-circulating in the community, we should rely on the local surveillance data about each virus from the Centre for Health Protection. We should be aware that not only do influenza and COVID-19 have overlapping signs and symptoms, but co-infection with both with similar picture has been documented. The only difference is loss of smell and loss of taste which has not been reported with influenza virus infection. We must take note that dexamethasone is recommended for severe COVID-19 infection in hospitalized patients, but corticosteroids actually prolong viral replication in influenza. We should encourage all citizens to take up influenza vaccination in this winter. With the prevalence of COVID-19 pandemic, some of our members have practiced some kind of telemedicine which I have stressed in our presentation to Mrs. Carrie Lam on 14th September 2020 in the Policy Address consultative meeting through ZOOM. Telemedicine and Remote Patient Monitoring I said that with the explosive growth of Articial Intelligence (AI), Big Data,Cloud, and cybersecurity technology; successful R&D of sensor-based hardware leading to improved functionality at lower price; and seamless integration of smart devices with Internet Plus initiatives, now is the best time to implement Remote Patient Monitoring (RPM) in the midst of COVID-19 pandemic. AI and Big Data technologies help doctors generate insights from an enormous amount of data within a very short time. Cloud and cybersecurity technologies allow this transformation to happen anywhere connected to the internet in a certied secure manner. Combining this with other systems would open up the capability of doctors to monitor patients in greater detail, and to alleviate their already strenuous workload without sacricing their care quality. As such, we would suggest Hong Kong's next healthcare reform should focus on enhancing preventive medicine and early disease management with RPM, in furtherance to our previous accomplishment in promoting preventive medicine via education and vaccination initiatives to the highrisk demographics. On the patient-doctor level, RPM has the potential to transform the current one-way, discrete and transactional patient-doctor interaction to a continuous, interactive, and collaborative healthcare experience. It would help doctors and patients build a much closer relationship whereby health issues could be identified and treated at earlier stages. On the public health level, RPM would help allocate medical resources more effectively, by incorporating systems like the Modified Early Warning Score to prioritize the need for doctors’ intervention.   What can the Government do to launch Remote Patient Monitoring in Hong Kong?   To implement RPM in Hong Kong, the government should involve the active participation of community doctors. The doctors would review their own patient list, select patients who are suitable for participation in the RPM program and invite them to register for the program. The doctors would be responsible for educating these patients on the correct usage of the monitoring devices, and for providing "Home-based collaborative diagnosis and treatment" on an ongoing basis. At the macro level, this would effectively lead to the realization of "Hospital Decentralization" through the involvement of a network of community doctors. It would certainly bring relief to the already overloaded public healthcare system. In addition, the government should also provide incentives and funding in the following ways: 1. On the patient's end: subsidize those who are eligible for participation in the RPM program, help purchase medical devices approved by community doctors or qualied organizations, and help pay for related diagnosis and treatment plans and medical cloud platform services; 2. On Community Doctor's end: subsidize clinics participating in the RPM program to upgrade their equipment and to provide knowledge training in "Medical Information Technology", with a view to preparing them for the ultimate implementation of "Internet + Healthcare" in Hong Kong. COVID-19 has caused many patients to adopt telemedicine and it is time for the government to institutionalize telemedicine and incorporate RPM into Hong Kong's healthcare system. As a rst step, our Council has formed a Task Force on Telemedicine to look into the issue. Prior to COVID-19 pandemic, telemedicine is not as widely used and practised in Hong Kong as in other countries such as the US and the UK. In the wake of COVID-19 pandemic, patients and doctors became a lot more acceptive to the using of telemedicine.   The reform should pave the way for healthcare providers to integrate highquality telemedicine into their practice and clearly state the minimum requirement for professional telemedicine, which includes: 1. Dening the minimum standard of practice. Doctors should, at the very least, have access to timely and clinical grade vital signals before he/she is to make a diagnosis; 2. Stating the minimum cybersecurity requirement for the video consultation platform and the digital platform where the patient’s data are stored and analyzed, e.g. the US HIPAA Healthcare Cybersecurity Compliance; 3. Imposing certain minimum safety certification requirements on the devices, e.g. FDA/CFDA.   Your input is much needed in this important topic!   Dr. Yeung Chiu Fat Henry

2020-09-15

會長通訊:新辦公室,新里程碑和新計劃 | President's Message:New office, new milestone and new initiatives

新辦公室,新里程碑和新計劃       我很榮幸在香港西醫工會電子藥品平台啟動後的第三天寫這篇會長通訊。香港西醫工會電子藥品平台是本會在資訊科技發展的里程碑之一。 我在2020 年8 月21 日的啟動儀式上說,自90 年代起,西醫工會在會員的幫助及鼓勵下,過去在資訊科技發展中經歷了6 個里程碑。香港西醫工會在資訊科技發展的里程碑如下:- 1. 專注於與會員溝通的香港西醫工會電子會訊; 2. 專注於延續醫學進修教育內容的香港西醫工會網站; 3. 香港西醫工會的臨床實踐管理系統; 4. 香港西醫工會參與醫管局的電子健康紀錄互通系統; 5. 由於2019 冠狀病毒病大流行,自2020 年4 月開始,香港西醫工會推出網止延續醫學進修教育; 6. 香港西醫工會電子藥品平台於2020 年8 月21 日啟動。 處於日新月異的數碼時代,加上全球新型冠狀病毒疫情的籠罩下,更加突顯數碼平台的重要性。香港西醫工會極具前瞻性,在兩年前已經開始籌劃建構一個嶄新的數碼電子醫學和藥物平台。在各大藥廠的支持下,香港西醫工會的電子藥品平台今天終於面世。我必須感謝鄧權恩醫生、鄧偉材醫生及黃品立醫生在該項目中的辛勤工作,以及平台背後的合作夥伴,Vital Base International 技術上的支持。 平台為更有效、更有心和更容易地聯繫香港醫生、醫生會員、藥廠、政府醫護連結西醫工會。而第二階段我們會為大家提供大眾可以瀏覽平台,讓大眾對醫療、藥物、健康和社會醫療政策方面有近距離的接觸。作為大家與西醫工會的橋樑。同樣對藥廠來說這平台是一個在不同專業專科領域上,可以同醫生們直接傳遞訊息和交流機會 。 平台的誕生標誌著香港西醫工會在數碼發展的後盾。進入香港西醫工會電子藥物平台非常簡單,醫生們只需要從現在的西醫工會網頁https://hkdu.org 中,選擇電子藥物網上平台便可。嶄新平台內容豐富,包括有藥物資訊,醫學臨床專輯,活動、延續醫學進修 ( 包括延續醫學進修視頻點播)。通過該平台為每個西醫工會會員提供即時可用的西醫工會電子會員卡,我們會從各方面聯繫爭取給醫生會員更多優惠。作為醫生,登上這個平台便可以有相關連結,獲得一站式醫療藥物資訊,無需花時間到不同網頁瀏覽。 我們期待您的意見和參與,以便本會可以繼續改良和優化,提供一站式的數碼平台,以滿足各會員,醫生和社會的需求,並不時更新醫療信息。 我還在啟動禮上表示,我希望本會下一個資訊科技發展項目的重點放在遠程醫療和用於公私營協作計劃的新平台上。我們將很高興收到各會員對這些議題的意見。 2020 年9 月,政府希望透過普及社區檢測計劃( 普及計劃)盡早識別社區的2019 冠狀病毒病隱性患者。我們鼓勵各會員參與這個有意義的計劃,以保護香港市民的健康。截至目前為止,我們已有100 多名醫生自願透過本會參加普及計劃。我希望我們能就這場抗疫戰中向政府表示本會的支持。我希望所有在普及計劃中提供協助的醫護人員都能一直身體健康。 我們的新辦公室正在進行裝修。很高興逐漸收到會員的捐助。我們希望得到各會員的慷慨捐助,本會對任何金額的捐款將不勝感激。新辦公室將會有更大的空間給會員。請盡快向我們展示您的支持,我相信很快便會收到您們的慷慨捐助。有關新辦公室捐款的詳細信息,請參閱附件本會通訊2163 號,我們很快會在下一次的實體活動中,在新辦公室見面。 謝謝   楊超發醫生 New office, new milestone and new initiatives   I am proud to write this message on day 3 after the launching of HKDU e-pharm platform. It is one of milestones of HKDU IT developments. I spoke in the launching ceremony on 21 August 2020 that with the help and encouragement of our members, HKDU has gone through 6 milestones in the IT initiatives in the past since the 90s. The HKDU IT milestones are as follows:- 1. HKDU Electronic Bulletin Board with emphasis of communication with members; 2. HKDU Homage with emphasis on CME contents; 3. HKDU Clinic Management System for clinic practice; 4. HKDU participation in the HA EHRSS initiatives; 5. HKDU e-CMEs since April 2020 due to COVID-19 Pandemic; 6. HKDU e-pharm platform on 21 August 2020. The importance of digital platform has been highlighted by the rapidly changing digital world and strengthened with the global new COVID-19 Pandemic. Our Council is very forward-looking and has begun planning to build a new digital electronic medicine and drug platform more than two years ago. And with the support of pharmaceutical industry, the platform comes to life today. I must thank both Drs. Tang Kuen Yan, Tang Wai Choi and Dr. Wong Bun Lap for their hard work in this project, and Vital Base International too for their partnership and technical support. The purpose of the e-pharm platform is to build up more effective, more open-hearted and easier way to unite HKDU members, Hong Kong doctors, pharmaceutical companies and government health care system. In the second phase of the e-pharm platform, we will provide a platform for the public to have close access to health, drug and health care policies. And as a bridge between everyone and Hong Kong Doctors Union. For pharmaceutical manufacturers, the platform is an opportunity to communicate directly with doctors in different specialty areas. The birth of the e-pharm platform signifies a backup to the development of the HKDU in the digital platform. Access to the e-pharm platform is very simple, doctors only need to choose e-pharm platform from the current HKDU web page at the link https://hkdu.org. The new platform is rich in content with drug information, medical clinical albums and CME activities (including online CMEs on demand). With the instantly available HKDU e-membership card through this platform for every HKDU member, we can work with our partners from all aspects of contact to win preferential treatment for you all. As a HKDU member, you can get links on this platform and get one-stop medical information without having to spend time browsing different web pages. We look forward to your views and participation so that our Union can continue to improve and optimize to provide a one-stop digital platform to meet the needs of the members, doctors and the society and keep medical information updated from time to time. I also spoke in the launching ceremony that I wish our next IT initiatives would focus on Telemedicine and new PPP platform for public and private collaborations. We shall be most happy to have your views on these topics too. September 2020 is the month in which the Government wants to catch asymptomatic COVID-19 carriers in town through the Universal Community Testing Programme (UCTP). We encourage your participation in this meaningful project to help protect the health of Hong Kong citizens. Up to now, we have more than 100 doctor volunteers enrolled into the UCTP through us. I wish we can show our support to the Government for a good cause. And I hope all health care workers helping in the UCTP stay healthy for many years to come. Our new office renovation is underway. Donors are coming in. I am looking for your contribution in one way or the other. After all, our office is always open to our members. There would be more space for members to stay around. Please show us your support as soon as possible, and of course, we would not be surprised to have your generous support soon. For details of donations to the new office, please find attached reminder circular no. 2163 mailed with this Bulletin. See you in the new office in our next physical function soon. Cheers, Dr. Yeung Chiu Fat Henry