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Chapter V.  Embracing the Modern Age






 Training Then and Now  Modern views                           opportunities and quality of life. I mean, a

                                                               surgeon’s quality of life takes into account
                  Young doctors say their training is  job satisfaction. My personal opinion is
                  nonetheless demanding – and yet they  that we cannot compare ourselves to non-
                  appreciate why this is so.                   academic centres. What we are famous
                                                               for is expertise and our dedication to
                  Dr Alvin Siu, who is now a Consultant  work. It means that our trainees’ or staff’s
                  in colorectal surgery at Queen Mary  personal time or quality of life might be
                  Hospital, recalls his early training. “My  compromised. It’s really about what you’re
                  internship at Queen Mary started in 2013  looking for in life. We are not looking for
                  and it was quite harsh. We had long hours  people who prioritise quality of life.”
                  compared with my colleagues in other
                  hospitals because we were expected to  Dr Chu added: “At the end of the day,
                  join all the grand rounds and present  I am still in the Department because
                  during rounds or multidisciplinary  I enjoy what I’m doing. It’s long hours
                  meetings. There’s a lot of pressure, but  and difficult work, with a lot of extra
                  essentially it helped me grow up. It forced  academic work and presentations. But
                  us to learn and get a taste of what clinical  this is where I get my satisfaction from.
                  practice is really like. I think it was a good  It’s not just patient care. It’s also the
                  way to learn how to become a doctor.”        academic achievements and bonds we
                                                               create within the Department. We are
                  Dr Rosemarie Chu, a Resident, felt the  very close. I enjoy spending time with
                  rigorous training was to be expected.  everyone. It’s my family.”
                  “There’s always a balance, trading


 As the saying goes, the more things  The whole world is doing this. Young
 change, the more they stay the same.  people are also more questioning. In the
 Internships and early residency are always  old days, the boss would say, don’t ever
 characterised by long hours, whether in  ask why. Now, young people want more
 the 1970s or today. Some of the harshest  information. They get it from social media
 aspects of that have been moderated, and  and listen to their peers,” said Professor
 attitudes towards the demands on interns  Simon Law.
 are different, but there is also a realisation
 among both older and younger doctors  Similarly, Professor Stephen Cheng noted:
 that hard work is a necessity to becoming  “The Department’s culture has changed.
 a good surgeon.  In GB Ong’s and John Wong’s days, you
 put the Department and the Head of
 The good old days  Department first without question. I
 would do things to please John Wong. I
 As senior professors in the Department  would sacrifice my time and be willing
 recall, the long hours they put in were  to work without asking for anything in
 often demanded by the hierarchical  return. Now, it is difficult to promote or
 working structure and different norms  fire someone. It creates a culture that’s
 of the time.  very simple, very practical. What is in it
 for me? I don’t think that’s actually wrong,
 “We used to hang out after rounds for no  it’s not a sin to look after yourself, but it’s
 reason than waiting for the boss to finish.  very difficult to manage people.”
 Now, young doctors leave at 5.15pm.






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