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Chapter IV.  A Centre of Excellence





            Training the Next Generation






            The training of surgeons was also  Niv Patil who was also closely involved                                                                       For instance, in the gastrointestinal block,  Kong). Wong also introduced Chief of
            changing in the late 20th century, given  in the Faculty-wide medical curriculum                                                                 students studied the anatomy of the whole  Residents and a Deputy Chief of Residents
            the exponential growth in new medical  reform launched in 1997. That reform                                                                      gastrointestinal system, the physiology  to nurture younger Residents and serve as a
            knowledge and technologies that started  introduced problem-based learning in                                                                    of digestion, the pathology of the liver  bridge to senior management. (Appendix)
            to take off in the 1980s. In 1995, the  the pre-clinical years to give students                                                                  and so on. This approach also enabled the  Every morning post-call, Wong would lead
            Department established the Division, later  a more integrated, clinical approach to                                                              early introduction of clinical skills, such  a meeting with the Chief and Deputy Chief
            Centre for Education and Training (CET) medicine. Rather than study pre-clinical                                                                 as abdominal examinations.                   of Residents to stay on top of developments
            to sharpen its teaching programmes at  subjects as stand-alone topics, such as                                                                                                                of the previous night.
            both the undergraduate and postgraduate  anatomy or biochemistry, they focused                                                                   Surgical training also underwent changes
            levels. Surgical training became more  on them within different bodily systems.                                                                  with  the  founding  of  the  College  of  Training facilities were upgraded for
            structured and standardised.                                                                                                                     Surgeons of Hong Kong in 1989 and the  surgeons, nurses and medical staff, too.
            Whereas the previous focus                                                                                                                       Hong Kong Academy of Medicine in 1993.  The new Jockey Club Skills Development
            was on conditions particular                                                                                                                     This enabled local surgical training to be  Centre opened in 1996 to provide a
            to Hong Kong, there was now                                                                                                                      divided into different stages and specialties,  controlled environment for training and
            more comprehensive exposure                                                                                                                      and awarded a fellowship from Hong  evaluation of a range of surgical skills,
            to every aspect of surgery and                                                                                                                   Kong alongside British and/or Australian  from simple knot-tying to vascular and
            encouragement to students to                                                                                                                     fellowships (under the previous system,  intestinal anastomoses and laparoscopic
            take forays into research.                                                                                                                       only the British and Australian colleges  and thoracoscopic procedures.
                                                                                                                                                             had offered surgical examinations in Hong
            The CET was the first centre in
            Asia wholly devoted to surgical
            education and it became a nucleus
            of educational excellence. Its first
            Director was Professor Htut
            Saing, succeeded by Professor


                                                  Members of the Centre for Education and Training in 2002.




            Patients’ Expectations




            Change






            In the 1970s and 1980s, hospital wards  Wong. “Patients when they first came
            were overcrowded and understaffed –  were incredibly compliant and grateful
            at night there would be one nurse, one  even if they were sleeping in the stairwell.
            student and an amah to look after more  Because at that time, you were lucky to
            than 50 patients and deal with emergency  get into a hospital and if you got into
            admissions – but the patients were not  a hospital like Queen Mary, it was like
            demanding, according to Professor  winning the lottery,” he said.
                                                                                                                                                             The Jockey Club Skills Development Centre (circa 1996).




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