Reform of the regulation of medical practitioners in hong kong a comparison and a survey
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Reform of the regulation of medical practitioners in Hong Kong: a comparison and a survey. Dr TK Chan MBChB MRCS LLM Assistant Professor, Anatomy Li Ka Shing Faculty of Medicine The University of Hong Kong. The blame?. Beauty centre individual rules/regulation

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Reform of the regulation of medical practitioners in hong kong a comparison and a survey

Reform of the regulation of medical practitioners in Hong Kong: a comparison and a survey

Dr TK Chan MBChB MRCS LLM

Assistant Professor, Anatomy

Li KaShing Faculty of Medicine

The University of Hong Kong


The blame
The blame? Kong: a comparison and a survey

Beauty centre individual rules/regulation

Medical doctor individual rules/regulation


Current regulation
Current regulation Kong: a comparison and a survey

Non-specialists

can practise as a general practitioner independently without any postgraduate training in family medicine;

do not have to regularly revalidate their licenses; and

may give invasive cosmetic treatment even without a specialist’s qualification in plastic surgery or dermatology.


Gmc in the 50s
GMC in the 50s Kong: a comparison and a survey

It has 47 members. 11 are elected members from the profession

The rest arethe nominees of the Privy Council, the Universities, the Royal Colleges and the Licensing Corporations.

There were 3 lay members.


Disciplinary process
Disciplinary process Kong: a comparison and a survey

Penal Cases Committee

Investigation

Hearing and decision making

Disciplinary Committee


The Disciplinary Committee: Kong: a comparison and a survey

6 of the 18 members were directly elected members of the GMC.

Any member of the GMC on the Penal Cases Committee is precluded from serving on the Disciplinary Committee when that same case is under inquiry.



Gmc nowadays
GMC nowadays receive any compulsory education

It comprises 12 members. 6 are lay members and 6 medical members, all of whom are appointed by Privy Council against specified criteria and competencies.


Disciplinary process1
Disciplinary process receive any compulsory education

Case examiners

Investigation Committee

Investigation

Hearing and decision making

Fitness to Practice Panel

Interim Order Panel


Council members cannot serve as case examiners or sit on the Investigation Committees, or Fitness to Practise Panels



Mchk nowadays
MCHK nowadays having regular appraisals.

Medical Council of Hong Kong comprises 28 members.

14 are elected members from the profession.

There are 4 lay members.


Disciplinary process2
Disciplinary process having regular appraisals.

Preliminary Investgiation Committee

Investigation

Hearing and decision making

Disciplinary Inquiry


Disciplinary process3
Disciplinary process having regular appraisals.

There are 7 members on the Preliminary Investigation Committee. The quorum of a meeting is 3, at least 2 of which are council members.

For Disciplinary Inquiries, 5 council members or 3 council members + 2 independent assessors will form a quorum.


Revalidation
Revalidation having regular appraisals.

Licensed doctors on the General Register are not required to receive any continuing education or revalidate their license.

Continuing medical education is only required for registered specialists who want to remain on the Specialist Register.


Singapore nowadays
Singapore nowadays having regular appraisals.

Complaints Committee

Investigation

Hearing and decision making

Disciplinary Tribunal

Interim Order Committee


Singapore nowadays1
Singapore nowadays having regular appraisals.

All licensed doctors have to participate in compulsory continuing medical education


Taiwan nowadays
Taiwan nowadays having regular appraisals.

Central, municipality, or county authorities

Investigation

Hearing and decision making

Committee on the Discipline of Physicians


Taiwan nowadays1
Taiwan nowadays having regular appraisals.

All licensed doctors have to participate in compulsory continuing medical education and submit documentary proof of completed continued education every six years to renew their practice license.


Proposed changes in hong kong
Proposed changes in Hong Kong having regular appraisals.

Constitution of regulators

Revalidation of medical professionals

Tackling concerns about medical professionals


Methodology of the survey
Methodology of the survey having regular appraisals.

A cross-sectional telephone survey from 8 December 2012 to 13 December 2012

The telephone numbers of households were generated by random-digit dialing


Methodology of the survey1
Methodology of the survey having regular appraisals.

A total of 1066 eligible respondents were reached and 811 completed the interview.

Sample data were weighted to adjust for their difference from the general population


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