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What do you expect in Geriatrics training and Examinations?

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<strong>What</strong> <strong>you</strong> <strong>expect</strong> <strong>in</strong><br />

<strong>Geriatrics</strong> tra<strong>in</strong><strong>in</strong>g <strong>and</strong> exam<strong>in</strong>ation<br />

Presented at IHGM<br />

29 th July 2011<br />

SBGM<br />

Dr. Christopher Lum


Organization<br />

Specialty Board <strong>in</strong> Geriatric Medic<strong>in</strong>e<br />

Chairman : Dr • Mok C K<br />

Program Director (HK)<br />

Dr Bernard Kong<br />

(PYNEH / WCHH)<br />

Program Director (Kln)<br />

Dr Leung M F<br />

(UCH)<br />

Program Director (NT)<br />

Dr Kong T K<br />

(PMH)<br />

Hospital Tra<strong>in</strong><strong>in</strong>g<br />

Coord<strong>in</strong>ator (HTC)<br />

- FYKH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - UCH Tra<strong>in</strong>ers 1,2,3<br />

HTC – TMH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - RH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - HOH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - PWH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - QMH Tra<strong>in</strong>ers 1,2,3 HTC - QEH<br />

Tra<strong>in</strong>ers 1,2,3<br />

HTC - SH<br />

Tra<strong>in</strong>ers 1,2,3<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />

•<br />


Tra<strong>in</strong><strong>in</strong>g<br />

• Primarily responsible by<br />

– Tra<strong>in</strong><strong>in</strong>g <strong>in</strong>stitution / Tra<strong>in</strong>ers / Supervisors<br />

• Enriched with co-jo<strong>in</strong>t work by HKGS <strong>and</strong> SBGM<br />

– Inter-hospital <strong>Geriatrics</strong> Meet<strong>in</strong>g<br />

– Workshops (e.g. Spasticity Workshops <strong>in</strong> Sept 2012), Course<br />

(e.g Certificate Course <strong>in</strong> Practical Care of Dementia), Symposia<br />

– Special Interest Groups (SIGs), HKGS


How to become a <strong>Geriatrics</strong> Specialist<br />

• Enroll, Registration <strong>and</strong> Pay-to HKCP<br />

– Currently call<strong>in</strong>g for registration<br />

– Discuss with COS HTC Regional<br />

Program Director<br />

• Usual<br />

– GM as s<strong>in</strong>gle specialty (3 years)<br />

– GM + AIM (4 years)<br />

– GM + another sub-specialty (4 years)


TRAINING REQUIREMENT FOR<br />

GM IS THE SAME<br />

IRRESPECTIVE OF<br />

WHICHEVER PATHWAY<br />

Details please refer to<br />

College H<strong>and</strong>book


Special Requirements <strong>in</strong> GM<br />

• Modular tra<strong>in</strong><strong>in</strong>g<br />

• Procedural requirement<br />

• Cont<strong>in</strong>uous assessment<br />

– IHGM<br />

– “Intermediate Assessment”


Modular Tra<strong>in</strong><strong>in</strong>g


Procedural Requirements<br />

Tra<strong>in</strong>ees enrolled s<strong>in</strong>ce 1 Jan<br />

2010<br />

Log <strong>in</strong> required<br />

Tra<strong>in</strong>ees enrolled BEFORE 1 Jan<br />

2010<br />

Log <strong>in</strong> not required, BUT still<br />

require adequacy <strong>in</strong> knowledge<br />

<strong>and</strong> experience <strong>in</strong> these<br />

procedures


Cont<strong>in</strong>uous Assessment - IHGM


Cont<strong>in</strong>uous Assessment –<br />

Intermediate Assessment<br />

• HPT started before 1 July<br />

2011<br />

Annual Assessment<br />

• HPT started after 1 July<br />

2011<br />

Assessment at 18 months +<br />

SLT<br />

(please refer to College<br />

Guidel<strong>in</strong>e – <strong>in</strong> press)<br />

Irrespective of which, assessment requirement <strong>in</strong> still the same:<br />

(1) Assessment of knowledge <strong>and</strong> skills <strong>in</strong> modules<br />

that tra<strong>in</strong>ee has gone through;<br />

(2) Discuss / Guidance on dissertation work plan<br />

(3) Collect feedback on tra<strong>in</strong><strong>in</strong>g


Exit Exam<strong>in</strong>ation<br />

• Dissertation<br />

• Structured <strong>and</strong> St<strong>and</strong>ard Questions<br />

– One question <strong>in</strong> each of the 3 categories<br />

• Cl<strong>in</strong>ical management <strong>and</strong> case scenarios<br />

• Data Interpretation<br />

• Ethics / EBM<br />

– (to be illustrated later)


Structured <strong>and</strong> St<strong>and</strong>ard Questions<br />

Processes:<br />

Call for questions from Tra<strong>in</strong>ers<br />

Submission to Work<strong>in</strong>g Group<br />

Vetted / Modified by reps from SBGM<br />

Keep <strong>in</strong> Question Bank<br />

Questions chosen by SBGM Chairman<br />

<strong>and</strong> Secretary fro Exam<strong>in</strong>ation


Questions?

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