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  Clinical Attachment Programme  

About the programme

  1. Attachment normally lasts for 2 weeks.
  2. Applications should be made at least 3 months before the intended date of attachment.
  3. Attachment is subject to approval of Director of MASTC.
  4. Applicants are responsible for their own expenses on accommodation, subsistence and travel during their period of attachment.
  5. Accommodation is generally available at Pamela Youde Nethersole Eastern Hospital.

How to apply

You can send your application stating the specialty/field you are interested in and the requested duration of attachment, together with supporting documents (i.e. your CV, copies of proof of identity (Passport Copy / Driving Licence) and relevant qualifications (including practicing certificates & registration)) to Secretariat by email: pyneh_mastc@ha.org.hk.

Applications will be processed when the above-mentioned items have all been received.

For enquiries, please contact our Secretariat:
Tel : (852) 2595 6362
E-mail : pyneh_mastc@ha.org.hk

Comments

Dr. Dominique Dempah

Current practice and appointment

I am a general surgeon with emphasis on minimally invasive procedures (laparoscopic and robotic), surgical endoscopy, and hepatobiliary and pancreatic diseases. I was appointed to Hazard Appalachian regional hospital in USA in 2013.

Comments on the clinical attachment programme

Although I only spent 3 weeks there, my experience at Eastern hospital in Hong Kong was extremely valuable and exceptional. I definitely feel like my understanding of robotic hepatobiliary and pancreatic surgery has tremendously grown. I am very grateful to Dr C.N. Tang for sharing his time and knowledge with me and I am thankful to him and his team for their kindness and their warm welcome.

I think the ability to scrub in the operating theater would enhance this rotation.

Dr. Gordon Buchanan

Current practice and appointment

I am a consultant colorectal and general surgeon - I was appointed to Imperial College Healthcare NHS Trust in 2006.

My main areas of interest are minimally invasive colorectal surgery, laparoscopic general surgery and proctology

My laparoscopic practice is mainly for colorectal cancer and am performing the majority of my resectable segmental colonic resections laparoscopically, and am integrating laparoscopic TME into my practice - I also undertake some laparoscopic resections for Inflammatory Bowel and Diverticular disease. I also regularly perform laparoscopic ingunial (TAP) and laparoscopic incisional hernia repair, laparoscopic cholecystectomy and laparoscopic appendicectomy. I have recently introduced a new minimally invasive technique for haemorrhoids (THD) into our unit and am local lead investigator for the national anal fistula trial (FIAT).

I enjoy training and as well as teaching undergraduates I teach on basic surgical and laparoscopic skills courses as well as the royal college of surgeons colorectal training courses. I lead our audit and undertake some clinical research - I am a council member of the Association of Coloproctology of Great Britain and Ireland and am regional representative for North West Thames in coloproctology.

Comments on the clinical attachment programme

The attachment at PYNEH was excellent and allowed me to gain further exposure into complex laparoscopic colorectal surgery including TME as well as colonic surgery – Mr. Li had recently acquired the da Vinci robot so I was able to see this in use at its early stage - the skills centre is incredible for training junior and senior surgeons alike; the time I spent with Mr. Li and his team (CC Chung) was invaluable to me as a young consultant aiming to recreate as many of the aspects of this unit in the UK - the take home message is to get to this level of excellence not only requires skill and determination, but continuous teamwork among senior colleagues both in and out of the operating theatre - a model not widely adopted in many parts of the world.

Dr. Catherine Sim CO

Current practice and appointment

I am a Colon and Rectal Surgeon practicing in Manila, Philippines. I am presently affiliated with a government hospital, the Ospital ng Maynila Medical Center, Manila Philippines as a Colorectal Surgery teaching consultant staff and with two private hospitals, the Manila Doctors Hospital and the Asian Hospital and Medical Center. In 2010, I will be joining the Division of Colon and Rectal Surgery, Philippine General Hospital, Manila Philippines. My subspecialty of interest is in laparoscopic colon and rectal surgery.

Comments on the clinical attachment programme

The minimally invasive Colorectal Surgery attachment program at the PYNEH is a structured and a transitional training program. The trainee is introduced into laparoscopic work by performing surgery using pigs’ intestines to familiarize oneself with different laparoscopic equipment and instruments. This is supplemented by observing and being given tips by colorectal surgeons performing a variety of laparoscopic colon and rectal operations and watching videos of different laparoscopic colorectal operations. The trainee is then gradually introduced to laparoscopic surgery in the clinical setting by initially holding the camera to familiarize oneself with the different views when operating. This is followed by assisting and eventually performing laparoscopic surgery under supervision.

The learning curve is difficult at first but with the support, guidance and tutelage given by the colorectal surgery team, I am gradually acquiring the skills to perform laparoscopic colon and rectal surgery.

The unit has the number and variety of clinical cases. Elective laparoscopic colon and rectal operations are being performed 4-5 times per week. The highly trained, competent, dedicated and compassionate colorectal team is committed to improving, innovating and educating in the field of minimally invasive surgery. Added bonuses during my training were being exposed to robotic surgery, incisionless surgery, single port surgery, transanal endoscopic operation, endoscopic submucosal dissection and being involved in clinical research.

My colorectal training attachment in PYNEH is a privilege for which I am glad that I was able to experience.

Dr. Francis LAM

Current practice and appointment

I am currently a Consultant Colorectal Surgeon at Prince of Wales Hospital in Sydney Australia.

Comments on the clinical attachment programme

I was very fortunate to have the opportunity to gain advanced laparoscopic skills in colorectal surgery during my time at PYNEH in 2008 under the mentorship of Mr. Michael Li. The state-of-the-art laparoscopic training setup at MASTC provided an unparalleled environment for fine-tuning the skills I learned from live surgery in the operating theatre. The exceptional staff at MASTC catered for everything I required for a concentrated and specialised training course. My attachment to PYNEH and MASTC was a tremendous experience and I would strongly recommend this for other surgeons considering a program to improve their laparoscopic skills.

Dr. Kheng-hong NG

Current practice and appointment

  • Consultant Surgeon, Department of Colorectal Surgery, Singapore General Hospital
  • Deputy Director, Minimally Invasive Surgery, Department of Colorectal Surgery, Singapore General Hospital
  • Visiting Consultant, Gynaecological Oncology, KK Women's and Children Hospital
  • Visiting Consultant, Surgical Oncology, National Cancer Centre Singapore
  • Clinical Teacher, Faculty of Medicine, National University of Singapore

Comments on the clinical attachment programme

I joined Professor Michael Li and his team from Department of Surgery, Pamela Youde Nethersole Eastern Hospital, for a one-year fellowship programme in 2007. It was a very fruitful year for me in many aspects. Firstly, I was introduced into a whole new field of laparoscopic skills that made me an all-rounded laparoscopic surgeon. In particular, I became a more confident laparoscopic colorectal surgeon after a one-year stint in PYNEH.

Secondly, I was given abundant hands-on opportunity with the team in the operating room. I was involved in the operative management of more than 100 cases of major colorectal procedures in this one-year period.

Thirdly, Professor Li and Dr CC Chung guided me in producing three publications in one year, namely "Laparoscopic resection for rectal cancers: lessons learned from 579 cases" in Annals of Surgery 2009, "Obstructive complications of laparoscopically created defunctioning ileostomy" in Diseases of Colon and Rectum 2008 and "Training in Laparoscopic Colorectal Surgery" in Indian Journal of coloproctology 2008.

Fourthly, I was encouraged by Professor Michael Li and Dr CC Chung to participate in numerous courses during my attachments, for instance, International Colorectal Disease Symposium( PYNEH Hong Kong), Advanced Laparoscopic Surgery Course (Shizuoka, Japan), International Robotic Surgery Symposium (Prince of Wales Hospital Hong Kong), Master-class in Hernia Surgery (Prince of Wales Hospital Hong Kong), International Endolaparoscopic Surgery Symposium (PYNEH, Hong Kong) and 10th Colorectal Surgery Course (PYNEH, Hong Kong).

Lastly, and most importantly, I have gained many lasting friendships in PYNEH, Hong Kong.

Dr. Alberto Jose

Current practice and appointment

I am a General Surgery Consultant with a special interest in Colorectal Surgery. I am currently practising in the Victor R. Potenciano Memorial Medical Center – Polymedic in Manila.

Comments on the clinical attachment programme

My most powerful impression of PYNEH is the Endo-Laparoscopic Approach. The Endo-Laparoscopic approach utilises the full armamentarium of advanced colorectal techniques in the delivery of patient care. This approach combines laparoscopy, endoscopy, mini-laparotomy, trans-anal techniques and robotic surgery to enable minimal access solutions to highly complex colorectal problems. The advantages of the techniques are combined in truly innovative ways to deliver patient care and accomplish treatment objectives. PYNEH routinely applies the Endo-Laparoscopic approach resulting in outcomes favourably comparable to other centres of excellence.

My attachment provided me with the privilege of learning this approach from the pioneers of the system. At the heart of the system is a team that is dedicated, focused and results driven. The team applies best practices in every aspect of the treatment process and constantly seeks opportunities for improvement. They serve as powerful advocates of a system that is the model of what a Colorectal Division can be.