Bringing light to the dark: an interview with Dr Cecilia Fan and her medical team

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Bringing light to the dark: an interview with Dr Cecilia Fan and her medical team
Eric Choy1, Valerie Sophia Chung2
1 Year 4, The Chinese University of Hong Kong, Hong Kong SAR, China
2 Year 4, The University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
When disaster strikes, the resilience of a community is often measured by the dedication of those who step forward to help. Among them are healthcare professionals who extend their expertise beyond the confines of hospitals and clinics, venturing into the most challenging environments to provide humanitarian aid. One such individual is Dr Cecilia Fan, a consultant in family medicine with over 30 years of experience working in the Department of Health. She then served in the Professional Development and Quality Assurance Service, overseeing families clinic services for government employees and correctional medical services, and operating quarantine centre medical posts during major infectious disease outbreaks such as SARS, swine flu, and coronavirus disease 2019. Dr Fan’s unwavering dedication to humanitarian efforts culminated in her leading the Department of Health medical support team of the Hong Kong SAR Search and Rescue Team to Türkiye in response to the 2023 Türkiye–Syria earthquake.
 
The Department of Health medical support team, comprising two doctors and two nursing officers, was deployed with the core mission of supporting the health of frontline rescue workers. Although many might assume such missions focus on direct victim care, it is equally essential to ensure that firefighters and rescue personnel remain physically and mentally fit during their lifesaving operations. Healthcare professionals in these settings act as the backbone of operations, ensuring that those risking their lives to save others are well cared for.
 
Their journey began with an arduous deployment process, as flights could only be confirmed at the last minute, requiring multiple transfers before arriving in Hatay. Once on the ground, the team travelled through damaged and unlit roads, navigating a disaster-ravaged landscape with limited supplies. Dr Kinson Lau, the other doctor on the team, recalls, “It was pitch black, the roads had no lights, and the driver had been driving through the small hours without rest. Our commander kept talking to him to keep him awake.” Upon arrival, the team set up a tent as a medical post on open ground riddled with cracks, to serve the rescue forces. They conducted daily health checks, monitoring vital signs and psychological well-being. The nonstop travel and race-against-time operation schedule led to fatigue among team members, whereas the wide temperature range and cold nights caused respiratory symptoms. Minor injuries and skin conditions were common, and the psychological stress of witnessing destruction and death was immense. When one team member fell ill with a high fever, the team had to assess the need to isolate him to prevent the spread of infection. It was decided that it would be more suitable to treat him while ensuring his tent-mate wore a mask. Mr CF Kwok, nursing officer of the team, stated, “He might feel deserted if being isolated. Instead, we ensured his tent-mate, who is caring and supportive, wore a mask and took precautions.”
 
Another major challenge was maintaining mental well-being. The emotional weight of witnessing destruction and loss took a toll on everyone. There were shocking moments when the team recovered deceased victims. Psychological debriefing became an essential part of their routine, allowing them to process their experiences and support one another. “We saw families sitting in front of collapsed buildings, waiting for news of their loved ones, overflowing with a sense of helplessness.” Despite this, the team found strength in each other and in the moments when their work led to a successful rescue.
 
Every deployment brings unique lessons, and the mission in Türkiye was no exception. The extreme cold posed unexpected difficulties, with temperatures dropping below freezing at night. With limited supplies, the team had to improvise ways to stay warm, including using cardboard as insulation and huddling around makeshift fires. Clean water was scarce, making hygiene a challenge. The team had to ration bottled water and adopted innovative methods for sanitation, such as using small amounts of disinfectant wipes for personal hygiene. Mr Stephen Ngai, another nursing officer on the team, mentioned, “Food, simply, was also a concern.” Initially, the team relied on military ration packs, which were practical but monotonous. However, through collaboration with the China Search and Rescue team, they were able to secure hot meals, substantially boosting morale. Looking ahead, Dr Fan advocates for better preparedness and training programmes for medical support teams, emphasising the need for psychological resilience training and logistical pre-planning to enhance efficiency in future deployments.
 
Amid these challenges, the team found profound moments of impact, especially when the first survivor was found on the fifth day. For Dr Fan, it was incredibly rewarding to see the team’s efforts come to fruition: “Eighty percent of the buildings in the city collapsed. We walked through ruins, knowing that buried beneath were people in dire need of being found. The golden time for survival might have been missed, but the team never gave up. Pulling someone out alive after several days was a feeling I will never forget.”
 
Dr Fan and her team embody the spirit of selfless service, demonstrating that healthcare professionals are not confined to hospitals and clinics—they are essential pillars in disaster response and humanitarian relief. Their work in Türkiye serves as an inspiring example of how medical expertise, adaptability, and teamwork can make a life-saving difference in the most challenging environments. As crises continue to arise worldwide, their efforts remind us that the true essence of medicine lies in its ability to serve humanity, regardless of borders. The mission of medical support teams is never just about treating injuries; it is about preserving the health, safety, and dignity of those who put themselves at risk for the sake of others.
 
The team’s efforts have led to lasting institutional and societal impacts. Their experience served as a catalyst for the formation of a dedicated medical team within the Hospital Authority to support the Fire Services Department’s Disaster Response and Rescue Team in its efforts to obtain accreditation from the International Search and Rescue Advisory Group. This medical team, comprising orthopaedic and emergency specialists and nurses, underwent humanitarian training and exchange in Beijing, equipping them with essential skills such as mass casualty management, field amputations, and high-stress resuscitation. Their contributions have fortified Hong Kong’s capacity to respond to future crises, while inspiring a broader cultural shift towards valuing humanitarian medicine as a professional imperative.
 
For Dr Fan, the motivation to engage in high-risk humanitarian work transcends professional duty—it is a reaffirmation of medicine’s foundational ethos: to serve where the need is greatest. She candidly reflects on the medical, logistical, and emotional challenges faced in Türkiye, from confronting the limits of intervention in catastrophic settings to navigating psychological stress. Yet, despite these difficulties, Dr Fan and the team emphasised the profound fulfilment of such missions. Their vision for the future is clear: to help cultivate a generation of medically trained humanitarians who are technically proficient, psychologically prepared, and ethically grounded. “When the call comes, answer it,” she urges, framing humanitarian service not as an extraordinary sacrifice but as a natural extension of medical vocation—one that enriches both the provider and the profession.
 
Dr Fan and the team’s story is one of extraordinary resilience and commitment. Their experiences in Türkiye reinforce the message that humanitarian medical work is not just an act of service—it is a duty that bridges borders and uplifts humanity in its darkest hours.
 

The Medical Support Team conducting daily health assessments during their humanitarian mission in Türkiye
 

(From left) Mr Stephen Ngai, Mr CF Kwok, Dr Kinson Lau, and Dr Cecilia Fan with student reporters, Valerie and Eric
 

The Medical Support Team upon arrival at Adana Airport, Türkiye
 

The first smile upon the successful rescue of three survivors
 

From the clinic to the lab and back: an interview with Professor Eric Wai-choi Tse

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
From the clinic to the lab and back: an interview with Professor Eric Wai-choi Tse
Nicholas Lam1, Ophelia Wong2
1 Year 3, The Chinese University of Hong Kong, Hong Kong SAR, China
2 Year 3, The University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Professor Eric Wai-choi Tse is a distinguished physician-scientist specialising in clinical haematology and experimental oncology at The University of Hong Kong (HKU). Renowned for his exemplary and unwavering dedication both to community service and scientific research, Prof Tse has built a remarkable career marked by both excellence and compassion.
 
Prof Tse discovered his interests in haematology and oncology early on during medical school. He took a year out of the then 5-year medical curriculum at HKU to pursue an intercalated bachelor’s degree in biomedical sciences in the Department of Pathology. Under the mentorship of the late Prof LC Chan, he studied the clonality of haematological malignancies using molecular biology techniques. This year was pivotal in solidifying his passion for research and inspired him to pursue a career in academia. Fuelled by an insatiable quest for knowledge and guided by the late Sir David Todd, he embarked on his doctoral studies under Prof Terry Rabbitts at the prestigious MRC Laboratory of Molecular Biology at the University of Cambridge following the completion of his medical degree at HKU. During this time, he honed and expanded his repertoire of molecular biology techniques, laying a robust foundation that would later prove invaluable in his career. He then returned to Hong Kong to complete his postgraduate medical training and rejoined HKU as an assistant professor. Prof Tse remains deeply grateful to his mentors, including Sir David Todd and Professors LC Chan, Terry Rabbitts, TK Chan, Raymond Liang, and YL Kwong for their unwavering support and guidance.
 
When discussing his current research interests, Prof Tse radiates an infectious enthusiasm for his work. He has a particular interest in PIN1 (peptidylprolyl cis/trans isomerase), an intracellular enzyme, and its role in the pathogenesis of hepatocellular carcinoma. Throughout the interview, he maintains the importance of being open-minded and being receptive to new ideas. He believes one can uncover fresh perspectives and applications from exploring beyond one’s own area of expertise. For instance, he co-authored an original research article exploring the connections between PIN1 and neurodegeneration alongside other PIN1 researchers whom he met at a neuroscience conference—an exciting and rewarding experience that would have been impossible had he confined himself to his own areas of expertise. Prof Tse is also investigating the use of arsenic trioxide in treating acute promyelocytic leukaemia, a highly treatable form of blood cancer. His work is shedding light on the different mechanisms through which arsenic trioxide potentially combats other cancers and its synergistic effects when combined with all-trans retinoic acid, another drug often used for treating promyelocytic leukaemia.
 
Prof Tse’s approach to patient care is rooted in honesty, empathy, and clear communication. He emphasises the importance of being frank with patients about their conditions, explaining the nature of the disease and its treatment in simple, relatable terms, often using analogies to aid understanding. Prof Tse believes in empowering patients to make decisions about their own treatment, tailoring his communication to their concerns and level of understanding. He recognises his role as a team player and the importance of collaboration in achieving better outcomes for his patients. Despite being a leading physician in his field, Prof Tse deeply values the insights and experiences he gains from working with his junior colleagues and views learning as a two-way process. Many of his juniors share novel approaches to patient care acquired from their training at other institutions, thereby fostering a collaborative environment where everyone works together towards a common goal of improving patient care. His humility and openness to new ideas serve as testaments to his open-mindedness and commitment to continuous growth.
 
Being a physician-scientist, Prof Tse occupies a unique place in the healthcare system. He believes that his roles as both a doctor and a researcher complement each other in many ways. His training in basic science has provided him with the skills needed to approach problems methodically and ‘get to the bottom of the question’. On the other hand, his work in clinical trials has offered him firsthand experience with using new drugs, thereby equipping him with the expertise to use them effectively in his own practice. However, the combination of clinical demand and maintaining research output requires endless time, effort, and dedication. When asked how he manages such a hectic schedule, Prof Tse talks about the heartfelt experiences he has had in clinical practice and the appreciation expressed by both patients and their family members, some of whom still send him Christmas cards many years later. Prof Tse is also passionate about his research and views it more as a hobby, in the same way that some people might play tennis or golf. As a hobby, his research is both something that he actively enjoys and also an indulgence, which means that the long hours spent both as a clinician and a scientist do not feel tiresome.
 
As a highly successful researcher, Prof Tse also shared some of the challenges he faced to get where he is today. Reflecting on his career, he believes that budding researchers must have the mental preparation and fortitude to deal with frustration at times. He believes that when one is faced with negative feedback, this should be viewed as constructive criticism and used as an opportunity to improve one’s work.
 
Looking ahead, Prof Tse has a positive outlook on the advancements of haemato-oncological research. He is a firm believer that ongoing research in the field will continue to greatly benefit blood cancer patients, citing the adoption of oral drugs such as tyrosine kinase inhibitors over the use of haematopoietic stem cell transplantation in the treatment of chronic myeloid leukaemia to show the translational impacts of haematological research. He also mentions how modern laboratory techniques, coupled with the advent of gene and cell therapy, will remove previous barriers to research in the field and revolutionise blood cancer treatments. Prof Tse also predicts that in the coming decade haematooncological research will lead to safer drugs that avoid the ‘toxic’ chemotherapy approach, allowing patients to recover from malignancies without the massive toll on their own health.
 

Prof Tse (left) briefed the President and Vice-President of HKU during a visit to the HKUMed Laboratory of Cellular Therapeutics
 

Achieving universal and comprehensive publicly funded prenatal screening and diagnostic algorithms in Hong Kong: an interview with Dr Wing-cheong Leung

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Achieving universal and comprehensive publicly funded prenatal screening and diagnostic algorithms in Hong Kong: an interview with Dr Wing-cheong Leung
Asta Lee1, Nicholas Chung2
1 Year 5, The University of Hong Kong, Hong Kong SAR, China
2 Year 2, The University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
In the field of obstetrics and gynaecology (O&G), Dr Wing-cheong Leung is a distinguished leader whose contributions have greatly advanced maternal health. As Hong Kong’s first accredited subspecialist in maternal fetal medicine (MFM), Dr Leung served as the Chief of Service of the Department of O&G at Kwong Wah Hospital from 2010 to 2021 and as the President of the Hong Kong College of Obstetricians and Gynaecologists (HKCOG) from 2016 to 2018. His unwavering dedication to the public sector and substantial contributions to O&G—encompassing areas ranging from prenatal diagnosis and postpartum haemorrhage to perinatal mental health (including domestic violence)—earned him the title of Honorary Fellow of the HKCOG in 2022 and the Outstanding Staff Award of the Hospital Authority (HA) in 2024.
 
Dr Leung’s journey in MFM began in 1999, when he undertook overseas training in the subspecialty at the Perinatal Centre of the University of Toronto, Canada. An unexpected encounter with the thesis topic of rapid aneuploidy testing ignited his passion for prenatal diagnosis. He subsequently earned his MD with a thesis Rapid aneuploidy testing or traditional karyotyping, or both, in prenatal diagnosis and developed a novel algorithm for prenatal diagnosis. This innovative work laid the foundation for his current project, the FMPRG platform (Fetal Medicine, Pathology, Radiology, and Genetics/Genomics), which is transforming the landscape of prenatal diagnosis in Hong Kong.
 
The concept of prenatal diagnosis for trisomy 21, widely known as Down syndrome, was first introduced in the 1960s. At that time, only pregnant women aged 35 years and older were eligible for amniocentesis in the public sector because the likelihood of having a child with Down syndrome increases with maternal age. Although this represented a substantial advancement in prenatal diagnosis, the approach had important limitations. Women aged 35 years and older faced the unsettling risk of miscarriage associated with amniocentesis, whereas those younger than 35 years were excluded from screening. This exclusion was a considerable oversight, considering that most expectant mothers at the time were younger than 35 years. Among women ineligible for public-sector screening, the financial burden of self-financing tests in the private sector further exacerbated the stress associated with prenatal diagnosis.
 
Recognising these inequities, Dr Leung and his MFM seniors and colleagues developed a new algorithm (Fig) to screen for Down syndrome in all pregnant women, reserving amniocentesis for those who met specific criteria. This strategy significantly reduced the number of women exposed to the risk of miscarriage associated with amniocentesis. The initial screening process involves non-invasive methods, including maternal serum markers and fetal nuchal translucency measurements; amniocentesis is required only if these methods show Down syndrome positivity. To further refine the selection process, a second tier comprising non-invasive prenatal testing (ie, maternal plasma cell-free DNA analysis with higher sensitivity and specificity) is used for evaluation prior to amniocentesis. There is also the potential to offer non-invasive prenatal testing as a first-tier screening method if its cost decreases and public funding becomes available.
 

Figure. Publicly funded Hospital Authority prenatal screening and diagnosis algorithm
 
After years of refinement, the approach to prenatal diagnosis has evolved to encompass a wider range of congenital conditions and genetic disorders. The fetal anomaly ultrasound scan, typically conducted between 18 and 22 weeks of gestation, represents the next critical component of the algorithm for all pregnant women. This scan evaluates fetal development and identifies potential structural abnormalities, such as heart defects, spina bifida, and other major organ anomalies. The inclusion of the fetal anomaly ultrasound scan is particularly important in regions such as Hong Kong, where termination of pregnancy is legally permissible only within 24 weeks of gestation. By detecting major structural abnormalities within the legal timeframe, pregnant women are enabled to make informed decisions regarding their options and to prepare for any required neonatal interventions.
 
Within this framework, pregnant women who undergo invasive prenatal diagnostic testing, such as chorionic villus sampling or amniocentesis, are subsequently offered quantitative fluorescent polymerase chain reaction. This test detects common aneuploidies and excludes the possibility of maternal cell contamination. If the results are normal, chromosomal microarray analysis (CMA) is performed to assess microdeletions and microduplications associated with various genetic conditions, including those that may result in developmental delays and intellectual disabilities.
 
In each step of this comprehensive algorithm, the diagnostic yield of prenatal diagnoses increases, effectively mitigating potential risks for the expectant mother while maximising the likelihood of detecting any fetal conditions. However, it is important to note that the cost of prenatal genetic tests remains high. Although the costs of polymerase chain reaction and CMA tests are fully covered by the HA in Hong Kong, overall costs substantially increase if whole-exome sequencing (WES) or whole-genome sequencing (WGS) is indicated after the CMA test. Dr Leung and Dr WF Ng (Senior Pathologist, HA) are addressing this issue through their current initiative—the FMPRG platform.
 
The FMPRG platform uses a multidisciplinary approach to select complex fetal cases for publicly funded WGS or WES. The FMPRG represents the multidisciplinary team comprising specialists in fetal medicine, pathology, radiology, and genetics/genomics. The voting team currently includes 15 core members, including MFM subspecialists from all eight HA hospitals offering prenatal diagnosis clinical services, clinical geneticists, the heads of the two university prenatal diagnosis laboratories, pathologists, and radiologists. Complex fetal cases are uploaded to the platform for online interactive discussion and voting, enabling the team to select appropriate cases for publicly funded WES or WGS in a fair and timely manner. Not only does WES or WGS increase the probability of identifying the genetic cause of complex fetal abnormalities, but the anonymised archiving of these cases on the platform also creates a valuable database for future education and research. The implications of this initiative extend beyond the laboratory. As funding expands from 20 to 60 cases annually, the initiative aims to alleviate the financial burden on eligible mothers while empowering families with critical genetic insights to guide their pregnancies.
 
Looking to the future, Dr Leung envisions the integration of artificial intelligence (AI) into the consultation process as a transformative advancement in prenatal care. Considering the prolonged waiting times for consultations in Hong Kong, AI chatbots could alleviate unnecessary stress and anxiety for patients by addressing common misconceptions and providing personalised information about prenatal diagnosis, including details about the algorithm and the FMPRG platform. However, Dr Leung emphasises that AI is intended to complement, rather than replace, face-to-face consultations. By thoughtfully integrating AI within prenatal care, this approach combines the efficiency of AI chatbots with the human touch of in-person interactions, resulting in a more streamlined and responsive care experience.
 
Dr Leung’s pioneering work in MFM is setting a gold standard for equitable access to prenatal diagnoses for all expectant mothers. He is a firm advocate of the principle that financial circumstances should never jeopardise a mother’s access to prenatal diagnoses. Through the development of the HA algorithms and the FMPRG platform, combined with AI-driven consultations, he is committed to ensuring equitable access to advanced prenatal screening and diagnostic options for all expectant mothers. Dr Leung’s vision is to establish a ‘universal safety net’ for all pregnant women, regardless of their economic status, equipping them with the resources necessary to make informed decisions about their health and the health of their babies.
 

Dr Leung and three other members of the FMPRG voting team: (from left to right) Dr Anita Kan (Tsan Yuk Hospital Prenatal Diagnosis Laboratory), Dr WC Leung, Dr Elaine Kan (Hong Kong Children’s Hospital Radiology), and Dr HM Luk (Hong Kong Children’s Hospital Clinical Genetics) at the Hospital Authority Convention 2024
 

Dr Leung with student reporters Asta and Nicholas

Redesigning healthcare: an interview with Dr Fei-chau Pang

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Redesigning healthcare: an interview with Dr Fei-chau Pang
Bethany Choi, Hei-yue Ng
Year 3, The University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Dr Fei-chau Pang is the Commissioner of Primary Healthcare at the Health Bureau in the Hong Kong SAR Government. He is the current President of the Hong Kong College of Community Medicine and was a Clinical Associate Professor at the School of Public Health of The University of Hong Kong until 2022.
 
As we began our interview with a question about his past achievements, Dr Pang humbly redirected the conversation and said, ‘Let’s not focus on achievements; let’s chat more about Hong Kong’s primary healthcare system instead’. Throughout the interview, his passion for improving our healthcare system through system-level changes was evident, reflecting the drive that has persisted throughout his career.
 
This conversation raised important questions about our primary care system, such as, ‘What committed role should primary care doctors take in Hong Kong?’ and ‘How effective is our healthcare system in improving the general health of our population?’ Our dialogue with Dr Pang prompted deep reflection on the importance of developing strong primary healthcare in Hong Kong and how we, as a community of healthcare professionals, can collectively improve the accessibility and sustainability of our healthcare amid increasing fiscal pressure and disease burden.
 
Dr Pang’s involvement in primary healthcare began early in his life. During secondary school, he volunteered as a student health leader for the Department of Health, raising public awareness about smoking cessation. His advocacy continued in medical school as a council member of the medical society by organising community exhibitions for cancer screening. As he pursued specialty training in geriatrics, he developed a deeper appreciation for providing holistic care for patients. These experiences inspired him to further his training in medical administration, which led him to pursue various impactful projects over the years.
 
In 2004, Dr Pang was actively involved in setting up Hong Kong’s first batch of public Chinese medicine clinics, focusing on quality assurance and information system development. This initiative operated under a tripartite collaboration model involving the Hospital Authority, a non-governmental organisation, and a local university to provide research-oriented care to the public. This administrative model was an innovative approach at the time, though was proven successful, with over 18 service centres in Hong Kong as of 2024. Later, Dr Pang became the Chief Manager of the Hospital Authority’s Quality and Safety Division, where he led the hospital accreditation programme in both the private and public sectors and successfully assisted in the accreditation of five public hospitals by the Australian Council on Healthcare Standards (ACHS). The aim was to create a quality improvement system for public hospitals and develop Hong Kong’s first set of hospital standards based on the Evaluation and Quality Improvement Program (EQuIP 4) standards adopted in Australia. Dr Pang also led the redevelopment project of the Grantham Hospital, which involved the planning of the design, facilities, and services. Subsequently, Dr Pang was transferred to the Head Office of the Hospital Authority and spearheaded the development of the myHR App to enable direct electronic communication with all staff across over 40 hospitals.
 
When asked about his motivation for pursuing systemic change, Dr Pang responded, ‘Often, it is easy to go on with your day-to-day work without making much effort in improving the current workflow. However, is there indeed nothing we can improve within our existing system? I find purpose in identifying and addressing pressing issues by building major, system-level changes in our healthcare system. Though developing holistic solutions involving multiple stakeholders is not without challenges, my guiding principles in life motivate and drive my work.’
 
Since 2022, having come full circle, Dr Pang has combined his passion for community care and administration in his new role as the Commissioner for Primary Healthcare in the Health Bureau.
 
One major problem in Hong Kong’s healthcare system is the lack of sustainability in its specialist-led model. Many chronic diseases are managed under the Hospital Authority with limited primary care services and there is a reduction of focus on disease prevention and a lack of continuous care. As a result, patients with chronic diseases may not be well-managed and present with complications as their first encounter with the healthcare system. For instance, many conditions being treated in the hospital currently, such as myocardial infarction, end-stage renal failure, and vision loss in adults, are linked to modifiable risk factors, including poorly managed hypertension and diabetes mellitus. This healthcare model increases reliance on specialist care and exacerbates waiting times for all.
 
Currently, healthcare expenditure accounts for approximately 19% of the government’s total spending in 2024/25, and this figure is expected to rise if the system remains unchanged. Such a trajectory renders Hong Kong’s healthcare system unsustainable. Recognising that the lack of emphasis on primary healthcare is closely linked to issues of accessibility, quality of care, and the overall sustainability of the healthcare system, Dr Pang is committed to supporting the government in reforming Hong Kong’s primary healthcare system.
 
Dr Pang explained that the main reason for these healthcare challenges stems from limited public understanding of primary healthcare and guidance of its role among healthcare workers. Many patients seek care only when symptoms arise and may be reluctant to undergo preventative screenings suggested by doctors due to high cost and a lack of understanding about their benefits. Some patients might seek primary care at the emergency department instead of primary care clinics, while others might engage in ‘doctor shopping’. These behaviours hinder the development of the continuous doctor–patient relationship that is important for comprehensive care.
 
In both primary healthcare and specialist doctors, consultations often focus on the patient’s chief complaint rather than the health of the whole person. For instance, during a primary care consultation for an upper respiratory tract infection, the primary care doctors may not, in their routine practice, advise on screenings for colorectal cancer or chronic diseases like diabetes and hypertension. On the other hand, specialists may only focus on diseases related to their expertise and may not think about referring patients to primary care for long-term follow-up and management of chronic diseases. These issues reflect just a few of the ‘hotspots’ in the current healthcare system, as noted by Dr Pang. He emphasises the need for change, ‘We need to promulgate and encourage our professionals to take up new commitments on continuity of care and responsibilities on chronic disease management, especially in the private sector.’
 
To address the main challenges, Dr Pang, as the Commissioner for Primary Healthcare, is leading the Primary Healthcare Commission in its implementation of the measures set out in the Primary Healthcare Blueprint, which was unveiled in the Chief Executive’s 2022 and 2024 policy addresses. The team has spearheaded the development of District Health Centres (DHCs) in all 18 districts, which aim to develop a community-based service network and serve as a pivotal hub for primary healthcare services, providing health promotion, health assessments, and chronic disease management, whilst also bridging the gap with secondary care through development of the eHealth system.
 
Among the initiatives coordinated by the DHCs is the Chronic Disease Co-Care Pilot Scheme. This scheme provides subsidies for diagnosing and managing hypertension and diabetes mellitus in the private sector. It includes subsidised laboratory tests, a specialised drug list at significantly discounted prices, and multidisciplinary care. The DHCs assist citizens in pairing with family doctors and provide multidisciplinary support in managing patients. They also empower people to manage their own health by providing blood pressure monitoring, weight management, and health promotion.
 
Another initiative is the development of the Life Course Preventive Care Plan, which is a set of guidelines for both public and primary healthcare professionals on the recommended preventative care measures based on an individual’s age and sex. It includes guidelines on immunisation, women’s health, mental health support, cancer screening, chronic disease management, and more. Ultimately, this initiative hopes to better guide family doctors in providing care to patients and improve the public’s understanding of the role of primary care whenever they encounter their family doctors.
 
Our conversation with Dr Pang encourages us to be courageous in bringing about meaningful changes, whether big or small, and he inspires us to focus on what truly matters to us rather than seeking validation from others. By the end of our interview, despite Dr Pang’s modesty in acknowledging his work as an accomplishment, it is undoubtedly clear to us that he is passionate about reform and hopes that it will have a substantial impact on our society.
 

Dr Pang with Dr Libby Lee, the Under Secretary for Health promoting the Life Course Preventive Care Plan in primary healthcare
 

Dr Pang and our student reporters, Bethany and Hei-yue
 

Melodies and healing: an interview with Dr Victor Yeung

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Melodies and healing: an interview with Dr Victor Yeung
Alan Yat-chun Lim1, Megan Sze-ching Lam2
1 Year 4, The University of Hong Kong, Hong Kong SAR, China
2 Year 3, The Chinese University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Dr Victor Yeung is a highly respected urologist who currently practises in the private sector and serves as Vice President of the Hong Kong Medical Association (HKMA). Beyond his exemplary medical career, Dr Yeung is an active leader and participant in numerous community service initiatives. He received his medical degree from The University of Hong Kong in 2006, after earning a bachelor’s degree in biophysics from Johns Hopkins University in 2001.
 
Dr Yeung’s dedication to serving the community began in his high-school days when he spearheaded a team of students to visit Cheshire Home on Hong Kong Island. There, they provided essential health screenings for those in need. Since those formative years, he has emerged as a pivotal figure in various service-oriented organisations. Leveraging his exceptional organisational skills and boundless passion for singing, Dr Yeung continues to make an indelible mark on the lives of many individuals.
 
One of Dr Yeung’s most notable community service initiatives is '寸草心', which he founded with his mother in 2008. This small-scale initiative, formed under the umbrella of the St James’ Settlement, aims to serve single older adults. Dr Yeung performs singing during gatherings for the older adults, which are held during major festivals such as Chinese New Year and Christmas, as well as Mother’s Day and Father’s Day. This initiative mainly serves those living in the Central and Western districts, with three or four events annually that each attract an audience of roughly 200 people. The running costs are entirely covered by various major donors, including Dr Yeung himself.
 
Serving as Vice President of the HKMA, Dr Yeung is also the chair of the HKMA Charity Foundation (HKMACF) and the HKMA Community Service Committee (CSC). The HKMACF organises fundraising activities for charitable organisations. For instance, a donation of HK$100 000 was made to support the Red Cross for post-earthquake management in Turkey and Syria in early 2023. Since its inception in 2006, the HKMACF has raised an astounding total of over HK$38 million. A cherished annual highlight of the foundation’s work is the Charity Concert, which showcases the musical talents of HKMA’s members through captivating choral and orchestral performances.
 
One of Dr Yeung’s most memorable experiences was during the Annual Charity Concert in 2023. That year marked the resumption of the concert after a 3-year postponement due to the coronavirus disease 2019 pandemic, but it was on the brink of cancellation due to an approaching typhoon. Dr Yeung vividly recalls the daunting situation they confronted, as the typhoon signal number 8 was raised at midnight, just after the concert had concluded. Despite the formidable weather conditions, he remains deeply grateful that the event was a resounding success.
 
While the HKMACF focuses on serving the community via fundraising, the HKMA CSC emphasises providing healthcare to the needy. The CSC’s first project focused on the older adults in Chai Wan. Activities included visiting elderly residents, hosting health talks, and educating caregivers and volunteers on elderly care. The CSC’s efforts later expanded to the Kwai Tsing and Siu Sai Wan districts, which have significant populations of single older adults. In a bid to achieve sustainable effects, the committee also prepares educational materials, such as leaflets and videos, and provided an emergency hotline, masks, and on-site vaccination during the coronavirus disease 2019 pandemic. In recognition of their efforts, the committee was presented the Outstanding Group Award in the Hong Kong Volunteer Awards 2023.
 
Being passionate about both singing and charity work, Dr Yeung wanted to integrate the two and thus, Medipella, a charity singing group, was born. As suggested by its name, Medipella is the combination of 'medicine' and 'a capella'. Medipella was founded by Dr Yeung and his colleagues around 10 years ago, and its first public performance at Charisound Concert 2015 was a particular challenge. Dr Yeung and the Medipella team members (together with members of the Junior Chamber International–Island) handled all logistical aspects of the charity concert, from promotion to ticket sales, despite having no prior event planning experience.
 
Yet, through their unity and determination to spread love, the crew succeeded and the concert took place without any major issues, with all revenue from ticket sales being donated to Médecins Sans Frontières and Junior Chamber International Island. The challenging experience of Medipella’s inaugural performance did not deter the members, and they continued to participate in a diverse range of events to raise money for different charitable organisations.
 
Another highlight of Medipella was the production of a song for the promotion of smoking cessation. In 2019, in collaboration with the Hong Kong Council on Smoking and Health, they produced a song entitled 'Smoke-free Life', with lyrics illustrating the hazards of smoking and emphasising the importance of a smoke-free lifestyle. To spread smoke-free messages, Medipella also performed the song in the kick-off event for World No Tobacco Day on 31 May 2019.
 
Dr Yeung’s passion for community service stems from his desire to help the needy in society, a value he has held since high school. He prioritises the older adults, given Hong Kong’s rapidly ageing society and the increasing number of young people migrating to other countries, leaving many single older adults without companionship.
 
Dr Yeung has learned many valuable lessons in leadership and service through his experiences. He believes that it is crucial to have faith in your teammates and feel comfortable when they take up responsibility. He also tries his best to understand the strengths of his colleagues and put them in suitable positions to foster creativity. As a doctor, he believes in the importance of health advocacy and often gives talks on telltale signs of certain diseases, household safety, and medical follow-up appointments for the older adults.
 
In addition to his community service initiatives, Dr Yeung maintains a well-balanced life with diverse hobbies, including singing and coaching table tennis at Lady Ho Tung Hall at The University of Hong Kong. In his more than 21 years as a table tennis coach, he has led his team to a number of victories, including six interhall championships and nine first-runner-up finishes. He believes that the cultivation of a clear mind and flexibility are crucial assets in both his professional and recreational pursuits.
 
Looking to the future, Dr Yeung intends to focus more of his work on mental health, particularly stress-relief strategies for younger generations. As an experienced mentor and leader, he has an important message for young doctors—to give their utmost while not expecting excessive personal gain or reward. He encourages them to play to their strengths and not judge the value of projects solely based on their size or scale.
 
Overall, Dr Victor Yeung is a respected doctor, community leader, and philanthropist who has dedicated his life to serving others. His passion for helping the needy and his belief in the importance of preventive healthcare have made him a valuable asset to both the medical community and society at large.
 

Figure 1. Dr Yeung (right) performing health consultations and outreach activities with the older adults
 

Figure 2. Dr Yeung (left) performing on stage to promote a smoke-free lifestyle
 

Figure 3. Dr Yeung’s charity concert fundraising initiative
 

Figure 4. Dr Yeung with student reporters, Alan and Megan
 

Breaking barriers and inspiring hope: an interview with Dr Gary Ng

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Breaking barriers and inspiring hope: an interview with Dr Gary Ng
Yuen-tong Law, Crystal Lee
Year 3, The Chinese University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
On Dr Gary Ng’s 14th birthday, he was greeted with an unpleasant surprise: he had malignant osteosarcoma in his left leg, which required immediate chemotherapy and eventual amputation. However, he was undaunted by the subsequent mobility restrictions—this situation inspired him to devote his life to medicine and volunteering to help others in need. In recognition of his effort and perseverance, he has been a proud recipient of multiple awards, such as the Ten Outstanding Young Persons in 2020, the 8th Hong Kong Volunteer Award 2020, the Outstanding Disabled Persons Award 2002, the Ten Warriors of Regeneration Selection 1996, and many others. In addition, he is the current chairperson of the Hong Kong Federation of Handicapped Youth (HKFHY).
 
The Hong Kong Federation of Handicapped Youth, established in 1970, aims to promote the spirit of self-help among handicapped young people and allow smooth societal integration of underprivileged groups. It strives to achieve these objectives by providing services to disabled individuals and advocating for policy changes to create a barrier-free society. The HKFHY also collaborates with other organisations to arrange improvements in public facilities, with the goal of allowing handicapped individuals to regain a sense of independence and self-sufficiency while raising public awareness.
 
Dr Ng’s volunteer work began just after his graduation from secondary school, long before he joined the HKFHY. He was invited to give talks at secondary schools and to share his extraordinary experiences with cancer patients who were facing the same challenges as he had. Believing in the balance between quantity and quality, he was determined to motivate others with his story with different delivery methods. When asked about the effectiveness of his talks, Dr Ng replied, ‘If even one person remembers my message after my talk and takes my lessons to heart, I have already succeeded.’ He recalled one memorable story involving a tour guide who had osteosarcoma. The guide adamantly refused to undergo leg amputation, concerned that impaired mobility would severely affect his livelihood. In desperation, a volunteer organisation contacted Dr Ng, asking him to persuade the guide to undergo the amputation surgery. After hearing Dr Ng’s story, the guide was sufficiently moved by the doctor’s cancer journey that he chose to undergo the amputation procedure—this decision both saved his life and improved his long-term quality of life. Dr Ng believes that his volunteer work has provided an opportunity for self-reflection because his unique perspective as both a cancer survivor and doctor makes his stories compelling and relatable to the general public. His journey inspires others to accept themselves, instead of dwelling on their misfortunes, and to face the challenges ahead with vigour and enthusiasm.
 
Years later, as chairperson of the HKFHY, Dr Ng’s outreach has extended beyond the youth population. Notable initiatives include the establishment of social enterprises such as ‘First Sense Design’ and ‘Flower Workshop’. These enterprises offer job opportunities for disabled individuals and provide them with a sense of fulfilment. Recognising that disabled individuals have limited physical mobility and lacks sporting habit, Dr Ng is enthusiastic to promote ‘Sports of All’ which encourages disabled individuals to participate and develop an interest in sport. Furthermore, Dr Ng has been an active member of various sub-committees, providing insights from the perspective of disabled users and advocating for practical follow-up measures in areas such as malls and the transportation sector. These include increasing the availability of elevators at malls, or installation of mirrors inside of the elevators for wheelchair user’s easy access. Dr Ng’s work encompasses a broad range of activities, from serving individual users to persistently advocating for policy changes.
 
Over the years, although Dr Ng has transitioned from patient to doctor, his unwavering commitment to serving the handicapped community has never faded. While studying medicine, Dr Ng coincidentally discovered that the survival rate for the type of surgery he had undergone is alarmingly low: approximately 3% after 3 years. This finding reinforced his firm belief in giving back to society. Engagement in volunteer services has provided Dr Ng with continuous opportunities for reflection, reminding him of how fortunate he is to have recovered, to have encountered compassionate medical professionals, and to now serve as a beacon of hope for others. Thus, volunteering benefits the individuals receiving services while serving as a means of self-improvement and self-reflection.
 
Dr Ng’s work has not been free of challenges and setbacks, particularly in terms of facilitating employment opportunities for disabled individuals during Hong Kong’s economic recessions. Although handicapped individuals exhibit a higher level of loyalty and dedication to their work, as Dr Ng has suggested, some complex considerations and obstacles persist. For instance, employers often express hesitation regarding the termination of handicapped employees who do not meet the required job standards because this termination may be perceived as a violation of anti-discrimination laws. Businesses have also raised concerns about the financial implications of office space renovation to include necessary facilities, such as barrierfree washrooms and elevators. It is particularly challenging for Dr Ng to act as a bridge between the disabled community and the business sector—seeking opportunities for the disabled yet balancing the concerns from the business field at the same time.
 
With deep gratitude and humility, Dr Ng pledges to lead the HKFHY to new heights, with the goal of increasing disabled community involvement in community planning and design. During visits to explore infrastructures in other countries, Dr Ng was especially impressed to see disabled individuals actively participating in the design process, which resulted in truly inclusive facilities such as lowered check-in counters that can accommodate wheelchair users. Dr Ng has placed great emphasis on the importance of providing disabled individuals with abundant opportunities to broaden their horizons and increase their knowledge through field trips and continuous visits. By enabling disabled individuals to ‘see more’ and ‘hear more’, this approach allows them to acquire valuable insights and experiences that can be effectively applied within Hong Kong. The organisation also aspires to work to closely with other regions, such as helping mainland China to develop barrier-free tourism.
 
Throughout our chat with Dr Ng, he consistently emphasised the importance of inclusivity. As someone who is both disabled and a volunteer, Dr Ng firmly believes that true inclusivity extends beyond merely assisting disabled individuals—it is the mutual respect between different disabled and the society, and the understanding that everyone could play an important role in society that matters the most. ‘When you have the opportunity to work with someone who is disabled, express gratitude by saying, “Thank you for providing me with the opportunity to better understand you”, instead of “Thank you for giving me a chance to help you,” ’ advises Dr Ng. Ultimately, the deepest motivation arises from a genuine and sincere desire to serve, along with a firm belief in making our beloved city, Hong Kong, a better place.
 

Figure 1. Dr Ng at the opening ceremony for the HKFHY Jockey Club Sports Inclusion Programme For Persons With Physical Disabilities
 

Figure 2. Dr Ng with other guests at a press conference for a study on the fitness level of people in wheelchairs
 

Figure 3. Dr Ng and the student reporters, Yuen-tong (left) and Crystal (right)
 

Healing and humanitarianism: an interview with Dr Wing-yan Kwong

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Healing and humanitarianism: an interview with Dr Wing-yan Kwong
Shannon So1; Aaron Lau2
1 Year 4 MB, ChB, The Chinese University of Hong Kong, Hong Kong SAR, China
2 Year 1 MB, ChB, The Chinese University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Dr Wing-yan Kwong is an emergency medicine specialist at the Queen Elizabeth Hospital. As a recipient of the Hong Kong Humanity Award of the Hong Kong Red Cross, she has served in developing countries since medical school and has taken time off work to join various overseas missions.
 
Having been an active volunteer at community centres before university, Dr Kwong continued her humanitarian work in Africa by taking a gap year after completing her third year of medical study in 2007. As a medical student, she focused on providing health education and promotion in African countries where poverty rates are high, tropical diseases are widespread, and medical professionals are in short supply. For instance, she taught secondary school students about the prevention of human immunodeficiency virus/acquired immunodeficiency syndrome. She also worked for sponsorship programmes to raise money to help impoverished children attend school.
 
These experiences strengthened Dr Kwong’s determination to become a doctor so that she could continue to serve communities in need outside of Hong Kong. With this in mind, she chose to specialise in emergency medicine as this would expose her to a diverse patient population with a broad range of health issues. In order to prepare herself for further challenging missions, she temporarily quitted her job to study tropical medicine at the University of Liverpool in 2015.
 
Apart from deployment to Nepal after the devastating earthquake in 2015 by the Hong Kong Red Cross, Dr Kwong also joined organised programmes to provide primary healthcare in low-resource countries such as Ethiopia and Zambia. Most recently, she worked on a rescue ship called Ocean Viking in the Mediterranean, which aims to help save people fleeing their home countries to Europe for a better life. These people are at risk of drowning during the perilous journey in the sea. Dr Kwong mentioned a number of difficulties she encountered during her humanitarian services in these places. One of the biggest problems was the language barrier between her and her patients. Most of the time, translators were unavailable, leaving her to rely on body language for communication. Another problem is related to limited resources. Even when ultrasound machines were available, only low-quality images can be produced; clinical skills then become essential in this setting. When patients in Hong Kong can be offered different drug choices, patients in developing countries may only have a few. Dr Kwong said that the medical team sometimes can only educate their patients about simple manoeuvres such as positioning or stretching to alleviate symptoms, rather than relying on more technical methods of diagnosis and treatment. Despite this, the patients still appreciated their efforts.
 
In these resource-deprived communities, there were also many physical challenges. For example, during her service in Nepal, the temperature reached 45 degrees Celsius, and a few of her team members suffered from heat stroke and dehydration, as there was no air conditioning or enough electric fans for cooling. During the mission in Africa, Dr Kwong was infected with malaria twice due to the lack of mosquito preventive measures in some remote areas. As for the Mediterranean mission, she mentioned that many of her teammates, including herself, suffered from seasickness when encountering high waves at sea.
 
Dr Kwong had many memorable experiences in her work. During the service in Nepal, she encountered an old female patient with a dislocated shoulder who had walked for more than a day to receive treatment. By the time she arrived clinic, her shoulder was very stiff and could not be reduced without anaesthesia, which had to be performed in the hospital. However, as the patient was the mother of a big family, she needed to take care of her family members and refused to be sent to the hospital for further management. To Dr Kwong, it was heart-wrenching to hear the patient decide to live with a dislocated shoulder that could have been cured. In her Mediterranean mission, she worked with a rescue team to save refugees and bring them to a safe port in Europe. Many refugees experienced fuel burns, which are rarely seen in Hong Kong. The commonly affected areas included the perineum and legs due to their sitting positions. Women and children were mostly affected as they were being arranged in the boat’s centre where leaked fuel could gather. The pain can be excruciating during wound dressing or even toileting. Despite these depressing moments, there were also many touching sights. In Ethiopia, she witnessed a debilitated patient being carried by a few of his neighbours on his mattress to their mobile clinic—a testament to how close-knit the neighbourhood was. Her most heart-warming memory was of the villagers in Cameroon who contributed the little money they had as her transport fees after seeing her walking to the school under the scorching sun every day.
 
Dr Kwong believes that the most positive effect of her work was not seen in the patients she treated by herself, but rather those treated by the local medical professionals to whom she passed on her skills and knowledge. In underdeveloped areas, medical professionals may not have adequate training in advanced or even basic cardiac life support. While Dr Kwong may only be present for several weeks to months in an area, communicating and collaborating with local professionals has ensured that local patients receive high-quality care for years to come.
 
Though volunteering in such demanding environments does carry an emotional toll, the satisfaction Dr Kwong gets from her work is what drives her to continue travelling long distances to poverty-stricken places. Some may disagree with her motives, citing the fact that Hong Kong already has many patients in need, but having witnessed how much worse the situation is in the most neglected countries, Dr Kwong considers it an honour to serve them. Moreover, she does not believe that there is a conflict between the two, as while she will certainly devote a portion of her time to overseas patients, she continues to serve mostly in Hong Kong.
 
With her busy work life in Hong Kong, Dr Kwong admits that taking frequent leave to go overseas in the future might be challenging. Still, she intends to do so as much as possible, with the support of her department. She would also like to challenge herself by working in conflict areas and war zones, although she has some reservations after seeing that hospitals have been targeted in the recent war in Gaza. To any colleagues or students who wish to follow her footsteps and begin volunteering overseas, Dr Kwong cautions that there will be definite limits on how much one may be able to help these patients compared with medical practice at home. However, instead of dwelling on this source of frustration, Dr Kwong believes it is wiser to accept it and try one’s best with the available resources. With a little ingenuity and grit, anyone can contribute to the vulnerable and underserved populations.
 
 

Dr Kwong in resuscitation training on the Ocean Viking in the Mediterranean
 

Dr Kwong treating a patient in Ethiopia
 

Dr Kwong with student reporters, Shannon and Aaron
 

Cross-border treatment for rare bone diseases: an interview with Dr Michael Kai-tsun To

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Cross-border treatment for rare bone diseases: an interview with Dr Michael Kai-tsun To
Michelle Tsui1, Natalie Cheuk2
1 MB, ChB, Department of Psychiatry, Shatin Hospital and Tai Po Hospital, Hong Kong SAR, China
2 MB, BS, Department of Psychiatry, Queen Mary Hospital, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Dr Michael Kai-tsun To is a paediatric orthopaedic surgeon and well-known expert in osteogenesis imperfecta (OI). He received training in orthopaedics at Queen Mary Hospital, where he now offers his expertise; he also serves as a clinical associate professor at The University of Hong Kong (HKU). Since the establishment of the HKU-Shenzhen Hospital in 2012, Dr To has travelled between Queen Mary Hospital and Shenzhen to provide cross-border care for children with bone diseases. Dr To’s dedication to children with rare bone diseases was recognised in 2018 when he received the Hong Kong Humanity Award.
 
One of Dr To’s most important projects has been the establishment of a rare bone disease centre in Shenzhen, where he provides medical expertise to families from multiple provinces in China. Although it is now a full-fledged specialist service centre, it originated from rather humble beginnings.
 
Osteogenesis imperfecta is a rare, heritable brittle bone disease with a prevalence of 1 in 10 000. Patients with this disease may exhibit deformities and can easily develop fractures. Although treatment is available, it is prohibitively expensive; because OI is rare, specialists with relevant expertise are often difficult to find. Although relatively few patients with OI attend the Duchess of Kent Children’s Hospital (DKCH) in Hong Kong, one such patient contributed to the establishment of the OI service now thriving in Shenzhen.
 
Around 2012, while working at the HKU-Shenzhen Hospital, Dr To provided follow-up care for an adult patient with OI. Many years prior, when Dr To was still a medical student, the doctors at DKCH had performed complex surgical treatment of OI in this patient. The patient had presented to DKCH with difficulty walking; after surgery, he regained the ability to walk and subsequently moved to Guangzhou. The grateful patient asked if the new hospital could help other patients with OI as he had been helped in childhood. Through this patient and various WeChat patient groups, numerous families caring for children with OI found their way to the HKU-Shenzhen Hospital.
 
The rare bone disease centre expanded organically in response to the overwhelming demand. Since then, the centre has gained sufficient recognition that it has been the site of more than 1000 surgical treatments for children with rare bone diseases. When asked how he came to devote much of his career to caring for these children, Dr To jokingly quoted a Hong Kong action movie “Shock Wave”, in which an explosive ordnance disposal specialist (portrayed by Andy Lau) explained that he did not enter into the profession by choice—it was a matter of fate.
 
Today, the centre is well-known throughout Mainland China for its expert management of OI. The journey from its beginnings in the early 2010s to its present success has been filled with challenges. In particular, substantial time and effort were needed to establish patient trust in a treatment that was relatively unknown. Initially, there were rumours in patient WeChat groups that Dr To was a 'liar' for claiming that surgery can potentially restore mobility in patients with OI. However, the increasing number of patient success stories gradually outweighed the distrust and doubts.
 
As the service expanded and demand grew, Dr To travelled from Pokfulam to Shenzhen each day before 7 am, returning across the border at 6 pm. Cross-border travel became more difficult during the early portion of the coronavirus disease 2019 pandemic because of lengthy quarantine mandates. To address this situation, Dr To sacrificed time with his family and coordinated with colleagues to ensure that clinical services in Hong Kong continued smoothly in his absence.
 
Through the OI centre in Shenzhen, Dr To gained knowledge of the unique challenges encountered by patients with OI in Mainland China. Many patients travelled great distances and incurred substantial financial burdens to reach the HKU-Shenzhen Hospital. In one memorable case, a mother with OI (and height of <1 m) and her son with OI travelled for 40 hours to reach the OI centre. Recognising the great need for medical care outside of major cities, Dr To led service trips across the country, including visits to Yunnan, Sichuan and Tibet, to provide medical care and train local medical professionals. Local residents often eagerly waited for the medical team’s arrival, and they offered unexpected tokens of gratitude to the doctors. Dr To recalled that one patient brought a freshly slaughtered chicken to his clinic! He also recalled the story of a 17-year-old boy with OI in Sichuan, who complained of tongue pain refractory to high doses of analgesics. He had not received a proper diagnosis, despite multiple specialist consultations. Upon arrival, Dr To’s team promptly made the diagnosis of basilar invagination as a complication of OI, then obtained funding to help finance the boy’s treatment. After regaining full use of his tongue, the boy greeted everyone by proudly sticking his tongue out.
 
In addition to providing unforgettable anecdotes, the sincere gratitude from patients during these service trips encouraged Dr To and his team to continue their cross-border efforts. In 2020, Dr To and his team received a special research grant from the Chinese government to support their OI clinical service and research—it was a well-deserved moment of recognition for sustained effort over the past decade.
 
The OI service in Shenzhen has also delivered unexpected gains in Hong Kong. Because of the high patient volume in Shenzhen, the HKU team has become internationally renowned, leading to multiple research and training opportunities. At the time of writing, Dr To and his team are preparing to host the 2025 OI conference in Hong Kong—the first OI conference outside of Europe and North America. This great honour is expected to inspire further developments in OI research and treatment in Hong Kong.
 

Figure 1. Dr To examining a child during the 2022 Wishbone Day at The University of Hong Kong–Shenzhen Hospital
 

Figure 2. Dr To (bottom) with Hong Kong Medical Journal Student Reporters Natalie (left) and Michelle (right)
 

To see is to have a future: an interview with Dr Jason Cheuk-sing Yam

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
To see is to have a future: an interview with Dr Jason Cheuk-sing Yam
Gordon Chin1; Justin Leung2; William Xue3
1 Year 5, The Chinese University of Hong Kong, Hong Kong SAR, China
2 Year 6, The Chinese University of Hong Kong, Hong Kong SAR, China
3 MB, ChB, The Chinese University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
In 2015, Dr Jason Cheuk-sing Yam launched the Hong Kong Children Eye Care Programme. Currently in its third phase, and now known as CUHK Jockey Club Myopia Prevention Programme, it has served tens of thousands of disadvantaged children since its inception. For this remarkable initiative, he received the Ten Outstanding Young Persons Award in 2019 and the Hong Kong Humanity Award in 2021.
 
After training in Tung Wah Eastern Hospital, Dr Yam joined the Department of Ophthalmology and Visual Sciences at The Chinese University of Hong Kong (CUHK) in 2013 to pursue his interests in research and education. As an associate professor, Dr Yam led the team who conducted the 2019 LAMP-1 study and 2023 LAMP-2 Study, which were the world’s first randomised placebo-controlled trials of low-dose atropine in children to prevent myopia progression as well as its onset respectively. He is also an international leader in ophthalmology, having served since 2017 as Secretary General of the Asia-Pacific Strabismus and Paediatric Ophthalmology Society.
 
Determined to act on preventable childhood eye problems, Dr Yam initiated the programme for underprivileged families, which was the first of its kind in Hong Kong. “It is a child’s right to see,” he declared during our interview. Looking back to when it all started, Dr Yam is truly grateful for the support he received that allowed him to overcome various difficulties. “Clinics of the CUHK Eye Centre in the Hong Kong Eye Hospital weren’t open on the weekends prior to this programme, while conducting comprehensive eye examinations in primary schools was limited by the lack of equipment,” he recalled. After over a year of preparation, the programme was finally launched on 7 March 2015, and provided treatment to over 100 children and their families on its first weekend at CUHK Eye Centre.
 
Volunteers from all walks of life play an integral role in the programme—it now relies on the support of more than 100 ophthalmologists, 500 medical students, 200 nursing students, 3000 secondary school students, and 1000 volunteers from various uniformed services. “I’m deeply grateful to all ambassador doctors and volunteers who share our vision and lend us their unconditional support,” Dr Yam said. Today, the programme not only provides comprehensive eye examinations for children, but also acts as a platform where volunteers can support each other while serving the community.
 
Dr Yam and his team continue to advance their mission to improve the early detection and treatment of children’s eye conditions. To date, the programme has provided care to more than 40 000 children, including both standard assessments, such as testing for visual acuity and strabismus, and more advanced diagnostics, using techniques like optical coherence tomography to detect retinal disorders. Since 2018, generous support from the Hong Kong Jockey Club Charities Trust has allowed the programme to increase in its scope by offering additional services. Under the programme, participants are eligible for a subsidy to cover the cost of spectacles if needed. Outside the hospital, the team has also organised home visits to reach children with special educational needs or intellectual disabilities, which has allowed them to provide basic eye care services and advice on improving eyesight through environmental modifications. At the community level, around 400 health talks were given to parents, teachers, and social workers, and several health exhibitions were also organised in the hopes of raising public awareness and knowledge of children’s eye disorders. In the words of Dr Yam, “Children have unlimited potential—it is not fair for disadvantaged families’ lives to be affected by visual impairment due to poor access to healthcare.”
 
Despite having to sacrifice his weekends to run the programme, Dr Yam finds the experience personally rewarding. Over the years, he has witnessed the growth of his volunteers, watching secondary school students become medical students and medical students become ophthalmologists. During our interview, Dr Yam recounted a heart-warming interaction at a restaurant during a meal to celebrate his child’s fifth birthday: “A glass of orange juice was unexpectedly offered to my child,” he smiled, “I later discovered that it was a gift from a waiter whose child had benefited from the programme.” For him, this was a touching reminder of the positive impact that the programme has had on the community.
 
In addition to his local efforts, Dr Yam also has experience in overseas community service. For instance, Meigu County in Sichuan Province is one of several places where Dr Yam and others have contributed to start the local cataract services, as high exposure to ultraviolet light here puts residents at increased risk. This is further compounded by the challenging terrain and high average age of the population, many of whom have limited mobility, which reduces their access to local eye care services. During his time there, Dr Yam helped to train local ophthalmologists to ensure the sustainability of the programme. “One of the most rewarding moments in ophthalmology is, in fact, performing cataract surgeries,” Dr Yam said. “You can clearly witness the joy on patients’ faces when they realise they can see clearly again after removing the gauze.”
 
Drawing on his faith, Dr Yam has always believed in the importance of gratefulness and humility. “Nothing should be taken for granted,” he said. “I would like to thank our faculty, my department, and my mentors, Prof Calvin Pang and Prof Clement Tham, for their encouragement and guidance. I would like to thank my team, too—in particular, Prof Guy Chen, Dr Ka-wai Kam, Dr Xiujuan Zhang, and Ms Mandy Ng—as well as all the partners and volunteers.”
 
When asked what advice he would give to young doctors wishing to follow in his footsteps, Dr Yam reminded us that collaboration is essential for projects like the programme, remarking that one needs to be considerate, resilient, and able to think from the perspectives of others. Teamwork is essential, as one would not be able to achieve anything if unable to work well with others. In the words of Dr Yam, “Follow your heart and passion. Be true to yourself, and be committed even when success is uncertain.”
 

Figure 1. Dr Yam examining a local child’s eyes in Sichuan Province
 

Figure 2. (From left) Dr Yam and the reporters, Justin and William
 

Figure 3. Dr Yam and other guests at the CUHK Jockey Club Children Eye Care Programme (second phase) promotional event
 

Trailblazing primary care for a healthier city: An interview with Professor George Woo

© Hong Kong Academy of Medicine. CC BY-NC-ND 4.0
 
HEALTHCARE FOR SOCIETY
Trailblazing primary care for a healthier city: an interview with Professor George Woo
Henry Evan Cheng, Man-tsin Lo, Nathan So
Year 5, The Chinese University of Hong Kong, Hong Kong SAR, China
 
 Full paper in PDF
 
 
Professor George Woo, the ‘father of optometry’ in Hong Kong, began his career by establishing the first optometry programme in Hong Kong, and his tale is a valuable lesson in commitment, perseverance, and resourcefulness. In 1973, Prof Woo approached The Hong Kong Polytechnic University (PolyU) with the idea of setting up the first optometry school in Hong Kong. After many years, it has evolved from a certification course in 1978 into a five-year degree programme, granting students the degree of Bachelor of Science in Optometry.
 
One can attribute this evolution to Prof Woo’s continued commitment to healthcare in Hong Kong. His years of working with and nurturing the next generation of clinicians are a compelling reminder that healthcare professionals are leaders, servants, and pillars of their communities.
 
Career
Prof Woo is humble about his contributions to the Faculty of Health and Social Sciences at PolyU; he recalls his happiness at seeing the first cohort from the Professional Diploma in Optometry graduate in 1987, witnessing the fruit of the faculty. He humourously recalls how he swore he would retire after helping the faculty transition to a fleet of Bachelor of Science programmes in different disciplines; he laughs when he admits he did not retire.
 
Prof Woo has been advocating for improvements in the Hong Kong healthcare system for the past 30 years, focusing on the limited availability and scope of primary care. While he acknowledges the government’s strides in improving the availability of primary care within District Health Centres, their narrow scope led to severe underutilisation. He firmly believes in expanding the District Health Centre’s purview to allow for the provision of a more comprehensive range of primary care services, such as traditional Chinese medicine practitioners, full-time pharmacists, optometrists, dentists, occupational therapists, and physiotherapists. On-site holistic healthcare can relieve the burden on primary care doctors, improving the distribution of resources and manpower. Better usage of all dimensions of primary care can also enhance the professional-patient relationship; rather than shuttling a patient between various doctors and referrals, a single professional with the relevant expertise, and who could track patient progress, would significantly improve the primary healthcare experience.
 
Prof Woo laments that little change has been achieved over the years due to rigid rules and regulations, and despite him actively passing 17 items for legislation while serving on the Supplementary Medical Professions Council for 10 years. He raised continuing medical education as an example, where the lack of training for primary care physicians overshadows Hong Kong’s robust training for specialists. Other countries have been pursuing continuing education for 60 to 70 years but Hong Kong’s efforts have fallen behind. A gleam of hope appeared in 2021, when compulsory continuing education was required for optometrists. However, due to the complexity of the healthcare system, change in Hong Kong is hampered by political and professional interests, as well as the divide between the public and private sectors. With the current trajectory, Prof Woo mournfully states that he doubts meaningful change will come in his lifetime.
 
Humanitarian work
In addition to being a leader in his field, Prof Woo continues to be an avid hotline volunteer for the Samaritans, which he has done for over 20 years. The Samaritans is a non-profit organisation offering a 24-hour multilingual hotline service run by volunteers who provide emotional support to people who are in distress or suicidal. Prof Woo realised the importance of personal, human-to-human interactions for one’s wellbeing early on; he recalls how, as a student, he would volunteer to provide health services at an elderly care home. At the time, he noted that the older adults were less concerned about their health complaints, but instead treasured the chats and personal time spent with them. It was then that he realised a caring, empathetic touch was just as important to wellbeing as the scientific aspect of healthcare. He was first inspired to join the Samaritans when he understood that helping patients was beyond just medicine and surgery. As he began to identify the link between mental health and visual problems, he knew it was his duty as a practitioner to help patients to heal physically and mentally. Over the years, Prof Woo felt a sense of gratitude towards the hotline as it helped him gain a deeper understanding of the complex issues regarding mental health in the city. With over 2000 hours of volunteer work under his belt, it broadened his horizons and helped him empathise with and understand his patients better. In 2015, Prof Woo became the chairman of the Samaritans Board of Directors, where he expanded their services beyond hotline help and lent support by introducing many outreach programmes, such as the Supporting the Aged Responsibly Programme, or STAR, aimed at improving the mental health of the elderly population.
 
To this day, Prof Woo continues to don his headset and answer phone calls for the hotline with the hopes that providing a listening ear can help people rise above difficult moments in their lives. In 2020, Prof Woo was awarded the Hong Kong Humanity Award, bestowed upon those who exemplify the very spirit of humanity in service and commitment to their community by putting it into action and practice. ‘I will walk with them as long as they want to walk further to improve their quality of life,’ affirms Prof Woo, as he continues his mission of curing wounds invisible to the eye. He hopes that as he continues to serve in the future, more academics and medical professionals will step out of their comfort zones and volunteer to help.
 
Mission to nurture the next generation
Those who decide to bear the Hippocratic Oath will find no shortage of mentors, especially Prof Woo, who will shape them and provide them with the skills, knowledge, and insight needed to one day enter the field and serve the community.
 
Prof Woo continues to come to PolyU to mentor students and perform research. Regarding his students as blank sheets of paper, he believes it is his duty both to shape the way that they see the world and to teach them about the healthcare system that they will one day work in and, hopefully, transform for the better. His establishment of the field of optometry is only the first step in what he sees as a mission to improve Hong Kong’s healthcare systems and prepare those who serve within it.
 

Figure 1. Prof Woo with the tree planted in his honour at The Hong Kong Polytechnic University
 

Figure 2. Prof Woo with the student reporters, Henry (left) and Man-tsin (right) Prof Woo
 

Figure 3. Prof Woo in the optometry clinic at The Hong Kong Polytechnic University
 

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