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Berita Akademi

Title: Berita Akademi - Dec 2008
Date: 31-Dec-2008

Table of Contents

 

Message from the Master
Professor Victor Lim

Dato' Dr Lim Say Wan

We mourn the passing of Dato’ Dr Lim Say Wan, who was Master of the Academy from 1984 - 1990. Say Wan had contributed tremendously to the Academy of Medicine during the many years he served in Council. Say Wan was our protocol expert and he quite single-handedly developed the ceremonial processes which we still follow during the Opening Ceremony of the Malaysia-Singapore Congress and the conferment of members and fellows. He played an instrumental role in the creation of colleges from the then existing chapters and persuaded the specialist societies to come on board, thus making the Academy of Medicine what it is today. Say Wan also organized the overseas trips to visit our sister academies and colleges, excursions which were thoroughly enjoyable but educational at the same time. The Academy owes a great debt of gratitude to Say Wan.

Say Wan's contribution to Medicine was not confined to his activities in the Academy alone. I first met him when I was on the Editorial Board of the Berita MMA and he was the Editor-in-Chief. He was a Past President of the Malaysian Society of Anaesthesiologists and was only the second Asian to hold the prestigious post of President of the World Federation of Societies of Anaesthesiologists (WFSA). He was also a great sportsman having excelled in badminton during his school and university days. Say Wan's passing is not only a great loss to the Academy but also to the nation. We will miss him sorely.

15th Anniversary of the Hong Kong Academy of Medicine

In November, I had the privilege of representing the Academy at the 15th Anniversary Celebrations of the Hong Kong Academy of Medicine. This was quite an eye-opener and a learning experience. The Hong Kong Academy in a short span of 15 years has progressed to be one of the most important medical institutions in this autonomous region of China. Under the able leadership of successive presidents and councils, the Hong Kong Academy of Medicine has established a specialist training programme and assessment system which is of a very high standard and by doing so has ensured that the specialist care received by residents of Hong Kong are of the highest quality. The Hong Kong Academy of Medicine has over 5000 fellows and plays a leading role in providing continuing professional development activities for them.

At the meeting the three academies (Malaysia, Singapore and Hong Kong) agreed in principle to organize tripartite meetings every three years. The first of these tripartite meetings will be in 2010 in conjunction with the 42nd Malaysia Singapore Congress of Medicine and will be held in Hong Kong.

The Hong Kong Academy of Medicine Building is an imposing ten-storey edifice with a large auditorium, lecture halls, meeting rooms, offices for the colleges, a dining facility and kitchen and a suite of residence for visitors. The management of the building is outsourced and it costs the Academy more than a million ringgit a year to maintain the facility. Nonetheless the income derived from the building still exceeds the expenditure. There are two important lessons in this for our own building. The first is that maintenance of buildings can be very expensive. The second is that if organized well, the income generated from activities in the building can be sufficient to meet the maintenance cost and perhaps leave a little extra for future expansion and renovations. It is imperative that the running of this building be undertaken in an efficient and professional manner.

Because our building is jointly owned by the Academy of Family Physicians difficulties and misunderstanding may arise if the ground rules are not made clear and binding right from the very start. It may not be possible to take the "gentleman's agreement" approach. A business contract between the two parties may be the only alternative in the longer term.

 

News from the National Specialist Register

Secretariat

Datin Dr Rusnah bt Hussin, who had recently retired as Deputy Director, Medical Professional Development Section, Ministry of Health Malaysia, has been appointed as an Advisor to the NSR secretariat.

Number of Specialists Registered in the NSR

As of October 2008, a total of 1808 specialists have been registered in the NSR. There had been an increase of 315 to 369 specialists from the MOH who have registered with the NSR. Currently, the turn around time of registering the applicants take about two to three months. This is because the cycle of each specialty subcommittee meeting normally takes place once every two or three months.

Reappointment of the Specialty Subcommittees

The current term of office of the Specialty Subcommittees ended on 13th December 2008. The Colleges are submitting the names of the nominees of the Subcommittees to the NSR to be appointed by the Ministry of Health.

Revision of the NSR Application Form

To assist the Specialty Subcommittees in evaluating the applications effectively, herewith the new NSR general requirements to be submitted with the application forms:

  1. Applicants must enclose testimonials from supervisors or employers on the training they have undergone in the specialty.
  2. Applicants must enclose two referees reports. The format for the referees report is enclosed with the application form. The referees must also comply with the NSR criteria for referees which is stated in the application form.
  3. Applicants must enclose the gazettement / endorsement letter from the Ministry or the Universities.

Exemption Clause

The exemption clause shall only be valid from the inception of the NSR i.e. 24th August 2006 to 23rd August 2009.

The above clause is applicable to applicants who do not fulfill the criteria for registration in the respective specialties or subspecialties. By virtue of this, they must be actively involved in that specialty for at least 70% of their practice.

Change of Name for the Specialty of Anaesthesiology

The College of Anaesthesiologists had requested that the specialty of Anaesthesiology be known as Anaesthesiology and Critical Care.

The Intensive Care Specialty

The Specialty Subcommittee for Intensive Care Specialty has now been set up and will function independently.

Formation of Dental Specialties

The Faculty of Dentistry, College of Surgeons, has agreed to set up the subspecialties under the Dental Specialties, and this would be included in the list of specialties of the NSR:

  1. Orthodontics
  2. Oral and Maxillofacial Surgery
  3. Oral Pathology and Oral Medicine
  4. Periodontics
  5. Paediatric Dentistry
  6. Restorative Dentistry
  7. Dental Public Health
  8. Prosthetic Dentistry

The Faculty of Dentistry has also identified six specialty subcommittees who are responsible to evaluate the applications and to formulate the criteria for credentialing:

  1. Oral and Maxillofacial Surgery,
    with Oral Pathology / Oral Medicine
  2. Orthodontics
  3. Paediatric Dentistry
  4. Periodontics
  5. Restorative Dentistry
  6. Dental Public Health

Reaccreditation

The process of reaccreditation shall only take place five years from the time the National Specialist Register had been gazetted into law with the amendment to the Medical Act.

International College Leaders Meeting /
International Conference on Residency Education

The Royal College of Physicians and Surgeons of Canada
Ottawa, Canada
24th to 27th September 2008

by Dr Lum Siew Kheong
President, College of Surgeons, AMM

The International Conference on Residency education and the International College Leaders Meeting of the Royal College of Physicians and Surgeons of Canada (RCPSC) were held simultaneously in Ottawa, Canada on 24th - 27th September 2008. I had the privilege of attending sessions of both of them in my capacity as President of the College of Surgeons and as the representative of the Master of the Academy of Medicine of Malaysia. The RCPSC meeting was unlike any College meeting that I had attended in that their meeting had no clinical topics. There was therefore a conspicuous absence of the pharmaceutical industry at the meeting. Apart from a few plenary sessions, there were many parallel workshops which address issues relating to training, assessment, professional issues and capacity building. These learning and sharing sessions were surprisingly very popular and well attended.

Presidents from Colleges of Medicine and Surgeons / Academies of Medicine from Canada, USA, Europe, Asia, Australia, New Zealand and Africa attended the meeting. The International Presidents formed their own workshop group and the meeting lasted a whole day. All of us were asked to give a short talk on 2 main issues facing our Colleges and this was followed by comments and sharing with other Presidents. I spoke on the 2 issues our Academy and Colleges are involved in at present, namely, continuing professional development (CPD) and credentialing of specialists. Some interesting ideas I learnt at the meeting during the International Presidents' session and other sessions of the meeting are listed below:

Continuing Professional Development

The philosophy, strategy, tools and operational aspects of CPD (cost, materials, recording and delivery systems) were discussed. Some interesting points raised were as follows:

  1. Intuitively, one would assume that CPD improves the performance of a doctor. However, there is no evidence in the literature to suggest that this is true.
  2. One President warned of the danger of changing lifelong learning from a concept to one with a curriculum.
  3. CPD should be focused on the outcome and not on the process. The outcome we look for is, "Has the doctor's practice changed for the better."
  4. Self learning and group learning takes place all the time at our place of work although we do not document it. The concept that CPD occurs only when one has to travel long distances at great expense to attend conferences is not consistent with this concept.
  5. Lifelong learning should be viewed as the ability to raise a question (eg what does the service need to decrease patient waiting time?) and the ability to solve the problem by using measurable statistics taken before and after the intervention.
  6. The Colleges must promote a paradigm change from "Who is doing wrong?" to "Can we make it better?" This will be less threatening to doctors and encourage practice reflection to improve outcome. Most doctors will change if they know their performance is below their colleagues. There have been instances when vascular surgeons have stopped doing carotid endarterectomies and hospitals have stopped doing oesophagectomies when surgeons realise their outcomes were worse than other hospitals. Practice reflection is therefore an important part of lifelong learning.
  7. The role of the College is to teach and support lifelong learning activity. The Royal Australasian College of Surgeons have developed easy-to-make audit tools to assist in self reflection.

Credentialling

I spoke on this topic and later asked for views on a National Specialist Register, credentialing as a subspecialist and credentialing for procedures. Most countries do not have a National Specialist Register. Insurance companies give a higher payment for Board certified surgeons (those who completed an accredited residency program and passed the final Board exams) compared with Board eligible surgeons (those who completed an accredited residency program but failed the final Board exams). I was surprised to discover that Canada did not have a subspecialty classification of Breast Surgeon or Hepatobiliary Surgeon. A former Professor of Surgery who was a liver transplant surgeon from the University of Toronto told me, candidly, "More than 90% of the gallbladders and breasts are operated on by General Surgeons. A separate subspecialty classification will be made when 90% of the breasts are operated by breast surgeons and 90% of gallbladders are taken out by hepatobiliary surgeons!" He identified himself in the College records as a General surgeon and not as a subspecialist surgeon. The advice I received was that a broad Specialist classification was sufficient and prudent. A national credentialing mechanism for procedures was unwise and will create more problems than solutions. Local hospital privileging was a far better option than a national credentialing system for procedures.

International Medical Graduates (IMGs)

This is a serious problem in Canada and new solutions are required now. From the government's perspective the following are major considerations:

  1. The IMG workforce constitute 22% of the physician workforce. Many of them are Canadian citizens who sought medical training in other countries because of insufficient opportunities in Canada.
  2. Political issue: There is increasing political pressure because many Canadian IMGs are involved. Politicians are highlighting the issue in parliament.
  3. Human rights and Ethical issue: This is a major consideration nowadays.
  4. Legal issue: IMGs have taken the Government and RCPSC to court for what is perceived to be an injustice to them. The monopoly of the RCPSC in determining standards has also been challenged in the courts.
  5. Quality and safety issues: The government has to balance quality and safety with quantity.
  6. Societal needs: Underserved communities and geographically unpopular regions are now served by IMGs. If IMGs are not allowed to practice freely, citizens living in these areas will be neglected.
  7. Globalisation and removal of barriers: Governments are committed to free trade agreements and this will remove professional barriers eventually.
    8. The multiple stakeholders (government, regulators, educators and accreditation bodies) must work together to provide the solutions urgently.

The government and regulators are now seeking alternative methods of assessing competency to practice as a doctor. A major paradigm shift in thinking from Practice Ready as opposed to Training Ready in the assessment of IMGs reflects this thinking. To be training ready, one must have the knowledge of all the disciplines one has learnt in medical school and be tested on this. Many candidates fail in this comprehensive testing. To be practice ready, the doctor's performance is assessed in relation to his job function. For example, an IMG general practitioner will be assessed against the standards of practice as a general practitioner in the same locality. As an indication of how serious the government is pushing the issue, the Centre for Evaluation of Health Professionals Educated Abroad, was started by the government in April 2007. By September 2008, it had processed 3000 applications and offered 1800 examinations for candidates!

Assessment Methods and Tools

At the present time, training and assessment is "Time" and "Teacher centred." This is moving to one that is "competency based," as recommended by the Institute of Medicine. Formative assessment is believed to be the way of the future. Trainees should be assessed continuously and informed of their deficiencies to enable them to improve. Training should be made more modular and linked to specific learning objectives. More robust assessment methods and tools have to be developed. As in all change, the politics must be tackled to implement these changes.

Assessment methods and tools must be the focus of the Colleges. The Colleges' role should be to:

  1. facilitate faculty development.
  2. develop standards which work.

The assessment methods and tools should cover not only assessment of Specialists in training but also the assessment of IMGs.

 

17th Asian Congress of Surgery
68th Annual Meeting of Taiwan Surgical Association

Theme: "New Era of Surgery in Asia"
   

 

78th Annual Scientific Congress
Royal Australasian College of Surgeons
6th - 9th May 2009
Brisbane Convention & Exhibition Centre, Brisbane, Australia

The Annual Scientific Congress (ASC) is the largest annual multi-disciplinary surgical meeting held in Australasia attracting surgeons, surgical trainees and other health professionals.

The 2009 theme is "Surgeons and the Community". The program features plenary sessions, concurrent presentations of scientific papers, prestigious named lectures, electronic posters, masterclasses and workshops.

Please visit the Congress website for online registration, abstract submission and the provisional program.

Website: http://asc.surgeons.org
Email: asc.registration@surgeons.org
Tel: +61 3 9249 1273
Fax: +61 3 9276 7431

 Calendar of Events

Calendar of Events

DATE / DAY EVENT / THEME VENUE ORGANIZER SECRETARIAT
6th – 7th March 2009
Friday – Saturday
COLOPROTOLOGY 2009
(7TH MALAYSIAN COLORECTAL
CONFERENCE)
Shangri-La Hotel
Kuala Lumpur
Malaysia
Malaysian Society of
Colorectal Surgeons
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.colorectalmy.org
20th – 22nd March 2009
Friday – Sunday
ENDOSCOPY 2009
"EXPLORING THE LIMITS OF
ENDOSCOPY"
Dewan Jemerlang
and Bidara
Faculty of Medicine
University of Malaya
Kuala Lumpur
Malaysia
Malaysian Society of
Gastroenterology &
Hepatology & Faculty of
Medicine, University of
Malaya
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.msgh.org.my
27th – 29th March 2009
Friday – Sunday
6TH ASEAN CONFERENCE ON
PRIMARY HEALTHCARE
Impiana Casuarina
Hotel, Ipoh
Perak, Malaysia
Perak Medical
Practitioners' Society
(PMPS)
Email: pmps@tm.net.my
18th – 19th April 2009
Saturday – Sunday
ANNUAL SCIENTIFIC MEETING &
49TH ANNUAL GENERAL MEETING
OF THE PRIVATE MEDICAL
PRACTITIONERS’ ASSOCIATION OF
SELANGOR AND KUALA LUMPUR
The Saujana
Subang, Selangor
Malaysia
Private Medical
Practitioners’
Association of Selangor
and Kuala Lumpur
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
24th – 26th April 2009
Friday – Sunday
25TH MALAYSIAN SOCIETY OF
NEPHROLOGY ANNUAL SEMINAR
IN NEPHROLOGY
Persada International
Convention Centre
Johor Bahru
Johor, Malaysia
Malaysian Society of
Nephrology
Ms Rashidah Hamzah
Malaysian Society of Nephrology
C/o Department of Nephrology
Hospital Kuala Lumpur
Jalan Pahang, 50586 Kuala Lumpur
Tel: +603 2698 4882
Fax: +603 2691 6514
Email: moss@po.jaring.my
URL: http://www.msn.org.my
2nd – 3rd May 2009
Saturday – Sunday
1ST CONJOINT SCIENTIFIC
MEETING
Academy Building
Jalan Tun Razak
Kuala Lumpur
Malaysia
College of Physicians,
AMM & College of
Paediatrics, AMM
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
14th – 16th May 2009
Thursday – Saturday
29TH MSO-HNS ANNUAL
GENERAL MEETING &
MALAYSIAN INTERNATIONAL
OTORHINOLARYNGOLOGIST
HEAD NECK CONFERENCE 2009
Shangri-La Hotel
Kuala Lumpur
Malaysia
Malaysian Society of
Otorhinolaryngologists -
Head & Neck Surgeons
(MSO-HNS)
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.msohns.com
21st – 23rd May 2009
Thursday – Saturday
39TH MOA AGM / ANNUAL
SCIENTIFIC MEETING
& WENMISS 2009
Sutera Harbour Resort
Kota Kinabalu
Sabah
Malaysia
Malaysian Orthopaedic
Association &
World Society for
Endoscopic, Navigated
& Minimal Invasive
Spine Surgery
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@mw.org.my
URL: http://www.mw.org.my
http://www.wenmiss.org
http://www.wenmiss.com
29th – 31st May 2009
Friday – Sunday
AGM / ANNUAL SCIENTIFIC
MEETING OF THE COLLEGE OF
SURGEONS, AMM
Awana Porto Malai
Pulau Langkawi
Kedah
Malaysia
College of Surgeons,
AMM
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.acadmed.org.my
4th – 7th June 2009
Thursday – Sunday
19TH MALAYSIAN CONGRESS
OF O & G
One Borneo
Kota Kinabalu
Sabah
Malaysia
Obstetrical and
Gynaecological
Society of Malaysia
O & G Society of Malaysia
Suite C-07-02 Plaza Mont' Kiara
No 2 Jalan Kiara, Mont' Kiara
50480 Kuala Lumpur
Tel: +603 6201 3009
Fax: +603 6201 7009
Email: ogsm@streamyx.com
4th – 7th June 2009
Thursday – Sunday
PENSA 2009
“ENERGIZING NUTRITION SUPPORT
PRACTICE FOR LIFE”
Shangri-La Hotel
Kuala Lumpur
Malaysia
Parenteral and Enteral
Nutrition Society of
Malaysia (PENSMA)
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.pensa2009.org
2nd – 5th July 2009
Thursday – Sunday
16TH ASEAN CONGRESS OF
ANAESTHESIOLOGISTS &
7TH NATIONAL CONFERENCE ON
INTENSIVE CARE
“FORGING AHEAD TOGETHER”
Sutera Harbour Resort
Kota Kinabalu
Sabah, Malaysia
Intensive Care Section,
Malaysia Society of
Anaesthesiologists
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.aca2009.com.my
16th – 19th July 2009
Thursday – Sunday
8TH LIVER UPDATE 2009 One World Hotel
Petaling Jaya
Selangor
Malaysia
Malaysian Liver
Foundation
10-2 & 10-3, Jalan 25/70A
Desa Sri Hartamas
50480 Kuala Lumpur
Tel: +603 2300 3455
Fax: +603 2300 3452
Email: pohsim@liver.org.my
URL: http://www.liverupdate.org
24th – 26th July 2009
Friday – Sunday
11TH ANNUAL CONGRESS OF
MALAYSIAN THORACIC SOCIETY
The Royale Chulan
Kuala Lumpur
Kuala Lumpur, Malaysia
Malaysian Thoracic
Society
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.my-mts.org
24th – 26th July 2009
Friday – Sunday
20TH VIDEO UROLOGY WORLD
CONGRESS IN CONJUNCTION
WITH 18TH MALAYSIAN
UROLOGICAL CONFERENCE
Kuala Lumpur
Convention Centre
Kuala Lumpur
Malaysia
Malaysian Urological
Association
Console Communications Sdn Bhd
Suite 11.8 Level 11, Wisma UOA II
21 Jalan Pinang
50450 Kuala Lumpur
Tel: +603 2162 0566
Fax: +603 2161 6560
Email: videourology@console.com.my
URL: http://www.videourology2009.com
14th – 16th August 2009
Friday – Sunday
GUT 2009 Awana Porto Malai
Langkawi
Kedah
Malaysia
Malaysian Society of
Gastroenterology &
Hepatology
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
URL: http://www.msgh.org.my
7th – 11th October 2009
Wednesday – Sunday
DIABETES ASIA 2009
CONFERENCE
Sunway Pyramid
Convention Centre
Petaling Jaya
Selangor
Malaysia
National Diabetes
Institute (NADI)
Diabetes Asia 2008 Conference
1 Jalan SS 3/50
47300 Petaling Jaya
Selangor, Malaysia
Tel: +603 7876 1676
Fax: +603 7876 1679
Email: nadi@myjaring.net
URL: http://www.nadidiabetes.com.my
20th – 22nd November
2009

Friday – Sunday
COLLEGE OF O & G TEACHING
CONFERENCE
One World Hotel
Petaling Jaya
Selangor
Malaysia

College of Obstetricians
& Gynaecologists, AMM

C/o KL Menopause Centre
1st Floor Bangunan Lembaga Tabung Haji
148 Jalan Ipoh
51200 Kuala Lumpur
Tel: +603 4041 7088, 4041 7541
Fax: +603 4041 9722
Email: drchoon@pd.jaring.my
(Dr H C Ong)
angeln@pd.jaring.my
(Ms Angeline N Ong)
19th – 22nd September
2010

Sunday – Wednesday
ASIAN PACIFIC DIGESTIVE WEEK
(APDW) 2010

"GASTROENTEROLOGY IN ASIA
PACIFIC - EXCELLENCE IN THE
NEW DECADE"
Kuala Lumpur
Convention Centre
Kuala Lumpur
Malaysia
Malaysian Society of
Gastroenterology and
Hepatology
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@APDW2010.org.my
URL: http://www.APDW2010.org.my
2nd – 5th December 2010
Thursday – Sunday
14TH ASIA-OCEANIA CONGRESS
OF ENDOCRINOLOGY

"STRENGTH THROUGH DIVERSITY"
Kuala Lumpur
Convention Centre
Kuala Lumpur
Malaysia
Malaysian Endocrine &
Metabolic Society
Console Communications Sdn Bhd
Suite 11.8 Level 11, Wisma UOA II
21 Jalan Pinang
50450 Kuala Lumpur
Tel: +603 2162 0566
Fax: +603 2161 6560
Email: aoce2010@console.com.my
URL: http://www.aoce2010.com

 

 

In Memoriam

Dato' Dr Lim Say Wan

Dato' Dr Reginald Lim Say Wan passed away at home on 1st December 2008 after succumbing to lung cancer.

Dr Lim is best remembered for fostering inter-institutional relationships among top medical organizations around the world and putting Malaysia on the map in the area of international medicine as well as showcasing the country's state of medical research and progress.

Prior to the eighties, Malaysia was overlooked in international medicine and foreign medical colleges or academies were not aware of the country's medical abilities.

Dr Lim was also instrumental in improving the standard of health and medical services in the country by enhancing the skills of doctors through postgraduate medical education at the national, regional and international level.

"Through Say Wan, the nation's healthcare system has benefited tremendously from the decades and in some instances, centuries of experience of the more senior medical colleges," said Datuk Dr Yeoh Poh Hong, a long time friend, a former Master of the Academy of Medicine and past President of the Malaysian Medical Association (MMA).

"He was a giant in his own right and a servant to his profession."

Among some civil awards he has received for his contributions include the Key to the City of Havana, Cuba; Johan Setia Mahkota by Seri Paduka Baginda Yang Di-Pertuan Agung (1997) and the Darjah Dato' Paduka Mahkota Perak by His Royal Highness Sultan Azlan Shah.

Dr Lim also held numerous positions in various medical organizations in Malaysia including being the President of the Malaysian Medical Association (1982-1989) and Master of the Academy of Medicine of Malaysia (1984-1990).

On the international front, he has served as an Adviser to the World Health Organization (1983 & 1995) as well as the President of the Confederation of Medical Associations in Asia and Oceania (1983-1985), and President of the World Federation of Societies of Anesthesiologists (1992-1996).

In recognition for his efforts in fostering inter-institutional relationships, Dr Lim received honorary fellowships of the Royal Australasian College of Physicians and the American College of Physicians and Fellowships of the Royal College of Physicians and Surgeons of Glasgow.

He is survived by his wife, Jeannie, and three sons Julian, Justin and Johann Lim.

Dr Chang Keng Wee
Scribe, Academy of Medicine of Malaysia

 

 

 

Announcement

Fluoroquinolone Antimicrobial Drugs

(Posted 07/08/2008) FDA notified healthcare professionals that a BOXED WARNING and Medication Guide are to be added to the prescribing information to strengthen existing warnings about the increased risk of developing tendonitis and tendon rupture in patients taking fluoroquinolones for systemic use.ae

Fluroquinolones are associated with an increased risk of tendonitis and tendon rupture. This risk is further increased in those over age 60, in kidney, heart and lung transplant recipients, and with use of concomitant steroid therapy. Physicians should advise patients, at the first sign of tendon pain, swelling or inflammation, to stop taking fluoroquinolone, to avoid exercise and use of the affected area, and to promptly contact their doctor about changing to a non-fluoroquinolone antimicrobial drug. Selection of a fluoroquinolone for the treatment or prevention of an infection should be limited to those conditions that are proven or strongly suspected to be caused by bacteria (Reference: MEDWATCH, 8th July 2008).

The Pihak Berkuasa Kawalan Dadah of the Ministry of Health Malaysia has agreed to issue the following information under "Special Warnings and Precaution for Use".

"The risk of developing fluoroquinolone-associated tendonitis and tendon rupture is further increased in people older than 60, in those taking corticosteroid drugs, and in kidney, heart and lung transplant recipients. Patients experiencing pain, swelling, inflammation of a tendon or tendon rupture should be advised to stop taking their fluoroquinolone medication (to specify the active ingredient) and to contact their health care professional promptly about changing their antimicrobial therapy. Patients should also avoid exercise and using the affected area at the first sign of tendon pain, swelling, or inflammation".



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