01 Jun 2003

Berita Akademi - June 2003

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The First WHO Global Conference on SARS
Report by PROF VICTOR LIM

The First WHO Global Conference on SARS was held in Kuala Lumpur from 17 to 18 June 2003. It had been only a hundred days since the WHO issued its first global alert on SARS but the wealth of information amassed over this relatively short period of time is truly impressive. The global pandemic which started in November 2002 in Guangdong, China has by the 16 June 2003 affected 8460 patients with 799 deaths. China, Hong Kong, Taiwan, Singapore and Canada were the worst affected countries. However, the worst seems to be over and the number of new cases around the world is rapidly declining. This apparently successful effort to contain the deadly infection is evidence of the amount that can be achieved when nations work collaboratively and share information.

It is now fairly certain that the aetiological agent of SARS is a hitherto undescribed corona virus. Prof Malik Pereis from Hong Kong isolated the virus in monkey kidney cell cultures and later showed that patients with SARS produced antibodies to the virus.

The disease is most likely to be transmitted via droplet secretions and close contact. There is not much evidence for the role of fomites even though studies have shown that the virus can remain viable for over 24 hours on inanimate surfaces. Survival on glass may be as long as 72 hours and in faeces up to 96 hours. Aerosol transmission is also unlikely.

The outbreak at the Amoy Gardens complex in Hong Kong appears to be an exception. After a very thorough investigation, the Hong Kong authorities came to the conclusion that the spread was unique and due to an unusual combination of factors. There was a breakdown of the sewage treatment plant in the complex and it appeared that contaminated sewage was drawn into the bathrooms in two blocks of apartments through the bath drains. This was possible because the bathrooms were small and fitted with powerful extractor fans thus creating a negative pressure inside the bathrooms. The U-traps which would normally have prevented such backflows were unfortunately dry during that crucial period because of an interruption in water supply.

Transmission occurs primarily in hospitals and health care workers were frequently affected. In Hong Kong and China, the proportion of health care workers among the affected was around 20% but in Singapore and Toronto, the proportion was nearly 40%. In one Hanoi hospital, the attack rate among doctors was 16%, among nurses 35% and among other staff 53%.

The role of animals is currently being investigated. In Guangzhou, there appeared to be some clustering of cases among animal handlers and in those who lived near markets. The virus has been found in some palm civets and a raccoon dog but it is still too early to ascribe them a reservoir role. Pigs and poultry do not appear to be associated with the virus.

The incubation period of the disease appeared fairly consistent with a maximum of 10 days. Clinically, it is a triphasic disease. The illness presents with systemic symptoms like fever, chills and rigors and rep resents the phase of viral replication. The second phase is one of immune response where raised cytokine levels can be demonstrated. The third phase is the phase of lung damage which is most likely the result of the immune response itself. The most common extrapulmonary manifestation is diarrhea which is watery and may be of sufficiently large volume to cause dehydration and electrolyte imbalance. About 40% of patients present with or gave a history of diarrhea in Hong Kong and the presence of diarrhea is often associated with more severe illness.

Lymphopaenia is a consistent blood finding. Both the T4 and T8 counts are reduced but the helper T cells appear not to be affected. Bleeding time and APTT are often raised and thrombocytopaenia is also a common finding. The liver function tests are abnormal in about 50% of patients. The mortality rate appears to vary between 6% to 15% and the reason for this is still unknown. However, the elderly, males and the presence of co-morbidities are associated with increased mortality.

Laboratory diagnosis is still in its infancy and there is no standardisation of tests. Viral shedding in respiratory secretions and stools may occur in the first week of disease and the virus may be cultured or detected using PCR. Viral culture has a low sensitivity. PCR appears specific but is also relatively insensitive. Seroconversions begins after 10 days but patients may be antibody negative for up to a month. Antibodies may be detected using immunofluorescence (IF) or ELISA. IF may be positive after Day 10 but ELISA is only positive after Day 20. Currently, negative laboratory results have no significance in terms of clinical management.

There is as yet no definitive treatment for SARS. Antibiotics are ineffective. The effectiveness of ribavirin is unproven. Lopinavir has shown some good in-intro activity. Even the use of steroids is controversial. Good supportive care appears to be the mainstay of treatment currently. The roles of immune serum, immunomodulators and antithrombotic agents require further study.

There is currently no vaccine. Prevention of nosocomial transmission rests in good standard infection control measures. Droplet and contact precautions are the primary preventive measures. In a case-control study conducted by Dr W H Seto in Hong Kong on transmission among health care workers, the only significant protective factor was the use of masks. Surgical masks appeared to be as effective as N95 masks but paper masks are useless. High risk procedures include difficult intubation, extensive bagging, gross contamination, intubation in general wards and the use of high flow oxygen (15 L/minute).

Although much has been learnt, there are still many more unanswered questions. As Dr Shigeru Omi (Director of the WHO Western Pacific Region) said, this is just the end of the beginning of SARS. Although the pandemic seems to be coming under control, the fight continues. We require stronger surveillance, more transparent information sharing and action at local, national and international levels. The keyword is preparedness, and hopefully should SARS return, more nations will be in a better position to meet the challenge.

ANNOUNCEMENT
The Chapter of Pathologists, Academy of Medicine, Singapore, is organizing a Diagnostic Cytopathology Workshop from 11 to 13 June 2004 at the National University of Singapore. The registration fee (S$300) of one junior cytopathologist (<35 years of age) will be waived. Anyone who is interested to take up this offer is requested to write in to the Hon Secretary, College of Pathologists, Academy of Medicine of Malaysia, c/o Department of Pathology, Faculty of Medicine, University of Malaya, 50603 Kuala Lumpur as soon as possible.


37th Malaysian-Singapore Congress of Medicine

4 to 7 September 2003
Hotel Istana Kuala Lumpur, Malaysia

15th TUN DR ISMAIL ORATION 4th TUN HUSSEIN ONN LECTURE YOUNG INVESTIGATOR’S AWARD

PLENARY SESSIONS • Cancer Control in the 21st Century • Cancer Registry • Overview of the Treatment of Non-Hodgkin’s Lymphoma

PRE-CONGRESS WORKSHOPS • Cytotoxic Reconstitution • Sexuality, Ageing and Cancer • Cancer Pain

SYMPOSIUM SESSIONS NATIONAL CPGs / CONSENSUS WORKSHOPS • PUBLIC FORUM • Cancer Can Be Cured

DEBATE • Alternative & Complementary Medicine has a Significant Role in the Cure and Palliation of Cancer theme: Cancer

Organised in collaboration with

 


Forthcoming Events


19 - 20 July 2003 (Saturday – Sunday)
6th MTS ANNUAL SCIENTIFIC MEETING & ANNUAL GENERAL MEETING
Organiser: Malaysian Thoracic Society
Venue: The Regency Hotel & Resort, Port Dickson
Negeri Sembil an, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

25 – 27 July 2003 (Friday – Sunday) - postponed from 25 – 27 April 2003
4th MALAYSIAN CONGRESS ON MENOPAUSE
"Reaching New Heights With Menopause"
Organiser: Malaysian Menopause Society
Venue: Nikko Hotel, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: Malaysian Menopause Society
Department of Obstetrics & Gynaecology
Hospital Universiti Kebangsaan Malaysia
Jalan Tenteram, Bandar Tun Razak, Cheras
56000 Kuala Lumpur
Tel: +603 9170 2293, 9170 2294

07 – 10 August 2003 (Thursday – Sunday)
5th ANNUAL SCIENTIFIC MEETING OF THE ASIA-PACIFIC ARTHROPLASTY SOCIETY
"Revision Arthroplasty – Road Travelled And Lessons Learned"
Organiser: Malaysian Orthopaedic Association
Venue: Shangri-La Hotel, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.apas2003.org

18 – 29 August 2003 (Monday – Friday)
FIFTH ADVANCED ASIAN COURSE INTROPICAL EPIDEMIOLOGY
Organiser: Institute for Medical Research
Venue: Institute for Medical Research, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: Epidemiology & Biostatistics Unit
Institute for Medical Research
Jalan Pahang
50588 Kuala Lumpur
Tel: +603 4040 2315
Fax: +603 2692 6492
Email: amir@imr.gov.my

24 August 2003 (Sunday)
INTER-ACADEMY GOLF TOURNAMENT
Organiser: Academy of Medicine of Malaysia
Venue: Melaka, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

28 – 31 August 2003 (Thursday – Sunday)
GUT 2003 – ANNUAL SCIENTIFIC MEETING OF MSGH
Organiser: Malaysian Society of Gastroenterology & Hepatology
Venue: Crowne Plaza Riverside Kuching, Sarawak, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.msgh.org.my

Dates to be confirmed
INTERNATIONAL CONFERENCE ON TRADITIONAL AND COMPLEMENTARY MEDICINE
Organiser: Institute for Medical Research
Venue: (To be announced)
Secretariat: Institute for Medical Research
Jalan Pahang
50588 Kuala Lumpur
Tel: +603 2698 6033
Fax: +603 2693 9335

04 – 07 September 2003 (Thursday – Sunday)
37th MALAYSIA-SINGAPORE CONGRESS OF MEDICINE
"Cancer"
Organiser: Academy of Medicine of Malaysia
Venue: Hotel Istana, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.acadmed.org.my

10 – 13 September 2003 (Wednesday – Saturday)
6th ASIA PACIFIC CONGRESS OF ENDOSCOPIC SURGERY
"Minimum But Optimum"
Organiser: College of Surgeons, AMM & Department of Surgery, HUKM
Venue: Shangri-La Hotel, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.ELSA2003.org

11 – 14 September 2003 (Thursday – Sunday) - postponed from 24 – 27 April 2003
NATIONAL SPORTS MEDICINE SYMPOSIUM 2003
Organiser: Malaysian Orthopaedic Association
Venue: Syuen Hotel Ipoh, Perak, Malaysia
Secretariat: Pfizer (M) Sdn Bhd & Pharmacia Malaysia
National Sports Medicine Symposium 2003
Ortho Clinic, Hospital Ipoh
30990 Ipoh, Perak
Tel: +605 522 2929
Fax: +605 241 2826
Email: sportsmed@pfizer.com
Website: http://www.geocities.com/sportsmed2003

14 – 16 September 2003 (Sunday – Tuesday)
5th SCIENTIFIC MEETING OF THE NATIONAL INSTITUTES OF HEALTH
"Confronting Health Crisis: The Role Of Research"
Organiser: Institute of Public Health, MOH
College of Physicians, Academy of Medicine of Malaysia
Venue: (To be announced)
Secretariat: Institute of Public Health
Ministry of Health Malaysia
Jalan Bangsar
50590 Kuala Lumpur
Tel: +603 2282 1333
Fax: +603 2282 3114
Email: secretariat@acadmed.my

02 – 05 October 2003 (Thursday – Sunday)
23rd ASEAN ORTHOPAEDIC ASSOCIATION CONGRESS
"Recent Advances In Orthopaedics"
Organiser: Malaysian Orthopaedic Association
Venue: Sutera Harbour Resort & Spa, Kota Kinabalu, Sabah, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.moa-home.com

12 October 2003 (Sunday)
NATIONAL ETHICS SEMINAR 2003
Organiser: Academy of Medicine of Malaysia & Ministry of Health Malaysia
Venue: Auditorium, Institute of Health Management, Bangsar
Kuala Lumpur, Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

16 – 19 October 2003 (Thursday – Sunday)
CPD SYMPOSIUM: 2nd PRACTICAL DIABETES FOR PRIMARY CARE PHYSICIANS
Organiser: National Diabetes Institute
Venue: Sunway Piramid Convention Centre, Petaling Jaya
Selangor, Malaysia
Secretariat: National Diabetes Institute (NADI)
1-19 1st Floor Sesama Centre
Plaza Komanwel, Bukit Jalil
57000 Kuala Lumpur
Tel: +603 8656 1677, 8656 1678
Fax: +603 8656 1679

17 – 19 October 2003 (Friday – Sunday) - postponed from 25 – 27 April 2003
NATIONAL CONFERENCE ON INTENSIVE CARE
Organiser: Critical Care Medicine Section, Malaysian Society of Anaesthesiologists
Venue: The Legend Hotel, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: Critical Care Medicine Section
Malaysian Society of Anaesthesiologists
19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

28 – 29 November 2003 (Friday – Saturday)
80th ALUMNI REUNION OF KIY EDWARD VII COLLEGE OF MEDICINE
Organiser: Alumni Associate
Venue: Putrajaya Mamot, Putrajaya
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

01 – 04 December 2003 (Monday – Thursday) - postponed from 17 – 20 JULY 2003
8TH ASIAN PACIFIC SOCIETY OF RESPIROLOGY CONGRESS
"An Evidence-Based Approach To Management Of Respiratory Diseases In The Asian Pacific Region"
Organiser: Malaysian Thoracic Society
Venue: Sunway Lagoon Resort Hotel, Petaling Jaya, Selangor, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.my-mts.org

04 – 06 December 2003 (Thursday – Saturday) - postponed from 22 – 25 JUNE 2003
14th BIENNIAL CONGRESS OF ASIAN SURGICAL ASSOCIATION
(Held in conjunction with the Annual Scientific Meeting of the College of Surgeons, Academy of Medicine of Malaysia)
Organiser: College of Surgeons, Academy of Medicine of Malaysia
Venue: Kota Kinabalu, Sabah, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

13 – 14 December 2003 (Saturday – Sunday) - postponed from 31 MAY – 1 JUNE 2003
1st MALAYSIAN INTERNATIONAL SYMPOSIUM ON RESPIRATORY CARE
Organiser: Critical Care Medicine Section, Malaysian Society of Anaesthesiologists
Venue: The Legend Hotel, Kuala Lumpur, Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

15 – 18 December 2003 (Monday – Thurs d ay )
2n d ASIAN REGIONAL HEALTH TECHNOLOGY ASSESSMENT CONFERENCE
"Strengthening Health Technology Assessment Through Linkages"
Organiser: Ministry of Health & Malaysian Society of Health Technology Assessment
Venue: Dynasty Hotel , Kuala Lumpur, Wilayah Persekutuan, Malaysia
Secretariat: ARHTAC Secretariat
Health Technology Assessment Unit
Medical Development Division
Ministry of Health Malaysia
Level 21, PERKIM Building, Jalan Ipoh
51200 Kuala Lumpur
Tel: +603 4045 7639 / 7670 / 7724 / 7448 / 7801 / 7013
Fax: +603 4045 7740
Email: htamalaysia@hotmail.com or sivalal@hotmail.com

18 – 21 December 2003 (Thursday – Sunday)
12th MALAYSIAN UROLOGICAL CONFERENCE
"Challenges And Alternatives In Urology"
Organiser: Malaysian Urological Association
Venue: Berjaya Langkawi Beach & Spa Resort, Pulau Langkawi, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

22 – 26 February 2004 (Sunday – Thursday)
10th ASIA-OCEANIA ORL-HNS CONGRESS
"Otorhinolaryngolog y: Global Impact And Challenges"
Organiser: Malaysian Society of Otorhinolaryngolog y, Head and Neck Surgeons
Venue: Shangri-La Hotel, Kuala Lumpur, Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my
Website: http://www.asia-oceania2003kl.org

05 – 07 March 2004 (Friday – Sunday)
4th ASIAN & OCEANIC CONGRESS OF ANDROLOGY
Organiser: Malaysian Society of Andrology & Study of the Aging Male
Venue : Penang, Malaysia
Secretariat: Dr Hin-Wai Yap, Organising Chairman
c/o MediTech Media (M) Sdn Bhd
Plaza 138, W6.08
Jalan Ampang
50450 Kuala Lumpur
Tel: +603 2162 9098
Fax: +603 2162 9078
Email: 4aoca@meditech.com.my

02 – 04 April 2004 (Friday – Sunday)
2nd PENSMA BIENNIAL SCIENTIFIC MEETING
"Vital Issues In Clinical Nutrition"
Organiser: The Parenteral & Enteral Nutrition Society of Malaysia
Venue : Penang, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

08 – 11 April 2004 (Thursday – Sunday)
13th ANNUAL CONGRESS OF INTERNATIONAL SOCIETY FOR GYNAECOLOGIC ENDOSCOPY
Organiser: Obstetrical and Gynaecological Society of Malaysia
Venue : Shangri-La Hotel, Kuala Lumpur, Wilayah Persekutuan, Malaysia
Secretariat: O & G Society of Malaysia
Suite C-07-02 Plaza Mont’ Kiara
No 2 Jalan Mont’ Kiara
50480 Kuala Lumpur
Tel: +603 6201 3009
Fax: +603 6201 7009
Email: ogsm@po.jaring.my

14 – 18 April 2004 (Wednesday – Sunday)
13th CONGRESS OF THE FEDERATION OF ASIA AND OCEANIA PERINATAL SOCIETIES
Organiser: Federation of Asia and Oceania Perinatal Societies (FAOPS)
Venue : Sunway Lagoon Resort Hotel, Petaling Jaya
Selango r, Malaysia
Secretariat: Abbott Laboratories (M) Sdn Bhd
22 Jalan U1/15, Seksyen U1
HICOM-Glenmarie Industrial Park
40150 Shah Alam
Selangor
Tel: +603 5569 3388
Fax: +603 5569 3399

05 – 09 September 2004 (Sunday – Thursday)
14th TRIENNIAL CONGRESS OF ASIA PACIFIC ORTHOPAEDIC ASSOCIATION
Organiser: Asia Pacific Orthopaedic Association
Venue : Shangri-La Hotel, Kuala Lumpur
Wilayah Persekutuan, Malaysia
Secretariat: 19 Jalan Folly Barat
50480 Kuala Lumpur
Tel: +603 2093 0100, 2093 0200
Fax: +603 2093 0900
Email: secretariat@acadmed.my

 

HONG KONG ACADEMY OF MEDICINE 10th Anniversary Congress HONG KONG ACADEMY OF MEDICINE

The Hong Kong Academy of Medicine (HKAM) is celebrating its 10th Anniversary from 28 to 30 November 2003 at the Jockey Club Academy Building, Hong Kong. The theme of the Congress is "New Challenges in Healthcare". The Academy of Medicine of Malaysia and the Academy of Medicine, Singapore have been dedicated a scientific session slot on 29 November 2003 from 1030 to 1230 hrs.

Each presentation will be for 25 minutes with 5 minutes for discussion. The HKAM will provide accommodation at the Academy guest house from 27 to 1 December 2003 and complimentary registration for the nominated speakers. Members who are interested in representing the Academy of Medicine of Malaysia and to give presentations are requested to contact the Ac a d e my Secretariat (Tel: 603 2093 0100, 2093 0200) by 30 July 2003.

 


 

Royal Australasian College of Physicians Annual Scientific Meeting
- Hobart, Tasmania, Australia

 Report by: DATO’ DR MRS S T KEW (26 – 28 May 2003)

I have attended previous RACP Annual Scientific Meetings held in other locations in Australia and New Zealand (Canberra, Adelaide, Perth, and Auckland). This is the first time that I attended in the capacity as the Master of the Academy of Medicine of Malaysia.

This meeting has a general format of previous scientific meetings of RACP. There are parallel programmes of the Adult Medicine Division, Paediatrics & Child Health Division, Faculty of Occupation of Medicine and Faculty of Public Health Medicine. A common programme called the “Skills Day” was introduced this year. This took place on the first day of the meeting. Topics of common interest, cutting across boundaries of specialties and subspecialties, were presented. Amongst them were “Inspiring Women in Medicine”, “Greenaway Memorial Lecture: Immune System in Viral Infection” by an Australian Nobel Prize laureate, “Communication and Litigation”, “Medical Indemnity”, “Managing the Media”, “Electronic Library Searching”, “Handheld Devices in Medicine”, “The Benefits of Electronic Medical Record Keeping”, “Who Is Paying For That Free Lunch – The Management of Conflict of Interest in Clinical Practice and Research”, etc.

The highlight of the Annual Scientific Meeting was the College Ceremony. This was the official event where key College office bearers, invited Presidents, and HE the Honorable Sir Guy Green, Governor of Tasmania, formed the processional party. The main event was the presentation of Fellowship FRACP to candidates who successfully completed their 6 years’ training. Medals were also presented to those who excelled in the exams, and Fellows who distinguished themselves in their profession or in serving the College. Honorary Fellowships were conferred on invited Presidents, distinguished speakers, and Fellows who had contributed significantly to the Faculty or Chapter of RAC P. This Ceremony also saw the admission of foundation fellows of the Australasian Chapter of Addiction Medicine to the RACP. HE Sir Guy Green delivered the Arthur E Mills Memorial Oration.

The RACP President, Dr Robin Mortimer, hosted a special breakfast session on Tuesday, 27 May, for the invited Presidents with key College office bearers. The theme was one of sharing and discussion of issues of concern. It was an informal session; every invited President was asked to speak on two to three issues of concern. As anticipated, several of these issues were common to both the Western as well as the developing countries. Amongst them were the shortage of doctors (even in Australia US and Canada!), maldistribution (geographical and specialties), the urgent need of general physicians, training (undergraduate and postgraduate), provision of health care (primary, community care versus specialist care), remuneration in public service versus private practice, etc. There was a great deal of interest when I shared the imposition of “compulsory service” as the Malaysian solution to shortage and maldistribution of doctors.

“The future of the College” is a session that is well worth emulating. I was impressed by the format, including the range of speakers and responders. Amongst other things, this session drew wider participation of Fellows in planning and moving the College ahead.

Mrs Iris Mortimer, wife of the RACP President, organised a day tour to the Huon Valley on Tuesday, 27 May 2003. This took place immediately after the breakfast session hosted by the President.

RACP is a very large and complex organisation, with two divisions, three faculties and two chapters. Total membership was in excess of 7,000. Training, certification, maintenance of professional standard, provision of CME form the core business of RACP. Besides, the College also plays an important and significant role in health care policy (RACP has a Health Policy Unit) and in addressing professional and practice issues (eg RACP has a successful Clinical Systems Support Project with quality and standards in clinical practice as its main focus).

It was a very fruitful meeting for me in various ways. It is important for the Academy of Medicine of Malaysia to strengthen ties and maintain close links with sister Academies and Colleges around the world. It is also a wonderful opportunity to see the organisation of RAC P, the way Annual Scientific Meeting and the College Ceremony were conducted, and learn in areas where RACP has excelled in (training, certification, CME, health care policy, professional and practice issues).

 


 

Office Bearers

College of Anaesthesiologists, AMM Council 2003 / 2004

President Prof Ramani Vijayan
Deputy President Prof Chan Yoo Kuen
Hon Secretary Assoc Prof Lim Thiam Aun
Hon Treasurer Dr Nirumal Kumar
Council Members Dr Tan It
Dr Khoo Teik Hooi
Dr Joseph Manavalan
Dr Ng Kwee Peng


College of Paediatrics, AMM Council 2003 / 2004

President Prof Boo Nem Yun
Vice President Prof Asma Omar
Hon Secretary Assoc Prof Thong Meow Keong
Hon Treasurer Assoc Prof Lee Way Seah
Council Members Prof Zulkifli Ismail
Dr Wong Swee Lan
Dr Kuan Geok Lan
Coopted Member Dr Winston Yong Sin Chuen