1. How to assess specialist in abroad
Kee-Hwan, Kim M.D. PhD.
Uijeongbu St. Mary’s Hospital
The Catholic University of Korea

2. Contents ANZ(Australia and New Zealand) China and Hong Kong Japan
Malaysia
Singapore

3. Australia and New Zealand Fellowship Training Program in HPB Surgery.
HPB Fellowship Training
Core Competencies
Technical expertise
Medical knowledge
Clinical decision making and judgment
Interpersonal and communication skills
Scholar and teacher
Professionalism
Leadership

4. Australia and New Zealand Fellowship Training Program in HPB Surgery.
Requirements
Selection into accredited HPB hospital positions
Completion of clinical rotations (two 12 month terms)
Fulfill curriculum requirements
Completion research requirements
Adequate research requirements
Adequate case load
Satisfactory assessment
examination

5. Australia and New Zealand Fellowship Training Program in HPB Surgery.
Selection Criteria
Successful completion of FRACS or equivalent Current medical registration
Curriculum vitae %
Interview %
Structured referees reports 40%
Curriculum
Module I Anatomy
Module II Patho-physiology
Module III Peri-operative Care
Subunit A General principles
Subunit B Radiology
Subunit C Oncology
Module IV Clinical
Subunit A Biliary Tract
Subunit B Pancreas Duodenum Spleen
Subunit C Liver
Module V Education and Research

6. Assessment Continuous assessment – supervisors reports
Log books – adequate caseload
Feedback interviews
Satisfactory completion research requirements
Written examination

7. HPB Surgery training in China & Hong Kong
Specialty/Subspecialty Training in Hong Kong
A subspecialty after General Surgery training
HPB subspecialty has not yet been recognized as a subspecialty qualification
Specialty/Subspecialty Training in China
Apprenticeship system
Single hospital based
No unified training/examination system for the whole country yet.

8. Training of HPB Surgeons in China
Still under discussion-subspecialty training

9. Training of HPB Surgeons in China
Discussion on Training Components in HPB Surgery
Modelling after the Western Countries
Major
Liver Surgery
Pancreas Surgery
Complex Biliary Surgery
Transplantation
Minor
HPB Laparoscopic Surgery
HPB Surgical oncology
HPB Endoscopic Surgery
HPB Interventional Surgery
HPB Research

10. HPB Surgery training in Japan
Aims of the Japanese society
: Educating and bringing forth surgeons capable of safely and reliably performing highly advanced surgery in HBP surgical field.
: Contribution to social welfare and enable further advances in HBP surgery.

11. Medical education and Training system in Japan

12. HPB Surgery training in Japan
Minimum Operative Requirements in Gastrointestinal Surgical Fellowship Curriculum
: 450 operations including following
Ex. Cholecystectomy, gastroenteroanastomosis, gastrectomy, colostomy, splenectomy, appendectomy.

13. HPB Surgery training in Japan
: Mandatory operations
3 esophagectomy*
10 distal gastrectomy
10 colectomy
3 partial hepatectomy
2 major hepatectomy*
3 pancreatoduodenectomy*
*assistance counted.

14. HPB Surgery training in Japan
Construction the system
Criteria of Board certifications in HBP surgery
Highly advanced surgical operations
Board-certified training institutes
30 highly advanced surgical operations a year
working board-certified instructors
Board-certified instructors
100 highly advanced surgical operations
Video investigation

15. HBP Surgery Training in Malaysia
Duration of Training
Local candidates: 3 years full-time including 6-12 months at a HPB Surgery Center overseas.
Foreign candidates:
6-24 months attachment
Need medical council registration
Self funding
Paid position available but tedious application process.

16. HBP Surgery Training in Malaysia
Format of Training
Full-time clinical apprenticeship with progressively increasing clinical responsibility.
Designed to enhance clinical & technical skills.
Trainee is taken through the various operative procedures of increasing complexity until he/she is able to undertake such procedures independently
Participation in all clinical, educational and research activities of the department.
Maintain a logbook of all activities; will serve as a basis for final evaluation on completion of the training.

17. HBP Surgery Training in Malaysia
Format of HPB Surgery Assessment
Continuing Assessment
Form the basis to assess the suitability of the candidate to appear for the exit assessment.
Exit Assessment comprises 7 modules.
Clinical Examination & Case Presentation
Clinco-Radiolgical examination.
Surgical Logbook
Scientific Dissertation
Critical Appraisal of Scientific Papers
Ethics & Professional conduct
Mortality review

18. HBP Surgery Training in Malaysia
Completion of Training
Formal exit assessment to ensure trainee has acquired the necessary level of knowledge & competence
Assessment done by an independent panel of examiners including at least 2 from overseas.
Successful completion of training & assessment will allow the candidate to be credentialed as a HPB Surgeon.
Credentialed candidates eligible to be listed on the National Specialist Register.

19. HPB Surgery training in Singapore

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