CUHK Series:An Introduction to Chinese Medicine(Chinese Edition)

Specifically, the transcript was read by one investigator VC and possible broad themes were identified under the framework of the semi-structured question guide [ 27 ]. If these emergent themes occurred repeatedly across and within focus groups, they were noted as recurrent themes.

Meanwhile, another investigator ML read all the transcripts and generated emergent and recurrent themes independently. Subsequently, the two investigators reached consensus upon emergent themes, then continued to examine the transcripts for connections among these recurrent themes with other investigators via presentation of preliminary results. Groups of related recurrent themes were then organized under a main construct. Interpretations of the themes were illustrated by extracts from the transcripts.

As new entrants to the profession, graduates commented that there is a lack of career development opportunities in TCM, private or public sectors alike. They were particularly concerned about the lack of commitment from the government in providing employment opportunities. Graduates admitted that they had low professional esteem due to their lack of competitiveness, especially when compared to the prospects of other western medicine colleagues:.

Our low salary is a good indicator. That increment is higher than my current salary I am doing this high risk professional job of patient care too They thought that the lack of sign-posted career pathway had limited their further professional development. In the private sector, more experienced and established TCM practitioners have no incentive in offering mentorship, while public sector training posts are very limited and short in duration:.

Some graduates had aspirations to pioneer local TCM development but meanwhile, hardship and loneliness on this "less traveled" path was anticipated. They were unsure about the professional cohesion amongst the younger generation, and ultimately the possibility of attaining such goals:. Improving the overall professional status is the responsibility of the younger graduates, but I am not sure if we are united enough" FG2.

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Other graduates did not share the same enthusiasm and were considering a change in career, if there is no foreseeable improvement in the near future. A few of them had started to pursue formal degrees in other fields, and others expressed interest in practicing overseas:. It's a pain to gave it TCM up but I will only allocate a certain period of time to it If there's an opportunity I will just leave TCM and do business.

Most graduates agreed that PGT is an essential educational process which should facilitate their transition from a supervised intern to an independent practitioner. Such competency escalation should lay a foundation for the acquisition of more advanced skills, and eventually the attainment of specialist qualification.

Some graduates pointed out that a formal career management system for graduates is long over due and there is an urgent need to link personal career development and training:. Well, I may be named as an "advanced specialist" TCM practitioner in 10 years but so what? If I were teaching by then I will be also wasting the future generation's time. We need this linked pathway immediately.

It is kind of late now. It was also recommended that the outcome of PGT should be formally assessed by examinations, which would ensure wider recognition by both the TCM profession and the public. Preferably, completion of basic training should be regarded as the first step in initiating specialist development, and possibly be linked with revalidation of practice license. The pursuit of training and specialist education was seen as a way of "coping with the system", which will potentially place TCM practitioners on a more level playing field with western doctors:. Specialist training for TCM I think this will help TCM practitioners fitting in this western medicine dominated healthcare system You will need some specialist knowledge Almost all discussants did not find the current compulsory CME program useful in improving their capacity in solving day to day clinical problems.

Graduates expressed the view that CME system's didactic learning style and repetition of undergraduate materials were more suitable for TCM practitioners without tertiary education:. I have finished my Bachelor in Chinese Medicine courses and I am very familiar with all this stuff, but this may be useful for those who were not trained in tertiary institutions. I guess this has to do with the quality monitoring by the government. Would this negatively affect our professional image? Those who received employer provided training raised concerns about the program's supervision style and structure.

Trainees said that the quality of TCM apprenticeship varies significantly from mentor to mentor, and questioned whether formal guidance on clinical teaching is in place. When their learning experiences in TCM and western medicine departments were contrasted, the generally positive experience in the latter has made TCM graduates feeling dubious about whether the TCM mentors were adequately incentivised to teach:.

I think we have become passive learners under such situations. Sometimes you are learning, but later you may be assigned to do the clerical work of making appointments, or just removing acupuncture needles from the patients. There is no formal structure in supervision, no rules to follow. Mentors knew that we need to get trained and were eager to explain in details. But TCM mentorship is the opposite as we are treated like an assistant. They do not recognize their role as a clinical mentor. Most graduates would prefer a system of practice based training with feedback on their performance from experienced TCM practitioners.

They felt that an active learning style would readily expose their weaknesses and thus allow their accelerated improvement. This will help us to understand my performance, and gives opportunities for seniors to comment on our work, letting us to get to know our weakness and so we can work on it. We do not want to just sit here and listen. Graduates expected PGT to be an extension of undergraduate learning regardless of its CME or employer provided nature. There was agreement that their needs would best be met by a competency based training syllabus designed to advance trainees' clinical skills progressively in different areas.

They expressed their preference for an explicit assessment of the training, with completion of each stage of training linked with staff grade promotion, and eventually attaining a specialist qualification:. In practical terms, this means that there should be structures which guide us in mastering the clinical management of certain conditions. Say in the first two years will be a foundation with broad coverage, then in the next two years we can choose to specialize.

The option of having a single official accreditation body to monitor the quality of all TCM PGT in the future is supported by most of the gradates. This body would preferably be backed up by academia, and be responsible in granting quotable postgraduate qualification for TCM practitioners in a similar system to that for western medicine training in Hong Kong. Lack of communication channels for voicing views on training issues was also a problem and greater involvement in the design and evaluation of the training program in the future was an option worth exploring.

So we need a similar organization under the CMCHK, or an independent one, to perform central accreditation and quality assurance. We have to get our voice heard. This is a priority. When graduates were invited to list areas beyond TCM in which they would find it useful to be trained, most of them named western medicine. They felt that most of their undergraduate western clinical training was in mainland China and they needed to understand the local medical practice better. More importantly, they regarded this as one way to gain recognition in the western dominated Hong Kong healthcare system:.

I believe that this will suit our needs I think this is my major concern. Training on western medicine or integrative medicine is just indispensable for modern, young TCM practitioners like us.

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Western medicine knowledge is very important for us to get accepted in the mainstream healthcare system. The "acceptance" described refers to the facilitation of communication with and referral to western doctors brought about by increased knowledge of western medicine. The desire for more knowledge of western medicine also signifies an attempt to start dialogue with western colleagues, which is expected to foster mutual understanding.

The desire to learn western medicine is more than just to gain acceptance. It can also be interpreted as a step in laying the foundations for cooperation and practice of integrative medicine in the future. We cannot do everything ourselves. I felt that the atmosphere was very friendly and we were trying to know more about each other, getting a clearer concept on what others were doing.

Meeting patients' expectations or demands in day to day clinical practice was another reason cited for the need of further western medicine training. Some graduates mentioned that explaining disease in terms understandable by patients, and informing them on possible treatment options in western medicine should be an integral part of quality TCM training and care. In order to facilitate appropriate referral to or improve cooperation with western doctors, they felt the need to deepen their knowledge in western diagnostic techniques.

They expect that further western medicine training would make their ordering of diagnostic tests accepted by medical technologists and other allied healthcare professionals. Patients like to bring along their lab reports and radiological films for you to look at, they don't care whether you are Chinese or western medicine practitioner, they just ask for your comments as long as they trust you..

Patients demand, or expect us to give them a reasonable answer. When I have to do this task I feel that my knowledge learnt in the undergraduate years is far from sufficient. The common subject of interest of all healthcares is patient. I wish my patients will receive the best treatments, but if you are not familiar with western treatment options or you just don't know what the western doctors are doing How will you recommend the best treatment options to the patients?

As general practitioners, graduates expect themselves to be equipped with a broad skill set to provide primary care to patients with different needs. The comprehensive nature of such skill is described as the hallmark of holistic CM practice, and some graduates proposed that substantial experience in general practice should be a prerequisite for specialist training in the future. However, they find it difficult to translate this holistic philosophy into everyday practice, as they find themselves isolated from the rest of the primary care team.

Some graduates gave examples of how the current lack of referral mechanisms between TCM practitioners and other healthcare and social service professionals hindered comprehensive patient care. They expected that training in family medicine would empower them to take up a stronger gate-keeping role in primary care:. One may be particularly good at treating some diseases We should try our best to meet patients' various needs.

For example if a patient gets services provided by support group then this will help. Or some need to get social security, and some need to get disability allowances. These are real issues but we have no way to find out how we can refer. A particular competency area that raised interest amongst many graduates was doctor-patient communication.

It was thought to be an essential skill for gaining trust from the patients, and thus cultivating a continuing, cooperative doctor-patient relationship. They felt that there was a lack of undergraduate education in the training of communication skills and were eager to fill in this knowledge gap:. There is something special about patients' psychology This is not so simple Thank you You are on the list. Most Popular Viewed 1. Video shows shocking racist assault on Asian woman in New York subway.

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US to help get Canadian detainees freed amid Huawei row, Pompeo says. China agrees to lower import tariff on US cars for three months. Promotions Register for a free copy of Home Essentials now. You may also like. Leisure and Cultural Services Department. How outdoor furniture can make patio life a breeze 9 Dec - Why hairy crab is all the craze in China Oct 18th , 4: Balance Trump, cosy up to China, Koreas: We have hosted various large-scale art and cultural events on campus, and we are excited about introducing this Summer Programme, which has invited renowned Chinese artists to come to Hong Kong to promote the beauty of Chinese art and culture to hundreds of foreign students through lectures and performances.

We look forward to organizing more art and cultural activities for students abroad and promoting understanding and appreciation of Chinese culture around the world. Every year since , CUHK has been organizing the International Summer School with a view to bringing hundreds of young achievers from different cultures to learn and grow together in this amazing city of Hong Kong.

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The School also offers Chinese language in Putonghua and Cantonese, allowing students to better understand the Chinese culture through language. The Summer School draws on expert international and local faculties to impart academic knowledge to students and, at the same time, encourages the exchange of ideas between students from different cultural backgrounds. An equally consequential component of the success of the International Summer School is the immersion and cultural programmes which provide opportunities for students to experience the local culture.

The wide range of cultural field trips exploring diverse corners of Hong Kong, together with cultural immersion activities exploring local scenes, will no doubt enable students to gain a better understanding of Hong Kong and traditional Chinese culture on all fronts. Annual international student enrolment numbers have multiplied from a mere 19 to , with a total enrolment of over 6, students over the years. Academic offerings have increased from a handful to some 20 courses. Leung this year, the Summer School students will not be short of opportunity to understand and appreciation Chinese arts and culture.

The unique experience of enjoying such a wide array of traditional Chinese culture and arts in a summer programme is second to none. For more photos, please visit: The opening ceremony was held at the Yasumoto International Academic Park.