Page 191 - Hospital Authority Convention 2018

Corporate Scholarship Presentations
Corporate Scholarship Presentations

C1.1 Medical Advancement and Innovative Technology 10:45 Room 428

Endoscopic Ultrasonography – Advanced Pancreatico-biliary Fellowship in the United Kingdom
Tsang PKF
Department of Medicine and Geriatrics, Princess Margaret Hospital, Hong Kong
Endoscopic ultrasonography (EUS) is an established tool for the evaluation of gastrointestinal tract wall, pancreatico-biliary, HOSPITAL AUTHORITY CONVENTION 2018
mediastinal and para-aortic pathologies. It is also used in guiding tissue acquisition via fine needle biopsy or aspiration.
Interventional EUS is used for transluminal drainage of pseudocyst or abdominal fluid collection, providing access to bile
ducts or pancreatic duct and celiac plexus block and neurolysis in cancer patients. The demand for safe and high-quality
EUS for patient-centred care is growing substantially. Thus, the clinical application of EUS has expanded significantly over
the past decade. Furthermore, as more therapeutic procedures are done by EUS, a formal and structured training in high
volume centre is essential.

Under the Medical Training Initiative (MTI) scheme offered by the Royal College of Physicians (RCP), the author underwent
a six-months advanced pancreatico-biliary fellowship in the Freeman Hospital, Newcastle Upon Tyne, United Kingdom.
This is the only tertiary referral centre for all diagnostic and therapeutic EUS in North East England – the unit performs in
excess of 1,200 EUS annually and is one of the biggest units in the United Kingdom. The author acquired hands-on EUS
training under the guidance and direct supervision of experienced consultants in the centre. EUS was performed for EUS
guided tissue acquisition, acute or chronic pancreatitis, management of pancreatic pathology such as pancreatic cancer and
pancreatic cystic lesions, as well as biliary lesions such as biliary dilatation or stricture, CBD stones and cholangiocarcinoma.
Therapeutic procedures such as transluminal drainage of peripancreatic fluid collections and coeliac plexus block were also
done.

In order to maximise training experience and exposure, the author actively participated in clinical audits of EUS and ERCP
protocols, took part in research on EUS and ERCP topics, and presented the work in the 43rd Annual Meeting of the
Pancreatic Society of Great Britain and Ireland. All these activities have widely extended the author’s experience in the field.

With the availability of diagnostic and therapeutic EUS, better service quality can be provided. An alternative and safer way of
tissue acquisition rather than surgical or percutaneous means can be achieved.

C1.2 Medical Advancement and Innovative Technology 10:45 Room 428

Sterile Supply Services Training in Eastwood Park
Lee CK
Central Sterile Supplies Department, Pok Oi Hospital, Hong Kong

Sterile Supply Services (SSS) is a unique unit in a hospital. The aim of SSS is to support patient care by providing reusable
medical devices “fit for purpose”, processed by staff well trained in decontamination practices. It is essential that those items
required in a sterile condition have been decontaminated under properly controlled conditions by machines and systems.

To ensure SSS in the hospital, it is of paramount importance to address service quality. Due to the nature of service, it
cannot be easily measured. The sterility of the product cannot be assured by the change of color in autoclave tape. It shall be
assured by a bundle of practice like validation of machines, process control and assurance etc. Tuesday, 8 May 2018

Eastwood Park Training Center has a rich heritage offering specialist SSS management since 1969. The decontamination
and infection control courses reflect the latest British and European guidance and cater for delegates working in CSSD. Their
decontamination portfolio reflects the guidance applicable across all UK health authorities including British and European
requirements.

In order to build up clinical leaders’ capabilities in health promotion and illness management, and providing care delivery in
Hospital Authority’s priorities, four weeks of theory, practice and clinical visit were included in this overseas training covering
foundation and advanced knowledge and skills for CSSD development in the UK. Clinical visits were conducted for enriching
the training that included offsite and hospital CSSD, factory tour and accredited Laboratory.

The following learning objectives were achieved for further development in our SSS services.
Competency in decontamination management
Implementation of Quality Management Systeml Validation of decontamination equipment
l Quality service enhancement and project development

189