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回復 阿飯 的帖子
Thank you for your detailed response. I do have the following comments arising therefrom:
Back to the points you raised, they are all reasonable but if money is the primary concern here, I suppose the entire thread would have been a pointless exercise of discussing moot points. Overseas education is expensive, this is a universally known fact. The question is whether it's worth it or not. [HK$3.5 to 4.0 million is not a small sum. Even if you work very hard, it needs more than 10 years to accumulate that amount of money (net of your family expenses].
If one is really passionate about medicine it doesn't matter where he/she ends up practising - the satisfaction should be the same regardless. Afterall the Hippocratic Oath obliges one to transcend the issues of creed, breed and race. [The Hippocratic Oath is an ideal one. In reality, one has to balance the work satisfaction against the working environment, the renumeration and the prospect of advancement.]
Taking the licentiate exam is a matter of choice - if my child finds it rewarding practising in an overseas country I would certainly support his decision. Coming back to HK may not be in his best interest in the long run for I personally feel that HK is becoming a bad place for living, let alone raising a family - politically it is depressing, economically it is stifling, culturally it is rotting, morally it is bankrupting, environmentally it is fast degrading. The only " saving grace" if you still call it is the reputation as a major financial hub where money is still generated, albeit one thrives solely on speculations nowadays. With a brutal repressive regime up north trying to impose its whims via its installed puppets ignoring the well-being and wishes of the people here, who largely are an ignorant mass save a few, whose primary concern does not go beyond immediate gains or money, I fear for the worst to come. [Personally I also support my kids' decision as to their choice of permanent residency. The problems you mentioned are not faced by your kids or mine. They are faced by 7 million of Hong Kong people. If they choose to reside and practise here to follow their dreams of serving others, the problems you mentioned should not deter them from doing so, After all, it is a personal choice of immigration or not.]
Not everyone could become high-flier in his or her profession - and this simple observation also applies to the HK medical arena - here on our own turf only a handful of HKU or CU graduates could join the big teaching hospitals and work in a professorial unit for training. This is the harsh reality of competition and is the same everywhere.[It is well known that it is very competitive to gain any training post of your choice. However, I am sure that over 90% of the graduates would not compete for scientific research or academic route.]
If a doctor really respects his work, I am sure he or she would still derive much satisfaction even working in a lesser hospital of importance, be it Tuen Mun hospital or a district general hospital in the UK. [Agreed.]
Depressing thing is more and more experienced doctors are leaving the system as soon as they can to join the gold-diggers in the private sectors and sooner or later the training system will be in tatters. [I think the market force would have an important part to play. If the economy is not good, I am sure that many experienced doctors would choose to stay in the public sectors One cannot complain that the experienced doctors should stay in the public sector if they have choices. So long as our training system could provide sufficient doctors of similar levels of skills, the exodus of experienced doctors may not be a big problem.]
The fact that the basic medical qualifications from either HKU or CU are still recognized by the UK and most Commonwealth countries is no place for complacency - and anyway, [It is not a matter of complacency. It is a matter to reflect the standard of our basic medical education.]
it is a British legacy in the first place of setting up a trustworthy and reputable assessment system here through largely the hard work of Prof McFadzean and Prof Todd both of HKU in the 70 and 80s who convinced the Royal College in the UK to finally delegate power locally to conduct the examinations and award professional qualifications. It is a hard-won privilege and the esteem and honour associated with such trust should be cherished, not tarnished - but with the dean and the chief of staff in the department of surgery both fallen from grace because of greed lately, and fraudulent practices downplayed I sense something rotting there - especially discomforting when the supposedly stalwart of morality and integrity behaved otherwise. It seems that as a race we Chinese corrupts rapidly in the face of money and power. [The scandals should affect the reputation of HKU's medical school, no doubt.
All medical schools across any former British colonies are very much similar in their curriculua, be it NSU in Singapore, University of Auckland in NZ, etc. The crux is how and who deliver them - largely science-based, beside studying various subjects in great depth the pre-clinical course at Cambridge also equips its students at a very early stage the know-how to engage in lab work with numerous practical sessions as well as the capability for critical thinking, a merit from its unique supervision system, often conducted by world-class leaders in their respective fields. Such skills and mindset would prove essential in their third year when they would join a research team to engage in projects of their own choosing across a diverse range of subjects - even not necessarily related to medical sciences, for instance, one could even choose philosophy, computer science, management science etc. One's initiative is the beginning of endless possibilities and at Cambridge all one needs to do is to ask. Unearthing one's real potential is what makes Cambridge great. Furthermore, there is also the possibility to participate in a 1 year exchange program with MIT to get the most out of two great institutions on both sides of the Atlantic - where else would you find such stress on scientific research, original ideas combined with such flexibilities and possibilities as an undergraduate in a professional course ?[Certainly Cambridge would provide a good foundation to the medical students if they pursue the academic or scientific research after their basic medical education. The question is how many Cambridge medical graduates choose the academic and scientific research route? If one chooses to take the scientific research or academic route in Hong Kong, HKU also provides a 8-years PhD/MBBS program to him. After he completes the pre-clinical education, he would proceed with PhD course, doing scientifc researches. He will also have the chance of attending USA leading universities to do the researeches as well.]
Just for your information, the original Human Genome Project was over almost 10 years ago - a project made possible by contributions from Cambridge firstly for the technological break through in sequencing technique and subsequently demonstration of the feasibility of analyzing the entire genome of an organism - both of which resulted in 2 Nobel Prizes for Cambridge. The on-going one you mentioned is a spin-off from the original one for detailed analysis and is a collaboration project amongst many universities across the globe which have the facilities in store for analysis. Participation is therefore more of a measure of hardware facilities, not technological or scientific breakthrough.[Thank you for the information. Anyway it reflects HKU's medical school is still amongst the top medical schools in the world. I could not recall its ranking exactly, but I believe that it is around 30 in QS ranking. For your information, HKU's chemistry department is ranked 9 amongst the world. This shows that HKU's chemical scientifc researches are as good as the leading universities in the world. The Chemistry Department has run a number of medical researches collaboratively with the medical school of HKU.
If you read about transplantation - you will also see Cambridge together with Pittsburgh are really what made the practices as we take for granted nowadays possible. Multi-visceral transplant is nothing new - the world's first combined liver, heart and lung transplant was performed at Cambridge about 25 years ago and the world's first successful combined stomach, intestine, pancreas, liver and kidney transplant also happened there 18 years ago. Our transplantation expertise stemmed from the late 90s when a team led by Prof Fan learnt it from Australia whose technique originated from Cambridge and others. Anyway, the science and the know-how has been worked out by the aforementioned universities and transplantation is a routine procedure nowadays even in countries like Peru.[The point I stressed is that HKU's transplantation technique, if not better, should be as good as others.]
I did find the comment that concerns the discovery of the then novel virus - SARS-CoV a rather glossing over of the details - KY Yuen's association with the fame of being its discoverer and decipher is more by virtue of convenience than his actual involvement - the honour should really goes to Prof Peiris of HKU , who subsequently garners praise worldwide for isolating and identifying this new virus - honours like a Fellowship of the Royal Society and Legion d'Honneur from France - not an easy feat had he been only merely involved. I did find that KY Yuen rather disingenuous when he did not refute the honour ( or may be indeed it is the increasingly sloppy press to blame ?) - after all Yuen is a microbiologist by trade not a virologist ! By the way, Prof Peiris is a graduate from Oxford.[No matter it is Prof Yuen or Prof Peiris, they are from the HKU medical faculty.]
HKU is renowned for it expertise in the field of liver, nasopharyngeal and oesophageal cancers by virtue of the fact that we have the highest incidence of those cancers in the world.[In fact, HKU has made a lot of advancements and contributions on these areas.]
If one comes that far and is fortunate enough to be accepted by Cambridge to do medicine I suppose he or she should jump for the chance for it is a real eye-opener.[Personally I know a Cambridge graudate who studied medicine after 1997. He wanted to practice in Hong Kong but is unsuccessful due to the fact that he has failed in the licentiate examinations for 3 times. After all it is his choice. He was also admitted by HKU then.]
I wish I had that opportunity when I was young. I do not have the opportunity when I was young because I could not afford to study abroad. I certainly would choose Cambridge if I had money and I was admitted if I was not required to take the licentiate examination. My daughter chooses to study in Hong Kong although she was also admitted by leading medical schools in UK. She made the informed decision after she balanced all factors. I supported her decision although I could afford to pay the expenses for her today.
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