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Li revealed the school was considering shortening the specialist training for family medicine doctors by two years to four years on a par with international standards as the current six-year curriculum was the longest in the world. Trainees have already spent six years as undergraduates at medical school. There is an international trend for countries where the population is ageing rapidly, for example Singapore, to shift the medical burden from hospitals to the community by enhancing the role of family doctors. Hong Kong is also experiencing such a demographic shift. In the United States and United Kingdom it takes three years to train to be a family doctor, and just two in Canada. University of Hong Kong medical school to revamp training programme for its students Li hoped the Hospital Authority would allow trainees to work part-time in private clinics to gain further experience. Public hospitals are not good training grounds. How can you learn to be a good and caring family doctor if you only have three minutes to a patient? [Public hospitals] should pay the trainees a minimum wage and allow them some sessions to work in private clinics. Where is the support for primary care services which can help prevent sickness and hospitalisation in the first place? Dr Donald Li Kwok-tung Li said the government lacked vision in planning ahead and had failed to strengthen the role of family medicine.

For the original version including any supplementary images or video, visit http://www.scmp.com/news/hong-kong/health-environment/article/2028538/plan-cut-training-hong-kong-family-doctors-two

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