• Supervision of Higher Surgical Training

    In-training Assessment


    · Mid-term Assessment

    · Half-yearly Assessment

    · Unsatisfactory Training Performance

    · Appeal Procedures

    Mandatory Course

    Operational Requirements

    Research Requirements

    Presentation Requirements

    Continuing Medical Education (CME) Programme

    The responsibility for accreditation and recommendation for approval by the Council of CSHK is vested jointly by the Education & Examination Committee and the Specialty Boards. All trainees embarking on Higher Surgical Training must obtain a Logbook which could be purchased from CSHK Secretariat:

    The Logbook provides information on:

    1. Operation Statistics

    o    Range

    o    Emergency Content

    o    Supervised Experience

    o    Unsupervised Experience

    o    Minor Surgery

    o    Endoscopy

    o    Record of Complication and Death

    o    Summary

    2. Academic Activities

    o    Research

    o    Publications

    o    Presentation at Meetings

    o    Attendance at Courses, e.g. Workshops and Seminar


    On-going in-training assessment is required throughout the Higher Surgical Training period. Trainees must maintain a logbook for their operative experience until the completion of their higher training. They must keep a logbook prospectively recording all their training experience. During the training period, trainees must obtain satisfactory assessments from their supervisors and copies of these assessments must be filed in the trainees’ logbooks and recorded by the respective Specialty Board & CSHK. The logbook is required to be provided for inspection during the Joint Specialty Fellowship Examination.

    Individual trainee’s Logbook should be reviewed regularly

    ·         3 monthly (Mid-term assessment) by mentor

    ·         6 monthly (Half-yearly assessment) by (i) Supervisors / (ii) The respective Specialty Board


    Mid-term Assessment

    On completion of every 3-month training period, an interim face to face assessment between the mentor and the trainee should be carried out to thrash out any problems. During this interim debriefing assessment process, if serious deficiencies are evident, the mentor has to report in writing to the Chairman of the respective Specialty Board. The trainee should be advised what measures are required to reverse these deficiencies.

    Half-yearly Assessment

    On completion of every 6-month training period, every trainee in all specialties (except General Surgery) must submit the assessment documentation on or before 21st January or 21st July. The deadline will be automatically extended to the next working day if that day falls on Saturday or public holiday. For those in General Surgery, they are required to submit the documentation to the Training Subcommittee of CSHK via their supervisor regularly in January and July every year for recognition of the respective period. Deadline for submission of half-yearly assessment documentation falls on the date of Training Subcommittee meeting. Late submission of the half-yearly assessment documentation will render the respective training period NOT recognized.

    The assessment documentation should include the following:

    ·    Logbook Summary Report

    ·    Logbook Summary

    ·    CME Report

    ·    Two Mentors Assessment Forms for assessing his/her performance in the past 6-month training period. Two mentors who must be delegated or designated by the supervisor of the training hospital should complete these forms.

    ·    Research Reports(if any)

    It is the obligation of Higher Surgical Trainees to submit the above requisite documentation through their supervisors/trainers for vetting regularly semi-annually by

    ·    Training Subcommittee (for Higher Trainees in General Surgery)

    ·    The respective Specialty Board

    Programme Directors of respective Specialty Boards will conduct random check of the trainee’s Logbook Summary and Logbook Summary Report against the operation data from the Hospital Authority.

    Unsatisfactory Training Performance

    Trainees who fail to meet the above requirements will be required to undertake further training. The Training Subcommittee & the respective Specialty Boards of CSHK will endorse the respective training period on condition that satisfactory assessment must be achieved. In the event that individual trainee who has been warned of the deficiencies during the 3-month mid-term assessment still performs unsatisfactory at the end of the 6-month period, the respective Specialty Board may interview this trainee as well as the mentors whom the trainee has worked for in the unsatisfactory period. Below average assessment of performance in any 6-month period will constitute grounds for disqualification of that 6-month training period. The respective training period could only be recognized and registered on condition that satisfactory assessment must be achieved. Any trainees who do not satisfy the standards set by or have unsatisfactory assessments consecutively twice or non-consecutively three times will be disqualified from the training programme.

    Appeal Procedures

    Trainees can appeal to the Appeal Board of CSHK concerning disqualification. However, the notice of such appeal must be lodged with CSHK Secretariat within 21 days from the date of notice in writing of such disqualification to the trainee.


    During the training period, trainees admitted from 1 July 2010 onwards are required to successfully complete mandatory courses stipulated in the training curriculum required by the respective specialty. Attendance at the courses must be recorded in the trainees’ logbooks. Trainees are also required to submit the Official Certificates of the mandatory courses as evidence for completion when they enroll to Joint Specialty Fellowship Examination of the respective specialty.

    For HST admitted between 1 July 2010 – 30 June 2015, please refer to the “Mandatory Courses for Higher Surgical Trainee admitted between 1 July 2010 – 30 June 2015 for further details.

    For HST admitted from 1 July 2015 onwards, please refer to the “Mandatory Courses for Higher Surgical Trainee admitted from 1 July 2015 onwards for further details.


    All higher trainees are required to fulfill certain number of major operations within their 4/5 years of higher training period before they can apply for the Fellowship of the respective specialty. A Flagging Criteria for monitoring Higher Training in General Surgery is being enforced. Higher Surgical Trainees should have the ability to achieve the number/percentage of caseloads stipulated in the criteria which is available from CSHK website.

    For HSTs in General Surgery admitted from 1 July 2010 onwards, they are required to fulfill the abovementioned & the Index Operation Requirements during their higher training period and complete the form below before they can apply for Fellowship of CSHK:

    · Index Operation Fulfillment Form

    Please refer to the “Guidelines on Major Operation for HSTs” for further details.


    Trainees are required to have at least two completed research projects approved by the Research Committee before they are eligible for examination enrolment. It is the responsibility of the trainee to submit the report early in order to allow enough time for review, revision and endorsement. Its meeting is only held twice a year. The Research Committee strongly advised trainees to complete the research requirements within their first two years of Higher Surgical Training.

    Deadline for research reports submission is normally at the end of March or September every year. Announcement for submission deadline will be sent to higher surgical trainees via email. CSHK will not take any responsibility of the consequence if any message delivering to the email address which was provided by trainees cannot reach them or they fail to check their email regularly.

    Please refer to the “Guidance Notes for Research Requirements” for further details.

    PRESENTATION REQUIREMENT (For HST admitted from January 2018 onwards)

    Trainees are required to have at least one oral or poster presentation in the Annual Scientific Congress of the College before they are eligible for examination enrolment.


    CSHK undertakes CME administration for their trainees and reports their compliance to the Hong Kong Academy of Medicine.

    Guidelines for Higher Surgical Trainees

    ·  Each CME cycle is one year.

    ·  The Cycle starts on 1 January or 1 July of every year.

    ·  A new cycle commences at the conclusion of the previous cycle.

    · Trainees do not fulfill the CME requirements will constitute grounds for disqualification of the previous 6-month training period.

    CME Points Allocation

    1.    The CME system shall be based on the accrual of CME points.

    2.    A minimum of 30 points per year is required and composes of the followings (i & ii):

    i. A maximum accrued CME points for Category 1 per year is 20 points.

    ii. A minimum accrued CME points for National/International Scientific Meetings of Category 2 per year is 10 points.

    3.    Allocation of CME points from Category 1 and 2 are as below:

    i.  Category 1

    In-hospital Meetings

    One CME point is awarded for each hour of in-hospital meeting.


    For the purpose of CME/CPD points, only publications in fields related to surgery shall count.

    ·     A publication shall accrue CME/CPD points at the time the material is accepted for publication (letter of acceptance should be submitted for proof) or is published (reprints should be submitted).

    ·      A maximum of 10 CME/CPD points (active) may be awarded to thesis, books, chapters in books, original articles in Index Medicus listed journals or journals published by the HKAM or its constituent Colleges.

    ·      A maximum of 5 CME/CPD points (active) may be awarded to Short Communications (for example surgical technique, Letters to the Editor) in Index Medicus listed journals or journals published by the HKAM or its constituent Colleges.

    · Publication of non-Index Medicus listed journals and those not published by the HKAM or its constituent Colleges might also be awarded with CME/CPD points, application and the points to be awarded would be subject to the approval of the CME/CPD committee and approval must be obtained from the CSHK prior to publication.

    ·      The same CME/CPD points (active) will be awarded to anyone of the individual authors in the publication as CME/CPD encourages involvement and it is by no means an academic assessment.

    ·       Abstracts that have been presented at a FCAPM will not be awarded with dual CME/CPD accreditation.


    ·      A research activity/investigation studies shall accrue CME/CPD points at the time the project is completed with an output. Mandatory research project submitted by Higher Trainees within the four years of higher training will not be awarded with CME/CPD accreditation.

    ·      A maximum of 10 points (active) may be awarded per published paper with the submission of a copy of the paper.

    ·      A maximum of 5 points (active) may be awarded per poster with the submission of a copy of the output.

    ·      Studying in postgraduate degree could be considered accreditable on submission with the documentation proof. Points awarded will be determined from case to case.

    ii. Category 2

    National/International Scientific Meetings (Accrue a minimum of 10 points per year)

    Conferences held outside the parent hospital. (e.g. the College’s Annual Scientific Meetings, local and overseas scientific meetings)

    1.    Participation as Speaker/ Presenter: 6 CME points per presentation and up to 12 points for any one meeting.

    2.    Participation as Moderator/ Chairman/ Panelist: 3 CME points per hour and up to 6 points for any one meeting.

    3.    Participation as attendees: 1 CME point is awarded for each hour and up to a maximum of 6 points per day up to three day per meeting.

    Documentation Proof

    Each trainee is responsible to record his/her CME activities during the current training period. A CME Report Form can be obtained from CSHK to record the required information. Trainees must submit the completed form together with the Half-yearly Assessment Form every January and July to the respective Specialty Board through their Supervisor.

    Please refer to the “CME Programme for Surgical Trainees” for further details.