The 26th Annual Convention

North American Taiwanese Medical Association

Keynote speaker

高銘憲教授任教於聖路易大學婦癌科及婦產科,並曾任該校婦產科主任。高教授曾 多次被機構及雜誌評選為「美國最佳醫師」(Best Doctors in America) 及「美國最佳 癌症專科醫師」(American’s Top Oncologist)。高教授效法早期西方傳道士到台灣傳 道的奉獻及無私精神,在過去十多年來不遺餘力地協助台灣馬偕醫學院的籌備與成 立。他在大會中的講題為「薪火相傳:馬偕醫學院的建立」(Passing the Torch: Establishment of the Mackay Medical College)。
Keynote Speaker
2010 NATMA National Convention

" A Journey of my Dream: Establishment of the MacKay Medical College"

By Ming-Shian Kao, M.D. Professor, Department of Obstetrics, Gynecology and Women's Health , Saint Louis University

    About 130 years ago, Two Presbyterian missionaries, the Rev. George MacKay from Canada and the Rev. James Maxwell from Scotland, introduced modern medicine to Taiwan.  Currently, Christian Churches of different denominations operate more than 30 major hospitals in Taiwan. These institutions provide a significant portion of healthcare to the people in Taiwan. Until recently, however, there were no medical schools under the auspice of the church to train future phsicians in Taiwan.

    Despite significant economic growth and development in Taiwan over the last four decades, there is a growing concern that the standard of medical care and the ethical conduct of health care personnel leaves much to be desired. This is further compounded by the recent changes in the health care system and a progressive shift in the demographics of the Taiwanese population. To meet these challenges, a new medical school has been established to educate future physicians under a different educational  program. The focus of the new medical school is to prepare future physicians and allied health care workers to pracitce with the ethical standards and professional goals reflecting the values of missionaries of the past.

This presentation summarizes a brief personal story of responding to that call, the trials and tribulations, sacrifices, and faithful commitment over a 10 year span in establishing a new medical school  in Taiwan.

keynote speaker


2010 NATMA National Convention


" Taiwan experience on Medical Education and Healthcare System "

                   By Chung Y. Hsu, M.D. Ph.D. 


專訪中國醫藥大學醫療體系許重義總執行長

病人是頭家 一位僕人精神的實踐者

/陳于媯

2008.07

詹姆士.杭特所著「僕人:修道院的領導啟示錄」一書,闡述真正的領導必須扎根於日常生活,從尊重、負責與體貼他人開始。中國醫藥大學醫療體系有史以來的第一位總執行長許重義,身上便散發著這樣的領導特質,對照他顯赫的學術和醫療背景,再度印證了結實越豐滿的稻穗越是下垂這句至理名言。

平心而論,「總執行長」4字唸起來相當拗口,第一次拜訪他,他便主動告知今後簡化稱「總執」即可。「總值、總之,就如董事會林彩玫高專很傳神的中翻英“anyway”的意思。」他笑著說,輕鬆的化解了陌生的氛圍,使訪談進行得更加順利。當他從書架上取下「僕人」一書,指著介紹「僕人經營理念」的倒金字塔圖表,強調他就是抱著僕人的精神來這裡服務時,見我提筆猛抄,連忙勸阻,聲稱會把圖表E-mail給我。翌日,我果然接到他沒有假手秘書,親自寄發的電子郵件。

 

腦中風權威 在美學術及醫療成就了得

許重義總執行長苦學出身,8歲喪父,從台大醫學院畢業以後,靠著全額獎學金負笈美國,每個月還要省下一點錢寄回台灣奉養寡母。取得博士學位後,這位斯文瘦削卻意志力驚人的台灣醫師,任勞任怨,把握一切學習的機會,在當時仍有嚴重種族歧視的環境中,逐漸壯大,終於闖出萬里晴空。他是美國華盛頓大學醫學院腦神經科教授,曾任華盛頓大學附設教學醫院的腦中風中心主任與史丹講座教授。華盛頓大學醫學院在全美醫學院中排名第3,附設醫院在全美數千家醫學院中排名第7,在專業領域的權威性可想而知。

旅美31年期間,他的得獎紀錄洋洋灑灑,先後獲頒美國衛生研究院教師研究獎、賈維茨傑出腦神經科學研究獎、史密斯傑出研究獎、台美基金會科技成就獎及華盛頓大學教學醫院傑出領袖獎,令人不由得好奇:「他究竟是怎麼做到的?」

 

吃苦當吃補 面對逆境反加強自我要求

回首前塵,他謙稱自己資質並非很好,自幼家境也欠佳,年輕時即體會人生絕非事事都能順心如意,因而逐漸培養出「吃苦當吃補」的態度,總是坦然面對困境或挑戰。「記得早年在美國南方一家醫院實習時,全部實習醫師都是白人,我這個唯一的黃種人便成為被欺負的對象,同事經常故意把份內的工作拖到交班時再丟給我處理,我不但逆來順受,還默默要求自己一定要把事情做得比他們更好。」就這樣,他累積了超強的抗壓力,潛能被有效激發,學到的東西永遠比同事多那麼一點,因此極得長官賞識,每有升遷的機會總是跨過膚色藩籬,優先考慮他。

 

學生是頭家 北醫校長5年任內建樹多

儘管在美成家立業,度過了青年期和中年期,美國早已成為他的第二故鄉,然而安穩的日子過久了,血液內喜歡接受挑戰的因子又開始活躍。5年多前,他應台北醫學大學董事會邀請,返台擔任北醫校長,喊出「學生就是頭家」的口號,將國際觀引進北醫,並且建立清廉的財務制度,積極爭取資源,提升研究風氣,成果可圈可點。

他是一位極具理想性,願意為堅持理念挺身而戰的人,北醫董事會改組後,他自問已經完成階段性任務,在中國醫藥大學暨醫療體系蔡長海董事長適時力邀下,遷居台中,擔任醫療體系的總執行長。「我太太是台中人,當初跟我一樣,拿獎學金到美國留學,我們在美國認識結婚。她娘家的姊妹多在台中,回到這塊有著無數兒時記憶的土地,她很快樂。」許總執的辦公室陳設簡單,最醒目的擺設就是那幀全家福相片,談到妻子,談到兒女,兩鬢飛霜的他,眼底盡是柔情。

台北榮總一位腦中風醫療領域的大老說,許重義在美國是一位「看不見太陽的人」,一大清早就進辦公室處理各項事務,離開學校時往往已經夜涼如水。他回台灣之後,在北醫及中國醫學大學醫療體系,每天也投入比別人更多的工作時間,因此在進行這篇專訪時,他雖然就任尚未滿月,但本著醫療人固有的敏銳,對醫院的一切已有相當了解。「我這是勤以補拙啊!」他說。

 

銳眼看局勢  句句說進醫護人員心坎裡

「中國醫藥大學附設醫院身為中台灣的醫療重鎮,病人數量龐大,規模、硬體設備以及醫院的經營管理,在蔡董事長的卓越領導與院長、各主管及同仁的努力之下,已經是世界級的,可以和歐美知名的醫學中心平起平坐,現在必須加強的應該是學術、醫療水準及服務品質的提升。」他對醫院的重點發展方向提出建議。

他說,台灣的醫學中心有個先天性的共同缺點,也就是在「俗擱大碗」的健保制度下,主治醫師的臨床負擔太重,是美國教學醫院醫師的好幾倍,門診量大,要照顧的門住診病人多,還得準備紛至沓來的各類評鑑,即使已經分身乏術,仍必須抽出時間做研究,研究論文也要發表在國際醫學期刊才會獲得重視,而英文並非國人的母語,英文寫作不免成為另一個壓力的來源。

 

建學術平台 重點栽培臨床績優好醫師

「中國醫藥大學附設醫院經營得非常好,主治醫師難免更加忙碌,結果就出

現了醫療與學術脫鉤的怪現象。」許總執舉例說明,一位深受病人信賴的醫師,病人越多,經驗越豐富,醫療能力就越強,形成良性循環;但這位醫師因為沒時間做研究、寫論文,以致無法升等,學術地位很可能一直在原地踏步,當別人都升到教授了,他或許還是講師,醫療和學術方面的成就差距越來越大,陷入惡性循環。相對的,另一位醫師可能因為病人不多,所以能夠花較多的時間和心力於研究工作,論文源源發表,很快就取得教授資格。「這種情形對於一位為病人盡心盡力的醫師來說,公平嗎?要知道在專科醫學會開會時,教授與講師發言的份量是不一樣的。」

因此,許總執建議在院內建立一個學術平台,由各科推舉醫術傑出,對醫院發展貢獻良多的醫師,建立排序,由醫院分梯次進行重點栽培,協助他們獲得應有的學術地位。他說:「我覺得應該這麼做,才符合公平正義。話說回來,醫院留得住人才,醫師沒有委曲,精神愉快,在醫療崗位更能全力以赴,受益的難道不是病人?」

 

話醫院發展  提高醫療水準與建立特色

醫療水準和服務品質同樣是他關注的焦點。他指出,醫療水準是很抽象的,口說無憑,必須用數字來說話。以他專長的腦中風為例,最嚴重的、中度的、輕度的病人,入院治療後,死亡率是多少?併發症的頻率高低如何?住進加護病房的百分比是多少?神經功能恢復程度如何?預防中風再發生的成效如何?與全國的醫院相比是如何?與另一指標性的醫院相比又是如何?都需要有個客觀的數據,各科各種疾病都可以這麼做。他認為在調查統計的同時,其實也是檢討過去,加強自我要求的開始。

此外,醫院就像人一樣,各有所長,各有所短,即使是世界頂尖的醫院也不可能每個科室都領先群倫。「中國醫藥大學附設醫院務必要建立自己的特色,據我所知,這裡的社區醫療群已經是全國最好的,肝臟移植、腎臟病和急重症創傷醫療頗富盛名,胸腔疾患、婦產科、小兒科和神經內外科等等,口碑也都很好。」

 

談服務品質  推崇護理人員的關鍵角色

在服務品質方面,他指出,判斷服務品質良莠的兩大重要依據,一是醫療糾紛的多寡,二是病人滿意度的高低。若要提高服務品質,他建議所有主治醫師都可以試著來落實「僕人」精神,不但對病人好,對護理人員也應高度尊重。他舉「僕人:修道院的領導啟示錄」一書中所列出的兩張表格來說明,傳統的經營是正金字塔型,總經理高踞塔尖,以下依次是中階經理、組長、職員,被壓在底部的是廣大的顧客群。僕人經營理念呈倒金字塔型,顧客在最上層,以下依次是職員、組長、中階經理和總經理。就臨床醫療而言,病人即顧客,護理人員站在最接近病人的第一線,主治醫師或部門主管相當於中階經理或總經理。

「我行醫以來,一直很尊重護理人員,體諒她們跑第一線照顧病人的辛勞,對她們幾乎可以說是畢恭畢敬,為什麼呢?因為除非情況特殊,否則主治醫師一天能去查房一次就不錯了,天天和病人互動最密切的當然是護理人員。護理人員護理品質和服務態度的好壞,往往會牽動病人的病情和病人與家屬的心情,甚至未來會不會發生醫療糾紛,護理人員也有著無形卻重要的影響力。」美國的醫療糾紛發生率遠高於台灣,但他在華盛頓大學附設醫院擔任腦中風中心主任9年期間,風平浪靜,從未發生過一件醫療糾紛,病人和家屬對醫院總是充滿感謝。他強調所以如此,護理人員功不可沒。

眾所皆知,國內有些醫師對護理人員呼來喚去,甚至當眾用言語「修理」護理人員,連最基本的尊重都付諸闕如,這是很嚴重的問題。他說:「護理人員的工作關係醫師治療病人的執行力,甚至病人的生命安危,工作負擔很重,壓力也非常大。護理人員如果士氣不振,提供病人的服務品質會好嗎?護理人員如果滿懷怨氣,病人與家屬心情會好嗎?滿意度會高嗎?積怨一深,偶有風吹草動,醫療糾紛就可能產生。」又說:「醫療服務是團隊服務,每個環節都很重要,醫師們必須有這樣的認知,絕對不能存著老大心態。」

 

學校要提升  醫療體系肩負推手重任

他表示,在董事會的支持和蔡長海董事長、林正介院長及各一級主管的領導下,中國醫藥大學附設醫院成長快速,如今正處於繼續向上提升的階段,眾志成城,必定會一年比一年好。中國醫藥大學的中程目標是進入世界前500所頂尖大學之林,身為醫療體系的總執行長,他認為中國醫藥大學附設醫院也應做個強力的推手。「國立陽明大學已成為世界前400所頂尖大學之一,台北、台中、高雄3個榮民總醫院是陽明大學醫學院的教學醫院,對陽明來說,有很大的加分效果,同理可證,中國醫藥大學附設醫院任重道遠。」幫助學校早日進入世界前500大,甚至前400大,並打造世界一流的中、西醫學中心,壯麗遠景令人怦然心動,然而,這會不會是不可能的任務?

「天下事,你認為不可能就不可能,如果你認為有可能,並且下定決心認真去做,就有機會達成目標。看待這種非常的挑戰,只要大家拿出非常的決心,分工合作,一起努力,何患不成?」這一生總是勇往直前,碰到障礙從不退縮,樂與挑戰為伍,伴壓力而眠的許重義,我在他臉上看到的是無比的自信和篤定。

keynote speaker

2010 NATMA National Convention


" Acrobat in academia: balancing act between patient and technology development "


K.S. Clifford Chao, M.D., a pre-eminent expert in the use of image-guided targeted radiotherapy and intensity modulated radiation therapy (IMRT) for the treatment of cancers, has been named Chu H. Chang endowed Professor and Chair of Columbia University Medical Center as well as the Combined Program in Radiation Oncology at NewYork-Presbyterian Hospital. Dr. Chao comes to New York from The University of Texas M. D. Anderson Cancer Center in Houston, where he is a professor and director of Image-Guided Therapy of Radiation Oncology. Before joining the M. D. Anderson Cancer Center in 2002, Dr. Chao was an associate professor at Washington University School of Medicine in St. Louis. He received his medical degree from Kaohsiung Medical School in Taiwan. His postgraduate training included a residency and fellowship in the Department of Radiation Oncology at Washington University School of Medicine in St. Louis and a fellowship in the Department of Surgery in the Cancer Research Institute in Tokyo, Japan.


In addition to serving as the Principle Investigator of multiple NIH research grants and publishing more than 100 peer-reviewed papers, he is the author of two widely read textbook, “Management Decision of Radiation Oncology” and “Practical Essentials of IMRT”. Dr. Chao’s research focus includes combining the use of positron emission tomography (PET) and computed tomography (CT) images to direct customized radiation treatment plans tailored specifically to individual patients and the molecular characteristics of each tumor. His laboratory recently discovered a critical cancer stem cell control mechanism that responsible for tumor resistance and recurrence after chemotherapy and radiation treatment. Due to his pioneering work in the molecular image-guided therapy, the Radiological Society of North America selected him as the youngest recipient of the prestigious Annual Oration Award in 2005.


“Combining cancer stem cell signature, functional images, and precision therapy together when making radiation treatment decisions for cancer patients is valuable because while CT/MRI scans provide anatomical information, PET images and molecular signature reveal the most pivotal characteristics of a tumor.” said Dr. Chao. “This approach will help physicians to tailor precise radiation treatment plans to individual patients and tumors, thereby improving tumor control and reducing toxicity.”


“Clifford Chao’s ceaseless search for new, improved ways to treat cancer patients with individually designed radiotherapy regimens embodies our medical center’s commitment to the development of new technologies and methods to enhance care for our patients,” said Lee Goldman, M.D., executive vice president of Columbia University and dean of the faculties of health sciences and medicine at Columbia University Medical Center. “We are pleased that someone with his expertise and commitment to improving patient care is joining our team at the Herbert Irving Comprehensive Cancer Center (HICCC).”


“My vision of the radiation oncology program is to establish CUMC as an internationally recognized leader in cancer patient care by breakthroughs in reducing cancer mortality and improving the quality of life of cancer patient through cutting edge research and development of state-of-the-art technologies.” said Dr. Chao. We will focus on


  • Syndicated multidisciplinary cancer management approach at HICCC
  • Providing state-of-the-art radiation oncology infrastructure for patient-centered cancer care
  • Investment on leading edge technology in microrobotics and cancer stem cell-based radiotherapy




CME Program Lecture Series 9/18/2010 at St. Louis Marriott West Hotel

NATMA 26th National Convention

                              

1) K. S. Clifford Chao, M.D.


K.S. Clifford Chao, M.D., a pre-eminent expert in the use of image-guided targeted radiotherapy and intensity modulated radiation therapy (IMRT) for the treatment of cancers, has been named Chu H. Chang endowed Professor and Chair of Columbia University Medical Center as well as the Combined Program in Radiation Oncology at New York - Presbyterian Hospital. Dr. Chao comes to New York from The University of Texas M. D. Anderson Cancer Center in Houston, where he is a professor and director of Image-Guided Therapy of Radiation Oncology. Before joining the M. D. Anderson Cancer Center in 2002, Dr. Chao was an associate professor at Washington University School of Medicine in St. Louis. He received his medical degree from Kaohsiung Medical School in Taiwan. His postgraduate training included a residency and fellowship in the Department of Radiation Oncology at Washington University School of Medicine in St. Louis and a fellowship in the Department of Surgery in the Cancer Research Institute in Tokyo, Japan.

 

2) George C. F. Hsieh, M.D. 


George Hsieh, M.D. is considered a 1½ generation Taiwanese American who was born in Kaohsiung, Taiwan and was raised in San Gabriel Valley, California. Currently, Dr. Hsieh is a dermatologist practicing in the San Francisco Bay Area- who specializes in cosmetic procedures, such as Botox, fillers, and lasers. Dr. Hsieh received full tuition scholarships to attend both his undergraduate education as well as medical school. He received his bachelor degree from UC Berkeley and his medical degree from George Washington University in Washington DC. His residency training in Dermatology was completed at UC Davis Medical Center. In addition to his private practice, Dr. Hsieh is currently the Northern California Chapter President of NATMA. He also serves as the medical director of the Asian Health Project, a nonprofit organization that sponsors free medical clinics for the underserved and low income Asian communities in California.


3) Chung Y. Hsu, M.D., Ph.D.

Dr. Chung Y. Hsu received his M.D degree from National Taiwan University and Ph.D. in Neuropharmacology from University of Virginia. His clinical subspecialty and research interest are stroke. Dr. Hsu was the Elliott H. Stein Professor and Director, The Stroke Center, Washington University, School of Medicine and Barnes-Jewish Hospital, St. Louis.

Dr. Hsu was the recipient of the following awards: NIH-NINDS Teacher-Investigator Development Award; NIH-NINDS Javits Neuroscience Investigator Award; Vivian L. Smith Foundation Distinguished Research Award; Taiwanese-American Foundation Award, 1997. He was the chair of 12 NIH special committees and 2 American Heart Association review committees.  In Taiwan, Dr. Hsu’s key appointments include President of Taipei Medical University, President of Taiwan Stroke Society, Chair Professor, China Medical University, CEO CMU health care system.


Dr. Hsu was the President of the following societies: National Neurotrauma Society (USA); Taiwan Neuroscience Society and Taiwan Stroke Society. He is a Member of the Board of Directors of the National Health Research Institute and executive trustee of the Institute for Biotechnology and Medicine Industry.

Taiwan Stroke Registry, established under the leadership of Dr. Hsu is currently the second largest stroke registry database in the world.

 

4) Yuh-Chin Tony Huang, M.D., M.H.S., F.C.C.P.


 Yuh-Chin Tony Huang, MD, MHS, FCCP, is Professor of Medicine in the Division of Pulmonary, Allergy and Critical Care Medicine at Duke University Medical Center in Durham, NC. He earned his MD from the National Taiwan University College of Medicine and his MHS in Environmental Health Sciences from Johns Hopkins University in Maryland. He completed both his internship and residency in Internal Medicine at Maryland General Hospital in Baltimore. He then went on to complete a fellowship in Pulmonary and Critical Care Medicine at Duke University Medical Center. His memberships include the American Thoracic Society, the Society for Critical Care Medicine, and the American Federation for Medical Research. In addition, he is a Fellow of the American College of Chest Physicians. He is on the review board of numerous medical journals including CHEST, American Journal of Respiratory and Critical Care, Journal of Toxicology and Environmental Health, and Environmental Health Perspectives. He has published over 75 journal articles and multiple book chapters on the topics of COPD,

arterial blood gases, mechanical ventilation, and environmental medicine. He has lectured extensively, both nationally and internationally.


5) Jennifer Lin, M.D.


 Jennifer Lin, M.D. is currently an Instructor in Dermatology at Harvard Medical School. She is the director of the Pigmented Lesion Clinic, and co-director of the Translational Research Resource Center at Brigham and Women's Hospital, Department of Dermatology. She also performs laser surgery and research in melanoma stem cells. Her medical degree is from Harvard Medical School, and her undergraduate degree is from Harvard University. She and her brother, Alex Lin, are the co-founders of the NATMA Second Generation, or 2G, New York City Chapter, bringing Boston and New York together into a NATMA 2G East Coast Chapter.


 6) Esther Liu, M.D.      Moderator


Dr. Liu is a supervising Physician at Chicago Department of Public Health, Division of Community Health and an Assistant Clinical Professor, Department of Family Medicine, University of Illinois at Chicago – College of Medicine.  Esther Liu M.D. was born and raised in Taipei, Taiwan until when she was 14 years old.  At 14, Dr. Liu immigrated to US and lived with his uncle’s (Dr. Ning-Chen Liu’s) family in Crestline, OH.  She obtained her bachelor’s degree in biochemistry at University of Wisconsin – Madison and her M.D. degree at the Ohio State University – College of Medicine.  She completed her family practice training at Aultman Hospital, Canton, Ohio, and then moved to Chicago in 2000.  Dr. Liu started to be involved with NATMA even when she was still a medical student; Dr. Ning-Chen Liu, who was a former NATMA-Cleveland President, was the one who first introduced NATMA to her.  Dr. Liu has been a life time NATMA member and the President of NATMA-Chicago since 2009.


7) Ming-Shian Kao, M.D.
 

Ming-Shian Kao, M.D. is a tenured full professor of Obstetrics and Gynecology at St. Louis University School of Medicine. He graduated from National Taiwan University College of Medicine in 1961 and completed his residency training program at Barnes Hospital/Washington University School of Medicine in St. Louis.  He then went to Queen’s University in Kingston Ontario, Canada for subspecialty training in Gynecologic Oncology. He held the position of Director of the Division of gynecologic oncology both at Washington University in St. Louis and at St. Louis University for many years, and was the Chairman of the Department of Obstetrics and Gynecology at St. Louis University between 1995 and 1998. He is Board certified by the American Board in both Obstetrics and Gynecology and in the subspecialty of Gynecologic Oncology. He has published more than 70 peer review articles in scientific journals and has been invited as a visiting professor at multiple academic institutions, both in the US and in Taiwan. Over the years, he has trained hundreds of obstetricians/gynecologists and many gynecologic oncologists. He established the subspecialty training program of gynecologic oncology in Taiwan for the National Health Research Institute of Taiwan. He was a member of the Board of Trustees and served as the first Director of preparatory office for MacKay Medical School in Taiwan for 10 years.  He was instrumental in establishing the school under the auspice of the Presbyterian Church in Taiwan. He is currently maintaining his busy clinical practice and teaching at St. Louis University.   


8) Sze-ya Yeh, M.D.   Moderator


 Sze-ya Yeh, M.D. is a retired obstetrician/gynecologist. He graduated from National Taiwan University College of Medicine in 1962. After completing residency in obstetrics and Gynecology at National Taiwan University Hospital, he came to Yale University for fellowship training in perinatology under Professor Edward Hon, founder of the electronic fetal monitoring machine. He completed the second OB/GYN residency at Hospital of University of Pennsylvania. He has been teaching faculty at University of Pennsylvania, Columbia University, University of Southern California, Pennsylvania State University, Temple University and Thomas Jefferson University. He has published over 100 articles in peer-reviewed journals. He retired in 2002 from chairman and residency director of OB/GYN at Albert Einstein Medical Center in Philadelphia. His current academic titles are Chairman Emeritus at Albert Einstein Medical Center and Honorary Professor at Thomas Jefferson University. He has been board member at the NATMA Southern California Chapter. He has been appointed as Executive Director of the NATMA 2010 – 2011.

 

9) Yihnan Norman Chiou, M.D.               CME Program Coordinator

   

NATMA  President  2010 -2011

 

Dr. Chiou is a recently retired member of the American Academy of Family Physicians, having practiced family, emergency and complimentary medicine for over 35 years. He was born in 1941 in a small fishing village, attended Tainan First High, and graduated from National Taiwan University (NTU) College of Medicine in 1967.  He received surgical training at NTU Hospital, then served as attending medical director and vice superintendant of Lin Surgical clinic in Chia Yi. He came to the U.S. in 1973 with his wife, Meishan. Certified by the American Board of Family Medicine in 1978, he co-founded the Southern Illinois Individual Practitioner Association in 1986 and is a past President of the Illinois Egyptian chapter of AAFP, a past president of NATMA-STL. He is the founding president of TASS-STL, an advisor to OCAC 09-12. Throughout, Dr. Chiou has been active in spiritual ministry, hospital boards and public health education.  He emphasizes mental health, prayer, home visit and life balance. He enjoys travel, golfing, singing, and volunteer service. Dr. Chiou lives in West Frankfort, Illinois with Meishan near his beloved golf course, the site of his 5 enchanting holes-in-one. He has three children, Shien, Frank and Christopher.


CME Lecture Objectives

 1. Women’s health on menopause and osteoporosis (Ming-Shian Kao, M.D.)

      1) Review physiological changes associated with menopause and their clinical presentation

      2) Controversies related to postmenopausal hormonal replacement therapy

      3) Discuss pathophysiology, prevention and treatment of Osteoporosis

2. Aging of the blood vessels in the brain (Chung Y. Hsu, M.D. Ph.D.)

      1) to present the clinical impact of aging blood vessels in the brain as a major cause of stroke.

      2) to present the molecular mechanism on aging effects on the integrity of blood vessels in the brain to provide insight into the development of preventive and therapeutic measures for stroke.

3. Recent advance in image-guided radiation therapy (K. S. Clifford Chao, M.D.)

      1) Up-to-date advancement in cancer treatment.

      2) Clinical outcome of radiation therapy in various tumor sites

 4. Update on the management of COPD (Yuh-Chin Tony Huang, M.D., M.H.S., F.C.C.P.)

      1) Discuss new insights into the pathogenesis of COPD

      2) Review the new GOLD guidelines

      3) Review new clinical trials in COPD

 5. Anti-aging Basics - A dermatologic perspective (George C.F. Hsieh, MD; F.A.A.D.)

      1) To discuss the physiological changes associated with aging- especially relating to the skin

      2) To discuss the various prevention/treatment options for the aging skin

 6. Cancer Stem Cells (Jennifer Lin, M.D.)

      1) Demonstrate understanding of the concept of cancer stem cells.

      2) Distinguish the differences between a stem cell and a cancer stem cell.

      3) Understand why the presence of cancer stem cells requires different treatment modalities than what is currently available.