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l-Jsueh h*u Wan MDCHAIRMAN's MESSAGE
II took over as the Chairman of the Board at the conclusion of llth Health Conferencein New York City on May 23,2002. The President was Caroline Wang; President-Elect,Randall Low; Vice-Presidents, Sun-Hoo Foo and John Chiu; Secretary Eric Leung; andTreasurer, Edward Chow. The llth Conference was greeted by the timely arrival from
Canada of the colorful booklet, 20th Anniversary of the International Conference on Health ProblemsRelated to tlte Chinese in North America, beautifully designed by Caroline Wang. My first duty as
Chairman was to name the Committee Chairmen for the following two years. The following wereappointed (and all graciously accepted): Program Committee-John Chiu; Membership Committee-Randall Low and Daisy Saw, co-chairs; Publication Committee-Randall Low; By-laws Committee-Dexter Louie; Conference Committee-Eric Leung; Informatics Committee-Lawrence Ng; EducationCommittee-David Der; and Research Committee-Sun-Hoo Foo.
Thereafter, three Board meetings ensued. The first was at Los Angeles in April, 2002 hosted bythe Chinese American Medical Association of Southern California. Dr. George Ma led some of us
through the hospital owned by their association, and David Tseng, Trustee of FCMS Foundation,generously hosted a banquet dinner for all aftendees. The second meeting was held in San Francisco inNovember, 2003, with a dinner hosted by the FCMS Foundation. The third one was held in Toronto inApril, 2004, graciously hosted by the Chinese Canadian Medical Society of Ontario (lunch, dinner,museum trip and a dinner seminar). To hold the Board Meeting at different membership-cities servedthe purpose of reinforcing the allegiance and cooperation of our organization members.
AcomplishmentsFCMS Foundation: The FCMS Foundation was born. It is registered in the state of California, and itstax exempt status was approved in April 2003. David Chiu was elected as the founding President;Raymond Tom, Secretary,;and Hsueh hwa Wang, Treasurer. A great note of thanks is due to KelvinQuan, Esq, for his expertise and voluntary service in orchestrating the birth of the Foundation. Ageneral fundraising is going to begin during the 10th FCMS Anniversary celebration.
By-laws Committee: The Commiftee spent many sessions tiding up ambiguous and cumbersome itemsin our By-laws. The Executive Committee sbrunk to a workable size, and terms of office and votingrights of Board members were defined. Special meetings of the Board now can be called anytime by theChair or any three members of the board.
Membership Committee: The Association of Chinese American Physicians (ACAP) of New York wasinterested to join FCMS and sent a representative to our Board meeting in San Francisco in November2003. After reporting back to their Board, the decision to join was put on hold. But the good news isthat in the Spring of 20O4,ACAP Board of Directors is now definitely going to apply for organizationmembership. Another organization, ABMAC Foundation, a spin-off of the recently defunct ABMAC(American Bureau for Medical Advancement to China) has shown strong interest to join FCMS as a
member organization. The ABMAC Foundation will deal with educational exchange (visitingprofessors, medical residents and students) with Taiwan.
Pullication Committee: Dr. Randall Low is planning the publication of a booklet commemorating the10th anniversary of FCMS. With active contributions from all member organizations, the bookletshould be available to distribute atthe l}tb Conference.
Informatics Committee: Dr. Lawrence Ng presented a report detailing the incorporation of the 12th
Conference to the FCMS website. Attendees can log on to the FCMS website for updated informationabout the conference, including registration and abstract submission. Linkage of all memberorganizations is now complete with the exception of PCAMA, which still does not have a website.Research Committee: Although we still do not have any collaborative studies involving various member
FeoenettoN oF CHTNESE AMERTCAN AND Cxrruese CarunoreN MEDtcAL SoctETtEs
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PRESIDENT'S MESSAGE Sun-Hoo Foo, MD
he FCMS was inaugurated on Jluly 2, 1994.lt was the Independence Day
weekend in New York City and that symbolized the new era of Chinese American
Medical history. It was not coincidental that Chitfu YuA was commissioned to create
three paintings that depict the three stages to achieving life's goal, made famous by
E.Hf;tr *uog2 guoz *eiz, paraphrasing the imagery of the Chinese poems in his
essay, " z\ F6 ;d ;f; ,.o2 iiuol ciL hua4." The paintings were auctioned
successfully on that special night to support and celebrate the birth of FCMS. The three poetic stages
of achieving success in various life endeavors are (1) unyielding, persistent effort (2) high and
inspiring vision (3) Serendipity. The formation of FCMS echoed exactly these points.
For those who are not familiar with the vision and the history of FCMS, I'd like to refer you
to the 20th Anniversary booklet of the International Conference on Health Problems related to the
Chinese in NorthAmerica 1982-2000, edited by our Past-President, Caroline Wang, MD.
Some may ask what is happening to the Federation and what does the future have to hold?
['d like to answer that question using the imagery on our inaugurated T-shirt: "like a galloping
horse". FCMS is the collective energy of all the organizaion members. (Literally-- a heavenly steed
soaring across the sky), only the sky is the limits.
Out of no where our Chairman, Hsueh-hwa Wang, MD, was contacted via e-mail stating that
CAMS's Diabetic article was cited as #31 on Google search. Out of curiosity, I typed in "Chinese
American and diabetes" in Google search and found that the FCMS is #1 out of 7400 choices on that
subject. [f one looked for bilingual health care materials, the work by FCMS is linked and can be
easily accessed on the internet. Immediately, it struck me that the internet will be the place to
publicize our work at a minimal cost. Most of the recent FCMS health conference topics and articles
are already posted in our site for immediate access.
One may wonder what have the previous conferences done so far? The result may not be
obvious at first glance, but it has nurnrred the Asian and Pacific Islander American Health Forum(APIAHF) which is at the forefront of carrying out the needs of the community to the federal level.
Onlok, the San Francisco group, is now the model for elderly care in the nation. The FCMS was
requested by the White House to testify in the townhouse meeting of the Health Care Initiative forminorities;funded by NIH, NYU Medical School and CAMS (FCMS member in the East coast),
members recently worked together to form the Center for Asian Health. The Center immediately
secured a grant to establish a "Liver Center" targeting research for Hepatitis B, also a major grant foran Asian Mental Health Initiative is on the way. Results of Chinese with stroke in New York City,
Toronto and San Francisco will be presented in this 12th Conference, and hopefully, a Chinese
cardiovascular initiative can be launched in the near future from these works.
Our immediate work is to further develop the FCMS website and to better link our individualorganization members and members at large. The education tours, mentorships, scholarships,
research and work opportunities offered by our member organizations should be linked in FCMS
website for easy access. Health related projects along with each members'expertise and initiative
FgogReTIoN oF CHINESE AMERICAN AND CHINESE CAT.IROIAN MEDICAL SOCIETIES
6
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E*.",,',Y:ir=,:?:ri?"=I"ll; Harrq Lee , M D
-T-I ft Federation of Chinese American and Chinese Canadian Medical
Societies (FCMS) is preparing for another decade of growth and achievement.The needs of our communities continue to attract our support as significantgaps in health care remain. Some notable problems are witn health"servicedelivery systems, language deficiencies, access,high incidence diseases, healthprevention, and education. These deficiencies are again cited in manypublications that many Asian Pacific Islander (APf ) organizations havedocumented with updated data since the 2000 United States census.
FCMS finds itself in a potential leadership role to assist, empower andsupport the development of giowing API community organizations. Weencourage interested members of the health professions to join our Federationin an individual membership and to participate in the open scientific meetingwith our member organizations. These meeting notices may be found on ourFCMS website (www.fcmsdocs.org), with educational materials such as the 12thConference notes and four of our previous biennial Conferences. Other Internetitems are available by patching through FCMS to the Chinese AmericanMedical Society (CAMS).
This coming decade brings new optimism, new goals, and a strongervoice in advocacy in health matters concerning APIs in North America. TheFCMS, with our constituent member organizations, stand ready to support andassist other organizations with similar goals and expectations.
Harry Lee, MD, FACPExecutive Vice President, FCMSFounding President, FCMS
FEDERATION OF CHINESE AMERICAN AND CHINESE CANADIAN MEDICAL SocIETIEs
9
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THE HISTORY OI I I
rHe r*vrS John Chiu, MD
1981: The Very BeginningIn 198 l, the Chinese Hospital in San Francisco had the vision of organizing a
Conference concentrated on the health issues relatedto the care of the Chinese inNorthAmerica. They contacted various Chinese American and Chinese Canadian medicalorganizations to try to make it a conjoint effort in supporting a Conference ofinternational stature on Health Problems Related to the Chinese in North America.Several organizations responded to the call, and they endorsed and participated at the
7
First Conference on Health Problems Related to the Chinese, held May 22-23.1982, in San Francisco. Over 200
doctors attended the conference.
1982: National Steering CommitteeFollowing the First Conference, a National Steering Committee made up of members from seven organizations was
officially formed to continue setting up guidelines and policies for future biennial conferences. Dr. Edward Chow was
the Chairman of the First Conference. The seven organizations were: Chinese Hospital, San Francisco; American
Center for Chinese Medical Sciences, Virginia; Association of Chinese Communify Physicians of San Francisco;
Chinese American Medical Society, New York; Chinese American Physicians Sociefy of East Bay, Oakland; Chinese
Physicians Society of Southem Califomia of Southem California, Los Angeles; Chinese Canadian Medical Society ofOntario, Toronto (Medical Section, the Federation of Chinese Canadian Professionals of Ontario)
1984 & 1986: Second and Third ConferencesThe Second Conference was held August l8- 19, 1984, in Los Angeles, hosted by the Chinese Physicians Society ofSouthem Califomia, chaired by Dr. Huo Chen.The Third conference was held August 23-24, 1986, in New York City, hosted by the Chinese American MedicalSociety, chaired by Dr. Hsueh-hwa Wang. The Gala dinner was at the Windows of the World, in the World Trade
Center.Dr. Harry Lee was elected to the new Chair of the National Steering Committee.
1988: Fourth ConferenceThis was back at San Francisco, and hosted by the Chinese Hospital Medical Staffof San Francisco chaired by Dr.
Collin Quock. Three new member organizations joined the National Steering Committee: Chinese Physicians ofChinatown of Los Angeles, the Chinese Canadian Medical Sociefy of Quebec (Montreal), and the Chinese Canadian
Medical Society of British Columbia (Vancouver)
1990: Fifth ConferenceThe Fifth Conference marked the first time the conference was held in Canada, hosted by the Chinese Canadian
Medical Sociefy of Ontario in Toronto, chaired by Dr. John Chiu. It was one of the most successful and
"representative" Conferences, it was attended by 400 physicians and health professionals from all corners ofNorthAmerica, as well as from Hong Kong, China, Australia and New Zealand.
The success and comradeship of the Fifth Conference inspired the founders of the FCMS to start organizing theFederation of Chinese American and Chinese Canadian Medical Societies, led by Dr. David Chiu, Dr. Harry Lee,
Dr. Hsueh-hwa Wang, Dr. John Li and Dr. John Chiu. Dr. David Chiu was appointed the Chair of the Ad Hoc NorthAmerican Steering Committee to form the FCMS. The vision has "to build a critical mass of physicians of Chinese
descent to make our voices heard, our interests count, and to build a foundation for posterity, in the field of medicinein North America."
1991, 1993: Ad Hoc Committee Meetings in New York CityPreliminary constitution & By-laws were drawn up at the meeting in 1991, and the final version of FCMS Constitution& By-laws was approved in 1993.
1992: Sixth ConferenceThis was held June 18, 1994, in San Francisco, hosted by the Chinese Hospital Medical Staff of San Francisco, chairedby Dr. Gregory Fung. The Chinese Community Health Care Association was a new member joining the Steering
Committee. Dr. Harry Lee took over the chair of the Ad Hoc Committee on the formation of the FCMS.
L994, 1995: Seventh Conference, and the Formation of the FCMSThe Seventh Conference was held July l-3, 1994, in New York City, hosted by the Chinese American Medical Society,
chaired by Dr. David Chiu.
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MESSAGE FROM THE PRESIDENT I I
oF rHE FcMS FouNDArtoN DaViC ChiU, MD
full decade has passed since we inaugurated the Federation inNew York. As we are preparing for a celebration of this important milestone, we
find ourselves at u .roir.ouds, ionfronted with a fateful choice to either elevate
our combined fortitude charging ahead and building an institution wherein the
engine for success of our posterity in this continent will be constructed and
maitttained, or, to simply float adrift in the stream of self-congratulation.
Let us reflect on what we have accomplished so far and what has yet tobe done. Over the last decade, the FCMS has settled down with a solid core
group of constituent organizations. We began with seven organization members
and now we have eight. The total sum of all individual members is about 3000
strong. We have gravitated a critical mass. The administration has passed
through five generations of leadership, yet each and every one of the foundingm"-6ers remain loyal to the mission of the Federation. The spirit ofvoluntarism continues to be flaring brightly as ever. The FCMS Foundation is
finally formalized. The Foundation, dedicated to support the functiotg. growthof FiMS, shall be the supporting and nurturing body of the FCMS. The
biannual conferences that the Federation has inherited from the Chinese
Hospital Medical Staff continue to strive. The last meeting in New Ygrk was a
resoinding success. The l2th conference in San Francisco under the leadership
of Collin Quock is going to be another banner performance and a memorablecelebration of the FCUS. While we can all share a sense of satisfaction for what
we have accomplished thus far, what lies ahead for us to embark is daunting'
David T.W. Chiu, MDPresident, FCMS FoundationFounding Chairman, FCMS
FEDERATIoN oF CHTNESE AueRlcnN ANo CxINESE CRrunolnN MEDICAL SocIETIES
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Chinese American Medical Auuo ciation o{
he Chinese American Medical Association of Southern California (CAMASC),
formerly known as Chinese Physicians For Chinatown (CPC), is a medical professional
association, which originated in Los Angeles, California during the 1970's. CAMASC was
later formally incorporated as a non-profit organization in 1985. CAMASC's mission is to
maintain, develop and enhance the knowledge, skills, and professional performance of
tl
physician members, as well as physicians in the surrounding community through Continuing
Medical Education Programs and medical research participation.
During the 1970's, a group of local Chinese physicians who dreamt of building a
healthier community, united to organize CPC. These physician members gathered to plan
and coordinate health care projects that are culturally and linguistically sensitive to the
Chinese community. This community grassroots approach had mobilized many talents,
assets and resources from the Chinese American Medical community and beyond. Today,
CAMASC has over 200 physician members.
Since promoting continuing medical education for practicing physician members is
one of the primary focuses, CAMASC worked diligently in the 1990's with the California
Medical Association (CMA) to develop Education Protocols. CAMASC also became one ofthe first Continuing Medical Education (CME) providers within the Asian medical
communities of Southern California.
As CAMASC expanded its efforts on improving the quality of health among the Asian
community in the Los Angeles region, CAMASC became actively involved with other
Chinese American and Chinese Canadian medical associations in the 1980's. Together, these
medical associations organized biennial
conferences. Subsequently, CAMASC became a
founding member of the Federation of Chinese
American and Chinese Canadian Medical
Societies. CAMASC was the hosting organization
of the 2nd International Medical Conference inLos Angeles in 1984. After a decade of service
and reflecting the Federation's legacy, CAMASC
ll)8 Con{erence - Presiden t Trrmin Ho,M.D, {acilitator for panel discussion.
FEoEReTIoN oF CxINIese AMERICAN AND CHINESE CeruaoIn,N MEDICAL SOCIETIES
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Chinese American Med ical Soci.tq,
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T.I n" Chio"se American Medical Society (CAMS) celebrated its 40th znniversary in October
2003, at a dinner-dance in New York City. The celebration capped a full day of scientific meetings
that brought together over 250 attendees to participate in exciting, up-to-date discussions on the latest
advances in medicine, and also to a lecture by the Scientific Award Recipient. This description gives a
glimpse into the many activities of this society, founded by immigrant physicians in the early 1960s.
They and their successors boldly stated the objects of the Society to be as follows:
1) To promote the scientific association of medical professionals of Chinese descent;
2) To establish scholarships and/or endowments in medical schools and hospitals of good
standing;
3) To advance medical knowledge and scientific research with emphasis on aspects unique to
the Chinese;
4) To improve the health status of Chinese Americans.
While the Society has made progress on all these fronts, clearly much more needs to be done.
The Society has held large and small gatherings, anywhere from twice a year to six times ayeat,
providing ample opportunify for professional mingling, discussion, and continuing medical education.
Besides the Annual Scientific Meeting, there have also been Spring/Summer Scientific meetings,
fund-raising dinners, dinners with lectures, and just plain fun outings. The officers have worked hard
to keep the membership involved in all these activities. The Society has been able to attract interest
among Chinese-American physicians in other cities, so that chapters have been formed in Albany,
Boston, and Washington, DC. Chapters have their own by-laws, officers, and activities, and stay in
touch with the Society's Board of Directors in New York City. The Mid-Atlantic Chapter (DC) is
currently the largest, with over 100 members, and they often offer dinner seminars as well as raise
funds for scholarships for exceptional high school, medical and dental students, and its Summer
Research Fellowships.
A gradual increase in membership has brought the overall number to over 900. Another
gradual change is the shift in composition of members to a younger group who are U.S. medical
school graduates. Among these are our current and future leaders.
The evolution to managed care brought about the formation of the Chinese American
Independent Practice Association (CAIPA), formed of Society members who are providers in various
managed care groups. It now has over 200 members.
Past?residents of CAMS, oct.zoot, tro^,l.k,.seated, fl.n. .Wanq, Sophie Chane(widow ofW ei -Y inqloh), KuoYChenWanq, fenneth gze, Chu-Huai-1 .)l-ttLhang and Lddq longstandrn g, Da isq Sa;w, 5u n -H ooFoo. Joln Waris. Thomas King,samuelveh anffJohn Li. q
FeoeneTloN oF CHINESE AMERIGAN AND CHINESE CANADIAru MEOICAL SOCIETIES
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Chinese American ?hysicians 5o ciety,
.TI he Ctrinese American Physicians' Society (CAPS) of the
East Bay was organized and incorporated in 1977. Prior to thisincorporation, some of our members had thoughts of a state ornational organization. It is with this in mind that I went to NewYork and attended a conference by the Chinese AmericanMedical Society of New York. I joined the organization in the
mid 1970's to learn more about that organization and toexplore the possibility of a branch in the West Coast. Aftermuch thought of the pros and cons, we decided to form ourown organization.
Our goals are in our mission statement. They are as follows:1. To promote quality healthcare for our community in a
cultural sensitive manner.
2. To foster awareness of the social responsibility of ourprofession to the community.
3. To support a forum for exchange of information and education in the medicalsciences:
4. To discourage and eradicate prejudice and discrimination in all facets of the
health and medical professions.
The formation of CAPS provided opportunities for our widely dispersed ChineseAmerican physicians with a common cultural heritage to come together for fellowshipand social interaction besides providing community services.
However, the thought of a national Chinese American physicians' organizationwas still in the back of our minds. When the Federation of Chinese American and
Chinese Canadian Medical Societies was proposed in the 1980's, my thought was thatthis was in line with our original goals. For this reason I joined the steering committee as
a charter member.
Although the Federation is still in its formative years it has fulfilled some of ouroriginal mission statement goals at the NorthAmerican level.
The biennial conference promoted quality health care in a cultural sensitivemanner for our community. The very fact that the Federation has these conferencesdemonstrated the commitment to our professional responsibility to our Chinese Americanand Chinese Canadian communities.
FEDERATION OF CTTIruESE AMERICAN AND CHINESE CANADIAN MEDICAL SOCIETIES
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Chinese Canudian Medical societq'-t-
I h. Chio.re Canadian Medical Society (Ontario) was established in 1975, first as the
Medical Section of the Federation of Chinese Canadian Professionals. This was triggered by the issue
l7
of an alarming and misleading report in the Toronto Globe and Mail in September, 1974. On a
statement made by Dr. Bette Stephenson, then the President of the Canadian Medical Association, she
stated that there were too many foreign born Chinese medical students in the University of Toronto,
disregarding the fact that almost all of them were landed immigrants or Canadian citizens. Nine
Chin6se Caiadian physicians and other professionals were instrumental in spearheading the formation
of the Federation of Chinese Canadian Professionals of Ontario.
The Society was formally incorporated on Apil26,1984. It now numbers about 500 active
participants, including medical students. The Society just celebrated its 25thfu1iversary on May 27th
2000, at a special Gala Conference and Dinner Dance.
It remains as the largest and the most active section of the Federation of Chinese Canadian
Professionals of Ontario FeCp). In fact, about half of the past Presidents of the Board of Directors ofthe FCCP came from the CCMS.
Refuctions on the involvement with other Chinese medical societies in North America
In 1981, Dr. John Chiu, then the President of the Federation of Chinese Canadian Professionals(Ontario), as well as the Chinese Canadian Medical Society (then the Medical Section of the FCCP)'
responded to the call from the Chinese Hospital in San Francisco to endorse and participate at the
Fiist International Biennial Conference on Health Problems Related to the Chinese in Nortlt America.
In 1982, the CCMS (Ont.) joined the National Steering Committee of the Biennial Conferences, and
continued to support the viiion of the project. The Society accepted the challenge and became the firstCanadian host, ind organized the Sth biennial conference on Health Problems Related to the Cltinese
in North America in tqqO in Toronto, one of the most successful conferences to date. It also succeeded
to bring to attention and sparked the interest of the CCMS (British Columbia) and the CCMS(Quebec) in the biennial conferences.
The combined visions of the North American Chinese Medical Societies stimulated the CCMS(Ont.) during its earlier years to organize three special annual Conference on Diseases Common to the
Chinese in North Americafrom 1983 to 1985. During the years from 1989 to 1992, the CCMS (Ont.)
was also actively organizing and sustaining the Federation of Chinese Canadian Medical Societies and
the Chinese Canadian Health Forum, with the colleagues of sister organizations in Montreal and
Vancouver. The projects however did not continue to function actively due to lack of sufficientfunding. It still liaises actively with other organizations such as the CCMS (British Columbia) and the
Filipino Canadian Medical Association.In 1994, the CCMS (Ont.) became one of the Founding members of the Federation of Chinese
American and Chinese Canadian Medical Societies (FCMS) when it was formally incorporated to
take over the duties of the National Steering Committee and also to expand its visions and goals' The
Society will continue to support its goals and objectives.
Throughout the years, the CCMS (Ont.) has indeed benefited tremendously in its association
with the many medical societies of physicians of Chinese descent in North America, in the
development of its visions, and in its continuous pursuit of its goals.
Some highlights of activitins(A) Educational CME Dinner Lectures: usually around 10 a year(B) Annual Medical Seminar(C) Participation in the Biennial Conference on Health Problems Related to the Chinese in NortltAmerica, neta so far in San Francisco, Los Angeles, New York City, Toronto(1990), and Vancouver(D) Medical CMETours: to China, Hong Kong, SoutheastAsia, Europe, Cuba,Australia/NewZealand, Galapagos, etc.(E) Medical Student Mentor Program; Medical Students Annual Orientation; Career Guidance(F)Basic Chinese medical vocabulary seminars and sessions for physicians and medical students
(G) Assistance in clinical research and data collection, e.g. Cancer Screening practices in Chinese
Women, Stroke Issues in the Chinese Patients
FEOERETION OF c:HINESE AMERICAN AND CHINESE CANADIAN MEDICAL SOCIETIES
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Chinese Commun,tyH*lth C"re Ass ociation,
he Chinese Communitv Health Care CCHCA) is a San Francisco based
non-profit association organized by members of the Chinese Hospital Medical Staff in response
to the growing impact of managed care in California limiting access to Chinese American
physicians during the late 1970's and early 1980's. CCHCA offered the oppornrnity for interested
members of the medical staff to deliver bilingual and culturally sensitive health care in a
managed care environment. CCHCA also played a major role in the development of the Chinese
Community Health Plan owned by Chinese Hospital offering the community locally controlled
affordable health care.
In 1899, the Tung Wah dispensary, a health clinic offering western medicine was opened
c";;4on Sacramento Street and was the forerunner of the Chinese Hospital. In 1924, the community
built the Chinese Hospital. The development of a physician
organization and health plan to offer bilingual culturally sensitive
services in a managed care environment was the modern response to
the access needs of the growing non English speaking Chinese
population in the l9'70's and 1980's related to new immigration from
the Chinese mainland, Hong Kong, Vietnam and Taiwan. Today,
CCHCA serves nearly 24,000 enrollees in five managed care plans
ranging from a Medicaid two plan model, the San Francisco Health
Plan, to the CCHP Medicare Advantage. CCHCA and Chinese Hospital is available through the
most popular mainsffeam plans in San Francisco as well as the Chinese Community Health Plan.
As a non-profit association, CCHCA s purpose is to promote social welfare by making
health services accessible to the Chinese community of San Francisco. It achieves this through
its network of over 70 primary care physicians and the availability of 200 specialists. CCHCA is
also proud to be a founder and sustaining member in the NICOS Chinese Health Coalition
composed of over 40 public and private agencies and individuals advocating for the health needs
of the Chinese in San Francisco. CCHCA is also a founder and supporter of the pre-eminent
nationalAsian health advocacy agerrcy, theAsian Pacific IslanderAmerican Health Forum
(APIAHF) and is a founding member of the Federation of Chinese American and Chinese
Canadian Medical Societies (FCMS).
FEDERATION OF CHINESE AMERICAN AND CHINESE CANADIAN MEDICAL SOCIETIES
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Chinese Hospital Medical stuf{
SHXNgSE HS$PITAL$XWC&L STAFF
845 Jacksun $treet . San Franciseo, CA S4133-4899Tel: (415) S77-2481 ' Fax: (415) 677-2439
2l
he Chinese Hospital Medical Staff has approximately 250 members that encompass
an afiay of medical specialties, with a mission to provide culturally uo6 sthnically sensitive
affordable health care to the Chinese communiry. Another goal is to provide health education to
health care providers and the community. This mission coincides with much of the goals of the
Federation, and is one reason that the Chinese Hospital Medical Staff is one of the founding
members of the Federation and continues to support the Federation as a sustaining member.
Many of our Medical Staff leaders are or have been active in leadership roles of the Federation.
Our Medical Staff has also been a major contributor both financially and in manpower toward
the success of the Federation's biennial Conference on Health Care of the Chinese in Norrh
America.
Visit the Chinese Hospital website at,HTTP ://www.CH I N ES E HOS P ITAL-S F.oRG/
FEDERATION OF CHINESE AMERICAN AND CHINESE CNUNOIAN MEDICAL SOCIETIES
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t_t'l'lss€PHTLIPPINE AMERICAN MEDICAT ASSOCTATION
Df CAMA celebrated its 10th anniversary on June 12,2004.In the past
10 years, it has held multiple Continuing Medical Education lectures; madecharitable contributions for natural disaster relief, senior citizens and othercharitable agencies; sent a medical mission to the Philippines to give medicineand services to the needy; promoted anAsianAmerican magazine; networkedwith other Asian American organizations; and assisted our members in locatingjobs and acquiring permanent stafus. Untll2002, PCAMA offered collegescholarships to support indigent Chinese-Filipino students in the Philippines.
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roo Monful,rncSlcrnddc" I{YroSEggal aTzaaorTFrr (9r+) +Z*6+oa
Since 1998, the PCAMA has offered yearly awards and scholarships tothe younger generations. In June 2003,Dr. Erlinda Koo (left of picture)ofMonterey Park, CA, was the recipient ofthe 2003 PCAMA Outstanding PhysicianAward and the west coast representativeto FCMS. She set up the Liu Siok HanScholarship Fund, named after hermother who was an educator.
The PCAMA became a paidmember the FCMS in 200 through theeffort of Dr. Edwina S. Kho (right ofpicture), who serves as the PCAMAliaison/representative to the FCMS. Dr.Kho is a founder of PCAMA and servedas PCAMA president in 1999 and 2000.She is currently a PCAMAAdvisor, theJournal Editor, Anniversary CommitteeChair, Awards and Scholarship Committee Chair, and an active member of theFundraising Committee and the CME Committee.
The PCAMA has a close relationship with the Chinese American MedicalSociety (CAMS). PCAMA members are invited to attend conferences hosted byCAMS and receive Category-l CME credits. PCAMA members have presentedposters and abstracts at CAMS conferences, and have affended the CAMSfundraising dinners for years. Some members of PCAMA have joined CAMS. Amember of PCAMA from Hawaii has become an individual member of FCMS.The PCAMA also set up relationships with the Association of Chinese AmericanPhysicians, NY (ACAP), the Organizatton of Chinese Americans (OCA), thePhilippine Chinese Association of North America, Norrheast, Inc. (PCAA), andother charitable organizations.
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Pr.ddattJocc Siu. MDVlcr?rddltRodolfo lln, tlDSccncrrf
Jorge Chau, MDlnrrlrcr$scion Chan, MD
FOl|l ftronFdwiae $. Kho, MDAnita Siu, MD
Pru'ddratbl AdrrLorrAnita Cham, MDMicky Yu, MD
GovrrnocAlfonco Chan, MDLuz Chcng-Tc, MDCermeo e.;o, MDFrancicco Co, MDJoseph ltuaog, llDFncd Xho, MI)Jorephine Ltm, MDRcmcdioc Sioo, MDEngKock Tan, liDFortrnatr Tan, MDFernando Tan, ldD
kprur*trtlw to FBl6Edtryinr S, I(ho. MD
FEDERATION OF CHINESE AMERICAN AND CHINESE CerunoIeN MEDICAL soc|ETIEs
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FCMS RESEARCH Sun-Hoo Foo, MD
'1-I h" F"d.rution of Chinese-American and Chinese-Canadian Medical Societies is not a
funding organization but FCMS and its research committee can initiate, stimulate and catalyze
cooperation among those who are interested to work together for our communities. Thanks to Larry
Ng and his Informatics Committee, the FCMS has posted the proceedings of 1to" 7th to I lth
International Conference on Health Problems Related to Chinese on the www-fcrnsdocs.org website
on the physician Library page. The discussed topics, conference articles and abstracts can provide
useful insight and information regarding our communities, which is essential for those who want to
know and do more to improve our communities'
What FCMS is and what it can do
-Heterogeneous medical organizations
-Different infrastructures with limited fund
-Limited personnel support
-Not a funding organization
-Information Sharing and Data mining.
What the FCMS research committee has coordinated so far since 2003.
1. The CAMS/CAIPA community research fund has supported Elaine Yum in establishing
an Herb watch at Long Island Poison and Drug Information Center (LIPDIC) which monitors,
organizes and reports such data for good use. Eventually, we would like to establish a web based
medication reporring site at the FCMS/CAMS/CAIPA web pages with links to the FDA. We may
be able to put a picture file of over the counter herbal products, their contents and other pertinent
information at the FCMS/CAMS/CAIPA web sites for easy identification. Recent incorporation
with the pacific Institute of Research and Evaluation will further develop the program. It will also
focus on developing cultural competent educational material and services.
2. A SurveY on Herbal Information
was circulated in the 2003 CAMS/CAIPA
annual scientific meeting. The data will be
analyzed and reported in the future.
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coM"5i,"*TtH'::3 David Der, MD
27
.TI he medical profession has a social responsibility to oversee the health care of its
communify. This is even truer in regards to each chapter of the Federation of Chinese American andChinese Canadian Medical Societies because of the Chinese populations that they serve. Thispopulation differs from the rest of the population in terms of culture, language, and their understandingof health and diseases. These are the barriers that the non-English speaking Chinese immigrantencounters as they try to negotiate mainstreamAmerican medicine.
It is, therefore, the responsibility of the Federation and its various chapters to bring aboutchanges to improve the health and medical care of each of our communities. Since each communityhas unique health problems and needs, each community must be approached at the community leveland assessed locally. This will ensure that the right problems are addressed and will determine the bestavenues in which to resolve health and medical service problems. In other words, each chapter must bean advocate for its o*o
"o.1nunity.Community needs can be categorized into four groups; access to medical services, directmedical and healthcare services, health and medical education, and rehabilitation and skilled nursingcare. Access to health and medical services should be considered in terms of geography, finances,language and cultural competency. Geography may be thought of as the ease of obtainingtransportation to the necessary medical care. Many Chinese immigrants do not drive or haveautomobiles. Public transportation is out of the question for the very ill. Financial problems mainlyaffect the indigent. Many in the Chinese community are employed by small businesses, paid low wagesand are not provided with health care insurance. A major component of cultural competency is theability to communicate. Any language barriers need to be removed. This, however, is dependent uponhealthcare workers' and medical service providers' ability to supply patients with interpreters. Althoughthis service is a federal requirement, many do not or are not able to provide it. This is what keeps mostChinese away for proper medical care. Local Federation chapters can encourage their communityhospitals to provide the necessary cultural services that will attract Chinese patients.
Direct medical and health care services include hospital, specialist physicians, laboratory, x-rayand other diagnostic and therapeutic services. Specialist medical care is particularly difficult except inlarge metropolitan areas. Perhaps a part time facility may suffice for these services in smallercommunities. Community hospitals should be approached and encouraged to provide some of theseservices.
Heath and medical education for the community in a language the people can understand isanother area that each chapter can provide. Specialist physicians can make presentationscomprehensible to the people. Interpreters may be necessary. A suitable place and time that isaccessible to the people is a great service to the community. Some hospitals or pharmaceuticalcompanies could be asked to provide the financial support for these programs. This is also a great wayfor new physicians or specialists to introduce themselves to the community. Another avenue to providehealth education is through the Internet. Translated medical information and health related subjectscould be recorded and accessed by the people. This not only provides information to the public butalso to the healthcare provider who can download specific articles on specific conditions for non-English speaking patients. I believe the Federation should take the lead in this area and set up a healtheducation Internet service.
Lastly, there is a great need for rehabilitation and skilled nursing care. Many of the elderly whohave sustained a stroke or a lower extremity fracture have great difficulty obtaining proper physical,occupational and speech therapy. Facilities that cater to the Chinese with menus and bilingual nursesare available only in certain metropolitan areas. But if communities would focus all their Chinesepatients into one-or two skilled nuising facilities, those facilities might be induced to provide thenecessary culturally competent services.
These are just some of the more obvious areas in which each chapter can bring about animprovement in health care and medical services. We must become advocates for these services in ourcommunities and speak out for these needs. We must perform this duty at the local, state and nationallevels of government. Additionally, the social, economic and housing needs for the people are relatedto the health of community. Medical organizations must interact with other community organizationsthat are addressing these issues and we must support them.
In summary we of the medical profession, must survey the cultural needs of the health andmedical services in our community, prioritize them and search for available resources to satisfy thoseneeds to the best of our ability. We must act as advocates for these improvements. These are thepolicies, which I hope the Federation will embrace.
FeoeneT|oN oF CHINESE AMERtcAN AND CHINESE CANADIAN MEDICAL SOCIETIES