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4.4 The Government should consider setting up an independent specialist accreditation body with international expert members
that will solely be responsible for the recognition and accreditation of specialist training and determination of qualifications
for inclusion in Hong Kong’s Specialist Register. Alternatively, the Government can consider empowering the Education and
Accreditation Committee under the Medical Council of Hong Kong to take on this role.

4.5 Fellows of the Hong Kong Academy of Medicine and specialists with Certification for Specialist Registration (CSR) (attained
via the Academy) should have equivalent entitlement in their careers in Hong Kong. To achieve this, holders of CSR should
be awarded Fellowship of the Academy.

RECOMMENDATION 5. Relevant authorities in Hong Kong including the Medical Council of Hong Kong should
adopt the Electronic Portfolio of International Credentials to streamline examination application and medical
registration procedures

RECOMMENDATION 6. Hong Kong should conduct a review of the Medical Council of Hong Kong Licensing
Examination to uphold fair assessment standards
6.1 The Medical Council of Hong Kong should strategically invest in support measures for the Licensing Examination including
the provision of comprehensive revision materials, an exhaustive syllabus and options to complete parts of the Examination
outside Hong Kong or virtually.

6.2 The Medical Council of Hong Kong should abolish discouraging assessment practices of the Licensing Examination, such
as negative marking mechanisms.
6.3 The Medical Council of Hong Kong should implement measures to ensure fairness in examination standards. This could
involve regular calibration of the Licensing Examination with locally trained medical graduates and/or the setting up of an
independent examination authority to administer a standard licensing examination for local and non-locally trained doctors.

6.4 The Medical Council of Hong Kong should make alternative assessment methods available for experienced doctors, such
as workplace-based assessment.
6.5 The Medical Council of Hong Kong should consider alternative measures to fulfil the medical English proficiency requirement,
such as the recognition of results from well-established English language testing systems like International English Language
Testing System (IELTS) or consider graduates from medical schools with English as a medium of instruction to have met the
requirement.

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