繁體中文
跌打喺法律上屬中醫執業
《中醫藥條例》界定「中醫執業」包括以中醫為基礎診斷、治療、預防或緩解疾病、處方中藥,以及按中醫、針灸或跌打調理人體功能。呢個定義意味住:以跌打手法應診嘅人,其實已經喺中醫執業範圍之內。未註冊而自稱中醫、或明知而作中醫執業,都屬違法,所以「無牌跌打」唔係灰色地帶咁簡單。呢類行為屬刑事罪行,一經定罪可被判處罰款同監禁。
註冊關卡:學位加執業資格試
註冊中醫須完成中醫組認可嘅中醫本科學位課程(一般不少於五年)或同等學歷,再通過中醫執業資格試,先至可以向中醫組申請註冊。考試分第I部分筆試同第II部分臨床考試,考生手冊、報名表同考試日期由中醫藥管理委員會公布。除表列中醫等特定情況外,唔通過執業資格試就唔符合註冊資格。
名銜、範圍同實況
註冊後,可按條例喺名銜後加上「跌打」「針灸」或「中醫全科」等字眼,顯示執業範圍,但呢啲只係範圍標示,唔等於專科資格;現時香港冇跌打專科嘅培訓同認證制度。執業者有機會受僱於診所、中醫機構或醫療集團,亦有人自營診所。薪酬由僱主決定或按診金自負盈虧,並無統一官方薪級。另外,註冊中醫須按周期完成持續進修(CME),先可續領執業證明書。
English
Bone-setting is Chinese medicine practice in law
The Chinese Medicine Ordinance defines 'practising Chinese medicine' to include diagnosing, treating, preventing or alleviating disease on the basis of Chinese medicine, prescribing Chinese medicines, and regulating the body's functional states on the basis of Chinese medicine, acupuncture or bone-setting. That definition means a practitioner who treats by bone-setting is already within the scope of Chinese medicine practice. Claiming to be a CMP, or knowingly practising as one, while unregistered is an offence — so unlicensed bone-setting is not a simple grey area.
The gate: a degree plus the licensing examination
To register, a person must complete an undergraduate degree in Chinese medicine practice approved by the Practitioners Board (generally not less than five years) or its equivalent, then pass the licensing examination before applying to the Board for registration. The examination has Part I (written) and Part II (clinical); the candidates' handbook, application forms and examination dates are published by the Chinese Medicine Council. Apart from specific cases such as listed Chinese medicine practitioners, failing the licensing examination means you do not qualify for registration.
Title, stream and the reality
After registration, the Ordinance allows terms such as 'bone-setting', 'acupuncture' or 'general practice' to be added to the title to indicate the stream, but these are stream descriptions, not specialist qualifications; there is currently no specialist training or accreditation for bone-setting in Hong Kong. Practitioners may be employed by clinics, Chinese medicine institutions or medical groups, or run their own clinic. Pay is set by the employer or, for the self-employed, depends on consultation fees, with no uniform official scale.