More than 1,000 hospital doctors will take to the street to protest against radical health reforms they claim will seriously compromise the quality of service. The Public Doctors' Association will stage a sit-down protest outside the Hospital Authority's headquarters in Kowloon City on June 25. It will set up a new group to monitor the quality of medical services being provided and to deal with doctors' and patients' complaints. Private doctors will join in voicing opposition to the authority's 'two-tier' system, which was implemented last Thursday. All public hospital doctors are being divided into specialists and residents. The decades-old consultant-led system is being abolished. Association president Dr Lai Kang-yiu said yesterday the protest would be held in silence, with no banners because 'no words can describe our anger'. 'The authority has forced through the reform, despite our strong opposition,' he said. 'The sit-in may not change the policy, but at least we can demonstrate our anger.' He said accountability of medical services was in a mess, especially during the transition period when there would still be consultants. 'Some departments have the consultants to take final responsibility but others hold the specialists responsible - it is very confusing,' Dr Lai said. 'We call the situation a medical Titanic. There is a huge iceberg in front of us but the authority just keeps going.' The association said because specialists would be held responsible for the actions of residents, they would be required to be present at almost all operations and consultations. Specialists fear their workload will become even heavier. Doctors are also angry that there are to be substantial pay cuts for new recruits. The association is inviting about 10 people - including academics, patients' rights activists and legislators - to set up the new monitoring group, the Public Hospital Medical Quality Monitoring Committee. The committee will hear patients' and doctors' complaints. 'The committee will keep an eye on service quality, to see whether manpower shortages and the medical reforms have led to poorer service,' Dr Lai said. In an open forum on the association's Web site, doctors called the reform the 'two-tear' system. 'It is now useless to treat the patient alone,' said one contribution, signed Kind Physician. 'We need to treat the brain of the administrators and to treat the medical policy.' In his letter to all medical staff last week, Hospital Authority chief executive Dr William Ho Shui-wei said the specialist-led system would enhance supervision of residents under training. 'It can no longer be accepted that residents on call are left to deal with clinical situations they are not competent in. However, it does not mean residents have to be accompanied by specialists in everything they do, which is not practical nor desirable,' Dr Ho said. 'What residents are allowed to do by themselves depends on the assessed competence, which may differ from resident to resident.'