sharp official slides - 2012.1018 · dr ng shin yi drevangeline lim prof hwang nian chih a/prof...

SHARP Committees

Clinical Competency Committee Program Evaluation Committee

A/Prof Agnes Ng (chair)

Dr Ruban Poopalalingam

Dr Ng Shin Yi

Dr Evangeline Lim

Prof Hwang Nian Chih

A/Prof Darren Koh

Dr Tan Kian Hian

Dr Darren Phua

Dr Eileen Lew

Dr Tan Tong Khee (chair)

Dr Farida Ithnin

Dr Chong Shin Yuet

Dr June Goh

Dr Sng Ban Leong

Dr Lee Sumin

Dr Suhitharan T. (Year 2 Resident)

Dr Chen Yu Fan (Year 1 Resident)

Resident’s Representatives

Chairperson of SHARP Residents Thay Yu Jia

R1 R2

Resident Rep Lie Sui An Jerry Tan

SingHealth Resident Committee Rep John Lee Lim Huili

PEC Rep Chen Yufan Suhitharan

Welfare Rep Tan Zihui Ho Ying Ci

Research Rep Lo Ting Ling Christopher Liu

SingHealth Anaesthesiology Residency Program

SingHealth Anaesthesiology Residency Program Overview

R1Clinical AnesthesiaBasic Year

Orientation APS AMB GYN MSAMSA

Upper‐GIICU

PEC PACU

R2Clinical AnesthesiaSubspecialty

AIRWAY NICU REG

R3

Clinical AnesthesiaAdvancedSub‐Specialty

NEURO CTS PAEDSChronic Pain

REG

R4

R5

MSAGYNPEC

OBSPAEDS

ElectiveICU MSA Transplant

NEUROCTS

OBS

Advanced Subspecialty Rotation 23 months



Exit Preparations6 months

Advanced Training

Management in Anesthesia "6 months


Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

SingHealth Anaesthesiology Residency Program

7

Why SHARP?

Diversity and depth of clinical experience

9

Cardiac

Thoracic

Neuroanesthesia

Obstetric

Pediatric

Intensive Care

Pain

Regional Anesthesia

Burns Centre

Robotic Surgery

Difficult airway management

Bariatric surgery

Hepatobiliary surgery

Spine surgery

Diversity and depth of clinical experience

Heart Lung

Liver Kidney

Cardiovascular Homografts

Skin

Cornea

Bone Marrow Umblical Cord Blood

State of the art

11

Hybrid OT i MRI CT OT Robotics OT Multidisciplinary

Pain Management Centre

Difficult Airway equipment

TEE Simulation

Dynamic educational program

Residency Orientation 2012

Dynamic educational program

14

Scheduled didactic lectures

SHARP Lecture SeriesDates Location Presenters Topics Category Topics12 Aug CGH Choo CY Part 1 Prep 1.Practical Gastric Physiology

2.SAQs3.Vivas

16 Sep SGH Lee TW Part 1 Prep 1.Physiology of Coagulation and relevant Pharmacology2.SAQs3.Vivas

14 Oct SGH Ong BC, Seetho Ving Yuen, Kong CF

Quality Improvement 1.introduction to QI Project2.process charting, fish bone and pareto3.PDSA and comparison with RCT and methods for project implementation

11 Nov KKH Farida Resp 1 1.Respiratory Physiology2.Airway Management3.ENT Anaesthesia

16 Dec CGH Tey Wan YeeTan Li HoonChoo Chee Yong

CVS 1 1.Output Measurement 2.Echocardiography for Valvular Heart Disease3.Beta Blockers for Cardiac Patients presenting for Non Cardiac Surgery

13 Jan SGH Lee TW AKT AKT Topics discussion17 Feb KKH John Tippett

Farida IthininEvangeline Lim

Haematology 1.Prediction of Difficult Airway2.Difficult Airway Management – Role of Videolaryngoscope3.Anaesthesia and Obstructive Sleep Apnoea

16 Mar SGH Adrian NgChong Shin YuetChee Huei Leng

1.anaesthesia for obese patients2.Thermoregulation3.ICU nutrition

13 Apr CGH ChooCYLeong Wai MayLim Yean Chin

Endocrine / Metab 1.Principles of Ultrasound 2.Ultrasound guided Regional Anaesthesia 3.Complications of Regional Anaesthesia

11 May KKH Farida Haematologic 1.Anaesthetic Challenges and the Jehovah’s Wittness Patient2.Guidelines on thromboprophylaxis and regional techniques : Clinical Application3.Management of Anemia in Children

08 Jun CGH Mah CL GI / Hepatic Case scenario with multiple allergies

13 Jul SGH Ng SYSuhitharanMichelle TanThay Yu JiaAaron LeeRuban Poopalalingam

1.Review of AKT – Ng SY2.Equipment3.Pharmacology 4.Clinical anaesthesia5.Update on neuroanaesthesia6.Review of resident’s survey

CME Calender – June 2012

Our Partners in medical education and simulationOur Partners in medical education and simulation

Simulation Training

CRAFD

Centre for Resident And Faculty Development CRAFD was launched to put in place faculty and resident development

initiatives, workshops and resources.

SingHealth Residency 7 Core Competencies

20

Medical Knowledge

Patient care

Professionalism

Interpersonal skills and communication

Practice-based learning

Systems-based practice

Faculty Development

Residents as Future Teachers (RAFT)

RAFT - Effective giving & receiving feedback

RAFT - Clinical Teaching in specific settings

RAFT - Tools & Techniques to Deliver an Effective Lesson

RAFT - Portfolio for self-directed learning

RAFT - Project: Teaching Assignment

RAFT - Residents as team leader and manager. Identifying problematic residents. Bridging up.

Approachable, dedicated & supportive faculty

The Educators

23

Subspecialty teaching done by those who subspecialised in the field

Cardiothoracic AnaesthesiaNeuroanaesthesia

Critical Care Medicine

Faculty AwardsName Awards

Dr Ng Shin YiPassionate Educator Award, 2012Innovative Educator Award, 2012Surgical STaR Inspiring Teachers Award, 2011

Dr Choo Chee Yong Passionate Educator Award, 2012

Dr Mah Chou Liang Innovative Educator Award, 2012

A/P Tay Sook Muay Outstanding Motivator (Normal Body) AwardDuke‐NUS Graduate Medical School, 2010

A/P Darren Koh

Programme Innovation (Medical) AwardSingHealth Academy Duke‐NUS Golden Apple Awards, 2012Outstanding Creative EducatorSingHealth Academy Golden Apple Awards, 2011Dean’s Award for Teaching ExcellenceAcademic Year 2008‐09

Prof Hwang Nian Chih Best Innovator Award, 2009

Dr Lee Tze Wee Surgical STaR Inspiring Teachers Award, 2010

Faculty Awards

Our Faculty’s Academic AppointmentName Academic Title @ Duke‐NUS Academic Title @ YLLSoM Other appointments

Chan Yew Weng Adjunct Associate Professor

Clinical Associate Professor

Ong Biauw Chi Adjunct Associate Professor


Protem, CMB Seng Kang HospitalDirector, Clinical GovernanceDirector, Patient Safety

Ip‐Yam Pierre Christian

Adjunct Associate Professor

Clinical Senior Lecturer

Tay Sook Muay Adjunct Associate Professor

Clinical Senior Lecturer Associate DeanSingapore General HospitalYong Loo Lin School of Medicine

Lim Boon Leng Adjunct Associate Professor


Designated Institutional Official (DIO)SingHealth Residency

Hwang Nian Chih Professor Clinical Associate Professor

Soh Chai Rick Associate Professor Clinical Lecturer

Goh Meng Huat Adjunct Associate Professor

Clinical Senior Lecturer

Alex Sia Adjunct Professor Associate Professor Chairman Medical BoardKKH Women’s and Children’s Hospital

Agnes Ng ‐ Associate Professor

27

Too busy?

Duty Hours

Final MMed 2012

30

The People

Camaraderie of the faculty

Work life Balance

SHARP Committees

Welfare Committee

Dr June Goh (chair)

Dr Tan Kian Hian

Dr Mah Chou Liang

Dr Bong Choon Looi

Dr Ho Ying Ci (Year 2 Resident)

Dr Tan Zi Hui (Year 1 Resident)

Residents not at work!

Beyond the ordinary!

SHARP Committees

Research Committee

Dr Sng Ban Leong (chair)

Dr Ng Shin Yi

Dr Darren Phua

Dr Bong Choon Looi

Dr Christopher Liu (Year 2 Resident)

Dr Lo Ting Ling (Year 1 Resident)

Research Infrastructure & Support

Academic Medicine Research Institute

Research

• Desai S, Sng BL, Lim Y, Sia AT. Chronobiology of Parturients Receiving Neuraxial Labour Analgesia with Ropivacaine and Fentanyl: A Prospective Cohort Study. International Journal of Obstetric Anesthesia. 2009; 18(1):43‐7.

• Ithnin F, Ma YL, Shah M, Shen L, Sia ATH. Tracheal Intubating Conditions Using Propofol and Remifentanil Target‐Controlled Infusion: A Comparison of Remifentanil EC50 for Glidescope and Macintosh. European Journal of Anaesthesiology. 2009; 26(3):223‐8.

• Lee AKY, Tey JBL, Lim Y, Sia ATH. Comparison of the Single‐Use LMA Supreme with the Resusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care. 2009; 37(5):815‐9.

• Lee S, Lew E, Lim Y, Sia AT. Failure of Augmentation of Labor Epidural Analgesia for Intrapartum Cesarean Delivery: A Retrospective Review. Anesthesia and Analgesia. 2009; 108(1):252‐4.• Leo S, Sng BL, Lim Y, Sia AT. A Randomised Comparison of Low Doses of Hyperbaric Bupivacaine in Combined Spinal‐Epidural Anesthesia for Cesarean delivery. Anesthesia and Analgesia 2009 Nov; 109(5):1600‐5.• Lim Y, Ocampo CE, Supandji M, Teoh WHL, Sia AT. Patient‐Controlled Epidural Analgesia Regimens for Labor Analgesia: Background Infusion or Demand‐Only? Response. Anesthesia and Analgesia. 2009; 109(1)

284‐5.• Lim Y, Supandji M, Teoh W, Ocampo C, Sia AT. Is There Evidence for Improved Maternal Satisfaction with Patient‐Controlled Epidural Anesthesia? Response. Anesthesia and Analgesia. 2009;109(4): 1345‐6.• Sia AT, Sng BL. Editorial: Intravenous dexmedetomidine for Obstetric Anaesthesia and Analgesia: converting a challenge into an opportunity? International Journal of Obstetric Anesthesia. 2009; 18(3):204‐6.• Sng BL, Sia AT, Quek K, Woo D, Lim Y. Incidence and Risk Factors for Chronic Pain after Caesarean Section under Spinal Anaesthesia. Anaesthesia and Intensive Care 2009, Sep; 37(5):748‐52.• Sng BL, Lim Y, Sia ATH. An Observational Prospective Cohort Study of Incidence and Characteristics of Failed Spinal Anaesthesia for Caesarean Section. International Journal of Obstetric. Anesthesia. 2009;

18(3):237‐41.• Sng BL, Sia ATH, Lim Y, Woo D, Ocampo C. Comparison of Computer‐Integrated Patient‐Controlled Epidural Analgesia and Patient‐Controlled Epidural Analgesiawith a Basal Infusion for Labour and Delivery.

Anaesthesia and Intensive Care. 2009; 37(1):46‐53.• Sng BL, SA Schug. The Role of Opioids in Managing Chronic Non‐Cancer Pain. Ann Acad Med Singapore. 2009 Nov; 38(11):960‐6.• Tan EC, Lim ECP, Teo YY, Lim Y, Law HY, Sia AT. Ethnicity and OPRM Variant Independently Predict Pain Perception and Patient‐Controlled Analgesia Usage for Post‐Operative Pain. Molecular Pain. 2009; 5.• Teoh WHL, Shah MK, Sia ATH, Randomised Comparison of Pentax AirwayScope Glidescope for Tracheal Intubation in Patients with Normal Airway Anatomy. Anaesthesia. 2009; 64(10):1125‐9.• Teoh WHL, Sia ATH. Colloid Preload versus Coload for Spinal Anesthesia for Cesarean Delivery: The Effects on Maternal Cardiac Output. Anesthesia and Analgesia. 2009; 108(5): 1592‐8.• Thong SY, Lim Y. Video and Optic Laryngoscopy Assisted Tracheal Intubation – the New Era. Anaesthesia and Intensive Care. 2009; 37(2):219‐33.• Yeoh SB, Sia ATH. Benefits of Labour Epidurals. Journal of Paediatrics, Obstetrics & Gynaecology. 2009; 35(4):171‐176.• Soh CR. Airway Management in the Critically Ill. SGH Proceedings. 2009; 18(1):3‐ 11.• Ho KY. The Effect of Cultural Background on the Usage of Complementary and Alternative Medicine for Chronic Pain Management. Pain Physician. 2009; 12(3): 685‐8.• Tan KH, Ho KY. Efficacy of Fentanyl Iontophoretic Transdermal System in Postoperative Pain ‐ a Meta‐Analysis. Acute Pain. 2009; 11(2): 65‐74.• Tan TK, June Goh. The Anaesthetists' Role in the Setting Up of an Intraoperative MRImaging Facility.SMJ. 2009; 50(1):4‐10.• Ho KY, Gan TJ. Opioid‐Related Adverse Effects and Treatment Options. Acute Pain Management. 2009; 1st Edition: 406‐415.• Ku CM, Ong GKS, R Poopalalingam. The Diagnosis and Management of a Persistent Pneumothorax. Journal of Cardiothoracic and Vascular Anaesthesia. 2009; 23(3): 369‐372.• Ho KY. Chronic Pain Management: Therapy, Drugs and Needles. Ann Acad Med Singapore. 2009; 38(11): 923‐30.• K Pasutharnchat, Tan KH, MA Hadi, Ho KY. Intrathecal Analgesia in Patients with Cancer Pain – an Audit in a Tertiary Institution. Ann Acad Med Singapore. 2009; 38(11): 943‐6.• Wilson Tay, Ho KY. The Role of Interventional Therapies in Cancer Pain Management. Ann Acad Med Singapore. 2009; 38(11): 989‐97.• Choo CY, Ong YY, Chan SY. Oxycodone – an Audit of its Prescription in a Local Hospital. Ann Acad Med Singapore. 2009 Nov;38(11):947‐51.• Tan TK, Leong KW. Awake Craniotomy in an Intra‐Operative MRI ‐ Case Report. Anaesthesia. 2009; 64(5): 575‐576• Aaron Lee, John Tey, Yvonne Lim, Alex Sia. Comparison of the Single‐Use LMA Supreme with the Reusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care.

2009; 37(5): 815‐9• Yong Yang, Kok SY, Yin MH, Vincent Lim, Ong BC. The Effect of Comorbidity & Age on Hospital Mortality & Length of Stay in Patients with Sepsis 1. Journal of Critical Care. 2009 Oct.• Chiam PT, Koh TH, Chao VT, Lee CY, See Tho VY, Tan SY, Lim ST, Hwang NC, Sin YK, Chua YL. Percutaneous Transcatheter Aortic Valve Replacement: First Transfemoral Implant in Asia. SMJ. 2009 May; 50(5):534‐7.

Resident’s international presentations

Congratulations to our Resident!

JERRY TANfor his poster presentation during

the recently concluded

World Congress of Anaesthesiology in Argentina.


JERRY TANfor his poster presentation during




JOHN LEEfor his poster presentation during




JOHN LEEfor his poster presentation during




TAN ZIHUIfor her poster presentation during

the recently concluded Euroanaesthesia,

The European Anaesthesiology Congress 2012 in Paris


TAN ZIHUIfor her poster presentation during

the recently concluded Euroanaesthesia,

The European Anaesthesiology Congress 2012 in Paris


ONG EE TENGwho is accepted for poster

presentation in the upcoming Australian Society Of Anaesthetists’ 71st National Scientific Congress in

Hobart.


ONG EE TENGwho is accepted for poster

presentation in the upcoming Australian Society Of Anaesthetists’ 71st National Scientific Congress in

Hobart.

Orientation to Research

Voice annotated presentations (Duke NUS) (Blackboard)

Timeline: R1 to R3

Cafe Scientifique(CRAFD)

(Blackboard)Timeline: R1 to R6

Basic and Advanced SPSS

workshop(NUHS)

Timeline: R1 to R2


CITI programTimeline: R2

Singapore Guidelines to Clinical PracticeTimeline: R2


Medical Writing WorkshopTimeline: R3

Stage 1 Preparatory Phase

Mentor ‐Mentee meetings

Timeline: End of R3 to R6

Weekly Departmental Paper critique

sessionTimeline: End of

R3 to R6

Weekly Research Rounds

Timeline: End of R3 to R6

Stage 2 Preparatory Phase

Research Project Design and protocol

Timeline: R4

Stage 3 Investigatory Phase

Conduct of Reserach ProjectTimeline: R5 to R6

Stage 3 Synthesis Phase

Research Project presentations and

publicationsTimeline: R5 to R6

Master in Clinical InvestigationTimeline: R4

R1 R2 R3 R4 R5R

esid

ent

Del

iver

able

sA

ctiv

ity /

Tim

elin

eO

bjec

tive

Year

Complete Research Project Design and ProtocolComplete Research Project Design and Protocol

Obtain Master of Clinical Investigation or equivalentObtain Master of Clinical Investigation or equivalent

1 Written Grant Proposal for submission (NMRC, Singhealth)1 Written Grant Proposal for submission (NMRC, Singhealth)

1 First author publication in indexed anaesthesiology, ICU, pain journal1 First author publication in indexed anaesthesiology, ICU, pain journal

2 Oral or oral-poster presentations in international scientific meetings2 Oral or oral-poster presentations in international scientific meetings

Clinician Scientist Track

42

The Reality

Quotations from our residents

43

“The training at SingHealth Anaesthesiology Residency is seamless, holistic, and yet rigorous enough to prepare each and every train the ability to cope with unique situations. Every trainee is unique as the program is customizedto cater to our learning abilities. We work hard but we also play hard! Join our family!”Mavis Teo2nd Year Resident

“There are only subtle differences between each training program but the key element is in its people. I believe that if you want to be the best, train with the best.”Jerry Tan2nd Year Resident

“Our Program Directors, Associate Program Directors and core faculty are dedicated towards training and improvement of residents. There is also strong camaraderie among the first batch of residents.”Claudia Tien2nd Year Resident

Quotations from our trainees

44

“The seniors are caring, approachable and keen to teach; the work environment is also fantastic. It is simply a gem of a department!”Jensen NgMedical Officer Trainee

“Impressive commitment to education. Myriad opportunities for learning both in and out of the operating theatre. A wealth of formal teaching sessions and the even more valuable resource of approachable senior staff that is invariably willing to edify and enlighten. A close-knit department with a strong culture of inquiry and research.”Oriana NgRegistrar

“SingHealth carries the finest distillation of minds and hands and I want this to be the basis of my core.”Ng Bang TeenAssociate Consultant

Medical Students QuotationWith a strong teaching culture at SGH, I truly felt excited to come each morning, to

interact, learn and perform alongside this integrated team of professionals that display

much enthusiasm and pride in their work. July 2012

Rigorous teaching, good mentors and people in the department play an influential role of

an enjoyable elective posting. My elective posting at SGH Anaesthesia had surpassed my

expectations, and I would definitely consider anaesthesia training at SingHealth Residency!

May 2012

My three weeks with SGH Dept of Anaesthesiology have been extremely fruitful, with a

good balance of teaching, hands‐on practice, and exposure. I have fufilled my objective of

getting a taste of what life in Anaesthesia is like. For this I am grateful to the entire

department who supervised and taught me despite their heavy work requirements. I have

thoroughly enjoyed the experience and look forward to joining the department in the

future. July 2012

46

The Future

Academic Medicine Program

The Academia

National Heart Centre

Sengkang Hospital 2018

Philosophy

Individualization of learning process

Integration knowledge and clinical experience

Life long learning

Be the best you can be

Patients at the heart of all we do

Student Education Anaesthesia @ SGH

Thank you

WEBSITE http://sghan.com/residencyEMAIL [email protected]

sharp official slides - 2012.1018 · dr ng shin yi drevangeline lim prof hwang nian chih a/prof...

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