ANNUAL REPORT ACADEMY OF MEDICINE 2019 SINGAPORE

Committed to specialist education and training since 1957

CONTENT ACADEMY OF MEDICINE, SINGAPORE

The Academy 1 Master’s Message 2 The 2019-2020 Council 5 The Academy 5 Representation at Ministry of Health and Related Organisations 6 Year in Review 2019 7 Finance and Establishment Review Committee Events 8 Dinner & Dialogue with Senior Minister of State (Health) 9 AMS Chinese New Year Celebration 9 Formation of the Chapter of Pain Medicine Physicians 10 Induction Comitia 2019 10 Public Forum 2019 Sponsorships, Grants and Awards 11 Awards 11 Visiting Academicians 12 Visiting Lecturers 12 Travel Assistance 12 Letters of Support Deanery 13 In-Training Examinations 14 Diploma in Hospital Medicine 14 Mandatory Geriatric Medicine Modular Course 14 Master of Health Professionals Education, Singapore (MHPE-S) 14 2019 Intake (Unit One) and 2018 Intake (Unit Seven) 15 Self Learning Module (SLM) 15 CPD Bulletin 15 AMS Fellowship Training Programme 16 MOH Contract of Services for Healthcare Services 16 Dental Specialist Accreditation Assessment 16 Staff Registrar Scheme Office of Professional Affairs 18 Guidelines, Advisories & Consensus Committee (GACC) 21 Ad-Hoc OPA Activity – PDPA Awareness Talk 2019 21 Medical Experts Committee (MEC) 23 Faculty of Medical Experts (FME) Standing Committees 24 Membership 25 Joint Committee on Specialist Training 26 Publications Past Masters and Honorary Fellows List Our People 30 Staff List Finance Statements for the Financial Year Ended December 2019 COLLEGES AND CHAPTERS 33 College of Anaesthesiologists, Singapore 37 College of Dental Surgeons, Singapore 41 College of Obstetricians and Gynaecologists, Singapore 46 College of Paediatrics and Child Health, Singapore 51 College of Physicians, Singapore 59 College of Radiologists, Singapore 68 College of Surgeons, Singapore 77 College of Emergency Physicians 80 College of Ophthalmologists 84 College of Psychiatrists 88 College of Public Health and Occupational Physicians 95 College of Clinician Educators 97 College of Clinician Scientists 99 Chapter of Pathologists 103 Chapter of Intensivists 104 Chapter of Family Medicine Physicians

ABOUT THE ACADEMY

ACADEMY OF MEDICINE, SINGAPORE

Vision To be the leading institution for postgraduate medical education and professional development of medical specialists in the region

Mission Advancing the art and science of medicine through undergraduate, graduate and postgraduate medical education, maintenance of high standards of competency and ethical integrity through continuous professional development (CPD) as well as generation and dissemination of information and knowledge to the public on matters related to health

ANNUAL REPORT 2019 | 3 ABOUT THE ACADEMY

ANNUAL REPORT 2019 | 4 MASTER’S MESSAGE

We must work together with governing and regulatory bodies to enhance self-governance and safeguard self- regulation effectively and responsibly. Having every specialist on board means we will have greater representation and stronger voice in advocating and setting professional standards to advance our profession and for patient care.

2019 witnessed the Academy playing an active role in rally non-Fellows specialists to join the Academy. Having advocacy and upholding high standards of professionalism, every specialist on board means we will have greater competency and ethical integrity. representation and stronger voice in advocating and setting professional standards to advance our profession At the beginning of the year, Academy’s Council endorsed and for patient care. the SMC-AMS-CFPS General and Expert Opinion Framework, developed together with the College of Family Physicians In November, the Academy launched the CPD Bulletin, Singapore (CFPS) and Singapore Medical Council (SMC) to members-only weekly bulletin of objectively-selected and support SMC process its complaint and disciplinary cases in rigorously-summarised articles from the latest issues of the a timelier manner. I am pleased to update the framework most prestigious journals, with the aim of bringing up-to- reportedly has significantly shortened the time taken date information to busy Fellows. I hope the CPD Bulletin to appoint an expert and improved the quality of expert will help you keep abreast with recent progress in other reports. We have also done many reports for the CCs and fields of medicine. DTs, and initial feedback has been excellent. As for the finances of the Academy, I am pleased to report In the early part of the year, we had two SMC judgements that under the oversight of the Finance & Establishment against Dr Lim Lian Arn and Dr Soo Shuenn Chiang that had Review Committee, the Academy concluded another year caused deep concerns and disquiet among the medical with a healthy operating surplus. fraternity. The Academy and its Colleges expressed support for the actions taken by the Ministry for Health (MOH) to At the time of writing this message, Singapore and the review the cases. In March, MOH appointed a 12-member whole world are facing challenging times with the COVID-19 Workgroup to undertake a comprehensive review and pandemic. Our healthcare teams have been working make appropriate recommendations to MOH on: (i) the tirelessly and selflessly in battling the crisis. Our heartfelt taking of informed consent by doctors; and (ii) the SMC’s gratitude goes to these silent heroes, amongst whom are disciplinary process. The Master of the Academy was our Fellow Academicians who have been busy combatting appointed as a member of the Workgroup to represent the the virus at the frontline. views and interests of the specialists. I have had the honour and privilege to serve as Master of I would like to thank members of the Academy and the Academy for the past four years. I would like to place College Councils, Chapter Boards and our Fellowship who on record my deepest appreciation for Fellows’ support have actively engaged the Workgroup and participated and for the excellent Secretariat support during my tenure in townhall sessions, enabling the Workgroup to present as the Master. Teamwork has certainly lightened the its list of recommendations which MOH has accepted. I workload and stress. Much of the Academy’s success is due am pleased to report that the Academy has started work to such teamwork. Professor Teo Eng Kiong will assume to develop appropriate specialty-specific guidelines to deal the leadership as Master from June 2020 for a two-year with standard commonplace treatments and procedures term. We look forward to his leadership and direction as he in each specialty. We thank our specialty-specific Chapters works together with the new Council. and Fellows for proactively working out the finer details. On behalf of the Academy Council, thank you for serving I would like to reiterate that the profession must self- the profession with us. regulate. We must work together with governing and regulatory bodies to enhance self-governance and safeguard self-regulation effectively and responsibly. In DR S R E SAYAMPANATHAN these challenging times, we need Fellows to encourage and Master

ANNUAL REPORT 2019 | 1 THE 2019-2020 COUNCIL

PATRON: MDM HALIMAH YACOB, PRESIDENT OF THE REPUBLIC OF SINGAPORE ELECTED COUNCIL MEMBERS Dr S R E Sayampanathan Dr Alan Ng Dr Lim Lay Cheng

ABOUT THE ACADEMY Master Bursar Censor Director (from 26 May 2007) Director (from 18 June 2011) Director (from 15 June 2013) Orthopaedic Surgeon, Senior Consultant, Respiratory and Critical Consultant Haematologist, Orthopaedic ‘A’ Care Service Pte Ltd Care Medicine, Tan Tock Seng Hospital Blood Specialist Clinic Dr Teo Eng Kiong Dr Teoh Tiong Ann Dr Wong Tien Yin Master-Elect Assistant Bursar Censor Director (from 19 June 2010) Director (from 1 June 2019) Director (from 13 June 2015) Deputy Group Chairman, Medical Board, General Surgeon, Medical Director and Senior Consultant, Singapore Health Services Teoh Colon Rectum & General Surgery Singapore National Eye Centre Chairman, Medical Board and Senior Deputy Group CEO, Consultant, Gastroenterology & Research and Education, SingHealth Hepatology, Changi General Hospital Professor and Vice-Dean, Duke-NUS Medical School Dr David Lye Dr Chan Yew Weng Dr Yeo Jin Fei Assistant Master – Academic Affairs Censor-in-Chief Censor Director (from 14 June 2014) Director (from 14 June 2014) Director (from 11 June 2016) Director, Infectious Disease Research Senior Consultant, Associate Professor in Oral & Maxillofacial THE 2019-2020 COUNCIL and Training Office, Department of Anaesthesiology, Surgery, Faculty of Dentistry, National Centre for Infectious Diseases Singapore General Hospital National University of Singapore Senior Consultant, Senior Consultant, Oral & Maxillofacial Department of Infectious Diseases, Surgery, National University Hospital, Tan Tock Seng Hospital National University Health System Dr Khoo Kei Siong Dr Goh Yaw Chong Assistant Master – Administrative Affairs Censor Director (from 16 June 2012) Director (from 9 June 2018) Deputy Medical Director and Senior General Surgeon, Goh Yaw Chong Surgery Consultant, Medical Oncology, Parkway Cancer Centre Dr Wong Chiang Yin Dr Ho Kok Sun Scribe Censor Director (from 20 June 2009) Director (from 27 July 2015) Public Health Physician in private sector Colorectal Surgeon, Ho Kok Sun Colorectal Clinic Service Pte Ltd

APPOINTED COUNCIL MEMBERS Dr Nelson Chua Dr Ng Kee Chong Dr Tan Yeh Hong President, College of Anaesthesiologists, President, College of Paediatrics and Child President, College of Surgeons, Singapore Singapore Health, Singapore Director (from 1 June 2019) Director (from 1 June 2019) Director (from 1 June 2019) Senior Consultant Urologist, Senior Consultant Anaesthesiologist, Senior Consultant, Children’s Emergency Centre for Urology Robotic & Minimally Tan Tock Seng Hospital and Chairman, Medical Board, Invasive Surgery KK Women’s and Children’s Hospital Dr Andrew Ow Dr David Lye Dr Goh Siang Hiong President, College of Dental Surgeons, President, College of Physicians, President, College of Emergency Singapore Singapore Physicians Director (from 3 June 2017) Director (from 14 June 2014) Director (from 11 June 2016) AOMF Surgery, Director, Infectious Disease Research Senior Consultant, Accident & Emergency, Specialist in Oral and Maxillofacial Surgery, and Training Office, Changi General Hospital AOMF Surgery National Centre for Infectious Diseases Senior Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital Dr Yong Tze Tein Dr Tay Kiang Hiong Dr Wong Tien Yin President, College of Obstetricians and President, College of Radiologists, President, College of Ophthalmologists Gynaecologists, Singapore Singapore Director (from 13 June 2015) Director (from 3 June 2017) Director (from 1 June 2019) Medical Director and Senior Consultant, Head of Department, Head and Senior Consultant, Singapore National Eye Centre Department of Obstetrics & Gynaecology Department of Vascular and Interventional Deputy Group CEO, Singapore General Hospital Radiology, Singapore General Hospital Research and Education, SingHealth Professor and Vice-Dean, Duke-NUS Medical School

ANNUAL REPORT 2019 | 2 ABOUT THE ACADEMY APPOINTED COUNCIL MEMBERS Dr John Wong Dr Pierce Chow Dr Lee Kheng Hock President, College of Psychiatrists President, College of Clinician Scientists Chair, Chapter of Family Medicine Director (from 3 June 2017) Director (from 13 June 2015) Physicians Head & Senior Consultant, Senior Consultant Surgeon, National Director (from 3 June 2017) Department of Psychological Medicine, Cancer Centre Singapore Senior Consultant, National University Hospital Family Medicine and Continuing Care, Singapore General Hospital Dr Vernon Lee Dr Inny Busmanis Dr Alex Yeo Sow Nam President, College of Public Health and Chair, Chapter of Pathologists Chair (Pro-tem), Chapter of Pain Medicine Occupational Physicians Director (from 14 July 2015) Physicians Director (from 11 June 2016) Senior Consultant, Histopathology, Director, The Pain Specialist Director (Communicable Diseases), Singapore General Hospital Communicable Diseases Division,

Ministry of Health, Singapore THE 2019-2020 COUNCIL Dr Dujeepa Samarasekera Dr Kenneth Tan President, College of Clinician Educators Chair, Chapter of Intensivists Director (from 3 June 2017) Director (from 1 June 2019) Director, Centre for Medical Education, Anaesthetist, Anaesthesia and Intensive Yong Loo Lin School of Medicine, Care Services National University of Singapore

EX-OFFICIO Dr Erle Lim Editor, Annals Director (from 14 June 2014) Senior Consultant, Division of Neurology, University Medicine Cluster, National University Hospital

CO-OPTED MEMBERS Dr Lim Shih Hui Dr Benjamin Ng Dean, Academy Deanery Director, Office of Professional Affairs Senior Consultant, Neurology, National Neuroscience Institute, Resident Physician, HeartlandHealth SGH Campus

MANAGEMENT Ms Junia Heng Executive Director (from 1 June 2011) General Manager (1 September 2010 – 31 May 2011)

Induction Comitia, 6 July 2019

Standing (from left to right): Dr Dujeepa Samarasekera, Dr Andrew Ow, Dr Goh Siang Hiong, Dr Tan Hak Koon (representative, College of Obstetricians and Gynaecologists, Singapore), Dr Esther Fu (representative, College of Ophthalmologists), Dr Vernon Lee, Dr Tay Kiang Hiong, Dr Tan Yeh Hong, Dr Tan Tze Lee (representative, Chapter of Family Medicine Physicians), Dr Inny Busmanis, Dr Pierce Chow

Seated (from left to right): Dr David Lye, Dr Ho Kok Sun, Dr Wong Chiang Yin, Dr S R E Sayampanathan, Mr Chan Heng Kee (Guest-of-Honour), Dr Lim Shih Hui, Dr Alan Ng, Dr Chan Yew Weng, Dr Yeo Jin Fei

Not in photo: Dr Teo Eng Kiong, Dr Khoo Kei Siong, Dr Teoh Tiong Ann, Dr Goh Yaw Chong, Dr Lim Lay Cheng, Dr Wong Tien Yin, Dr Nelson Chua, Dr Yong Tze Tein, Dr Ng Kee Chong, Dr John Wong, Dr Kenneth Tan, Dr Lee Kheng Hock, Dr Yeo Sow Nam, Dr Erle Lim, Dr Benjamin Ng

ANNUAL REPORT 2019 | 3 COUNCIL MEETING ATTENDANCE A total of 10 Council meetings were held for the year to discuss the business and affairs of the Academy. The attendance record of the meeting is as follows:

NAME DESIGNATION ATTENDANCE Elected Council Members

ABOUT THE ACADEMY Dr S R E Sayampanathan Master 10 Dr Teo Eng Kiong Master-Elect (2019-2020) 7 Assistant Master – Academic Affairs (2018-2019) Dr David Lye Chien Boon Assistant Master – Academic Affairs (2019-2020) 9 Bursar (2018-2019) Dr Khoo Kei Siong Assistant Master – Administrative Affairs 7 Dr Wong Chiang Yin Scribe (2019-2020) 7 Censor (2018-2019) Dr Lai Fon-Min Scribe (2018-2019) 4 Dr Alan Ng Bursar (2019-2020) 6 Censor (2018-2019) Dr Teoh Tiong Ann Assistant Bursar (2019-2020) 3 Dr Tay Jam Chin Assistant Bursar (2018-2019) 4 Dr Chan Yew Weng Censor-in-Chief (2019-2020) 7

THE 2019-2020 COUNCIL Censor (2018-2019) Dr Goh Yaw Chong Censor 6 Dr Ho Kok Sun Censor 7 Dr Lim Lay Cheng Censor 8 Dr Wong Tien Yin Censor 3 Dr Yeo Jin Fei Censor (2019-2020) 7 Censor-in-Chief (2018-2019) Appointed Council Members Dr Nelson Chua President, College of Anaesthesiologists, Singapore (2019-2020) 4 Dr Sophia Chew President, College of Anaesthesiologists, Singapore (2018-2019) 4 Dr Andrew Ow President, College of Dental Surgeons, Singapore 4 Dr Yong Tze Tein President, College of Obstetricians and Gynaecologists, Singapore 4 Dr Ng Kee Chong President, College of Paediatrics and Child Health, Singapore (2019-2020) 4 Dr Liew Woei Kang President, College of Paediatrics and Child Health, Singapore (2018-2019) 4 Dr David Lye President, College of Physicians, Singapore (2019-2020) 4 Dr Chan Choong Meng President, College of Physicians, Singapore (2018-2019) 5 Dr Tay Kiang Hiong President, College of Radiologists, Singapore (2019-2020) 5 Dr Ian Tsou President, College of Radiologists, Singapore (2018-2019) 3 Dr Tan Yeh Hong President, College of Surgeons, Singapore (2019-2020) 2 Dr Chua Wei Chong President, College of Surgeons, Singapore (2018-2019) 4 Dr Goh Siang Hiong President, College of Emergency Physicians 6 Dr Wong Tien Yin President, College of Ophthalmologists 6 Dr John Wong President, College of Psychiatrists 4 Dr Vernon Lee President, College of Public Health & Occupational Physicians 3 Dr Pierce Chow Kah Hoe President, College of Clinician Scientists 5 Dr Dujeepa Samarasekera President, College of Clinician Educators 2 Dr Inny Busmanis Chair, Chapter of Pathologists 7 Dr Kenneth Tan Chair, Chapter of Intensivists (2019-2020) 2 Dr Loo Chian Min Chair, Chapter of Intensivists (2018-2019) 1 Dr Lee Kheng Hock Chair, Chapter of Family Medicine Physicians 4 Ex-Officio Dr Erle Lim Editor, Annals 0

ANNUAL REPORT 2019 | 4 THE ACADEMY ABOUT THE ACADEMY

The Academy of Medicine, Singapore is a professional The Academy is registered and domiciled in Singapore with institution of medical and dental specialists devoted to its registered office and primary place of business at81 advancing the art and science of medicine in Singapore Kim Keat Road, #11-00 and #12-00, NKF Centre, Singapore through postgraduate specialist training; maintenance 328836. of high standards of competency and ethical integrity through continuous professional development as well as The Academy is a charitable company limited by guarantee, dissemination of information and knowledge to the public incorporated on 19 September 1977 and has been on matters related to health. registered as a Charity (Charity Registration No.: 00043) since 13 April 1984. It has also been granted status of The vision of the Academy is to be the leading institution Institute of Public Character (IPC) by the Ministry of Health,

for postgraduate medical education in the region. From a Singapore for a period of two years, from 17 May 2018 to THE ACADEMY membership of 75 in 1969, the Academy has now grown 16 May 2020. into a membership base of over 3,700 members in the following Colleges and Chapters: The Academy was established under a Memorandum of Association which established the objects and powers COLLEGES of the Academy and is governed under its Articles of Association. ••College of Anaesthesiologists, Singapore ••College of Dental Surgeons, Singapore COMPANY SECRETARY AND AUDITORS ••College of Obstetricians and Gynaecologists, Singapore OF THE ACADEMY ••College of Paediatrics and Child Health, Singapore Stone Forest CorpServe Pte Ltd was engaged as the ••College of Physicians, Singapore Company Secretary to provide corporate secretarial ••College of Radiologists, Singapore services to the Academy. ••College of Surgeons, Singapore Fiducia LLP was re-appointed as the auditors for the ••College of Emergency Physicians, Academy of Medicine, accounts of the Academy. Singapore ••College of Ophthalmologists, Academy of Medicine, REPRESENTATION AT MINISTRY Singapore OF HEALTH AND RELATED ••College of Psychiatrists, Academy of Medicine, ORGANISATIONS Singapore ••Master of the Academy, Dr S R E Sayampanathan ••College of Public Health and Occupational Physicians, represented the Academy in the following: Academy of Medicine, Singapore – Co-Chairman of the Joint Committee on Specialist ••College of Clinician Educators, Academy of Medicine, Training (JCST) Singapore – Member of the Specialists Accreditation Board ••College of Clinician Scientists, Academy of Medicine, – Member of the Council of the Agency for Care Singapore Effectiveness (ACE) – Member of the Workgroup to Review the Taking of CHAPTERS Informed Consent and SMC Disciplinary Process ••Chapter of Pathologists, Academy of Medicine, – Member of the Selection Panel for the HMDP Visiting Singapore Expert proposals ••Chapter of Intensivists, Academy of Medicine, Singapore – Member of the National Medical Excellence Award ••Chapter of Family Medicine Physicians, Academy of (NMEA) Medicine, Singapore ••Director of the Office of Professional Affairs, ••Chapter of Pain Medicine Physicians, Academy of Dr Benjamin Ng, represented the Academy for the Medicine, Singapore Healthcare Ethics Capability Committee.

ANNUAL REPORT 2019 | 5 YEAR IN REVIEW 2019

29 JAN 1 JUN DINNER AND DIALOGUE WITH THE 41ST ANNUAL GENERAL MEETING

ABOUT THE ACADEMY SENIOR MINISTER OF STATE AND FORMATION OF CHAPTER OF (HEALTH) PAIN MEDICINE PHYSICIANS The Academy continued its active engagement with the The resolution to form the Chapter of Pain Medicine Ministry with a Dinner and Dialogue session with Mr Physicians was passed at the 41st Annual General Edwin Tong, Senior Minister of State for Health, at the Meeting of the Academy. The Chapter will provide Academy’s premise. expert opinions on matters related to pain management, as and when the need arises, to the Ministry of Health 12 FEB and other government agencies and organisations. AMS CHINESE NEW YEAR CELEBRATION 6 JUL The Academy ushered in the Lunar New Year with its INDUCTION COMITIA 2019 annual traditional festivity of lion dance, Lo Hei Yu Sheng Mr Chan Heng Kee, Permanent Secretary for Health,

YEAR IN REVIEW 2019 and dinner at its office premise. graced the Induction Comitia as the Guest-of-Honour. A total of 81 Fellows were formally admitted into the Academy that afternoon. 27 APR PDPA AWARENESS TALK The Academy, under its Office of Professional Affairs, organised a Continuing Medical Education (CME) talk exclusive for Fellows at the SGH Academia, entitled ‘What the Medical Profession needs to know about PDPA and the Issues of Identity Verification Rules during Interactions between Healthcare Professionals, Patients and Next-of-Kins’.

25 AUG PUBLIC FORUM 2019 The Academy, together with the College of Radiologists Singapore, conducted a Public Forum entitled ‘Your Interventional Radiologist and You Series: Women’s Health in the New Age’.

12 OCT FOCUS GROUP SESSION FOR MEMBERS OF THE FACULTY OF 4 MAY, 29 JUN & 6 JUL MEDICAL EXPERT (FME) A Focus Group session was held for FME members to MEDICAL EXPERT WITNESS seek feedbacks from members to better understand TRAINING COURSE 2019 their concerns and expectations as medical experts. The annual Medical Expert Witness Training Course was held over three weekends with a total attendance of 58 medical and dental practitioners from 25 different 11 NOV specialties. The Course was organised together with LAUNCH OF CPD BULLETIN the Singapore Medical Association (SMA), Singapore Academy of Law (SAL) and The Law Society of Singapore The CPD Bulletin is a members-only weekly bulletin (LSS). of objectively-selected and rigorously-summarised articles from the latest issues of the most prestigious journals that will bring up-to-date information to busy clinicians—thereby helping them keep abreast with recent progresses in other fields of medicine.

ANNUAL REPORT 2019 | 6 FINANCE AND ESTABLISHMENT REVIEW ABOUT THE ACADEMY COMMITTEE

The Finance and Establishment Review Committee (FERC) Better yields on interest income were received by the is responsible for reviewing the financial affairs of the Academy across the board as term deposits of reserves Academy and reporting directly to Council. It reviews such of Restricted and Unrestricted Funds were reviewed and matters as investment policy, control of assets, operating restructured. budgets, the auditors’ report and the Academy's overall financial position. In 2019, staff cost of $2,084,420 constituted 55% of the Academy’s operating expenses. It is important to note

FINANCE & ESTABLISHMENT REVIEW that the Academy covers staff cost to provide secretariat FINANCE AND ESTABLISHMENT REVIEW COMMITTEE COMMITTEE (2019-2020) and administrative services to support the Academy and its Colleges and Chapters (including independent and Dr Alan Ng Wei Keong Chairman & Bursar non-independent). The FERC maintains oversight on staff Dr Teoh Tiong Ann Vice-Chairman & Assistant remuneration policy to ensure annual remuneration and Bursar rewards (a) attract, retain and motivate committed staff; (b) Dr Teo Eng Kiong Member & Master-Elect uphold consistency and equity; and (c) build organisational Dr Khoo Kei Siong Member & Assistant Master capability. – Administrative Affairs Dr David Lye Member & Assistant Master It is noteworthy that the Academy upgraded its operating – Academic Affairs infrastructure and technology in 2019 to meet the growing Dr Wong Chiang Yin Member & Scribe demands of the Academy and its Colleges. This resulted in Dr Yeo Jin Fei Member & Censor an increase in IT expenditures and depreciation to $59,465 Dr S R E Sayampanathan Ex-Officio & Master and $33,697 respectively. • Electronic balloting/election system (31 January 2019) The financial aspects of the Academy’s activities continue • New Domain Controller Server (1 June 2019) to be scrutinised by the FERC with emphasis on ensuring • Microsoft Office 365 ‒ integrated cloud-based email business continuity and sustaining strategic efforts. infrastructure (1 July 2019) • Wireless hub and access points upgrade (15 December For 2019, the Academy registered a healthy positive 2019) financial performance for a sixth year running, achieving • Microsoft Navision ‒ cloud-based enterprise resource an operating surplus of $389,973. This improved the planning and accounting system (1 January 2020) Academy’s reserve by 12% to $3,691,869 for the financial year ending 31 December 2019. The ratio of Unrestricted For 2019, the Building Endowment Fund (BEF) recorded Fund reserve to Annual Operating Expenditure is 0.54. a deficit of $152,382, mainly attributable to decline in rental income. Depreciation stood at $31,797 and an The Academy’s reported financial position were impacted administrative fee of $25,534 is apportioned to the fund by adopting FRS 116 Leases prospectively with effect from for the management of BEF, including the maintenance of 1 January 2019. As a result, the Academy recognised right- all Academy’s offices and properties. of-use (ROU) assets and lease liabilities relating to certain operating lease arrangements, and it also reclassified In view that the long-term impact of COVID-19 pandemic certain assets from prepaid lease payments to ROU assets. remains full of uncertainties, FERC has adopted a prudent approach and sustainable strategy to control cost, protect Membership subscription income grew at a moderate rate jobs, and continue support. For 2020, the Academy projects to $1,664,443. Including $31,204 in doubtful debt written to incur an operating deficit of $20,725, i.e. without the back, membership subscription income accounted for 41% government’s Job Support Scheme (JSS) subsidy. of total operating income. Course fees and examination fees income, totalling $899,955 and $891,035 respectively, Maintaining Academy’s reserve at a level sufficient for contributing to 22% and 21% of total operating income. operating needs and safeguarding financial stability remain The schedule of course fees and charges were reviewed by a top priority of FERC. FERC to ensure programmes are minimally self-financing and sustainable.

ANNUAL REPORT 2019 | 7 EVENTS EVENTS DINNER & DIALOGUE WITH SENIOR MINISTER OF STATE (HEALTH) The Academy continued its active engagement with the Medicine which was launched in January 2019. This is an Ministry with a Dinner and Dialogue session with Mr Edwin initiative by the Academy which has been developed in line Tong, Senior Minister of State for Health, on 29 January at with the national policy of reducing healthcare costs and the Academy’s premise. reducing the number of layers in our Inpatient Care model. It will train a group of doctors to be highly competent in SMS Tong was kept apprised of the recent developments caring for patients with severe morbidity as well as to be and initiatives of the Academy. Among the topics that were better able to treat patients with multiple co-morbidities. discussed at length were the issue of medical manpower It is also in line with training doctors with generalist crunch in public hospitals. To address the gap which was capabilities, so that they can handle a wide range of clinical formed at the middle rank level, the Council shared with problems. SMS Tong that the Academy offers a 3-year Staff Registrar Scheme Diploma (SRS) for doctors to be trained to perform The issue of medical IT systems was another agenda tasks at the middle rank, but will not become specialists. discussed at the Dialogue. Also in attendance at the Dialogue was Dr Goh Khean Teik, Director, Manpower The meeting also discussed about the Diploma in Hospital Standards and Development Division, MOH.

ANNUAL REPORT 2019 | 8 AMS CHINESE NEW YEAR CELEBRATION EVENTS The Academy ushered in the Lunar New Year with its annual Chinese New Year festivities including some reunion traditional festivity of lion dance, Lo Hei Yu Sheng and dinners. Reunion dinners signify togetherness, close dinner at its office premise on the evening of 12 February. cooperation and collaboration. As we Lo Hei, we toss higher in the hopes of scaling greater heights and gaining In his address to the auspicious tossing of the Lo Hei Yu stronger outcomes. I am optimistic our efforts and Sheng, Master of the Academy, Dr S R E Sayampanathan achievements will result in prosperity in the Year of the said: “Over the past week, I have joined in many of the Pig.”

FORMATION OF THE CHAPTER OF PAIN MEDICINE PHYSICIANS The resolution to form the Chapter of Pain Medicine Chapter is key in leading the Ministry’s Joint Committee Physicians was passed at the 41st Annual General Meeting of for Opioids Control to advise on the development of a the Academy held on 1 June 2019. The Chapter will provide ‘National Guidelines on the Safe Prescribing of Opioids’, to expert opinions on matters related to pain management, guide healthcare professionals involved in the prescribing as and when the need arises, to the Ministry of Health and of opioids, together with the active participation of the other government agencies and organisations. The new Colleges and Chapters.

ANNUAL REPORT 2019 | 9 INDUCTION COMITIA 2019 The Academy’s Induction Comitia took place on 6 July A total of 81 Fellows were formally admitted into the EVENTS 2019 at the Academia@SingHealth. Mr Chan Heng Kee, Academy that afternoon. Dr Tan Yia Swam from the College Permanent Secretary for Health, graced the event as the of Surgeons, Singapore, led her fellow inductees for the Guest-of-Honour. A total of 81 Fellows were formally pledge-taking. admitted into the Academy that afternoon. The Induction Comitia also witnessed the graduation In his address, Mr Chan highlighted the dynamic diversity of candidates from the Master of Health Professions as the core strength and essence of the Academy, one that Education-Singapore and Staff Registrar Scheme Diploma is fundamental to the Academy’s fulfilment of its mission. programmes. That afternoon also saw the presentation Through the regular dialogues and discussions with the of awards for Annals’ Gold Reviewer and Best Publication Academy’s Council, one aspect which he values dearly in Awards 2018. the Academy is its ‘Unity in Diversity’. He also commended the Academy for its excellent work and valuable support to the Ministry.

PUBLIC FORUM 2019 The Academy, together with the College of Radiologists Singapore, conducted a Public Forum entitled: ‘Your Interventional Radiologist and You Series: Women’s Health in the New Age’, on 25 August 2019 at the Lifelong Learning Institute.

The public forum attracted over 200 participants, where experts discussed and shared with the audience the management of uterine fibroids and thyroid nodules.

ANNUAL REPORT 2019 | 10 SPONSORSHIPS, GRANTS AND AWARDS SPONSORSHIPS, GRANTS AND AWARDS

AWARDS The Academy continued to recognise outstanding students and academicians through the awards of medals and prizes. AWARD RECIPIENT AMS Medal for Outstanding Leadership JASMIN KOH JIEMIN Duke-NUS Medical School LEE CHEOK HON Lee Kong Chian School of Medicine Gordon Arthur Ransome Gold Medal KENNEDY NG YAO YI NUS Yong Loo Lin School of Medicine Academy of Medicine Medal & Prize WONG SHI HWA Best student with distinction in Pathology in 2nd year Professional Bachelor Dental Surgery (BDS) Examinations (Academic Year 2018/2019) National University of Singapore

VISITING ACADEMICIANS ASSOCIATE PROFESSOR JEONGHOON AHN Associate Professor, Ewha Womans University

Lecture delivered on 10 January 2019 at Centre for Healthcare Innovation. Organised by College of Public Health and Occupational Physicians.

Lecture: Paying for High-Cost Drugs: The South Korean Approach PROFESSOR XIAOXI LIN Professor of Plastic Surgery, Shanghai Ninth People’s Hospital

Lectures delivered at the 4th Plastic Aesthetic Surgery Meeting (PASM) 2019 held from 18 to 19 October 2019at The Academia@SGH. Organised by Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore. Lectures: ••The Role of Sub-Brow Incisional Upper Lid Lift in Asian Facial Rejuvenation ••How to Correct Age-Related Shadowing and Lift Midface Due to Skin Laxity and Tear Trough? ••Adjustable Fat Repositioning with Intra-Oral Anchoring in Transconjunctival Lower Eyelid Blepharoplasty ••Lifting Forehead and the Upper Two-thirds of Face with Supraperiosteal-SubSMAS and Endoscopic Forehead Lift ••Combined Malar Reduction and Subperiosteal Lift in East Asians ••How to Select Among Supraperiosteal-SubSMAS, High SMAS, Subperiosteal Lift and Short Scar Facelift for Enhanced Rejuvenation in East Asians? ••An Innovative Short Scar Lift for Better Correction of Naso-labial Fold ••Pseudo-Prominent Zygoma: Fat Graft is a Better Option Than Reductive Malar-Plasty for Facial Rejuvenation ••Facial Rejuvenation with Surgical or Thread Lift? Updates and Clinical Evaluation ••What’s New in the Laser and Energy-Based Therapies for the Ageing and Sagging Face? DR PATRICK TONNARD Co-Founder and Co-Director, Coupure Centre for Plastic Surgery, Gent, Belgium

Lectures delivered at the 4th Plastic Aesthetic Surgery Meeting (PASM) 2019 held from 18 to 19 October 2019at The Academia@SGH. Organised by Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore.

Lectures: ••Microfat, SNIF and Nanofat: From Volume Augmentation to Cell Therapy ••Perioral Rejuvenation: More Than a Filler ••Centrofacial Rejuvenation: A New Paradigm in the Reconstruction of Youth ••Interactive Video: MACS-Lift with Fat Grafting, Temporal Lift and Lip Lifting ••Temporal Lift ••Augmentation Blepharoplasty ••Updates in Nanofat: Nanofat Needling and Nanofat Cream

ANNUAL REPORT 2019 | 11 VISITING LECTURERS DR KATHY CHAPPELL Senior Vice President Accreditation, Certification, Measurement, and the Institute for Credentialing Research and Quality Management Lecture by the Visiting Lecturers, Dr Kathy Chappell and Dr Lawrence Sherman on 28 June 2019 at LKC Boardroom, AMS. Organised by College of Clinician Educators. Lecture: Developing “Team Competence” in Healthcare and Delivery: Updates on Credentialing and Certification of Health Practitioners DR LAWRENCE SHERMAN President, Meducate Global and AMEE International

SPONSORSHIPS, GRANTS AND AWARDS Lecture by the Visiting Lecturers, Dr Kathy Chappell and Dr Lawrence Sherman on 28 June 2019 at LKC Boardroom, AMS. Organised by College of Clinician Educators. Lecture: Developing “Team Competence” in Healthcare and Delivery: Updates on Credentialing and Certification of Health Practitioners DR MIN-HEE RYU Director and Consultant Plastic Surgeon The Affiliated Friendship Plastic Surgery Hospital of Nanjing Medical University Lectures delivered at the 4th Plastic Aesthetic Surgery Meeting (PASM) 2019 held from 18 to 19 October 2019at The Academia@SGH. Organised by Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore. Lectures: ••Asian Facelift and Surgical Anatomy ••Anatomical Variation of Zygomatic Nerve Branches Around Zygomaticus Major Muscle in Faceli ••The Inclusion of Orbicularis Oculi Muscle in the SMAS Flap in Asian Facelift: Anatomical Consideration of Orbicularis Oculi Muscle and Zygomaticus Major Muscle ••Preserving Orbicularis Branches of the Zygomatic Nerve with the Orbicularis Oculi Muscle ‒ Superficial Musculoaponeurotic System Flap Complex in Facelift Surgery ••Facelift Technique for the Management of Soft Tissue Drooping after Facial Bone Contouring Surgery in Asians ••Surgical Correction of Crow’s Feet Deformity with Orbicularis Oculi Muscle Coagulation PROFESSOR RICHARD SCOLYER Clinical Professor and Co-Medical Director University of Sydney and Melanoma Institute Australia RCPA Visiting Lecturer Plenary Lecture delivered on 3 July 2019 at The Academia@SGH. Organised by Chapterof Pathologists. Lecture: Hot Topics in Melanocytic Pathology

TRAVEL ASSISTANCE During the year, the Academy extended travel assistance to the following Fellows: DR TOH HONG CHUEN Senior Consultant, Khoo Teck Puat Hospital Lecture delivered at Australian College of Emergency Medicine Conference, held from 17 to 21 November 2019 in Hobart, Australia. Lecture: An Experiential Outcome-Based Education Model to Train Nurses for Triage Nebulisation in the Emergency Department DR NG YIH YNG Consultant Emergency Physician, Tan Tock Seng Hospital Lecture delivered at the 21st Annual Conference of Society for Emergency Medicine, held from 7 to 10 November 2019 in New Delhi, India. Lecture: Innovation in Community and School CPR

LETTERS OF SUPPORT The Academy provided its letters of support to host the following events in Singapore: ••16th Asia Pacific Vitreo-Retina Society Congress (APVRS) in 2022 ••Bi-Annual International Society of Limb Salvage Surgeon’s (ISOLS) Meeting in 2023

ANNUAL REPORT 2019 | 12 DEANERY DEANERY

DEAN’S MESSAGE DR LIM SHIH HUI

The Deanery, together with the Colleges and Chapters, have developed and implemented many educational programmes and academic initiatives over the years.

As healthcare industry is continuously evolving, it is necessary for doctors to remain up- to-date and expand their knowledge and skills to understand the new and developing areas in Medicine.

We will continue to partner with the various professional bodies and education institutes—both regionally and internationally—for collaborative learning opportunities.

ABOUT THE DEANERY IN-TRAINING EXAMINATIONS The Deanery is an academic and administrative arm to Since 2009, the Academy has been appointed by the Ministry strategise and coordinate education-related programmes of Health, Singapore to administer approved annual In- across the Academy. It provides oversight to the many Training Examinations (ITEs) and has worked closely with education and training programmes within the Academy many professional bodies and institutions abroad to bring through regular review of training strategies and the ITEs to Trainees and Residents in Singapore. In 2019, development of educational programmes and activities. the Academy administered 23 Specialty ITEs.

SPECIALTY (EXAMINATION) EXAMINATION BOARD DATE NO. OF CANDIDATES Diagnostic Radiology (DXIT) American College of Radiology 4-31 January 95 Obstetrics & Gynaecology American Congress of Obstetricians 19 January 48 (CREOG) & Gynecologists Endocrinology (ESAP-ITE) The Endocrine Society 26 January 20 Infectious Diseases (IDSA-ITE) Infectious Diseases Society of America 12 February 14 General Surgery (ABSITE) American Board of Surgery 2 February 104 Emergency Medicine American Board of Emergency Medicine 2 March 62 (ABEM-ITE) Medical Oncology American Society of Clinical Oncology 27 February 24 (MedOnc-ITE) Otorhinolaryngology (OTE) American Board of Otolaryngology 2 March 25 Rheumatology (ACR-ITE) American College of Rheumatology 26 March 14 Gastroenterology (GTE) American Gastroenterological Association 9 March 30 Anaesthesiology (ABA-ITE) American Board of Anesthesiology 9 March 67 Pathology (RISE) American Society for Clinical Pathology 30 March 16 Haematology (ASH-ISE) American Society of Haematology 27 March 11 Nuclear Medicine (ABNM-ITE) American Board of Nuclear Medicine 5 April 3 Renal Medicine (ASN-ITE) American Society of Nephrology 4 April 22 Ophthalmology (OKAP) American Academy of Ophthalmology 17, 24 & 25 April 30 Respiratory Medicine Association of Pulmonary and 7 May 18 (APCCMPD - ISE) Critical Care Medicine Program Directors Paediatric Medicine (ABP-ITE) American Board of Pediatrics 15-17 July 94 Internal Medicine (IM-ITE) American College of Physicians 31 August 353 & 7 September Psychiatry (PRITE) American College of Psychiatrists 5 October 27 Cardiology (ACC-ITE) American College of Cardiology 23 October 31 Family Medicine (ABFM-ITE)* American Board of Family Medicine 21-24 October 244 Orthopaedic Surgery (OITE) American Academy of Orthopaedic Surgeons 9 November 83 *Jointly organised with CFPS

ANNUAL REPORT 2019 | 13 DIPLOMA IN HOSPITAL MEDICINE College of Physicians, Singapore–has developed and rolled out the Mandatory Geriatric Medicine (GRM) Modular The Diploma in Hospital Medicine is a two-year training course for non internal medicine-related residents (with programme to help clinicians acquire skills and knowledge DEANERY exception of residents in Paediatrics, Pathology and Family on evaluating and managing patients admitted into Medicine) since 2014. hospitals. Under this course, residents will first need to complete The structured programme and the close supervision of three online modules in Year 1 before attending one trainees will ensure the development of a competent and combined topics workshop in Year 2. safe Hospital Medicine Clinician (HMC). Each workshop has four case scenarios: The pilot intake of the programme started in January ••Dementia/Delirium 2019. To date, there are a total of two trainees under the •• Falls and Immobility programme. ••Atypical Presentation and Latrogenesis MANDATORY GERIATRIC MEDICINE ••Decision Making Capacity/Perioperative Care MODULAR COURSE A total of six workshops were conducted in 2019. Details of The Academy–together with the Chapter of Geriatricians, the workshops are found in the table below.

DATE OF ORGANISING INSTITUTION TOPIC WORKSHOP FACILITATORS NO. OF WORKSHOP PARTICIPANTS 5 January Khoo Teck Puat Hospital Combined Topics Dr Ng Chong Jin 29 Dr Claudia Koh Dr Nieh Chih Ming 13 April Singapore General Hospital Combined Topics Dr Dennis Seow 29 Dr Tay Yu Ling Dr Vignesh Sivasamy 11 May National University Hospital Combined Topics Dr Aroos Rana 21 Dr Tan Li Feng Dr Matthew Chen Zhixuan 8 June Ng Teng Fong General Combined Topics Dr Sze Yuen Lei 25 Hospital Dr Nydia Camelia Dr Melanie Tan 19 October Tan Tock Seng Hospital Combined Topics Dr Loretta Wong Su-Mae 25 Dr Daphne Yang Zihui Dr Lim Yu Rui Dr Edward Chong 14 December Changi General Hospital Combined Topics A/Prof Samuel Chew Teong Huang 26 Dr Diraviyam Balasubramanian Dr Ooi Chun How MASTER OF HEALTH PROFESSIONALS 2019 INTAKE (UNIT ONE) AND 2018 EDUCATION, SINGAPORE (MHPE-S) INTAKE (UNIT SEVEN) 2019 MHPE-S Local Teaching Faculty The 2019 Intake unit one was conducted from 27 to 31 May ••Ashokka Balakrishnan ••Kevin Tan 2019 with seven participants. Dr Predeebha Kannan is the ••Chay Oh Moh ••Matthew Gwee coordinator for Unit One. •• Edward Chen Fun Gee ••Predeebha Kannan •• Clement Tan •• Raymond Goy The 2018 Intake students were back at the Academy for ••Derrick Lian ••Richard Lee unit seven, held concurrently with 2019 Intake unit one. ••Dujeepa D Samarasekera ••Tham Kum Ying Dr Ashokka Balakrishnan is the coordinator for Unit Seven. ••Goh Poh Sun •• T Thirumoorthy The programme director for MHPE-S is Dr Dujeepa Samarasekera.

MHPE-S local faculty with Dr Fred Stevens (second from left) from MHPE-S 2018 intake students. Maastricht University.

ANNUAL REPORT 2019 | 14 DEANERY MODULES LAUNCHED 21. Orthopaedic Surgery 26. Psychiatry Module 1 Module 1 27. Public Health Module 1 22. Otorhinolaryngology 28. Rehabilitation Medicine Module 1 Module 1 23. Paediatric Surgery 29. Rheumatology Module 1 Module 1 30. Urology Module 1 24. Palliative Medicine 31. Breastfeeding Module 1 Module 1 32. Breastfeeding Module 2 25. Plastic Surgery 33. Breastfeeding Module 3 Module 1 MHPE-S 2019 intake students. As of 31 December 2019, 88 modules have been completed 2019 MHPE-S Graduates by 65 doctors. The students from the 2017 intake of the MHPE-S CORE CORE AND NON-CORE TOTAL graduated on 6 July 2019 at the Induction Comitia of MODULE NON-CORE MODULE the Academy held at Academia @ Singapore General ONLY MODULE ONLY Hospital. No. of Users 60 22 20 102 % of Users 59% 22% 19% 100% No. of modules 84 77 39 200 completed % of modules 42% 39% 19% 100% completed

CPD BULLETIN The CPD Bulletin was launched in November 2019 to promote lifelong learning. This is a members-only weekly Graduates of the MHPE-S 2019 posing with the programme director, Dr bulletin of objectively-selected and rigorously-summarised Dujeepa Samarasekera (third from the left). articles from the latest issues of the most prestigious journals. It brings up-to-date information to busy clinicians, SELF-LEARNING MODULE (SLM) thereby helping them keep abreast with recent progresses The pilot specialty-specific Self-Learning Module (SLM) is in other fields of medicine. an initiative in anticipation of SMC’s proposed mandatory ISSUES LAUNCHED Maintenance of Competency (MOC) which will replace the Issue 1 ‒ Neurology current compulsory Continuing Medical Education (CME) Issue 2 ‒ Geriatric Medicine programme in the coming years. Issue 3 ‒ Rehabilitation Medicine The Academy and Colleges/Chapters have jointly developed Issue 4 ‒ Rheumatology the 33 specialty-specific SLM modules. Issue 5 ‒ Hand Surgery MODULES LAUNCHED Issue 6 ‒ Plastic, Reconstructive & Aesthetic Surgery 1. Anaesthesiology 11. Haematology Module 1 Module 1 12. Hand Surgery Module 1 AMS FELLOWSHIP TRAINING 2. Aviation Medicine 13. Infectious Diseases PROGRAMME Module 1 Module 1 The Academy’s Fellowship Training Programme is an initiative developed through the signing of a Memorandum 3. Cardiology Module 1 14. Internal Medicine of Understanding with Brunei’s Ministry of Health to 4. Cardiothoracic Surgery Module 1 conduct Advanced Speciality Training (AST) for Bruneian Module 1 15. Neurology Module 1 doctors from 2014. 5. Dermatology Module 1 16. Neurosurgery 6. Emergency Medicine Module 1 Upon satisfactory completion of the AST programme, the Module 1 17. Nuclear Medicine Bruneian doctors will be awarded the title, ‘Fellow of the 7. Endocrinology Module 1 Module 1 Academy of Medicine, Singapore (FAMS ‒ International)’. 8. Gastroenterology 18. Obstetrics & The qualification—although not registerable with the Module 1 Gynaecology Module 1 Specialists Accreditation Board in Singapore—will allow 9. General Surgery 19. Occupational Medicine the Bruneian doctors to be registered as specialists in Module 1 Module 1 Brunei. There are a total of three doctors training under 10. Geriatric Medicine 20. Ophthalmology the AMS AST programme in 2019. On 30 August 2019, the Module 1 Module 1 programme saw its first graduate from the AMS AST in Rheumatology programme.

ANNUAL REPORT 2019 | 15 MOH CONTRACT OF SERVICES FOR DENTAL SPECIALIST ACCREDITATION HEALTHCARE SERVICES ASSESSMENT The Academy has been awarded the contract to provide The College of Dental Surgeons, Singapore has approached DEANERY services for the management, implementation and the Academy for secretariat support to administer the evaluation of Ministry of Health’s (MOH) Examination Dental Specialist Accreditation Assessment. The Academy Administration, Workshops, Training and other Related administered two diets of the dental specialist accreditation Services for Healthcare Professionals. It includes assessment, with a total of 16 candidates in 2019. the coordination of local meetings, workshops and teleconferences for examination-related events for STAFF REGISTRAR SCHEME the 12 Specialty exams a year and the conduct of exam A total of 69 doctors were trained under the Staff Registrar applications and registrations. This three-year contract Scheme in 2019. Since 2007, 391 doctors had enrolled and started on 1 March 2017. 332 of them have successfully completed and graduated.

NO. DIPLOMAS APPROVED BY SMC DURATION TOTAL NO. OF TOTAL NO. OF TRAINEES* GRADUATES* 1 Diploma in Emergency Medicine 2 years 79 72 2 Diploma in Nuclear Medicine 2 years 1 1 3 Diploma in Paediatrics & Child Health 2 years 21 19 4 Diploma in Cardiothoracic Surgery 3 years 5 4 5 Diploma in Neurosurgery 3 years 7 4 6 Diploma in Cardiology 2 years 24 23 7 Diploma in Geriatric Medicine in Hospital and ILTC 2 years 76 65 8 Diploma in Infectious Diseases 2 years 6 6 9 Diploma in Orthopaedic Surgery 3 years 13 10 10 Diploma in Palliative Medicine 2 years 12 10 11 Diploma in Neurology 2 years 8 6 12 Diploma in Internal Medicine (with focus on Hospital Medicine) 2 years 42 34 13 Diploma in Rehabilitation Medicine 2 years 13 13 14 Diploma in Neonatology 2 years 15 15 15 Advanced Diploma in Pathology 2 years 2 2 16 Diploma in Paediatric Cancer Care 2 years 5 5 17 Diploma in Urology 3 years 9 7 18 Diploma in Radiation Oncology 2 years 1 1 19 Diploma in Hand Surgery 3 years 1 - 20 Diploma in Clinical Haematology (Adult) 2 years 5 4 21 Diploma in Obstetrics and Gynaecology 4 years - - 22 Diploma in Medical Oncology 3 years 11 6 23 Diploma in Respiratory Medicine 2 years 5 5 24 Diploma in Respiratory Medicine (Clinical and Public Health ‒ TB) 2 years 1 1 25 Diploma in Psychiatry 2 years 10 7 26 Diploma in Anaesthesiology 3 years 12 9 27 Diploma in Haematology (Transfusion Medicine) 2 years 3 1 28 Diploma in Endocrinology 2 years 4 2 Total 391 332 *since 2007

ANNUAL REPORT 2019 | 16 OFFICE OF PROFESSIONAL AFFAIRS OFFICE OF PROFESSIONAL AFFAIRS

DIRECTOR’S MESSAGE DR BENJAMIN NG

The Academy has been assisting various government agencies such as the Ministry of Health, Health Sciences Authority, Singapore Police Force, Singapore Medical Council, Singapore Courts and Coroner, with professional and expert advice on healthcare and medical-related issues under the Office of Professional Affairs (OPA).

The Academy plays a key role in influencing our healthcare systems and services by providing guidance and expert opinions on clinical practices and healthcare policies, particularly from the professional, quality and patient safety perspectives.

This is achieved through standing committees under the OPA, and ad-hoc committees and workgroups which develop or provide evidence-based opinions and guidelines. These works have benefitted the medical fraternity, patients and the national healthcare systems.

ORGANISATIONAL STRUCTURE

OFFICE OF PROFESSIONAL AFFAIRS (OPA) HONORARY Dr Benjamin Ng LEGAL ADVISORS DIRECTOR

GUIDELINES, ADVISORIES & PROFESSIONALISM & ETHICS MEDICAL EXPERTS CONSENSUS COMMITTEE (GACC) COMMITTEE (PEC) COMMITTEE (MEC)

OPINIONS, ADVISORIES CLINICAL PRACTICE ETHICS & FACULTY OF MEDICAL MEDICAL EXPERT & CONSENSUS (OAC) GUIDELINES (CPG) PROFESSIONALISM EXPERTS (FME) TRAINING COMMITTEE COMMITTEE COURSE (FOR CORONERS (METC) A/Prof Alan Ng (Co-Chair) COMMITTEE SRS ETHICS COMMITTEE & EXTERNAL A/Prof Ong Hock Soo A/Prof Alfred Kow A/Prof T Thirumoorthy STAKEHOLDERS) COMMITTEE (Co-Chair) (Co-Chair) (Chair) A/Prof T Thirumoorthy Dr Bok Chek Wai Dr Jason Yap COMMITTEE (Co-Chair) (Co-Chair) Dr Soh Teck Hwee Dr Ho Kok Sun (Co-Chair) Dr Bertha Woon Dr Vishalkumar A/Prof Alan Ng (Co-Chair) (Co-Chair) Screening Test Review Dr Jayant Dr Goh Yaw Chong Dr Ho Kok Sun Committee Dr Tay Ee Guan (Vice-Chair) (Vice-Chair) Dr Khoo Kei Siong Committee on Aesthetic Dr Ong Eng Choon Dr Koh Dennis (Vice-Chair) Medical Practice Dr Shahla Siddiqui Dr Tan Chieh Suai Dr Boey Wah Keong Dr Matthew Yeo Dr Seow Wan Tew Dr Terence Goh ORGANISATIONAL Dr Lee See Muah Dr Martin Chio ETHICS COMMITTEE Dr Cuthbert Teo Prof Peter Lu Dr Benjamin Ng (Chair) Dr Marian Wang A/Prof Audrey Looi Dr Sayampanathan Dr Jeremy Lim Dr Stephen Phang Dr Munidasa Winslow Taskforce on Sedation by Ms Sumytra Menon Non-Anaesthesiologists Mr Wu Tuck Seng

ANNUAL REPORT 2019 | 17 ABOUT OFFICE OF PROFESSIONAL on a range of healthcare and medical-related issues, AFFAIRS including clinical management and healthcare policies, to governmental agencies such as the Ministry of Health The Office of Professional Affairs (OPA) coordinates and (MOH), Health Sciences Authority (HSA), Health Promotion streamlines all activities relating to professional affairs, Board (HPB), Ministry of Home Affairs (MHA), Singapore and ensures that healthcare in Singapore will benefit from Medical Council (SMC) and Singapore Dental Council (SDC). these activities, particularly from the professional, quality and safety perspectives. Most of these involve providing The Academy also provides feedback and endorsements opinions on professional and clinical practices in response on Appropriate Care Guidelines (ACGs) developed by to requests from various agencies such as the Ministry of the Agency for Care and Effectiveness (ACE) under the Health, Health Sciences Authority, Singapore Police Force, MOH, on various topics such as dementia, headache Singapore Courts and Coroner. and osteoporosis. The Academy frequently provides representation to various MOH-led consultation sessions, OFFICE OF PROFESSIONAL AFFAIRS GUIDELINES, ADVISORIES & CONSENSUS committees and workgroups on medical issues and policies. COMMITTEE (GACC) Opinions, Advisories and Consensus (OAC) Committee The table below shows a tally of the opinions/work done by The Academy provides professional and expert opinion the Academy throughout the years since 2007.

REQUEST TYPE 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Professional Opinion 9 18 15 28 40 38 37 53 49 48 56 67 75 Feedback/Endorsement of 4 4 5 5 8 1 5 4 3 2 5 6 3 Guidelines Guidelines Development/ 0 3 3 2 1 1 1 2 0 0 4 8 8 Nominations for Workgroups and Committees/ Consultation sessions Total Requests 13 25 23 35 49 40 43 59 52 50 65 81 86

The following table shows the list of professional opinion requests, guideline endorsements and developments which the Academy had received and provided in 2019. NO. TOPIC/ISSUE* ORGANISATION 1 Use of Autologous Cord Blood Stem Cell Infusion for Autism MOH 2 Use of Autologous Cord Blood Stem Cell Infusion for HIE MOH 3 Liver Transplant Related Death (Case 2) (Review by Independent Committee) MOH 4 Focus Group Discussions (FGDs) on Draft National Guidelines on the Safe Prescribing of Opioids MOH 5 Revised National Telemedicine Guidelines (Review & Endorsement) IHIS 6 Updates to Table of Surgical Procedures and Call for Submissions of Proposals for 2019/20 Cycle MOH 7 PHMC (Advertisement) Regulations 2019 MOH 8 Alleged Practice of Invasive Aesthetic Procedures by Beautician MOH 9 Alleged Practice of Invasive Aesthetic Procedures (Thread Lift Procedures) by Beautician MOH 10 College of Psychiatrists’ Statement on Registration of Psychologists (Letter to Straits Times Forum) AMS 11 Publicity Claims by Medical Clinics on Various Topics MOH 12 Use of a New Drug Vyvanse Indicated for Treatment of ADHD MOH 13 Local Use of Topical Fusidic Acid-Containing Preparations HSA 14 Conduct of Psychological Tests MOH 15 Nasoendoscopy Performed by General Practitioners MOHH 16 Use of Hydrochlorothiazide-Containing Medicines in Singapore HSA 17 Publicity Claims by a Non-Licensed Aesthetics Entity MOH 18 Dental Procedure by a Non-Dentist MOH 19 Publicity Claims on Nose Threadlift MOH 20 List of Prohibited Procedures (with Reference to TOSP) MOH 21 Use of Febuxostat in Local Clinical Practice HSA 22 Performing Vitreolysis for Floaters and Collagen Cross Linking Procedure MOH 23 Suction Epithelium Blister Grafting and Melanocyte Transfer MOH 24 Use of Autologous Protein Solution MOH 25 Publicity Claims by TCS Aesthetics Central Clinic MOH 26 Interventional Cardiac Procedures MOH 27 Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Foot Assessment in MOH People with Diabetes (Review & Endorsement)

ANNUAL REPORT 2019 | 18 OFFICE OF PROFESSIONAL AFFAIRS NO. TOPIC/ISSUE* ORGANISATION 28 Guidelines for the Use of Mifepristone for Medical Termination of Pregnancy (Medical TOP) MOH 29 Platelet Rich Plasma Registration in Singapore MOH 30 Right Hip Bipolar Stem Subsidence MOH 31 Proton Beam Therapy Standards MOH 32 Publicity Claims by Medical Clinic for Treating Erectile Dysfunction ‒ PHMC (Advertisement) MOH Regulations 2019 33 HSA Dear Healthcare Professional Letter: Potential Risk of Breast Implant Associated-Anaplastic HSA Large Cell Lymphoma (BIA-ALCL) 34 Procedures by a Foreign Aesthetic Doctor MOH 35 Thread Lifts ‒ Training for Plastic Surgeons, Dermatologists and Ophthalmologists (Trained in SMC Oculoplastic Surgery) After RACs 36 Teeth Whitening Procedure by Non-Registered Dentists SDC 37 Procedures by a Beautician MOH 38 Guidelines on Safe Sedation Practice for Non-Anaesthesiologists (Clarification) MOH 39 Sinus Surgery for Better Sleep MOH 40 Publicity Claims on “Before and After Treatment” Pictures MOH 41 Medical Advertisements by Beauty Salon MOH 42 Clinical Evidence for Faecal Microbiota Transplant (FMT) MOH 43 Can Doctors Diagnose and Give MC for Burn-Out and Work-Stress? MOM 44 Use of Gentian Violet-Containing Products in Singapore HSA 45 Fitness to Drive ‒ Road Traffic Act SMA 46 Teeth Whitening MOH 47 Alleged Practice of Using a Device “Quantum Weak Magnetic Resonance Analyser” for Scanning MOH 48 Palivizumab for the Prevention of Serious Infection Caused by Respiratory Syncytial Virus (RSV) MOH 49 Practice Guidelines for Bowel Preparation Prior to Colonoscopy MOH 50 Dental Instruments Packed in Compromised Packaging MOH 51 Alleged Practice of Aesthetic Procedures MOH 52 Review of 2001 Guidelines for Private Healthcare Institutions Providing Endoscopy (In Progess) MOH 53 Nasoendoscopy Committee (Nomination of Representatives) MOH 54 Review of 2014 Guidelines on Safe Sedation Practice for Non-Anaesthesiologists in Medical MOH Clinics, Including Stand-Alone Ambulatory Surgical Centres and Stand-Alone Endoscopy Suites in Singapore (In Progress) 55 Opinion on Device OPT/SHR IPL System by Beauty Salon MOH 56 Colon Hydrotherapy MOH 57 Alleged Practice of Using a Device “Quantum Weak Magnetic Resonance Analyser” for Scanning MOH (Clarification) 58 Private Hospitals and Medical Clinics (PHMC) Publicity Regulations (Eye Centre) MOH 59 Teeth Whitening (Case 2) MOH 60 Feedback on Proposed Update of Chapter 5 – Assessment of the Spine for Guide to the MOM Assessment of Traumatic Injuries and Occupational Diseases for Work Injury Compensation (GATIOD) 61 Exposure Prone Procedures (EPPs) (For Review) MOH 62 Stitching of Open Wound by Non-Doctor MOH 63 Device OPT System by Beauty Salon MOH 64 Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Managing Gout MOH ‒ The ULTimate Goal (Review & Endorsement) 65 Consultation by Foreign Medical Doctor MOH 66 MOH Fee Benchmark Consultation Sessions for Lower Surgical Volume Procedures MOH 67 Dental Instruments Packed in Compromised Packaging MOH 68 Publicity Claims on Nose Threadlift (Clarification) MOH 69 Medical Indications for Gynaecomastia MOH 70 Provision of Endoscopy Services in Medical Clinic MOH 71 SMA’s Fitness to Drive Guidelines (Nominations of Representatives) SMA 72 Non-Registered Physiotherapist MOH 73 Vitiligo Treatments by GPs MOH 74 Illegal Invasive Aesthetic Procedures MOH

ANNUAL REPORT 2019 | 19 NO. TOPIC/ISSUE* ORGANISATION 75 Request from Traffic Police to Share with Doctors on Information Regarding the Mandatory MOH Simulator Training 76 Vascular Surgeon providing Interventional Procedures MOH 77 Role of Sonosurg Ultrasonic Dissector MOH 78 Reporting of Radiological Images by General Practitioners (Consultation) MOH 79 Chelation Therapy MOH 80 Alleged Practice of Invasive Aesthetic Procedures MOH 81 Use of Regenera Activa Tissue Disintegration System in Medical Clinics MOH 82 Surgeries performed in an Ambulatory Surgical Centre MOH AMS: Academy of Medicine, Singapore; HSA: Health Sciences Authority; IHIS: Integrated Health Information Systems; MOH: Ministry of Health; MOHH: Ministry of Health Holdings; MOM: Ministry of Manpower; SDC: Singapore Dental Council; SMA: Singapore Medical Association; OFFICE OF PROFESSIONAL AFFAIRS SMC: Singapore Medical Council *Several confidential requests have been omitted from the listing

Representations in Committees and Workgroups Committee to review the practice of bowel preparation for The Academy appreciates the tremendous efforts and colonoscopy, and develop a consensus report/guideline contributions of our Fellows who served as representatives on the best practice. Prior to this, MOH had written in the following committees and workgroups. to different hospitals in Singapore to understand their practices for bowel preparations for colonoscopy. The Joint Review Committee on Practice of Bowel Preparation committee consisted of representatives from both private Prior to Colonoscopy practice and public healthcare institutions to ensure holistic The Academy received a request from MOH seeking representation and views from practitioners in both sectors the assistance of the Chapter of Gastroenterologists, of practice. The committee submitted its findings to MOH College of Physicians, Singapore, and Chapter of General on 30 September 2019. Surgeons, College of Surgeons, Singapore, to form a Joint

JOINT REVIEW COMMITTEE MEMBERS Co-Chairmen Ang Tiing Leong Chapter of Gastroenterologists (Changi General Hospital) Ng Kheng Hong Chapter of General Surgeons (Gleneagles Hospital) AMS Lui Hock Foong Chapter of Gastroenterologists (Gleneagles Hospital) Representatives Kelvin Thia Teck Joo Chapter of Gastroenterologists (Mount Elizabeth Hospital) from Private Yim Heng Boon Chapter of Gastroenterologists (Mount Elizabeth Novena Hospital) Practice Dennis Koh Chapter of General Surgeons (Mount Elizabeth Hospital) Dean Koh Chi Siong Chapter of General Surgeons (Farrer Park Hospital) Lim Jit Fong Chapter of General Surgeons (Gleneagles Hospital) Hospital James Ngu Representative from Changi General Hospital (Colorectal Surgery) Representatives Ho Gim Hin Representative from Khoo Teck Puat Hospital (Gastroenterology) Pauleon Tan Representative from Khoo Teck Puat Hospital (Colorectal Surgery) Lim Li Lin Representative from National University Hospital (Gastroenterology) Kenneth Koo Representative from Ng Teng Fong General Hospital (Gastroenterology) Monga Amitabh Representative from Raffles Hospital (Gastroenterology) Foo Fung Joon Representative from Sengkang General Hospital (Colorectal Surgery) Emile John Tan Kwong Wei Representative from Singapore General Hospital (Colorectal Surgery) Yew Kuo Chao Representative from Tan Tock Seng Hospital (Gastroenterology)

Review Committee on Sedation Guidelines In preparation for the new Healthcare Services Act (HCSA), Academy convened the following review committee in MOH had written to the Academy seeking assistance for December 2019 composing Fellows from the specialties the review of the 2014 guidance document, ‘Guidelines of Gastroenterology, Plastic Surgery, Family Medicine, on Safe Sedation Practice for Non-Anaesthesiologists in General Dentistry, Oral Maxillofacial Surgery, Interventional Medical Clinics Including Stand-Alone Ambulatory Surgical Radiology, Cardiology, Neurology, Nephrology and doctors Centres and Stand-Alone Endoscopy Suites in Singapore’, providing aesthetic services. The review paper is targeted to ensure that the guidance documents remain relevant to be completed by June 2020. and up-to-date for the healthcare community. The

ANNUAL REPORT 2019 | 20 OFFICE OF PROFESSIONAL AFFAIRS REVIEW COMMITTEE MEMBERS A/Prof Sophia Chew Tsong Huey College of Anaesthesiologists, Singapore Dr Nelson Chua College of Anaesthesiologists, Singapore (President) Dr Tan Wah Tze College of Anaesthesiologists, Singapore Dr Shawn Goh Siak Shyong College of Dental Surgeons, Singapore Dr Lai Wen Pui Bien College of Dental Surgeons, Singapore Dr David Teng Kuan Peng College of Emergency Physicians Prof Evelyn Wong College of Emergency Physicians Dr Tham Lai Peng College of Paediatrics and Child Health, Singapore Dr Nicola Ngiam Siew Pei College of Paediatrics and Child Health, Singapore Dr Julian Kenrick Loh Xingyuan Chapter of Cardiologists, College of Physicians, Singapore A/Prof Gwee Kok Ann Chapter of Gastroenterologists, College of Physicians, Singapore Dr James Li Weiquan Chapter of Gastroenterologists, College of Physicians, Singapore Dr Matthew Cove Chapter of General Physicians, College of Physicians, Singapore Dr Carol Tham Hui Lian Chapter of Neurologists, College of Physicians, Singapore Dr Tan Chieh Suai Chapter of Renal Medicine, College of Physicians, Singapore Dr Luke Michael Toh Han Wei College of Radiologists, Singapore Dr Cheng Shin Chuen Chapter of General Surgeons, College of Surgeons, Singapore Dr Teoh Tiong Ann Chapter of General Surgeons, College of Surgeons, Singapore Dr Matthew Yeo Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore Dr Terence Goh Lin Hon Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore Dr Gilbert Tan Choon Seng Chapter of Family Medicine Physicians Dr Kenneth Chan Ping Wah Chapter of Intensivists Dr Yeo Sow Nam Chapter of Pain Medicine Physicians

AD-HOC OPA ACTIVITY – PDPA AWARENESS TALK 2019 OPA organised a Continuing Medical Education (CME) talk The focus of the talk was on the healthcare sector and how exclusively for Fellows on 27 April 2019 at the SGH Academia the PDPA applies to medical practitioners. The speaker also entitled, ‘What the Medical Profession Needs to Know addressed the rules to follow when verifying the identity About PDPA and the Issues of Identity Verification Rules of patients, next-of-kin (NOK) and enquirer during the During Interactions Between Healthcare Professionals, medical practitioner’s interaction with them. Participants Patients and Next-of-Kins’. had the opportunity to clarify their concerns and queries. The following are some of the topics covered at the talk: ••Introduction to Personal Data Protection Act (PDPA) Including the Nine Obligations ••Legislative and Regulatory Requirements Under the PDPA that an Organisation Has to Comply With ••Roles of Employees at Various Organisation Levels ••Issues of Identity Verification Rules During Interactions Between Healthcare Professionals, Patients and NOKs ••Managing Data Breach ••Dos and Don’ts ‒ Lessons from the SingHealth Saga MEDICAL EXPERTS COMMITTEE (MEC) Medical Experts Training Committee (METC) ‒ Medical Expert Witness Training Course 2019 The Academy, together with the Singapore Medical Association (SMA), Singapore Academy of Law (SAL) and Publicity material of PDPA Awareness Talk 2019. The Law Society of Singapore (LSS) successfully conducted the Medical Expert Witness Training Course which was A total of 130 Fellows registered for the talk. The speaker, a held on 4 May, 29 June and 6 July 2019. legal counsel, touched on the key concepts and obligations of the Personal Data Protection Act (PDPA) and on what The learning objective of the training course is to equip needs to be done to ensure compliance with the PDPA. medical practitioners with the knowledge and skills to

ANNUAL REPORT 2019 | 21 become an effective medical expert witness. The Course lawyers in a simulated courtroom setting. Faculty, comprising 52 judges, lawyers and medical trainers, worked together to provide a comprehensive A total of 58 medical and dental practitioners from 25 training programme, emphasising on putting knowledge different specialties attended the training course on three to practice. Participants were required to write an Saturdays. The Guest-of-Honour for the opening ceremony independent expert opinion based on a case scenario, and of the course on Day 1 was the Honourable Justice the medical expert reports submitted were assessed and Woo Bih Li who delivered an inspiring and enlightening marked by a judge and lawyer/medical trainers, including opening address. The ceremony was also attended by providing feedback on the adequacy and quality of the representatives from the four partner organisations, report. Participants had to give testimony on their medical signifying the strong relationship between the legal and expert report and underwent cross-examination by the medical professions in Singapore. OFFICE OF PROFESSIONAL AFFAIRS

Guest-of-Honour Justice Woo Bih Li, invited guests and the faculty trainers on Day 1 of the course. From left to right: Dr Bertha Woon, Ms Serene Wee (Chief Executive, SAL), Mr Tito Isaac (Treasurer, LSS), Mr Michael Chia, Mr Lek Siang Pheng, Dr T Thirumoorthy, Dr S R E Sayampanathan (Master, AMS), Justice Woo Bih Li, Ms Kuah Boon Theng SC, Dr Lee Yik Voon (President, SMA), Justice Aedit Abdullah, Mr Edmund J Kronenburg and Dr Benjamin Ng (Director, Office of Professional Affairs, AMS).

Award Recipients – Certificate of Commendation Outstanding Participants in Roleplay Sessions Certificates of Commendation were awarded at the Closing Participants were also assessed by the Course Faculty Ceremony on Day 3 of the course to participants who during the mock trial sessions. Those who were assessed to had submitted well written medical expert reports. The have shown overall commendable performance were each medical expert reports submitted by the participants were awarded a plaque presented by the President of The Law reviewed by the course faculty, and well written reports Society of Singapore. The following participants received were selected and endorsed by the Organising Committee. the plaque: The following participants received the Certificate of ••Prof Ang Tiing Leong Commendation: ••Adj Assoc Prof Augustinus Laude ••Prof Ang Tiing Leong ••Dr Quah Hak Mien ••Adj Assoc Prof Dr Chan Yoke Hwee ••Dr Chua Tju Siang ••Adj Asst Prof Glenn Tan Wei Leong ••Adj Asst Prof Yeleswarapu Sita Padmini

A/Prof Glenn Tan Wei Leong (right) receiving the Certificate of Mr Gregory Vijayendran SC with the four Outstanding Participants plaque Commendation from Guest-of- Honour, Mr Gregory Vijayendran SC. recipients.

ANNUAL REPORT 2019 | 22 OFFICE OF PROFESSIONAL AFFAIRS The overall feedback and responses from both participants YEAR TOTAL REQUESTS POLICE INVESTIGATIONS and Course Faculty on the effectiveness of the course were 2004 5 very positive. The participants particularly praised the - roleplay segment, and the commitment of the judicial and 2005 68 - legal trainers during the sessions. 2006 30 - 2007 47 - 2008 38 - 2009 43 - 2010 52 - 2011 43 1 2012 51 1 2013 44 1 2014 29 3 Participants listening intently on Day 1 of the course. 2015 34 0 2016 20 0 2017 45 0 2018 28 4 2019 35 7

In 2019, the Academy started receiving requests from the Singapore Medical Council (SMC) seeking IME opinion on Organising Committee and participants at the end of Day 3. behalf of the Complaints Committees (CCs) and Disciplinary Tribunals (DTs). There were 41 IME reports provided by The Committee initially intended to conduct another round individual experts to SMC. The distribution of cases is of the course in 2020. However, due to the COVID-19 shown below in accordance to specialties. outbreak in Singapore, the Committee and the Council of SPECIALTY NO. the Academy of Medicine, Singapore decided to postpone the course to 2021 instead. More details will be provided Anaesthesiology 2 at the Academy’s website and through email publicity once Cardiothoracic Surgery 1 details have been confirmed. Dermatology 1 FACULTY OF MEDICAL EXPERTS (FME) Gastroenterology 1 Focus Group Sessions for Members of FME General Surgery 1 The Academy continues to support the demand for Internal Medicine 1 competent independent medical experts by providing Medical Oncology 2 appropriate medical experts through the FME. A Focus Neurosurgery 1 Group session was held on 12 October 2019 for FME members to seek feedback from members to better Obstetrics and Gynaecology 6 understand their concerns and expectations as medical Ophthalmology 3 experts. A total of 23 FME members attended the session. Orthopaedic Surgery 7 The Academy’s Honorary Legal Advisors, Ms Kuah Boon Theng SC and Mr Lek Siang Pheng, attended the session Otorhinolaryngology 5 and provided advice and guidance on various medico-legal Paediatric Medicine 2 issues and on the concerns raised. Pathology 1

Independent Medical Experts (IME) Psychiatry 2 The Academy continues to receive requests from the SPF Radiation Oncology 1 seeking independent medical experts (IME) to assist in Radiology 1 Coroner’s Cases and Police Investigations. In 2019, Fellows Rheumatology 2 provided 31 IME reports to the SPF for Coroners’ cases, and continued in assisting in two outstanding cases. In 2019, Urology 1 Fellows also provided four reports for Police Investigation cases, and continued to assist in three outstanding cases. Details on the number of IME requests until 2019 are found in the following table.

ANNUAL REPORT 2019 | 23 MEMBERSHIP

CHAIRMAN’S MESSAGE

STANDING COMMITTEES DR CHAN YEW WENG

Membership drive remains the top agenda in the Academy’s strategic plan.

New Fellows are the future generations who will continue the mandate to advance the art and science of medicine in Singapore and beyond.

To supplement the ongoing recruitment drive, invitations will be extended to foreign-trained, conditional registration specialists, including those who have gone through the Advanced Specialist Training Programme from Brunei, to be

MEMBERSHIP part of the Fellow fraternity.

The Academy rolled out a new scheme recently to enable members to pay annual subscription via PayNow QR Code. The savings from the banking administrative charges are passed back to members. This new initiative saw a relatively better yield of subscription collection.

The Standing Committee on Membership also looks into expanding the benefits for members. Fellows have expressed interest in attending courses related to finance and leadership. The Academy will explore with local healthcare partners on customised courses in the coming months.

ABOUT MEMBERSHIP The Standing Committee on Membership sets policies well as proposing creation and/or revision of membership and procedures on all membership matters such as categories. membership growth, retention and the appeal process, as

MEMBERSHIP ENROLMENT BY CATEGORIES COLLEGES/CHAPTERS ACTIVE ACTIVE (EXEMPTED) TOTAL Fellows (Local) 2,781 640 3,421 Fellows (Overseas) 109 43 152 Ordinary Members 38 0 38 Associate Members 6 0 6 Honorary Members 0 16 16 Distinguished Overseas Members 0 229 229 Note: Figures as of 31 December 2019

THE 2019-2021 STANDING COMMITTEE ON MEMBERSHIP Chairman Dr Chan Yew Weng Censor-in-Chief Vice-Chairman Dr Wong Chiang Yin Scribe Members Dr Terence Kee College of Physicians, Singapore Dr Terence Quah Chien Choon College of Anaesthesiologists, Singapore Dr Seow Choon Seong College of Surgeons, Singapore Dr Ian Tsou College of Radiologists, Singapore Dr Varsha Atul Shah College of Paediatrics and Child Health, Singapore Dr Inny Busmanis Chapter of Pathologists Ex-Officio Dr Wong Tien Yin Censor Dr Yeo Jin Fei Censor

ANNUAL REPORT 2019 | 24 STANDING COMMITTEES MEMBERSHIP GROWTH 4,000 3,755 3,862 The Council approved a total of 177 new FAMS applications 3,518 for 2019, bringing the total number of members to 3,862. 3,500 3,214 3,359 3,037 On 4 August 2019, 82 were formerly inducted as Fellows of 3,000 the Academy. 2,500 2,000 1,500 1,000 500 0 2014 2015 2016 2017 2018 2019

MEMBERSHIP BREAKDOWN BY COLLEGES/CHAPTERS MEMBERSHIP / JOINT COMMITTEE ON SPECIALIST TRAINING COLLEGES/CHAPTERS 2013 2014 2015 2016 2017 2018 2019 College of Anaesthesiologists, Singapore 128 134 140 146 149 188 177 College of Dental Surgeons, Singapore 240 251 261 269 275 275 280 College of Emergency Physicians 77 89 93 99 106 110 115 College of Obstetricians & Gynaecologists, Singapore 224 229 231 233 236 235 242 College of Ophthalmologists 140 149 153 171 181 192 203 College of Paediatrics & Child Health, Singapore 190 192 199 207 222 223 228 College of Physicians, Singapore 757 815 861 885 933 963 1025 College of Psychiatrists 99 104 110 120 123 119 125 College of Public Health & Occupational Physicians 108 112 118 122 123 127 136 College of Radiologists, Singapore 182 187 190 196 193 182 195 College of Surgeons, Singapore 525 553 575 606 635 668 689 College of Clinician Scientists 35 56 83 82 84 84 Chapter of Clinician Educators 57 59 77 85 84 86 Chapter of Family Medicine Physicians 66 74 77 87 95 96 Chapter of Intensivists 95 100 100 121 121 Chapter of Pathologists 57 58 59 60 59 52 56 Section of Sports Physicians 3 10 11 18 17 16 Note: Excludes Ordinary, Associate, Honorary and Distinguished Overseas Members

JOINT COMMITTEE ON SPECIALIST TRAINING

The Academy participates actively with the Division The JCST Secretariat organises ‘Meet-the-Trainees’ and of Graduate Medical Studies, National University of ‘Meet-the-Residents’ sessions, specialist exit exams, Singapore in training programmes for specialist trainees in residency annual in-training assessments, Specialist Training all specialties. The Joint Committee on Specialist Training Committee (STC) meetings, Residency Advisory Committee (JCST) is co-chaired by the Director of the Division of (RAC) meetings, traineeship intake exercises, accreditation Graduate Medical Studies and Master of the Academy. site visits, and information sessions for selected specialties, The JCST Secretariat is located within the premises of the amongst other activities. It currently supports the training Academy. needs of approximately 80 current trainees (Advanced Specialist Trainees, Seamless Trainees). The JCST Secretariat officially started operations in April 2005 at the Division of Graduate Medical Studies, National JCST Secretariat has been and will continue, to be actively University of Singapore (NUS). The JCST Secretariat’s main involved in the planning and execution of the RAC’s activities role is to oversee and support all the training programmes for the RAC and the approximately 2,100 residents. for specialist trainees in all specialties. It works closely with the Ministry of Health, MOH Holdings and healthcare clusters on manpower and postgraduate training issues.

ANNUAL REPORT 2019 | 25 PUBLICATIONS CHAIRMAN’S MESSAGE DR ERLE CH LIM

STANDING COMMITTEES The Annals, Academy of Medicine, Singapore (AAMS), has further expanded the Editorial Board to provide expertise in assessing articles from various disciplines.

The AAMS’s impact factor has again risen above 1, to 1.127, and though it is not a numbers game, it behooves the Editorial Board to do all it can to attract cite-worthy, novel, well written and interesting articles.

We would like to thank our contributors––authors and reviewers––who help us provide the local, regional and international medical community with thought provoking insightful articles. PUBLICATIONS ABOUT PUBLICATIONS Emeritus Editors Dr Vernon MS Oh The Standing Committee on Publications is responsible for Dr Tan Eng King setting the policies and procedures for publication matters Board Members Dr Elizabeth Ang and overseeing the publication of the Annals. Dr Chee Yu Han ANNALS Dr Chan Ling Ling A total of 257 papers were received by the Annals in 2019, Dr Sandy Cook with 12 monthly issues published over the course of the Dr Brian Goh year. Dr Hsu Li Yang EDITORIAL BOARD Dr Felix YJ Keng Dr Khor Chiea Chuen The Editorial Board welcomed Dr Brian Goh (Senior Consultant, Department of Hepatopancreatobiliary and Dr Alfred Kow Transplant Surgery, Singapore General Hospital) this year. Dr Tchoyoson CC Lim With the addition of Dr Goh, the Board membership for the Dr Dujeepa Samarasekera year comprised the following: Dr Clement WT Tan Editor Dr Erle CH Lim Dr Tan Hon Liang Deputy Editors Dr Yap Hui Kim Dr Teo Yik Ying Dr Ng Beng Yeong Dr Toh Han Chong Associate Editor Dr Deidre Anne De Silva Ex-Offico Dr S R E Sayampanathan Associate Editor & Treasurer Dr Raymond Seet Dr David CB Lye

Group photo taken on 4 June 2019 at the Annals’ Annual Appreciation Dinner. Seated (from left to right): Ms Harcharan Kaur (Annals secretariat), Dr Shermin Tan (Silver Best Publication Award Winner), A/Prof Mythily Subramaniam (Bronze Best Publication Award Winner), Dr Chan Ling Ling (Board Member), Ms Grace Lim (Annals secretariat) Standing (from left to right): Mr Reuel Ng (Annals secretariat), Dr Tchoyoson CC Lim (Board Member), Dr Darren Aw (Gold Reviewer Award Winner), A/Prof Roger Ho (Gold Reviewer Award Winner), Dr Ng Beng Yeong (Deputy Editor), Dr Erle CH Lim (Editor), Dr Vernon MS Oh (Emeritus Editor), Dr Tan Eng King (Emeritus Editor) Not in photo: Dr Yap Hui Kim (Deputy Editor), Dr Deidre Anne De Silva (Associate Editor), Dr Raymond Seet (Associate Editor & Treasurer), Dr Elizabeth Ang (Board Member), Dr Chee Yu Han (Board Member), Dr Sandy Cook (Board Member), Dr Brian Goh (Board Member), Dr Hsu Li Yang (Board Member), Dr Felix YJ Keng (Board Member), Dr Khor Chiea Chuen (Board Member), Dr Alfred Kow (Board Member), Dr Dujeepa Samarasekera (Board Member), Dr Clement WT Tan (Board Member), Dr Tan Hon Liang (Board Member), Dr Teo Yik Ying (Board Member), Dr Toh Han Chong (Board Member)

ANNUAL REPORT 2019 | 26 STANDING COMMITTEES THE BEST PUBLICATION AWARD 2018 The Editorial Board had voted on the top three research Dr Kang Hui Min, Dr Shermin Tan and A/Prof Mythily papers published in Annals in 2018. The winning papers Subramaniam also received awards at the Academy of (shown below) were awarded the Annals, Academy of Medicine’s Induction Comitia event held on 6 July 2019, Medicine Best Publication Award 2018: from Master of the Academy, Dr S R E Sayampanathan. GOLD: Outcomes of Patients Presenting with Primary or Secondary Atrial Fibrillation with Rapid Ventricular Rate to the Emergency Department Hui Min Kang, Sheena JJ Nh, Susan Yap, Annitha Annathurai, Marcus EH Ong

SILVER: Incipient Albuminuria in Persons with

Newly Diagnosed Type 2 Diabetes Mellitus: A 5-Year PUBLICATIONS Retrospective Cohort Study Shermin Tan, Lai Yin Wong, Matthias Paul HS Toh

BRONZE: Quality of Life Across Mental Disorders in Psychiatric Outpatients Vathsala Sagayadevan, Siau Pheng Lee, Clarissa Ong, Edimansyah Abdin, Siow Ann Chong, Dr Kang Hui Min (right) receiving the Gold Publication Award from Mythily Subramaniam Master at Induction Comitia 2019.

Some of the winning authors were honoured at the Annals’ Annual Appreciation Dinner held on 4 June 2019 at the Tung Lok Signatures restaurant located in Clarke Quay.

Master presenting Dr Shermin Tan (right) with the Silver Publication Award at Induction Comitia 2019.

Dr Erle CH Lim presenting the Silver Publication Award 2018 to Dr Shermin Tan (top photo) and the Bronze Publication Award 2018 to A/Prof Mythily Subramaniam (right) receiving the Bronze Publication A/Prof Mythily Subramaniam (bottom photo). Award from Master at Induction Comitia 2019.

ANNUAL REPORT 2019 | 27 THE GOLD REVIEWER AWARD 2018 The Gold Reviewer Award 2018 was also presented by our Editor, Dr Erle CH Lim, to two winners at the Annals’ Annual Appreciation Dinner. These reviewers had submitted at least three quality reviews which adhered to the Annals’ guidelines, and had been integral in providing helpful advice to the Editorial Board in 2018. STANDING COMMITTEES

A/Prof Roger Ho (on the right) receiving the Gold Reviewer Award from Master at Induction Comitia 2019.

DONATION The Editorial Board records here its appreciation to the Lee Foundation for its continued generous support for the year

PUBLICATIONS 2019. CHANGE OF LEADERSHIP Dr Erle CH Lim has, as of 1 March 2020, stepped down Dr Erle CH Lim, presenting the Gold Reviewer Awards to Dr Darren Aw (in as Editor-in-Chief due to new work commitments at the left photo) and A/Prof Roger Ho (in the right photo). the National University of Singapore. His successor, Dr Raymond CS Seet, is a well-respected neurologist and A/Prof Roger Ho was also presented with his Gold Reviewer researcher. He is a clinician scientist, has won numerous Award at the Academy of Medicine’s Induction Comitia grants, and has several publications in international high- event held on 6 July 2019 by Master of the Academy, Dr S impact journals. The Committee is confident that he will R E Sayampanathan. lead the journal to greater heights. MEDIA CITATION The Annals was cited in the following media outlets in 2019: TITLE OF ANNALS ARTICLE ANNALS VOLUME/ISSUE MEDIA TITLE OF MEDIA ARTICLE Arrival of Candida Auris Fungus in Singapore: Vol 47, Issue 7 The Straits At Least 3 Cases of Super Report of the First 3 Cases Times Fungus Candida Auris Infection Detected in Singapore Since 2012 Electronic Bicycles and Scooters: Convenience Vol 48, Issue 4 Mediacorp, at the Expense of Danger? Ch 8 News Sports-Related Sudden Cardiac Deaths in Vol 28, Issue 5 Mediacorp Singapore ‒ And 11-Year Review News Impact of Knowledge and Attitudes on Vol 48, Issue 8 Mediacorp, 调查：更多国人选择健康 Lifestyle Practices in Preventing Type 2 Ch 8 News 饮食 但运动量不达标 Diabetes Mellitus Palliative Care Awareness Among Advanced Vol 48, Issue 8 Mediacorp Cancer Patients and their Family Caregivers in News Singapore

ANNUAL REPORT 2019 | 28 PAST MASTERS AND HONORARY FELLOWS LIST PAST MASTERS AND HONORARY FELLOWS LIST

PAST MASTERS 2012 - 2016 Dr Lim Shih Hui 1982 - 1984 Dr Chow Khuen Wai 2010 - 2012 Dr Tan Kok Chai 1980 - 1982 Dr Lim Pin 2008 - 2010 Dr Fock Kwong Ming 1978 - 1980 Dr VK Pillay 2006 - 2008 Dr Ho Lai Yun 1975 - 1978 Dr Robert CK Loh 2004 - 2006 Dr Low Cheng Hock 1973 - 1975 Dr Chew Chin Hin 2002 - 2004 Dr K Satku 1970 - 1973 Dr Seah Cheng Siang 2000 - 2002 Dr Walter TL Tan 1968 - 1970 Dr Yahya Cohen 1998 - 2000 Dr Chee Yam Cheng 1966 - 1968 Dr K Shanmugaratnam 1995 - 1998 Dr Tan Ser Kiat 1964 - 1966 Dr Khoo Oon Teik 1992 - 1995 Dr Chao Tzee Cheng 1961 - 1964 Dr Gwee Ah Leng 1990 - 1992 Dr Raj Nambiar 1960 - 1961 Dr DWC Gawne 1987 - 1990 Dr Tan Ngoh Chuan 1959 - 1960 Dr C Elaine Field 1984 - 1987 Dr Lawrence KC Chan 1957 - 1959 Dr Gordon Arthur Ransome

HONORARY FELLOWS 2017 Mr Sundaresh Menon 1982 Dr Stanley J M Goulston 2015 Mr JY Pillay 1982 Professor Ong Guan Bee 2013 Mr Tharman Shanmugaratnam 1982 Dr Michael A Gilmour 2011 Dr York Chow 1982 Dr C Elaine Field 2007 Dr Oon Chiew Seng 1981 Emeritus Professor Robert Roaf 2007 Mr Lee Hsien Loong 1979 Sir John Crofton 2006 Dr Tony Tan 1979 Dr Toh Chin Chye 2004 Dr Andrew Chew Guan Khuan 1977 Dr Yeoh Ghim Seng 2003 Mr S R Nathan 1977 Sir Gordon Arthur Ransome 2002 Mr Shaw Vee King 1975 Tan Sri Dr Runme Shaw 2000 Dr Lee Seng Gee 1975 Prof Robert Emil Steiner 2000 Dr Ong Teng Cheong 1975 Mr Lee Kuan Yew 1996 Dato Seri Dr Mahathir bin Mohamad 1975 Prof Sir Ian Hill 1996 Dr Kwa Soon Bee 1975 Dr R H Hickling 1994 Mr Wee Kim Wee 1974 Sir Stanley Davidson 1993 Dr Eugene M Hildreth 1974 Sir John Bruce 1990 Mr Goh Chok Tong 1973 Sir Derrick Dunlop 1988 Mr Shaw Vee Meng 1970 Sir John Lewthas Frew 1988 Dr R F Robertson 1970 Sir Kenneth Beeson Noad 1986 Mr Howe Yoon Chong 1969 Sir Alexander Oppenheim 1986 Professor David Todd 1969 Sir Douglas Miller 1984 Sir James Fraser 1967 Lord Brain

ANNUAL REPORT 2019 | 29 STAFF LIST (As of 31 December 2019) OUR PEOPLE ACADEMY OF MEDICINE, SINGAPORE Junia Heng (Ms) Executive Director Corporate Relations Corporate & Event Secretariat Services Yazeedah Sa’at (Ms) Deputy Manager Chandrakala K (Ms) Senior Executive Finance/Accounts Membership Koh Siew Hong (Ms) Assistant Manager Daniel Ku (Mr) Assistant Manager Jane Sng (Ms) Executive Joyce Low (Ms) Executive Ng Bee Yean (Ms) Executive Juliana Ismail (Ms) Senior Officer Candy Toh (Ms) Officer Human Resources JOINT COMMITTEE ON Jenny Huan (Ms) Assistant Manager SPECIALIST TRAINING Administration Dr S R E Sayampanathan Co-Chairman Jenny Huan (Ms) Assistant Manager

STAFF LIST A/Prof Chen Fun Gee Co-Chairman Sally Lim (Ms) Officer Betty Teo (Ms) Senior Manager Publications Triscilia Choa (Ms) Manager Abigail Kway (Ms) Assistant Manager Interim Aviation Medicine, Interim Radiation Oncology, Reuel Ng (Mr) Senior Executive Interim Orthopaedics Surgery Harcharan Kaur (Ms) Executive Triscilia Choa (Ms) Manager Professional Affairs Neurosurgery, Site Accreditation, Interim Urology, Syairah Samsudin (Ms) Assistant Manager Interim Emergency Medicine Roland Lim (Mr) Executive Siti Hawa (Ms) Assistant Manager Education & Training Internal Medicine, Nuclear Med, Rheumatology Koh Ai Ling (Ms) Deputy Manager Carol Lee (Ms) Assistant Manager Adam Koh (Mr) Senior Executive Gina Cheang (Ms) Senior Executive Paediatrics Medicine, Neonatology, James Toh (Mr) Executive Psychiatry, Paediatrics Medicine Sub Spec Melissa Hong (Ms) Executive Narinder Kaur (Ms) Assistant Manager Information Technology Diagnostic Radiology, Plastic Surgery, Kelvin Yeo (Mr) Senior Executive Transfusion Medicine, Palliative Medicine Stella Wong (Ms) Assistant Manager Secretariat of Colleges and Chapters Angelina Wang (Ms) Senior Executive Ophthalmology, Orthopaedics College of Anaesthesiologists, Singapore Sheryl Kam (Ms) Senior Executive College of Clinician Scientists Chapter of Pain Medicine Physicians Hand Surgery, General Surgery & Surgery in General Chapter of Intensivists Tan Hwee Miang (Ms) Senior Executive Chandrakala K (Ms) Senior Executive Dermatology, Geriatric Med, O & G College of Clinician Educators Serene Goh (Ms) Executive Goh Chew Lin (Ms) Senior Executive Renal Medicine, Haematology, College of Radiologists, Singapore Sports Medicine, Cardiothoracic Surgery College of Public Health and Occupational Physicians Michelle Tay (Ms) Executive College of Ophthalmologists Neurology, Rehabilitation Medicine, Urology Joseph Kerk (Mr) Senior Executive Sara Foo (Ms) Executive College of Surgeons, Singapore Otorhinolaryngology (ENT), Endocrinology, Anaesthesiology Chapter of Family Medicine Physicians Daphne Phoa (Ms) Executive Wendy Tan (Ms) Senior Executive Emergency Medicine and Pathology College of Physicians, Singapore Seah Li Yi (Ms) Executive College of Psychiatrists Cardiology, Intensive Care Medicine and Respiratory Medicine He Shu Wei (Mr) Executive Jocelyn Lim (Ms) Executive College of Surgeons, Singapore Medical Oncology, Gastroenterology & Clinician Scientist Marcus Lin (Mr) Executive Chua Wei Ling (Ms) Executive College of Dental Surgeons, Singapore College of Emergency Physicians Preventive Medicine, Occupational Medicine and Infectious Diseases Chapter of Pathologists Lee Ying Ning (Ms) Executive Ser Hui Wen (Ms) Executive Aviation Medicine, Paediatrics Surgery & Radiation Oncology College of Obstetricians and Gynaecologists, Singapore Poh Sze Hui (Ms) Executive College of Paediatrics and Child Health, Singapore Aivy Sin (Ms) Accounts Executive Sharon Low (Ms) Executive Rugayah Ishak (Ms) Senior Management Support Officer College of Physicians, Singapore Tan Li Joo (Ms) Management Support Officer College of Psychiatrists

ANNUAL REPORT 2019 | 30 FINANCIAL STATEMENTS ACADEMY OF MEDICINE 2019 SINGAPORE

Financial Statements for the Financial Year Ended 31 December 2019 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

ACADEMY OF MEDICINE SINGAPORE [UEN. 197702012E]

[A Company limited by guarantee and not having share capital] [Incorporated in the Republic of Singapore]

AUDITED FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019

CONTENTS

Directors’ Statement 2

Independent Auditor’s Report 4

Statement of Financial Activities 7

Statement of Financial Position 9

Statement of Changes in Funds 10

Statement of Cash Flows 11

Notes to the Financial Statements 12

Fiducia LLP [UEN. T10LL0955L] Public Accountants and Chartered Accountants of Singapore

71 Ubi Crescent Excalibur Centre, #08-01 Singapore 408571 T: (65) 6846.8376 F: (65) 6491.5218

DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

DIRECTORS’ STATEMENT

The directors present their statement to the members together with the audited financial statements of Academy Of Medicine Singapore (the “Academy”) for the financial year ended 31 December 2019.

In the opinion of the directors,

a) the financial statements of the Academy are drawn up so as to give a true and fair view of the financial position of the Academy as at 31 December 2019, and of the financial performance, changes in funds and cash flows of the Academy for the financial year then ended; and

b) at the date of this statement, there are reasonable grounds to believe that the Academy will be able to pay its debts as and when they fall due.

Directors

The directors in office at the date of this statement are as follows:

Sayampanathan Sarvaselan Reuben Emmanuel Chan Choong Meng (Council term ended 01 June 2019) Chan Yew Weng Erle Lim Chuen Hian Goh Siang Hiong Ho Kok Sun Khoo Kei Siong Lai Fon-Min (Council term ended 01 June 2019) Lim Lay Cheng Lye Chien Boon Ng Wei Keong Alan Pierce Chow Kah Hoe Robinson Inese Aisma Teo Eng Kiong Vernon Lee Jian Ming Wong Chiang Yin Wong Tien Yin Yeo Jin Fei Wong Chee Meng John Samarasekera Dujeepa Dasharatha Sophia Chew Tsong Huey (Council term ended 01 June 2019) Tay Jam Chin (Council term ended 01 June 2019) Andrew Ow Tjin-Chiew (Ou RenQiu) Chua Wei Chong (Cai WeiChong) (Council term ended 01 June 2019) Lee Kheng Hock Liew Woei Kang (Council term ended 01 June 2019) Loo Chian Min (Council term ended 01 June 2019) Tsou Yu Yan Ian (Council term ended 01 June 2019) Yong Tze Tein Goh Yaw Chong Teoh Tiong Ann (Appointed on 01 June 2019) Tan Hock Soon Kenneth (Appointed on 01 June 2019) Tay Kiang Hiong (Appointed on 01 June 2019) Tan Yeh Hong (Appointed on 01 June 2019) Chua Ping Ping Nelson (Appointed on 01 June 2019) Ng Kee Chong (Appointed on 01 June 2019)

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 2 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

DIRECTORS’ STATEMENT (CONT’D)

Arrangements to enable directors to acquire benefits

Neither at the end of nor at any time during the financial year was the Academy a party to any arrangement whose objects are, or one of whose object is, to enable the directors of the Academy to acquire benefits by means of the acquisition of shares in, or debentures of, the Academy or any other body corporate.

Other matters

As the Academy is limited by guarantee, matters relating to interest in shares, debenture or share options are not applicable.

Independent auditors

The independent auditor, Messrs. Fiducia LLP, Public Accountants and Chartered Accountants, has expressed its willingness to accept re-appointment.

On behalf of the Board of Directors,

Sayampanathan Sarvaselan Reuben Ng Wei Keong, Alan Emmanuel Director Director

Singapore, 04 May 2020

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 3 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

Fiducia LLP Public Accountants and Independent auditor’s report to the members of: Chartered Accountants of Singapore ACADEMY OF MEDICINE SINGAPORE 71 Ubi Crescent [UEN. 197702012E] Excalibur Centre, #08-01 Singapore 408571 [A Company limited by guarantee and not having share capital] T: (65) 6846.8376 [Incorporated in the Republic of Singapore] F: (65) 6491.5218

Report on the Audit of the Financial Statements

Opinion

We have audited the accompanying financial statements of Academy Of Medicine Singapore (the “Academy”), which comprise the statement of financial position as at 31 December 2019, and the statement of financial activities, statement of changes in funds and statement of cash flows of the Academy for the financial year ended 31 December 2019, and notes to the financial statements, including a summary of significant accounting policies.

In our opinion, the accompanying financial statements are properly drawn up in accordance with the provisions of the Companies Act, Chapter 50 (the “Companies Act”), the Charities Act, Chapter 37 and other relevant regulations (the “Charities Act and Regulations”) and Financial Reporting Standards in Singapore (“FRSs”) so as to give a true and fair view of the financial position of the Academy as at 31 December 2019 and of the financial performance, changes in the funds and cash flows of the Academy for the financial year ended on that date.

Basis for Opinion

We conducted our audit in accordance with Singapore Standards on Auditing (“SSAs”). Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are independent of the Academy in accordance with the Accounting and Corporate Regulatory Authority (“ACRA”) Code of Professional Conduct and Ethics for Public Accountants and Accounting Entities (“ACRA Code”) together with the ethical requirements that are relevant to our audit of the financial statements in Singapore, and we have fulfilled our other ethical responsibilities in accordance with these requirements and the ACRA Code. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Other Information

Management is responsible for the other information. The other information comprises the Directors’ Statement, but does not include the financial statements and our auditor’s report thereon.

Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 4 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

(CONT’D)

Fiducia LLP Public Accountants and Independent auditor’s report to the members of: Chartered Accountants of Singapore ACADEMY OF MEDICINE SINGAPORE 71 Ubi Crescent [UEN. 197702012E] Excalibur Centre, #08-01 Singapore 408571 [A Company limited by guarantee and not having share capital] T: (65) 6846.8376 [Incorporated in the Republic of Singapore] F: (65) 6491.5218

Responsibilities of Management and Directors for the Financial Statements

Management is responsible for the preparation of financial statements that give a true and fair view in accordance with the provisions of the Companies Act, the Charities Act and Regulations and FRSs, and for devising and maintaining a system of internal accounting controls sufficient to provide a reasonable assurance that assets are safeguarded against loss from unauthorised use or disposition; and transactions are properly authorised and that they are recorded as necessary to permit the preparation of true and fair financial statements and to maintain accountability of assets.

In preparing the financial statements, management is responsible for assessing the Academy’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless management either intends to liquidate the Academy or to cease operations, or has no realistic alternative but to do so.

Those charged with governance comprises the directors. Their responsibilities include overseeing the Academy’s financial reporting process.

Auditor’s Responsibilities for the Audit of the Financial Statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with SSAs will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

As part of an audit in accordance with SSAs, we exercise professional judgement and maintain professional skepticism throughout the audit. We also:

• Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

• Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Academy’s internal control.

• Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by management.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 5 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

(CONT’D)

Fiducia LLP Public Accountants and Independent auditor’s report to the members of: Chartered Accountants of Singapore ACADEMY OF MEDICINE SINGAPORE 71 Ubi Crescent [UEN. 197702012E] Excalibur Centre, #08-01 Singapore 408571 [A Company limited by guarantee and not having share capital] T: (65) 6846.8376 [Incorporated in the Republic of Singapore] F: (65) 6491.5218

Auditor’s Responsibilities for the Audit of the Financial Statements (Cont’d)

• Conclude on the appropriateness of management’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Academy’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the Academy to cease to continue as a going concern.

• Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.

We communicate with the directors regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Report on Other Legal and Regulatory Requirements

In our opinion, the accounting and other records required to be kept by the Academy have been properly kept in accordance with the provisions of the Companies Act, and the Charities Act and Regulations.

During the course of our audit, nothing has come to our attention that causes us to believe that during the financial year:

a. the Academy has not use of the donation moneys in accordance with the objectives as required under Regulation 11 of the Charities (Institutions of a Public Character) Regulations; and

b. the Academy has not complied with the requirements of Regulation 15 of the Charities (Institutions of a Public Character) Regulations.

Fiducia LLP Public Accountants and Chartered Accountants

Singapore, 04 May 2020

Partner-in-charge: Soo Hon Weng PAB No.: 01089

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 6 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

STATEMENT OF FINANCIAL ACTIVITIES FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019

Unrestricted Fund Restricted Funds College of Total Joint Public Health Unrestricted

Building and Committee on Chapters' and Lecture College of and College of College of College of Total and Accumulated Endowment Specialist Section Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician Restricted Restricted 2019 Note Fund Annals Fund Training (Note 19) (Note 20) logists Physicians Physicians Psychiatrists Scientists Educators Funds Funds INCOME S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$

Income from generating funds Voluntary income Donations 6 27,856 20,000 0 0 0 11,500 0 200 400 200 0 6,382 38,682 66,538 Operating grant 204,936 0 0 753,062 0 0 344,000 0 0 0 0 0 1,097,062 1,301,998 Sponsorship and trade exhibition 0 0 0 0 4,000 0 0 0 0 500 10,000 0 14,500 14,500 232,792 20,000 0 753,062 4,000 11,500 344,000 200 400 700 10,000 6,382 1,150,244 1,383,036

Activities for generating funds Income from events held by

aa Academy 7 193,717 0 0 0 40,589 0 265,667 194,252 38,997 7,274 0 0 546,779 740,496 Income from events held by

aa Other entities 7 0 0 0 0 5,680 0 0 0 0 0 0 0 5,680 5,680

193,717 0 0 0 46,269 0 265,667 194,252 38,997 7,274 0 0 552,459 746,176

Investment income

Interest income 68,187 4,291 31,420 0 0 29,769 12,895 2,853 0 0 0 0 81,228 149,415

Income from charitable activities Allowance for doubtful debts written back 31,204 0 0 0 0 0 0 0 0 0 0 0 0 31,204 Examination income 891,035 0 0 1,581,008 0 0 0 0 0 0 0 0 1,581,008 2,472,043 Rental income 0 0 52,500 0 0 0 0 0 0 0 0 0 52,500 52,500 Professional and course fee s 899,955 0 0 11 6,379 1, 500 0 1,000 0 41,867 7,500 0 0 168 ,246 1, 068 ,201 Subscription fees 1,664,443 2,386 1,300 0 0 0 0 0 0 0 1,050 400 5,136 1,669,579 Miscellaneous income 186,562 1,328 169,315 0 3,070 0 1,270 610 1,400 1,140 300 35,919 214,352 400,914

3,673,199 3,714 223,115 1,697,387 4,570 0 2,270 610 43,267 8,640 1,350 36,319 2,021,242 5,694,441

TOTAL INCOME 4,167,895 28,005 254,535 2,450,449 54,839 41,269 624,832 197,915 82,664 16,614 11,350 42,701 3,805,173 7,973,068

LESS: EXPENDITURE Cost of generating funds 7 23,998 0 0 0 17,044 0 190,131 159,683 26,174 0 0 0 393,032 417,030 Cost of charitable activities 8 1,274,078 (44) 0 214,441 2,339 12,801 180,322 16,950 251 36 6,965 756 434,817 1,708,895 Other expenditure 8 2,479,846 31,972 406,917 1,659,845 1,085 12,685 108,994 12,024 283 393 3,657 19 2,237,874 4,717,720 TOTAL EXPENDITURE 3,777 ,922 31,928 406,917 1, 874 ,286 20,468 25 ,486 479,447 188 ,657 26,708 429 10,622 775 3,065 ,723 6,84 3,645

NET INCOME / (EXPENDITURE) FOR THE YEAR 389,973 (3,923) (152,382 ) 576,163 34,371 15,783 145,385 9,258 55,956 16,185 728 41,926 739,450 1,129,423

Total funds brought forward 3,301,896 396,211 7,909,598 2,658,346 165,890 2,223,833 655,150 340,788 443,531 88,631 16,000 62,802 14,960,780 18,262,676

Total funds carried forward 3,691,869 392,288 7,757,216 3,234,509 200,261 2,239,616 800,535 350,046 499,487 104,816 16,728 104,728 15,700,230 19,392,099

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 7 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

STATEMENT OF FINANCIAL ACTIVITIES FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019 (CONT’D)

Unrestricted Fund Restricted Funds College of Total Joint Public Health Unrestricted

Building and Committee on Chapters' and Lecture College of and College of College of College of Total and Accumulated Endowment Specialist Section Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician Restricted Restricted 2018 Note Fund Annals Fund Training (Note 19) (Note 20) logists Physicians Physicians Psychiatrists Scientists Educators Funds Funds INCOME S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$

Income from generating funds Voluntary income Donations 6 41,266 0 0 0 600 26,000 0 0 0 1,200 7,000 209 35,009 76, 275 Operating grant 204,936 0 0 1,226,336 0 0 0 0 0 0 0 0 1,226,336 1,431,272 246,202 0 0 1,226,336 600 26,000 0 0 0 1,200 7,000 209 1,261,345 1,507,547

Activities for generating funds Income from events held by

aa Academy 7 190,208 0 0 0 29,982 0 208 161,508 47,014 2,589 0 0 241,301 431,509 Income from events held by

aa Other entities 7 0 0 0 0 6,748 0 0 0 0 0 0 0 6,748 6,748

190 ,20 8 0 0 0 36,730 0 208 161,508 47,014 2,589 0 0 248,049 438,257

Investment income

Interest income 33,016 3,407 20,740 0 0 15,491 2,952 1,169 0 0 0 0 43,759 76,775

Income from charitable activities Allowance for doubtful debts written back 13,449 0 0 0 0 0 0 0 0 0 0 0 0 13,449 Examination income 879,273 0 0 1,366,237 0 0 0 0 0 0 0 0 1,366,237 2,245,510 Rental income 0 0 85,794 0 0 0 0 0 0 0 0 0 85,794 85,794 Professional and course fees 1,058,273 0 500 111,722 500 0 0 0 28,646 3,000 0 0 144,368 1,202,641 Subscription fees 1,611,825 2,325 0 0 5,969 0 0 0 0 0 1,109 195 9,598 1,621,423 Miscellaneous income 153,512 1,311 170,896 0 2,619 0 1,809 460 3,566 2,030 1,535 64,346 248,572 402,084

3,716,332 3,636 257,190 1,477,959 9,088 0 1,809 460 32,212 5,030 2,644 64,541 1,854,569 5,570,901

TOTAL INCOME 4,185,758 7,043 277,930 2,704,295 46,418 41,491 4,969 163,137 79,226 8,819 9,644 64,750 3,407,722 7,593,480

LESS: EXPENDITURE Cost of generating funds 7 68,450 0 0 0 10,757 0 0 86,477 35,216 0 0 0 132,450 200, 900 Cost of charitable activities 8 1,332,398 3 0 154,281 107 30,349 74,529 2,279 306 459 5,892 246 268,451 1,600,849 Other expenditure 8 2,414,052 31,923 371,690 1,505,116 2,138 0 10,241 8,264 94 355 729 728 1,931,278 4,345,330 TOTAL EXPENDITURE 3, 814 ,90 0 31,926 371,690 1,659,397 13,002 30,349 84,770 97,020 35,616 814 6,621 974 2, 332 ,179 6,147 ,079

NET INCOME / (EXPENDITURE) FOR THE YEAR 370,858 (24,883) (93,760 ) 1,044,898 33,416 11,142 (79,801) 66,117 43,610 8,005 3,023 63,776 1,075,543 1,446,401

Total funds brought forward 2,931,038 421,094 8,003,358 1,613,448 132,474 2,212,691 734,951 274,671 399,921 80,626 12,977 (974) 13,885,237 16,816,275

Total funds carried forward 3,301,896 396,211 7,909,598 2,658,346 165,890 2,223,833 655,150 340,788 443,531 88,631 16,000 62,802 14,960,780 18,262,676

The accompanying notes form an integral part of these financial statements.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 8 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2019

2019 2018 Note S$ S$ ASSETS Current assets Cash and cash equivalents 10 6,000,809 5,658,630 Fixed deposits 11 9,602,670 9,159,807 Other receivables 12 1,043,453 1,189,222 Inventories 13 16,668 24,392 16,663,600 16,032,051

Non-current assets Plant and equipment 14 1,315,082 134,481 Investment property 15 3,884,966 3,911,382 Prepayments 12 0 1,167,653 5,200,048 5,213,516

Total assets 21,863,648 21,245,567

LIABILITIES Current liabilities Other payables 16 1,772,623 1,958,532 Contract liabilities 5 698,926 1,024,359 2,471,549 2,982,891

Total liabilities 2,471,549 2,982,891

NET ASSETS 19,392,099 18,262,676

FUNDS Unrestricted fund Accumulated fund 17 3,691,869 3,301,896

Restricted funds Annals fund 18 392,288 396,211 Building and endowment fund 18 7,757,216 7,909,598 Joint committee on specialist training fund 18 3,234,509 2,658,346 College of Ophthalmologists 18 800,535 655,150 College of Public Health and Occupational Physicians 18 350,046 340,788 College of Emergency Physicians 18 499,487 443,531 College of Psychiatrists 18 104,816 88,631 College of Clinician Scientists 18 16,728 16,000 College of Clinician Educators 18 104,728 62,802 Chapters' and Section funds 18 200,261 165,890 Lectures' funds 18 2,239,616 2,223,833 15,700,230 14,960,780

TOTAL FUNDS 19,392,099 18,262,676

The accompanying notes form an integral part of these financial statements.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 9 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

STATEMENT OF CHANGES IN FUNDS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019

Unrestricted Restricted fund funds Total funds 2019 S$ S$ S$

Balance at beginning of financial year 3,301,896 14,960,780 18,262,676

Net income for the financial year 389,973 739,450 1,129,423

Balance at end of financial year 3,691,869 15,700,230 19,392,099

Unrestricted Restricted fund funds Total funds 2018 S$ S$ S$

Balance at beginning of financial year 2,931,038 13,885,237 16,816,275

Net income for the financial year 370,858 1,075,543 1,446,401

Balance at end of financial year 3,301,896 14,960,780 18,262,676

The accompanying notes form an integral part of these financial statements.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 10 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

STATEMENT OF CASH FLOWS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019

2019 2018 Note S$ S$

Cash flows from operating activities Net income for the financial year 1,129,423 1,446,401

Adjustments for: - Depreciation of investment property 15 26,416 26,416 - Depreciation of plant and equipment 14 58,399 40,436 - Amortisation of right-of-use assets 14 171,461 0 - Allowance for doubtful debts 12 84,649 150,843 - Allowance for doubtful debts written back 12 (31,204) (13,449) - Loss on disposal of plant and equipment 71 0 - Interest income (149,415) (76,775) Operating cash flow before changes in working capital 1,289,800 1,573,872

Changes before changes in working capital - Other receivables and prepayments (66,503) 1,753,245 - Inventories 7,724 5,138 - Other payables (185,909) (13,822) - Contract liabilities (325,433) (91,327) Net cash generated from operating activities 719,679 3,227,106

Cash flows from investing activities Purchase of plant and equipment 14 (71,438) (68,497) Proceeds from disposal of plant and equipment 20 0 Interest income received 136,781 76,775 Increase in fixed deposits (442,863) (5,361,760) Net cash used in investing activities (377,500) (5,353,482)

Net increase/ (decrease) in cash and cash equivalents 342,179 (2,126,376)

Cash and cash equivalents at beginning of financial year 5,658,630 7,785,006

Cash and cash equivalents at end of financial year 10 6,000,809 5,658,630

The accompanying notes form an integral part of these financial statements.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 11 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

NOTES TO THE FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2019

These notes form an integral part of and should be read in conjunction with the accompanying financial statements.

1. General information

Academy of Medicine Singapore (the “Academy”) is incorporated and domiciled in Singapore. The Academy’s registered office and principal place of business is located at 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836.

The principal activities of the Academy are to advance the art and science of medicine in Singapore through postgraduate specialist training; maintenance of high standards of competency and ethical integrity through continuous professional development as well as dissemination of information and knowledge to the public on matters related to health.

The Academy is a company limited by guarantee. The Academy was incorporated on 19 September 1977 and was registered as a charity on 13 April 1984. The Academy has been accorded an Institutions of a Public Character (“IPC”) status from 17 May 2018 until 16 May 2020.

Each ordinary member undertakes to contribute to the assets of the Academy in the event of its being wound up while he is a member, or within one year if he ceases to be a member, for payment of the debts and liabilities of the Academy contracted before he ceases to be a member and of the costs, charges and expenses of the winding up and for the adjustment of the rights of the contributaries among themselves, such amount as may be required but not exceeding fifty dollars (S$50).

The objects for which the Academy is established are:

(a) to advance the art and science of medicine; (b) to promote study and research into medical and scientific problems; (c) to sustain and foster postgraduate education; to conduct higher professional examinations and to award diplomas; (d) to do all such things as are in furtherance of the above objects or any of them and particularly the following provided that nothing shall be done for commercial reasons or solely for profit:

i) to grant specialist qualifications to persons who have fulfilled the criteria laid down; ii) to maintain and promote the highest standards of professional practice; iii) to maintain a high code of ethical conduct amongst its members; iv) to represent, express and give effect to the views and opinions of its members; v) to enter into any arrangements with any Government or other authority that may seem conducive to the Academy’s objects, or any of them; and to obtain from such Government or authority any rights, privileges, and concessions which the Academy may think it desirable to obtain, and to carry out, exercise, and comply with any such arrangements, rights, privileges and concessions; vi) to protect the interest and dignity of the Academy of Medicine; vii) to take over the whole or any part of the real and personal property belonging to, and to undertake all or any of the liabilities of a company registered under the Companies Act (Chapter 50) known as “Academy of Medicine, Singapore”, whose registered address is 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836; viii) to organise, promote and manage or cause to be organized, promoted or managed fundraising and business activities, to issue appeals, hold public discussions and take such steps as may be deemed necessary for the purpose procuring contributions to the funds of the Academy by way of donations or otherwise; ix) to operate with other Charities, voluntary bodies and statutory authorities and to exchange community outreach programmes, information and advice with them;

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 12 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

1. General information (Cont’d)

The objects for which the Academy is established are: (cont’d)

(d) to do all such things as are in furtherance of the above objects or any of them and particularly the following provided that nothing shall be done for commercial reasons or solely for profit: (cont’d)

x) to establish or support any charitable trusts, associations or institutions formed for any of the charitable purposes included in the Objects; xi) to do all such acts and things as are incidental or subsidiary to all or any of the above; xii) to act as trustees, committee members or managers of any real or personal property given or held upon trust for charitable purposes; xiii) to accept gifts of any real or personal property for the general purposes of the Academy or for any particular purpose thereof; xiv) subject to the provisions of Section 19(2) of the Companies Act, to purchase, take on lease, exchange, or otherwise acquire any real or personal property and any rights or privileges which the Academy may think necessary or convenient for the promotion of its objects, and to construct, alter, repair, and maintain any buildings or erection necessary or convenient for the work of the Academy; xv) to sell, let, dispose of, grant rights over or turn to account all or any of the property or assets of the Academy as may be thought expedient to the promotion of its objects; xvi) to invest the monies of the Academy not immediately required for its purposes in or upon such investments, securities or property as may be thought fit; xvii) to co-operate with and subscribe to any association, society or corporation whose objects shall be charitable and to purchase or otherwise acquire and undertake all or any part of the property, assets, liabilities and engagements of any such association, society or corporation; xviii) Subject to the fourth paragraph of this Memorandum, to grant allowances and gratuities to past or present officers or servants of the Academy and to establish and maintain or participate in trust funds or schemes (whether contributory or non- contributory) for providing benefits for any such persons as aforesaid; and xix) to do all such other things as are incidental or conducive to the attainment of the above objects or any of them.

2. Significant accounting policies

2.1 Basis of preparation

The financial statements have been prepared in accordance with Financial Reporting Standards in Singapore (“FRSs”). The financial statements have been prepared under the historical cost convention except as disclosed in the accounting policies below.

These financial statements are presented in Singapore Dollar (S$), which is the Academy’s functional currency.

The areas involving a higher degree of judgement or complexity, or areas where assumptions and estimates are significant to the financial statements are disclosed in Note 3.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 13 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.1 Basis of preparation (Cont’d)

2.1.1 Interpretations and amendments to published standards effective in 2019

In the current financial year, the Academy has adopted all the new and revised FRS and interpretations of FRS (“INT FRS”) that are relevant to its operations and effective on 1 January 2019. The adoption of the standard did not have any material effect on the financial statements.

Except for the adoption of FRS 116 Leases as described below, the adoption of these new or amended FRS and INT FRS did not result in substantial changes to the Academy’s accounting policies and had not material effect on the amounts reported for the current or prior financial years.

Adoption of FRS 116 Leases

The Academy has adopted the new standard using the modified retrospective method with the date of initial application of 1 January 2019. Under this method, the standard is applied retrospectively with the cumulative effect of initially applying the standard recognised at the date of initial application as an adjustment to the opening balance of retained earnings. The Academy elected to use the transition practical expedient to not assess whether a contract is, or contains a lease at 1 January 2019. Instead, the Academy applied the standard only to contracts that were previously identified as leases applying FRS 17 and INT FRS 104 at the date of initial application.

Lease previously accounted for as operating leases

Prior to the adoption of FRS 116, non-cancellable operating lease payments were not recognised as liabilities in the statement of financial position. These payments were recognised as rental expenses over the lease term on a straight-line basis. The Academy’s accounting policy on leases after the adoption of FRS 116 is as disclosed in Note 2.14.

The Academy recognised right-of-use assets and lease liabilities for those leases previously classified as operating leases, except for short-term leases and leases of low-value assets. The right-of-use assets for the leases were recognised based on the carrying amount as if the standard had always been applied, using the incremental borrowing rate at the date of initial application.

The Academy also applied the available practical expedients wherein it:

• Used a single discount rate to a portfolio of leases with reasonably similar characteristics; • relied on its assessment of whether leases are onerous immediately before the date of initial application as an alternative to performing an impairment review; • applied the short-term leases exemption to leases with lease term that ends within 12 months of the date of initial application; • excluded the initial direct costs from the measurement of the right-of-use asset at the date of initial application; and • used hindsight in determining the lease term where the contract contained options to extend or terminate the lease.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 14 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.1 Basis of preparation (Cont’d)

2.1.1 Interpretations and amendments to published standards effective in 2019 (Cont’d)

Adoption of FRS 116 Leases (Cont’d)

Based on the above, as at 1 January 2019:

• right-of-use assets of S$1,343,109 were recognised and presented within plant and equipment.

The following is the reconciliation of the impact arising from initial application of the new FRS 116 on 1 January 2019 to the financial statements of the Academy:

1 January FRS 116 1 January 2019 adjustments 2019 S$ S$ S$ (As previously (As reported) restated) Statement of financial position Non-current assets Plant and equipment 134,481 1,339,114 1,473,595 Prepayments 1,167,653 (1,167,653) 0

Current assets Prepayments 171,461 (171,461) 0

2.1.2 Standards issued but not yet effective

The Academy has not adopted the following relevant new/revised FRS, INT FRS and amendments to FRSs that were issued but not yet effective:

Effective for annual periods beginning Description on or after

Amendments to References to the Conceptual Framework in aa FRS Standards 1 January 2020 Amendments to FRS 103: Definition of a Business 1 January 2020 Amendments to FRS 1 and FRS 8 Definition of Material 1 January 2020 Amendments to FRS 109, FRS 39 and FRS 107: Interest Rate aa Benchmark Reform 1 January 2020 Amendments to FRS 110 and FRS 28 Sale or Contribution of Date to be aa Assets between an Investor and its Associate or Joint Venture determined

The directors expect that the adoption of the revised standards above will have no material impact on the financial statements in the period of initial adoption.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 15 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.2 Income recognition

Income is measured based on the consideration to which the Academy expects to be entitled in exchange for transferring promised goods or services to a customer, excluding amounts collected on behalf of third parties.

Income is recognised when the Academy satisfies a performance obligation by transferring a promised good and service to the customer, which is when the customer obtains control of the good or service. A performance obligation may be satisfied at a point in time or over time. The amount of income recognised is the amount allocated to the satisfied performance obligation.

2.2.1 Income from members’ subscription

Income from members’ subscription is recognised as revenue at the time when the subscriptions become due and payable.

2.2.2 Entrance fees and building funds

Entrance fees and building funds are recognised when members are accepted and elected by the Academy’s Council.

2.2.3 Course fees

Course fees is recognised over the course period.

2.2.4 Income from event

Income from event is recognised upon completion of event.

2.2.5 Operating grant

Operating grant are recognised on accrual basis.

2.2.6 Interest income

Interest income is recognised on a time-proportion basis using the effective interest method.

2.2.7 Donations

Donations are recognised on cash basis.

2.2.8 Rental income

Rental income arising from operating leases on investment property is accounted for on a straight-line basis over the lease term.

2.2.9 Other income

Other income is recognised upon receipt of income.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 16 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.3 Expenditure recognition

All expenditure is accounted for on accrual basis, aggregated under the respective areas. Direct costs are attributed to the activity where possible, where costs are not wholly attributable to an activity, they are apportioned on a basis consistent with the use of resources.

2.3.1 Cost of generating funds

Cost of generating funds consists of costs that are directly attributable to the event organised by the Academy and are separated from those costs incurred in undertaking charitable activities.

2.3.2 Cost of charitable activities

Cost of charitable activities comprises all directly attributable costs incurred in the pursuit of the charitable objects of the Academy and an apportionment of overhead and shared costs.

2.3.3 Other expenditure

Other expenditure include the costs of governance arrangement, which relate to the general running of the Academy, providing governance infrastructure and ensuring public accountability. These costs include costs related to constitutional and statutory requirements and an apportionment of overhead and shared costs.

2.4 Financial assets

(a) Classification and measurement

The Academy classified its financial assets into the following measurement categories:

• Amortised cost: • Fair value through other comprehensive income (FVOCI); and • Fair value through profit or loss (FVPL).

The classification of debt instruments depends on the Academy’s business model for managing the financial assets as well as the contractual terms of the cash flows of the financial assets.

Financial assets with embedded derivatives are considered in their entirety when determining whether their cash flows are solely payment of principal and interest.

The Academy reclassifies debt instruments when and only when its business model for managing those assets changes.

At initial recognition

At initial recognition, the Academy measures a financial assets at its fair value plus, in the case of a financial asset not at fair value through profit or loss, transaction costs that are directly attributable to the acquisition of the financial assets. Transaction costs of financial assets carried at fair value through profit or loss are expensed in profit or loss.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 17 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.4 Financial assets (Cont’d)

(a) Classification and measurement (cont’d)

At subsequent measurement

Debt instrument

Debt instruments of the Academy mainly comprise of cash and cash equivalents, fixed deposits and other receivables.

There are three prescribed subsequent measurement categories, depending on the Academy’s business model in managing the assets and the cash flow characteristic of the assets. The Academy managed these group of financial assets by collecting the contractual cash flow and these cash flows represented solely payment of principal and interest. Accordingly, these group of financial assets are measured at amortised cost subsequent to initial recognition.

A gain or loss on a debt investment that is subsequently measured at amortised cost and is not part of a hedging relationship is recognised in profit or loss when the asset is derecognised or impaired. Interest income from these financial assets are recognised using the effective interest rate method.

(b) Impairment

The Academy assesses on forward looking basis the expected credit losses associated with its debt instruments carried at amortised cost. The impairment methodology applied depends on whether there has been a significant increase in credit risk.

For cash and cash equivalents, fixed deposits and other receivables, the general 3 stage approach is applied. Credit loss allowance is based on 12-month expected credit loss if there is no significant increase in credit risk since initial recognition of the assets. If there is a significant increase in credit risk since initial recognition, lifetime expected credit loss will be calculated and recognised.

(c) Recognition and derecognition

Regular way purchases and sales of financial assets are recognised on trade date – the date on which the Academy commits to purchase or sell the asset.

Financial assets are derecognised when the rights to receive cash flows from the financial assets have expired or have been transferred and the Academy has transferred substantially all risks and rewards of ownership.

On disposal of a debt instrument, the difference between the carrying amount and the sale proceeds is recognised in profit or loss. Any amount previously recognised in other comprehensive income relating to that asset is reclassified to profit or loss.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 18 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.5 Plant and equipment

2.5.1 Measurement

All plant and equipment are initially recognised at cost and subsequently carried at cost less accumulated depreciation and accumulated impairment losses.

The cost of an item of plant and equipment initially recognised includes its purchase price and any costs that are directly attributable to bringing the asset to the location and condition necessary for it to be capable of operating in the manner intended by Management.

2.5.2 Depreciation

Depreciation is calculated using the straight–line method to allocate their depreciable amounts over their estimated useful lives as follows:

Useful lives

Office furniture, fittings and equipment 5-10 years Computers 3 years Right-of-use assets Over the remaining lease period

The residual values, estimated useful lives and depreciation method of plant and equipment are reviewed, and adjusted as appropriate, at each reporting date. The effects of any revision are recognised in the statement of financial activities in the financial year in which the changes arise.

2.5.3 Subsequent expenditure

Subsequent expenditure relating to plant and equipment that have already been recognised is added to the carrying amount of the asset only when it is probable that future economic benefits associated with the item will flow to the Academy and the cost of the item can be measured reliably. Other subsequent expenditure is recognised as “repair and maintenance expenses” in the statement of financial activities during the financial year in which it is incurred.

2.5.4 Disposal

On disposal of an item of plant and equipment, the difference between the net disposals proceeds and its carrying amount is taken to the statement of financial activities.

Fully depreciated assets are retained in the financial statements until they are no longer in use.

2.6 Investment property

Investment property is properties held either to earn rental income or for capital appreciation or both. Investment property is measured initially at cost, including transaction costs. The carrying amount includes the cost of replacing part of an existing investment property at time that cost is incurred if the recognition criteria are met and excludes the costs of day-to-day servicing of an investment property. Subsequent to initial recognition, investment properties are stated at cost less accumulated depreciation and impairment loss, if any.

An investment property is derecognised when either it has been disposed of or when the investment property is permanently withdrawn from use and no future economic benefit is expected from its disposal. Any gain or loss arising on the retirement or disposal of an investment property is recognised in the statement of financial activities in the financial year of retirement or disposal.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 19 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.6 Investment property (Cont’d)

Freehold land has an unlimited useful life and therefore is not depreciated.

Depreciation is calculated using the straight line method over their estimated useful lives of 50 years.

The estimated useful lives, residual values and depreciation method of the investment property is reviewed at each year-end, with the effect of any changes in estimate accounted for on a prospective basis.

Transfers are made to or from investment property only when there is a change in use. For a transfer from investment property to owner occupied property, the deemed cost for subsequent accounting is the carrying value at the date of change in use. For a transfer from owner occupied property to investment property, the property is accounted for in accordance with the accounting policy for plant and equipment as set out above up to the date of the change in use.

2.7 Impairment of non-financial assets

Non-financial assets are reviewed for impairment whenever there is any indication that these assets may be impaired. If any such indication exists, the recoverable amount (i.e. the higher of the fair value less cost to sell and value in use) of the assets is estimated to determine the amount of impairment loss.

For the purpose of impairment testing of the assets, recoverable amount is determined on an individual asset basis unless the asset does not generate cash flows that are largely independent of those from other assets. If this is the case, recoverable amount is determined for the cash- generating unit (CGU) to which the asset belongs.

If the recoverable amount of the asset (or CGU) is estimated to be less than its carrying amount, the carrying amount of the asset (or CGU) is reduced to its recoverable amount. The impairment loss is recognised in the statement of financial activities.

An impairment loss for an asset is reversed if there has been a change in the estimates used to determine the assets’ recoverable amount since the last impairment loss was recognised. The carrying amount of an asset is increased to its revised recoverable amount, provided that this amount does not exceed the carrying amount that would have been determined (net of depreciation) had no impairment loss been recognised for the asset in prior years. A reversal of impairment loss for an asset is recognised in the statement of financial activities.

2.8 Cash and cash equivalents

Cash and cash equivalents include cash on hand and deposits with financial institutions that are subject to an insignificant risk of changes in value.

2.9 Other receivables

Other receivables are initially recognised at fair value, and subsequently carried at amortised cost, using the effective interest method.

2.10 Inventories

Inventories refer to souvenirs for distinguished guests. Inventories are carried at the lower of cost and net realisable value. Cost is determined using the first-in, first-out basis. Net realisable value is the estimated selling price in the ordinary course of business, less the estimated costs necessary to make the sale.

When necessary, allowance in provided for damaged, obsolete and slow-moving items to adjust the carrying value of inventories to the lower of cost and net realisable value.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 20 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.11 Financial liabilities

Financial liabilities are recognised when the Academy becomes a party to the contractual agreements of the instrument and are classified according to the substance of the contractual arrangements entered into. All interest related charges are recognised in the statement of financial activities. Financial liabilities include “Other payables”.

Financial liabilities which are due to be settled within 12 months after the reporting date are presented as current liabilities in the statement of financial position even though the original term was for a period longer than 12 months and an agreement to refinance, or to reschedule payments, on a long-term basis is completed after the reporting date and before the financial statements are authorised for issue. Other financial liabilities due to be settled more than 12 months after the reporting date are presented as non-current liabilities in the statement of financial position.

Financial liabilities is derecognised when the obligations under the liability is discharged or cancelled or expires. When existing financial liabilities are replaced by another from the same lender on substantially different terms of an existing liability are substantially modified, such an exchange or modification is treated as a derecognition of the original liability and the recognition of a new liability, and the difference in respective carrying amounts is recognised in the statement of financial activities.

2.12 Other payables

Other payables, excluding accruals, are recognised at their transaction price, excluding transaction costs, if any, both at initial recognition and at subsequent measurement. Transaction costs will be recognised as expenditure in the statement of financial activities as incurred. Accruals are recognised at the best estimate of the amount payable.

2.13 Provisions for other liabilities and charges

Provisions for other liabilities and charges are recognised when the Academy has a present legal or constructive obligation as a result of past events, it is more likely than not that an outflow of resources will be required to settle the obligation and the amount has been reliably estimated.

2.14 Leases

2.14.1 These accounting policies are applied before the initial application date of FRS 116, 1 January 2019:

(a) As lessor

The Academy leases out the investment property under operating leases to non- related parties.

Leases of an investment property where the Academy retains substantially all risks and rewards incidental to ownership is classified as operating leases.

Initial direct costs incurred by the Academy in negotiating and arranging operating leases are added to the carrying amount of the leased assets and recognised as an expense in the statement of financial activities over the lease term on the same basis as the rental income.

The accounting policy for rental income is set out in Note 2.2.8.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 21 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.14 Leases (Cont’d)

2.14.1 These accounting policies are applied before the initial application date of FRS 116, 1 January 2019: (cont’d)

(b) As lessee

Leases where substantially all risks and rewards incidental to ownership are retained by the lessors are classified as operating leases. Payments made under operating leases (net of any incentives received from the lessors) are recognised in profit or loss on a straight-line basis over the period of the lease.

Contingent rents are recognised as an expense in profit or loss when incurred.

2.14.2 These accounting policies are applied on and after the initial application date of FRS 116, 1 January 2019:

The Academy assesses at contract inception whether a contract is, or contains, a lease. That is, if the contract conveys the right to control the use of an identified asset for a period of time in exchange for consideration.

(a) As lessor

The Accounting policy applicable to the Academy as a lessor in the comparative period were the same.

(b) As lessee

The Academy applies a single recognition and measurement approach for all leases, except for short-term leases and leases of low-value assets. The Academy recognises lease liabilities representing the obligations to make lease payments and right-of-use assets representing the right to use the underlying leased assets.

Right-of-use assets

The Academy recognises right-of-use assets at the commencement date of the lease (i.e. the date the underlying asset is available for use). Right-of-use assets are measured at cost, less any accumulated depreciation and impairment losses, and adjusted for any remeasurement of lease liabilities. The cost of right-of-use assets includes the amount of lease liabilities recognised, initial direct costs incurred, and lease payments made at or before the commencement date less any lease incentives received. Right-of-use assets are depreciated on a straight-line basis over the shorter of the lease term and the estimated useful lives of the assets.

If ownership of the leased asset transfers to the Academy at the end of the lease term or the cost reflects the exercise of a purchase option, depreciation is calculated using the estimated useful life of the asset. The right-of-use assets are also subject to impairment. The accounting policy for impairment is disclosed in Note 2.7. The Academy’s right-of-use assets are presented within plant and equipment as disclosed in Note 14.

Short-term leases and leases of low-value assets

The Academy applies the short-term lease recognition exemption to its short-term leases of machinery (i.e. those leases that have a lease term of 12 months or less from the commencement date and do not contain a purchase option). It also applies the lease of low-value assets recognition exemption to leases of office equipment that are considered to be low value. Lease payments on short-term leases and leases of low value assets are recognised as expense on a straight-line basis over the lease term.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 22 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

2. Significant accounting policies (Cont’d)

2.15 Employee compensation

2.15.1 Defined contribution plans

The Academy makes contributions to the Central Provident Fund scheme in Singapore, a defined contribution pension scheme. Contributions to defined contribution pension schemes are recognised as an expense in the period in which the related service is performed.

2.15.2 Short-term employee benefits

Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided. A liability is recognised for the amount expected to be paid if the Academy has a present legal or constructive obligation to pay this amount as a result of past service provided by the employee, and the obligation can be estimated reliably.

2.16 Funds

Restricted funds balance are restricted by outside sources and may only be utilised in accordance with the purposes for which they are established. Designated funds are earmarked for specific purposes and are largely made up of funds allocated at the discretion of the Board of Directors. These designated funds are treated as restricted funds as they contain funds restricted by outside sources.

The Board of Directors retains full control over the use of unrestricted funds for any of the Academy’s purposes.

2.17 Foreign currency

Transactions in foreign currencies are measured in Singapore Dollar and recorded at exchange rates approximating those ruling at the transaction dates. Foreign currency monetary assets and liabilities are measured using the exchange rates ruling at the reporting date. All exchange differences are recognised in the statement of financial activities.

2.18 Contingencies

Contingent liabilities are not recognised in the financial statements. They are disclosed unless the possibility of an outflow of resources embodying economic benefits is remote. A contingent asset is not recognised in the financial statements but disclosed when an inflow of economic benefit is probable.

2.19 Events after the reporting date

Post year-end events that provide additional information about the Academy’s position at the reporting date (adjusting events) are reflected in the financial statements. Post year-end events that are not adjusting events are disclosed in the notes to the financial statements when material.

3. Significant accounting judgements and estimates

The preparation of the Academy’s financial statements requires management to make judgements, estimates and assumptions that affect the reported amounts of income, expenditure, assets and liabilities, and the disclosure of contingent liabilities at the end of each reporting period. Uncertainty about these assumptions and estimates could result in outcomes that require a material adjustment to the carrying amount of the asset or liability affected in the future periods.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 23 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

3. Significant accounting judgements and estimates (Cont’d)

3.1 Judgements made in applying accounting policies

The key critical judgements in applying the entity’s accounting policies concerning the future at the reporting date, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year, are discussed below.

Government grants

Government grants to meet operating expenses are recognised as income in statement of financial activities on the accrual basis in the year these operating expenses were incurred and there is reasonable assurance that the Academy will comply with the conditions attached to it. For certain grants, the government agencies reserve the right to withdraw, withhold or reduce the amount of any funds approved but not yet disbursed or to call for the refund of all funds which have been disbursed to the Academy if the conditions are not met.

3.2 Key sources of estimation uncertainty

The key assumptions concerning the future and other key sources of estimation uncertainty at the end of the reporting period are discussed below. The Academy based its assumptions and estimates on parameters available when the financial statements were prepared. Existing circumstances and assumptions about future developments, however, may change due to market changes or circumstances arising beyond the control of the Academy. Such changes are reflected in the assumptions when they occur.

3.2.1 Expected credit losses (ECL) on other receivables

ECLs are unbiased probability-weighted estimates of credit losses which are determined by evaluating a range of possible outcomes and taking into account past events, current conditions and assessment of future economic conditions.

The Academy has used relevant historical information and loss experience to determine the probability of default of the instruments and incorporated forward looking information, including significant changes in external market indicators which involved significant estimates and judgements.

In determining the ECL of other receivables, the Academy has used one year of historical losses data to determine the loss rate and applied an adjustment against the historical loss rate based on the change in Gross Domestic Product (GDP) and unemployment rate to reflect the current and forward looking information. As at the reporting date, the ECLs for other receivables are $127,212 (2018: S$ 172,577).

3.2.2 Impairment of plant and equipment and investment property

Plant and equipment and investment property are tested for impairment whenever there is any objective evidence or indication that these assets may be impaired. This requires an estimation of the value in use of the cash-generating units. Estimating the value in use requires the Academy to make an estimate of the expected future cash flows from the cash-generating units and also to choose a suitable discount rate in order to calculate the present value of those cash flows.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 24 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

3. Significant accounting judgements and estimates (Cont’d)

3.2 Key of estimation uncertainty (Cont’d)

3.2.3 Useful lives of plant and equipment and investment property

The useful life of an item of plant and equipment and investment property are estimated at the time the asset is acquired and is based on historical experience with similar assets and takes into account anticipated technological or other changes. If changes occur more rapidly than anticipated or the asset experiences unexpected level of wear and tear, the useful life will be adjusted accordingly. The carrying amount of the Academy’s plant and equipment and investment property as at 31 December 2019 were disclosed in Note 14 and Note 15 of the financial statements respectively.

4. Income tax

The Academy is a registered charity under the Charities Act since 13 April 1984. Consequently, the income of the Academy is exempted from tax under the provisions of Section 13 of the Income Tax Act Cap. 134.

5. Revenue from contracts with customers

a) Disaggregation of revenue from contracts with customers

2019 2018 Note S$ S$

Revenue from: Donations 66,538 76,275 Sponsorship and trade exhibition 14,500 0 Income from events 7 746,176 438,257 Examination income 2,472,043 2,245,510 Rental income 52,500 85,794 Professional and course fees 1,068,201 1,202,641 Subscription fees 1,669,579 1,621,423 Miscellaneous income 400,914 402,084 6,490,451 6,071,984 Timing of transfer of services - At a point in time 1,228,128 916,616 - Over time 5,262,323 5,155,368 6,490,451 6,071,984

(b) Contract liabilities

31 December 31 December 2019 2018 S$ S$

Amounts received in advance for professional aa fees relates to course enrolment, aa examination fees, rental income and aa subscription fees 698,926 1,024,359

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 25 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

5. Revenue from contracts with customers (Cont’d)

(b) Contract liabilities (Cont’d)

(i) Income recognised in relation to contract liabilities

2019 2018 S$ S$

Revenue recognised in current period that was included in aa contract liabilities balance at the beginning of the year 1,024,359 1,038,181

The contract liabilities relate to the professional and course fee, examination fee, rental income and subscription fees for the unsatisfied performance obligation in providing the sponsorship support for event to be held and course to be conducted. Revenue will be recognised when the events are held and services rendered over the course period.

There is no significant changes in contract liabilities balances.

(ii) Unsatisfied performance obligations

The Academy is applying the practical expedient in the paragraph 121 of FRS 115. Under this practical expedient, the Academy need not disclose the information about its transaction price allocated to the remaining performance obligation as the Academy recognised revenue from the satisfaction of the performance obligation in accordance to the right to consideration from a customer in an amount that performance obligation is part of a contract that has an original expected duration of one year or less.

6. Donations in cash

2019 2018 S$ S$

Tax deductible donations 47,461 68,429 Non-tax deductible donations 70,001 27,846 117,462 96,275

The donations were allocated as follows: • Donations 66,538 76,275 • Income from events 50,924 20,000 117,462 96,275

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 26 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

7. Income and expenditure from events

Medical Singapore Neurosti- Expert Public Health mulation Witness Dental & Emergency Emergency Basic Emergency Emergency Chapter of Practitioner Education Training Specialists Occupational Medicine Exit Exam Clinical Medicine Medicine Family and Symposium Course Accreditati Medicine Public Preparatory Preparatory Toxicology Examiners Examiners Medicine Prescriber Understanding Income from events held 2017 & APAO on Conference Forum Course Course Course workshop on workshop on Annual Tea Course Addiction aa by Academy 2019 2017 ITEDS 2019 MRC 2019 Assessment 2019 2019 2019 2019 2019 OSCEs 2019 SAQs 2019 Party 2019 2019 2019 Total 2019 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ INCOME Donations 0 0 50,924 0 0 0 0 0 0 0 0 0 0 0 0 50,924 Grants 0 0 0 0 0 10,000 0 0 0 0 0 0 0 0 0 10,000 Sponsorship and trade aa exhibition 0 0 44,388 0 0 17,754 0 0 0 0 0 0 12,000 0 0 74,142 Registration fees 26,566 0 204,533 0 0 175,140 0 30,130 15,800 9,594 841 300 0 22,995 4,486 490,385 Miscellaneous income 350 84,880 350 19,350 8,897 0 1,218 0 0 0 0 0 0 0 0 115,045 TOTAL INCOME 26,916 84,880 300,195 19,350 8,897 202,894 1,218 30,130 15,800 9,594 841 300 12,000 22,995 4,486 740,496

EXPENDITURE Accomodation and airfares 0 0 38,468 0 0 0 0 0 0 0 0 0 0 0 0 38,468 Awards, grants and aa honorarium 0 0 11,300 0 0 2,500 0 12,820 4,600 1,800 300 0 0 3,482 0 36,802 Bank charges 809 0 5,420 0 0 1,727 0 0 0 0 0 0 0 644 82 8,682 Equipment hire expenses 0 0 2,484 0 0 6,570 0 0 0 0 0 0 0 0 0 9,054 Insurance 0 0 500 0 0 0 0 0 0 0 0 0 0 0 0 500 IT expenses 800 0 9,134 0 0 13,078 0 0 0 0 0 0 0 0 0 23,012 Manpower costs 68 0 1,932 0 0 1,560 0 0 0 0 0 0 0 0 0 3,560 Miscellaneous expenses 163 0 4,934 0 0 350 0 0 0 0 0 0 0 0 0 5,447 Printing, stationery and aa courier 1,003 0 9,467 0 0 3,880 0 0 0 432 41 0 0 0 0 14,823 Professional fees 0 0 21,699 0 0 34,700 0 0 0 0 0 0 0 0 0 56,399 Professional withholding tax 0 0 7,011 0 0 0 0 0 0 0 0 0 0 0 0 7,011 Refreshment 798 0 46,142 0 0 2,453 0 2,080 398 1,240 71 0 0 3,4 16 0 56,598 Souvenirs and gifts 1,100 0 5,444 0 0 6,980 0 0 0 0 0 0 160 0 145 13,82 9 Transport 738 0 4,525 0 0 1,382 0 102 111 63 17 0 93 129 47 7 ,207 Venue and meeting aa packages 15,951 0 21,671 0 0 84,503 0 5,560 75 0 0 0 3,960 1,350 0 133,070 TOTAL EXPENDITURE 21,430 0 190,131 0 0 159,683 0 20,562 5,184 3,535 429 0 4,213 9,021 274 414,462

Net surplus before sharing 5,486 84,880 110,064 19,350 8,897 43,211 1,218 9,568 10,616 6,059 412 300 7,787 13,974 4,212 326,034

Share of surplus to other Co-Organisers (2,568 ) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 (2,568)

Net surplus after share to other Co-Organisers 2,918 84,880 110,064 19,350 8,897 43,211 1,218 9,568 10,616 6,059 412 300 7,787 13,974 4,212 323,466

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 27 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

7. Income and expenditure from events (Cont’d)

Singapore Public Health Electrocon- & Emergency Chapter of vulsive and Emergency Occupational Exit Exam Medical Expert Guidelines Family Divorce & Emergency Neurosti- Medicine Medicine Preparatory Preparatory MEDLAB Witness on the Use Medicine Custody Basic Clinical Medicine mulation Examiners Income from events held Conference 2nd ISPHC & Course Part Course Singapore Training 51th SMCM of Biologics Annual Tea Seminar Toxicology Dinner Course workshop on aa by Academy 2018 11th PHOM B & C 2018 2018 2018 Course 2018 2017 2018 Party 2018 2018 Course 2018 Lecture 2018 2018 OSCEs 2018 Total 2018 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ INCOME Donations 10,000 0 0 0 0 0 0 0 0 0 0 10,000 0 0 20,000 Grants 0 0 0 0 55,000 0 0 0 0 0 0 0 0 0 55,000 Sponsorship and trade aa exhibition 26,250 0 0 0 0 0 0 5,000 12,000 600 0 0 1,000 0 44,850 Registration fees 160,551 0 20,700 14,125 0 24,416 0 0 0 3,808 12,056 6,570 3,108 561 245,895 TOTAL INCOME 196,801 0 20,700 14,125 55,000 24,416 0 5,000 12,000 4,408 12,056 16,570 4,108 561 365,745

EXPENDITURE Awards, grants and aa honorarium 2,000 0 13,975 3,245 25,750 0 0 0 0 0 1,740 0 302 375 47,387 Bank charges 1,566 0 0 0 0 433 0 0 0 41 0 76 122 0 2,238 Equipment hire expenses 5,477 0 0 0 0 600 0 0 0 0 0 0 0 0 6,077 IT expenses 500 0 0 0 0 800 0 0 0 150 0 0 0 0 1,450 Manpower costs 900 0 0 0 0 0 0 0 0 0 0 0 0 0 900 Miscellaneous expenses 0 0 0 0 0 0 0 0 0 0 0 150 0 0 150 Printing, stationery and aa courier 1,355 0 160 89 0 1,313 0 20 0 0 441 33 0 29 3,440 Professional fees 1,550 0 0 0 0 0 0 0 0 0 0 400 0 0 1,950 Professional withholding tax 0 0 0 0 1,367 0 0 0 0 0 0 0 0 0 1,367 Refreshment 56,462 0 1,775 750 0 1,918 0 0 0 0 1,156 597 945 63 63,666 Souvenirs and gifts 4,813 0 0 0 0 1,118 0 0 192 169 7 2,049 123 0 8,471 Transport 1,066 (1,725) 413 263 245 877 0 96 78 67 141 329 124 20 1,994 Venue and meeting aa packages 12,514 0 1,725 75 0 5,382 0 2,002 3,960 0 1,000 8,624 0 0 35,282 TOTAL EXPENDITURE 88,203 (1,725) 18,048 4,422 27,362 12,441 0 2,118 4,230 427 4,485 12,258 1,616 487 174,372

Net surplus before sharing 108,598 1,725 2,652 9,703 27,638 11,975 0 2,882 7,770 3,981 7,571 4,312 2,492 74 191,373

Share of surplus to other aa Co-Organisers 0 0 0 0 0 (5,987) (19,659) (882) 0 0 0 0 0 0 (26,528)

Net surplus after share to aa Co-Organisers 108,598 1,725 2,652 9,703 27,638 5,988 (19,659) 2,000 7,770 3,981 7,571 4,312 2,492 74 164,845

Add: Professional conference organiser (PCO) income 65,764

TOTAL INCOME FROM EVENTS 230,609

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 28 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

7. Income and expenditure from events (Cont’d)

Income from events held by other entities

During the financial year ended 31 December 2019, the Academy and other organisers share the total surplus of S$5,680 (2018: S$6,748). The share the surplus of S$496 (2018: S$1,249) each for the Annual Scientific Meeting and S$5,184 (2018: S$5,499) each for Family Medicine Review Course as the Academy was the co-organiser for these events.

Total income from events held by Academy were allocated as follows:

2019 2018

S$ S$

Accumulated Fund 193,717 190,208 Chapters’ and Section Funds (Note 19) 40,589 29,982 College of Ophthalmologists 265,667 208 College of Public Health and Occupational Physicians 194,252 161,508 College of Emergency Physicians 38,997 47,014 College of Psychiatrists 7,274 2,589 740,496 431,509

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 29 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

8. Cost of charitable activities and other expenditure

Unrestricted

fund Restricted funds College of Joint Chapters' Public Health Total Building and Committee on and Section Lecture College of and College of College of College of Total unrestricted Accumulated Endowment Specialist Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician restricted and restricted Fund Annals Fund Training (Note 19 ) (Note 2 0) logists Physicians Physicians Psychiatrists Scientists Educators funds funds 2019 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Cost of charitable activities Accommodation and airfares 5,495 0 0 85,001 0 6,803 0 934 0 0 0 0 92,738 98,233 Allowance for doubtful debts 84,649 0 0 0 0 0 0 0 0 0 0 0 0 84,649 Awards, grants and honorarium 59,789 0 0 6,140 157 1,000 173,760 10,000 0 0 0 0 191,057 250,846 Ba nk charges 6,846 0 0 0 0 319 0 0 0 0 133 0 452 7,298 Courier and postages 2,013 0 0 149 0 0 0 0 0 0 0 0 149 2,162 Cost of inventory 337 0 0 0 0 0 0 0 0 0 0 0 0 337 Examination and restudy fee 363,513 0 0 3,044 0 0 0 0 0 0 0 0 3,044 366,557 Foreign exchange loss 0 (44) 0 0 0 0 0 0 0 0 0 0 (44) (44) Induction expenses 9,413 0 0 0 0 0 0 0 0 0 0 0 0 9,413 IT expen ses 2,131 0 0 0 0 0 0 14 0 0 0 0 14 2,145 Other expenses 71,365 0 0 39,945 0 0 0 41 0 0 400 0 40,386 111,751 Printing and stationery 4,352 0 0 0 8 0 5,370 0 0 0 0 0 5,378 9,730 Professional fee 550,740 0 0 0 0 0 0 0 0 0 300 0 3 00 551,040 Refreshment 18,346 0 0 41,080 1,328 0 1,114 2,855 251 0 5,333 686 52,647 70,993 Sponsorship expenses 0 0 0 0 500 0 0 0 0 0 0 0 500 500 Souve nirs and gifts 1,668 0 0 2,673 105 679 0 1,769 0 0 0 70 5,296 6,964 Transport expenses 4,485 0 0 18,493 241 110 78 1,337 0 36 199 0 20,494 24,979 Venue and meeting packages 84,410 0 0 17,916 0 3,890 0 0 0 0 600 0 22,406 106,816 Withholding tax 4,526 0 0 0 0 0 0 0 0 0 0 0 0 4,5 26 Total cost of charitable activities 1,274,078 (44) 0 214,441 2,339 12,801 180,322 16,950 251 36 6,965 756 434,817 1,708,895

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 30 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

8. Cost of charitable activities and other expenditure (Cont’d)

Unrestricted

fund Restricted funds College of Joint Chapters' Public Health Total Building and Committee on and Section Lecture College of and College of College of College of Total unrestricted Accumulated Endowment Specialist Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician restricted and restricted Fund Annals Fund Training (Note 19 ) (Note 2 0) logists Physicians Physicians Psychiatrists Scientists Educators funds funds 2018 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Cost of charitable activities Accommodation and airfares 10,997 0 0 63,335 0 15,274 608 594 0 11 0 0 79,822 90,819 Allowance for doubtful debts 150,843 0 0 0 0 0 0 0 0 0 0 0 0 150,843 Awards, grants and honorarium 53,788 0 0 4,200 (313) 0 0 0 0 200 0 0 4,087 57,875 Ba nk charges 6,580 3 0 0 0 0 0 0 0 45 0 0 48 6,628 Courier and postages 1,881 0 0 126 0 0 0 0 0 0 0 0 126 2,007 Cost of inventory 247 0 0 0 0 0 0 0 0 0 0 0 0 247 Donations 0 0 0 0 0 15,000 0 0 0 0 0 0 15,000 15,000 Examination and restudy fee 357,260 0 0 3,244 0 0 0 0 0 0 0 0 3,244 360,504 Foreign exchange loss (237) 0 0 0 0 0 0 0 0 0 0 0 0 (237) Induc tion expenses 7,641 0 0 0 0 0 0 0 0 0 0 0 0 7,641 IT expenses 5,556 0 0 0 0 0 0 0 0 0 0 0 0 5,556 Other expenses 38,953 0 0 31,740 0 0 64,155 0 0 0 0 0 95,895 134,848 Printing and stationery 9,105 0 0 0 0 0 768 0 0 0 0 0 768 9,873 Professional fee 562,172 0 0 0 0 0 0 0 0 0 0 0 0 562,172 Refreshment 19,507 0 0 28,379 514 0 442 1,359 63 1 76 5,843 216 36,992 56,499 Sponsorship e xpenses 0 0 0 0 0 0 8,000 0 187 0 0 0 8,187 8,187 Souvenirs and gifts 6,906 0 0 2,052 125 75 330 230 0 0 0 0 2,812 9,718 Transport expenses 11,219 0 0 13,040 119 0 226 96 56 27 49 30 13,643 24,862 Venue and meeting packages 83,257 0 0 8,165 (338) 0 0 0 0 0 0 0 7,827 91,084 Withholding tax 6,723 0 0 0 0 0 0 0 0 0 0 0 0 6,7 23 Total cost of charitable activities 1,332,398 3 0 154,281 107 30,349 74,529 2,279 306 459 5,892 246 268,451 1,600,849

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 31 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

8. Cost of charitable activities and other expenditure (Cont’d)

Unrestricted

fund Restricted funds College of Joint Chapters' Public Health Total Building and Committee on and Section Lecture College of and College of College of College of Total unrestricted Accumulated Endowment Specialist Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician restricted and restricted Note Fund Annals Fund Training (Note 9) (Note 20) logists Physicians Physicians Psychiatrists Scientists Educators funds funds 2019 (Cont’d) S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Other expenditure Audit fee 8,480 0 0 0 0 0 0 0 0 0 0 0 0 8,480 Amortisation of right -of -use aa assets 14 0 0 171,461 0 0 0 0 0 0 0 0 0 171,461 171,461 Bank charges 31,598 55 120 238 45 185 119 15 0 52 0 0 829 32,427 Cleaning expenses 16,320 0 0 5,985 0 0 0 0 0 0 0 0 5,985 22,305 Courier and postages 11,085 2,437 0 401 89 0 0 0 97 0 0 0 3,024 14,109 Depreciation 33,697 1,392 31,797 17,929 0 0 0 0 0 0 0 0 51,11 8 84,815 Donations 50,000 0 0 0 0 12,500 100,000 0 0 0 0 0 112,500 162,500 Equipment hire expenses 5,744 0 0 0 0 0 0 0 0 0 0 0 0 5,744 Examination and training fee 0 0 0 0 58 0 0 0 0 0 0 0 58 58 Fixed assets expensed off 4,960 499 0 5,456 0 0 0 0 0 0 0 0 5,955 10,915 Insurance 7,350 0 0 0 0 0 0 0 0 0 0 0 0 7,350 IT expenses 57,334 7,816 0 17,718 0 0 0 0 0 0 3,600 0 29,134 86,468 Repair and maintenance 1,416 0 270 45,509 0 0 0 0 0 0 0 0 45,779 47,195 Loss on disposal of fixed assets 71 0 0 0 0 0 0 0 0 0 0 0 0 71 Othe r expenses incurred on

aa disposal of fixed assets 1,643 0 0 0 0 0 0 0 0 0 0 0 0 1,643 Other expenses 75,489 4 156 ,580 1,130 165 0 0 0 0 0 0 0 157 ,879 23 3,368 Professional fee 4,015 0 23,200 9,600 0 0 0 0 0 0 0 0 32,800 36,815 Property tax 0 0 22,400 0 0 0 0 0 0 0 0 0 22,400 22,400 Printing and stationery 24,288 18,040 3 8,445 22 0 398 235 131 0 0 0 27,274 51,562 Refreshment 11,793 1,719 0 2,382 630 0 8,201 11,444 55 206 0 0 24,637 36,430 Rental of premises 0 0 0 128,825 0 0 0 0 0 0 0 0 128,825 128,825 Staff costs 9 2,084,420 0 0 1,395,617 0 0 0 0 0 0 0 0 1,395,617 3,480,037 Souvenirs and gifts 6,178 0 0 0 0 0 0 0 0 0 0 0 0 6,178 Transport expenses 977 10 199 5,243 76 0 276 330 0 135 57 19 6,34 5 7,322 Telecommunication 10,772 0 0 2,095 0 0 0 0 0 0 0 0 2,09 5 12,867 Utilities 32,092 0 887 13,272 0 0 0 0 0 0 0 0 14,159 46,251 Venue and meeting expenses 124 0 0 0 0 0 0 0 0 0 0 0 0 124 Total other expenditure 2,47 9,846 31,972 406,917 1,659,845 1,085 12,685 108,994 12,024 283 393 3,657 19 2,237,874 4,71 7,720

2019 Unrestricted fund Restricted fund

Building and Joint Committee on Note Accumulated fund Annals Endowment Fund Specialist Training Total S$ S$ S$ The breakdown of the depreciation charge as follows: Depreciation for plant and equipment 14 33,697 1, 392 5,381 17,929 58 ,399 Depreciation for Investment property 15 0 0 26, 416 0 26,416 33,697 1,392 31, 797 17,929 84,81 5

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 32 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

8. Cost of charitable activities and other expenditure (Cont’d)

Unrestricted

fund Restricted funds College of Joint Chapters' Public Health Total Building and Committee on and Section Lecture College of and College of College of College of Total unrestricted Accumulated Endowment Specialist Funds Funds Ophthalmo- Occupational Emergency College of Clinician Clinician restricted and restricted Note Fund Annals Fund Training (Note 19 ) (Note 2 0) logists Physicians Physicians Psychiatrists Scientists Educators funds funds 2018 (Cont’d) S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Other expenditure Audit fee 6,452 0 0 0 0 0 0 0 0 0 0 0 0 6,452 Bank charges 27,173 10 120 172 45 0 124 0 0 0 0 0 471 27,644 Cleaning expenses 13,080 0 950 4,905 0 0 0 38 0 0 0 0 5,893 18,973 Courier and postages 9,207 2,670 0 567 0 0 0 0 0 1 0 0 3,238 12,445 Depreciation 20,760 1,278 31,031 13,783 0 0 0 0 0 0 0 0 46,092 66,852 Equipment hire expenses 3,888 0 0 0 0 0 0 0 0 0 0 0 0 3,888 Examination and training fee 0 0 0 0 243 0 0 0 0 0 0 0 243 243 Fixed assets expensed off 3,893 0 0 450 0 0 0 0 0 0 0 0 450 4,343 Insurance 7,350 0 1,123 0 0 0 0 0 0 0 0 0 0 7,35 0 IT expenses 38,487 5,183 0 14,530 0 0 0 0 0 0 0 0 19,713 58,200 Repair and maintenance 2,386 0 0 43,053 0 0 0 0 0 0 0 0 43,053 45,439 Other expenses 106,387 0 4,807 1,146 1,451 0 2,268 769 0 80 593 0 155,625 262,012 Professional fee (100) 0 20,450 9,000 0 0 0 0 0 0 0 0 9,300 9,200 Property tax 0 0 22,400 0 0 0 0 0 0 0 0 0 22,400 22,400 Printing and stationery 23,325 20,976 0 6,574 4 0 167 90 4 24 7 7 27,853 51,178 Refreshment 11,956 1,777 0 2,008 286 0 7,581 6,307 90 134 0 316 18,499 30,455 Rental of premises 0 0 289,905 128,825 0 0 0 0 0 0 0 0 295,492 295,492 Staff costs 9 2,101,563 0 0 1,256,324 0 0 0 0 0 0 0 0 1,256,324 3,357,887 Souvenirs and gifts (95) 0 0 0 0 0 0 730 0 0 0 365 1,095 1,000 Transport expenses 912 29 86 5,067 109 0 101 234 0 116 129 40 5,911 6,823 Telecommunication 10,839 0 0 7,468 0 0 0 0 0 0 0 0 7,468 18,307 Utilities 26,415 0 818 11,244 0 0 0 0 0 0 0 0 12,062 38,477 Venue and meeting expenses 174 0 0 0 0 0 0 96 0 0 0 0 96 270 Total other expenditure 2,414,052 31,923 371,690 1,505,116 2,138 0 10,241 8,264 94 355 729 728 1,931,278 4,345,330

2018 Unrestricted fund Restricted fund Building and Joint Committee on Note Accumulated fund Annals Endowment Fund Specialist Training Total S$ S$ S$

The breakdown of the depreciation charge as follows: Depreciation for plant and equipment 14 20,760 1,278 4,615 13,783 40,436 Depreciation for Investment property 15 0 0 26,416 0 26,416 20,760 1,278 31,031 13,783 66,852

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 33 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

9. Staff costs

2019 2018 S$ S$

Salaries and bonuses 2,965,908 2,848,091 CPF contributions and SDL 469,058 426,977 Foreign worker levy 769 3,960 Medical expenses 19,567 22,045 Staff training and recruitment 2,652 7,398 Staff insurance 4,504 3,936 Staff awards and benefits 10,888 14,612 Staff unutilised leave 6,691 30,868 3,480,037 3,357,887

Total amounts includes staff costs for Joint Committee on Specialist Training staff amounting to S$1,395,617 (2018: S$1,256,324).

10. Cash and cash equivalents

2019 2018 S$ S$

Cash on hand 1,826 2,701 Cash at banks 5,998,983 5,655,929 6,000,809 5,658,630

At the reporting date, the carrying amounts of cash and cash equivalents approximate their fair values.

11. Fixed deposits

The fixed deposits mature within 3 to 11 months (2018: 1 to 12 months) from the financial year end and earn interest at rate of 1.21% to 1.82% (2018: 1.03% to 1.70%) per annum.

12. Other receivables

2019 2018 S$ S$ Non-current assets Prepayments 0 1,167,653

Current assets Other receivables 815,568 845,191 Allowance of impairment (127,212) (172,577) 688,356 672,614

Interest receivables on fixed deposits 69,848 57,214 Deferred expenditure 129,655 212,641 Deposits 26,725 30,775 Prepayments 120,101 209,390 Amount due from related party 8,768 6,588 355,097 516,608

1,043,453 1,189,222

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 34 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

12. Other receivables (Cont’d)

Other receivables are non-interest bearing and are generally on 0 to 30 days’ terms.

The Academy has a rental agreement with the landlord of its premises situated at 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836 at S$3 million for a period of 18 years. The total amount inclusive of stamp duties was paid at the commencement of the rental agreement. The rental expenses prepaid for the next 12 months are classified under current assets and the balance as non-current assets.

As disclosed in Note 2.1.1, the Academy has adopted FRS 116 on 1 January 2019. The advance payment of rental have been recognised as right-of-use assets in the statement of financial position as at 31 December 2019.

The amount due from a related party is non-trade in nature, unsecured, interest-free and repayable on demand.

At the reporting date, the carrying amounts of other receivables approximate their fair values.

There is no other class of financial assets that is past due and/or impaired except for other receivables.

Receivables that are past due but not impaired

The Academy had other receivables amounting to S$312,742 (2018: S$537,173) that were past due at the reporting date but not impaired. These receivables were unsecured and the analysis of their aging at the reporting date was as follows:

2019 2018 S$ S$

Other receivables past due but not impaired: Lesser than 3 months 110,017 249,175 3 to 6 months 30,213 40,603 More than 6 months 172,512 247,395 312,742 537,173

Receivables that are impaired

The Academy’s other receivables that was impaired at the reporting date and the movement of the allowance for impairment was as follows:

2019 2018 S$ S$

Other receivables – nominal amounts 815,568 845,191 Allowance for impairment (127,212) (172,577) 688,356 672,614

2019 2018 S$ S$ Movement in allowance for impairment: At beginning of financial year 172,577 56,916 Allowance written off (98,810) (21,733) Allowance written back (31,204) (13,449) Allowance made 84,649 150,843 At end of financial year 127,212 172,577

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 35 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

12. Other receivables (Cont’d)

Other receivables that were determined to be impaired at the reporting date relate to debtors that were in significant financial difficulties and had defaulted on payments. These receivables were not secured by any collateral or credit enhancements.

13. Inventories

2019 2018 S$ S$

Souvenirs and gifts 16,668 24,392

The inventories are souvenirs for distinguished guests and gifts to doctors.

Reconciliation of allowances for obsolete inventories is as follows:

2019 2018 S$ S$ Movement in the allowance of obsolescence At beginning of financial year 0 1,980 Allowance written back 0 (1,980) At end of finance year 0 0

14. Plant and equipment

Office furniture, fittings and Right-of-use equipment Computers assets Total S$ S$ S$ S$ Cost At 1 January 2018 502,846 551,234 0 1,054,080 Additions 12,951 55,546 0 68,497 Disposal 0 (40,537) 0 (40,537) At 31 December 2018 515,797 566,243 0 1,082,040 Effect of adopting FRS 116 0 0 3,086,292 3,086,292 At 1 January 2019 as restated 515,797 566,243 3,086,292 4,168,332 Additions 13,962 57,476 0 71,438 Disposal (37,767) (122,614) 0 (160,381) At 31 December 2019 491,992 501,105 3,086,292 4,079,389

Accumulated depreciation At 1 January 2018 433,697 513,963 0 947,660 Depreciation 14,439 25,997 0 40,436 Disposal 0 (40,537) 0 (40,537) At 31 December 2018 448,136 499,423 0 947,559 Effect of adopting FRS 116 0 0 1,747,178 1,747,178 At 1 January 2019 as restated 448,136 499,423 1,747,178 2,694,737 Depreciation 16,579 41,820 171,461 229,860 Disposal (37,676) (122,614) 0 (160,290) At 31 December 2019 427,039 418,629 1,918,639 2,764,307

Carrying amount 31 December 2018 67,661 66,820 0 134,481

31 December 2019 64,953 82,476 1,167,653 1,315,082

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 36 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

15. Investment property

Freehold land Building Total S$ S$ S$ Cost At 1 January 2018, 31 December 2018 and 31 aa December 2019 3,000,000 1,338,616 4,338,616

Accumulated depreciation At 1 January 2018 0 400,818 400,818 Depreciation 0 26,416 26,416 At 31 December 2018 0 427,234 427,234 Depreciation 0 26,416 26,416 At 31 December 2019 0 453,650 453,650

Carrying amount 31 December 2018 3,000,000 911,382 3,911,382

31 December 2019 3,000,000 884,966 3,884,966

The leasehold property is located at 142 Neil Road, Singapore 088871.

Fair value measurements at financial year end using Recurring fair value Quoted prices in active Significant other Significant measurements investment markets for identical observable unobservable property: assets (Level 1) inputs (Level 2) inputs (Level 3) S$ S$ S$

As at 31 December 2019 0 0 11,000,000 As at 31 December 2018 0 0 11,000,000

Valuation techniques used to derived Level 3 fair values

Level 3 fair values of the Academy’s property have been generally derived using the direct sales comparison approach. Sales prices of comparable properties in close proximity are adjusted for differences in key attributes such as property size. The most significant input into this valuation approach is selling price per square meter.

Valuation process of the Academy

As at 31 December 2019, the fair values of the shop house unit 142 Neil Road, Singapore 088871 have been determined on the basis of internal valuation by the management. The valuation was arrived using managements’ experience, knowledge of the market prices and recently transacted sales and purchase prices for similar property.

The fair value of investment property as at 31 December 2019 have been determined by directors of the Academy on the basis of comparable sales by reference to market evidence of transaction prices for similar properties.

As at 31 December 2018, the property of the Academy was valued by United Valuers Pte Ltd, a firm of independent professional valuer, based on the property highest-and-best-use using the Market Approach to Value Method. This method relies on transacted prices of comparable properties to arrive at the market value. The fair value as at 31 December 2018 was valued using the desktop valuation method based on the full valuation report done in 2016. Any adjustments to value were made for factors affecting value, such as date of sale, location, storey height, size, improvements, state of repair and prevailing market condition.

Investment property is leased out to non-related parties under operating leases (Note 21).

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 37 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

15. Investment property (Cont’d)

The following amounts are recognised in the statement of financial activities:

2019 2018 S$ S$

Rental income 52,500 85,794

Direct operating expenses arising from investment property: - Depreciation 26,416 26,416 - Property tax 22,400 22,400

16. Other payables

2019 2018 S$ S$

Other payables 201,601 266,932 GST payable 54,991 52,291 Accruals 686,060 502,538 Refundable deposit payable 71,265 15,525 Amounts due to related parties 758,706 1,121,246 1,772,623 1,958,532

The amounts due to related parties are non-trade in nature, unsecured, interest-free and repayable on demand.

At the reporting date, the carrying amounts of other payables approximate their fair values.

17. Unrestricted fund

Accumulated fund Unrestricted fund are expendable at the discretion of the Board of Directors for the achieving of their overall objectives.

18. Restricted funds

Annals Fund The Annals is the official medical and dental journal of the Academy, and is circulated to all members of the Academy. It is an indexed journal of the US National Library of Medicine (Index Medicus) and has been included in the Science Citation Index – Expanded, ISI Alerting Services, and Current Contents/Clinical Medicine on 2 January 2002.

Building and Endowment Fund Established in 1980 as the Building Fund and later renamed the Building and Endowment Fund in June 2003, is primarily used to maintain and improve the Academy’s building and property as well as to allow the Academy to secure larger premises for the expansion of the Academy.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 38 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

18. Restricted funds (Cont’d)

Joint Committee on Specialist Training Fund The Joint Committee on Specialist Training (JCST) was formally appointed by the Specialist Accreditation Board (SAB) in 2005 with the Master of the Academy Of Medicine Singapore and the Director of the Division of Graduate Medical Studies of the National University of Singapore (DGMS, NUS) as co-chairmen and representatives from the Academy and the DGMS on its Executive Committee. The JCST is responsible to SAB for setting professional standards for specialist training and for establishing mechanisms for assuring the quality of specialist training in Singapore. It overseas all the 35 Specialist Training Committee (STCs) and provides them with professional direction and secretariat support.

College of Ophthalmologists The College of Ophthalmologists (formerly Chapter of Ophthalmologists under the College of Surgeons) was set up as a non-independent College under the Academy Of Medicine Singapore in January 2009. The College of Ophthalmologists Fund is established to support the academic activities of the College.

College of Public Health and Occupational Physicians The College of Public Health and Occupational Physicians was converted from a Chapter to a College. The College was set up as a non-independent College under the Academy Of Medicine Singapore in October 2012. The College of Public Health and Occupational Physicians is established to support the academic activities of the College.

College of Emergency Physicians The College of Emergency Physicians (formerly Chapter of Emergency Physicians) was set up as a non-independent College under the Academy Of Medicine Singapore on 20th November 2014. The establishment of the college is to forge a better identity and achieve a higher standing to drive the future development of Emergency Medicine in Singapore.

College of Psychiatrists The College of Psychiatrists (formerly Chapter of Psychiatrists) was set up as a non-independent College under the Academy Of Medicine Singapore on 5 th November 2014. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Psychiatry in Singapore.

College of Clinician Scientists The College of Clinician Scientists (formerly Chapter of Clinician Scientists) was set up as a non- independent College under the Academy Of Medicine Singapore on 17 th May 2016. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Clinician Scientists in Singapore.

College of Clinician Educators The College of Clinician Educators (formerly Chapter of Clinician Educators) was set up as a non- independent College under the Academy Of Medicine Singapore on 3 rd June 2017. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Clinician Educators in Singapore.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 39 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

18. Restricted funds (Cont’d)

Chapters' and Section funds

Chapter’s funds The Chapter funds were set up to support continuing educational activities. Funds received from donations, registration fees, trade exhibitions and other earmarked receipts for such activities are credited to their individual accounts accordingly. Expenditure incurred on such activities is debited to their respective accounts.

The following Chapter’s Funds were set up to cater to the needs and requirements of a small group of specialists.

- Chapter of Pathologists - Chapter of Family Medicine, Physicians - Chapter of Intensivists

Section funds

Section of Sports Medicine To set standard of care for Sports Medicine. It aims to provide a platform for local, international Sports Medicine organisation to collaborate; for healthcare professionals in the field to exchange knowledge; to promote and organize CPD events related to Sports Medicine. It also serves the purpose of providing independent expert opinions/reports relating to Sports Medicine issues as requested by Ministry of Health and other stakeholders.

Section of Child & Adolescent Psychiatry The fund is established for the Section of Child and Adolescent Psychiatry under the College of Psychiatrists. It consists of funds raised by the Section of Child and Adolescent Psychiatry. It is to be used to cover the expenses for activities organised by the Section of Child and Adolescent Psychiatry. It can also be used for any other purpose approved by the Section of Child and Adolescent Psychiatry.

Section of Clinical Toxicologists Objectives of the section are as follows:

i) To advance the care of poisoned patients and improve their outcomes:

a) To be a resource providing evidence based guidance for the management of poisonings. b) To encourage research in toxicology to improve on current knowledge base.

ii) To promote chemical safety in the community:

a) To educate and increase general awareness of chemicals in the community and environment and their potential health effects b) To advocate the importance of toxic surveillance in the community and promote measures to ensure chemical safety.

Section of Neurostimulation

The Section of Neurostimulation was formed as a Section of the College of Psychiatrists. The Section of Neurostimulation was established to provide training, develop safety guidelines, stimulate research and development and increase public awareness of Neurostimulation in Psychiatry. The Section will also collaborate and create links with international neurostimulation practitioners.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 40 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

18. Restricted funds (Cont’d)

Lectures’ Funds

Common Fund for Advancement of Medicine The Fund is established to provide assistance to local Fellows of the AMS at major scientific meetings and the Master’s or his representative’s attendance at overseas meetings for the advancement of medicine.

Gordon Arthur Ransome Oration Established in 1971, the Gordan Arthur Ransome Oration is open to distinguished members of the medical profession and the public by invitation. The Oration is held biennially in conjunction with the Congress of Medicine in Singapore.

Runme Shaw Memorial Lecture This Fund is established in recognition of the contribution of Sir Runme Shaw to the Academy Of Medicine Singapore. The Lectureship will be presented at the biennial Singapore Malaysia Congress of Medicine (SMCM).

Seah Cheng Siang Memorial Fund The Fund is established to commemorate Prof Seah Cheng Siang’s for his contributions to the medical profession in Singapore. It is used for the promotion of medical research and lectures.

World Congress of Opthalmology Singapore The fund is to be utilised for any Ophthalmic Congresses hosted by College of Ophthalmology.

Yahya Cohen Lecture The fund was established in 1994 in honour and recognition of the outstanding contributions to the development of surgery in Singapore by Dr, Yahya Cohen, the 1st Chairman of the Chapter of Surgeons and a past Master of the Academy. The lectureship will be presented annually and the lecture shall take place at an event organised by the College of Surgeons, Singapore.

Dental Continuing Professional Education Fund The Dental Continuing Professional Education Fund was established in 2016 under the administration of Academy Of Medicine Singapore. The primary objective of the fund is for subsidising the cost of the College of Dental Surgeons, Singapore in organising and conducting of CPE events that are related to topics such as geriatric dentistry, special needs and Dental Public health.

Chee Kuan Tsee Lecture The Chee Kuan Tsee Lecture Fund was established in 2017 in recognition of the outstanding contributions to the development of Psychiatry in Singapore by Professor Chee Kuan Tsee, a past Chairman of the Chapter of Psychiatrists. The Chee Kuan Tsee Lecture is held annually in conjunction with the Annual General Meeting of the College of Psychiatrists to promote the advancement of psychiatry and mental health.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 41 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

18. Restricted funds (Cont’d)

Lectures’ Funds (Cont’d)

Paul W Ngui Named Lecture

The Paul W Ngui Lecture was established in 2018 in recognition of the outstanding contributions to the development of Psychiatry in Singapore by Dr Paul W Ngui. The Paul W Ngui Lecture, delivered by distinguished members of the psychiatry and health care fraternity or key leaders of the community, will be held annually to promote the advancement of psychiatry and mental health.

Robert Loh Faculty Scholar Programme in Ophthalmology

The Robert Loh Faculty Scholar Programme was established to honor Dr Robert Loh pioneering work and contribution in Ophthalmology. The fund will be used to support clinical innovation, research and development, education and training activities at SNEC/SERI, Community Services and related Humanitarian mission.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 42 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

19. Chapters’ and Section funds

Chapters’ and Section Funds

Chapter of Family Section of Section Of Child Section Of Section of Section of 2019 Chapter of Medicine, Chapter of Chapter of Sports and Adolescent Clinical Neuro- Addiction INCOME Pathologists Physicians Intensivists Pain Medicine Medicine Psychiatry Toxicologists stimulation Psychiatry Total funds Income from generating funds S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Voluntary income Sponsorship and trade exhibition 0 4,000 0 0 0 0 0 0 0 4,000

Activities for generating funds Income from events held by Academy 0 12,000 0 0 0 0 8,382 17,406 2,801 40,589 Income from events held by other Co-Organisers 496 5,184 0 0 0 0 0 0 0 5,680 496 17,184 0 0 0 0 8,382 17,406 2,801 46,269

Income from charitable activities Professional and course fees 500 500 500 0 0 0 0 0 0 1,500 Miscellaneous income 240 2,550 0 0 280 0 0 0 0 3,070 740 3,050 500 0 280 0 0 0 0 4,570

TOTAL INCOME 1,236 24,234 500 0 280 0 8,382 17,406 2,801 54,839

EXPENDITURE Cost of generating funds Expenses from events held by Academy 0 4,213 0 0 0 0 3,535 9,022 274 17,044

Cost of charitable activities Awards, grants and honorarium 157 0 0 0 0 0 0 0 0 157 Refreshment 0 335 0 0 0 340 0 653 0 1,328 Printing and stationery 0 0 8 0 0 0 0 0 0 8 Sponsorship expenses 500 0 0 0 0 0 0 0 0 500 Souvenirs and gifts 105 0 0 0 0 0 0 0 0 105 Transpo rt expenses 0 124 23 35 0 59 0 0 0 241 762 459 31 35 0 399 0 653 0 2,339

Other expenditure Bank charges 0 0 0 0 0 45 0 0 0 45 Courier and postages 0 0 89 0 0 0 0 0 0 89 Examination and training fees 0 58 0 0 0 0 0 0 0 58 Other expenses 0 0 0 0 0 165 0 0 0 165 Printing and stationery 0 0 22 0 0 0 0 0 0 22 Refreshment 21 206 52 49 0 12 0 290 0 630 Transport expenses 0 0 45 0 0 31 0 0 0 76 21 264 208 49 0 253 0 290 0 1,085

TOTAL EXPENDITURE 783 4,936 239 84 0 652 3,535 9,965 274 20,468

NET INCOME/(EXPENDITURE) FOR THE YEAR 453 19,298 261 (84) 280 (652) 4,847 7,441 2,527 34,371

Total funds brought forward 85,267 51,400 833 0 1,222 6,354 15,500 5,314 0 165,890

Total funds carried forward 85,720 70,698 1,094 (84) 1,502 5,702 20,347 12,755 2,527 200,261

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 43 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

19. Chapters’ and Section funds (Cont’d)

Chapters’ and Section Funds

Chapter of Family Section Of Child 2018 Chapter of Medicine, Chapter of Section of and Adolescent Section Of Clinical Section of Neuro- INCOME Pathologists Physicians Intensivists Sports Medicine Psychiatry Toxicologists stimulation Total funds Income from generating funds S$ S$ S$ S$ S$ S$ S$ S$ Voluntary income Donations 0 0 0 0 600 0 0 600

Activities for generating funds Income from events held by Academy 0 12,000 0 0 2,815 12,056 3,111 29,982 Income from events held by other Co-Organisers 1,249 5,499 0 0 0 0 0 6,748 1,249 17,499 0 0 2,815 12,056 3,111 36,730

Income from charitable activities Professional and course fees 0 500 0 0 0 0 0 500 Subscription 0 5,969 0 0 0 0 0 5,969 Miscellaneous income 90 2,229 0 300 0 0 0 2,619 90 8,698 0 300 0 0 0 9,088

TOTAL INCOME 1,339 26,19 7 0 300 3,415 12,056 3,111 46,418

EXPENDITURE Cost of generating funds Expenses from events held by Academy 0 4,230 0 0 426 4,485 1,616 10,757

Cost of charitable activities Awards, grants and honorarium 0 0 0 0 0 0 (313) (313) Refreshment 500 14 0 0 0 0 0 514 Souvenirs and gifts 0 0 0 0 125 0 0 125 Transport expenses 21 47 0 0 51 0 0 119 Venue and meeting packages 0 0 0 0 0 0 (338) (338) 521 61 0 0 176 0 (651) 107

Other expenditure Bank charges 0 0 0 0 45 0 0 45 Examination and training fees 0 243 0 0 0 0 0 243 Other expenses 1,134 0 0 0 317 0 0 1,451 Printing and stationery 0 4 0 0 0 0 0 4 Refreshment 0 220 31 0 0 35 0 286 Transport expenses 7 39 22 0 0 41 0 109 1,141 506 53 0 362 76 0 2,138

TOTAL EXPENDITURE 1,662 4,797 53 0 964 4,561 965 13 ,002

NET INCOM E/(EXPENDITURE) FOR THE YEAR (323) 21,400 (53) 300 2,451 7,495 2,146 33,416

Total funds brought forward 85,590 30,000 886 922 3,903 8,005 3,168 132,474

Total funds carried forward 85,267 51,400 833 1,222 6,354 15,500 5,314 165,890

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 44 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

20. Lecture funds

Lecture Funds Dental Robert Loh Common Fund Gordon Runme Seah Cheng World Yahya Continuing Chee Kuan Paul W Faculty

for Arthur Shaw Siang Congress of Cohen Professional Tsee Ngui Scholarship Advancement Ransome Memorial Memorial Opthalmology Lecture Education Lecture Named Program 2019 of Medicine Oration Lecture Fund Singapore Fund Fund Fund Lecture COPH Total funds INCOME S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Income from generating funds Voluntary income Donations 0 0 0 0 0 0 0 0 0 11,500 11,500

Investment income Interest Income 3,661 1,806 1,072 23,230 0 0 0 0 0 0 29,769

TOTAL INCOME 3,661 1,806 1,072 23,230 0 0 0 0 0 11,500 41,269

EXPENDITURE Cost of charitable activities Accommodation and airfares 6,803 0 0 0 0 0 0 0 0 0 6,803 Awards, grants and honorarium 0 0 0 0 0 0 0 500 500 0 1,000 Bank charges 45 0 0 0 0 0 0 0 0 274 319 Souvenirs and gifts 0 579 0 0 0 0 0 100 0 0 679 Transport expenses 50 0 0 0 0 0 0 60 0 0 110 Venue and meeting packages 0 0 0 0 0 0 0 0 3,890 0 3,890 6,898 579 0 0 0 0 0 660 4,390 274 12,801

Other expenditure Bank charges 60 0 60 65 0 0 0 0 0 0 185 Donations 0 0 0 0 0 0 0 0 0 12,500 12,500 60 0 60 65 0 0 0 0 0 12,500 12,685

TOTAL EXPENDITURE 6,958 579 60 65 0 0 0 660 4,390 12,774 25,486

NET INCOME/(EXPENDITURE) FOR THE YEAR (3,297) 1,227 1,012 23,165 0 0 0 (660) (4,390) (1,274) 15,783

Total funds brought forward 198,088 112,073 66,235 1,448,583 354,063 1,868 10,000 6,998 24,925 1,000 2,223,833

Total funds carried forward 194 ,791 11 3,300 67,2 47 1,4 71 ,748 354,063 1,868 10,000 6, 33 8 20,535 (274) 2,2 39 ,616

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 45 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

20. Lecture funds (Cont’d)

Lecture Funds Dental Robert Loh Common Fund Gordon Runme Seah Cheng World Yahya Continuing Chee Kuan Paul W Faculty

for Arthur Shaw Siang Congress of Cohen Professional Tsee Ngui Scholarship Advancement Ransome Memorial Memorial Opthalmology Lecture Education Lecture Named Program 2018 of Medicine Oration Lecture Fund Singapore Fund Fund Fund Lecture COPH Total funds INCOME S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Income from generating funds Voluntary income Donations 0 0 0 0 0 0 0 0 25,000 1,000 26,000

Investment income Interest Income 820 395 642 13,634 0 0 0 0 0 0 15,491

TOTAL INCOME 820 395 642 13,634 0 0 0 0 25,000 1,000 41,491

EXPENDITURE Cost of charitable activities Accommodation and airfares 15,274 0 0 0 0 0 0 0 0 0 15,274 Donation 15,000 0 0 0 0 0 0 0 0 0 15,000 Souvenirs and gifts 0 0 0 0 0 0 0 0 75 0 75 30,274 0 0 0 0 0 0 0 75 0 30,349

TOTAL EXPENDITURE 30,274 0 0 0 0 0 0 0 75 0 30,349

NET INCOME/(EXPENDITURE) FOR THE YEAR (29,454) 395 642 13,634 0 0 0 0 24,925 1,000 11,142

Total funds brought forward 227,542 111,678 65,593 1,434,949 354,063 1,868 10,000 6,998 0 0 2,212,691

Total funds carried forward 198,088 112,073 66,235 1,448,583 354,063 1,868 10,000 6,998 24,925 1,000 2,223,833

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 46 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

21. Operating lease commitment

Operating lease commitment – where the Academy is a lessor

The Academy has entered into commercial property leases on its investment property to non-related parties under non-cancellable operating leases.

The future minimum rental receivables under non-cancellable operating leases contracted for at the end of the reporting period but not recognised as receivables, are as follows:

2019 2018 S$ S$

Not later than one year 37,500 0

22. Related party transactions and balances

In addition to the related parties’ information disclosed elsewhere in the financial statements, the following transactions with related parties took place at terms agreed between the parties during the financial year:

2019 2018 S$ S$

Event management fees received from related parties (22,053) (82,199) Professional fees paid to related parties 185,184 338,963 Settlement of liabilities on behalf of related parties 21,246 0 Settlement of liabilities on behalf by related parties (526) 0 Fees for introducing members paid to related parties 23,100 34,693 Registration fee collected on behalf of related parties (158,249) (4,824)

23. Employee remuneration bands

No. of employee in remuneration bands: 2019 2018

Below S$100,000 48 54 Above S$100,000 and below S$200,000 3 2

During the current and previous year, none of the directors and key management personnel received any remuneration from the Academy.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 47 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

24. Financial instruments by category

The aggregate carrying amounts of financial assets and financial liabilities at amortised costs are as follows:

2019 2018 S$ S$

Financial assets, at amortised cost Cash and cash equivalents 6,000,809 5,658,630 Fixed deposits 9,602,670 9,159,807 Other receivables 793,697 767,191 16,397,176 15,585,628

Financial liabilities, at amortised cost Other payables 1,717,632 1,906,241

25. Financial risk management

The Academy is exposed to various financial risks arising from its operations. The key financial risks include credit risk, interest rate risk and liquidity risk. The Academy’s Board of Directors (“BOD”) reviews and agrees policies and procedures for the management of these risks.

The following describes the Academy’s exposure to the above-mentioned financial risks and the objectives, policies and processes for the management of these risks:

25.1 Credit risk

Credit risk refers to the risk that the counterparty will default on its contractual obligations resulting in financial loss to the Academy.

i) Risk management

The Academy has adopted the following policy to mitigate the credit risk.

For banks and financial institutions, the Academy mitigates its credit risks by transacting only with counterparties who are rated “A” and above independent rating agencies.

The Academy has adopted a policy of only dealing with creditworthy counterparties and obtaining sufficient collateral where appropriate, as a means of mitigating the risk of financial loss from defaults. The Academy performs ongoing credit evaluation of its counterparties’ financial condition and generally do not require a collateral.

The maximum exposure to credit risk in the event that the counterparties fail to perform their obligation as at the end of the financial year in relation to each class of recognised financial assets is the carrying amount of those assets as stated in the statement of financial position.

ii) Impairment of financial assets

As at the reporting date, there are no amounts arising from expected credit losses for each class of financial assets.

The Academy had applied the simplified approach by using the provision matrix to measure the lifetime expected credit losses for other receivables.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 48 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

25. Financial risk management (Cont’d)

25.1 Credit risk (Cont’d)

ii) Impairment of financial assets (Cont’d)

To measure the expected credit losses, these receivables have been grouped based on shared credit risk characteristic and days past due. In calculating the expected credit loss rates, the Academy considers historical loss rates for each category of customers, and adjust for forward-looking macroeconomic data.

Receivables are written off when there is no reasonable expectation of recovery, such as debtor failing to engage in a repayment plan with the Academy. The Academy categories a receivable for write off when a debtor fails to make contractual payment greater than 3 years past due based on historical collection trend. Where receivables have been written off, the Academy continues to engage in enforcement activity to attempt to recover the receivables due. Where recoveries are made, these are recognised in profit and loss.

The Academy has no significant concentration of credit risk. The Academy has credit policies and procedures in place to minimise and mitigate its credit risk exposure.

As at 31 December 2019 and 2018, the carrying amount of Academy’s other receivables were disclosed in Note 12.

The Academy considered that there was evidence if any of the following indicators were present:

- IThere is significant difficulty of the debtor; or - IBreach of contract, such as default or past due event; or - It is becoming probable that the debtor will enter bankruptcy or other financial Ireorganisation.

Financial assets that are neither past due nor impaired

Other receivables that are neither past due nor impaired are with creditworthy debtors with good payment record with the Academy. Cash and cash equivalents and fixe deposits are placed with or entered into with reputable financial institutions or companies with high credit ratings and no history of default.

Other that the above, there are no credit loss allowance for other financial assets at amortised cost as at 31 December 2019 and 31 December 2018.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 49 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

25. Financial risk management (Cont’d)

25.2 Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of the Academy’s financial instruments will fluctuate because of changes in market interest rates. The Academy’s exposure to interest rate risk arises primarily from their cash and cash equivalents.

The Academy does not expect any significant effect on the Academy’s profit or loss arising from the effects of reasonably possible changes to interest rates on interest bearing financial instruments at the end of the financial year.

Sensitivity analysis for interest rate risk

At the reporting date, the interest rate profile of the Academy’s interest-bearing financial instruments was as follows:

2019 2018 S$ S$

Fixed rate instruments Financial assets Fixed deposits 9,602,670 9,159,807

The sensitivity analysis is based on changes in the interest rates of variable rate financial instruments.

At the reporting date, the Academy does not have variable rate interest-bearing financial instruments.

25.3 Liquidity risk

Liquidity risk is the risk that the Academy will encounter difficulty in meeting its financial obligations due to shortage of funds. The Academy exposure to liquidity risk arises primarily from mis-matches of the maturities of financial assets or liabilities.

The Board monitors and ensures that the Academy maintains a level of cash and cash equivalents deemed adequate to finance the Academy’s operations.

The table below summarises the maturity profile of the Academy’s financial assets and liabilities at the reporting date based on the contractual undiscounted repayment obligations:

Later than one Within one year but not later year than five years Total 2019 S$ S$ S$ Financial assets Cash and cash equivalents 6,000,809 0 6,000,809 Fixed deposits 9,602,670 0 9,602,670 Other receivables (excluding deferred expenditure and prepayments) 793,697 0 767,191 16,397,176 0 16,397,176 Financial liabilities Other payables (excluding GST payable) (1,717,632) 0 (1,717,632)

Net financial assets 14,679,544 0 14,679,544

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 50 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

25. Financial risk management (Cont’d)

25.3 Liquidity risk

Later than one Within one year but not later year than five years Total 2018 S$ S$ S$ Financial assets Cash and cash equivalents 5,658,630 0 5,658,630 Fixed deposits 9,159,807 0 9,159,807 Other receivables (excluding deferred expenditure and prepayments) 767,191 0 767,191 15,585,628 0 15,585,628 Financial liabilities Other payables (excluding GST payable) (1,906,241) 0 (1,906,241)

Net financial assets 13,679,387 0 13,679,387

26. Fair values

As at 31 December 2019, the carrying amounts of financial assets and liabilities recorded in the financial statements of the Academy approximate their fair values due to their short– term nature.

27. Reserve position and policy

The Academy’s reserve position for financial year ended 31 December 2019 is as follows:

Increase/ 2019 2018 (Decrease) S$’000 S$’000 % A Unrestricted Funds Accumulated fund 3,692 3,302 11.81% B Restricted or Designated Funds Designated Funds 0 0 Restricted Funds 7,943 7,051 12.65% C Endowment Funds 7,757 7,910 (1.93%) D Total Funds 19,392 18,263 6% E Total Annual Operating Expenditure 6,844 6,147 11.34% F Ratio of Funds to Annual Operating Expenditure (A/E) 0.54 0.54

Reference: C. An endowment fund consists of assets, funds or properties that are held in perpetuity, which produce annual income flow for a foundation to spend as grants. D. Total Funds include unrestricted, restricted / designated and endowment funds. E. Total Annual Operating Expenditure includes Cost of Generating Funds, Cost of Charitable Activities and Other Expenditure.

The Academy’s Reserve Policy is as follows:

The reserve of the Academy provide financial stability and the means for the development of the Academy’s activities. The Board of Directors intends to maintain the reserves at a level sufficient for its operating needs. The Academy reviews the level of reserves regularly for the Academy’s continuing obligations.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 51 of 52 DocuSign Envelope ID: 420AEF47-F3AB-4BD3-A80F-AEB289B3A680

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements For the Financial Year Ended 31 December 2019

28. Management of conflict of interest

Board of Directors are required to disclose any interest that they may have, whether directly or indirectly, that the Academy may enter into or in any organisations that the Academy has dealings with or is considering dealing with; and any personal interest accruing to him as one of the Academy’s supplier, user of services or beneficiary. Should there be any potential conflict of interest, the affected Board of Directors of Academy may not vote on the issue that was the subject matter of the disclosure. Detailed minutes will be taken on the disclosure as well as the basis for arriving at the final decision in relation to the issue at stake.

29. Comparative figures

Certain reclassifications have been made to the comparative information to enhance comparability with current year’s financial statements. Since the amounts are reclassifications within the statement of financial activities, this reclassification did not have any effect on the statement of financial position and cash flows.

The following reclassification were made:-

As previously As reported Reclassification reclassification S$ S$ S$ 2018 Statement of Financial Activities Income from generating funds Income from events held by Academy 237,357 194,152 431,509 Income from events held by other Co-Organisers 0 6,748 6,748

Cost of generating funds Expenses from events held by 0 200,900 200,900 aa Academy

30. Authorisation of financial statements

The financial statements for the financial year ended 31 December 2019 were authorised for issue in accordance with a resolution of the Board of Directors on 04 May 2020.

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 52 of 52 COLLEGES AND CHAPTERS

The largest specialists’ organisation of over 3,700 members in 13 Colleges and 4 Chapters

COLLEGE OF ANAESTHESIOLOGISTS, COLLEGES AND CHAPTERS SINGAPORE

PRESIDENT’S MESSAGE DR NELSON CHUA

2019 has been a fruitful year for the College of Anaesthesiologists, Singapore (CAS)! A special note of thanks to our former president, Professor Sophia Chew, for her contributions to the College. The College continues to build on its strengths while forging new partnerships and

casting a bigger vision. COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE

In order to build up our capabilities, the College continues to actively engage members, seeking their views and feedback. As part of our outreach, we started an engagement session with newly minted anaesthesiologists who have exited from residency.

We look forward to welcoming more of them as Fellows of our College. We were fortunate to have Master of the Academy, Dr S R E Sayampanathan, join us at an engagement session to share the work of the Academy and College, and to cast the future vision for our younger anaesthetists. The College was consulted by the Fee Benchmark Advisory Committee to look into an issue that had been raised in its report (published in November 2018). The College is committed to improving patient safety and ensuring delivery of high-quality peri-operative care as its priority. We are well positioned to assess changes to the current operating environment and evaluate the effect of those changes on the roles and responsibilities of professionals involved in anaesthesia and peri-operative care. The Committee members engaged all relevant stakeholders in Anaesthesiology over 20 consultation sessions. They are namely Fellows of CAS, anaesthesiologists in private practice, subspecialty interest groups, surgeons, proceduralists, the Fee Benchmark Advisory Committee and the Ministry of Health. I would like to thank the Committee for their hard work. I would also like to express appreciation to the many Fellows of the College and anaesthesiologists who have candidly shared their thoughts and feedback. We hope that the Fee Benchmark Advisory Committee will consider these principles when embarking on its work with Anaesthesiology. On behalf of the College, I thank everyone for your support. With the collective strength of the entire Council, members and secretariat staff, the College will carry on to uphold the spirit of improving patient care and access to safe anaesthesia.

ABOUT THE COLLEGE The Charity was set up on 17 August 2004 as a College with The College’s Coat of Arms was designed by Dr Chen Fun Dr Edward Pang as the first elected President of the College. Gee and the Motto was thought up by Dr George Lim. The It was registered under the Charities Act on 18 August 2004 central shield contains two poppy bulbs signifying the use (Unique Entity Number (UEN): 200410333E). Its registered of opiates for pain relief and the anaesthesia bobbin. In the address is at 81 Kim Keat Road, NKF Centre, #11-00, centre of the shield is the Chevron which symbolises the Singapore 328836. Its internal auditor is Messrs Fiducia coming together of all the medical specialties under one LLP. The College’s financial report is available separately. roof—the Academy. The shield is surrounded by medicinal The College aims to continually work towards improving plants and at the top of the shield, is the National flag of the quality of anaesthesia practice and to foster a small but Singapore. The banner below the shield contains the College closely knitted anaesthesia fraternity in Singapore. motto, “Semper Vigilant” meaning “Ever (always) Vigilant”. THE 2019-2020 COUNCIL President Dr Nelson Chua Ping Ping Director (from 18 May 2016) Immediate Past President Dr Sophia Chew Tsong Huey Director (from 22 May 2010) Vice-President Dr Terence Quah Chien Choon Director (from 18 May 2016) Honorary Secretary Dr Tan Soo Guan Director (from 23 May 2018) Honorary Treasurer Dr Terry Pan Ling Te Director (from 23 May 2018) Council Members Dr Edwin Seet Chuen Ping Director (from 23 May 2018) Dr Yeo Sow Nam Director (from 8 May 2015) Dr Lie Sui Ann Director (from 23 May 2018)

ANNUAL REPORT 2019 | 33 COUNCIL MEETINGS MEMBERSHIP The Council met four times in 2019 to conduct the business As of 31 December 2019, the College membership stood and affairs of the College: 5 March, 25 June, 19 September at 180 Fellows, comprising 173 Local Fellows and seven and 26 November. The attendance record of the meetings Overseas Fellows. The following members were admitted is as follows: as Fellows of the Academy of Medicine, Singapore (FAMS) and welcomed into CAS in 2019: NAME DESIGNATION ATTENDANCE ••Dr Hazel Chan Su Pin ••Dr See Tho Ving Yuen Dr Nelson Chua 4 President •• Dr Goh Qing Yuan ••Dr Jonathan Tan Jit Ern COLLEGES AND CHAPTERS Ping Ping •• Dr Shirley Goh ••Dr Tan Hon Liang Dr Sophia Chew Immediate Past 4 ••Dr Joshi Ashutosh ••Dr Alvin Teo Yeng Hok President ••Dr Leong Xin Fang •• Dr Thangavelautham Dr Terence Quah Vice-President 3 •• Dr Eileen Lew Suhitharan ••Dr Ng Von Vee ••Dr Wong Weng Hoa Dr Tan Soo Guan Honorary Secretary 2 ••Dr Jensen Ng Jiansheng ••Dr Vincent Yeo Swan Thong Dr Terry Pan Honorary Treasurer 4 •• Dr Ong Say Yang •• Dr Antonia Zeng Ling Dr Edwin Seet Council Member 4 * 180 Dr Yeo Sow Nam Council Member 3 180 Dr Lie Sui An** Council Member 1 159 146 *** 150 140 Dr Chong Jin Long Co-Opted Member 1 127 134 Dr Koh Kwong Fah*** Council Member 1 120 *Re-elected in May 2019 **Elected in May 2019; on overseas Fellowship until January 2020 90 ***Stepped down in May 2019 60

ANNUAL GENERAL MEETING 30 The College‘s 15th Annual General Meeting was held on 25 0 May 2019 at Tan Tock Seng Hospital. A total of 34 Fellows 2014 2015 2016 2017 2018 2019 attended the meeting. COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE ANAESTHESIOLOGISTS, COLLEGE OF ACTIVITIES

ANAESTHESIA REFRESHER COURSE The College held its 13th annual Refresher Course, themed Dr Lie Sui An, Chairman of 2019 Refresher Course was ‘Advancing Anaesthesia Safety and Precision Care’ on 6-7 joined by: Dr Raveenthiran Rasiah, President, College of April 2019 at Melia Hanoi, Vietnam. Anaesthesiologists, Academy of Medicine of Malaysia; A/Prof Cong Quyet Thang, President, Vietnam Society of The organising committee had worked hard to put together Anaesthesiologists; Prof Cheung Chi Wai, President, The an invigorating course where anaesthesia safety matters, Hong Kong College of Anaesthesiologists; A/Prof Edmund professionalism and guideline updates were discussed. So, President, Taiwan Society of Intravenous Anaesthesia, Associate Professor, China Medical University; A/Prof Ti As a platform for anaesthetists to exchange ideas and Lian Kah, Research Director, Department of Anaesthesia, enrich their knowledge and skills, the participants had Yong Loo Lin School of Medicine, National University of a dynamic interaction with the speakers on issues that Singapore. involved professionalism and the changing landscape of our practice. The Scientific Program had been impactful and positive feedback was received from the participants.

The CAS 13th Refresher Course held on 6-7 April 2019 focused on Anaesthesia Safety forum discussion. ‘Advancing Anaesthesia Safety and Precision Care’.

ANNUAL REPORT 2019 | 34 COLLEGES AND CHAPTERS COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE 30 September 2019 at Tan Tock Seng Hospital, 24 April 2019 at Goodwood Park Hotel, this talk

lk: The Benefits and Risks of Deep on 14 September 2019 at Carlton Hotel, CAS 35 on CME Talk: Sleep-Breathing in the Peri-Operative State: Beyond Obstructive Sleep Apnea Held CME Ta Neuromuscular Blockade in Modern Anaesthesia Held on was talk The Suggamadex. Bridion with co-organised was delivered by Dr Paul Stewart from University of Sydney. UTOPIA (Updates on Best Practices in Perioperative Care) Scientific Congress Held co-organised this congress with College Singapore and Fondazione Internazionale Menarini. of The Surgeons, congress featured renowned key opinion leaders from Singapore and overseas sharing their best practices over a broad and impactfulfrom scientific medical programme ethics, peri-operative ranging management, risk management in surgery, to continuing education as well as a glimpse at the future of medicine. this talk was co-organised with Whiterock Medical Asia. from Thomas Joseph Robert Dr by delivered was talk The Harvard Medical School. • • • CO-ORGANISED BY THE COLLEGE THE BY CO-ORGANISED • • • ACTIVITIES WITH CAS PARTNERS WITH CAS ACTIVITIES SENIOR RESIDENTS ENGAGEMENT DINNER ENGAGEMENT SENIOR RESIDENTS The Senior Residents Engagement Dinner was held on 19 September 2019 at Hotel Fort Canning with CAS Council and some invited senior residents. Master of the Academy of Medicine, Singapore, Dr S R was in attendance E invited residents to join as Sayampanathan, Fellows and who to uphold the mission of promoting and advancing good clinical practices in Singapore. ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL year year nd nd 2 2 June 2019 Intake (July 2016) Intake (May 2018) nd rd GRADUATION DATE GRADUATION DATE GRADUATION TRAINING PROGRESS TRAINING 16 FEBRUARY 2019 Hospital in Singapore General Medicine Service Perioperative Abdullah Dr Hairil Rizal Singapore General Hospital Services, Department of Anaesthesiology, Clinical Director, Perioperative 44 25 JUNE 2019 Neurointensive Care Update Neuroanaesthesia and Dr Beatrice Lim and Pain Medicine, Tan Tock Seng Hospital of Anaesthesiology, Intensive Care Consultant, Department 21 SEPTEMBER 2019 Updates in Regional Anaesthesia Department of Anaesthesiology, Khoo Teck Puat Hospital Head of Department and Senior Consultant, 49 Intake (July 2015) who has graduated with the Diploma st Dr Saw Nay Myo (KKH) NAME Dr Joselo Macachor (KTPH) 2019 January NAME Dr Moe War (NTFGH) Dr Maria Dhahrani Aman (SGH) June 2019 NAME DATE Theme Chairperson VenueTotal Attendees DATE General Hospital Singapore Theme Chairperson VenueTotal Attendees 62 Tan Tock Seng Hospital Theme Chairperson Edwin Seet Chuen Ping A/Prof VenueTotal Attendees Yishun Community Hospital DATE Dr Rhommela Garis-Duran (SKH) Garis-Duran Rhommela Dr are currently in training. The College congratulates the following The Collegecongratulates the following candidate from the 1 The College rolled out the SRS scheme in July 2015. This was in response to the Academy of Medicine, Singapore’s recommendation of conductingprogramme with on-the-job a structured training for foreign diploma not are recognised by the whose specialist degrees doctors Singapore Accreditation Boardschools and/or are whose not medical recognised Council. The programme was by endorsed by the Ministry of the Singapore Health. Medical SRS – DIPLOMA IN ANAESTHESIOLOGY IN ANAESTHESIOLOGY – DIPLOMA SRS COURSE COMBINED ANAESTHETIC MEETINGS MEETINGS ANAESTHETIC COMBINED 2019. in Meetings Anaesthesia Combined three organised had Anaesthesiologists of Society Singapore the and College The had also graduated with the Diploma in Anaesthesiology Course. in Anaesthesiology Course. The following candidates from the 2 The following candidates from the 3 ENDORSED BY THE COLLEGE PROFESSIONAL OPINION ••ERAS (Enhanced Recovery After Surgery) Asia Congress The College has submitted a professional opinion on the 2019 following topic: This was the first ERAS® Asia Congress to be held in Singapore (from 27-28 September 2019 at Suntec TOPIC ORGANISATION Singapore), with the support of ERAS® Society, ERAS Clarification on the Guidelines on Ministry of Chapter (Singapore) and ERAS Chapter (Philippines). Safe Sedation Practice for Non- Health Anaesthesiologists COLLEGES AND CHAPTERS This meeting was a great platform for surgeons, anesthesiologists, nurses and allied health professionals EXPERT OPINION REPORT to share knowledge and practical tips on ERAS The Regulatory Compliance & Enforcement Division under implementation, protocols and discuss controversies the Ministry of Health had requested an Independent surrounding latest developments in peri-operative care. Committee to Review Case of Liver Transplant Related PILOT SELF-LEARNING MODULES (SLM) Death [Case 2]. The Academy’s SLM programme has been made available Dr Loo Chian Min has been tasked to chair this workgroup for Fellows’ self-learning since May 2018. The SLM entitled along with Prof Ang Tiing Leong from Chapter of ‘Anaesthesiology Module 1’ had been attempted 13 times Gastroenterologists. between May 2018 and 31 December 2019.

FUTURE PLANS AND ACTIVITIES EVENT DATE VENUE Combined Anaesthesia Meeting 1 (With Chinese New Year ‘Lo Hei’) 1 February 2020 Sengkang General Hospital CAS Annual Refresher Course 30 May 2020 York Hotel Combined Anaesthesia Meeting 2 15 August 2020 Changi General Hospital Annual General Meeting 30 May 2020 York Hotel Combined Anaesthesia Meeting 3 7 November 2020 Ng Teng Fong General Hospital COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE ANAESTHESIOLOGISTS, COLLEGE OF

ANNUAL REPORT 2019 | 36 COLLEGES AND CHAPTERS COLLEGE OF DENTAL SURGEONS, SINGAPORE year anniversary year th the representative(s) in the Chapters, Specialist DR ANDREW OW 37 College will improve and co-ordinate professional The development with Specialty Societies and likelocally, regionally and internationally. bodies, Through Societies will be able to contribute to the development • • The objectives of the Charity are as follows: • • PRESIDENT’S MESSAGE PRESIDENT’S ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL 200815442W). It was Anniversary of the College of Dental Surgeons, th year anniversary, CDSS hosted a celebratory dinner at The Sheraton Towers, Singapore Towers, in October CDSS dinner at The Sheraton hosted a celebratory anniversary, year COLLEGE OF DENTAL SURGEONS, SURGEONS, OF DENTAL COLLEGE SINGAPORE th 2019 marked the 10

Wishing all Fellows a Happy and Safe 2020! I would also like to thank our past CDSS Council (2018-2019) for all their efforts in spearheading the projects we have better you serve to able be will we that hope and support your for Fellows our all thank also I year. the throughout run in your professional career. Finally, I would like to especially thank Master of AMS, Dr S R E Sayampanathan, Council and AMS staff for their continued support and invaluable advice. I would like to express my deepest gratitude to all our past CDSS Presidents, Council members and Chapter committee Chapter and members Council Presidents, CDSS past our all to gratitude deepest my express to like would I to carry foundation a solid Council current the giving for and College, the to contributions significant their for members on the good work for our dental profession. The Joint Committee for Dental Specialist Accreditation (JCDSA) is an integral part of CDSS, reinforcing the commitment the reinforcing CDSS, of part integral an is (JCDSA) Accreditation Specialist Dental for Committee Joint The by CDSS to ensure the highest standards of professional education and training for our dental specialists. On behalf of the Dental Specialist Accreditation Board (DSAB), two successful exam diets were held in March2019. Much credit has andto be given to September our JCDSA Chairperson, Dr Henry Ho, and all the Dental Specialist Accreditation these of conduct successful the to ensure tirelessly worked have who members, committee and Chairmen Committee exam diets. CDSS, together with JCDSA, will continue to uphold the standards of these exams and further streamline the conduct of these assessments. I would like to extend my gratitude and appreciation to our organising committee Chairman, Dr Poh Yu-Jin, and Co- Chairman, Dr Chang Kok Meng, for their leadership, and the organising committee fortheir hard work and sacrifice in putting the symposium together. Also, I would like to extend my heartfeltthe thanks Singapore to all Dental our Association, esteemed our speakers, sponsors especiallyand symposium a success. our delegates, whocontributed have to make this celebrations, CDSS held its Biennial Scientific Symposium, titled ‘Controversies in Dentistry’ at The Sheraton Towers, symposium The Singapore. This all. symposium was highly unique, as with for the very first time, CDSS experience had brought together all our esteemed and expertise clinical their share to platform, common a onto specialists dental local in attendance. was a success, with about 400 delegates Singapore (CDSS). Since its initial formationthe as years a Chapter and in under 1979, over dental the specialty body has leadership grown professionally—in both of membership and many prominence. eminent colleagues, our 2019. Our Chief Dental Officer, Dr Chng Chai Kiat, was the guest-of-honour. Together with our past CDSS Presidents, 10 the with conjunction In celebrations. festive the in partook he guests, invited and Chairs Chapter To celebrate our 10 To celebrate On 6 August, 2008, the Chapter was formally inaugurated as the College of Dental Surgeons, auspices of Singapore the Academy of (under Medicine, Singapore the [AMS]) with an executive council and six Chapters representing the six dental specialties. registered under the Charities Act on registered 27 June address 2014. is Its at 81 Kim Centre, Keat Singapore 328836. Road, Its banker #11-00 is UOB NKF and auditor is Fiducia LLP. The College of Dental Surgeons, Singapore (CDSS) was set up on 6 August 2008 as a Company Limited by Guarantee (Unique Entity Number (UEN): ABOUT THE COLLEGE of clinical practice guidelines, recommendation of ••The College will also collaborate with other Dental clinical indicators to the relevant authorities, drafting Colleges internationally and contribute to dental of consensus/position statements, certification and specialist organisations regionally. recertification of specialists, etc. The College may also ••The College will aim to be proactive and take leading provide secretariat support to societies who need such roles in the professional development and self-regulation support. of the dental fraternity. ••The College will help to fulfil the professional development of dental specialist by conducting several The College is financially supported by donations, income

COLLEGES AND CHAPTERS continuing professional education activities every year from conducting the specialist accreditation examinations for dental specialists. and income generated from activities organised by ••In addition to carrying out continuing education for the College. As of 31 December 2018, there is one full- specialists, the College also plans to work towards time administrative staff allocated on a shared basis the conduct of educational activities for non-dental from Academy of Medicine, Singapore to help with the professionals and lay publics, thus strengthening its administrative work. The College’s financial report is “social role” for dental specialists. available separately.

THE 2019-2021 COUNCIL President Dr Andrew Ow Director (from 23 May 2012) Vice-President Dr Poh Yu-Jin Director (from 7 May 2014) Honorary Secretary Dr Chang Kok Meng Director (from 24 May 2016) Honorary Treasurer Dr Lui Jeen Nee Director (from 22 May 2013) Council Members Dr Henry Ho Director (from 22 May 2013) Dr Lai Ye Choung Director (from 4 May 2018) Dr Toh Siew Luan Director (from 22 May 2013) Co-Opted Council Member Dr Andrew Aw Director (from 20 Apr 2015) Chairman, Chapter of Endodontists Dr Tay Li Chye Director (from 20 April 2015)

COLLEGE OF DENTAL SURGEONS, SINGAPORE SURGEONS, COLLEGE OF DENTAL Chairman, Chapter of Oral & Maxillofacial Surgeons Dr Shawn Goh Director (from 25 May 2017) Chairman, Chapter of Orthodontists Dr Geraldine Lee Director (from 25 May 2017) Chairman, Chapter of Paediatric Dentists Dr Bien Lai Wen Pui Director (from 25 May 2017) Chairman, Chapter of Periodontists Dr Wong Li Beng Director (from 25 May 2017) Chairman, Chapter of Prosthodontists Dr Clarisse Ng Director (from 22 May 2019) Chairman, Chapter of Public Health Dentists Dr Gabriel Chong Director (from 25 May 2017) SPECIALTY CHAPTERS The Committee Members of the seven Chapters of the CHAPTER OF PERIODONTISTS College (2019-2020) are as follows: Chairman Dr Wong Li Beng CHAPTER OF ENDODONTISTS Vice-Chairman Dr Tan Wah Ching Chairman Dr Tay Li Chye Honorary Secretary Dr Yang Jingrong Vice-Chairman Dr Lui Jeen Nee Committee Member Dr Daylene Leong Secretary Dr Kuah Hong Guan Committee Member Dr Jonathan Foo Committee Member Dr Benny Goh Committee Member Dr Wu Siwen CHAPTER OF PAEDIATRIC DENTISTS Chairman Dr Bien Lai Wen Pui CHAPTER OF ORTHODONTISTS Vice-Chairman Dr Terry Teo Chairman Dr Geraldine Lee Committee Member Dr Tang Kok Siew Vice-Chairman Dr Sylvia Tan Committee Member Dr Vicpearly Wong CHAPTER OF PROSTHODONTISTS Committee Member Dr Patricia Yeong Chairman Dr Clarisse Ng Committee Member Dr Marina Teh Vice-Chairman Dr Simon Ng Dih Hann Honorary Secretary Dr Seetoh Yoong Liang CHAPTER OF ORAL & MAXILLOFACIAL SURGEONS Committee Member Dr Kelvin Khng Kwang Yong Chairman Dr Shawn Goh Vice-Chairman Dr Lye Kok Weng CHAPTER OF PUBLIC HEALTH DENTISTS Honorary Secretary Dr Wee Tze Haur Chairman Dr Gabriel Chong Committee Member Dr Winston Tan Vice-Chairman Dr Hemalatha Nathan Committee Member Dr Clement Lye Poh Wah Committee Member Dr Holy Koh Jr

ANNUAL REPORT 2019 | 38 COLLEGES AND CHAPTERS COLLEGE OF DENTAL SURGEONS, SINGAPORE i 6 6 6 3 4 4 5 3 2 5 1 1 4 3 4 2 ATTENDANCE a rie Tey Hwee Shinn Hwee rie Tey Ruixiang Dr Vale Dr Toh Hui En Dr Yee Dr Lydia Yong Cuiwe Dr Yu N • • • • • • • • • • ang Ming ian Meng 39 Dr N Dr Melvin Liew K Dr Philip Martin McLoughlin Dr Qian Li Dr Tan K • • HengHuiMianora • • • The following were admitted into the FellowshipAcademy of Medicine, Singapore: of the • • • • • Former CDSS Presidents and Chairpersons with current CDSS President, Dr Andrew Ow. From left: Dr Andrew Aw, Dr David Tay, Dr Andrew Ow, Prof Loh Hong Sai, Dr Chung Kong Mun, Dr Chan Siew Luen, Dr Bryce Lee. From left: Dr Andrew Aw, Dr Bryce Lee, Dr Andrew Ow, Dr David Tay, A/Prof Patrick Tseng, Dr Poh Yu-Jin. ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL DESIGNATION President Vice-President Secretary Treasurer Council Member Council Member Council Member Co-Opted Member Chairman, Chapter of Orthodontists Chairman, Chapter Chairman, Chapter of Endodontists Chairman, Chapter Chairman, Chapter of Paediatric Dentists Chairman, Chapter of Periodontists Chairman, Chapter of Prosthodontists Chairman, Chapter of Prosthodontists anniversary on 11 October on 11 anniversary th ** ANNIVERSARY DINNER ANNIVERSARY TH

* *** at the NKF Centre, Singapore. The networking The Singapore. Centre, NKF the at NAME Dr Andrew Ow Dr Andrew Dr Poh Yu-Jin Dr Chang Kok Meng Dr Lui Jeen Nee Dr Henry Ho Chee Wai Dr Toh Siew Luan Dr Lai Ye Choung Dr Andrew Aw Dr Geraldine Lee Ping Dr Tay Li Chye ShyongDr Shawn Goh Siak Dr Bien Lai Wen Pui Dr Wong Li Beng & Maxillofacial Surgeons Chairman, Chapter of Oral Dr Elvin Leong Woei Jian Dr Gabriel Chong Tse Feng Chairman, Chapter of Public Health Dentists Dr Clarisse Ng ACTIVITIES event aimed to give non-Fellows an opportunity to meet, interact and share with Fellows of the College. 2019 at the Sheraton Towers Hotel, Singapore. Many guests Many Singapore. Hotel, Towers Sheraton the at 2019 A College. the of presidents past the including invited, were sand artist performed to commemorate the event and the night concluded with a cake-cutting session. From left: Dr Poh Yu-Jin, Dr Chng Chai Kiat (Chief Dental Officer), Dr Tan Hee Hon, Dr Andrew Ow, Dr Bryce Lee. The College celebrated its 10 The Collegecelebrated COLLEGE OF DENTAL SURGEONS, SURGEONS, OF DENTAL COLLEGE 10 SINGAPORE The College held a New Year Get-Together session on 20 2019 February CDSS NEW YEAR GET-TOGETHER 2019 GET-TOGETHER CDSS NEW YEAR MEMBERSHIP membership stood the College’s 2019, of 31 December As at 285. There were Fellows and five Ordinary Members. 271 Local Fellows, nine Overseas *Stepped down on 21 May 2019 and Co-Opted on 22 May 2019 *Stepped down on 21 May 2019 and Co-Opted on **Stepped down on 22 May 2019 ***Joined on 22 May 2019 COUNCIL MEETINGS COUNCIL of the record attendance The College. the of affairs and business the discuss to year the for held were meetings Council Six is as follows: meetings COLLEGE OF DENTAL SURGEONS, The College also organised a series of workshops for the SINGAPORE 10TH CONFERMENT various specialities in conjunction with the symposium. The CEREMONY 2019 symposium was attended by close to 400 participants. th The College held its 10 Conferment Ceremony on 22 May JOINT COMMITTEE FOR DENTAL 2019 at the Holiday Inn Singapore Atrium. The College was privileged to have Dr Chng Chai Kiat, Chief Dental Officer, SPECIALIST ACCREDITATION EXAMS Ministry of Health, as the CDSS Distinguished Guest Orator. The Joint Committee on Dental Specialist Assessment conducted its exit examination in March and September COLLEGES AND CHAPTERS The College conferred Fellowship certificate and a collar pin 2019 at the Academy of Medicine, Singapore. The bearing the College’s logo to eight Fellows of the College: assessments involved four specialties. Dr Tan Kian Meng, Dr Lum Jing Li, Dr Chan Pei Yuan, Dr Foo Lean Heong, Dr Irene Sim Guat Bee, Dr Song Yi Lin, Dr PROFESSIONAL OPINION Alexander Chee Kuan Hock and Dr Clarisse Ng. The College provided professional opinions on various topics requested by various external parties. The COLLEGE OF DENTAL SURGEONS, professional opinions are listed below. SINGAPORE SCIENTIFIC SYMPOSIUM TOPIC ORGANISATION 2019: CONTROVERSIES IN DENTISTRY Dental Procedure By a Non-Dentist Ministry of Health Teeth Whitening Procedure By Non- Singapore Dental Registered Dentists Council Teeth Whitening Ministry of Health Dental Instruments Packed in Ministry of Health Compromised Packaging Teeth Whitening (Case 12) Ministry of Health FUTURE PLANS AND COMMITMENTS The College will continue to conduct activities that meet its COLLEGE OF DENTAL SURGEONS, SINGAPORE SURGEONS, COLLEGE OF DENTAL objectives as stated in this annual report.

Publicity material featuring the CDSS Scientific Symposium 2019.

The College organised and held its first ever Scientific Symposium from 12 to 13 October 2019 at the Sheraton Towers Hotel, Singapore.

ANNUAL REPORT 2019 | 40 COLLEGE OF OBSTETRICIANS AND COLLEGES AND CHAPTERS GYNAECOLOGISTS, SINGAPORE

PRESIDENT’S MESSAGE DR YONG TZE TEIN

2019 was an eventful year for the medical fraternity. When the fine of $100,000 was imposed on Dr Lim Lian Arn for not telling a patient on the side effects of a common injection, it

caused an uproar. This “injustice” roused an online petition asking the Ministry of Health COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE (MOH) to clarify its stand on “informed consent”. This was followed by another outcry about the Singapore Medical Council’s (SMC) decision to fine a psychiatrist S$50,000 for failing to maintain patient confidentiality.

In the wake of these two contentious disciplinary tribunal rulings, MOH appointed a workgroup to review the disciplinary process, the taking of informed consent and patient’s confidentiality. As this has wide-ranging impact on how medicine is practised and regulated in Singapore, this workgroup included the three professional bodies, the College of Family Physicians Singapore, the Singapore Medical Association and the Academy of Medicine, Singapore.

The Academy and the College thus play an important role, not only in upholding standards, but in making sure that we are represented in matters regarding our profession. In the coming year, we will be working on the workgroup’s recommendations on informed consent.

From the responses to the Table of Surgical Procedures (TOSP) survey, we submitted our justifications based on the input to MOH to recommend changes on the TOSP. A series of educational seminars on genetics and genomics have also been started (in line with the new requirements meted out by standards for provision of genomic and genetic services). Besides our usual College events, we have also been working with partner organisations on deep vein thrombosis in pregnancy guidelines and looking at reducing the Statute of Limitations due to our rising medical insurance costs. This is in its early stages but we will continue to explore all options.

I would like to take this opportunity to express my heartfelt gratitude to the Council members for their hard work and dedication and to thank all of you for your support and for stepping forward when called upon.

“Alone, we can do so little; together we can do so much,” Helen Keller.

ABOUT THE COLLEGE The Charity was set up on 17 August 2004 as a College. It international links were also made and renowned Visiting was registered under the Charities Act on 18 August 2004 Fellows/Academicians from overseas were invited by the (Unique Entity Number (UEN): 200410332N). Its registered Chapter to speak and participate in academic activities. address is at 81 Kim Keat Road, NKF Centre, #11-00, Singapore 328836. Its internal auditor is Fiducia LLP. As of In the tradition of its predecessor, the College continues 31 December 2018, there is no full time administrative staff to involve itself in training, continued medical education employed by the Charity. The College’s financial report is and examination activities. This also includes producing available separately. consensus guidelines and distance learning programmes for the purpose of achieving best practices. An important The objectives of the Charity are as follows: The Chapter milestone was the signing of the MOU on 3 September 2005 of Obstetricians and Gynaecologists (O&G), started by a for the conjoint MRCOG/MMed examination between the pioneering group of nine O & G specialists in 1969, had as RCOG and the College of O&G, Singapore. The first conjoint its main objectives of encouraging postgraduate training, MRCOG/MMed examination was held on 8 May 2006. education and research. The College is well poised to address the challenges ahead In the years that followed, continued medical education including keeping the high standards of practice and and professional development played an important aspects ensuring that every practitioner maintains competence in of the Chapter’s activities, in close collaboration with his practice. its sister societies and organisations. Close regional and

ANNUAL REPORT 2019 | 41 THE 2019-2020 COUNCIL President Dr Yong Tze Tein Director (from 3 November 2003) Vice-President Dr Jasmine Mohd Director (from 16 September 2010) Honorary Secretary Dr Mahesh Choolani Director (from 1 September 1997) Honorary Treasurer Dr Khoo Chong Kiat Director (from 24 July 2009) Council Members Dr Serene Thain Pei Ting Director (from 1 May 2019) Dr Shakina Rauff Director (from 11 May 2016)

COLLEGES AND CHAPTERS Dr Tan Lay Kok Director (from 30 May 2018) Co-Opted Members Dr Ho Tew Hong Director (from 1 February 1984) Dr Tan Hak Koon Director (from 1 September 1997) Dr Yong Eu Leong Director (from 1 January 2010) Chairman, Section of Gynaecological Oncology Dr Jeffrey Low Jen Hui Director (from 1 May 2019) Chairman, Section of Maternal Fetal Medicine Dr George Yeo Seow Heong Director (from 17 March 1986) Chairman, Section of Reproductive Medicine Dr Tan Heng Hao Director (from 25 May 2017) Chairman, Section of Urogynaecology Dr Jason Lim Shau Khng Director (from 11 May 2016) Chairman, Section of Gynaecology Endoscopy Dr Khoo Chong Kiat Director (from 22 May 2012) COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE AND GYNAECOLOGISTS, COLLEGE OF OBSTETRICIANS

Seated (from left to right): Dr Jasmine Mohd (Vice-President), Dr Yong Tze Tein (President), Dr Mahesh Choolani (Honorary Secretary), Dr Khoo Chong Kiat (Honorary Treasurer; Chairman, Section of Gynaecology Endoscopy)

Standing (from left to right): Dr Jeffrey Low Jen Hui (Chairman, Section of Gynaecological Oncology), Dr Tan Heng Hao (Chairman, Section of Reproductive Medicine), Dr Jason Lim Shau Khng (Chairman, Section of Urogynaecology), Dr Tan Lay Kok (Council Member), Dr Serene Thain Pei Ting (Council Member), Dr George Yeo Seow Heong (Chairman, Section of Maternal Fetal Medicine)

Not in photo: Dr Shakina Rauff (Council Member), Dr Ho Tew Hong (Co-Opted Member), Dr Tan Hak Koon (Co-Opted Member), Dr Yong Eu Leong (Co-Opted Member)

COUNCIL MEETINGS Six Council meetings were held for the year to discuss the business and affairs of the College. The attendance record of the meetings is as follows: NAME DESIGNATION ATTENDANCE Dr Yong Tze Tein President 6 Dr Jasmine Mohd Vice-President 3 Dr Mahesh Choolani Honorary Secretary 3 Dr Khoo Chong Kiat Honorary Treasurer/Chairman, Section of Gynaecology Endoscopy 6 Dr Tan Lay Kok Council Member 3 Dr Mary Rauff* Council Member 1 Dr Shakina Rauff Council Member 0 Dr Serene Thain Pei Ting** Council Member 3 Dr George Yeo Seow Heong Chairman, Section of Maternal Fetal Medicine 6

ANNUAL REPORT 2019 | 42 COLLEGES AND CHAPTERS COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE

TH 0 0 1 1 1 3 3 1 ATTENDANCE World Congress of th INGAPORE INTERNATIONAL INTERNATIONAL INGAPORE S TH 43 Dr Gosavi Arundhati Tushar Dr Gosavi Arundhati Dr Celene Hui Yan Yan Dr Sheri Lim Ee-Lin Dr Nau’shil Kaur Randhawa Dr Tan Thiam Chye Dr Steven Teo Dr Yang Liying

Attendees heard a lecture on ‘Early and Late Fetal Growth Restriction’ by Professor Gerald HA Visserthe European Association of Perinatal Medicine) (President and a talk of on ‘Prevention of Preterm Birth: Progesterone, Pessary or at and Chair Gian Carlo (Professor Professor by Cerclage’ University of Perugia). Professor George Yeo gave a on talk ‘Screening for Abnormally Invasive Placenta in the First Trimester’. ISUOG held in Singapore in October 2018, the organising committee aims to updatelatest regional colleagues developments on the Hence, in internationally renowned obstetrics experts were and on ultrasound invited as speakers gynaecology. to share their commonly encountered in views daily practice and on on the latest issues developments in the field. four main of focus areas in were the Approved There Course: 1) Placenta Accreta; Testing/Genomics; 3) Combined First Trimester Screening; 2) Non-Invasive Prenatal and 4) Adnexal/Ovarian to Tumour. be The academically stimulating course practitioners, but proved to alsonot to clinicalonly ultrasound practitioners,paediatricians and geneticists in the region. perinatal THE 15 Hospital Children’s and Women’s KK at held was event This from 29 April to 1 May 2019. It attracted close to 160 local and overseas delegates and faculty. Following the success of the 28 The College welcomed a total The Collegewelcomed of in members seven new 2019: • • • • • • • SOCIETY OF ULTRASOUND IN OBSTETRICS IN OBSTETRICS SOCIETY OF ULTRASOUND (ISUOG) APPROVED & GYNAECOLOGY WITH THE 8 IN CONJUNCTION COURSE SCIENTIFIC CONGRESS OF COGS SCIENTIFIC CONGRESS

26 on

ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL DESIGNATION DESIGNATION Co-Opted Member Co-Opted Member Co-Opted Chairman, Section of Maternal Fetal Medicine Fetal Section of Maternal Chairman, Oncology Gynaecological Section of Chairman, Oncology Gynaecological Section of Chairman, Section of Urogynaecology Chairman, Medicine Reproductive Section of Chairman, Member Co-Opted Health Regulation Group OSIUM MOH

* **

genetics-related topics such as genetic Annual General Meeting was held on 1 th * courses on

standards in the Code of Practice require ordering Joined on 1 May 2019 NAME Dr Tan Hak Koon Dr Tan Dr Tan Heng Hao Heng Dr Tan Hong Dr Ho Tew Eu Leong Dr Yong Dr Low Jen Hui Jeffrey Dr Low Kuei Lim Yong Dr Timothy Shau Khng Dr Jason Lim Dr Lai Fon-Min Retired on 1 May 2019 ACTIVITIES counselling and NIPT, completion of onlineattendance at genetics-related seminars and workshops. modules or As of 31 December 2019, the College had 2019, a total of 243 As of 31 December members comprising 232 (Overseas) and one Honorary Fellow. Fellows (Local), 10 Fellows MEMBERSHIP ANNUAL GENERAL MEETING ANNUAL The College’s 15 * ** The College and Medicine the at KK Department Women’s of jointly organised and a symposium on 27 February Children’s 2019 Maternal at KK Hospital Fetal had Women’s and Children’s Hospital. CME EVENING SYMP doctors to have relevant managing a disease qualifications or condition. They alsoor trainingthese specify relevant that qualifications/training in need to potentially include These standards apply to many Level 3 genetic/genomic tests which are testing prenatal routinely non-invasive as (such Obstetrics in practice ordered in the daily[NIPT], karyotyping and chromosomal micro-arrays). clinical The and the Genetic Testing Advisory Committee had released a code of practice on standards for the provision of clinical and clinical laboratory genetic/genomic testing services on 29 June 2018. The College had ‘Updates organised on Prenatal a Genomics for half-day Obstetricians’ symposium on UPDATES ON PRENATAL GENOMICS FOR FOR GENOMICS ON PRENATAL UPDATES OBSTETRICIANS The initiative is to better equip O&G specialists/trainees in preparation for new standards that will be implemented from December 2020. The January 2019 at KK Women’s and Children’s Hospital. This first workshop was attended by 185 O&G specialists from both the public and private sectors. May 2019 at KK Women’s and Children’s Hospital. It was attended by 20 Fellows. The College also organised the second run of ‘Updates Dr Edwin Chandraharan (Lead Clinician from Labour Ward, on Prenatal Genomics for Obstetricians’ as part of the Lead for Clinical Governance (O&G) and Clinician Director 8th Scientific Congress of COGS. Dr William Hsiao (Senior for Women’s Services of St George’s University Hospitals Consultant, Taipei City Hospital, Women and Children Foundation Trust) ran the highly popular Masterclass on Campus) shared on his eight years of experience with the physiology-based cardiotocography (CTG) interpretation. clinical application of chromosomal micro-array (CMA) in prenatal diagnosis. Drs Tony Tan and Lai Fon-Min also shared on how they counsel patients for CMA. This was

COLLEGES AND CHAPTERS followed by a case discussion of interesting cases with audience participation.

Ms Christina Choi (Principal Genetic Counsellor, Antenatal Diagnostic Centre of KK Women’s and Children’s Hospital) spoke on the current guidelines and how her hospital applies prenatal counselling on CMA. Dr Saumya Shekhar Jamuar (Senior Consultant, Genetics Service of KK Women’s and Children’s Hospital) spoke on ‘The Genetic Toolbox Dr Edwin Chandraharan led the interactive one-day course which Besides CME for Prenatal Care’. received good feedback from participants.

TH THE 16 COLLEGE LECTURE & DINNER This interactive one-day course received good feedback This event took place at Royal Pavilion Ballroom, Regent from all midwives and obstetricians involved in Singapore on 30 April 2019. The College is thankful for the interpreting CTG traces. The course covered the following: support of the 200 participants that filled up 20 banquet ‘Undestanding the Limitations of CTG’, ‘Pathophysiology of tables (comprising College members and invited guests). CTG’, ‘Types of Hypoxia in Labour’, ‘Rational Use of FIGO The event was graced by Guest-of-Honour, Dr Teo Eng Guidelines in Clinical Practice’, ‘Fetal Acid Base Balance‘ Kiong (Assistant Master – Academic Affairs of Academy of and ‘Additional Tests of Fetal Wellbeing’, together with Medicine, Singapore). clinical cases and medico-legal learning points.

Professor Jon Hyett (Clinical Professor and Head of high- The purpose of this course is to update the interpretation risk obstetrics at Royal Prince Alfred Hospital, Sydney, of intrapartum CTG, with new understanding of the Australia; Clinical Professor and Joint Head of the disciplines pathophysiology behind CTG changes and clinical of Obstetrics, Gynaecology and Neonatology in the management of certain clinical situations. It aims to Faculty of Medicine at the University of Sydney, Australia) reduce unnecessary interventions whilst maintaining the delivered the 16th College Lecture. With his main academic goal of delivering a healthy baby safely. CTG training is interests in population screening and the development recommended to ensure that clinical standards are upheld

COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE AND GYNAECOLOGISTS, COLLEGE OF OBSTETRICIANS of interventions to prevent adverse obstetric outcomes, and that staff are up-to-date with the latest knowledge in Professor Hyett shared his views on the relevance of first labour ward management. trimester screening in today’s practice in his lecture titled ‘First Trimester Screening – Does it Have a Future?’. LAUNCH OF CONSENSUS STATEMENT ON PREVENTION OF VENOUS THROMBOEMBOLISM IN PREGNANCY AT WORLD THROMBOSIS DAY World Thrombosis Day was held on 18 November 2019 at KK Women’s and Children’s Hospital. The College had jointly organised the event with the Chapter of Haematologists, College of Physicians, Singapore.

The ‘Consensus Statement on Prevention of Venous Thromboembolism (VTE) in Pregnancy’ is a joint initiative by Chapter of Haematologists, College of Physicians Prof Jon Hyett delivering the 16th College of Obstetricians & Singapore and College of Obstetricians and Gynaecologists, Gynaecologists, Singapore Lecture. Singapore (COGS).

THE 5TH FETAL MONITORING (CTG) It aims to address the prevention and treatment of VTE in MASTERCLASS pregnancy and has taken into consideration information Following a hiatus in 2018, this course was held at the from major international guidelines and evidence from Academia, Singapore General Hospital on 5 October 2019 recent studies. The document is expected to be released and was chaired by Dr Devendra Kanagalingam. There were in 2020. 91 participants in attendance.

ANNUAL REPORT 2019 | 44 COLLEGES AND CHAPTERS COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE ORGANISATION of Health Ministry of Health Ministry Health Sciences Authority 45 FESSIONAL OPINION FESSIONAL TOPIC of Surgical Table to Updates and Call for Procedures for Submissions of Proposals 2019/20 Cycle Procedures of Prohibited List TOSP) to (With Reference Seeking AMS Inputs on the Use Violet-Containing of Gentian in Singapore Products The document document The guidelines to provide aims on primary allergy of risk the decreasing thereby allergy, of prevention development (without guarantee) in at-risk infants. These applicable guidelines are to Singaporean children and to to Singapore. have immigrated children who The College would like to thank Dr Lai Fon-Min and A/Prof Yong Tze Tein for representing the College and contribution for their towards the developmentof the consensus statement. The College plans to stay relevant to its members via to its members The Collegeplans to stay relevant continuous training andthe training by being of future membership by specialists. more proactive continuously engaging with It in its members hopes through College CME events. to expand The College also all hopes to review important Obstetricians & Gynaecologists Guidelines for O&G specialists practising in Singapore. PRO The College provided professional opinions and feedback request. in various areas upon FUTURE AND COMMITMENTS PLANS ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL ALLERGY IN AT-RISK IN AT-RISK ALLERGY The College collaborated with the College of Paediatrics and Child Health, Singapore on ‘Consensus Statement on Infants’. Primary Prevention of Allergy in At-Risk CONSENSUS STATEMENT ON PRIMARY ON PRIMARY STATEMENT CONSENSUS OF PREVENTION INFANTS The College would like to thank its representatives for their for representatives its thank to like would College The contribution towards the development of the consensus statement. Dr Hartirathpal KaurHaematologists) and d/o Dr Juspal Serene summary of Thain Singh the (COGS) Haematologists) of (Chapter (Chapter preventionWen Chuen Tan Dr gave pregnancy. and of a treatment provided of VTE in updates by discussion panel a also was on There management. bleeding direct Tan A/Prof Haematologists), of (Chapter oral Heng Lai Lee A/Prof anticoagulants and Thiam Chye (COGS), A/Prof Yong Tze Tein (COGS), Dr Tan Chuen Wen (Chapter of Haematologists), Dr Hartirathpal Kaur d/o Juspal Singh (Chapter of Haematologists) and Dr Serene Thain (COGS). Panel discussion involving representatives from Chapter of Panel discussion involving of Physicians, Singapore and College of Haematologists, College Singapore. Obstetricians and Gynaecologists, COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE

PRESIDENT’S MESSAGE

COLLEGES AND CHAPTERS DR NG KEE CHONG

Our College remained strong and vibrant in 2019. In July, we held our 8th Tripartite Singapore Paediatric and Perinatal Congress (SiPPAC) entitled ‘Exploring the Science – Beyond Medicine to Health’. Educational updates in 2019 covered cord blood and stem cell therapy as well as infant nutrition, allergy prevention and mental wellness in child health.

Our 14th College Lecture was delivered on 27 July by Prof William Yip. His far-ranging and well received insightful lecture was on how to ‘Be Ye Steadfast in the Midst of Change: Changing Practice of Medicine & the Unchanging Principles’. With our colleagues from the College of Obstetricians & Gynaecologists, Singapore, we developed a consensus statement on ‘Primary Prevention of Allergy in At-Risk Infants’ which will be released in early 2020.

We are also working with the Ministry of Health (MOH) to review the Development of Specialty-Specific Guidelines for Informed Consent Taking and the recommendations will be ready in 2020. We have also developed a Curriculum for Advanced Diploma in Paediatric Endocrinology for Paediatric Endocrinology subspecialty training and this has been approved by the Academy of Medicine, Singapore and MOH.

As we enter a new decade in 2020, our College will continue to engage and represent the professional needs and interests of our paediatric community—both in the private and public healthcare sectors.

Finally, I am pleased to share that we are working with the Royal College of Paediatrics & Child Health in the United Kingdom to jointly organise a scientific meeting. We are looking forward to bring together not just our local community but also our regional and international colleagues to share, learn and collaborate so as to advance and improve the global health of all our children. COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE AND CHILD HEALTH, COLLEGE OF PAEDIATRICS

ABOUT THE COLLEGE The College of Paediatrics and Child Health, Singapore and scientific problems, to sustain and foster postgraduate (CPCHS) was incorporated under the Companies Act (Cap education and conduct higher professional examinations 50) on 17 August 2004 (Unique Entity Number [UEN]: and to award diplomas. 200410329W). The company is a Public Company Limited by Guarantee. Its registered address is at 81 Kim Keat Road, The College is financially supported by donations from #11-00 NKF Centre, Singapore 328836. Its banker is DBS members, income from events and educational grants. As Bank Ltd and auditor is Fiducia LLP. of 31 December 2018, the College does not employ any staff. The staff supporting the College’s work is employed The principal activities of the College are to advance the by the Academy of Medicine, Singapore. The College’s art and science of paediatrics and neonatology and its financial report is available separately. subspecialties, promote study and research into medical

THE 2019-2021 COUNCIL President Dr Ng Kee Chong Director (from 18 May 2013) Immediate Past President Dr Liew Woei Kang Director (from 14 May 2011) Vice-President Dr Lee Yung Seng Director (from 14 May 2016) Honorary Secretary Dr Khoo Poh Choo Director (from 18 May 2013) Honorary Treasurer Dr Chua Mei Chien Director (from 19 May 2018) Council Members Dr Varsha Atul Shah Director (from 10 May 2014) Dr Daniel Goh Yam Thiam Director (from 6 May 2017) Dr Ong Hian Tat Director (from 14 May 2016) Chairman, Chapter of Neonatologists Dr Victor Samuel Rajadurai Director (from 6 May 2017) Co-Opted Members Dr Lim Kwang Hsien Dr Low Kah Tzay Dr Ng Yong Hong

ANNUAL REPORT 2019 | 46 COLLEGES AND CHAPTERS COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE Dr Khoo Poh Choo Dr Poon Woei Bing Dr Krishnamoorthy Niduvaje Dr Ikshuvanam Malathi Dr Ng Kee Chong 47 Committee MembersAnn Dr Epton Natalie Co-Opted MembersEx-Officio Dr Ong Eng Keow (President, CPCHS) COUNCIL MEETINGS COUNCIL The Council met to conduct the business and affairs of the College. The Council met five times in 2019:April, 18 May, 27 July and 9 November. 2 March, 6 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL Dr Victor Samuel Rajadurai Dr Daisy Chan Kwai Lin Singapore Paediatrics & Perinatal Annual Congress (SiPPAC) on 27 July 2019 Singapore Paediatrics & Perinatal Annual Congress (SiPPAC) on 27 July 2019 Singapore Paediatrics & th th Annual General Meeting was held at th Chairman Vice-Chairman Honorary Secretary Yuen Dr Steven Ng Chin Grand Copthorne Waterfront Singapore on 18 May 2019. It was attended by 46 Fellows. From left to right: Chan Kwai Lin (Vice-Chairman), Dr Ong Eng Keow Dr Khoo Poh Choo (Committee Member), Dr Epton Natalie Ann (Committee Member), Dr Daisy Secretary), Dr Poon Woei Bing (Committee Member), (Co-Opted Member), Dr Victor Samuel Rajadurai (Chairman), Dr Steven Ng Chin Yuen (Honorary Dr Krishnamoorthy Niduvaje (Committee Member) Not in photo: Dr Ikshuvanam Malathi (Co-Opted Member) From left to right: Yong Hong (Co-Opted Member), Dr Liew Woei Kang (Immediate Past President), Dr Lee Yung Seng Dr Lim Kwang Hsien (Co-Opted Member), Dr Ng Victor Samuel Rajadurai (Chairman, Chapter of Neonatologists), Dr Low Kah Tzay (Co-Opted Member), (Vice-President), Dr Ng Kee Chong (President), Dr Khoo Poh Choo (Honorary Secretary) Dr Daniel Goh Yam Thiam (Council Member), Dr Not in photo: Hian Tat (Council Member), Dr Varsha Atul Shah (Council Member) Dr Chua Mei Chien (Honorary Treasurer), Dr Ong The College’s 15 ANNUAL GENERAL MEETING ANNUAL Group photo taken at 8 The Committee Members of the sole Chapter of the College the of Chapter sole the of Members Committee The (2019-2021) are as follows: CHAPTER OF NEONATOLOGISTS In accordance to Paediatrics and Child Health, the Singapore, specialty chapters Constitution are to serve a two-year term. of the College of Group photo taken at 8 The attendance record of the meetings is as follows: MEMBERSHIP NAME DESIGNATION ATTENDANCE As of 31 December 2019, the total membership of the Elected Council Members College stood at 228, comprising 223 Fellows (Local) and five Fellows (Overseas). The following paediatricians were Dr Liew Woei Kang President 5 admitted to the Academy of Medicine, Singapore as Fellows Dr Ng Kee Chong President-Elect 5 of the College in 2019: Dr Lee Yung Seng Honorary Secretary 3 •• Dr Petrina Wong Poh Chen Dr Varsha Atul Shah Honorary 4 ••Dr Mohana d/o Rajakulendran COLLEGES AND CHAPTERS Treasurer •• Dr Chua Xiuzhen Dr Chua Mei Chien Council Member 3

Dr Daniel Goh Yam Council Member 4 240 225 228 Thiam 200 Dr Khoo Poh Choo Council Member 4 160 Dr Ong Hian Tat Council Member 3 Dr Lim Kwang Hsien Co-Opted Member 4 120 Dr Ng Yong Hong Co-Opted Member 4 80 Dr Low Kah Tzay Co-Opted Member 2 40 40 40 Appointed Council Member 0 Dr Victor Samuel Chairman, Chapter 3 CPCHS Chapter of Neonatologists Rajadurai of Neonatologists 2018 2019

ACTIVITIES

CONTINUING MEDICAL EDUCATION HMDP VISITING EXPERT Date 14 January Topic & Primary Care Strategies to Promote Healthy Development Speaker Prof Barry Zuckerman Professor and Chair, Department of Pediatrics, Boston University School of Medicine/Boston Medical COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE AND CHILD HEALTH, COLLEGE OF PAEDIATRICS Center, USA Chairperson Dr Varsha Atul Shah Honorary Treasurer, College of Paediatrics and Child Health, Singapore

PAEDIATRIC UPDATE: CORD BLOOD – TO BANK OR NOT TO BANK? Date 18 May Topics & Cord Blood as Stem Cell Therapy – Proven Indications Speakers Adj A/Prof Joyce Lam Head of Service, Haematology Laboratory and Blood Bank, KK Women’s and Children’s Hospital Advances in the Management of Cerebral Palsy: Any Role for Autologous Cord Blood Therapy? A/Prof Ong Hian Tat Head & Senior Consultant, Division of Paediatric Neurology, National University Hospital Topics & Advances in Autism Including the Utility of Autologous Stem Cell Therapy Speakers Adj Asst Prof Yeleswarapu Sita Padmini Senior Consultant, Department of Child Development, KK Women’s and Children’s Hospital Chairperson Dr Liew Woei Kang President, College of Paediatrics and Child Health, Singapore

PAEDIATRIC UPDATE: UPDATES ON INFANT NUTRITION, ALLERGY PREVENTION & MENTAL WELLNESS Date 9 November Topics & Recommendations for Feeding and Nutrition for Optimal Growth in Infants Speakers A/Prof Marion Aw Head & Senior Consultant, Division of Paediatric Gastroenterology, Nutrition, Hepatology and Liver Transplantation, Department of Paediatrics, National University Hospital Primary Prevention of Allergic Diseases: Do We Need Singaporean Guidelines? Prof Hugo Van Bever Senior Consultant, Division of Paediatric Allergy, Immunology & Rheumatology Department of Paediatrics, National University Hospital

ANNUAL REPORT 2019 | 48 COLLEGES AND CHAPTERS Updates of Mood Disorders, Self-Harm and Suicide in Paediatrics Dr Vicknesan Marimuttu Head & Consultant, Child & Adolescent Mental Wellness Service Department of Psychological Medicine, KK Women’s and Children’s Hospital Chairperson Dr Ng Kee Chong President, College of Paediatrics and Child Health, Singapore

THE 8TH SINGAPORE PAEDIATRICS & PERINATAL ANNUAL CONGRESS (SIPPAC) The 8th Singapore Paediatric & Perinatal Annual Congress staff, residents and trainees and overseas delegates were (SiPPAC) 2019 was a two-day event held from 27 to 28 July in attendance. 2019 at Grand Copthorne Waterfront Hotel, Singapore. COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE The scientific programme featured 12 symposia (Paediatric, The congress was organised by the Singapore Paediatric Perinatal and Neonatal tracks), two nursing symposia, four Society with support from College of Paediatrics and Child lunch symposia and one oral presentation. A total of 52 Health, Singapore and Perinatal Society of Singapore. The abstracts were accepted, of which eight were selected theme was ‘Exploring the Science – Beyond Medicine to for Oral Presentations and nine were selected for Poster Health’. Close to 324 delegates comprising paediatricians, Presentations. A total of 44 abstracts were displayed on neonatologists, medical students, nurses, allied health poster panels at the event.

PRIZES AWARDED FOR ORAL PRESENTATION (CATEGORY: DOCTORS) 1st Prize Risk Factors for Mortality Associated With Late-Onset Sepsis in Very-Low-Birth-Weight Infants Presenting author: Dr Goh Guan Lin 2nd Prize Analysis of Alpha Thalassaemia Haematological Phenotype in Singapore Presenting author: Dr Stella Zhang Letian

PRIZE AWARDED FOR ORAL PRESENTATION (CATEGORY: STUDENTS) 1st Prize Feasibility of Electrocardiogram in Heart Rate Assessment and Comparison With Pulse Oximeter in the Delivery Room Presenting author: Ms Lee Li Wen

PRIZE AWARDED FOR POSTER PRESENTATION (CATEGORY: DOCTORS) 1st Prize Neonatal Staff Perceptions of Bereavement or End of Life Care of Families of Dying and Critically Ill Infants Presenting author: Dr Ting Yu Shan

PRIZES AWARDED FOR POSTER PRESENTATION (CATEGORY: STUDENTS/NURSES) Top Prize Predictors of Anaemia Among Adolescents Aged 11-17 Years Old in East Jakarta, Indonesia Presenting author: Ms Davrina Rianda Top Prize Predictive Value of ABO Blood Group and Infant Antibody Titre for Treatment Outcomes in Direct Coomb’s Test Positive Infants Presenting author: Ms Shamen Koh

THE 14TH COLLEGE OF PAEDIATRICS & CHILD HEALTH LECTURE In conjunction with 8th SiPPAC, the 14th College Lecture was held on 27 July 2019 at the Grand Copthorne Waterfront Hotel, Singapore.

Prof William Yip, Adjunct Professor, Department of Paediatrics, National University of Singapore, delivered the lecture titled ‘Be Ye Steadfast in the Midst of Change: Changing Practice of Medicine & the Unchanging Principles’. In recognition of his contributions, A/Prof Ng Kee Chong (College President) presented a plaque and honorarium to Prof William Yip. College President, A/Prof Ng Kee Chong (left) presenting a plaque to Prof William Yip.

ANNUAL REPORT 2019 | 49 DEVELOPMENT OF ADVANCED CHAPTER OF NEONATOLOGISTS – DIPLOMA IN PAEDIATRIC ACTIVITIES 2019 ENDOCRINOLOGY PROGRAMME DATE ACTIVITY The College played an essential role in developing the 6 April Combined Neonatal Update & Academy of Medicine, Singapore Fellowship Programme in 7th Annual General Meeting Paediatric Endocrinology. The first candidate (from Brunei) ‒‘New Insights in Neonatology’ began her Advanced Diploma Training in November 2019. 1 November Making Moments Meaningful (3M):

COLLEGES AND CHAPTERS Improving the Care of Vulnerable DEVELOPMENT OF CONSENSUS Babies and Their Families STATEMENT ON PRIMARY PREVENTION OF ALLERGY IN AT-RISK INFANTS PROFESSIONAL OPINION The College, together with College of Obstetricians and The College provided professional opinion on the Gynaecologists, Singapore, developed the Consensus following topics: Statement on Primary Prevention of Allergy in At-Risk Infants. The document is expected to be released in early TOPIC ORGANISATION 2020. Palivizumab For the Prevention Ministry of Health of Serious Infection Caused by The document aims to provide guidelines on primary Respiratory Syncytial Virus (RSV) prevention of allergy, thereby decreasing the risk of allergy Seeking AMS Inputs on the Use of Health Sciences development (without guarantee) in at-risk infants. These Gentian Violet-Containing Products Authority guidelines are applicable to Singaporean children and in Singapore children who have immigrated to Singapore. FUTURE PLANS AND COMMITMENTS The College would like to thank Prof Hugo Van Bever The College is committed to the furthering and (Chairman), Dr Chiang Wen Chin, A/Prof Anne Goh, Prof Lee enhancement of continuing medical education for the Bee Wah, Dr Liew Woei Kang, Dr David Ng Chee Siong, A/ paediatric fraternity in Singapore by organising workshops, Prof Ng Kee Chong and Dr Elizabeth Tham for representing annual scientific meetings and courses that will benefit the College and for their contributions towards the paediatricians-at-large. development of the consensus statement. STAFF REGISTRAR SCHEME

COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE AND CHILD HEALTH, COLLEGE OF PAEDIATRICS DIPLOMA IN PAEDIATRIC AND CHILD HEALTH Year 2 Assessment Candidate Dr Salazar May Atienza (11th Intake) Examiners Prof Quak Seng Hock, A/Prof Ng Kee Chong Completed SRS Diploma Candidate Dr Salazar May Atienza

DIPLOMA IN PAEDIATRIC CANCER CARE Year 2 Assessment Candidate Dr Heidi De Castro Barola (4th Intake) Examiners A/Prof Tan Poh Lin, A/Prof Quah Thuan Chong, A/Prof Tan Ah Moy Completed SRS Diploma Candidate Dr Heidi De Castro Barola

ANNUAL REPORT 2019 | 50 COLLEGES AND CHAPTERS COLLEGE OF PHYSICIANS, SINGAPORE

DR DAVID LYE 51 advance the art and science of internal medicine and sustain and foster postgraduate education; to conduct to education; postgraduate foster and sustain promote study and research into medical and scientific and medical into research and study promote To To To diplomas award to and examinations professional higher its specialties problems • • • • • • Cardiology, Dermatology, Endocrinology, Cardiology, Dermatology, Gastroenterology, Geriatric Medicine, Haematology, General Internal Medicine, InfectiousMedical Oncology, Neurology, Diseases, Rehabilitation Medicine, RenalMedicine, Rheumatology and Palliative Medicine. Medicine, Respiratory The College’s vision is to be the recognised leader in training, education,professional advocacy satisfaction and for internalsub-specialties and enhancement to medicine promote and maintain the of highest and its professional and ethical standards in internal medicine and its sub-specialties. The objectives of the College are as follows: PRESIDENT’S MESSAGE PRESIDENT’S ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL COLLEGE OF PHYSICIANS, SINGAPORE OF PHYSICIANS, COLLEGE The last 12 months have seen a few major incidents that impacted the medical profession.

Many Fellows from the Academy and Colleges (including our own) have provided feedback to Ministry of Health and Singapore Medical Council reforms which are underway. action processes. This has led to on the informed consent and disciplinary The Academy and College can be made relevant to our Fellows. This will some of which are highlighted above. advocacy and continuing medical education, need our collective effort in professional Since 22 January 2020, SARS-coronavirus-2 has reached and spread in Singapore. Many of us have been affected in one way or another. The Chapter of Infectious Disease Physicians organised a webinar thatwas broadcast on three occasions (watched by 1,470 unique participants, of whom 651 were Fellows). Notably,the Medicine Review Course in 2019 was attended by the highest number of participants (at 430). education to our Fellows during the novel coronavirus outbreak. technology to deliver continuing medical Our College can continue to avail herself of I hope that Fellows from our College will step forward to improve informed consent documentation and be trained as trained be and documentation consent informed improve to forward step will College our from Fellows that hope I medical expert witnesses. In the last 12 months, our College provided 29 professional opinions requested by Ministry Medical Singapore under committees complaint for opinions expert eight and Authority, Science Health and Health of Fellows, we can do more. Council. With contribution from our College I am honoured to take over as President, College 864 from of growth its oversaw and 2019 to 2015 from College the Physicians, led who Meng Choong Chan Singapore from Professor to 1,031 Fellows. At the annual College Dinner on 31 October 2019, we conferred Honorary Fellow of College of Physicians, Singapore (FCPS) on Professor Fock Kwong Ming (the eighth FCPS). Physicians in Singapore are medical specialists in field of Adult Internal Medicine which is radiology, anaesthesiology, obstetric and gynaecology distinct from surgery, and paediatric medicine. They often choose to specialise in one of the following 15 specialties of Internal Medicine: Stone Forest CorpServe Pte Ltd is the Company Secretary to provide corporate secretarial services to the Fiducia LLP College. is the Auditor for the accounts of the College. DBS Bank Ltd and CIMB the Bank College. Ltd The are College’s the separately. financial bankers report of is available The College of Physicians, Singapore (CPS) is a Company Limited by Guarantee registered incorporated in Singapore. on It 200410334R) 17 was and registered under August the Charitieswith 13 October 2004, its address and principal place 2004 Act on (Registrationof No. business at 81 Kim Singapore 328836. Keat Road, NKF Centre #11-00, ABOUT THE COLLEGE THE 2019-2020 COUNCIL Elected Council Members President Dr David Lye Chien Boon Director (from 7 May 2011) Immediate Past President Dr Chan Choong Meng Director (from 16 May 2009) Vice-President Dr Terence Kee Yi Shern Director (from 31 May 2013) Honorary Treasurer Dr Ng Heng Joo Director (from 2 June 2016) Honorary Secretary Dr Bok Chek Wai Director (from 23 May 2015)

COLLEGES AND CHAPTERS Council Members Dr Lau Tang Ching Director (from 27 May 2017) Dr Faith Chia Li-Ann Director (from 17 May 2019) Dr Lee Lai Heng Director (from 19 May 2018)

Appointed Council Members Chairman, Chapter of Cardiologists Dr Yeo Khung Keong Director (from 27 May 2017) Chairman, Chapter of Dermatologists Dr Chong Wei Sheng Director (from 17 May 2019) Chairman, Chapter of Endocrinologists Dr Kurumbian Chandran Director (from 17 May 2019) Chairman, Chapter of Gastroenterologists Dr Ang Tiing Leong Director (from 27 May 2017) Chairman, Chapter of General Physicians Dr Nihar Pandit Director (from 17 May 2019) Chairman, Chapter of Geriatricians Dr Tan Thai Lian Director (from 17 May 2019) Chairman, Chapter of Haematologists Dr Lee Lai Heng Director (from 19 May 2018) Chairman, Chapter of Infectious Disease Physicians Dr Asok Kurup Director (from 17 May 2019) Chairman, Chapter of Medical Oncologists Dr Darren Lim Wan Teck Director (from 17 May 2019) Chairman, Chapter of Neurologists Dr Raymond Seet Chee Seong Director (from 17 May 2019) Chairman, Chapter of Palliative Medicine Physicians Dr Noreen Chan Guek Cheng Director (from 2 June 2016)

COLLEGE OF PHYSICIANS, SINGAPORE COLLEGE OF PHYSICIANS, Chairman, Chapter of Rehabilitation Physicians Dr Sherry Young Hsueh Yi Director (from 17 May 2019) Chairman, Chapter of Renal Physicians Dr Titus Lau Wai Leong Director (from 27 May 2017) Chairman, Chapter of Respiratory Physicians Dr Phua Ghee Chee Director (from 27 May 2017) Chairman, Chapter of Rheumatologists Dr Manjari Lahiri Director (from 17 May 2019) Chairman, Section of Clinical Immunologists and Allergists Dr Chng Hiok Hee Non-Director

Group photo taken at CPS College Diner taken on 31 October 2019

Seated (from left to right): Dr Noreen Chan Guek Cheng (Chairman, Chapter of Palliative Medicine Physicians), Dr Lau Tang Ching (Council Member), Dr Ng Heng Joo (Honorary Treasurer), Dr Chan Choong Meng (Immediate Past President), Dr David Lye Chien Boon (President), Dr Terence Kee Yi Shern (Vice-President), Dr Bok Chek Wai (Honorary Secretary), Dr Faith Chia Li-Ann (Council Member), Dr Lee Lai Heng (Council Member; Chairman, Chapter of Haematologists)

Standing (from left to right): Dr Raymond Seet Chee Seong (Chairman, Chapter of Neurologists), Dr Tan Thai Lian (Chairman, Chapter of Geriatricians), Dr Chong Wei Sheng (Chairman, Chapter of Dermatologists), Dr Kurumbian Chandran (Chairman, Chapter of Endocrinologists), Dr Ang Tiing Leong (Chairman, Chapter of Gastroenterologists), Dr Manjari Lahiri (Chairman, Chapter of Rheumatologists), Dr Nihar Pandit (Chairman, Chapter of General Physicians), Dr Yeo Khung Keong (Chairman, Chapter of Cardiologists), Dr Asok Kurup (Chairman, Chapter of Infectious Disease Physicians), Dr Titus Lau Wai Leong (Chairman, Chapter of Renal Physicians), Dr Sherry Young Hsueh Yi (Chairman, Chapter of Rehabilitation Physicians), Dr Phua Ghee Chee (Chairman, Chapter of Respiratory Physicians)

Not in photo: Dr Darren Lim Wan Teck (Chairman, Chapter of Medical Oncologists), Dr Chng Hiok Hee (Chairman, Section of Clinical Immunologists and Allergists)

ANNUAL REPORT 2019 | 52 COLLEGES AND CHAPTERS COUNCIL MEETINGS The Council held six meetings in 2019 to conduct the business and affairs of the College. It met on the following dates: 15 January, 4 April, 11 May, 9 July, 10 September and 6 November. The attendance record of the meetings is as follows: NAME DESIGNATION ATTENDANCE Dr David Lye Chien Boon President 6 Dr Chan Choong Meng Immediate Past President 3 Dr Terence Kee Yi Shern Vice-President 5 Dr Bok Chek Wai Honorary Secretary 5 Dr Ng Heng Joo Honorary Treasurer 5 Dr Lau Tang Ching Council Member 3 Dr Faith Chia Li-Ann** Council Member 2

Dr Lee Lai Heng Council Member, Chairman, Chapter of Haematologists 5 COLLEGE OF PHYSICIANS, SINGAPORE Dr Yeo Khung Keong Chairman, Chapter of Cardiologists 3 Dr Chong Wei Sheng** Chairman, Chapter of Dermatologists 2 Dr Kurumbian Chandran** Chairman, Chapter of Endocrinologists 3 Dr Ang Tiing Leong Chairman, Chapter of Gastroenterologists 2 Dr Nihar Pandit** Chairman, Chapter of General Physicians 3 Dr Tan Thai Lian** Chairman, Chapter of Geriatricians 3 Dr Asok Kurup** Chairman, Chapter of Infectious Disease Physicians 1 Dr Darren Lim Wan Teck** Chairman, Chapter of Medical Oncologists 3 Dr Raymond Seet Chee Seong** Chairman, Chapter of Neurologists 3 Dr Noreen Chan Guek Cheng Chairman, Chapter of Palliative Medicine Physicians 3 Dr Sherry Young** Chairman, Chapter of Rehabilitation Physicians 3 Dr Titus Lau Wai Leong Chairman, Chapter of Renal Physicians 4 Dr Phua Ghee Chee Chairman, Chapter of Respiratory Physicians 3 Dr Manjari Lahiri** Chairman, Chapter of Rheumatologists 3 Dr Chng Hiok Hee Chairman, Section of Clinical Immunologists and Allergists 3 Dr Mark Chan Peng Chew* Honorary Secretary 1 Dr Martin Chio* Chairman, Chapter of Dermatologists 1 Dr Manju Chandran* Chairman, Chapter of Endocrinologists 1 Dr Pankaj Handa* Chairman, Chapter of General Physicians 2 Dr Christopher Lien Tsung Chien* Chairman, Chapter of Geriatricians 2 Dr William Hwang Ying Khee* Chairman, Chapter of Haematologists 0 Dr Brenda Ang Sze Peng* Chairman, Chapter of Infectious Disease Physicians 1 Dr Yeo Wee-Lee* Chairman, Chapter of Medical Oncologists 0 Dr Nagaendran Kandiah* Chairman, Chapter of Neurologists 1 Dr Adela May Tow Peh Er* Chairman, Chapter of Rehabilitation Physicians 0 Dr Bernard Thong Yu Hor* Chairman, Chapter of Rheumatologists 2 *Retired on 11 May 2019 **Joined on 11 May 2019

ANNUAL GENERAL MEETING 1250 The 15th Annual General Meeting of the College was held 1,031 on 11 May 2019 at Academy of Medicine, Singapore. It 980 was attended by 34 Fellows fulfilling the quorum ofnot 1000 864 886 939 less than 20 voting members at the commencement of a general meeting in accordance to Article 68 of the College 750 Constitution. 500 MEMBERSHIP As of 31 December 2019, the College had a total of 1,031 250 members comprising 968 Fellows (Local), 56 Fellows (Overseas), three Associate Members and four Ordinary 0 Members. The College welcomed a total of 61 new 2015 2016 2017 2018 2019 members in 2019.

ANNUAL REPORT 2019 | 53 The total membership of 1,031 comprises: Cardiologists 142 Medical Oncologists 73 Dermatologists 108 Neurologists 69 Endocrinologists 71 Palliative Medicine Physicians 43 Gastroenterologists 91 Rehabilitation Physicians 32 General Physicians 82 Renal Physicians 75 Geriatricians 67 Respiratory Physicians 80

COLLEGES AND CHAPTERS Haematologists 31 Rheumatologists 58 Infectious Disease Physicians 31

ACTIVITIES

THE 11TH MEDICINE REVIEW COURSE Disorders Programme-Duke-NUS). Professor Cook spoke on ‘Cardiometabolic Disease: A Journey in Singaporean The College held its annual Medicine Review Course on 5-6 Academic Cardiology from Target Discovery to First- October at the Centre for Healthcare Innovation. Into its In-Class Drug’ where he shared on how he identified 11th year, the course aims to provide: a) expert guidelines the interleukin 11 gene (IL11) as crucial for fibroblast in the management of commonly encountered problems in pathobiology and organ scarring, leading to studies of the general medicine unit; b) evidence-based medicine and fatty liver disease. He also shared on how he and his team succinct updates on hot topics in internal medicine and its spinned out a company from SingHealth to translate the subspecialties; and c) concise review of disease conditions science for patients’ benefit by developing new drugs to that are commonly encountered in clinical practice or treat fibro-inflammatory diseases such as fatty liver, renal examination. More than 450 attendees were present at the insufficiency and heart failure. two-day course.

COLLEGE OF PHYSICIANS, SINGAPORE COLLEGE OF PHYSICIANS,

A/Prof Yeo Khung Keong Prof Stuart Alexander Cook Audience at the 11th Medicine Review Course. delivering a citation on Prof delivering the 29th Seah Cheng Stuart Alexander Cook. Siang Memorial Lecture.

Organising Chairman of the 11th Medicine Review Course, Dr Pankaj Kumar Handa, addressing the audience. Prof Stuart Alexander Cook (right) receiving a memorial lecturer plaque from College President, A/Prof David Lye. THE 29TH SEAH CHENG SIANG MEMORIAL LECTURE THE 16TH COLLEGE OF PHYSICIANS The 29th Seah Cheng Siang Memorial Lecture was held in LECTURE conjunction with the College of Physicians Dinner & Lecture The 16th College of Physicians Lecture (held in conjunction on 31 October 2019 at the Mandarin Oriental Singapore. with the College of Physicians Dinner & Lecture) was The Memorial Lecture was delivered by Professor Stuart delivered on 31 October 2019 by A/Prof Christopher Alexander Cook (Director, Clinical Cardiac MRI, National Chen Li-Hsian (Senior Clinician-Scientist; Associate Heart Centre Singapore; Director, National Heart Research Professor, Department of Pharmacology, Yong Loo Lin Institute Singapore; Professor, Imperial College and School of Medicine, National University of Singapore; Duke-NUS; Director, Cardiovascular and Metabolomic Director, Memory Aging and Cognition Centre, National

ANNUAL REPORT 2019 | 54 COLLEGES AND CHAPTERS University Healthcare System; President, Asian Society The Consensus Statement on Prevention of Venous Against Dementia; and Secretary-Treasurer of the Asian Thromboembolism (VTE) in Pregnancy was a joint effort by & Oceanian Association of Neurology). A/Prof Chen spoke Chapter of Haematologists, College of Physicians, Singapore on ‘How Can We Make Dementia But a Distant Memory?,’ and College of Obstetricians and Gynaecologists, Singapore where he reviewed novel biomarkers associated with to specifically address the prevention and treatment of VTE neurodegeneration and vascular processes (which may in pregnancy. It has taken into consideration information contribute to cognitive decline) and recent clinical trials from major international guidelines and evidence from that provide hope in preventing cognitive impairment and recent studies. dementia. Dr Hartirathpal Kaur d/o Juspal Singh (Chapter of Haematologists) and Dr Serene Thain (College of Obstetricians and Gynaecologists, Singapore) gave a summary on the prevention and treatment of VTE in pregnancy while Dr Tan Chuen Wen (Chapter of Haematologists) provided updates COLLEGE OF PHYSICIANS, SINGAPORE on direct oral anticoagulants and bleeding management. There was also a panel discussion by A/Prof Lee Lai Heng (Chapter of Haematologists), A/Prof Tan Thiam Chye (College of Obstetricians and Gynaecologists, Singapore), A/Prof Yong Tze Tein (College of Obstetricians and A/Prof Raymond Seet delivering a A/Prof Christopher Chen Li-Hsian citation on A/Prof Christopher Chen delivering the 16th College of Gynaecologists, Singapore), Dr Tan Chuen Wen (Chapter Li-Hsian. Physicians Lecture. of Haematologists), Dr Hartirathpal Kaur d/o Juspal Singh (Chapter of Haematologists) and Dr Serene Thain (College of Obstetricians and Gynaecologists, Singapore).

College President, A/Prof David Lye (left), presenting a token of appreciation to A/Prof Christopher Chen Li-Hsian. Organising Chairman of World Thrombosis Day Forum 2019, A/ Prof Lee CONFERMENT CEREMONY Lai Heng, giving an address. The College conferred Honorary Fellowship to Prof Fock Kwong Ming at the College of Physicians Dinner & Lecture CHAPTER OF GERIATRICIANS FACULTY on 31 October 2019. Prof Fock (Chief Risk Officer and DINNER WITH VISITING PROFESSOR Emeritus Consultant, Gastroenterology and Hepatology, MATTEO CESARI Changi General Hospital) has eminently distinguished himself in the service of internal medicine. An expert Geriatric Medicine session on the topic ‘Making Frailty the Cornerstone in Healthcare for All Elderly’ was hosted by the Chapter of Geriatricians on 9 October 2019.

Geriatric Medicine trainees, Program Directors of Geriatric Medicine Residencies and Geriatric Medicine consultants from all healthcare clusters gathered at Lien Villa. A/Prof Lim Wee Shiong (Chairman, Clinical Practice Guideline Workgroup on Sarcopenia) and Dr Christopher Lien (Immediate past Chairman, Chapter of Geriatricians), A/Prof Ding Yew Ying (Executive Director, Geriatric Prof Fock Kwong Ming (right) receiving his Honorary Fellowship from Education and Research Institute) and Dr Angeline Seah College President, A/Prof David Lye. (Vice-Chairman, Chapter of Geriatricians) were present.

WORLD THROMBOSIS DAY FORUM Dr Christopher Lien shared on Singapore’s work on frailty 2019 (up to the current time). This was followed by the expert sharing session by A/Prof Matteo who revealed advances Jointly organised with the Chapter of Haematologists, in the understanding of frailty, the concept of intrinsic College of Physicians, Singapore and College of Obstetricians capacity and explained its difference with resilience. and Gynaecologists, Singapore, the World Thrombosis Day was held at KK Women’s and Children’s Hospital on 18 November 2019.

ANNUAL REPORT 2019 | 55 COLLEGES AND CHAPTERS

Attendees of the Geriatric Medicine expert sharing session with Dr Christopher Lien (front row, fourth from left) and A/Prof Matteo Cesari (back row, third from left).

CHAPTER ACTIVITIES The various Chapters organised/supported the following activities in 2019: CHAPTER OF CARDIOLOGISTS 17 September Issuance of Advisory: Irregular Heart Rhythm Detection and ECG App on the Apple Watch 21 September Understanding the Standards on Provision of Electrocardiography Stress Testing

CHAPTER OF DERMATOLOGISTS 1 August HMDP Visiting Expert Lecture: ‘New Contact Allergies’ (by Emeritus Professor An Goossens) 12 November HMDP Visiting Expert Lecture: ‘Biologics in Dermatology: Mode of Action ‒ Benefits and Risks’ COLLEGE OF PHYSICIANS, SINGAPORE COLLEGE OF PHYSICIANS, (by Prof Martin Röcken)

CHAPTER OF GASTROENTEROLOGISTS 17 April Cold Snare Polypectomy Dinner Symposium 25 June Chapter of Gastroenterologists Dinner for Exiting Trainees 11 July GIHep 2019

CHAPTER OF GERIATRICIANS 29 January Frailty or Not Frailty: That’s the Question? Lessons from North America on Transforming Care for Older Adults with Complex Care Needs 24 July Celebrating 30 Years of Geriatrics in Singapore: Taking Stock, Looking Forward 9 October Chapter Dinner with Prof Matteo Cesari

CHAPTER OF HAEMATOLOGISTS 2 November Symposium: Improving VTE Thromboprophylaxis: The Real-Life Experience 18 November World Thrombosis Day Forum 2019

CHAPTER OF INFECTIOUS DISEASE PHYSICIANS MOH’s New Screening Test Review Committee Guidelines MOH Circular No. 08/2019 (dated 6 March 2019)

CHAPTER OF MEDICAL ONCOLOGISTs 5 September Welcome Dinner for Exiting Trainees 14 November 3rd Dinner and Chapter of Medical Oncologists Night

CHAPTER OF NEUROLOGISTS 12 July Data to Practice in RRMS 17 August Novartis Standalone Pain Symposium 28 August A Novel Approach from Prodromal to Dementia I 2 September A Novel Approach from Prodromal to Dementia II 4 October Diagnosis and Management of Migraine 11 October Migraine Updates 7 November Leveraging Excellence for Alzheimer’s Dementia 13 November Case Studies: Management of MCI and Dementia 28 November Help People with Parkinson’s: Start Each Day Off On The Right Foot

ANNUAL REPORT 2019 | 56 COLLEGES AND CHAPTERS CHAPTER OF PALLIATIVE MEDICINE PHYSICIANS 23 November 5th Graduate Diploma in Palliative Medicine Graduation Ceremony & Chapter’s Annual Update/ Appreciation Night

CHAPTER OF REHABILITATION PHYSICIANS 19 July Chapter Dinner and Top Exiting Trainee Presentation

CHAPTER OF RESPIRATORY PHYSICIANS 2 November NovaCon 2019

CHAPTER OF RHEUMATOLOGISTS 22 August Feng Pao Hsii Award and Lecture 21 November Rheumatoid Arthritis Clinical Summit 2019 COLLEGE OF PHYSICIANS, SINGAPORE

SECTION OF CLINICAL IMMUNOLOGISTS AND ALLERGISTS 25 May Drug Allergy – From Basics to Current Updates with Focus on Antibiotic Allergy

3rd Dinner and Chapter of Medical Oncologists Night.

5th Graduate Diploma (Palliative Medicine) Graduation Ceremony and Chapter’s Annual Update and Appreciation Night.

INDEPENDENT MEDICAL EXPERTS The College assisted the Academy of Medicine, Singapore in providing expert opinions for 15 coroner’s cases from the Singapore Police Force that were under investigation and eight complaint committee cases from the Singapore Medical Council.

Chapter of Dermatologists HMDP Visiting Expert Lecture: ‘Biologics in Dermatology: Mode of Action ‒ Benefits and Risks’ by Prof Martin Röcken.

ANNUAL REPORT 2019 | 57 INTERNAL MEDICINE IN-TRAINING EXAMINATION (IM-ITE) The College engaged 15 Fellows to invigilate the Internal Dr Kor Ai Ching Dr Er Chaozer Medicine In-Training Examination (IM-ITE) held on 31 Prof Tay Jam Chin Dr Lieu Ping Kong August and 7 September 2019. Dr Pankaj Kumar Handa Dr Baldev Singh Dr Suresh Sahadevan Dr Fam Jiang Ming Dr Kong Keng He Dr Fam Jiang Ming Dr Julie George Dr Kevin Tan Dr NV Ramani

COLLEGES AND CHAPTERS Dr Eugene Wong Yu Jun Dr Pooja Sachdeva

PROFESSIONAL OPINION The College provided the following professional opinions to the Ministry of Health. NO. TOPIC 1 Request to Convene an Independent Committee to Review Case of Liver Transplant Related Death (Case 2) 2 Alleged Practice of Invasive Aesthetic Procedures by Beautician 3 Alleged Practice of Invasive Aesthetic Procedures (Thread Lift Procedures) by Beautician 4 Publicity Claims by Medical Clinics on Various Topics 5 Request for AMS Expert Review on Publicity Claims by a Non-Licensed Aesthetics Entity 6 Suction Epithelium Blister Grafting and Melanocyte Transfer 7 Use of Autologous Protein Solution 8 Publicity Claims by TCS Aesthetics Central Clinic 9 Invitation to Review and Endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Foot Assessment in People with Diabetes 10 Publicity Claims on “Before and After Treatment” Pictures COLLEGE OF PHYSICIANS, SINGAPORE COLLEGE OF PHYSICIANS, 11 AMS Inputs on Practice Guidelines for Bowel Preparation Prior to Colonoscopy 12 Medical Advertisements by Beauty Salon 13 Clinical Evidence for Faecal Microbiota Transplant (FMT) 14 Alleged Practice of Using a Device “Quantum Weak Magnetic Resonance Analyser” for Scanning 15 Dental Instruments Packed in Compromised Packaging 16 Opinion on Device OPT/SHR IPL System by Beauty Salon 17 Colon Hydrotherapy 18 Feedback on Proposed Update of Chapter 5 – Assessment of the Spine for Guide to the Assessment of Traumatic Injuries and Occupational Diseases for Work Injury Compensation (GATIOD) 19 Opinion on Device OPT System by Beauty Salon 20 Invitation to Review and Endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Managing Gout ‒ The ULTimate Goal 21 Publicity Claims on Nose Threadlift (Clarification) 22 Vitiligo Treatments by GPs 23 Illegal Invasive Aesthetic Procedures (Case 14) 24 Expert Opinion on Alleged Practice of Invasive Aesthetic Procedures (Case 16) 25 Use of Regenera Activa Tissue Disintegration System in Medical Clinics

The Health Sciences Authority had requested the College’s feedback on the topics listed below. NO. TOPIC 1 Seeking Inputs from AMS Regarding Local Use of Topical Fusidic Acid-Containing Preparations 2 Seeking AMS Inputs on the Use of Hydrochlorothiazide-Containing Medicines in Singapore 3 Seeking Inputs from AMS Regarding the Use of Febuxostat in Local Clinical Practice 4 Seeking AMS Inputs on the Use of Gentian Violet-Containing Products in Singapore

ANNUAL REPORT 2019 | 58 COLLEGES AND CHAPTERS COLLEGE OF RADIOLOGISTS, SINGAPORE

PRESIDENT’S MESSAGE DR TAY KIANG HIONG

The activities of the College of Radiologists, Singapore (CRS) in 2019 were predominantly in the areas of education and training. The Chapter of Diagnostic Radiologists has been organising the National Residency Didactic programs for Years 1 to 4 for many years now. Following a COLLEGE OF RADIOLOGISTS, SINGAPORE few retreats with RAC and Residency leaderships of the three sponsoring institutions (SIs) in 2018 and 2019, an Education Committee headed by Dr Lim Chee Yeong was formed within the Chapter of Diagnostic Radiologists to review the content and delivery of the various residency didactic programs as well as to develop Entrustable Professional Activities (EPAs) for work-based assessment (WBA).

The main educational event of the year was the Singapore Congress of Radiology (SGCR) and Workshops in Interventional Radiology and Education Singapore (WIRES) held in conjunction with the 19th Congress of the ASEAN Association of Radiology at Raffles City Convention Centre from 16 to 18 August 2019. The event was attended by more than 1,200 delegates. Dr Valerie Jackson (President, RSNA) was the 15th FY Khoo Lecturer while Drs John Hoe, Ng Fook Cheong and Joseph Wee were honoured with CRS/SRS Lifetime Achievement Awards. The CRS Gold Medal for the best candidate for the DR Residency Exit Exam was awarded to Dr Gary Yoong Sem Wye (2018) and Dr Leow Kheng Song (2019).

CRS also organised two public forums last year—one by the Chapter of Diagnostic Radiologists on ‘Your Interventional Radiologist and You Series: Women’s Health in the New Age’ and the other by the Chapter of Radiation Oncologists on ‘My Breast, My Responsibility’. Both forums were well attended with much positive feedback from the attendees.

The College’s outreach arm continued to support the sending of Fellows overseas to assist in educational programmes in less developed countries. Drs Chong Le Roy, Karthikeyan Damodharan, Tan Ai Peng, Tan Bien Soo, Teoh Wey Chyi and Thida Win participated in conferences and workshops in Myanmar in November 2019.

2020 will be a challenging year for CRS due to the Covid-19 pandemic. We will strive to remain relevant and support our professions even in these difficult times.

ABOUT THE COLLEGE The College of Radiologists, Singapore was incorporated of 31 December 2018, the College does not employ any under the Companies Act (Cap 50), on and from 17 August staff. The staff supporting the College work are employed 2004. It is a Public Company Limited By Guarantee (Unique by the Academy of Medicine, Singapore. The College’s Entity Number [UEN]: 200410338Z). Its registered address financial report is available separately. is at 81 Kim Keat Road, #11-00, Singapore 328836. Its banker is DBS Bank Ltd and auditor is Fiducia LLP. ANNUAL GENERAL MEETING The 15th Annual General Meeting of the College was held The principal activities of the College are to advance the on 25 May 2019 at One Farrer Hotel. art and science of radiology, radiation oncology and nuclear medicine and its subspecialties; promote study and research into medical and scientific problems; sustain MEMBERSHIP and foster postgraduate education; and conduct higher The membership of the College as of 31 December 2019 professional examinations and award diplomas. is 209 Fellows, comprising 161 Diagnostic Radiologists, 28 Radiation Oncologists and 20 Nuclear Medicine Physicians. The College is financially supported by donations from members, income from events and educational grants. As

ANNUAL REPORT 2019 | 59 THE 2019-2021 COUNCIL President Dr Tay Kiang Hiong Director (from 7 May 2011) Immediate Past President Dr Ian Tsou Director (from 12 May 2012) Vice-President Dr Andrew Tan Director (from 14 May 2016) Honorary Secretary Dr Raymond Quah Director (from 26 April 2014) Honorary Treasurer Dr Chou Hong Director (from 14 May 2016) Council Members Dr Steven Wong Director (from 25 May 2019)

COLLEGES AND CHAPTERS Dr Huang Hian Liang Director (from 12 May 2018) Dr Tan Bien Peng Director (from 14 May 2016) Chairman, Chapter of Diagnostic Radiologists Dr Charlene Liew Director (from 25 May 2019) Chairman, Chapter of Nuclear Medicine Physicians Dr Kelvin Loke Director (from 20 May 2017) Chairman, Chapter of Radiation Oncologists Dr Choo Bok Ai Director (from 25 May 2019) Co-Opted Member Dr Daniel Tan Director (from 16 May 2015) COLLEGE OF RADIOLOGISTS, SINGAPORE COLLEGE OF RADIOLOGISTS,

Standing (left to right): Dr Kelvin Loke (Chairman, Chapter of Nuclear Medicine Physicians), Dr Tan Bien Peng (Council Member), Dr Steven Wong (Council Member), Dr Choo Bok Ai (Chairman, Chapter of Radiation Oncologists), Dr Charlene Liew (Chairman, Chapter of Diagnostic Radiologists)

Seated (left to right): Dr Chou Hong (Honorary Treasurer), Dr Andrew Tan (Vice-President), Dr Tay Kiang Hiong (President), Dr Ian Tsou (Immediate Past President), Dr Raymond Quah (Honorary Secretary) Not in photo: Dr Huang Hian Liang (Council Member), Dr Daniel Tan (Co-Opted Member)

SPECIALTY CHAPTERS CHAPTER OF RADIATION ONCOLOGISTS In accordance to the Constitution of the College of Chairman Dr Choo Bok Ai Radiologists, Singapore, the specialty chapters are to serve Vice-Chairman Dr Kiattisa Sommat a two-year term. The Committee Members of the three Secretary Dr Francis Ho Chapters of the College (2019-2021) are as follows: Committee Members Dr Shaun Ho CHAPTER OF DIAGNOSTIC RADIOLOGISTS Dr Jeremy Tey Chairman Dr Charlene Liew Vice-Chairman Dr Luke Toh CHAPTER OF NUCLEAR MEDICINE PHYSICIANS Secretary Dr Chou Hong Chairman Dr Kelvin Loke Committee Members Dr Ankit Tandon Vice-Chairman Dr Winnie Lam Wing Chuen Dr Lester Leong Honorary Secretary Dr Lu Suat Jin Dr Lim Chee Yeong Committee Members Dr Aaron Tong Dr Mohd Taufik Dr Khor Lih Kin

ANNUAL REPORT 2019 | 60 COLLEGES AND CHAPTERS COUNCIL MEETINGS A total of six Council meetings were held in 2019 to discuss the business and affairs of the College on the following dates: 28 January, 11 March, 8 April, 15 July, 23 September, 18 November. The attendance record of the meetings is as follows: NAME DESIGNATION ATTENDANCE Dr Tay Kiang Hiong* President 6 Dr Ian Tsou Yu Yan** Immediate Past President 5 Dr Andrew Tan Gee Seng Vice-President 5 Dr Raymond Quah Chung Weih Honorary Secretary 6 Dr Chou Hong Honorary Treasurer 4 Dr Huang Hian Liang Council Member 2 Dr Steven Wong Bak Siew*** Council Member 3

Dr Tan Bien Peng Council Member 3 COLLEGE OF RADIOLOGISTS, SINGAPORE Dr Daniel Tan Yat Harn**** Co-Opted Member 2 Dr Lester Leong Chee Hao***** Chairman, Chapter of Diagnostic Radiologists 3 Dr Charlene Liew Jin Yee*** Chairman, Chapter of Diagnostic Radiologists 3 Dr Kelvin Loke Siu Hoong Chairman, Chapter of Nuclear Medicine Physicians 5 Dr Michael Wang Lian Chek***** Chairman, Chapter of Radiation Oncologists 2 Dr Choo Bok Ai*** Chairman, Chapter of Radiation Oncologists 3 *Served as President-Elect in previous term **Served as President in previous term ***Joined on 25 May 2019 ****Stepped down on 25 May 2019 and subsequently became a Co-Opted Member *****Stepped down on 25 May 2019

ACTIVITIES

CONTINUING MEDICAL EDUCATION National Didactic Lecture Series Residency Program Part 1 Organised by the Chapter of Diagnostic Radiologists Course Leader : Dr Chou Hong DATE TEACHER TOPIC 6 January Mr S Somanesan NM P1: Radionuclides and Their Production NM P2: Gamma Camera; SPECT 20 January Mr S Somanesan NM P4: Principles of PET Imaging NM P5: Safety Issues in Radionuclide Imaging 3 February Mr S Somanesan/Mr Kwok Yew Mun FRCR P1 MCQ Warm-Up Quiz 10 February Prof Thng Choon Hua MRI P1 MRI P2 17 February Prof Thng Choon Hua MRI P3 MRI P4: MRI Safety 24 February Dr Gervais Wansaicheong Ultrasound P1: Introductory Physics Ultrasound P2: Ultrasound Imaging Ultrasound P3: Advanced Topics in US Imaging 8 July Dr Chea Yen Wei Cardio-Thoracic & Vascular 15 July Dr Lynette Teo Body Imaging (GI, HBS, Male GU and Male Pelvis) 22 July Dr Chong Le Roy Musculoskeletal 29 July Dr Lee Yeong Shyan Breast Imaging 5 August Dr Rohit Female Pelvis 19 August Dr Tan Tiong Yong Head and Neck 26 August Dr Marielle Fortier Paediatric Imaging 16 September Dr Yu Wai Yung CNS 23 September Dr Niraj Dubey Emergency Limb and Joint Trauma 30 September Dr PC Mohan Emergency Spine Trauma 7 October Dr Saurav Gupta Emergency Chest Radiographs 14 October Dr Gregory Kaw Emergency CT Chest 21 October Dr Ting Yonghan/Dr Charles Goh Rapid Sets

ANNUAL REPORT 2019 | 61 DATE TEACHER TOPIC 4 November Dr Laurie Loevner Interactive Session/Case Presentation on Neuro, Head/Neck Emergency CT Brain 11 November Dr Andrew Tan Emergency CT Abdomen 25 November Mr Kwok Yew Mun Ionising Radiation (IR) P1: Interactions of X-rays with Matter Digital Radiology (DR) P1: Computers and PACS DR P2: Digital Detectors

COLLEGES AND CHAPTERS 2 December Mr Chia Koon Liang IR P2: Radiation Dose and Protection IR P3: Imaging with X-rays and Film Screen Radiography 9 December Mr Chia Koon Liang IR P4: Fluoroscopy DR P3: Computed Tomography 23 December Mr S Somanesan NMR P3: Principles of SPECT Mr Kwok Yew Mun DR P4: Digital Systems

National Didactic Lecture Series Residency Program Part 2A Organised by the Chapter of Diagnostic Radiologists Course Leader : Dr Winston Lim DATE TEACHER TOPIC 9 January Dr Bela Purohit Inflammation and Infections Dr Samuel Ng Basic Trauma, Ischaemia and Degenerative Disease 16 January Dr Parag Ratnakar Salkade 1. Orbit 2. Sinus 23 January Dr Chan Ling Ling Brain Tumours Dr Winston Lim Spine and Spinal Cord 30 January Dr Tan Tiong Yong 1. Essentials of ENT Imaging COLLEGE OF RADIOLOGISTS, SINGAPORE COLLEGE OF RADIOLOGISTS, 2. Central Skull Base and Temporal Bone 8 May Dr Gregory Kaw The Chest Wall, Pleura and Diaphragm Dr Zhuang Kun Da Interventional Techniques in the Thorax 15 May Dr Winnie Lam 1. Nuclear Medicine in Respiratory Disease 2. Nuclear Medicine in Cardiovascular Disease 22 May Dr Angeline Poh Imaging of Pulmonary Infection & TB 29 May Dr Daniel Wong Arterial Disease (Excluding Aorta): Diagnosis and Intervention Dr Ankur Patel Venous Disease: Diagnosis and Intervention 12 June Dr Farah Gillan Irani The Aorta: Diagnosis and Intervention Dr Narayan Lath Cardiomyopathies, Cardiac Tumours and Pericardium 19 June Dr Lynette Teo 1. Congential Heart Disease 2. Acquired Valvular Heart Disease 26 June Dr Tham Wei Ping 1. Diffuse Pulmonary Disease Dr Anandswaroop 2. Industrial Lung Disease 3 July Dr Charlene Liew The Mediastinum Dr Angeline Poh Lung Nodule Detection 10 July Dr Shoen Low Ischaemic Heart Disease Dr K Gunasegaran Echocardiography and Coronary Angiography 17 July Dr Suresh Balasubramania Pulmonary Thromboembolism and Pulmonary Hypertension Dr Ashish Chawla Airway Disease 24 July Dr Ng Yuen Li The Critically Ill Patient Dr Haja Salahudeen Pulmonary Neoplasm and Lung Cancer Staging 7 August Dr Tang Phua Hwee Paediatric Chest Paediatric Oncology 14 August Dr Tang Phua Hwee Disorders of Brain Development and Phakomatoses Birth Trauma/Asphyxia, Congenital Infection 21 August A/Prof Marielle Fortier Paediatric Gastrointestinal Paediatric Urogenital 28 August Dr Chou Hong Overview of Imaging Techniques in Musculoskeletal Radiology Dr Niraj Dubey Lower Extremity Trauma 4 September Dr Png Meng Ai Metabolic Bone Diseases Dr Chandra Mohan Interventional Techniques in Musculoskeletal Radiology

ANNUAL REPORT 2019 | 62 COLLEGES AND CHAPTERS DATE TEACHER TOPIC 11 September Dr Koh Wan Lin Internal Derangements of Lower Limb Joints Dr Ian Tsou Internal Derangements of Upper Limb Joints 25 September A/Prof Thomas Chee Bone Infection Dr Ankit Tandon Arthritides 2 October Dr Andrew Tan EH Scintigraphic Applications in Musculoskeletal Radiology Dr Kenneth Sheah Upper Extremity Trauma 9 October Dr Louise Gartner Musculoskeletal Tumours Dr David Sia Musculoskeletal Soft Tissue Infection 23 October Dr Lee Chau Hung Radiology of Trauma and Acute Abdomen Dr Tan Cher Heng Peritoneal Spaces 30 October Dr Lionel Cheng Liver Dr Kwek Jin Wei Bile Ducts and Gallbladder COLLEGE OF RADIOLOGISTS, SINGAPORE 6 November Dr Ho Chia Ming Colon and Anorectum Dr Albert Low Su Chong Pancreas 13 November Dr Juliana Ho Spleen and Lymphoma Abdominal Interventional Radiology 20 November Dr Law Yan Mee Prostate Cancer Imaging Dr Llewellyn Sim Breast Imaging 2: Diagnosis & Assessment, Metastatic Patterns 27 November A/Prof Ong Chiou Li 1. Hysterosalpingography and Fertility 2. Imaging Pregnant Women 4 December Dr Thida Win Gynaecological Imaging 11 December Dr Marielle Fortier Obstetric/Foetal Imaging 18 December Dr Michael Clarke Penile and Testicular Imaging

National Didactic Lecture Series Residency Program Part 2B/3 Organised by the Chapter of Diagnostic Radiologists Course Leader : Dr David Sia DATE TEACHER TOPIC 3 January Dr Tham Wei Ping Hot Seat Viva Practice Dr Lester Leong 10 January Dr Bertrand Ang Dr Thian Yee Liang 17 January Dr Rupak Dutta Dr Ivan Huang Dr Kenneth Kwan 24 January Prof Kumar Sandrasegaran Pitfalls in Interpretation of Post-Operative CT & Case Conference (HMDP Visiting Lecture) 31 January Dr Png Meng Ai Viva Dr Shaun Chan 9 May Dr Robert Chen General VIVA Dr Lim Chee Yeong 16 May Dr Martin Hng Dr Maria Ormasa 23 May Dr Andrew Makmur Approach to the Radiological Signs of Optic Neuritis Dr James Hallinan Approach to Radiological Signs of the Hole in the Bone à JH 30 May Dr Mohammed Isham General VIVA Dr Chin Teck Yew 6 June Dr Wei Kiong Viva Dr Mohd Taufik 13 June Dr Gabriel Chan General VIVA Dr Tan Cher Heng 20 June Dr Lim Mei Chin Viva Dr Lynette Teo Approach to the FRCR 2b Viva 27 June Dr Jeffrey Fong Approach to Common Bone & Joint Pathologies Dr Shoen Low General VIVA

ANNUAL REPORT 2019 | 63 DATE TEACHER TOPIC 4 July Dr Lester Leong Approach on Breast Calcification Dr Ankur Patel General VIVA 11 July Dr Lawrence Quek Dr Gerald Tan 18 July Dr Peh Wee Ming Approach to the Bone Scan (NM) & VIVA & Hot Seat Viva Practice Dr Justin Ng Approach to Intervention of the Acute Stroke Patient & Hot Seat

COLLEGES AND CHAPTERS Viva Practice 25 July Dr Colin Tan Core Cases in Nuclear Medicine Dr Yong Yan Rong Approach to Brain Tumours 1 August Dr Wang WY General VIVA Dr Chew Lee Lian 8 August Dr Krishna Gummalla General VIVA Dr Than Naing Tun 22 August Dr Sumeet Kumar Altered Mental Status & Hot Seat VIVA Dr Yu Wai Yung 29 August Dr Tang Phua Hwee General VIVA Dr Ng Chee Hui 5 September Dr David Sia Hot Seat Viva Dr Peh Wee Ming Approach to the Bone Scan (NM) & VIVA & Hot Seat Viva Practice 7 November Prof Laurie Loevner (HMDP Visitor) Hot Seat VIVA 14 November Dr Kenneth Kwan Hot Seat VIVA Dr Ankit Tandon 21 November Dr Robert Chen Neuro VIVA

COLLEGE OF RADIOLOGISTS, SINGAPORE COLLEGE OF RADIOLOGISTS, Dr Pradesh General VIVA 28 November Dr Chin Teck Yew Hot Seat VIVA 5 December Dr Cheong Wei Kiong General VIVA Dr Shawn Kok 12 December Dr Ashutosh Prakash Hot Seat VIVA Dr Lee Yeong Shyan 19 December Dr Low Ying Liang Viva Dr Yee Yong Chen 26 December Dr Teoh Wey Chyi General VIVA Dr Tan Tien Jin

National Didactic Lecture Series Residency Program Part 4 Organised by the Chapter of Diagnostic Radiologists Course Leader : Dr Ankit Tandon DATE TEACHER TOPIC 8 January Dr Angeline Poh Healthcare Systems and Challenges (Non Interpretive Skills) Dr Ivan Huang Interventional Radiology Procedures ‒ Indications, Contraindications and Embolisation Materials Dr Charlene Liew Professionalism: Focus on Digital Professionalism, Social Media and Professional Networking Sites (Non Interpretive Skills) 22 January Prof Kumar Sandrasegaran Teaching Session by HMDP Visiting Expert 19 February Dr Tang Phua Hwee Tips Regarding Communication with the Biostatistician (Non Interpretive Skills) Dr Ankit Tandon Imaging of Arthritis: Algorithmic Approach 26 February Dr Andrew Tan Quality in Radiology (Non Interpretive Skills) Dr Yong Yan Rong CNS Infections 12 March Dr Sumeet Kumar Brain Tumours ‒ Diagnostic Strategy Dr Ian Tsou Radiology Reports: How to Add Value? 26 March Dr Tan Bien Soo Radiology with Heart: Volunteerism in Radiology (Non Interpretive Skills) 9 April Dr Winston Lim Brain Trauma and Stroke ‒ What the Radiologist Need to Know? Dr Ankur Patel Vascular Entrapment Syndromes and Vasculitis Syndromes

ANNUAL REPORT 2019 | 64 COLLEGES AND CHAPTERS DATE TEACHER TOPIC 23 April Dr Wynne Chua Approach to Adnexal Masses Dr Sundeep Punamiya Acute Aortic Syndrome 14 May Dr Steven Wong MSK Soft Tissue Tumours and Tumour Like Lesions Value-Based Imaging (Non Interpretive Skills) Dr Narayan Lath Cardiac MRI Imaging of Ischaemic Heart Disease and Non Ischaemic Cardiomyopathies 28 May Dr Tchoyoson Lim Self-Directed Learning and Scholarly Activity (Non Interpretive Skills) Orientation of R4 Trainees Transiting to R5 (No Assigned Trainee is Required) 4 June Dr Yu Wai-Yung Inflammatory White Matter Disease Session 11 June Dr Joey Beh Imaging of Small Bowel Diseases Dr Saurav Gupta Role of Radiologists in Diagnosis and Management of Interstitial COLLEGE OF RADIOLOGISTS, SINGAPORE Lung Diseases 2 July Dr Tan Tiong Yong My Life As An Academic and Public Sector Radiologist (Non Interpretive Skills) Dr Yan Yet Yen Imaging of Osteomyelitis and Musculoskeletal Soft Tissue Infections: Current Concepts 9 July Dr Luke Toh 1. Ethics & Professionalism (Part 1) 2. Case Studies in Radiology (Non Interpretive Skills) Dr Tang Phua Hwee Imaging of Common Paediatric Intracranial Pathologies 13 August Dr Luke Toh 1. Informed Consent (Non Interpretive Skills) Professionalism (Part 2) 2. Professionalism (Part 2) Dr Les Folio Combat Trauma and New Innovations in Chest Imaging 27 August Ms Kuah Boon Theng Medicolegal Issues in Radiology: How to Stay Out of Trouble Dr Tan Bien Soo While Providing High Quality Care (Non Interpretive Skills) Dr Narayan Lath Cardiac MRI Imaging of Ischaemic Heart Disease and Non Ischaemic Cardiomyopathies 10 September Dr Tan Bien Soo Radiology Leadership and Administration 2019: Fireside Chat Title Dr Steven Wong TBC Dr Chan Lai Peng Dr Charlene Liew Dr Teoh Wey Chyi Characterisation of Focal Hepatic (Excluding HCC) and Splenic Lesions 24 September Dr Charlene Liew Applied Artificial Intelligence 101 for Residents Dr Lester Leong Breast ‒ Imaging Approaches to Diagnosis and Management of Common Ductal Abnormalities 8 October Dr Angeline Poh Machine Learning, Big Data and RIS/PACS: What a Radiologist Dr Andrew Tan Needs to Know (Non Interpretive Skills) Dr Lynette Teo Radiological Assessment of Congenital Heart Diseases 22 October Dr Charlene Liew Professionalism: Focus on Digital Professionalism, Social Media and Professional Networking Sites (Non Interpretive Skills) Dr Lee Chau Hung Practical Approach to Solid and Cystic Lesions of Kidney 12 November Dr Lynette Teo How to apply for IRB and Medical Ethics (Non Interpretive Skills) Dr Faimee Erwan Neck Spaces and Associated Conditions 26 November Dr Xie WanYing Radionuclide Scanning: Identification of Radio-Pharmaceutical and Appearance of Pathology Dr Pushan Cardiac MIBI Scan and Nuclear Cardiology 10 December Dr Gervais Wansaicheong Communication and Teamwork (Non Interpretive Skills)

ANNUAL REPORT 2019 | 65 SINGAPORE CONGRESS OF RADIOLOGY NATIONAL RADIOLOGY RESIDENCY (SGCR) 2019 AND WORKSHOPS DIDACTIC LECTURES COMMITTEE – IN INTERVENTIONAL RADIOLOGY EDUCATION UPDATE EDUCATION SINGAPORE (WIRES) Date 25 May 2019 TH IN CONJUCTION WITH 28 ANNUAL Venue One Farrer Hotel SCIENTIFIC MEETING (ASM) OF THE SINGAPORE RADIOLOGICAL SOCIETY CRS-SRS-SGCR GET-TOGETHER

COLLEGES AND CHAPTERS (SRS) AND COLLEGE OF RADIOLOGISTS (DURIAN AND FRUITS PARTY) SINGAPORE (CRS) Date 12 June 2019 This event was held from 16 to 18 August at the Raffles City Venue Mount Elizabeth Novena pital Convention Centre. Highlights of the event are described below.

THE 15th FY Khoo Memorial Lecture Dr Valerie P Jackson had delivered the 15th FY Khoo Memorial Lecture entitled, ‘Dealing with Difficult Staff’ on the first day of the event. COLLEGE OF RADIOLOGISTS, SINGAPORE COLLEGE OF RADIOLOGISTS,

From left to right: Dr Andrew Tan, Dr Valerie P Jackson and A/Prof Tay Kiang Hiong.

Lifetime Achievement Award 2019 Three winners were awarded the Lifetime Achievement Attendees mingled and shared views amidst bites of delicious fruits. Award: Drs Joseph Wee Tien Seng, John Hoe Wei Ming and Ng Fook Cheong. MULTI-STAKEHOLDER WORKGROUP MEETING ON EARLIER BREAST CANCER DETECTION Date 19 July 2019 Venue Grand Copthorne Waterfront Hotel

From left to right: Lifetime Achievement Award winners, Drs Andrew Tan, Dr Ng Fook Cheong and Dr John Hoe; Prof Joseph Wee and A/Prof Tay Kiang Hiong.

Diagnostic Radiology Certifying Exam Gold Medal Participants of the workgroup meeting. Award Winner for 2018 Dr Gary Yoong Sem Wye Award Winner for 2019 Dr Leow Kheng Song

ANNUAL REPORT 2019 | 66 COLLEGES AND CHAPTERS COLLEGE OF RADIOLOGISTS, SINGAPORE ORGANISATION Ministry of Health Ministry Yardbird Southern Table and Bar, The Shoppes Table and Yardbird Southern Bay Sands at Marina 30 October 2019 30 October 67 Venue ACTIVITIES TOPIC Consultation on Proton Beam on Proton Consultation Standards Therapy Date Artificial Intelligence (AI) Interest Group Interest (AI) Intelligence Artificial – Pre-Congress (MRS) Radiology Society Myanmar Symposium OTHER INVOLVEMENTS OTHER FUTURE PLANS AND COMMITMENTS continuing enhance and further to committed is College The medical education for theSingapore radiological communities by in organising nuclear radiologists, benefit will that courses and meetings workshops, annual medicine physicians and radiation oncologists at-large. scientific CRS and SRS members gathered at the dinner. OPINION PROFESSIONAL CRS-SRS DINNER CRS-SRS ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL Wisma Geylang Serai Lifelong Learning Institute Lifelong Myanmar 9 November 2019 25 August 2019 25 August 6 November 2019 Venue Venue Venue Date Date Date Forum participants engaged in a lively discussion. PUBLIC FORUM – MY BREAST, MY – MY BREAST, PUBLIC FORUM RESPONSIBILITY Members at the Pre-Congress Symposium 2019 that was held in Myanmar on 6 November. MYANMAR RADIOLOGICAL SOCIETY- RADIOLOGICAL MYANMAR SINGAPORE/ OF RADIOLOGISTS COLLEGE SOCIETY RADIOLOGICAL SINGAPORE 2019 SYMPOSIUM PRE-CONGRESS Women’s health in the new age was the focus of the public forum held on Women’s health in the new age was the focus of 25 August. PUBLIC FORUM FORUM PUBLIC INTERVENTIONAL – YOUR SERIES: YOU AND RADIOLOGIST AGE IN THE NEW HEALTH WOMEN’S COLLEGE OF SURGEONS, SINGAPORE

PRESIDENT’S MESSAGE DR TAN YEH HONG COLLEGES AND CHAPTERS

Recent changes in the structure of the healthcare system have placed tremendous stress on the surgeon-patient relationship. As a result, the essential trust patients place on the surgeon has been weakened. In the last few years, our surgical colleagues have faced disciplinary action from the Singapore Medical Council (SMC) and the courts. These cases illustrate the importance of professional standards. We, as a community, should set a high standard of surgical practice.

In September 2019, together with the College of Anaesthesiologists, Singapore, we organised a congress on Updates on Best Practices in Perioperative Care. Key issues such as medical ethics, defensive medicine, informed consent and risk management were discussed. I would like to congratulate the Organising Chairman, Dr Chua Wei Chong, and his committee for the successful congress.

Special credit must be given to Chapter chairpersons, Council members and Fellows of the College for organising various courses and activities in the past year. Going forward, the Chapters will discuss and develop appropriate specialty-specific guidelines in consent-taking for common interventions and procedures. COLLEGE OF SURGEONS, SINGAPORE COLLEGE OF SURGEONS, We hope that by improving communication skills and enhancing education, the surgical community can meet its moral obligation of increasing trust in the surgeon-patient relationship. We also hope that surgeons can continue to practise confidently in a safe environment, supported by the SMC and Ministry of Health.

In view of the current COVID-19 crisis, it is important to keep ourselves safe and healthy in order to protect the well- being of our patients, colleagues, family and friends.

ABOUT THE COLLEGE ANNUAL GENERAL MEETING The Chapter of Surgeons was inaugurated in 1966 by The College’s 15th Annual General Meeting was held on 27 the Master of the Academy of Medicine, Professor K May 2019 at Mount Elizabeth Medical Centre. Shanmugaratnam, as one of the first two Chapters of the Academy. The first chairman elected was Mr Yahya Cohen. FUTURE PLANS AND COMMITMENTS Over the years, it had functioned under the umbrella of The College’s plans for events/activities in 2020 are as the Academy and successfully organised many academic follows: activities for its members. The Academy Council undertook a major review of the Academy’s Memorandum and •• College of Surgeons Lectureship Dinner 2020 Articles of Association (M&AA) in 2002 and 2003 witha ••The 15th College of Surgeons Lectureship view to transform a number of Chapters to Colleges. ••The 25th Yahya Cohen Memorial Lectureship ••College of Surgeons Gold Medal Award 2020 The College of Surgeons, Singapore was incorporated on 17 ••Plastic Aesthetic Surgery Annual Scientific Meeting 2020 August 2004 (UEN: 200410341R). Its registered address is at (organised by the Chapter of Plastic, Reconstructive & 81 Kim Keat Road, NKF Centre, #11-00, Singapore 328836. Aesthetic Surgeons) Its internal auditor is Fiducia LLP and its bankers are DBS ••Nomination and Election for College Council Members Bank Ltd and Oversea-Chinese Banking Corporation. Stone ••Annual General Meetings of the College and its Specialty Forest CorpServe Pte Ltd has been appointed the Company Chapters Secretary of the College. The College’s financial report is available separately.

ANNUAL REPORT 2019 | 68 COLLEGES AND CHAPTERS COLLEGE OF SURGEONS, SINGAPORE 2 6 4 4 0 5 2 3 1 3 ATTENDANCE Director (from 2 June 2016) Director Director (from 8 May 2015) Director Director (from 2 June 2016) Director Director (from 29 May 2017) Director Director (from 8 May 2015) (from Director Director (from 24 May 2018) (from Director 27 May 2019) (from Director Director (from 29 May 2017) (from Director Director (from 27 May 2019) (from Director Director (from 29 May 2017) (from Director Director (from 27 May 2019) (from Director Director (from 29 May 2017) (from Director Director (from 27 May 2019) (from Director Director (from 29 May 2017) (from Director Director (from 27 May 2019) Director Director (from 29 May 2017) Director

69 Chua Wei Chong Chua Wei Goh Yaw Chong Goh Yaw Seow Choon SheongSeow Bernard Lim Yon Kuei Kuei Lim Yon Bernard Ng Wai Hoe Ng Wai Yeo Seng Beng Yeo Darren Tay Keng Jin Keng Tay Darren Gavin Kang Chun-Wui Chun-Wui Kang Gavin Chong Yew Lam Chong Yew Victor Chao Tar Toong Toong Tar Chao Victor Dale Lincoln Loh Ser Kheng Loh Ser Kheng Dale Lincoln Dr Tan Yeh Hong Yeh Dr Tan Dr Dr Dr Dr Dr Dr Dr Dr Dr Chew Min HoeDr Chew Kow Dr Alfred Dr Dr Ng Kheng Hong Dr Tan Ter Chyan Ter Dr Tan Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr Dr c Surgeons c ti ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL e esth ns e & A e uctiv urgeo ns Honorary Treasurer DESIGNATION President Vice-President Honorary Treasurer Council Member Chairman, Chapter of Cardiothoracic Surgeons Chairman, Chapter of General Surgeons Honorary Secretary Council Member Council Member tr S ns ns

ns yngologists o acic ** c Surgeons dic ec Surgeo

olar ric Surgeons ric ** Surgeo othor eral eral diat rgeo urosu nd orhin astic, R astic, e nt a Gen H N Ot Orthopae f f f *

ide es er er of Cardi of er er o er er of of er er of of er er o er er o er er of Pae of er er of Pl of er er of Urologists Urologists of er * * pt pt pt pt pt pt pt pt pt ft to right): Cha Cha Cha Cha Cha Cha Cha Cha Cha

: embers ur Treas , , , , , , , , , , , , , , , , , , M ry ry ora il ncil airman airman airman airman airman airman airman airman airman on Dr Bernard Lim NAME Elected Council Members Dr Tan Yeh Hong President Immediate Past Pr Past Immediate Dr Goh Yaw Chong Dr Seow Choon Sheong Dr Thomas Ho Wai Thong Appointed Council Members Dr Victor Chao Tar Toong Dr Ng Kheng Hong Dr Chew Min Hoe Dr Marcus Wong Thien Chong Dr Alfred Kow Vice-President H Honorary Secretary Honorary Cou Ch Ch Ch Ch Ch Ch Ch Ch Ch COUNCIL MEETINGS A total of six Council meetings were held for the year to discuss the business and affairs of the College. The attendance record of the meetings is as follows: THE 2019-2021 COUNCIL COUNCIL 2019-2021 THE Dr Seow Choon Sheong (Honorary Treasurer), Dr Goh Yaw Chong (Vice-President), Dr Alfred Kow (Council Member) Dr Seow Choon Sheong (Honorary Treasurer), Dr Goh Yaw Chong (Vice-President), Dr Alfred Kow Dr Dale Lincoln Loh Ser Kheng (Chairman, Chapter of Paediatric Surgeons), Dr Chua Wei Chong (Immediate Past President), Dr Tan Yeh Hong (President), of Paediatric Surgeons), Dr Chua Wei Chong (Immediate Past President), Dr Tan Yeh Hong (President), Dr Dale Lincoln Loh Ser Kheng (Chairman, Chapter Chew Min Hoe (Council Member) Dr Bernard Lim Yon Kuei (Honorary Secretary), Dr Standing (from left to right): Chapter of General Surgeons), Dr Tan Ter Dr Victor Chao Tar Toong (Chairman, Chapter of Cardiothoracic Surgeons), Dr Ng Kheng Hong (Chairman, Surgeons), Dr Gavin Kang (Chairman, Chapter Chyan (Chairman, Chapter of Hand Surgeons), Dr Darren Tay Keng Jin (Chairman, Chapter of Orthopaedic Dr Chong Yew Lam (Chairman, of Plastic, Reconstructive & Aesthetic Surgeons), Dr Yeo Seng Beng (Chairman, Chapter of Otorhinolaryngologists), Chapter of Urologists), Dr Ng Wai Hoe (Chairman, Chapter of Neurosurgeons) Not in photo Seated (from le Seated Dr Tan Ter Chyan Chairman, Chapter of Hand Surgeons 5 Dr Ng Wai Hoe* Chairman, Chapter of Neurosurgeons 2 Dr Yeo Seng Beng Chairman, Chapter of Otorhinolaryngologists 5 Dr Darren Tay Keng Jin* Chairman, Chapter of Orthopaedic Surgeons 1 Dr Ganesan Naidu** Chairman, Chapter of Orthopaedic Surgeons 1 Dr Dale Lincoln Loh Ser Kheng Chairman, Chapter of Paediatric Surgeons 4 Dr Gavin Kang Chun-Wui* Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons 3 **

COLLEGES AND CHAPTERS Dr Matthew Yeo Sze Wei Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons 2 Dr Chong Yew Lam Chairman, Chapter of Urologists 2 Ex-Officio Dr Chua Wei Chong Immediate Past President 5 *Joined on 27 May 2019 **Stepped down on 27 May 2019

BOARDS OF SPECIALTY CHAPTERS CHAPTER OF ORTHOPAEDIC SURGEONS The Boards of the Specialty Chapters were elected into Chairman Dr Darren Tay Keng Jin office for a two-year term from 2019-2021 following the Vice-Chairman Dr Goh Seo Kiat 15th Annual General Meeting of the respective Chapters Honorary Secretary Dr Dave Lee Yee Han in 2019. At the time of writing of this annual report, the Board Members Dr Ganesan Naidu Boards had met six times. The members of the Chapter Dr Bernard Lee Chee Siang Boards are as follows: Dr Puah Ken Lee CHAPTER OF CARDIOTHORACIC SURGEONS Dr Das De Soumen Chairman Dr Victor Chao Tar Toong CHAPTER OF OTORHINOLARYNGOLOGISTS

COLLEGE OF SURGEONS, SINGAPORE COLLEGE OF SURGEONS, Vice-Chairman Dr Lim Yeong Phang Chairman Dr Yeo Seng Beng Honorary Secretary Dr Ong Boon Hean Vice-Chairman Dr Ian Loh Chi Yuan Board Members Dr C Sivathasan Honorary Secretary Dr Raymond Ngo Yeow Seng Dr James Wong Board Members Dr Paul Mok Kan Hwei Dr Lim Chong Hee Dr Barrie Tan Yau Boon Co-Opted Board Dr Philip Pang Yi Kit Dr Uppal Sandeep Members Dr Kofidis Theodoros Dr Liu Jiaying Co-Opted Board Dr Yuen Heng Wai CHAPTER OF GENERAL SURGEONS Member Chairman Dr Ng Kheng Hong Vice-Chairman Dr Aung Myint Oo CHAPTER OF PAEDIATRIC SURGEONS Honorary Secretary Dr Cheng Shin Chuen Chairman Dr Dale Lincoln Loh Ser Kheng Vice-Chairman Dr Chiang Li Wei Board Members Dr Dennis Koh Honorary Secretary Dr Lee York Tien Dr Joseph Lo Zhiwen Board Members Dr Nyo Yoke Lin Dr Sunder S/O Balasubramaniam Dr Mali Vidyadhar Dr Vishalkumar G Shelat Co-Opted Board Dr Alfred Kow Wei Chieh CHAPTER OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGEONS Members Dr Lee Ser Yee Chairman Dr Gavin Kang Chun-Wui Dr Seow Choon Sheong Vice-Chairman Dr Matthew Yeo Sze Wei CHAPTER OF HAND SURGEONS Honorary Secretary Dr Jeremy Sun Chairman Dr Tan Ter Chyan Board Members Dr Adrian Ooi Vice-Chairman Dr Jacqueline Tan Siau Woon Dr Terence Goh Lin Hon Honorary Secretary Dr Duncan McGrouther Dr Pek Wan Sze Board Members Dr Andrew Yam Kean Tuck Dr Tan Ying Chien Dr Jonathan Lee Yi Liang CHAPTER OF UROLOGISTS Dr Sechachalam Sreedharan Chairman Dr Chong Yew Lam Dr Kevin Wong Jian Hao Vice-Chairman Dr Edmund Chiong Co-Opted Board Dr Andrew Chin Yuan Hui Honorary Secretary Dr Chua Wei Jin Member Board Members Dr Heng Chin Tiong CHAPTER OF NEUROSURGEONS Dr Ng Lay Guat Chairman Dr Ng Wai Hoe Dr Sim Hong Gee Vice-Chairman Dr Vincent Ng Yew Poh Dr Colin Teo Chang Peng Honorary Secretary Dr Peter Hwang Ying Khai Dr Toh Khai Lee Board Members Dr David Low Co-Opted Board Dr David Terrence Consigliere Dr Seow Wan Tew Member

ANNUAL REPORT 2019 | 70 COLLEGES AND CHAPTERS COLLEGE OF SURGEONS, SINGAPORE and 19 7 70 59 19 84 88 23 29 38 187 604 2016 0 1 6 1 0 4 0 0 1 0 16 ORDINARY MEMBERS ORDINARY 7 74 63 21 95 94 22 39 39 198 652

2017 2 7 0 0 1 0 2 6 0 2 20 OVERSEAS (up from 672 in 2018), comprising 676 6 76 64 21 99 22 40 39 104 201 672 2018 4 2 5 1 9 40 10 27 10 12 122 71 Chapter held the dinner lecture on 19 November 2019 November on 19 dinner lecture held the Chapter one Fellow has listed his specialty as ‘Public Health’ and one Fellow has one Fellow has listed his specialty as ‘Public Health’ one Fellow has listed his specialty as ‘Public Health’ and one Fellow has one Fellow has listed his specialty as ‘Public Health’ internationally renowned leaders from exclusive breakout sessions. the during field comprises content The conference programme targeted at cardiologists, cardiothoracic surgeons, intensive care specialists, VAD and heart transplant nurses involved in the care of advanced heart failure, MCS coordinators and and heart transplant patients. Dinner Lecture: Rationale of Aortic Annuloplasty to Standardise Aortic Valve Repair The Emmanuel Dr was speaker guest The Restaurant. Grissini at Lansac from Institut Mutualiste Montsouris, France. of Events Endorsement Aortic Valve Repair and Root Surgery Techniques Workshop The Chapter had workshop that endorsed had been this co-organised University Heart Centre Singapore and National University by two-day the National interactive of Singapore. The workshop November was 2019. It held touched on on and root surgery. aortic valve 18 evolving techniques of 7 83 70 22 25 40 42 107 105 208 709 2019 19 74 95 15 57 72 514 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL August 2019 LOCAL ACTIVELOCAL EXEMPTED LOCAL 7 1 42 31 4025 32 22 70 83 105 208 160 107 2019 We are honoured are to We Overseas Fellow Members. s, and 13 Ordinary Overseas 636), 20 19, the College’s total the College’s Fellows numbered 709 membership r 2019, * * ellows (up from ellows (up rd CHAPTER No Chapter Urologists Plastic, Reconstructive & Aesthetic Surgeons Plastic, Reconstructive Paediatric Surgeons Otorhinolaryngologists Orthopaedic Surgeons Neurosurgeons Hand Surgeons General Surgeons Cardiothoracic Surgeons Cardiothoracic College of Surgeons, Singapore College of Surgeons, CHAPTER College of Surgeons, Singapore 709 Cardiothoracic Surgeons Hand Surgeons Neurosurgeons Orthopaedic Surgeons General Surgeons Otorhinolaryngologists Paediatric Surgeons Plastic, Reconstructive & Aesthetic Surgeons Urologists No Chapter Among the seven Fellows, five of them have listed their specialty as ‘Anatomy’, Among the seven Fellows, five of them have listed Among the seven Fellows, five of them have listed their specialty as ‘Anatomy’, Among the seven Fellows, five of them have listed Local F no listed specialty no listed specialty Continuing Medical Education (CME) Events Dinner Lecture: Coronary Artery Surgery: Where Do We Need To Be? The Chapter organised a dinner on 1 lecture CHAPTER OF CARDIOTHORACIC CHAPTER OF CARDIOTHORACIC SURGEONS The 3 Biennial Asia Pacific Mechanical Circulatory Support Conference The Chapter and National Heart Centre Singapore had co- Heart National the at held was It conference. this organised Centre on 1 and 2 November 2019. This biennial conference professionals dedicated to the treatment of advanced heart is a meeting comprehensive features It region. Pacific Asia the in failure of healthcare and interactive talks transplantationon advanced heart and failure, heart (MCS) as well mechanicalas the sharing of expertise and insights circulatory by support * at Regent Hotel. The guest speaker was Professor Michael Vallely. A total of 17 surgeons attended the event. Society International the of endorsement the received have of Heart & Lung Transplantation for this conference since its inaugural meeting in 2015. * MEMBERSHIP As of 31 Decembe CHAPTER OF GENERAL SURGEONS CHAPTER OF HAND SURGEONS Continuing Medical Education (CME) Events Continuing Medical Education (CME) Events

Exit Examination Preparatory Course 2019 for Advanced Hand Surgery Case Discussion 2019 Surgical Trainees (ASTs) in General Surgery The Chapter organised the Hand Surgery Case Discussion The Chapter organised its 9th Exit Examination Preparatory with Dr Yeo Chong Jin. The discussion was held on 9 July Course from 17 to 20 June 2019 for Advanced Surgical 2019 at Binomio Spanish Restaurante. Dr Yeo was in charge Trainees (ASTs) in General Surgery to help in their of planning the dinner venue. COLLEGES AND CHAPTERS preparations for exit examinations. The preparatory course was hosted by the National University Hospital, Singapore CHAPTER OF NEUROSURGEONS General Hospital, Tan Tock Seng Hospital and Ng Teng Fong Continuing Medical Education (CME) Events General Hospital. The four-day course comprised intensive mini lectures, tutorials, mock VIVA and clinical bedside. Cadaver Dissection Course 2019 The Chapter worked with the College of Surgeons, On behalf of the Chapter Board, Dr Ng Kheng Hong, had Singapore, and NUS Anatomy Laboratory to conduct thanked Dr Seow Choon Sheong for serving as the Course cadaver dissection courses for neurosurgery residents on Convenor in the past few years and for continuously fine- 3 August 2019. Cadavers were sourced from the Silent tuning the curriculum in order to stay relevant to changes Mentor Programme. in the profession. Dinner Symposium 2019 Cadaver Dissection Course 2019 The Chapter held two dinner symposiums on 15 and 23 This course was co-organised by the Chapter and the August 2019 at Marriott Singapore Tang Plaza and Sheraton Department of Anatomy and Surgery at Yong Loo Lin Towers Hotel, respectively. School of Medicine, National University of Singapore for surgical trainees on 5 to 6 July 2019. It utilised fresh frozen

COLLEGE OF SURGEONS, SINGAPORE COLLEGE OF SURGEONS, cadavers from the Silent Mentor Programme. The faculty of CHAPTER OF ORTHOPAEDIC SURGEONS 16 Chapter Fellows oversaw the training of eight trainees in Continuing Medical Education (CME) Events this intensive hands-on course. Chapter Dinner Lecture: My Journey in Robotic Arm Dinner Lecture Assisted Surgeries The Chapter held a dinner lecture on 28 February 2019. The The Chapter held a dinner lecture titled, ‘My Journey in topic, ‘Perioperative Nutrition: Enhancing Patient Recovery Robotic Arm Assisted Surgeries’, on 22 February 2019. The from Surgery’, was delivered by Professor Philip Calder. guest speaker was Dr Thomas Coon. A total of 12 surgeons had attended the dinner lecture. Essential Laparoscopic Suturing Course The Chapter supported the Essential Laparoscopic Suturing Chapter Dinner Lecture: Management of Anterior Cruciate Course held at The Academia, Singapore General Hospital Ligament Injuries ‒ Are We Better in 2019? on 11 May 2019. There were 15 participants in attendance. The Chapter held a dinner lecture titled, ‘Management of Anterior Cruciate Ligament Injuries ‒ Are We Better in Combined Surgical Meeting Calendar for 2019 2019?’ on 15 April 2019. The guest speaker was Dr Bertrand Monthly combined surgical meetings were conducted Sonnery-Cottet. A total of 15 surgeons had attended the in the restructured institutions on a rotational basis. The event. schedule of the meetings was as follows: DATE VENUE Trauma Cadaveric Course The Chapter held the Trauma Cadaveric Course from 28 26 January Khoo Teck Puat General Hospital to 29 October 2019 at The Academia, Singapore General 23 February Singapore General Hospital – Colorectal Hospital. A total of 12 participants took part in the course. Surgery 27 April Changi General Hospital 25 May KK Women’s & Children’s Hospital – CHAPTER OF OTORHINOLARYNGOLOGISTS Breast Department Facial Plastic and Reconstructive Surgery Section 27 July Ng Teng Fong General Hospital The Facial Plastic and Reconstructive Surgery Sub- Committee (created at the Chapter of Otorhinolaryngologists 24 August National University Hospital 11th Annual General Meeting in April 2017) tabled a 28 September Tan Tock Seng Hospital special resolution for the creation of the Facial Plastic 19 October Singapore General Hospital and Reconstructive Surgery Section at the Annual General Meeting of the College of Surgeons, Singapore in May 2018. It was approved by the College. The section conducted one meeting in 2019.

ANNUAL REPORT 2019 | 72 COLLEGES AND CHAPTERS COLLEGE OF SURGEONS, SINGAPORE 10 June 11 February DATE OF REPLY DATE 73 TOPIC Procedures of Prohibited List TOSP) to (with Reference Opinion on Publicity Claims by Medical Opinion on Publicity Claims by Medical Dysfunction Erectile Treating Clinic For Regulations ‒ PHMC (Advertisement) 2019 UTOPIA SCIENTIFIC CONGRESS 2019 SCIENTIFIC CONGRESS UTOPIA IN PRACTICES ON BEST – UPDATES CARE PERIOPERATIVE Carlton at 2019 September to 14 held on 13 This was event Hotel. Updates for surgical and anaesthesia communities, new strategies and best the practices international were the symposium topicsinternational delegates of in Singapore. attended Local the scientificco-organised congress and by the College of College of Surgeons Anaesthesiologists, Singapore; and of Fondazione Singapore; Internazionale Menarini. Guest-of-Honour of the event was Mr Edwin Tong, Senior Minister of State, Ministry Law, Singapore. of Mr Tong Health outlined measures and his ministry was Ministry exploring of to achieve a recommendations timeline—based by on interim a workgroup formedSingapore Medical Council’s processes. to look into CHAPTER OF UROLOGISTS CHAPTER OF UROLOGISTS Event Continuing Medical Education (CME) The Chapter supported the place Urofair from 2019, 4 to which 6 Chapter Board took member, Dr Ng April Lay Guat, spoke on ‘Active 2019. As for session Plenary the in Bladder Underactive to part Approach of the faculty, Reconstructive & Female Urology’. Professional Opinion The Chapter was consulted on the following topics and had provided its opinions: General General Hospital from 18 to 19 October 2019. The event featured world renowned speakers including Dr Dr Lin Xiaoxi. Dr Min Hee Ryu and Tonnard, Patrick Surgeons Plastic of Association Singapore The event, the At signed a Memorandum Mongolian Society of Plastic and Reconstructive Surgeons of Understanding (MSPRS) and with The Society The of (ThPRS). Surgeons of Thailand Plastic and Reconstructive Surgeons also Aesthetic of Cosmetic Society Singapore The signed a Memorandum of Understanding with The Society thereby (ThSAPS), Thailand of Surgeons Plastic Aesthetic of strengthening the ties between the the five bodies benefit of for and professional development sides. fraternities from both of the surgical Self-Learning Modules (SLM) The Chapter submitted its input on papers and MCQs for the specialty’s SLM module (with the Council, College of Surgeons, Singapore contributing to the in late 2017). applicable across all surgical specialties general MCQs ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL Dr Loh Chi Yuan Ian Dr Loh Chi Kok Teik Dr David Loke Su Dr Tan Kar Dr Sandeep Uppal Combined Journal Club 2019 was held by the st st Chairman Vice-Chairman SecretaryHonorary Members Tay Su-Lin Dr Valerie Dinner Lectures in Advanced Laryngology The Chapter and Society Neck Surgery, Singapore co-hosted talks on 31 October by of Otolaryngology-Head and visiting paediatric laryngology expert, Dr Michael Rutter, United States. from Cincinnati Children Hospital,Ohio, Cadaver Dissection Courses Cadaver Dissection The Chapter worked Singapore, with and the NUS cadaver College Anatomy dissection Laboratory of courses for to Surgeons, residentsclusters: General Surgery (5 & 6 July); Otorhinolaryngology conduct of all surgical (8 July); Plastic, Reconstructive & Aesthetics August); Neurosurgery (3 August). Cadavers Surgerywere sourced (2 from the Silent Mentor Programme. Continuing Medical Education (CME) Events Continuing Medical Paediatric Surgery Teaching Session The Chapter held a teaching session at Alastiar KK Professor 2019. Women’s September 4 and on Hospital Children’s Millar from Red Cross Children’s Hospital, Cape Town gave a lecture on ‘Extended Hepatic Resection vs Transplant for Hepatic Tumours’. Chapter at National University Hospital, Singapore on 10 the event. May 2019. A total of 17 doctors attended Plastic Aesthetic Surgery Meeting (PASM) 2019 PASM 2019—jointly organised with Singapore Association of Plastic Surgeons—was held at The Academia, Singapore Cadaver Dissection Course Co-organised with the College of Surgeons, Singapore and Yong Loo Lin School of Medicine at the National University held was Course Dissection Cadaver the (NUS), Singapore of on 2 August 2019 in the Dissection Hall of the Department Singapore over all from residents R4/R5 NUS. at Anatomy of (obtained cadavers fresh two were There participated. had under the Silent Mentor Programme). Participants spent the day dissecting flaps under the supervision of Drs Pek Chong Han, Matthew Yeo, Darren Ng, Adrian Kang and Mohamed Zulfikar Rasheed. Ooi, Gavin The course was well received and is expected to remain an important feature among the Academy of Medicine, Singapore’s events. Continuing Medical Education (CME) Events CHAPTER OF PLASTIC, RECONSTRUCTIVE RECONSTRUCTIVE CHAPTER OF PLASTIC, SURGEONS & AESTHETIC The 1 Combined Journal Club 2019 The 1 CHAPTER OF PAEDIATRIC SURGEONS CHAPTER OF PAEDIATRIC Events Continuing Medical Education (CME) The exco members are: members The exco UTOPIA is a crucial part of this promotion in the field of paramount in healthcare delivery and in Singapore, we scientific education. “The congress was an extraordinary wanted to explore better ways to improve trust in medical event that gave great value for all stakeholders and offered communities and mutual understanding between patients important interaction opportunities on surgical and and doctors, which is an absolute necessity,” said Dr Chua anaesthesia improvements in prevention and management Wei Chong, Co-President of the meeting. of perioperative risk factors. Patient centricity is COLLEGES AND CHAPTERS

Update s for surgical and anaesthesia communities, new strategies and best practices were the topics of the international symposium in Singapore.

COLLEGE OF SURGEONS LECTURESHIP system must be our ability to give clinical perspectives to DINNER 2019 shape policies and implementation outcomes.” COLLEGE OF SURGEONS, SINGAPORE COLLEGE OF SURGEONS, The 14th College of Surgeons Lectureship Dinner was held on 16 November 2019 at Regent Singapore. The College THE 14TH COLLEGE OF SURGEONS invited Dr Koh Poh Koon, Senior Minister of State, Ministry LECTURESHIP of Trade and Industry, Singapore, as the Guest-of-Honour. The College was honoured to have Prof Chee Yam Cheng, The Dinner was attended by 167 participants comprising President, Singapore Medical Council, to share his views College members and invited guests. The College hosted the Named Lectureships—the 14th College of Surgeons on ‘Surgical Practice in Singapore, 2020 and Beyond’. Prof Lecture and the 24th Yahya Cohen Memorial Lecture. The Chee received a College gold medal and certificate. College dinner, supported by surgeons from the different TH surgical disciplines, provided for an enjoyable evening of THE 24 YAHYA COHEN MEMORIAL fellowship and interaction within the specialist medical LECTURESHIP community. The College awarded the 24th Yahya Cohen Memorial Lecture Award to Dr Winson Tan Jianhong (Chapter of In his speech, Dr Koh cited two important areas— General Surgeons) for his paper entitled, ‘A Novel Derivation continued innovation and clinical leadership—in ensuring Predicting Survival After Primary Tumour Resection in Stage that the brand name of Singapore Healthcare continues to IV Colorectal Cancer: Validation of a Prognostic Scoring be a shining beacon in the region and globally: “We need Model and an Online Calculator to Provide Individualised a good system of clinical leadership development in our Survival Estimation’. Dr Tan received a College gold medal institutions. Clinicians in positions of leadership must not and certificate. become just another administrator. Our value-add to the

Dr Koh Poh Koon, Senior Minister of State at Ministry of Trade and Industry, Singapore, (sixth from right), Prof Chee Yam Cheng, President of Singapore Medical Council (fifth from right) and Dr Winson Tan Jianhong, Consultant at Sengkang General Hospital (fourth from right) had graced the 14th College of Surgeons Lectureship Dinner.

ANNUAL REPORT 2019 | 74 COLLEGES AND CHAPTERS COLLEGE OF SURGEONS, SINGAPORE 3 2 2 1 1 1 10 MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH MOH NO. OF CASES OF NO. ORGANISATION CHAPTER Cardiothoracic Cardiothoracic Surgeons Surgeons General Surgeons General Surgeons General Surgeons General Surgeons General Surgeons General Surgeons General Surgeons General Orthopaedic Surgeons Orthopaedic Surgeons Orthopaedic Surgeons Orthopaedic Surgeons Orthopaedic Surgeons Otorhinolaryngologists Otorhinolaryngologists Otorhinolaryngologists Otorhinolaryngologists 75 CHAPTER/SECTION Cardiothoracic Surgeons Cardiothoracic Surgeons General Neurosurgeons Orthopaedic Surgeons Otorhinolaryngologists Surgeons Paediatric Urologists The Young Award is Surgeon’s original given for the best unpublished paper read by a young surgeon” surgeon. is A defined “young as someone belowwho has not yet attained a hospital Consultant position on 35 years of age the date of submission of the paper. The Award is open to young surgeons practising in Singapore. Only original work carried out in the Singapore-Malaysia region by the doctor published is considered. that has not been previously The Young to Surgeon’s Award 2019 was presented Xu Dr Xinni (Otolaryngology, National University Hospital) during the College of Surgeons Lectureship Dinner November 2019. held on 16 INDEPENDENT MEDICAL EXPERT In the Chapters provided2019, independent medical expert advice on coroner cases. COLLEGE OF SURGEONS YOUNG YOUNG OF SURGEONS COLLEGE 2019 AWARD SURGEON’S in the

ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL SPECIALTY Cardiothoracic Surgery Cardiothoracic Surgery General Reconstructive Plastic, Surgery & Aesthetic Neurosurgery Orthopaedic Surgery Urology TOPIC NAME Interventional Cardiac Procedures Cardiac Interventional of Liver Case Review to Committee an Independent Convene to Request Death Related Transplant Submissions of and Call for Procedures of Surgical Table to Updates 2019/20 Cycle for Proposals to Prior Preparation for Bowel Guidelines Inputs on Practice AMS’ Colonoscopy Colon Hydrotherapy (Case 13) Non-Doctor by Wound of Open Stitching Gynaecomastia for Indications Medical Procedures Interventional Providing Surgeon Vascular Dissector Ultrasonic of Sonosurg Role Solution Protein Use of Autologous in Singapore Rich Plasma Registration Platelet Subsidence Hip Bipolar Stem Right TOSP) to (with Reference Procedures of Prohibited List Centre Surgical in an Ambulatory Performed Surgeries by Performed Opinion on Nasoendoscopy General for MOHH Request Practitioners General TOSP) to (with Reference Procedures of Prohibited List Hospital East Parkway ‒ Sleep Better for Sinus Surgery Providing Institutions Healthcare Private of 2001 Guidelines for Review Nasoendoscopy for Representatives of + Nomination Endoscopy Committee Dr Chang Guohao Singapore National Heart Centre Dr Ng Jun Jie National University Hospital Dr Pek Wan Sze Singapore General Hospital Dr Eddie Tan Tung Wee National Neuroscience Institute Dr Raghuraman Raghavan Changi General Hospital Tiwari Dr Raj Vikesh Singapore General Hospital preceding year. The award winners are listed in the table below: In 2019, the College and its Chapters provided professional opinions on various topics. In 2019, the College and its Chapters provided PROFESSIONAL OPINION PROFESSIONAL The Award was presented at the College of Surgeons at was presented The Award Lectureship Dinner on 16 specialties surgical nine the November in candidates performing 2019 to the best In recognition of candidates the in the effort nine surgical recognition and encouragement to and to give specialties, these trainees to excel of the best performing in their exit examination, the of Surgeons Gold Medal in 2008. established the College College Surgeons of had COLLEGE OF SURGEONS GOLD MEDAL MEDAL GOLD OF SURGEONS COLLEGE 2019 TOPIC CHAPTER ORGANISATION Provision of Endoscopy Services in Medical Clinic Otorhinolaryngologists MOH Request for AMS Expert Review on Publicity Claims by a Non-Licensed Plastic, Reconstructive & MOH Aesthetics Entity Aesthetic Surgeons Publicity Claims on Nose Threadlift Plastic, Reconstructive & MOH Aesthetic Surgeons Suction Epithelium Blister Grafting and Melanocyte Transfer Plastic, Reconstructive & MOH Aesthetic Surgeons COLLEGES AND CHAPTERS Publicity Claims by TCS Aesthetics Central Clinic Plastic, Reconstructive & MOH Aesthetic Surgeons Urgent Expert Opinion Report Request on Procedures by a Foreign Plastic, Reconstructive & MOH Aesthetic Doctor Aesthetic Surgeons Request for Single Medical Expert Report from Plastic Surgeon ‒ Plastic, Reconstructive & MOH Procedures by a Beautician Aesthetic Surgeons Urgent Request for Expert Opinion Report on Alleged Practice of Plastic, Reconstructive & MOH Aesthetic Procedures Aesthetic Surgeons Opinion on Device OPT System by Beauty Salon Plastic, Reconstructive & MOH Aesthetic Surgeons Consultation by Foreign Medical Doctor Plastic, Reconstructive & MOH Aesthetic Surgeons Publicity Claims on Nose Threadlift (Clarification) Plastic, Reconstructive & MOH Aesthetic Surgeons Thread Lifts ‒ Training for Plastic Surgeons, Dermatologists and Plastic, Reconstructive & SMC Ophthalmologists (Trained in Oculoplastic Surgery) After RACs Aesthetic Surgeons

COLLEGE OF SURGEONS, SINGAPORE COLLEGE OF SURGEONS, Request for Comment ‒ Society of Aesthetic Medicine’s Submissions on Plastic, Reconstructive & SMC the Thread Lift Aesthetic Procedure Aesthetic Surgeons Updates to Table of Surgical Procedures and Call for Submissions of Urologists MOH Proposals for 2019/20 Cycle List of Prohibited Procedures (with Reference to TOSP) Urologists MOH Opinion on Publicity Claims by Medical Clinic for Treating Erectile Urologists MOH Dysfunction ‒ PHMC (Advertisement) Regulations 2019 MOH: Ministry of Health; SMC: Singapore Medical Council

ANNUAL REPORT 2019 | 76 COLLEGE OF EMERGENCY PHYSICIANS COLLEGES AND CHAPTERS

PRESIDENT’S MESSAGE DR GOH SIANG HIONG

It has been an exciting year for us. Besides the yearly Preparatory Course for Masterof Medicine (Emergency Medicine) Parts B & C Examinations, the College also conducted its

third Emergency Medicine Exit Examination Preparatory Course in 2019. COLLEGE OF EMERGENCY PHYSICIANS

The College had also conducted Examiner Workshops for SAQs and OSCEs. The response for these courses continues to be encouraging and we hope to organise more of such courses in future.

We had the privilege to invite many overseas speakers to give lectures to our Fellows. One of these speakers was Professor Colin Robertson, a professor in Accident and Emergency Medicine and Surgery from the University Edinburgh. He presented a talk on ‘Rethinking Education in Emergency Medicine’. Professor David Gordon, an Undergraduate Education Director for the Division of Emergency Medicine in Duke University, spoke on ‘The Mindful Physician: Preventing Diagnostic Errors’ and finally, Dr Daniel Davis, Director for USCD Centre for Resuscitation Science, spoke on ‘Airway and Ventilation Management in Emergency Medicine’.

On behalf of Members of the Council, I wish all College members the very best for 2020. We look forward to more good things in the future.

ABOUT THE COLLEGE ANNUAL GENERAL MEETING On 20 November 2014, the Chapter of Emergency The College held its 5th Annual General Meeting on 16 May Physicians (originally formed on 13 November 2007) was 2019 at the Academy of Medicine, Singapore. transformed to the College of Emergency Physicians under the Academy of Medicine, Singapore (AMS). The College COUNCIL MEETINGS will continue to organise continuing education programmes The Council had met to consider the business and affairs of for its members and undertake projects for the further the College. It held two meetings in 2019. advancement of professional development of Emergency Physicians in Singapore so as to enhance the care given to emergency patients. MEMBERSHIP As of 31 December 2019, the total membership of the THE 2019-2020 COUNCIL College stood at 117, consisting of 109 Fellows (Local), six Fellows (Overseas) and two Associate Members. There President Dr Goh Siang Hiong were five new admissions into the College in 2019: Vice-President Dr Eillyne Seow •• Dr Tallie Chua Wei Lin Secretary Dr Lim Swee Han ••Dr Michael Fung Chung Hua Treasurer Dr Lee Wee Yee ••Dr Jimmy Goh Kock Keng Committee Members Dr Mark Leong Kwok Fai ••Dr Lin Jingping Dr Tham Kum Ying ••Dr Sanjeev Shanker Dr Mohan Tiruchittampalam

ANNUAL REPORT 2019 | 77 ACTIVITIES

SECTION OF CLINICAL TOXICOLOGISTS ACTIVITIES DATE ACTIVITY 15 March Talk/Discussion on ‘Cyanide Antidote Review – Updates’ 15 March 4th Annual General Meeting 22-23 August Basic Clinical Toxicology Course 2019 COLLEGES AND CHAPTERS CONTINUING MEDICAL EDUCATION EXAMINER’S WORKSHOP ON OSCE Date 23 February Speaker Clin A/Prof Tham Kum Ying Senior Consultant, Emergency Department, Tan Tock Seng Hospital Chairperson Prof V Anantharaman Senior Consultant, Department of Emergency Medicine, Singapore General Hospital

LECTURE – THEME: ‘THE MINDFUL PHYSICIAN: PREVENTING DIAGNOSTIC ERRORS’ Date 15 March Speaker Prof David Gordon Associate Professor, Associate Program Director Undergraduate Education Director, Division of Emergency Medicine, Duke University Chairperson Adj A/Prof Steven Lim Hoon Chin Chief and Senior Consultant, Accident & Emergency Department, Changi General Hospital COLLEGE OF EMERGENCY PHYSICIANS LECTURE – THEME: ‘RETHINKING EDUCATION IN EMERGENCY MEDICINE’ Date 15 March Speaker Prof Colin Robertson Professor, Accident and Emergency Medicine and Surgery, University of Edinburgh Chairperson Adj A/Prof Steven Lim Hoon Chin Chief and Senior Consultant, Accident & Emergency Department, Changi General Hospital

EXAMINER’S WORKSHOP ON SAQ Date 30 March Speaker Clin A/Prof Tham Kum Ying Senior Consultant, Emergency Department, Tan Tock Seng Hospital Chairperson Prof V Anantharaman Senior Consultant, Department of Emergency Medicine, Singapore General Hospital

EXAMINER’S WORKSHOP ON OSCE Date 14 September Speaker Clin A/Prof Tham Kum Ying Senior Consultant, Emergency Department, Tan Tock Seng Hospital Chairperson Prof V Anantharaman Senior Consultant, Department of Emergency Medicine, Singapore General Hospital

LECTURE – THEME: ‘AIRWAY AND VENTILATION MANAGEMENT IN EMERGENCY MEDICINE’ Date 1 October Speaker Dr Daniel Davis Director, UCSD Center for Resuscitation Science, Editorial Board, Prehospital Emergency Care Chairperson Adj A/Prof Steven Lim Hoon Chin Chief and Senior Consultant, Accident & Emergency Department, Changi General Hospital

ANNUAL REPORT 2019 | 78 COLLEGES AND CHAPTERS COLLEGE OF EMERGENCY PHYSICIANS COURSE Emergency Department Emergency Department Administration Viva Mock Exam in Critically Appraised Topics Questions and Clinical Viva Medicine in Emergency wing series of courses were conducted. wing series of courses 79 DATE/VENUE 29 March (NTFGH) April & 23 26 February, NTFGH) TTSH, 28 May (CGH, 3 & 17 May (NTFGH) Mock Exam in Short Answer The College conducted Examination Course. Led Preparatory Cham, by Dr Gregory the Emergency Medicine as well. organise this course was formed to a committee Exit This course was created for participantsthe Singapore Exit Examination to in EmergencyMedicine. prepare It for comprised a mixture of teaching and a predominant focus on a mock examinationcandidates. with active participation from The follo EMERGENCY MEDICINE EXIT MEDICINE EMERGENCY COURSE PREPARATORY EXAMINATION 2019 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL Dr Sohil Equbal Pothiawala Ming (CGH) Dr Vincent Lum Wei Roy (CGH) Dr Deepali Junnarkar (KKH) Dr Abiramy Mahendran (KTPH) Dr Lyndsay Christie Dr Tam Howen (NTFGH) Dr Li Zisheng (NUH) Dr Wan Paul Weng (SGH) Dr James Kwan Wei-Yung (TTSH) Dr Nanthini Kunararnam (WHC) Convener & Chairperson Committee Members & Hospital Coordinators Attended by 13 participants, this Preparatory Course was hospitals: six at 2019 March 30 to 2019 March 25 from held Committee Organising The NUH. and CGH KKH, TTSH, SGH, comprised: PREPARATORY COURSE – MASTER OF MASTER – COURSE PREPARATORY MEDICINE) (EMERGENCY MEDICINE EXAMINATIONS B & C PARTS COLLEGE OF OPHTHALMOLOGISTS

PRESIDENT’S MESSAGE DR WONG TIEN YIN COLLEGES AND CHAPTERS

Thank you for your continuing strong support for the College and our Council over the past year. We continue to grow as a professional body, with significant developments and exciting initiatives accomplished.

We have a healthy membership representation and our College finances are strong. We will thus be in a good position to further the aspirations of the profession.

We began the new year of 2019 with a New Year Celebration Dinner on 11 January together with the Singapore Society of Ophthalmology. In 2019, the Oculoplastic sub-specialty workgroup organised the 5th International Thyroid Eye Disease Society (ITEDS) Symposium which was attended by 480 delegates from 20-23 February. The workgroup also organised the National Continuing Medical Education session on 15 May where Professor Peter Dolman delivered a lecture entitled, ‘Wolf in Sheep’s Clothing: Sinister Conditions Masquerading as Benign Oculoplastic Conditions’.

We continue to engage with the Ministry of Health and provide policymakers with important feedback, relevant clinical

COLLEGE OF OPHTHALMOLOGISTS inputs and strengthen the profession.

In addition, I am pleased to share that the College together with the Singapore Society of Ophthalmology (SSO) has been given the privilege to host the 16th Asia Pacific Vitreo-Retina Society Congress (APVRS) 2022 in Singapore. Hosting the congress would not only allow Singapore to showcase and contribute its expertise on Vitreoretinal conditions, but also benefit our patients — among whom retinal diseases remain the most common cause of blindness. We are confident in bringing to bear an exceptionally enriching, exciting and successful APVRS meeting for all delegates and stakeholders, near and far.

The close partnership between the College and SSO has been pivotal to many of our programmes and I encourage College members to not only participate in College but also SSO events.

As we progress into an exciting 2020, the College wishes to record its appreciation and thanks to the Council and all fellow ophthalmologists for their support and efforts in the past year. It has been my privilege to serve as the President of the College for the two-year term. I will hand the baton to Dr Vernon Yong, President-Elect, who will take over as the new College President at our 11th Annual General Meeting in 2020.

I wish the new team all the best. We hope that fellow ophthalmologists can continue to give them our unconditional support to lead our College to a better future.

Thank you for the opportunity and privilege to serve you.

ABOUT THE COLLEGE The Chapter of Ophthalmologists had subsisted under The main objectives of the College are: the purview of the College of Surgeons, Singapore since a) To promote and uphold the professionalism of the latter was formed in 2004. With a steady growth in ophthalmologists in Singapore; and the Chapter’s membership, the objective to enhance the b) To facilitate and enhance professional development development of the specialty and the need for a stronger and continuing medical education of the specialty; to presence to advocate the future of ophthalmology, maintain competency among doctors. A/Prof Lim Tock Han (then Chairman of the Chapter of Ophthalmologists) mooted the idea of converting the The College’s motto is: “For Light and Sight”. The College’s Chapter into a College to better serve the Ophthalmology missions are: community. After a year of dedicated effort to the formation a) To advance the art and science of ophthalmic medicine; process, the College of Ophthalmologists was formed on 20 and January 2009 under the Academy of Medicine, Singapore. b) To advocate the future of ophthalmology.

ANNUAL REPORT 2019 | 80 COLLEGES AND CHAPTERS COLLEGE OF OPHTHALMOLOGISTS 81 Dr Chen Jianping Dr Kiew Sieh Yean Dr Siantar Rosalynn Grace Dr Yeo Tun Hang Dr Farooqui Saadia Zohra Dr Low Jin Rong Dr Muhammad Amir Bin Ismail Dr Christine Yau Wen Leng Dr Hah Yan Yee Dr Hee Owen Kim Dr Katherine Lun Wanxian Dr Val Phua Jun Rong Dr Kelvin Teo Yi Chong Dr Benjamin Wai Yin Au • • • • • • • • • • • • • • • • • • • • The College welcomed a total of 16 new Fellows in 2019: • Dr Su Xinyi • • • • • • • • Dr Errol Chan Wei’en • • • The Council held three meetings in 2019 to conductbusiness and affairs of the the College. It met on the following November. March, 5 July and 6 dates: 28 COUNCIL MEETINGS COUNCIL 198 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL 2019 191 2018 rseas Fellows rseas

Ove 184 2017 167 2016 Dr Wong Tien Yin Dr Wong Tien Yen Dr Lee Shu Yip Dr Leonard Dr Esther Fu Dr Desmond Quek

154 2015 Annual General Meeting was held on th Local Fellows 143 2014 0 50 100 150 200 President-ElectVice-President Secretary Honorary Honorary Treasurer Dr Vernon Yong Khet Yau Members Dr Jacob Cheng President As at 31 December 2019, the College’s membership the College’s membership 2019, As at 31 December stood at 203. There Overseas were Fellows. This 198 translates to Local an encouraging 70% Fellows representation and amongst five all registered ophthalmologists with the Singapore Medical Council. MEMBERSHIP ANNUAL GENERAL MEETING ANNUAL The College’s 10 Standing (from left to right): (Member), Dr Jacob Cheng (Honorary Treasurer), Dr Lee Shu Yen (Vice- President) Dr Leonard Yip (Honorary Secretary), Dr Esther Fu Dr Wong Tien Yin (President) Seated (from left to right): Dr Vernon Yong (President-Elect), Not in photo: Dr Desmond Quek (Council Member) THE 2019-2020 COUNCIL 2019-2020 THE 4 May 2019 at attended by 30 Fellows. The Masons Table. The meeting was ACTIVITIES

NEW YEAR CELEBRATION DINNER 2019 The College together with Singapore Society of Ophthalmology (SSO) held a New Year Celebration Dinner on 11 January 2019 at Sinfonia Ristorante.

COLLEGES AND CHAPTERS At the dinner, updates on the College’s major activities and efforts were shared and discussed with Fellows. These included the Annual National Ophthalmology Meetings, Strategic Roadmap for Ophthalmology (Models for Future Eye Care in Singapore Executive Summary), updates on the Robert Loh Faculty Scholar Programme as well as an update on the College and SSO meeting schedules. The networking and sharing event recorded a total of 53 participants. College President, Prof Wong Tien Yin, giving his presentation. COLLEGE OF OPHTHALMOLOGISTS Participants at the New Year Celebration Dinner 2019.

THE 5TH INTERNATIONAL THYROID EYE DISEASE SOCIETY (ITEDS) SYMPOSIUM Organised by the Oculoplastic sub-specialty workgroup, this event was held on 20-23 February 2019, with 480 delegates in attendance.

Group photo of participants and guests at ITEDS Symposium.

Prof Seah Lay Leng giving the welcome address at the main ITEDS Symposium.

ANNUAL REPORT 2019 | 82 COLLEGES AND CHAPTERS COLLEGE OF OPHTHALMOLOGISTS ORGANISATION Ministry of Health Ministry of Health Ministry of Health Singapore Medical Council Ministry of Health Ministry of Health ant must be a member of the College ant must be a member Series of National Continuing Medical Education 83 conference/meeting must heldbe in Singapore College Lectureship 2020 th and each public cluster as well as the private and each integrated once a year. healthcare sector, may apply for this grant The main applic of Ophthalmologists and of the conference/ a member committee. meeting organising The 2020 Third • • • • General conferences will subspecialty conferences be will be allocated S$4,000. There allocated S$8,000 are three rounds while of application submissions annually (on 1 January, 1 May and 1 September, respectively). The first grant call in September 2018 generated three applications from the institutions. The College of Ophthalmologists Conference and Meeting Grant was launched as part organised events, ophthalmology-related of support to efforts the College’s continuing institutions. by local healthcare meetings and conferences co-fund to intended is grant This relevant are that institutions, healthcare local by organised to research and education in the field of ophthalmology. and assessment are as follows: Criteria for application • • COLLEGE OF OPHTHALMOLOGISTS OF OPHTHALMOLOGISTS COLLEGE GRANT AND MEETING CONFERENCE • Events/Activities Planned for 2020 • 10 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL

Expert Opinion on Alleged Practice of Invasive Aesthetic Procedures (Case 16) (Case Procedures Practice of Invasive Aesthetic Opinion on Alleged Expert Linking Procedure Surgery) After RACs Ophthalmologists (Trained in Oculoplastic Linking Procedure Publicity Regulations Private Hospitals and Medical Clinics (PHMC) (Private Clinic) for organising major international conferences Engage more young Fellows to take on exciting roles Joint activities with SSO Support in Singapore • • • DATE TOPIC 6 May 15 May Cross Seeking Inputs on Performing Vitreolysis for Floaters and Collagen 10 June List of Prohibited Procedures (With reference to TOSP) 18 July Thread Lifts ‒ Training for Plastic Surgeons, Dermatologists and 4 September Inputs on Performing Vitreolysis for Floaters and Collagen Cross Seeking 20 November • • • FUTURE PLANS AND COMMITMENTS Ongoing Major Initiatives PROFESSIONAL OPINION PROFESSIONAL on various topics in 2019. The College provided professional opinions The College has placed S$1,000,000 of its funds with The College has placed S$1,000,000 of rate, for the Standard Chartered bank at 1.8% interest This will period 21 November 2019 to 20 May 2020. generate a total interest of S$8,975.34. FIXED DEPOSIT PLACEMENT OF PLACEMENT FIXED DEPOSIT OF OPHTHALMOLOGISTS COLLEGE FUNDS Such sessions the ophthalmologyresponses from with fraternity, receive enthusiastic relevant are CMEs national the that expressing participants and encouraging in fulfilling the needs to-date of ophthalmologists with to advances keep up- and their own. specialties outside developments in the sub- The College This May. 15 on organised (CME) session education medical continuing a sub-specialty based CME national session by the Oculoplastic sub-specialty workgroup entitled, ‘Wolf in Sheep’sMasquerading as Benign Oculoplastic Conditions’ was held Clothing:Sinister Conditions of Hospital Tower Block, with a total at National University attendance. 31 participants in NATIONAL CONTINUING MEDICAL MEDICAL CONTINUING NATIONAL 2019 EDUCATION COLLEGE OF PSYCHIATRISTS

PRESIDENT’S MESSAGE DR JOHN WONG COLLEGES AND CHAPTERS

2019 was another good year for the young College of Psychiatrists. Since its inception in November 2014, the College’s focused engagement of CME themes that are relevant to the practice of psychiatry, pharmacotherapy and research has helped to sharpen the professionalism of psychiatry across many fronts!

We register our deep appreciation to the 2019 College Council and Sections. Through their leadership and with the CME faculties, another successful year was achieved!

The four Sections—Child and Adolescent Psychiatry, Neuropsychiatry, Neuro-stimulation and Addiction Psychiatry— attest to the emphasis on deeper professional development in frontiers of specialty psychiatric practices, measuring up to the new practice standards. COLLEGE OF PSYCHIATRISTS Besides advancing clinical professional training through College CME, we continued to engage the NUS Centre for Biomedical Ethics to co-organise Clinical Ethics Course in Psychiatric Practices. A MOU has also been signed with the Singapore Medical Association in mental capacity assessment course—an evolving area of importance with strong academic and clinical relevance to our College Fellows and the larger medical doctor fraternity.

The College is seeking to develop its roles in providing expert medical positions in emerging issues of psychiatry, and the need to engage the wider public, providing them with objective and evidence- based professional opinion, thereby helping to enhance quality psychiatry care and safe practices and serve the public’s larger interest. This will promote and strengthen professional conduct in psychiatric practices, help demystify and destigmatise mental health care patients and their care.

A new section on Forensic Psychiatry is being set up in 2020.

The College thanks its Psychiatrist Fellows for their continued support and strong interest in the pursuit of professional training, and the many educational partners for providing their resources to sustain high quality training this past year.

The Council has embarked to develop the collaborative AMS-CPE Psychiatry Bulletin in 2020, will seek out to serve the professional development needs of our Fellows in 2020 and address new challenges of the COVID-19 pandemic and post-COVID mental health issues.

ABOUT THE COLLEGE The College of Psychiatrists was officially formed on ••Equal standing with other Colleges under AMS; 5 November 2014 under the umbrella of Academy of ••Raising the profile of the specialty both locally and Medicine, Singapore (AMS). Formerly, the Chapter of overseas; Psychiatrists, was formed in 1986. Now as a College, ••Providing a good platform to develop subspecialties and it continues to provide professional leadership and allow subspecialties to have more focused activities; continuing education in psychiatry. The College also ••Acquiring greater autonomy in developing professional provides recommendations to the Academy on specialist initiatives and activities; qualification and training, and Fellows of the College serve ••Having more financial autonomy. on national specialist training committees and academic programme committees. College Coat of Arms Description The College of Psychiatrist Crest’s design is centred on An important milestone in the history of local psychiatry the ten qualities of a good psychiatrist. The College was achieved on 5 November 2014 when the College of of Psychiatrist’s motto of ‘Competence, Wisdom and Psychiatrists was officially formed. From then, the College Compassion’ reflects the basic fundamental qualities has enjoyed the following the advantages: expected of a good psychiatrist.

ANNUAL REPORT 2019 | 84 COLLEGES AND CHAPTERS COLLEGE OF PSYCHIATRISTS Dr John Wong Chee Meng Dr John Wong Dr Lee Cheng Dr Leslie Lim Eng Choon Ho Chun Man Dr Roger Dr Lee Tih Shih Dr Johnson Fam Sathyadevan Dr Gangadharan How Dr Ong Say SPEAKER Dr Zenn Chua Dr Zenn Dr Munidasa Winslow Dr Simon Ting Dr Lee Ee Lian Dr Lee Ee Rev Dr Robert Solomon Prof Michael Joseph Patrick Meaney Michael Joseph Patrick Prof Dr Bram Dierckx Dr Bram Mr Samuel Chua Dr Guo Song Dr Arthur Lee Lee Cheng Adj A/Prof Dr Lim Chau Sian Dr Lambert Low Ms SB Viknesan Kim Eng Wong Adj Prof Dr Mohamed Zakir Dr Melvyn Zhang Adj Asst Prof Poon Shi Hui Poon Prof Adj Asst Heng Dr Jeremy Dr Lawren Few Dr Lawren Science Liaison Senior Medical 85 President & President President-Elect Vice-President SecretaryHonorary TreasurerHonorary Ming Yee Dr Giles Tan Council Members Hock Goh Kye Dr Robin Dr Daniel Fung Shuen Sheng Section ChairmenKye Hock Robin Goh Dr MembersCo-Opted Munidasa Rasaiah Dr Winslow MEMBERSHIP the College membership stood 2019, As of 31 December Dr Fellows. Overseas six and Local 117 of consisting 123, at Tina Tan Zhenwen was admitted as Fellow of the Academy of Medicine, Singapore in 2019. THE 2019-2020 COUNCIL 2019-2020 THE ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL

Chee Kuan Tsee Lecture 2019 Lecture Tsee Chee Kuan nd TOPIC Psych CME @ Novena: Psych Good, Bad and Ugly Benzodiazepines Psych CME @ Novena: Psych Medication Convert Section of Neuropsychiatry: Rounds Mind Brain Psych CME @ Novena: Psych Practice Psychiatric For Our 11: Implications (2018) SMCDT 2 Psychiatry: Section of Child & Adolescent in Child and Pharmacodynamics Pharmacokinetics Psychiatry and Adolescent Section of Addiction Psychiatry: Section of Addiction Addiction Symposium ‒ Understanding Educational Section of Neuropsychiatry: Rounds Mind Brain Dinner Talk: to Pharmacogenetics: An Introduction Opportunities Treatment and Advances Biology Informs Brain How Annual General Meeting of the College was held Annual General Meeting of the College th DATE 25 July 30 May 3 May16 May 2019 W Ngui Lecture Paul Inaugural 25 April 15 March 25 February 25 February 14 February 15 January ACTIVITIES CONTINUING MEDICAL EDUCATION MEDICAL EDUCATION CONTINUING activities in 2019. The College had organised the following COUNCIL MEETINGS COUNCIL In 2019, the Council met three dates: 1 February, 3 May and 12 July. times on the following ANNUAL GENERAL MEETING GENERAL ANNUAL The 5 The both Shield be to expected are psychiatrists how of representative encompasses two good communicators and listeners. Figures, The Chevrons within the boundaries the shield that psychiatrists represent which are need to abide by. The lion within the shield symbolise the College serving Singapore, the Lion City, and also as serves honesty and psychiatrists of the integrity that a reminder in their practice. are expected to have was Crest Coat of Arms/College The College of Psychiatrist Tong. Alina Ms and WB Zhang Melvyn Dr by designed jointly The College Crest incorporates the entwined rod of traditional Ascelpius, which is serpent- symbolic of Medicine and Psychiatry, representing the professionalism expected of psychiatrists. on 3 May 2019 at Temasek Club. A total of 20 Fellows on 3 May 2019 at Temasek Club. A total attended the meeting. DATE TOPIC SPEAKER 27 August Section of Child & Adolescent Psychiatry: Prof Dr Christina Schwenck Helmut Remschmidt Research Seminar (HRRS) 29 August Psych CME @ Novena: Dr Issam Aljajeh Utilisation of Molecular Diagnostic in Psychiatric Clinic 26 September Psych CME @ Novena: Dr Ken Ung Case Sharing on Vortioxetine 18 October Section of Neuropsychiatry: Prof William Honor COLLEGES AND CHAPTERS Master Clinican Seminars 2019 21 October Section of Neuropsychiatry: Prof Trevor Hurwitz Master Clinican Seminars 2019 24 October Psych CME @ Novena: Dr Seng Kok Han Achieving Depression Remission with Brintellix 1 November Section of Neurostimulation: Dr Mok Yee Ming ECT Practitioner Course Dr Poon Shi Hui Dr Tor Phern Chern Dr Johnson Fam Dr Tan Sheng Neng 2 November Section of Neurostimulation: Dr Tor Phern Chern ECT Prescriber Course Dr Poon Shi Hui Dr John Leyden Dr Donel Martin COLLEGE OF PSYCHIATRISTS Dr Vanessa Mok Dr Johnson Fam 15 & 16 Section of Neurostimulation: Dr Lo Yew Long November rTMS Certification Course Dr Johnson Fam Dr Tor Phern Chern Dr Christopher Chan Dr Teo Wei Peng 28 November Psych CME @ Novena: Dr Abishek Mathew Abraham Patient Communication

Participants at the rTMS Certification Course 2019.

Particpants at the Understanding Addiction Educational Symposium.

ANNUAL REPORT 2019 | 86 COLLEGES AND CHAPTERS COLLEGE OF PSYCHIATRISTS

Dr Bram Dierckx addressing participants at the Pharmacokinetics and Pharmacodynamics in Child and Adolescent Psychiatry session.

PSYCHIATRY RESIDENT IN-TRAINING INDEPENDENT MEDICAL EXPERT EXAMINATION (PRITE) The College assisted the AMS in providing expert opinions AMS had conducted the 2019 Psychiatry Resident In- involving two complaint committee cases from the Training Examination (PRITE) for 33 registered psychiatry Singapore Medical Council. residents in Singapore on 5 October 2019. Six residents were absent for the examination. FUTURE PLANS AND ACTIVITIES The College Council will continue on the following initiatives PROFESSIONAL OPINION in the years 2020/2021: The College had submitted the following professional ••Conduct targeted CME Clinical Skill workshops in opinions in 2019. emerging psychiatry practices and professional up-to- TOPIC ORGANISATION date symposiums. Letter to Straits Times Forum: Academy of Medicine, ••Define focus areas for mental health and wellness College of Psychiatrists Singapore advocacy, and media communication engagement. Conduct of Psychological Tests Ministry of Health ••Building capacity for medical experts in psychiatry. Queries on the use of a new Ministry of Health ••Strengthen College’s financial plan and revenue streams drug Vyvanse indicated for to support sustainable programmes and mission. treatment of ADHD ••Focused enrolment of new psychiatrist Fellows and Associate members to enhance professional representation in AMS.

ANNUAL REPORT 2019 | 87 COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS

PRESIDENT’S MESSAGE

COLLEGES AND CHAPTERS DR VERNON LEE

Thank you for your continued support of the College Council in the past year.

These are challenging times for the world, Singapore and the healthcare community due to COVID-19. Public health and occupational physicians are on the frontlines dealing with a variety of COVID-19 issues and I salute all our Fellows who are working hard to contain the spread of the virus.

At our last AGM on 26 April 2019 (which was well-attended by 21 Fellows), we discussed on what more the College could do to meet our Fellows’ needs. We received positive feedback and suggestions on organising the next study trip to Taiwan (which had to be postponed due to COVID-19).

Even as we deal with the disruptions of COVID-19, we remain committed to continue developing professional activities during this period via videoconferencing platforms and will look at organising continuing medical education (CME) activities. We will also continue to invite Preventive Medicine residents to our events in order to engage them early, introduce them to the activities of the College and to encourage them to consider joining the College when they complete their training.

2019 also saw the successful organisation of the 14th Singapore PHOM Conference, with the theme of “Preventive Health in a Changing World”. More than 375 people had attended the conference where A/Prof Wong Mee Lian was awarded the College’s Lifetime Achievement Award for her work and contributions to public health in Singapore. The Fellows’ lunch (held during the conference) saw 41 Fellows in attendance and AMS Master had updated everyone on the direction and activities of AMS.

COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS AND OCCUPATIONAL COLLEGE OF PUBLIC HEALTH The year also saw 10 new Ordinary Members join the College—the membership breakdown and statistics are outlined in this annual report.

We hope that more public health, occupational medicine and aviation medicine specialists will join our community in the future. I would like to extend an invitation to all Fellows to encourage their peers to join us.

As we progress into a challenging 2020, the College wishes to record its appreciation and thanks to the Council and all CPHOP Fellows for their support and efforts in the past year. It has been my privilege to serve as the President of the College for four years, and I will be handing the baton over to Dr Matthias Toh, who will take over as the new College President. I hope that you will support him as much as you have supported me, and I’m sure that he will take the College to new heights.

Once again, thank you for your continuing support of the College. Here’s to wishing that we will be able to come out stronger as a College after COVID-19.

ABOUT THE COLLEGE The College of Public Health and Occupational Physicians training, maintenance of high standards and ethical (CPHOP) was inaugurated on 1 February 2013, from the integrity through continuous professional development. Chapter of Public Health and Occupational Physicians The College provides professional leadership and makes founded in 1980. As part of the Academy of Medicine, recommendations to the Academy on respective specialist Singapore, the College is a professional institution of Public qualification and training. The College engages challenges Health, Occupational Medicine and Aviation Medicine related to the health and well-being of the population, and specialists to advance the art and science of Preventive its Fellows serve on many national academic, training and Medicine in Singapore through postgraduate specialist intervention programmes.

ANNUAL REPORT 2019 | 88 COLLEGES AND CHAPTERS COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS 147

138

132 Total

124

120

Dr Angela Chow Dr Angela Dr Clive Tan Dr Lucy Leong 11

1

2019 1

1

1

Medicine, Singapore (CPHOP) in 2019: iffe Wei Enli in Chiew Jing-Ye 2018 11 89

11 Dr Jayaprakash Kamala Priya Dr Lim Huai Yang Dr Loke Hsi-Yen Dr Mougammadou Aribou Zeenathnisa Dr Priyanka Rajendram Dr Roy Soo Jiunn Jye Dr Andrew Tay Epaphrodiuts Swee Kwang

• • • • • • • • • • Honorary TreasurerHonorary Council Members MembersCo-Opted John Wah Dr Lim Dr Brian See The following were admitted as Ordinary Members of the Academy of • Dr Calv • • • Dr Alicia Loi Siew Ting • • • • • • Dr Wycl 12

5

2017 Aviation Medicine Ordinary Member 4

43 ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL

43

Council of the 2016 th 42

Medicine 41 Occupational

41

Dr Vernon Lee Dr Vernon Toh Dr Matthias Hoe Dr Gan Wee 2015 82

83

77

77 Public Health

74

eft to right): Annual General Meeting (AGM) of the College was th 0 80 40 120 160 200 President-Elect Vice-President SecretaryHonorary Dr Melvin Seng President College take office. MEMBERSHIP The membership of the College stood as of at 147 31 December 2019. It consisted Overseas Fellows and 11 Ordinary Members. of 125 Local Fellows, 11 ANNUAL GENERAL MEETING GENERAL ANNUAL The 6 Standing (l (Council Member), Dr Melvin Seng (Honorary Secretary), Dr Lucy Leong (Co-Opted Member) Dr Angela Chow (Council Member), Dr Clive Tan Seated (left to right): (President), Dr Gan Wee Hoe (Vice-President) Dr Matthias Toh (President-Elect), Dr Vernon Lee Not in photo: See (Co-Opted Member) Dr Lim John Wah (Honorary Treasurer), Dr Brian THE 2019-2020 COUNCIL COUNCIL 2019-2020 THE held on 26 April 2019. It was attended by some 23 Fellows who came to support and witness the 6 ACTIVITIES

THE 14TH SINGAPORE PUBLIC HEALTH to meaningfully participate in work. Ms Dian Karnina’s & OCCUPATIONAL MEDICINE (PHOM) sharing on Apex Harmony Lodge’s ‘Therapy Through Work for People With Young Onset & Early Stage Dementia’ CONFERENCE programme revealed how it approached persons with This event was held at Equarius Hotel on Sentosa Island dementia—to assume they can do everything until proven from 15 to 16 October 2019. Pre-conference workshops otherwise. Often in healthcare, a deficit model is used. COLLEGES AND CHAPTERS were held on 14 October 2019. While useful in framing problems, this can sometimes overlook an individual’s personhood and dignity. The conference’s theme of ‘Preventive Health in a Changing World’ aimed to explore the impact of rapid socio-economic, demographic and technological changes on population health.

The conference brought together more than 375 delegates from Singapore and the Asia Pacific region, with participants from a range of backgrounds including academics, practitioners, policymakers, clinicians and students.

Dr Kyle Tan Xin Quan, Organising Chair of the 14th PHOM Conference (left) presenting an appreciation token to Prof Vivian Lim who delivered the keynote lecture.

In view of the overwhelming response to last year’s breakout session on health insurance, this year’s conference featured a panel discussion on healthcare Permanent Secretary, Ministry of Health and Guest-of-Honour, Mr Chan financing and how to achieve universal healthcare. Several Heng Kee delivering the opening address at the opening ceremony of the pertinent issues were discussed, including the challenges 14th PHOM Conference. in striking the right balance between coverage and waste, and how to define and measure outcomes.

A key highlight of the conference was the plenary discussion on electronic cigarettes and other tobacco reduced harm COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS AND OCCUPATIONAL COLLEGE OF PUBLIC HEALTH products. The discussion on this controversial topic was lively and engaging, and highlighted the complexities in public health decision-making. Although there was no consensus among the panellists, it drove home the point that rather than simply being “godsend” or “the devil’s work”, electronic cigarettes were, to quote panellist Prof th At the opening ceremony of the 14 PHOM Conference: (from left) Chia Kee Seng, perhaps best characterised as a “human- Dr Kyle Tan Xin Quan, Dr SRE Sayampanathan (Master, Academy of Medicine, Singapore), Mr Paul Lim (husband of A/Prof Wong Mee Lian), made” issue. A/Prof Wong Mee Lian, PS Chan Heng Kee, Dr Vernon Lee, and Dr Clive Tan.

Professor Vivian Lin, Executive Dean and Professor of Practice (Public Health) at the University of Hong Kong, and former Director of Health Systems at Western Pacific Region Office of the World Health Organisation delivered the keynote lecture on ‘Sustainable Health System, in the 21st Century’. She shared insights on the multiple meanings of “sustainability” and on the need to move beyond health services to Sustainable Development Goals (SDGs). She The plenary panel on the ‘Electronic Cigarettes & Other Tobacco Reduced highlighted the central role of universal health coverage in Harm Products: Godsend or the Devil’s Work?’. achieving the SDGs and discussed how a multi-sectoral and whole-of-society approach is increasingly required in an The breakout sessions were well attended and covered a interrelated, interconnected and indivisible world. diverse range of interesting topics that were particularly relevant amidst a fast-moving global context. This The panel discussion on ‘Mind Over Matter: Challenges included innovations in promoting health, developments of Early-Onset Cognitive Impairment in Work Ability’ in workplace safety and health, and insights on nutrition brought together experts who provided cross-disciplinary and sexually transmitted infections from the latest perspectives on enabling persons with cognitive impairment epidemiological research.

ANNUAL REPORT 2019 | 90 COLLEGES AND CHAPTERS DATE 11 JULY Topic Health Promotion for STIs: A Global Perspective Facilitator Dr Raymond Lim Speaker Dr Ronald del Castillo Presenters Dr Tay Min Zhi, Dr Priyanka Rajendram

One of the breakout sessions: ‘Sexually-Transmitted Diseases: Old Wine DATE 22 AUGUST in New Bottles’. Topic Policy-Making for Preventive Health Speaker Mr Chong Shi Hao A/Prof Wong Mee Lian deservedly received the CPHOP Presenter Dr Chua Jia Long Lifetime Achievement Award for her citation. In Preventive

Medicine, the path of least resistance is often to pursue COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS DATE 5 SEPTEMBER whatever that is in vogue at a particular point in time. Topic Vaccination Policy and Control of Vaccine However, A/Prof Wong chose to devote her efforts for Preventable Diseases the benefit of marginalised and vulnerable women. A/Prof Wong’s example is a testament and a reminder that Facilitators Dr Steven Ooi, Dr Zubaidah Said true Public Health service comes from a place of conviction Speakers Mr Lim Soon Kok and that our work should have a purpose greater than Presenters Dr Calvin Chiew, Dr Zeenathnisa Aribou ourselves. DATE 17 OCTOBER Overall, the 14th PHOM conference was thought-provoking Topic Workplace Health Promotion and showed that successfully doing ‘Preventive Health in a Speaker HPB Workplace Health Division Changing World’ requires going beyond traditional silos and collaborating with multiple sectors. While not understating DATE 21 NOVEMBER the challenges ahead, the conference provided inspiration Topic GUSTO Study Sharing and ideas as to how we can continue to advance the Speaker Dr Evelyn Loo health of individuals and populations even in the midst of uncertainty. COLLEGE LUNAR NEW YEAR GET- NATIONAL PREVENTIVE MEDICINE TOGETHER GRAND ROUNDS The College celebrated Chinese New Year on 15 February 2019 at Ka-Soh Restaurant. Nineteen Fellows gathered to The College funded refreshments for the National socialise, network, catch up with friends and toss yu sheng Preventive Medicine Grand Rounds which were conducted for good fortune. by the National Preventive Medicine Residency Programme: DATE 11 APRIL Topic Economic Modelling: Simple Models (Part 1) Speakers Dr Lim Wei Yen, A/Prof Joanne Yoong

DATE 18 APRIL Topic Economic Modelling: Complex Models (Part 2) Speakers Dr Lim Wei Yen, A/Prof Joanne Yoong

DATE 16 MAY Topic Systems Thinking: Case Study (Part 1) Speaker Asst Prof John Ansah DATE 23 MAY Topic Systems Thinking: Application to Health Policy (Part 2) Speaker Asst Prof John Ansah

DATE 20 JUNE Topic Developing an Organisational Occupational Health Policy Speaker Dr Melvin Seng Presenters Dr Alicia Loi, Dr Teo Ken Wah Fellows tossing yu sheng at the Chinese New Year get-together.

ANNUAL REPORT 2019 | 91 CME SESSION: ‘PAYING FOR HIGH COST CME SESSION: ‘THE INTERNAL TOBACCO DRUGS: KOREAN APPROACH’ INDUSTRY DOCUMENTS’ The College organised a CME talk on ‘Paying for High Cost The College organised the CME talk on ‘The Internal Drugs: Korean Approach’ at the Centre for Healthcare Tobacco Industry Documents’ at The Ministry of Health on Innovation on 10 January 2019. The talk was delivered by 20 August 2019. Dr Yvette Van Der Eijk had presented the an academician, Dr Ahn J’onghoon. talk which was well received by the audience.

COLLEGES AND CHAPTERS

Dr Yvette Van Der Eijk preseting the CME talk on ‘The Internal Tobacco Dr Ahn J’onghoon delivering the CME talk. Industry Documents’.

STUDY TRIP: HONG KONG The College organised its inaugural study trip to Hong Kong The study trip would not have been possible without the from 17 to 19 January 2019 with 21 Fellows participating in assistance and hospitality of Dr Thomas Tsang and his team the study trip. Fellows learnt from their Hong Kong friends, from the Hong Kong College of Community Medicine. The while strengthening social and professional linkages. College also acknowledges Dr Clive Tan for chairing the Throughout the three days, Fellows had the chance to organising committee and the session leads; and Drs Arthur reconnect with one another and build a strong sense of Chern, Kenneth Choy and Matthias Toh for coordinating community. the sessions with their Hong Kong counterparts. A very big thank you is also extended to our session hosts—Drs NT Cheung, Mandy Ho, Joanna and their teams for their sharing and kind hospitality. COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS AND OCCUPATIONAL COLLEGE OF PUBLIC HEALTH

The College’s inaugural study trip to Hong Kong took place from 17 to 19 January 2019.

ANNUAL REPORT 2019 | 92 COLLEGES AND CHAPTERS COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS

Tokens of appreciation being presented to key members who helped to make the three-day study trip a success.

COLLEGE FELLOWS’ LUNCH The College organised a Fellows’ Lunch on the first day Grill, Resorts World at Sentosa. A total of 41 Fellows of the 14th Singapore Public Health and Occupational gathered to socialise, network and catch up with friends Medicine Conference 2019 at the Osia Steak and Seafood during the conference.

ANNUAL REPORT 2019 | 93 COLLEGE YEAR END GET-TOGETHER The College organised a Year-End Get-Together on 15 November 2019 at Yardbird, Marina Bay Sands. COLLEGES AND CHAPTERS

TRAVEL ASSISTANCE FUND COLLEGE NEWSLETTER In 2019, the College did not receive any application for travel The College published Issue 14 (Special Edition – Hong assistance funds. The fund sponsors Fellows for overseas Kong Study Trip) and Issue 15 of the College newsletter in meetings and conferences. Through the participation in March 2019 and July 2019, respectively. The newsletter these activities, the College aims to: a) develop tiesand provides Fellows with an update of the activities that collaboration with public health colleges in other countries; happen bi-annually. It is also a means to reach out to and b) promote the College’s annual Public Health and College visitors and communicate information useful to Occupational Medicine conference. Funding may include Fellows. registration fee for the meeting, return economy class airfare and accommodation. COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS AND OCCUPATIONAL COLLEGE OF PUBLIC HEALTH

ANNUAL REPORT 2019 | 94 COLLEGES AND CHAPTERS COLLEGE OF CLINICIAN EDUCATORS

PRESIDENT’S MESSAGE DR DUJEEPA D SAMARASEKERA

It is my sincere pleasure to share the College of Clinician Educators (CCE) activities.

In keeping with CCE’s vision “to continue to support clinical education and clinical educators in Singapore to achieve excellence in medical education and to develop closer collaborations with similar organisations globally,” the College has been active in 2019 to promote clinical COLLEGE OF CLINICIAN EDUCATORS education in Singapore and overseas.

CCE was a participating partner at the 16th Asia Pacific Medical Education Conference held on 9 to 13 January 2019 in Singapore. College members were involved in various activities and the highlight was their contribution tothe pre-conference workshop on Developing Medical School Accreditation Standards, which was jointly organised by the World Federation of Medical Education and Western Pacific Association for Medical Education.

I am happy to share that the College and its members have been proactively supporting all local healthcare training institutions and the Professional Training Assessment and Standards Division in the Ministry of Health to develop locally relevant clinical education policies, standards for training, assessment as well as in faculty development.

Looking ahead at 2020, the COVID-19 situation has led us to adopt alternative ways of engagement withour stakeholders. The College will be conducting online webinars. We have also decided to postpone the Masters in Health Professions Education Singapore (MHPE-S) training and the intake of new cohort to October 2020.

Finally, I am happy to share that the College has elected Dr Yip Chee Chew as the new President to lead CCE from 2020 onwards. I wish him well and look forward to the College activities in the future.

ABOUT THE COLLEGE ANNUAL GENERAL MEETING The College of Clinician Educators (CCE) was formed in The College held its Annual General Meeting on 9 May 2017, after four years as a Chapter. It is the 13th College 2019. established under the Academy of Medicine, Singapore. On 4 July 2018, the CCE Council members were elected. COUNCIL MEETINGS The Council held a meeting on 17 September 2019 to CCE continues to promote and support the development conduct and discuss the affairs of the College. of study programmes, education guidelines for medical specialist training, and collaboration initiatives with both THE 2019-2020 COUNCIL the public institutions and the private sector that support the national medical education agenda. President Dr Dujeepa Samarasekera Vice-President Dr Tham Kum Ying Being a part of the Academy of Medicine, Singapore enabled Honorary Secretary Dr Abhilash Balakrishnan CCE to develop new, purposeful and synergistic initiatives Honorary Treasurer Dr Yip Chee Chew such as specific and targeted training and certification Council Members Dr Tay Sook Muay programmes in subspecialties related to clinical education, Dr Lim Wee Shiong credentialing of clinical educators involved in specialist Dr Nigel Tan Choon Kiat training and closer collaboration with overseas colleges and Co-Opted Members Dr Kevin Tan institutions, anchoring medical education and academies. Dr Yong Wei Sean The objectives of the College are: Dr Richard Lee Meng Kam Dr Yuen Heng Wai ••Pedagogical up-skilling ••Engagement and recognition of outstanding educators •• Advocacy for clinical educators MEMBERSHIP ••To serve an advisory and think tank role As of 31 December 2019, the College membership com- ••Foster a culture of innovation and education scholarship prised 85 Local Fellows.

ANNUAL REPORT 2019 | 95 ACTIVITIES

AMS-MAASTRICHT MHPE-SINGAPORE MAASTRICHT UNIVERSITY MAASTRICHT UNIVERSITY MASTERS Cees van der Vleuten Joost Dijkstra IN HEALTH PROFESSIONS EDUCATION Daniëlle Verstegen Marjan Govaerts The Masters of Health Professions Education-Singapore Diana Dolmans Mohammed Meziani (MHPE-S) programme explores the interrelation Geraldine van Kasteren Renee Stalmeijer

COLLEGES AND CHAPTERS relationship between educational theory, research and Jan van Dale Willem de Grave clinical practice. Partici- pants are continuously encouraged Jeroen van MerrÏenboer to apply theory-based insights to solve real-life educational problems. MHPE graduates often ascend to leadership FORMATION OF INTEREST GROUPS positions in academic medical institutions. The MHPE-S The College has formed various interest groups: course was opened to students from Medicine, Dentistry, CURRICULUM DEVELOPMENT AND QA Nursing, Pharmacy, Physiotherapy or speech therapy and Co-ordinators Members health sciences. Dr Kevin Tan Dr Vernon Oh Min Sen Dr Nigel Tan Dr Toh Hong Chuen The MHPE-S was launched by CCE in collaboration with Dr Chan Yee Cheun the University of Maastricht, and we have graduated 20 candidates so far. We would like to congratulate the ASSESSMENT four graduates in the 2019 Induction Comitia. We were Co-ordinators Members also encouraged to see seven candidates taking up the Dr Tham Kum Ying Dr Inderjeet Singh Rikhraj th challenge to join the 5 Intake (2019-2021) and eager to Dr Abhilash Balakrishnan Dr Derrick Aw Chen Wee become better health professionals themselves. Dr Preetha Madhukumar COLLEGE OF CLINICIAN EDUCATORS STUDENT AND RESIDENT WELL-BEING Co-ordinators Members Dr Tay Sook Muay Dr Vernon Oh Min Sen Dr Chay Oh Moh Dr T Thirumoorthy Dr Marion Aw

FACULTY DEVELOPMENT AND SOTL Co-ordinators Members Dr Dujeepa Samarasekera Dr Sohil Pothiawala The faculty with the graduates of the 2019 Induction Comitia. Dr Lim Wee Shiong Dr Huma Jaffar Dr Lee Meng Kam Richard Dr Shelat Vishalkumar Dr Chan Yee Cheun Dr Goh Poh Sun Dr Yong Wei Sean

These interest groups are the core groups who would be consulted to resolve matters in their specific areas, and liaise with relevant stakeholders to foster CCE’s objectives. CCE hopes to bring together all specialists in public institutions and The 2019 Intake class of MHPE-S. the private sector interested in medical education to support the national medical education agenda. This can be achieved Faculty for the programme include: through these interest groups, to engage stakeholders and create future collaboration opportunities for CCE. ACADEMY OF MEDICINE, SINGAPORE Abhilash Balakrishnan Kevin Tan FUTURE PLANS AND COMMITMENTS Ashokka Balakrishnan Lim Wee Shiong •• Continuously improve CCE’s role of acting as a “Think Chay Oh Moh Matthew Gwee Tank”; Edward Chen Fun Gee Nigel Tan •• Advise on residency training in Singapore; Clement Tan Predeebha Kannan •• Conduct outreach to the medical education community in Singapore; Vincent Chong Fook Hin Raymond Goy •• Develop a community of educators to support both Derrick Lian Richard Lee undergraduate and residency training in Singapore; and Derek Soon T Thirumoorthy •• Provide support to the AMS Deanery and Colleges in their Dujeepa Samarasekera Tan Chay Hoon efforts to develop Continuing Professional Development Goh Poh Sun Tham Kum Ying and other relevant medical education programmes.

ANNUAL REPORT 2019 | 96 COLLEGES AND CHAPTERS COLLEGE OF CLINICIAN SCIENTISTS

PRESIDENT’S MESSAGE DR PIERCE CHOW

The College kick started the year by organising our usual New Year Networking dinner-lecture on 4 January 2019 at The Blue Ginger Restaurant. We had the honour of having guest speaker Dr Raymond Chua from Ministry of Health and he spoke on ‘Will the HBRA Adversely Impact

Upon a Nascent Research Culture?’ It was well received by the 38 attendees. COLLEGE OF CLINICIAN SCIENTISTS

Towards the end of 2019, a novel respiratory virus surfaced in Wuhan and within a short period of time, spread throughout the world as the COVID-19 pandemic. While reminiscent of the 2003 SARS outbreak 17 years ago, the speed and depth of the scientific response to the COVID-19 pandemic stand in stark contrast to that of the response to SARS. This a reflection of the scientific development that has occurred in the intervening 17 years.

Many of the Fellows of our College were involved in the containment of the SARS outbreak and many more are involved in the current containment of the COVID-19 pandemic. We are pleased that Fellows from our College form a significant part of the scientific leadership helming the current COVID-19 efforts and look with pride at the increasing number of high-impact publications arising from their leadership.

Success in containing the COVID-19 pandemic requires a whole-of country effort. Singapore has become a model of how scientific and public health measures can be leveraged to successfully control an outbreak.

While there are indeed still tough days ahead, the College is confident that our efforts will prevail. Now more than ever, a pandemic of this magnitude demonstrates the vital role clinician scientists have in society.

We thank everyone for the warm support and goodwill given to the College. Take care and stay safe in COVID-19.

“Veritas Vos Liberabit.”

ABOUT THE COLLEGE THE 2019-2020 COUNCIL The College of Clinician Scientists comprises of clinician President Dr Pierce Chow specialists from the Academy of Medicine who are also Vice-President Dr Mahesh Choolani NMRC-funded Clinician-Scientists (TA, CSA, STAR awardees) Honorary Secretary Dr Joanne Ngeow or established academic clinicians. As a professional body Honorary Treasurer Dr Calvin Chin within the Academy, we provide collective identity for clinician scientists nationally, advise relevant authorities Members Dr Catherine Ong on scientific matters and the training of clinician scientists, Dr Iain Tan and we are the scientific voice of the Academy of Medicine, Dr Narayanan Gopalakrishna Iyer Singapore. Co-Opted Members Dr Christopher Chen Dr Jerry Chan The College of Clinician Scientists was formed in 2016 from Dr John Chia the existing independent Chapter of Clinician Scientist which was formed in 2012. MEMBERSHIP As of 31 December 2019, the College’s membership stood ANNUAL GENERAL MEETING at 84, consisting of 81 Local Fellows, one Overseas Fellows The College’s 3rd Annual General Meeting was held on 9 and two Associate Members. May 2019.

ANNUAL REPORT 2019 | 97 COLLEGES AND CHAPTERS

From left to right: Dr John Chia (Co-Opted Member), Dr Christopher Chen (Co-Opted Member), Dr Joanne Ngeow (Honorary Secretary), Dr Pierce Chow (President), Dr Narayanan Gopalakrishna Iyer (Member), Dr Calvin Chin (Honorary Treasurer), Dr Catherine Ong (Member)

Not in photo: Dr Mahesh Choolani (Vice-President), Dr Iain Tan (Member), Dr Jerry Chan(Co-Opted Member)

ACTIVITIES COLLEGE OF CLINICIAN SCIENTISTS NEW YEAR NETWORKING CUM ANNUAL GENERAL MEEETING, CONTINUING MEDICAL EDUCATION SYMPOSIUM CUM CONTINUING (CME) SESSION MEDICAL EDUCATION (CME) LECTURE The College held a New Year Networking cum CME session Along with the College’s 3rd Annual General Meeting on 4 January 2019 at The Blue Ginger Restaurant. The that was held on 9 May 2019, a half-day ‘Symposium on event was attended by 38 Fellows. Genomic Medicine and Gene Therapy’ and a CME lecture entitled ‘What Could the Next Generation of Heart Failure Preceded by dinner, the CME session entitled, ‘Will the Medicines Look Like?’ had also taken place. HBRA Adversely Impact Upon a Nascent Research Culture?’, was delivered by invited speaker, A/Prof Raymond Chua.

Fellows at the New Year Networking cum CME Session.

A/Prof Raymond Chua delivering the CME session entitled, ‘Will the HBRA A packed itinerary awaited Fellows on 9 May 2019 — the College’s Adversely Impact Upon a Nascent Research Culture?’. 3rd Annual General Meeting, a symposium and a CME lecture.

ANNUAL REPORT 2019 | 98 CHAPTER OF PATHOLOGISTS COLLEGES AND CHAPTERS

ABOUT THE CHAPTER THE 2019-2020 EXECUTIVE The Chapter of Pathologists was formally added to the COMMITTEE th Academy of Medicine’s list of Chapters at the 9 Annual Chairman Dr Inny Busmanis General Meeting of the Academy on 22 November 1986. Vice-Chairman Dr Cuthbert Teo Secretary Dr Yeo Chin Pin The Chapter’s Inaugural General Meeting was held on 5 Treasurer Dr Chan Kwai Peng December 1986 at King’s Hotel where its first office bearers were elected: Dr Gilbert Chiang (Chairman), Dr Sng Ewe Hui Committee Members Dr Jacqueline Hwang (Vice-Chairman), Dr Mavis Yeo (Honorary Secretary), Dr Dr Sathiyamoorthy Selvarajan

Chao Tzee Cheng (Committee Member), Dr Lee Swee Kok Dr Tan Ai Ling CHAPTER OF PATHOLOGISTS (Committee Member), and Dr Lee Yoke Sun (Committee Co-Opted Members Dr Derrick Lian Wen Quan Member, who was elected in absentia). Dr Marian Wang MEMBERSHIP ANNUAL GENERAL MEETING As of 31 December 2019, the total membership of the The Chapter held its 33rd Annual General Meeting on 27 Chapter stood at 57. May 2019 at The Academia, Department of Pathology, Singapore General Hospital.

ACTIVITIES

SOUTH CENTRAL ASSOCIATION OF CLINICAL MICROBIOLOGY AUDIO-CONFERENCE. The Chapter co-organised the following CD-recorded audio-conference sessions with the Singapore Society of Pathology and the Department of Pathology, Singapore General Hospital. CLOSTRIDIUM DIFFICILE: COLONISATION OR INFECTION? Date 21 January Presenters Preeti Pancholi Director, Clinical Microbiology Laboratory, The Ohio State University College of Medicine, Columbus, Ohio, United States Megan Shah Infectious Diseases Clinical Pharmacist Moderator Dr Deborah Lai Department of Microbiology, Singapore General Hospital

GROUP A STREPTOCOCCUS: DOES YOUR BACKUP METHOD HAVE YOUR BACK? Date 25 February Presenter Donna M Wolk Systems Director, Clinical and Molecular Microbiology, Geisinger Diagnostic Medical Institute Moderator Dr Kenneth Goh Department of Pathology, Singapore General Hospital

PRINCIPLES OF LABORATORY BIOSAFETY AND RISK ASSESSMENT Date 15 April Presenter Shoolah H Escott Biosafety Manager, Massachusetts State Public Health Laboratory Moderator Dr Deborah Lai Department of Microbiology, Singapore General Hospital

ANNUAL REPORT 2019 | 99 POINT OF CARE TESTING FOR MICROBIOLOGY IN THE URGENT CARE Date 27 May Presenter Omai Garner Assistant Clinical Professor, Department of Pathology and Laboratory Medicine Director of Point of Care Testing, Section Chief, Clinical Microbiology, UCLA Health System, United States Moderator Dr James Sim Department of Microbiology, Singapore General Hospital

COLLEGES AND CHAPTERS PATIENT CARE AND SYSTEM IMPROVEMENTS THROUGH LABORATORY STEWARDSHIP: AN OPPORTUNITY FOR LEADERSHIP Date 15 July Presenter Gary Procop Medical Director, Medical Operations, Co-Chair, Laboratory Stewardship Committee Director of Molecular Microbiology, Virology, Mycology and Parasitology, Cleveland Clinic, United States Moderator Dr Karrie Ko Department of Microbiology, Singapore General Hospital

NEW WAYS TO OUT-TRICK TRICHOMONAS VAGINALIS DIAGNOSIS Date 19 August Presenter Prof Charlotte A Gaydos Professor, Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland, United States

CHAPTER OF PATHOLOGISTS Moderator Dr Chan Kian Sing Department of Microbiology, Singapore General Hospital

MYCOPLASMA, UREAPLASMA AND EMERGING PATHOGENS DETECTION AND IDENTIFICATION Date 23 September Presenter Sixto M Leal Jr Director, Clinical Microbiology Laboratory, Fungal Reference Laboratory, Diagnostic Mycoplasma Laboratory Department of Pathology, Division of Laboratory Medicine UAB Medicine, The University of Alabama at Birmingham, United States Moderator Dr Tan Yen Ee Department of Microbiology, Singapore General Hospital

PROVIDING GOOD CLINICAL MICROBIOLOGY BENCH EXPERIENCE TO STUDENTS IN THE ERA OF AUTOMATION Date 21 October Presenter Paula C Mister Education Coordinator, Clinical Microbiology, The Johns Hopkins University Moderator Dr Tan Yen Ee Department of Microbiology, Singapore General Hospital

IDENTIFICATION OF NON-TUBERCULOUS MYCOBACTERIA AND IMPACT ON TREATMENT Date 18 November Presenter Susan M Harrington Medical Director, Mycobacteriology & Specimen Processing, Microbiology Laboratory Robert J Tomsich Pathology & Laboratory Medicine Institute, Cleveland Clinic, United States Moderator Dr Jamie Tan Department of Microbiology, Singapore General Hospital

ANNUAL REPORT 2019 | 100 COLLEGES AND CHAPTERS CHAPTER OF PATHOLOGISTS

Today ‒ ‘Moving Beyond the Microscope: SGH Clinical Pathology Workshop ‒ ‘Clinical rd 101 SGH Breast Pathology Course which was held from 8 th Pathology Updates in Cervical Cancer Screening in Singapore’ (held on 2019 at The14 September Academia, Singapore General Hospital) The 3 Pathology Frontiers in Technology’ (held on 4 October 2019 at The Academia, Singapore General Hospital) • • to 10 November 2019 (amount: $500). Our for sponsorship this event was acknowledged in the course provided to delegates. material Support Support of provided was the members by the event for Executive Committee and ChapterLin. Committee Member, Dr secretariat,Derrick Lian, was part Marcus of the judging panel. The Chapter intends to continue toadvance our trainees, and by doing so, also of raise awareness the role of AMS. Prof Tan Puay Hoon (Chairman, Pathology ACP) presenting Dr Derrick Prof Tan Puay Hoon (Chairman, Pathology ACP) judging the event. Lian (on the left) with a token of appreciation for SPONSORSHIP OF EVENTS The Chapter provided nominal sponsorship events. with event publicity in support of the following by assisting • • The Chapter also sponsored a refreshment break for the 10 Group photo of AMS Master, Executive Members of Chapter of Group photo of AMS Master, Dr Aw Sze Jet. From left: Dr Yeo Chin Pin, Pathologists and prize winner, (Master of AMS), Dr Tan Ai Ling, Dr Aw Sze Jet, Dr S R E Sayampanathan Peng, Dr Jacqueline Dr Inny Busmanis (Chapter Chair), Dr Chan Kwai Hwang.

th ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL Best Poster award trophy. Held at The Academia, General Singapore Hospital, showcased pathology research the done by various bodies of health event professionals. The Chapter is proud in young researchers to encourage their endeavours, with presentation of a $150 beautiful crystal trophy. book voucher and a Annual Pathology Academic Clinical Day on 29 Programme October 2019. AMS Master, Dr S R E our including to awards, multiple presented and ceremony ‘Molecular Sayampanathan topic, research had his for Jet, graced Sze Aw the Dr winner, 2019 Alterations in Congenital Mesoblastic Nephroma’. BEST POSTER PRIZE The Chapter had presented the inaugural prize Poster for in Best the Residents and Trainees category at the 6 Dr Inny Busmanis presenting Prof Richard Scolyer with a token of Dr Inny Busmanis presenting Prof Richard Scolyer appreciation. Prof Scolyer delivered a Plenary Lecture titled, ‘Hot Topics in Melanocytic Pathology’, at General Academia,the Hospital Singapore on 3 July 2019. by the pathology fraternity and received dermatology The lecture was well publicity following attendance in also were who colleagues Chapter of Dermatologists. of the lecture by AMS PLENARY LECTURE PLENARY Chapter Chair, Dr Inny Busmanis, had College nominated of Royal Pathologists of Australasia (RCPA) Visitor Prof Richard Scolyer (Co-Director of the Lecturer. Melanoma Visiting AMS of position the Institute, for Australia) Sydney, OTHER ACTIVITIES DATE EVENT 12 February Chapter Chair had attended the AMS Chinese New Year celebrations and Council meeting. March Chapter Member, Dr Adele Wong, represented the Chapter at the Pathology Residency Programme RISE examinations in Singapore as Proctor. 8 and 22 April Chapter Chair attended the training programme for SMC Panel of Medical Assessors, held at the Supreme Court Singapore.

COLLEGES AND CHAPTERS 6 July Chapter Committee Member, Dr Derrick Lian, was awarded a certificate for membership of the Faculty of the Master of Health Professions Education (MHPE-S) at the AMS Induction Comitia. November Chapter Member, A/Prof Ivy Sng, delivered a citation, ‘Remembering Emeritus Professor K Shanmugaratnam’, at the launch of the Singapore Cancer Registry 50th Anniversary commemorative monograph. This event was held to honour the work of esteemed pathologist, Professor Shanmugaratnam, who had also been a past Master of the Academy of Medicine, Singapore (1966-68). CHAPTER OF PATHOLOGISTS

Chapter Chair, Dr Inny Busmanis (second lady from the right) at the AMS Chinese New Year celebration.

APPOINTMENTS Programme (ACP) and the RCPA on various lectures Chapter Committee Members, Drs Cuthbert Teo and and educational programmes. The Chapter is planning Marian Wang, were re-appointmented to the Medical additional collaborations with the College of Clinician Experts Training Committee for a further three years Educators and the Chapter of Dermatologists. (2020-23). They also remain as members of the Singapore Medical Council Panel of Medical Assessors. PROFESSIONAL OPINION The Chapter received professional opinion requests from Chapter Chair, Dr Inny Busmanis, was re-appointed as a the Academy of Medicine, Singapore on the following Member of the AMS Standing Committee on Membership, topics in 2019: for a further three years (2019-22). MONTH TOPIC COLLABORATIONS February Revised Version of the National Telemedicine The Chapter continued its collaborations with Singapore Guidelines Society of Pathology, Pathology Academic Clinical July Expert Opinion Recommendation (Chair)

ANNUAL REPORT 2019 | 102 COLLEGES AND CHAPTERS CHAPTER OF INTENSIVISTS

ABOUT THE CHAPTER MEMBERSHIP The formation of the Chapter of Intensivists was passed As of 31 December 2019, the Chapter had a total of 121 at the 36th Annual General Meeting of the Academy of Fellows. Medicine, Singapore on 14 June 2014.

121 The Chapter aims to set the standard for intensive care 120 medicine and maintain this standardised level of high- 100 quality care in Singapore. 100 99 99 CHAPTER OF INTENSIVISTS THE 2019-2020 EXECUTIVE 80 COMMITTEE 60 Chairman Dr Kenneth Tan Hock Soon Vice-Chairman Dr Kenneth Chan Ping Wah 40 Honorary Secretary Dr Tan Chee Keat Members Dr Chia Yew Woon 20 Dr Ng Shi Yi 0 Dr Matthew Cove 2016 2017 2018 2019 Dr Lee Tze Wee

ACTIVITIES ANNUAL GENERAL MEETING PROFESSIONAL OPINION The 5th Annual General Meeting of the Chapter was held on The Chapter was consulted for professional inputs on the 29 May 2019 at Mount Elizabeth Hospital. It was attended following matter: by 10 Chapter Fellows. DESCRIPTION ORGANISATION Current Charging Practices in ICU Ministry of Setting in the Private Sector Health

ANNUAL REPORT 2019 | 103 CHAPTER OF FAMILY MEDICINE PHYSICIANS

CHAIRMAN’S MESSAGE

COLLEGES AND CHAPTERS DR LEE KHENG HOCK

For our first event in 2019, we joined hands with the College of Family Physicians, Singapore to organise the Family Medicine Review Course 2019 on 25 May 2019 at the Health Promotion Board. It was a well-received event with over 115 attendees.

The Chapter also co-organised the International Health and Care Collaboration (IHCC) 2019 with Vivid Creations Pte Ltd on 24 August 2019 at The Academia. Close to 400 medical and healthcare professionals joined the annual IHCC Symposium & Exhibition. As part of our annual engagement, we continued with our Annual Tea Reception 2019 held on 31 August 2019 at Holiday Inn Singapore Atrium, which was well attended by about 45 participants.

How the world had changed in the span of just one year. We are now in the grip of a global pandemic. I take pride in all our courageous family physician colleagues who are standing their ground against the onslaught of the unseen enemy and protecting their patients. In neighbourhood GP clinics, polyclinics, community hospitals, nursing homes and acute hospitals, we stand shoulder-to-shoulder with one another, with other specialist colleagues, healthcare workers and all the rest of our frontline workers.

Many of us are tired and anxious. Colleagues have confided in me that they are not worried for themselves but more for their family members and loved ones. Many stayed away from their elderly parents, spouse and young children CHAPTER OF FAMILY MEDICINE PHYSICIANS CHAPTER OF FAMILY for fear that they will unwittingly bring home the infection with them. Like our patients, we are fighting the isolation and disease at the same time. I have seen tears in the eyes of colleagues, and I also see the gleam of courage and determination in those same eyes. I am sad and proud at the same time. It is a privilege to serve with them.

As the best trained family physicians in the land, FAMS of our Chapter play a particularly important role in this epic struggle. Many are in leadership positions, leading younger colleagues into battle and caring for them at the same time. Many are in the trenches themselves, bringing to bear their exceptional levels of competency to care for patients directly. This is what we train for. We all stand our ground and do our professional duty.

It is not a question of if we will prevail in this fight. It is a matter of time. In future, when you read this report again, we will look back with pride at the contribution that family medicine had brought to the fight and our contribution to the ultimate victory over COVID-19. Thank you for being FAMS of our Chapter and stay safe.

ABOUT THE CHAPTER ANNUAL GENERAL MEETING With an ageing population and increasing chronic disease The 4th Annual General Meeting of the Chapter was held on burden, the role of Family Medicine Physicians has become 4 May 2019 at the Academy of Medicine, Singapore. A total even more critical. There is a need for many better trained of 10 Fellows attended the meeting. doctors to provide holistic, less fragmented and more integrated care at the community level. COMMITTEE MEETINGS The Chapter’s Committee held two meetings in 2019—on 9 The resolution to form the Chapter of Family Medicine February and 16 December. Physicians was passed at the 36th Annual General Meeting of the Academy on 14 June 2014. The aims of the Chapter are: (a) to promote and advance Family Medicine as a specialty in Singapore and; (b) to foster interdisciplinary medical education in Family Medicine.

ANNUAL REPORT 2019 | 104 COLLEGES AND CHAPTERS CHAPTER OF FAMILY MEDICINE PHYSICIANS Dr Lee Kheng Hock Dr Lee Kheng Sing Dr Lee Eng Kam Dr Richard Lee Meng Dr Kong Jing Wen Dr Patricia Lee Seng Dr Gilbert Tan Choon Dr Ong Chong Yau Dr Luke Low Sher Guan Dr Tan Tze Lee Dr Cheong Pak Yean Dr Goh Lee Gan Dr Lee Suan Yew 105 Chairman Vice-ChairmanSecretary Treasurer Yeow Dr Tan Boon Members Co-Opted Members Wei Mon Dr Wong Advisors THE 2019-2020 EXECUTIVE EXECUTIVE 2019-2020 THE COMMITTEE NUAL REPORT 2019 | | 2019 REPORT NUAL 96 2019 AN 96 2018 87 2017 77

74 2015 2016 66 2014 0 80 60 40 20 100 Dr Kwek Sing Cheer Dr Jeffrey Jiang Song’en Dr Jeffrey Wai Dr Kee Kok • • • Front row (from left to right): Dr Cheong Pak Yean (Advisor), Dr Patricia Lee Dr Richard Lee Meng Kam (Treasurer), Dr Lee Suan Yew (Advisor), Dr Lee Kheng Hock (Chairman), (Member) Back row (from left to right): Dr Ong Chong Yau (Co-Opted Member), Dr Gilbert Tan Dr Lee Eng Sing (Secretary), Dr Wong Wei Mon (Co-Opted Member), Dr Kong Jing Wen (Member), Choon Seng (Member) Not in photo: (Co-Opted Member), Dr Goh Lee Gan (Advisor) Dr Tan Boon Yeow (Vice-Chairman), Dr Luke Low Sher Guan (Co-Opted Member), Dr Tan Tze Lee • • • MEMBERSHIP The membership of the Chapter December stood 2019. The following at were admitted 96 as Fellows as of in 2019: Singapore (ChpFM) of Medicine, of the Academy 31 ACTIVITIES FAMILY MEDICINE REVIEW COURSE 2019 The 4th Family Medicine Review Course 2019 was held on 25 The course aimed to deliver the latest updates of evidence- May 2019 at the Health Promotion Board. The course was based practice in not only pharmacological management jointly organised by Chapter of Family Medicine Physicians of diabetes mellitus but also on how it can be managed Singapore and the College of Family Physicians, Singapore holistically in the Family Physician’s office. There wasan

COLLEGES AND CHAPTERS in conjunction with World Family Doctor’s Day. emphasis on reading food labels, as well as psychological issues experienced by diabetics.

The Family Medicine Review Course provides a platform and opportunity for healthcare professionals to learn and refresh, as well as to establish and strengthen fraternal ties both within the primary care community and hospitalist specialist colleagues. Image courtesy: College of Family Physicians,

CHAPTER OF FAMILY MEDICINE PHYSICIANS CHAPTER OF FAMILY Singapore. CHAPTER OF FAMILY MEDICINE PHYSICIANS ANNUAL TEA RECEPTION The Chapter successfully organised its second Annual Tea ••Dr S R E Sayampanathan Reception on 31 August 2019 at Holiday Inn Singapore Master, Academy of Medicine, Singapore Atrium. The event’s theme, ‘Pre-Frailty and Frailty: ••A/Prof Lim Wee Shiong Functional, Physical or Cognitive’, aimed to explore the Senior Consultant, Department of Geriatric Medicine, role that Family Physician Specialists play in the care of frail Tan Tock Seng Hospital individuals in the community. ••Adj A/Prof Tan Tze Lee President, College of Family Physicians, Singapore The event was graced by AMS Master, Dr S R E Council Member, Singapore Medical Association Sayampanathan, who joined the round table discussion on ‘Impact of the Changing Landscape of Family Medicine on ••A/Prof Goh Lee Gan the Advancement of Family Medicine as a Specialty’. The Professorial Fellow and Senior Consultant, event was supported by AstraZeneca and was attended by Department of Family Medicine, National University 45 participants. Health System ••A/Prof Tan Boon Yeow The main speakers at the event were: A/Prof Lim Wee CEO, St Luke’s Hospital, Singapore Shiong (Senior Consultant, Tan Tock Seng Hospital) Vice-Chairman, Chapter of Family Medicine Physicians who spoke on the topic, ‘Screening for Frailty: Between ••Dr Tan See Leng Scylla and Charybdis’; and A/Prof Augustine Tee (Senior Group CEO & Managing Director, Parkway Pantai Consultant, Changi General Hospital) who spoke on the Limited topic, ‘Respiratory Frailty: Endgame in Chronic Lung CEO & Managing Director, IHH Healthcare Berhad Disease’. ••Dr Marie Stella P Cruz Consultant Family Physician A round table discussion on the impact of the changing Adjunct Lecturer landscape of Family Medicine on the advancement of Department of Medicine, National University of Family Medicine as a specialty was held. The participants Singapore, Division of Graduate Medical Studies, were: National University of Singapore ••Dr Lee Kheng Hock Chairman, Chapter of Family Medicine Physicians

ANNUAL REPORT 2019 | 106 COLLEGES AND CHAPTERS CHAPTER OF FAMILY MEDICINE PHYSICIANS Besides

the necessary resources, we should resources, the necessary also conference will certainly throw up some very 107 This

providing interesting ideas that will be helpful for us,” said Associate Professor Lee Kheng Hock, Chairman of Family the Medicine Chapter Physicians of ad Director of EducationSingHealth Community Hospitals. for healthcare and aged care services. Mr Tan Kwang Cheak, CEO of Agency for Integrated Care, was Guest-of-Honour. “As we shift the focus care of community, we from should the hospital look into to the how we the can community to empower do more to support patients. transform the culture of providers of health and social care. ANNUAL REPORT 2019 | | 2019 REPORT ANNUAL INTERNATIONAL HEALTH TH & CARE COLLABORATION (IHCC) SYMPOSIUM AND EXHIBITION Close to 400 medical and healthcare professionals had gathered to hear from experts on plays an important role in and primary community care how social inclusion sectors as Singapore grapples with the growing demand for The theme was ‘Social was ‘Social The theme Inclusion & Empowering the Population – The Value Society’. Age-Friendly an Nurturing in Diets and Equipment of Community, Primaryat The Academia, August 2019 was held on 24 The event Care, Singapore General Hospital. The Chapter co-organised this event with the International the with this event co-organised ChapterThe CollaborationCare Health & (IHCC) and Vivid Creations Pte Ltd. THE 6 Back row (from left to right): Dr Kong Jing Wen (Member, ChpFMP), Dr Richard Lee (Treasurer, ChpFMP), A/Prof Augustine Tee (Senior Consultant, Back row (from left to right): Dr Kong Jing Wen (Member, ChpFMP), Dr Richard Lee (Treasurer, Front row (from left to right): Dr Marie Stella P Cruz Changi General Hospital), Dr Wong Wei Mon (Member, ChpFMP), Lee Eng Sing (Secretary, ChpFMP). ChpFMP), Dr S R E Sayampanathan (Master, (Consultant Family Physician), A/Prof Tan Tze Lee (Member, ChpFMP), A/Prof Lee Kheng Hock (Chairman, Hospital). Seng Tock Consultant, Tan Shiong (Senior Wee Lim A/Prof (Vice-Chairman, ChpFMP), Yeow Boon Tan A/Prof Singapore), Medicine,of Academy Attendees at the tea reception. The event aimed to equip family physicians, leaders, policymakers, researchers and academicians with the latest to equip family physicians, leaders, policymakers, researchers and academicians with the latest Attendees at the tea reception. The event aimed and best practices. knowledge on therapeutic updates, innovations COLLEGES AND CHAPTERS

The theme of the 6th IHCC was ‘Social Inclusion & Empowering the Population – The Value of Community, Primary Care, Equipment and Diets in Nurturing an Age-Friendly Society’.

PROFESSIONAL OPINION The Chapter presented its views and suggestions to Ministry of Health on the following issues: NO. TOPIC 1 Invitation to Review and Endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Foot Assessment in People with Diabetes

CHAPTER OF FAMILY MEDICINE PHYSICIANS CHAPTER OF FAMILY 2 Can Doctors Diagnose and Give MC for Burn-Out and Work Stress? 3 Invitation to Review and Endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Managing Gout ‒ the ULTimate Goal 4 Reporting of Radiological Images by General Practitioners

ANNUAL REPORT 2019 | 108   

 “Recta Sapere” To Seek And Savour The Truth At All Times

‘Per pale and per chevron Gules and Azure a Chevron cotised between Three Leopards’ faces Or And for the Crest on a Wreath, Or Gules and Azure Two Eagles’ heads addorsed Azure beaked Or and gorged with chaplet of Roses - Gules barbed and seeded in each beak a Poppy slipped and leave proper’.

ChapterofEmergencyPhysicians In the centre of the Shield, the Chevron symbolises the coming-together of the specialists of medicine under one roof – the Academy. TheChapterofPathologists three leopards represent the territories in the Singapore-Malaysia region. The two Eagles’ heads of the Crest remind us of the privilege we had of using the family Arms of our first Master, ChapterofPsychiatristsGordon Ransome, in the early years of our existence. The Poppies denote our common desire to relieve pain. ChapterofPublicHealth&OccupationalPhysicians CollegeofAnaesthesiologists,Singapore CollegeofDentalSurgeons,Singapore CollegeofOphthalmologists,Singapore CollegeofPaediatricsandChildHealth,Singapore CollegeofObstetriciansandGynaecologists,Singapore CollegeofPhysicians,Singapore CollegeofRadiologists,Singapore CollegeofSurgeons,Singapore Academy of Medicine, Singapore 81 Kim Keat Road, NKF Centre #11-00, Singapore 328836 Tel: 6593 7800 Fax: 6593 7880 Email: [email protected] Website: www.ams.edu.sg Registration No: 197702012E Charity No: 000043