ACADEMY OF MEDICINE, SINGAPORE Annual Report 2014

Annual Repor t 2014

Academy of Medicine, Singapore 81 Kim Keat Road, #11-00, NKF Centre Singapore 328836 Tel: 6593 7800 Fax: 6593 7880 Academy of Medicine, Singapore Email: [email protected] Website: www.ams.edu.sg (INCORPORATED IN THE REPUBLIC OF SINGAPORE) Committed to specialist education and training since 1957 Registration No: 197702012E • Charity No: 000043   

 “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 Contents

Academy of Medicine, Singapore Master’s Message 2 The 2014-2015 Council 3 The Academy 5 Year in Review 6 Corporate Relations Sponsorship, Grants and Awards 7 Representations at Ministry of Health and Related Organisations 8 Events 36th Annual General Meeting 9 Memorandum of Understanding and Agreement with the Ministry of Health of Brunei Darussalam 10 The 48th Malaysia-Singapore Congress of Medicine, Kuala Lumpur, Malaysia 10 Induction Comitia (17 May 2014) 10 Induction Comitia (25 October 2014) 11 Dinner and Dialogue Meeting with Director of Medical Services 12 Specialist Training and Education 13 Joint Committee on Specialist Training 14 Standing Committees Membership 15 Postgraduate Education 17 Continuing Professional Development 19 Professional Affairs 21 Publications 24 Chapters and Colleges Chapter of Clinician Educators 26 Chapter of Clinician Scientists 28 Chapter of Pathologists 30 College of Anaesthesiologists, Singapore 32 College of Dental Surgeons, Singapore 35 College of Emergency Physicians 38 College of Obstetricians and Gynaecologists, Singapore 42 College of Opthalmologists 46 College of Paediatrics and Child Health, Singapore 50 College of Physicians, Singapore 54 College of Psychiatrists 60 College of Public Health and Occupational Physicians 65 College of Radiologists, Singapore 71 College of Surgeons, Singapore 78

Staff List 84 Organisation Chart 85 Past Masters and Honorary Fellows List 86

Financial Statements for the Financial Year Ended December 2014 87

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Annual Report 2014 01 Master’s Message

Professor Lim Shih Hui

Amidst a busy and challenging Academy could take in the year, 2014 has seen several “The membership Maintenance of Competencies milestones being charted in the of the Academy (MOC) of specialists. history of the Academy. continues to grow The Academy’s financial A significant achievement was steadily. The performance showed healthy the admission of family medicine improvement in 2014. I am physicians into the Fellowship Academy, along pleased to report that the of the Academy. With strong with the Colleges Academy achieved an operating support from the Fellows, a surplus of S$281,005 for the resolution was passed at the 36th and Chapters, financial year. Members’ annual Annual General Meeting to form has again made subscription remained the the Chapter of Family Medicine main source of income which Physicians under the umbrella of extraordinary stride represented 41 per cent of the total income of the Unrestricted the Academy. We have a total of in strengthening 66 family medicine physicians who Funds of the operating accounts joined us in the year, with 24 of our Fellowship.” of the Academy. them being conferred Fellowship As we look back at the at the second Induction Comitia of two Chapters into Colleges past one year with pride, on 25 October. during the year. The College many of the achievements of Psychiatrists and College of and accomplishments are The membership of the Academy Emergency Physicians held their made possible by our Fellow continues to grow steadily. inauguration ceremonies on 5 and Academicians whom we owe The Academy, along with the 20 November respectively. With a debt of gratitude for serving Colleges and Chapters, has again these newly formed Colleges, the the Academy’s mission with made extraordinary stride in Academy has now a total of 11 commitment and professionalism. strengthening our Fellowship. I Colleges. am delighted to report that the I would also like to record my appreciation to the Academy’s concerted effort has set another In November, we continued our Council who have volunteered and record as we welcomed 212 new engagement with the Ministry contributed altruistically towards Fellows to the Academy in 2014. through a Dinner and Dialogue the Academy and our profession. This surpassed the total number session with A/Prof Benjamin of new Fellows of 205 for Year Ong, Director of Medical Services, 2013. Ministry of Health, hosted by the Council. Besides updating With the objective of helping each the Ministry of the Academy’s specialty within the Academy to development in the last one year, PROFESSOR LIM SHIH HUI further develop professionally, we also had a lively discussion Master we witnessed the transformation on the leading role which the Academy of Medicine, Singapore

02 Annual Report 2014 The 2014-2015 Council

Patron: Dr Tony Tan, President of the Republic of Singapore

Elected Council Members DR LIM SHIH HUI DR LAI FON-MIN DR ALAN NG Master Assistant Bursar Censor Director (from 14 July 2001) Director (from 15 June 2013) Director (from 18 June 2011) DR WONG KOK SENG DR T THIRUMOORTHY DR ONG HOCK SOO Assistant Master – Academic Censor-in-Chief Censor Affairs Director (from 16 June 2012) Director (from 14 June 2014) Director (from 20 June 2009) DR TEO ENG KIONG DR CHAN YEW WENG DR WONG CHIANG YIN Assistant Master – Administrative Censor Censor Affairs Director (from 14 June 2014) Director (20 June 2009) Director (from 19 June 2010) DR SRE SAYAMPANATHAN DR LIM LAY CHENG Scribe Censor Director (from 26 May 2007) Director (from 15 June 2013) DR KHOO KEI SIONG DR DAVID LYE Bursar Censor Director (from 16 June 2012) Director (14 June 2014)

Appointed Council Members DR TSENG SENG SOU, PHILLIP DR TCHOYOSON LIM DR BENJAMIN NG President, College of President, College of Radiologists President, College of Public Health Anaesthesiologists Director (from 15 June 2013) and Occupational Physicians Director (from 15 June 2013) Director (from 14 June 2014) DR BENJAMIN CHARLES LONG DR KESAVAN ESUVARANATHAN DR CUTHBERT TEO President, College of Dental President, College of Surgeons Chair, Chapter of Pathologists Surgeons Director (from 15 June 2013) Director (from 24 May 2008) Director (from 15 June 2013) DR TAN HAK KOON DR VENKATARAMAN DR ERLE LIM President, College of Obstetricians ANANTHARAMAN Chair, Chapter of Clinician Educators and Gynaecologists President, College of Emergency Director (from 14 June 2014) Director (from 15 June 2013) Physicians Director (from 13 November 2007) DR VICTOR SAMUEL RAJADURAI DR HENG WEE JIN DR TAN ENG KING President, College of Paediatrics President, College of Chair, Chapter of Clinician Scientists and Child Health Ophthalmologists Director (from 19 June 2010) Director (from 15 June 2013) Director (from 14 June 2014) DR TAY JAM CHIN DR NG BENG YEONG President, College of Physicians President, College of Psychiatrists Director (from 19 June 2010) Director (from 16 June 2012)

Ex-Officio DR TAN ENG KING Editor, Annals Director (from 19 June 2010)

Annual Report 2014 03 Photo taken at Induction Comitia on 25 October 2014 Seated (from the left): Dr Lim Lay Cheng, Dr SRE Sayampanathan, Dr Khoo Kei Siong, Dr Lim Shih Hui, Mrs Tan Ching Yee (Permanent Secretary for Health), Dr Wong Kok Seng, Dr Lai Fon-Min, Dr T Thirumoorthy, Dr Chan Yew Weng Standing (from the left): Dr Agnes Ng (representative, College of Anaesthesiologists), Dr Ng Beng Yeong, Dr Cheong Pak Yean (Interim Chairman, Chapter of Family Medicine Physicians), Dr Tan Hak Koon, Dr Tay Jam Chin, Dr V Anantharaman, Dr Benjamin Charles Long, Dr Heng Wee Jin, Dr Benjamin Ng, Dr Tan Eng King, Dr Wong Chiang Yin, Dr Ong Hock Soo, Dr Ravishankar K Diddapur (representative, College of Surgeons) Not in photo: Dr Teo Eng Kiong, Dr David Lye, Dr Alan Ng, Dr Phillip Tseng, Dr Victor Samuel Rajadurai, Dr Tchoyoson Lim, Dr E Kesavan, Dr Erle Lim, Dr Cuthbert Teo

04 Annual Report 2014 About… The Academy

The Academy of Medicine, Singapore is a business at 81 Kim Keat Road, #11-00 and #12-00, professional institution of medical and dental NKF Centre, Singapore 328836. It is a charitable specialists devoted to advancing the art and science company limited by guarantee, incorporated on of medicine in Singapore through postgraduate 19 September 1977 and has been registered as a specialist training; maintenance of high standards Charity (Charity Registration No: 00043) since 13 of competency and ethical integrity through April 1984. It has also been granted the status of continuous professional development as well as Institute of Public Character (IPC) by the Ministry of dissemination of information and knowledge to Health, Singapore for a period of two years, from 17 the public on matters related to health. The vision May 2014 to 16 May 2016. It was established under of the Academy is to be the leading institution for a Memorandum of Association which established postgraduate medical education in the region. The the objects and powers of the Academy and is Academy is registered and domiciled in Singapore governed under its Articles of Association. with its registered office and principal place of

Chapters and Colleges From a membership of 75 in 1969, the Academy has • Chapter of Clinician Educators, Academy of now grown into a membership base of over 2,800 Medicine, Singapore members in the following Colleges and Chapters: • Chapter of Clinician Scientists, Academy of Medicine, Singapore COLLEGES • College of Anaesthesiologists, Singapore Company Secretary and Auditors • College of Dental Surgeons, Singapore Rodyk & Davidson LLP was engaged as the Company • College of Obstetricians and Gynaecologists, Secretary to provide corporate secretarial services Singapore to the Academy. Geetha A & Associates was re- • College of Paediatrics and Child Health, Singapore appointed as the auditors for the accounts of the • College of Physicians, Singapore Academy. • College of Radiologists, Singapore • College of Surgeons, Singapore Standing Committees • College of Emergency Physicians, Academy of The Council is supported by the following Standing Medicine, Singapore Committees established under the Academy’s By-Laws. • College of Ophthalmologists, Academy of Standing Committees Chairmen Medicine, Singapore Audit Dr Chew Chin Hin • College of Public Health and Occupational Constitutional Review Dr Tan Kok Chai Physicians, Academy of Medicine, Singapore Continuing Professional Development Dr Lim Shih Hui • College of Psychiatrists, Academy of Medicine, Finance &Establishment Review Dr Khoo Kei Siong Singapore Membership Dr T Thirumoorthy Postgraduate Education Dr Fock Kwong Ming CHAPTERS Professional Affairs Dr Ho Lai Yun • Chapter of Pathologists, Academy of Medicine, Publications Dr Tan Eng King Singapore Scientific Conferences & Seminars Dr Chan Yew Weng Search Dr Lim Shih Hui

Annual Report 2014 05 Year in Review

February August Lunar New Year Celebration Dinner The 48th Malaysia-Singapore Congress of Medicine 5 February 2014 Kuala Lumpur, Malaysia The Academy celebrated the Lunar New Year with 26-28 August 2014 a dinner and ‘Loh Hei’ between Council members, The biennial Malaysia-Singapore Congress of Past Masters, members of Standing Committees and Medicine, in conjunction with the 2014 International staff at the Academy’s premise. Congress of Pathology & Laboratory Medicine (ICPaLM), was held at Shangri-La Hotel, Kuala May Lumpur, Malaysia. The theme of the Congress was ‘Personalised Diagnostics: From Bench to Bedside’. Induction Comitia 17 May 2014 The Academy held the first Induction Comitia of October the year at the Health Promotion Board. A/Prof Induction Comitia Benjamin Ong, Director of Medical Services, Ministry 25 October 2014 of Health, graced the event as Guest-of-Honour. The second Induction Comitia of the year was held at the Health Promotion Board with Mrs Tan Ching Yee, June Permanent Secretary for Health, Ministry of Health, gracing the event as the Guest-of-Honour. The 36th Annual General Meeting 14 June 2014 The 36th Annual General Meeting of the Academy was November held at the NKF Centre. Four special resolutions were Inaugural General Meeting of the College of passed: the formation of the College of Emergency Psychiatrists Physicians, College of Psychiatrists, Chapter of Family 5 November 2014 Medicine Physicians and Chapter of Intensivists. The College of Psychiatrists held its Inaugural General Meeting at the Goodwood Park Hotel. Medical Expert Witness Training Course 28 June & 12 July 2014 Inaugural General Meeting of the College of The Academy, in collaboration with the Law Society of Emergency Physicians Singapore, Singapore Medical Association and State 20 November 2014 Courts of Singapore organised a two-day Medical The Inaugural General Meeting of the College Expert Witness Training course. of Emergency Physicians was held at the Suntec International Convention and Exhibition Centre. July Dinner and Dialogue Meeting with Director of Strategic Planning Meeting Medical Services 26 July 2014 19 November 2014 A total of 26 attendees comprising Council members, The Council hosted a Dinner and Dialogue meeting Past Masters, representatives from Colleges and with Director of Medical Services, A/Prof Benjamin Chapters gathered on a Saturday afternoon at the Ong, at the Academy’s premise. Academy’s premise to review the AMS strategic plan and discuss the initiatives for the next two years.

06 Annual Report 2014 Sponsorships, Grants and Awards

Awards The Academy continued to recognise outstanding students and academicians through the awards of medals and prizes. The award recipients for Academic Year 2013/2014 were:

Award Recipients of the Academy of Medicine Medals Name Faculty Achievement Award Ang Kai Yuit Faculty of Dentistry Best student with distinction in Pathology Gold Medal successfully completing second B.D.S. examination Joshua Tan Teck Yong Loo Lin School of Student who is fourth in the Examination of the Silver Medal Chin Medicine First Professional Examination for the degrees of M.B.,B.S. Gao Mingqi Yong Loo Lin School of Student who is fifth in the Examination of the Bronze Medal Medicine First Professional Examination for the degrees of M.B.,B.S.

Award Recipient of the Gordon Arthur Ransome Medal Name Faculty Achievement Award Mo Yin Yong Loo Lin School of Best student in examination Gold Medal Medicine

Award Recipient of the Seah Cheng Siang Medal Name Faculty Achievement Award Mo Yin Yong Loo Lin School of Top scorer in Clinical section of examination Gold Medal Medicine Visiting Academicians • Professor Andrea Gabrielli • Professor Fumio Konishi Professor of Anesthesiology Emeritus Consultant, Department of Surgery, Medical Director, Cardiopulmonary Services, Nerima Hikarigaoka Hospital Shands at UF University of Florida College of Medicine ‘Laparoscopic Colorectal Surgery: An Update from the Japanese Multi-Centre Trial’ ‘A-ACLS’ and ‘Controversies in Post Resuscitation 29 April 2014, Sheraton Towers from Cardiac Arrest or Hemodynamic Monitoring Organiser: Chapter of General Surgeons, College of in the Year 2014’ Surgeons, Singapore 12 April 2014, York Hotel Organiser: College of Anaesthesiologists, • Professor Fung Hong Singapore President, Hong Kong College of Community Medicine

‘Medical Leadership in a Changing Health System’ 28 August 2014, Sheraton Towers Singapore Organiser: College of Public Health and Occupational Physicians

Annual Report 2014 07 • Dr Thomas Brenn • Dr Foo Chee Liam, Senior Consultant, Department Consultant Dermatopathologist and Lead Physician of Plastic, Reconstructive & Aesthetic Surgery, in Dermatopathology Singapore General Hospital, for his participation NHS Lothian University Hospitals Trust at the 14th International Congress of the Oriental Society of Aesthetic Plastic Surgery held on 27-29 ‘Bullous Diseases’ October 2014 at Pattaya, Thailand. Dr Foo had 10 November 2014, Academia, Singapore General presented a paper on ‘Medical Epicanthoplasty; Hospital Comparsion of Z Plasty and Skin Redraping Organiser: Chapter of Pathologists Method’.

Visiting Lecturers Letters of Support • Professor Peter Russell The Academy was a nominal sponsor for the Pathologist, Douglas Hanly Moir Pathology 11th Asia-Pacific Congress of Cardiovascular and Interventional Radiology (APCCVIR 2014) which was ‘At LAST: Thoughts on the Lower Anogenital held on 15-18 May 2014. The event was organised Squamous Terminology Standardisation Project for by the College of Radiologists, Singapore and the HPV-Associated Lesions’ Singapore Radiological Society, under the auspices 25 April 2014, Academia, Singapore General of the Asia Pacific Society of Cardiovascular & Hospital Interventional Radiology. Organiser: Chapter of Pathologists Representations at Ministry of • Professor Deborah Marriott Senior Specialist in Clinical Microbiology & Health and Related Organisations Infectious Diseases, St. Vincent’s Hospital, Sydney, • Master of the Academy, Dr Lim Shih Hui, served as Australia Co-Chairman of the Joint Committee on Specialist Associate Professor, University of New South Wales Training (JCST).

‘Infections in the Cirrhotic Patient’ • Dr Lim Shih Hui was also appointed to the Board of the Specialists Accreditation Board. 20 October 2014, Academia, Singapore General Hospital • Dr Lim Shih Hui served as a Member of the National Organiser: Chapter of Pathologists Ethics Capability Committee. • Dr Lim Shih Hui also served at the PRO TEM Travel Assistance Committee of Assessment of Trainees. The Academy had extended travel assistance to the • Dr Lim Shih Hui represented the Academy at the following: SMC CME Coordinating Committee. • Dr Lim Swee Han, Senior Consultant, Department • Dr Ng Beng Yeong represented the Academy as of Emergency Medicine, Singapore General a Member of The LPA Certificate Issuer Review Hospital for his participation at the 2014 Committee, Public Guardian Board. International Congress of Pathology & Laboratory • Dr Alan Ng represented the Academy on the Clinical Medicine (ICPaLM) and 48th Malaysia-Singapore Practice Guidelines Prioritisation Committee of the Congress of Medicine. Dr Lim had presented a Ministry of Health. paper on ‘Cardiac biomarkers in ED chest pain’ at the meeting which was held on 26-28 August • Dr E Kesavan, Dr SRE Sayampanathan and Dr Tan 2014, at Kuala Lumpur, Malaysia. Kok Chai represented the Academy as members of the Table of Surgical Procedures (TOSP) Annual Review Committee. • Dr Eillyne Seow, Senior Consultant, Department of Emergency Medicine, Tan Tock Seng Hospital, for her participation at the 2014 International Congress of Pathology & Laboratory Medicine (ICPaLM) and 48th Malaysia-Singapore Congress of Medicine held on 26-28 August 2014 at Kuala Lumpur, Malaysia. Dr Seow had presented a paper on ‘SARS to Pandemic Flu – A Singapore Experience’ at the Congress.

08 Annual Report 2014 Events

th 36 Annual General Meeting the House. Two growing Chapters were converted The Council of 2014-2015 was formed at the into Colleges – College of Emergency Physicians and conclusion of the 36th Annual General Meeting College of Psychiatrists. (AGM) of the Academy held on 14 June 2014 at the NKF Centre. The same elected Council members in In addition, the AGM also passed two resolutions the Executive Committee were retained to ensure on the formation of the Chapter of Family Medicine continuity in efforts to serve the Fellows better. Physicians and Chapter of Intensivists. The evolvement of the new Colleges and Chapters are That afternoon also saw the passing of four special pivotal to enhancing the professional development resolutions which received unanimous support from of these specialties in Singapore.

Fellows gathered on a Saturday afternoon to discuss important resolutions at the AGM.

AGM resolutions passed with strong support from the Fellows present.

Annual Report 2014 09 Memorandum of Understanding and Agreement with the Ministry of Health of Brunei Darussalam On 13 May 2014, the Academy signed a Memorandum to undergo Advanced Specialist Training in Singapore of Understanding and Agreement with the Ministry and help train them to be Specialists. of Health, Brunei Darussalam, to enable their doctors The 48th Malaysia-Singapore Congress of Medicine, Kuala Lumpur, Malaysia

Stage Party at the 48th MSCM.

The biennial Malaysia-Singapore Congress of Chest Pain’ and ‘SARS to Pandemic Flu – A Singapore Medicine, in conjunction with the 2014 International Experience’ respectively. Congress of Pathology & Laboratory Medicine (ICPaLM), was held at Shangri-La Hotel, Kuala Lumpur, Malaysia, from 26 to 28 August 2014. The theme of the Congress was ‘Personalised Diagnostics: From Bench to Bedside’. Ten representatives from the Academy, comprising Elected Council members and Presidents of Colleges, attended the event.

Two Fellows from the Academy presented papers at the Congress. Dr Lim Swee Han and Dr Eillyne Seow, both from the College of Emergency Physicians, delivered papers entitled ‘Cardiac Biomarkers in ED Mace bearers of the three Academies. Induction Comitia (17 May 2014)

The stage party at the Induction Comitia.

10 Annual Report 2014 The first Induction Comitia for the year was held the Academy. The Academy was honoured to have on 17 May 2014 at the Health Promotion Board. A/Prof Benjamin Ong, Director of Medical Services, A total of 69 Fellows were formally admitted into Ministry of Health, Singapore grace the occasion as the Guest-of-Honour. In his address, A/Prof Ong shared his thoughts on the direction of medicine in Singapore. He highlighted the need to revisit the care models and to adjust and restructure them to better suit the changing demographic profile and disease patterns. “This would include putting more emphasis on the primary care sector and ensuring that care between the tertiary, primary and community healthcare and even social care sectors are properly integrated. It means truly turning the perspective to the patient,” A/Prof Ong had said. Induction Comitia (25 October 2014)

History was made with the formation of the Chapter of Family Medicine Physicians under the umbrella of the Academy.

History was made on 25 October 2014 where Family population in Singapore. She added that the Ministry Medicine Physicians were inducted at the Academy’s values the holistic care provided by the family second Induction Comitia 2014 held at the Health physicians whose practice is defined by its breadth Promotion Board. Of the 81 Fellows inducted, 24 and patient-centricity. were Family Medicine Physicians. Mrs Tan also highlighted on the important role which The Guest-of-Honour for the event was Permanent the Academy played in postgraduate training and Secretary for Health, Mrs Tan Ching Yee. In her education, and recorded her appreciation on the address, Mrs Tan remarked that the formation of the continual partnership between the Academy and Chapter of Family Medicine Physicians was timely MOH in the training of doctors. to assist with the growing needs of the greying

Annual Report 2014 11 Dinner and Dialogue Meeting with Director of Medical Services The Academy Council hosted a dinner in honour of • Collaboration with Maastricht University in running A/Prof Benjamin Ong, Director of Medical Services, the in-campus units of the Masters of Health Ministry of Health, Singapore at the Academy’s Professionals Education (MHPE) in Singapore in premise on 19 November 2014. A/Prof Ong was also July 2015. given a tour of the Academy’s offices on levels 11 and 12. A/Prof Ong shared his view that the Academy could take a leading role in Maintenance of Competencies The following developments were highlighted during (MOC) of specialists and requested for a proposed the meeting: framework on MOC which is sustainable. Issues • Initiative to strengthen the relevance of Academy; on MOC discussed included the format of MOC, getting buy-in from practising specialists and the • Inauguration of two new Colleges and formation of time-frame. It was a candid and lovely dialogue. two new Chapters; The Council gave feedback that the change to MOC • Annals’ impact factor and citations; has to be incremental so as there would be lesser • 58 professional opinions requested by the Ministry resistance from the medical community. of Health (MOH);

• Collaboration with Ministry of Health of Brunei The Academy’s goal remains in upholding the Darussalam to help to train Bruneian specialists; professionalism and clinical competencies of doctors in Singapore. The Council would continue with its • Award of Prof Brian Hodges as MOH 2014 HMDP active engagement with the Ministry. Visiting Expert in Medical and Health Profession Education; • Involvement of the Academy in specialist training and assessment; and

The Academy’s Council with A/Prof Benjamin Ong (front row, sixth from left) after the dinner and dialogue session.

12 Annual Report 2014 Specialist About… Training & Education

Since 2009, the Academy has been appointed by and has worked closely with many professional the Ministry of Health, Singapore to administer bodies and institutions abroad to bring the ITEs to approved annual In-training examinations (ITEs) Trainees and Residents in Singapore. In-Training Examinations In 2014, the Academy administered 21 Specialty In-training examinations.

Specialty (Examination) Examination Board Date No. of Candidates Diagnostic Radiology (DXIT) American College of Radiology 2-31 January 66 Obstetrics & Gynaecology American Congress of Obstetricians & 25 January 56 (CREOG) Gynecologists Infectious Diseases (IDSA-ITE) Infectious Diseases Society of America 5 February 12 General Surgery (ABSITE) American Board of Surgery 8 & 15 February 158 Medical Oncology (MedOnc-ITE) American Society of Clinical Oncology 26 February 15 Emergency Medicine (ABEM-ITE) American Board of Emergency Medicine 26 February 78 Otorhinolaryngology (OTE) American Board of Otolaryngology 1 March 28 Rheumatology (ACR-ITE) American College of Rheumatology 5 March 5 Gastroenterology (GTE) American Gastroenterological Association 8 March 24 Anaesthesiology (ABA-ITE) American Board of Anesthesiology 8 March 85 Pathology (RISE) American Society for Clinical Pathology 22 March 10 Haematology (ASH-ISE) American Society of Haematology 26 March 5 Ophthalmology (OKAP) American Academy of Ophthalmology 16 & 17 April 38 Endocrinology (ESAP-ITE) The Endocrine Society 19 April 14 Nuclear Medicine (ABNM-ITE) American Board of Nuclear Medicine 27 May 3 Paediatric Medicine (ABP-ITE) American Board of Pediatrics 16 & 17 July 94 Internal Medicine (IM-ITE) American College of Physicians 3,6,13 & 15 377 September Psychiatry (PRITE) American College of Psychiatrists 4 October 36 Cardiology (ACC-ITE) American College of Cardiology 21 October 42 Family Medicine (ABFM-ITE)* American Board of Family Medicine 27-30 October 124 Orthopaedic Surgery (OITE) American Academy of Orthopaedic Surgeons 8 November 94 *Jointly organised with CFPS

Annual Report 2014 13 Compulsory Common Geriatric with the Ministry of Health, MOH Holdings and healthcare clusters on manpower and postgraduate Medicine Modular Course training issues. The Academy, together with the Chapter of Geriatricians, College of Physicians, Singapore, have The JCST Secretariat organises ‘Meet-the-Trainees’ developed and rolled out the Compulsory Common sessions, exit exams, Specialist Training Committee Geriatric Medicine (GRM) Modular course for non- (STC) meetings, Residency Advisory Committee internal medicine related residents (with exception (RAC) meetings, traineeship intake exercises, of residents in Paediatrics, Pathology and Family accreditation site visits, information sessions for Medicine). selected specialties, amongst other activities. It currently supports the training needs of about 495 From July 2014, new residents are mandatorily current trainees (Basic Trainees, Advanced Specialist required to undergo the GRM modular course to Trainees, Seamless and Fast Track Trainees). learn the necessary skills of managing elderly patients in their respective specialties. The course consists JCST Secretariat has been and will continue, to be of three modules on Falls & Immobility, Dementia/ actively involved in the planning and execution of Delirium, and Atypical Presentation & Latrogenesis the RACs’ activities for the RAC and the residents. and each module comprises of online learning with MCQ assessment and a half-day practical session with case discussions. The online component of the GRM modular course is hosted on the Academy’s learning management portal “AMS Learning’’ which allows doctors to access the online modules at their own pace and time.

Joint Committee on Specialist Training The Academy participates actively with the Division of Graduate Medical Studies, National University of Singapore (NUS) in training programmes for specialist trainees in all specialties. The Joint Committee on Specialist Training (JCST) is co-chaired by the Director of the Division of Graduate Medical Studies and Master of the Academy. The JCST Secretariat is located within the premises of the Academy.

The JCST Secretariat officially started operations in April 2005 at the Division of Graduate Medical Studies, NUS. The JCST Secretariat’s main role is to oversee and support all the training programmes for specialist trainees in all specialties. It works closely

14 Annual Report 2014 About… Membership

The Standing Committee on Membership is membership growth; retention and the appeal responsible for setting policies and procedures process; as well as proposing the creation and/or governing membership matters; in charge of revision of membership categories.

Chairman’s Message Dr T Thirumoorthy

The current membership of the aware of the Academy and its Academy stands at 3,082 as of 1 “The Academy important role in the life of May 2015. In 2014, we welcomed would continue Academicians. 212 new Fellows to the Academy. its effort in This surpassed the total number of In December 2014, the AMS new Fellows of 205 for Year 2013. strengthening its Online Payment Portal was The Chapter of Family Medicine membership so as launched, as an additional Physicians was also formed in the to build a vibrant platform for members to pay their year with a total of 66 Fellows organisation to annual membership fees online. being admitted. The Academy would continue serve the public and its effort in strengthening its Two Induction Comitia were held in the professional membership so as to build a on 17 May and 25 October 2014 vibrant organisation to serve the with a total of 142 academicians development of public and in the professional participating. The Induction medical specialists development of medical Comitia provided an important in Singapore.” specialists in Singapore. avenue for the families to become

The Membership Standing Committee (2014-2015) Chairman: Dr T Thirumoorthy Vice Chairman: Dr SRE Sayampanathan Members: Dr Anthony Heng Dr Lim Lay Cheng Dr Liau Kui Hin Dr Benjamin Charles Long Dr David Lye Chien Boon Dr Ong Seh Hong Dr Andrew Tan Eik Hock

Annual Report 2014 15 Membership Growth During the year, the Council approved a total of 212 the Health Promotion Board on 17 May and 25 FAMS applications, the highest number achieved October. With the admission of these new Fellows, so far. From this batch, 68 of them were conferred the total membership enrolment of the Academy as as Fellows at the two Induction Comitia held at of 31 December 2014 stands at 3,037.

Fellows Fellows Ordinary Associate Honorary Distinguished Overseas

(Local) (Overseas) Members Members Members Members Active 2289 122 20 5 Active (Exempted) 499 32 20 50 Total 2788 154 20 5 20 50

Highest Record for Membership 3500 3037 Enrolment 3000 2698 2817 2546 2619 The concerted effort of the Academy together with 2500 the Colleges and Chapters had set another record 2000 high of 212 new Fellows being admitted in the year. This surpassed the total number of new Fellows of 1500 205 in 2013. 1000 500 0 Year Year Year Year Year 2010 2011 2012 2013 2014

Membership Enrolment

The breakdown of members by Colleges and Chapters is as follows: Colleges/Chapters 2010 2011 2012 2013 2014 College of Anaesthesiologists 133 133 134 128 134 College of Dental Surgeons 213 217 229 240 251 College of Emergency Physicians 45 48 49 77 89 College of Obstetricians and Gynaecologists 224 224 224 224 229 College of Ophthalmologists 115 120 124 140 149 College of Paediatrics and Child Health 178 179 182 190 192 College of Physicians 669 691 727 757 815 College of Psychiatrists 90 91 91 99 104 College of Public Health & Occupational Physicians 108 108 106 108 112 College of Radiologists 153 159 174 182 187 College of Surgeons 497 512 521 525 553 Chapter of Family Medicine Physicians 66 Chapter of Pathologists 61 62 57 57 58 Section of Sports Physicians 3 Total 2486 2544 2618 2727 2942 Note: Excludes Ordinary, Associate, Honorary and Distinguished Overseas Members

16 Annual Report 2014 Postgraduate About… Education

The Standing Committee on Postgraduate qualification recognised by SMC or exit specialist Education, which is responsible for conducting qualification recognised for specialist accreditation Staff Registrar Scheme (SRS) Diploma courses, by the Specialists Accreditation Board (SAB). It also has developed 25 SRS programmes since 2007 serves as an avenue for the public/restructured together with the Academy and its Colleges. The healthcare institutions to retain temporary programmes, approved by the Singapore Medical registered (service) doctors. The SRS programmes Council (SMC) are open to doctors trained overseas are also open to local doctors who do not wish to who do not hold a degree from a university specified practise as general practitioners or specialists and in the Second Schedule of the Medical Registration prefer to work in the public/restructured healthcare Act (MRA) or a registrable postgraduate medical institutions.

Chairman’s Message Dr Fock Kwong Ming

The diplomas under the Staff Registrar Scheme (SRS) have “We will continue to improve the standards been implemented to enable and quality of our training programmes so our public sector healthcare that our graduates will be better equipped institutions to employ doctors who are not specialists but who to handle the challenges in healthcare and are able to provide a middle contribute significantly to the middle tiers of level of service equivalent to that patient care.” provided by a Staff Registrar or Registrar. Due to an increasing – the Diploma in Respiratory graduates will be better equipped demand, the Academy, together Medicine was approved by the to handle the challenges in with the Colleges and Chapters Singapore Medical Council. We healthcare and contribute have since developed 25 diploma will continue to improve the significantly to the middle tiers of programmes under the SRS. In standards and quality of our patient care. 2014, we saw a new addition training programmes so that our

Annual Report 2014 17 Staff Registrar Scheme A total of 119 doctors trained under the Staff doctors had enrolled in the programme and 122 of Registrar Scheme (SRS) in 2014. Since 2007, 237 them have successfully completed and graduated.

No. Diploma Duration (Years) No. of Total No. of Total No. of Candidates Trainees* Graduates* 2013 2014 1 Diploma in Emergency Medicine 2 1 9 53 38 2 Diploma in Nuclear Medicine 2 - - 1 1 3 Diploma in Paediatrics & Child Health 2 2 2 16 10 4 Diploma in Cardiothoracic Surgery 3 - - 3 1 5 Diploma in Neurosurgery 3 - - 5 3 6 Diploma in Cardiology 2 4 5 12 3 7 Diploma in Geriatric Medicine in 2 8 13 51 23 Hospital and ILTC 8 Diploma in Infectious Diseases 2 1 - 5 4 9 Diploma in Orthopaedic Surgery 3 1 - 5 3 10 Diploma in Palliative Medicine 2 1 1 8 4 11 Diploma in Neurology 2 1 1 6 3 12 Diploma in Internal Medicine 2 9 3 27 12 (with focus on Hospital Medicine) 13 Diploma in Rehabilitation Medicine 2 3 2 8 3 14 Diploma in Neonatology 2 1 1 11 8 15 Advanced Diploma in Pathology 2 - 1 2 1 16 Diploma in Paediatric Cancer Care 2 - - 3 3 17 Diploma in Urology 2 - - 1 1 18 Diploma in Radiation Oncology 2 - - 1 1 19 Diploma in Hand Surgery 3 - - 1 - 20 Diploma in Clinical Haematology (Adult) 2 - 3 3 - 21 Diploma in Obstetrics and Gynaecology 4 --- - 22 Diploma in Medical Oncology 3 2 3 7 - 23 Diploma in Respiratory Medicine 2 --- - 24 Diploma in Respiratory Medicine 2 - 1 1 - (Clinical and Public Health - TB) 25 Diploma in Psychiatry 2 3 4 7 - Total 37 49 237 122 *since 2007

18 Annual Report 2014 Continuing Professional About… Development

The Standing Committee on Continuing responsible for setting policies and procedures for Professional Development of the Academy is continuing medical education and training matters.

Chairman’s Message Dr Lim Shih Hui

The Academy strives to maintain high standards of competency “It is important that we continue to keep and ethical integrity through Continuing Professional Develop- abreast of the global trends in medical ment (CPD). education and research through CPD Continuing professional develop- activities.” ment is a process of lifelong learning in practice and will help us remain relevant and we continue to keep abreast education and research through competent. It is important that of the global trends in medical CPD activities.

AMS Distance Learning Programme Attempts and Logins The AMS Distance Learning Programme (DLP) which There were 187 logins and 36 attempts in year 2014, is recognised and accredited by the Singapore with a pass rate of 89%. Medical Council (SMC), is exclusive to Fellows of the Academy. It provides an alternative approach Total No. of Logins* to assist Fellows in meeting the Continuing Medical Education (CME) and Continuing Professional 2014 187 Education (CPE) requirements in their own time and 2013 17 pace. A total of two (2) modules were uploaded in 2014 bringing the total number of modules uploaded 2012 118 since the implementation of the DLP in 2005 to 94 2011 118 modules. 2010 332 Module Uploaded Module Contributor 2009 863 New Developments in College of Physicians, 2008 445 Anti-Platelet Therapies Singapore for Acute Coronary 2007 216 Syndromes 2006 352 Approach to College of Physicians, Hypokalaemia Singapore *2006-2014

Annual Report 2014 19 TOTAL NO. OF MODULES SUBMITTED AND ATTEMPTED BY FELLOWS* Module Contributors No. of Modules No. of Attempts College of Anaesthesiologists 1 9 College of Paediatrics and Child Health 15 215 College of Surgeons 3 17 College of Radiologists 7 21 College of Physicians 28 178 College of Obstetricians and Gynaecologists 3 6 College of Dental Surgeons 6 3 College of Public Health & Occupational Physicians 7 35 College of Psychiatrists 2 4 College of Emergency Physicians 0 0 Chapter of Pathologists 9 6 Annals 13 49 TOTAL 94 543 *2006-2014

Maintenance of Competencies The Academy Council had the pleasure of hosting a propose a framework on MOC which is sustainable. dinner in honour of Associate Professor Benjamin The Academy and its specialty Colleges and Chapters Ong, Director of Medical Services at the Academy will look into establishing MOC framework for the of Medicine, Singapore on 19 November 2014. various specialties to guide specialists in Singapore A/Prof Ong shared his view that Academy could in maintaining competencies in their registered take a leading role in Maintenance of Competencies specialty. (MOC) of specialists and requested Academy to

20 Annual Report 2014 About… Professional Affairs

The Academy provides professional guidance and put in place by the respective Specialist Training advice on the following areas: Committees (STCs) and Residency Advisory • Clinical standards and clinical guidance in the Committees (RACs) for the training of medical management of patients; specialists; and • The development of medical services and facilities • Any other medical related matters that may arise for the respective medical specialties; from time to time. • The adoption and utilisation of health technology; The Academy also provides professional guidance • The development of health and medical research; to non-governmental organisations (NGOs) and • The national-level requirements that should be other statutory boards that seek its assistance.

Chairman’s Message Dr Ho Lai Yun

Professional Affairs saw a In addition, Academy significant increase in the number “The rising number recognises the importance of of cases seeking professional training medical practitioners advice and inputs on a variety of of cases reflects the to become proficient medical healthcare-related policies and experts to support the justice medical issues throughout 2014, system. In alignment with with requests coming not just from pivotal role that this, we conducted the first the Ministry of Health, Singapore trial run of the training but from other stakeholders and the Academy of workshop for the Faculty of statutory boards such as the Medical Experts in conjunction Health Sciences Authority, Health Medicine plays as a with the Singapore Medical Promotion Board, the Singapore Association, Singapore Law Medical Council, and even the professional body and Society and the State Courts. Traffic Police. The provision of Held on two separate medical advice and professional its involvement in the weekends, the training opinion remains a crucial part of workshop was a resounding our scope of work annually and improvement and success with a good turnout the rising number of cases reflects by medical practitioners from the pivotal role that the Academy development of the various specialties who got the of Medicine plays as a professional chance to participate in a real body and its involvement in the healthcare policies in court setting with interactions improvement and development with the lawyers and the Sub of the healthcare policies in Singapore.” Court judges for a faux medico Singapore. legal case.

Annual Report 2014 21 Professional Opinions/Feedback The Academy continued to develop and implement new guidelines and contribute to professional opinions in various areas. No. Description Organisation 1 WHO Survey on the Local Clinical Standards Pertaining to Maternal Health MOH 2 Alleged Breach of The Medical Registration Act (Beauty Salon) MOH 3 Guidelines on National Telemedicine MOH Holdings 4 Provision of Acupuncture Services in Medical Clinics MOH 5 Link-Up with Pediatric and Adult Respiratory Physicians to Develop Special N95 Masks MOH 6 Disinfectants of Medical Devices MOH 7 Defining Cosmetic Treatment MOH 8 CPG Masterplan FY2015 MOH 9 Genetic Testing Services MOH 10 Hypnotherapy MOH 11 Guidelines for the Provision of Treadmill Services MOH 12 Choice of Disinfectants and Disinfection of Endoscopes MOH 13 Zeltiq Coolsculpting MOH 14 Guidelines for Private Healthcare Institutions Providing Renal Dialysis MOH 15 Provision of Non-Evidence Based Treatment (BHRT) in Licensed Healthcare Institutions MOH 16 Mandating the Provision of Liposuction Services in Ambulatory Surgical Centres and Hospitals MOH 17 Cataract Surgery MOH 18 Alleged Breach of the Private Hospitals and Medical Clinics Act MOH 19 Review of Criteria and Diseases & Conditions Prohibited from Medical Advertisements HSA 20 Life Vest Wearable Defibrillator MOH 21 Offering of Gastrointestinal (GI) Panel Test as Mainstream Diagnostic Test MOH 22 Feedback and Endorsement on Guidelines on Anxiety Disorders (2014) MOH 23 Review of the Regulatory Framework for Specialised Services under PHMCA MOH 24 Laboratory Accreditation Bodies MOH 25 Tumorgrafts by Champions Oncology MOH 26 Efficacy of Fecal Transplantation MOH 27 Comments on Genetic Tests Outsourced to Overseas Clinical Labs MOH 28 Practice of Medical Termination of Pregnancy Solely by Drugs MOH Updates to Table of Surgical Procedures and Call for Submission of Proposals for 2014/2015 29 MOH Review Cycle 30 Provision of Bio Identical Hormone Replacement Therapy (BHRT) by Doctors in Singapore MOH 31 Appropriate Use of MRI MOH 32 Intravenous Infusion of Vitamins, IV Glutathione and Hormonal Treatment MOH 33 HIV Testing MOH 34 Request for Opinion − 5 Year Survival Rates MOH 35 Use of Neo-Vaginal Laser MOH 36 Formation of a “Maternal and Child Nutrition Council” HPB 37 Revised Guidelines on Aesthetic Practices for Doctors SMC 38 Evidence on HiQcell Treatment MOH 39 Expansion Phryngoplasty MOH 40 Practising Myofascial Trigger Point Dry Needling and Physical Therapy MOH 41 Pharmacogenetic Assay for Warfarin Sensitivity MOH 42 Further Clarification on Private Hospitals and Medical Clinics (PHMC) Publicity Regulations MOH

22 Annual Report 2014 43 Comments on Clinical Assessment and Prescription of Testosterone MOH 44 Monopolar Radiofrequency Skin Tightening MOH Public Consultation on the Proposed Subsidiary Legislation for the Transfer of Controls of 45 HSA Pharmaceutical Products (“Therapeutic Products”) to Health Products Act 46 Regulatory Framework for Nuclear Medicine, Imaging and Assay Services MOH 47 Repetitive Transcranial Magnetic Stimulation (RTMS) MOH 48 Digital Pathology Services MOH 49 Clinical Practice Guidelines on Falls Prevention MOH 50 Request for Comments on Policy Regarding Age Limit of Motor Vehicle Drivers MHA Liposuction in Specialty Training Curricula for Plastic Surgeons and Other Medical Specialties in 51 MOH Singapore 52 Acts of a Medical Practitioner MOH 53 Opinion on Practice of Medicine MOH 54 Meeting with MHA and CNB on Cannabis MHA 55 Enquiry on the Use of Radioactive Seeds in Cancer Patients MOH 56 Opinion on Publicity by Medical Clinics MOH 57 Clinical Practice Guidelines on Tuberculosis MOH 58 Revised Regulations of List B Aesthetic Procedures MOH 59 Revised Guidelines on Aesthetic Practices for Doctors SMC 60 Regulatory Framework for Radiation Oncology MOH

Independent Medical Expert Reports As at end 2014, the Academy through its Fellows, had the Singapore Police Force, with eight cases still in provided 26 independent medical expert reports to progress, at the time of the printing of this report.

10 9 9 8 7 6 6 5 4 4 3 2 2 2 2 1 1 0 Anaes- Emergency Obstetricians and Physicians Psychiatrists Radiologists Surgeons thesiologists Physicians Gynaecologists

Training of Independent Medical Expert Witness Training, nine Fellows (out of the 21 attendees) completed the two days of training which Experts included a one-day hands-on workshop at the State The Academy was involved in two cases of training of Court. independent medical experts: • MPS Medical Experts Training (31 May 2014) Verification of Foreign Visiting • AMS-LSS-SMA-State Courts Medical Expert Witness Training (28 June & 12 July 2014) Experts The Academy verified 17 foreign visiting experts’ There were 31 Fellows (out of the total 61 attendees), qualifications and expertise who had applied for who attended the MPS Medical Experts Training. temporary medical registration granted by the As for the AMS-LSS-SMA-State Courts Medical Singapore Medical Council for the year 2014.

Annual Report 2014 23 About… Publications

The Standing Committee on Publications is publication of the Annals, a journal that is responsible for setting the policies and procedures referenced in Index Medicus. for publication matters. It also oversees the

Chairman’s Message Dr Tan Eng King

Annals continues to play a review process which have major role not only in academic “We aim to helped to enhance the quality publishing but also in bridging of publication as well as the the communication between the improve our international standing of Annals. scientific community and the lay The Editorial Board also gratefully public. In particular, our articles in services to our acknowledges the continued various fields have been regularly authors and readers generous financial support highlighted in our mass media. provided by the Lee Foundation in These included the psychological and raise the 2014. impact on single mothers, eating disorders and challenges of an scientific standards We aim to improve our services to ageing population. of our articles.” our authors and readers and raise the scientific standards of our The Annals Editorial Board articles. On behalf of the Annals would like to express their reviewers who have given their Editorial Board, I wish everyone a heartfelt gratitude to all expert time and expertise in the peer fruitful year ahead!

Annals JOINT-GOLD: Management Plan to Reduce Risks in In 2014, Annals had received 386 papers and had Perioperative Care of Patients with Obstructive published 12 monthly issues and two supplements. Sleep Apnoea Averts the Need for Presurgical The journal impact factor for 2013 is 1.221. Polysomnography Chin Ted Chong, John Tey, Shi Ling Leow, Wilson Low, The Best Publication Award 2013 Kim Meng Kwan, Yu Lin Wong, Thomas WK Lew The Annals, Academy of Medicine Best Publication BRONZE: Prevalence and Control of Hyper- Award 2013, was awarded to the authors of the top cholesterolaemia as Defined by NCEP-ATPIII three research papers published in Annals in 2013. Guidelines and Predictors of LDL-C Goal Attainment in a Multi-Ethnic Asian Population JOINT-GOLD: Prevalence of Overweight and Obesity Chin Meng Khoo, Maudrene LS Tan, Yi Wu, Daniel in Chinese Preschoolers in Singapore CH Wai, Tavintharan Subramaniam, E Shyong Tai, Mar Khin Pwint, Yung Seng Lee, Teck Yee Wong, Jeannette Lee Seang Mei Saw

24 Annual Report 2014 The Joint-Gold winners of the Best Publication Award, Dr Chong Chin Ted (in left photo) and Dr Pwint Mar Khin (in right photo) receiving their awards from the Master of the Academy, Prof Lim Shih Hui.

Gold Reviewer Awards 2013 The Gold Reviewer Awards 2013 were presented at least three quality reviews which adhered to the by Master of the Academy, Prof Lim Shih Hui, to Annals’ guidelines, and had provided helpful advice deserving reviewers at the Induction Comitia held to the Editorial Board in 2013. on 25 October 2014. These reviewers had submitted

Gold Reviewer Awards were given out to recognise deserving Annals reviewers.

Press Releases The following Annals articles had been cited in the media in 2014. No. Annals Article Title Annals Volume/ Media Issue 1 How to Bridge the “Valley of Death” between a Research Discovery and Vol 43, Issue 8 Tomorrow’s Clinical Application? Medicine 2 You Are Worth More Than What You Weigh: Preventing Eating Disorders Vol 42, Issue 2 Asiaone.com, The New Paper 3 Single Mothers Have a Higher Risk of Mood Disorders Vol 43, Issue 3 The Straits Times 4 Complementary and Alternative Medicine, and Traditional Chinese Vol 35, Issue 11 The Straits Times, Medicine: Time for Critical Engagement Asiaone.com 5 Renal Replacement Therapy: Why Patients Say “No” Vol 42, Issue 12 The Straits Times 6 Projecting the Number of Older Singaporeans with Activity of Daily Living Vol 43, Issue 1 Today Limitations Requiring Human Assistance Through 2030

Annual Report 2014 25 Chapter About… of Clinician Educators

The Chapter of Clinician Educators (CCE) was • Engagement and recognition of outstanding formed in 2013. It hopes to bring together all educators specialists in public institutions and the private • Advocacy for clinical educators sector interested in medical education to support • To serve an advisory and think tank role the national medical education agenda. Its • Foster a culture of innovation and research in objectives are: medical education • Pedagogical up-skilling

Chairman’s Message Dr Erle CH Lim

Since it was formed last year, the Chapter of Clinician Educators “The CCE has attracted 57 Chapter (CCE) has embarked on three main initiatives, i.e. the Masters degree members, and will no doubt grow in number, in Health Professions Education (MHPE) with the University of as more specialists become interested in their Maastricht, a symposium for roles as clinical educators.” clinical educators and inviting Prof Brian Hodges as the HMDP visiting expert visitor in 2015. members, and will no doubt grow become interested in their roles The CCE has attracted 57 Chapter in number, as more specialists as clinical educators.

The 2014-2015 Executive Committee Chairman: Dr Erle Lim Chuen Hian Vice Chairman: Dr Tham Kum Ying Secretary: Dr Dujeepa Samarasekera Committee Members: Dr Chay Oh Moh Dr Abhilash Balakrishnan Dr Nigel Tan Dr Ian Yeo Yew San Dr Mabel Yap Dr Vernon Oh Min Sen Ex-Offico: Dr Lim Shih Hui

26 Annual Report 2014 Inaugural General Meeting

Committee Members Dr Abhilash Balakrishnan, Dr Dujeepa Samarasekera, Dr Lim Shih Hui, Dr Erle Lim, Dr Tham Kum Ying, Dr Chay Oh Moh (front row, from the left to the right) and Dr Mabel Yap (back row, second from the left), Dr Ian Yeo Yew San (back row, fifth from the left) and Dr Nigel Tan (back row, fifth from the right) with attendees at the Chapter’s Inaugural General Meeting.

The Chapter held its inaugural general meeting on Education (MHPE) with the University of Maastricht. 11 March 2014 at NKF Centre. Appointments of the Seen to be relevant to those pursuing a career in officer bearers as Interim Chapter Board till the first medical education, the MHPE-Singapore (MHPE-S) AGM of the Chapter were announced. Updates on course is a part-time two-year programme that is the latest development of the Chapter, directions mainly conducted online. The programme includes and roles of the Chapter were discussed in detail. two to three weeks of campus-based learning (one per year) in Singapore. The Chapter Chairman, Dr Erle Lim, stated that it is important to ensure that all educators in Singapore The Academy finalised the memorandum-of- are equipped with the skills to teach, as educators understanding (MOU) with the University of today are often not formally trained in pedagogy. Maastricht on MHPE-S. The MOU was tabled He emphasised on the need of a robust system for endorsement with the Academy’s Council on which ensures that educators are skilled in teaching 5 January 2015 and subsequently signed with and assessment; and also highlighted the need to representatives of the University of Maastricht at the recognise outstanding educators and hold them up Asia Pacific Medical Education Conference (APMEC) as examples to emulate. in the first week of February 2015.

The Chapter, he envisaged, would serve as a body for A faculty development workshop was confirmed for established educators to get together and exchange 9 to 13 February 2015. As of January 2015, more ideas. Dr Lim also explained that the Chapter than 20 enquiries (from clinicians, pharmacists and should not only foster a culture of innovation in nurses) expressing interest to enrol in the MHPE education but also one of research where interesting programme had been received. innovation can be modified into a research study to be published in a medical education journal. Visiting Expert on Health Membership Professions Education: Prof Brian The Chapter had 57 members as of 31 December Hodges 2014. The CCE developed its first continuing medical education (CME) event with the Ministry of Health 2014 Visiting Expert on Health Professions Education AMS-Maastricht MHPE-Singapore: featuring Prof Brian Hodges, a professor of psychiatry Master of Health Professions at the University of Toronto Faculty of Medicine Education and Vice President of Education for the University Health Network, Canada. The event was slated for The CCE launched an initiative to conduct a course 31 January 2015 with the topic, ‘Medical Services leading to a Masters degree in Health Professions Research Education – A Myth or a Reality?’.

Annual Report 2014 27 Chapter About… of Clinician Scientists

The Chapter of Clinician Scientists (CCS) was set medical research, advise the Ministry of Health in up on 16 June 2012 as a Chapter under the direct training guidelines for clinician scientists, and to be purview of the Academy of Medicine, Singapore. the academic voice of the Academy in the area of The CCS aims to lead the efforts in advancing the clinical research. art and science of academic translational and

Chairman’s Message Dr Tan Eng King

CCS aims to create and develop an explore an affiliate membership identity for clinician scientists and “I would like to under SNAS. to facilitate academic medicine in Singapore. This will be carried thank all our Fellow CCS took part in events to out through our training and clinician scientists promote the development of the education initiatives and our clinician scientist career track. We advisory role for the different in the various co-hosted the Early Clinician- agencies and stakeholders. Scientists Forum together with organisations for National Medical Research It is often quoted that a thousand supporting the Council (NMRC). CCS also mile journey starts with a small participated in the 2nd Clinician single step. We are making Chapter initiatives Scientist Mentorship Symposium small but significant steps in and our Board organised by the Ministry of this process. We have formed Health (MOH). a membership subcommittee members for their that will advise and help I would like to thank all our Fellow formulate admission criteria for hard work and clinician scientists in the various CCS. The committee has already contributions.” organisations for supporting the presented a draft proposal to Chapter initiatives and our Board the Chapter Board. CCS is also members for their hard work and in discussion with Singapore Academy of Sciences (SNAS) to contributions.

The 2013-2014 Executive Committee Chairman: Dr Tan Eng King Vice Chairman: Dr Wong Tien Yin Honorary Secretary: Dr Lee Meng Har Committee Members: Dr Allen Yeoh Dr Ong Sin Tiong

28 Annual Report 2014 Membership The 2nd Clinician Scientist Membership of the Chapter as of 31 December 2014 Mentorship Symposium is 35. The Chapter had participated in thend 2 Clinician Scientist Mentorship Symposium organised by the Annual General Meeting Ministry of Health (MOH) on 25 October 2014 at the The Annual General Meeting of the Chapter was held College of Medicine Building. The event featured a on 14 March 2014 at Duke-NUS Graduate Medical talk on ‘The Art of Mentorship’, a sharing session by School, Singapore. mentors and mentees and a panel discussion with the Specialist Research Committee (SRC). Early Clinician-Scientists Forum On 30 September 2014, the Chapter had co-hosted Affiliate Membership Opportunity the Early Clinician-Scientists Forum together with with the Singapore Academy of National Medical Research Council (NMRC) at the Sciences National University Hospital Auditorium. Senior The Chapter had entered into discussion with the clinician scientists had given lectures on the following Singapore National Academy of Sciences (SNAS) to topics related to clinical research to junior doctors explore the possibility of an affiliate membership who were curious and interested in the clinician to SNAS. A membership subcommittee was formed scientist career path: to look into issues relating to the purposes of • Background of NMRC Human Capital Awards the Chapter and the current Clinician Scientist • How to Prepare for National, Independent Grants admission criteria in relation to the Vision and (CS-IRG) Mission statement of the Chapter. At the time of the • Things to Note When Building a Research CV production of this report, the subcommittee had • Clinician Scientist Career Path in Singapore submitted its first draft proposal to the Board and was reviewing it based on inputs from the Board. • How to Prepare for CSA Application and Experience Sharing by Chair

Annual Report 2014 29 Chapter About… of Pathologists

The Chapter of Pathologists was formally added elected: Dr Gilbert Chiang (Chairman), Dr Sng to the Academy of Medicine’s list of Chapters at Ewe Hui (Vice Chairman), Dr Mavis Yeo (Honorary the 9th Annual General Meeting of the Academy Secretary), Dr Chao Tzee Cheng (committee of Medicine on 22 November 1986. The Chapter’s member), Dr Lee Swee Kok (committee member), Inaugural Meeting was held on 5 December 1986 and Dr Lee Yoke Sun (committee member, who was at King’s Hotel where its first office bearers were elected in absentia).

The 2013-2014 Executive Committee Chairman: Dr Cuthbert Teo Vice Chairman: Dr Inny Busmanis Secretary: Dr Yeo Chin Pin Treasurer: Dr Jacqueline Hwang Committee Members: Dr Sathiyamoorthy Selvarajan Dr Chan Kwai Peng Dr Tan Ai Ling

Annual General Meeting • What’s New in Syphilis Diagnostics? The Chapter held its 28th Annual General Meeting on (Serologic Testing for Syphilis) 6 August 2014 at The Academia. Date: 17 February 2014 Presenters: Dr Karen Hoover, National Center for Membership HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, US; As of 31 December 2014, the total membership of Dr Yetunde Fakile, National Center for HIV/AIDS, the Chapter stood at 58. Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, US Audio Conference Sessions Moderator: Dr Ng Tong Yong, Department of The Chapter co-organised a series of South Central Pathology, Singapore General Hospital Association of Clinical Microbiology audio conference sessions with the Singapore Society of Pathology and • Best Practices in Blood Cultures the Department of Pathology, Singapore General Date: 10 March 2014 Hospital. Presenter: Prof James W Snyder, Department of Pathology & Laboratory Medicine, University of • Updating Our Antimicrobial Susceptibility Testing Louisville School of Medicine and Hospital, US Procedures for 2013 and 2014 Moderator: Dr Jamie Tan, Department of Date: 13 January 2014 Pathology, Singapore General Hospital Presenter: Dr Richard Van Enk, Infection Prevention and Epidemiology, Bronson Methodist • Practical Applications of MALDI-TOF Hospital, US Date: 5 May 2014 Moderator: Dr Chan Kian Sing, Department of Presenter: Asst Prof Bryan H Schmitt, Department Pathology, Singapore General Hospital of Pathology and Laboratory Medicine, Indiana University Health Pathology Laboratory, US Moderator: Dr Tan Yen Ee, Department of Pathology, Singapore General Hospital

30 Annual Report 2014 • Parasite Perfection Professor Peter Russell is a histopathologist, Date: 23 June 2014 specialising in gynaecological pathology, with Presenter: Prof Julie Ribes, Department of Public special involvement in the diagnosis of ovarian Health Laboratory Services, Commonwealth of pathology, and research interests which presently Kentucky, US encompass all aspects of gynaecological neoplasia Moderator: Dr Jamie Tan, Department of and reproductive pathology. He has served terms Pathology, Singapore General Hospital as Secretary, Vice President and President of the International Society of Gynecological Pathologists. • Special Urine Cultures: A Clinical Perspective Professor Russell has recently been awarded Date: 4 August 2014 Honorary Fellowship in the Royal Australian and New Presenter: Dr Marcus J Zervos, Infectious Zealand College of Obstetricians and Gynaecologists, Diseases, Henry Ford Health System, US Honorary Membership of the International Society Moderator: Dr Karrie Ko, Department of of Gynecological Pathologists and the Distinguished Pathology, Singapore General Hospital Pathologist Medal by the International Academy of Pathology. He is currently a senior histopathologist • Go the Distance: Reducing Errors in the at GynaePath (Douglass Hanly Moir Pathology), Microbiology Lab Deputy Pathology Director of Sydney IVF, Honorary Date: 18 August 2014 Professor in Pathology at the University of Sydney, Presenter: Dr Joan-Miquel Balada-Llasat, Clinical Conjoint Professor in Pathology at the University of Microbiology Lab, The Ohio State University Newcastle and the University of Western Sydney, Wexner Medical Center, US and has published 280 peer-reviewed articles, book Moderator: Dr Ng Tong Yong, Department of chapters and textbooks. Pathology, Singapore General Hospital Topic: Infections in the Cirrhotic Patient • Are Viral Cultures Dead? Date: 20 October 2014 Date: 3 November 2014 Lecturer: Prof Deborah Marriott Presenter: Dr Dan L Wiedbrauk, Warde Medical Laboratory, US Moderator: Dr Karrie Ko, Department of Pathology, Singapore General Hospital

• Test Validation Update Date: 1 December 2014 Presenter: A/Prof Mike Loeffelholz, Department of Pathology, University of Texas Medical Branch, US Moderator: Dr Karrie Ko, Department of Pathology, Singapore General Hospital Professor Deborah Marriott is a Senior Specialist • Laboratory Detection of Gram Negative in Clinical Microbiology & Infectious Diseases at Antimicrobial Resistance St Vincent’s Hospital, Sydney, Australia and the Date: 29 December 2014 Associate Professor at the University of New South Presenter: Dr Kenneth S Thomson, Center for Wales. Research in Anti-Infectives and Biotechnology, Creighton University, US • Academy of Medicine, Singapore – Visiting Moderator: Dr Jamie Tan, Department of Academician Pathology, Singapore General Hospital Topic: Dermatopathology Visiting Expert Talk – ‘Bullous Diseases’ Events Sponsorship Date: 10 November 2014 Lecturer: Dr Thomas Brenn • Academy of Medicine, Singapore – Visiting Lecturers Dr Thomas Brenn is a Consultant Dermatopathologist Topic: ‘At LAST’: Thoughts on the Lower Anogenital and Lead Physician in Dermatopathology NHS Squamous Terminology Standardisation Project Lothian University Hospitals Trust at Edinburgh, for HPV-Associated Lesions United Kingdom. Date: 25 April 2014 Lecturer: Prof Peter Russell

Annual Report 2014 31 College of Anaesthesiologists, About… Singapore

The College of Anaesthesiologists, Singapore was Anaesthesiologists will continually work towards formed on 17 August 2004 with Dr Edward Pang improving the quality of anaesthesia practice as its first elected President. It is hoped that the and foster a small but closely knitted anaesthesia College, together with the Singapore Society of fraternity in Singapore.

President’s Message Dr Phillip Tseng

The College had a fulfilling year. The Council also approved the After a brief hiatus we restarted Staff Registrar Scheme (SRS) the Combined Anaesthetic “ Anaesthetists programme, which hopefully Meetings in 2014. Anaesthetists from restructured will start in July 2015, pending from restructured hospitals and approval from the Academy private institutions shared the hospitals and Council. This is a 3-year course, same platform and addressed mainly for foreign doctors a wide range of issues and private institutions wanting to continue working in touched on new developments in shared the same the restructured hospitals with anaesthesia. a diploma in anaesthesia. The platform and College will run the programme We were honoured to have and conduct the exams as well. Dr Andrea Gabrielli, an addressed a wide anaesthetist and intensivist from range of issues and Our next Annual Refresher Course the Shands Hospital, Florida, USA will be held in mid May 2015 as our Visiting Academician who touched on new in Bali, Indonesia. We will also not only lectured at our Annual developments in have the current President of the Refresher Course in May but also College of Indonesia speak at our visited several intensive care units anaesthesia.” meeting amidst other well-known in the restructured hospitals. speakers. He gave lectures and bedside tutorials to the residents and staff. formed under the auspices of We welcome Dr Wendy Teoh to the College. It was established the Council of the College and The Pain Section, headed by to promote and recognise pain congratulate Dr Ti Lian Kah for being Dr Yeo Sow Nam, was formally medicine as a subspecialty. nominated as the President Elect.

32 Annual Report 2014 The 2013-2014 Council President: Dr Phillip Tseng Seng Sou President Elect: Dr Ti Lian Kah Vice President: Dr Agnes Ng Suah Bwee Honorary Secretary: Dr Koh Kwong Fah Honorary Treasurer: Dr Sophia Chew Tsong Huey Council Members: Dr Wendy Teoh Dr Kwek Tong Kiat

Continuing Medical Education: Talks • Paradigm Shift in Neuromuscular Management: Pleasing the Surgeon or the Patient? Date: 22 April 2014 Speaker: Dr Hans D de Boer, Department of Anesthesiology and Pain Medicine, Martini Hospital, The Netherlands

• Modern Day Anaesthesia – Improving Patient Outcome Date: 28 August 2014 Speaker: Dr Stefan Roehrig, Department of Anaesthesiology & Intensive Care Medicine, Marien Hospital Muensterland, Germany

Seated (from the left): Dr Sophia Chew (Treasurer), Dr Phillip Tseng (President), Dr Ti Lian Kah (President Elect) Combined Anaesthesia Meetings Standing (from the left): Dr Kwek Tong Kiat, Dr Wendy Teoh JANUARY (Council Members) Date: 18 January 2014 Venue: The Academia, Singapore General Hospital Not in photo: Dr Koh Kwong Fah (Honorary Secretary), Dr Agnes Ng (Vice President) Co-organiser: Singapore Society of Anaesthesiologists

Annual General Meeting • Anaesthesia for Bariatric Surgery: A European The College held its Annual General Meeting at York Experience Hotel on 12 April 2014, with 37 Fellows in attendance. Speaker: Dr Phillip Tseng, private practice The formation of the Section on Pain Medicine with Dr Yeo Sow Nam as the Interim Chairman was passed • Updates on Cardiothoraic Anaesthesia ‐ HMDP and approved at the meeting. Experience from USA Speaker: Dr Sudhakar Subramaniam, Department Council Meetings of Anaesthesiology, Singapore General Hospital The Council met once every two months to conduct JULY the business and affairs of the College. Date: 19 July 2014 Venue: KK Women’s and Children’s Hospital Membership Co-organiser: Singapore Society of Anaesthesiologists Membership in the College stood at 134 as at 31 Topic: The Exit (Ex-Utero Intrapartum Treatment December 2014, with 125 Local Fellows and 9 Procedure. The New Challenge in Maternal And Fetal Overseas Fellows. Surgery

Annual Report 2014 33 • Post Partum Haemorrhage • Anaesthetic Considerations for MICS Guest Speaker: Dr Devendra Kanagalingam, Speaker: Dr Rex Morias, Department of Department of Obstetrics & Gynaecology, Anaesthesia, National University Hospital Singapore General Hospital • Role of Echocardiography in MICS • Obstetric Challenges in Planning and Exit Speaker: A/Prof Ti Lian Kah, Department of Procedures Anaesthesia, National University Hospital Speaker: Dr Shephali Tagore, Department of Paediatrics Anaesthesia, KKH • Keeping Our Patients Safe during MICS Speaker: A/Prof Sophia Ang, Department of • Introduction and Case Presentation Anaesthesia, National University Hospital Speaker: Dr Eileen Lew, Department of Women’s Anaesthesia, KKH • TEE Evaluation of Right Heart Function Speaker: Dr Lalitha Manikam, Department of • Anaesthetic Considerations for the Mother Anaesthesia, National University Hospital Speaker: Dr Srividhya Iyer Janant, Department of Women’s Anaesthesia, KKH • Anaesthetic Considerations for Transarterial and Transapical Aortic Valve Implantation (TAVI ) • Anaesthetic Considerations for the Foetus Speaker: Dr Shah Shitalkumar, Department of Speaker: Dr Wijeweera Olivia, Department of Anaesthesiology, Singapore General Hospital Paediatrics Anaesthesia, KKH • Anaesthetic Considerations for Mitraclip Device OCTOBER Implantation Date: 25 October 2014 Speaker: Dr Harikrishnan Kothandan, Department Venue: National University Hospital Tower Block of Anaesthesiology, Singapore General Hospital Co-organiser: Singapore Society of Anaesthesiologists Topic: Minimally Invasive Cardiac Surgery Visiting Academician Lecture • Diastolic Dysfunction - What Can We Do About it? At the College’s 8th Refresher course held on 12 Guest Speaker: Prof Hwang Nian Chih, Department April 2014 at the York Hotel, Dr Andrea Gabrielli, an of Anaesthesiology, Singapore General Hospital intensivist from the Shands Hospital, University of Florida had been invited as the Visiting Academician • Minimally Invasive Cardiac Surgery – History and and main speaker. He presented a lecture entitled, Rationale; Surgical Techniques and Considerations ‘A-ACLS and CPR- ROSC’ at the course. Dr Gabielli for MICS had also lectured at some local hospitals, imparting Guest Speaker: A/Prof Theo Kofidis, Department some of his intensive care expertise to staff and of Cardiac, Thoracic and Vascular Surgery, National residents. University Hospital & National University of Singapore

34 Annual Report 2014 College of Dental Surgeons, About… Singapore

The College of Dental Surgeons, Singapore was The College conducts continuing professional incorporated on 6 August 2008. Specialist Chapters education activities every year for dental specialists of six main specialties – Endodontics, Oral and to assist our Fellows and dental specialists in Maxillofacial Surgery, Orthodontics, Paediatric meeting their professional goals. It also conducts Dentistry, Periodontists, Prosthodontists and Public educational activities for non-dental professionals Health – were formed within the College. and lay publics, thus strengthening its “social role”.

President’s Message Dr Benjamin Long

2014 was again a busy and with such a high percentage fruitful year. On the continuing “The College representation. professional education (CPE) Fellowship is front, we have increased the I sincerely hope that this is an number and improved the content growing: we now indication that dental specialists on our small study club meetings in Singapore recognise the and held our 2nd Scientific Meeting have 238 Fellows relevance the College has to in August. We have also started representing their roles as secondary/tertiary a ‘$200 CPE Credit Scheme’ to dental health care providers. My encourage Fellows to sign up for almost 80% of all heartiest congratulations and our CPE programmes. warmest welcome to our new dental specialists Fellows! We have also successfully registered with the conducted the Dental Specialists’ As we enter 2015, Dr Bryce Lee, Exit Assessments on behalf of the Singapore Dental our President Elect, will be taking Dental Specialist Accreditation Council.” over the Presidency, and knowing Board (DSAB) in September and Bryce, he will definitely be scaling provided our professional opinion new heights for the College and on the maintenance of the Dental bringing in more benefits for our Specialist Register. The College Fellowship is growing: Fellows. we now have 238 Fellows In December, our 1st Joint representing almost 80% of all I would also like to take this Collegiate Scientific Meeting dental specialists registered with opportunity to thank Council with our compatriots from the Singapore Dental Council and members of 2013/15 and Chapter Hong Kong and Australia was this is a figure that our College Chairs for their invaluable held in Hong Kong, which was a can be proud of as there are very contributions to the College and resounding success with over 300 few specialists’ college (dental or for their steadfast support of our participants. medical) here or internationally, programmes.

Annual Report 2014 35 The 2013-2014 Council President: Dr Benjamin Long Immediate Past President: Dr Chan Siew Luen Vice President: Dr Bryce Lee Honorary Secretary: Dr Andrew Ow Tjin-Chiew Honorary Treasurer: Dr Seah Tian Ee Council Members Dr Poh Yu Jin Dr Benjamin Tan Thong Kwan Chair, Chapter of Endodontists Dr Lui Jeen Nee Chair, Chapter of Oral & Maxillofacial Surgeons Dr Winston Tan Kwong Shen Chair, Chapter of Orthodontists Dr Henry Ho Chee Wai Chair, Chapter of Paediatric Dentists Dr Toh Siew Luan Chair, Chapter of Periodontists Dr Tan Wah Ching Chair, Chapter of Prosthodontists Dr Ansgar Cheng Chair, Chapter of Public Health Dentists Dr Hemalatha Vignehsa

Annual General Meeting • Relooking into the Use of Systemic Antibiotics in The College held its 6th Annual General Meeting and Periodontal Therapy Conferment Ceremony on 7 May 2014 at the Orchard Date: 12 March 2014 Parade Hotel Singapore. Organiser: Chapter of Periodontist Speaker: Dr Wong Li Beng, Senior Registrar, Council Meetings National Dental Centre The Council held meetings on 19 May 2014, 30 June • Optimised Modelling for Prediction of Tooth 2014, 1 September 2014 and 20 October 2014. Extraction Based on Singapore Population Sample (Session 1) Membership Date: 3 June 2014 Membership in the College stood at 253 as at 31 Organiser: Chapter of Orthodontist December 2014. There were 238 local Fellows, Speaker: Dr Ivan Prabowo, General Dentistry, 10 overseas Fellows and 5 Ordinary Members. Khoo Teck Puat Hospital The following persons had been admitted into the Fellowship of the Academy of Medicine, Singapore • Understanding Clinical Studies: A Review of a in 2014: Dr Chin Chong Meng, Dr Hong Pooi Mun, Dr 2-part AJO-DO Article Published in January and Lee Ping, Geraldine, Dr Low Yi Han, Dr Lye Poh Wah, February 2014. Case Presentation of a Class II Clement, Dr Tan Li Yen, Clement, and Dr Teo Kuo-Yih Division 2 Case (Session 2) Terence @ Terry. Date: 3 June 2014 Organiser: Chapter of Orthodontist Speaker: Dr Bryce Lee, President Elect, College of Continuing Professional Dental Surgeons, Singapore Development • The Frontiers of Soft Tissues Considerations in • Revascularisation Re‐visited Dental Practice Date: 2 July 2014 Date: 8 July 2014 Organiser: Chapter of Endodontist Speaker: Prof Kenji Takada, Visiting Professor, Case 1: Revascularisation of a Mandibular First Faculty of Dentistry at National University of Premolar Singapore Speaker: Dr Irene Sim, Senior Registrar, National Dental Centre • Legal Issues in Orthodontics Date: 7 October 2014 Case 2: Endodontic Management of Bilateral Speaker: Prof Kenji Takada, Visiting Professor, Premolars with Dens Evaginatus Faculty of Dentistry at National University of Speaker: Dr Lui Jeen Nee, Chairman, Endodontic Singapore Chapter, College of Dental Surgeons, Singapore Various Chapters under the College had conducted Case 3: Discoloration following Continuing Medical Education (CME) courses Revascularisation of a Mandibular Incisor throughout the year. Speaker: Dr Wu Siwen, National Dental Centre

36 Annual Report 2014 • CAD-CAM – Where Are We Now? Annual Scientific Meeting Date: 22 July 2014 The College held its 2nd Annual Scientific Meeting Organiser: Chapter of Prosthodontist Speaker: A/Prof Ansgar Cheng, Prosthodontist, on 16 August 2014 at the Amara Hotel which was private practice; Adjunct Associate Professor in organised by Dr Andrew Ow (Chairman), Dr Henry Ho Prosthodontics, Faculty of Dentistry, National (Co-Chair) and Dr Seah Tian Ee (Scientific Chairman). University of Singapore The theme was ‘Emerging Trends in Clinical Dentistry’, with 3 subthemes in ‘Dentofacial Aesthetics’, ‘3D • Management of Anticoagulant and Antiplatelet Technology in Dentistry’ and ‘Evolving Treatment Medications for Dental Patients Concepts’. The event was well-attended with Date: 21 October 2014 Professor Jin-Yong Choi, a distinguished Professor Organiser: Chapter of Oral & Maxillofacial in Oral-Maxillofacial Surgery from the University of Speakers: Dr Albert Lee, Resident, Department South Korea and distinguished CDSS Fellows sharing of Oral Surgery, National Dental Centre; Dr Tan their clinical expertise on the topics. Mei Hui, Resident, Department of Oral Surgery, National Dental Centre; Dr Winston Tan, Oral and Public Engagement Maxillofacial, Chapter Chairman, College of Dental Oral Health Month (OHM) was held in August 2014 Surgeons, Singapore as a joint collaboration between Singapore Dental Association (SDA), Colgate, Health Promotion Board • Accelerated Orthodontic Tooth Movement (HPB) and Singapore Dental Health Foundation – The Current State of Evidence (SDHF). The Fellows of Dental Surgeons, Singapore Date: 16 December 2014 were invited to participate this year via waiving Organiser: Chapter of Orthodontist of consultation fees for patients referred to the Speaker: Dr Edmund Khoo, Clinical Assistant specialists by participating GP clinics. Professor, College of Dentistry, New York University One of the aims of having a dental specialist register is to raise the standard of care provided to the Continuing Professional public. At present, a significant part of the Singapore Development: Joint Collegiate public is yet unaware of the existence, as well as the different types of dental specialists. Having the Scientific Meeting awareness campaign will help the public to have a The College participated in the first Joint Collegiate better understanding of the importance of choosing Scientific Meeting in Hong Kong on 7 and 8 December the right dental specialist for more complex or 2014. This inaugural collaborative scientific meeting “specialised” treatments. is an initiative of the three organising Colleges to support Fellows and Members of the Colleges in continuing professional development through joint Joint Committee for Dental scientific meetings and to advance and promote Specialist Accreditation Exams dentistry to the profession and the communities in The Dental Specialist Accreditation Board of the the region. Ministry of Health appointed the College to form the Joint Committee for Dental Specialist Accreditation This joint scientific meeting featured two (JCDSA) and the respective Dental Specialist internationally renowned speakers, Professor Ken Accreditation Committees (DSAC) for the various Hargreaves from the United States and Dr Paul Sambrook from Australia, together with a number of specialties. The JCDSA conducted the first round of invited eminent speakers from Singapore and Hong accreditation exams on 22 to 24 September, 2014. Kong, presenting a wide spectrum of interesting The second round is scheduled for 23 to 25 March, topics including endodontics, oral and maxillofacial 2015. surgery, pain management, prosthodontics, implantology and paediatric dentistry. Registration under the Charities Act The College of Dental Surgeons, Singapore had The College was registered under the Charities Act nominated two speakers, Dr Rashid Tahir and Dr as an Institute of Public Character on 27 June 2014. Teoh Kim Hean, to represent Singapore.

Annual Report 2014 37 College of Emergency About… Physicians

The Chapter of Emergency Physicians (originally continuing education programmes for members and formed on 13 November 2007) had been transformed to undertake projects for the further advancement into the College of Emergency Physicians on 20 of professional development of emergency November 2014 under the Academy of Medicine, physicians in Singapore so as to enhance the care Singapore (AMS). The College seeks to organise given to emergency patients.

President’s Message Dr V Anantharaman

The year 2014 was a very eventful the programmes that had been one for the Chapter of Emergency “We should organised. More workgroups Physicians. Our membership grew have also been formed, especially to 90 (71.4% of eligible persons). work together in injury prevention, disaster In addition to organising the first- medicine and sepsis. A Section ever structured Examiners Course in creating the of Clinical Toxicologists has also for emergency physicians, we been formed under the College. also organised the preparatory opportunities for The benefits of membership will course for the Master of Medicine be even more apparent with our (Emergency Medicine), the our emergency members taking the initiative in SRS programme in emergency the various projects that we have medicine, and worked closely physicians in embarked on. SOEMS is evidence with the Society for Emergency of this. Medicine in Singapore (SEMS) to Singapore to draw up the first report on the We should work together in ‘State Of Emergency Medicine actively influence creating the opportunities for in Singapore’ (SOEMS). The our emergency physicians in year concluded with the official the development Singapore to actively influence inauguration of the College of the development of our clinical Emergency Physicians – a truly of our clinical practice. On behalf of the historical and landmark event in members of the Council, I wish all the development of emergency practice.” members of the College the very medical care in Singapore. best for 2015. We look forward to working closely with our The Chapter and the Council membership and to more good have tried to push the idea of having its privileges and have things for the future. membership of the College demonstrated this clearly in

38 Annual Report 2014 The 2014-2015 Interim Council President: Dr V Anantharaman Vice President: Dr Goh Siang Hiong Secretary: Dr Lim Swee Han Treasurer: Dr Lee Wee Yee Council Members: Dr Peng Li Lee Dr Eillyne Seow Dr Mohan Tiruchittampalam Continuing Medical Education • Issues in Geriatric Trauma Date: 18 February 2014 Speaker: Prof TV Ramakrishnan, Head, Department of Emergency Medicine, Sri Ramachandra Medical College, Chennai, India

• Sepsis – Fact or Fiction? Date: 8 August 2014 Speaker: Prof Peter Cameron, Immediate Past President, International Federation for Emergency Medicine

Seated (from the left): Dr Goh Siang Hiong (Vice President), M Med (Emergency Medicine) Parts Dr V Anantharaman (President), Dr Lee Wee Yee (Treasurer) B & C Preparatory Course Standing (from the left): Dr Eillyne Seow, Dr Mohan The M Med (Emergency Medicine) Parts B & C Tiruchittampalam, Dr Peng Li Lee (Council Members) Preparatory Course took place from 14 to 19 April Not in photo: Dr Lim Swee Han (Secretary) 2014 at Singapore General Hospital, National University Health System, KK Women’s & Children’s Annual General Meeting Hospital, Tan Tock Seng Hospital and Changi General Hospital. The Annual General Meeting of the then-Chapter of Emergency Medicine was held on 25 July 2014 at the A total of 26 candidates had registered for the Singapore General Hospital. course: 21 specialist trainees/residents, 1 non- trainee/resident and 4 overseas participants. The Committee Meetings faculty comprised of 11 lecturers and 41 Practical Most of the then-Chapter of Emergency Medicine’s Assessment of Clinical Examination Skills (PACES) committee meetings had been conducted through facilitators and examiners. The external visiting email discussions. lecturer was Dr Lisa Edna Munro-Davies (Consultant in Emergency Medicine, University Hospitals Bristol Membership NHS Trust Foundation, UK). She had delivered the following lectures: A total of 12 emergency physicians had joined the • How to Handle the Communications Station College in 2014 bringing the total membership to • Update and Revision on Resuscitation Guidelines 90 as of 31 December 2014, consisting of 80 Local, 9 • Therapeutic and Diagnostic ED Procedures Overseas Fellows and 1 Associate Member. • Common Mistakes Made by Candidates

The following were admitted to the Academy of An Appreciation Dinner was held on 17 April 2014 at Medicine, Singapore as Fellows of the College in Margarita’s Restaurant. 2014: Dr Chan Kim Poh, Dr Chan Wui Ling, Dr Chiu Li Qi, Dr Haji Jumat Linawati, Dr Heng Jiun Yi, Dr Ho Weng Hoe Keith, Dr Lee Mui Hua Jean, Dr Mong Ru Peng, Dr Ong Pei Yuin, Dr Ong Yeok Kein Victor, Dr Rahman Norazlina Suryani and Dr Sajeed Shanaz Matthew.

Annual Report 2014 39 Participation at the 48th Malaysia- • Value of Shock Index in Prognosticating the Short Term Outcome of Death for Patients Presenting Singapore Congress of Medicine with Severe Sepsis and Septic Shock in the The then-Chapter of Emergency Physicians had Emergency Department taken part at the 48th Malaysia-Singapore Congress Speaker: Dr Shah Jahan Mohd Yussof, Emergency of Medicine (MSCM) from 26 to 28 August 2014 Physician, Emergency & Trauma Department, at Shangri-La Hotel, Kuala Lumpur, Malaysia by Hospital Kuala Lumpur, Malaysia organising two symposia. The theme had been ‘Personalised Diagnostics: From Bench to Bedside’. Inauguration Ceremony and Dinner The first symposium on 26 August 2014 (co-chaired The College held its Inauguration Ceremony and by A/Prof Lim Swee Han and A/Prof Mohd Idzwan Dinner on 20 November 2014 at Suntec International Zakaria) had focused on ‘Update on Biomarkers in Convention and Exhibition Centre, Singapore. Some the Management of Common Cardiac Emergencies’ 47 Fellows and 41 guests had gathered to mark with the following highlights: the establishment of the College of Emergency Physicians. Master of the Academy, Prof Lim Shih • BNP in Diagnosing Heart Failure. An Experience Hui, had graced the occasion that evening. Another in an Emergency Department in Malaysia highlight of the event had been a much-appreciated Speaker: A/Prof Mohd Idzwan Zakaria, President, donation of S$8000 from the Society for Emergency College of Emergency Physicians, AMM, Malaysia Medicine in Singapore to the College.

• Role of BNP in the Management of Acute and Chronic Heart Failure Speaker: Prof Mark Richards, Director, Cardiovascular Research Institute, National University of Singapore, Singapore

• Cardiac Biomarkers in ED Chest Pain Speaker: A/Prof Lim Swee Han, Senior Consultant, Department of Emergency Medicine, Singapore General Hospital, Singapore The College President, Prof V Anantharaman (left) accepting the cheque • High-Sensitivity Troponins – Lessons from the on behalf of the College from Dr Toh Hong Chuen from the Society for Laboratory Emergency Medicine in Singapore. Speaker: Prof Aw Tar Choon, Senior Consultant, Division of Laboratory Medicine, Changi General Hospital, Singapore

The second symposium on 28 August 2014 (co- chaired by A/Prof Eillyne Seow and Dr Shah Jahan Mohd Yussof) had focused on ‘Sepsis/Emerging Infectious Diseases’ with the following highlights:

• From SARS to Pandemic Flu – The Singapore Experience Speaker: A/Prof Eillyne Seow, Senior Consultant, Emergency Department, Tan Tock Seng Hospital, Master of the Academy, Prof Lim Shih Hui (fourth from the right) poses with the appointed College Council members. The College’s crest (in the Singapore background) had been unveiled at the event.

• Challenges in Laboratory Diagnosis during Outbreak of Emerging Infectious Disease in the Diploma in Emergency Medicine Developing World Course-Staff Registrar Scheme Speaker: Dr Jamal I-Ching Sam, Professor, An entry interview for the 2014 8th intake was held Department of Medical Microbiology, Faculty of on 5 March 2014 at the Academy of Medicine, Medicine, University of Malaya, Malaysia Singapore. The panel of interviewers were: Dr Steven

40 Annual Report 2014 HC Lim (Programme Director), Prof V Anantharaman Workgroup in Injury Prevention (Chapter Chairman), Dr Lee Chun Yue Francis (Head, Department of Acute & Emergency Care, and Control Khoo Teck Puat Hospital, Singapore) and Dr Evelyn A workgroup had convened a meeting in 2014 to Wong (Head, Department of Emergency Medicine, discuss the objectives and terms of reference on Singapore General Hospital, Singapore). A total of 9 ‘Injury Prevention and Control in Singapore’. A candidates were interviewed and 8 were eligible for study on ‘First Aid by Bystander for Injured Patients enrolment. From the 2012 6th intake, 10 candidates Presenting to the Hospital’ had been planned. had graduated. Funding for the conduct of the study was being sought from grant agencies. American Board of Emergency Medicine In-Training Examination Formation of Section of Clinical The Academy of Medicine, Singapore had conducted Toxicologists the American Board of Emergency Medicine In- A letter of application dated 31 October 2014 had Training Examination (ABEM-ITE) for 78 registered been submitted by the then-Chapter of Emergency emergency medicine residents in Singapore on Physicians to the Academy for the formation of a 26 February 2014 at the East Asia Institute of Section of Clinical Toxicologists under the soon-to- Management (Balestier Campus). be College. The Section was subsequently approved by the Academy of Medicine Council in early January First Examiners’ Course in 2015. Emergency Medicine Independent Medical Expert The then-Chapter of Emergency Physicians and the Medical Education Unit, National University of Opinion Singapore (NUS) had organised the First Examiners’ The then-Chapter of Emergency Physicians had Course in Emergency Medicine from January to received one request for an independent medical November 2014. A total of 21 participants (19 expert opinion in emergency medicine from the Fellows and 2 Non-Fellow emergency physicians) Singapore Police Force. had completed the course. Ministry of Health Request Position Paper – The State of The then-Chapter of Emergency Physicians had Emergency Medical Care in also provided an opinion through the Academy to the Ministry of Health on the topic, ‘Review of Singapore the Regulatory Framework for Specialised Services A workgroup on ‘The State of Emergency Medical under the PHMC Act’. Care in Singapore’ published the White Position Paper in November 2014. A half-day symposium on the publication had been scheduled to be held in April 2015.

Annual Report 2014 41 College of Obstetricians & Gynaecologists, About… Singapore

The College of Obstetricians and Gynaecologists important milestone was the signing of the MOU on (O & G), Singapore was officially inaugurated on 3 September 2005 for the conjoint MRCOG/MMed 14 August 2004. In the tradition of its predecessor, examination between the RCOG and the College. the Chapter of Obstetricians and Gynaecologists, The first conjoint MRCOG/MMed examination was the College continues to involve itself in training, held on 8 May 2006. The College is well poised to continued medical education and examination address the challenges ahead including keeping the activities. This also includes producing consensus high standards of practice and ensuring that every guidelines and distance learning programmes practitioner maintains competence in his practice. for the purpose of achieving best practices. An

President’s Message Dr Tan Hak Koon

2014 was a busy yet very in the daily clinical practice. productive year for the College. “We continuously There were 473 participants for We started the year with the encourage all the congress, of which 258 were annual 14th Regional MRCOG O & G specialists local participants and 215 were Part II Examination course from overseas. The overseas (16-19 January 2014), which to join the College participants came from various was held at KK Women’s and to contribute countries such as Australia, Children’s Auditorium. It was and influence Brunei, China, Indonesia, co-organised by the College, Japan, Malaysia, New Zealand, the Singapore Representative the standards Philippines and Sri Lanka. This Committee (RCOG) and the of specialists success would not have been Division of Graduate Medical practice, training possible without the help of Dr Studies, National University of George SH Yeo. The College also Singapore. The course had a total and education, held the 10th College Lecture and of 48 participants from various and professional Dinner with Prof Sturla Eik Nes countries such as Singapore, development in from Norway. Malaysia, Hong Kong, Myanmar and Bangladesh. The College Singapore.” In the year, we also welcomed 15 would like to thank Dr Ho Tew new Fellows in College of O & G, Hong for his hard work towards the ISUOG Teaching and Training bringing the College membership the success of this annual Centre, Singapore at Raffles to 229 Fellows. We continuously examination course. Convention Centre, Stamford encourage all O & G specialists Ballroom from 4 to 6 May 2014. to join the College to contribute The 10th International Society Many internationally renowned and influence the standards of of Ultrasound in Obstetrics & experts on ultrasound were specialists practice, training Gynaecology (ISUOG) Outreach invited to give their expert views and education, and professional course was hosted together with on issues commonly encountered development in Singapore.

42 Annual Report 2014 The 2013-2014 Council President: Dr Tan Hak Koon President Elect: Dr Arijit Biswas Vice President: Dr Jasmine Mohd Immediate Past President: Dr Bernard Chern Honorary Secretary: Dr Philip Yam Kwai Lam Honorary Treasurer: Dr Sheila Loh Council Members: Dr Jothi Kumar Dr Lai Fon Min Dr Khoo Chong Kiat Dr Ho Tew Hong (Co-opted) Dr Tan Lay Kok (Co-opted) Dr Yong Eu Leong (Co-opted) Section Chairmen Section of Gynaecological Oncology: Dr Lisa Wong Section of Maternal Fetal Medicine: Dr Yeo Seow Heong George Section of Reproductive Medicine: Dr Yu Su Ling Section of Urogynaecology: Dr Roy Ng Section of Gynae-endoscopy: Dr Beh Suan Tiong

Front row (from the left) : Dr Philip Yam (Honorary Secratary), Dr Lai Fon Min (Council Member), Dr George SH Yeo (Chairman, Section of Maternal Fetal Medicine), Dr Tan Hak Koon (President), Dr Yong Eu Leong (Council Member), Dr Ho Tew Hong (Council Member), Dr Sheila Loh (Honorary Treasurer) Back row (from the left): Dr Lisa Wong (Chairman, Section of Gynaecological Oncology), Dr Jasmine Mohd (Vice President), Dr Tan Lay Kok (Council Member), Dr Yu Su Ling (Chairman, Section of Reproductive Medicine), Dr Jothi Kumar (Council Member), Dr Roy Ng (Chairman, Section of Urogynaecology), Dr Beh Suan Tiong (Chairman, Section of Gynae-endoscopy), Dr Khoo Chong Kiat (Council Member) Not in photo: Dr Arijit Biswas (President Elect)

Annual Report 2014 43 Annual General Meeting The 10th International Society The College’s Annual General Meeting was held of Ultrasound in Obstetrics & on 21 May 2014 at the KK Women’s and Children’s Hospital. Gynaecology (ISUOG) Outreach Course in Conjunction with Membership 5th College of Obstetricians & The total number of members in the College stood at Gynaecologists, Singapore Scientific 229 as of 31 December 2014. There were 217 Local Congress Fellows, 11 Overseas Fellows and 1 Honorary Fellow. This event was hosted together with the ISUOG Teaching and Training Centre, Singapore at Raffles Visiting Academician Lecture Convention Centre, Stamford Ballroom from 4 to 6 Emeritius Professor Sir Sabaratnam Arulkumaran, May 2014. The theme was ‘Rationalising the New from the St George’s University of London delivered Pyramid of Pregnancy Care’. the Visiting Academician Lecture at the Inaugural Electronic Fetal Monitoring (CTG) course held on Several internationally renowned experts on 4 September 2014. The CTG course was a one-day ultrasound gave their expert views on issues symposium comprising lectures, reviews of actual commonly encountered in daily clinical practice. clinical scenarios and CTGs. It included the medico The congress owed its smooth success to the more legal aspects; pre and post course tests to reinforce than 550 delegates from different countries. There learning, CTG Interpretation in the clinical setting were about 300 obstetricians, 100 diagnostic with case examples. professionals, 100 nursing staff and 50 residents in attendance, notably from Singapore, Indonesia, The 14th Regional MRCOG Part II Taiwan, Malaysia, Philippines, China, Australia, Japan and India. All had enriched the scientific discourse Examination Course at the well-attended sessions, which were led by The 14th MRCOG Part II Examination Course was held an immensely impressive line-up of international at KK Women’s & Children’s Hospital on 16 to 19 speakers. January 2014. It was co-organised by the College, the Singapore Representative Committee (RCOG) and th the Division of Graduate Medical Studies, National The 11 College Lecture and Dinner University of Singapore. The College held its annual lecture and dinner at the Stamford Ballroom at the Raffles Convention Centre, There were 48 participants from various countries Singapore on 4 May 2014. There were a total of 23 such as Singapore, Malaysia, Hong Kong , Myanmar tables with 230 attendees. and Bangladesh. The candidates went through th a rigorous mock exam course which included Prof Sturla Eik-Nes delivered the 11 College attempting the extended matching questions, short Lecture entitled ‘The ISUOG Outreach Programme answer questions and the Objective Structured – A Founder’s Perspective’. Prof Eik-Nes was heavily Clinical Examination (OSCE) circuit. The examiners involved with pioneer work in O & G ultrasound from UK, Drs Paul Wood and Jonathan Scott, also and brought his expertise to many parts of Asia gave the participants useful insights on handling the and Africa. In his talk, he shared the challenges he actual examination. A total of 48 local trainers helped faced in introducing ultrasound to villages and towns out with the essay marking, skills station session and which did not have a constant supply of electricity. the OSCE circuits during the course.

44 Annual Report 2014 2014 APAGE Regional Conference in Conjunction with College of O&G, Advanced Laparospic Surgery Pre Congress Workshop The regional APAGE Conference was held at the Academia, Singapore General Hospital from 12 to 14 June 2014. The theme of the Congress was ‘Hysterectomy and Managing Complications in Minimally Invasive Surgery’. There were a total of 52 delegates, and including faculty, the attendance was estimated at 192. Prof Eik-Nes delivering his lecture. The programme included live endometrial and pelvic surgeries beamed directly from KK Hospital operating theatre. The main Congress featured live surgery demonstration by renowned international surgeons Masaki Andou, CY Liu, Rakesh Sinha and Giuseppe Bigatti. The types of sugeries included laparoscopic hysterectomy in frozen pelvis, in case of large uterus and oncological surgery like radical hysterectomy or hysterectomy with lymphadenectomy. The Congress also featured lectures focusing on the theme of laparoscopic hysterectomy.

The College President, A/Prof Tan Hak Koon (left) presented Prof The other focus of the Congress was managing Eik-Nes a medallion. complications in laparoscopy. Colorectal surgeons and urologists gave their perspectives on how to He had also emphasised the importance of being manage bowel and urologic complications and how innovative and flexible to overcome the physical, to avoid a laparotomy in these situations. language and cultural barriers in being a founder of the ISUOG Outreach programme. In the context of Singapore, he chronicled the training of O & SGH SOAR – Starting Out on G trainees in the early days and emphasised the Assisted Reproduction importance of continuous training and accreditation. Held from 15 to 17 September 2014 at the Singapore General Hospital, the ‘SGH SOAR’ event aimed to give a strong foundation on the basics of IVF and embryology.

Invited overseas speakers included Prof Tin-Chiu Li (Reproductive Medicine and Surgery, Sheffield Teaching Hospital, UK), Dr Sandro Esteves (Androfert, Andrology & Human Reproduction Clinic, and Referral Centre for Male Reproduction, Brazil), Dr Simon Cooke (IVF Australia) and Dr Andrew Kan (The University of New South Wales, Australia).

Annual Report 2014 45 College About… of Opthalmologists

The Chapter of Ophthalmologists had subsisted Dr Lim Tock Han (then Chairman of the Chapter of under the purview of the College of Surgeons, Ophthalmologists) mooted the idea of converting Singapore since the latter was formed in 2004. the Chapter into a College to better serve the With a steady growth in the Chapter’s membership, ophthalmology community. After a year of the objective to enhance the development of the dedicated effort, the College of Ophthalmologists specialty and the need for a stronger presence was formed on 20 January 2009 under the Academy to advocate the future of ophthalmology, of Medicine, Singapore.

President’s Message Dr Heng Wee Jin

In 2014, the College of Ophthal- COPH had been invited by the mologists (COPH) celebrated “Building upon the ASEAN Ophthalmology Society to its 5th year as a College under strong foundations form the Standing Committee for the Academy of Medicine, of previous Scientific Programme to help in Singapore. Building upon the the planning of its future biennial strong foundations of previous COPH Councils meetings. I would like to thank the COPH Councils and harnessing and harnessing previous COPH Council as well as the the support and expertise of the the support and Singapore Society of Ophthalmology current Council members, the for laying the ground works that College has been better able to expertise of the eventually brought us this honour. serve the professional needs of current Council At the same time, collaborating the ophthalmology community. members, the with the Singapore Society of On behalf of the College, I wish to Ophthalmology, the College express my deep gratitude for the College has been is proud to be organising the dedication, time and hard work put better able to serve 32nd Asia-Pacific Academy of in by our Council members. the professional Ophthalmology Congress which will be held in Singapore in 2017. The College had awarded the needs of the 5th College of Ophthalmologists ophthalmology Without the unconditional support Lectureship Award to Prof Paul community.” of the Council members, these Mitchell for delivering the College achievements would not have been lecture at the 30th Singapore- possible. I would like to thank them Malaysia Joint Meeting in from various government and as well as my fellow colleagues Ophthalmology in 2014. COPH also academic organisations in for their unwavering support and awarded a Travel Fellowship Grant 2014 and had provided views selfless contributions. With a sense to a College member for attending in 11 consultation matters. The of gratitude for the confidence the an overseas scientific meeting that College was also developing the College has placed in me and the year. Staff Registrar Scheme and an admiration for the achievements examination system leading to a of those who preceded me, I will COPH saw a rise in the number of Diploma in Ophthalmology for Staff continue to do my very best as request for professional opinions Registrars in Singapore. President of the College.

46 Annual Report 2014 The 2013-2014 Council President: Dr Heng Wee Jin Immediate Past President: Dr Aung Tin Vice President: Dr Yip Chee Chew Honorary Secretary: Dr Esther Fu Honorary Treasurer: Dr Wong Tien Yin Council Members: Dr Lee Shu Yen Dr Kelvin Lee Dr Adrian Koh

Annual General Meeting Membership The 5th Annual General Meeting of the College of The College membership stood at 143 as of 31 Ophthalmologists was held on 12 April 2014 at The December 2014. There were 141 Local Fellows and Clan Restaurant. 2 Overseas Fellows.

Council Meetings The following Fellows had been admitted into the College in 2014: Drs Wong Hsing Yi Melissa, Yeo Tun The Council Members had met on 5 August 2014 and Kuan, Chung Hsiwei and Anna Tan Cheng Sim. 4 November 2014.

Continuing Medical Education The College had organised talks and lectures for its Fellows in 2014. Date Topic Speaker Chairman/Moderator 30 April Retina Updates A/Prof Caroline Chee, Senior Consultant and A/Prof Lim Tock Han, from the World Head for Surgical Retina, National University Assistant Chief Executive Ophthalmology Health System Officer (Education) Congress National Healthcare Group Dr Jacob Cheng, private practice Advisor, NHG Eye Institute 30 July Understanding Dry Adj A/Prof Louis Tong, Senior Consultant, SNEC Dr Lee Hung Ming, private Eye Disease practice Dr Jerry Tan, private practice 1 November Ocular Surface Dr Audrey Looi, Head and Senior Consultant, Dr Lim Li, Head (Clinical) Disease/Dry Eye − Oculoplastic/Aesthetic Eyeplastic Service, SNEC and Senior Consultant, Focus Group Meeting Corneal and External Eye Adj A/Prof Louis Tong, Senior Consultant, SNEC Disease, SNEC Dr Sunny Shen, Consultant, General Cataract & Comprehensive Ophthalmology Service, SNEC Dr Ti Seng Ei, Senior Consultant, Cataract Service, SNEC Dr Cordelia Chan, private practice Dr Khor Wei Boon, Consultant, Corneal and External Eye Disease Service, SNEC

Annual Report 2014 47 National CME Programme The 5th College of Opthalmologists In 2014, the College continued to administer the Lectureship national CME programme with the support and The College had awarded the 5th College of participation of Changi General Hospital, Khoo Teck Ophthalmologists Lectureship to Prof Paul Mitchell, Puat Hospital, National Health Group Eye Institute, Professor of Ophthalmology at the University National University Hospital, National University of of Sydney (Westmead Singapore, Singapore National Eye Centre and Tan Hospital). Tock Seng Hospital and private ophthalmologists. Prof Mitchell delivered a CME sessions were conducted every Wednesday lecture entitled, ‘Atrophic afternoon, comprising Basic Surgical Trainees (BSTs)/ AMD – Recent Advances in Advanced Surgical Trainees (ASTs) teachings and Our Knowledge and in the combined CME lectures for all ophthalmologists and Potential for Intervention’ trainees. The Education Committee led by A/Prof during the 30th Singapore- Heng Wee Jin and Dr Adrian Koh (with participation Malaysia Joint Meeting in of the ACGME Residency Programme Directors, the Ophthalmology from 22 hospital co-ordinators and subspecialty committees) to 24 August 2014 held at oversaw the programme. Prof Paul Mitchell Grand Copthorne Waterfront delivering the 5th COPH Hotel, Singapore. lectureship lecture. Professional Opinion The College furbished 11 professional opinions on various topics requested by various external parties, including the Ministry of Health (MOH), Singapore Medical Association, Health Science Authority and Health Promotion Board. The professional opinions are listed below.

Topic Organisation Queries on Review on Cataract Surgeries Performed at Medical MOH Clinics HSA Review of List of Diseases and Conditions Prohibited from HSA Medical Advertisements & Proposed Criteria Meeting on Proposed Revisions of Aesthetic Procedures College of Surgeons, Singapore (Dr E Kesavan) Fellows’ Feedback on Specialist Training in Singapore AMS Comments on Genetic Tests Outsourced to Overseas Clinical Labs MOH Diabetic Retinopathy Referral Guidelines for Singapore Integrated SiDRP (Agency for Integrated Care (AIC), Diabetic Retinopathy Programme (SiDRP) Singapore Eye Research Institute, Singapore National Eye Centre and National Healthcare Group Eye Institute Query on Fitness to Drive SMA Private Hospitals and Medical Clinics (PHMC) Publicity Regulations MOH - Lasik Xtra Public Consultation on the Proposed Subsidiary Legislation for the HSA Transfer of Controls of Pharmaceutical Products (“Therapeutic Products”) to Health Product Act Draft Revised Guidelines on Aesthetic Practices for Doctors Working Committee for the Review of The guidelines on Aesthetic Practices (for Doctors) Endorsement of the Clinical Practice Guidelines (CPG) on Falls HPB Prevention 2015

48 Annual Report 2014 Event Endorsement Travel Grant The College had endorsed and donated the sum of The College of Ophthalmologists Travel Fellowship S$5000 for the AMD Awareness Week event which Grant 2014 was disbursed to Dr Ganga Sundar JK was held on 11 October 2014 at the Auditorium, for travel to APAO 2014/WOC 2014 Congress, which Learning Centre, Khoo Teck Puat Hospital. were held in Tokyo, Japan.

Organisation of International Meetings The College appointed the following College members into the organising committees of the Asia Pacific Academy of Ophthalmology Congress (APAO) 2017 and the ASEAN Ophthalmology Society Biennial Meetings:

Asia Pacific Academy of Ophthalmology Congress 2017 Steering Committee Position Name Chairman Prof Wong Tien Yin Vice Chairman A/Prof Heng Wee Jin Vice Chairman Dr Lee Shu Yen Member Dr Wong Hon Tym Member A/Prof Clement Tan Member Prof Aung Tin Member Dr Adrian Koh

ASEAN Ophthalmology Society Standing Committee for Scientific Programme Chairman Dr Doric Wong Subcommittee Chairperson Neuro-ophthalmology A/Prof Clement Tan Adj A/Prof Sharon Tow Uveitis Prof Chee Soon Phaik Paediatric/Strabismus Dr Pauline Cheong Adj A/Prof Audrey Chia Oculoplastics Adj A/Prof Seah Lay Leng Dr Yip Chee Chew Glaucoma Prof Aung Tin Dr Wong Hon Tym Cornea Prof Donald Tan A/Prof Heng Wee Jin Cataract Prof Chee Soon Phaik Dr Fam Han Bor Refractive Dr Chua Wei Han Dr Mohamad Rosman Medical Retina Dr Adrian Koh A/Prof Gemmy Cheung Surgical Retina Dr Lee Shu Yen

Annual Report 2014 49 College of Paediatrics & Child About… Health, Singapore

The College of Paediatrics and Child Health, Dr Ho Lai Yun (Vice President), Dr Goh Yam Thiam Singapore was incorporated on 17 August 2004. Daniel (Honorary Secretary), Dr Victor Samuel The first elected office-bearers of the interim Rajadurai (Honorary Treasurer), Drs Goh Eng Kim council were: Dr Quak Seng Hock (President), Anne, Chan Kwai Lin Daisy & Lee Bee Wah (Members).

President’s Message Dr Victor Samuel Rajadurai

The year 2014 saw our College private and public sectors equally. grow through the greater “The College’s These included the popular involvement by Fellows. Our first academic ‘Emergencies’ Update, as well as Chapter, Neonatology, became CME lectures and other Update active with 37 members under activities in the sessions. The SiPPAC and the the able leadership of Dr Steven year were aimed College lecture, held at the Grand Ng. We are looking forward Copthorne Waterfront, as usual, to welcoming the Chapters/ at Fellows in the attracted many participants. subspecialty groups of Critical private and public Care, Allergy and Immunology, I would like to highlight the Nephrology and Adolescent sectors equally. contribution of the College Medicine this year. These included supervisors and programme directors who continued to provide The College Symposium ‘Medical the popular the SRS programme, and who had Professionalism’ held in May ‘Emergencies’ trained 12 overseas candidates 2014 focused on enhancing in the year. After two years in practical skills in both routine and Update, as well this role, I take this opportunity challenging clinical situations. as CME lectures to thank the Council for their It was well attended, and I trust unfailing and wholehearted well received. The College’s and other Update support and for making my time academic activities in the year sessions.” as President fruitful. I wish the were aimed at Fellows in the oncoming President my very best.

The 2014-2015 Council President: Dr Victor Samuel Rajadurai President Elect: Dr Marion Margaret Aw Vice President: Dr Liew Woei Kang Honorary Secretary: Dr Lim Ching Wen Darryl Honorary Treasurer: Dr Yap Kok Peng Fabian Council Members: Dr Khoo Poh Choo Dr Ng Kee Chong Dr Varsha Atul Shah Dr Ng Chin Yuen Steven (appointed; Chairman of Chapter of Neonatologists)

50 Annual Report 2014 Drs Khoo Poh Choo, Liew Woei Kang, Ng Kee Chong • Symposium: Preterm Nutrition and Fabian Yap Kok Peng will be retiring at the 11th Date: 26 November 2014 AGM. All are eligible for re-nomination. At the 11th Topics & Speakers: 1) ‘Nutrition in the NICU’, Dr AGM, Dr Marion Margaret Aw will take office as Han Wee Meng, Head & Senior Principal Dietician, President for the term 2015-2017, and Dr Victor Department of Nutrition & Dietetics, KK Women’s Samuel Rajadurai will serve on the Council as & Children’s Hospital; 2) ‘Optimizing Post- Immediate Past President for the term 2015-2016. Discharge Growth Trajectory: Scientific Basis and Practical Guidelines’, Prof Mu Shu-Chi, Director, Annual General Meeting Department of Paediatrics, Shin-Kong Memorial The 10th AGM of the College was held on 10 May Hospital, Taiwan. 2014 at the Traders Hotel. Chairperson: A/Prof Victor Samuel Rajadurai

Council Meetings The Council had met to consider the business and affairs of the College. It held 4 meetings in 2014.

Membership The College’s membership stood at 158 as of 31 December 2014, consisting of 153 local and 5 overseas Fellows. The following Fellows had been admitted into the College in 2014: Drs Derrick Wei- Shih Chan and Pradeep Raut. Standing (from the left): Ms Anna Jacob, Dr Han Wee Men, Ms Chris Weng. Seated (from the left): Members of the Faculty Prof Continuing Medical Education Mu Shu-Chi, Ms Hui Hwa Koh-Minjoot, A/Prof Victor Samuel • Paediatric Combined Update Session: Paediatric Rajadurai Emergencies Date: 1 March 2014 The 3rd Singapore Paediatric & Topics & Speakers: 1) ‘The ABCs of Paediatric Resuscitation’, A/Prof Ng Kee Chong , Head and Perinatal Annual Congress Senior Consultant, Department of Emergency On 13 September 2014, together with the Singapore Medicine, KK Women’s & Children’s Hospital; 2) Paediatric Society (SPS) and the Perinatal Society of ‘Common Paediatric Medical Emergencies’, Dr Singapore (PSS), the College held the 3rd Singapore Wong Chin Khoon, private practice; 3) ‘Common Paediatric & Perinatal Annual Congress (SiPPAC) at Paediatric Surgical Emergencies’, Dr Chew Su the Grand Copthorne Waterfront Hotel, Singapore. Yah, Consultant, Department of Paediatrics, Khoo The event attracted 198 delegates comprising Teck Puat University Children’s Medical Institute, paediatricians, neonatologists, medical students, National University Health System; 4) ‘Update on nurses, allied health staff, residents and trainees. The Paediatric Toxicology’, Dr Ong Yong-Kwang Gene, scientific programme comprised six symposia (three Consultant, Department of Emergency Medicine, Paediatric, two Perinatal/Neonatal and one Perinatal KK Women’s & Children’s Hospital. tracks) one nursing symposium, two lunch symposia, Chairperson: A/Prof Victor Samuel Rajadurai one poster and three free communication sessions. The theme was on ‘Relevance, and Excellence in • Paediatric Combined Update Session: Perinatal, Neonatal & Paediatric Care’. Highlights of Professionalism the Congress were: Date: 10 May 2014 Topics & Speakers: 1) ‘Medical Professionalism – • Plenary Lecture 1: Lessons Learned and Progress The Understanding, Learning & Teaching’, Observed in 40 Years in Neonatology Dr T Thirumoorthy, Director, Academic Programme, Speaker: A/Prof Ross Haslam Singapore General Hospital Dermatology; Associate Professor in Education, Duke-NUS • Plenary Lecture 2 (The 9th Stuart Gan Memorial Graduate Medical School, Singapore; 2) ‘Lessons Lecture): Primary Immunodeficiency Diseases: for Paediatricians – Recent Trends in Medico- The Past, Present & Future Legal Cases in Singapore’, Miss Kuah Boon Theng , Director, Legal Clinic, LLC. Speaker: Prof Martin Van Hagen Chairperson: A/Prof Victor Samuel Rajadurai

Annual Report 2014 51 • Immunodeficiency Forum • Posters Session Speakers: Dr Liew Woei Kang, Ms Jose Drabwell, A total of 19 abstracts had been displayed on Prof M Van Hagen, Mr Johan Prevot, Dr Christian poster panels at the event. Harkensee, Prof Graham Davies, Dr Christian Harkensee, Mr Daniel Oon, Mr Daniel Ng Wai Lit, • Congress/Singapore Paediatric Society Dinner Mr Adli Ali Held in the evening, the Congress/Singapore Paediatric Society (SPS) Dinner saw about 190 • Oral Communication Sessions in attendance. A/Prof Ross Haslam delivered a Judges: A/Prof Daisy KL Chan (Head & Senior lecture on ‘Fetal Neuroprotection’. A cake cutting Consultant, Department of Neonatal & ceremony took place as well for the 25th anniversary Developmental Medicine, Singapore General of the Perinatal Society of Singapore (PSS). The Hospital), A/Prof Chan Yoke Hwee (Deputy Division invited special guest was Prof Ho Nai Kiong (First Chairman, Division of Medicine, KK Women’s President of PSS and Consultant Paediatrician, & Children’s Hospital), Dr Christian Harkensee private practice). Guests had enjoyed themselves (Consultant, Department of Paediatrics, Yong thoroughly in an interesting social programme of Loo Lin School of Medicine, National University table games and lucky draw prizes. of Singapore), A/Prof Ross Hasla (Head, Neonatal Medicine, Women’s & Children’s Hospital, The 9th College of Paediatrics and South Australia, Australia), Dr Manisha Mathur (Consultant, Department of Obstetrics & Child Health Lecture Gynaecology, KK Women’s & Children’s Hospital) The 9th College Lecture was held on 13 September 2014 at Grand Copthorne Waterfront Hotel, A total of 19 abstracts were presented and the Singapore. The lecturer was A/Prof Lim Sok Bee following were given awards: (Head & Senior Consultant, Department of Child - Best Poster Award: Development, KKH). She delivered the lecture on Dr Pratibha Agarwal (KKH) for ‘Concurrent ‘Beyond Neonatology’. Validity of the ASQ-III Questionnaire with the BSID-III in Preterm VLBW Infants‘. In recognition of her contributions, A/Prof Lim - Poster Award (Second Place): received a plaque and Ms Asila Noordin (KKH) for ‘Perinatal Risk Factors honorarium from the & the Test of Infant Motor Performance (TIMP) College President, A/Prof Scores of Preterm Very Low Birth Weight (VLBW) Victor Samuel Rajadurai. Infants’. The lecture had been - Poster Award (Third Place): held in conjunction with A/Prof Lim Sok Bee delivering Dr Liu Jia Xuan (Khoo Teck Puat-National the 3rd SiPPAC. University Children’s Medical Institute, NUHS) her lecture. for ‘Health-Related Quality of Life in Paediatric Patients with Inflammatory Bowel Disease’. Paediatric Total Nutrition Therapy - Poster Award (Fourth Place): Programme Drs Khoo Xi Xean and Vina Canlas Tagamolila The College, Singapore Paediatric Society (SPS) and (KKH) for ‘Computerised One-Stop Parenteral Perinatal Society of Singapore (PSS) endorsed the Nutrition Calculation & Online Ordering Reduced PTNT programme that took place on 18 October 2014 Parenteral Nutrition Prescription Time While at NUHS. The Course Director was A/Prof Marion Reducing Errors in an NICU’. Aw and the schedule comprised a welcome address st - Poster Award (Fifth Place): by A/Prof Aw on ‘Why Nutrition Matters in the 21 Miss Sim Ming Ann (Yong Loo Lin School of Century’. Lectures, workshops and clinical cases Medicine, NUS) for ‘Comparing the Use of followed. The targeted audience was paediatric Axillary Thermometry versus Temporal Artery residents/trainees. A quiz was held at the end of the Thermometry Measurement in Neonates’. programme.

52 Annual Report 2014 LECTURES Topic Speaker Nutrition and Feeding in Infancy & Toddler Years Dr Yvonne Ng Peng Mei Nutrition Assessment Clinical and Laboratory Aspects Ms Charlotte Lin, A/Prof Marion Aw Nutrition & Children’s Neurocognitive Development A/Prof Ong Hian Tat Feeding Preterm Infants: Hospital and Post-Discharge Strategies Dr Chua Mei Chien Early Life Influences and the Road Map to Obesity and Cardiometabolic A/Prof Lee Yung Seng Disease in Adulthood Principles of Nutrition Support in Sick Children: Roles of Enteral & Parenteral Dr Chu Hui Ping Nutrition

WORKSHOPS Topic Facilitator Assessment of Calorie Intake, and Nutritional Intervention Dr Han Wee Meng Enteral Nutrition Dr Chu Hui Ping

CLINICAL CASES Topic Facilitator A Child with Suspected Gastroesophageal Reflux Dr Ajmal Kader A Child with Colic and Colorectal Bleeding A/Prof Marion Aw Lactose Intolerance and Malabsorption in Infants & Toddlers Dr Ajmal Kader Chapter of Neonatologists Activities Date Event 27 October ‘Introduction to Neonatal Cranial Ultrasound’ Course 19 November ‘Neonatal Neuro-Developmental’ Symposium Staff Registrar Scheme • Diploma in Neonatology (DN) - An entry interview for the 7th intake was were accepted: Drs Ma Veronica Cruz and Vikas conducted on 9 June 2014. Dr Eleah Vida (KKH) Chandrapal Bhadoria (KKH). They subsequently was enrolled into the course. The panel of commenced training on 3 November 2014. interviewers were Dr Quek Bin Huey and A/Prof Yeo Cheo Lian. - Candidates of the 7th intake from KKH, Drs Riza Ogania Flores and Rushcelle Acra De Vera, sat for - Dr Mary Grace Tan (4th intake/SGH) and Dr Tan their First Year Assessment on 4 October 2014. Yee Yin (5th intake/KKH) sat for their Second Year Assessments on 26 November 2014. Their - Drs Preethi Joseph, Maria Theresa Navata and examiners were A/Prof Victor Samuel Rajadurai Joselyn Abalos Velasco (6th intake/KKH), sat for (Programme Director) and A/Prof Daisy Chan. their Second Year Assessments on 4 October Dr Tan Yee Yin completed the diploma on 3 2014. December 2014 and Dr Mary Tan on 5 January 2015. The panel of interviewers/examiners for the three sessions were A/Prof Chan Mei Yoke and Prof Quak - Dr Sharon Ann Aquino (6th intake/KKH) completed Seng Hock. her First Year Assessment on 5 November 2014. A/Profs Daisy Chan and Zubir Amin were the • Diploma in Paediatrics and Cancer Care examiners. - Dr Krista Lea Francisco (2nd Intake/KKH) sat for her Second Year Assessment on 15 December • Diploma in Paediatrics and Child Health (DPCH) 2014. Her examiners were A/Profs Quah Thuan - An entry interview for the 8th intake was Chong, Allen Yeoh, Chan Mei Yoke and Dr Soh conducted on 4 October 2014. Of the three Shui Yen. Dr Krista Lea Francisco completed the candidates who had applied for the course, two diploma on 31 December 2014.

Annual Report 2014 53 College About… of Physicians, Singapore

Physicians in Singapore are medical specialists in geriatric medicine, haematology, infectious the field of adult internal medicine which is distinct diseases, general internal medicine, medical from surgery, radiology, anesthesiology, obstetrics oncology, neurology, rehabilitation medicine, renal and gynaecology and paediatric medicine. medicine, respiratory medicine, rheumatology and immunology, and palliative medicine. Physicians have completed about five to six years of postgraduate training in the field of internal The College’s vision is to be the recognised leader in medicine and have obtained postgraduate degrees training, education, advocacy and enhancement of and certification such as M Med (Int Med), MRCP professional satisfaction for internal medicine and (UK), and FAMS. Physicians often choose to its sub-specialties and to promote and maintain specialise in one of the following 15 specialties the highest professional and ethical standards in of internal medicine, namely: cardiology, internal medicine and its sub-specialties. dermatology, endocrinology, gastroenterology,

President’s Message Dr Tay Jam Chin

The College organised a successful A total of 57 new Fellows were 6th Medicine Review Course at “Expanding admitted into the College in 2014, Khoo Teck Puat Hospital on 30- bringing our total membership to 31 August 2014, attracting 311 membership is 818 as at 31 December. Expanding delegates comprising specialists, membership is fundamental in residents, medical students, fundamental in order for the College to serve as allied health care workers and an overall representative body in pharmacists. I would like to thank order for the professional issues. Dr David Lye and Dr Terence Kee, Chairman and Co-Chairman of College to serve As we look forward to a the 2014 Organising Committee productive 2015, I would like to respectively, and their team as an overall record my appreciation to the for organising yet another Council and College members for exciting programme successfully. representative their support and efforts rendered Moving forward, we hope to in the past year. We will continue attract an even larger crowd by body in professional to work with the Academy and incorporating more interactive the Chapters for our continued and multi-disciplinary sessions in issues.” the two-day course. growth in the medical profession.

54 Annual Report 2014 The 2014-2015 Council President: Dr Tay Jam Chin President Elect: Dr Chan Choong Meng Vice President: Dr David Lye Chien Boon Honorary Secretary: Dr Yim Heng Boon Honorary Treasurer: Dr Lee Lai Heng Council Members: Dr Sum Chee Fang Dr Toh Han Chong

Chapter Chairmen Chapter of Cardiologists: Dr Aaron Wong Sung Lung Chapter of Dermatologists: Dr Leow Yung Hian Chapter of Endocrinologists: Dr Winston Kon Yin Chian Chapter of Gastroenterologists: Dr Ooi Choon Jin Chapter of General Physicians: Dr Ashish Anil Sule Chapter of Geriatricians: Dr Pang Weng Sun Chapter of Haematologists: Dr Ng Heng Joo Chapter of Infectious Disease Physicians: Dr David Lye Chien Boon Chapter of Medical Oncologists: Dr Lim Soon Thye Chapter of Neurologists: Dr Chan Yee Cheun Chapter of Palliative Medicine Physicians: Dr Angeline Seah Soek Tian Chapter of Rehabilitation Physicians: Dr Peter Lim Ai Chi Chapter of Renal Physicians: Dr Terence Kee Yi Shern Chapter of Respiratory Physicians: Dr Augustine Tee Kim Huat Chapter of Rheumatologists: Dr Leong Keng Hong

First row (from left to right): Dr Yim Heng Boon (Honorary Secretary), Dr David Lye Chien Boon (Vice President and Chairman, Chapter of Infectious Disease Physicians), Dr Tay Jam Chin (President), Dr Chan Choong Meng (President Elect), Dr Lee Lai Heng (Honorary Treasurer) Second row (from left to right): Dr Chan Yee Cheun (Chairman, Chapter of Neurologists), Dr Pang Weng Sun (Chairman, Chapter of Geriatricians), Dr Angeline Seah Soek Tian (Chairman, Chapter of Palliative Medicine Physicians), Dr Terence Kee Yi Shern (Chairman, Chapter of Renal Physicians), Dr Peter Lim Ai Chi (Chairman, Chapter of Rehabilitation Physicians), Dr Leong Keng Hong (Chairman, Chapter of Rheumatologists) Not in photo: Dr Sum Chee Fang (Council Member), Dr Toh Han Chong (Council Member), Dr Aaron Wong Sung Lung (Chairman, Chapter of Cardiologists), Dr Leow Yung Hian (Chairman, Chapter of Dermatologists), Dr Winston Kon Yin Chian (Chairman, Chapter of Endocrinologists), Dr Ooi Choon Jin (Chairman, Chapter of Gastroenterologists), Dr Ashish Anil Sule (Chairman, Chapter of General Physicians), Dr Ng Heng Joo (Chairman, Chapter of Haematologists), Dr Lim Soon Thye (Chairman, Chapter of Medical Oncologists), Dr Augustine Tee Kim Huat (Chairman, Chapter of Respiratory Physicians)

Annual Report 2014 55 Annual General Meeting The 2nd Monteiro Lecture (Chapter The 10th Annual General Meeting of the College of Infectious Disease Physicians) was held on 31 May 2014 at the Lee Kong Chian The 2nd Monteiro Lecture was delivered by Dr Hsu Boardroom, Academy of Medicine, Singapore. It was Li Yang on 29 March 2014 at Grand Copthorne attended by 28 Fellows fulfilling the quorum of the Waterfront Hotel. The title of the lecture was presence of not less than 20 voting members at the ‘Collaborative ID Research: Personal Lessons from a commencement of a general meeting in accordance Decade of Observations’. to Article 68 of the Articles of Association ofthe College.

Council Meetings The Council held seven meetings to conduct the business and affairs of the College in 2014. It had met on the following dates: 14 January, 11 March, 15 April, 31 May, 14 July, 9 September and 4 November.

Membership As of 31 December 2013, the College had a total of 818 members comprising 815 Fellows and 3 Associate Members. The College welcomed 57 new Fellows in 2014. Dr Hsu Li Yang delivering the 2nd Monteiro Lecture.

850 818 800 761 750 745 696 700 671 650 600 Y2010 Y2011 Y2012 Y2013 Y2014

The membership of 818 comprises: Guests gathered at the Lecture. Cardiologists 126 Dermatologists 90 Endocrinologists 63 Gastroenterologists 71 General Physicians 68 Geriatricians 50 Haematologists 24 Infectious Disease Physicians 19 Medical Oncologists 61 Neurologists 60 Palliative Medicine Physicians 33 Rehabilitation Physicians 20 Renal Physicians 48 Respiratory Physicians 71 Left to right: Dr David Lye (Chapter Chairman), Dr Hsu Li Yang, Rheumatologists 37 Dr Edmund Monteiro, Prof Paul A Tambyah.

56 Annual Report 2014 The 8th Chapter of Renal Physicians The 11th College of Physicians Lecture Lecture The 8th Chapter of Renal Physicians Lecture was The 11th College of Physicians Lecture was delivered delivered by Prof Yap Hui Kim on 4 October 2014 at by Prof Lim Shih Hui, Master of the Academy of OneFarrer Hotel & Spa. The title of the lecture was Medicine, Singapore. It was held on 30 August ‘Netball, Birds and the Kidney: What Do They Have 2014 at Khoo Teck Puat Hospital, in conjunction in Common?’. with Medicine Review Course 2014. The title of the lecture was ‘Delivering the Best and Cost-effective Healthcare to Patients with Multiple Co-morbidities: Shall All Physicians be Internal Medicine Accredited before Specialisation?’.

Prof Yap Hui Kim delivering the 8th Chapter of Renal Physicians Lecture.

Left to right: A/Prof Chan Choong Meng, Prof Lim Shih Hui, A/Prof Tay Jam Chin.

Chapter Chairman, Dr Terence Kee (left) presents Prof Yap Hui Kim with a token.

Prof Lim Shih Hui delivering the 11th College of Physicians Lecture.

Guests gathered at the Lecture.

College President, A/Prof Tay Jam Chin (left) presents Prof Lim Shih Hui with a token.

Annual Report 2014 57 The 24th Seah Cheng Siang Medicine Review Course 2014 Memorial Lecture The annual scientific programme held from 30 to 31 The 24th Seah Cheng Siang Memorial Lecture was August 2014 at Khoo Teck Puat Hospital was attended delivered by Prof Dato’ Goh Khean Lee, University by 311 delegates. The Organising Committee chaired of Malaya, Kuala Lumpur. It was held on 30 August by Dr David Lye and co-chaired by Dr Terence Kee, 2014 at Khoo Teck Puat Hospital, in conjunction together with specialty Programme Directors from with Medicine Review Course 2014. The title of the 15 Chapters under the College, planned a two-day lecture was ‘Seeing Better, Doing Better - Evolution programme of 35 lectures. The course covered and Application of GI Endoscopy’. a wide spectrum of common and important topics in Internal Medicine, focusing on the latest developments in each field and evidence-based approaches to assist in daily clinical practices.

A/Prof Lee Lai Heng delivering a lecture on bleeding associated Prof Dato’ Goh Khean Lee delivering the 24th Seah Cheng Siang with new oral anticoagulants. Memorial Lecture.

Members of the audience.

College President, A/Prof Tay Jam Chin (left) presents Prof Dato’ Goh Khean Lee with a token.

Dr Peter Ting delivering a lecture on cardiac rehabilitation in contemporary clinical practice.

Chapter of Gastroenterologists Chairman, A/Prof Ooi Choon Jin (left) with Prof Dato’ Goh Khean Lee.

58 Annual Report 2014 Continuing Medical Education Chapter of Cardiologists 12-13 April 26th Annual Scientific Meeting with Singapore Cardiac Society – Best Patient Care with Modern Cardiology Chapter of Dermatologists 12 May & 30 October HMDP Visiting Expert Lectures Chapter of Endocrinologists 26 April Combined Symposium with Chapter of Renal Physicians: Clinical Pearls in Glycaemic and Non-Glycaemic Management of the Patient with Diabetic Chronic and End-Stage Kidney Disease 21-24 November 10th International Diabetes Federation Western-Pacific Region Congress Chapter of Gastroenterologists 26-27 April 2nd Clinical Nutrition Meeting 4-5 July Total Nutrition Therapy Chapter of Haematologists 16 May Optimising Bleeding Management for Patients on Diabigatran 1 December Overcoming the Challenges in HCV-induced Thrombocytopenia Chapter of Infectious Disease Physicians 15 May Serious Infections in ICU: A Multidisciplinary Approach 14 June 4th ASEAN Dengue Day Seminar Chapter of Neurologists 5-6 April 6th Singapore International Parkinson’s Disease and Movement Disorders Symposium 20 March CNS Debates Chapter of Palliative Medicine Physicians 26-29 June Singapore Palliative Care Conference 2014 Chapter of Renal Physicians 26 April Combined Symposium with Chapter of Endocrinologists: Clinical Pearls in Glycaemic and Non-Glycaemic Management of the Patient with Diabetic Chronic and End-Stage Kidney Disease Chapter of Respiratory Physicians 18 October The Quest For Improved Asthma Control & A New Treatment That Can Be A Change For The Better

Annual Report 2014 59 College About… of Psychiatrists

The College of Psychiatrists was officially formed on continuing education in psychiatry. The College 5 November 2014 under the umbrella of Academy also provides recommendations to the Academy of Medicine, Singapore. Formerly, the Chapter of on specialist qualification and training, and Fellows Psychiatrists was formed in 1986. Now as a College, of the College serve on national specialist training it continues to provide professional leadership and committees and academic programme committees.

President’s Message Dr Ng Beng Yeong

An important milestone in the We envisage that with the history of local psychiatry was “It has been formation of the College, more achieved on 5 November 2014 psychiatrists will be proud to join when the College of Psychiatrists a rewarding the College, participate in our was officially formed. As indicated activities and contribute to both in a previous letter to our Fellows, experience to clinical and academic pursuits related to psychiatry and mental the advantages of forming a see many Fellows College include the following: 1) health. It has been a rewarding experience to see many Fellows To have equal standing with other coming for the coming for the Inaugural Colleges under the Academy of General meeting and various Medicine (AMS); 2) To raise the Inaugural General CME activities organised by the profile of the specialty both locally College. It is the camaraderie that and overseas; 3)To provide a good meeting and will sustain the College and keep platform to develop subspecialties us going. On behalf of the Interim and allow subspecialties to have various CME Council, may I thank the Master more focused activities; 4) To have of Academy of Medicine and all greater autonomy in developing activities organised our Fellows for the support and professional initiatives and confidence that they gave to us activities; and 5) To have more by the College.” during this period of transition financial autonomy. from a Chapter to a College.

60 Annual Report 2014 The 2014-2015 Interim Council President: Dr Ng Beng Yeong Vice President: Dr Wong Chee Meng John Honorary Secretary: Dr Ho Chun Man Roger Honorary Treasurer: Dr Goh Kye Hock Robin Council Members: Dr Fones Soon Leng Calvin Dr Rathi Mahendran Dr Ong Say How Dr Winslow Rasaiah Munidasa Dr Yap Hwa Ling

Inaugural General Meeting The Inaugural General Meeting of the College was held on 5 November 2014 at Goodwood Park Hotel. It was attended by some 50 Fellows to mark the establishment of the College. Master of the Academy, Prof Lim Shih Hui, had graced the occasion that evening as the Guest-of-Honour.

Membership The College’s membership as of 31 December 2014 stood at 102, consisting of 95 Local and 7 Overseas Fellows. Front row (from the left): Dr Roger Ho (Honorary Secretary), Dr Wong Chee Meng John (Vice President), Dr Ng Beng Yeong The following were admitted as Fellows of the (President), Dr Robin Goh (Honorary Treasurer) Academy of Medicine, Singapore (CPSYCH) in 2014: Back row (from the left): Dr Fones Soon Leng Calvin (Council Dr Chan Herng Nieng; Dr Ng Kah Wee; Dr Tor Phern- Member), Dr Winslow Rasaiah Munidasa (Council Member), Chern; Dr Soh Teck Hwee; and Dr Wong Celine. Dr Ong Say How (Council Member) Not in photo: Dr Yap Hwa Ling (Council Member), Dr Mahendran Rathi (Council Member)

Continuing Medical Education Symposium - ‘Obsessive Compulsive Disorder (OCD) & Hoarding’ Date: 12 February Co-organiser: Department of Psychiatry, Singapore General Hospital Chairperson: Prof Ng Beng Yeong Topic Speaker OCD & Hoarding: Epidemiological Findings Dr Subramaniam Mythily, Research Division, Institute of Mental Health, Singapore Challenges in Managing OCD & Hoarding in Dr Kelvin Ng, Department of Psychiatry, Institute of Mental Health, the Community Singapore Cognitive Behavioural Therapy (CBT) in OCD A/Prof Lim Eng Choon Leslie, Department of Psychiatry, Singapore General Hospital

Seminar - ‘Psycho-Oncology’ Date: 19 March Co-organiser: Department of Psychological Medicine, National University Health System Chairperson: A/Prof Rathi Mahendran Topic Speaker The Real Killer in Cancer: When Patients Dr Leong Sun Chee Terence, Department of Psychological Medicine, Default National University Health System Supportive Care in Cancer Patients: A Focus A/Prof Chan Alexandre, Department of Pharmacy, National University on Symptom Burden & Psychosocial Distress’ of Singapore Talking with Patient with Terminal Cancer: A/Prof Ong Yew Kuang, National Cancer Centre, Singapore An Oncologist’s Perspective

Annual Report 2014 61 Symposium Neuropsychiatry Date: 24 April Co-organiser: Department of Psychiatry, Singapore General Hospital Chairperson: A/Prof Lee Tih Shih Topic Speaker Direct Current Stimulation Dr Chan Herng Nieng, Department of Psychiatry, Singapore General Hospital Repetitive Transcranial Magnetic Stimulation Dr Tor Phern-Chern, Psychological Centre, Singapore Armed Forces Functional MRI: Window into Cognitive Brain Dr Tan Hao Yang, Lee Kong Chian School of Medicine, National Circuitry in Psychosis Technological University

Circadian Rhythm Sleep Disorders Date: 27 May Chairperson: Prof Ng Beng Yeong Speaker Dr Joshua Gooley, Neuroscience & Disorders Program, Duke-NUS Graduate Medical School, Singapore

Child & Adolescent Psychiatry Symposium Date: 26 June Co-organiser: Department of Psychiatry, Singapore General Hospital Chairperson: Dr Cheok Cheng Soon Christopher Topic Speaker Oppositional Defiant Disorder Dr Loh Bee Lock Cheryl, Psychological Medicine, Changi General Hospital, Singapore ADHD in Children & Adolescents: An Update Dr Lim Choon Guan, Department of Child & Adolescent Psychiatry, Institute of Mental Health, Singapore

Symposium – ‘Hot Topics in Depression’ Date: 5 July (Session 1 – ‘How We Can Achieve Better Functioning for Depressed Patients in Clinical Practice) Moderator: Prof Goran Hajak Topic Speaker Antidepressant Efficacy of Antidepressants Prof Koen Demyttenaere, Research Group Psychiatry, Ku Leuven, in Both Negative & Positive Affects in Belgium Depression Updates on Novel Pharmacological Dr Carmen Munoz, Servier International, Suresnes, France Approaches in Depression How We Can Achieve Efficacy that Result Prof Goran Hajak, Department of Psychiatry, University of in Early & Better Functioning? Clinical Regensburg, Germany Experience in Practice

Symposium – ‘Hot Topics in Depression’ Date: 6 July (Session 2 – ‘Experience Sharing’) Chair & Co-Chairmen: Prof K Demyttenaere, Dr Lim Yun Chin Topic Speaker Sharing Experience with Aglomelatine Prof Arunpongpaisal Suwanna, Department of Psychiatry, Faculty of Treatment in Thai Patients with Major Medicine, Khon Kaen University, Thailand Depressive Disorder

Regaining Passion in Life A/Prof Ng Chong Guan, Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Malaysia Treating MDD: Can We Regain the ‘Joie De Dr Mok Yee Ming, Electroconvulsive Therapy Service, Department of Vivre’ for Our Patients Psychiatry, Institute of Mental Health, Singapore

Symposium Date: 22 July Facilitators: Dr Kwok Kah Foo Victor, Ms Vivien Yap, Dr Ho Chun Man Roger Topic Speaker Comparing Different Psychotherapeutic Dr Ang Wee Kiat Anthony, South West London & St George’s Mental Treatments in Borderline Personality Health NHS Trust & Sussex Partnership NHS Foundation Trust, UK Disorder

62 Annual Report 2014 Forensic Psychiatry Symposium Date: 20 August Co-organiser: Department of Psychiatry, Singapore General Hospital Chairperson: A/Prof Lim Eng Choon Leslie Topic Speaker Macabres of Life & Sleep Dr K Puvanendran, Department of Neurology, Singapore General Hospital Kleptomania – Clinical & Legal Issues Dr Goh Hern Yee Jerome, Department of General & Forensic Psychiatry, Institute of Mental Health, Singapore

Clinical Application of Hypnosis in Chronic Pain Date: 19 September Co-organiser: Singapore Society for Clinical Hypnosis Chairperson: Dr Chee Yin Ing Cornelia Speaker Dr B Brent Geary, Milton H Erickson Foundation, USA

Symposium - ‘Electro-Convulsive Therapy (ECT) Refresher 2014’ Date: 25 September Co-organiser: Department of Psychiatry, Singapore General Hospital Chairperson: Dr Chan Herng Nieng Topic Speaker Basics & Latest Research Dr Tor Phern-Chern, Psychological Centre, Singapore Armed Forces IMH Protocols & Consent Process Dr Mok Yee Ming, Department of General Psychiatry II; Mood Disorder Unit & ECT Servic e, Institute of Mental Health, Singapore

Dinner Lecture: Advances in the Diagnosis & Treatment of Bipolar Disorder Date: 5 November Chairperson: Prof Ng Beng Yeong Speaker Prof Eduard Vieta, University of Barcelona & Department of Psychiatry and Psychology, Hospital Clinic, Spain

Webcast: The Importance of Restoring Function in Major Depressive Disorders Date: 12 December Chairperson: Prof Ng Beng Yeong Speaker Dr David Sheehan Breakfast Meeting Sessions The College had organised the Breakfast Meeting sessions every last Friday of the month at Novena Medical Centre. The sessions range from case, peer voice, video presentations to journal club and lectures by invited expert speakers. The Chairperson for the sessions was Dr Lee Ee Lian. Session Date Topic Speaker/Moderator 1 28 February Video: ‘Decreased Positive Affect & The Role Prof David Nutt, private practice of Bupropion in Major Depressive Disorder’ 2 28 March The Potential Role of Dietary Lipids in Brain Dr Salit Tzaban, Function & ADHD private practice 3 25 April Case Discussion Dr RM Winslow, private practice 4 4 July Managing Partial Response or Non-Response Dr Joyce Yeh Strategies in Major Depressive Disorder Ely Lily, Taiwan 5 29 July S-Addenosyl Methionine (SAMe) Dr Lee Ee Lian, private practice Augmentation of Serotonin Reuptake Inhibitors for Antidepressant Non-Responders with Major Depressive Disorder: A Double- Blinded Randomised Clinical Trial 6 26 September SMC Accredited AMS Webcast I: Dr Thong Jiunn Yew, private practice Session 1 – ‘Long Acting Injectables’ Dr Tan Wee Lun Marcus, private Session 2 – ‘Switching Medications’ practice 7 31 October SMC Accredited AMS Webcast 2 Dr Lim Yun Chin, private practice

Annual Report 2014 63 Position Statement Psychiatry Resident In-Training The then-Chapter had submitted its draft position Examination (PRITE) statement on ‘Use of Repetitive Transcranial The Academy of Medicine, Singapore conducted Magnetic Stimulation in the Treatment of Major PRITE exams for 36 registered Psychiatry residents in Depressive Disorder (rTMS)’ to AMS Council for Singapore on 4 October 2014. The venue was at the approval. Academia, SGH. The contributors were: Dr Tor Phern-Chern, Dr Ho Chun Man Roger, Dr Lo Yew Long and Prof Ng Beng Independent Medical Expert (IME) Yeong. Opinion The then-Chapter had received two requests for Formation of Sections – Child IME opinions in psychiatry from the Singapore Police and Adolescent Psychiatrists and Force through the Professional Affairs Department, AMS. Neuropsychiatrists These two sections were formed under the College Professional Opinion and officially approved at its first AGM in Y2015. The potential members of the 2015-2017 Executive The then-Chapter had submitted opinions to the Committees were: Ministry of Health for: • Hypnotherapy Section of Child & Adolescent Psychiatrists – IMH: • Repetitive Transcranial Magnetic Stimulation Dr Ong Say How, A/Prof Fung Shuen Sheng Daniel, Drs Chin Chee Hon, Ian Munt & Dr Sung Min; NUHS: Ministry of Health Clinical Practice A/Prof Wong Chee Meng John; Private practice: Guidelines Dr Celine Wong, A/Prof Wong Sze Tai & Dr Liew Hwee Sen Alvin (Department of Child & Adolescent The then-Chapter had provided feedback and Psychiatry, IMH) endorsement to the Ministry of Health for its Guidelines on Anxiety Disorders (2014). Section of Neuropsychiatrists – A/Prof Lee Tih Shih (Chairman), Dr Chee Kuan Tsee, Prof Ng Beng Yeong, Drs Ho Chun Man Roger, Goh Kye Hock Robin, Tor Phern-Chern & Wong Sheau Hwa

Staff Registrar Scheme – Diploma in Psychiatry Course Two intakes had been in progress. The first 2013 intake of three candidates were awaiting appraisal for the 1st year exams and GDMH results. Four candidates enrolled into the second 2014 intake.

64 Annual Report 2014 College of Public Health & Occupational About… Physicians

The College of Public Health and Occupational health and occupational medicine. The College Physicians was officially formed on 1 February also provides recommendations to the Academy 2013 under the umbrella of Academy of Medicine on specialist qualification and training, and Fellows Singapore. Formerly, the Chapter of Public Health of the College serve on national specialist training and Occupational Physicians was formed in 1980. committees and academic programme committees Now as a College, it continues to provide professional of both specialties. leadership and continuing education in public

President’s Message Dr Benjamin Ng

2014 saw our College making Following the signing of the several contributions to the “The College looks Memorandum of Understanding training of public health forward to working between the Academy and Brunei and occupational medicine Ministry of Health, we developed specialists in Singapore. We with the Academy the advanced specialty training prepared the proposal of a programmes for public health modular course on critical to strengthen our and occupational medicine for the appraisal and research study collaboration with training of the Bruneian doctors methodology for the Specialists in these respective specialties in Accreditation Board (SAB) as an MOH and other Singapore. alternative to the requirement key stakeholders of first author publication for In November 2014, the Academy exit from specialist training as to achieve the Council approved the admission of SAB was of the opinion that it specialists of the newly recognised would be better to incorporate common goal of subspecialty of aviation medicine a systematic programme of training better to the College. scholarly activities on research into residency training. We also specialists for We met the Presidents of the submitted the nominations of our College of Public Health Medicine, Fellows to the Joint Committee on tomorrow.” Academy of Medicine of Malaysia, Specialist Training (JCST) for the and the College of Community Public Health and Occupational and submitted this feedback Medicine, Hong Kong Academy Medicine JCST Examination to the Academy for collation of Medicine, separately and Committees. and submission to the Ministry discussed how the three Colleges of Health (MOH). The College could work closely together and In response to the request looks forward to working with collaborate in common areas of from Master of the Academy the Academy to strengthen our interest. In the new year, we will of Medicine, Singapore, we collaboration with MOH and continue the dialogue with our collated the valuable and candid other key stakeholders to achieve Malaysian and Hong Kong sister assessments of the residency the common goal of training Colleges to work out the possible training system from our Fellows better specialists for tomorrow. areas of collaborations.

Annual Report 2014 65 The 2014-2015 Council President: Dr Benjamin Ng Vice President: Dr Vernon Lee Honorary Secretary: Dr Jason Yap Honorary Treasurer: Dr Matthias Toh Council Members: Dr Kenneth Choy Dr Toh Cheong Mui Dr Fereen Liew Dr Angela Chow (Co-opted) Dr Gan Wee Hoe (Co-opted)

Continuing Medical Education The College had co-organised the following lectures with the Saw Swee Hock School of Public Health, National University of Singapore in 2014.

• Noise and Kids in Singapore: Can the Inevitable Hearing Loss be Prevented? Date: 9 January 2014 Speaker: Prof William Hal Martin, Professor of Otolaryngology, Programme Director, NUS Master of Science Audiology, Co-Director, Dangerous Seated (left to right): Dr Mona Toh Cheong Mui (Council Decibels, Yong Loo Lin School of Medicine, National Member), Dr Vernon Lee (Vice President), Dr Benjamin Ng (President), Dr Angela Chow (Co-opted Member) University of Singapore Standing (left to right): Dr Matthias Toh (Honorary Treasurer), Dr Gan Wee Hoe (Co-opted Member), Dr Kenneth Choy (Council • An Introduction to Shared Decision Making and Member), Dr Jason Yap (Honorary Secretary) Patient Decision Aids Not in photo: Dr Fereen Liew (Council Member) Date: 10 January 2014 Speaker: Prof Anne Stiggelbout, Professor of Annual General Meeting Medical Decision Making, The Leiden University The 1st Annual General Meeting (AGM) of the College Medical Center (LUMC), The Netherlands was held on 9 May 2014. It was attended by some 24 Fellows who came to support and witness the 1st • Genomes to Barcodes for Mycobacterium Council of the College take office. Tuberculosis and Plasmodium Falciparum Infections Date: 9 April 2014 Membership Speaker: Dr Taane Clark, Reader in Genetic Epidemiology and Statistics, Department of The membership of the College stood at 113 as of Pathogen Molecular Biology London School of 31 December 2014, consisting 107 Local Fellows, 5 Hygiene & Tropical Medicine, UK Overseas Fellows and 1 Ordinary Member. • Human Trafficking and Health Research – Policy The following were admitted as Fellows of the Implications for the Health and Occupational Academy of Medicine, Singapore (CPHOP) in 2014: Dr Gan Wee Hoe, Dr Brian See, Dr Clive Tan and Dr Health and Safety Sectors Alice Lai. Date: 11 April 2014 Speaker: Ms Nicola Pocock, PhD student, Gender Violence and Health Centre, London School of Hygiene and Tropical Medicine, UK

• Putting Habit into Practice, and Practice into Habit: Habit Formation as a Behaviour Change Strategy Date: 21 May 2014 Speaker: Dr Benjamin Gardner, Lecturer in Health Psychology, Health Behaviour Research Centre, University College London (UK)

66 Annual Report 2014 • Modelling of Capacity in Neo Natal Services in • Understanding and Promoting Health Behaviour the UK: A System Dynamics Perspective Change Date: 11 June 2014 Date: 11 November 2014 Speaker: Dr Mohamed Reda Lebcir, Senior Lecturer Speaker: Prof Claudio Renato Nigg, Head of Social and Head of Business Analysis & Statistics Subject and Behavioral Sciences Programme, John A Burns Group, University of Hertfordshire, UK School of Medicine, University of Hawaii, US

• Big Data [Sorry] for Health Care • Occupational Health in Emerging Markets Date: 12 June 2014 – Teaching Concepts and Integrated Health Speaker: Dr Menglin ‘Mornin’ Feng, Senior Post Programmes Doctoral Fellow, Lab of Computational Physiology, Date: 18 November 2014 Harvard-MIT Joint Health, Science and Technology, Speaker: Dr Norbert Ludwig Wagner, Head of Massachusetts Institute of Technology (MIT), US Corporate Medical Services, Wagner Global Consultants, US • Coding Variation and its Role in Genetics of Complex Traits • Estimating the Returns to UK Publicly Funded Date: 15 August 2014 Cancer-Related Research in Terms of the Net Speaker: Dr Xueling Sim, Post Doctoral Fellow, Value of Improved Health Outcomes University of Michigan, US Date: 19 November 2014 Speaker: Mr Matthew Glover, Health Economist, • Return on Investment of Tobacco Control Health Economics Research Group, Brunel Date: 26 August 2014 University London, UK Speaker: Mr Matthew Glover, Health Economist, Health Economics Research Group, Brunel th University London, UK The 9 Singapore Public Health & Occupational Medicine Conference • Using Mathematical Modelling to Inform HIV The 9th Singapore Public Health and Occupational Treatment Policy in Southern Africa Medicine (PHOM) Conference was held on 28 to Date: 1 September 2014 29 August 2014. The theme of the conference, Speaker: Dr Jeff Eaton, Research Fellow, Faculty ‘Embracing Challenges in Building Healthy of Medicine, School of Public Health, Imperial Communities’, built on the previous year’s conference College, UK theme which focused on the challenges faced by the different population groups. The tracks were divided • Global Health Challenges Post-MDGs in the Asia into three main broad categories viz. Health Systems, Pacific Communities and Environments. The conference Date: 16 September 2014 was well attended by 280 participants, including Speaker: Dr Milton Amayun, Public Health participants from Australia and India. Specialists, The Philippines

• Tuberculosis Control and Health Systems Strengthening: Research for Action Date: 10 October 2014 Speaker: Dr Mishal Sameer Khan, Visiting Senior Research Fellow, Saw Swee Hock School of Public Health, Singapore

• Health Systems Research: Linking the Local with the Global Date: 16 October 2014 Speaker: Dr Helena Legido-Quigley, Lecturer, London School of Hygiene and Tropical Medicine (LSHTM), UK

The Organising Committee of the th9 PHOM.

Annual Report 2014 67 Plenary Lecturer, Prof Fung Hong (right), receiving token of Plenary Lecturer, Prof David Koh delivering his lecture at the 9th appreciation from Dr Benjamin Ng. PHOM Conference.

There were two plenary lectures. The first day Health and Medicine, from the Pengiran Anak plenary lecture was delivered by Prof Fung Hong, Puteri Rashidah Sa’adatul Bolkiah Institute of Health President of the Hong Kong College of Community Sciences, University of Brunei Darussalam. Medicine, who was also the Academy of Medicine Singapore Visiting Academician. He shared on the There was also an engaging and enthusiastically topic: ‘Reforms in Health Services Delivery - Lessons well-received panel discussion on ‘Managing the from Hong Kong’. Health and Safety of Migrant Workers’. The panelists for the discussion comprised Dr Tan Lai Yong, Mr The second day plenary lecture ‘Occupational Health Kevin Teoh, Mr Lin Shilie and Mr Joshua Tan, with Protection – Too Little or Too Much?’ was delivered Prof David Koh as the moderator. by Prof David Koh, Chair Professor of Occupational

Panelists of the ‘Managing the Health and Safety of Migrant Workers’ session.

At a lunch symposium which was sponsored by Centre Hsu Li Yang updated participants on ‘Antimicrobial for Infectious Disease Epidemiology & Research Resistance – Singapore and Global Narratives’. (CIDER), Saw Swee Hock School of Public Health, Dr

National Preventive Medicine Grand Rounds The College funded refreshments for the National conducted by the National Preventive Medicine Preventive Medicine Grand Rounds which were Residency Programme.

Occupational Asthma Children’s Health Emerging Infectious Date: 13 February Date: 10 April Diseases Speakers: Dr Chen Wen Kai, Dr Andrew Tay, Speakers: Dr Shermin Tan, Dr Andrew Date: 10 July Dr Brian See Green, Dr Joseph Lim, Dr Todd On Speakers: Dr Zubaidah Chairperson: Dr Lim See Ming Chairperson: Dr Raymond Lim Said, Dr Chen Wen Kai, Partnerships in Public Health – Lessons from Workplace Assessment Dr Matthew Lee, the Preventive Medicine Local Study Trip Date: 9 October Dr Winston Chin Date: 11 September Speakers: Dr Liu Jiaming, Dr Namrata Chairperson: A/Prof Lim Speakers: Preventive Medicine Residents Hange, Dr Lim Dwee Wee, Dr Jeff Hwang, Poh Lian Chairpersons: A/Prof Wong Mee Lian, Dr Chikul Mittal, Dr Marc Ho Dr Ho Sweet Far, A/Prof Angela Chow Chairperson: Dr Ho Sweet Far

68 Annual Report 2014 College Get-Together Session

College Fellows gathered for an insightful experience at the RSAF Aeromedical Centre.

On 14 November 2014, the College had organised a Robin Low. This was followed by a tour that provided get-together session for its members at the Republic a glimpse into how aviation physiology training was of Singapore Air Force (RSAF) Aeromedical Centre. It conducted for high-performance aircraft pilots. had been an opportunity for College Fellows to learn During the walk through of the centre’s facilities, more about aviation medicine, and to catch up over Fellows had the rare opportunity to get up close good food and great company. Co-hosted by the with the high-end equipment used to train military RSAF Medical Service’s COL (Dr) Gan Wee Hoe and ST aircrew, such as the Human Training Centrifuge, Healthcare’s Dr Richard Tan, the evening started with the Spatial Disorientation Trainer, the Ejection Seat a CME Talk entitled ‘Aviation Medicine – Historical Trainer, the Hypobaric Chamber and the Night Vision Perspectives and its Practice in Singapore’ byDr Laboratory.

College Council Gathering with Residents The College had organised a gathering with the Yin, the seniors recounted their stories about residents and the faculty of the residency programme decisions made and policies set, in a past era marked on 29 October 2014, held in the hallowed halls of by legends. With generous servings of local delights the Singapore Medical Association’s Council Room. and great company, the stories had lasted well into With food and drinks sponsored by the respective the night. Presidents, Dr Benjamin Ng, and Dr Wong Chiang

Council members and faculty residents at the gathering.

Annual Report 2014 69 Extension of Fellowship to Aviation In 2014, the Specialists Accreditation Board and the Ministry of Health formally recognised aviation Medicine Physicians medicine as a medical subspecialty in Singapore. Aviation medicine is a specialised branch of Routes to aviation medicine accreditation are medical science concerned with medical problems through the disciplines of occupational medicine, encountered in human flight in and beyond the internal medicine and family medicine. atmosphere. It is a medical subspecialty which combines aspects of preventive, occupational, Following this milestone, the Academy of Medicine, environmental and clinical medicine with the Singapore Council granted approval for aviation physiology and psychology of man in flight. It strives medicine to be recognised under the College of to treat or prevent conditions to which aircrews and Public Health and Occupational Physicians and the others involved in flight are particularly susceptible, College will be inviting aviation medicine physicians and applies medical knowledge to the human factors to join it as Fellows. in aviation safety.

Medically significant aspects of aviation travel Newsletter include exposure to changing atmospheric pressures, The College published two issues of the College of low ambient temperatures, large inertial forces, Public Health and Occupational Physicians newsletter oxygen deprivation, and noise; air sickness; aircrew in June and December 2014. fatigue in long-haul flights, as well as the risk for spread of communicable disease. Specific situations encountered include recognising an ear block in an infant travelling on an airliner with elevated aircraft cabin pressure altitude.

70 Annual Report 2014 College of Radiologists, About… Singapore

The College of Radiologists, Singapore (CRS) was and research into medical and scientific problems, incorporated on 17 August 2004. The principal to sustain and foster postgraduate education and activities of the College are to advance the art and conduct higher professional examinations and to science of radiology, radiation oncology and nuclear award diplomas. medicine and its subspecialties, promote study

President’s Message Dr Tchoyoson Lim

On this 10th anniversary of the Although the demand for medical College, and the 25th anniversary “CRS will imaging and radiation treatment of the Singapore Radiological continue to work in Singapore is currently on an Society, we celebrated the on education, expansionary uptrend, already successful 2014 SRS/CRS Annual there are ominous signs we can Scientific Meeting (combined manpower training, see coming over the horizon that with the Asia-Pacific Congress of and research, for will require delicate handling. Cardiovascular and Interventional the benefit of our Our little red dot is not immune Radiology). to external forces. In order to patients and our prioritise our limited resources to In the background, our Fellows profession.” influence the outcomes of policies, continue to work hard; and here, and taking a proactive vision, a hat tip is due, to all the unsung the College had held a strategic teachers in what is now known planning Blue Sky Day (30 August as the ACGME programmes, led Meanwhile, the Ministry of Health 2014), where we discussed by the National FRCR Module has stepped up engagement with some of the big issues facing leaders Tan Cher Heng/Ashuthosh CRS on various issues to do with Prakash, Winston Lim, Lynette subvention and professional our Fellows and the profession. Teo, and Apoorva Gorgna. Also, advice, residency training, Hopefully, we will be able to meet Fellows and radiologists are and Allied Health registration. these challenges; and the CRS will heavily involved in the preparation We have been blessed with continue to work on education, of the first exit examination for excellent volunteerism from our manpower training, and research, the ACGME residency programme Fellows, which constitutes a very for the benefit of our patients and in 2016. responsive “brain trust”. our profession.

Annual Report 2014 71 The 2014-2015 Council President: Dr Tchoyoson Lim President Elect: Dr Chua Eu Tiong Vice President: Dr Tay Kiang Hiong Honorary Secretary: Dr Raymond Quah Honorary Treasurer: Dr Ian Tsou Yu Yan Council Members: Dr Lee Khai Mun Dr Tan Cher Heng Dr Gregory Kaw (Chairman, Chapter of Diagnostic Radiologists) Dr Ong Seng Chuan (Chairman, Chapter of Nuclear Medicine Physicians) Dr Fong Kam Weng (Chairman, Chapter of Radiation Oncologists) Dr Daniel Tan (Co-opted)

Chapter of Radiation Oncologists Chairman: Dr Fong Kam Weng Vice Chairman: Dr Johann Tang E-Hsiung Secretary: Dr Michael Wang Committee Members: Dr Richard Yeo Dr Choo Bok Ai

Chapter of Nuclear Medicine Physicians Chairman: Dr Ong Seng Chuan Vice Chairman: Dr Winnie Lam Wing Chuen Secretary: Dr Lu Suat Jin Committee Members: Dr Gilbert Keng Dr Kelvin Loke Dr Lai Hee Kit Standing (left to right): Dr Tan Cher Heng (Council Member), Dr Raymond Quah (Honorary Secretary), Dr Ong Seng Chuan (Chairman, Chapter of Nuclear Medicine), Annual General Meeting Dr Gregory Kaw (Chairman, Chapter of Diagnostic Radiology), The 10th Annual General Meeting of the College of Dr Johann Tang (Vice Chairman, Chapter of Radiation Oncology) Radiologists was held on 26 April 2014 at Sheraton Seated (left to right): Dr Ian Tsou (Honorary Treasurer), Dr Tchoyoson Lim (President), Dr Chua Eu Tiong (President Towers Singapore Hotel. Elect), Dr Tay Kiang Hiong (Vice President) Not in Photo: Dr Lee Khai Mun (Council Member), Dr Fong Kam Weng (Chairman, Chapter of Radiation Oncology) Council Meetings The Council met once every 2 months to conduct the business and affairs of the College. It met on Specialty Chapters the following dates in 2014: 16 June 2014, 11 August In accordance to the Constitution of the College of 2014, 13 October 2014 and 8 December 2014. Radiologists, Singapore, the specialty chapters are to serve a two-year term. The Committee Members of the three Chapters of the College (2014-2015) are as Membership follows: The total membership of the College as at 31 December 2014 is 199. Chapter of Diagnostic Radiologists Chairman: Dr Gregory Kaw Committee Members: Dr Chong Bee Kiang Dr Lester Leong Dr Lynette Teo Dr Andrew Tan Gee Seng

72 Annual Report 2014 Y2011 Y2012 Y2013 Y2014 199 200 190 160 170 147 154 150 120 131

100

50 25 23 26 28 15 16 17 17 0 Diagnostic Radiology Nuclear Medicine Radiation Oncology Total

Continuing Medical Education The College had invited Advance Specialist Trainees (AST) to conduct CME lectures in 2014. Date Topic Advance Specialist Trainee Moderator 2 January Orbital Masses and Acquired Lesions of Dr Pavel Singh, Dr Priyanka Gahlot Dr Choong Chih Ching Corpus Callosum 6 February Introduction to PET-MRI Dr Ting Yonghan, Dr Saurav Gupta Dr Ong Seng Chuan 6 March MRI in Evaluation of Cholesteatomas Dr Vasu Keshav Sharma Dr Amit Karandikar Role of MRI in Evaluation of Laryngeal Dr David Sia Soon Yiew Cancer 3 April Blood Supply of Hepatoma Dr Lim Hock Tai Dr Thng Choon Hua LIRADS and AASLD Criteria for Diagnosis Dr Rahul Lohan of Hepatoma 8 May The Case for Democratisation of Portable Dr Tiffany Priyanthi Hennedige, Dr Angeline Poh Hand-held US – A Mock Debate between Dr Tammy Moey Hui Lin Radiologists and non-Radiologist Clinicians 5 June How do We Count Radiologists’ Work Dr Lee Chau Hung, Dr Chester Chong A/Prof Tchoyoson Lim and Value? 3 July Imaging Update on Acute Stroke Dr Ho Chi Long, Dr Lim Chee Yong Dr Robert Chen

7 August MDCT In Abdominal And Pelvic Trauma Dr James Hallinan Dr Thian Yee Liang Dr Rohit 4 September Dementia Imaging Dr Mohamad Isham Bin Othman, Dr Lim Tze Chwan Dr Srinivasan Sivasubramianian, Dr Low Tze-Anns’ Keynes 2 October Imaging in Cystic and Infective Liver Dr Shikhare Sumer Nrupendra, Dr Ho Chia Ming Conditions Dr Babar Nazir 6 November CT Imaging and Techniques for Dr Goh Lin Wah, Dr Joe Francis, Dr Ashish Chawla Evaluation of Airways Diseases Dr Shimpi Trishna Ramesh 4 December Neonatal Intestinal Obstruction Dr Lee Su Ann, Dr Sonam Tashi, Dr Ehab Shaban Dr Pravin Mundada

The Chapter of Diagnostic Radiologists had organised the National FRCR Part 1 Didactic Lectures. (Coordinators: Dr Tan Cher Heng & Dr Ashutosh Prakash) Date Teacher Topic Anatomy Lectures 1 July Dr Chea Yen Wei Cardiothoracic & Vascular 8 July Dr Marielle Fortier Paediatric Imaging 15 July Dr Chong Le Roy MSK 22 July Dr Lee Yeong Shyan Breast Imaging 29 July Dr Lam Shu Lin Body Imaging (Genitourinary, O&G) 5 August Dr Tan Tiong Yong Head and Neck 12 August A/Prof Tchoyoson Lim CNS 19 August Dr Lynette Teo Body Imaging (Gastrointestinal)

Annual Report 2014 73 Date Teacher Topic 26 August Dr Tan Cher Heng Mock Exam Foundation Lectures 9 September Prof Wilfred Peh/Dr Niraj Dubey Emergency Limb and Joint Trauma 16 September Dr PC Mohan Emergency Spine Trauma 23 September Dr Lynette Teo Emergency Chest X-rays 30 September Dr Gregory Kaw Emergency CT Chest 7 October Dr Andrew Tan Emergency CT Abdomen 14 October A/Prof Tchoyoson Lim Emergency CT Brain 21 October Dr Harvey Teo Emergencies in Paediatric Radiology 28 October Dr Ting Yonghan/Dr Charles Goh Rapid Sets Physics Lectures 4 November Prof Ng Thian C Nuclear Magnetic Resonance (6.16) Mr YM Kwok Ionising Radiation P1 Mr YM Kwok Digital Radiology P1: Computers and PACS 11 November Dr Subash Kapur IR P2 Dr H Rumpel Magnetic Resonance Imaging (6.17) Dr H Rumpel Magnetic Resonance Imaging (6.17) – continued 18 November Dr H Rumpel Magnetic Resonance Imaging (6.17) – continued Mr YM Kwok DR P2: Digital Detectors Dr H Rumpel Safety in Magnetic Resonance Imaging (6.18) 25 November Mr S Somanesan NM P1: Radionuclides and Their Production Mr S Somanesan NMR P2: Gamma Camer; SPECT 2 December Dr Subash Kapur IR P3 Dr Subash Kapur IR P4: Protection in Diagnostic Radiology - DR P3: Computerised’ Axial Tomography (cancelled) 9 December Mr S Somanesan NMR P3: Principles of SPECT Mr YM Kwok DR P4: Digital Systems 16 December Mr S Somanesan NM P4: Principles of PET Imaging Mr S Somanesan Safety Issues in Radionuclide Imaging 23 December Dr Subash Kapur IR P5: Doses in Imaging Modalities Dr Subash Kapur IR Lecture 30 December Dr G Wansaicheong Ultrasound P1: Introductory Physics Dr G Wansaicheong Ultrasound P2: Ultrasonic Imaging Dr G Wansaicheong Ultrasound P3: Advanced Topics in Ultrasonic Imaging

The Chapter of Diagnostic Radiologists had organised the National FRCR Part 2 Didactic Lectures. (Coordinators: Dr Winston Lim & Dr Lynette Teo) Date Lecturer Topic 7 May Dr Gregory Kaw 1) The Chest Wall, Pleura and Diaphragm 2) Chest Trauma Dr Daniel Wong Arterial Disease (Excluding Aorta): Diagnosis and Intervention 14 May Dr Cheah Foong Koon 1) Diffuse Pulmonary Disease 2) Industrial Lung Disease Dr Kwek Boon Han Large Airway Obstruction 21 May Dr Kevin Chen 1) Ischaemic Heart Disease 2) Cardiomyopathies, Cardiac Tumours and Pericardium Dr Tan Ru San Echocardiography and Coronary Angiography 28 May Dr Lynette Teo Pulmonary Neoplasm Dr Goh Poh Sun Pulmonary Thromboembolism Dr Michael Lin The Mediastinum 4 June Dr John Huang 1) Congenital Heart Disease 2) Acquired Valvular Heart Disease A/Prof Tay Kiang Hiong The Aorta: Diagnosis and Intervention 11 June Dr Tan Bien Soo Interventional Techniques in the Thorax Dr Ng Yuen Li The Critically Ill Patient Dr Angeline Poh Pulmonary Infection

74 Annual Report 2014 Date Lecturer Topic 19 June Dr Winnie Lam 1) Nuclear Medicine in Respiratory Disease 2) Nuclear Medicine in Cardiovascular Disease Dr Apoorva Gogna Venous Disease: Diagnosis and Intervention 2 July Dr Marielle Fortier Paediatric Gastrointestinal Paediatric Urogenital 9 July Dr Tang Phua Hwee Paediatric Chest Paediatric Oncology Paediatric Neuroradiology 16 July A/Prof Harvey Teo Paediatric Musculoskeletal Imaging of Child Abuse 23 July Dr Paul See Overview of Imaging Techniques in Musculoskeletal Radiology Dr Niraj Dubey Lower Extremity Trauma 30 July Dr Png Meng Ai Metabolic Bone Diseases Dr Chandra Mohan Interventional Techniques in Musculoskeletal Radiology 6 August Dr Ong Keh Oon Internal Derangements of Upper Limb Joints Dr Andrew Tan Scintigraphic Applications in Musculoskeletal Radiology 13 August A/Prof Thomas Chee Bone Infection Dr Mathew George Arthritides 20 August Dr Quek Swee Tian Musculoskeletal Tumours Dr Lesley Goh Musculoskeletal Soft Tissue Infection 27 August Dr Kenneth Sheah Upper Extremity Trauma Dr Koh Wan Lin Internal Derangements of Lower Limb Joints 10 September Dr Albert Low Focal Liver Lesion 1 October Dr Andrew Tan Pancreas 8 October Dr Kwek Jin Wei Bile Ducts and Gallbladder Dr Juliana Ho Spleen, Lymphoma and Haematological Conditions 15 October Dr Teh Hui Seong Radiology of Trauma and Acute Abdomen Dr Michael Clarke Colon and Rectum 22 October A/Prof Thng Choon Hua Generalised Liver Lesions, Cirrhosis and Hepatoma A/Prof Tay Kiang Hiong Abdominal Interventional Radiology 29 October Dr Austin Htoo Oesophagus, Stomach and Small Bowel 5 November Dr Teo Sze Yiun Breast Imaging 1: Screening and Biopsy Methods 12 November Dr Llewellyn Sim Breast Imaging 2: Diagnosis and Assessment, Metastatic Patterns A/Prof Thng Choon Hua Prostate Cancer Imaging 19 November Dr Teo Sze Yiun Female Pelvic MRI 26 November Dr Lam Shu Lin Gynaecological US 3 December Dr Richard Lo Urinary Tract and Adrenals 10 December Dr Teh Hui Seong Urinary Tract and Adrenals 17 December A/Prof Ong Chiou Li Hysterosalpingography and Fertility Obstetric US

The College had organised other adhoc CME talks as well.

Normal Variants and Pseudotumours in Abdominal Response Evaluation in Hepatic Colorectal Metastasis Imaging after Bevacizumab, Importance of the Non Size Based Date: 10 January Assessment Speaker: Prof Joseph KT Lee, JH Scatliff Distinguished Date: 24 April Professor; Immediate Past Chair Department of Speaker: Prof Evelyne M Loyer, The University of Texas, Radiology, University of North Carolina at Chapel Hill, US MD Anderson Cancer Center, US Blue Sky Day – CRS 2nd Strategic Planning Meeting MicroDose Mammography Date: 30 August Date: 9 October Speakers: A/Prof Tchoyoson Lim, Dr Ian Tsou, Speaker: Dr Fleur Kilburn-Toppin, Consultant Breast Dr Raymond Quah Radiologist, West Suffolk Hospital and Addenbrooke’s Hospital, Cambridge, UK

Annual Report 2014 75 FRCR Medical Physics Preparatory participants had signed up for the course and their Course feedback had been generally good. The speaker for the course was Dr Michael Waller, Consultant Clinical The College held the FRCR Medical Physics Scientist, from the Department of Medical Physics & Preparatory course from 6 to 9 February 2014 at Engineering at Leeds Teaching Hospitals NHS Trust, the Academy of Medicine, Singapore. Twenty-eight UK.

FRCR Physics Preparatory Course participants with Dr Michael Waller and Dr Ashutosh Prakash.

The 11th Asia Pacific Congress of to the interests of our diagnostic radiology, nuclear medicine and radiation oncology colleagues as Cardiovascular and Interventional well as our nurses and radiographers. Some of the Radiology (APCCVIR) and the 23rd highlights of the scientific programme included the Annual Scientific Meeting of the ‘APSCVIR meets CIRSE’ session, the 10th FY Khoo Memorial Lecture delivered by Prof Lenny Tan, the Singapore Radiological Society and American Institute of Radiologic Pathology (AIRP) College of Radiologists, Singapore mini course, the Multidisciplinary Advanced Course The 11th Asia Pacific Congress of Cardiovascular on Venous Access (MACOVA), the Selective Internal and Interventional Radiology (APCCVIR) was held in Radiation Therapy (SIRT) course, the Embolisation conjunction with the 23rd Annual Scientific Meeting Hands-on course using animal and flow models, the (ASM) of the Singapore Radiological Society (SRS) Advanced Body MRI course and Radiation Oncology and College of Radiologists Singapore (CRS) from 15 course featuring interventional oncology. to 18 May 2014 at The Academia. A total of 255 scientific abstracts and posters selected Dr Amy Khor, Senior Minister of State for Health from slightly over 300 abstract submissions were and Manpower, was the Guest-of-Honour for the presented during the Congress. The top 10 abstracts Opening Ceremony. There were 1042 registrants for were presented in the main scientific programme as the Congress, of which 458 were from Singapore, Featured Abstracts in the relevant symposiums and 526 from the Asia-Pacific region, and 58 from Europe workshops. Mr Tan Ze Hao, a research year medical and the Americas. The Faculty was 243 strong, with student from Duke-NUS won the Young Investigator 98 Asia-Pacific, 58 International and 87 Local Faculty Award on his research on ‘Angiographic Predictors members. for Limb Salvage in Critical Limb Ischaemia’. Dr Justin Kwan from Tan Tock Seng Hospital won the Best IR The scientific programme comprised three plenary Case award while Drs Sachiko Achiwa and Seijiri sessions, 45 scientific symposiums, 11 industry Inoue from Japan and Dr Sonam Tashi from Changi symposiums, 16 workshops and three categorical General Hospital won the best poster awards. courses with a total of 315 lectures/talks spread over four days. Although the topics were mainly The Congress dinner was held on the evening of 17 on interventional radiology, much effort was put in May within the Flower Dome at Gardens by the Bay. to ensure that there were other topics that catered The dinner was oversubscribed and many had to be turned away. The more than 500 delegates who

76 Annual Report 2014 attended dinner were treated to a night of delectable The Myanmar Radiological Society food, great entertainment and camaraderie. Several categories of awards were also presented that (MRS)-CRS CT Symposium evening. Dr Jae Hyung Park from Korea and Dr Sanjiv The College participated for a third time in the Pre- Sharma from India were honoured with the APSCVIR Congress symposium at the Chatrium Hotel, Yangon, Gold Medal awards while Dr Chow Khuen Wai, Dr Myanmar on 4 and 5 November 2014. This event was Tan Kim Ping and Dr Tan Ban Cheng were presented co-organised with the Myanmar Radiological Society with the CRS/SRS Lifetime Achievement awards. (MRS) with support from Meditech and Siemens. The newly exited specialists from our three fields of diagnostic radiology, radiation oncology and nuclear Delegates from the College included Prof Vincent medicine were also welcomed into the radiological Chong, A/Prof Tan Bien Soo, Dr Quek Swee Tian, and community by CRS and SRS. Dr Tan Cher Heng (who had spoken at previous MRS- CRS symposiums and were familiar to the audience). Dr Thian Yee Liang was new faculty at the 2014 meeting. Dr Tobias Martin Seyfarth, Division Cluster Lead at Siemens Healthcare Sector also shared his expertise on MRI physics, hardware and sequences. The symposium had built upon the foundation laid in the previous years. It emphasised on MR imaging as the rapid development of imaging in Myanmar meant the increased penetration and utilisation of MRI units in the coming years. The topics covered \\ started with basic MRI physics, and spanned neurological, musculoskeletal, interventional and body imaging. There was considerable material to FY Khoo lecturer, Prof Lenny Tan, delivering the FY Khoo lecture. cover over two days, but the audience was attentive throughout the course.

Symposium participants and organisers at the Chatrium Hotel.

Prof Lin Tun Tun speaking at the opening of the 3rd Pre-MRS The Singapore delegation in high spirits while enjoying a tour of Clinical Symposium on CT and MR. the Shwedagon Pagoda.

Annual Report 2014 77 College About… of Surgeons, Singapore

The Chapter of Surgeons was inaugurated in its members. The Academy Council undertook a 1966 by the Master of the Academy of Medicine, major review of the Academy’s Memorandum and Professor K Shanmugaratnam, as one of the first Articles of Association (M&AA) in 2002 and 2003 two Chapters of the Academy. The first chairman with a view to transform a number of Chapters to elected was Mr Yahya Cohen. Over the years, it had Colleges. The College of Surgeons, Singapore was functioned under the umbrella of the Academy and incorporated on 17 August 2004. successfully organised many academic activities for

President’s Message Dr Esuvaranathan Kesavan

2014 was another dynamic to assist Trainees in their Exit year in the College with Fellows “2014 was another exams; Knee Arthroscopic Course; proactively organising and dynamic year in Urology Skills Update Course; and participating in various events to the Staff Registrar Scheme. help upgrade and put the College the College with at the forefront of our profession. Fellows proactively Fellows participated in various initiatives and discussions to The Chapter of Cardiothoracic organising and provide feedback to MOH and Surgeons launched its Dinner participating in SMC, attended numerous monthly Lecture Series of Continuing meetings, sat on JCST Exam Medical Education programme various events to Committee, endorsed events in with Prof Kim Kwhanmien, who support of contemporaries to lectured on ‘Complex VATS help upgrade and seek a common goal and unity. Lobectomy for Non-Small Cell put the College at Lung Cancer (NSCLC) – How Far The College honoured fellow Can We Push the Boundary?’. the forefront of our professionals with the College This was followed by the Chapter profession.” Lectureship (Professor Lee Eng of Otorhinolaryngologists, who Hin), Yahya Cohen Memorial commenced its series with Prof Lectureship (Dr Gan Eng Cern) and Michael Rutter on ‘Endoscopic in Scar Management’ with Dr College of Surgeons Gold Medal Airway Surgery State of the Art Giuseppe Micali. Awards for the best performing 2014’. The Chapter of General specialist exit examinees. Surgeons opened its Dinner The Chapter of General Surgeons Lectures with ‘Laparoscopic organised the Live Laparoscopic I would like to thank all who Colorectal Surgery: An Update Surgery Symposium from 4 to 5 organised and participated in from the Japanese Multi-Centre May 2014 covering topics such the activities and for making Trial’ delivered by Prof Fumio as laparoscopic TEP repair and 2014 a successful year. For 2015, Konishi. Then, the Plastic, laparoscopic ventral hernia the College and its Chapters will Reconstructive and Aesthetics repair, among others. In grooming continue with initiatives to help Chapter Surgeons launched its specialty surgeons, the Chapters Fellows remain in the forefront of lectures with ‘Asian Advances organised preparatory courses our profession.

78 Annual Report 2014 The 2014-2015 Council President: Dr Esuvaranathan Kesavan President Elect: Dr Vijayan Appasamy (deceased) Vice President: Dr Ravishankar K Diddapur Honorary Secretary: Dr Bertha Woon Honorary Treasurer: Dr Dean Koh Council Members: Dr I Swaminathan Dr Ho Kok Sun Chapter Chairmen Chapter of Cardiothoracic Surgeons: Dr James Wong Chapter of General Surgeons: Dr Wong Soong Kuan Chapter of Hand Surgeons: Dr Tan Puay Ling Chapter of Neurosurgeons: Dr Christopher Ang Beng Ti Chapter of Otorhinolaryngologists: Dr Peter Lu Chapter of Orthopaedic Surgeons: Dr Inderjeet Singh Rikhraj Chapter of Paediatric Surgeons: Dr Caroline Ong Chapter of Plastic, Reconstructive & Aesthetic Surgeons Dr Marcus Wong Chapter of Urologists: Dr Sim Hong Gee

Seated (from left to right): Dr Ho Kok Sun (Council Member), Dr Swaminathan Ikshuvanam (Council Member), Dr Ravishankar K Diddapur (Vice President), Dr Kesavan Esuvaranathan (President), Dr Bertha Woon (Honorary Secretary), Dr Dean Koh (Honorary Treasurer), Dr Inderjeet Singh Rikhraj (Chairman, Chapter of Orthopaedic Surgeons) Standing (from left to right): Dr Sim Hong Gee (Chairman, Chapter of Urologists), Dr Christopher Ang (Chairman, Chapter of Neurosurgeons), Dr Caroline Ong (Chairman, Chapter of Paediatric Surgeons), Dr Tan Puay Ling (Chairman, Chapter of Hand Surgeons), Dr Peter Lu (Chairman, Chapter of Otorhinolaryngologists), Dr Wong Soong Kuan (Chairman, Chapter of General Surgeons), Dr Marcus Wong (Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons) Not in photo: Dr Appasamy Vijayan (President Elect), Dr James Wong (Chairman, Chapter of Cardiothoracic Surgeons) Specialty Chapters The Boards of the various Specialty Chapters has Chapter of General Surgeons been elected into office for a two-year term from Chairman: Dr Wong Soong Kuan 2013-2015 after the 7th Annual General Meeting Vice Chairman: Dr Ranjiv Sivanandan of the respective Chapters in 2013. The following Honorary Secretary: Dr Ho Choon Kiat Specialty Chapter Boards had continued their term Board Members: Dr Tan Kok Yang of office: Dr Bernard Lim Dr Lim Jit Fong Chapter of Cardiothoracic Surgeons Dr Jaideepraj Rao Chairman: Dr James Wong Dr Stephen Chang (Co-opted) Vice Chairman: Dr Victor Chao Dr Tan Kok Yang (Co-opted) Honorary Secretary: Dr Lim Yeong Phang Dr Steven Kum (Co-opted) Board Members: Dr C Sivathasan Dr Seow Choon Sheong (Co-opted) Dr Soon Jia Lin Dr Alex Chung (Co-opted) Dr Aye Winn Maung Maung Dr Chan Ching Wan (Co-opted)

Annual Report 2014 79 Chapter of Hand Surgeons Chapter of Plastic, Reconstructive & Aesthetic Chairman: Dr Tan Puay Ling Surgeons Vice Chairman: Dr Tan Ter Chyan Chairman: Dr Marcus Wong Honorary Secretary: Dr Andrew Yam Vice Chairman: Dr Ong Yee Siang Board Members: Dr Jacqueline Tan Honorary Secretary: Dr Por Yong Chen Dr Sandeep Jacob Sebastin Board Members: Dr Tan Ying Chien Dr Colin Tham Chapter of Neurosurgeons Dr Karen Sng Chairman: Dr Christopher Ang Beng Ti Dr Cheong Ee Cherk Vice Chairman: Dr Ernest Wan Honorary Secretary: Dr Ng Wai Hoe Chapter of Urologists Board Members: Dr Dinesh Kumar Chairman: Dr Sim Hong Gee Dr David Low Vice Chairman: Dr Heng Chin Tiong Dr Tan Kheng Kooi (Co-opted) Honorary Secretary: Dr Colin Teo Dr Seow Wan Tew (Co-opted) Board Members: Dr Chia Sing Joo Dr Chua Wei Jin Chapter of Orthopaedic Surgeons Dr Ng Foo Cheong Chairman: Dr Inderjeet Singh Rikhraj Dr Damian Png Vice Chairman: Dr Sathappan SS Dr David Consigliere (Co-opted) Honorary Secretary: Dr Arjandas Mahadev Dr Toh Khai Lee (Co-opted) Board Members: Dr Fareed Husain Yusuf Kagda Dr Tan Yeh Hong (Co-opted) Dr Kevin Lim Annual General Meeting Chapter of Otorhinolaryngologists The 10th Annual General Meeting of the College was Chairman: Dr Peter Lu held on 12 May 2014 at Gleneagles Hospital. Vice Chairman: Dr Paul Mok Honorary Secretary: Dr Jeevendra Kanagalingam Board Members: Dr Kenneth Oo Council Meetings Dr Ian Loh The Council met once every two months to conduct Dr Toh Song Tar the business and affairs of the College. The 2014- Dr Raymond Ngo 2015 Council had met four times in 2014. Chapter of Paediatric Surgeons Chapter Board Meetings Chairman: Dr Caroline Ong Vice Chairman: Dr Dale Loh The Boards of the various Specialty Chapters had Honorary Secretary: Dr Chiang Li Wei met eight times in 2014. Board Members: Dr Joyce Chua Dr Ong Lin Yin Membership Dr Mali Vidyadhar The total College membership as of 31 December 2014 stands at 533, comprising of 511 Local and 22 Overseas Fellows.

Y2013 Y2014 600

500

400 533 510 300

174 200 169

100 71 76 75 78 58 34 34 45 51 56 21 22 21 22 18 18 0 Cardio- General Hand Otorhino- Neuro- Orthopaedic Paediatric Plastic, Urologists College of thoracic Surgeons Surgeons laryngologists Surgeons Surgeons Surgeons Reconstructive Surgeons Surgeons, Surgeons & Aesthetic Singapore Surgeons

80 Annual Report 2014 Continuing Medical Education Monthly Combined Meetings The Chapter of Cardiothoracic Surgeons had The Chapter of General Surgeons took part in organised dinner lectures between January and monthly surgical meetings conducted in the November 2014: restructured institutions on a rotational basis. The • Complex VATS Lobectomy for Non-Small Cell Chapter of Otorhinolaryngologists had held monthly Lung Cancer – How Far Can We Push the Otology Board Meetings on the last Friday of every Boundary? month jointly with the National University Hospital Speaker: Prof Kim Kwhanmien and Tan Tock Seng Hospital.

• Re-do in Thoracic Aortic Surgery Live Laparoscopic Surgery Speaker: Prof Roberto Di Bartolomeo Symposium The Chapter of General Surgeons had held a two- • Challenges of Valve Surgery in Vietnam day symposium on live laparoscopic surgery at the Speaker: Dr Phan Nguyen Van Phan Tan Tock Seng Hospital in May 2014 covering topics such as laparoscopic TEP repair, laparoscopic ventral • Heart Transplantation vs Mechanical Circulatory hernia repair, 3-D laparoscopic reversion of sleeve Support – Is the Gold Standard Changing? to Roux-en-Y gastric bypass, 3-D laparoscopic hiatal Speaker: Dr Cumaraswamy Sivathasan hernia and Nissen fundoplication. The Chapter of General Surgeons had organised the following lecture in 2014: Knee Arthroscopic Course • Laparoscopic Colorectal Surgery: An Update from The Chapter of Orthopaedic Surgeons had organised the Japanese Multi-Centre Trial the Knee Arthroscopic Course on 26 July 2014 at the Speaker: Prof Fumio Konishi Academia, Singapore General Hospital comprising topics such as patient selection, knee cartilage The Chapter of Otorhinolaryngologists had organised pathology and treatment and meniscal repair. the following lectures from February to September 2014: Exit Examination Preparatory • Are You Treating Allergic Rhinitis Comprehensively? Course Speaker: Dr Jeevendra Kanagalingam The Chapter of General Surgeons had organised its th • Not All Sleepy Patients Have OSA 7 Exit Examination preparatory course from 24 to Speaker: Dr Chua Ai Ping 27 June 2014 to assist the Advanced Surgical Trainees (ASTs) in general surgery in their preparations for their exit examinations. The preparatory course was • Sleep Surgery is Not Recommended for OSA hosted by the National University Hospital, Khoo Speaker: Dr Toh Song Tar Teck Puat Hospital and Singapore General Hospital. • Endoscopic Airway Surgery State of the Art 2014 The course comprised bedside teaching and mock Speaker: Prof Michael Rutter VIVA that were similar in format to the actual exit examinations and covered core modules in areas The Chapter of Plastic, Reconstructive & Aesthetics such as breast, endocrine, upper gastrointestinal, Surgeons presented the following lectures in July vascular, trauma, colorectal, hepato-pancreatico- 2014: biliary, general surgery, head and neck, minimally- • Asian Advances in Scar Management invasive surgery and emergency surgery and critical Speaker: Dr Giuseppe Micali care. • Advances in Scar Management Speaker: Dr Giuseppe Micali

Annual Report 2014 81 College Dinner 2014 The 19th Yahya Cohen Memorial The 9th College Dinner was held on 10 October at The Lectureship Pan Pacific Hotel Singapore. The College had invited The College awarded the 19th Yahya Cohen A/Prof Benjamin Ong, Director Medical Services, Memorial Lecture Award to Ministry of Health as the Guest-of-Honour, to grace Dr Gan Eng Cern (Chapter of the ceremony. The Master- Otorhinolaryngologists) for his of-Ceremonies was Dr Bertha paper entitled ‘Five-degree, Woon. The Dinner was attended 10-degree, and 20-degree by 99 participants comprising Reverse Trendelenburg Position College members and invited during Functional Endoscopic guests. The College hosted the Sinus Surgery: A Double-blinded Named Lectureships—the 9th Dr Gan Eng Cern, Randomised Controlled Trial’. Dr th College of Surgeons Lecture and the 19 Yahya Cohen th Gan was presented with a College Memorial Lecture the 19 Yahya Cohen Memorial A/Prof Benjamin gold medal and certificate. awardee. Lecture. The Dinner, supported Ong, Director Medical Services, by surgeons from the different Ministry of Health, surgical disciplines, provided for a was the Guest-of- College of Surgeons Gold Medal pleasant evening of camaraderie Honour at the 9th College Dinner. Award 2014 and networking. Best performing Advanced Surgical Trainees (ASTs) from various surgical specialties had been awarded The 9th College Lectureship the College of Surgeons Gold Medal at the College The College was honoured to have Prof Lee Eng of Surgeons Dinner on 10 October 2014. They had Hin, a renowned orthopaedic surgeon with a been nominated by their respective Chairman of passion for teaching as its prestigious 9th College of the Residency Advisory Committee of the relevant Surgeons Lecturer. Prof Lee has specialty. an academic appointment with the Department of Orthopaedic Specialty Recipient Surgery, Yong Loo Lin School of General Surgery (2014) Dr Ramesh Wijaya Medicine, National University Plastic Surgery (2013) Dr Wong Manzhi of Singapore. He had delivered Plastic Surgery (2014) Dr Ho Yew Ming, Samuel a thought-provoking lecture Orthopaedic Surgery (2014) Dr Lee Wei Ting on ‘The Academic Surgeon: Prof Lee Eng Hin, Urology (2013) Dr Tricia Kuo Challenges in an Evolving Medical the 9th College of Urology (2014) Dr Tay Kae Jack Surgeons Lecturer. Landscape’.

College of Surgeons Travelling Fellowship The College awarded the College of Surgeons Travelling Fellowship for the Year 2014 to the following Council members who had attended meetings/events representing the College.

Meeting/Event Date Venue Recipient Annual Scientific Meeting Organised by 23-25 May Kuching, Sarawak Dr I Swaminathan College of Surgeons, Academy of Medicine, Malaysia The 39th RCST Annual Scientific Congress 10-13 July Pattaya, Thailand Dr Bertha Woon The 3rd Summit Meeting of the ASEAN 11-13 July Bangkok, Thailand Dr Vijayan Appasamy Federation of Surgical College The 48th MSCM 26-28 August Kuala Lumpur, Malaysia Prof E Kesavan RSSED/CSHK Conjoint Diploma Conferment 12-14 September Hong Kong Dr Bertha Woon Ceremony and CSHK Silver Jubilee Opening Ceremony cum Annual Dinner ASEAN Surgical Education Committee Meeting 7 October Bali, Indonesia Dr Vijayan Appasamy The 100th Annual Clinical Congress, American 26-30 October San Francisco, US Prof E Kesavan College of Surgeons

82 Annual Report 2014 Endorsement of Event Professional Opinion The College and its Chapters had endorsed the The College had been invited by the Regulatory following event in Year 2014: Compliance Division of the Ministry of Health to provide feedback on various topics. The College had Event Date Venue Organiser submitted its reply through the Academy on the The 3rd 26-27 National National following: Singapore September Heart Centre Heart Centre No. Topic Valve 2014 Singapore Singapore 1 Further Edits to the Proposed Aesthetic Facial Procedures for Dental Practitioners Guidelines Nominations for JCST Exam 2 Expansion Pharyngoplasty 3 Table of Surgical Procedures (TOSP) Review Committees 2014/2015 JCST had invited the Academy to nominate members 4 Verification of Visiting Experts from the Colleges and Chapters to be members of the 5 Specialist Training in Singapore JCST Exam Committee in October 2014. The College 6 Monopolar RadioFrequency Skin Tightening and its Chapters had submitted a list of nominees for 7 Mandating the Provision of Liposuction Services the RAC’s consideration. in Ambulatory Surgical Centres and Hospitals 8 Zeltiq Coolsculpting Staff Registrar Scheme Following the Ministry of Health’s paper in early Feedback Sessions 2007 on introducing the Staff Registrar Scheme The College and its Chapters had also provided (SRS), the following Specialty Chapters under the inputs at special feedback sessions. The Chapter College had implemented the scheme. Candidates of Urologist represented by the Chapter Chair who successfully complete the SRS programme will supported the Urology Skills Update Course in be awarded a diploma jointly by the Academy of 2014. The Chapter of Otorhinolaryngologists held a Medicine and the College of Surgeons. special meeting with the heads of the various ENT departments on 24 February 2014 on the concerns Chapter of Cardiothoracic Surgeons of otorhinolaryngology trainees. On 26 July 2014, The Chapter rolled out its SRS programme in April the College had also participated in the Academy’s 2008. The second intake has two trainees and the Strategic Planning Meeting. programme was ongoing in 2014 and is expected to end in August 2015. Cardiothoracic Surgeons Retreats The Chapter of Cardiothoracic Surgeons organised Chapter of Hand Surgeons retreats on 11 January, 5 July and 30 August 2014. The Chapter had rolled out its SRS programme in The events were well attended by members from the July 2008. In the November 2011 intake, the sole Chapter, trainees, nurses and perfusionists. candidate withdrew from SRS programme in the

2nd year as she had done too many General Surgery cases and not enough Hand Surgeries prior to entering the residency programme. The trainee had been accepted into MRCP in 2014.

Chapter of Neurosurgeons The Chapter rolled out its SRS programme in January 2008. From the third intake, one trainee had completed the programme in 2014.

Chapter of Urologists Surgeons The Chapter rolled out its SRS programme in August 2011. The first intake had one trainee and the programme completed in July 2014.

Annual Report 2014 83 NEO YI SHAN, JASMINE (Ms) Executive College of Physicians, Singapore

Staff List NG KAI LIN (Ms) Executive (As at 31 December 2014) College of Physicians, Singapore TAN AI HONG, JACLYN SHERMAINE (Ms) Executive Academy of Medicine, Singapore College of Dental Surgeons, Singapore HENG JUIT NGOH, JUNIA (Ms) Executive Director College of Ophthalmologists, Singapore Chapter of Clinician Scientists Corporate Relations YAZEEDAH BINTE SA’AT (Ms) Assistant Manager, Corporate Relations THONG CHUI PHENG, PATRICIA BENED (Ms) Senior Executive NEO YI SHAN, JASMINE (Ms) Executive, Corporate Secretarial College of Surgeons, Singapore

Finance/Accounts PEE LAY KHENG (Ms) Accountant Joint Committee on Specialist Training NADWATI BINTE ROSLI (Ms) Executive, Accounts PROF LIM SHIH HUI Co-chairman SONG LI SIANG (Ms) Executive, Accounts A/PROF CHEN FUN GEE Co-chairman TOH SUAN, CANDY (Ms) Officer, Accounts TEO PHECK SEE, BETTY (Ms) Senior Manager CHOA EE ENG, TRISCILIA (Ms) Manager Human Resources THAM LAI MENG, CONNIE (Ms) Executive, HR Dermatology SITI HAWA BTE HASHIM (Ms) Senior Executive Administration YONG LEE MEE, CHRISTINA (Ms) Executive, Administration Internal Medicine, Nuclear Medicine, Rheumatology LIM LAY CHENG, SALLY (Ms) Administrative Officer LEE SIEW HUI, CAROL (Ms) Senior Executive NAZRIN BIN HUSSEIN Despatch cum Admin Assistant Cardiology, Renal Medicine, Geriatric Medicine, Neurosurgery Membership TENG BING LIN, DARYL Senior Executive CHEONG SUE LIN (Ms) Executive, Membership Paediatric Medicine, Neonatology, Psychiatry Publications NARINDER KAUR D/O PURAN SINGH (Ms) Senior Executive CHAN HUI CHEE (Ms) Executive, Publications HARCHARAN KAUR (Ms) Executive, Publications Diagnostic Radiology, Haematology, Transfusion Medicine, Palliative NOORAZLEENA BTE SHA’HRI (Ms) Executive, Publications Medicine WONG MEI YEN, STELLA (Ms) Senior Executive Professional Affairs SYAIRAH BTE SAMSUDIN (Ms) Senior Executive, Professional Affairs Orthopaedic Surgery, Radiation Oncology, Endocrinology YONG LEE MEE, CHRISTINA (Ms) Executive, Professional Affairs YEO XUE XIN (Ms) Senior Executive

Education & Training Pathology, O & G, Aviation Medicine KOH AI LING (Ms) Assistant Manager, Education & Training TAN LI YUEN, AERIS (Ms) Executive HO LEE LIAN (Ms) Executive, Education & Training Ophthalmology, Occupational Medicine, Public Health, Preventive KOH TAT LIM, ADAM Executive, Education & Training Medicine LEE HUI YING, GRACE (Ms) Executive, Education & Training KAM, SHERYL (Ms) Executive

Information Technology General Surgery, Medical Oncology, Neurology CHAN CHEE HOE Senior Executive, IT LOH PUI YOKE (Ms) Executive

Professional Conference Organisation Hand Surgery, Otorhinolargyngology (ENT), Gastroenterology SALBIA BINTE IBRAHIM (Ms) Executive, Events & Conferences TAN HWEE MIANG (Ms) Executive

Secretariat of Colleges and Chapters Respiratory Medicine, Plastic Surgery, Rehabilitation Medicine GAN BENG SEE, PEARLY (Ms) Executive GOH WEI PENG (Ms) Executive College of Anaesthesiologists, Singapore College of Obstetricians & Gynaecologists, Singapore Infectious Disease, Urology, Anaesthesiology Chapter of Clinician Educators LIM YAN XIU, EDITH (Ms) Executive

DEBORAH HALIM (Ms) Executive Emergency Medicine, Sport Medicine College of Radiologists, Singapore TAN GEOK KHENG, YVONNE (Ms) Executive College of Public Health & Occupational Physicians Chapter of Pathologists Cardiothoracic Surgery, Paediatric Surgery, Intensive Care Medicine LAU PEI ZHI, PEGGY (Ms) Executive SALBIA BINTE IBRAHIM (Ms) Executive College of Psychiatrists CHAN CHEE HOE Senior Executive, IT TOH KIAN SIAH Finance Executive SHANITA NADARAJAN (Ms) Senior Officer RUGAYAH BINTE ISHAK (Ms) Senior Management Support Officer College of Paediatrics & Child Health, Singapore CHNG SIEW FONG, PATRICIA (Ms) Management Support Officer College of Emergency Physicians NG SUNT FEN, SANDRA (Ms) Management Support Officer

84 Annual Report 2014 Organisation Chart

COUNCIL Dr Lim Shih Hui Master (2012-2016)

STANDING COMMITTEES COLLEGES/CHAPTERS Audit College of Anaesthesiologists Dr Chew Chin Hin Dr Phillip Tseng

Constitutional Review Executive Committee College of Dental Surgeons Dr Tan Kok Chai Dr Lim Shih Hui Dr Benjamin Long

Continuing Professional Development College of Obstetricians & Dr Lim Shih Hui Gynaecologists Executive Director Dr Tan Hak Koon Finance and Establishment Review Ms Junia Heng Dr Khoo Kei Siong College of Paediatrics & Child Health Dr Victor Samuel Rajadurai Joint Committee on Specialist Training (JCST) CORPORATE SERVICES College of Physicians Dr Lim Shih Hui • Accounts & Finance Dr Tay Jam Chin • Corporate Relations Membership • Education & Training College of Radiologists Dr T Thirumoorthy • Human Resource & Dr Tchoyoson Lim Administration Postgraduate Education • Membership College of Surgeons Dr Fock Kwong Ming • Professional Affairs Dr E Kesavan • Professional Conference Professional Affairs Organisation College of Emergency Physicians Dr Ho Lai Yun • Publications Dr V Anantharaman • Secretariat of Colleges/ Scientific Conferences and Seminars Chapters College of Ophthalmologists Dr Chan Yew Weng Dr Heng Wee Jin

Publications College of Public Health & Dr Tan Eng King Occupational Physicians Dr Benjamin Ng Search Dr Lim Shih Hui College of Psychiatrists Dr Ng Beng Yeong

Chapter of Pathologists Dr Cuthbert Teo

Chapter of Clinician Educators Dr Erle Lim

Chapter of Clinician Scientists Dr Tan Eng King

Annual Report 2014 85 Past Masters and Honorary Fellows List

Past Masters 2011-2012 Tan Kok Chai 1980-1982 Lim Pin 2008-2010 Fock Kwong Ming 1978-1980 VK Pillay 2006-2008 Ho Lai Yun 1975-1978 Robert CK Loh 2004-2006 Low Cheng Hock 1973-1975 Chew Chin Hin 2002-2004 K Satku 1970-1973 Seah Cheng Siang 2000-2002 Walter TL Tan 1968-1970 Yahya Cohen 1998-2000 Chee Yam Cheng 1966-1968 K Shanmugaratnam 1995-1998 Tan Ser Kiat 1964-1966 Khoo Oon Teik 1992-1995 Chao Tzee Cheng 1961-1964 Gwee Ah Leng 1990-1992 Raj Nambiar 1960-1961 DWC Gawne 1987-1990 Tan Ngoh Chuan 1959-1960 C Elaine Field 1984-1987 Lawrence KC Chan 1957-1959 Gordon A Ransome 1982-1984 Chow Khuen Wai

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

86 Annual Report 2014 Financial Statements for the Financial Year Ended December 2014

Academy of Medicine, Singapore (INCORPORATED IN THE REPUBLIC OF SINGAPORE) Committed to specialist education and training since 1957

ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE Incorporated in the Republic of Singapore and Limited by Guarantee Incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors

Bankers Auditors Master Dr Lim Shih Hui

Assistant Master – Academic Affairs Dr Wong Kok Seng DBS Bank Ltd Geetha A & Associates Assistant Master – Administrative Affairs Dr Teo Eng Kiong Maybank Singapore Public Accountants and Scribe Dr S R E Sayampanathan OCBC Bank Chartered Accountants of Singapore Bursar Dr Khoo Kei Siong 120 Lower Delta Road HSBC Bank Assistant Bursar Dr Lai Fon-Min #15-15 Cendex Centre Censor-in-Chief Dr Thamotharampillai Thirumoorthy Singapore 169208 Censor Dr Chan Yew Weng Censor Dr David Lye Chien Boon Censor Dr Lim Lay Cheng Censor Dr Alan Ng Wei Keong Censor Dr Ong Hock Soo Censor Dr Wong Chiang Yin

Chair, Chapter of Clinician Scientists Dr Tan Eng King Index Page Chair, Chapter of Clinical Educators Dr Lim Chuen Hian, Erle Chair, Chapter of Pathologists Dr Cuthbert Teo Eng Swee President, College of Ophthalmologists Dr Heng Wee Jin Directors' Report 1 - 6 President, College of Public Health and Dr Benjamin Ng Occupational Physicians Statement By Directors 7 President, College of Anaesthesiologists Dr Tseng Seng Sou, Phillip President, College of Dental Surgeons Dr Benjamin Charles Long Independent Auditors’ Report 8 - 9 President, College of Obstetricians and Dr Tan Hak Koon Gynaecologists Statement of Financial Position 10 President, College of Paediatrics and Child Health Dr Victor Samuel Rajadurai President, College of Physicians Dr Tay Jam Chin Statement of Comprehensive Income 11 President, College of Radiologists Dr Tchoyoson Lim Choie Cheio President, College of Surgeons Dr Kesavan Esuvanathan Statement of Financial Activities 12 - 13 President, College of Emergency Physicians Dr Venkataraman Anantharaman President, College of Psychiatrists Dr Ng Beng Yeong Statement of Cash Flows 14

Ex-Officio Notes To The Financial Statements 15 - 37

Editor, Annals Dr Tan Eng King

Company Secretaries

Ms Ho Wui Mee Marian Ms Chew Bee Leng

ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE Incorporated in the Republic of Singapore and Limited by Guarantee Incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors

Bankers Auditors Master Dr Lim Shih Hui

Assistant Master – Academic Affairs Dr Wong Kok Seng DBS Bank Ltd Geetha A & Associates Assistant Master – Administrative Affairs Dr Teo Eng Kiong Maybank Singapore Public Accountants and Scribe Dr S R E Sayampanathan OCBC Bank Chartered Accountants of Singapore Bursar Dr Khoo Kei Siong 120 Lower Delta Road HSBC Bank Assistant Bursar Dr Lai Fon-Min #15-15 Cendex Centre Censor-in-Chief Dr Thamotharampillai Thirumoorthy Singapore 169208 Censor Dr Chan Yew Weng Censor Dr David Lye Chien Boon Censor Dr Lim Lay Cheng Censor Dr Alan Ng Wei Keong Censor Dr Ong Hock Soo Censor Dr Wong Chiang Yin

Chair, Chapter of Clinician Scientists Dr Tan Eng King Index Page Chair, Chapter of Clinical Educators Dr Lim Chuen Hian, Erle Chair, Chapter of Pathologists Dr Cuthbert Teo Eng Swee President, College of Ophthalmologists Dr Heng Wee Jin Directors' Report 1 - 6 President, College of Public Health and Dr Benjamin Ng Occupational Physicians Statement By Directors 7 President, College of Anaesthesiologists Dr Tseng Seng Sou, Phillip President, College of Dental Surgeons Dr Benjamin Charles Long Independent Auditors’ Report 8 - 9 President, College of Obstetricians and Dr Tan Hak Koon Gynaecologists Statement of Financial Position 10 President, College of Paediatrics and Child Health Dr Victor Samuel Rajadurai President, College of Physicians Dr Tay Jam Chin Statement of Comprehensive Income 11 President, College of Radiologists Dr Tchoyoson Lim Choie Cheio President, College of Surgeons Dr Kesavan Esuvanathan Statement of Financial Activities 12 - 13 President, College of Emergency Physicians Dr Venkataraman Anantharaman President, College of Psychiatrists Dr Ng Beng Yeong Statement of Cash Flows 14

Ex-Officio Notes To The Financial Statements 15 - 37

Editor, Annals Dr Tan Eng King

Company Secretaries

Ms Ho Wui Mee Marian Ms Chew Bee Leng

ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report Directors’ Report For the Financial Year Ended 31 December 2014 For the Financial Year Ended 31 December 2014

The Council Members have pleasure in presenting their report together with the audited financial d. Appointed Council Members statements of the Academy of Medicine, Singapore (herein after referred to as “Academy”) for the financial year ended 31 December 2014. Chair, Chapter of Clinician Scientists Dr Tan Eng King Chair, Chapter of Clinical Educators Dr Lim Chuen Hian, Erle Chair, Chapter of Pathologists Dr Cuthbert Teo Eng Swee 1. Principal Activities President, College of Ophthalmologists Dr Heng Wee Jin President, College of Public Health and Dr Benjamin Ng The principal activities of the Academy are to advance the art and science of medicine, promote Occupational Physicians study and research into medical and scientific problems, to sustain and foster postgraduate education President, College of Anaesthesiologists Dr Tseng Seng Sou, Phillip and conduct higher professional examinations and to award diplomas. President, College of Dental Surgeons Dr Benjamin Charles Long President, College of Obstetricians and Dr Tan Hak Koon Gynaecologists 2. Registered Office Address President, College of Paediatrics and Child Health Dr Victor Samuel Rajadurai President, College of Physicians Dr Tay Jam Chin The Academy is registered and domiciled in Singapore with its registered office and principal place President, College of Radiologists Dr Tchoyoson Lim Choie Cheio of business at 81 Kim Keat Road, #11-00, NKF Centre, Singapore 328836. President, College of Surgeons Dr Kesavan Esuvanathan President, College of Emergency Physicians Dr Venkataraman Anantharaman President, College of Psychiatrists Dr Ng Beng Yeong 3. Structure, Governance and Management e. Ex-Officio a. Governing Document Editor, Annals Dr Tan Eng King The Academy is a charitable company limited by guarantee, incorporated on 19 September 1977 and has been registered as a Charity (Charity Registration No: 00043) since 13 April 1984. It has also f. Standing Committees been granted the status of Institute of Public Character (IPC) by the Ministry of Health, Singapore for a period of two (2) years from 17 May 2014 to 16 May 2016. During the year, the following committees were appointed by the Council to help develop and maintain the objectives of the Academy: The Academy was established under a Memorandum of Association which established the objects and powers of the Academy and is governed under its Articles of Association. Standing Committees Chairman  Audit Dr Chew Chin Hin b. Council  Constitutional Review Dr Tan Kok Chai  Continuing Professional Development Dr Lim Shih Hui The Academy is managed by the Council who met monthly during the year to discuss the business  Finance and Establishment Review Dr Khoo Kei Siong and affairs of the Academy and is responsible for carrying out its policy. The Council members as  Membership Dr Thamotharampillai Thirumoorthy at 31 December 2014 were:  Postgraduate Education Dr Fock Kwong Ming

 Professional Affairs Dr Ho Lai Yun c. Elected Council Members  Professional Conference Organisation Dr Chan Yew Weng

 Publication (Annals) Dr Tan Eng King Master Dr Lim Shih Hui  Assistant Master – Academic Affairs Dr Wong Kok Seng Search Dr Lim Shih Hui Assistant Master – Administrative Affairs Dr Teo Eng Kiong Scribe Dr S R E Sayampanathan Bursar Dr Khoo Kei Siong Assistant Bursar Dr Lai Fon-Min Censor-in-Chief Dr Thamotharampillai Thirumoorthy Censor Dr Chan Yew Weng Censor Dr David Lye Chien Boon Censor Dr Lim Lay Cheng Censor Dr Alan Ng Wei Keong Censor Dr Ong Hock Soo Censor Dr Wong Chiang Yin

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ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report Directors’ Report For the Financial Year Ended 31 December 2014 For the Financial Year Ended 31 December 2014

The Council Members have pleasure in presenting their report together with the audited financial d. Appointed Council Members statements of the Academy of Medicine, Singapore (herein after referred to as “Academy”) for the financial year ended 31 December 2014. Chair, Chapter of Clinician Scientists Dr Tan Eng King Chair, Chapter of Clinical Educators Dr Lim Chuen Hian, Erle Chair, Chapter of Pathologists Dr Cuthbert Teo Eng Swee 1. Principal Activities President, College of Ophthalmologists Dr Heng Wee Jin President, College of Public Health and Dr Benjamin Ng The principal activities of the Academy are to advance the art and science of medicine, promote Occupational Physicians study and research into medical and scientific problems, to sustain and foster postgraduate education President, College of Anaesthesiologists Dr Tseng Seng Sou, Phillip and conduct higher professional examinations and to award diplomas. President, College of Dental Surgeons Dr Benjamin Charles Long President, College of Obstetricians and Dr Tan Hak Koon Gynaecologists 2. Registered Office Address President, College of Paediatrics and Child Health Dr Victor Samuel Rajadurai President, College of Physicians Dr Tay Jam Chin The Academy is registered and domiciled in Singapore with its registered office and principal place President, College of Radiologists Dr Tchoyoson Lim Choie Cheio of business at 81 Kim Keat Road, #11-00, NKF Centre, Singapore 328836. President, College of Surgeons Dr Kesavan Esuvanathan President, College of Emergency Physicians Dr Venkataraman Anantharaman President, College of Psychiatrists Dr Ng Beng Yeong 3. Structure, Governance and Management e. Ex-Officio a. Governing Document Editor, Annals Dr Tan Eng King The Academy is a charitable company limited by guarantee, incorporated on 19 September 1977 and has been registered as a Charity (Charity Registration No: 00043) since 13 April 1984. It has also f. Standing Committees been granted the status of Institute of Public Character (IPC) by the Ministry of Health, Singapore for a period of two (2) years from 17 May 2014 to 16 May 2016. During the year, the following committees were appointed by the Council to help develop and maintain the objectives of the Academy: The Academy was established under a Memorandum of Association which established the objects and powers of the Academy and is governed under its Articles of Association. Standing Committees Chairman  Audit Dr Chew Chin Hin b. Council  Constitutional Review Dr Tan Kok Chai  Continuing Professional Development Dr Lim Shih Hui The Academy is managed by the Council who met monthly during the year to discuss the business  Finance and Establishment Review Dr Khoo Kei Siong and affairs of the Academy and is responsible for carrying out its policy. The Council members as  Membership Dr Thamotharampillai Thirumoorthy at 31 December 2014 were:  Postgraduate Education Dr Fock Kwong Ming

 Professional Affairs Dr Ho Lai Yun c. Elected Council Members  Professional Conference Organisation Dr Chan Yew Weng

 Publication (Annals) Dr Tan Eng King Master Dr Lim Shih Hui  Assistant Master – Academic Affairs Dr Wong Kok Seng Search Dr Lim Shih Hui Assistant Master – Administrative Affairs Dr Teo Eng Kiong Scribe Dr S R E Sayampanathan Bursar Dr Khoo Kei Siong Assistant Bursar Dr Lai Fon-Min Censor-in-Chief Dr Thamotharampillai Thirumoorthy Censor Dr Chan Yew Weng Censor Dr David Lye Chien Boon Censor Dr Lim Lay Cheng Censor Dr Alan Ng Wei Keong Censor Dr Ong Hock Soo Censor Dr Wong Chiang Yin

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ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report Directors’ Report For the Financial Year Ended 31 December 2014 For the Financial Year Ended 31 December 2014

g. Colleges, Chapters and Section b. Incoming Resources

The Colleges and Chapters of the Academy as at 31 December 2014 were: i. Unrestricted Funds – Academy main operating accounts

 College of Anaesthesiologists, Singapore The main source of income was from members’ annual subscription which amounting to  College of Dental Surgeons, Singapore S$1,227,594. This represented 41% of the total income of the Unrestricted Funds  College of Obstetricians and Gynaecologists, Singapore (S$2,962,651) of the main operating accounts of the Academy.  College of Paediatrics and Child Health, Singapore  College of Physicians, Singapore The other major sources of income for the operational needs of the Academy were :  College of Radiologists, Singapore Professional/Course Fees : S$650,097  College of Surgeons, Singapore Operating Grants : S$206,536  College of Ophthalmologists, Academy of Medicine, Singapore Examination Fees : S$605,899  College of Public Health and Occupational Physicians, Academy of Medicine, Singapore Other Income : S$137,895  College of Emergency Physicians, Academy of Medicine, Singapore  College of Psychiatrists, Academy of Medicine, Singapore a) The professional/Course Fees were income from the Staff Registrar Scheme Diplomas  Chapter of Clinician Educators, Academy of Medicine, Singapore (S$584,147), the independent Medical Expert Services provided to the Ministry of  Chapter of Clinician Scientists, Academy of Medicine, Singapore Home Affairs for coroner cases (S$62,000) and verification of visiting professional  Chapter of Pathologists, Academy of Medicine, Singapore (S$3,950).  Section of Sports Medicine b) The Operating Grant comprised mainly of grant from the Ministry of Health (MOH) h. Membership for the Academy’s professional guidance under a Memorandum of Understanding between the MOH and Academy. Membership of the Academy is divided into seven (7) categories known as: c) The Examination Fees income of S$605,899 were from the In-Training Examinations  Fellows and Staff Registrar Scheme Diploma examinations organized by the Academy.  Overseas Fellows  Honorary Fellows d) Other Income includes $87,132 fees for rendering services to JCST and $24,526  Fellows (Distinguished Overseas Members) service charge to Building Fund for administration of the fund and properties.  Fellows (Distinguished Holders of Medical/Dental Degrees who are Clinicians Scientists/ General Practitioners) ii. Restricted Funds – Specific Funds/Chapter Funds/Programme Funds  Ordinary Members  Associate Members a) Annals Fund: Annals received a donation of S$10,000 from the Lee Foundation. Other revenues included printing of supplements and journal subscriptions fees.

4. Financial Review b) Building and Endowment Fund: The main incoming resources were from the rental income of S$177,337 for renting of 142 Neil Road Property and S$169,613 from the a. The Accounting Structure recovery of rental from JCST.

The funds of the Academy are basically classified into Unrestricted Funds and Restricted c) JCST Fund: The main source of income was the registration fees received from Basic Funds. Under the unrestricted funds is the main operating accounts of the Academy and the Specialists Trainees (BSTs) and Advanced Specialists Trainees (ASTs). Besides, Restricted Funds is basically set up to track the activities of the various specific programmes, JCST also received grant from MOH for support of the operational needs. Chapters and Non-Independent Colleges of the Academy. Included under the Restricted Funds are also the accounts of the branch of the Academy – Joint Committee on Specialists Training (JCST). c. Resources Expended

In accordance with the requirement of Charitable Accounting Standard (Recommended Accounting Practice), resources expended are being classified into Charitable Activities Expenses and Other Operating & Administration Expenses. For expenses that are related to the specific event, course or activity, it is generally classified under Charitable Activities Expenses.

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ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report Directors’ Report For the Financial Year Ended 31 December 2014 For the Financial Year Ended 31 December 2014 g. Colleges, Chapters and Section b. Incoming Resources

The Colleges and Chapters of the Academy as at 31 December 2014 were: i. Unrestricted Funds – Academy main operating accounts

 College of Anaesthesiologists, Singapore The main source of income was from members’ annual subscription which amounting to  College of Dental Surgeons, Singapore S$1,227,594. This represented 41% of the total income of the Unrestricted Funds  College of Obstetricians and Gynaecologists, Singapore (S$2,962,651) of the main operating accounts of the Academy.  College of Paediatrics and Child Health, Singapore  College of Physicians, Singapore The other major sources of income for the operational needs of the Academy were :  College of Radiologists, Singapore Professional/Course Fees : S$650,097  College of Surgeons, Singapore Operating Grants : S$206,536  College of Ophthalmologists, Academy of Medicine, Singapore Examination Fees : S$605,899  College of Public Health and Occupational Physicians, Academy of Medicine, Singapore Other Income : S$137,895  College of Emergency Physicians, Academy of Medicine, Singapore  College of Psychiatrists, Academy of Medicine, Singapore a) The professional/Course Fees were income from the Staff Registrar Scheme Diplomas  Chapter of Clinician Educators, Academy of Medicine, Singapore (S$584,147), the independent Medical Expert Services provided to the Ministry of  Chapter of Clinician Scientists, Academy of Medicine, Singapore Home Affairs for coroner cases (S$62,000) and verification of visiting professional  Chapter of Pathologists, Academy of Medicine, Singapore (S$3,950).  Section of Sports Medicine b) The Operating Grant comprised mainly of grant from the Ministry of Health (MOH) h. Membership for the Academy’s professional guidance under a Memorandum of Understanding between the MOH and Academy. Membership of the Academy is divided into seven (7) categories known as: c) The Examination Fees income of S$605,899 were from the In-Training Examinations  Fellows and Staff Registrar Scheme Diploma examinations organized by the Academy.  Overseas Fellows  Honorary Fellows d) Other Income includes $87,132 fees for rendering services to JCST and $24,526  Fellows (Distinguished Overseas Members) service charge to Building Fund for administration of the fund and properties.  Fellows (Distinguished Holders of Medical/Dental Degrees who are Clinicians Scientists/ General Practitioners) ii. Restricted Funds – Specific Funds/Chapter Funds/Programme Funds  Ordinary Members  Associate Members a) Annals Fund: Annals received a donation of S$10,000 from the Lee Foundation. Other revenues included printing of supplements and journal subscriptions fees.

4. Financial Review b) Building and Endowment Fund: The main incoming resources were from the rental income of S$177,337 for renting of 142 Neil Road Property and S$169,613 from the a. The Accounting Structure recovery of rental from JCST.

The funds of the Academy are basically classified into Unrestricted Funds and Restricted c) JCST Fund: The main source of income was the registration fees received from Basic Funds. Under the unrestricted funds is the main operating accounts of the Academy and the Specialists Trainees (BSTs) and Advanced Specialists Trainees (ASTs). Besides, Restricted Funds is basically set up to track the activities of the various specific programmes, JCST also received grant from MOH for support of the operational needs. Chapters and Non-Independent Colleges of the Academy. Included under the Restricted Funds are also the accounts of the branch of the Academy – Joint Committee on Specialists Training (JCST). c. Resources Expended

In accordance with the requirement of Charitable Accounting Standard (Recommended Accounting Practice), resources expended are being classified into Charitable Activities Expenses and Other Operating & Administration Expenses. For expenses that are related to the specific event, course or activity, it is generally classified under Charitable Activities Expenses.

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ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report For the Financial Year Ended 31 December 2014

As the Academy is a professional body providing professional and education to the medical specialists, a large proportion of its resources are expended under the Operating and Administration Expenses.

The top four expenditures under the Academy main operating accounts in FY2014 were as follows:

- Staff Costs (excluding JCST) : S$1,617,237 - Professional Fees : S$ 262,298 - Awards/Honorarium : S$ 151,677 - Examination, Restudy and Training Fees: S$ 314,351

a) The staff costs which contributed to 60% of the total expenditures included the secretariat staff supporting the Colleges and Chapters.

b) Professional fees were mainly fees paid to the Colleges and Chapters for conducting the Staff Registrar Scheme Diplomas (S$214,048). It also includes fees to specialists for providing Independent Medical Expert services to the Ministry of Home Affairs for coroner cases (S$46,000).

c) Awards/Honorarium were honorarium paid to Lecturers for supervising medical trainees under the Staff Registrar Schemes and Proctors for invigilating the In-Training Examinations.

d) Examination Fees are fees paid to overseas and local examination providers to purchase examination for In-Training Examinations conducted by the Academy.

The Academy achieved an operating surplus of S$281,005 for the financial year ending 31 December 2014.

However, inclusive of the Restricted Funds, the Academy incurred a net loss of S$247,689 (of which JCST accounted for an operating loss of S$600,958).

5. Arrangements to Enable Director to Acquire Benefits by Means of the Acquisitions of Shares and Debentures

The Academy is a company limited by guarantee and has no share capital. None of the directors holding office at the end of the financial year had an interest in the share capital of the Academy that is required to be reported pursuant to Section 201(6) (g) of the Singapore Companies Act, Cap 50.

6. Directors’ Interest in Shares and Debentures

The Academy is a company limited by guarantee. There were no shares or debentures in issue in the Academy at the end of the financial year.

7. Reserves Policy

The Academy may accumulate reserves up to three years of operational expenses to ensure long- term financial stability. Surplus funds, if any, shall be invested in low risk investments and be guided by competent professional advice.

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ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Directors’ Report For the Financial Year Ended 31 December 2014

As the Academy is a professional body providing professional and education to the medical specialists, a large proportion of its resources are expended under the Operating and Administration Expenses.

The top four expenditures under the Academy main operating accounts in FY2014 were as follows:

- Staff Costs (excluding JCST) : S$1,617,237 - Professional Fees : S$ 262,298 - Awards/Honorarium : S$ 151,677 - Examination, Restudy and Training Fees: S$ 314,351 a) The staff costs which contributed to 60% of the total expenditures included the secretariat staff supporting the Colleges and Chapters. b) Professional fees were mainly fees paid to the Colleges and Chapters for conducting the Staff Registrar Scheme Diplomas (S$214,048). It also includes fees to specialists for providing Independent Medical Expert services to the Ministry of Home Affairs for coroner cases (S$46,000). c) Awards/Honorarium were honorarium paid to Lecturers for supervising medical trainees under the Staff Registrar Schemes and Proctors for invigilating the In-Training Examinations. d) Examination Fees are fees paid to overseas and local examination providers to purchase examination for In-Training Examinations conducted by the Academy.

The Academy achieved an operating surplus of S$281,005 for the financial year ending 31 December 2014.

However, inclusive of the Restricted Funds, the Academy incurred a net loss of S$247,689 (of which JCST accounted for an operating loss of S$600,958).

5. Arrangements to Enable Director to Acquire Benefits by Means of the Acquisitions of Shares and Debentures

The Academy is a company limited by guarantee and has no share capital. None of the directors holding office at the end of the financial year had an interest in the share capital of the Academy that is required to be reported pursuant to Section 201(6) (g) of the Singapore Companies Act, Cap 50.

6. Directors’ Interest in Shares and Debentures

The Academy is a company limited by guarantee. There were no shares or debentures in issue in the Academy at the end of the financial year.

7. Reserves Policy

The Academy may accumulate reserves up to three years of operational expenses to ensure long- term financial stability. Surplus funds, if any, shall be invested in low risk investments and be guided by competent professional advice.

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ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Statement of Financial Position As At 31 December 2014

Notes 2014 2013 S$ S$

Non Current Assets Investment Property 5 4,017,046 4,043,462 Plant and Equipment 6 119,537 130,181 Other Debtors and Prepayments 7 1,853,496 2,024,957 5,990,079 6,198,600

Current Assets Inventories 8 6,851 8,013 Receivables 9 919,201 1,662,518 Other Debtors and Prepayments 7 435,589 405,982 Amount Due From Related Companies (Non Trade) 10 60 190 Fixed Deposits Placed With Financial Institutions 11 3,078,754 3,110,952 Cash And Bank Balances 11 4,401,450 3,768,728 8,841,905 8,956,383

Less: Current Liabilities Amount Due To Related Companies (Non Trade) 10 626,105 542,723 Other Creditors And Accruals 12 1,830,352 1,992,544 Subscriptions Received In Advance 8,910 5,410 2,465,367 2,540,677

Net Current Assets 6,376,538 6,415,706

Total Assets 12,366,617 12,614,306

Funds

Unrestricted Fund Accumulated Fund 1,250,952 969,947

Restricted Funds Annals Fund 444,551 449,871 Building And Endowment Fund 7,921,874 7,899,433 Joint Committee on Specialist Training Fund 295,817 896,775 Chapters’ and Section Funds 3 83,198 271,437 Lectures’ Funds 4 1,851,444 1,852,489 College Of Ophthalmologists 100,149 114,232 College of Public Health and Occupational Physicians 192,866 160,122 College of Emergency Physicians 204,834 - College of Psychiatrists 20,932 -

Total Funds 12,366,617 12,614,306

The annexed notes form an integral part of and should be read in conjunction with these financial statements.

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ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Statement of Financial Position As At 31 December 2014

Notes 2014 2013 S$ S$

Non Current Assets Investment Property 5 4,017,046 4,043,462 Plant and Equipment 6 119,537 130,181 Other Debtors and Prepayments 7 1,853,496 2,024,957 5,990,079 6,198,600

Current Assets Inventories 8 6,851 8,013 Receivables 9 919,201 1,662,518 Other Debtors and Prepayments 7 435,589 405,982 Amount Due From Related Companies (Non Trade) 10 60 190 Fixed Deposits Placed With Financial Institutions 11 3,078,754 3,110,952 Cash And Bank Balances 11 4,401,450 3,768,728 8,841,905 8,956,383

Less: Current Liabilities Amount Due To Related Companies (Non Trade) 10 626,105 542,723 Other Creditors And Accruals 12 1,830,352 1,992,544 Subscriptions Received In Advance 8,910 5,410 2,465,367 2,540,677

Net Current Assets 6,376,538 6,415,706

Total Assets 12,366,617 12,614,306

Funds

Unrestricted Fund Accumulated Fund 1,250,952 969,947

Restricted Funds Annals Fund 444,551 449,871 Building And Endowment Fund 7,921,874 7,899,433 Joint Committee on Specialist Training Fund 295,817 896,775 Chapters’ and Section Funds 3 83,198 271,437 Lectures’ Funds 4 1,851,444 1,852,489 College Of Ophthalmologists 100,149 114,232 College of Public Health and Occupational Physicians 192,866 160,122 College of Emergency Physicians 204,834 - College of Psychiatrists 20,932 -

Total Funds 12,366,617 12,614,306

The annexed notes form an integral part of and should be read in conjunction with these financial statements.

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ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Statement of Comprehensive Income For The Financial Year Ended 31 December 2014

Note 2014 2013 S$ S$

Incoming Resources From Generated Funds Voluntary Income - Donations In Cash 20,697 55,165 - Operating Grant 206,536 922,378 Investment Income - Interest Income 15,723 9,488 Charitable Income - Allowance for Doubtful Debts Written Back 44,570 26,004 - Building Funds 3,200 1,100 - Surplus from Events 18 147,453 141,798 - Examination Income 1,088,398 841,375 - Rental Income 346,950 388,293 - Professional / Course Fees 1,167,621 1,190,806 - Sponsorship / Trade Exhibition - 10,915 - Subscription 1,230,264 1,117,411 - Miscellaneous Income 251,406 176,969 Total Incoming Resources 4,522,818 4,881,702

Resources Expended - Charitable Activities Expenses 1,010,604 948,323 - Other Operating And Administrative Expenses 3,759,903 3,820,823 Total Resources Expended 4,770,507 4,769,146

Net (Deficit)/ Surplus (247,689) 112,556 Less: Transfer of Dental Advanced Specialists Training Fund to College of Dental Surgeons Singapore 16 - (11,183) Net Movement In Funds And Total Comprehensive Income For The Financial Year (247,689) 101,373

Reconciliation of Funds Total Funds Brought Forward 12,614,306 12,512,933 Total Funds Carried Forward 12,366,617 12,614,306

The annexed notes form an integral part of and should be read in conjunction with these financial statements.

Page 11

- -

S$ S$

12 12 2014 2014 ACADEMY OF MEDICINE, SINGAPORE 3,200 3,200 20,697 20,697 15,723 15,723 44,570 44,570 167,621 167,621 206,536 206,536 147,453 147,453 346,950 346,950 251,406 251,406 Total Total

A Company incorporated in the Republic of Singapore and Limited by Guarantee (247,689) (247,689) 1,088,398 1, 1,088,398 1,230,264 1, 1,230,264 4,522,818 4,522,818 1,010,604 1,010,604 3,759,903 4,770,507 3,759,903 4,770,507 Page Page (Unique Entity Number and Charity Registration Number: 197702012E) 12,614,306 12,614,306 12,366,617 12,366,617

- - - -

Statement of Comprehensive Income S$ S$ Sub Sub 2014 2014 Total Total For The Financial Year Ended 31 December 2014 3,200 3,200 2,670 2,670 17,500 17,500 15,599 15,599 23,773 23,773 36,941 36,941 482,499 346,950 517,524 482,499 346,950 113,511 517,524 113,511 151,924 151,924 (528,694) (528,694) 1,560,167 1,560,167 1,936,937 2,088,861 1,936,937 2,088,861 11,644,359 11,644,359 11,115,665 11,115,665

Note 2014 2013 ------S$ S$ 932 932 S$ S$ 128 128 291 419 291 419 2014 2014 2,479 2,479 7,672 7,672

11,200 11,200 13,679 13,679 13,260 13,260 20, 20,

College of College of Psychiatrists Psychiatrists

------

Incoming Resources From Generated Funds S$ S$ 2014 2014 Voluntary Income 5,000 5,000 4,937 4,937 7,707 7,707 9,788 9,788 32,732 32,732 50,376 50,376 18,570 28,358 18,570 22,018 28,358 22,018 182,816 204,834 182,816 204,834 College of College of Physicians - Donations In Cash 20,697 55,165 Physicians Emergency Emergency

- Operating Grant 206,536 922,378 ------S$ S$

Investment Income 160 160 2014 2014 8,406 8,406 5,919 5,919 1,407 7,326 1,407 7,326 31,504 31,504 40,070 40,070 32,744 32,744

- Interest Income 15,723 9,488 160,122 160,122 192,866 192,866 College of College of

Charitable Income Physicians Physicians Public Health Public Health

- Allowance for Doubtful Debts Written Back 44,570 26,004 & Occupational & Occupational ------S$ S$ 607 607 - Building Funds 3,200 1,100 124 124 400 524 400 524 2014 2014 Restricted Restricted 3,070 3,070

- Surplus from Events 18 147,453 141,798 11,537 11,537 14, 14, 114,232 114,232 100,149 100,149 (14,083) (14,083) College of of College of College - Examination Income 1,088,398 841,375 - Rental Income 346,950 388,293 Ophthalmologists Ophthalmologists

- Professional / Course Fees 1,167,621 1,190,806

. . . ------$ S S$ (*) - Sponsorship / Trade Exhibition - 10,915 (*) ture ture 2014 2014 2,500 2,500 5,881 5,881 8,381 8,381 9,426 9,426 9,426 9,426 - Subscription 1,117,411 Funds Funds

1,230,264 (1,045) (1,045) Lec Lec

- Miscellaneous Income 251,406 176,969 1,852,489 1,852,489 1,851,444 1,851,444

Total Incoming Resources 4,522,818 4,881,702 ------S$ S$ (*) (*) 500 500 564 564 166 730 166 730 and and

Funds. and Lecture Funds Funds. and Lecture Funds 2014 2014 1,000 1,479 1,000 2,979 1,479 2,979 2,249 2,249 Funds Funds 83,198 83,198 Section Section

Resources Expended 271,437 271,437 (190,488) (190,488) - Charitable Activities Expenses 1,010,604 948,323 Chapters’ Chapters’

- Other Operating And Administrative Expenses 3,820,823 ------on 3,759,903 on S$ S$ and Section Section and Section and

2014 2014 Joint Joint Total Resources Expended 4,770,507 4,769,146 s’ s’ 23,773 23,773 13,086 91,950 13,086 91,950 79,098 79,098 896,775 896,775 482,499 472,592 482,499 472,592 9 9 295,817 295,817 Training Training Specialist Specialist

(600,958) (600,958) 1,513,810 1,592,908 1,513,810 1,592,908 Committee Committee

Net (Deficit)/ Surplus (247,689) 112,556 Chapter Chapter

Less: Transfer of Dental Advanced Specialists Training ------S$ S$

2014 2014 Fund Fund

Fund to College of Dental Surgeons Singapore 16 - (11,183) 7,337 7,337 3,200 3,200 63,785 63,785 22,441 22,441

Net Movement In Funds And Total Comprehensive Income 346,950 346,950 421,272 421,272 398,831 398,831 398,831 398,831 7,899,433 7,899,433 7,921,874 7,921,874 Endowment Endowment

For The Financial Year (247,689) 101,373 Building and Building and

) ) ------S$ S$

Reconciliation of Funds 792 792 2014 2014 2,257 2,257 10,000 10,000 24,415 30,936 24,415 30,936 35,464 35,464 36,256 36,256 Annals Annals (5,736 (5,736 (5,320) (5,320)

Total Funds Brought Forward 12,614,306 12,512,933 449,871 449,871 444,551 444,551 Total Funds Carried Forward

12,366,617 12,614,306

------S$ S$

124 124 2014 2014 Fund Fund 3,197 3,197

20,797 20,797 250,952 250,952 206,536 206,536 110,512 605,899 110,512 650,097 605,899 137,895 650,097 137,895 858,680 858,680 281,005 281,005 969,947 969,947

1,227,594 1,227,594 2,962,651 2,962,651 1,822,966 2,681,646 1,822,966 2,681,646 1, 1, an integral part of and should be read in conjunction with these financial statements financial these with in beconjunction read and should ofpart integral an statements financial these with in beconjunction read and should ofpart integral an Accumulated Accumulated Accumulated

Unrestricted Unrestricted

of the Notes to the Financial Statement forthe Statement Financial Notes to the the of forthe Statement Financial Notes to the the of

and 4 and 4 and Note 18

- Note 18 -

Note 16 Note 16

s s

– –

ing And And ing ing And And ing The annexed notes form an integral part of and should be read in conjunction with these financial statements. 2014 December 31 Year Ended 2014 December 31 Year Ended tion Of Funds tion Of Funds

ncome ncome

cial cial cial

form notes annexed The form notes annexed The (*) to 3 Refer Note (*) to 3 Refer Note Page 11 2014 Year 2014 Year From Resources Incoming Generated Funds From Resources Incoming Funds Voluntary Generated Funds Donations Cash In Grants Operating Funds Voluntary Income Donations Cash In Investment Interest I Grants Operating Income Income Charitable Investment Doubtful for Allowance Interest I Back Debts Written Income Charitable Funds Building Doubtful for Allowance Back Debts Written Event from Surplus Funds Building Examination Income Event from Surplus Rental Income Examination Income Fees / Course Professional SubscriptionRental Income Fees Miscellaneous / Course Professional Income Subscription Resources Incoming Total Miscellaneous Income Expended Resources Charitable Activities Resources Incoming Total Expenses Expended Resources Charitable Activities Other Operat Expenses Expenses Administrative Other Operat Expended Resources Total Expenses Administrative Funds In Movement Net Expended Resources Total Reconcilia Funds In Movement Net FundsTotal Brought Forward Reconcilia Funds of Transfer FundsTotal Brought FundsTotal Carried Forward Forward Funds of Transfer FundsTotal Carried Forward

Activities Financial of Statement Finan Activities Financial of Statement Finan ACADEMY OF MEDICINE, SINGAPORE SINGAPORE MEDICINE, OF ACADEMY by Guarantee and Limited Singapore of the Republic in incorporated Company A SINGAPORE MEDICINE, OF ACADEMY 197702012E) Number: Registration Charity and Number Entity (Unique by Guarantee and Limited Singapore of the Republic in incorporated Company A 197702012E) Number: Registration Charity and Number Entity (Unique

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Statement of Financial Activities (Continued) Financial Year Ended 31 December 2014

Unrestricted Restricted Total Year 2013 Accumulated Annals Building Dental Joint Chapters’ Lecture College of College of Sub Fund and Advanced Committee and Funds Ophthalmologists Public Total Endowment Specialists on Section (*) Health & Fund Training Specialist Funds Occupational Fund Training (*) Physicians

Incoming Resources From 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 Generated Funds S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Voluntary Funds Donations In Cash 6,765 10,000 - - - 6,000 32,400 - - 48,400 55,165 Operating Grants 235,597 - - - 669,679 - - 17,102 - 686,781 922,378 Investment Income Interest Income 125 1,363 1,003 - - - 6,873 124 - 9,363 9,488 Charitable Income Allowance for Doubtful Debts Written Back 26,004 ------26,004 Building Funds - - 1,100 ------1,100 1,100 Entrance Fees ------Surplus from Events - Note 18 84,426 - - - - 12,371 - - 45,001 57,372 141,798 Examination Income 437,211 - - - 404,164 - - - - 404,164 841,375 Rental Income - - 388,293 ------388,293 388,293 Professional / Course Fees 474,416 - - - 675,257 41,133 - - - 716,390 1,190,806 Sponsorship/ Trade Exhibition - - - - - 3,080 - 7,835 - 10,915 10,915 Subscription 1,097,790 11,396 ------8,225 19,621 1,117,411 Miscellaneous Income 159,138 1,784 - - 1,000 3,984 - 9,162 1,901 17,831 176,969 Total Incoming Resources 2,521,472 24,543 390,396 - 1,750,100 66,568 39,273 34,223 55,127 2,360,230 4,881,702 Resources Expended Charitable Activities Expenses 717,044 39,685 - - 81,309 17,901 21,594 57,306 13,484 231,279 948,323 Other Operating And Administrative Expenses 1,938,249 20 369,724 - 1,508,506 126 - 394 3,804 1,882,574 3,820,823 Total Resources Expended 2,655,293 39,705 369,724 - 1,589,815 18,027 21,594 57,700 17,288 2,113,853 4,769,146 Net Movement In Funds (133,821) (15,162) 20,672 - 160,285 48,541 17,679 (23,477) 37,839 246,377 112,556 Reconciliation Of Funds Total Funds Brought Forward 1,103,768 465,033 7,878,761 11,183 736,490 222,896 1,834,810 137,709 122,283 11,409,165 12,512,933 Transfer of Funds – Note 16 - - - (11,183) - - - - - (11,183) (11,183) Total Funds Carried Forward 969,947 449,871 7,899,433 - 896,775 271,437 1,852,489 114,232 160,122 11,644,359 12,614,306 (*) Refer to Note 3 and 4 of the Notes to the Financial Statement for the Chapters’ and Section Funds and Lecture Funds. The annexed notes form an integral part of and should be read in conjunction with these financial statements.

Page 13 The annexed notes form an integral part of and should be read in conjunction with these financial statements financial with these in conjunction be should read and of part integral an form notes annexed The Cash And Cash Equivalents At End Of Year Cash And Cash Equivalents At Beginning Of Year Net Cash Flows Net Interest Income Received Proceeds from Disposal of Purchase o Cash Flows Net Cash From Operating Activities Increase (Decrease) Increase In Amount Due ToRelated Company Decrease In Amount Due From Related Company Decrease In Debtors Other And Prepayments Decrease/ (Increase) Decrease/ (Deficit)/ Surplus Before Working Capital Chan Interest Income (Gain)/ Depreciation Of Investment Adjustments For : College of Dental Surgeons Singapore Transfer Dental of Advanced Specialists Training Fundto MovementIn Funds Specific Surplus/ Flows Fr Cash Statement of Cash F (Unique Entity Number and Charity Registration Number: 197702012E) A Company incorporated in theRepublic of Singapore andLimited byGuarantee ACADEMY OF MEDICINE, SINGAPORE The Financial For Year Ended 31December 2014 (Decrease)/ Loss On Sale Of Plant And Equipment (Deficit) From Unrestricted Funds In Subscriptions In Advance (Increase) / Increase/ f Plantf And Equipment From om Operatingom Activities

Increase In Cash And Cash Equivalents ( Used In /

(Used In)

In Other Creditors AndAccruals In Receivables In Inventories lows

)

Plant And Equipment

Inves Property

Investing Activities ting Activitiesting

, Plant And Equipment

ges

Notes 5,6 11 11 6

7,480,204 6,879,680 (162,192) (179,348) (247, (528,694) (31,281) (47,004) (15,723) 600,524 631, 811,153 141,854 743,317 281,005 15,723 83,382 84,064 3,500 1,162 201 689) 130 805 S$ 4 - - -

6,879,680 6,907,987 (138,646) (539,553) ( 133,821 (28,307) (67,673) (78,161) (11,183) 128,502 152,601 120,264 178,012 101,373 246, (1,992) (9,488) (1,000) 39,366 87,127 Page Page 9,488 1,000 201 972 560 3 S$ 77 14 3 )

.

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Statement of Financial Activities (Continued) Financial Year Ended 31 December 2014

Unrestricted Restricted Total Year 2013 Accumulated Annals Building Dental Joint Chapters’ Lecture College of College of Sub Fund and Advanced Committee and Funds Ophthalmologists Public Total Endowment Specialists on Section (*) Health & Fund Training Specialist Funds Occupational Fund Training (*) Physicians

Incoming Resources From 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 Generated Funds S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Voluntary Funds Donations In Cash 6,765 10,000 - - - 6,000 32,400 - - 48,400 55,165 Operating Grants 235,597 - - - 669,679 - - 17,102 - 686,781 922,378 Investment Income Interest Income 125 1,363 1,003 - - - 6,873 124 - 9,363 9,488 Charitable Income Allowance for Doubtful Debts Written Back 26,004 ------26,004 Building Funds - - 1,100 ------1,100 1,100 Entrance Fees ------Surplus from Events - Note 18 84,426 - - - - 12,371 - - 45,001 57,372 141,798 Examination Income 437,211 - - - 404,164 - - - - 404,164 841,375 Rental Income - - 388,293 ------388,293 388,293 Professional / Course Fees 474,416 - - - 675,257 41,133 - - - 716,390 1,190,806 Sponsorship/ Trade Exhibition - - - - - 3,080 - 7,835 - 10,915 10,915 Subscription 1,097,790 11,396 ------8,225 19,621 1,117,411 Miscellaneous Income 159,138 1,784 - - 1,000 3,984 - 9,162 1,901 17,831 176,969 Total Incoming Resources 2,521,472 24,543 390,396 - 1,750,100 66,568 39,273 34,223 55,127 2,360,230 4,881,702 Resources Expended Charitable Activities Expenses 717,044 39,685 - - 81,309 17,901 21,594 57,306 13,484 231,279 948,323 Other Operating And Administrative Expenses 1,938,249 20 369,724 - 1,508,506 126 - 394 3,804 1,882,574 3,820,823 Total Resources Expended 2,655,293 39,705 369,724 - 1,589,815 18,027 21,594 57,700 17,288 2,113,853 4,769,146 Net Movement In Funds (133,821) (15,162) 20,672 - 160,285 48,541 17,679 (23,477) 37,839 246,377 112,556 Reconciliation Of Funds Total Funds Brought Forward 1,103,768 465,033 7,878,761 11,183 736,490 222,896 1,834,810 137,709 122,283 11,409,165 12,512,933 Transfer of Funds – Note 16 - - - (11,183) - - - - - (11,183) (11,183) Total Funds Carried Forward 969,947 449,871 7,899,433 - 896,775 271,437 1,852,489 114,232 160,122 11,644,359 12,614,306 (*) Refer to Note 3 and 4 of the Notes to the Financial Statement for the Chapters’ and Section Funds and Lecture Funds. The annexed notes form an integral part of and should be read in conjunction with these financial statements.

Page 13 The annexed notes form an integral part of and should be read in conjunction with these financial statements financial with these in conjunction be should read and of part integral an form notes annexed The Cash And Cash Equivalents At End Of Year Cash And Cash Equivalents At Beginning Of Year Net Cash Flows Net Interest Income Received Proceeds from Disposal of Purchase o Cash Flows Net Cash From Operating Activities Increase (Decrease) Increase In Amount Due ToRelated Company Decrease In Amount Due From Related Company Decrease In Debtors Other And Prepayments Decrease/ (Increase) Decrease/ (Deficit)/ Surplus Before Working Capital Chan Interest Income (Gain)/ Depreciation Of Investment Adjustments For : College of Dental Surgeons Singapore Transfer Dental of Advanced Specialists Training Fundto MovementIn Funds Specific Surplus/ Flows Fr Cash The Financial For Year Ended 31December 2014 Statement of Cash F (Unique Entity Number and Charity Registration Number: 197702012E) A Company incorporated in theRepublic of Singapore andLimited byGuarantee ACADEMY OF MEDICINE, SINGAPORE (Decrease)/ Loss On Sale Of Plant And Equipment (Deficit) From Unrestricted Funds In Subscriptions In Advance (Increase) / Increase/ f Plantf And Equipment From om Operatingom Activities

Increase In Cash And Cash Equivalents ( Used In /

(Used In)

In Other Creditors AndAccruals In Receivables In Inventories lows

)

Plant And Equipment

Inves Property

Investing Activities ting Activitiesting

, Plant And Equipment

ges

Notes 5,6 11 11 6

7,480,204 6,879,680 (179,348) (247, (528,694) (162,192) (15,723) (31,281) (47,004) 141,854 743,317 281,005 600,524 631, 811,153 84,064 15,723 83,382 1,162 3,500 201 689) 130 805 S$ 4 - - -

6,879,680 6,907,987 (539,553) ( (138,646) 133,821 (28,307) (67,673) (78,161) (11,183) 128,502 152,601 120,264 178,012 101,373 246, (1,992) (9,488) (1,000) 39,366 87,127 Page Page 9,488 1,000 201 972 560 3 S$ 77 14 3 )

. ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

These notes form an integral part of and should be read in conjunction with accompanying financial 2. Significant Accounting Policies (Continued) statements. 2.4 Significant Accounting Estimates and Judgments

1. Corporate Information Estimates and assumptions concerning the future and judgments are made in the preparation of the financial statements. They affect the application of the Academy’s accounting policies, The financial statements of Academy of Medicine, Singapore for the financial year ended 31 reported amounts of assets, liabilities, income and expenses, and disclosures made. They are December 2014 were authorised for issue in accordance with a resolution of the directors on 11 May assessed on an on-going basis and are based on experience and relevant factors, including 2015. Academy of Medicine is a company limited by guarantee, which is incorporated in Singapore. expectations of future events that are believed to be reasonable under the circumstances.

The principal activities of the Academy are to advance the art and science of medicine, promote study Key sources of estimation uncertainty and research into medical and scientific problems, to sustain and foster postgraduate education and The key assumptions concerning the future and other key sources of estimation and conduct higher professional examinations and to award diplomas. uncertainty at the statement of financial position date, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial There were no significant changes in the principal activities during the financial year. year are discussed below.

The registered office and principal place of business of Academy of Medicine, Singapore is 81 Kim Depreciation of Investment Property, Plant and Equipment Keat Road, #11-00, NKF Centre, Singapore 328836. The cost of property, plant and equipment is depreciated on a straight line basis over their useful life. Management estimated the useful life of the property to be 50 years. For the plant 2. Significant Accounting Policies and equipment, the useful life is expected to be between 3 to 10 years. The carrying amount of the Academy’s property, plant and equipment as at 31 December 2014 is S$4,136,583 (2013: 2.1 Basis of Preparation S$4,173,643). Changes in the expected level of usage and technological developments could impact the economic useful lives and the residual values of these assets, therefore future The financial statements are expressed in Singapore Dollars and prepared in accordance with depreciation charges could be revised. the historical cost convention, except as disclosed in the accounts policies below. The financial statements are prepared in accordance with Singapore Financial Reporting Standards (FRS) as 2.5 Revenue Recognition required by the Companies Act and observed the recommendations in the Recommended Accounting Practice 6 Accounting and Reporting by Charities. Income from members’ subscriptions is recognised as revenue at the time when the subscriptions become due and payable. Revenue from entrance fees and building funds are 2.2 Adoption of New and Revised Standards recognised when members are accepted and elected by the Academy’s Council. Revenue from course fees is recognised over the course period. Events Income is recognised upon completion In the current financial year, the Academy has adopted all the new and revised FRS and of the event. Operating grants are recognised on accrual basis. Interest Income is recognised on Interpretation of FRS (“INT FRS”) that are relevant to its operations and effective for annual an accrual basis. Donations are recognised on cash basis. All other income are recognised on periods beginning on or after 1 January 2014. The adoption of these new / revised FRSs and accrual basis. INT FRSs does not result in changes in the Academy’s accounting policies and has no material effect on the amounts reported for the current and previous years. 2.6 Income Tax

2.3 Standards issued but not yet effective The Academy has been granted tax exempt status as a charitable institution.

Certain new/revised accounting standards and interpretations have been issued but not 2.7 Investment Properties effective. The Academy has assessed the standards and interpretations issued. The initial application of these standards and interpretations is not expected to have any material impact Investment properties are properties held either to earn rental income or capital appreciation or on the Academy’s financial statements. both. It does not include properties for sale in the ordinary course of business, used for operating or administrative purposes.

Investment property is stated at cost less accumulated depreciation and impairment losses. Cost includes expenditure that is directly attributable to the acquisition or construction of the asset.

Page 15 Page 16 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

These notes form an integral part of and should be read in conjunction with accompanying financial 2. Significant Accounting Policies (Continued) statements. 2.4 Significant Accounting Estimates and Judgments

1. Corporate Information Estimates and assumptions concerning the future and judgments are made in the preparation of the financial statements. They affect the application of the Academy’s accounting policies, The financial statements of Academy of Medicine, Singapore for the financial year ended 31 reported amounts of assets, liabilities, income and expenses, and disclosures made. They are December 2014 were authorised for issue in accordance with a resolution of the directors on 11 May assessed on an on-going basis and are based on experience and relevant factors, including 2015. Academy of Medicine is a company limited by guarantee, which is incorporated in Singapore. expectations of future events that are believed to be reasonable under the circumstances.

The principal activities of the Academy are to advance the art and science of medicine, promote study Key sources of estimation uncertainty and research into medical and scientific problems, to sustain and foster postgraduate education and The key assumptions concerning the future and other key sources of estimation and conduct higher professional examinations and to award diplomas. uncertainty at the statement of financial position date, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial There were no significant changes in the principal activities during the financial year. year are discussed below.

The registered office and principal place of business of Academy of Medicine, Singapore is 81 Kim Depreciation of Investment Property, Plant and Equipment Keat Road, #11-00, NKF Centre, Singapore 328836. The cost of property, plant and equipment is depreciated on a straight line basis over their useful life. Management estimated the useful life of the property to be 50 years. For the plant 2. Significant Accounting Policies and equipment, the useful life is expected to be between 3 to 10 years. The carrying amount of the Academy’s property, plant and equipment as at 31 December 2014 is S$4,136,583 (2013: 2.1 Basis of Preparation S$4,173,643). Changes in the expected level of usage and technological developments could impact the economic useful lives and the residual values of these assets, therefore future The financial statements are expressed in Singapore Dollars and prepared in accordance with depreciation charges could be revised. the historical cost convention, except as disclosed in the accounts policies below. The financial statements are prepared in accordance with Singapore Financial Reporting Standards (FRS) as 2.5 Revenue Recognition required by the Companies Act and observed the recommendations in the Recommended Accounting Practice 6 Accounting and Reporting by Charities. Income from members’ subscriptions is recognised as revenue at the time when the subscriptions become due and payable. Revenue from entrance fees and building funds are 2.2 Adoption of New and Revised Standards recognised when members are accepted and elected by the Academy’s Council. Revenue from course fees is recognised over the course period. Events Income is recognised upon completion In the current financial year, the Academy has adopted all the new and revised FRS and of the event. Operating grants are recognised on accrual basis. Interest Income is recognised on Interpretation of FRS (“INT FRS”) that are relevant to its operations and effective for annual an accrual basis. Donations are recognised on cash basis. All other income are recognised on periods beginning on or after 1 January 2014. The adoption of these new / revised FRSs and accrual basis. INT FRSs does not result in changes in the Academy’s accounting policies and has no material effect on the amounts reported for the current and previous years. 2.6 Income Tax

2.3 Standards issued but not yet effective The Academy has been granted tax exempt status as a charitable institution.

Certain new/revised accounting standards and interpretations have been issued but not 2.7 Investment Properties effective. The Academy has assessed the standards and interpretations issued. The initial application of these standards and interpretations is not expected to have any material impact Investment properties are properties held either to earn rental income or capital appreciation or on the Academy’s financial statements. both. It does not include properties for sale in the ordinary course of business, used for operating or administrative purposes.

Investment property is stated at cost less accumulated depreciation and impairment losses. Cost includes expenditure that is directly attributable to the acquisition or construction of the asset.

Page 15 Page 16 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (continued) 2. Significant Accounting Policies (Continued)

2.8 Functional Currency 2.11 Impairment of Assets (Continued)

The functional currency of the Academy is in Singapore (S$) Dollars. As income and Any impairment loss for the difference between the recoverable amount and the carrying amount expenditure are denominated primarily in Singapore dollars and receipts from operations are is recognised immediately as follows. usually retained in Singapore Dollars, the directors are of the opinion that the Singapore dollar reflects the economic substance of the underlying events and circumstances relevant to the  Assets carried at amortised cost Academy. The carrying amount of the asset is reduced to its estimated recoverable amount either directly or 2.9 Receivables through the use of an allowance account and the amount of the loss is included in the total comprehensive income for the year Receivables are carried at anticipated realisable value. An estimate is made for doubtful debts based on a review of all outstanding amounts at year end. Bad Debts are written off in the  Assets carried at fair value financial year in which they are identified. Where a loss has been recognised directly in equity as a result of the written-down of the asset to 2.10 Plant and Equipment its recoverable amount, the cumulative net loss recognised in equity is transferred to the total comprehensive income for the year. Fixed Assets are stated at cost of purchase less accumulated depreciation and provision for impairment of loss. Where an impairment loss subsequently reversed, the carrying amount of the asset is increased to the revised estimate of its recoverable amount. The increased carrying amount should not exceed No depreciation is charged on freehold land as the directors consider that the economic life and the carrying amount that would have been determined had no impairment loss been recognised for residual value of freehold land are such that depreciation is not significant. However, where in the asset in prior years. A reversal of an impairment loss is recognised as income immediately. the opinion of the directors and based on independent professional valuation, such value has been impaired, an allowance for impairment loss would be made. 2.12 Financial Liabilities

Depreciation is calculated on a straight-line basis to write off the cost of the plant and Financial liabilities include trade payables, which are normally settled on 30 – 90 days terms equipment over their estimated useful lives. The estimated useful lives are as follows: and other amounts payable. Financial liabilities are recognised on the statement of financial position when and only when, the Academy becomes a party to the contractual provisions of the Building 50 years financial instrument. Financial liabilities are initially recognised at fair value of the Office Furniture, Fittings & Equipment 5 to 10 years consideration received less directly attributable transaction costs and subsequently measured at Computers 3 years amortised cost using the effective interest method.

Gains and losses are recognised in the statement of comprehensive income when the liabilities 2.11 Impairment of Assets are derecognised as well as through the amortization process.

The carrying amounts of the Academy’s assets are reviewed at each statement of financial position date to determine whether there is any indication of impairment. If such indication exists, 2.13 Building and Endowment Fund or when annual impairment assessment for an asset is required, the Academy makes an estimate of the asset’s recoverable amount. The Building and Endowment Fund (formerly known as building fund) was set up to finance the construction and maintenance of the Academy’s main office premises. Funds received for such An asset’s recoverable amount is the higher of an asset’s or cash generating unit’s fair value less purpose are credited to the Building and Endowment. Interest earned from funds deposited with costs to sell and its value in use and is determined for an individual asset, unless the asset does not financial institutions is recognised on an accrual basis and credited to the Building & Endowment generate cash inflows that are largely independent of those from other assets. In assessing value in fund. Depreciation of property, plant and equipment financed by the Building and Endowment use, the estimated future cash flows expected to be generated by the asset are discounted to their Fund is transferred to and matched against the Building and Endowment Fund for the financial present value. year in which depreciation is charged. Provision for impairment loss on freehold land and building is adjusted to the Building and Endowment Fund.

Page 17 Page 18 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (continued) 2. Significant Accounting Policies (Continued)

2.8 Functional Currency 2.11 Impairment of Assets (Continued)

The functional currency of the Academy is in Singapore (S$) Dollars. As income and Any impairment loss for the difference between the recoverable amount and the carrying amount expenditure are denominated primarily in Singapore dollars and receipts from operations are is recognised immediately as follows. usually retained in Singapore Dollars, the directors are of the opinion that the Singapore dollar reflects the economic substance of the underlying events and circumstances relevant to the  Assets carried at amortised cost Academy. The carrying amount of the asset is reduced to its estimated recoverable amount either directly or 2.9 Receivables through the use of an allowance account and the amount of the loss is included in the total comprehensive income for the year Receivables are carried at anticipated realisable value. An estimate is made for doubtful debts based on a review of all outstanding amounts at year end. Bad Debts are written off in the  Assets carried at fair value financial year in which they are identified. Where a loss has been recognised directly in equity as a result of the written-down of the asset to 2.10 Plant and Equipment its recoverable amount, the cumulative net loss recognised in equity is transferred to the total comprehensive income for the year. Fixed Assets are stated at cost of purchase less accumulated depreciation and provision for impairment of loss. Where an impairment loss subsequently reversed, the carrying amount of the asset is increased to the revised estimate of its recoverable amount. The increased carrying amount should not exceed No depreciation is charged on freehold land as the directors consider that the economic life and the carrying amount that would have been determined had no impairment loss been recognised for residual value of freehold land are such that depreciation is not significant. However, where in the asset in prior years. A reversal of an impairment loss is recognised as income immediately. the opinion of the directors and based on independent professional valuation, such value has been impaired, an allowance for impairment loss would be made. 2.12 Financial Liabilities

Depreciation is calculated on a straight-line basis to write off the cost of the plant and Financial liabilities include trade payables, which are normally settled on 30 – 90 days terms equipment over their estimated useful lives. The estimated useful lives are as follows: and other amounts payable. Financial liabilities are recognised on the statement of financial position when and only when, the Academy becomes a party to the contractual provisions of the Building 50 years financial instrument. Financial liabilities are initially recognised at fair value of the Office Furniture, Fittings & Equipment 5 to 10 years consideration received less directly attributable transaction costs and subsequently measured at Computers 3 years amortised cost using the effective interest method.

Gains and losses are recognised in the statement of comprehensive income when the liabilities 2.11 Impairment of Assets are derecognised as well as through the amortization process.

The carrying amounts of the Academy’s assets are reviewed at each statement of financial position date to determine whether there is any indication of impairment. If such indication exists, 2.13 Building and Endowment Fund or when annual impairment assessment for an asset is required, the Academy makes an estimate of the asset’s recoverable amount. The Building and Endowment Fund (formerly known as building fund) was set up to finance the construction and maintenance of the Academy’s main office premises. Funds received for such An asset’s recoverable amount is the higher of an asset’s or cash generating unit’s fair value less purpose are credited to the Building and Endowment. Interest earned from funds deposited with costs to sell and its value in use and is determined for an individual asset, unless the asset does not financial institutions is recognised on an accrual basis and credited to the Building & Endowment generate cash inflows that are largely independent of those from other assets. In assessing value in fund. Depreciation of property, plant and equipment financed by the Building and Endowment use, the estimated future cash flows expected to be generated by the asset are discounted to their Fund is transferred to and matched against the Building and Endowment Fund for the financial present value. year in which depreciation is charged. Provision for impairment loss on freehold land and building is adjusted to the Building and Endowment Fund.

Page 17 Page 18 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (Continued) 2. Significant Accounting Policies (Continued)

2.14 Inventories 2.16 Specific Funds

Inventories refer to Gold Medals and ties for distinguished guests. Inventories are valued at the The Specific funds were set up for the following purposes. lower of cost and net realisable value. Cost is determined on the first in first out basis method. In arriving at net realisable value, due allowance is made for obsolete and slow moving items. Name of Funds Purpose Annals Fund The Annals is the official medical and dental journal of Net realisable value is the estimated selling price in the ordinary course of business less the Academy, and is circulated to all members of the estimated costs necessary to make the sale. 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 2.15 Funds Alerting Services, and Current Contents/Clinical Medicine on 2 January 2002. Unrestricted Funds Unrestricted Funds are funds that are expendable at the discretion of the Academy for achieving Building and Endowment Fund Established in 1980 as the Building Fund and later their overall objectives. renamed the Building and Endowment Fund in June 2003, is primarily used to maintain and improve the Academy’s Restricted Funds building and property as well as to allow the Academy to Restricted funds are funds that are set up for specific purposes which may be declared by the secure larger premises for the expansion of the Academy. donor or have specific restriction on the management’s discretion regarding the utilisation of the funds. Dental Advanced Specialists Training The Fund is established for the advancement of specialist Fund training in the area of dentistry. Donations and other income received for restricted funds are taken directly to these funds. Expenses resulting from the operating activities of a fund that is directly attributable to the fund Joint Committee on Specialist The Joint Committee on Specialist Training (JCST) was is charged to that fund. Training Fund formally appointed by the Specialist Accreditation Board (SAB) in 2005 with the Master of the Academy of Assets and liabilities of the unrestricted and restricted funds are pooled in the statement of Medicine, Singapore and the Director of the Division of financial position. 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.

Page 19 Page 20 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (Continued) 2. Significant Accounting Policies (Continued)

2.14 Inventories 2.16 Specific Funds

Inventories refer to Gold Medals and ties for distinguished guests. Inventories are valued at the The Specific funds were set up for the following purposes. lower of cost and net realisable value. Cost is determined on the first in first out basis method. In arriving at net realisable value, due allowance is made for obsolete and slow moving items. Name of Funds Purpose Annals Fund The Annals is the official medical and dental journal of Net realisable value is the estimated selling price in the ordinary course of business less the Academy, and is circulated to all members of the estimated costs necessary to make the sale. 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 2.15 Funds Alerting Services, and Current Contents/Clinical Medicine on 2 January 2002. Unrestricted Funds Unrestricted Funds are funds that are expendable at the discretion of the Academy for achieving Building and Endowment Fund Established in 1980 as the Building Fund and later their overall objectives. renamed the Building and Endowment Fund in June 2003, is primarily used to maintain and improve the Academy’s Restricted Funds building and property as well as to allow the Academy to Restricted funds are funds that are set up for specific purposes which may be declared by the secure larger premises for the expansion of the Academy. donor or have specific restriction on the management’s discretion regarding the utilisation of the funds. Dental Advanced Specialists Training The Fund is established for the advancement of specialist Fund training in the area of dentistry. Donations and other income received for restricted funds are taken directly to these funds. Expenses resulting from the operating activities of a fund that is directly attributable to the fund Joint Committee on Specialist The Joint Committee on Specialist Training (JCST) was is charged to that fund. Training Fund formally appointed by the Specialist Accreditation Board (SAB) in 2005 with the Master of the Academy of Assets and liabilities of the unrestricted and restricted funds are pooled in the statement of Medicine, Singapore and the Director of the Division of financial position. 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.

Page 19 Page 20 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (Continued) 2. Significant Accounting Policies (Continued)

2.16 Specific Funds (Continued) 2.16 Specific Funds (Continued)

Name of Funds Purpose Name of Fund Purpose

Lecture Funds (Continued)

Chapters’ Funds -Distance Learning Programme The programme is recognised and accredited by the The Chapter Funds were set up to support continuing The following Chapter Funds were set Singapore Medical Council. It is exclusive to Fellows of educational activities. Funds received from donations, up to the Academy. It provides an alternative approach to registration fees, trade exhibitions and other earmarked cater to the needs and requirements of a assist Fellows in meeting the Continuing Medical receipts for such activities are credited to their individual small group of specialists. Education (CME) and Continuing Professional accounts accordingly. Expenditure incurred on such - Chapter of Pathologists Education (CPE) requirements in their own time, pace activities is debited to their respective accounts. - Chapter of Psychiatrists and place. - Chapter of Emergency Physicians During the financial year, two Chapters, Chapter of Family - Chapter of Clinician Educators -Sir David Galloway Memorial Lecture Instituted in 1959 in memory of the late Sir David Medicine, Physicians and Chapter of Intensivists were Galloway, the Lectureship is open annually to all - Chapter of Clinician Scientists formed under the Academy of Medicine, Singapore. - Chapter of Family Medicine, Physicians Academicians and practitioners of Medicine and its allied - Chapter of Intensivists fields.

Section Fund - Yahya Cohen Lecture The fund was established in 1994 in honor and - Section of Sports Medicine To set standard of care for Sports Medicine. It aims to recognition of the outstanding contributions to the provide a platform for local, international Sports Medicine development of surgery in Singapore by Dr, Yahya st organisation to collaborate; for healthcare professionals in Cohen, the 1 Chairman of the Chapter of Surgeons and a the field to exchange knowledge; to promote and organize past Master of the Academy. The lectureship will be CPD events related to Sports Medicine. It also serves the presented annually and the lecture shall take place at an purpose of providing independent expert opinions/reports event organized by the College of Surgeons, Singapore. relating to Sports Medicine issues as requested by Ministry of Health and other stakeholders. Colleges College of Ophthalmologists Fund The College of Ophthalmologists (formerly Chapter of Lectures’ Funds Ophthalmologists under the College of Surgeons) was set - Common Fund for Advancement of The Fund is established to provide assistance to local up as a non-independent College under the Academy of Medicine Fellows of the AMS at major scientific meetings and the Medicine, Singapore in January 2009. The College of Master’s or his representatives attendance at overseas Ophthalmologists Fund is established to support the meetings for the advancement of medicine. academic activities of the College.

- Gordon Arthur Ransome Oration Established in 1971, the Gordan Arthur Ransome Oration College of Public Health and The College of Public Health and Occupational is open to distinguished members of the medical Occupational Physicians Physicians was converted from a Chapter to a College. profession and the public by invitation. The Oration is The College was set up as a non-independent College held biennially in conjunction with the Congress of under the Academy of Medicine, Singapore in October Medicine in Singapore. 2012. The College of Public Health and Occupational Physicians is established to support the academic - Runme Shaw Memorial Lecture This Fund is established in recognition of the contribution activities of the College. of Sir Runme Shaw to the Academy of Medicine, Singapore. The Lectureship will be presented at the College of Emergency Physicians The College of Emergency Physicians (formerly Chapter biennial Singapore Malaysia Congress of Medicine of Emergency Physicians) was set up as a non- (SMCM). independent College under the Academy of Medicine, Singapore on 20th November 2014. The establishment of - Seah Cheng Siang Memorial Fund The Fund is established to commemorate Prof Seah the college is to forge a better identity and achieve a Cheng Siang’s for his contributions to the medical higher standing to drive the future development of profession in Singapore. It is used for the promotion of Emergency Medicine in Singapore. medical research and lectures.

Page 21 Page 22 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (Continued) 2. Significant Accounting Policies (Continued)

2.16 Specific Funds (Continued) 2.16 Specific Funds (Continued)

Name of Funds Purpose Name of Fund Purpose

Lecture Funds (Continued)

Chapters’ Funds -Distance Learning Programme The programme is recognised and accredited by the The Chapter Funds were set up to support continuing The following Chapter Funds were set Singapore Medical Council. It is exclusive to Fellows of educational activities. Funds received from donations, up to the Academy. It provides an alternative approach to registration fees, trade exhibitions and other earmarked cater to the needs and requirements of a assist Fellows in meeting the Continuing Medical receipts for such activities are credited to their individual small group of specialists. Education (CME) and Continuing Professional accounts accordingly. Expenditure incurred on such - Chapter of Pathologists Education (CPE) requirements in their own time, pace activities is debited to their respective accounts. - Chapter of Psychiatrists and place. - Chapter of Emergency Physicians During the financial year, two Chapters, Chapter of Family - Chapter of Clinician Educators -Sir David Galloway Memorial Lecture Instituted in 1959 in memory of the late Sir David Medicine, Physicians and Chapter of Intensivists were Galloway, the Lectureship is open annually to all - Chapter of Clinician Scientists formed under the Academy of Medicine, Singapore. - Chapter of Family Medicine, Physicians Academicians and practitioners of Medicine and its allied - Chapter of Intensivists fields.

Section Fund - Yahya Cohen Lecture The fund was established in 1994 in honor and - Section of Sports Medicine To set standard of care for Sports Medicine. It aims to recognition of the outstanding contributions to the provide a platform for local, international Sports Medicine development of surgery in Singapore by Dr, Yahya st organisation to collaborate; for healthcare professionals in Cohen, the 1 Chairman of the Chapter of Surgeons and a the field to exchange knowledge; to promote and organize past Master of the Academy. The lectureship will be CPD events related to Sports Medicine. It also serves the presented annually and the lecture shall take place at an purpose of providing independent expert opinions/reports event organized by the College of Surgeons, Singapore. relating to Sports Medicine issues as requested by Ministry of Health and other stakeholders. Colleges College of Ophthalmologists Fund The College of Ophthalmologists (formerly Chapter of Lectures’ Funds Ophthalmologists under the College of Surgeons) was set - Common Fund for Advancement of The Fund is established to provide assistance to local up as a non-independent College under the Academy of Medicine Fellows of the AMS at major scientific meetings and the Medicine, Singapore in January 2009. The College of Master’s or his representatives attendance at overseas Ophthalmologists Fund is established to support the meetings for the advancement of medicine. academic activities of the College.

- Gordon Arthur Ransome Oration Established in 1971, the Gordan Arthur Ransome Oration College of Public Health and The College of Public Health and Occupational is open to distinguished members of the medical Occupational Physicians Physicians was converted from a Chapter to a College. profession and the public by invitation. The Oration is The College was set up as a non-independent College held biennially in conjunction with the Congress of under the Academy of Medicine, Singapore in October Medicine in Singapore. 2012. The College of Public Health and Occupational Physicians is established to support the academic - Runme Shaw Memorial Lecture This Fund is established in recognition of the contribution activities of the College. of Sir Runme Shaw to the Academy of Medicine, Singapore. The Lectureship will be presented at the College of Emergency Physicians The College of Emergency Physicians (formerly Chapter biennial Singapore Malaysia Congress of Medicine of Emergency Physicians) was set up as a non- (SMCM). independent College under the Academy of Medicine, Singapore on 20th November 2014. The establishment of - Seah Cheng Siang Memorial Fund The Fund is established to commemorate Prof Seah the college is to forge a better identity and achieve a Cheng Siang’s for his contributions to the medical higher standing to drive the future development of profession in Singapore. It is used for the promotion of Emergency Medicine in Singapore. medical research and lectures.

Page 21 Page 22 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

2. Significant Accounting Policies (Continued)

2.16 Specific Funds (Continued)

Name of Fund Purpose

Colleges (Continued) 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 5th 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.

2.17 Related Parties

The members of the Academy of Medicine, Singapore are also members of the respective Colleges of their specialties.

A related party also includes the Council Members and key management of the Academy. It also includes an entity or person that directly or indirectly controls, is controlled by, or is under common or joint control with these persons; members of the key management personnel or close members of the family of any individual referred to herein and others who have the ability to control, jointly control or significantly influence by or for which significant voting power in such entity resides with, directly or indirectly, any such individual.

2.18 Conflict of Interest Policy

All Council Members, Chairman of Standing Committee and staff members of the Academy are required to read and understand the conflict of interest policy in place and make full disclosure of interests, relationships and holding that could potentially result in conflict of interests. When a conflict of interest situation arises, the Council Members or staff shall abstain from participating in the discussion, decision making and voting of the matter.

Page 23

ACADEMY OF MEDICINE, SINGAPORE 24 79 79 49 S$ 500 564 166 730

A Company incorporated in the Republic of Singapore and Limited by Guarantee 2014 Total 1,000 1,4 2,9 2,2 83,198

(Unique Entity Number and Charity Registration Number: 197702012E) 271,437 Page (190,488)

Notes To The Financial Statements ------19 19 19 19 For The Financial Year Ended 31 December 2014 S$ 2014

Sports Medicine 2. Significant Accounting Policies (Continued) Section of

------2.16 Specific Funds (Continued) 7 S$ 427 427 427 42

2014 Name of Fund Purpose Family Medicine, Medicine, Physicians Chapter of

Colleges (Continued)

College of Psychiatrists The College of Psychiatrists (formerly Chapter of ------13 13 Psychiatrists) was set up as a non-independent College S$ (13) (13) th 2014 under the Academy of Medicine, Singapore on 5

November 2014. The College is established to forge a Chapter of Intensivists better identity and achieve a higher standing in order to

unds - - - - -

drive the future development of Psychiatry in Singapore. F 10 35 45 S$ (45) (15) (60)

2014

2.17 Related Parties Clinician Scientists

Chapter of The members of the Academy of Medicine, Singapore are also members of the respective

and Section Section and ------Colleges of their specialties. - S$

2014

A related party also includes the Council Members and key management of the Academy. It 182,816 (182,816) Physicians Chapter of also includes an entity or person that directly or indirectly controls, is controlled by, or is Emergency Chapter Chapter under common or joint control with these persons; members of the key management personnel

------or close members of the family of any individual referred to herein and others who have the - S$ er of

ability to control, jointly control or significantly influence by or for which significant voting 2014 7,672 power in such entity resides with, directly or indirectly, any such individual. (7,672)

Chapt Psychiatrists

2.18 Conflict of Interest Policy

- 21 S$ All Council Members, Chairman of Standing Committee and staff members of the Academy 500 968 554 575 2014 1,000 2,468 1,893 are required to read and understand the conflict of interest policy in place and make full 80,980 82,873 disclosure of interests, relationships and holding that could potentially result in conflict of Chapter of Pathologists interests. When a conflict of interest situation arises, the Council Members or staff shall abstain from participating in the discussion, decision making and voting of the matter.

- - - - 65 65 97 97 S$ (32) (16) (48) 2014 Clinician Educators Chapter of Financial Year Ended 31 December 2014 – 31 December Ended Year Financial he

inthe supplementary schedules.

rces

Note 16

– n Funds

Financial Statements Statements Financial

esources Expended Surplus from Events Professional / Course Fees Miscellaneous Income

Year 2014 Incoming Resources From Generated Funds Charitable Income - - - Total Incoming Resou R Expenses Activities Charitable Other Operating and Administrative Expenses Total Expended Resources Net Movement I Reconciliation Of Funds Total b/f Funds Transfer Funds of Total c/f Funds For The Financial Year Ended 31 December 2014 2014 31 December Ended Year The Financial For ACADEMY OF MEDICINE, SINGAPORE SINGAPORE MEDICINE, OF ACADEMY by Guarantee and Limited Singapore of the Republic in incorporated Company A 197702012E) Number: Registration Charity and Number Entity (Unique Notes To The For T Activities Financial Of 3. Statement A further analysis of expenses presented is Page 23 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014 3. Statement Of Financial Activities For The Financial Year Ended 31 December 2014– Chapter and Section Funds (Continued)

Chapter of Clinician Chapter of Chapter of Chapter of Emergency Chapter of Total Educators Pathologists Psychiatrists Physicians Clinician Year 2013 Scientists 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ Incoming Resources From Generated Funds Charitable Income - Donations in Cash - - - 6,000 - 6,000 - Surplus from Events - - - 12,371 - 12,371 - Professional / Course Fees - - 2,400 38,733 - 41,133 - Miscellaneous Income - 20 2,077 1,887 - 3,984 - Sponsorship / Trade Exhibition - - 1,250 1,830 - 3,080 Total Incoming Resources - 20 5,727 60,821 - 66,568

Resources Expended Charitable Activities Expenses - 1,419 1,688 14,794 - 17,901 Other Operating and Administrative 16 18 19 58 15 126 Expenses Total Resources Expended 16 1,437 1,707 14,852 15 18,027 Net Movement In Funds (16) (1,417) 4,020 45,969 (15) 48,541 Reconciliation Of Funds Total Funds b/f - 82,397 3,652 136,847 - 222,896 Total Funds c/f (16) 80,980 7,672 182,816 (15) 271,437

A further analysis of expenses is presented in the supplementary schedules.

Page 25 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014 3. Statement Of Financial Activities For The Financial Year Ended 31 December 2014– Chapter and Section Funds (Continued)

Chapter of Clinician Chapter of Chapter of Chapter of Emergency Chapter of Total Educators Pathologists Psychiatrists Physicians Clinician Year 2013 Scientists 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ Incoming Resources From Generated Funds Charitable Income - Donations in Cash - - - 6,000 - 6,000 - Surplus from Events - - - 12,371 - 12,371 - Professional / Course Fees - - 2,400 38,733 - 41,133 - Miscellaneous Income - 20 2,077 1,887 - 3,984 - Sponsorship / Trade Exhibition - - 1,250 1,830 - 3,080 Total Incoming Resources - 20 5,727 60,821 - 66,568

Resources Expended Charitable Activities Expenses - 1,419 1,688 14,794 - 17,901 Other Operating and Administrative 16 18 19 58 15 126 Expenses Total Resources Expended 16 1,437 1,707 14,852 15 18,027 Net Movement In Funds (16) (1,417) 4,020 45,969 (15) 48,541 Reconciliation Of Funds Total Funds b/f - 82,397 3,652 136,847 - 222,896 Total Funds c/f (16) 80,980 7,672 182,816 (15) 271,437

A further analysis of expenses is presented in the supplementary schedules.

Page 25

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

4. Statement Of Financial Activities For The Financial Year Ended 31 December 2014 – Lectures’ Funds

Lecture Funds Common Fund Gordon Arthur Runme Shaw Seah Cheng Yahya Cohen Sir David Distance Total for Ransome Memorial Siang Lecture Fund Galloway Learning Year 2014 Advancement Oration Lecture Memorial Memorial Programme of Medicine Fund 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ S$ Incoming Resources Investment Income - Donations in Cash - 2,500 - - - - - 2,500 - Interest Income 1,275 - 400 3,714 492 - - 5,881 Total Incoming Resources 1,275 2,500 400 3,714 492 - - 8,381

Resources Expended Charitable Activities Expenses 3,869 - - 3,607 - - 1,950 9,426 Total Resources Expended 3,869 - - 3,607 - - 1,950 9,426 Net Movement In Funds (2,594) 2,500 400 107 492 - (1,950) (1,045)

Reconciliation Of Funds Total Funds b/f 250,923 108,105 73,359 1,419,341 1,360 1,466 (2,065) 1,852,489 Total Funds c/f 248,329 110,605 73,759 1,419,448 1,852 1,466 (4,015) 1,851,444

A further analysis of the expenses is presented in the supplementary schedules.

Page 26 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

4. Statement Of Financial Activities For The Financial Year Ended 31 December 2014 – Lectures’ Funds (Continued)

Lecture Funds Common Fund Gordon Arthur Runme Shaw Seah Cheng Yahya Cohen Sir David Distance Total for Ransome Memorial Siang Lecture Fund Galloway Learning Year 2013 Advancement Oration Lecture Memorial Memorial Programme of Medicine Fund 2013 2013 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ S$ S$ Incoming Resources Investment Income - Donations in Cash - 32,400 - - - - - 32,400 - Interest Income 1,394 - 401 3,718 1,360 - - 6,873 Total Incoming Resources 1,394 32,400 401 3,718 1,360 - - 39,273

Resources Expended Charitable Activities Expenses 12,171 1,220 5,028 - - 1,110 2,065 21,594 Total Resources Expended 12,171 1,220 5,028 - - 1,110 2,065 21,594 Net Movement In Funds (10,777) 31,180 (4,627) 3,718 1,360 (1,110) (2,065) 17,679

Reconciliation Of Funds Total Funds b/f 261,700 76,925 77,986 1,415,623 - 2,576 - 1,834,810 Total Funds c/f 250,923 108,105 73,359 1,419,341 1,360 1,466 (2,065) 1,852,489

A further analysis of the expenses is presented in the supplementary schedules.

Page 27

For The Finan For The 5. 5.

ToNotes Entity(Unique Number and Charity A Company incorporated in theRepublic of Singapore andLimited byGuarantee ACADEMY OF MEDICINE, SINGAPORE The investmentproperty The is currently leased out and earns rental income. and other factors affecting its value. location, tenurem size, design shape, and layout, age andconditions of madehave due adjustments differences for between property the comparables and the termsin of Valuation.value The is derived after taking consideration into prevailing the market conditionsand professional valuers Investment Property The The freehold landbuilding and independently were valuedat At 31December 201 At 31December 201 Net book Value At 31December 2014 (Disposals) for the Year Charge For The Year At 31December 2013 (Disposals) for the Year Charge For The Year At 1 January 2013 Accumulated Depreciation At 31December 201 (D Additions for the Year At 31December 201 (Disposals) for the Year Additions for the Year At 1 January 201 Cost The The isposals) for the Year

:

cial Year Ended 31December 2014 Financial Statements :

3

in January 2013 January in

4 3

3 4

:

Registration N . The fairThe on valuebased is umber: 197702012E) 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 Freehold Land S$

$7 million ------

Direct ComparisonMethod of buildings, transactions of dates

1,043,462 1,017,046 1,338,616 1,338,616 1,338,616 Building

321,570 295,154 268,738 byfirm a of 26,416 26,416 S$ ------

independent 4,043,462 4,017,046 4,338,616 4,338,616 4,338,616 321,570 295,154 268,738 Page 26,416 26,416 Total

S$ 28 ------

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

4. Statement Of Financial Activities For The Financial Year Ended 31 December 2014 – Lectures’ Funds (Continued)

Lecture Funds Common Fund Gordon Arthur Runme Shaw Seah Cheng Yahya Cohen Sir David Distance Total for Ransome Memorial Siang Lecture Fund Galloway Learning Year 2013 Advancement Oration Lecture Memorial Memorial Programme of Medicine Fund 2013 2013 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ S$ S$ Incoming Resources Investment Income - Donations in Cash - 32,400 - - - - - 32,400 - Interest Income 1,394 - 401 3,718 1,360 - - 6,873 Total Incoming Resources 1,394 32,400 401 3,718 1,360 - - 39,273

Resources Expended Charitable Activities Expenses 12,171 1,220 5,028 - - 1,110 2,065 21,594 Total Resources Expended 12,171 1,220 5,028 - - 1,110 2,065 21,594 Net Movement In Funds (10,777) 31,180 (4,627) 3,718 1,360 (1,110) (2,065) 17,679

Reconciliation Of Funds Total Funds b/f 261,700 76,925 77,986 1,415,623 - 2,576 - 1,834,810 Total Funds c/f 250,923 108,105 73,359 1,419,341 1,360 1,466 (2,065) 1,852,489

A further analysis of the expenses is presented in the supplementary schedules.

Page 27 Finan For The

5. ToNotes Entity(Unique Number and Charity A Company incorporated in theRepublic of Singapore andLimited byGuarantee ACADEMY OF MEDICINE, SINGAPORE professional valuers The investmentproperty The is currently leased out and earns rental income. and other factors affecting its value. location, tenurem size, design shape, and layout, age andconditions of madehave due adjustments differences for between property the comparables and the termsin of Valuation.value The is derived after taking consideration into prevailing the market conditionsand The The freehold landbuilding and independently were valuedat Investment Property At 31December 201 (D Additions for the Year At 31December 201 (Disposals) for the Year Additions for the Year At 1 January 201 Cost At 31December 201 At 31December 201 Net book Value At 31December 2014 (Disposals) for the Year Charge For The Year At 31December 2013 (Disposals) for the Year Charge For The Year At 1 January 2013 Accumulated Depreciation The The isposals) for the Year

:

cial Year Ended 31December 2014 Financial Statements :

3

in January 2013 January in

4 3

3 4

:

Registration N . The fairThe on valuebased is umber: 197702012E) 3,000,000 3,000,000 3,000,000 3,000,000 3,000,000 Freehold Land S$

$7 million ------

Direct ComparisonMethod of buildings, transactions of dates

1,338,616 1,338,616 1,338,616 1,043,462 1,017,046 Building

321,570 295,154 268,738 byfirm a of 26,416 26,416 S$ ------

independent 4,043,462 4,017,046 4,338,616 4,338,616 4,338,616 321,570 295,154 268,738 Page 26,416 26,416 Total

S$ 28 ------

ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

6. Plant And Equipment 8. Inventories

Office Computers Total 2014 2013 Furniture, S$ S$ Fitting & Finished Goods 12,065 14,558 Equipment Less : Allowance For Obsolescence (5,214) (6,545) S$ S$ S$ 6,851 8,013 Cost : At 1 January 2013 498,080 421,900 919,980 Comprising Items Which Are Stated : Additions for the Year 18,880 59,281 78,161 At Cost 4,938 5,798 (Disposals) for the Year (20,359) - (20,359) At Net Realisable Value 1,913 2,215 At 31 December 2013 496,601 481,181 977,782 6,851 8,013 Additions for the Year 24,080 22,924 47,004 Movements In Above Allowance : - (Disposals) for the Year - - - Balance At The Beginning Of The Year 6,545 8,204 At 31 December 2014 520,681 504,105 1,024,786 Less: Overprovision in the Previous Year (1,331) (1,659) Balance At The End Of The Year 5,214 6,545 Accumulated Depreciation: At 1 January 2013 437,671 369,578 807,249 Charge For The Year 17,421 43,290 60,711 9. Receivables (Disposals) for the Year (20,359) - (20,359) At 31 December 2013 434,733 412,868 847,601 2014 2013 Charge For The Year 17,331 40,317 57,648 S$ S$ (Disposals) for the Year - - - Receivables 1,055,442 1,869,955 At 31 December 2014 452,064 453,185 905,249 Less : Allowance For Doubtful Debts (136,241) (207,437) 919,201 1,662,518 Net book Value: At 31 December 2014 68,617 50,920 119,537 Movements In The Above Allowance:- Balance At The Beginning Of The Year 207,437 181,936 At 31 December 2013 61,868 68,313 130,181 Allowance Written Off During The Year (83,841) (42,324) Allowance Written Back During The Year (44,569) (26,004) Allowance Made During The Year 57,214 93,829 7. Other Debtors and Prepayments Balance At The End Of The Year 136,241 207,437

2014 2013 S$ S$ 10. Amount Due From/To Related Companies (Non Trade) Non-Current Prepayments 1,853,496 2,024,957 The amounts are unsecured, interest free and repayable upon demand.

1,853,496 2,024,957 11. Cash And Cash Equivalents Current Deferred Expenditure 221,694 192,033 2014 2013 Deposits 26,425 26,425 S$ S$ Prepayments 187,470 187,524 Cash At Bank 4,397,608 3,764,581 435,589 405,982 Cash In Hand 3,842 4,147 4,401,450 3,768,728 The Academy has a rental agreement with the landlord of its premises situated at 81 Kim Keat Road, Fixed Deposits Placed With Financial Institutions 3,078,754 3,110,952 #11-00, NKF Centre, Singapore 328836 at S$3 million for a period of 18 years. The total amount 7,480,204 6,879,680 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 Fixed Deposits are placed for 12 months and earns an interest of 0.25% to 0.8% (2013: 0.25% to assets. 0.7%) per annum.

Page 29 Page 30 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

6. Plant And Equipment 8. Inventories

Office Computers Total 2014 2013 Furniture, S$ S$ Fitting & Finished Goods 12,065 14,558 Equipment Less : Allowance For Obsolescence (5,214) (6,545) S$ S$ S$ 6,851 8,013 Cost : At 1 January 2013 498,080 421,900 919,980 Comprising Items Which Are Stated : Additions for the Year 18,880 59,281 78,161 At Cost 4,938 5,798 (Disposals) for the Year (20,359) - (20,359) At Net Realisable Value 1,913 2,215 At 31 December 2013 496,601 481,181 977,782 6,851 8,013 Additions for the Year 24,080 22,924 47,004 Movements In Above Allowance : - (Disposals) for the Year - - - Balance At The Beginning Of The Year 6,545 8,204 At 31 December 2014 520,681 504,105 1,024,786 Less: Overprovision in the Previous Year (1,331) (1,659) Balance At The End Of The Year 5,214 6,545 Accumulated Depreciation: At 1 January 2013 437,671 369,578 807,249 Charge For The Year 17,421 43,290 60,711 9. Receivables (Disposals) for the Year (20,359) - (20,359) At 31 December 2013 434,733 412,868 847,601 2014 2013 Charge For The Year 17,331 40,317 57,648 S$ S$ (Disposals) for the Year - - - Receivables 1,055,442 1,869,955 At 31 December 2014 452,064 453,185 905,249 Less : Allowance For Doubtful Debts (136,241) (207,437) 919,201 1,662,518 Net book Value: At 31 December 2014 68,617 50,920 119,537 Movements In The Above Allowance:- Balance At The Beginning Of The Year 207,437 181,936 At 31 December 2013 61,868 68,313 130,181 Allowance Written Off During The Year (83,841) (42,324) Allowance Written Back During The Year (44,569) (26,004) Allowance Made During The Year 57,214 93,829 7. Other Debtors and Prepayments Balance At The End Of The Year 136,241 207,437

2014 2013 S$ S$ 10. Amount Due From/To Related Companies (Non Trade) Non-Current Prepayments 1,853,496 2,024,957 The amounts are unsecured, interest free and repayable upon demand.

1,853,496 2,024,957 11. Cash And Cash Equivalents Current Deferred Expenditure 221,694 192,033 2014 2013 Deposits 26,425 26,425 S$ S$ Prepayments 187,470 187,524 Cash At Bank 4,397,608 3,764,581 435,589 405,982 Cash In Hand 3,842 4,147 4,401,450 3,768,728 The Academy has a rental agreement with the landlord of its premises situated at 81 Kim Keat Road, Fixed Deposits Placed With Financial Institutions 3,078,754 3,110,952 #11-00, NKF Centre, Singapore 328836 at S$3 million for a period of 18 years. The total amount 7,480,204 6,879,680 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 Fixed Deposits are placed for 12 months and earns an interest of 0.25% to 0.8% (2013: 0.25% to assets. 0.7%) per annum.

Page 29 Page 30 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

12. Other Creditors and Accruals 13. Staff Costs 2014 2013 2014 2013 S$ S$ S$ S$ Salaries and Bonuses 2,415,055 2,495,605 Other Creditors 226,619 425,665 Employer’s Contribution To Central Provident Fund, 363,027 370,795 GST Payable 41,512 58,999 Foreign Workers’ Levy and Skills Development Fund Accruals 378,414 326,117 Medical Expenses 12,841 13,349 Deferred Income 575,669 582,139 Staff Training / Staff Recruitment 11,575 7,398 Rental Received In Advance 18,692 9,112 Staff Insurance 17,475 16,289 Refundable Deposit Payable 37,383 36,449 Staff Awards / Benefits 6,162 11,908 APAO Congress Fund Account (*) 552,063 554,063 2,826,135 2,915,344 1,830,352 1,992,544 Total Amount includes staff cost for Joint Committee on Specialist Training staff - $1,208,898 (Year 2013: $1,208,399). (*) APAO (Asia-Pacific Academy of Ophthalmology) Congress Fund Account is held in trust and administered by the College of Ophthalmologists, Singapore. The movement of the APAO Congress 14. Employees Remuneration Bands Fund Account is as follows: Number of employees in remuneration bands APAO Ophthalmology Total 2014 2013 Congress Congress Fund Less than $100,000 47 52 Travel Fund $100,000 to $199,000 1 1 S$ S$ S$ Balance As At 1 January 2014 200,000 354,063 554,063 Travel Grant Disbursed (2,000) - (2,000) 15. Total Comprehensive Income For The Financial Year Balance As At 31 December 2014 198,000 354,063 552,063 In addition to the charges and credits disclosed elsewhere in the notes to the financial statements, this item includes the following charges:- The purposes of the funds are as follows: 2014 2013 a) APAO Congress Travel Fund S$ S$ Allowance For Doubtful Debts 57,214 93,829 The fund is to be used to offer travel grants to College of Ophthalmology Fellows or to fund Professional Fees 301,135 356,341 the fees for inviting speakers to Singapore. Property Tax 18,000 18,383

b) Ophthalmology Congress Fund 16. Transfer of Funds

The fund is to be utilized for any Ophthalmic Congresses hosted by College of During the previous financial year, the Dental Advanced Specialists Training Fund was closed and Ophthalmology. transferred to College of Dental Surgeons Singapore.

During the current year, the Chapter of Emergency Physicians and Chapter of Psychiatrists were converted to College of Emergency Physicians and College of Psychiatrists. Hence the funds belonging to the Chapter was transferred to the College.

17. Tax Exempt Receipts

The Academy enjoys a concessionary tax treatment whereby qualifying donors are granted double tax deduction for the donations made to the Academy. During the financial year, the Academy issued tax-exempt receipts for donations collected amounting to $24,750 (2013: S$76,300).

Page 31 Page 32 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

12. Other Creditors and Accruals 13. Staff Costs 2014 2013 2014 2013 S$ S$ S$ S$ Salaries and Bonuses 2,415,055 2,495,605 Other Creditors 226,619 425,665 Employer’s Contribution To Central Provident Fund, 363,027 370,795 GST Payable 41,512 58,999 Foreign Workers’ Levy and Skills Development Fund Accruals 378,414 326,117 Medical Expenses 12,841 13,349 Deferred Income 575,669 582,139 Staff Training / Staff Recruitment 11,575 7,398 Rental Received In Advance 18,692 9,112 Staff Insurance 17,475 16,289 Refundable Deposit Payable 37,383 36,449 Staff Awards / Benefits 6,162 11,908 APAO Congress Fund Account (*) 552,063 554,063 2,826,135 2,915,344 1,830,352 1,992,544 Total Amount includes staff cost for Joint Committee on Specialist Training staff - $1,208,898 (Year 2013: $1,208,399). (*) APAO (Asia-Pacific Academy of Ophthalmology) Congress Fund Account is held in trust and administered by the College of Ophthalmologists, Singapore. The movement of the APAO Congress 14. Employees Remuneration Bands Fund Account is as follows: Number of employees in remuneration bands APAO Ophthalmology Total 2014 2013 Congress Congress Fund Less than $100,000 47 52 Travel Fund $100,000 to $199,000 1 1 S$ S$ S$ Balance As At 1 January 2014 200,000 354,063 554,063 Travel Grant Disbursed (2,000) - (2,000) 15. Total Comprehensive Income For The Financial Year Balance As At 31 December 2014 198,000 354,063 552,063 In addition to the charges and credits disclosed elsewhere in the notes to the financial statements, this item includes the following charges:- The purposes of the funds are as follows: 2014 2013 a) APAO Congress Travel Fund S$ S$ Allowance For Doubtful Debts 57,214 93,829 The fund is to be used to offer travel grants to College of Ophthalmology Fellows or to fund Professional Fees 301,135 356,341 the fees for inviting speakers to Singapore. Property Tax 18,000 18,383 b) Ophthalmology Congress Fund 16. Transfer of Funds

The fund is to be utilized for any Ophthalmic Congresses hosted by College of During the previous financial year, the Dental Advanced Specialists Training Fund was closed and Ophthalmology. transferred to College of Dental Surgeons Singapore.

During the current year, the Chapter of Emergency Physicians and Chapter of Psychiatrists were converted to College of Emergency Physicians and College of Psychiatrists. Hence the funds belonging to the Chapter was transferred to the College.

17. Tax Exempt Receipts

The Academy enjoys a concessionary tax treatment whereby qualifying donors are granted double tax deduction for the donations made to the Academy. During the financial year, the Academy issued tax-exempt receipts for donations collected amounting to $24,750 (2013: S$76,300).

Page 31 Page 32 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

18. Surplus from Events 18. Surplus/ (Deficit) from Events (Continued)

During the financial year, the following events took place:- During the previous financial year, the following events took place:-

9th Singapore Preparatory 2nd Asia Total Year 2014 8th Singapore Preparatory 2nd AMM – Total Public Health & Course Part B Pacific Liver Year 2013 Occupational & C for Directed Public Health & Course for AMS Medicine Emergency Y-90 Occupational Emergency HKAM Conference Medicine Medicine Medicine Tripartite Income S$ S$ S$ S$ Conference Exams 2013 Congress & th Donations 10,000 - - 10,000 47 Singapore Education Grant - - 30,000 30,000 Malaysia Miscellaneous Income - - 351 351 Scientific Registration 148,981 63,300 397 212,678 Congress Sponsorship/ Trade Exhibition 10,900 - 169,431 180,331 2013 Income S$ S$ S$ S$ Total Income 169,881 63,300 200,179 433,360 Donations 10,000 - 11,600 21,600

Registration Fees 132,729 58,500 38,341 229,570 Less: Expenses Sponsorship / Trade Exhibition 36,880 - 23,411 60,291 Accommodation / Airfares 3,929 6,668 - 10,597 Total Income 179,609 58,500 73,352 311,461 Awards / Grants / Honorarium 1,350 17,445 41,500 60,295

Bank Charges 460 50 256 766 Less: Expenses Courier / Postage 3 - - 3 Accommodation / Airfares 8,343 8,787 8,166 25,296 Equipment Hire Expenses 11,776 - - 11,776 Awards / Grants / Honorarium 1,350 20,935 - 22,285 Insurance 3,277 - - 3,277 Bank Charges 468 30 935 1,433 IT Expenses 3,313 - 1,000 4,313 Courier / Postage 5 - 49 54 Manpower Costs 890 - 430 1,320 Equipment Hire Expenses 11,211 - 6,800 18,011 Printing / Stationery 2,513 535 13,287 16,335 Insurance 2,676 - 500 3,176 Professional Fees 16,530 - 1,712 18,242 IT Expenses 2,545 - 5,410 7,955 Professional Withholding Tax - 300 706 1,006 Manpower Costs 740 - 920 1,660 Refreshments / Lunch / Dinner 2,077 4,084 32,138 38,299 Printing / Stationery 5,009 541 6,588 12,138 Souvenirs / Gifts 3,374 60 - 3,434 Professional Withholding Tax - 300 218 518 Transport 402 369 1,110 1,881 Refreshments / Lunch / Dinner 1,249 4,758 39,926 45,933 Venue and Meeting Expense 78,592 1,662 67,403 147,657 Souvenirs / Gifts 1,150 43 611 1,804 Miscellaneous Expense 2,015 158 1,499 3,672 Transport 537 281 1,981 2,799 Total Resources Expended 130,501 31,331 161,041 322,873 Venue and Meeting Expense 86,538 2,048 13,940 102,526 Surplus 39,380 31,969 39,138 110,487 Miscellaneous Expense 2,007 158 3,528 5,693 Share of Surplus to Other Total Resources Expended 123,828 37,881 89,572 251,281 Entities - - (39,138) (39,138) Surplus 55,781 20,619 (16,220) 60,180 71,349 Share of Surplus to Other Add: Professional Conference Organiser (PCO) Income 65,187 Entities - - - - Add: Share of Profits Received by the Academy from Events Organised by 10,917 55,781 20,619 (16,220) 60,180 Other Entities Add: Professional Conference Organiser (PCO) Income 75,334 Total Income From Events 147,453 Add: Share of Profits Received by the Academy from Events Organised by 6,284 Other Entities Total Income From Events 141,798

Page 33 Page 34 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

18. Surplus from Events 18. Surplus/ (Deficit) from Events (Continued)

During the financial year, the following events took place:- During the previous financial year, the following events took place:-

9th Singapore Preparatory 2nd Asia Total Year 2014 8th Singapore Preparatory 2nd AMM – Total Public Health & Course Part B Pacific Liver Year 2013 Occupational & C for Directed Public Health & Course for AMS Medicine Emergency Y-90 Occupational Emergency HKAM Conference Medicine Medicine Medicine Tripartite Income S$ S$ S$ S$ Conference Exams 2013 Congress & th Donations 10,000 - - 10,000 47 Singapore Education Grant - - 30,000 30,000 Malaysia Miscellaneous Income - - 351 351 Scientific Registration 148,981 63,300 397 212,678 Congress Sponsorship/ Trade Exhibition 10,900 - 169,431 180,331 2013 Income S$ S$ S$ S$ Total Income 169,881 63,300 200,179 433,360 Donations 10,000 - 11,600 21,600

Registration Fees 132,729 58,500 38,341 229,570 Less: Expenses Sponsorship / Trade Exhibition 36,880 - 23,411 60,291 Accommodation / Airfares 3,929 6,668 - 10,597 Total Income 179,609 58,500 73,352 311,461 Awards / Grants / Honorarium 1,350 17,445 41,500 60,295

Bank Charges 460 50 256 766 Less: Expenses Courier / Postage 3 - - 3 Accommodation / Airfares 8,343 8,787 8,166 25,296 Equipment Hire Expenses 11,776 - - 11,776 Awards / Grants / Honorarium 1,350 20,935 - 22,285 Insurance 3,277 - - 3,277 Bank Charges 468 30 935 1,433 IT Expenses 3,313 - 1,000 4,313 Courier / Postage 5 - 49 54 Manpower Costs 890 - 430 1,320 Equipment Hire Expenses 11,211 - 6,800 18,011 Printing / Stationery 2,513 535 13,287 16,335 Insurance 2,676 - 500 3,176 Professional Fees 16,530 - 1,712 18,242 IT Expenses 2,545 - 5,410 7,955 Professional Withholding Tax - 300 706 1,006 Manpower Costs 740 - 920 1,660 Refreshments / Lunch / Dinner 2,077 4,084 32,138 38,299 Printing / Stationery 5,009 541 6,588 12,138 Souvenirs / Gifts 3,374 60 - 3,434 Professional Withholding Tax - 300 218 518 Transport 402 369 1,110 1,881 Refreshments / Lunch / Dinner 1,249 4,758 39,926 45,933 Venue and Meeting Expense 78,592 1,662 67,403 147,657 Souvenirs / Gifts 1,150 43 611 1,804 Miscellaneous Expense 2,015 158 1,499 3,672 Transport 537 281 1,981 2,799 Total Resources Expended 130,501 31,331 161,041 322,873 Venue and Meeting Expense 86,538 2,048 13,940 102,526 Surplus 39,380 31,969 39,138 110,487 Miscellaneous Expense 2,007 158 3,528 5,693 Share of Surplus to Other Total Resources Expended 123,828 37,881 89,572 251,281 Entities - - (39,138) (39,138) Surplus 55,781 20,619 (16,220) 60,180 71,349 Share of Surplus to Other Add: Professional Conference Organiser (PCO) Income 65,187 Entities - - - - Add: Share of Profits Received by the Academy from Events Organised by 10,917 55,781 20,619 (16,220) 60,180 Other Entities Add: Professional Conference Organiser (PCO) Income 75,334 Total Income From Events 147,453 Add: Share of Profits Received by the Academy from Events Organised by 6,284 Other Entities Total Income From Events 141,798

Page 33 Page 34 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

19. Related Party Transactions 20. Financial Instruments (Continued) During the financial year the following transactions took place with related companies:- (b) Financial Risk Management (Continued)

2014 2013 S$ S$ The credit risk is as follows: Share of Subscription 4,330 2,600 i) Financial assets that are neither past due nor impaired are mainly deposits with high credit- Payment of professional fees for Staff Registrar Scheme ratings assigned by international credit-rating agencies. Trade receivables that are neither (SRS) 159,908 97,808 past due nor impaired are substantially companies with a good collection track record with Share of Surplus for Staff Registrar Scheme (SRS) 10,449 44,381 the Academy or refers to members subscription amounts Professional fees for Independent Medical Expert (IME) 14,000 19,000 Professional Conference and Related Fees 25,858 24,656 ii) Financial assets that are past due but not impaired.

20. Financial Instruments During the financial year, the following receivables were past due but not impaired.

(a) Categories of financial instruments 2014 2013 2014 2013 S$ S$ S$ S$ Past due 0 to 3 months 130,710 376,518 Financial assets Past due 3 to 6 months 11,703 55,191 Receivables 919,201 1,662,518 Past due over 6 months 502,732 271,663 Other Debtors and Deposits 26,425 26,425 Amount Due From Related Companies 60 190 Interest rate risk Fixed Deposits With Financial Institutions 3,078,754 3,110,952 The Academy’s significant interest – bearing assets are fixed deposits with financial institutions. Cash And Bank Balances 4,401,450 3,768,728 Interest rates are monitored so as to secure favourable rates. 8,425,890 8,568,813 The sensitivity analysis for changes in interest rate is not disclosed as the effect on surplus or deficit Financial liabilities is considered not significant. Amount Due To Related Companies (Non Trade) 626,105 542,723 Other Creditors And Accruals 1,254,683 1,410,405 Liquidity risk 1,880,788 1,953,128 Prudent liquidity risk management implies maintaining sufficient cash and the availability of

funding through donations, grant and other receipts. The Academy monitors its cash resources

closely and maintains sufficient cash for its operation. (b) Financial Risk Management

The main risk arising from the Academy’s financial assets and financial liabilities are foreign currency risk, interest rate risk, credit risk and liquidity risk. The Academy’s management reviews and 21. Fair Value agrees policies for managing each of these risks in a cost-effective manner and they are summarised The carrying amounts of financial assets and liabilities with a maturity of less than one year (including below. trade and other receivables, cash and cash equivalents and trade and other payables) are assumed to approximate their fair values because of the short period to maturity.

The Academy has a credit policy in place and the exposure to credit risk is monitored on an ongoing basis. The Academy has no significant concentration of credit risk. The maximum exposure to credit 22. Capital Management risk is represented by the carrying amount of each financial asset in the statement of financial position. The primary objective of the Academy’s capital management is to ensure that it maintains a strong credit rating and healthy capital ratios in order to support its activities.

The Academy does not have any borrowings. The Academy monitors capital by ensuring there are sufficient accumulated funds and fixed deposits in the banks.

Page 35 Page 36 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements Notes To The Financial Statements For The Financial Year Ended 31 December 2014 For The Financial Year Ended 31 December 2014

19. Related Party Transactions 20. Financial Instruments (Continued) During the financial year the following transactions took place with related companies:- (b) Financial Risk Management (Continued)

2014 2013 S$ S$ The credit risk is as follows: Share of Subscription 4,330 2,600 i) Financial assets that are neither past due nor impaired are mainly deposits with high credit- Payment of professional fees for Staff Registrar Scheme ratings assigned by international credit-rating agencies. Trade receivables that are neither (SRS) 159,908 97,808 past due nor impaired are substantially companies with a good collection track record with Share of Surplus for Staff Registrar Scheme (SRS) 10,449 44,381 the Academy or refers to members subscription amounts Professional fees for Independent Medical Expert (IME) 14,000 19,000 Professional Conference and Related Fees 25,858 24,656 ii) Financial assets that are past due but not impaired.

20. Financial Instruments During the financial year, the following receivables were past due but not impaired.

(a) Categories of financial instruments 2014 2013 2014 2013 S$ S$ S$ S$ Past due 0 to 3 months 130,710 376,518 Financial assets Past due 3 to 6 months 11,703 55,191 Receivables 919,201 1,662,518 Past due over 6 months 502,732 271,663 Other Debtors and Deposits 26,425 26,425 Amount Due From Related Companies 60 190 Interest rate risk Fixed Deposits With Financial Institutions 3,078,754 3,110,952 The Academy’s significant interest – bearing assets are fixed deposits with financial institutions. Cash And Bank Balances 4,401,450 3,768,728 Interest rates are monitored so as to secure favourable rates. 8,425,890 8,568,813 The sensitivity analysis for changes in interest rate is not disclosed as the effect on surplus or deficit Financial liabilities is considered not significant. Amount Due To Related Companies (Non Trade) 626,105 542,723 Other Creditors And Accruals 1,254,683 1,410,405 Liquidity risk 1,880,788 1,953,128 Prudent liquidity risk management implies maintaining sufficient cash and the availability of

funding through donations, grant and other receipts. The Academy monitors its cash resources

closely and maintains sufficient cash for its operation. (b) Financial Risk Management

The main risk arising from the Academy’s financial assets and financial liabilities are foreign currency risk, interest rate risk, credit risk and liquidity risk. The Academy’s management reviews and 21. Fair Value agrees policies for managing each of these risks in a cost-effective manner and they are summarised The carrying amounts of financial assets and liabilities with a maturity of less than one year (including below. trade and other receivables, cash and cash equivalents and trade and other payables) are assumed to approximate their fair values because of the short period to maturity.

The Academy has a credit policy in place and the exposure to credit risk is monitored on an ongoing basis. The Academy has no significant concentration of credit risk. The maximum exposure to credit 22. Capital Management risk is represented by the carrying amount of each financial asset in the statement of financial position. The primary objective of the Academy’s capital management is to ensure that it maintains a strong credit rating and healthy capital ratios in order to support its activities.

The Academy does not have any borrowings. The Academy monitors capital by ensuring there are sufficient accumulated funds and fixed deposits in the banks.

Page 35 Page 36 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

23. Reserves Policy

2014 2013

S$ S$

Unrestricted Funds 1,250,952 969,947

Ratio of Reserves to Annual Operating Expenditure (Unrestricted 0.7:1 0.5:1

Fund)

The reserves of the Academy provide financial stability and the means for the development of the Academy’s activities. The Academy intends to maintain the reserves at a level sufficient for its

operating needs. The Board of Directors reviews the level of reserves regularly for the Academy’s continuing obligations.

THE ACCOMPANYING SUPPLEMENTARY SCHEDULES HAVE BEEN PREPARED FOR MANAGEMENT PURPOSES ONLY AND DOES NOT FORM PART OF THE AUDITED FINANCIAL STATEMENTS

Page 37 Page 38 ACADEMY OF MEDICINE, SINGAPORE ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) (Unique Entity Number and Charity Registration Number: 197702012E)

Notes To The Financial Statements For The Financial Year Ended 31 December 2014

23. Reserves Policy

2014 2013

S$ S$

Unrestricted Funds 1,250,952 969,947

Ratio of Reserves to Annual Operating Expenditure (Unrestricted 0.7:1 0.5:1

Fund)

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

THE ACCOMPANYING SUPPLEMENTARY SCHEDULES HAVE BEEN PREPARED FOR MANAGEMENT PURPOSES ONLY AND DOES NOT FORM PART OF THE AUDITED FINANCIAL STATEMENTS

Page 37 Page 38 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule A Statement of Charitable Activities Expenses for the Financial Year Ended 31 December 2014

Funds Unrestricted Restricted Total Year 2014 Accumulated Annals Building Joint Chapters’ Lectures’ College of College of College of College of Sub Funds Endowment Committee and Funds Ophthalmologists Public Health Emergency Psychiatrists Total Fund on Section (*) & Physicians Specialist Funds Occupational Training (*) Physicians Resources Expended 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Charitable Activities Expenses Allowance For Doubtful Debts 57,214 ------57,214 Awards/Grants/Honorarium 151,677 - - 17,210 - 2,000 6,173 200 - - 25,583 177,260 Airfares / Accommodation 2,600 - - 61,888 - 1,060 - 949 - - 63,897 66,497 Bank Charges 4,848 211 ------211 5,059 Courier And Postages 1,218 3,594 ------3,594 4,812 Cost of Inventory 699 ------699 Donations - - - - - 3,000 5,000 - - - 8,000 8,000 Examination & Restudy Fees 309,717 ------309,717 Induction Comitia Dinner 14,550 ------14,550 IT Expenses 7,683 3,497 - - - 1,950 - - - - 5,447 13,130 Other Expenses 509 - - - - 602 - 13 41 - 656 1,165 Printing And Stationery 234 26,882 ------9,100 - 35,982 36,216 Professional Fees 260,048 ------260,048 Refreshment 9,674 951 - - 546 - - 4,467 557 - 6,521 16,195 Souvenirs And Gifts 643 117 - - - 159 350 - 30 95 751 1,394 Transport Expenses 5,087 212 - - 18 155 14 290 60 33 782 5,869 Venue And Meeting Packages 32,279 ------32,279 Withholding Tax - - - - - 500 - - - - 500 500

Total Charitable Activities Expenses 858,680 35,464 - 79,098 564 9,426 11,537 5,919 9,788 128 151,924 1,010,604 (*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ and Section Funds and Lectures’ Funds

Page 39 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule A Statement of Charitable Activities Expenses for the Financial Year Ended 31 December 2014

Funds Unrestricted Restricted Total Year 2014 Accumulated Annals Building Joint Chapters’ Lectures’ College of College of College of College of Sub Funds Endowment Committee and Funds Ophthalmologists Public Health Emergency Psychiatrists Total Fund on Section (*) & Physicians Specialist Funds Occupational Training (*) Physicians Resources Expended 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Charitable Activities Expenses Allowance For Doubtful Debts 57,214 ------57,214 Awards/Grants/Honorarium 151,677 - - 17,210 - 2,000 6,173 200 - - 25,583 177,260 Airfares / Accommodation 2,600 - - 61,888 - 1,060 - 949 - - 63,897 66,497 Bank Charges 4,848 211 ------211 5,059 Courier And Postages 1,218 3,594 ------3,594 4,812 Cost of Inventory 699 ------699 Donations - - - - - 3,000 5,000 - - - 8,000 8,000 Examination & Restudy Fees 309,717 ------309,717 Induction Comitia Dinner 14,550 ------14,550 IT Expenses 7,683 3,497 - - - 1,950 - - - - 5,447 13,130 Other Expenses 509 - - - - 602 - 13 41 - 656 1,165 Printing And Stationery 234 26,882 ------9,100 - 35,982 36,216 Professional Fees 260,048 ------260,048 Refreshment 9,674 951 - - 546 - - 4,467 557 - 6,521 16,195 Souvenirs And Gifts 643 117 - - - 159 350 - 30 95 751 1,394 Transport Expenses 5,087 212 - - 18 155 14 290 60 33 782 5,869 Venue And Meeting Packages 32,279 ------32,279 Withholding Tax - - - - - 500 - - - - 500 500

Total Charitable Activities Expenses 858,680 35,464 - 79,098 564 9,426 11,537 5,919 9,788 128 151,924 1,010,604 (*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ and Section Funds and Lectures’ Funds

Page 39

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule A Statement of Charitable Activities Expenses for the Financial Year Ended 31 December 2014

Funds Unrestricted Restricted Total Year 2013 Accumulated Annals Building Dental Joint Chapters’ Lectures’ College of College of Sub Funds Endowment Advanced Committee and Funds Ophthalmologists Public Health Total Fund Specialists on Section (*) & Training Fund Specialist Funds Occupational Training (*) Physicians Resources Expended 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Charitable Activities Expenses Allowance For Doubtful Debts 87,740 - - - 6,089 - - - - 6,089 93,829 Awards/Grants/Honorarium 83,705 - - - 19,461 - 6,100 26,500 - 52,061 135,766 Airfares / Accommodation 1,059 - - - 55,759 4,500 12,146 - 7,606 80,011 81,070

Bank Charges 3,416 329 - - - - - 40 - 369 3,785 Courier And Postages 362 4,608 ------4,608 4,970 Cost of Inventory 475 ------475 Donations ------5,000 - 5,000 5,000 Examination & Restudy Fees 223,903 ------223,903 Induction Comitia Dinner 37,958 ------37,958 IT Expenses 10,408 3,370 - - - - 2,065 - - 5,435 15,843 Other Expenses 2,055 1 - - - 30 35 18,222 - 18,288 20,343 Printing And Stationery - 29,800 - - - - 640 - - 30,440 30,440 Professional Fees 252,653 - - - - 9,102 - - - 9,102 261,755 Refreshment 1,554 1,573 - - - 3,451 - 7,443 5,878 18,345 19,899 Souvenirs And Gifts 28 - - - - 201 608 90 - 899 927 Transport Expenses 1,430 4 - - - 245 - 11 - 260 1,690 Venue And Meeting Packages 10,298 - - - - 372 - - - 372 10,670

Total Charitable Activities Expenses 717,044 39,685 - - 81,309 17,901 21,594 57,306 13,484 231,279 948,323 (*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ Funds and Lectures’ Funds

Page 40 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) Schedule B Statement of Other Operating and Administrative Expenses for the Financial Year Ended 31 December 2014 (Supplementary)

Funds Unrestricted Restricted Total Year 2014 Accumulated Annals Building Joint Chapters’ Lectures’ College of College of Public College of College of Sub Funds Endowment Committee and Funds Ophthalmologists Health & Emergency Psychiatrists Total Fund on Section Occupational Physicians Specialist Funds Physicians Training Other Operating And 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 Administrative Expenses S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Airfares / Accommodation 1,060 ------1,060 Audit Fee 7,200 ------7,200 Bank Charges 18,060 - 120 345 - - 64 90 - - 619 18,679 Cleaning Expenses 7,850 - - 3,263 ------3,263 11,113 Courier And Postages 3,704 - - 625 - - 3 - - - 628 4,332 Depreciation 29,528 771 32,627 21,138 ------54,536 84,064 Equipment Hire Expenses 3,916 ------2,150 - 2,150 6,066 Examination & Training Fees 4,634 - - 6,371 ------6,371 11,005 Fixed Assets Expensed Off 569 - - 1,180 ------1,180 1,749 Insurance 8,352 - 1,058 ------1,058 9,410 IT Expenses 18,396 - - 11,957 - - 119 119 - - 12,195 30,591 Repairs And Maintenance 874 - - 1,703 ------1,703 2,577 Other Expenses 15,602 - 29,340 10,362 - - - - 2,808 - 42,510 58,112 Professional Fees 2,250 - 28,037 10,800 ------38,837 41,087 Property Tax - - 18,000 ------18,000 18,000 Printing and Stationery 19,015 - - 6,910 - - 136 78 5,750 - 12,874 31,889 Refreshment 10,532 9 - 16,532 125 - 2,645 898 - - 20,209 30,741 Rental of Premises - - 289,268 168,463 ------457,731 457,731 Staff Costs 1,617,237 - - 1,208,898 ------1,208,898 2,826,135 Transport Expenses 883 12 168 18,080 41 - 103 2 382 291 19,079 19,962 Telecommunication 9,598 - - 7,795 ------7,795 17,393 Utilities 43,346 - 213 19,388 ------19,601 62,947 Venue / Meeting Expenses 360 ------220 7,480 - 7,700 8,060 Total Operating And Administrative Expenses 1,822,966 792 398,831 1,513,810 166 - 3,070 1,407 18,570 291 1,936,937 3,759,903 (*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ Funds and Lectures’ Funds

Page 41 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E) Schedule B Statement of Other Operating and Administrative Expenses for the Financial Year Ended 31 December 2014 (Supplementary)

Funds Unrestricted Restricted Total Year 2014 Accumulated Annals Building Joint Chapters’ Lectures’ College of College of Public College of College of Sub Funds Endowment Committee and Funds Ophthalmologists Health & Emergency Psychiatrists Total Fund on Section Occupational Physicians Specialist Funds Physicians Training Other Operating And 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 2014 Administrative Expenses S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Airfares / Accommodation 1,060 ------1,060 Audit Fee 7,200 ------7,200 Bank Charges 18,060 - 120 345 - - 64 90 - - 619 18,679 Cleaning Expenses 7,850 - - 3,263 ------3,263 11,113 Courier And Postages 3,704 - - 625 - - 3 - - - 628 4,332 Depreciation 29,528 771 32,627 21,138 ------54,536 84,064 Equipment Hire Expenses 3,916 ------2,150 - 2,150 6,066 Examination & Training Fees 4,634 - - 6,371 ------6,371 11,005 Fixed Assets Expensed Off 569 - - 1,180 ------1,180 1,749 Insurance 8,352 - 1,058 ------1,058 9,410 IT Expenses 18,396 - - 11,957 - - 119 119 - - 12,195 30,591 Repairs And Maintenance 874 - - 1,703 ------1,703 2,577 Other Expenses 15,602 - 29,340 10,362 - - - - 2,808 - 42,510 58,112 Professional Fees 2,250 - 28,037 10,800 ------38,837 41,087 Property Tax - - 18,000 ------18,000 18,000 Printing and Stationery 19,015 - - 6,910 - - 136 78 5,750 - 12,874 31,889 Refreshment 10,532 9 - 16,532 125 - 2,645 898 - - 20,209 30,741 Rental of Premises - - 289,268 168,463 ------457,731 457,731 Staff Costs 1,617,237 - - 1,208,898 ------1,208,898 2,826,135 Transport Expenses 883 12 168 18,080 41 - 103 2 382 291 19,079 19,962 Telecommunication 9,598 - - 7,795 ------7,795 17,393 Utilities 43,346 - 213 19,388 ------19,601 62,947 Venue / Meeting Expenses 360 ------220 7,480 - 7,700 8,060 Total Operating And Administrative Expenses 1,822,966 792 398,831 1,513,810 166 - 3,070 1,407 18,570 291 1,936,937 3,759,903 (*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ Funds and Lectures’ Funds

Page 41

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule B Statement of Other Operating and Administrative Expenses for the Financial Year Ended 31 December 2014 (Supplementary) Funds Unrestricted Restricted Total Year 2013 Accumulated Annals Building Dental Joint Chapters’ Lectures’ College of College of Sub Funds Endowment Advanced Committee on and Funds Ophthalmologists Public Health & Total Fund Specialists Specialist Section Occupational Training Training Funds Physicians Fund Other Operating And 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 2013 Administrative Expenses S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ S$ Airfares / Accommodation 308 ------308 Audit Fee 7,200 - - - 4,800 - - - - 4,800 12,000 Bank Charges 16,332 10 120 - 495 - - 234 - 859 17,191 Cleaning Expenses 7,200 - - - 2,700 - - - - 2,700 9,900 Courier And Postages 5,791 - - - 1,386 - - 5 - 1,391 7,182 Depreciation 32,863 - 32,211 - 22,052 - - - - 54,263 87,126 Equipment Hire Expenses 6,016 ------6,016 Fixed Assets Expensed Off 313 - - - 1,611 - - - - 1,611 1,924 Insurance 10,224 - 951 ------951 11,175 IT Expenses 19,526 - - - 7,707 - - - - 7,707 27,233 Repairs And Maintenance 72 - 16,728 - 2,180 - - - - 18,908 18,980 Other Expenses 8,315 - 28,963 - 2,334 - - 65 500 31,862 40,177 Professional Fees 24,686 - - - 6,000 - - - 300 6,300 30,986 Property Tax - - 18,383 ------18,383 18,383 Printing and Stationery 21,475 - - - 11,441 - - 46 535 12,022 33,497 Refreshment 9,727 - - - 20,966 82 - 6 2,462 23,516 33,243 Rental of Premises - - 272,368 - 168,463 - - - - 440,831 440,831 Staff Costs 1,706,945 - - - 1,208,399 - - - - 1,208,399 2,915,344 Transport Expenses 598 10 - 18,849 44 - 38 7 18,948 19,546 Telecommunication 9,788 - - - 7,590 - - - - 7,590 17,378 Utilities 50,150 - - - 21,533 - - - - 21,533 71,683 Venue / Meeting Expenses 720 ------720 Total Operating And Administrative Expenses 1,938,249 20 369,724 - 1,508,506 126 - 394 3,804 1,882,574 3,820,823

(*) Refer to Schedule C and D below for the breakdown of Charitable Activities Expenses of Chapters’ Funds and Lectures’ Funds

Page 42 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule C Statement of Charitable Activities / Expenses of Chapters’ and Section Funds for the Financial Year Ended 31 December 2014 (Supplementary)

Chapter of Chapter of Chapter of Chapter of Chapter Chapter of Chapter of Section of Total Clinician Pathologists Psychiatrists Emergency of Intensivists Family Sports Year 2014 Educators Physicians Clinician Medicine, Medicine Scientists Physicians 2014 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ S$ S$

Resources Expended Charitable Activities Expenses

Airfares / Accommodation ------Other Expenses ------Printing And Stationery ------Professional Fees ------Refreshment - 546 ------546 Souvenirs And Gifts ------Transport Expenses - 8 - - 10 - - - 18 Venue/Meeting Packages/ ------Workshop Expenses Total Charitable Activities Expense - 554 - - 10 - - - 564

Other Operating and Administrative Expenses Refreshment 97 15 - - - 13 - - 125 Transport - 6 - - 35 - - - 41 Total Other Operating and - - 35 13 - - 166 97 21 Administrative Expenses

Total Resources Expended 97 575 - - 45 13 - - 730

Page 43 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule C Statement of Charitable Activities / Expenses of Chapters’ and Section Funds for the Financial Year Ended 31 December 2014 (Supplementary)

Chapter of Chapter of Chapter of Chapter of Chapter Chapter of Chapter of Section of Total Clinician Pathologists Psychiatrists Emergency of Intensivists Family Sports Year 2014 Educators Physicians Clinician Medicine, Medicine Scientists Physicians 2014 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ S$ S$

Resources Expended Charitable Activities Expenses

Airfares / Accommodation ------Other Expenses ------Printing And Stationery ------Professional Fees ------Refreshment - 546 ------546 Souvenirs And Gifts ------Transport Expenses - 8 - - 10 - - - 18 Venue/Meeting Packages/ ------Workshop Expenses Total Charitable Activities Expense - 554 - - 10 - - - 564

Other Operating and Administrative Expenses Refreshment 97 15 - - - 13 - - 125 Transport - 6 - - 35 - - - 41 Total Other Operating and - - 35 13 - - 166 97 21 Administrative Expenses

Total Resources Expended 97 575 - - 45 13 - - 730

Page 43

ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule C Statement of Charitable Activities / Expenses of Chapters’ and Section Funds for the Financial Year Ended 31 December 2014 (Supplementary)

Chapter of Chapter of Chapter of Chapter of Chapter of Total Clinician Pathologists Psychiatrists Emergency Clinician Year 2013 Educators Physicians Scientists

2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$

Resources Expended Charitable Activities Expenses

Airfares / Accommodation - - - 4,500 - 4,500 Other Expenses - - - 30 - 30 Printing And Stationery Professional Fees - 3 - 9,099 - 9,102 Refreshment - 1,374 1,172 905 - 3,451 Souvenirs And Gifts - - 121 80 - 201 Transport Expenses - 42 23 180 - 245 Venue/Meeting Packages/ - - 372 - - 372 Workshop Expenses Total Charitable Activities - 1,419 1,688 14,794 - 17,901 Expense

Other Operating and Administrative Expenses Refreshment 16 13 11 27 15 82 Transport - 5 8 31 - 44 Total Other Operating and 16 18 19 58 15 126 Administrative Expenses

Total Resources Expended 16 1,437 1,707 14,852 15 18,027

Page 44 ACADEMY OF MEDICINE, SINGAPORE A Company incorporated in the Republic of Singapore and Limited by Guarantee (Unique Entity Number and Charity Registration Number: 197702012E)

Schedule D Statement of Charitable Activities / Expenses of Lecture Funds for the Financial Year Ended 31 December 2014 (Supplementary)

Common Gordon Runme Sir David Distance Seah Total Fund for Arthur Shaw Galloway Learning Cheng Advanceme Ransome Memorial Memorial Programme Siang nt of Oration Lecture Medicine

Year 2014 2014 2014 2014 2014 2014 2014 2014 S$ S$ S$ S$ S$ S$ S$ Resources Expended Charitable Activities Expenses Airfares / 379 - - - - 681 1,060 Accommodation Donations 3,000 - - - - 3,000 Souvenirs and Gifts - - - - - 159 159 Awards / Grants / - - - - - 2,000 2,000 Honorarium IT Expenses - - - - 1,950 1,950 Other Expenses 490 - - - - 112 602 Transport - - - - - 155 155 Withholding Tax - - - - - 500 500 Total Resources 3,869 - - - 1,950 3,607 9,426 Expended

Year 2013 2013 2013 2013 2013 2013 2013 2013 S$ S$ S$ S$ S$ S$ S$ Resources Expended Charitable Activities Expenses Airfares / 12,146 - - - - - 12,146 Accommodation Souvenirs and Gifts - 580 28 - - - 608 Awards / Grants / - - 5,000 1,100 - - 6,100 Honorarium IT Expenses - - - - 2,065 - 2,065 Other Expenses 25 - - 10 - - 35 Printing and - 640 - - - - 640 Stationery Total Resources 12,171 1,220 5,028 1,110 2,065 - 21,594 Expended

Page 45   

 “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 Annual Report 2014

Ann ual Report 2014 ual Report

Academy of Medicine, Singapore 81 Kim Keat Road, #11-00, NKF Centre Singapore 328836 Tel: 6593 7800 Fax: 6593 7880 Academy of Medicine, Singapore Email: [email protected] Website: www.ams.edu.sg (INCORPORATED IN THE REPUBLIC OF SINGAPORE) Committed to specialist education and training since 1957 Registration No: 197702012E • Charity No: 000043