About Alexandra Hospital In Alexandra Hospital, care is anchored by a Doctor, leading a One Care Team comprising Nurses, Allied Health Professionals, Service Associates, Care Managers, Pharmacists and supported by Specialists. We work closely with our patients, their caregivers and families, as well as those who are well – at home and in the community. In inpatient care, services revolve around a patient who stays in the same bed at the same hospital, with one care team providing seamless acute care, sub-acute and rehabilitative care from admission to discharge. This contrasts with the conventional model of patients needing to be transferred from an acute hospital to a community hospital. The intensity and type of care are seamlessly matched to the trajectory of the patient’s illness. Our CareHub will run a tele-triage and consultation hotline centre, which draws on the resources and expertise of the entire NUHS and its partners to identify and match care needs with the appropriate sites and providers of care. The hub will help the patients navigate the complex system, facilitate transfers between institutions, institute measures to prevent re-admissions and anchor care at home and in the community. Beyond Alexandra Hospital, seamless handovers with one Identified care team in primary care and the community will become the norm. While being prepared for transition to the community, upon discharge, patients can expect seamless handovers to an identified care team in primary care and the community that will continue to provide holistic care. In Alexandra Hospital, we have a group of dedicated faculty who provides close guidance and supervision to all juniors. In the spirit of integrated care model practice at Alexandra Hospital, teaching programmes emphasise on multi-disciplinary and holistic approach. AH Grand Round Blue Letter Round Geriatric Round Inter-professional Collaborative Teaching MO Core Lecture Mortality and Morbidity Round Multi-Disciplinary Round Peer Review Learning Procedures accreditation workshops Arthrocentesis Lumbar Puncture Moderate Sedation Other education activities OSCE workshop to expose our MOs to common medical emergencies and on-call scenarios Outpatient Specialty Exposure Programme Research and QIP opportunities Hospital Clinician Programme HOSPITAL CLINICIAN PROGRAMME The Hospital Clinician Programme (HCP) is a comprehensive and structured training programme for doctors seeking a long-term career path on a non-specialist track. The programme will train doctors aspiring to take on higher duties and HCP Features: wider responsibilities in a hospital setting. Balanced training experiences in acute, As Singapore’s population landscape changes, the broad-based and clinical-focused skills of HCs will play a crucial role sub-acute and community settings to provide breadth of knowledge in anchoring patient care services complementary to specialists. With a nationally recognized HC diploma, graduates Dedicated faculty ensure holistic can expect to embark on a structured career path within the public healthcare system. development, including personal development and clinical expertise OVERALL HC SCHEME STRUCTURE pertinent to integrative care model of Singapore PGY4: Earliest start of PGY5: Earliest change of Diploma required for Opportunities to pursue non-clinical skills assessment track employment to clusters progression such as research, quality improvement Medical and education Principal Consistent Workplace based Officer Hospital Clinician (HC) Assessment Year Senior Hospital Clinician provide assurance of (MOPEX)/ Medical / Peri-operative Hospital Clinician assessments (WBA) [minimum 1 year] (SHC) HCs’ competencies to fulfil defined roles Resident [Norm 2-3 years] (PHC) Physician Assessments: WBAs Assessments: HC diploma (comprises on core components WBAs and cognitive examination on advanced competencies) I am already a RP/SRP, can I be What if I would like to switch from What tracks are there and where will I am interested! Where can I find accelerated in my training? HCP to residency? I be posted to? more details? The first year (Assessment Year) is Subjected to proper notice given to exit Following the Assessment Year, you can Thank you for your interest! You may compulsory regardless of year and HCP, you may still apply for residency choose to develop yourself in either of contact background of training. Subsequent and go through their recruitment these tracks: • Dr Goh Wei Ping acceleration will be considered by the process. Subsequent continuation of • Medical (Medicine and ([email protected]), NUHS Hospital Clinician Education Committee HCP will be subjected to approval by Hospital Clinician Programme Director, Emergency/Acute Medicine) on a case-by-case basis. All trainees Programme Director on a case-by-case • Dr Serene Wong • have to undergo a minimum of 18 basis. Peri-operative (Surgery and ([email protected]), AH Site months of HC training to be eligible for Anaesthesia). Director Note: HCP is currently available for • enrolment to the Cognitive Assessment Ms Tan Lipin ([email protected]) doctors who are Singaporean or During this time, you will be rotated for any further queries or administered by the Academy of Singapore PR. through the various subspecialty areas application details. Medicine, Singapore. at both AH and NUH. 1 DERMATOLOGY RESIDENCY PROGRAMME – INFORMATION SHEET PROGRAMME ADMINISTRATION Sponsoring institution: National Healthcare Group Main training site: National Skin Centre Participating training sites: Changi General Hospital, National University Hospital, Singapore General Hospital INTRODUCTION The Dermatology Residency Programme is a competency-based programme designed to meet specific outcomes in the 7 key JCST competencies of patient care, medical knowledge, practice- based learning and improvement, professionalism, system-based practice and faculty development. The programme includes 3 years of dermatology education which is preceded by a broad-based clinical educational programme in internal medicine residency. The programme is designed on a thematic basis and consists of 10 core modules listed in the next section. The programme provides a continuous base of active participatory study and experience in dermatology and exposure to the various core dermatology subspecialties. The programme is harmonised to allow for similar exposure of trainees to all 4 training sites in the 3 regional clusters. This exposes trainees to the best each training site has to offer educationally. Trainees will be rotated 18 months to NSC and 6 months each to CGH, SGH and NUH. In general, the clinical rotation will be in 6 month blocks alternating between the main training site (NSC) and the 3 participating sites. Training outcomes after each clinical rotation are mapped and are based on 2 key factors: (i) trainee’s existing knowledge & skills and (ii) training capabilities of the training site. The harmonized programme ensures coherent and graduated acquisition of professional competency over the 36 months of dermatology education. As per JCST requirements, 2 months per year will be a GM/GRM rotation outside dermatology. 1 2 CORE DERMATOLOGY MODULES The 10 core dermatology modules reflect importance in future clinical practice. The core dermatology themes include: I. General Dermatology II. Sexually Transmitted Infections III. Dermatopathology IV. Procedural Dermatology V. Contact & Occupational Dermatoses VI. Immuno-dermatology VII. Paediatric Dermatology VIII. Psoriasis, Eczema, Photodermatology and Photobiology IX. Skin Cancers & Cutaneous Lymphoma X. Inpatient Dermatology and Drug Eruption At the end of the rotation, residents shall be assessed by their teachers / supervisors to have achieved the desired competency outcomes before being certified to have successfully completed the module. At the end of the training year, residents shall be assessed by the Clinical Competency Committee to have achieved the desired competency outcomes before being certified to have successfully completed the year of training. KEY COMPETENCIES The training programme aims to achieve the desired outcomes in the 7 key JCST competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, system-based practice and faculty development. The 7 key competencies identified are: A. PATIENT CARE Early in their education, residents must be competent in basic dermatology clinical skills required for the diagnosis, evaluation and proper management of common and uncomplicated cases. As residents progress in educational level, they should be able to demonstrate patient care skills with non-routine, complicated patients and under increasingly difficult circumstances. Residents shall learn how to engage compassionately and communicate effectively with patients with regards to diagnosis, management, counselling and health education. B. MEDICAL KNOWLEDGE Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological and social-behavioral sciences, as well as the application of this knowledge to patient care. 2 3 C. PRACTICE-BASED LEARNING AND IMPROVEMENT Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. D. INTERPERSONAL AND COMMUNICATION SKILLS Residents must demonstrate interpersonal