ANNUAL REPORT 19 SPORT & EXERCISE MEDICINE (SEM) CONTENT 01 MESSAGE FROM THE CHIEF 02 CGH SPORT & EXERCISE MEDICINE – AT A GLANCE 06 MILESTONES 08 CLINICAL EXCELLENCE 13 RESEARCH & INNOVATION 15 EDUCATION 20 COMMUNITY PROGRAMMES 24 PUBLICITY, RECOGNITION & AWARDS 27 CGH SPORT AND EXERCISE MEDICINE TEAM MESSAGE FROM THE CHIEF 2019 was yet another breakthrough year for Changi General Hospital (CGH) Sport and Exercise Medicine (SEM) as we expanded our footprint to make CGH SEM services more accessible to the public. Fulfilling our National Role to improve patients’ lives, we launched our latest clinic, SSMC@SSI, located at Singapore Sports Hub, to provide specialised care to elite Team Singapore athletes. Additionally, leveraging on SingHealth’s network of acute and community hospitals, we set up two SEM services in collaboration with Outram Community Hospital (OCH) and Sengkang General Hospital (SKH). These SEM services draw on the extensive SingHealth platform to integrate SEM into the treatment paradigms of various patient segments. Education remains a priority for CGH SEM. In 2019, we launched the inaugural Graduate Diploma in Sports Medicine (GDSM) and saw the graduation of the first cohort. The number of places for the second intake was increased from 17 to 25 as the course was oversubscribed by 52%. Students gave feedback that the course was comprehensive and the knowledge and skills acquired were applicable to their daily practice. As a training institution, SSMC at Novena and SSI are both now fully accredited for SEM sub-specialty training, allowing Sports Medicine Advanced Specialist Trainees posted to CGH SEM to benefit from all three SSMCs through cross-institution training and exposure. The Joint Committee on Specialist Training (JSCT) had also approved the Adjunct Associate Professor accreditation of additional supervisors, from four to six. We are currently the largest Sports Medicine Sub-specialty training institution and account for 75% of trainees in Benedict Tan Singapore. The above developments underscore our position as the SEM training Chief, CGH Sport & Exercise Medicine institution of choice. Head, SingHealth Duke-NUS Sport & Exercise Medicine Centre CGH SEM is well-positioned to achieve even more, so watch this space! 01 CGH SPORT & EXERCISE MEDICINE – AT A GLANCE SINGAPORE’S LARGEST SPORTS MEDICINE CENTRE CGH’s SEM department runs SSMC@CGH, SSMC@Novena and the latest addition – SSMC@SSI located at Singapore Sports Hub. SEM SERVICES@SKH (NEW) SSMC@CGH is the largest SEM Centre in Singapore, and the only one with a hydrotherapy pool; SSMC@SSI is the premier institution SSMC@CGH for elite sports; and SSMC@Novena is the most comprehensive in SSMC@NOVENA the private sector. All three Centres have a combined footprint of SSMC@SSI (NEW) more than 19,000 sqft., growing from 13,000 sqft. in 2018. SEM SERVICES@SGH CAMDEN/OCH (NEW) In 2019, SSMC at CGH, Novena, and SSI, together with the SEM Services at Singapore General Hospital (SGH) and SKH conducted over: Floor Area (Sqft.) of SSMCs 25,000 2019: Estb. of SSMC@SSI 16,000 300 20,000 Doctor Ultrasound- 2009: Major expansion of SSMC@CGH Consultations guided focal 15,000 ESWT 2003: Estb. of SSMC@CGH 10,000 600 28,000 5,000 Athlete pre- Rehabilitative 2006: Estb. of SSMC@Novena participation Sessions screenings 0 2003 2007 2011 2015 2019 02 CGH SPORT & EXERCISE MEDICINE – AT A GLANCE A MULTIDISCIPLINARY SEM TEAM CGH SEM has the largest headcount among SEM providers in Singapore, with 13 full-time physicians practicing Sport and Exercise Medicine, 48 Allied Health 1 1 Professionals, 8 Nurses and 24 Patient Service Associates/Administrative staff. 4 Sports Massage Sports Therapist All Centres and SEM services have a multidisciplinary team under one roof, 1 Sports Psychologist providing patients an integrated, seamless Sports Medicine care. Orthopaedic Sports Surgeons Cardiologist 13 CGH SEM SEM Practicing CGH SEM Headcount (2018 – 2019) Physicians 100 3 90 7 Rehab Trainers 80 16 Podiatrists 6 9 Physiotherapists 70 Exercise Dietitians Physiologists 60 50 2018 2019 Number of Staff 03 A CENTRE OF LEARNING SSMC@CGH is the first accredited centre for 1 Sports Medicine Advanced Specialist Training (SpMed ASTs) in Singapore. The SEM department has the largest number of 6 accredited supervisors and training positions for 6 SpMed AST. We currently account for 75% of the trainees in Singapore. Since 2012, SSMC@CGH has trained over 30 30 medical officers. SSMC@CGH has provided over 400 attachments and observerships. 400 Photo: Nanyang Technological University (NTU) CGH physicians have trained over 1,300 local 1300 and international physicians, allied healthcare and fitness professionals in exercise prescription. CGH SEM physicians serve as lecturers or supervisors to medical students from institutes such as Duke-NUS Medical School, Lee Kong Chian School of Medicine, SingHealth (Family Medicine Residency Programme), Yong Loo Lin School of 04 Medicine, Nanyang Polytechnic and others. SUPPORTING OUR ATHLETES & THE SPORTS ECO-SYSTEM The department works with The department provides CGH physicians are appointed as 1 sports institutions such as 2 medical coverage for major 3 members of international medical the Football Association of Singapore and competitions and events such as ONE commissions, including the Federation Sport Singapore, to provide athletes quality- Fighting Championship, FORMULA 1™ Internationale de L’Automobile, World Sailing, assured and prompt Sports Medicine care at Singapore Grand Prix, World University Fencing Confederation of Asia, and Asia Rugby. SSMC@CGH, SSMC@Novena and SSMC@SSI. Floorball Championships, and others. 4 CGH physicians support Team Singapore 5 CGH physicians sit in committees of National Sports as Chief Medical Officers or as part of the Associations and other organisations such as the medical team for major games, including the ASEAN Football Association of Singapore, National Sports Safety, Para Games, Commonwealth Games, Olympic Games, Singapore Bowling Federation, Singapore Disability Sports Council, Paralympic Games, SEA Games, Special Olympics Singapore Ice Skating Association, Singapore National Paralympic World Games, and Youth Olympic Games. Council, Singapore Rugby Union, Singapore Sailing and more. 05 2017 06 MILESTONES The War on Diabetes Health Peers Programme was launched and awarded the Prime Minister‘s Community Initiative Award. 2019 Expansion of SEM across CGH signed a MOU with SportSG to collaborate in SingHealth via central the Active Health initiative. employment of SEM ASTs and Physicians 2004 2007 2011 CGH SEM trained over 2,500 MOE teachers CSMC introduced the CSMC became the first CGH inked an MOU with SAF in youth sports injury management. CGH SEM launched Sport Extracorporeal Shockwave accredited centre for to enhance SEM services for clinic at Singapore Sport Therapy for muscle-tendon Sports Medicine our servicemen. Institute and 2 SEM pathologies – a first in the public Advanced Specialist 2015 services at SGH and SKH. CSMC launched Exercise is healthcare system. Training in Singapore. CGH SEM started training all SAF Medicine Singapore with medical officers and SingHealth American College of Sports Family Medicine Residents in Medicine. 2000 exercise prescription. 2019 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2000 2006 2008 2016 CGH ran a sports Singapore Sports Medicine CGH SEM developed a CGH SEM’s research on sailing 2018 clinic once a Centre (SSMC) was training and career track for injuries and illnesses was SingHealth Duke-NUS week. established. Resident Physicians (Sports published in the British Journal Sport & Exercise Medicine). of Sports Medicine. Medicine Centre (SDSC) 2003 was launched. CGH launched Changi 2012 Sports Medicine Centre CGH partnered with Singapore Sports CGH and Lee Kong Chian School of Medicine (CSMC). Institute to provide Sports Medicine care for launched the Graduate Diploma in Sports Medicine – the national athletes. the first and only in Singapore and Asia. 2019 A YEAR IN REVIEW 07 CLINICAL EXCELLENCE 08 EXPANDING OUR FOOTPRINT SSMC @ SEM @ HOST SSI SGH CGH SEM Department SSMC @ SEM @ Novena 6 SKH SEM Sites SSMC @ SEM @ resourced by CGH SEM CGH KKH Department Central employment EXPANSION OF SEM ACROSS SINGHEALTH CLUSTER TO SGH, SKH AND KKH SingHealth Duke-NUS Sport and Exercise Medicine Centre was formed in 2018 with an aim to optimise cluster-wide resources and talent to provide seamless and accessible patient-centric care. The operations of 3 SEM centres – SSMC@CGH, SSMC@Novena, SSMC@SSI, and 3 SEM services – SGH, SKH and upcoming KKH come with different sets of needs and will require excellent coordination within the cluster. By expanding SEM across SingHealth, we increase access while optimising resources. We also attract and retain SEM talent by offering them the best training and working environment, as well as plentiful opportunities to match our clinicians’ career aspirations. The proposal for expansion of SEM across the cluster via central employment of SEM Advanced Specialist Trainees (AST)s and physicians by SingHealth, and hosting of these staff at CGH SEM Department, was approved at the SingHealth Medical Board meeting on 26 July 2019. This is supplemented by the Resident Physician (SEM) Scheme, where RPs (SEM) are employed by each institution and trained via a cluster-harmonised training programme. The centrally-employed Sports Physicians, together with the institution-employed RPs (SEM), allow for organic