SHARP. SingHealth Anaesthesiology Residency Program

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1 SHARP SingHealth Anaesthesiology Residency Program

2 ACGME 6 Core Competencies Medical Knowledge Patient care Professionalism Interpersonal skills and communication Practice-based learning Systems-based practice 2

3 SingHealth Residency 7 Core Competencies Medical Knowledge Patient care Professionalism Interpersonal skills and communication Practice-based learning Systems-based practice Faculty Development 3

4 Structure of SHARP Ruban Poopalalingam Program Director Lee Tze Wee Associate Program Director, SGH Choo Chee Yong Associate Program Director, CGH Farida Ithnin Associate Program Director, KKHW Evangeline Lim Associate Program Director, KKHP Joanne Teo Program Coordinator Core Faculty Core Faculty Core Faculty Core Faculty

5 Master Chefs

6 SingHealth Anaesthesiology Residency Program Overview

7 SingHealth Anaesthesiology Residency Program Overview

8 8 Why SHARP?

9 Diversity and depth of clinical experience

10 Diversity and depth of clinical experience Cardiac Thoracic Neuro-anesthesia Obstetric Pediatric Transplant eg liver, heart, lung & kidney Burns centre Difficult airway management Bariatric surgery Liver resection Spine surgery Regional Anesthesia 10

11 State of the art Hybrid OT i MRI CT OT Robotics OT Pain management Centre Airway equipment TEE Simulation 11

12 Dynamic educational program Approachable, dedicated & supportive faculty

13 Dynamic educational program

14 Dynamic educational program Orientation program Mentors Workshops Simulation training Interesting case discussions Exam preparation Subspecialty teaching Critical appraisal of research publications Morbidity & mortality Critical Incident reporting ICU grand ward rounds Hospital wide multidisciplinary meetings 14

15 The Educators Subspecialty teaching done by those who subspecialised in the field The Surgical STaR Inspiring Teachers Award The Dean s Award for Teaching Excellence 15

16 Orientation program

17 MENTOR/MENTEE (NOV 11 APR 12) MENTORS JUNIOR MO / Other BSTs & TRAINED MO/MOT Anaesthesia Residents MOS / Fellows & above Residents Tan Tong Khee / Kenny Loh Lu Anqi* L3 Jerry Tan Ng Shin Yi Lee Jennifer*CondL2 Lai Fook Onn Lim Kai Inn*L3 Daniel James Faulke*L1 (AC) Lim Boon Leng / Daphne Koh Chen Xinying Ruban Poopalalingam Marilyn Ng Adrian Ng Tan Zihui*CondL2 Lee Say Kiat Lee Tze Wee Puah Ken Lee (GS res) Rasika Sujeewa Wijesundara*CondL1(CA) Angela Tan Leong Choy Kuen Tan Jack Wei Devanshi Mahesh Rajput*L1(CA) Michelle Tan / Jane George Charissa Thia (RP) Kathrina*L1 (Pain Michelle) Sharon Ong / Claire Ang Lie Sui An Chen Xuan Xuan Teo Yee Wei Tay Yoong Chuan Chong Shin Yuet Tan Kian Hian / Lua Chong Boon*CondL2 Antonia Zeng Kaew*L1 (Pain) Yew Woon Si Abey Matthews Thong Sze Ying Seetho Ving Yuen Teo Li Ming Lum Yang Xi*L2 See Hooi Geok*CondL2 Michelle Tan Darren Koh Suhitharan T*L3 Tan Pei Yu Goh Meng Huat Tee Han Wen Hairil Rizal*L3 Sophia Chew Xing Jieyin Sitaram Raman Senthil Kumar*L2 Sudhakar Subramani* L3 Chan Yew Weng / Tham Cheng Yeoh Chuen Jye Henry Baddoo (AC) Shi Kong Chee Fai Tsai Fung Chen*CondL2 June Goh Zhu Haibei*CondL2 Low Wen Hao Soh Chai Rick / Natascha G Hon Xi Shariq Khan*L3 Chee Huei Leng Geraldine Leong (EM Res Hazel Chan*L3 Andrew Seun Kong*L1 CON) Ted Wong Samuel Loh Hwang Nian Chih Claudia Tien Harikrishnan Kothandan (AC)* L2 Wong Loong Tat Yasodha Doraisamy (CA)*L1 Boey Sek Koon Zheng Zhongxi Damian Ong Lee Pang Ho Vui Kian Greg Meredith Ng Yeong Huei (Ortho Res) Teoh Peifen (Aug Dec 11) Mi Kyaw Thaung / Alex Kan Stella Ang Chris Ip Loy Shun Ting Beatrice Lim Tay Sook Muay / Ng Bang Teen Ong Ee Teng Oriana Ng Yao Che Lin Goh Sin Yee

18

19 Scheduled didactic lectures

20 Scheduled didactic lectures

21 CME program Complements national teaching program

22 Exam preparation Complements intensive exam preparatory course

23 CRAFD Centre for Resident And Faculty Development CRAFD was launched to put in place faculty and resident development initiatives, workshops and resources.

24 Care to Heal. Educate to Empower. Innovate to Advance.

25 Research Desai S, Sng BL, Lim Y, Sia AT. Chronobiology of Parturients Receiving Neuraxial Labour Analgesia with Ropivacaine and Fentanyl: A Prospective Cohort Study. International Journal of Obstetric Anesthesia. 2009; 18(1):43 7. Ithnin F, Ma YL, Shah M, Shen L, Sia ATH. Tracheal Intubating Conditions Using Propofol and Remifentanil Target Controlled Infusion: A Comparison of Remifentanil EC50 for Glidescope and Macintosh. European Journal of Anaesthesiology. 2009; 26(3): Lee AKY, Tey JBL, Lim Y, Sia ATH. Comparison of the Single Use LMA Supreme with the Resusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care. 2009; 37(5): Lee S, Lew E, Lim Y, Sia AT. Failure of Augmentation of Labor Epidural Analgesia for Intrapartum Cesarean Delivery: A Retrospective Review. Anesthesia and Analgesia. 2009; 108(1): Leo S, Sng BL, Lim Y, Sia AT. A Randomised Comparison of Low Doses of Hyperbaric Bupivacaine in Combined Spinal Epidural Anesthesia for Cesarean delivery. Anesthesia and Analgesia 2009 Nov; 109(5): Lim Y, Ocampo CE, Supandji M, Teoh WHL, Sia AT. Patient Controlled Epidural Analgesia Regimens for Labor Analgesia: Background Infusion or Demand Only? Response. Anesthesia and Analgesia. 2009; 109(1) Lim Y, Supandji M, Teoh W, Ocampo C, Sia AT. Is There Evidence for Improved Maternal Satisfaction with Patient Controlled Epidural Anesthesia? Response. Anesthesia and Analgesia. 2009;109(4): Sia AT, Sng BL. Editorial: Intravenous dexmedetomidine for Obstetric Anaesthesia and Analgesia: converting a challenge into an opportunity? International Journal of Obstetric Anesthesia. 2009; 18(3): Sng BL, Sia AT, Quek K, Woo D, Lim Y. Incidence and Risk Factors for Chronic Pain after Caesarean Section under Spinal Anaesthesia. Anaesthesia and Intensive Care 2009, Sep; 37(5): Sng BL, Lim Y, Sia ATH. An Observational Prospective Cohort Study of Incidence and Characteristics of Failed Spinal Anaesthesia for Caesarean Section. International Journal of Obstetric. Anesthesia. 2009; 18(3): Sng BL, Sia ATH, Lim Y, Woo D, Ocampo C. Comparison of Computer Integrated Patient Controlled Epidural Analgesia and Patient Controlled Epidural Analgesiawith a Basal Infusion for Labour and Delivery. Anaesthesia and Intensive Care. 2009; 37(1): Sng BL, SA Schug. The Role of Opioids in Managing Chronic Non Cancer Pain. Ann Acad Med Singapore Nov; 38(11): Tan EC, Lim ECP, Teo YY, Lim Y, Law HY, Sia AT. Ethnicity and OPRM Variant Independently Predict Pain Perception and Patient Controlled Analgesia Usage for Post Operative Pain. Molecular Pain. 2009; 5. Teoh WHL, Shah MK, Sia ATH, Randomised Comparison of Pentax AirwayScope Glidescope for Tracheal Intubation in Patients with Normal Airway Anatomy. Anaesthesia. 2009; 64(10): Teoh WHL, Sia ATH. Colloid Preload versus Coload for Spinal Anesthesia for Cesarean Delivery: The Effects on Maternal Cardiac Output. Anesthesia and Analgesia. 2009; 108(5): Thong SY, Lim Y. Video and Optic Laryngoscopy Assisted Tracheal Intubation the New Era. Anaesthesia and Intensive Care. 2009; 37(2): Yeoh SB, Sia ATH. Benefits of Labour Epidurals. Journal of Paediatrics, Obstetrics & Gynaecology. 2009; 35(4): Soh CR. Airway Management in the Critically Ill. SGH Proceedings. 2009; 18(1):3 11. Ho KY. The Effect of Cultural Background on the Usage of Complementary and Alternative Medicine for Chronic Pain Management. Pain Physician. 2009; 12(3): Tan KH, Ho KY. Efficacy of Fentanyl Iontophoretic Transdermal System in Postoperative Pain a Meta Analysis. Acute Pain. 2009; 11(2): Tan TK, June Goh. The Anaesthetists' Role in the Setting Up of an Intraoperative MRImaging Facility.SMJ. 2009; 50(1):4 10. Ho KY, Gan TJ. Opioid Related Adverse Effects and Treatment Options. Acute Pain Management. 2009; 1st Edition: Ku CM, Ong GKS, R Poopalalingam. The Diagnosis and Management of a Persistent Pneumothorax. Journal of Cardiothoracic and Vascular Anaesthesia. 2009; 23(3): Ho KY. Chronic Pain Management: Therapy, Drugs and Needles. Ann Acad Med Singapore. 2009; 38(11): K Pasutharnchat, Tan KH, MA Hadi, Ho KY. Intrathecal Analgesia in Patients with Cancer Pain an Audit in a Tertiary Institution. Ann Acad Med Singapore. 2009; 38(11): Wilson Tay, Ho KY. The Role of Interventional Therapies in Cancer Pain Management. Ann Acad Med Singapore. 2009; 38(11): Choo CY, Ong YY, Chan SY. Oxycodone an Audit of its Prescription in a Local Hospital. Ann Acad Med Singapore Nov;38(11): Tan TK, Leong KW. Awake Craniotomy in an Intra Operative MRI Case Report. Anaesthesia. 2009; 64(5): Aaron Lee, John Tey, Yvonne Lim, Alex Sia. Comparison of the Single Use LMA Supreme with the Reusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care. 2009; 37(5): Yong Yang, Kok SY, Yin MH, Vincent Lim, Ong BC. The Effect of Comorbidity & Age on Hospital Mortality & Length of Stay in Patients with Sepsis 1. Journal of Critical Care Oct. Chiam PT, Koh TH, Chao VT, Lee CY, See Tho VY, Tan SY, Lim ST, Hwang NC, Sin YK, Chua YL. Percutaneous Transcatheter Aortic Valve Replacement: First Transfemoral Implant in Asia. SMJ May; 50(5):534 7.

26 List of Publications by SingHealth for Year Desai S, Sng BL, Lim Y, Sia AT. Chronobiology of Parturients Receiving Neuraxial Labour Analgesia with Ropivacaine and Fentanyl: A Prospective Cohort Study. International Journal of Obstetric Anesthesia. 2009; 18(1): Ithnin F, Ma YL, Shah M, Shen L, Sia ATH. Tracheal Intubating Conditions Using Propofol and Remifentanil Target-Controlled Infusion: A Comparison of Remifentanil EC50 for Glidescope and Macintosh. European Journal of Anaesthesiology. 2009; 26(3): Lee AKY, Tey JBL, Lim Y, Sia ATH. Comparison of the Single-Use LMA Supreme with the Resusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care. 2009; 37(5): Lee S, Lew E, Lim Y, Sia AT. Failure of Augmentation of Labor Epidural Analgesia for Intrapartum Cesarean Delivery: A Retrospective Review. Anesthesia and Analgesia. 2009; 108(1): Leo S, Sng BL, Lim Y, Sia AT. A Randomised Comparison of Low Doses of Hyperbaric Bupivacaine in Combined Spinal-Epidural Anesthesia for Cesarean delivery. Anesthesia and Analgesia 2009 Nov; 109(5): Lim Y, Ocampo CE, Supandji M, Teoh WHL, Sia AT. Patient-Controlled Epidural Analgesia Regimens for Labor Analgesia: Background Infusion or Demand-Only? Response. Anesthesia and Analgesia. 2009; 109(1) Lim Y, Supandji M, Teoh W, Ocampo C, Sia AT. Is There Evidence for Improved Maternal Satisfaction with Patient-Controlled Epidural Anesthesia? Response. Anesthesia and Analgesia. 2009;109(4): Sia AT, Sng BL. Editorial: Intravenous dexmedetomidine for Obstetric Anaesthesia and Analgesia: converting a challenge into an opportunity? International Journal of Obstetric Anesthesia. 2009; 18(3): Sng BL, Sia AT, Quek K, Woo D, Lim Y. Incidence and Risk Factors for Chronic Pain after Caesarean Section under Spinal Anaesthesia. Anaesthesia and Intensive Care 2009, Sep; 37(5): Sng BL, Lim Y, Sia ATH. An Observational Prospective Cohort Study of Incidence and Characteristics of Failed Spinal Anaesthesia for Caesarean Section. International Journal of Obstetric. Anesthesia. 2009; 18(3): Sng BL, Sia ATH, Lim Y, Woo D, Ocampo C. Comparison of Computer-Integrated Patient-Controlled Epidural Analgesia and Patient-Controlled Epidural Analgesiawith a Basal Infusion for Labour and Delivery. Anaesthesia and Intensive Care. 2009; 37(1): Sng BL, SA Schug. The Role of Opioids in Managing Chronic Non-Cancer Pain. Ann Acad Med Singapore Nov; 38(11): Tan EC, Lim ECP, Teo YY, Lim Y, Law HY, Sia AT. Ethnicity and OPRM Variant Independently Predict Pain Perception and Patient-Controlled Analgesia Usage for Post-Operative Pain. Molecular Pain. 2009; Teoh WHL, Shah MK, Sia ATH, Randomised Comparison of Pentax AirwayScope Glidescope for Tracheal Intubation in Patients with Normal Airway Anatomy. Anaesthesia. 2009; 64(10): Teoh WHL, Sia ATH. Colloid Preload versus Coload for Spinal Anesthesia for Cesarean Delivery: The Effects on Maternal Cardiac Output. Anesthesia and Analgesia. 2009; 108(5): Thong SY, Lim Y. Video and Optic Laryngoscopy Assisted Tracheal Intubation the New Era. Anaesthesia and Intensive Care. 2009; 37(2): Yeoh SB, Sia ATH. Benefits of Labour Epidurals. Journal of Paediatrics, Obstetrics & Gynaecology. 2009; 35(4): Soh CR. Airway Management in the Critically Ill. SGH Proceedings. 2009; 18(1): Ho KY. The Effect of Cultural Background on the Usage of Complementary and Alternative Medicine for Chronic Pain Management. Pain Physician. 2009; 12(3): Tan KH, Ho KY. Efficacy of Fentanyl Iontophoretic Transdermal System in Postoperative Pain - a Meta-Analysis. Acute Pain. 2009; 11(2): Tan TK, June Goh. The Anaesthetists' Role in the Setting Up of an Intraoperative MRImaging Facility.SMJ. 2009; 50(1): Ho KY, Gan TJ. Opioid-Related Adverse Effects and Treatment Options. Acute Pain Management. 2009; 1st Edition: Ku CM, Ong GKS, R Poopalalingam. The Diagnosis and Management of a Persistent Pneumothorax. Journal of Cardiothoracic and Vascular Anaesthesia. 2009; 23(3): Ho KY. Chronic Pain Management: Therapy, Drugs and Needles. Ann Acad Med Singapore. 2009; 38(11): K Pasutharnchat, Tan KH, MA Hadi, Ho KY. Intrathecal Analgesia in Patients with Cancer Pain an Audit in a Tertiary Institution. Ann Acad Med Singapore. 2009; 38(11): Wilson Tay, Ho KY. The Role of Interventional Therapies in Cancer Pain Management. Ann Acad Med Singapore. 2009; 38(11): Choo CY, Ong YY, Chan SY. Oxycodone an Audit of its Prescription in a Local Hospital. Ann Acad Med Singapore Nov;38(11): Tan TK, Leong KW. Awake Craniotomy in an Intra-Operative MRI - Case Report. Anaesthesia. 2009; 64(5): Aaron Lee, John Tey, Yvonne Lim, Alex Sia. Comparison of the Single-Use LMA Supreme with the Reusable ProSeal LMA for Anaesthesia in Gynaecological Laparoscopic Surgery. Anaesthesia and Intensive Care. 2009; 37(5): Yong Yang, Kok SY, Yin MH, Vincent Lim, Ong BC. The Effect of Comorbidity & Age on Hospital Mortality & Length of Stay in Patients with Sepsis 1. Journal of Critical Care Oct. 31. Chiam PT, Koh TH, Chao VT, Lee CY, See Tho VY, Tan SY, Lim ST, Hwang NC, Sin YK, Chua YL. Percutaneous Transcatheter Aortic Valve Replacement: First Transfemoral Implant in Asia. 26 SMJ May; 50(5):534-7.

27 Camaraderie of the faculty

28 Camaraderie of the faculty

29 Work life Balance

30 Work life Balance

31 Residents not at work!

32 Beyond the ordinary!

33 Residents The seniors are caring, approachable and keen to teach; the work environment is also fantastic. It is simply a gem of a department! Jensen Ng Medical Officer Trainee Impressive commitment to education. Myriad opportunities for learning both in and out of the operating theatre. A wealth of formal teaching sessions and the even more valuable resource of approachable senior staff that is invariably willing to edify and enlighten. A close-knit department with a strong culture of inquiry and research. Oriana Ng Registrar SingHealth carries the finest distillation of minds and hands and I want this to be the basis of my core. Ng Bang Teen Registrar 33

34

35 Thank you WEBSITE

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