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Dual Organ Transplant – Double the Bliss - NUH

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<strong>NUH</strong> news bites<br />

04<br />

<strong>NUH</strong>S Residency Programme Receives<br />

ACGME-I Accreditation<br />

The National University Health<br />

System (<strong>NUH</strong>S) Residency<br />

Programme is now one of <strong>the</strong><br />

few outside <strong>the</strong> US to be accredited by<br />

<strong>the</strong> Accreditation Council of Graduate<br />

Medical Education-International<br />

(ACGME-I), a non-governmental<br />

organisation responsible for <strong>the</strong><br />

accreditation of international Graduate<br />

Medical Education (GME) programmes.<br />

The six specialist training programmes<br />

that have been accredited include<br />

Emergency Medicine, Internal Medicine,<br />

Paediatrics, Pathology (Preventive<br />

Medicine and Transitional Year). The<br />

accreditation is testimony that <strong>the</strong>se<br />

programmes have been assessed to<br />

provide high quality training which is<br />

comparable with <strong>the</strong> standards set for<br />

<strong>the</strong> US.<br />

The <strong>NUH</strong>S postgraduate training<br />

programme for doctors moved from<br />

UK-based training to <strong>the</strong> US-styled<br />

ACGME-I in May 2010. Under <strong>the</strong><br />

ACGME-I structure, trainee doctors (or<br />

residents) undergo structured specialist<br />

training conducted by dedicated senior<br />

clinicians after graduating from medical<br />

school. They are regularly assessed on<br />

<strong>the</strong>ir medical knowledge, patient care<br />

skills, professionalism, interpersonal and<br />

communication skills. This ensures <strong>the</strong><br />

aspiring specialists are well-trained and<br />

equipped with <strong>the</strong> necessary skills and<br />

knowledge before <strong>the</strong>y see <strong>the</strong>ir first<br />

patients.<br />

One of <strong>the</strong> key strengths of <strong>the</strong> ACGME programme is that of structured training -<br />

what needs to be taught in <strong>the</strong> curriculum is not left to chance but it will be planned to be<br />

covered.<br />

A director and core faculty with dedicated time for teaching and curriculum development<br />

are specially appointed for each programme. The very structured program evaluation with<br />

<strong>the</strong> sponsoring institutions having ‘ownership’ of <strong>the</strong> residents, will hopefully improve <strong>the</strong><br />

standard of training and teaching among <strong>the</strong> residents.<br />

With <strong>the</strong> programme, <strong>the</strong> residents will be able to receive timely feedback and remediation<br />

ra<strong>the</strong>r than wait till <strong>the</strong> intermediate/final exams to know <strong>the</strong>ir gaps in knowledge.<br />

Associate Professor Shirley Ooi, Designated Institutional Official,<br />

<strong>NUH</strong>S Residency Programme<br />

Residents like myself now undergo a structured education programme that is wellsupervised.<br />

We now have designated protected time for teaching and regular sessions<br />

with our Programme Directors on our learning and performance. This represents a major<br />

change from <strong>the</strong> existing system where learning is largely opportunistic and mostly takes<br />

place in our free time.<br />

Dr Ng Chew Lip, <strong>NUH</strong>S Resident<br />

The <strong>NUH</strong>S Residency Programme is<br />

one of <strong>the</strong> three postgraduate medical<br />

training programmes in Singapore.<br />

Thirty specialists from <strong>the</strong> first batch are<br />

expected to graduate in 2013, adding to<br />

<strong>the</strong> 907-strong clinical staff at <strong>NUH</strong>.<br />

Irregular meals, Helicobacter pylori infection and gastritis<br />

According to a recent study conducted by <strong>the</strong> Dietetics Department at<br />

<strong>the</strong> <strong>NUH</strong>, people who eat irregular meals too often are likely to raise <strong>the</strong>ir<br />

risks of getting Helicobacter pylori (HP) infection, which may in turn up<br />

<strong>the</strong>ir risks of gastric cancer.<br />

Helicobacter pylori (HP) is a type of bacteria that can penetrate and infect <strong>the</strong><br />

protective layer of <strong>the</strong> stomach lining, causing <strong>the</strong> individual to develop gastritis<br />

or an inflamed stomach lining.<br />

“We found that people who frequently ate earlier or later than <strong>the</strong>ir usual meal<br />

timings and over a prolonged period were associated with a significantly higher<br />

incidence of HP infection and gastritis,” said Ms Lim Su Lin, <strong>NUH</strong>’s chief dietician<br />

who led <strong>the</strong> study.<br />

Results showed that compared with individuals who had regular eating patterns,<br />

those who deviated from <strong>the</strong>ir meal times by exactly or more than two hours at least<br />

twice a week were six times more at risk of developing HP <strong>–</strong> a condition estimated<br />

to affect 30 per cent of Singaporeans. People infected with HP are at increased risk<br />

of gastric cancer in <strong>the</strong> long run.<br />

The study won <strong>the</strong> Singapore Allied Health Award at <strong>the</strong> inaugural Singapore<br />

Health and Biomedical Congress jointly organised by <strong>the</strong> National University<br />

Health System and National Healthcare Group late last year.<br />

Four fast tips on managing your diet<br />

while keeping up with a busy schedule<br />

1. Fix your meal times and keep to that<br />

schedule as much as you can.<br />

2. Keep some snacks at hand in case you<br />

are held up at work or long meetings.<br />

Consider healthy snack bars, fruits or<br />

dried fruits, nuts or biscuits.<br />

3. Whatever little you can have is better<br />

than nothing. Don’t fix your meetings or<br />

appointments during lunch time if you can<br />

help it. O<strong>the</strong>rwise, try to bring along your<br />

lunch or check if lunch is provided.<br />

4. Have a quick bite before meetings if <strong>the</strong>y<br />

are likely to stretch beyond your usual<br />

lunch time.

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