Care at NUH

Paediatric Training

2024/07/15
Paediatric Training (Medical Undergraduates) and Paediatric Training Opportunities (Healthcare Professionals)
Medical Undergraduates – (Paediatric Training) Phase III Paediatric Posting

The Phase III paediatric posting is an eight-week program that includes: 

  • A one-day orientation and education on the fundamentals of paediatrics
  • Centralised didactic interactive sessions, typically in weeks two and six 

Hospital postings:

  • Approximately for weeks at NUH and four weeks at KKH, providing comprehensive exposure to paediatrics
  • A module on neonatology  

Objectives 
The goals of this posting are to help the students: 

  • Acquire medical knowledge 

Acquire patient care skills in: 

  • Assessing growth and development in babies, children and adolescents 
  • Providing health maintenance and disease prevention 
  • Conducting history-taking and physical examinations 
  • Developing clinical reasoning for diagnoses and differential diagnoses  
  • Identifying acutely ill patients or who those requiring referral to paediatricians or tertiary care centres 
  • Investigating and managing common paediatric conditions 
  • Understanding common medical drugs, their interactions and side effects 
  • Acquiring and discussing practical skills for managing common paediatric conditions 
  • Develop interpersonal and communication skills with patients, families and healthcare teams 
  • Demonstrate professionalism  
  • Apply practice-based learning and improvement  
  • Gain insight into system-based practice  

Teaching Tools 

  • Fundamental lectures 
  • Interactive sessions 
  • Department rounds 
  • Professorial slide show tutorials 
  • Bedside tutorials 
  • Integration into ward teams 
  • Self-driven, practice-based learning and improvement through ward postings, ambulatory clinics and night duty 
  • Skills training in practical procedures 
  • Simulations of acute emergencies 

Recommended textbooks 

Illustrated Textbook of Paediatrics: With STUDENT CONSULT Online Access (Paperback). Tom Lissauer MB BChir FRCP FRCPCH (Author), Graham Clayden MD FRCP FRCPCH (Author). ISBN-13: 9780723433989 

Paediatrics On The Go. Loke Kah Yin (Editor), Nicola Ngiam (Editor). ISBN: 9789810731847 

Modes of Assessment 
Students will be evaluated based on the following to ensure they have achieved the learning outcomes and competencies: 

  • Performance during tutorials (assessing medical knowledge, patient care skills, communication skills, professionalism and teamwork) 
  • Case analysis 
  • Mini-CEX 
  • Theory Test 
Medical Undergraduates – (Paediatric Training) Phase V Paediatric Posting

The Phase V paediatric posting is a three-week program, building upon the eight weeks of paediatrics training completed in Phase III. 

Objectives 

The primary goal of the Phase V training is to equip undergraduates with the core competencies expected of a first-year Postgraduate (PGY1). 

By the end of this posting, students will be able to: 

  1. Recognise normal growth and development in babies, children and adolescents 

  1. Assess growth and development 

  1. Provide health maintenance for babies, children and adolescents 

  1. Approach core clinical problems and formulate reasonable diagnoses and differential diagnosis using information obtained through history-taking, physical examination and investigations 

  1. Exhibit clinical reasoning and decision-making skills 

  1. Manage common core paediatric conditions/diagnoses 

  1. Triage patients effectively 

  1. Identify acutely ill patients and provide basic life support, escalate care as necessary  

  1. Perform core practical skills competently 

  1. Communicate effectively with patients, relatives and healthcare teams 

  1. Demonstrate professionalism 

  1. Engage in self-practice-based learning and improvement 

  • Function effectively within a healthcare team and system 

  •  
  • Teaching Tools 
  • Self-evaluation via a formative test at the start of the posting 

  • Student Internship Program, integrating students with an inpatient team 

  • Bedside tutorials 

  • Interactive sessions 

  • Simulation of acute emergencies (conducted during the simulation posting in Phase V) 

  • Training in practical skills (conducted during the simulation posting in Phase V) 

Recommended Textbooks 

  • Illustrated Textbook of Paediatrics: With STUDENT CONSULT Online Access (Paperback). Tom Lissauer MB BChir FRCP FRCPCH (Author), Graham Clayden MD FRCP FRCPCH (Author). ISBN-13: 9780723433989 

  • Paediatrics On The Go. Loke Kah Yin (Editor), Nicola Ngiam (Editor). ISBN: 9789810731847 

Modes of Assessment 

The final posting grade is a composite of four different assessments: 

  • Completion of the online Start of Posting test 

  • Performance during the Student Internship Program 

  • Performance during tutorials (assessing medical knowledge, patient care skills, communication skills, professionalism and teamwork) 

  • Mini-CEX

Healthcare Professionals – Paediatric Oncology Fellowship

This one-year fellowship is tailored for for fellows-in-training from the ASEAN region, with a preference for applicants with experience in the field. Candidates must hold qualifications that are registrable with the Singapore Medical Council and have the support of a host institution in their home country. 

Interested applicants are encouraged to send their CV to Mr Allen Teo at [email protected]. 

Healthcare Professionals – Advanced Paediatric Blood/Marrow Transplant Fellowship

Designed for advanced trainees in paediatric haematology-oncology, this one-year clinical fellowship focuses on paediatric blood/marrow transplant. Candidates must hold qualifications that are registrable with the Singapore Medical Council and have the support of a host institution in their home country. 

Interested applicants are encouraged to send their CV to Mr Allen Teo at [email protected]. 

Healthcare Professionals – Diploma in Paediatric Cancer Care

Our centre is a designated training facility for the two-year 'Diploma in Paediatric Cancer Care' offered by the Academy of Medicine, Singapore. 

For more information, please download the brochure  here. 

Healthcare Professionals – Paediatric Oncology Nursing Course

Targeted at registered nurses with experience in paediatric oncology, our Paediatric Oncology Nursing Course imparts specialised knowledge and skills required for delivering high-quality care to paediatric oncology patients. 

For more information about the course, click here. To enroll or for any further enquiries, please contact our Senior Nurse Educator Laura Tan at [email protected]. 

Healthcare Professionals – Paediatric Surgery Training Opportunities

The Department of Paediatric Surgery at NUH offers the following training opportunities: 

Advanced Surgical Training 

A three-year training programme for those who have completed and exited from a General Surgery Residency Programme (ACGME-I). 

Paediatric Surgery Surgery-in-General 

This six-year Paediatric Surgery (PS) Surgery-in-General (SIG) training programme includes various rotations as outlined below.  

SIG R1 

  • Rotation: General Surgery* 
    Duration: 12 Months 

SIG R2 & PS R3 

  • Rotation: PS-specific electives 
    Duration: 3 + 3 months for any of the elective rotations (choose 2 of the 3 options) 

  1. Emergency Medicine or Children's Emergency 

  1. Anaesthesia or Paediatric Anaesthesia 

  1. Paediatric Medicine 

  • Rotation: Urology 
    Duration: 6 months 

  • Rotation: Thoracic 
    Duration: 6 months 

  • Rotation: General Surgery* 
    Duration: 6 months 

*General Surgery includes sub-specialties recognised bythe  Singapore Accreditation Board as general surgery (i.e. Breast, HepatoPancreatoBiliary, Upper GI, Vascular, Colorectal, Trauma, Head & Neck Surgery) 

PS R4, R5 & R6 

Core training in Paediatric Surgery with elective and emergency ward, clinic, and operating theatre experience. 

For more information, please contact our department secretary at [email protected]. 

Healthcare Professionals – Paediatric Critical Care Fellowship

This is a 12-month paid clinical fellowship in the Paediatric Intensive Care Unit (PICU) at NUH, offering both basic and advanced training in Paediatric Critical Care. Outstanding basic trainees may be considered for an additional 12-month advanced training. Candidates must have qualifications registrable with the Singapore Medical Council. 

The PICU at NUH is a mixed medical and surgical unit, comprising 18 single-bedded rooms (11 PICU beds, 7 HD beds), with specialized facilities including negative and positive-pressured isolation rooms for immunocompromised patients. We offer a comprehensive range of mechanical ventilatory support, including non-invasive ventilation, high-flow nasal cannula oxygen therapy and high frequency oscillatory ventilation.  

Established in 2009, our paediatric Extracorporeal Life Support (ECMO-Extracorporeal Membrane Oxygenation) Programme, along with renal dialysis (Continuous Veno-venous Haemodialysis or Haemofiltration) and the Molecular Adsorbent Recirculating System (MARS) for mechanical liver support, serve as vital support modalities in the PICU. These advanced techniques are often utilised as bridging solutions to liver transplants. 

The range of paediatric surgical subspecialities in our unit includes cardiac surgery, neurosurgery, ENT, complex reconstructive plastic surgery, orthopaedic surgery and general paediatric surgery. Furthermore, our facilities are integral to the National Paediatric Programmes for Liver and Renal Transplantation, marking our centre as the sole institution in Singapore dedicated to managing paediatric solid organ transplantation. Our consultants also manage moderate sedation, home care and transport services. 

Interested candidates are invited to send their CV to Mr Allen Teo at [email protected]. 

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