academy of medicine, singapore academy of medicine … academy of medicine, singapore 81 kim keat...

ACADEMY OF MEDICINE, SINGAPORE81 Kim Keat Road, #11-00, NKF CentreSingapore 328836Tel: 6593 7800 Fax: 6593 7880Email: [email protected] Website: www.ams.edu.sgRegistration No: 197702012E • Charity No: 000043

ANNUAL REPORT

2016

ACADEMY OF MEDICINESINGAPOREAcademy of Medicine, Singapore

(INCORPORATED IN THE REPUBLIC OF SINGAPORE)Committed to specialist education and training since 1957

Academy of Medicine, Singapore 81 Kim Keat Road, #11-00, NKF Centre

Singapore 328836 Tel: 6593 7800 Fax: 6593 7880

Email: [email protected] Website: www.ams.edu.sg Registration No: 197702012E • Charity No: 000043

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CONTENT

ABOUT THE ACADEMY

1 Master’s Message

2 The 2016-2017 Council

4 The Academy

5 Year in Review 2016

6 Finance and Establishment Review Committee

EVENTS

7 Induction Comitia I (23 April 2016)

8 Strategic Planning Retreat

8 50th Malaysia-Singapore Congress of Medicine and 3rd AMM-AMS-HKAM Tripartite Congress

9 Launch of College of Clinician Scientists and Investigator-Initiated Trails Training Workshop

9 Public Forum on Thrombosis

10 Induction Comitia II (22 October 2016)

10 Dinner and Dialogue with Ministry of Health

CORPORATE RELATIONS

11 Sponsorship, Grants and Awards

12 Representation at Ministry of Health and Related Organisations

DEANERY

13 Mandatory Geriatric Medicine Modular Course

14 In-Training Examinations

14 AMS Fellowship Training Programme

15 Master of Health Professions Education, Singapore (MHPE-S)

15 AMS Distinguished Academician 2016

STANDING COMMITTEES

20 Membership

22 Postgraduate Education

23 Joint Committee on Specialist Training

24 Publications

15 OFFICE OF PROFESSIONAL AFFAIRS

OUR PEOPLE

27 Staff List

28 Past Masters and Honorary Fellows List

102 PHOTO GALLERYFINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED DECEMBER 2016

COLLEGES AND CHAPTERS 31 College of Anaesthesiologists,

Singapore

33 College of Dental Surgeons, Singapore

39 College of Obstetricians and Gynaecologists, Singapore

43 College of Paediatrics and Child Health, Singapore

49 College of Physicians, Singapore

55 College of Radiologists, Singapore

64 College of Surgeons, Singapore

74 College of Emergency Physicians

77 College of Ophthalmologists

82 College of Psychiatrists

85 College of Public Health and Occupational Physicians

90 College of Clinician Scientists

93 Chapter of Pathologists

97 Chapter of Intensivists

98 Chapter of Family Medicine Physicians

100 Chapter of Clinician Educators

CONTENT

ACADEMY OF MEDICINE, SINGAPORE

VisionTo be the leading institution for

postgraduate medical education and professional development of medical

specialists in the region

MissionAdvancing the art and science of medicine

through undergraduate, graduate and postgraduate medical education,

maintenance of high standards of competency and ethical integrity through

continuous professional development (CPD) as well as generation and dissemination of

information and knowledge to the public on matters related to health

ANNUAL REPORT 2016 | 1

Master’s Message

It is an honour as well as privilege to serve as Master of the Academy and to present the key accomplishments of the Academy this year. 2016 has been an exciting year of change as we continue our key priorities to advance professionalism and continuing professional development amidst the diversity of specialist medicine. First and foremost, I would like to acknowledge Dr Lim Shih Hui for his outstanding leadership and dedicated service as Master of the Academy (2012-2016). On 11 June, Dr SH Lim completed his second term and is the first Master to ever serve four years at the helm. Together with his committed Councils, Dr SH Lim has laid the foundation and direction prioritising the drive for the Academy to remain relevant to the Fellows and the specialists’ community.

Under his farsighted leadership, two major developments were undertaken to forward specialist training, education and professionalism, i.e. the setting up of the AMS Deanery and Office of Professional Affairs. The Academy took more than a year to plan the Deanery. Many stakeholders, including the Ministry of Health, were consulted before the Deanery’s framework, structure and objectives were finalised in 2016. The Deanery Advisory Board was set up by the Academy Council to provide strategic advice and guidance to the Dean and the leadership of Deanery Academic Board.

One of the very first initiatives by AMS Deanery was to host the Academy’s 2016 Distinguished Academician, Professor Ian Edward Curran (Assistant Director of Education and Professional Standards at the United Kingdom General Medical Council) to have dialogue and roundtable sessions with Fellow Academicians on professional capabilities, professionalism and professional excellence. The Academy also moved apace to embrace and recognise the future generation of doctors by contributing merit awards to medical students of the

Lee Kong Chian School of Medicine and Duke-NUS Medical School. In 2016, the Academy bestowed its first “Academy of Medicine, Singapore Medal for Outstanding Leadership” to Mr Edwin Yang Jiajing at the Duke-NUS Medical School’s Graduation Dinner.

In our annual dialogue session with senior management of the Ministry of Health, we hosted and engaged Mr Chan Heng Kee, who took office as Permanent Secretary (Health) early in the year. We had a warm and dynamic sharing session where we engaged him on our strategic plans and directions and discussed the Ministry’s plan for the healthcare scene in Singapore. Our objective is to ensure our profession stays actively engaged in supporting the national healthcare agenda.

On the financial front, I am happy to report that the Academy continued to register yet another healthy financial performance, achieving a record operating surplus of $509,982. I would like to thank the Finance and Establishment Review Committee for their strong and sound financial oversight.

The year’s accomplishments were made possible by many of our dedicated Fellow Academicians. Let me express my heartfelt appreciation to members of our Council, who have volunteered their time to uphold tenets of the medical profession and to serve the Academy’s mission with commitment and passion. I look forward to an exciting Diamond Jubilee in 2017.

DR S R E SAYAMPANATHANMaster

My heartfelt appreciation to members of our Council, who have

volunteered their time to uphold tenets of the medical profession and to serve the Academy’s mission with

commitment and passion.


THE 2016-2017 COUNCIL

PATRON: DR TONY TAN, PRESIDENT OF THE REPUBLIC OF SINGAPORE

ELECTED COUNCIL MEMBERS

Dr S R E SayampanathanMasterDirector (from 26 May 2007)Orthopaedic Surgeon, Orthopaedic ‘A’ Care Service Pte Ltd

Dr Lai Fon-MinBursarDirector (from 15 June 2013)Obstetrician & Gynaecologist, A Company for Women

Dr Alan NgCensorDirector (from 18 June 2011)Senior Consultant, Respiratory and Critical Care Medicine, Tan Tock Seng Hospital

Dr Teo Eng KiongAssistant Master – Academic AffairsDirector (from 19 June 2010)Chairman of Medical Board and Senior Consultant, Gastroenterology and Hepatology, Changi General Hospital

Dr David LyeAssistant BursarDirector (from 14 June 2014)Senior Consultant, Infectious Diseases, Tan Tock Seng Hospital

Dr Venkataraman AnantharamanCensorDirector (from 13 November 2007)Senior Consultant, Department of Emergency Medicine, Singapore General Hospital

Dr Khoo Kei SiongAssistant Master – Administrative AffairsDirector (from 16 June 2012)Deputy Medical Director and Senior Consultant, Medical Oncology, Parkway Cancer Centre

Dr Yeo Jin FeiCensor-in-ChiefDirector (from 11 June 2016)Associate Professor, Oral & Maxillofacial Surgery, Faculty of Dentistry, National University of Singapore

Dr Wong Chiang YinCensorDirector (from 20 June 2009)Group Chief Executive Officer and Executive Director, Cordlife Group Limited

Dr Chan Yew WengScribeDirector (from 14 June 2014)Senior Consultant, Department of Anaesthesiology, Singapore General Hospital

Dr Lim Lay ChengCensorDirector (from 15 June 2013)Consultant Haematologist, Blood Specialist Clinic

Dr Wong Tien YinCensorDirector (from 13 June 2015)Medical Director and Senior Consultant, Vitreo-Retinal, Singapore National Eye Centre

APPOINTED COUNCIL MEMBERS

Dr Ti Lian KahPresident, College of AnaesthesiologistsDirector (from 13 June 2015)Academic Head and Senior Consultant, Department of Anaesthesia, Yong Loo Lin School of Medicine, National University of Singapore

Dr Chan Choong MengPresident, College of PhysiciansDirector (from 13 June 2015)Senior Consultant, Department of Renal Medicine, Singapore General Hospital

Dr Wong Tien YinPresident, College of OphthalmologistsDirector (from 13 June 2015)Medical Director and Senior Consultant, Vitreo-Retinal, Singapore National Eye Centre

Dr Bryce LeePresident, College of Dental SurgeonsDirector (from 13 June 2015)Dental Surgeon, Atria-City Dental Group Pte Ltd

Dr Chua Eu TiongPresident, College of RadiologistsDirector (from 13 June 2015)Senior Consultant, Radiation Oncology, National Cancer Centre Singapore

Dr Ng Beng YeongPresident, College of PsychiatristsDirector (from 16 June 2012)Senior Consultant, Psychiatry, Singapore General Hospital

Dr Arijit BiswasPresident, College of Obstetricians and GynaecologistsDirector (from 13 June 2015)Head and Senior Consultant, Division of Maternal-Fetal Medicine, National University Hospital, Women’s Centre

Dr Ho Kok SunPresident, College of SurgeonsDirector (from 27 July 2015)Colorectal Surgeon, Ho Kok Sun Colorectal Clinic Services Pte Ltd

Dr Vernon LeePresident, College of Public Health and Occupational PhysiciansDirector (from 11 June 2016)Director (Communicable Diseases),Communicable Diseases Division,Ministry of Health Singapore

Dr Marion Margaret AwPresident, College of Paediatrics and Child HealthDirector (from 13 June 2015)Senior Consultant, Department of Paediatrics, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital

Dr Goh Siang HiongPresident, College of Emergency PhysiciansDirector (from 11 June 2016)Senior Consultant, Accident & Emergency, Changi General Hospital

Dr Pierce ChowPresident, College of Clinician ScientistsDirector (from 13 June 2015)Senior Consultant Surgeon, National Cancer Centre Singapore

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Dr Inny BusmanisChair, Chapter of PathologistsDirector (from 14 July 2015)Senior Consultant, Histopathology, Singapore General Hospital

Dr Tan Boon YeowChair, Chapter of Family Medicine PhysiciansDirector (from 11 June 2016)Chief Executive Officer, St Luke’s Hospital, Singapore

Dr Lim Tiek WhaiChair, Chapter of IntensivistsDirector (from 13 June 2015)Senior Consultant, Director SICU, Department of Anaesthesia & Surgical Intensive Care, Changi Genral Hospital

Dr Erle LimChair, Chapter of Clinician EducatorsDirector (from 14 June 2014)Associate Professor, Yong Loo Lin School of Medicine, National University of Singapore

EX-OFFICIO

Dr Lim Shih HuiImmediate Past Master Director (from 14 July 2001)Senior Consultant, Neurology, National Neuroscience Institute, SGH Campus

Dr Tan Eng KingEditor, AnnalsDirector (from 19 June 2010)Senior Consultant Neurologist, National Neuroscience Institute, Singapore General Hospital

MANAGEMENT

Ms Junia HengExecutive Director (from 1 June 2011 - Present)

Induction Comitia, 22 October 2016.

Standing (from left): Dr Ho Kok Sun, Dr Tan Boon Yeow, Dr Inny Busmanis, Dr Ti Lian Kah, Dr Bryce Lee, Dr Goh Siang Hiong, Dr Wong Tien Yin, Dr Lee Yung Seng (representative, College of Paediatrics & Child Health), Dr Robin Goh (representative, College of Psychiatrists), Dr Tan Eng King, Dr Pierce Chow

Seated (from left): Dr Chan Yew Weng, Dr Lim Shih Hui, Dr S R E Sayampanathan, Dr Chua Shi-Lu (Guest-of-Honour), Dr Lai Fon Min, Dr Yeo Jin Fei, Dr Lim Lay Cheng

Not in photo: Dr Teo Eng Kiong, Dr Khoo Kei Siong, Dr David Lye, Dr Alan Ng, Dr V Anantharaman, Dr Wong Chiang Yin, Dr Arijit Biswas, Dr Marion Aw, Dr Chan Choong Meng, Dr Chua Eu Tiong, Dr Vernon Lee, Dr Lim Tiek Whai, Dr Erle Lim

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ABOUT THE ACADEMY


THE ACADEMY

The Academy of Medicine, Singapore is a professional institution of medical and dental specialists devoted to advancing the art and science of medicine in Singapore through postgraduate specialist training; maintenance of high standards of competency and ethical integrity through continuous professional development as well as dissemination of information and knowledge to the public on matters related to health.

The vision of the Academy is to be the leading institution for postgraduate medical education in the region. From a membership of 75 in 1969, the Academy has now grown into a membership base of over 3,300 members in the following Colleges and Chapters:

COLLEGES

• College of Anaesthesiologists, Singapore• College of Dental Surgeons, Singapore• College of Obstetricians and Gynaecologists, Singapore• College of Paediatrics and Child Health, Singapore• College of Physicians, Singapore• College of Radiologists, Singapore• College of Surgeons, Singapore• College of Emergency Physicians, Academy of Medicine,

Singapore• College of Ophthalmologists, Academy of Medicine,

Singapore• College of Psychiatrists, Academy of Medicine, Singapore• College of Public Health and Occupational Physicians,

Academy of Medicine, Singapore• College of Clinician Scientists, Academy of Medicine,

Singapore

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• Chapter of Pathologists, Academy of Medicine, Singapore• Chapter of Intensivists, Academy of Medicine, Singapore• Chapter of Family Medicine Physicians, Academy of

Medicine, Singapore• Chapter of Clinician Educators, Academy of Medicine,

Singapore

The Academy is registered and domiciled in Singapore with its registered office and principal place of business at 81 Kim Keat Road, #11-00 and #12-00, NKF Centre, Singapore 328836.

The Academy is a charitable company limited by guarantee, incorporated on 19 September 1977 and has been registered as a Charity (Charity Registration No.: 00043) since 13 April 1984. It has also been granted status of Institute of Public Character (IPC) by the Ministry of Health, Singapore for a period of two years, from 17 May 2016 to 16 May 2018.

The Academy was established under a Memorandum of Association which established the objects and powers of the Academy and is governed under its Articles of Association.

COMPANY SECRETARY AND AUDITORS OF THE ACADEMY

Dentons Rodyk & Davidson LLP was engaged as the Company Secretary to provide corporate secretarial services to the Academy.

Fiducia LLP was appointed as the auditors for the accounts of the Academy.

COMMITTEES OF THE ACADEMY OF MEDICINE, SINGAPORE

The Council is supported by the following committees established under the Academy’s By-Laws:

COMMITTEE CHAIRMAN

Executive Committee Dr S R E Sayampanathan

Finance and Establishment Review Committee

Dr Lai Fon Min

AMS Deanery Dr Lim Shih Hui (Dean)

Office of Professional Affairs Dr Benjamin Ng (Director)

Audit Dr Chew Chin Hin

Constitutional Review Dr Lim Shih Hui

Membership Dr Yeo Jin Fei

Publication Dr Tan Eng King

Search Dr S R E Sayampanathan

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19-21AUG

50th Malaysia-Singapore Congress of Medicine & 3rd AMM-AMS-HKAM Tripartite Congress 02 OCT

Public Forum on Thrombosis

27 OCT

Dialogue with Permanent Secretary (Health), Mr Chan Heng Kee

18 FEBLunar New Year Celebration

11-29 JULResidential Units of

Master of Health Professions Education,

Singapore (MHPE-S)

22-24 MAR3rd MEDLAB Asia Pacific

19 MAR & 09 APRMedical Expert Witness Training Course

23 APRInduction Comitia I

11 JUN38th Annual General Meeting

YEAR IN REVIEW

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YEAR IN REVIEW 2016

22 OCT Induction Comitia II

23 JUL Strategic Planning Retreat

04-12 NOVSessions with Distinguished Academician, Dr Ian Curran

26 AUGLaunch of College of Clinician Scientists and Investigator-Initiated Trials Training Workshop


FINANCE AND ESTABLISHMENT REVIEW COMMITTEE

The Finance and Establishment Review Committee (FERC) is responsible for reviewing the financial affairs of the Academy and reporting directly to Council. It reviews such matters as investment policy, control of assets, operating budgets, the auditor’s report and the Academy’s overall financial position.

FINANCE & ESTABLISHMENT REVIEW COMMITTEE (2016-2017)

Dr Lai Fon-Min Bursar & Chairman

Dr David Lye Chien Boon Assistant Bursar

Dr Khoo Kei Siong Assistant Master – Administrative Affairs

Dr Yeo Jin Fei Censor-In-Chief

Dr Chan Yew Weng Scribe

Dr Wong Chiang Yin Censor

Dr Venkataraman Anantharaman Censor

Dr Lim Lay Cheng Censor

Dr SRE Sayampanathan Master and Ex-Officio

The financial aspects of the Academy’s activities continue to be scrutinised by the FERC with emphasis on ensuring business continuity and sustaining strategic efforts.

For 2016, the Academy registered a healthy financial performance for a third year running, achieving an improved operating surplus of $509,982. This improves the Academy’s reserve substantially by 32% to $2,117,000 for financial year ending 31 December 2016. The ratio of Unrestricted Fund reserve to Annual Operating Expenditure is 0.39.

Membership subscription income grew at a moderate rate to $1,441,531. Including $22,807 in doubtful debt written back, membership subscription income accounts for 38% of

total operating income. Course fees and examination fees income, totalling $1,099,808 and $756,134 respectively, continue to fare better, contributing to 30% and 21% of total operating income. Higher enrolments of existing courses and introduction of new programmes had favourable impact on the Academy’s finances. The schedules of course fees and charges are continually reviewed at appropriate intervals to ensure programmes are minimally self-financing and sustainable.

Better yields on interest income were received by the Academy across the board as term deposits of reserves of Restricted and Unrestricted Funds were reviewed and restructured.

The Building Endowment Fund (BEF) maintained modest growth of $33,301 in 2016. Depreciation stood at $35,384, and an administrative fee of $24,664 is apportioned to the fund for the management of BEF, including the maintenance of all Academy’s offices and properties. In 2016, staff cost of $1,876,168 constituted 56% of the Academy’s operating expenses. The FERC maintains oversight on staff remuneration policy to ensure annual remuneration and rewards (a) attract, retain and motivate committed staff; (b) uphold consistency and equity; and (c) build organisational capability.

In view of a sluggish economic outlook and increased expenditure to commemorate the Academy’s Diamond Jubilee, the Academy has projected a conservative operating surplus of $126,474 for 2017. Maintaining Academy’s reserve at a level sufficient for operating needs and safeguarding financial stability remain a top priority of FERC.

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EVENTS

INDUCTION COMITIA I

The Academy held its first Induction Comitia on 23 April 2016 at the NUHS Tower Block Auditorium where 78 inductees were conferred as Fellows, while another 26 graduates of the Staff Registrar Scheme (SRS) Diplomas received their certificates.

Mr Chee also welcomed the reorganisation of the Academy and the formation of the Office of Professional Affairs that oversees professionalism, ethics and medical experts as well as the AMS Deanery, an academic and administrative arm to strategise and coordinate education-related programmes across the Academy. In addition, he applauded the leadership of the Academy for being forward-looking and visionary in raising the standards of the profession. That afternoon also saw the presentation of Certificates of Appreciation to faculty members of the Master of Health Professions Education-Singapore (MHPE-S).

In his address, Guest-of-Honour Mr Chee Hong Tat, Minister of State, Ministry of Communications and Information and Ministry of Health, Singapore, shared his thoughts on the changing landscape of Singapore’s healthcare and the need to focus on three shifts which underpin the Ministry’s efforts to change the models of care. They include moving beyond hospitals to the community, beyond quality to value, and beyond healthcare to health.

EVENTS


STRATEGIC PLANNING RETREAT

A Strategic Planning Retreat was held on the afternoon of 23 July 2016 at the Academia@SingHealth. Among the topics that were discussed were:

1) improve communication and membership benefits, 2) proactive in specialist training and assessment; and 3) improve Academy’s national standing.

Immediate Past Master, Dr Lim Shih Hui, presented on the balance report card for AMS strategic priorities for 2012-2016.

Participants for the retreat included the Council members, members of the Deanery Advisory Board, Office of Professional Affairs and representatives from the Colleges and Chapters.

50TH MALAYSIA-SINGAPORE CONGRESS OF MEDICINE AND 3RD AMM-AMS-HKAM TRIPARTITE CONGRESS

The Academy’s Council and staff attended the 50th Malaysia-Singapore Congress of Medicine and 3rd AMM-AMS-HKAM Tripartite Congress which was held on 19 to 21 August 2016 at the Shangri-La Hotel, Kuala Lumpur, Malaysia. It was also the Golden Jubilee of the Academy of Medicine of Malaysia.

LECTURE TOPICS SPEAKERS

• How Doctors Think, and What Can Go Wrong• Triage Tools for Disaster Management (A Relook)

Dr Goh Siang HiongCollege of Emergency Physicians

• Massive Transfusion for Tiny Patients• Emergency Paediatric Airways – 10 Things That You Should Know

Dr Gene OngCollege of Paediatrics & Child Health, Singapore

• Every 5 Years the Guidelines Change, How Does It Affect Prehospital Emergency Care Performance Measurements?

• Plenary VII New Gizmo in Resuscitation

Dr Marcus OngCollege of Emergency Physicians

• Revisiting Educational Outcome in PG Teaching• Plenary II Changes in Adult Resuscitation Guidelines 2015 That Alter Our

Practice

Dr Shirley OoiCollege of Emergency Physicians

The Congress, with the theme ‘A Multidisciplinary Approach in Strengthening the Chain of Survival’, also saw participation from Fellows of the Academy who delivered the following lectures:

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LAUNCH OF COLLEGE OF CLINICIAN SCIENTISTS AND INVESTIGATOR-INITIATED TRIALS TRAINING WORKSHOP

The Academy charted another milestone with the launch of the College of Clinician Scientists on 26 August 2016 at the National Dental Centre of Singapore. The College’s vision and mission is to provide collective and professional identity for clinician scientists, advise relevant authorities on biomedical research issues and training of clinician scientists, and be the academic voice of the Academy.

At its launch, the College also held its first formal research training event, the Investigator-Initiated Trials (IITs) Workshop. Dr Pierce Chow, President of the new College, outlined that the workshop aims to provide insights into the vital role investigator-initiated trials play in the healthcare landscape and the key opportunities and challenges they offer; identifying important clinical gaps and formulating research questions that will interest collaborators; understanding the goals, research areas and review processes for IITs within industry and the benefits of partnerships between industry and researchers. A total of 100 participants attended the workshop, including investigators from China, Indonesia, Malaysia, Myanmar, Philippines and Thailand.

PUBLIC FORUM ON THROMBOSIS

Joining the global movement in educating the public on thrombosis, a growing global health problem, the Academy of Medicine, Singapore and Chapter of Haematologists, College of Physicians, Singapore organised a public forum on 2 October 2016 at the Academia, Singapore General Hospital.

Held in conjunction with World Thrombosis Day with the theme ‘Know Thrombosis’ and understand the steps to take to ‘Keep Life Flowing’, the forum urges the public to: 1) know the risk factors; 2) know the signs and symptoms; 3) be proactive and talk to a health care professional about risk and prevention of blood clots, especially if admitted to the hospital or having surgery.

“Venous Thromboembolism can be fatal; it is not uncommon here and is preventable and treatable. The signs and symptoms of VTE are well known to be elusive; hence a high level of awareness is required for identifying the presence of VTE. The purpose of this public symposium is to raise this awareness,” said Associate Professor Lee Lai Heng, Senior Consultant Haematologist, Singapore General Hospital (SGH) and Chair, Organising Committee of the World Thrombosis Day Public Forum.

Among the topics that were addressed at the forum by professional medical experts were: what is VTE and who are at risk; how to prevent and treat VTE; life after VTE and who requires long-term treatment; stroke prevention in atrial fibrillation as well as life on anticoagulant medications.

The World Thrombosis Day (WTD) is an educational campaign aimed at reducing the significant burden caused by thrombosis.


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TS INDUCTION COMITIA II

As the Academy continues to grow in numbers, it held its second Induction Comitia for the year on 22 October 2016 at the Health Promotion Board. Dr Chia Shi-Lu, Chairman of the Government Parliamentary for Health and Member of Parliament for Tanjong Pagar GRC graced the event as the Guest-of-Honour. Dr Chia, together with 63 other inductees, were conferred Fellowship of the Academy that afternoon. In his address to the newly inducted Fellows, Master reminded them on the significance of lifelong academic pursuit in their medical career that will help them remain relevant and competent. They will be part of the professional body

that embraces all specialties and he urged them to take advantage of the Academy’s domain of experts whose individual competency, wealth of knowledge and collective wisdom is a valuable asset to the Singapore’s healthcare system. The Induction Comitia also witnessed the graduation of 39 trainees who had successfully completed their diplomas under the Staff Registrar Scheme (SRS). That afternoon also saw the presentation of the Annals Best Publication Awards 2015 and Annals Gold Reviewer Awards 2015.

DINNER AND DIALOGUE WITH MINISTRY OF HEALTH

The Academy maintained its active engagement with the Senior Management of the Ministry of Health through its annual Dinner and Dialogue session with Permanent Secretary (Health), Mr Chan Heng Kee, on 27 October 2016 at the Academy’s office. The Council updated Mr Chan on the developments of the Academy and discussed on the role of the Academy in the Ministry’s initiatives to maintain the standard of healthcare in Singapore. Medical education, training and manpower were among the issues discussed during the dialogue.

The engaging and fruitful dialogue reaffirms the Academy’s commitment to medical excellence and the Academy looks forward to its continued active engagement with the Senior Management of the Ministry.


SPONSORSHIPS, GRANTS AND AWARDS

AWARDS

The Academy continued to recognise outstanding students and academicians through the awards of medals and prizes.

Academy of Medicine, Singapore (AMS) Medal for Outstanding LeadershipThe Academy has bestowed an award to Duke-NUS Medical School, the Academy of Medicine, Singapore Medal for Outstanding Leadership. The award, comprises $1,000, a medal and certificate, is given annually to a graduating MD student of Duke-NUS Medical School, who best demonstrates qualities of independence, initiative, resilience, and possesses qualities of leadership, passion and compassion. The awardee should be distinguished with exemplary character; have made significant contribution to the student and social communities; served as a true role model or peers; and successfully completed the final year examinations.

The Inaugural Medal was awarded to Mr Edwin Yang Jiajing at the Duke-NUS Medical School’s Graduation Dinner on 3 June 2016.

Academy of Medicine Awards, G.A. Ransome Medal and Seah Cheng Siang MedalThe NUS Yong Loo Lin School of Medicine has awarded the medals and prizes to the following Bachelor of Medicine and Bachelor of Surgery graduates for the academic year 2015/2016:

NAME OF RECIPIENT

COURSE OF STUDY

AWARD CRITERIA

ACADEMY OF MEDICINE SILVER MEDAL

Lim Ying Beatrice M.B., B.S.

Student who is fourth in the Examination of the First Professional Examination for the degrees of M.B., B.S.

ACADEMY OF MEDICINE BRONZE MEDAL

Ho Jin Yang M.B., B.S.

Students who is fifth in the Examination of the First Professional Examination for the degrees of M.B.,B.S.

G.A. RANSOME GOLD MEDAL

Benjamin Hooi Ming-Yew

Master of Medicine

Best student in examination

SEAH CHENG SIANG GOLD MEDAL

Benjamin Hooi Ming-Yew

Master of Medicine

Top scorer in Clinical section of examination

DISTINGUISHED ACADEMICIAN

DR IAN EDWARD CURRANAssistant Director of Education and Professional Standards, UK General Medical Council

Date 4-12 November

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SCORPORATE RELATIONS


VISITING ACADEMICIANS

DR SUH MAN KOONDirector, JW Plastic Surgery Center, Seoul, Korea

Date 2-3 September 2016

Venue Academia@SingHealth

Organiser Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore

Lectures • Asian Tip Plasty: Tips and Pitfalls• Open Structure Rhinoplasty in Asians • How to Overcome the Obstacles in the

Contracted Nose Correction• Recent Techniques of Deviated Nose

Correction• Review of the Donated Rib Cartilage Use

in Asian Rhinoplasty• Secondary Rhinoplasty

DR MICHAEL MIROSHNIKDr Michael Miroshnik Plastic & Cosmetic Surgeon, Sydney, Australia

Date 2-3 September


Organiser Chapter of Plastic, Reconstructive and Aesthetic Surgeons, College of Surgeons, Singapore

Lectures • Primary Breast Augmentation with Cohesive Gel Implants

• Secondary Breast Augmentation/Revisional Surgery

• Primary Breast Augmentation in Asian Patient

• Augmentation Mastopexy

VISITING LECTURER

DR JOHN CHRISTOPHER COAKLEYHead, Department of Clinical Biochemistry, The Children’s Hospital, Westmead, NSW

Date 15 October


Organiser Chapter of Pathologists

Lecture Laboratory Investigation of Metabolic Disorders

TRAVEL ASSISTANCE

During the year, the Academy extended travel assistance to Dr Foo Chee Liam, Senior Consultant, Department of Plastic, Reconstructive & Aesthetic Surgery, Singapore General Hospital for his participation at the 23rd Congress of the International Society of Aesthetic Plastic Surgery held on 23 to 27 October 2016 at Kyoto, Japan. Dr Foo had presented a paper on ‘Nasal Tip Deviation Following Septal Extension Graft’.

LETTER OF SUPPORT

The Academy provided letters of support for the following:• Endorsement of Liver Transplant Symposium 2016, 14-16

October 2016, Singapore• Bidding of the World Ophthalmology Congress (WOC)

2022• Bidding of the International Academy of Pathology (IPA)

World Congress 2022• Bidding of the World Congress of Anaesthesiologists

(WCA) 2024

REPRESENTATION AT MINISTRY OF HEALTH AND RELATED ORGANISATIONS

• Master of the Academy, Dr Lim Shih Hui (1 January-11 June), and Dr S R E Sayampanathan (11 June-Present), served as Co-Chairman of the Joint Committee on Specialist Training (JCST).

• Dr S R E Sayampanathan was also appointed to the Board of the Specialists Accreditation Board.

• Dr Matthew Yeo (Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons; College of Surgeons, Singapore) and Dr Martin Chio (Chapter of Dermatologists; College of Physicians, Singapore) represented the Academy in the Aesthetic Practice Oversight Committee (APOC).

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DEANERY

DEAN’S MESSAGE

The Deanery is an academic and administrative arm to strategise and coordinate education-related programmes across the Academy. It provides oversight to the many education and training programmes within the Academy. Through regular review of training strategies and development of educational programmes and activities, we hope the educational initiatives will enhance our Fellows’ training and competencies.

Continuing Professional Development of doctors goes beyond learning specialty-specific knowledge and technical aspects of medicine. There is a need for all of us to broaden human qualities and skills, in addition to clinical competencies, in complex or difficult circumstances which

form the foundation of professional practice. We hope to help our Fellows develop and enhance the generic and universal professional capabilities so as to effectively deal with the complexity, uncertainty and challenges of contemporary medical practice.

DR LIM SHIH HUI

Through regular review of training strategies and development of

educational programmes and activities, we hope the educational initiatives

will enhance our Fellows’ training and competencies.

DEANERY

MANDATORY GERIATRIC MEDICINE MODULAR COURSE

The Academy, together with the Chapter of Geriatricians, College of Physicians, Singapore, have developed and rolled out the Mandatory Geriatric Medicine (GRM) Modular course for non-internal medicine related residents (with exception of residents in Paediatrics, Pathology and Family Medicine) since 2014.

In 2016, the GRM modular course had changed to a new format. Residents will now need to complete three online modules in Year 1 before attending one combined topics

workshop in Year 2. Each workshop will have four case scenarios:1. Dementia/Delirium2. Falls and Immobility3. Atypical Presentation and Latrogenesis4. Decision Making Capacity/End of Life Issues/Geriatrics

Community Care Services

A total of six workshops were conducted in 2016, of which two are under the new format.

DATE OF WORKSHOP

ORGANISING INSTITUTION TOPIC WORKSHOP FACILITATORS NO. OF

PARTICIPANTS

30 January Khoo Teck Puat Hospital Falls and Immobility

Dr Joyce Wan Yu Li Dr Naveed Anjum MalikDr Priscilla Ng

47

16 April Singapore General Hospital Delirium/Dementia

Dr Dennis SeowDr Yip King FanDr Kaysar Mamun

45

14 May National University Hospital Falls and Immobility

Dr Santhosh Kumar Dr Meyyur Aravamudan Dr Raymond Goh Kai Heng

38

16 July Ng Teng Fong General Hospital

Atypical Presentation & Latrogenesis

Dr Foo Swee SenDr Sze Yuen LeiDr Tan Chin Kok

38

1 October Tan Tock Seng Hospital Combined TopicsDr Raphael Lee Hsien XiongDr Lim Jun PeiDr Edward Chong Kah Chun

26

19 November Changi General Hospital Combined Topics

A/Prof Samuel Chew Teong Huang Dr Ooi Chun HowDr Mohanruban Kanthaya

29


IN-TRAINING EXAMINATIONS

Since 2009, the Academy has been appointed by the Ministry of Health, Singapore to administer approved annual In-training examinations (ITEs) and has worked closely with

many professional bodies and institutions abroad to bring the ITEs to Trainees and Residents in Singapore. In 2016, the Academy administered 23 Specialty In-training examinations.

SPECIALTY (EXAMINATION) EXAMINATION BOARD DATE NO. OFCANDIDATES

Diagnostic Radiology (DXIT) American College of Radiology 4-31 January 85

Obstetrics & Gynaecology (CREOG) American Congress of Obstetricians & Gynecologists 23 January 69

Endocrinology (ESAP-ITE) The Endocrine Society 13 February 23

Infectious Diseases (IDSA-ITE) Infectious Diseases Society of America 3 February 18

General Surgery (ABSITE) American Board of Surgery 13 February 156

Medical Oncology (MedOnc-ITE) ITITE American Society of Clinical Oncology 24 February 24

Emergency Medicine (ABEM-ITE) American Board of Emergency Medicine 25 February 80

Rheumatology (ACR-ITE) American College of Rheumatology 8 March 9

Gastroenterology (GTE) American Gastroenterological Association 12 March 31

Otorhinolaryngology (OTE) American Board of Otolaryngology 5 March 38

Nuclear Medicine (ABNM-ITE) American Board of Nuclear Medicine 31 March 3

Anaesthesiology (ABA-ITE) American Board of Anesthesiology 12 March 92

Pathology (RISE) American Society for Clinical Pathology 19 March 13

Haematology (ASH-ISE) American Society of Haematology 23 March 13

Renal Medicine (ASN-ITE) American Society of Nephrology 1 April 25

Ophthalmology (OKAP) American Academy of Ophthalmology 12-14 April 43

Respiratory Medicine (APCCMPD - ISE)

Association of Pulmonary and Critical Care Medicine Program Directors

3 May 12

Paediatric Medicine (ABP-ITE) American Board of Pediatrics 11-13 July 117

Internal Medicine (IM-ITE) American College of Physicians 27 August & 3 September

418

Psychiatry (PRITE) American College of Psychiatrists 8 October 41

Cardiology (ACC-ITE) American College of Cardiology 19 October 42

Family Medicine (ABFM-ITE)* American Board of Family Medicine 24-27 October 174

Orthopaedic Surgery (OITE) American Academy of Orthopaedic Surgeons 12 November 113*Jointly organised with CFPS

DEAN

ERY

AMS FELLOWSHIP TRAINING PROGRAMME

The Academy’s Fellowship Training Programme is an initiative developed through the signing of a Memorandum of Understanding with Brunei’s Ministry of Health to conduct Advanced Speciality Training (AST) for Bruneian doctors. Upon satisfactory completion of the AST programme, the Bruneian doctors will be awarded Fellow of the Academy of Medicine,

Singapore (FAMS-International). The qualification, although not registerable with the Specialists Accreditation Board in Singapore, will allow the Bruneian doctors to be registered as specialists in Brunei. The first candidate commenced training in Rheumatology AST in September 2016.


MASTER OF HEALTH PROFESSIONS EDUCATION, SINGAPORE (MHPE-S)

The MHPE-S is a two year part-time programme conducted mostly online via distance-based learning, with two three-week residential units conducted in Singapore (Units One and Seven).

Faculty Development Workshop (Train-the-Trainers Programme)The Faculty Development Workshop for Unit Seven was conducted from 18 to 20 January 2016 by Dr Fred Stevens from the School of Health Professions Education, Maastricht University.

2016 Intake (Unit One) and 2015 Intake (Unit Seven)The 2016 Intake (Unit One) was conducted from 11 to 28 July 2016 with seven participants. Dr Matthew Gwee is the coordinator for Unit One. During the same period, the 2015 Intake students were also back at the Academy for Unit Seven. Dr Goh Poh Sun is the coordinator for Unit Seven. The MHPE-S programme director is Dr Dujeepa D Samarasekera.

DEANERY

MHPE-S 2016 intake students.MHPE-S 2015 intake students and faculty.

AMS DISTINGUISHED ACADEMICIAN 2016

Professor Ian Edward Curran was awarded the 2016 Distinguished Academician. Professor Curran is the Assistant Director of Education and Professional Standards at the UK General Medical Council where he leads policy development and quality assurance of postgraduate medical education. He was trained as an anaesthetist with an interest in chronic pain management at St Bartholomew’s Hospital where he was appointed Professor of Innovation and Excellence in Healthcare Education. He is a visiting Professor at the King’s College London and the Cass Business School.

During his visit from 4 to 12 November 2016, he delivered lectures and conducted roundtable discussions with medical and health professionals, focusing on Professional Capabilities, Professionalism and Professional Excellence. In his lectures to FAMS, he touched on ‘In Pursuit of Professional Excellence

MHPE-S Local Teaching Faculty

NO. FACULTY MEMBER

1 Dr Abhilash Balakrishnan

2 Dr Ashokka Balakrishnan

3 Dr Chay Oh Moh

4 Dr Edward Chen Fun Gee

5 Dr Clement Tan

6 Dr Derek Soon

7 Dr Dujeepa D Samarasekera

8 Dr Goh Poh Sun

9 Dr Lalit Kumar Radha Krishna

10 Dr Lim Wee Shiong

11 Dr Matthew Gwee

12 Dr Nigel Tan

13 Dr T Thirumoorthy

14 Dr Tan Chay Hoon

15 Dr Vincent Chong

– Developing Capabilities Beyond Competency; Emerging Concept in Education Policies and Regulations; Value, Values and Virtues; Leading Innovation/Transformation Leadership and Doctors in Difficulty’.

The College of Anaesthesiologists had hosted him during his visit which saw him delivering a lecture on ‘Anaesthesia Education: Trends, Future and Wider Impact’. This was followed by a roundtable discussion on ‘Leading Interprofessional Education: The Anaesthetic Perspective’.

For the session with the Chapter of Clinician Educators, he had delivered a lecture on ‘Transitioning from Professional Competence to Excellence’ and this was concluded with a discussion on ‘Achieving Excellence in Clinical Education’.

The 2016 Distinguished Academician, Professor Ian Edward Curran (front row, fifth from left) had focused on Professional Capabilities, Professionalism and Professional Excellence in his lectures and roundtable discussions.


The Academy of Medicine, Singapore (AMS) provides professional guidance and advice in the following areas:• Clinical standards and clinical guidance in the management

of patients;• The development of medical services and facilities for the

respective medical specialties;• The adoption and utilisation of health technology;• The development of health and medical research;• The national-level requirements that should be put in

place by the respective Specialist Training Committees (STCs) and Residency Advisory Committees (RACs) for the training of medical specialists;

• Any other medical related matters that may arise from time to time.

AMS also provides professional guidance to non-governmental organisations and other statutory boards that seek its assistance.

OFFICE OF PROFESSIONAL AFFAIRS

DIRECTOR’S MESSAGE

AMS frequently receives requests from various agencies such as Ministry of Health, Health Sciences Authority, Singapore Police Force, Singapore Courts and Coroner, for opinions on professional and clinical practice. Response to each request requires several man-hours of research, discussions and report writing by our Fellows. These requests have been growing steadily, and are handled by an increasing number of Committees.

The Office of Professional Affairs has been formed to bring all these Committees under one office for coordination and streamlining of activities, and to ensure direction and purpose in all these activities, so that healthcare in Singapore will benefit, particularly from the professional, quality and safety perspectives.

In 2016, AMS received 48 requests for professional opinion, and two requests for feedback and endorsement of Guidelines. Together with our partners, two sessions of the Medical Expert Witness Training Course were organised and trained specialists were invited to join the

Faculty of Medical Experts. Twelve independent medical expert reports were provided to the Singapore Police Force, with seven cases still being processed.

The Ethics Course for Staff Registrar Scheme Diploma programmes has been developed and implemented. The Organisational Ethics Work-group has been formed to develop a competency training framework on organisational ethics for doctors and other healthcare professionals in response to the request from the National Ethics Capability Committee.

DR BENJAMIN NG BOON LUI

The Office of Professional Affairs has been formed to bring all these Committees under one office for coordination and

streamlining of activities, and to ensure direction and purpose.

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GUIDELINES, ADVISORIES & CONSENSUS COMMITTEE (GACC)

This Committee is helmed by Dr Alan Ng (College of Physicians, Singapore) and Dr Ong Hock Soo (College of Surgeons, Singapore).

Since 2007, the Ministry of Health has been seeking AMS’ comments and endorsements on Clinical Practice Guidelines (CPG), eg. Dementia, Headache, Osteoporosis. In addition, there have been requests for professional opinions on

THE RESTRUCTURED OFFICE OF PROFESSIONAL AFFAIRS (OPA)

OPINIONS, ADVISORIES & CONSENSUS (OAC)

COMMITTEEDr Alan Ng

Dr Ong Hock Soo

CLINICAL PRACTICE GUIDELINES (CPG)

COMMITTEEDr Alan Ng

Dr Ong Hock Soo

Screening Test Review Committee

Committee on Aesthetic Medical PracticeDr Matthew YeoDr Terence GohDr Martin Chio

Dr Peter LuDr Audrey Looi

Taskforce on Sedation by Non-Anaesthesiologists

ETHICS & PROFESSIONALISM

COURSE

SRS ETHICS COMMITTEEDr Thirumoorthy

Dr Jason YapDr Soh Teck Hwee

Dr Vishalkumar Dr Jayant

Dr Tay Ee GuanDr Ong Eng Choon Dr Shahla Siddiqui

ORGANISATIONAL ETHICS COMMITTEE

Dr Benjamin NgDr Sayampanathan

Dr Jeremy LimMs Sumytra MenonMr Wu Tuck Seng

FACULTY OF MEDICAL EXPERTS (FME)

(FOR CORONERS & EXTERNAL

STAKEHOLDERS)

COMMITTEEDr Ho Kok Sun

Dr Alan NgDr Thirumoorthy

MEDICAL EXPERT TRAINING

COMMITTEEDr Ho Kok Sun

Dr Khoo Kei SiongDr Boey Wah Keong

Dr Tan Yew Oo Dr Joseph ShearesDr Seow Wan Tew Dr Lee See Muah Dr Cuthbert TeoDr Marian Wang Dr Thirumoorthy

GUIDELINES, ADVISORIES & CONSENSUS COMMITTEE (GACC)

PROFESSIONALISM & ETHICS COMMITTEE (PEC)

OFFICE OF PROFESSIONAL AFFAIRS (OPA)

Dr Benjamin NgDIRECTOR

HONORARY LEGAL ADVISORS

MEDICAL EXPERTS COMMITTEE (MEC)

Regulation of Medical Devices, Colonic Hydrotherapy and many other procedures. AMS also received requests from organisations such as Health Sciences Authority, Health Promotion Board, Ministry of Home Affairs and the Singapore Medical Council.

The table below shows a tally of the opinions/work done by AMS.

TYPE OF REQUESTS 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Professional Opinion 9 18 15 28 40 38 37 53 49 48

Feedback and Endorsement of Guidelines

4 4 5 5 8 1 5 4 3 2

Guidelines Development 0 3 3 2 1 1 1 2 0 0

Total Requests 13 25 23 35 49 40 43 59 52 50

The following table shows the list of topics that AMS has provided professional opinions on in 2016.

NO. DESCRIPTION ORGANISATION

1 Endorsement of the Revised Obesity CPG (Jan 2016) Health Promotion Board

2 Esophageal High Resolution Manometry and pH-Impedance Testing Ministry of Health

3 Dr Georgia Lee’s Clinic “TLC Lifestyle Practice” to Justify the Provision of Non-List A Aesthetic Procedures

Ministry of Health


4 Screening Tests Review (Further Inputs Clarification) Ministry of Health

5 Tdap Vaccination for Pregnant Women During 3rd Trimester Ministry of Health

6 Clinical Use of Next-Generation Sequencing (NGS) Based Assays Ministry of Health

7 Seeking AMS’s Assistance to Recommend a Senior O & G Specialist to Conduct Peer Audit on TOP Service of a New Clinic

Ministry of Health

8 Assessment of ‘Evidence Based’ Ministry of Health

9 Use of Dry Needling and LA Gen for Medical Treatment in Singapore Ministry of Health

10 Invasive Procedures in a HDB Apartment Ministry of Health

11 Human Tissue Banks Ministry of Health

12 Proposed Revised Guidelines on Aesthetic Practices for Doctors Singapore Medical Council

13 Consent Taking Procedures Ministry of Health

14 Publicity Claims on Lasik Procedures Ministry of Health

15 Private Hospitals and Medical Clinics (PHMC) Act & PHMC (Publicity) Regulations Ministry of Health

16 Provision of Procedures Requiring General Anaesthesia in an Outpatient Setting Ministry of Health

17 Appropriateness of the Intended Service to be Conducted in a PHMC Licensed Medical Clinic (Clinical Sexology)

Ministry of Health

18 WHO Survey on Private Sector Scope & Role in Immunisation in the Countries in WPR Ministry of Health

19 Developments in More Comprehensive Genetic Marker Testing Ministry of Health

20 Circulating Tumour Cells Ministry of Health

21 Hyperbaric Oxygen Therapy Ministry of Health

22 Publicity Claims on Smiledesign Ministry of Health

23 Performing Angiogram Under General Anaesthesia Ministry of Health

24 Performing K-Wiring in Medical Clinic Ministry of Health

25 NUDT15 and SLCO1B1 Sequencing Ministry of Health

26 Procedures Performed in Outpatient Medical Clinics Ministry of Health

27 Zika Virus Testing Ministry of Health

28 Query on Provision of High Dose IV Vitamin C Ministry of Health

29 Medisave Claim Blepharoplasty & Brow Plasty Ministry of Health

30 Publicity Claims: The Chelsea Clinic - Zeltiq Coolsculpting Ministry of Health

31 Opinion on Ozone Therapy Ministry of Health

32 NECC Core Competencies in Clinical Ethics for Healthcare Professionals National Ethics Capability Committee

33 Circular on Removal of Birth Order Restrictions for Reversal of Sexual Sterilisation and Delivery

Ministry of Health

34 Invitation to Focus Group Discussion on Amendments to the Private Hospitals and Medical Clinics Act

Ministry of Health

35 Invitation for Comments on the Professional Deputies and Donees Framework Ministry of Social and Family Development

36 Crystal Tomato & I-Lipo Ministry of Health

37 Performing X-Ray Services in Nursing Homes & Patient’s Homes Ministry of Health

38 Chronic Obstructive Pulmonary Disease CPG Ministry of Health

39 Cataract Surgery in Medical Clinics Ministry of Health


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VERIFICATION OF VISITING EXPERTS (VVE)

AMS had verified the qualifications and expertise of two foreign visiting experts who had applied for temporary medical registration granted by the Singapore Medical Council for the year 2016.

PROFESSIONALISM AND ETHICS COMMITTEE (PEC)

This Committee is chaired by Dr T Thirumoorthy. It will develop and organise courses such as the Ethics Course for

Staff Registrar Scheme (SRS) Diploma programmes. It will also coordinate initiatives such as the Organisational Ethics Workgroup which is formed in response to the National Ethics Capability Committee’s request for AMS to develop a competency training framework on organisational ethics for doctors and other healthcare professionals. The National Ethics Capability Committee is formed under the purview of MOH. It will also develop professionalism and ethics courses for our specialists, in our endeavour to continually improve these attributes.

40 Invasive Aesthetic Procedures by a Beautician Ministry of Health

41 Alleged Practice of Invasive Aesthetic Procedures Ministry of Health

42 Updates to Table of Surgical Procedures and Call for Submission of Proposals for 2016/2017 Review Cycle

Ministry of Health

43 Screening Test Matters Ministry of Health

44 Draft Licensing Terms and Conditions on Nuclear Medicine Ministry of Health

45 Radiological Requests from Non Medical Practitioners Ministry of Health

46 Use of Hand Held Device “Palovia Paloma” to Administer Aesthetic Treatments Ministry of Health

47 DHCPL on Domperidone Health Sciences Authority

48 DHCPL on Niacin Health Sciences Authority

49 Clinical Advice for HSA Health Sciences Authority

50 HSA Request for Expert Opinion on Lysozyme Health Sciences Authority

MEDICAL EXPERTS COMMITTEE (MEC)

This Committee is helmed by Dr T Thirumoorthy (College of Physicians, Singapore) and Dr Joseph Sheares (College of Surgeons, Singapore). It includes a training and service component.

The training component, Medical Experts Training Committee (METC), is co-chaired by Dr T Thirumoorthy and Dr Joseph Sheares. This Committee conducts courses to train Medical Experts. In 2016, in collaboration with the Law Society of Singapore, Singapore Medical Association and State Courts of Singapore, AMS had organised two sessions of a two-day Medical Expert Witness Training Course on 19 March and 9 April at the Academia@SingHealth and State Courts respectively. This course was fully subscribed with 63 participants in the first session and 60 participants in the second session.

The Specialists who have been trained will form the Faculty of Medical Experts (FME) which constitutes the service component of MEC. This Faculty is co-chaired by Dr Ho Kok Sun (College of Surgeons, Singapore) and Dr Alan Ng. They will be engaged to handle requests by the Coroner, the Courts and other external stakeholders (some potentially may be international). The importance of these Committees is reflected in the number of requests Academy has handled over the past years, as shown in the table below.

INDEPENDENT MEDICAL EXPERTS (IME)

At the end of the year, AMS through its Fellows had provided 12 independent medical expert reports to the Singapore Police Force, with seven cases still being processed.

NUMBER OF INDEPENDENT MEDICAL EXPERT REPORTS

Year 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

Total Requests Received 5 68 30 47 38 43 52 43 51 44 29 34 19




MEMBERSHIP

The Standing Committee on Membership is in charge of setting policies and procedures on all membership matters such as membership growth, retention and the appeal

process, as well as proposing creation and/or revision of membership categories

CHAIRMAN’S MESSAGE

In 2016, the Academy welcomed 144 new Fellows to the Academy, bringing the total membership to 3,359. There were two Induction Comitia held in the year and a total of 135 academicians were inducted formally. The College of Clinician Scientists with a total membership of 70 members was also formed in August 2016.

As our membership continues to grow, the Academy will continue to reach out and engage with the members of the medical and dental specialities to undertake initiatives to cater to the needs of the public and community.

The Committee is also working closely on various initiatives helmed by the Academy and implementing the recommen-dations which were brought up during the Academy’s retreat held in July 2016.

THE 2016-2019 MEMBERSHIP STANDING COMMITTEE

Chairman Dr Yeo Jin Fei (Censor-in-Chief)

Vice Chairman Dr Chan Yew Weng (Scribe)

Members Dr Bok Chek Wai (College of Physicians)Dr Roger Ho (College of Psychiatrists)Dr Ho Kok Sun (College of Surgeons)Dr Inny Busmanis (Chapter of Pathologists)Dr Terence Teo (College of Radiologists)Dr Varsha Atul Shah (College of Paediatrics and Child Health)

Ex-Officio Dr David Lye Chien Boon (College of Physicians)

MEMBERSHIP GROWTH

The Standing Committee on Membership had approved 144 new Fellows from various specialties in 2016. A total of 58 new Fellows were inducted as Fellows of the Academy at the two Induction Comitias which were held on 23 April at National University Hospital Auditorium and on 22 October at Health Promotion Board Auditorium.

Total membership is as follows:

MEMBERSHIP ENROLMENT BY CATEGORIES

FELLOW (LOCAL)

FELLOW (OVERSEAS)

ORDINARY MEMBER

ASSOCIATE MEMBER

HONORARY MEMBER

DISTINGUISHED OVERSEAS MEMBERS

Active 2489 120 35 8

Active (Exempted) 567 36 17 87

Grand Total 3056 156 35 8 17 87

3,2143,359

2,698 2,8173,037

2012 2013 2014 2015 2016

4000

3500

3000

2500

2000

1500

1000

500

0

DR YEO JIN FEI

As membership continues to grow, the Academy will undertake initiatives to

cater to the needs of the public and community.

MEM

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MEMBERSHIP BREAKDOWN BY COLLEGES/CHAPTERS

COLLEGES/CHAPTERS 2012 2013 2014 2015 2016

College of Anaesthesiologists 134 128 134 140 146

College of Dental Surgeons 229 240 251 261 269

College of Emergency Physicians 49 77 89 93 99

College of Obstetricians and Gynaecologists 224 224 229 231 233

College of Ophthalmologists 124 140 149 153 171

College of Paediatrics and Child Health 182 190 192 199 207

College of Physicians 727 757 815 861 885

College of Psychiatrists 91 99 104 110 120

College of Public Health & Occupational Physicians 106 108 112 118 122

College of Radiologists 174 182 187 190 196

College of Surgeons 521 525 553 575 606

College of Clinician Scientists 35 56 83

Chapter of Clinician Educators 57 59 77

Chapter of Family Medicine Physicians 66 74 77

Chapter of Intensivists 95 100

Chapter of Pathologists 57 57 58 59 60

Section of Sports Medicine Physicians 3 10 11Note: Excludes Ordinary, Associate, Honorary and Distinguished Overseas Members


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TEES POSTGRADUATE EDUCATION

The Standing Committee on Postgraduate Education, which is responsible for conducting Staff Registrar Scheme (SRS) Diploma courses, has developed 28 SRS programmes since 2007 together with the Academy and its Colleges. The programmes, approved by the Singapore Medical Council (SMC), are open to doctors trained overseas who do not hold a degree from a university specified in the Second Schedule of the Medical Registration Act (MRA) or a registrable

postgraduate medical qualification recognised by SMC or exit specialist qualification recognised for specialist accreditation by the Specialists Accreditation Board (SAB). It also serves as an avenue for the public/restricted healthcare institutions to retain temporary registered (service) doctors. The SRS programmes are also open to local doctors who do not wish to practise as general practitioners or specialists and prefer to work in the public/restructured institutions.

STAFF REGISTRAR SCHEME

A total of 154 doctors were trained under the Staff Registrar Scheme (SRS) in 2016. Since 2007, 338 doctors had enrolled

and 205 of them have successfully completed and graduated.

NO. DIPLOMAS APPROVED BY SMC DURATION(YEARS)

NO. OF CANDIDATES BY INTAKE YEAR

TOTAL NO. OF

TRAINEES*

TOTAL NO. OF GRADUATES*

2015 2016

1 Diploma in Emergency Medicine 2 10 8 71 47

2 Diploma in Nuclear Medicine 2 - - 1 1

3 Diploma in Paediatrics & Child Health 2 1 3 20 14

4 Diploma in Cardiothoracic Surgery 3 1 - 4 3

5 Diploma in Neurosurgery 3 1 - 6 3

6 Diploma in Cardiology 2 4 4 20 12

7 Diploma in Geriatric Medicine in Hospital and ILTC

2 10 6 67 43

8 Diploma in Infectious Diseases 2 1 - 6 5

9 Diploma in Orthopaedic Surgery 3 2 4 11 5

10 Diploma in Palliative Medicine 2 1 2 11 6

11 Diploma in Neurology 2 - - 6 5

12 Diploma in Internal Medicine (with focus on Hospital Medicine)

2 5 5 37 22

13 Diploma in Rehabilitation Medicine 2 2 1 11 8

14 Diploma in Neonatology 2 2 2 15 11

15 Advanced Diploma in Pathology 2 - - 2 2


With the approval of the Diploma in Endocrinology, the Academy of Medicine, Singapore, together with the Colleges and Chapters have developed a total of 28 Staff Registrar Scheme (SRS) programmes.

The range of specialty diploma programmes allows the Academy to provide training for non specialist doctors in areas of need. We believe our SRS graduates will continue to play a role and contribute to the middle tiers of patient care.

DR FOCK KWONG MING

The range of specialty diploma programmes allows the Academy

to provide training for non specialist doctors

in areas of need.

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16 Diploma in Paediatric Cancer Care 2 1 0 4 3

17 Diploma in Urology 3 - 6 7 1

18 Diploma in Radiation Oncology 2 - - 1 1

19 Diploma in Hand Surgery 3 - - 1 -

20 Diploma in Clinical Haematology (Adult) 2 - - 3 3

21 Diploma in Obstetrics and Gynaecology 4 NA - - -

22 Diploma in Medical Oncology 3 - - 7 3

23 Diploma in Respiratory Medicine 2 4 1 5 -

24 Diploma in Respiratory Medicine (Clinical and Public Health - TB)

2 - - 1 1

25 Diploma in Psychiatry 2 - - 7 6

26 Diploma in Anaesthesiology 3 8 2 10 -

27 Diploma in Haematology (Transfusion Medicine)

2 - 1 1 -

28 Diploma in Endocrinology 2 NA 3 3

Total 53 48 338 205*since 2007

JOINT COMMITTEE ON SPECIALIST TRAININGThe Academy participates actively with the Division of Graduate Medical Studies, National University of Singapore in training programmes for specialist trainees in all specialties. The Joint Committee on Specialist Training (JCST) is co-chaired by the Director of the Division of Graduate Medical Studies and Master of the Academy. The JCST Secretariat is located within the premises of the Academy.

The JCST Secretariat officially started operations in April 2005 at the Division of Graduate Medical Studies, National University of Singapore (NUS). The JCST Secretariat’s main role is to oversee and support all the training programmes for specialist trainees in all specialties. It works closely with the Ministry of Health, MOH Holdings and healthcare clusters on manpower and postgraduate training issues.

The JCST Secretariat organises ‘Meet-the-Trainees’ sessions, exit exams, Specialist Training Committee (STC) meetings, Residency Advisory Committee (RAC) meetings, traineeship intake exercises, accreditation site visits, and information sessions for selected specialties, amongst other activities. It currently supports the training needs of about 495 current trainees (Basic Trainees, Advanced Specialist Trainees, Seamless and Fast Track Trainees).

JCST Secretariat has been and will continue, to be actively involved in the planning and execution of the RAC’s activities for the RAC and the residents.

NO. DIPLOMAS APPROVED BY SMC DURATION(YEARS)

NO. OF CANDIDATES BY INTAKE YEAR

TOTAL NO. OF

TRAINEES*

TOTAL NO. OF GRADUATES*

2015 2016

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PUBLICATIONS

The Standing Committee on Publications is responsible for setting the policies and procedures for publication matters and overseeing the publication of the Annals, the official journal of the Academy of Medicine, Singapore. Established

in 1972, Annals is the leading medical journal in Singapore which aims to publish novel findings from clinical research as well as medical practices that can benefit the medical community.

ANNALS

In 2016, Annals received 305 papers. A total of 12 monthly issues were published. Annals also published the 7th Singapore Health and Biomedical Congress in September 2016. The journal’s impact factor for 2015 is 1.041.

EDITORIAL BOARD MEMBERS

The Editorial Board welcomed seven new members into its fold: Drs Chan Ling Ling, Sandy Cook, Felix Keng, Ernest Kwek, Tan Kok Yang, Teo Yik Ying and Sue-Anne ES Toh. The Board membership comprises:

Editor Dr Tan Eng King

Deputy Editors Dr Erle CH LimDr Yap Hui Kim

Associate Editors Dr Ng Beng YeongDr Pierce KH Chow

Emeritus Editor Dr Vernon MS Oh

Board Members Dr Chan Ling LingDr Sandy CookDr Felix YK KengDr Khor Chiea ChuenDr Ernest BK KwekDr Tchoyoson CC LimDr Tan Kok YangDr Tan Min HanDr Teo Yik YingDr Sue-Anne ES Toh

Immediate Past Editor Dr Vernon MS Oh

Ex-Offico Dr S R E SayampanathanDr Lai Fon Min

INTERNATIONAL ADVISORY PANEL MEMBERS

Deans from the local medical schools had joined as new members of the Annals’ International Advisory Panel (IAP): Prof James Best (LKC School of Medicine), Prof Thomas Coffman (Duke-NUS GMS), and A/Prof Yeoh Khay Guan (Yong Loo Lin School of Medicine, NUS). The following IAP members had agreed to continue their terms: Dr Edison Liu (The Jackson Laboratory, USA), Dr Ranga Krishnan (Rush Medical College, USA) and Prof Edward Holmes (A*STAR).

THE BEST PUBLICATION AWARD 2015

The Annals, Academy of Medicine Best Publication Award 2015, was awarded to the authors of the top three research papers published in Annals in 2015 at the Induction Comitia by Master of the Academy, Dr S R E Sayampanathan, on 22 October 2016. Two merit winners were also honoured.

GOLD: Fasting during Ramadan and Associated Changes in Glycaemia, Caloric Intake and Body Composition with Gender Differences in Singapore

Ester CK Yeoh, Sueziani Binte Zainudin, Win Nie Loh, Chin Lian Chua, Sharon Fun, Tavintharan Subramaniam, Chee Fang Sum, Su Chi Lim

SILVER: An Analysis of Blinding Success in a Randomised Controlled Trial of Fish Oil Omega-3 Fatty Acids

Jean CJ Liu, Adrian Raine, Rebecca P Ang, Daniel SS Fung


We had a successful year in 2016, with a stable number of submissions and our impact factor remains above one. We continue to select papers based on stringent scientific criteria and those with broad interest to our medical community.

We welcomed seven new Board members and are delighted that the Deans of our three medical schools have joined Annals’ international advisory panel, further expanding the list of renowned clinician scientists/researchers in the panel. We wish to congratulate our Best Publication Award winners and hope they would continue to send their best papers to Annals.

Last, on behalf of our Board, I would like to express my sincere gratitude to all our reviewers who have given their precious time and commitment to Annals. I wish everyone a healthy, prosperous and happy 2017 ahead!

DR TAN ENG KING

We continue to select papers based on stringent scientific criteria and those with broad interest to our medical community.

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BRONZE: Dietary Protein Intake in a Multi-Ethnic Asian Population of Healthy Participants and Chronic Kidney Disease Patients

Boon Wee Teo, Qi Chun Toh, Hui Xu, Adonsia YT Yang, Tingxuan Lin, Jialiang Li, Evan JC Lee

MERIT: Use of In Vitro Fertilisation Prediction Model in an Asian Population—Experience in Singapore

Laxmi Saha, Stephanie MC Fook-Chong, Hemashree Rajesh, Diana SF Chia, Su Ling Yu

MERIT: Health Screening Behaviour among Singaporeans

Hui Zhen Wong, Wei-Yen Lim, Stefan SL Ma, Lily AV Chua, Derrick MK Heng

The Gold winner of the Best Publication Award, Dr Ester Yeoh (in left photo), the Bronze winner, A/Prof Evan Lee (in centre photo) and Merit winner, Ms Wong Hui Zhen (in right photo) receiving their awards from the Master of the Academy, Dr S R E Sayampanathan.

THE GOLD REVIEWER AWARD 2015

The Gold Reviewer Award 2015 was also presented by Master of the Academy, Dr S R E Sayampanathan to deserving reviewers at the Induction Comitia held on 22 October 2016.

These reviewers had submitted at least three quality reviews which adhered to the Annals’ guidelines, and had provided helpful advice to the Editorial Board in 2015.

Gold Reviewer Awards were given out to recognise deserving Annals’ reviewers: Dr Roger Ho (in left photo), A/Prof Ong Biauw Chi (in centre photo), and Dr Wong Kutt Sing (in right photo).

Annals’ Editor, Dr Tan Eng King (second from right) at the Editors’ Booth with staff and compatriots from Annals, SMJ and Proceedings of Singapore Healthcare. Photo courtesy of SingHealth Duke-NUS Scientific Congress 2016.

PARTICIPATION AT SINGHEALTH DUKE-NUS SCIENTIFIC CONGRESS 2016

Annals had participated at an Editors’ Booth at the SingHealth Duke-NUS Scientific Congress 2016 alongside two other local medical journal publications (the SMJ and Proceedings of Singapore Healthcare) on 23 September 2016. Event delegates had the opportunity to get to know Annals better and to meet the Editor, Dr Tan Eng King, in person.

DONATION

The Editorial Board records here its appreciation to the Lee Foundation for its continued generous support for the year 2016.


PUBL

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ES MEDIA CITATION

The following Annals articles had been cited in the media in 2016.

NO. TITLE OF ANNALS ARTICLE ANNALS VOLUME/ISSUE MEDIA TITLE OF MEDIA ARTICLE

1 The Singapore Cancer Network (SCAN) Guidelines

Vol 44, Issue 10 The Straits Times

Doctors Frame Guidelines for Best Cancer Treatment

2 Violence Against Healthcare Staff – A Multidimensional Problem

Vol 44, Issue 11 The Straits Times

Physical and Verbal Abuse Against Nurses ‘On the Rise’

3 16th Seah Cheng Siang Memorial Lecture – The Changing Face of CardiologyPractice, Training and Research in Singapore

Vol 35, Issue 10 Lianhe Zaobao

急性心肌梗死治疗发展百年回顾

4 Long-Term Prognosis in Patients with Diabetes Mellitus after Coronary Artery Bypass Grafting: A Propensity-Matched Study

Vol 45, Issue 3 Today Study Finds Poorer Long-Term Survival Rates forDiabetic Heart-Bypass Patients

5 Understanding How Postnatal Depression Screening and Early Intervention Work in the Real World – A Singaporean Perspective

Vol 45, Issue 10 Today Screening During and Soon After Pregnancy Can Help Identify At-Risk Mums Early


STAFF LIST(As of 31 December 2016)

ACADEMY OF MEDICINE, SINGAPORE

Heng Juit Ngoh, Junia (Ms) Executive Director

Corporate Secretarial & RelationsYazeedah Binte Sa’at (Ms) Deputy ManagerNeo Yi Shan, Jasmine (Ms) Senior Executive

Finance/AccountsPee Lay Kheng (Ms) AccountantRazima Binte Yahya (Ms) ExecutiveChan Tai Peng (Mr) ExecutiveToh Suan, Candy (Ms) Accounts Officer

Human ResourcesLim Ai Mei, Elgees (Ms) Senior Executive

AdministrationThong Chui Pheng, Patricia Bened (Ms) Assistant ManagerGan, Pearly (Ms) ExecutiveLim Lay Cheng, Sally (Ms) Admin Officer

MembershipCheong Sue Lin (Ms) Executive

PublicationsLim, Grace (Ms) Assistant ManagerHarcharan Kaur (Ms) Editorial ExecutiveNoorazleena Binte Sha’hri (Ms) Editorial Executive

Professional AffairsSyairah Bte Samsudin (Ms) Senior ExecutiveAng Shi Qi, Kayla (Ms) Executive

Education & TrainingKoh Ai Ling (Ms) Deputy ManagerLee Hui Ying, Grace (Ms) Senior ExecutiveKoh Tat Lim, Adam (Mr) ExecutiveHo Shi Ning, Simon (Mr) ExecutiveYvonne Lim (Ms) Executive

Information TechnologyChan Chee Hoe (Mr) Senior Executive

College and Chapter SecretariatThong Chui Pheng, Patricia Bened (Ms) Assistant ManagerCollege of Surgeons, Singapore

Neo Yi Shan, Jasmine (Ms) Senior ExecutiveCollege of Physicians, Singapore

Ng Kai Lin (Ms) ExecutiveCollege of Physicians, Singapore

Gan, Pearly (Ms) ExecutiveCollege of Obstetricians & Gynaecologists, Singapore

Tan You Lin, Alicia Marie (Ms) ExecutiveCollege of Dental Surgeons, SingaporeCollege of PsychiatristsCollege of Clinician Scientists

Toh Ying Choo, Elise (Ms) ExecutiveCollege of Paediatrics & Child Health, SingaporeCollege of Emergency PhysiciansChapter of Pathologists

Goh Chew Lin (Ms) ExecutiveCollege of Radiologists, SingaporeCollege of Public Health & Occupational PhysiciansChapter of Clinician Educators

Quek Ee Ling, Michelle (Ms) ExecutiveCollege of OphthalmologistsChapter of Plastic Surgeons

Chua Pei Jen (Ms) ExecutiveNg Jing Wen, Karen (Ms) Senior ExecutiveCollege of Anaesthesiologists, Singapore

Event Secretariat ServicesNg Jing Wen, Karen (Ms) Senior ExecutiveQuek Ee Ling, Michelle (Ms) Executive

JOINT COMMITTEE ON SPECIALIST TRAINING(JCST)

Dr S R E Sayampanathan Co-ChairmanA/Prof Chen Fun Gee Co-ChairmanTeo Pheck See, Betty (Ms) Senior ManagerChoa Ee Eng, Triscilia (Ms) Manager

Neurosurgery, Site AccreditationSiti Hawa Bte Hashim (Ms) Assistant Manager

Internal Medicine, Nuclear MedLee Siew Hui, Carol (Ms) Assistant Manager

Paediatric Medicine, Neonatology, PsychiatryNarinder Kaur D/O Puran Singh (Ms) Senior Executive

Diagnostic Radiology, Transfusion Medicine, Palliative Medicine, Plastic SurgeryWong Mei Yen, Stella (Ms) Senior Executive

Pathology, O&G, Aviation MedicineTan Li Yuen, Aeris (Ms) Executive

Ophthalmology, Occupational Medicine, Public Health, Preventive MedicineKam Xuefen, Sheryl (Ms) Senior Executive

General Surgery, Neurology, Surgery in General Loh Pui Yoke (Ms) Executive

Hand Surgery, Otorhinolargyngology (ENT), GastroenterologyTan Hwee Miang (Ms) Senior Executive

Respiratory Med, Orthopaedic Surgery, Rehabilitation Medicine Goh Wei Peng (Ms) Executive

Urology, Anaesthesiology, Radiation OncologyLim Yan Xiu, Edith (Ms) Executive

Dermatology, Geriatric MedGoh Shi Wei, Serene (Ms) Executive

Renal Medicine, Haematology, Sport Medicine, Cardiothoracic SurgeryTay JingPei, Dawn Michelle (Ms) Executive

Infectious Disease and Intensive Care Medicine Pang Su Nguan, Ron (Mr) Executive

Paediatric Surgery, Medical Oncology, EndocrinologyLim Jun Yuan (Mr) Executive

Aivy Sin (Ms) Accounts ExecutiveRugayah Binte Ishak (Ms) Senior Management Support OfficerNg Sunt Fen, Sandra (Ms) Management Support Officer

STAFF LISTOUR PEOPLE


PAST MASTERS2012 - 2016 Dr Lim Shih Hui

2010 - 2012 Dr Tan Kok Chai

2008 - 2010 Dr Fock Kwong Ming

2006 - 2008 Dr Ho Lai Yun

2004 - 2006 Dr Low Cheng Hock

2002 - 2004 Dr K Satku

2000 - 2002 Dr Walter TL Tan

1998 - 2000 Dr Chee Yam Cheng

1995 - 1998 Dr Tan Ser Kiat

1992 - 1995 Dr Chao Tzee Cheng

1990 - 1992 Dr Raj Nambiar

1987 - 1990 Dr Tan Ngoh Chuan

1984 - 1987 Dr Lawrence KC Chan

1982 - 1984 Dr Chow Khuen Wai

1980 - 1982 Dr Lim Pin

1978 - 1980 Dr VK Pillay

1975 - 1978 Dr Robert CK Loh

1973 - 1975 Dr Chew Chin Hin

1970 - 1973 Dr Seah Cheng Siang

1968 - 1970 Dr Yahya Cohen

1966 - 1968 Dr K Shanmugaratnam

1964 - 1966 Dr Khoo Oon Teik

1961 - 1964 Dr Gwee Ah Leng

1960 - 1961 Dr DWC Gawne

1959 - 1960 Dr C Elaine Field

1957 - 1959 Dr Gordon Arthur Ransome

HONORARY FELLOWS2015 Mr JY Pillay

2013 Mr Tharman Shanmugaratnam

2011 Dr York Chow

2007 Dr Oon Chiew Seng

2007 Mr Lee Hsien Loong

2006 Dr Tony Tan

2004 Dr Andrew Chew Guan Khuan

2003 Mr S R Nathan

2002 Mr Shaw Vee King

2000 Dr Lee Seng Gee

2000 Dr Ong Teng Cheong

1996 Dato Seri Dr Mahathir bin Mohamad

1996 Dr Kwa Soon Bee

1994 Mr Wee Kim Wee

1993 Dr Eugene M Hildreth

1990 Mr Goh Chok Tong

1988 Mr Shaw Vee Meng

1988 Dr R F Robertson

1986 Mr Howe Yoon Chong

1986 Professor David Todd

1984 Sir James Fraser

1982 Dr Stanley J M Goulston

1982 Professor Ong Guan Bee

1982 Dr Michael A Gilmour

1982 Dr C Elaine Field

1981 Emeritus Professor Robert Roaf

1979 Sir John Crofton

1979 Dr Toh Chin Chye

1977 Dr Yeoh Ghim Seng

1977 Sir Gordon Arthur Ransome

1975 Tan Sri Dr Runme Shaw

1975 Prof Robert Emil Steiner

1975 Mr Lee Kuan Yew

1975 Prof Sir Ian Hill

1975 Dr R H Hickling

1974 Sir Stanley Davidson

1974 Sir John Bruce

1973 Sir Derrick Dunlop

1970 Sir John Lewthas Frew

1970 Sir Kenneth Beeson Noad

1969 Sir Alexander Oppenheim

1969 Sir Douglas Miller

1967 Lord Brain

PAST MASTERS AND HONORARY FELLOWS LIST

PAST

MAS

TERS

AN

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ACADEMY OF MEDICINE SINGAPORE [UEN. 197702012E] [A Company limited by guarantee and not having share capital] [Incorporated in the Republic of Singapore] AUDITED FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016

CONTENTS

Directors’ Statement

2

Independent Auditor’s Report

4

Statement of Financial Activities

7

Statement of Financial Position

9

Statement of Changes in Funds

10

Statement of Cash Flows

11

Notes to the Financial Statements

12

Fiducia LLP [UEN. T10LL0955L]

Public Accountants and Chartered Accountants of Singapore 71 Ubi Crescent Excalibur Centre, #08-01 Singapore 408571 T: (65) 6846.8376 F: (65) 6725.8161

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements

Year Ended 31 December 2016

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 2 of 39

DIRECTORS’ STATEMENT The Directors present their report to the members together with the audited financial statements of the Academy for the financial year ended 31 December 2016. In the opinion of the Directors,

a) the financial statements as set out on pages 7 to 39 are drawn up so as to give a true and fair view of the financial position of the Academy as at 31 December 2016, and of the financial performance, changes in funds and cash flows of the Academy for the financial year then ended; and

b) at the date of this statement, there are reasonable grounds to believe that the Academy will

be able to pay its debts as and when they fall due.

Directors The directors in office at the date of this report are as follows: Arijit Biswas Chan Choong Meng Chan Yew Weng Chua Eu Tiong Erle Lim Chuen Hian Goh Siang Hiong (Appointed on 11 June 2016) Ho Kok Sun Khoo Kei Siong Lai Fon-Min Lee Pheng Hean, Bryce Lim Lay Cheng Lim Shih Hui Lim Tiek Whai Lye Chien Boon Marion Margaret Aw Ng Beng Yeong Ng Wei Keong Alan Pierce Chow Kah Hoe Robinson Inese Aisma Sayampanathan Sarvaselan

Reuben Emmanuel

Tan Boon Yeow (Appointed on 11 June 2016) Tan Eng King Teo Eng Kiong Ti Lian Kah Venkataraman Anantharaman Vernon Lee Jian Ming (Appointed on 11 June 2016) Wong Chiang Yin Wong Tien Yin Yeo Jin Fei (Appointed on 11 June 2016)





Fiducia LLP Public Accountants and Chartered Accountants of Singapore 71 Ubi Crescent Excalibur Centre, #08-01 Singapore 408571 T: (65) 6846.8376 F: (65) 6725.8161

Independent auditor’s report to the members of: ACADEMY OF MEDICINE SINGAPORE [UEN. 197702012E] [Incorporated in the Republic of Singapore]

Report on the Audit of the Financial Statements Opinion We have audited the financial statements of Academy Of Medicine Singapore (the “Academy”), which comprise the statement of financial position as at 31 December 2016, and the statement of financial activities, statement of changes in funds and statement of cash flows for the year then ended, and notes to the financial statements, including a summary of significant accounting policies. In our opinion, the accompanying financial statements are properly drawn up in accordance with the provisions of the Companies Act, Chapter 50 (“the Companies Act”), the Charities Act, Chapter 37 and other relevant regulations (“the Charities Act and Regulations”) and Financial Reporting Standards in Singapore (“FRSs”) so as to give a true and fair view of the financial position of the Academy as at 31 December 2016 and of the financial performance, changes in the funds and cash flows of the Academy for the year ended on that date. Basis for Opinion We conducted our audit in accordance with Singapore Standards on Auditing (“SSAs”). Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are independent of the Academy in accordance with the Accounting and Corporate Regulatory Authority (“ACRA”) Code of Professional Conduct and Ethics for Public Accountants and Accounting Entities (“ACRA Code”) together with the ethical requirements that are relevant to our audit of the financial statements in Singapore, and we have fulfilled our other ethical responsibilities in accordance with these requirements and the ACRA Code. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Other Matter The financial statement of the Academy for the financial year ended 31 December 2015 was audited by a firm of auditors other than Messrs. Fiducia LLP who expressed an unmodified opinion on those statements on 17 May 2016. Other information Management is responsible for the other information. The other information comprises the Directors’ Statement set out on pages 2 to 3, but does not include the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.







Report on the Audit of the Financial Statements Opinion We have audited the financial statements of Academy Of Medicine Singapore (the “Academy”), which comprise the statement of financial position as at 31 December 2016, and the statement of financial activities, statement of changes in funds and statement of cash flows for the year then ended, and notes to the financial statements, including a summary of significant accounting policies. In our opinion, the accompanying financial statements are properly drawn up in accordance with the provisions of the Companies Act, Chapter 50 (“the Companies Act”), the Charities Act, Chapter 37 and other relevant regulations (“the Charities Act and Regulations”) and Financial Reporting Standards in Singapore (“FRSs”) so as to give a true and fair view of the financial position of the Academy as at 31 December 2016 and of the financial performance, changes in the funds and cash flows of the Academy for the year ended on that date. Basis for Opinion We conducted our audit in accordance with Singapore Standards on Auditing (“SSAs”). Our responsibilities under those standards are further described in the Auditor’s Responsibilities for the Audit of the Financial Statements section of our report. We are independent of the Academy in accordance with the Accounting and Corporate Regulatory Authority (“ACRA”) Code of Professional Conduct and Ethics for Public Accountants and Accounting Entities (“ACRA Code”) together with the ethical requirements that are relevant to our audit of the financial statements in Singapore, and we have fulfilled our other ethical responsibilities in accordance with these requirements and the ACRA Code. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Other Matter The financial statement of the Academy for the financial year ended 31 December 2015 was audited by a firm of auditors other than Messrs. Fiducia LLP who expressed an unmodified opinion on those statements on 17 May 2016. Other information Management is responsible for the other information. The other information comprises the Directors’ Statement set out on pages 2 to 3, but does not include the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.







Responsibilities of Management and Those Charged with Governance for the Financial Statements Management is responsible for the preparation of financial statements that give a true and fair view in accordance with the provisions of the Companies Act, the Charities Act and Regulations and FRSs, and for devising and maintaining a system of internal accounting controls sufficient to provide a reasonable assurance that assets are safeguarded against loss from unauthorised use or disposition; and transactions are properly authorised and that they are recorded as necessary to permit the preparation of true and fair financial statements and to maintain accountability of assets. In preparing the financial statements, management is responsible for assessing the Academy’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless management either intends to liquidate the Academy or to cease operations, or has no realistic alternative but to do so. Those charged with governance comprises the directors and the governing board. Their responsibilities include overseeing the Academy’s financial reporting process. Auditor’s Responsibilities for the Audit of the Financial Statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with SSAs will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. As part of an audit in accordance with SSAs, we exercise professional judgement and maintain professional skepticism throughout the audit. We also:

Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Academy’s internal control.

Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by management.

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STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2016 2016 2015 Note S$ S$ ASSETS Current assets Cash and cash equivalents 9 6,634,183 4,357,064 Fixed deposits 10 4,015,714 3,982,876 Other receivables 11 2,910,674 1,877,426 Inventories 12 4,182 5,946 13,564,753 10,223,312 Non-current assets Plant and equipment 13 116,510 110,335 Investment property 14 3,964,214 3,990,630 Prepayments 11 1,510,575 1,682,036 5,591,299 5,783,001 Total assets 19,156,052 16,006,313 LIABILITIES Current liabilities Other payables 15 4,505,973 2,547,959 Total liabilities 4,505,973 2,547,959 NET ASSETS 14,650,079 13,458,354 FUNDS Unrestricted fund 16 Accumulated fund 2,117,256 1,607,274 Restricted funds 17 Annals fund 428,658 444,584 Building and endowment fund 8,001,826 7,968,525 Joint committee on specialist training fund 836,934 295,817 College of Ophthalmologists 87,878 92,147 College of Public Health and Occupational Physicians

265,767

256,244

College of Emergency Physicians 331,617 267,355 College of Psychiatrists 66,944 43,501 College of Clinician Scientists 9,313 0 Chapters' and section fund 110,997 96,085 Lectures' fund 2,392,889 2,386,822 12,532,823 11,851,080 TOTAL FUNDS 14,650,079 1,3458,354

The accompanying notes form an integral part of these financial statements.





STATEMENT OF CHANGES IN FUNDS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016

Unrestricted

fund Restricted

funds Total funds 2016 S$ S$ S$

Balance at beginning of financial year 1,607,274 11,851,080 13,458,354 Net income for the year 509,982 681,743 1,191,725 Balance at end of financial year 2,117,256 12,532,823 14,650,079

Unrestricted

fund Restricted


Balance at beginning of financial year 1,250,952 11,646,684 12,897,636 Net income for the year 356,322 204,396 560,718 Balance at end of financial year 1,607,274 11,851,080 13,458,354






STATEMENT OF CHANGES IN FUNDS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016

Unrestricted

fund Restricted


Balance at beginning of financial year 1,607,274 11,851,080 13,458,354 Net income for the year 509,982 681,743 1,191,725 Balance at end of financial year 2,117,256 12,532,823 14,650,079

Unrestricted

fund Restricted


Balance at beginning of financial year 1,250,952 11,646,684 12,897,636 Net income for the year 356,322 204,396 560,718 Balance at end of financial year 1,607,274 11,851,080 13,458,354






STATEMENT OF CASH FLOWS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016

2016 2015 Note S$ S$ Cash flows from operating activities Net income for the year 1,191,725 560,718 Adjustments for: - Depreciation of investment property 26,416 26,416 - Depreciation of plant and equipment 51,073 58,467 - Interest income (32,361) (26,200) - Allowance for doubtful debts 60,659 79,576 - Allowance for doubtful debts written back (30,193) (69,177) Operating cash flow before working capital changes 1,267,319 629,800 Changes in working capital - Other receivables (892,253) (355,362) - Inventories 1,764 905 - Other payables 1,958,014 613,611 Net cash generated from operating activities 2,334,844 888,954 Cash flows from investing activities Purchase of plant and equipment (57,248) (49,265) Interest income received 32,361 26,200 Increase in fixed deposits (32,838) (910,275) Net cash used in investing activities (57,725) (933,340) Net increase/(decrease) in cash and cash equivalents 2,277,119 (44,386) Cash and cash equivalents at beginning of financial year 4,357,064 4,401,450 Cash and cash equivalents at end of financial year 9 6,634,183 4,357,064 Cash and cash equivalents comprise: Cash on hand 4,554 4,012 Cash at bank 6,629,629 4,353,052 6,634,183 4,357,064






NOTES TO THE FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016 These notes form an integral part of and should be read in conjunction with the accompanying financial statements. 1. General information

The Academy is incorporated and domiciled in Singapore with its registered address and principal place of business at 81 Kim Keat Road #11-00, NKF Centre, Singapore 328836.

The principal activities of the Academy are to advance the art and science of medicine in Singapore through postgraduate specialist training; maintenance of high standards of competency and ethical integrity through continuous professional development as well as dissemination of information and knowledge to the public on matters related to health. The Academy is a charity registered under the Charities Act (Chapter 37) since 13 April 1984. The Academy was accorded as an Institution of a Public Character (“IPC”) status for the period from 17 May 2014 to 16 May 2016 and renewed from 17 May 2016 to 16 May 2018. The objects for which the Academy is established are: (a) to advance the art and science of medicine; (b) to promote and study and research into medical and scientific problems; (c) to sustain and foster postgraduate education; to conduct higher professional

examinations and to award diplomas; (d) to grant specialist certification to persons who have fulfilled the criteria laid down; (e) to maintain and promote the highest standards of professional practice; (f) to maintain a high code of ethical conduct amongst its members; (g) to represent, express, and give effect to the views and opinions of its members

2. Significant accounting policies 2.1 Basis of preparation

The financial statements have been prepared in accordance with Singapore Financial Reporting Standards (“FRS”). The financial statements have been prepared under the historical cost convention, except as disclosed in the accounting policies below.

These financial statements are presented in Singapore Dollar (S$), which is the Academy’s functional currency.

The preparation of these financial statements in conformity with FRS requires management to exercise its judgment in the process of applying the Academy’s accounting policies. It also requires the use of certain critical accounting estimates and assumptions. The areas involving a higher degree of judgment or complexity, or areas where assumptions and estimates are significant to the financial statements are disclosed in Note 3.

2.1.1 Interpretations and amendments to published standards effective in 2016

In the current financial year, the Academy has adopted all the new and revised FRS and interpretations of FRS (“INT FRS”) that are relevant to its operations and effective on 1 January 2016. The adoption of the standard did not have any material effect on the financial statements.





NOTES TO THE FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2016 These notes form an integral part of and should be read in conjunction with the accompanying financial statements. 1. General information

The Academy is incorporated and domiciled in Singapore with its registered address and principal place of business at 81 Kim Keat Road #11-00, NKF Centre, Singapore 328836.

The principal activities of the Academy are to advance the art and science of medicine in Singapore through postgraduate specialist training; maintenance of high standards of competency and ethical integrity through continuous professional development as well as dissemination of information and knowledge to the public on matters related to health. The Academy is a charity registered under the Charities Act (Chapter 37) since 13 April 1984. The Academy was accorded as an Institution of a Public Character (“IPC”) status for the period from 17 May 2014 to 16 May 2016 and renewed from 17 May 2016 to 16 May 2018. The objects for which the Academy is established are: (a) to advance the art and science of medicine; (b) to promote and study and research into medical and scientific problems; (c) to sustain and foster postgraduate education; to conduct higher professional

examinations and to award diplomas; (d) to grant specialist certification to persons who have fulfilled the criteria laid down; (e) to maintain and promote the highest standards of professional practice; (f) to maintain a high code of ethical conduct amongst its members; (g) to represent, express, and give effect to the views and opinions of its members

2. Significant accounting policies 2.1 Basis of preparation

The financial statements have been prepared in accordance with Singapore Financial Reporting Standards (“FRS”). The financial statements have been prepared under the historical cost convention, except as disclosed in the accounting policies below.

These financial statements are presented in Singapore Dollar (S$), which is the Academy’s functional currency.

The preparation of these financial statements in conformity with FRS requires management to exercise its judgment in the process of applying the Academy’s accounting policies. It also requires the use of certain critical accounting estimates and assumptions. The areas involving a higher degree of judgment or complexity, or areas where assumptions and estimates are significant to the financial statements are disclosed in Note 3.

2.1.1 Interpretations and amendments to published standards effective in 2016

In the current financial year, the Academy has adopted all the new and revised FRS and interpretations of FRS (“INT FRS”) that are relevant to its operations and effective on 1 January 2016. The adoption of the standard did not have any material effect on the financial statements.





2. Significant accounting policies (Cont’d) 2.1 Basis of preparation (Cont’d)

2.1.2 Standards issued but not yet effective

The Academy did not early adopt the following relevant new/revised FRS, INT FRS and amendments to FRSs that were issued at the date of authorisation of these financial statements but not yet effective until future period:

FRS Effective date Title FRS 109 1.1.2018 Financial instruments FRS 115 1.1.2018 Revenue from contracts with customers FRS 116 1.1.2019 Leases

Management believes that the adoption of the revised standards and interpretations will have no material impact on the financial statements in the period of initial application.

Below are the mandatory standards, amendments and interpretations to existing standards that have been published, and are relevant for the Academy’s accounting periods beginning on or after 1 January 2017 and which the Academy has not early adopted: FRS 115 Revenue from contracts with customers (effective for annual periods

beginning on or after 1 January 2018)

This is the converged standard on revenue recognition. It replaces FRS11 Construction contracts, FRS 18 Revenue, and related interpretations. Revenue is recognised when a customer obtains control of a good or service. A customer obtains control when it has the ability to direct the use of and obtain the benefits from the good or service. The core principle of FRS 115 is that an entity recognises revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services.

An entity recognises revenue in accordance with that core principle by applying the following steps

Step 1: Identify the contract(s) with a customer

Step 2: Identify the performance obligations in the contract

Step 3: Determine the transaction price

Step 4: Allocate the transaction price to the performance obligations in the contract

Step 5: Recognise revenue when (or as) the entity satisfies a performance obligation

FRS 115 also includes a cohesive set of disclosure requirements that will result in an entity providing users of financial statements with comprehensive information about the nature, amount, timing and uncertainty of revenue and cash flows arising from the entity’s contracts with customers.

Management is currently assessing the effects of applying the new standard on the Academy’s financial statements.





2. Significant accounting policies (Cont’d) 2.2 Revenue recognition

Revenue comprises the fair value of the consideration received or receivable in the ordinary course of the Academy’s activities. Revenue is presented, net of goods and services tax, rebates and discounts, where applicable. Revenue is recognised as follows:

2.2.1 Income from members’ subscriptions

Income from members’ subscriptions is recognised as revenue at the time when the subscriptions become due and payable.

2.2.2 Entrance fees and building funds Entrance fees and building funds are recognised when members are accepted and elected by the Academy’s Council.

2.2.3 Course fees Course fees is recognised over the course period.

2.2.4 Income from event

Income from event is recognised upon completion of event.

2.2.5 Operating grant

Operating grant are recognised on accrual basis.

2.2.6 Interest income Interest income is recognised on a time-proportion basis using the effective interest

method.

2.2.7 Donations Donations are recognised on cash basis. 2.2.8 Other income

Other income are recognised on accrual basis.

2.3 Cost and expense recognition

All expenses are accounted for on accrual basis, aggregated under the respective areas. Direct costs are attributed to the operations where possible. Where costs are not wholly attributable to an operation, they are apportioned on a basis consistent with the use of resources.





2. Significant accounting policies (Cont’d) 2.2 Revenue recognition

Revenue comprises the fair value of the consideration received or receivable in the ordinary course of the Academy’s activities. Revenue is presented, net of goods and services tax, rebates and discounts, where applicable. Revenue is recognised as follows:

2.2.1 Income from members’ subscriptions

Income from members’ subscriptions is recognised as revenue at the time when the subscriptions become due and payable.

2.2.2 Entrance fees and building funds Entrance fees and building funds are recognised when members are accepted and elected by the Academy’s Council.

2.2.3 Course fees Course fees is recognised over the course period.

2.2.4 Income from event

Income from event is recognised upon completion of event.

2.2.5 Operating grant

Operating grant are recognised on accrual basis.

2.2.6 Interest income Interest income is recognised on a time-proportion basis using the effective interest

method.

2.2.7 Donations Donations are recognised on cash basis. 2.2.8 Other income

Other income are recognised on accrual basis.

2.3 Cost and expense recognition

All expenses are accounted for on accrual basis, aggregated under the respective areas. Direct costs are attributed to the operations where possible. Where costs are not wholly attributable to an operation, they are apportioned on a basis consistent with the use of resources.





2. Significant accounting policies (Cont’d)

2.4 Financial assets

2.4.1 Classification

The Academy classifies its financial assets as loans and receivables. The classification depends on the purpose for which the assets were acquired. Management determines the classification of its financial assets at initial recognition and re-evaluates this designation at every reporting date.

Loans and receivables are non-derivative financial assets with fixed or determinable payments that are not quoted in an active market. They are included in current assets, except those maturing later than 12 months after the reporting date, which are classified as non-current assets. Loans and receivables are classified within “Other receivables”, “Cash and cash equivalents” and “Fixed deposits” on the statement of financial position.

2.4.2 Recognition and de-recognition

Usual purchases and sales of financial assets are recognised on trade-date – the date on which the Academy commits to purchase or sell the asset. Financial assets are derecognised when the rights to receive cash flows from the financial assets have expired or have been transferred and the Academy has transferred substantially all risks and rewards of ownership. On disposal sale of a financial asset, the difference between the net sale proceeds and its carrying amount is taken to the statement of financial activities. Any amount in the fair value reserve relating to that asset is also taken to the statement of financial activities.

2.4.3 Initial measurement

Financial assets are initially recognised at fair value plus transaction costs.

2.4.4 Subsequent measurement

Loans and receivables are subsequently carried at amortised cost using the effective interest method.

2.4.5 Impairment

The Academy assesses at each reporting date whether there is objective evidence that a financial asset or a group of financial assets is impaired and recognises an allowance for impairment when such evidence exists. Significant financial difficulties of the debtor, probability that the debtor will enter bankruptcy or financial reorganisation, and default or delinquency in payments is considered indicators that the receivable is impaired.

An allowance for impairment of loans and receivables including trade and other receivables, are recognised when there is objective evidence that the Academy will not be able to collect all amounts due according to the original terms of the receivables.





2. Significant accounting policies (Cont’d) 2.4 Financial assets (Cont’d)

2.4.5 Impairment (Cont’d)

The amount of the allowance is the difference between the asset’s carrying amount and the present value of estimated future cash flows, discounted at the original effective interest rate. When the amount becomes uncollectible, it is written off against the allowance account. Subsequent recoveries of amounts previously written off are recognised against the same line item in profit or loss.

The allowance for impairment loss account is reduced through profit or loss in a subsequent period when the amount of impairment losses decreases and the related decrease can be objectively measured. The carrying amount of the asset previously impaired is increased to the extent that the new carrying amount does not exceed the amortised cost had no impairment been recognised in prior periods.

2.5 Plant and equipment

2.5.1 Measurement

All items of plant and equipment are initially recognised at cost and subsequently carried at cost less accumulated depreciation and accumulated impairment losses. The cost of an item of plant and equipment initially recognised includes its purchase price and any costs that are directly attributable to bringing the asset to the location and condition necessary for it to be capable of operating in the manner intended by Management.

2.5.2 Depreciation

Depreciation on plant and equipment is calculated using the straight–line method to allocate their depreciable amounts over their estimated useful lives as follows:

Useful lives Office and other equipment 5-10 years Computers 3 years

Fully depreciated assets are retained in the financial statements until they are no longer in use. The residual values, estimated useful lives and depreciation method of plant and equipment are reviewed, and adjusted as appropriate, at each reporting date. The effects of any revision are recognised in the statement of comprehensive income in the financial year in which the changes arise.

2.5.3 Subsequent expenditure

Subsequent expenditure relating to plant and equipment that have already been recognised is added to the carrying amount of the asset only when it is probable that future economic benefits associated with the item will flow to the Academy and the cost of the item can be measured reliably. Other subsequent expenditure is recognised as repair and maintenance expenses in statement of comprehensive income during the financial year in which it is incurred.





2. Significant accounting policies (Cont’d) 2.4 Financial assets (Cont’d)

2.4.5 Impairment (Cont’d)

The amount of the allowance is the difference between the asset’s carrying amount and the present value of estimated future cash flows, discounted at the original effective interest rate. When the amount becomes uncollectible, it is written off against the allowance account. Subsequent recoveries of amounts previously written off are recognised against the same line item in profit or loss.

The allowance for impairment loss account is reduced through profit or loss in a subsequent period when the amount of impairment losses decreases and the related decrease can be objectively measured. The carrying amount of the asset previously impaired is increased to the extent that the new carrying amount does not exceed the amortised cost had no impairment been recognised in prior periods.

2.5 Plant and equipment

2.5.1 Measurement

All items of plant and equipment are initially recognised at cost and subsequently carried at cost less accumulated depreciation and accumulated impairment losses. The cost of an item of plant and equipment initially recognised includes its purchase price and any costs that are directly attributable to bringing the asset to the location and condition necessary for it to be capable of operating in the manner intended by Management.

2.5.2 Depreciation

Depreciation on plant and equipment is calculated using the straight–line method to allocate their depreciable amounts over their estimated useful lives as follows:

Useful lives Office and other equipment 5-10 years Computers 3 years

Fully depreciated assets are retained in the financial statements until they are no longer in use. The residual values, estimated useful lives and depreciation method of plant and equipment are reviewed, and adjusted as appropriate, at each reporting date. The effects of any revision are recognised in the statement of comprehensive income in the financial year in which the changes arise.

2.5.3 Subsequent expenditure

Subsequent expenditure relating to plant and equipment that have already been recognised is added to the carrying amount of the asset only when it is probable that future economic benefits associated with the item will flow to the Academy and the cost of the item can be measured reliably. Other subsequent expenditure is recognised as repair and maintenance expenses in statement of comprehensive income during the financial year in which it is incurred.






2.5 Property, plant and equipment (Cont’d)

2.5.4 Disposal On disposal of an item of plant and equipment, the difference between the net disposals proceeds and its carrying amount is taken to the statement of comprehensive income.

2.6 Investment property Investment properties are properties held either to earn rental income or for capital appreciation or both. Investment properties are measured initially at cost, including transaction costs. The carrying amount includes the cost of replacing part of an existing investment property at time that cost is incurred if the recognition criteria are met and excludes the costs of day-to-day servicing of an investment property. Subsequent to initial recognition, investment properties are stated at cost less accumulated depreciation and impairment loss, if any. An investment property is derecognised when either it has been disposed of or when the investment property is permanently withdrawn from use and no future economic benefit is expected from its disposal. Any gain or loss arising on the retirement or disposal of an investment property is recognised in the statement of financial activities in the financial year of retirement or disposal. Freehold land has an unlimited useful life and therefore is not depreciated. Depreciation is calculated using the straight line method over their estimated useful lives as follows:-

Useful lives Building 50 years

The estimated useful lives, residual values and depreciation method of the investment properties are reviewed at each year-end, with the effect of any changes in estimate accounted for on a prospective basis.

Transfers are made to or from investment property only when there is a change in use. For a transfer from investment property to owner occupied property, the deemed cost for subsequent accounting is the carrying value at the date of change in use. For a transfer from owner occupied property to investment property, the property is accounted for in accordance with the accounting policy for fixed assets as set out above up to the date of the change in use.

2.7 Impairment of non-financial assets

Non-financial assets are reviewed for impairment whenever there is any indication that these assets may be impaired. If any such indication exists, the recoverable amount (i.e. the higher of the fair value less cost to sell and value in use) of the assets is estimated to determine the amount of impairment loss.

For the purpose of impairment testing of the assets, recoverable amount is determined on an individual asset basis unless the asset does not generate cash flows that are largely independent of those from other assets. If this is the case, recoverable amount is determined for the cash-generating unit (CGU) to which the asset belongs.

If the recoverable amount of the asset (or CGU) is estimated to be less than its carrying amount, the carrying amount of the asset (or CGU) is reduced to its recoverable amount. The impairment loss is recognised in the statement of comprehensive income.





2. Significant accounting policies (Cont’d) 2.7 Impairment of non-financial assets (Cont’d)

An impairment loss for an asset is reversed if, there has been a change in the estimates used to determine the assets’ recoverable amount since the last impairment loss was recognised. The carrying amount of an asset is increased to its revised recoverable amount, provided that this amount does not exceed the carrying amount that would have been determined (net of depreciation) had no impairment loss been recognised for the asset in prior years. A reversal of impairment loss for an asset is recognised in the statement of comprehensive income.

2.8 Cash and cash equivalents

Cash and cash equivalents include cash on hand and deposits with financial institutions that are subject to an insignificant risk of changes in value.

2.9 Inventories

Inventories are carried at the lower of cost and net realisable value. Cost is determined using the first-in, first-out basis and includes expenditure incurred in acquiring the inventories, production or conversion costs and other costs incurred in bringing them to their existing location and condition. Net realisable value is the estimated selling price in the ordinary course of business less the estimated costs of completion and applicable variable selling expenses.

2.10 Financial liabilities

Financial liabilities are recognised when the Academy becomes a party to the contractual agreements of the instrument and are classified according to the substance of the contractual arrangements entered into. All interest related charges are recognised in the statement of financial activities. Financial liabilities include “Other payables”.

Financial liabilities are derecognised when the obligations under the liability are discharged, cancelled or expired. When existing financial liabilities are replaced by another from the same lender on substantially different terms of an existing liability are substantially modified, such an exchange or modification is treated as a derecognition of the original liability and the recognition of a new liability, and the difference in respective carrying amounts is recognised in the statement of financial activities.

2.11 Other payables

Other payables are initially recognised at fair value, and subsequently carried at amortised cost, using the effective interest method.

2.12 Provisions for other liabilities and charges

Provisions for other liabilities and charges are recognised when the Academy has a present legal or constructive obligation as a result of past events, it is more likely than not that an outflow of resources will be required to settle the obligation and the amount has been reliably estimated.





2. Significant accounting policies (Cont’d) 2.7 Impairment of non-financial assets (Cont’d)

An impairment loss for an asset is reversed if, there has been a change in the estimates used to determine the assets’ recoverable amount since the last impairment loss was recognised. The carrying amount of an asset is increased to its revised recoverable amount, provided that this amount does not exceed the carrying amount that would have been determined (net of depreciation) had no impairment loss been recognised for the asset in prior years. A reversal of impairment loss for an asset is recognised in the statement of comprehensive income.

2.8 Cash and cash equivalents

Cash and cash equivalents include cash on hand and deposits with financial institutions that are subject to an insignificant risk of changes in value.

2.9 Inventories

Inventories are carried at the lower of cost and net realisable value. Cost is determined using the first-in, first-out basis and includes expenditure incurred in acquiring the inventories, production or conversion costs and other costs incurred in bringing them to their existing location and condition. Net realisable value is the estimated selling price in the ordinary course of business less the estimated costs of completion and applicable variable selling expenses.

2.10 Financial liabilities

Financial liabilities are recognised when the Academy becomes a party to the contractual agreements of the instrument and are classified according to the substance of the contractual arrangements entered into. All interest related charges are recognised in the statement of financial activities. Financial liabilities include “Other payables”.

Financial liabilities are derecognised when the obligations under the liability are discharged, cancelled or expired. When existing financial liabilities are replaced by another from the same lender on substantially different terms of an existing liability are substantially modified, such an exchange or modification is treated as a derecognition of the original liability and the recognition of a new liability, and the difference in respective carrying amounts is recognised in the statement of financial activities.

2.11 Other payables

Other payables are initially recognised at fair value, and subsequently carried at amortised cost, using the effective interest method.

2.12 Provisions for other liabilities and charges

Provisions for other liabilities and charges are recognised when the Academy has a present legal or constructive obligation as a result of past events, it is more likely than not that an outflow of resources will be required to settle the obligation and the amount has been reliably estimated.






2.13 Leases As lessor – operating lease

Leases of assets in which a significant portion of the risks and rewards of ownership are retained by the lessor are classified as operating leases. Rental income from operating leases (net of any incentives given to the lessees) is recognised in statement of financial activities on a straight-line basis over the lease term. Initial direct costs incurred by the Group in negotiating and arranging operating leases are added to the carrying amount of the leased assets and recognised as an expense in statement of financial activities over the lease term on the same basis as the lease income. Contingent rents are recognised as an income in the statement of financial activities in the financial year in which they are incurred.

2.14 Employee compensation

2.14.1 Defined contribution plans

Defined contribution plans are post-employment benefit plans under which the Society pays fixed contributions into separate entities such as the Central Provident Fund (“CPF”), on a mandatory, contractual or voluntary basis. The Society has no further payment obligations once the contribution has been paid. The Society’s contribution to defined contribution plans are recognised as employee compensation expense when they are due.

2.14.2 Employee leave entitlement

Employee entitlements to annual leave are recognised when they accrue to employees. A provision is made for the estimated liability for annual leave as a result of services rendered by employees up to the reporting date.

2.15 Fund

Fund balances restricted by outside sources are so indicated and are distinguished from unrestricted funds allocated to specific purpose, if any, by action of the Board of Directors. Externally restricted funds may only be utilised in accordance with the purposes for which they are established. The Board of Directors retains full control over the use of unrestricted funds for any of the Academy’s purposes.

2.16 Currency translation

Transactions denominated in a currency other than Singapore Dollar (“foreign currency”) are translated into Singapore Dollar using the exchange rates prevailing at the dates of the transactions. Currency translation gains and losses resulting from the settlement of such transactions and from the translation at the closing rate at the reporting of monetary assets and liabilities denominated in foreign currencies are recognised in the statement of financial activities.





2. Significant accounting policies (Cont’d) 2.17 Related parties

A related party is defined as follows: (a) A person or a close member of that person’s family is related to the Academy if that

person:

(i) Has control or joint control over the Academy; (ii) Has significant influence over the Academy; or (iii) Is a member of the key management personnel of the Academy or of a parent

of the Academy;

(b) An entity is related to the Academy if any of the following conditions applies:

(i) The entity and the Academy are members of the same group (which means that each parent, subsidiary and fellow subsidiary is related to the others;

(ii) One entity is an associate or joint venture of the other entity (or an associate or joint venture of a member of a group of which the other entity is a member);

(iii) Both entities are joint ventures of the same third party; (iv) One entity is a joint venture of a third entity and the other entity is an

associate of the third entity; (v) The entity is a post-employment benefit plan for the benefit of employees of

either the Academy or an entity related to the Academy. If the Academy is itself such a plan, the sponsoring employers are also related to the Academy;

(vi) The entity is controlled or jointly controlled by a person identified in (a); (vii) A person identified in (a)(i) has significant influence over the entity or is a

member of the key management personnel of the entity (or of a parent of the entity)

(viii) The entity, or any member of a group of which it is a part, provides key management personnel services to the reporting entity or to the parent of the reporting entity.

3. Critical accounting estimates, assumptions and judgments

The Academy makes estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year are discussed below.

3.1 Critical accounting estimates and assumptions

The Academy makes estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year are discussed below. 3.1.1 Estimated useful lives of investment property, plant and equipment

The Academy reviews annually the estimated useful lives of investment property, plant and equipment based on factors such as business plans and strategies, expected level of usage and future technological developments. It is possible that future results of operations could be materially affected by changes in these estimates brought about by changes in the factors mentioned.





2. Significant accounting policies (Cont’d) 2.17 Related parties

A related party is defined as follows: (a) A person or a close member of that person’s family is related to the Academy if that

person:

(i) Has control or joint control over the Academy; (ii) Has significant influence over the Academy; or (iii) Is a member of the key management personnel of the Academy or of a parent

of the Academy;

(b) An entity is related to the Academy if any of the following conditions applies:

(i) The entity and the Academy are members of the same group (which means that each parent, subsidiary and fellow subsidiary is related to the others;

(ii) One entity is an associate or joint venture of the other entity (or an associate or joint venture of a member of a group of which the other entity is a member);

(iii) Both entities are joint ventures of the same third party; (iv) One entity is a joint venture of a third entity and the other entity is an

associate of the third entity; (v) The entity is a post-employment benefit plan for the benefit of employees of

either the Academy or an entity related to the Academy. If the Academy is itself such a plan, the sponsoring employers are also related to the Academy;

(vi) The entity is controlled or jointly controlled by a person identified in (a); (vii) A person identified in (a)(i) has significant influence over the entity or is a

member of the key management personnel of the entity (or of a parent of the entity)

(viii) The entity, or any member of a group of which it is a part, provides key management personnel services to the reporting entity or to the parent of the reporting entity.

3. Critical accounting estimates, assumptions and judgments

The Academy makes estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year are discussed below.

3.1 Critical accounting estimates and assumptions

The Academy makes estimates and assumptions concerning the future. The resulting accounting estimates will, by definition, seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year are discussed below. 3.1.1 Estimated useful lives of investment property, plant and equipment

The Academy reviews annually the estimated useful lives of investment property, plant and equipment based on factors such as business plans and strategies, expected level of usage and future technological developments. It is possible that future results of operations could be materially affected by changes in these estimates brought about by changes in the factors mentioned.





3. Critical accounting estimates, assumptions and judgments (Cont’d)

3.2 Critical judgments in applying the entity’s accounting policies

The key assumptions concerning the future and other key sources of estimation uncertainty at the reporting date, that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year, are discussed below. 3.2.1 Allowance for impairment of receivables

The Academy reviews the adequacy of allowance for impairment of receivables at each closing by reference to the ageing analysis of receivables, and evaluates the risks of collection according to the credit standing and collection history of individual client. If there are indications that the financial position of a client has deteriorated resulting in an adverse assessment of his risk profile, an appropriate amount of allowance will be provided.

3.2.2 Impairment of investment property, plant and equipment

Investment property, plant and equipment are reviewed for impairment whenever there is any indication that the assets are impaired. If any such indication exists, the recoverable amount (i.e. higher of the fair value less cost to sell and value in use) of the assets is estimated to determine the impairment loss. The key assumptions for the value in use calculation are those regarding the growth rates, and expected change to selling price and direct costs during the year and a suitable discount rate.

4. Income tax As the Academy is an approved charity, no provision for taxation has been made in the financial statements as the Academy is exempted from income tax under Section 13(1) of the Income Tax Act.

5. Donation in cash 2016 2015 S$ S$ Tax deductible donations 44,768 7,500 Non-tax deductible donations 30,000 30,490 Sponsorship and trade exhibition 6,000 16,000 80,768 53,990 The donations were classified as follows: Voluntary income 60,768 33,490 Income from events 6 20,000 20,500 80,768 53,990

The Academy issued tax-exempt receipts for donations collected amounting to S$ 44,768 (2015: S$ 7,500).





6. Income from events

2016

1st Asia-Pacific Symposium

On Liver-Directed

Y-90 Microspheres

2nd Singapore International Public Health

Conference and 11th Singapore

Public Health and Occupational

Medicine Conference

MEDLAB Singapore

2016

Preparatory Course Part

B & C For Emergency Medicine

Exam

College of Emergency Physicians Dinner & Lecture

Total S$ S$ S$ S$ S$ S$ INCOME Donations 0 10,000 0 0 10,000 20,000 Education grant 0 0 50,000 0 0 50,000 Sponsorship and trade exhibition 0 133,500 0 0 0 133,500 Registration fees 0 299,393 0 32,200 1,217 332,810 Miscellaneous income 0 387 0 0 0 387

TOTAL INCOME 0 443,280 50,000 32,200 11,217 536,697 EXPENDITURE Accommodation and airfares 0 27,755 0 8,617 0 36,372 Awards, grants and honorarium 0 3,100 20,500 13,705 0 37,305 Bank charges 0 3,849 40 40 15 3,944 Equipment hire expenses 0 51,526 0 0 0 51,526 IT expenses 0 15,326 0 0 0 15,326 Manpower costs 0 2,311 0 0 0 2,311 Printing and stationery (13,000) 15,025 0 222 539 2,786 Professional fees 0 60,241 0 0 350 60,591 Professional withholding tax 0 682 2,257 338 0 3,277 Refreshment 0 5,811 0 2,225 556 8,592 Souvenirs and gifts 0 100 0 0 160 260 Transport 0 4,616 161 256 368 5,401 Venue and meeting packages 0 195,322 0 300 4,334 199,956 Miscellaneous expense 0 2,675 0 15 240 2,930

TOTAL EXPENDITURE (13,000) 388,339 22,958 25,718 6,562 430,577 Net surplus 13,000 54,941 27,042 6,482 4,655 106,120 Share of surplus to other entities (13,000) (27,471) 0 0 0 (40,471) Net surplus after share to other entities 0 27,470 27,042 6,482 4,655 65,649

Add: Professional conference organiser(PCO) income 34,084 Add: Share of profits received by the Academy from events organised by other entities 5,485

TOTAL INCOME FROM EVENTS 105,218





6. Income from events

2016

1st Asia-Pacific Symposium

On Liver-Directed

Y-90 Microspheres

2nd Singapore International Public Health

Conference and 11th Singapore

Public Health and Occupational

Medicine Conference

MEDLAB Singapore

2016

Preparatory Course Part

B & C For Emergency Medicine

Exam

College of Emergency Physicians Dinner & Lecture

Total S$ S$ S$ S$ S$ S$ INCOME Donations 0 10,000 0 0 10,000 20,000 Education grant 0 0 50,000 0 0 50,000 Sponsorship and trade exhibition 0 133,500 0 0 0 133,500 Registration fees 0 299,393 0 32,200 1,217 332,810 Miscellaneous income 0 387 0 0 0 387

TOTAL INCOME 0 443,280 50,000 32,200 11,217 536,697 EXPENDITURE Accommodation and airfares 0 27,755 0 8,617 0 36,372 Awards, grants and honorarium 0 3,100 20,500 13,705 0 37,305 Bank charges 0 3,849 40 40 15 3,944 Equipment hire expenses 0 51,526 0 0 0 51,526 IT expenses 0 15,326 0 0 0 15,326 Manpower costs 0 2,311 0 0 0 2,311 Printing and stationery (13,000) 15,025 0 222 539 2,786 Professional fees 0 60,241 0 0 350 60,591 Professional withholding tax 0 682 2,257 338 0 3,277 Refreshment 0 5,811 0 2,225 556 8,592 Souvenirs and gifts 0 100 0 0 160 260 Transport 0 4,616 161 256 368 5,401 Venue and meeting packages 0 195,322 0 300 4,334 199,956 Miscellaneous expense 0 2,675 0 15 240 2,930

TOTAL EXPENDITURE (13,000) 388,339 22,958 25,718 6,562 430,577 Net surplus 13,000 54,941 27,042 6,482 4,655 106,120 Share of surplus to other entities (13,000) (27,471) 0 0 0 (40,471) Net surplus after share to other entities 0 27,470 27,042 6,482 4,655 65,649

Add: Professional conference organiser(PCO) income 34,084 Add: Share of profits received by the Academy from events organised by other entities 5,485

TOTAL INCOME FROM EVENTS 105,218





6. Income from events (Cont’d)

2015

49th Singapore –

Malaysia Congress of

Medicine

MEDLAB Asia Pacific Conference

2015

10th Singapore Public Health

and Occupational

Medicine Conference

Preparatory Course Part B

& C For Emergency Medicine

Total S$ S$ S$ S$ S$ INCOME Donations 10,500 0 10,000 0 20,500 Education grant 0 38,000 0 0 38,000 Sponsorship and trade exhibition 18,500 0 2,000 0 20,500 Registration fees 29,366 0 158,749 42,100 230,215 Miscellaneous income 18,239 8,000 0 0 26,239 TOTAL INCOME 76,605 46,000 170,749 42,100 335,454

EXPENDITURE Accommodation and airfares 600 0 0 1,872 2,472 Awards, grants and honorarium 1,000 20,000 1,050 17,800 39,850 Bank charges 896 0 630 60 1,586 Equipment hire expenses 0 0 13,080 0 13,080 Insurance 1,174 0 1,405 0 2,579 IT expenses 6,943 0 2,718 0 9,661 Manpower costs 0 0 430 0 430 Printing and stationery 5,518 0 1,877 30 7,425 Professional fees 0 0 14,036 0 14,036 Professional withholding tax 50 1,280 0 300 1,630 Refreshment 23,607 433 967 3,396 28,403 Souvenirs and gifts 1,737 0 3,423 15 5,175 Transport 2,113 134 361 312 2,920 Venue and meeting packages 4,443 0 44,819 0 49,262 Miscellaneous expense 0 0 600 0 600 TOTAL EXPENDITURE 48,081 21,847 85,396 23,785 179,109 Net surplus 28,524 24,153 85,353 18,315 156,345 Share of surplus to other entities (15,000) 0 0 0 (15,000) Net surplus after share to other entities 13,524 24,153 85,353 18,315 141,345

Add: Professional conference organiser(PCO) income 40,276 Add: Share of profits received by the Academy from events organised by other entities 1,934 TOTAL INCOME FROM EVENTS 183,555





7. Staff costs

Included in the expenses expended are the following staff costs: 2016 2015 S$ S$ Salaries and bonuses 2,738,847 2,594,529 CPF contributions and SDL 404,793 373,226 Medical expenses 11,796 12,245 Staff training and recruitment 6,323 3,619 Staff insurance 19,480 16,325 Staff awards and benefits 9,210 11,446 3,190,449 3,011,390

Total amount includes staff cost for Joint Committee on Specialist Training staff amount to S$1,314,281 (2015: S$1,251,999).

8. Net income for the year In addition to the charges and credits disclosed elsewhere in the notes to the financial statements, this item includes the following charges: 2016 2015 S$ S$ Allowance for doubtful debts 60,659 79,576 Awards, grants and honorarium 215,705 210,349 Examination and restudy fees 403,261 366,481 Professional fees 462,924 431,116 Property tax 22,400 18,000

9. Cash and cash equivalents

2016 2015 S$ S$ Cash at bank 6,629,629 4,353,052 Cash on hand 4,554 4,012 6,634,183 4,357,064

At the reporting date, the carrying amounts of cash and cash equivalents approximated their fair values.

10. Fixed deposits

Fixed deposits at the reporting date had tenure of 6 to 12 months (2015: 6 to 12 months) from that date and had an effective interest rate of 0.25% to 0.98% (2015: 0.25% to 0.80%) per annum. At the reporting date, the carrying amounts of fixed deposits approximated their fair values.





7. Staff costs

Included in the expenses expended are the following staff costs: 2016 2015 S$ S$ Salaries and bonuses 2,738,847 2,594,529 CPF contributions and SDL 404,793 373,226 Medical expenses 11,796 12,245 Staff training and recruitment 6,323 3,619 Staff insurance 19,480 16,325 Staff awards and benefits 9,210 11,446 3,190,449 3,011,390

Total amount includes staff cost for Joint Committee on Specialist Training staff amount to S$1,314,281 (2015: S$1,251,999).

8. Net income for the year In addition to the charges and credits disclosed elsewhere in the notes to the financial statements, this item includes the following charges: 2016 2015 S$ S$ Allowance for doubtful debts 60,659 79,576 Awards, grants and honorarium 215,705 210,349 Examination and restudy fees 403,261 366,481 Professional fees 462,924 431,116 Property tax 22,400 18,000

9. Cash and cash equivalents

2016 2015 S$ S$ Cash at bank 6,629,629 4,353,052 Cash on hand 4,554 4,012 6,634,183 4,357,064

At the reporting date, the carrying amounts of cash and cash equivalents approximated their fair values.

10. Fixed deposits

Fixed deposits at the reporting date had tenure of 6 to 12 months (2015: 6 to 12 months) from that date and had an effective interest rate of 0.25% to 0.98% (2015: 0.25% to 0.80%) per annum. At the reporting date, the carrying amounts of fixed deposits approximated their fair values.





11. Other receivables and prepayments

2016 2015 S$ S$ Non-current assets Prepayments 1,510,575 1,682,036 Current assets Receivables 2,404,656 1,431,319 - Less: Allowance for doubtful debts (66,626) (78,007) 2,338,030 1,353,312 - Accrued interest income on fixed deposits 5,425 6,153 - Deferred expenditure 349,155 303,269 - Deposits-NKF rental security 26,525 26,425 - Prepayments 191,518 188,038 - Amount owing from related party 21 229 2,910,674 1,877,426

Reconciliation of allowance for doubtful debts of receivables is as follows:

2016 2015 S$ S$ Beginning of financial year 78,007 136,241 Allowance written off for the financial year (30,728) (124,114) Allowance written back for the financial year (41,312) (13,696) Allowance for the year 60,659 79,576 Balance at end of the year 66,626 78,007

The Academy has a rental agreement with the landlord of its premises situated at 81 Kim Keat Road, #11-00, NKF Centre, Singapore 328836 at S$3 million for a period of 18 years. The total amount inclusive of stamp duties was paid at the commencement of the rental agreement. The rental expenses prepaid for the next 12 months are classified under current assets and the balance as non-current assets. The amount due from related party is unsecured, interest-free and repayable on demand. At the reporting date, the carrying amounts of other receivables approximated their fair values.

12. Inventories 2016 2015 S$ S$ Finish goods – Gold medals and ties 7,386 9,479 Less: Allowances for obsolescence (3,204) (3,533) 4,182 5,946

Reconciliation of allowances for obsolete inventories is as follows: 2016 2015 S$ S$ Beginning of financial year 3,533 5,214 Allowance written off for the financial year (329) 0 Allowance for the financial year 0 (1,681) Balance at end of the year 3,204 3,533





13. Plant and equipment

Balance at beginning of

year Additions (Disposal/

Written off)

Balance at end of year

S$ S$ S$ S$ 2016 Cost Office furniture, fittings and equipment 534,346 29,840 (18,000) 546,186 Computers 539,705 27,408 (1,520) 565,593 1,074,051 57,248 (19,520) 1,111,779 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Office furniture, fittings and equipment 468,601 19,388 (18,000) 469,989 Computers 495,115 31,685 (1,520) 525,280 963,716 51,073 (19,520) 995,269 Balance at

beginning of year


S$ S$ Net book value Office furniture, fittings and equipment 65,745 76,197 Computers 44,590 40,313 110,335 116,510



Written off)


S$ S$ S$ S$ 2015 Cost Office furniture, fittings and equipment 520,681 13,665 0 534,346 Computers 504,105 35,600 0 539,705 1,024,786 49,265 0 1,074,051 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Office furniture, fittings and equipment 452,064 16,537 0 468,601 Computers 453,185 41,930 0 495,115 905,249 58,467 0 963,716 Balance at

beginning of year







13. Plant and equipment



Written off)


S$ S$ S$ S$ 2016 Cost Office furniture, fittings and equipment 534,346 29,840 (18,000) 546,186 Computers 539,705 27,408 (1,520) 565,593 1,074,051 57,248 (19,520) 1,111,779 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Office furniture, fittings and equipment 468,601 19,388 (18,000) 469,989 Computers 495,115 31,685 (1,520) 525,280 963,716 51,073 (19,520) 995,269 Balance at

beginning of year





Written off)


S$ S$ S$ S$ 2015 Cost Office furniture, fittings and equipment 520,681 13,665 0 534,346 Computers 504,105 35,600 0 539,705 1,024,786 49,265 0 1,074,051 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Office furniture, fittings and equipment 452,064 16,537 0 468,601 Computers 453,185 41,930 0 495,115 905,249 58,467 0 963,716 Balance at

beginning of year







14. Investment property Balance at

beginning of year Additions

(Disposal/ Written off)


2016 S$ S$ S$ S$ Cost Freehold land 3,000,000 0 0 3,000,000 Building 1,338,616 0 0 1,338,616 4,338,616 0 0 4,338,616 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Freehold land 0 0 0 0 Building 347,986 26,416 0 374,402 347,986 26,416 0 374,402 Balance at

beginning of year


S$ S$ Net book value Freehold land 3,000,000 3,000,000 Building 990,630 964,214 3,990,630 3,964,214

Balance at

beginning of year Additions

(Disposal/ Written off)


2015 S$ S$ S$ S$ Cost Freehold land 3,000,000 0 0 3,000,000 Building 1,338,616 0 0 1,338,616 4,338,616 0 0 4,338,616 Balance at

beginning of year

Depreciation charge

(Written back/off)


S$ S$ S$ S$ Accumulated depreciation Freehold land 0 0 0 0 Building 321,570 26,416 0 347,986 321,570 26,416 0 347,986 Balance at

beginning of year


S$ S$ Net book value Freehold land 3,000,000 3,000,000 Building 1,017,046 990,630 4,017,046 3,990,630

The freehold land and building were independently valued at S$9 million by a firm of independent professional valuer in January 2016. The fair value is based on Direct Comparison and Income Capitalisation Approaches of Valuation. The value is derived after taking into consideration the prevailing market conditions and have made due adjustments for differences between the property and the comparable in terms of location, tenure size, shape, design and layout, age and conditions of buildings, dates of transactions and other factors affecting its value. The investment property is currently leased out and earns rental income.





14. Investment property (Cont’d)

The following amounts are recognised in statement of financial activities: 2016 2015 S$ S$ Direct operating expenses arising from: - Investment property that generate

rental income

51,284

45,234

15. Other payables

2016 2015 S$ S$ Other payables - Other payables 340,331 307,076 - GST payable 153,849 50,057 - Accruals 744,328 430,186 - Deferred income 2,080,687 750,833 - Rental received in advance 18,692 18,692 - Refundable deposit payable 37,383 37,383 - Amount due to related parties 775,427 678,996 - Subscriptions received in advanced 355,276 274,736 4,505,973 2,547,959

The amount due to related parties is unsecured, interest-free and repayable on demand.

At the reporting date, the carrying amounts of other payables approximated their fair values.

16. Unrestricted fund

Accumulated fund Unrestricted fund are funds that are expendable at the discretion of the Academy for the achieving of their overall objectives.

17. Restricted funds Annals Fund The Annals is the official medical and dental journal of the Academy, and is circulated to all members of the Academy. It is an indexed journal of the US National Library of Medicine (Index Medicus) and has been included in the Science Citation Index – Expanded, ISI Alerting Services, and Current Contents/Clinical Medicine on 2 January 2002.

Building and Endowment Fund Established in 1980 as the Building Fund and later renamed the Building and Endowment Fund in June 2003, is primarily used to maintain and improve the Academy’s building and property as well as to allow the Academy to secure larger premises for the expansion of the Academy.





14. Investment property (Cont’d)

The following amounts are recognised in statement of financial activities: 2016 2015 S$ S$ Direct operating expenses arising from: - Investment property that generate

rental income

51,284

45,234

15. Other payables

2016 2015 S$ S$ Other payables - Other payables 340,331 307,076 - GST payable 153,849 50,057 - Accruals 744,328 430,186 - Deferred income 2,080,687 750,833 - Rental received in advance 18,692 18,692 - Refundable deposit payable 37,383 37,383 - Amount due to related parties 775,427 678,996 - Subscriptions received in advanced 355,276 274,736 4,505,973 2,547,959

The amount due to related parties is unsecured, interest-free and repayable on demand.

At the reporting date, the carrying amounts of other payables approximated their fair values.

16. Unrestricted fund

Accumulated fund Unrestricted fund are funds that are expendable at the discretion of the Academy for the achieving of their overall objectives.

17. Restricted funds Annals Fund The Annals is the official medical and dental journal of the Academy, and is circulated to all members of the Academy. It is an indexed journal of the US National Library of Medicine (Index Medicus) and has been included in the Science Citation Index – Expanded, ISI Alerting Services, and Current Contents/Clinical Medicine on 2 January 2002.

Building and Endowment Fund Established in 1980 as the Building Fund and later renamed the Building and Endowment Fund in June 2003, is primarily used to maintain and improve the Academy’s building and property as well as to allow the Academy to secure larger premises for the expansion of the Academy.





17. Restricted funds (Cont’d)

Joint Committee on Specialist Training Fund The Joint Committee on Specialist Training (JCST) was formally appointed by the Specialist Accreditation Board (SAB) in 2005 with the Master of the Academy Of Medicine Singapore and the Director of the Division of Graduate Medical Studies of the National University of Singapore (DGMS, NUS) as co-chairmen and representatives from the Academy and the DGMS on its Executive Committee. The JCST is responsible to SAB for setting professional standards for specialist training and for establishing mechanisms for assuring the quality of specialist training in Singapore. It overseas all the 35 Specialist Training Committee (STCs) and provides them with professional direction and secretariat support

College of Ophthalmologists The College of Ophthalmologists (formerly Chapter of Ophthalmologists under the College of Surgeons) was set up as a non-independent College under the Academy Of Medicine Singapore in January 2009. The College of Ophthalmologists Fund is established to support the academic activities of the College.

College of Public Health and Occupational Physicians The College of Public Health and Occupational Physicians was converted from a Chapter to a College. The College was set up as a non-independent College under the Academy Of Medicine Singapore in October 2012. The College of Public Health and Occupational Physicians is established to support the academic activities of the College. College of Emergency Physicians The College of Emergency Physicians (formerly Chapter of Emergency Physicians) was set up as a non-independent College under the Academy Of Medicine Singapore on 20th November 2014. The establishment of the college is to forge a better identity and achieve a higher standing to drive the future development of Emergency Medicine in Singapore. College of Psychiatrists The College of Psychiatrists (formerly Chapter of Psychiatrists) was set up as a non-independent College under the Academy Of Medicine Singapore on 5th November 2014. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Psychiatry in Singapore. College of Clinician Scientists The College of Clinician Scientists (formerly Chapter of Clinician Scientists) was set up as a non-independent College under the Academy Of Medicine Singapore on 17th May 2016. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Clinician Scientists in Singapore.

Chapters' and section funds Chapter’s funds The Chapter Funds were set up to support continuing educational activities. Funds received from donations, registration fees, trade exhibitions and other earmarked receipts for such activities are credited to their individual accounts accordingly. Expenditure incurred on such activities is debited to their respective accounts. The following Chapter’s Funds were set up to cater to the needs and requirements of a small group of specialists. - Chapter of Clinician Educators - Chapter of Pathologists - Chapter of Family Medicine, Physicians - Chapter of Intensivists





17. Restricted funds (Cont’d) Chapters' and section funds (Cont’d) Section funds Section of Sports Medicine To set standard of care for Sports Medicine. It aims to provide a platform for local, international Sports Medicine organisation to collaborate; for healthcare professionals in the field to exchange knowledge; to promote and organize CPD events related to Sports Medicine. It also serves the purpose of providing independent expert opinions/reports relating to Sports Medicine issues as requested by Ministry of Health and other stakeholders. Section of Child & Adolescent Psychiatry The fund is established for the Section of Child and Adolescent Psychiatry under the College of Psychiatrists. It consists of funds raised by the Section of Child and Adolescent Psychiatry. It is to be used to cover the expenses for activities organised by the Section of Child and Adolescent Psychiatry. It can also be used for any other purpose approved by the Section of Child and Adolescent Psychiatry. Section of Clinical Toxicologists Objectives of the section are as follows: i) To advance the care of poisoned patients and improve their outcomes a) To be a resource providing evidence based guidance for the management of

poisonings. b) To encourage research in toxicology to improve on current knowledge base. ii) To promote chemical safety in the community

a) To educate and increase general awareness of chemicals in the community and environment and their potential health effects

b) To advocate the importance of toxic surveillance in the community and promote measures to ensure chemical safety.

Lectures’ Funds Common Fund for Advancement of Medicine The Fund is established to provide assistance to local Fellows of the AMS at major scientific meetings and the Master’s or his representative’s attendance at overseas meetings for the advancement of medicine.

Gordon Arthur Ransome Oration Established in 1971, the Gordan Arthur Ransome Oration is open to distinguished members of the medical profession and the public by invitation. The Oration is held biennially in conjunction with the Congress of Medicine in Singapore. Runme Shaw Memorial Lecture This Fund is established in recognition of the contribution of Sir Runme Shaw to the Academy Of Medicine Singapore. The Lectureship will be presented at the biennial Singapore Malaysia Congress of Medicine (SMCM). Seah Cheng Siang Memorial Fund The Fund is established to commemorate Prof Seah Cheng Siang’s for his contributions to the medical profession in Singapore. It is used for the promotion of medical research and lectures.





17. Restricted funds (Cont’d) Chapters' and section funds (Cont’d) Section funds Section of Sports Medicine To set standard of care for Sports Medicine. It aims to provide a platform for local, international Sports Medicine organisation to collaborate; for healthcare professionals in the field to exchange knowledge; to promote and organize CPD events related to Sports Medicine. It also serves the purpose of providing independent expert opinions/reports relating to Sports Medicine issues as requested by Ministry of Health and other stakeholders. Section of Child & Adolescent Psychiatry The fund is established for the Section of Child and Adolescent Psychiatry under the College of Psychiatrists. It consists of funds raised by the Section of Child and Adolescent Psychiatry. It is to be used to cover the expenses for activities organised by the Section of Child and Adolescent Psychiatry. It can also be used for any other purpose approved by the Section of Child and Adolescent Psychiatry. Section of Clinical Toxicologists Objectives of the section are as follows: i) To advance the care of poisoned patients and improve their outcomes a) To be a resource providing evidence based guidance for the management of

poisonings. b) To encourage research in toxicology to improve on current knowledge base. ii) To promote chemical safety in the community

a) To educate and increase general awareness of chemicals in the community and environment and their potential health effects

b) To advocate the importance of toxic surveillance in the community and promote measures to ensure chemical safety.

Lectures’ Funds Common Fund for Advancement of Medicine The Fund is established to provide assistance to local Fellows of the AMS at major scientific meetings and the Master’s or his representative’s attendance at overseas meetings for the advancement of medicine.

Gordon Arthur Ransome Oration Established in 1971, the Gordan Arthur Ransome Oration is open to distinguished members of the medical profession and the public by invitation. The Oration is held biennially in conjunction with the Congress of Medicine in Singapore. Runme Shaw Memorial Lecture This Fund is established in recognition of the contribution of Sir Runme Shaw to the Academy Of Medicine Singapore. The Lectureship will be presented at the biennial Singapore Malaysia Congress of Medicine (SMCM). Seah Cheng Siang Memorial Fund The Fund is established to commemorate Prof Seah Cheng Siang’s for his contributions to the medical profession in Singapore. It is used for the promotion of medical research and lectures.





17. Restricted funds (Cont’d) Lectures’ Funds (Cont’d) APAO Congress 2006 Travel Fund The fund is to be used to offer travel grants to College of Ophthalmology Fellows or to fund the fees for inviting speakers to Singapore.

World Congress of Opthalmology Singapore The fund is to be utilized for any Ophthalmic Congresses hosted by College of Ophthalmology.

Yahya Cohen Lecture The fund was established in 1994 in honour and recognition of the outstanding contributions to the development of surgery in Singapore by Dr, Yahya Cohen, the 1st Chairman of the Chapter of Surgeons and a past Master of the Academy. The lectureship will be presented annually and the lecture shall take place at an event organized by the College of Surgeons, Singapore Dental Continuing Professional Education Fund The Dental Continuing Professional Education Fund was established in 2016 under the administration of Academy Of Medicine Singapore. The primary objective of the fund is for subsidising the cost of the College of Dental Surgeons, Singapore in organising and conducting of CPE events that are related to topics such as geriatric dentistry, special needs and Dental Public health. Chee Kuan Tsee Lecture The Chee Kuan Tsee Lecture Fund was established in 2017 in recognition of the outstanding contributions to the development of Psychiatry in Singapore by Professor Chee Kuan Tsee, a past Chairman of the Chapter of Psychiatrists. The Chee Kuan Tsee Lecture is held annually in conjunction with the Annual General Meeting of the College of Psychiatrists to promote the advancement of psychiatry and mental health.

18. Transfer of funds

During the financial year, the Chapter of Clinician Scientists was converted to College of Clinician Scientists. Hence the funds belonging to the Chapter was transferred to the College.

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21. Related party transactions

In addition to the related party information disclosed elsewhere in the financial statements, the following transactions with related parties took place at terms agreed between the parties during the financial year:

2016 2015 S$ S$ Income received from related party - Event management fees (33,495) (26,240) Expenses paid to related party - Professional fees 279,391 225,659 - Miscellaneous expenses 11,020 7,830

Balances with related party at the reporting date are set out in Note 11 and 15.

22. Employee remuneration bands

Number of employees in remuneration bands

2016 2015 S$ S$ Less than S$100,000 49 49 Above than S$100,000 2 2

None of the directors have received any form of remuneration and benefits from the Academy for both financial years ended 31 December 2016 and 31 December 2015.

23. Management of conflict of interest

Board of directors are required to disclose any interest that they may have, whether directly or indirectly, that the Academy may enter into or in any organisations that the Academy has dealings with or is considering dealing with; and any personal interest accruing to him as one of the Academy’s supplier, user of services or beneficiary. Should there be any potential conflict of interest, the affected Board of directors of Academy may not vote on the issue that was the subject matter of the disclosure. Detailed minutes will be taken on the disclosure as well as the basis for arriving at the final decision in relation to the issue at stake.

24. Financial instruments The financial assets and liabilities of the Academy as at the reporting date are as follows: 2016 2015 S$ S$ Financial assets - Cash and cash equivalents 6,634,183 4,357,064 - Fixed deposits 4,015,714 3,982,876 - Receivables and deposits 2,370,001 1,386,119 13,019,898 9,726,059

Financial liabilities - Other payables 2,051,318 1,503,698





21. Related party transactions

In addition to the related party information disclosed elsewhere in the financial statements, the following transactions with related parties took place at terms agreed between the parties during the financial year:

2016 2015 S$ S$ Income received from related party - Event management fees (33,495) (26,240) Expenses paid to related party - Professional fees 279,391 225,659 - Miscellaneous expenses 11,020 7,830

Balances with related party at the reporting date are set out in Note 11 and 15.

22. Employee remuneration bands

Number of employees in remuneration bands

2016 2015 S$ S$ Less than S$100,000 49 49 Above than S$100,000 2 2

None of the directors have received any form of remuneration and benefits from the Academy for both financial years ended 31 December 2016 and 31 December 2015.

23. Management of conflict of interest

Board of directors are required to disclose any interest that they may have, whether directly or indirectly, that the Academy may enter into or in any organisations that the Academy has dealings with or is considering dealing with; and any personal interest accruing to him as one of the Academy’s supplier, user of services or beneficiary. Should there be any potential conflict of interest, the affected Board of directors of Academy may not vote on the issue that was the subject matter of the disclosure. Detailed minutes will be taken on the disclosure as well as the basis for arriving at the final decision in relation to the issue at stake.

24. Financial instruments The financial assets and liabilities of the Academy as at the reporting date are as follows: 2016 2015 S$ S$ Financial assets - Cash and cash equivalents 6,634,183 4,357,064 - Fixed deposits 4,015,714 3,982,876 - Receivables and deposits 2,370,001 1,386,119 13,019,898 9,726,059

Financial liabilities - Other payables 2,051,318 1,503,698





25. Financial risk management

The Academy is exposed to various financial risks arising from its operations. The key financial risks include credit risk, liquidity risk and interest rate risk. The Academy’s Board of Directors (BOD) reviews and agrees policies and procedures for the management of these risks. The following describes the Academy’s exposure to the above-mentioned financial risks and the objectives, policies and processes for the management of these risks:

25.1 Credit risk

Credit risk is the potential financial loss resulting from the customer defaulting on its contractual obligations to the Academy. The Academy has no significant concentrations of credit risk. The Academy has policies in place to ensure that sales are made to customers with an appropriate credit history and credit standing. The Academy’s maximum exposure to credit risk is represented by the carrying amount of financial assets recorded in the financial statements, net of allowances of losses. As at reporting date, the Academy has receivables amounting to S$ 825,741 (2015: S$ 756,649) that is past due but not impaired due to client credit worthiness.

The table below is an analysis of the receivables:

2016 2015 S$ S$ Not past due and not impaired 1,512,289 596,663 Past due but not impaired 825,741 756,649 2,338,030 1,353,312

The ageing of receivables that are past due but not impaired is as follows:

2016 2015 S$ S$ Past due 0 to 3 months 568,001 414,522 Past due 3 to 6 months 15,422 21,097 Past due over 6 months 242,318 321,030 825,741 756,649

25.2 Interest rate risk

The Academy is exposed to interest rate risk through the impact of rate changes on interest bearing assets. The interest bearing assets comprise bank balances and fixed deposit, which are short-term in nature. Any short-term fluctuation in interest rates will not significantly affect the Academy.

25.3 Liquidity risk

In the management of liquidity risk, the Academy monitors and maintains a level of cash and bank balances deemed adequate by the management to finance the Academy’s operations and mitigate the effects of fluctuations in cash flows.

The table below summarises the maturity profile of the Academy’s financial assets and liabilities at the end of the reporting period based on the contractual undiscounted repayment obligations:





25. Financial risk management (Cont’d) 25.3 Liquidity risk (Cont’d)

Within one year

Later than one year but not later than five years

Total 2016 S$ S$ S$ Financial assets Cash and cash equivalents 6,634,183 0 6,634,183 Fixed deposits 4,015,714 0 4,015,714 Other receivables (excluding prepayments and deferred expenditure) 2,370,001 0 2,370,001 13,019,898 0 13,019,898 Financial liabilities Other payables (excluding subscriptions received in advanced, deferred income and rental receive in advanced) 2,051,318 0 2,051,318 10,968,580 0 10,968,580

Within one year



25.4 Fair values

The carrying amounts of financial assets and liabilities recorded in the financial statements of the Academy approximate their fair values due to their short–term nature.

26. Reserve position and policy

The Academy’s reserve position for financial year ended 31 December 2016 is as follows:

2016 2015 Increase/

(Decrease) S$’000 S$’000 %

A Unrestricted Funds Accumulated fund 2,117 1,607 32% B Restricted or Designated Funds Designated Funds 0 0 Restricted Funds 4,531 3,882 17% C Endowment Funds 8,002 7,969 0% D Total Funds 14,650 13,458 9% E Total Annual Operating Expenditure 5,489 5,218 5% F Ratio of Funds to Annual Operating Expenditure (A/E) 0.39 0.31





25. Financial risk management (Cont’d) 25.3 Liquidity risk (Cont’d)

Within one year



Within one year



25.4 Fair values

The carrying amounts of financial assets and liabilities recorded in the financial statements of the Academy approximate their fair values due to their short–term nature.

26. Reserve position and policy

The Academy’s reserve position for financial year ended 31 December 2016 is as follows:

2016 2015 Increase/

(Decrease) S$’000 S$’000 %

A Unrestricted Funds Accumulated fund 2,117 1,607 32% B Restricted or Designated Funds Designated Funds 0 0 Restricted Funds 4,531 3,882 17% C Endowment Funds 8,002 7,969 0% D Total Funds 14,650 13,458 9% E Total Annual Operating Expenditure 5,489 5,218 5% F Ratio of Funds to Annual Operating Expenditure (A/E) 0.39 0.31





26. Reserve position and policy (Cont’d)

Reference: C. An endowment fund consists of assets, funds or properties that are held in perpetuity, which

produce annual income flow for a foundation to spend as grants. D. Total Funds include unrestricted, restricted / designated and endowment funds. E. Total Annual Operating Expenditure includes direct cost and administrative costs.

The Academy’s Reserve Policy is as follows:

The reserved of the Academy provide financial stability and the means for the development of the Academy’s activities. The Board of Directors intends to maintain the reserves at a level sufficient for its operating needs. The Academy reviews the level of reserves regularly for the Academy’s continuing obligations.

27. Comparative figures

Certain reclassifications have been made to the prior year’s financial statements to enhance comparability with the current year’s financial statements. As previously

reported Reclassification As restated 2015 S$ S$ S$ Statement of Financial Position Current liabilities Other payables 3,078,978 (531,019) 2,547,959 Funds Restricted funds - Lectures' fund 1,855,803 531,019 2,386,822 4,934,781 0 4,934,781

28. Authorisation of financial statements

These financial statements were authorised for issue in accordance with a resolution of the Board of the Directors of the Academy on


Financial Statements


SUBSEQUENT PAGES COMPRISES OF THE

DETAILED STATEMENT OF FINANCIAL ACTIVITIES WHICH IS PREPARED FOR MANAGEMENT PURPOSE ONLY AND

DOES NOT FORM PART OF THE AUDITED FINANCIAL STATEMENTS


Financial Statements


SUBSEQUENT PAGES COMPRISES OF THE

DETAILED STATEMENT OF FINANCIAL ACTIVITIES WHICH IS PREPARED FOR MANAGEMENT PURPOSE ONLY AND

DOES NOT FORM PART OF THE AUDITED FINANCIAL STATEMENTS

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COLLEGES AND CHAPTERS

The largest specialists’ organisation of over 3,300 members

in 12 Colleges and 4 Chapters


PRESIDENT’S MESSAGE

2016 has been a good year for CAS! The College has embraced two new members, Drs Terence Quah and Nelson Chua to serve as Council Members. The College would like to thank its former President, Dr Philip Tseng and two retired councils, Dr Kwek Tong Kiat and Dr Agnes Ng for their valuable contributions to the College.

In mid last year, the College had set up a Travel Grant with a maximum of $2,500 annually to support College members requiring travelling as College representative to conferences organised by colleges in Australia, Hong Kong or Malaysia. The grant is strictly to be used to defray expenses incurred on airfare and accommodation for attending the event.

With the success of past Refresher Courses and Combined Anaesthetic Meetings, the College hopes to organise more exciting and beneficial activities for its members in 2017 and the years to come. The College will also strive to update and improve our practice guidelines and to engage more partners.

The Charity was set up on 17 August 2004 as a College with Dr Edward Pang as the first elected President of the College. It was registered under the Charities Act on 18 August 2004 (Unique Entity Number (UEN): 200410333E). Its registered address is at 81 Kim Keat Road, NKF Centre, #11-00, Singapore 328836. Its internal auditor is Messrs Fiducia LLP.

COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE

The College aims to continually work towards improving the quality of anaesthesia practice and to foster a small but closely knitted anaesthesia fraternity in Singapore.

DR TI LIAN KAH


President Dr Ti Lian KahDirector (from 19 May 2012)

President-Elect Dr Sophia Chew Tsong HueyDirector (from 22 May 2010)

Vice-President Dr Yeo Sow NamDirector (from 8 May 2015)

Honorary Secretary Dr Terence Quah Chien ChoonDirector (from 18 May 2016)

Honorary Treasurer Dr Koh Kwong FahDirector (from 18 May 2013)

Council Members Dr Nelson Chua Ping PingDirector (from 18 May 2016)Dr Wendy Teoh Hui LingDirector (from 12 April 2014)

ANNUAL GENERAL MEETING

The College held its 12th Annual General Meeting on 18 May 2016 at Gleneagles Hospital. A total of 30 Fellows attended the meeting.

COUNCIL MEETINGS

The Council meets once every two months to conduct the business and affairs of the College. In 2016, the Council had met four times.

Seated (from left): Dr Wendy Teoh Hui Ling (Council Member), Dr Ti Lian Kah (President), Dr Yeo Sow Nam (Vice-President), Dr Sophia Chew Tsong Huey (President-Elect)

Standing (from left): Dr Terence Quah Chien Choon (Honorary Secretary), Dr Koh Kwong Fah (Honorary Treasurer), Dr Nelson Chua Ping Ping (Council Member)

MEMBERSHIP

As at 31 December 2016, the College membership stood at 146 Fellows, comprising 139 Local Fellows and seven Overseas Fellows.

With the success of past Refresher Courses and Combined Anaesthetic

Meetings, the College hopes to organise more exciting and beneficial activities for

its members in 2017.

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ANAESTHESIA REFRESHER COURSE 2016

The Refresher Course, held on 16 April 2016 at the Carlton Ballroom of York Hotel, was well attended with a total of 71 doctors. The course was chaired by A/Prof Ti Lian Kah. Among the highlights at the Scientific Meeting were talks by the invited lecturers, Dr Macaulay Onuigbo (Associate Professor of Mayo Clinic Rochester in Minnesota) and Dr Kelvin Bryan Tan (Director in Policy, Research and Economics Office at Ministry of Health). The Scientific Meeting had been an exciting course with assuring feedback received.

COMBINED ANAESTHETIC MEETINGS The College and the Singapore Society of Anaesthesiologists had organised three Combined Anaesthesia Meetings in 2016.

Date 20 February

Theme Making Obstetrics Anaesthesia Safer

Chairperson Dr Rajive Dabas

Venue KK Women’s and Children’s Hospital

No. of Attendees 84

Date 23 July

Theme Enhancing Safety for the High Risk Surgical Patient

Chairperson Dr Rex Joseph Morais

Venue National University Health System Tower Block

No. of Attendees 61

Date 22 October

Theme Perioperative Transfusion Medicine – Managing the Anaemic Surgical Patient

Chairperson Prof Hwang Nian Chih

Venue Academia, Singapore General Hospital

No. of Attendees 72

Participants at the ‘Perioperative Transfusion Medicine – Managing the Anaemic Surgical Patient’ Combined Anaesthetic Meeting.

LECTURE SESSION WITH PROFESSOR IAN EDWARD CURRAN

The College had invited Professor Ian Edward Curran (Assistant Director of Education and Professional Standards, UK General Medical Council) to share his work in professional standards at the Academia, Singapore General Hospital on 11 November 2016. Professor Curran had been awarded the 2016 Distinguished Academician by the Academy of Medicine, Singapore (AMS).

The session comprised a lecture entitled ‘Anaesthesia Education: Trends, Future and Wider Impact’ and a round table discussion on ‘Leading Inter-Professional Education: The Anaesthetic Perspective’, chaired by Dr Tay Sook Muay. About 32 participants attended the lecture.

As a leading educationalist and policy maker in Anaesthesia (the College conducted the first European Diploma Exam in Regional Anaesthesia and Pain Exams outside of Europe), the committees had hoped that the lecture session would help to redefine the role of the anaesthesiologist, to embrace the whole concept of coordinating and in optimising the perioperative care of patients in future.

ACTIVITIES

Lecture session with Professor Ian Edward Curran, the 2016 Distinguished Academician.

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The College of Dental Surgeons, Singapore (CDSS) was set up on 6 August 2008 as a Company Limited by Guarantee (Unique Entity Number (UEN): 200815442W). It was registered under the Charities Act on 27 June 2014. Its registered address is at 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836. Its banker is UOB and auditor is Fiducia LLP (for FY2016).

The objectives of the Charity are as follows:• The College will improve and co-ordinate professional

development with Specialty Societies and like bodies, locally, regionally and internationally.

• Through the representative(s) in the Chapters, Specialist Societies will be able to contribute to the development of clinical practice guidelines, recommendation of clinical indicators to the relevant authorities, drafting of consensus/position statements, certification and recertification of specialists, etc. The College may also provide secretariat support to societies who need such support.

• The College will help to fulfil the professional development of dental specialist by conducting several continuing professional education activities every year for dental specialists.

• In addition to carrying out continuing education for specialists, the College also plans to work towards the conduct of educational activities for non-dental professionals and lay publics, thus strengthening its “social role” for dental specialists.

• The College will also collaborate with other Dental Colleges internationally and contribute to dental specialist organisations regionally.

• The College will aim to be proactive and take leading roles in the professional development and self- regulation of the dental fraternity.

The College is financially supported by donations, income from conducting the specialist accreditation examinations and income generated from activities organised by the College. As at 31 December 2016, there is one full-time administrative staff allocated on a shared basis from Academy of Medicine, Singapore to help with the administrative work.

COLLEGE OF DENTAL SURGEONS, SINGAPORE


The College of Dental Surgeons, Singapore (CDSS) is a misnomer for the simple reason that we do not represent Dental Surgeons in Singapore. We are, however, the only association that represents the seven groups of dental specialists in Singapore. Our projects are thus focused on dental specialists in Singapore. We also do not forget our affiliation to the Academy of Medicine, Singapore (AMS) and the support it provides.

We continued to conduct our monthly study clubs rotating between the different specialties. The emphasis has been on case studies and discussion on topics of interest. I welcome Dr Tay Li Chye who will officially take over the good work of Dr Henry Ho as Chair of this project this year. I understand several initiatives are in the pipeline and this will be revealed soon.

The highlight of 2016 was the biennial Joint Collegiate Scientific Meeting with the Royal Australasian College of Dental Surgeons and the College of Dental Surgeons, Hong Kong. The topic for the meeting was ‘Modern Dentistry for our Elderly Patients’. Professor Finbarr Allen, Dean, Faculty of Dentistry, NUS, was the keynote speaker. Drs Frankie So (Hong Kong), Simon Wylie (Australia) and Winston Tan (Singapore) also spoke on various topics related to the main theme. The two-day event culminated in a college dinner that allowed the council members of the various colleges to come together for a networking session and to exchange ideas. I would like to thank Dr Benjamin Long and his committee for organising the event.

The Joint Committee for Dental Specialist Accreditation (JCDSA) is a very important part of the CDSS. The Committee chaired by Dr Loh Poey Ling carries out the difficult tasks of reviewing and assessing candidates wishing to register themselves as dental specialists in Singapore. The Committee works very closely with the Dental Specialist Accreditation Board and Singapore Dental Council. On behalf of CDSS, I thank Dr Loh and all members of the JCDSA and the Dental Specialist Accreditation Committees for their time and effort in undertaking the task.

Dr Poh Yu-Jin was tasked at the beginning of the year to revamp our website. Several suggestions from fellows were taken on board and the new website was launched in the middle of 2016. I thank Dr Poh for carrying out the needful for us.

A sub-committee was formed primarily from the OMS chapter to look into providing guidelines to dental practitioners in the management of patients on anti-thrombotics. The Chapter of Haematology and the AMS Council subsequently endorsed the final draft of the guidelines at the end of 2016. A half-day presentation is being planned to elaborate on these guidelines in April 2017. Drs Winston Tan, Melissa Guay and Andrew Robinson and their committee deserve special mention for undertaking this project.

DR BRYCE LEE

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RECOLLEGES AND CHAPTERS



Dr Bryce Lee PresidentDirector (from 28 May 2009)

Dr Andrew OwPresident-ElectDirector (from 23 May 2012)

Dr Poh Yu Jin Honorary SecretaryDirector (from 7 May 2014)

Dr Andrew AwHonorary TreasurerDirector (from 20 April 2015)

Dr Seah Tian EeCouncil MemberDirector (from 23 May 2012)

Dr Loh Poey LingCouncil MemberDirector (from 20 April 2015)

Dr Chang Kok MengCouncil MemberDirector (from 24 May 2016)

Dr Tay Li ChyeCouncil MemberDirector (from 20 April 2015)

Dr Lui Jeen NeeChairman, Chapter of EndodontistsDirector (from 22 May 2013)

Dr Winston Tan Chairman, Chapter of Oral & Maxillofacial SurgeonsDirector (from 22 May 2013)

Dr Henry HoChairman, Chapter of OrthodontistsDirector (from 22 May 2013)

Dr Toh Siew LuanChairman, Chapter of Paediatric DentistsDirector (from 22 May 2013)

Dr Tan Wah ChingChairman, Chapter of PeriodontistsDirector (from 22 May 2013)

Dr Elvin Leong Chairman, Chapter of ProsthodontistsDirector (from 20 April 2015)

Dr Wong Mun LokeChairman, Chapter of Public Health DentistsDirector (from 20 April 2015)

I would like to thank all our previous College Presidents for creating a strong foundation for us to work on and our Council Members and Chapter Committee Members for their hard work and participation. Together, the College would like to thank all our Fellows for your support and we hope to make the College a meaningful part of your professional life.

I also thank the Master, Council and staff in AMS for providing us their support and advice. Personally, it was a

very enriching experience for me to serve as AMS Council Member. Finally, I wish President-Elect Dr Andrew Ow and his new Council all the best in their future endeavours as they take over the reins of CDSS.

Standing (from left):Dr Seah Tian Ee (Council Member), Dr Chang Kok Meng (Council Member), Dr Tay Li Chye (Council Member), Dr Winston Tan (Chairman, Chapter of Oral & Maxillofacial Surgery), Dr Henry Ho (Chairman, Chapter of Orthodontists), Dr Toh Siew Luan (Chairman, Chapter of Paediatric Dentistry)

Seated (from left):Dr Loh Poey Ling (Council Member), Dr Andrew Aw (Honorary Treasurer), Dr Bryce Lee (President), Dr Poh Yu Jin (Honorary Secretary)

Not in photo: Dr Andrew Ow (President-Elect), Dr Lui Jeen Nee (Chairman, Chapter of Endodontists), Dr Tan Wah Ching (Chairman, Chapter of Periodontists), Dr Elvin Leong (Chairman, Chapter of Prosthodontists), Dr Wong Mun Loke (Chairman, Chapter of Public Health Dentists)

We are, however, the only association that represents the seven groups of dental

specialists in Singapore. Our projects are thus focused on dental specialists in

Singapore.

SPECIALTY CHAPTERS

In accordance to the Constitution of the College of Dental Surgeons, Singapore, the specialty chapters are to serve a two-year term. The Committee Members of the seven Chapters of the College (2016-2017) are as follows:

Chapter of Endodontists

Chairman Dr Lui Jeen Nee

Vice-Chairman Dr Tay Li Chye

Secretary Dr Lee Chee Wee

Committee Member Dr Benny Goh

Committee Member Dr Kuah Hong Guan

Chapter of Orthodontists

Chairman Dr Henry Ho

Vice-Chairman Dr Chng Chai Kiat

Secretary Dr Geraldine Lee

Committee Member Dr Bryce Lee

Committee Member Dr Ong Hoe Boon

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Chapter of Oral & Maxillofacial Surgeons

Chairman Dr Winston Tan Kwong Shen

Vice-Chairman Dr Raymond Wong

Honorary Secretary Dr Lye Kok Weng

Committee Member Dr Seah Tian Ee

Committee Member Dr Andrew Ow

Chapter of Periodontists

Chairman Dr Tan Wah Ching

Vice-Chairman Dr Chang Kok Meng

Honorary Secretary Dr Ang Chee Wan

Committee Member Dr Wong Li Beng

Committee Member Dr Yang Jingrong

Chapter of Paediatric Dentists

Chairman Dr Toh Siew Luan

Vice-Chairman Dr Rashid Tahir

Honorary Secretary Dr Betty Mok

Committee Member Dr Intarasoot Potjanart

Chapter of Prosthodontists

Chairman Dr Elvin Leong

Vice-Chairman Dr Simon Ng Dih Hann

Honorary Secretary Dr See-Toh Yoong Liang

Committee Member Dr Ansgar Cheng

Chapter of Public Health Dentists

Chairman Dr Wong Mun Loke

Vice-Chairman Dr Holy Koh

Committee Member Dr Teresa Loh

Committee Member Dr Hemalatha Nathan


The College held its 8th Annual General Meeting on 24 May 2016 at the Medical Alumni Centre, Executive Room 1.

COUNCIL MEETINGS

The Council had held five meetings in 2016 on 24 May, 27 June, 28 July, 29 September and 15 November.

MEMBERSHIP

The total number of members in the College stood at 273 as at 31 December 2016. There were 258 Local Fellows, 11 Overseas Fellows and four Ordinary Members.

The following were admitted into the Fellowship of the Academy of Medicine, Singapore in the year 2016: • Dr Alexander Chee Kuan Hock • Dr Kelvin Koh Poh Leong • Dr Lai Wen Pui Bien• Dr Lee Wan Zhen• Dr William Lim • Dr Clarisse Ng • Dr Jason Su Jian Xiang • Dr Tang Kok Siew• Dr Yao Chao Shu

273

300

250

200

150

100

50

0Endodontics Oral &

Maxillofacial Surgery

2951

79

1431

50

7 12

Orthodontics Paediatric Dentistry

Periodontics Prosthodontics Dental Public Health

Dental Surgery Total

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ACTIVITIES

CDSS NEW YEAR GET-TOGETHER 2016

The College held a New Year Get-Together session on 19 January 2016 at the NKF Centre Singapore. The networking event gave non-Fellows the opportunity to meet, interact and share with Fellows of the College.

CDSS 2ND JOINT COLLEGIATE SCIENTIFIC MEETING 2016

The College together with the College of Dental Surgeons, Hong Kong and the Royal Australasian College of Dental Surgeons organised the 2nd Joint Collegiate Scientific Meeting 2016 (2nd JCSM) from 9 to 10 July 2016 at the Grand Copthorne Waterfront Hotel Singapore. With the full support of the College, the 2nd JCSM’s organising committee was chaired by Dr Benjamin Long (Chairman) with assistance from Dr Henry Ho (Co-Chair).

The theme for the scientific meeting was ‘Modern Dentistry for Our Elderly Patients’. The theme was most apt for several reasons. Firstly, all the three Colleges are based in places where the aged population is increasing. It was also a good platform for the exchange of views and learning from counterparts on how various dental clinical and professional issues of elderly patients are handled especially as the population becomes increasing elderly and the expectation for good health in the latter years keeps rising.

Over the two days, four eminent speakers had given insightful talks presenting on topics revolving around the theme: Professor Finbarr Allen (Dean, Faculty of Dentistry NUS), Dr Frankie So (College of Dental Surgeons, Hong Kong), Dr Simon Wylie (Royal Australasian College of Dental Surgeons) and Dr Winston Tan (College of Dental Surgeons, Singapore).

From left: Professor Allen Finbarr, Dr Simon Wylie, Dr Frankie So and Dr Winston Tan.

From left: Dr Yao Chao Shu, (President, Prosthodontic Society, Singapore), Dr Bryce Lee, (President, College of Dental Surgeons, Singapore), Dr S R E Sayampanathan, (Master, Academy of Medicine, Singapore), Dr David Sykes, (President, Royal Australasian College of Dental Surgeons), Dr Patrick Russo, (President-Elect, Royal Australasian College of Dental Surgeons), and Dr Benjamin Long, (Organising Chairman, Joint Collegiate Scientific Meeting 2016).

Delegates at the 2nd JCSM.

COLLEGE OF DENTAL SURGEONS, SINGAPORE 7TH CONFERMENT CEREMONY 2016

The College held its 7th Conferment Ceremony on 21 April 2016 at the Furama RiverFront Hotel Singapore. The College was privileged to have Dr Kaan Sheung Kin, independent associate with The Oral Care Centre (a multi specialist private practice) to grace the ceremony as the Guest-of-Honour

and as the CDSS Distinguished Guest Orator. His oration was entitled, ‘Volunteer Missions’. Professor Lim Shih Hui, Immediate Past Master, Academy of Medicine, Singapore conferred the Fellowship certificate and a collar pin bearing the College’s logo to 11 Fellows of the College.

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Standing (from left): Dr Andrew Ow (President-Elect), Dr Chang Kok Meng (Council Member), Dr Ng Chee Hon (Inductee), Dr Tay Li Chye (Council Member), Dr Henry Ho (Chairman, Chapter of Orthodontists), Dr Tabitha Chng (Inductee), Dr Terence Jee (Inductee), Dr Lim Ching Chiat (Inductee), Dr Simon Ng (Inductee), Dr Seow Yian San (Inductee), Dr Elvin Leong (Chairman, Chapter of Prosthodontists), Dr Seah Tian Ee (Council Member), Dr Poh Yu Jin (Honorary Secretary)

Seated (from left): Dr Andrew Aw (Honorary Treasurer), Dr Lui Jeen Nee (Chairman, Chapter of Endodontists), Dr Benjamin Long (Immediate Past President), A/Prof Patrick Tseng (Inductee), Dr Kaan Sheung Kin (Inductee), Prof Lim Shih Hui (Immediate Past Master), Dr Bryce Lee (President), Dr Loh Poey Ling (Council Member), Dr Toh Siew Lun (Council Member)

Dr Bryce Lee, President of CDSS (left) presenting a plaque to Dr Kaan Sheung Kin.

From left: Dr Bryce Lee (President), A/Prof Patrick Tseng (Inductee), Prof Lim Shih Hui (Immediate Past Master).

CONTINUING PROFESSIONAL DEVELOPMENT LECTURES

DATE TOPIC SPEAKER CHAIRMAN/MODERATOR

13 January Space, the Frontal Frontier Or Is It the First? Space Considerations in a Paediatric Patient

Dr Chng Chai KiatHead & Senior Consultant,Orthodontics, KK’s Women’s and Children’s Hospital

Dr Toh Siew LuanChairman,Chapter of Paediatric Dentistry, CDSS

24 February Full Mouth Rehabilitation – Treatment Planning to Execution

Dr Simon Ng Dih HannVice-Chairman, Chapter of Prosthodontists, CDSS

Dr Elvin LeongChairman, Chapter of Prosthodontists, CDSS

Dr Elvin Leong Chairman, Chapter of Prosthodontists, CDSS

21 March Is Endodontic Retreatment Always Necessary?

Dr Terence JeePrivate practicePart-time tutor,National University of Singapore

Dr Lui Jeen NeeChairman,Chapter of Endodontists, CDSS

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DATE TOPIC SPEAKER CHAIRMAN/MODERATOR

24 August Tooth Number Anomalies in Three Asian Ethnicities Prediction of the Widths of Unerupted Cuspids and Bicuspids in the Singapore Malay Population

Dr Qian LiOrthodontist, National Dental Centre

Dr Wilson LuFaculty of Dentistry, National University of Singapore

Dr Henry HoChairman,Chapter of Orthodontists, CDSS

6 October Photodynamic Therapy during Supportive Periodontal Therapy: A Randomised Split-Mouth Trial

Dr Edwin GohPeriodontist, National Dental Centre

Dr Tan Wah ChingChairman, Chapter of Periodontists, CDSS

JOINT COMMITTEE FOR DENTAL SPECIALIST ACCREDITATION EXAMS

The Dental Specialist Accreditation Board of the Ministry of Health appointed the College of Dental Surgeons, Singapore to form the Joint Committee for Dental Specialist Accreditation (JCDSA) and the respective Dental Specialist Accreditation Committees (DSAC) for the various specialties. The JCDSA conducted one round of accreditation exams from 21 to 23 March 2016 and a second round of exams from 21 to 23 September 2016.

CLINICAL PRACTICE GUIDELINES

The College had submitted its practice recommendations on ‘Management of Dental Patients on Anti-thrombotic Medication’ to AMS Council for approval. The contributors were: Dr Winston Tan (Chairperson), Dr Guay Peiru Melissa (Chairperson), Dr Andrew Robinson, Dr Andrew Ow, Dr Albert Lee, Prof Loh Fun Chee and Dr Tan Mei Hui.

PROFESSIONAL OPINION

The College provided three professional opinions in 2016.

TOPIC ORGANISATION

Consent Taking Procedures Ministry of Health

Publicity Claims on Smiledesign Ministry of Health

Updates to Table of Surgical Procedures and Call for Submission of Proposals for 2016/2017 Review Cycle

Ministry of Health

FUTURE PLANS AND COMMITMENTS

The College aims to continue to conduct activities that meet the stated objectives in this annual report.

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The Charity was set up on 17 August 2004 as a College. It was registered under the Charities Act on 18 August 2004 (Unique Entity Number (UEN): 200410332N). Its registered address is at 81 Kim Keat Road, NKF Centre, #11-00, Singapore 328836. Its internal auditor is Fiducia LLP.

The objectives of the Charity are as follows: The Chapter of Obstetricians and Gynaecologists (O&G), started by a pioneering group of nine O & G specialists in 1969, had as its main objectives of encouraging postgraduate training, education and research.

In the years that followed, continuing medical education and professional development played important aspects of the Chapter’s activities, in close collaboration with its sister societies and organisations. Close regional and international links were also made with renowned Visiting Fellows or Academicians invited from overseas to speak and participate in academic activities.

The College continues to involve itself in training, continuing medical education and examination activities. This also includes producing consensus guidelines and distance learning programmes for the purpose of achieving best practices. An important milestone was the signing of the MOU on 3 September 2005 for the conjoint MRCOG/MMed examination between the RCOG and the College of O&G, Singapore. The first conjoint MRCOG/MMed examination was held on 8 May 2006.

The College is well poised to address the challenges ahead including keeping the high standards of practice and ensuring that every practitioner maintains competence in his practice.

COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE


2016 was another busy and academically active year for the College of O & G, Singapore. The annual 16th Regional MRCOG Part II Examination Course, co-organised by the College, the Singapore Representative Committee (RCOG) and the Division of Graduate Medical Studies, NUS was held from 14 to 17 January 2016 at KK Women’s and Children’s Hospital. It was a great honour for the College to host Dr Mike Cohn and Dr Alasdair Gordon. This annual course has become an important event to most of the trainees preparing for MRCOG Part 3 Examination in the region. The College would like to thank Prof Ho Tew Hong for his untiring efforts to make this annual examination course a success.

The 12th International Society of Ultrasound in Obstetrics & Gynaecology (ISUOG) Outreach Course was held at the Academia, Singapore General Hospital from 8 to 10 April 2016. Many internationally renowned experts in O & G ultrasound and fetal medicine shared their expertise with participants. For the first time, a basic ultrasound training course was also incorporated into the congress. The College would like to thank Professor George SH Yeo, the organising chairman for his enthusiasm and hard work to make ISUOG a success.

The College also held its 13th Annual College Lecture and Dinner on 7 May 2016 with Associate Professor Chong Yap Seng as our invited Guest Speaker. The 3rd annual CTG course was held on 17 September 2016 with Dr Edwin Chandraharan as our course conductor. The course was well attended and the College would like to thank the efforts of the organising chairman, Dr Devendra Kanagalingam.

The number of specialists in our distinguished fraternity is growing consistently; having a total of 233 fellows of which 9 are overseas fellows in 2016. We encourage all O & G specialists to join us and contribute and influence the standards of specialist practice, training and education, and professional development in Singapore.

DR ARIJIT BISWAS

We encourage all O & G specialists to join us and contribute and influence the standards of specialist practice,

training and education, and professional development in Singapore.

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Dr Arijit BiswasPresidentDirector (from 1 March 1998)

Dr Yong Tze TeinPresident-Elect Director (from 3 November 2003)

Dr Jasmine Mohd Vice-PresidentDirector (from 16 September 2010)

Dr Mahesh Choolani Honorary SecretaryDirector (from 1 September 1997)

Dr Khoo Chong Kiat Honorary TreasurerDirector (from 24 July 2009)

Dr George Yeo Seow Heong Council MemberDirector (from 17 March 1986)

Dr Mary Rauff Council MemberDirector (from 1 January 1988)

Dr Jason Lim Council Member Director (from 11 May 2016)

Dr Shakina RauffCouncil Member Director (from 11 May 2016)

Dr Ho Tew HongCo-Opted MemberDirector (from 1 February 1984)

Dr Yong Eu LeongCo-Opted MemberDirector (from 1 January 2010)

Dr Timothy Lim Yong KueiChairman, Section of Gynaecological OncologyDirector (from 6 July 2009)

Dr Lai Fon-MinChairman, Section of Maternal Fetal MedicineDirector (from 4 April 1997)

Dr Stephen ChewChairman, Section of Reproductive MedicineDirector (from 1 September 1997)

Dr Roy NgChairman, Section of UrogynaecologyDirector (from 1 September 1993)

Dr Beh Suan TiongChairman, Section of Gynaecology EndoscopyDirector (from 1 February 1998)

Standing (from left): Dr Jason Lim (Council Member), Dr Beh Suan Tiong (Chairman, Section of Gynaecology Endoscopy), Dr Lai Fon-Min (Chairman, Section of Maternal Fetal Medicine), Dr Mahesh Choolani (Honorary Secretary) , Dr Timothy Lim (Chairman, Section of Gynaecological Oncology)

Seated (from left):Dr Khoo Chong Kiat (Honorary Treasurer), Dr Ho Tew Hong (Co-Opted Member), Dr Yong Tze Tein (President-Elect), Dr Arijit Biswas (President), Dr Jasmine Mohd (Vice-President), Dr George Yeo Seow Heong (Council Member)

Not in photo: Dr Roy Ng (Chairman, Section of Urogynaecology), Dr Yong Eu Leong (Co-Opted Member), Dr Shakina Rauff (Council Member), Dr Mary Rauff (Council Member), Dr Stephen Chew (Chairman, Section of Reproductive Medicine)


The College’s Annual General Meeting was held on 11 May 2016 at the National University Health Systems Tower Block.

MEMBERSHIP

The total number of members in the College stood at 234 as at 31 December 2016. There were 223 Local Fellows, 10 Overseas Fellows and one Honorary Fellow.

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ACTIVITIES

16TH REGIONAL MRCOG PART II EXAMINATION COURSE

The 16th MRCOG Part II Examination Course was held at KK Women’s & Children’s Hospital on 14 to 17 January 2016. It was co-organised by the College, the Singapore Representative Committee (RCOG) and the Division of Graduate Medical Studies, National University of Singapore.

The course had a total of 50 participants from various countries such as Singapore, Malaysia, Hong Kong, Myanmar and Jordan. The candidates went through a rigorous mock exam course which included attempting the extended matching questions, short answer questions and the Objective Structured Clinical Examination (OSCE) circuit. The examiners from UK, Drs Michael Cohn and Alasdair Gordon also gave the participants useful insights on handling the actual RCOG examination.

A total of 48 local trainers helped out with the essay marking, skills station session and the OSCE circuits during the course. The College thanks Professor Ho Tew Hong for his hard work towards the success of this important annual examination course.

12TH INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS & GYNAECOLOGY (ISUOG) OUTREACH COURSE IN CONJUNCTION WITH THE 7TH COLLEGE OF OBSTETRICIANS & GYNAECOLOGISTS, SINGAPORE SCIENTIFIC CONGRESS

The 12th ISUOG Outreach Course and 7th COGS Scientific Congress 2016 was held on 8 to 10 April 2016 at the Academia, Singapore General Hospital. An estimated 268 participants were involved in ISUOG.

A two-day Obstetric Ultrasound Course comprising lectures and hands-on ultrasound was conducted. This course is compulsory for delegates who want to enrol into the College’s Obstetric Ultrasound Training Programme. Delegates who complete the Obstetric Ultrasound training syllabus, submission of logbooks and exams will obtain a certificate for obstetric ultra sonography.

A Fetoscopy workshop had introduced delegates to the latest development in Fetoscopy, especially in the treatment of twin-to-twin transfusion syndrome. Management of interesting and controversial monochorionic twins was also covered.

Several internationally renowned experts on ultrasound had been invited to give their expert views on issues commonly encountered in daily clinical practice. The congress owed its smooth success to all 287 delegates from the different countries. All had enriched the scientific discourse at these very well-attended sessions, led by an immensely impressive line-up of international speakers. The event was also possible thanks to the contributions of industry partners who understand, share and support the College’s vision for excellence in ultrasound education in this region.

13TH COLLEGE LECTURE AND DINNER

The College held its Annual Lecture and Dinner at Riverfront Ballroom, the Grand Copthorne Waterfront Hotel. There were a total of 200 guests in attendance.

A/Prof Chong Yap Seng, a clinician-investigator with special interest in fetal growth and early development was the invited Guest Speaker. Also the Executive Director of the Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR) and an Associate Professor in the Department of Obstetrics & Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore, he had delivered the 13th College of Obstetrican & Gynaecologist, Singapore Lecture entitled ‘Good Public Health Begins with Informed Obstetric Care’.

ZIKA TALK

Together with the Obstetrical & Gynaecological Society of Singapore (OGSS), the College held a combined urgent talk on Zika at the KK Women’s and Children’s Hospital as a CME evening talk on 7 September 2016.

An infection briefing for all obstetricians and gynaecologists was conducted. Topics touched on included ‘An Overview of the Latest MOH Guidelines’ by Dr Celene Hui, ‘An Introduction to the Zika Virus’ by Dr Thoon Koh Cheng and ‘The SingHealth Clinical Management Protocol’ by Drs George SH Yeo and Yong Tze Tein.

VISITING ACADEMICIAN LECTURE

Date 17 September

Visiting Academician

Dr Edwin ChandraharanLead Clinician – Labour Ward & Lead for Clinical Governance (O & G)Clinician Director for Women’s ServicesSt George’s University Hospitals Foundation Trust

Lecture Title Inaugural Electronic Fetal Monitoring (CTG) CourseRational Foetal Heart Rate Monitoring

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The College had held its 3rd CTG Course, chaired by Dr Devendra Kanagalingam, at the Academia, Singapore General Hospital on 17 September 2016. The popular one-day course was well received with 95 participants in attendance which was targeted at midwives, obstetricians and clinical negligence lawyers who are involved in interpreting CTG traces.

The course covered the pathophysiology of CTG, NICE guidance, acid-base balance, the technology behind CTG and ST-Analyser (STAN) together with an overview of clinical cases and medico-legal learning points.

CTG training is recommended to ensure that clinical standards are upheld and that staff are up-to-date with technological advances. It is necessary to train all Obstetrics and Gynaecologist staff appropriately and use the device more often in order to gain experience and expertise.


The College plans to expand its membership through continuous engagement with Fellows through its CME events. The College also plans to develop a national guideline endorsed by the Ministry of Health for local OBGYN practice.

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The College of Paediatrics and Child Health, Singapore (CPCHS) was incorporated under the Companies Act (Cap 50), on and from 17 August 2004 (Unique Entity Number (UEN): 200410329W) and the company is a Public Company Limited by Guarantee. Its registered address is at 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836. Its banker is DBS Bank Ltd and auditor is Fiducia LLP.

The principal activities of the College are to advance the art and science of paediatrics and neonatology and its subspecialties, promote study and research into medical and

scientific problems, to sustain and foster postgraduate education and conduct higher professional examinations and to award diplomas.

The College is financially supported by donations from members, income from events and educational grants. As at 31 December 2016, the College does not employ any staff. The staff supporting the College’s work is employed by the Academy of Medicine, Singapore.

COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE


Year 2016 has been an exciting year for us. The College continues to be active in promoting CPDs. Four Combined Paediatric and Neonatal Update sessions for College Fellows were held, as well as the 5th Singapore Paediatric and Perinatal Annual Congress (SiPPAC). For the first time, the SiPPAC was held in conjunction with a regional congress. The congress was organised by Singapore Paediatric Society (SPS), the Perinatal Society of Singapore (PSS) and Asian Paediatric Pulmonology Society (APPS) with support by the College. The theme was ‘Towards Better Child Health in Asia’. It was a three-day event (21 to 23 October 2016), with pre-congress workshops conducted on 21 October. It was attended by over 500 participants, including paediatricians, trainees, nurses and medical students.

A/Prof Roy Joseph delivered the 11th College Lecture on ‘Contemporary Ethical Paediatric Practice’ during the 5th SiPPAC. He shared valuable insights and knowledge on this topic with the attendees.

This year, we have also formed several workgroups to develop recommendations/guidelines in various topics. The first three topics would be on: 1) Neonatal Jaundice, 2) Growth Assessment and Monitoring, and 3) Nutrition for Infants and Young Children, and would be ready sometime in 2017.

As we enter 2017, we look forward to greater opportunities for learning and fruitful interaction. Our areas of focus would include increasing the College’s relevance to members, and to foster collaborations in advancing child health in Singapore.

DR MARION AW


Dr Marion AwPresidentDirector (from 9 May 2007)

Dr Liew Woei Kang President-Elect Director (from 14 May 2011)

Dr Fabian Yap Vice-President Director (from 21 May 2009)

Dr Lee Yung SengHonorary SecretaryDirector (from 14 May 2016)

Dr Varsha Atul Shah Honorary Treasurer Director (from 10 May 2014)

Dr Khoo Poh Choo Council Member Director (from 18 May 2013)

Dr Ng Kee ChongCouncil MemberDirector (from 18 May 2013)

Dr Ong Hian Tat Council Member Director (from 14 May 2016)

Dr Steven Ng Chairman, Chapter of Neonatologists Director (from 9 May 2008)

Dr Lim Kwang Hsien Co-Opted Member

Dr Low Kah TzayCo-Opted Member

Dr Ng Yong HongCo-Opted Member

Our areas of focus would include increasing the College’s relevance to

members, and to foster collaborations in advancing child health in Singapore.

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From left to right: Dr Lee Yung Seng (Honorary Secretary), Dr Fabian Yap (Vice-President), Dr Khoo Poh Choo (Council Member), Dr Marion Aw (President), Dr Varsha Atul Shah (Honorary Treasurer), Dr Liew Woei Kang (President-Elect), Dr Ong Hian Tat (Council Member) and Dr Low Kah Tzay (Co-Opted Member)

Not in photo: Dr Ng Kee Chong (Council Member), Dr Steven Ng (Chairman, Chapter of Neonatologists), Dr Lim Kwang Hsien (Co-Opted Member), Dr Ng Yong Hong (Co-Opted Member)

SPECIALTY CHAPTER

In accordance to the Constitution of the College of Paediatrics and Child Health, Singapore, specialty chapters are to serve a two-year term. The Committee Members of the sole Chapter of the College, the Chapter of Neonatologists are as follows:

Chairman Dr Steven NgVice-Chairman Dr Daisy ChanHonorary Secretary Dr Poon Woei BingCommittee Members Dr Lee Jiun

Dr Low Kah TzayDr Ong Eng KeowDr Terence Tan

Ex-Officio (President, CPCHS) Dr Marion Aw

Seated (from left to right): Dr Poon Woei Bing (Honorary Secretary), Dr Daisy Chan Kwai Lin (Vice- Chairman), Dr Steven Ng Chin Yuen (Chairman), Dr Ong Eng Keow (Committee Member)

Standing (from left to right): Dr Low Kah Tzay (Committee Member), Dr Lee Jiun (Committee Member), Dr Terence Tan Hwa Min (Committee Member)

Not in photo: Dr Marion Aw (Ex-Officio; President, CPCHS)


The College’s 12th Annual General Meeting was held at Raffles Town Club on 14 May 2016.

COUNCIL MEETINGS

The Council met to conduct the business and affairs of the College. The 2016-2017 Council had met four times in 2016 on 14 May, 23 July, 23 October and 23 November.

MEMBERSHIP

The total membership of the College as at 31 December 2016 stood at 204, comprising of 199 Fellows (Local) and five Fellows (Overseas).

The following paediatricians were admitted to the Academy of Medicine, Singapore (AMS) as Fellows of the College in 2016:

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• Dr Aishworiya Ramkumar

• Dr Arunachalam Sridhar• Dr Lim Yang Chern• Dr Alvin Ngeow Jia Hao

• Dr Christina Ong • Dr Tham Lai Peng• Dr Elizabeth Tham

Huiwen

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ACTIVITIES

CONTINUING MEDICAL EDUCATION

PAEDIATRIC UPDATE – THEME: ‘SOFT SIGNS AND RED FLAGS’

Date 30 January

Topics & Speakers Soft Signs and Red Flags in Paediatric Cardiology – What a General Paediatrician Needs to KnowA/Prof Quek Swee ChyeHead and Senior Consultant, Division of Paediatric Cardiology, Khoo Teck Puat-National University Children’s Medical Institute National University Hospital; Head of Medical Affairs (Clinical Governance); Deputy Chairman of Medical Board, National University Hospital

Soft Signs and Red Flags of Paediatric HaematologyA/Prof Chan Mei YokeHead and Senior Consultant, Department of Paediatric Subspecialties, Haematology/Oncology Service, KK Women’s & Children’s Hospital

Soft Signs and Red Flags in Paediatric PulmonologyDr Mahesh Babu RamamurthyHead and Senior Consultant, Division of Paediatric Pulmonary, Sleep and Critical Care; Senior Consultant, Division of Paediatric Critical Care, National University Hospital

Chairperson A/Prof Marion AwPresident, College of Paediatrics and Child Health, Singapore

A/Prof Marion Aw presenting tokens to the speakers of Paediatric Update held on 14 May 2016: Prof Yap Hui Kim (in left photo) and A/Prof Ng Kee Chong (in right photo).

A/Prof Marion Aw presenting tokens to the speakers of Paediatric Update held on 30 January 2016: A/Prof Quek Swee Chye (in left photo), A/Prof Chan Mei Yoke (in centre photo) and Dr Mahesh Babu Ramamurthy (in right photo).


Date 14 May

Topics & Speakers Soft Signs and Red Flags in Paediatric NephrologyProf Yap Hui KimHead and Senior Consultant, Division of Paediatric Nephrology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital

Neonatal and Paediatrics Resuscitation UpdateA/Prof Ng Kee ChongSenior Consultant, Children’s Emergency and Chairman, Division of MedicineKK Women’s and Children’s Hospital

Chairperson Dr Varsha Atul ShahCouncil Member, College of Paediatrics and Child Health, Singapore

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Date 23 July

Topics & Speakers Soft Signs and Red Flags in Paediatric RheumatologyA/Prof Thaschawee (Tash) ArkachaisriHead and Senior Consultant, Rheumatology and Immunology Service, Department of Paediatric Medicine, KK Women’s and Children’s Hospital

Oral Health – What a Paediatrician Should KnowA/Prof Catherine Hong Hsu LingAssociate Professor and Senior Consultant, Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry, National University of Singapore

Soft Signs and Red Flags in Developmental Delay – When to Suspect a Genetic CauseAsst Prof Tan Ee ShienSenior Consultant, Genetics Service; Director, Newborn Screening, Department of Paediatric Medicine, KK Women’s and Children’s Hospital

Chairperson Dr Liew Woei KangPresident-Elect, College of Paediatrics and Child Health, Singapore

Dr Liew Woei Kang presenting tokens to the speakers of Paediatric Update held on 23 July 2016: A/Prof Thaschawee (Tash) Arkachaisri (in left photo), A/Prof Catherine Hong Hsu Ling (in centre photo) and Asst Prof Tan Ee Shien (in right photo).

LIEN CENTRE FOR PALLIATIVE CARE SYMPOSIUM 2016

The College and the Chapter of Neonatologists had supported a symposium entitled ‘When Caring Never stops – Meeting the Needs of Vulnerable Babies’ that was organised by Duke-NUS Lien Centre for Palliative Care (LCPC) on 27 August 2016. Held at the Duke-NUS Auditorium, two eminent experts, Prof Brian S Carter (neonatologist, bio-ethicist and professor of paediatrics from the University of Missouri – Kansas City School of Medicine, USA) and Ms Alexandra Mancini (pan-London Lead Nurse for Complex Palliative and Bereavement Care from the Chelsea and Westminster Hospital, UK) delivered a series of lectures and breakout sessions on end-of-life (EOL) care in babies. They discussed the ethics around withholding and withdrawing intensive care, current emerging concepts and best practices in EOL care, communication and bereavement support for parents, as well as legal frameworks in the Singapore context and team-working for staff.

Two pre-symposium lunch talks were also organised for the doctors, nurses, social workers and counsellors to hear from the experts and engage in reflective discussion. Ms Mancini spoke on ‘Stopping Treatment is Not Withdrawal of Care: The Technical and Humanistic Elements’ to an audience at the Auditorium of KK Women’s and Children’s Hospital, on 25 August. The session was chaired by Clinical Prof Victor Samuel Rajadurai and generated lively conversation about how healthcare professionals can continue to provide excellent care for dying babies where the emphasis is no longer on cure.

Prof Carter elaborated on ‘Words to Soothe or Harm: The Power of Communication in Facilitating Effective Family Conferences’ at the Academia, Singapore General Hospital on 26 August 2016. The session was chaired by Clinical A/Prof Daisy Chan. Healthcare professionals heard from Prof Carter about the importance of choosing the correct words when comforting parents of the dying baby (including the ‘5 RIGHTS’: the “right” words, uttered to the “right” persons, at the “right” time, in the “right” manner, with feedback that we got it right, can be a powerful tool for communicating right).

5TH SINGAPORE PAEDIATRICS & PERINATAL ANNUAL CONGRESS

For the first time, the 5th Singapore Paediatric & Perinatal Annual Congress (SiPPAC) 2016 was held in conjunction with the 2nd Asian Paediatric Pulmonology Society (APPS) Annual Scientific Congress and was extended to be a three-day event. It was held from 21 to 23 October with pre-congress workshops conducted on 21 October.

The theme was ‘Towards Better Child Health in Asia’. This congress was organised by Singapore Paediatric Society (SPS), the Perinatal Society of Singapore (PSS) and Asian Paediatric Pulmonology Society (APPS) with support from the College. SiPPAC was held at the Grand Copthorne Waterfront Hotel, Singapore and attracted a total of 550 delegates comprising paediatricians, neonatologists, medical students, nurses, allied health staff, residents and trainees.

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The scientific programme comprised 15 symposia (Paediatric, Perinatal, Respiratory and Neonatal tracks), two nursing symposia, three lunch symposia and two Free Paper Oral Presentations.

A total of 101 abstracts were accepted, of which 16 were selected for Oral Presentations and 15 were selected for Poster Presentations. A total of 85 abstracts were displayed on poster panels at the event.

FREE PAPER SESSION (ORAL PRESENTATION: RESPIRATORY TRACK)A total of eight abstracts were presented and the following were given awards:

• 1st Prize: Oral Presentation - RespiratoryFactors Associated with Therapeutic Response to Montelukast in Children with Adenotonsillar Hypertrophy and Mild Obstructive Sleep Apnea (Presenting author: Dr Kanokkarn Sunkonkit)

• 2nd Prize: Oral Presentation - Respiratory Serum IgE Levels and Wheezing in Young Children: Results from a Birth Cohort Study (Presenting author: Dr Aparna

Mukherjee)

• 3rd Prize: Oral Presentation - Respiratory Aquagenic Wrinkling of Skin as a Screening Test for Cystic Fibrosis (Presenting author: Dr Anuj Singh)

FREE PAPER SESSION (ORAL PRESENTATION: GENERAL TRACK)A total of eight abstracts were presented and the following were given awards:

• 1st Prize: Oral Presentation - Paediatrics Evaluation of Neurological Behaviour in Late Preterm Newborn Infants Using the Hammersmith Neurological

Examination (HNE) (Presenting author: Ms Joanne Chin En Yi)

• 2nd Prize: Oral Presentation - Paediatrics Serum Fractalkine (CX3CL1) is Associated with Abnormal Carotid and Femoral Intimal Medial Thickness in

Paediatric Chronic Kidney Disease (Presenting author: Ms Chloe Chan Xiaoyun)

• 3rd Prize: Oral Presentation - Paediatrics Drug Use Evaluation of Extended-Interval Aminoglycoside in Neonates (Presenting author: Dr Huang Peiqi)

FREE PAPER SESSION (POSTER PRESENTATION)A total of 15 poster presentations were judged and the following were given awards:

• 1st Prize: Poster Presentation - Category: Doctors/Students Perinatal Factors Affecting Initiation and Length of Antibiotic for Early Onset Sepsis in the Neonatal Intensive

Care Unit (NICU) (Presenting author: Dr Cheah Poh Voon)

• 2nd Prize: Poster Presentation - Category: Doctors/Students Neonatal Listeriosis – Risk Factors, Clinical Characteristics and Outcome in a Tertiary Hospital in Singapore Over

15 Years (Presenting author: Dr Eleah Vidal)

• 1st Prize: Poster Presentation - Category: Nurses/Allied Health How Effective is Cranial Orthotics in the Management of Deformational Plagiocephaly and is Visual Screening

Sufficient in Determining its Need? (Presenting author: Mr Tsurayuki Murakami)

• 2nd Prize: Poster Presentation - Category: Nurses/Allied Health Evaluation of a 12-Week Orofacial Myofunctional Therapy Exercise Programme for Sleep Related Disordered

Children (Presenting author: Ms Brigitte Fung Kim Yook)

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11TH COLLEGE OF PAEDIATRICS & CHILD HEALTH LECTURE

In conjunction with 5th SiPPAC, the 11th College Lecture was held on 22 October at the Grand Copthorne Waterfront Hotel, Singapore. The lecturer, A/Prof Roy Joseph (Emeritus Consultant, Department of Neonatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital), spoke on the topic, ‘Contemporary Ethical Paediatric Practice’. In recognition of his contributions, A/Prof Roy received a plaque and honorarium from the College President, A/Prof Marion Aw.

A/Prof Roy Joseph delivering the 11th College Lecture.

A/Prof Marion Aw (right) presenting a plaque to A/Prof Roy Joseph.

CHAPTER OF NEONATOLOGISTS ACTIVITIES

DATE ACTIVITY

5 March Combined Neonatal Update – ‘Incidence of Neonatal Group B Streptococcal Infections Post-Antenatal Screening and Intra-Partum Prophylaxi’

5 March 4th Annual General Meeting

14 September 2nd Combined Neonatal Update: Theme – ‘IEM Screening’


The College is committed to further and enhance continuing medical education for the paediatric fraternity in Singapore, by organising workshops, annual scientific meetings and courses that will benefit paediatricians at-large.

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The College of Physicians, Singapore (CPS) is a Company Limited by Guarantee registered in Singapore. It was incorporated on 17 August 2004 (Registration No. 200410334R) and registered under the Charities Act on 13 October 2004, with its address and principal place of business at 81 Kim Keat Road, NKF Centre #11-00, Singapore 328836. Dentons Rodyk & Davidson LLP is the Company Secretary to provide corporate secretarial services to the College. Fiducia LLP is the Auditor for the accounts of the College. DBS Bank Ltd and CIMB Bank Ltd are the bankers of the College.

Physicians in Singapore are medical specialists in the field of Adult Internal Medicine which is distinct from surgery, radiology, anaesthesiology, obstetric and gynaecology and paediatric medicine. They often choose to specialise in one of the following 15 specialties of Internal Medicine: Cardiology, Dermatology, Endocrinology, Gastroenterology, Geriatric Medicine, Haematology, Infectious Diseases, General Internal Medicine, Medical Oncology, Neurology,

Rehabilitation Medicine, Renal Medicine, Respiratory Medicine, Rheumatology and Palliative Medicine.

The College’s vision is to be the recognised leader in training, education, advocacy and enhancement of professional satisfaction for internal medicine and its sub-specialties and to promote and maintain the highest professional and ethical standards in internal medicine and its sub-specialties.

The objectives of the College are as follows:• To advance the art and science of internal medicine and

its specialties• To promote study and research into medical and scientific

problems• To sustain and foster postgraduate education; to conduct

higher professional examinations and to award diplomas

COLLEGE OF PHYSICIANS, SINGAPORE


On behalf of the College Council, I would like to welcome the 33 new members who joined the College in 2016. Membership recruitment will remain as a challenge in the coming years as we explore more avenues to make the College relevant to the professional needs of physicians.

The College held its inaugural dinner on 2 September 2016 at Grand Copthorne Waterfront Hotel, which recorded an attendance of 150 healthcare professionals. I would like to thank Dr Manju Chandran for her efforts in putting together the programme, as well as our two esteemed speakers, Prof Chng Wee Joo and Dr Tan Lai Yong, for their inspiring talks at the dinner.

I would also like to record my heartfelt thanks to Council members Drs Tay Jam Chin, Lee Lai Heng and Angeline Seah who completed their terms in 2016. I am excited to

have Drs Bok Chek Wai, Ng Heng Joo and Noreen Chan join the Council for the term 2016-2018.

I look forward to 2017 with enthusiasm and greater determination of the challenges that the College and its Chapters may encounter as we continue our mission to serve the needs of the Fellows.

DR CHAN CHOONG MENG


Elected Council Members

Dr Chan Choong MengPresidentDirector (from 16 May 2009)

Dr David Lye Chien Boon Vice-President Director (from 7 May 2011)

Dr Yim Heng BoonHonorary Secretary Director (from 26 May 2012)

Dr Mark Chan Peng ChewHonorary TreasurerDirector (from 23 May 2015)

Dr Bok Chek WaiCouncil MemberDirector (from 2 June 2016)

Dr Daniel Chew Ek Kwang Council MemberDirector (from 23 May 2015)

Dr Ng Heng JooCouncil MemberDirector (from 2 June 2016)

Dr Sum Chee FangCouncil Member Director (from 7 May 2011)

Membership recruitment will remain as a challenge in the coming years as we

explore more avenues tomake the College relevant to the professional needs of physicians.

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Appointed Council Members

Dr Aaron Wong Sung Lung Chairman, Chapter of CardiologistsDirector (from 31 May 2013)

Dr Martin Chio Tze-WeiChairman, Chapter of DermatologistsDirector (from 23 May 2015)

Dr Manju ChandranChairman, Chapter of Endocrinologists Director (from 23 May 2015)

Dr Christopher Khor Jen Lock Chairman, Chapter of Gastroenterologists Director (from 23 May 2015)

Dr Ashish Anil SuleChairman, Chapter of General Physicians Director (from 31 May 2013)

Dr Christopher Lien Tsung Chien Chairman, Chapter of Geriatricians Director (from 23 May 2015)

Dr William Hwang Ying Khee Chairman, Chapter of Haematologists Director (from 23 May 2015)

Dr Brenda Ang Sze Peng Chairman, Chapter of Infectious Disease Physicians Director (from 23 May 2015)

Dr Lim Siew EngChairman, Chapter of Medical Oncologists Director (from 23 May 2015)

Dr Deidre Anne De SilvaChairman, Chapter of Neurologists Director (from 23 May 2015)

Dr Noreen Chan Guek ChengChairman, Chapter of Palliative Medicine Physicians Director (from 2 June 2016)

Dr Peter Lim Ai Chi Chairman, Chapter of Rehabilitation Physicians Director (from 31 May 2013)

Dr Terence Kee Yi ShernChairman, Chapter of Renal Physicians Director (from 31 May 2013)

Dr Augustine Tee Kim HuatChairman, Chapter of Respiratory Physicians Director (from 31 May 2013)

Dr Bernard Thong Yu Hor Chairman, Chapter of Rheumatologists Director (from 23 May 2015)

Seated (from left): Dr Lim Siew Eng (Chair, Chapter of Medical Oncologists), Dr Brenda Ang Sze Peng (Chair, Chapter of Infectious Disease Physicians), Dr Daniel Chew Ek Kwang (Council Member), Dr Mark Chan Peng Chew (Honorary Treasurer), Dr Chan Choong Meng (President), Dr David Lye Chien Boon (Vice-President), Dr Sum Chee Fang (Council Member), Dr Ng Heng Joo (Council Member), Dr Deidre Anne De Silva (Chair, Chapter of Neurologists)

Standing (from left): Dr William Hwang Ying Khee (Chair, Chapter of Haematologists), Dr Martin Chio Tze Wei (Chair, Chapter of Dermatologists), Dr Ashish Anil Sule (Chair, Chapter of General Physicians), Dr Terence Kee Yi Shern (Chair, Chapter of Renal Physicians), Dr Bernard Thong Yu Hor (Chair, Chapter of Rheumatologists), Dr Manju Chandran (Chair, Chapter of Endocrinologists), Dr Noreen Chan Guek Cheng (Chair, Chapter of Palliative Medicine Physicians), Dr Peter Lim Ai Chi (Chair, Chapter of Rehabilitation Physicians), Dr Christopher Khor Jen Lock (Chair, Chapter of Gastroenterologists)

Not in photo: Dr Bok Chek Wai (Council Member), Dr Yim Heng Boon (Honorary Secretary), Dr Aaron Wong Sung Lung (Chair, Chapter of Cardiologists), Dr Christopher Lien Tsung Chien (Chair, Chapter of Geriatricians), Dr Augustine Tee Kim Huat (Chair, Chapter of Respiratory Physicians)


The 12th Annual General Meeting of the College was held on 2 June 2016 at the Communicable Disease Centre 1. It was attended by 29 Fellows fulfilling the quorum of not less than 20 voting members at the commencement of a general meeting in accordance to Article 68 of the College Constitution.

COUNCIL MEETINGS

The Council held six meetings in 2016 to conduct the business and affairs of the College on the following dates: 12 January, 29 March, 4 June, 12 July, 13 September and 12 November.

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MEMBERSHIP

As at 31 December 2016, the College had a total of 886 members comprising 827 Fellows (Local), 57 Fellows (Overseas) and two Associate Members. The College welcomed a total of 33 new members in 2016.

The total membership of 886 comprises:

Cardiologists 131

Dermatologists 96

Endocrinologists 67

Gastroenterologists 77

General Physicians 120

Geriatricians 52

Haematologists 25

Infectious Disease Physicians 25

Medical Oncologists 69

Neurologists 63

Palliative Medicine Physicians 36

Rehabilitation Physicians 25

Renal Physicians 51

Respiratory Physicians 73

Rheumatologists 44

ACTIVITIES

INAUGURAL COLLEGE DINNER

The College had held its inaugural dinner in conjunction with the Conferment Ceremony, 26th Seah Cheng Siang Memorial Lecture and 13th College of Physicians Lecture on 2 September 2016 at Grand Copthorne Waterfront Hotel.

26TH SEAH CHENG SIANG MEMORIAL LECTURE

The 26th Seah Cheng Siang Memorial Lecture was delivered by Professor Chng Wee Joo, Director of the National University Cancer Institute, Singapore. Professor Chng spoke on ‘Multiple Myeloma: A Journey from Biology to Potential Cure’ where he shared about the major discoveries in genomics, biology, drug discovery and therapy of myeloma, the second most common blood cancer in the world.

Prof Chng Wee Joo delivering the 26th Seah Cheng Siang Memorial Lecture.

Prof Chng Wee Joo (left) receiving a token of appreciation from College President, A/Prof Chan Choong Meng.

Dr Tan Lai Yong delivering the 13th College of Physicians Lecture.

Dr Tan Lai Yong (left) receiving a token of appreciation from College President, A/Prof Chan Choong Meng.

CONFERMENT CEREMONY

The College had conferred the title of Honorary Fellowship to two esteemed individuals who have eminently distinguished themselves in the service of internal medicine: Professor Chee Yam Cheng (Senior Advisor, National Healthcare Group Board; President, National Healthcare Group College; Emeritus Consultant, Tan Tock Seng Hospital) and Professor Ong Yong Yau (Emeritus Consultant, Singapore General Hospital; Senior Advisor, SingHealth; Clinical Professor of Medicine, National University of Singapore).

1000

800

600

400

200

0

MEMBERSHIP

2012

745 761818 864 886

2013 2014 2015 2016

13TH COLLEGE OF PHYSICIANS LECTURE

The 13th College of Physicians Lecture was delivered by Dr Tan Lai Yong, Resident Fellow of the College of Alice and Peter Tan, National University of Singapore. Dr Tan spoke on ‘Rural Lessons for Urban Doctors’ where he shared lessons learnt from rural communities about lifelong values of being a healer; going back to the basics of preventing disease, curing at times but always bringing comfort and sharing hope.

College President, A/Prof Chan Choong Meng, conferring Honorary Fellowships to Prof Chee Yam Cheng (in left photo) and Prof Ong Yong Yau (in right photo).

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8TH MEDICINE REVIEW COURSE

The 8th Medicine Review Course held on 23-24 July 2016 at Academia Auditorium recorded an attendance of 363 registrants. A total of 56 faculty members comprising programme directors and speakers were engaged to deliver a wide spectrum of common topics and important updates in Internal Medicine.

Dr Christopher Khor delivering a talk on gastrointestinal endoscopy.

The audience at the 8th Medicine Review Course.

3RD MONTEIRO LECTURE

The 3rd Monteiro Lecture organised by the Chapter of Infectious Disease Physicians was held on 11 March 2016 at Tan Tock Seng Hospital Annex 2. The lecture was delivered by Prof Goh Kee Tai on the topic ‘Infectious Disease Outbreaks in Singapore: Personal Reflection on Surveillance and Management’.

Prof Goh Kee Tai delivering the 3rd Monteiro Lecture.

Dr Edmund Monteiro (left) presenting a token of appreciation to Prof Goh Kee Tai.

10TH CHAPTER OF RENAL PHYSICIANS LECTURE

The 10th Chapter of Renal Physicians Lecture was held at Mandarin Oriental Singapore on 25 November 2016. The lecture was delivered by Dr Marjorie Foo on the topic ‘For Better or For Worse: Lessons from the Change in Dialysis Paradigm in the Region’.

Dr Marjorie Foo delivering the 10th Chapter of Renal Physicians Lecture.

Dr Marjorie Foo (left) receiving a token of appreciation from Dr Terence Kee, Chapter Chairman.

COUNCIL RETREAT

The College Council had held a retreat on 12 November 2016 at Holiday Inn Orchard City Centre to brainstorm strategic plans and initiatives for the coming year. The three areas of discussion were:• Improving Communication and Fellowship Benefits• Specialist Training/Assessment• Improving College Standing

Council members mapped and discussed strategic plans and initiatives at the retreat.

CHAPTER ACTIVITIES

The various Chapters had organised/supported the following activities in 2016:Chapter of Dermatologists15 September HMDP Visiting Expert Lecture: ‘Biosimilars’ Good News with Some Cautionary Strategies’

Prof Neil Hartley ShearChapter of Endocrinologists13 May Singapore Parathyroid, Bone and Kidney Seminar19 August Multifactorial Interventions in Type 2 DiabetesChapter of Geriatricians10-13 August Asia Pacific Geriatrics Conference 2016Chapter of Haematologists2 October World Thrombosis Day Public Forum 2016Chapter of Infectious Disease Physicians12 May Career Paths in Infectious Disease14 May Renal-Infectious Disease Symposium18 June 6th ASEAN Dengue Day Seminar30 November-4 December Asia Pacific HIV Practice Course

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Chapter of Medical Oncologists3 November 2nd Chapter of Medical Oncologists DinnerChapter of Neurologists29 September-1 October 7th Singapore International Parkinson Disease & Movement Disorders Symposium6-8 October 16th Singapore Stroke ConferenceChapter of Palliative Medicine Physicians19 November 2015/2016 NUS GDPM Graduation Ceremony cum Chapter’s Appreciation Evening Chapter of Rehabilitation Physicians12 August Exam Question Writing WorkshopChapter of Renal Physicians14 May Renal-Infectious Disease SymposiumChapter of Respiratory Physicians7 March Bronchodilators & Updated Clinical Evidences in the Therapeutic Management of COPD

Prof Eric Bateman29 March Guidelines & Options in Management of Severe Respiratory Infections in Intensive Care

A/Prof George Dimopoulos30 March Perfect Harmony in Asthma Control

Dr Leong Jern Lin, Dr Lee Yeow Hian21 April Lung Transplantation in Singapore

Dr Sewa Duu WenChapter of Rheumatologists1 September Models of Health Care in Lupus

Dr Meenakshi Jolly

INTERNAL MEDICINE IN-TRAINING EXAMINATION (IM-ITE)

The College had engaged 18 Fellows to invigilate the IM-ITE held on 27 August and 3 September 2016.

• Dr Punitha Arasaratnam • Dr Lee Tau Hong

• Dr Anne Marie Borja • Dr Lieu Ping Kong

• Dr Mark Chan Peng Chew • Dr Nihar Pandit

• A/Prof Daniel Chew Ek Kwang • Dr Ramani Narayanaswamy Venketasubramanian

• A/Prof Samuel Chew Teong Huang • A/Prof Suresh Sahadevan

• Dr Pankaj Handa • A/Prof Tay Jam Chin

• Dr Shaji Jose • Prof Teo Eng Kiong

• Dr Kor Ai Ching • Dr Tjan Soon Yin

• A/Prof Lau Tang Ching • Prof Sonny Wang Yee Tang STAFF REGISTRAR SCHEME (SRS)

A total of 22 doctors had enrolled in SRS in 2016. Since 2007, 169 doctors have enrolled in the SRS.

DIPLOMA YEAR STARTED

DURATION (YEARS)

ENROLMENT IN 2016

ENROLMENT TO-DATE

Cardiology 2007 2 4 21

Clinical Haematology (Adult) 2013 2 - 3

Endocrinology 2016 2 3 3

Geriatric Medicine in Hospital and ILTC 2007 2 6 57

Infectious Diseases 2007 2 - 6

Internal Medicine (with Focus on Hospital Medicine) 2007 2 5 39

Medical Oncology in Hospital 2007 3 - 7

Neurology 2007 2 - 5

Palliative Medicine 2007 2 2 11

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Rehabilitation Medicine 2007 2 1 11

Respiratory Medicine 2015 2 1 5

Respiratory Medicine (Clinical and Public Health - TB) 2013 2 - 1

INDEPENDENT MEDICAL EXPERTS

The College had assisted the Academy of Medicine, Singapore in providing expert opinions for seven coroner’s cases from the Singapore Police Force for investigation.

DIPLOMA YEAR STARTED

DURATION (YEARS)

ENROLMENT IN 2016

ENROLMENT TO-DATE

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The College had furnished professional opinions and feedback in various areas in 2016.


1 Endorsement of the Revised Obesity CPG (Jan 2016) Health Promotion Board

2 Esophageal High Resolution Manometry and pH-Impedance Testing Ministry of Health

3 Dr Georgia Lee’s Clinic “TLC Lifestyle Practice” to Justify the Provision of Non-List A Aesthetic procedures

Ministry of Health


5 Tdap Vaccination for Pregnant Women During 3rd Trimester Ministry of Health

6 Clinical Use of Next-Generation Sequencing (NGS) Based Assays Ministry of Health




Ministry of Health

10 Developments in More Comprehensive Genetic Marker Testing Ministry of Health

11 Circulating Tumour Cells Ministry of Health

12 NUDT15 and SLCO1B1 Sequencing Ministry of Health

13 Zika Virus Testing Ministry of Health

14 Query on Provision of High Dose IV Vitamin C Ministry of Health


16 Opinion on Ozone Therapy Ministry of Health

17 NECC Core Competencies in Clinical Ethics for Healthcare Professionals National Ethics Capability Committee


19 Chronic Obstructive Pulmonary Disease CPG Ministry of Health

20 Invasive Aesthetic Procedures by a Beautician Ministry of Health

21 Use of Hand Held Device “Palovia Paloma” to Administer Aesthetic Treatments Ministry of Health

22 DHCPL on Domperidone Health Sciences Authority



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The College of Radiologists, Singapore was incorporated under the Companies Act (Cap 50), on and from 17 August 2004. It is a Public Company Limited By Guarantee (Unique Entity Number [UEN]: 200410338Z). Its registered address is at 81 Kim Keat Road, #11-00, Singapore 328836. Its banker is DBS Bank Ltd and auditor is Fiducia LLP.

The principal activities of the College are to advance the art and science of radiology, radiation oncology and nuclear medicine and its subspecialties; promote study and research into medical and scientific problems; sustain and

foster postgraduate education; and conduct higher professional examinations and award diplomas.

The College is financially supported by donations from members, income from events and educational grants. The staff supporting the College work are employed by the Academy of Medicine, Singapore.

COLLEGE OF RADIOLOGISTS, SINGAPORE


The year had been fruitful in terms of the College’s involvement in giving opinions sought by the Ministry of Health. These opinions help to shape health care policies in the country, and centred around issues like proton beam therapy, ozone treatment and the provision of nuclear medicine services. The Chapter of Diagnostic Radiologists also prepared various documents and formed various workgroups to look into guidelines on obtaining informed consent, contrast administration, lung and breast cancer screening. These guidelines will help improve the standard of health care and safety of patients. It is hoped that more members from both the public and private sectors of all the three fraternities – diagnostic radiology, radiation oncology and nuclear medicine – will

provide their knowledge and experience to help shape the future of Singapore’s health care. There should be a balance between having too many regulations, that may impede innovative ideas, and overly liberal policies that endanger patients.

The difficulty lies in striking the right balance.

DR CHUA EU TIONG


Dr Chua Eu TiongPresidentDirector (from 21 July 2004)

Dr Ian TsouPresident-Elect Director (from 12 May 2012)

Dr Tay Kiang HiongVice-PresidentDirector (from 7 May 2011)

Dr Raymond QuahHonorary SecretaryDirector (from 26 April 2014)

Dr Tan Bien PengHonorary TreasurerDirector (from 14 May 2016)

Dr Andrew TanCouncil MemberDirector (from 14 May 2016)

Dr Chou HongCouncil MemberDirector (from 14 May 2016)

Dr Daniel TanCouncil MemberDirector (from 16 May 2015)

Dr Lester LeongChairman, Chapter of Diagnostic RadiologistsDirector (from 16 May 2015)

Dr Ong Seng ChuanChairman, Chapter of Nuclear MedicineDirector (from 4 May 2013)

Dr Michael WangChairman, Chapter of Radiation OncologistsDirector (from 16 May 2015)

It is hoped that more members will provide their knowledge and experience to help shape the future of Singapore’s

health care.

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SPECIALTY CHAPTERS

In accordance to the Constitution of the College, the specialty chapters are to serve a two-year term. The Committee Members of the three Chapters of the College (2015-2017) are as follows: Chapter of Diagnostic Radiologists

Chairman Dr Lester Leong

Vice-Chairman Dr Terence Teo

Honorary Secretary Dr Chou Hong

Member Dr Lynette Teo

Member Dr Ankit Tandon

Member Dr Luke Toh

Member Dr Lim Chee Yeong

Chapter of Radiation OncologistsChairman Dr Michael Wang

Vice-Chairman Dr Choo Bok Ai

Honorary Secretary Dr Richard Yeo

Member Dr Lee Kuo Ann

Member Dr Kiattisa Sommat

Chapter of Nuclear Medicine PhysiciansChairman Dr Ong Seng Chuan

Vice-Chairman Dr Winnie Lam Wing Chuen

Honorary Secretary Dr Lu Suat Jin

Member Dr Aaron Tong

Member Dr Kelvin Loke

Member Dr Khor Lih Kin


The College’s 12th Annual General Meeting was held on Saturday, 14 May 2016 at the Grand Copthorne Waterfront Hotel.

COUNCIL MEETINGS

The Council had held five meetings in 2016 to conduct the business and affairs of the College on the following dates: 15 February, 11 April, 27 June, 15 August, 17 October.

MEMBERSHIP

The College’s membership as at 31 December 2016 is 219, comprising 172 Diagnostic Radiologists, 19 Nuclear Medicine Physicians and 28 Radiation Oncologists.

Standing (from left): Dr Tan Bien Peng (Honorary Treasurer), Dr Daniel Tan (Council Member), Dr Lester Leong (Chairman, Chapter of Diagnostic Radiologists), Dr Chou Hong (Council Member), Dr Michael Wang (Chairman, Chapter of Radiation Oncologists), Dr Raymond Quah (Honorary Secretary)

Seated (from left): Dr Ong Seng Chuan (Chairman, Chapter of Nuclear Medicine), Dr Tay Kiang Hiong (Vice-President), Dr Chua Eu Tiong (President), Dr Ian Tsou (President-Elect), Dr Andrew Tan (Council Member)

2012 2013 2014 2015 2016

Diagnostic Radiology Nuclear Medicine Radiation Oncology Total

250

200

150

100

50

0

131

147 154 157 172

16 17 17 18 19 23 26 28 29 28

170

190

199

204

219

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ACTIVITIES

CHAPTER OF DIAGNOSTIC RADIOLOGISTS

The Chapter runs a few nationwide education programmes and courses for residents. A 2015 review of the National Didactic Lecture Program had resulted in changes to some of the lecture programme topics and a major revamp of the Year 4 residency lecture programme. The latter changes were made to prepare residents for the recent additions to the residency examination calendar: the Residency Year 4 MCQ Examination and the end-of-training Exit Examination. Soft skill topics like lectures on biostatistics, communication skills, etc. were added to the hard skill topics.

A Residency Year 4 MCQ Examination Preparatory course was also introduced in February 2016, conducted just before the inaugural Year 4 MCQ Examination. The feedback from the participants had been positive (with a repeat edition conducted in January 2017).

It is hoped that the new changes will make residents’ learning more relevant, engaging and interesting and provide a well-rounded education that will help prepare them for their work as specialists, and not just for the purpose of training for upcoming examinations.

In partnership with the Singapore Radiological Society and other relevant stakeholders, the Chapter was also active in raising and standardising radiology quality and safety across the country. In May 2016, the College adopted the Guidelines on Obtaining Informed Consent in Interventional Radiology Procedures, culminating in years of hard work by the workgroup committee co-chaired by Drs Terence Teo and Luke Toh.

The Chapter had also formed three other CRS-led workgroups on contrast administration guidelines, lung cancer screening guidelines, and review of breast cancer screening guidelines in 2016. The workgroups are chaired by Drs Lynette Teo, Andrew Tan and Lester Leong respectively. The Chapter hopes to be able to come to some consensus on these issues and distribute a draft of the guidelines to all College members and fellows for further discussion in 2017.

CHAPTER OF RADIATION ONCOLOGISTS

The Chapter had conducted CME lectures for the benefit of the radiological and medical community and continued to raise public awareness of Radiation Oncology through participation in public talks and forums. Dr Choo Bok Ai had spoken during an International Day of Radiology public forum in November 2016.

The Chapter had also provided professional opinions to MOH on subjects pertaining to radiation medicine, such as ‘Proton Beam Therapy’ in December 2015 and ‘Ozone Treatment for Radiation Injury of Osteoradionecrosis’ in November 2016.

With a significant number of new Radiation Oncologists coming on board in the next five years, the Chapter plans to actively engage their participation in College activities.

CHAPTER OF NUCLEAR MEDICINE PHYSICIANS

The Chapter had held a meeting on 14 April 2016 at Luke Oyster Bar.

The Fellows of the Chapter continued to be involved in CME lectures including those in the Duke_NUS GME radiology programme; Yong Loo Lin School of Medicine NUS undergraduate attachments; Post graduate examinations preparation courses; DR Residency training didactic programme and residency teaching.

The Chapter was also involved with the Ministry of Health in a Nuclear Medicine Advisory Committee. Three members of the Chapter had assisted in finalising the draft LTC on Provision of Nuclear Medicine Services.

The Chapter had nominated Dr Winnie Lam to be proctor for 2016 ABNM ITE on 31 March 2016, which she had accepted.

The Chapter had welcomed Dr Huang Hian Liang as new Fellow of the Academy of Medicine, Singapore in September 2016.

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National Didactic Lecture Series Residency Program Part 1Organised by Chapter of Diagnostic RadiologistsCourse Leader: Dr Chou Hong

DATE TEACHER TOPIC

ANATOMY LECTURES

4 July Dr Chea Yen Wei Cardiothoracic & Vascular

11 July Dr Marielle Fortier Paediatric Imaging

18 July Dr Chong Le Roy Musculoskeletal

25 July Dr Shyan Lee Yeong Breast Imaging

1 August Dr Lam Shu Lin Female Pelvis

8 August Dr Tan Tiong Yong Head and Neck

15 August Dr Lynette Teo Body Imaging (GI)

22 August Prof Tchoyoson Lim CNS

29 August Dr Lim Mei Chin Mock Exam

FOUNDATION LECTURES

5 September Prof Wilfred Peh/Dr Niraj Dubey Emergency Limb and Joint Trauma

19 September Dr PC Mohan Emergency Spine Trauma

26 September Dr Lynette Teo Emergency Chest Radiographs

3 October Dr Gregory Kaw Emergency CT Chest

10 October Dr Andrew Tan Emergency CT Abdomen

17 October Prof Tchoyoson Lim Emergency CT Brain

24 October Dr Harvey Teo Paediatric Emergencies

31 October Dr Ting Yonghan/Charles Goh Rapid Sets

PHYSICS LECTURES

7 November Prof Ng Thian C Nuclear Magnetic Resonance (NMR)

Mr YM Kwok Ionising Radiation (IR) P1Digital Radiology (DR) P1: Computers and PACS

14 November Dr Subash Kapur IR P2

Dr H Rumpel Magnetic Resonance Imaging (6.17)Magnetic Resonance Imaging (6.17) Continued

21 November Dr H Rumpel Magnetic Resonance Imaging (6.17) ContinuedSafety in Magnetic Resonance Imaging (6.18)

Mr YM Kwok DR P2: Digital Detectors

28 November Dr Gervais Wansaicheong Ultrasound P1: Introductory PhysicsUltrasound P2: Ultrasound ImagingUltrasound P3: Advanced Topics in US Imaging

5 December Dr Subash Kapur IR P3IR P4: Protection in Diagnostic Radiology

Dr D Townsend DR P3: Computerised Axial Tomography

12 December Dr Subash Kapur IR P5: Doses in Imaging ModalitiesIR Lecture

19 December Mr S Somanesan NM P1: Radionuclides and Their ProductionNM P2: Gamma Camera; SPECT

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National Didactic Lecture Series Residency Program Part 2AOrganised by Chapter of Diagnostic RadiologistsCourse Leader: Dr Winston Lim

DATE TEACHER TOPIC

4 May Dr Gregory Kaw The Chest Wall, Pleura and Diaphragm

18 May Dr Lim Kian Soon Large Airway Obstruction

Dr Daniel Wong Arterial Disease (Excluding Aorta): Diagnosis and Intervention

25 May Dr Tan Bien Soo Interventional Techniques in the Thorax

Dr Winnie Lam Nuclear Medicine in Respiratory Disease

Nuclear Medicine in Cardiovascular Disease

1 June Dr Narayan Lath Cardiomyopathies, Cardiac Tumours and Pericardium

Dr Farah Gillan Irani The Aorta: Diagnosis and Intervention

Dr Haja Mohideen Salahudeen Pulmonary Neoplasm

8 June Dr Lynette Teo Congential Heart Disease

Acquired Valvular Heart Disease

15 June Dr Suresh Balasubramaniam Pulmonary Thromboembolism

22 June Dr Ng Yuen Li The Critically Ill Patient

Dr Michael Lin The Mediastinum

29 June Dr Shoen Low Ischaemic Heart Disease

Dr K Gunasegaran Echocardiography and Coronary Angiography

Dr Ankur Patel Venous Disease: Diagnosis and Intervention

13 July Dr Marielle Fortier Paediatric Gastrointestinal

Paediatric Urogenital

20 July Dr Shabana Rasheed Paediatric Musculoskeletal Imaging of Child Abuse

A/Prof Harvey Teo Imaging of Child Abuse

27 July Dr Tang Phua Hwee Paediatric Chest

Paediatric Oncology

Paediatric Neuroradiology

10 August Dr Francis Hui Overview of Imaging Techniques in Musculoskeletal Radiology

Dr Niraj Dubey Lower Extremity Trauma

17 August Dr Png Meng Ai Metabolic Bone Diseases

Dr Chandra Mohan Interventional Techniques in Musculoskeletal Radiology

24 August Dr Andrew Tan EH Scintigraphic Applications in Musculoskeletal Radiology

31 August A/Prof Thomas Chee Bone Infection

Dr Lim Wei Yang Arthritides

7 September Dr Louise Gartner Musculoskeletal Tumours

14 September Dr Kenneth Sheah Upper Extremity Trauma

Dr Koh Wan Lin Internal Derangements of Lower Limb Joints

28 September Dr Cheah Foong Koon Diffuse Pulmonary Disease

Industrial Lung Disease

Dr Austin Htoo Oesophagus, Stomach and Small Bowel

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DATE TEACHER TOPIC

5 October Dr Andrew Tan GS Pancreas

Dr Angeline Poh Pulmonary Infection

12 October Dr Kwek Jin Wei Bile Ducts and Gallbladder

Dr Albert Low Focal Liver Lesion

19 October Dr Dinesh Chinchure Acute Aortic Syndromes

26 October Dr Tan Cher Heng Radiology of Trauma and Acute Abdomen

2 November Dr Law Yan Mee Prostate Cancer Imaging

Dr Shaun Xavier Chan Abdominal Interventional Radiology

16 November Dr Jill Wong Breast Imaging 1: Screening and Biopsy Methods

Dr Juliana Ho Spleen, Lymphoma and Haematological Conditions

23 November Dr Llewellyn Sim Breast Imaging 2: Diagnosis & Assessment, Metastatic Patterns

A/Prof Thng Choon Hua Generalised Liver Lesions, Cirrhosis and Hepatoma

30 November Dr Marielle Fortier Female Pelvic MRI

7 December Dr Lam Shu Lin Gynaecological US

21 December Dr Michael Clarke Colon and Rectum

28 December A/Prof Ong Chiou Li Hysterosalpingography and Fertility

Obstetric US

National Didactic Lecture Series Residency Program Part 2BOrganised by Chapter of Diagnostic RadiologistsCourse Leader: Dr Lynette Teo

DATE TEACHER TOPIC

5 MayDr Ashutosh Prakash

Case-Based Viva StyleDr Matthew George

12 MayDr Anil Gopinathan Approach to Intervention of the Acute Stroke Patient

Dr Louise Gartner Approach to the Hole in the Bone

19 MayDr Shaun Xavier Chan Viva

Dr Haja Mohideen Salahudeen Approach to the Acute Abdomen

26 MayDr Yu Wai Yung Approach to the Patient with Altered Mental State

Dr Bela Purohit Viva

2 JuneDr Than Naing Tun

VivaDr Julian Goh

9 JuneA/Prof Goh Poh Sun Approach to the Intracranial Mass

Dr Lynette Teo The Approach to Chest X-Ray in Cardiac Diseases

16 JuneDr Robert Chen Viva

Dr Lester Leong Approach to the Breast Mass

23 JuneDr Prasanna Tirukonda

VivaDr Ng Keng Sin

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DATE TEACHER TOPIC

30 JuneDr Kwek Jin Wei

VivaDr Chew Lee Lian

7 JulyDr Hollie Lim

VivaDr Lawrence Quek

14 JulyDr Khor Lih Kin Approach to General Nuclear Medicine Scans & TNM Staging in PET

Imaging

Dr Jeevesh Kapur Approach to the Acute Abdomen and Abdominal Masses in Children

21 JulyDr Ng Yuen Li Approach to Interstitial Shadowing

Dr Shaun Chan Approach to Lung Collapse

28 JulyDr Alvin Tan

VivaDr Chin Teck Yew

4 AugustDr Summaiyya Ahamed

VivaDr Ahmed

11 AugustProf Vincent Chong Approach to the Staging of Nasopharyngeal Cancer

Dr Yeong Kuan Yuen Role of IR in Treatment of Liver Malignancies

18 August Dr Khoo Jen Nee Approach to the Pair of Hands

25 AugustDr Rupak Dutta

VivaDr Niketa Chotai

3 NovemberDr Thian Yee Liang Viva

Prof Wing Chan X-Rays of the Wrist Injuries: A Systematic Approach

10 NovemberProf Mihra Taljanovic (HMDP Expert; Senior MSK Radiologist, University of Arizona)

17 November

Dr Lee Chau Hung

VivaDr Arun Thomas

Dr Lim Kian Soon

24 NovemberDr Too Chow Wei

VivaDr Winston Lim

1 DecemberProf Tchoyoson Lim

VivaDr Yu Wai Yung

8 DecemberDr Goh Chin Kong

VivaDr Saraswathy Suresh Babu

15 DecemberDr Lionel Cheng

VivaDr Lim Chee Yeong

22 DecemberDr Martin Hng

VivaDr Justin Kwan

29 December Dr Wang Wing Yee Viva

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National Didactic Lecture Series Residency Program Parts 4 & 5Organised by Chapter of Diagnostic RadiologistsCourse Leaders: Dr Ankit Tandon, Dr Charlene Liew

DATE TEACHER TOPIC

12 JulyDr Lynette Teo How to Apply for IRB, Medical Ethics

Dr Niketa Chotai Breast MRI

26 JulyDr Pua Uei Diagnosis, Management & Post Treatment Assessment of Hepatocellular

Carcinoma

Dr Chou Hong Radiologic Diagnosis & Management of Bone Tumours

2 AugustDr Tang Phua Hwee Imaging of Common Paediatric Intracranial Abnormalities

Dr Teo Sze Yiun Imaging Findings of Ovarian and Adnexal Masses

16 AugustDr Narayan Lath Cardiac MRI Imaging of Ischaemic Heart Disease and Non Ischaemic

Cardiomyopathies

Dr Gervais Wansaicheong Soft Skill: Communication and Teamwork

6 SeptemberDr Teoh Wey Chyi Characterisation of Focal Hepatic (Excluding HCC) and Splenic Lesion

Dr Andrew Tan Soft Skill: Quality in Radiology

20 SeptemberDr Ankur Patel Vascular Entrapment Syndromes and Vasculitis Syndromes

Dr Winston Lim Brain Trauma and Stroke - What the Radiologist Needs to Know?

18 OctoberDr Raphael Yiin CNS Infections

Dr Angeline Poh Soft Skill: Healthcare Systems and Challenges

25 OctoberDr Lynette Teo Cardiac – Radiological Assessment of Congenital Heart Diseases

Prof Vincent Chong ENT – Neck Spaces and Associated Conditions

8 November Dr Joe Francis Imaging of Osteomyelitis and Musculoskeletal Soft Tissue Infections: Current Concepts

22 NovemberDr Bharadwaj Pushan Cardiac MIBI Scan and Nuclear Cardiology

Dr Charlene Liew Soft Skill: Professionalism

13 December Dr Xie Wan Ying Radionuclide Scanning: Identification of Radio-Pharmaceutical and Appearance of Pathology

FRCR MEDICAL PHYSICS PREPARATORY COURSE

The College had conducted the FRCR Medical Physics Preparatory course from 25 to 28 February 2016 at the Academy of Medicine, Singapore. The invited speaker was Dr Michael Waller, Consultant Clinical Scientist, Department

of Medical Physics & Engineering, Leeds Teaching Hospitals NHS Trust, United Kingdom. A total of 10 participants had signed up for the course and the participants’ feedback on the course had been generally positive.

FRCR Physics Preparatory Course participants with Dr Michael Waller (centre).

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SINGAPORE CONGRESS OF RADIOLOGY 2016 IN CONJUCTION WITH THE 25TH ANNUAL SCIENTIFIC MEETING (ASM) OF THE SINGAPORE RADIOLOGICAL SOCIETY (SRS) AND COLLEGE OF RADIOLOGISTS, SINGAPORE (CRS)

The Singapore Congress of Radiology 2016 in conjunction with the 25th Annual Scientific Meeting (ASM) of the Singapore Radiological Society (SRS) and College of Radiologists Singapore (CRS) was held from 19 to 21 February 2016 at the Academia, Singapore General Hospital.


The College had given the following professional opinions on various requested topics.

NO. TOPIC ORGANISATION

1 Screening Tests Review (Further Inputs Clarification)

Ministry of Health

2 Consent-Taking for Procedures

Ministry of Health

3 Performing Angiogram under General Anaesthesia

Ministry of Health

4Updates to TOSP and Call for Proposals for 2016/17 Review

Ministry of Health

5 Ozone Therapy Ministry of Health

6Performing X-Ray Services in Nursing Homes & Patient’s Homes

Ministry of Health

7Draft Licensing Terms and Conditions on Nuclear Medicine

Ministry of Health

8 Radiological Requests from Non Medical Practitioners

Ministry of Health


The College is committed to furthering and enhancing its continuing medical education for the radiological communities in Singapore through the organisation of workshops, annual scientific meetings and courses that will benefit radiologists at-large.

Guests at the event’s Gala Dinner (from left): Dr Pua Uei (FY Khoo Lecturer), Dr Tan Bien Soo, Dr Chua Eu Tiong, Dr Khoo Ih Chu and A/Prof Tay Kiang Hiong.

Lifetime Achievement Award winners were honoured at the event’s Gala Dinner. In left photo: Lifetime Achievement Award winner, Dr Khor Tong Hong (left) receiving his medal from Dr Chua Eu Tiong. In right photo: Dr Anthony Goh (left) receiving his Lifetime Achievement Medal from Dr Pua Uei.

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The Chapter of Surgeons was inaugurated in 1966 by the Master of the Academy of Medicine, Professor K Shanmugaratnam, as one of the first two Chapters of the Academy. The first chairman elected was Mr Yahya Cohen. Over the years, it had functioned under the umbrella of the Academy and successfully organised many academic activities for its members. The Academy Council undertook a major review of the Academy’s Memorandum and Articles of Association (M&AA) in 2002 and 2003 with a view to transform a number of Chapters to Colleges.

COLLEGE OF SURGEONS, SINGAPORE

The College of Surgeons, Singapore was incorporated on 17 August 2004 (UEN: 200410341R). Its registered address is at 81 Kim Keat Road, NKF Centre, #11-00, Singapore 328836. Its internal auditor is Fiducia LLP and its bankers are DBS Bank Ltd and Oversea-Chinese Banking Corporation Ltd. Ms Ho Wui Mee Marian and Ms Chew Bee Leng from Dentons Rodyk & Davidson LLP are the appointed Company Secretaries of the College.


The College had a busy 2016 as you will see from the list of events organised by its Chapters in this report. In addition to the usual professional opinions to Ministry of Health, the College was also involved in discussions with the Ministry and SMC on the latest ethics guidelines and fee sharing issues with insurers. The traditional role of the College has been that of professional advisory and academic matters. However, there have been recent issues that affect surgeons but there is no representative voice for them. The issues include the health insurance task force findings of rising health care costs, which seems to blame surgeons’ fee as a major cause. Another pertinent issue is the restriction of practice on exposure-prone procedures if one were to found to be a hepatitis B carrier. The College has decided to set up a standing committee to speak up for surgeons in such non-academic matters. Over the years, a lot of people have questioned the role of the College and Academy and what we have done for specialists. If you have any issues which you would like to

be involved in, please contact the secretariat. The College is always open to having more helping hands. At the Academy level, a faculty of medical experts is being set up to provide expert medical opinions for medico-legal cases. The Academy will provide training for those who are keen to contribute as experts. If you are keen to contribute, please come forward. I will be handing over the presidency of the College to Dr Chua Wei Chong in May 2017. I would like to thank those who have supported the College in the past two years. Best wishes for the year ahead!

DR HO KOK SUN

There have been recent issues that affect surgeons but there is no representative

voice for them. The College has decided to set up a standing committee to speak up for surgeons in non-academic matters.

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Dr Ho Kok SunPresidentDirector (from 17 May 2013)

Dr Chua Wei Chong President-Elect Director (from 8 May 2015)

Dr Diddapur Ravishankar Krishnamurthy Vice-President Director (from 12 May 2014)

Dr Ikshuvanam Swaminathan Honorary SecretaryDirector (from 17 May 2012)

Dr Marcus Wong Thien Chong Honorary Treasurer Director (from 27 May 2011)

Dr Dean Koh Chi Siong Council Member Director (from 17 May 2013)

Dr Goh Yaw Chong Council Member Director (from 2 June 2016)

Dr Tan Yeh Hong Council Member Director (from 2 June 2016)

Dr James Wong Woon Wai Chairman, Chapter of Cardiothoracic Surgeons Director (from 17 May 2013)

Dr Bernard Lim Yon Kuei Chairman, Chapter of General Surgeons Director (from 8 May 2015)

Dr Sandeep Jacob Sebastin Muttath Chairman, Chapter of Hand Surgeons Director (from 8 May 2015)

Dr Seow Wan Tew Chairman, Chapter of Neurosurgeons Director (from 8 May 2015)

Dr Peter Lu Kuo Sun Chairman, Chapter of Otorhinolaryngologists Director (from 17 May 2013)

Dr Fareed Husain Yusuf Kagda Chairman, Chapter of Orthopaedic Surgeons Director (from 8 May 2015)

Dr Anette Sundfor Jacobsen Chairman, Chapter of Paediatric Surgeons Director (from 8 May 2015)

Dr Matthew Yeo Sze Wei Chairman, Chapter of Plastic, Reconstructive & Aesthetic SurgeonsDirector (from 8 May 2015)

Dr Sim Hong Gee Chairman, Chapter of Urologists Director (from 17 May 2013)

Seated (from left): Dr Marcus Wong Thien Chong (Council Member), Dr Tan Yeh Hong (Council Member), Dr Ikshuvanam Swaminathan (Honorary Secretary), Dr Diddapur Ravishankar Krishnamurthy (Vice-President), Dr Ho Kok Sun (President), Dr Chua Wei Chong (President-Elect), Dr Dean Koh Chi Siong (Council Member), Dr Bernard Lim Yon Kuei (Chairman, Chapter of General Surgeons)

Standing (from left): Dr Sim Hong Gee (Chairman, Chapter of Urologists), Dr James Wong Woon Wai (Chairman, Chapter of Cardiothoracic Surgeons), Dr Peter Lu Kuo Sun (Chairman, Chapter of Otorhinolaryngologists), Dr Seow Wan Tew (Chairman, Chapter of Neurosurgeons), Dr Fareed Husain Yusuf Kagda (Chairman, Chapter of Orthopaedic Surgeons), Dr Matthew Yeo Sze Wei (Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons), Dr Sandeep Jacob Sebastin Muttath (Chairman, Chapter of Hand Surgeons)

Not in photo: Dr Goh Yaw Chong (Council Member), Dr Anette Sundfor Jacobsen (Chairman, Chapter of Paediatric Surgeons)

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BOARD OF SPECIALTY CHAPTERS

The Board of the various Specialty Chapters had been elected into office for a two-year term from 2015-2017 after the 9th Annual General Meeting of the respective Chapters in 2015. The Specialty Chapters Board terms of office are as follows:

Chapter of Cardiothoracic Surgeons

Chairman Dr James Wong Woon Wai

Vice-Chairman Dr Victor Chao Tar Toong

Honorary Secretary Dr Lim Yeong Phang

Board Members Dr Kofidis, TheodorosDr Loh Yee JimDr Soon Jia Lin Dr C Sivathasan

Co-Opted Board Members

Dr Saw Huat SeongDr Peter Robless

Chapter of General Surgeons

Chairman Dr Bernard Lim Yon Kuei

Vice-Chairman Dr Ho Choon Kiat

Honorary Secretary Dr Mark Wong Te Ching (2016-2017)

Board Members Dr Rao Jaideepraj Dr Lim Jit FongDr Jimmy So Bok Yan Dr Foo Chek Siang (Honorary Secretary, 2015-2016)


Dr Seow Choon SheongDr Shelat VishalkumarDr Alfred Kow Wei Chieh Dr Andrew Wong Siang Yih Dr Lee Ser YeeDr Glenn Tan Wei Leong

Chapter of Hand Surgeons

Chairman Dr Sebastin Sandeep Jacob Muttath

Vice-Chairman Dr Alphonsus Chong Khin Sze

Honorary Secretary Dr Anthony Foo Tun Lin

Board Members Dr Andrew Chin Yuan Hui Dr Jacqueline Tan Siau Woon Dr Mark Puhaindran (2016-2017)Dr Sechachalam Sreedharan (2016-2017)Dr Jonathan Lee Yi Liang (2015-2016)Dr Tan Puay Ling (2015-2016)

Chapter of Neurosurgeons

Chairman Dr Seow Wan Tew

Vice-Chairman Dr Christopher Ang Beng Ti

Honorary Secretary Dr Ng Wai Hoe

Board Members Dr Ernest Wang Chee Meng Dr Vincent Ng Yew Poh

Chapter of Otorhinolaryngologists

Chairman Dr Peter Lu Kuo Sun

Vice-Chairman Dr Ian Loh Chi Yuan

Honorary Secretary Dr David Loke Kok Teik

Board Members Dr Valerie Tay Su-Lin Dr Toh Song TarDr Raymond Ngo Yeow Seng Dr Yeo Seng Beng

Chapter of Orthopaedic Surgeons

Chairman Dr Fareed Husain Yusuf Kagda

Vice-Chairman Dr Arjandas Mahadev

Honorary Secretary Dr Gamaliel Tan Yu-Heng

Board Member Dr Inderjeet Singh Rikhraj


Dr Goh Seo KiatDr Lee Wei TingDr Saminathan Suresh Nathan

Chapter of Paediatric Surgeons

Chairman Dr Anette Sundfor Jacobsen

Vice-Chairman Dr Dale Lincoln Loh Ser Kheng

Honorary Secretary Dr Ong Lin Yin

Board Members Dr Chiang Li WeiDr Chui Chan HonDr Mali Vidyadhar

Chapter of Plastic, Reconstructive & Aesthetic Surgeons

Chairman Dr Matthew Yeo Sze Wei

Vice-Chairman Dr Por Yong Chen

Honorary Secretary Dr Samuel Ho Yew Ming

Board Members Dr Marcus Wong Thien Chong Dr Tan Ying ChienDr Evan Lee Woo Kok Yen


Dr Terence Goh Lin Hon

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Chapter of Urologists

Chairman Dr Sim Hong Gee

Vice-Chairman Dr Chong Yew Lam

Honorary Secretary Dr Chua Wei Jin

Board Members Dr Damian Png Jin Chye Dr Ng Lay Guat


Dr David Terrence Consigliere Dr Edmund ChiongDr Heng Chin TiongDr Colin Teo Chang PengDr Toh Khai Lee

MEMBERSHIP

As at 31 December 2016, the College has a total membership of 604 Fellows comprising 578 Local Fellows, 23 Overseas Fellows and three Ordinary Members.

COUNCIL MEETINGS

The Council had met once every two months to conduct the business and affairs of the College. The 2016-2017 Council had met four times.

CHAPTER BOARD MEETINGS

At the time the Annual Report was written, the Boards of the various Specialty Chapters had each met a total of twelve (12) times.


The College held its 11th Annual General Meeting on 2 June 2016 at 6 pm at Gleneagles Hospital, Singapore.

CHAPTER 2013 2014 2015 2016

Cardiothoracic Surgeons 34 34 36 38

General Surgeons 169 174 181 187

Hand Surgeons 21 22 24 29

Neurosurgeons 21 22 24 23

Orthopaedic Surgeons 75 78 87 88

Otorhinolaryngologists 71 76 83 84

Paediatric Surgeons 18 18 18 19

Plastic, Reconstructive & Aesthetic Surgeons 45 51 55 59

Urologists 56 58 64 70

No Chapter - - 7 7

College of Surgeons, Singapore 510 533 579 604

CHAPTER 2016 LOCAL ACTIVE

LOCAL EXEMPTED OVERSEAS ORDINARY

MEMBERS

Cardiothoracic Surgeons 38 30 6 2 0

General Surgeons 187 142 37 8 0

Hand Surgeons 29 26 2 0 1

Neurosurgeons 23 18 4 1 0

Orthopaedic Surgeons 88 59 27 0 2

Otorhinolaryngologists 84 75 8 1 0

Paediatric Surgeons 19 13 1 5 0

Plastic, Reconstructive & Aesthetic Surgeons 59 47 11 1 0

Urologists 70 59 9 2 0

No Chapter 7 0 4 3 0

College of Surgeons, Singapore 604 469 109 23 3

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ACTIVITIES

STAFF REGISTRAR SCHEME

In 2016, two Chapters had accepted trainees into the Staff Registrar Scheme. Successful trainees will be awarded the diploma in their speciality conferred jointly by the Academy

of Medicine, Singapore (AMS) and the College of Surgeons, Singapore (CSS).

CHAPTER OF UROLOGISTS

No. Intake Name of Trainee Start Date End Date Current Year of Training

1 2nd Dr Marerro Leynard 1 April 2016 31 March 2019 Year 1

2 2nd Dr Salada Rolando II 1 April 2016 31 March 2019 Year 1

3 2nd Dr Sarvajit Biligere Priyadarshi 1 April 2016 31 March 2019 Year 1

4 2nd Dr Silvederio Charles Conrad 1 April 2016 31 March 2019 Year 1

5 2nd Dr Tuy Teodorico 1 April 2016 31 March 2019 Year 1

6 2nd Dr Zapanta Ada Grace 1 April 2016 31 March 2019 Year 1

CHAPTER OF ORTHOPAEDIC SURGEONS

No. Intake Name of Trainee Start Date End Date Current Year of Training

1 6th Dr Bharathi Mohan Shanmugam 1 March 2016 28 February 2019 Year 1

2 6th Dr Cheyenne Kate Rebosura 1 March 2016 28 February 2019 Year 1

3 6th Dr Eric Pagkaliwagan 1 March 2016 28 February 2019 Year 1

4 6th Dr Thommen Thamarapally Kuruvilla 1 March 2016 28 February 2019 Year 1

CHAPTER OF UROLOGISTS

Patient Information SheetIn 2016, the Chapter had compiled Patient Information Sheets for five common procedures that can be used in all institutions. The sheets will assist doctors in explaining procedures and the imminent risks to patients. The procedures found in the sheets are: 1) Transrectal Ultrasound (TRUS) Guided Prostate Biopsy; 2) Shockwave Lithotripsy for Stones; 3) Flexible Cystoscopy; 4) TURP; and 5) Ureteroscopy and Laser Lithotripsy.

CHAPTER OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGEONS

Plastic Aesthetic Surgery Meeting 2016The Inaugural Plastic Aesthetic Surgery Meeting 2016 jointly organised by the Chapter of Plastic, Reconstructive and Aesthetic Surgeons and the Singapore Association of Plastic Surgeons had been held at The Academia, Singapore General Hospital from 2 to 3 September with three primary objectives: • Provide continuing medical education to the committee

of plastic surgeons. • Provide a platform for senior plastic surgeons to share

experience with juniors. • Foster closer interaction within the local committee.

Visiting Academician 2016 AwardThe Visiting Academician 2016 Award had been presented by Dr S R E Sayampanathan, Master, Academy of Medicine, Singapore to Dr Michael Miroshnik and Dr Man Koon Suh for their keynote addresses at the Plastic Aesthetic Surgery Meeting 2016.

Continuing Medical Education LecturesThe Chapter had organised the following Continuing Medical Education lectures at Grand Copthorne Waterfront Hotel:

27 May • ‘Plastic Surgery at Tri-Service General Hospital, Taiwan: A

Personal Experience’ by Dr Dai Niann-Tzyy• ‘Breast Reconstruction at King Chulalong Memorial

Hospital’ by Dr Apichai Angspatt• ‘Evolution of the Burns Treatment Protocol’ by Dr Chong

Si Jack

20 October• ‘The Future of Scar Management’ by Dr Kim Yong Occk• ‘Clinical Experience With Scar Treatment’ by Dr Matthew

Yeo

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CHAPTER OF ORTHOPAEDIC SURGEONS

Continuing Medical Education

Hip and Knee Cadaveric CourseThe Chapter had organised the Hip and Knee Cadaveric Course from 16 to 17 January at The Academia, Singapore General Hospital. A total of 24 participants had taken part in the hands-on course.

National Residents Knee Arthroscopy CourseThe Chapter had organised the National Residents Knee Arthroscopy Course from 27 to 28 August at Khoo Teck Puat Advanced Surgery Training Centre (ASTC) National University of Singapore. A total of 31 participants were present at the hands-on course.

Basic Shoulder Arthroscopy CourseThe Chapter had organised the Basic Shoulder Arthroscopy Course on 3 September at The Academia, Singapore General Hospital. A total of 12 participants had taken part in the hands-on course.

Trauma Cadaveric CourseThe Chapter had organised the Trauma Cadaveric Course on 3 September at The Academia, Singapore General Hospital. A total of 10 participants had taken part in the hands-on course.

CHAPTER OF PAEDIATRIC SURGEONS

Asia Pacific Conference on Fetal Therapy (APCFT)The Chapter had supported the Asia Pacific Conference on Fetal Therapy held from 16 to 18 April at National University Hospital Systems, Singapore.

11th ASEAN Society of Paediatric Surgeons’ CongressThe Chapter had sponsored a total of $2,000 for the Best Free Papers and Posters for the 11th ASEAN Society of Paediatric Surgeons’ Congress held from 14 to 15 October at the Prince Court Medical Centre in Kuala Lumpur, Malaysia.

CHAPTER OF OTORHINOLARYNGOLOGISTS

Monthly Otology Board MeetingThe monthly Otology Board Meeting had been held on the last Friday of the month and were jointly organised by the Tan Tock Seng Hospital, National University Hospital and Changi General Hospital since 2011. The venues are rotated in sequence among these three hospitals. Notices of the meetings had been circulated to Chapter Members via email blast.

Continuing Medical Education LecturesThe Chapter of Otorhinolaryngologists had organised the following Continuing Medical Education (CME) lectures:• Joint Chapter of Otorhinolaryngologists and Society

of Otorhinolaryngology and Head and Neck Surgery Singapore CME and Peer Review Learning on Facial Plastics on 15 January at Chui Huay Lim Teochew restaurant.

• Basics of Pain Medicine for the Otorhinolaryngologists’ lecture delivered by Dr Yoong Chee Seng (Senior Consultant, Anaesthesia and Director, Chronic Pain Service, Changi General Hospital) and ‘Frontiers in Laryngology’ lecture delivered by Dr David Lau (Consultant, private practice, Singapore) on 18 March at Parkroyal on Beach Road.

Joint Peer Review Learning ASM MeetingThe Chapter had collaborated with the Society of Otorhinolaryngology–Head and Neck Surgery, Singapore (SOHNSS) and held two Joint Peer Review Learning ASM Meetings.

Distinguished Otolaryngologist Award The Chapter had presented Dr N Kunaratnam with the Distinguished Otolaryngologist Award at its Dinner Lecture on 18 March. A citation for Dr N Knaratnam had been given by A/Prof Siow Jin Keat.

CHAPTER OF NEUROSURGEONS

Neuro-Oncology Symposium 2016The Chapter had provided a sponsorship of $4,000 to the Neuro-Oncology Symposium 2016.

CHAPTER OF HAND SURGEONS

Continuing Medical Education

1st Upper Limb Cadaveric WorkshopThe 1st Upper Limb Cadaveric Workshop (Surgical Exposures, Ligament and Tendon Repair) was held on 16 January at the STAR Laboratory, National University Hospital. The one-day cadaveric workshop allowed residents to practise common as well as uncommon exposures, tendon repairs and ligament reconstruction using bone anchors. A total of 23 participants had attended the workshop.

1st Saw Bone Workshop The inaugural Saw Bone Workshop (Hand, Scaphoid and Distal Radius Fracture Fixation) was held on 13 August at Johnson & Johnson Dry Lab. The half-day workshop provided the opportunity for residents to practise fracture fixation in sawbone models of metacarpal, distal radius and scaphoid. A total of 20 participants had attended the workshop.

Hand Surgery Specialist Case DiscussionThis forum had been formed to provide an alternative platform for hand surgery specialists to discuss cases in depth. Three sessions were held: 20 May (CHARMS), 12 August (Dr Jonathan Lee Hand, Wrist and Upper Limb Surgery) and 10 November (Centre for Hand and Reconstructive Microsurgery).

Institutional Continuing Medical Education Monthly ProgrammeThe Chapter had collated and broadcasted Continuing Medical Education events from restructured hospitals to all Chapter Members. The practice was eventually discontinued due to tepid response and participation.

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CHAPTER OF GENERAL SURGEONS

Annual Combined Surgical Meeting (ACSM)The Chapter organised the Annual Combined Surgical Meeting entitled ‘Mastery of Surgery’ held on 27 August at the Grand Copthorne Waterfront Hotel, Singapore. The opening dinner was held in conjunction with the College of Surgeons Lectureship Dinner, Singapore that was held on 26 August.

The keynote speakers for the event were Professor Ichiro Uyama (Professor, Department of Upper Gastrointestinal Surgery, Fujita Health University Hospital, Japan) and Professor Gyu Seog Choi (Professor, Head of Colorectal Surgery, Kyungpook National University Medical Centre, Daegu, Korea). Two other distinguished international speakers were Professor Joseph S Solomkin (University of Cincinnati College of Medicine, USA) and Professor Kang Young Lee (Yonsei University Serverance Hospital, Korea).

A total of 147 participants had been in attendance including faculty and medical students. There were a total of 40 breakout sessions including awards for the Best Oral and Video Presentations.

Continuing Medical Education LecturesThe Chapter held a Dinner Lecture on 11 May at Tang Plaza Hotel. The following lectures were delivered: • ‘Deep Neuromuscular Blockade – Is It Necessary?’ by

Dr Patrick Tan Yuk Meng (Consultant General Surgeon [Colorectal Surgery], Royal Perth Hospital, Australia).

• ‘Deep Neuromuscular Block – Is It Really Necessary? An Anaesthetist’s Perspective’ by Dr Phillip Tseng Seng Sou (Consultant, private practice, Singapore).

Exit Examination Preparatory Course 2016 for Advanced Surgical Trainees (ASTs) in General SurgeryThe Chapter had organised its 8th Exit Examination Preparatory Course from 27 to 30 June for the Advanced Surgical Trainees (ASTs) in General Surgery to help in their preparations for the exit examinations. The preparatory course was hosted by the National University Hospital, Khoo Teck Puat Hospital, Tan Tock Seng Hospital, Singapore General Hospital and Ng Teng Fong General Hospital. The course comprised bedside teaching and mock VIVA sessions similar in format to the actual exit examinations and covered core modules such as Breast, Endocrine, Upper Gastrointestinal, Vascular, Trauma, Colorectal, Hepatico-pancreatico-biliary, Head & Neck, Minimally-Invasive Surgery and Emergency Surgery & Critical Care.

Essential Laparoscopic Suturing Course The Chapter had supported the Essential Laparoscopic Suturing Course held at The Academia, Singapore General Hospital on 19 March. The course was attended by 22 participates, who gave feedback requesting for more of such courses in the future.

Combined Surgical MeetingThe monthly combined surgical meetings had been conducted in the restructured institutions on a rotational basis.

Endorsement of EventsThe Chapter had endorsed the following programmes:• ‘SHOW (Simulated Inguinal Hernia [Open] Operation

Workshop)’ for surgeons in training (residents/MOs/registrars) held on 28 May (organised by Department of General Surgery, Tan Tock Seng Hospital).

• The 17th Congress of Asian Society for Vascular Surgery held from 20 to 23 October (organised by the Asian Society of Vascular Surgery).

Sponsorship of EventThe Chapter had sponsored the Free Paper and Poster Prizes for the Trauma Conference organised by Tan Tock Seng Hospital from 23 to 24 April.

CHAPTER OF CARDIOTHORACIC SURGEONS

Continuing Medical Education Lectures and RetreatsThe Chapter had organised and supported the following Continuing Medical Education lectures and retreats:• ‘Bootcamp for Heart Value Disease’ held on 11 March for

local and regional participants at Edward Lifesciences.• ‘Controversies in Cardiothoracic Surgery PART 1 2016’

held on 7 May at the National Heart Centre, Singapore with faculty participation from NHCS, NUHC and private practitioners.

• European Union Film Festival - Bogowie ‘Gods’ (Polish movie) at GV, Suntec City held on 18 May (hosted by His Excellency Zenon Kosiniak-Kamysz and Mrs Katarzyna Kosiniak-Kamysz, the Ambassador, Republic of Poland).

• ‘Bootcamp: Echocardiography for Cardiac Surgeons’ held from 24 to 25 June.

• ‘AAHVD Leaders Programme’ Singapore segment held from 25 to 29 July held at The Academia, Singapore General Hospital.

• ‘Chapter of Cardiothoracic Surgeons Dinner Lecture Series: Leadership in Medicine’ delivered by Dr Saw Huat Seong held on 3 September at Flute Restaurant, The National Museum of Singapore.

• ‘Japan-Singapore Interactive Scientific Sessions’ held on 3 September at Mount Elizabeth Medical Centre.

• ‘Challenges in Cardiothoracic Surgery – Pulmonary Endarterectomy for CTPH, the Papworth Experience’ held on 7 November and delivered by Dr David Jenkins (Clinical Director of Surgery, Consultant Cardiothoracic Surgeon, Papworth Hospital, UK).

Endorsement of EventsThe Chapter had endorsed an event lecture entitled ‘Duragraft – Endothelial Tissue Inhibitor for Preservation of Vein Grafts’ delivered by Mr Satish Chandran, CEO of Somahulution, Inc. held on 12 July at Restaurant Absinthe, Boat Quay.

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11TH COLLEGE OF SURGEONS LECTURESHIP

The College was honoured to have Professor Lee Chuen Neng, Deputy Director, National University Heart Centre, Singapore, a prominent Cardiothoracic surgeon with a desire to teach and inspire future generations to share his views on ‘Surgeons as Innovators: Why? How? Support Structure. Dreams. Results’. Professor Lee had received a College gold medal and certificate.

21ST YAHYA COHEN MEMORIAL LECTURESHIP

The College had awarded the 21st Yahya Cohen Memorial Lecture Award to Dr Lee Ser Yee (Chapter of General Surgeons) for his paper entitled ‘Hepatic Resection or Ablation for Isolated Breast Cancer Liver Metastasis – A Case-Control Study with Comparison to Medically Treated Patients’. Dr Lee, a Consultant at the Department of Hepato-pancreato-biliary and Transplant Surgery, Singapore General Hospital, had received a College gold medal and certificate.

LEE SHAW FELLOWSHIP/WORLD ORTHOPAEDIC FELLOWSHIPS IN ORTHOPAEDIC SURGERY

The College had awarded four fellowships at a cost of $60,000 to four candidates (inclusive of a living allowance of $2,000 for each candidate). Each fellowship is of six-month duration and includes training conducted at the Orthopaedic Department at the National University of Singapore. Each trainee is to undertake a clinical research programme that may or may not lead to the publication of the paper, on a topic that he may pursue on his return home. The fellowship is administered by the Division of Graduate Medical Studies (DGMS), National University of Singapore.

COLLEGE OF SURGEONS LECTURESHIP DINNER 2016

The 11th College of Surgeons Lectureship Dinner was held on 26 August at Grand Copthorne Waterfront Hotel, Singapore. The College had invited A/Prof Benjamin Ong, Director of Medical Services, Ministry of Health, Singapore as the Guest-of-Honour, to grace the ceremony. The Master-of-Ceremonies was Dr Dean Koh. The Dinner was attended by 160 participants comprising of College members and invited guests. The College hosted the Named Lectureships: the 11th College of Surgeons Lecture and the 21st Yahya Cohen Memorial Lecture. The College dinner, supported by surgeons from the different surgical disciplines, provided for an enjoyable evening of fellowship and interaction within the specialist medical community.

A/Prof Benjamin Ong had spoken on the need for specialist surgeons to retain generalist skills alongside subspecialist skills. He elaborated that while subspecialisation allows for the deliverance of “expert care” to patients by focusing on the mastery of specific areas, this comes at the expense of greater breadth of exposure and can be detrimental to the acquisition of core skills and critical thinking. This, in turn, usually results in an overall escalation of costs for the patient as one patient may be referred to several specialists, which tends to result in duplicative investigations and overlapping treatment. He highlighted that older patients require the attention of a multi-disciplinary team to manage concurrent conditions and that such demands make it vital for physicians to learn to function differently from the traditional approaches of the past. He expounded that in a holistic approach, specialists should develop a broader concern for their patients and should be prepared to manage them through the entire journey until they return back to the community.

A/Prof Benjamin Ong had highlighted the need for specialist surgeons to retain generalist skills alongside subspecialist skills at the College of Surgeons Lectureship Dinner. Photo courtesy of Ministry of Health.

Prof Lee Chuen Neng had delivered the 11th College of Surgeons Lectureship. Photo courtesy of NUHS.

Dr Lee Ser Yee, the 21st Yahya Cohen Memorial Lectureship awardee. Photo courtesy of Dr Lee Ser Yee.

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THE 2016 LEE FOUNDATION/TAN SRI DR RUNME SHAW FELLOWSHIP IN ORTHOPAEDIC SURGERY

Name of Recipient Country Start Date of Fellowship

End Date of Fellowship

Institution Attached To

Specialty Department Attached To

Dr Jain Sachin Ramesh India 22 November 2016 21 May 2017 Singapore General Hospital Orthopaedic Surgery



MEETING/CONFERENCE DATE LOCATION AWARD RECIPIENT

3rd ASEAN Education Committee Meeting 6-7 March Kuala Lumpur, Malaysia

Dr Ikshuvanam Swaminathan

Annual Scientific Congress of the Royal Australasian College of Surgeons 2-6 May Queensland,

Australia Dr Ho Kok Sun

Conjoint Scientific Meeting 2016 - College of Surgeon of Indonesia (CSI) and The Indonesian General Surgeons Society (IGSS)

4-6 May Lampung, Indonesia

Dr Ikshuvanam Swaminathan

Annual Scientific Congress - College of Surgeons, Academy of Medicine Malaysia 13-15 May Kuala Lumpur,

Malaysia Dr Ho Kok Sun

41st Annual Scientific Congress - Royal College of Surgeons, Thailand 16-19 July Pattaya, Thailand Dr Ho Kok Sun

Malaysia-Singapore Congress of Medicine (MSCM) 19-21 August Kuala Lumpur, Malaysia Dr Ho Kok Sun

Conjoint Scientific Congress cum Conjoint Diploma Conferment Ceremony - College of Surgeons, Hong Kong, 17-18 September Aberdeen, Hong

Kong Dr Ho Kok Sun

Clinical Congress American College of Surgeons 16-20 October Washington, DC, USA

Dr Diddapur Ravishankar Krishnamurthy

72nd Annual Clinical Congress - Philippine College of Surgeons 4-7 December Mandaluyong City,

The Philippines Dr Ho Kok Sun

Dr Ho Kok Sun had been invited by the Chinese University of Hong Kong as Guest-of-Honour to the Arthur Li oration and to the opening ceremony of the19th CU Surgical Symposium jointly organised with 6th West China – CUHK Surgical Forum/2nd CUHK Alumni Association of Surgeons Meeting.

INDEPENDENT MEDICAL EXPERT

In 2016, the College’s Chapters had provided independent medical expert advice on court cases.

COMPLETED CASES

Date Received Chapter/Section

1 March Cardiothoracic Surgery

1 April Cardiothoracic Surgery

5 April Plastic, Reconstructive & Aesthetic Surgery

13 May Otorhinolaryngology

26 August Neurosurgery

11 October General Surgery

PENDING CASES

Date Received Chapter/Section

16 September Otorhinolaryngology

8 September Gastrointestinal Surgeon/General Surgeons

15 November General Surgery

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COLLEGE OF SURGEONS TRAVELLING FELLOWSHIP

The College had awarded the College of Surgeons Travelling Fellowship for the Year 2016 to the following Council

Members who had attended meetings/events or gave lectures representing the College.

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The College had provided the following professional opinions on various requested topics.

NO. TOPIC ORGANISATION

1 Dr Georgia Lee’s Clinic “TLC Lifestyle Practice” to Justify the Provision of Non-List A Aesthetic Procedures

Ministry of Health



4 Human Tissue Banks Ministry of Health

5 Proposed Revised Guidelines on Aesthetic Practices for Doctors Singapore Medical Council

6 Consent Taking Procedures Ministry of Health



Ministry of Health

9 Performing K-Wiring in Medical Clinic Ministry of Health

10 Procedures Performed in Outpatient Medical Clinics Ministry of Health



13 Alleged Practice of Invasive Aesthetic Procedures Ministry of Health

14 Updates to Table of Surgical Procedures and Call for Submission of Proposals for 2016/2017 Review Cycle

Ministry of Health




The College’s plans for events/activities in 2017 are as follows:• College of Surgeons Lectureship Dinner 2017• 12th College of Surgeons Lectureship • 22nd Yahya Cohen Memorial Lectureship• College of Surgeons Gold Medal Award 2016• 2nd Biennial Asia Pacific Mechanical Circulatory Support

(MCS) Conference 2017 (endorsed by ISHLT; organised by the Chapter of Cardiothoracic Surgeons)

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• Plastic Aesthetic Surgery Annual Scientific Meeting 2017 (organised by the Chapter of Plastic, Reconstructive & Aesthetic Surgeons)

• Nomination and Election of Specialty Board Members for all nine (9) Chapters

• Nomination and Election of College Council Members• Annual General Meetings of the College and its Specialty

Chapters



On 20 November 2014, the Chapter of Emergency Physicians (originally formed on 13 November 2007) was transformed to the College of Emergency Physicians under the Academy of Medicine, Singapore (AMS). The College will continue to organise continuing education programmes for its members and undertake projects for the further advancement of

professional development of Emergency Physicians in Singapore so as to enhance the care given to emergency patients.

COLLEGE OF EMERGENCY PHYSICIANS


It has been a fruitful 2016 for us. The College had held a seminar themed ‘Risks and Trends in Emergency Medicine’ where speakers from the Medical Protection Society shared about ‘Close Encounters of the Emergency Kind’.

The College also held its first formal dinner on 12 August where College Fellows and colleagues from Emergency Medicine met to honour distinguished colleagues and to recognise Fellows for their distinguished service to the College. Dr S R E Sayampanathan, Master of the Academy of Medicine Singapore, graced the event as the special guest. This occasion had helped in providing opportunities for greater fellowship among members of the College.

The yearly Preparatory Course for Master of Medicine (Emergency Medicine) Parts B & C Examinations was also conducted from 28 March to 2 April. The External Visiting Lecturer was Prof Colin Robertson who is Professor in Accident and Emergency Medicine and Surgery at the University of Edinburgh in Edinburgh, Scotland. He shared valuable insights and knowledge which candidates found to be very useful.

The College is also planning to start an Emergency Medicine Exit Exam Prep Course next year. A committee has been formed and would be led by Dr Gregory Cham and it promises to be a course that will be helpful to Senior Residents preparing for this challenging exam.

We look forward to working together in creating opportunities for our emergency physicians in Singapore to actively influence the development of our clinical practice. On behalf of the members of the Council, I wish all members of the College the very best for 2017. We look forward to working closely with our membership and to more good things for the future.

DR GOH SIANG HIONG


President Dr Goh Siang Hiong

Immediate Past President Dr V Anantharaman

Vice-President Dr Eillyne Seow

Secretary Dr Lim Swee Han

Treasurer Dr Lee Wee Yee

Council Members Dr Mark Leong Kwok FaiDr Tham Kum YingDr Mohan Tiruchittampalam

Seated (from left): Dr Eillyne Seow (Vice-President), Dr Goh Siang Hiong (President),Dr V Anantharaman (Immediate Past President)

Standing (from left): Dr Lim Swee Han (Secretary), Dr Lee Wee Yee (Treasurer), Dr Tham Kum Ying (Member), Dr Mohan Tiruchittampalam (Member)

Not in photo: Dr Mark Leong Kwok Fai (Member)

We look forward to working together in creating opportunities for our emergency

physicians in Singapore to actively influence the development of

our clinical practice.

MEMBERSHIP

As at 31 December 2016, the total membership of the College stood at 101, consisting of 91 Local Fellows, seven Overseas Fellows, one Ordinary Member and two Associate Members.

A total of five Fellows (Local) had joined the College in 2016:

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The College held its 2nd Annual General Meeting on 24 May 2016 at Department of Emergency Medicine, Singapore General Hospital (SGH).

COUNCIL MEETINGS

The Council had met to consider the business and affairs of the College. It had held five meetings in 2016.

• Dr Gene Chan Wai Han• Dr Yvonne Goh Guat

Keng

• Dr Vincent Lum Wei Ming• Dr Colin Ong Eng Choon• Dr Zarisfi Faraz

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ACTIVITIES


The College had held a Continuing Medical Education (CME) session on 16 May 2016 called ‘College of Emergency Physicians Seminar’ on the theme ‘Risks and Trends in Emergency Medicine’. Two speakers from the Medical Protection Society, Drs Teoh Ming Keng [Head of Medical Services (Asia)] and Zaid Al-Najjar (Medico-legal Adviser) spoke on the topic ‘Close Encounters of the Emergency Kind’. The Chairperson for the session was Prof V Anantharaman (then President of the College of Emergency Physicians).

Prof V Anantharaman (left) presenting a token of appreciation to the speaker, Dr Teoh Ming Keng.

Dr Zaid Al-Najjar (right) had also spoken on the topic ‘Close Encounters of the Emergency Kind’ at the session.

PREPARATORY COURSE – MASTER OF MEDICINE (EMERGENCY MEDICINE) PARTS B & C EXAMINATIONS

This Preparatory Course took place from 28 March to 2 April 2016 at five hospitals: Singapore General Hospital, Tan Tock Seng Hospital, Ng Teng Fong General Hospital, KK Women’s and Children’s Hospital, Changi General Hospital and Khoo Teck Puat Hospital. The Organising Committee comprised:

Convener & Chairperson

Dr Sohil Equbal Pothiawala

Hospital Coordinators

Dr Chan Jing Jing (Singapore General Hospital)Dr Fua Tzay-Ping (Singapore General Hospital)Dr Geraldine Leong Bao Yu (Changi General Hospital)Dr Michael Fung Chung Hua (Khoo Teck Puat Hospital)

Hospital Coordinators

Dr Kanwar Sudhir Lather (National University Hospital)Dr Mary Lim Yu Ling (Tan Tock Seng Hospital)Dr Shanaz Matthew Sajeed (Ng Teng Fong General Hospital)Dr Zaw Lwin (KK Women’s and Children’s Hospital)

The course had been a success, having attracted 14 registered candidates. The External Visiting Lecturer was Prof Colin Robertson, who is Professor in Accident and Emergency

Medicine and Surgery at the University of Edinburgh in Edinburgh, Scotland. He had delivered the following lectures:• How to Handle the Communications Station• Electrolyte and Renal Emergencies• Interactive Problem Cases in Emergency Medicine• Update and Revision on Resuscitation Guidelines

An Appreciation Dinner was held on 30 March 2016 at Margarita’s Restaurant.

Candidates and mock OSCE examiners with Prof Colin Robertson (front row, third from the left) on 2 April 2016.

COLLEGE LECTURE & DINNER 2016

The College held its first Formal Dinner at Suntec Singapore Convention and Exhibition Centre on 12 August 2016. A total of 52 guests were in attendance. The objectives of the Formal Dinner were:1. To honour a distinguished colleague with the award of

‘College of Emergency Physicians Lecturer’.2. To present the Fellow Certificates to College inductees

who had missed the Academy of Medicine, Singapore (AMS) Induction Comitia.

3. To recognise Fellows for distinguished service to the College.

4. To provide opportunities for greater fellowship among members of the College.

The College President, Prof Goh Siang Hiong, gave the welcome address and the College Secretary, A/Prof Lim Swee Han, was the emcee for this event. The College had also invited Dr S R E Sayampanathan, Master of the Academy as special guest.

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Prof Goh Siang Hiong giving the welcome address

A/Prof Lim Swee Han

The College Lecturer was A/Prof Eillyne Seow (Senior Consultant, Department of Acute and Emergency Care, Khoo Teck Puat Hospital). She delivered the lecture on ‘Elements of a High Performing Emergency Department: A Personal Opinion’. Prof V Anantharaman, the Immediate Past President of the College, had given the citation on A/Prof Seow.



Dr Sayampanathan shared about AMS with the attendees and presented certificates to the College Inductees who had

Prof V Anantharaman giving the citation on A/Prof Eillyne Seow.

Prof Goh Siang Hiong (left) presenting the College of Emergency Physicians Lecturer award to A/Prof Eillyne Seow.

Dr S R E Sayampanathan (left) presenting a plaque to Dr Steven Lim Hoon Chin forhis distinguished service to the College.

Dr Jeremy Wee Choon Peng (right), one of the recipients of the Fellow certificates.

SECTION OF CLINICAL TOXICOLOGISTS ACTIVITIES

The Section of Clinical Toxicologists had conducted the following notable activities in 2016:

DATE ACTIVITY

13 February Toxicology Symposium - ‘Evidence Based Medicine and Critical Care Toxicology’

4 March 1st Annual General Meeting

16 September Briefing on Methanol Poisoning Prevention

14 November Occupational Toxicology Symposium 2016

STAFF REGISTRAR SCHEME: DIPLOMA IN EMERGENCY MEDICINE

ENTRY INTERVIEW (10TH INTAKE)

Date 22 March

Panel of Interviewers Dr Francis Lee Dr Sohil Pothiawala

Prof V Anantharaman

Applicants Accepted 1) Dr Jayvilyn Paat Bacud2) Dr Shiela Bermundo Salunga3) Dr Cheriane Canlas Tanhueco4) Dr Anna Marie Cabrera Garcia

5) Dr Michelle Cabanag Nagayo 6) Dr Sam Salem Bag-Ao 7) Dr Michelle Dizon Cruz8) Dr Kyaw Thet Aung

Year 1 Assessment (9th Intake)

Candidates 1) Dr Christina Arroyo2) Dr Rsii Santander Matanguihan3) Dr Gary Inocencio II Peros4) Dr Marrie Vyne Shakya5) Dr Preetha Elangovan

6) Dr Christian Cortez7) Dr Christopher Brian Tambo8) Dr Fatih Delovino9) Dr Franklin Magbitang10) Dr Gil Alizer

Note: Year 1 Trainees did not need to take exam to advance to Year 2. However, they still took PACES on 30 April 2016.

Year 2 Assessment (8th Intake)

Candidates 1) Dr Michelle Perez Alcantara2) Dr Pravin Thiruchelvam3) Dr Edgar Salandanan4) Dr Bryan Martinez5) Dr Lokesh Kolhe

6) Dr Arnold San Antonio7) Dr Carlo Santella8) Dr Maria Pamela Averilla9) Dr Kyaw Htet Aung

Year 1 & 2 Assessment

Examiners • Dr Kelvin Kuan• Dr Steven Lim Hoon Chin• Dr Tan Hock Heng• Dr Yvonne Goh• A/Prof Amila Punyadasa• Dr Ong Pei Yuin

• Dr Rakhee Yash Pal• Dr Juliana Poh• Dr Puneeth Seth• Dr Sohil Pothiawala• Dr Terence See

Completed SRS Diploma

Candidates 1) Dr Michelle Perez Alcantara2) Dr Pravin Thiruchelvam3) Dr Edgar Salandanan4) Dr Bryan Martinez

5) Dr Lokesh Kolhe6) Dr Arnold San Antonio7) Dr Carlo Santella8) Dr Maria Pamela Averilla

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missed the AMS Induction Comitia as well as to Fellows who had provided distinguished service to the College.

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The Chapter of Ophthalmologists had subsisted under the purview of the College of Surgeons, Singapore since the latter was formed in 2004. With a steady growth in the Chapter’s membership, the objective to enhance the development of the specialty and the need for a stronger presence to advocate the future of ophthalmology, A/Prof Lim Tock Han (then Chairman of the Chapter of Ophthalmologists) mooted the idea of converting the Chapter into a College to better serve the Ophthalmology community. After a year of dedicated effort to the formation process, the College of Ophthalmologists was formed on 20 January 2009 under the Academy of Medicine, Singapore.

The main objectives of the College are: a) To promote and uphold the professionalism of ophthalmologists in Singapore; and b) To facilitate and enhance professional development and continuing medical education of the specialty; to maintain competency among doctors. The College’s motto is: “For Light and Sight”. The College’s missions are: a) To advance the art and science of ophthalmic medicine; and b) To advocate the future of ophthalmology.

COLLEGE OF OPHTHALMOLOGISTS


It has been an incredible year for the College of Ophthalmologists and an exhilarating year for me serving as the President of the College. It is a great honour and words cannot express how thankful I am for all the encouragement received. In particular, I am most grateful to the Council members who have been supporting my leadership, committing their time and contributing selflessly.

In 2016, 10 subspecialty groups were formed within the College to assist with organising of the monthly CME events and provide professional opinions — a big thank you to all fellow ophthalmologists in both private and public institution who made this committee possible.

The College has also been active in both local and international collaborations. International collaborations such as the Korean Society of Aesthetic Surgery (KSAS) together with the Chapter of Plastic Surgeons for the 32nd and 33rd KSAS Annual Meeting.

In addition, I am delighted to share that the College together with Singapore Society of Ophthalmology has

been given the privilege to host the 32nd Asia Pacific Academy of Ophthalmology Congress (APAO) to be held in Singapore on 1-5 March 2017. This prestigious ophthalmic event co-organised with the International Council of Ophthalmology (ICO), gathers a distinguished international faculty of top specialists in ophthalmology from around the world to share their expertise and experience with clinicians, eye surgeons and researchers from the Asia-Pacific region and globally. As we progress into 2017, the College wishes to record its appreciation and thanks to the Council and all Fellows for their support and efforts in the past year.

DR WONG TIEN YIN


President Dr Wong Tien Yin

Immediate Past President Dr Heng Wee Jin

Vice-President Dr Yip Chee Chew

Honorary Secretary Dr Lee Shu Yen

Honorary Treasurer Dr Clement Tan

Council Members Dr Esther FuDr Adrian KohDr Jacob Cheng

Seated (from left): Dr Heng Wee Jin (Immediate Past President), Dr Wong Tien Yin (President), Dr Yip Chee Chew (Vice-President)

Standing (from left): Dr Jacob Cheng (Council Member), Dr Lee Shu Yen (Honorary Secretary), Dr Clement Tan (Honorary Treasurer), Dr Esther Fu (Council Member), Dr Adrian Koh (Council Member)

As we progress into 2017, the College wishes to record its appreciation and

thanks to the Council and all Fellows for their support and efforts in the past year.

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The 7th Annual General Meeting (AGM) of the College was held on 9 April 2016 at the Flutes Restaurant, National Museum of Singapore. The meeting was attended by 28 Fellows.

COUNCIL MEETINGS

The Council held three meetings in 2016 to conduct the business and affairs of the College. It had met on the following dates: 9 May, 22 August and 25 November.

MEMBERSHIP

The total number of Members in the College stood at 167 as at 31 December 2016. There were 165 Local Fellows and two Overseas Fellows.

ACTIVITIES

NATIONAL CONTINUING MEDICAL EDUCATION

The College started a review on the National Continuing Medical Education (CME) programme in 2016 to see how it could better serve the continuing education needs of Ophthalmologists and Ophthalmology residents.

This programme had begun in the early 1990s (consisting of residency teaching on Wednesday afternoons and a combined CME lecture at 5 pm). With the expansion of eye departments at other major institutions, the teaching and combined CME events were subsequently held at these institutions on a rotational basis. After the formation of the College in 2010, the College started to help coordinate the organisation of the combined CME lecture and to disseminate the CME programme.

In 2015, the College had consulted the three sponsoring institutions and Fellows during its Annual General Meeting in May 2015 to decide on the future direction and format of the programme. The majority felt that the combined CME was still relevant and important for fulfilling the needs of Ophthalmologists to keep up-to-date with advances and developments in subspecialties outside their own.

To address this need and keep it more focused as suggested, the College replaced the weekly 5 pm combined CME lecture with subspecialty-based CMEs that are to be organised once a month. The new combined CME programme had been scheduled to begin in 2016 but was delayed. It will commence once consensus has been reached on the timing and day of the week it is to be held. The monthly CME will be hosted by each of the rostered subspecialty.

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• Dr Charmaine Chai • Dr Anita Chan Sook Yee• Dr Joy Chan Boon Min• Dr Chan Hwei Wuen • Dr Clarissa Cheng Shu

Ming• Dr Huang Philemon• Dr Victor Koh

• Dr Jason Lee Kian Seng• Dr Daniel Ting Shu Wei• Dr Andrew Tsai Shih

Hsiang• Dr Wong Hon Kiat• Dr Wong Chee Wai • Dr John Wong Xin Hao• Dr Woo Jyh Haur

The College welcomed a total of 14 new Fellows in 2016:

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NO. SUBSPECIALTY SUBSPECIALTY COMMITTEE

1 Cataract Fam Han Bor (Chairman), Chee Soon Phaik, Allan Fong, Lennard Thean, Ronald Yeoh

2 Cornea Lim Li (Chairman), Heng Wee Jin (Vice-Chairman), Arundhati Anshu, Jimmy Lim, Anna Tan, Donald Tan

3 Glaucoma Leonard Yip (Chairman), Aung Tin, Boey Pui Yi, Jason Cheng, Owen Hee, Hoh Sek Tien, Rahat Husain, Loon Seng Chee, Chelvin Sng, Daniel Su, Lennard Harold Thean

4 Neuro-Ophthalmology Sharon Tow (Chairman), Chin Chee Fang, Goh Kong Yong, Loo Jing Liang, Clement Tan

5 Oculoplastic Seah Lay Leng (Chairman), Yip Chee Chew (Vice-Chairman), Fong Kee Siew, Llewellyn Lee, Lim Lee Hooi, Sunny Shen, Morgan Yang, Stephanie Young

6 Paediatrics Inez Wong (Chairman), Pauline Cheong, Audrey Chia, Foo Fung Yee, Leo Seo Wei, Cheryl Ngo, Quah Boon Long

7 Retina (Surgical) Ong Sze Guan (Chairman), Caroline Chee, Bobby Cheng, Lee Shu Yen, Gavin Tan, Nikolle Tan, Rupesh Agrawal, Yong Shao Onn

8 Uveitis Stephen Teoh (Chairman), Chee Soon Phaik, Bobby Cheng, Gemmy Cheung, Lim Wee Kiak, Rupesh Agrawal

9 Refractive Mohamad Rosman Bin Othman (Chairman), Chan Wing Kwong, Chua Wei Han, Heng Wee Jin, Jimmy Lim, Jerry Tan, Khor Wei Boon, Anna Maria

10 Medical Retina Adrian Koh (Chairman), Augustinus Laude, Caroline Chee, Gemmy Cheung, Jacob Cheng, Lim Tock Han, Colin Tan, Wong Tien Yin, Ian Yeo

The terms of reference are as follows: 1. To advise the College and represent the subspecialty

in professional matters eg. Provision of professional opinions to MOH, SMC, etc.

2. To support the College in functions such as organising educational activities, eg. Meetings, conference and National CMEs.

3. To advise the Council in handling matters relating to media communications.

4. Any other professional matters which the College may require the subspecialty committee’s assistance from time to time.

OCULOPLASTIC SUBSPECIALTY COMMITTEE

The 2016 Oculoplastics Subspecialty Committee led by A/Prof Seah Lay Leng (Chairman) and A/Prof Yip Chee Chew (Vice- Chairman) had held two meetings during their term. The other six team members consisted of representatives from all the restructured hospitals and the private sector. The following matters were deliberated and agreed by majority vote:

Continuing Medical Education (CME) for Oculoplastic SurgeryEach institution is responsible for the preparation of specific topics for the Oculoplastic Teaching Programme during the weekly 2-5 pm session. The programme assignments were: orbit and lacrimal (SNEC), socket (NUH) and eyelids (TTSH, NUH, KTPH, private).

Eye Residency CurriculumThe current syllabus was reviewed and revised to improve the standard of knowledge and skill transfer; and to improve the competency of residents upon completion of residency. The possibility of conducting a yearly education course for preparation of M.Med/FAM examination by the College was discussed.

Local and Regional ConferencesThe workgroup expressed its support for the 2016 NUH Eye International Congress, 2017 APAO meeting and the Korean Society of Aesthetic Surgery (KSAS) meeting. Five out of the eight committee members would be speakers at the APAO meeting. There was unanimous agreement for A/Prof Seah and A/Prof Yip to continue as the College representatives to collaborate with KSAS as programme directors.

International Thyroid Eye Disease (ITED) Meeting 2019The International Thyroid Eye Disease (ITED) Meeting 2019 would be held in collaboration with the College through the effort of A/Prof Seah. An organising committee would be formed to prepare for this meeting.

Ministry of Health (MOH) Table of Surgical Codes (TOSP)The workgroup deliberated on and proposed amendments to the current TOSP to enhance its comprehensiveness and coding to commensurate with the surgical complexity. Members were advised to submit the amended codes to their respective institutions for approval prior to the submission to MOH.

SUBSPECIALTY GROUP FORMATION

Ten subspecialty groups within the College had been formed to help with the organising of the monthly CME events and

to provide professional opinions for a period of three years.



SYMPOSIUM: OCULO-FACIAL REJUVENATION DEBATE FORUM

32nd KSAS Topic Speaker

Suture Blepharoplasty Gives Better Results Than Incisional Blepharoplasty Dr Samuel Ho, Dr Eugenie Poh

Posterior Ptosis Surgery is a Better Surgical Option for Correction of Mild-Moderate Apoenurotic Ptosis

Dr Hunter Yuen, Dr Heng Li Wei

Endoscopic Brow Ptosis Repair is More Acceptable in the 21st Century Dr Sandeep Uppal, Dr Elaine Chee

Transconjunctival Approach is Safer Than Transcutaneous Approach in Lower Blepharoplasty

Dr Seah Lay Leng, Dr Marcus Wong

Rejuvenating the Tear Trough with Fat Transposition is Better Than Free Fat Graft Dr Matthew Yeo, Dr Yip Chee Chew

Absorbable Sutures Are Preferred Suture Material Than Non-Absorbable Sutures in Aesthetic Surgical Procedures

Dr Stephanie Young, Dr Yvonne Chung

Safety Profile of Hyaluronic Dermal Filler is Better Than Non-Hyaluronic Dermal Filler for Facial Rejuvenation

Dr Llewellyn Lee, Dr Matthew Yeo

Botox Injection is a Relatively Safe Aesthetic Rejuvenation Procedure Dr Livia Teo

SYMPOSIUM: MINIMISING COMPLICATIONS IN AESTHETIC ORBITO-FACIAL SURGERY: PEARLS AND PITFALLS

33rd KSAS Topic Speaker

Asymmetry After External Ptosis Surgery Dr Seah Lay Leng

Unsatisfactory Outcomes After Frontalis Sling Surgery Dr Morgan Yang

Sub-Optimal Results After Upper Blepharoplasty Dr Livia Teo

Common Problems After Lower Blepharoplasty Dr Stephanie Young

Complications of Epiblepharon Surgery Dr Yvonne Chung

Dermal Fillers Injection Complications Dr Yip Chee Chew

Complications of Local Anaesthetic Injections Dr Jason Lee

Management of Complications in Facial Rejuvenation Surgery Dr Matthew Yeo

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COLLABORATION FOR 32ND AND 33RD KOREAN SOCIETY OF AESTHETIC SURGERY ANNUAL MEETING (KSAS)

The College had collaborated with the Chapter of Plastic Surgeons, AMS to provide speakers for the 32nd and 33rd

Korean Society of Aesthetic Surgery Annual Meeting (KSAS) held on 18-19 June 2016 and 27 November 2016.

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The Asia Pacific Academy of Ophthalmology (APAO) Congress 2017 is a joint congress organised by the College, Singapore Society of Ophthalmology (SSO), International Council of Ophthalmology (ICO) and Asia Pacific Academy of Ophthalmology (APAO). The local APAO 2017 Steering Committee had been formed (headed by Prof Wong Tien Yin).

The congress gathers distinguished international faculty of top specialists in ophthalmology from around the world to share their expertise and experience with clinicians, eye surgeons and researches from the Asia Pacific region and globally. Members of the Scientific Program Committee led by Prof Aung Tin had put in tremendous effort to shape what promises to be the most compelling ophthalmology congress in 2017, highlighting Singapore’s ophthalmic excellence in its years of practice, fostering new connections and exchanges, and building a wider network for the ophthalmology community in Singapore globally. Some proposed highlights of the congress are: • 185 scientific sessions/symposiums;• More than 1400 abstracts for free papers, instruction

courses, posters, e-posters and video presentations;• More than 600 world renowned speakers, including Neil

Bressler, Jorge Alio, Jost Jonas, Marie Jose Tessignon, Emily Chew, Neil Miller, Paul Mitchell, Lee Won Ki, Kyoko Ohno-Matsui, Clement Tham, etc.;

• First-rate plenary and award lectures by Donald TH Tan, Taraprasad Das, Vishal Jhanji, Woung Lin-chung, Robert Ritch, Wan Hazabbah Wan Hitam, Dennis Lam, Timothy Blenkinsop and Giovanni Staurenghi;

• More than 20 sponsored symposiums;• Cutting-edge live surgery session;• Exciting exhibition showcasing current and leading edge

ophthalmic knowledge, technologies, and sciences.

The College had also planned to roll out initiatives to incentivise and encourage participation for APAO 2017. Special membership benefits were to be awarded to Ophthalmology FAMS who registered and attended the congress. The College would also underwrite up to SGD 500.00 off FAMS’ 2018 annual subscription fee.


The College had provided the following professional opinions on various requested topics.

DATE TOPIC ORGANISATION

19 April Human Tissue Banks

Ministry of Health

18 May Consent Taking Procedures

Ministry of Health

6 June Publicity Claims on Lasik Procedures

Ministry of Health

29 August Procedures Performed in Outpatient Medical Clinics

Ministry of Health

19 September Medisave Claim: Blepharoplasty & Brow Plasty

Ministry of Health

6 December Cataract Surgery in Medical Clinics

Ministry of Health


The College is committed to the following: Major Initiatives• Support for organising major international conferences in

Singapore• Strategic Roadmap Meeting • Diploma exams and Staff Registrar/Resident Physician

Scheme• National CME

Events/Activities Planned for 2017• 7th College Lectureship 2017 • 32nd Asia Pacific Academy of Ophthalmology (APAO)

Congress 2017

ORGANISATION OF ASIA PACIFIC ACADEMY OF OPHTHALMOLOGY (APAO) CONGRESS 2017




The College of Psychiatrists has much to be proud of. It has seen a growth in the number of Fellows since its formation on 5 November 2014. Membership stood at 119 as of 31 December 2016 with 8 new Fellows admitted in 2016.

One of the advantages of the formation of the College is to provide a good platform to develop subspecialties and to allow them to have more focused activities. The formation of the Section of Neurostimulation was approved by the AMS Council on 1 August 2016 and will be discussed in the coming Annual General Meeting (AGM). There are currently three sections subsumed under the College of Psychiatrists as of 31 December 2016, namely Section of Child and Adolescent Psychiatrists, Section of Neuropsychiatrists and Section of Neurostimulation. The Section of Child and Adolescent Psychiatry organised three events in 2016 while the Section of Neuropsychiatrists continues to hold its well attended Mind Brain Rounds quarterly.

The way forward for the College is to continue to collaborate with doctors from other medical and surgical disciplines and with other professional groups, for example, the legal profession. The College looks forward to the formation of its fourth section, Section of Forensic Psychiatry, in the near future.

AMS conducted the Psychiatry Resident In-Training

Examination (PRITE) for 43 registered Psychiatry residents in Singapore on 8 October 2016. It is heartening to note that the national psychiatry residency is maturing and the programme has attracted a significant number of residents. It is crucial for the College to evolve and remain relevant, so as to retain our existing Fellows and to be able to attract new blood.

The College will be establishing the Chee Kuan Tsee Lecture in recognition of the outstanding contributions by Professor Chee Kuan Tsee (a past Chairman of the Chapter of Psychiatrists) to the development of Psychiatry in Singapore. The lecture will be inaugurated in 2017 in conjunction with the College of Psychiatrists’ AGM.

In coming years, we hope that the CME programmes can be held at more sites with participation from more Fellows. It is the camaraderie that will sustain the College and keep us going.

The College of Psychiatrists was officially formed on 5 November 2014 under the umbrella of Academy of Medicine, Singapore (AMS). Formerly, the Chapter of Psychiatrists, was formed in 1986. Now as a College, it continues to provide professional leadership and continuing education in psychiatry. The College also provides recommendations to the Academy on specialist qualification and training, and Fellows of the College serve on national specialist training committees and academic programme committees.

An important milestone in the history of local psychiatry was achieved on 5 November 2014 when the College of Psychiatrists was officially formed. As indicated in a

COLLEGE OF PSYCHIATRISTS


President Dr Ng Beng Yeong

President-Elect Dr Wong Chee Meng John

Honorary Secretary Dr Goh Kye Hock Robin

Honorary Treasurer Dr Yap Hwa Ling

Council Members Dr Fung Shuen Sheng DanielDr Ho Chun Man RogerDr Leslie Lim

Co-Opted Members Dr Ong Say HowDr Winslow Rasaiah Munidasa

DR NG BENG YEONG


The 2nd Annual General Meeting of the College was held on 28 April 2016 at Academia Building, Discovery Tower 7.

MEMBERSHIP

The membership of the College stood at 119 as at 31 December 2016, consisting of 112 Local and seven Overseas Fellows. The following were admitted as Fellows in 2016:

It is crucial for the College to evolve and remain relevant, so as to retain our existing Fellows and to be able to attract

new blood.”

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previous letter to our Fellows, the advantages of forming a College include the following: a) To have equal standing with

other Colleges under AMS;b) To raise the profile of the

specialty both locally and overseas;

c) To provide a good platform to develop subspecialties and allow subspecialties to have more focused activities;

d) To have greater autonomy in developing professional initiatives and activities;

e) To have more financial autonomy.

• Dr Chua Siew Eng • Dr Ho Su Hui • Dr Lambert Low Tchern

Kuang• Dr Mok Yee Ming

• Dr Poon Shi Hui• Dr Chairmaine Tang Yu

Zheng • Dr Wan Yi Min• Dr Melvyn Zhang Weibin

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Photo taken in January 2016

Front row (from left to right): Dr Roger Ho (Council Member), Dr Ng Kah Wee (Fellow), Dr Yap Hwa Ling (Honorary Treasurer), Dr Ng Beng Yeong (President), Dr John Wong (President-Elect)

Back row (from left to right): Dr Leslie Lim (Council Member), Dr Winslow Rasaiah Munidasa (Co-Opted Member), Dr Robin Goh (Honorary Secretary), Dr Ong Say How (Co-Opted Member)

Not in photo: Dr Daniel Fung (Council Member)

ACTIVITIES


The College had organised the following lectures in 2016.

DATE TOPIC SPEAKER

14 January Section of Neuropsychiatry – Mind Brain Rounds Dr Simon TingConsultant, Department of Neurology, Singapore General Hospital

16 February Section of Child and Adolescent Psychiatrists – The Treatment of Children and Adolescent with Obsessive Compulsive Disorder (OCD): The Disorder, the Evidence and the Practice

A/Prof Tord IvarssonAssociate Professor, University of Gothenburg

9 March Application of Optical Topography in Clinical Psychiatry Dr Roger HoAssistant Professor and Consultant, Department of Psychological Medicine, National University Health System

14 April Section of Neuropsychiatry – Mind Brain Rounds Dr Lai Ping LiangDamien Iain, Senior Resident, Department of Psychiatry, Singapore General Hospital

18 April Section of Child and Adolescent Psychiatrists – The Role of Sleep and the Circadian Clock in ADHD: Understanding the Role of Non-Pharmacological Interventions and Neurofeedback

Dr Martijn ArnsDirector and Founder of Research Institute Brainclinics

28 April You Are What You Eat? Nutrition and Psychiatry A/Prof Daniel FungChairman Medical Board, Senior Consultant Psychiatrist, Institute of Mental Health

1 June Metabolic Syndrome and Psychosis

Clinical Management of the Metabolic Syndrome

Prof Swapna VermaSenior Consultant & Chief, Department of General Psychiatry & Department of Early Psychosis Intervention, Institute of Mental Health

Dr Charmaine Tang Yu ZhengAssociate Consultant, Department of Early Psychosis Intervention, Institute of Mental Health

Dr Tan Hong ChangConsultant, Department of Endocrinology, Singapore General Hospital

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2015 2016



2 June Clinical Approaches to Circadian Sleep Disorders A/Prof Joshua GooleyAssociate Professor, Neuroscience & Behavioural Disorders Programme, Duke-NUS Medical School

5 July Sharing Insights into Psychological Trauma: It is Not Always About PTSD

Dr Jeya Balakrishna Consultant Forensic Psychiatrist (Private Practice)

14 July Section of Neuropsychiatry – Mind Brain Rounds Dr Simon TingConsultant, Department of Neurology, Singapore General Hospital

17 August Military Psychiatry: Effective Deployment of Servicemen with Psychiatric Problems

Military Psychiatry: Assessing Suitability for Firearms Use

LTC (Dr) Adrian Loh Seng WeiHead, Psychological Care Centre, SAF

LTC (Dr) Soh Teck HweeConsultant Psychiatrist, SAF

30 August Update on Bipolar Disorders Dr Mok Yee MingSenior Consultant & Chief, Department of GP, Head, Mood Disorders Unit, Institute of Mental Health

28 September

Adult ADHD – Challenges in Evaluation and Management Dr Geraldine Goh Shu ChenConsultant Psychiatrist, Gleneagles Medical Centre

13 October Section of Neuropsychiatry – Mind Brain Rounds Dr Kiranjeet KaurConsultant, Department of Psychiatry, Singapore General Hospital

27 October Conflicts of Interests: Implications for the Psychiatrists Dr Devanand AnanthamSenior Consultant, Respiratory and Critical Care Medicine, Singapore General Hospital

1 November Intimacy and Sexuality in Older People Dr Jane Garner (Private Practice)Dr Lorenzo Bacelle (Private Practice)

23 November Maintenance of Competency (MOC) Prof Lim Shih HuiImmediate Past Master, Academy of Medicine Singapore; Senior Consultant Neurologist, National Neuroscience Institute & Singapore General Hospital

26 November Section of Child and Adolescent Psychiatrists – Diagnostic Dilemmas in Children and Adolescents

A/Prof John FayyadChairman, Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center and Faculty of Medicine, Balamand University

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STAFF REGISTRAR SCHEME (SRS) – DIPLOMA IN PSYCHIARY COURSE

The College had rolled out its staff registrar (SRS) programme in September 2013. A three-year programme, the first intake of three (3) trainees had graduated in September 2015. Three candidates from the second intake on September 2014 have graduated in September 2016. They are Dr Tarun Suri, Dr Sandeep Suri and Dr Erliza Maria Labagday. Dr Aung Win from the second intake is in training and is in his 2nd Year.

PSYCHIATRY RESIDENT IN-TRAINING EXAMINATION (PRITE)

AMS had conducted the Psychiatry Resident In-Training Examination (PRITE) for 43 registered Psychiatry residents in Singapore on 8 October 2016.


The College had submitted the following professional opinions to external parties.

TOPIC ORGANISATION

Appropriateness of the Intended Service to be Conducted in a PHMC Licensed Medical Clinic (Clinical Sexology)

Ministry of Health

Comments on the Professional Deputies and Donees Framework

Ministry of Social and Family Development


The College will be establishing the Chee Kuan Tsee Lecture in recognition of the outstanding contributions of Professor Chee Kuan Tsee, a past Chairman of the Chapter of Psychiatrists of to Psychiatry in Singapore. The Chee Kuan Tsee Lecture will be inaugurated in 2017 in conjunction with the College‘s Annual General Meeting (AGM).

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The College of Public Health and Occupational Physicians (CPHOP) was inaugurated on 1 February 2013, from the Chapter of Public Health and Occupational Physicians founded in 1980. As part of the Academy of Medicine, Singapore, the College is a professional institution of Public Health, Occupational Medicine and Aviation Medicine specialists to advance the art and science of Preventive Medicine in Singapore through postgraduate specialist training, maintenance of high standards and ethical integrity through continuous professional development. The College

provides professional leadership and makes recommendations to the Academy on respective specialist qualification and training. The College engages challenges related to the health and well-being of the population, and its Fellows serve on many national academic, training and intervention programmes.

COLLEGE OF PUBLIC HEALTH AND OCCUPATIONAL PHYSICIANS


I would like to thank our Fellows for their support of the College Council in the past year. At our last AGM on 6 May 2016, we presented the College’s Vision, Mission and Values, and discussed ways in which we can bring our College into the future to meet the needs of our Fellows and the profession as a whole. This includes the strengthening of professional activities, organising social and networking events, and reaching out to the broader public health community.

We have since had several engagements with Fellows through a survey and discussions during social events to identify areas where we can expand. The College Council has been working hard to turn our Fellows’ requests into reality. One feedback is for the organisation of continuing medical education (CME) activities to achieve our role as educators of the profession. We have since organised several CME activities, including one on health insurance, and another on medical information technology. These activities have seen record participation, allowing for active discussions on key areas of interest to our Fellows. We have also organised social activities together with the CME, and have invited the Preventive Medicine residents to these events to promote networking with our future College Fellows, and to introduce them to the activities of the College.

The College also aims to increase the stature and awareness of our College through greater advocacy for topics of interest. The College is an important platform to provide professional opinion and commentary to supplement the official stance of our policy-making bodies, and to educate the community on key preventive medicine issues. The College wrote an opinion piece on diabetes with the Saw Swee Hock School of Public Health, and will aim to publish more of such pieces and to engage in other advocacy activities.

The 2nd Singapore International Public Health Conference and 11th Singapore Public Health & Occupational Medicine Conference held on 29 and 30 September 2016 was a major success, and saw more than 500 participants sharing their experiences on public health, occupational medicine, and

aviation medicine. This conference was organised with the Saw Swee Hock School of Public Health, and brought our College closer to the other major educator for public health in Singapore. The theme for the conference ‘Contemporary Challenges, Sustainable Solutions’ addressed three current public health challenges prevalent in Asia, namely emerging infections including antimicrobial resistance; health systems and implications on healthcare costs as a result of population ageing; and the complexities of inequality and vulnerability of migrant and refugee populations and their implications on public health. The Fellows’ lunch held during the conference saw 45 Fellows attending this annual event, where the College of Public Health and Occupational Physicians Lifetime Achievement Award 2016 recipient, Dr Lam Sian Lian, shared her insights and achievements during her career.

The year also saw Dr Clive Tan receiving a travel grant to attend the 4th World Congress of Integrated Care in Wellington, New Zealand in November 2016. Together with Dr Jason Yap, our College’s Vice-President, they met up with the New Zealand College of Public Health Medicine’s General Manager, Ms Jane Dancer; and also met with Ms Louise Delany, President of the Public Health Association of New Zealand. We encourage Fellows to apply for the travel grants should they require funding to attend meetings to further the mission of the College.

Three Public Health physicians and one Aviation Medicine physicians joined our College as Fellows. The membership breakdown and statistics are outlined in the Annual Report.

DR VERNON LEE

The College is an important platform to provide professional opinion and

commentary to supplement the official stance of our policy-making bodies,

and to educate the community on key preventive medicine issues.

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Standing (from left): Dr Angela Chow (Council Member), Dr Kenneth Choy (Council Member), Dr Mona Toh (Council Member)

Seated (from left): Dr Lim John Wah (Honorary Secretary), Dr Benjamin Ng (Immediate Past President), Dr Vernon Lee (President), Dr Jason Yap (Vice-President), Dr Clive Tan (Honorary Treasurer)

Not in photo: Dr Gan Wee Hoe (Co-Opted Member)


President Dr Vernon Lee

Immediate Past President Dr Benjamin Ng

Vice-President Dr Jason Yap

Honorary Secretary Dr Lim John Wah

Honorary Treasurer Dr Clive Tan

Council Members Dr Angela ChowDr Kenneth ChoyDr Mona Toh Cheong Mui

Co-Opted Member Dr Gan Wee Hoe


The College’s 3rd Annual General Meeting (AGM) was held on 6 May 2016. It was attended by some 12 fellows who came to support and witness the 3rd Council take office.

MEMBERSHIP

The membership of the College stood at 123 as at 31 December 2016. There were a total of 115 Local Fellows, seven Overseas Fellows and one Ordinary Member.

The following were admitted as Fellows of the Academy of Medicine, Singapore (CPHOP) in 2016:• Dr Chong Chun Hon• Dr Goh Jit Khong• Dr Kim Ai Ling Phyllis• Dr Wong Shiu Hong

The Singapore International Public Health Conference is held every four years. It brought together a multi-national, multi-sector and multi-disciplinary panel of public health professionals and practitioners, academics, researchers, policy-makers and international stakeholders from around

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2ND SINGAPORE INTERNATIONAL PUBLIC HEALTH CONFERENCE AND 11TH SINGAPORE PUBLIC HEALTH & OCCUPATIONAL MEDICINE CONFERENCE

The College had jointly organised the 2nd Singapore International Public Health Conference and 11th Singapore Public Health and Occupational Medicine Conference 2016 (SIPHC 2016) which was held on 29-30 September 2016 with the NUS Saw Swee Hock School of Public Health.

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the world. It allowed participants to share insights on issues ranging from the use of novel technologies for surveillance of emerging infectious diseases, and improvement in healthcare delivery, workplace health and safety, and aviation medicine to the employment of novel strategies for the promotion of well-being and mental health, and the development of innovative health financing models. The two-

day event enabled the discussion of successes, barriers and opportunities in tackling existing and emerging public health challenges and exchange knowledge about effective policies, programmes, best strategies, practices and methodology. The conference was well attended by more than 500 participants, including overseas participants from Canada and Malaysia.

A group photo taken during the Opening Ceremony of the 2nd SIPHC and 11th PHOM with the Guest-of-Honour, Dr Amy Khor (second row, fourth from left).

Dr Lam Sian Lian (right), receiving the Achievement Award Medal from the Guest-of-Honour, Dr Amy Khor at the conference.

From left to right: Dr S R E Sayampanathan (Master, Academy of Medicine Singapore), Dr Amy Khor (Guest-of Honour), Dr Lam Sian Lian, A/Prof Chew Ling, and Dr Vernon Lee (President, CPHOP).

NATIONAL PREVENTIVE MEDICINE GRAND ROUNDS

The College had funded refreshments for the following National Preventive Medicine Grand Rounds in 2016 which

were conducted by the National Preventive Medicine Residency Program.

Date 14 January

Topic Organisation of Health Systems – Role of Public Institutions vs. Community Organisations

Facilitators Dr Eugene Shum, Dr Liu Jiaming

Presenters Dr Matthew Lee, Dr Loke Hsi-Yen, Dr Calvin Chiew, Dr Priyanka Rajendram

Date 10 March

Topic Case Studies in Epidemiology & Policy Decision

Faculty Dr Vernon Lee

Date 28 April

Topic Systematic Services Development for Health and for Healthcare

Facilitators Dr Ng Yeuk Fan, Dr Shermin Tan

Presenters Dr Dennis Chia, Dr Marc Ho, Dr Matthew Lee, Dr Nokuthula Sikhethiwe Kitikiti

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Date 12 May

Topic Policy Considerations in Occupational Health

Facilitators A/Prof Lee Hock Siang, Dr Ho Sweet Far, Dr Joseph Lim

Presenters Dr Jeff Hwang, Dr Melvin Seng, Dr Sankeerth Reddy

Date 9 June

Topic Changing Behaviour at Population Level

Speaker Dr Foo Ling Li

Date 14 July

Topic Hepatits C Outbreak Lessons in Prevention and Control

Facilitators A/Prof Angela Chow, Dr Marc Ho

Presenters Dr Loke Hsi-Yen, Dr Priyanka Rajendram, Dr Sankeerth Reddy, Dr Nokuthula Sikhethiwe Kitikiti

Date 18 August

Topic World War D Man vs. Sugar

Facilitators Dr Matthew Toh, Dr Andrew Green

Presenters Dr Andrea Lim Su En, Dr Hange Namrata Shivajirao, Dr Nokuthula Sikhethiwe Kitikiti, Dr Wycliffe Wei Enli

Date 8 September

Topic Homelessness in Singapore A Volunteer Worker’s Perspective

Facilitators Ms Mary Chia, Dr Marc Ho

Date 13 October

Topic End of Life Care Writing Good Endings to their Stories

Facilitators Dr Lee Meng Har, Dr Lim Wei-Yen, Dr Matthew Lee

Date 10 November

Topic Regulation of Health Products

Facilitators Asst Prof Raymond Chua, Dr Liu Jiaming

Presenters Dr Matthew Lee, Dr Dominic Tan Shuwen, Dr Loke Hsi-Yen, Dr Andrew Green

COLLEGE GET-TOGETHER SESSION

The College celebrated Chinese New Year with a “Lo Hei” at The Chinese Restaurant in Raffles Town Club on 12 February

Tossing ‘yu-sheng’ for “good luck”. Catching up with old friends: A photo for the album.

2016. About 19 Fellows had gathered together to socialise, network, and catch up with friends.

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COLLEGE FELLOWS’ LUNCH

The College had organised a Fellows’ lunch held on 29 September 2016, the first day of the 2nd Singapore International Public Health Conference (SIPHC) and 11th Singapore Public Health and Occupational Medicine (PHOM)

Conference 2016 at the Pelican Room, Grand Copthorne Waterfront Hotel. A total of 43 Fellows gathered to socialise, network, and catch up with friends.

Dr S R E Sayampanathan, Master of Academy of Medicine, Singapore addressing the Fellows at the lunch.

Dr Vernon Lee, President of the College and Dr Lam Sian Lian, 2016 Lifetime Achievement winner giving opening speeches.

COLLEGE COUNCIL GATHERING WITH RESIDENTS

The College had organised a year-end get-together with residents on 1 December 2016, held at the Blue Ginger Restaurant. Dr Wong Chiang Yin gave the CME talk, on the topic ‘A Public Health Physician’s Take on the HITF Report’.

Residents were given a talk on ‘A Public Health Physician’s Take on the HITF Report’ by Dr Wong Chiang Yin.

Catching up with old friends: A photo for the album.

TRAVEL ASSISTANCE FUND

In 2016, the College had granted travel assistance funds to one applicant, Dr Clive Tan.

COLLEGE NEWSLETTER

The College published two issues of its newsletter in August and December 2016. The newsletter provides Fellows with an update of its activities and reaches out to the College’s visitors on information useful to Fellows.

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The College of Clinician Scientists began as a Chapter under the Academy of Medicine, Singapore (AMS) in 2012. It was started by AMS Fellows who were established clinician scientists. They bring with them considerable experience in the development of research programmes, including collaborative initiatives with the biomedical and pharmaceutical industry, and expertise on establishing training guidelines for academic research and on the training of clinician scientists. Their vision was that a professional body within AMS would provide collective identity for clinician scientists, advise relevant authorities on scientific matters

and the training of clinician scientists, and be the academic voice of AMS.

In 2016, members of the Board of the Chapter of Clinician Scientists launched a sustained membership drive aimed at the formation of a college. A resolution was passed at the Annual General Meeting of AMS on 11 June 2016 on the formation of the College of Clinician Scientists with 72 signatures of Fellows submitted in support of the formation.

COLLEGE OF CLINICIAN SCIENTISTS


The College of Clinician Scientists was created when clinician scientist Fellows within the Chapter reached out to other clinician scientist colleagues in the country and attained the critical mass required for a college to be formed within the Academy of Medicine, Singapore. The formation of this corporate body reflects the aspirations of clinician scientists to contribute formally to the development of the national biomedical initiative and to meet the urgent need of nurturing the next generation of clinician scientists. Both are crucial to the success of Academic Medicine in the country. The College also enables industry to access the collective expertise of clinician scientists in the country through a single interface.

We are grateful for the wide support given to us by Master

and the rest of the Academy in the formation of our College. We will continue to need every help as we progress in our journey to help build Academic Medicine and contribute to improved patient outcomes. Once again thank you for your help. “Veritas Vos Liberabit”. DR PIERCE CHOW

THE 2016-2017 INTERIM COUNCIL

President Dr Pierce Chow

Vice-President Dr Aung Tin

Honorary Secretary Dr Lynette Shek

Honorary Treasurer Dr Mahesh Choolani

Committee Members Dr David LyeDr Narayanan Gopalakrishna IyerDr Iain Tan

From left: Dr Lynette Shek (Honorary Secretary), Dr Mahesh Choolani (Honorary Treasurer), Dr David Lye (Committee Member), Dr Narayanan Gopalakrishna Iyer (Committee Member), Dr Pierce Chow (President), Dr Iain Tan (Committee Member)

Not in photo: Dr Aung Tin (Vice-President)


The 3rd Annual General Meeting of the then-Chapter was held on 27 April 2016 at the Academia Building.

INAUGURAL GENERAL MEETING

The Inaugural General Meeting of the College was held on 26 August 2016 at National Dental Centre Singapore. It was attended by some 26 Fellows to mark the establishment of the College.

MEMBERSHIP

The College membership as at 31 December 2016 is 82. This consists of 77 Local Fellows, three Overseas Fellows and two Associate Members.

The College also enables industry to access the collective expertise of clinician scientists in the country through a single

interface.

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A fireside chat conducted by A/Prof David Lye (centre), Dr Senthil Sockalingam (on the right) and A/Prof Louis Tong (on the left with his back turned) on the topic ‘Research Questions, Study Concepts and Protocol Design’.

From left: A/Prof Teoh Yee Leong, A/Prof Christopher Chen, Dr Senthil Sockalingam, A/Prof Louis Tong, A/Prof David Lye, and Prof Pierce Chow (President, College of Clinician Scientists).

SINGAPORE SCIENCE AND ENGINEERING FAIR 2016

At the request of the organisers of the Singapore Science and Engineering Fair (SSEF) 2016, the then-Chapter had initiated the Chapter of Clinician Scientists Award with 1st and 2nd prizes. The Chapter was pleased to contribute and hopes that this event would encourage more youths to explore STEM (Science, Technology, Engineering, Mathematics) as a career and that some of the participants may even become future clinician scientists. The SSEF is a national competition organised by the Ministry of Education (MOE), the Agency for Science, Technology and Research (A*STAR) and the Science Centre Singapore (SCS). It is intended for students who have conducted research over the past year and allows them to showcase their findings. Outstanding entries represented Singapore at the Intel International Science and Engineering Fair (Intel ISEF) from 8 to 13 May 2016 in Phoenix, Arizona, USA. Winners of the competition were also allowed to shadow clinician scientists from the College.

It is, however, challenging to create and manage IITs and very few doctors have the necessary experience or training to do that. Many IITs do not commence or remain uncompleted. The IIT Workshop addressed this gap and was the first of its kind, in addition to providing information.

Clinician Scientists from the College had shared their experience and perspectives and had provided advice at the Workshop. Twelve eminent speakers had also been featured: • Prof Pierce Chow (President, College of Clinician Scientists)• A/Prof Teoh Yee Leong (CEO, Singapore Clinical Research

Institute)• A/Prof Toh Han Chong (Senior Consultant and Deputy

Director, National Cancer Centre Singapore)• A/Prof Christopher Chen (Senior Clinician Scientist,

National Medical Research Council)• Mr Chris King (Private practice)• Dr Mark A Bach (Private practice)• Dr Senthil Sockalingam (Private practice) • A/Prof David Lye (Senior Consultant, Institute of Infectious

Diseases and Epidemiology, Tan Tock Seng Hospital)• A/Prof Louis Tong (Senior Consultant, Principal Clinician

Scientist, Singapore National Eye Centre)• Dr Kripesh Krishnan (Private practice)• Ms Lisa Marie Saldanha (Private practice)• A/Prof John Chia (Senior Consultant, Division of Medical

Oncology, National Cancer Centre Singapore)

Winners of the Chapter of Clinician Scientists Award.

ACTIVITIES

Participants at the Singapore Science and Engineering Fair.

INVESTIGATOR-INITIATED TRIALS WORKSHOP

The College had organised the Investigator-Initiated Trials (IIT) Workshop in collaboration with Quintiles, NMRC and the Asia-Pacific Hepatocellular Carcinoma Trials Group on 26 August 2016. More than 130 participants attended the workshop including overseas investigators, key opinion leaders of the region, doctors, health care professionals, residents and pharmaceutical company personnel.

Conducting good clinical trials is an important way to improve clinical outcomes in patients. IITs are important because they are initiated by practising clinicians who are able to identify important unmet needs in clinical practice. IITs are held in high esteem in Science because they are independent of non-scientific vested interest and address crucial needs unknown to industry.

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SEMINAR ON FUNDING OPPORTUNITIES FOR TRANSLATIONAL RESEARCH

The College had organised a Seminar on Funding Opportunities for Translational Research in collaboration with the National Health Innovation Centre (NHIC), National Medical Research Council (NMRC) and AstraZeneca. The seminar was held on 19 November at the Academia with about 30 participants in attendance.



The seminar aims to help clinicians, clinician scientists and scientists understand the opportunities and practicalities of obtaining a translational research grant from NHIC and also proprietary drugs for translational research from AstraZeneca.


The College had provided two professional opinions in 2016.

TOPIC ORGANISATION

NECC Core Competencies in Clinical Ethics for Healthcare Professionals

National Ethics Capability Committee

Assessment of ‘Evidence Based’ Ministry of Health

NATIONAL DATABASE OF CLINCIAN SCIENTISTS

The College had started work with NUHS on a National Database which will be searchable by academia, industry and the public. The database will also be a source of accessible mentorship for aspiring clinician scientists and is expected to go online by Q2 2017.

Participants at the seminar.

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The Chapter of Pathologists was formally added to the Academy of Medicine’s list of Chapters at the 9th Annual General Meeting of the Academy on 22 November 1986. The Chapter’s Inaugural General Meeting was held on 5 December 1986 at King’s Hotel where its first office bearers were elected: Dr Gilbert Chiang (Chairman), Dr Sng Ewe Hui (Vice Chairman), Dr Mavis Yeo (Honorary Secretary), Dr Chao Tzee Cheng (Committee Member), Dr Lee Swee Kok (committee member), and Dr Lee Yoke Sun (Committee Member, who was elected in absentia).

THE 2016-2017 EXECUTIVE COMMITTEE

Chairman Dr Inny Busmanis

Vice-Chairman Dr Cuthbert Teo

Secretary Dr Yeo Chin Pin

Treasurer Dr Jacqueline Hwang

Members Dr Sathiyamoorthy SelvarajanDr Chan Kwai PengDr Tan Ai Ling

CHAPTER OF PATHOLOGISTS


The Chapter held its 30th Annual General Meeting on 23 June 2016 at Academia, Department of Pathology, Singapore General Hospital.

MEMBERSHIP

As at 31 December 2016, the total membership of the Chapter stood at 60. The following had been admitted into the Chapter as Fellows in 2016:• Dr Marian Wang• Dr Adele Wong Pek Choo

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SOUTH CENTRAL ASSOCIATION OF CLINICAL MICROBIOLOGY AUDIO-CONFERENCE

The Chapter had co-organised a series of CD-recorded audio-conference sessions with the Singapore Society of Pathology and the Department of Pathology, Singapore General Hospital.

IQCP- What Does It Mean For You?

Date 11 January

Presenter Susan E Sharp, PhD, ABMM, FAAMDirector, Airport Way Regional LaboratoryDirector, Regional Microbiology and Molecular Infectious Diseases LaboratoriesKaiser PermanenteDepartment of PathologyPortland, OR, USA

Moderator Dr Jamie TanDepartment of PathologySingapore General Hospital

Microarray / Multiplex Testing for GI Pathogens

Date 18 January

Presenter Marc Roger Couturier, PhD, D (ABMM)Medical Director - Microbial Immunology, Parasitology and Fecal Testing, and Infectious Disease Rapid Testing, ARUP Laboratories, USAAssistant Professor, Department of Pathology, University of Utah School of Medicine, USA

Moderator Dr Chan Kian SingDepartment of PathologySingapore General Hospital

Evidenced Based Medicine (Cauti Infections, A Tale of Pre Analytical Urine Cultures!)

Date 1 February

Presenter Robert l Sautter, PhDCarolinas Pathology GroupCharlotte, NC, USA

Moderator Dr Tan Yen EeDepartment of PathologySingapore General Hospital

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CLSI Antimicrobial Susceptibility Testing Update

Date 21 March

Presenter Richard Van Enk, PhD, CICDirector of Infection ControlEpidemiology and Infection Control OfficerBronson Methodist HospitalKalamazoo, Michigan, USA

Moderator Dr James SimDepartment of PathologySingapore General Hospital

Ebola: Experience at Emory

Date 11 April

Presenter Eileen M Burd, PhD, D(ABMM)Director, Clinical MicrobiologyEmory University HospitalAtlanta, GA, USA

Moderator Dr Chan Kian SingDepartment of PathologySingapore General Hospital

IQCP- Where Are We Now?

Date 23 May

Presenter Linda C Bruno, MA, MT(ASCP)Director, Microbiology and Molecular LabsACL Laboratories, Rosemont, IL, USA

Moderator Dr Tan Yen EeDepartment of PathologySingapore General Hospital

Realities of implementing GI Multiplex: Lessons from the Field

Date 13 June

Presenter Kimberle Chapin, MD DABMM, FCAPDirector of Microbiology and ID Molecular DiagnosticsLifespan Academic Medical CentersProfessor of Pathology and MedicineAlpert Brown Medical School

Moderator Dr Jamie TanDepartment of PathologySingapore General Hospital

Why is it So “Difficile”?

Date 4 July

Presenter Steve Brecher, PhDDirector of the Microbiology LaboratoriesBoston VA Healthcare System

Moderator Dr Deborah LaiDepartment of PathologySingapore General Hospital

An Update on the Identification and Antimicrobial Susceptibility of Medically-Relevant Corynebacterium and Bacillus Species

Date 15 August

Presenter Kathy Bernard, MSHead, Special Bacteriology Unit, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, MB, CanadaLecturer, Department of Medical Microbiology and Infectious Diseases, University of Manitoba, Canada

Moderator Dr James SimDepartment of PathologySingapore General Hospital

Total Laboratory Automation in Clinical Microbiology: The Future Has Arrived!

Date 5 September

Presenter Richard B Thomson Jr, PhD D(ABMM) FAAMDirector, Microbiology LaboratoryNorthShore University Health System, Evanston, IL, USAClinical Professor of PathologyThe University of Chicago, Pritzker School of Medicine, USA

Moderator Dr Ng Tong YongDepartment of PathologySingapore General Hospital

The Future of Molecular Point-of-Care Testing for Viruses

Date 24 October

Presenter Richard Hodinka, PhDClinical Professor, MicrobiologyBiomedical Sciences ChairUniversity of South Carolina, School of Medicine Greenville, USA

Moderator Dr Ng Tong YongDepartment of PathologySingapore General Hospital

Contaminants That Become Pathogens in Immunocompromised Hosts

Date 19 December

Presenter Morgan H McCoy, PhD, MDAssociate Medical Director of Clinical LaboratoriesCincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

Moderator Dr Karrie KoDepartment of PathologySingapore General Hospital

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PATHOLOGY ANNUAL SCIENTIFIC MEETING 2016

Together with the Singapore Society of Pathology, the Chapter had co-organised the Pathology Annual Scientific Meeting on 15 October at the Academia, Singapore General Hospital. Dr John Christopher Coakley, Visiting Lecturer of

Academy of Medicine, Singapore (AMS), had delivered the lecture on ‘Laboratory Investigations of Metabolic Disorders’. The event also saw the delivery of a few interesting lectures by local and overseas speakers.

Dr S R E Sayampanathan , Master of the Academy of Medicine, Singapore (left) presenting the certificate of AMS Visiting Lecturer to Dr John Coakley.

Dr Tony Badrick delivering his lecture on ‘The Importance of Quality Assurance’.

Dr Michael Harrison delivering his lecture on ‘What’s New in Australasian Pathology’.

The topics covered during the meeting are as follows:

PLENARY SESSION

Topics/Speakers ‘Laboratory Investigations of Metabolic Disorders’ Dr John CoakleyRCPA Visiting Lecturer 2016 and Plenary session, Academy of Medicine, Chapter of PathologistsHead of Department of Clinical Biochemistry, The Children’s Hospital, Westmead, Sydney (Visiting Lecturer)

‘The Importance of Quality Assurance’Dr Tony BadrickChief Executive Officer, RCPA QAP

‘What’s New in Australasian Pathology’Dr Michael HarrisonPresident, RCPA

SYMPOSIUM ON CHEMICAL PATHOLOGY/HAEMATOLOGY

Topics/Speakers ‘Investigation of Jaundice in Infancy and Childhood’Dr John CoakleyRCPA Visiting Lecturer 2016 and Plenary session, Academy of Medicine, Chapter of PathologistsHead of Department of Clinical Biochemistry, The Children’s Hospital, Westmead, Sydney (Visiting Lecturer)

‘Hospital Implementation of Clinical Mass Spectrometry: Immunosuppressants’Dr Ng Wai YoongSingapore General Hospital

‘2015 Update on Myeloma Diagnosis’Dr Sathish Kumar GopalakrishnanSingapore General Hospital

‘Challenges of FISH in Diagnostic Haematology’A/Prof Tien Sim LengSingapore General Hospital

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SYMPOSIUM ON ANATOMICAL PATHOLOGY

Topics/Speakers ‘Hair Pathology: The Need for Clinicopathological Correlation’Dr Joyce LeeNational Skin Centre

‘Is This a Keratoacanthoma?’Dr Huang JingxiangNational University Hospital

‘Molecular Updates in Melanoma Pathology’Dr Michelle ChanSingapore General Hospital

‘What’s the Story with Sentinel Lymph Nodes in Melanoma?’Dr Inny BusmanisSingapore General Hospital

SYMPOSIUM ON MICROBIOLOGY

Topics/Speakers ‘Chronic Q Fever in Pregnancy: Peripartum Infection Control Management’Dr Murugesh JagadeesanKhoo Teck Puat Hospital

‘Streptococci Stripped Down’Dr Timothy BarkhamTan Tock Seng Hospital

‘Screening for MRSA Carriage Using Molecular Methods’Dr Chan Kian SingSingapore General Hospital

SPONSORSHIP OF EVENT

In 2016, the Chapter had sponsored morning refreshments for ‘SGH Kidney Tumour and Breast Pathology’ (held on 17 November).


The Chapter had received professional opinion requests from the Academy of Medicine, Singapore for the following topics/issues:• Operating an Unlicensed Medical Clinic

• Chromosomal DNA Analysis• 1st Draft Writeup for Surgical Aesthetic Procedures -

Taskforce on Aesthetic Medicine• 2nd Edition of Screening Test Review Committee Report• Clinical Use of Next-Generation Sequencing (NGS) Based

Assays• NECC Core Competencies in Clinical Ethics for Healthcare

Professionals• Screening Tests Review

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The formation of the Chapter of Intensivists was passed at the 36th Annual General Meeting of the Academy of Medicine, Singapore on 14 June 2014. The Chapter aims to set the standard for intensive care medicine and maintain this standardised level of high-quality care in Singapore.


Chairman Dr Lim Tiek Whai

Vice-Chairman Dr Loo Chian Min

Honorary Secretary Dr Loo Shi

Honorary Treasurer Dr Loh Meng Woei

Members Dr Kenneth Chan Ping Wah Dr Alvin Ng Choon Yong Dr Tan Chee Keat

Co-Opted Member Dr Jonathan Tan Jit Ern President, Society of Intensive Care Medicine (Singapore)

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The 2nd Annual General Meeting of the Chapter was held on 23 April 2016 at 1630 hours in Centre for Innovation, Changi General Hospital. It was attended by 13 Chapter Fellows.

MEMBERSHIP

As at 31 December 2016, the Chapter had a total of 99 Fellows.

ACTIVITIES

STAFF REGISTRAR SCHEME (SRS)

The SRS serves as an avenue for public/restructured healthcare institutions to retain temporary registered (service) doctors. It is also open to general practitioners or non-specialists who wish to work in the public/restructured healthcare institutions. The proposed curriculum for the SRS Diploma in Intensive Care Medicine (ICM) was approved by the Chapter Board and Academy’s Council. The curriculum comprised eight modules:• Approach to Acute Illness• Procedural Anatomy and Technical Skills• Monitoring, Measurements, Investigations and

Interpretations• Supportive ICU Care• Principles of Organ System Failure and Disease

Management• ICU Therapy• Extramural Care• End of Life Organ Donation

It would be submitted to the Singapore Medical Council for approval before the start of enrolment. Dr Tan Chee Keat would be the Programme Director for the SRS Diploma in ICM.


The National Ethics Capability Committee consulted the Academy of Medicine, Singapore on the compiled list of core competencies in clinical ethics for healthcare professionals. A Chapter Fellow had provided inputs on additional core competencies to be added to the list, such as conducting an end-of-life discussion with or on (incompetent) patient, performing a limitation of care/discontinuance of life-sustaining therapy intervention and understanding the medico-legal aspects of various legal statutes prevailing in Singapore.

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Time flies, the Chapter of Family Medicine Physicians is now two years old. Our raison detre is to promote and advance Family Medicine as a specialty in Singapore. We also need to ensure that the discipline of Family Medicine stays relevant to our healthcare system. Many of us would have in one way or other been affected by the recent re-clustering of the public healthcare system. It is clear that the government believes in the importance of ensuring continuity of care of our patients as each cluster now has primary care, intermediate care, as well as acute hospital asset.

While there is political will to create a system that allows better ownership of patients and delivery of services to shift health from hospital to home, the challenge will be when the rubber hits the road. As Family Medicine physicians working in different settings, we have a significant role to play in helping to ensure the successful implementation of the above. The future is exciting and bright for both our nation and our discipline.

Reflecting on the significant moments of the past year, the Chapter worked alongside the College of Family Physicians Singapore to jointly organise the inaugural Family Medicine Review Course. The course was launched to help Family Medicine Physicians keep up with the latest developments

in Family Medicine practice by leveraging on the sharing of expertise by our specialists colleagues from different Chapters and Colleges of the Academy. It is envisaged that this course will soon take a life of its own, and be a regular highlight in the learning journey of our fellow colleagues.

An engagement dinner was also organised to welcome Dr Helen Elizabeth Smith, who has been appointed as Professor of Family Medicine and Primary Care by the Lee Kong Chian School of Medicine. During the dinner, we explored ways we could work togther to help drive research and academia in Family Medicine. These strategic partnerships are vital to ensure the growth and development of our discipline.

In conclusion, I would like to thank all fellow Chapter members for your hard work and contribution in supporting the Chapter’s initiatives. I look forward to an enriching and an even more fruitful year ahead.

CHAPTER OF FAMILY MEDICINE PHYSICIANS

DR TAN BOON YEOW


Chairman Dr Tan Boon Yeow

Vice-Chairman Dr Lee Kheng Hock

Secretary Dr Paul Goh

Treasurer Dr Chng Shih Kiat

Members Dr Ng Lee BengDr Julian LimDr Lee Eng SingDr Farhad Fakhrudin VasanwalaDr Gilbert Tan Choon SengDr Wong Tien Hua

Advisors Dr Cheong Pak YeanDr Lee Suan YewDr Goh Lee Gan


The Chapter convened its 1st Annual General Meeting on 9 April 2016 at Lee Kong Chian Boardroom, Academy of Medicine, Singapore.

CHAPTER MEETING

The Chapter held a meeting on 30 August 2016.

MEMBERSHIP

As at 31 December 2016, the total membership of the Chapter stood at 81.

With an ageing population, the role of Family Medicine Physicians has become even more important. There is a need for many more well trained doctors to provide better holistic, less fragmented and more integrated care at the community level.

The resolution to form the Chapter of Family Medicine

Physicians was passed at the 36th Annual General Meeting of the Academy on 14 June 2014. The aims of the Chapter are:1) to promote and advance Family Medicine as a specialty in

Singapore and; 2) to promote interdisciplinary medical education in Family

Medicine.

Our raison detre is to promote and advance Family Medicine as a specialty in

Singapore. We also need to ensure that the discipline of Family Medicine stays

relevant to our healthcare system.

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ENGAGEMENT DINNER WITH PROFESSOR HELEN ELIZABETH SMITH

An engagement dinner was jointly organised by Chapter of Family Medicine Physicians, and College of Family Physicians Singapore, to welcome Professor Helen Elizabeth Smith who had been recently appointed Professor of Family Medicine and Primary Care at the Lee Kong Chian School of Medicine (LKC-SoM). The dinner was held at Tien Court Restaurant, Copthorne King’s Hotel on 21 October 2016.

Prof Smith has contributed significantly to the Primary Care Research Networks, and has developed research initiatives in the specialty to improve the quality of care provided by Family Physicians. There was a positive exchange on the challenges and future of Family Medicine at the dinner.

FAMILY MEDICINE REVIEW COURSE 2016

The 1st Family Medicine Review Course 2016 was held on 14 May 2016 at SGH Academia. The course was jointly organised by the Chapter of Family Medicine Physicians and the College of Family Physicians Singapore.

Guests at the engagement dinner (from left): Prof Tan Boon Yeow, Dr Lee Eng Sing, Dr Julian Lim, Dr Lim Hui Ling, A/Prof Cheong Pak Yean, A/Prof Lee Kheng Hock, Prof Helen Elizabeth Smith, Prof Helen Smith, A/Prof Lim Lean Huat, Dr James Chang Ming Yu, Dr Lim Fong Seng, Dr Ng Bee Lan, and Dr Gilbert Tan.


The Chapter had presented its views on the following issues:

DATE TOPIC ORGANISATION

22 August Clinical Advice for HSA

Health Sciences Authority

29 August Procedures Performed in Outpatient Medical Clinics

Ministry of Health

26 September Invitation for Comments on the Professional Deputies and Donees Framework

Ministry of Social and Family Development

1 December Chronic Obstructive Pulmonary Disease CPG

Ministry of Health


The Chapter, in collaboration with the College of Family Physicians Singapore, would be organising the second Family Medicine Review Course 2017 on 20 May 2017 at the Academia@SingHealth. To cater to a broad spectrum of interests among Family Physicians, the course will include commonly encountered topics in Family Medicine, focusing on Geriatrics, Cardiovascular Medicine, Paediatrics, Obstetrics and Gynaecology as well as Haematology.

A/Prof Tan Boon Yeow (fourth from left) and A/Prof Lee Kheng Hock (fifth from left) pose with the Organising Committee of the Family Medicine Review Course 2016.

The review course is designed to help keep the experienced Family Physicians abreast with the latest developments in Family Medicine practice, as well as to assist aspiring Family Medicine trainees and medical students update themselves with the latest medical knowledge, and to prepare them for the examinations.

About 200 family physicians, FM trainees and medical students attended the course, which comprised four clinical tracks of Respiratory Medicine, Cardiology, Musculoskeletal Medicine and Dermatology. Overall, participants had given good feedback about the review course.

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The Chapter of Clinician Educators (CCE) had grown significantly in 2016 both in terms of its membership base and the activities it facilitated.

In the past year, CCE developed closer collaborations with key stakeholders in clinical education, both locally and internationally. The Executive Board of CCE met with the Ministry of Health (MOH) division anchoring clinical education (Professional Training Assessment and Standards) to discuss ways to collaborate and improve clinical training in Singapore. At the international level, CCE was represented at the Association for Medical Education in Europe (AMEE) conference in Barcelona, Spain, where a meeting was convened to discuss best ways to collaborate and exchange ideas with several professional organisations anchoring medical education in their respective countries.

The CCE also organised its annual medical education symposium, with Prof Ian Edward Curran (from the General Medical Council, UK) on ways to achieve excellence in clinical training. The Chapter took in its second cohort of Masters in Health Professions Education (MHPE-S) students and hosted two trainers from Maastricht University, The Netherlands.

With the Chapter’s Chairman, Dr Erle Lim, stepping down, I am humbled to have been given the opportunity to take over following an election on 11 November 2016. As training, assessment and certification of specialists are important objectives of AMS, the Chapter will continue to advance the art and science of medicine through facilitating and building the required pedagogical skills in clinical education as well as to assist in relevant policy development. I would like to thank all CCE Fellows, Board members and the AMS Council for extending their strong support and providing the necessary guidance to nurture and grow the newest chapter of AMS.

The Chapter of Clinician Educators (CCE) was formed in 2013. In its first year, CCE had organised a medical education symposium with Prof Brian Hodges, the featured speaker. A memorandum of understanding with Maastricht University was also signed to launch the Masters in Health Professions Education, jointly run by the Academy of Medicine, Singapore (AMS) and Maastricht University. The programme took in its first cohort of 11 students, and the first training programme took place in Singapore in July 2015. In 2016, CCE continued to facilitate pedagogical activities on a national level. The CCE will organise its third medical education symposium in 2017.

Training, assessment and certification of specialists, being important objectives of AMS, the Chapter will continue to advance the art and science of medicine in Singapore through comprehensive and effective specialist training. Its objectives are:• Pedagogical up-skilling• Engagement and recognition of outstanding educators• Advocacy for clinical educators• To serve an advisory and think tank role• Foster a culture of innovation and research in medical

education

CHAPTER OF CLINICIAN EDUCATORS


Chairman Dr Dujeepa Samarasekera

Immediate Past Chairman Dr Erle Lim Chuen Hian

Vice-Chairman Dr Tham Kum Ying

Secretary Dr Tay Sook Muay

Members Dr Nigel Tan Dr Chay Oh Moh Dr Abhilash Balakrishnan Dr Ian Yeo Yew San Dr Vernon Oh Dr Mabel Yap Dr Evelyn Wong Dr Yong Wei Sean Dr Thamotharampillai Thirumoorthy


The Chapter’s 2nd Annual General Meeting was held on 16 May 2016. It was attended by a total of 13 Fellows. The Chapter had elected one new member into its Executive Committee, namely Dr Thamotharampillai Thirumoorthy. Those present had voted for the existing Committee members to remain for the Chapter.

I would like to thank all CCE Fellows, Board members and the AMS Council for extending their strong support and providing the necessary guidance to

nurture and grow the newest chapter of AMS.

DR DUJEEPA SAMARASEKERA

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AMS-MAASTRICHT MHPE-SINGAPORE MASTERS IN HEALTH PROFESSIONS EDUCATION

The Chapter continued to conduct the Masters of Health Professions Education (MHPE-S) with the Maastricht University in 2016. This programme, which was launched in 2015, explores the interrelation relationship between educational theory, research and clinical practice. Participants are continuously encouraged to use theory-based insights to deal with real life educational problems.

Drs Arno Muijtjens and Fred Stevens (Coordinator of Unit 7) came to Singapore to facilitate Unit 7 of MHPE-S which is based on Educational Research. Unit 1 of the programme was entirely anchored by the Chapter’s Fellows. Both units of MHPE was facilitated by Chapter Fellows and educators from the Centre for Medical Education (CenMED), NUS.

The MHPE course had been open to students from Medicine, Dentistry, Nursing, Pharmacy, Physiotherapy or speech therapy and health sciences.

Faculty for the programme include:

Academy of Medicine, Singapore Maastricht University

Abhilash Balakrishnan Arno Muijtjens

Ashokka Balakrishnan Cees van der Vleuten

Chay Oh Moh Daniëlle Verstegen

Edward Chen Fun Gee Diana Dolmans

Clement Tan Fred Stevens

Vincent Chong Fook Hin Geraldine van Kasteren

Derek Soon Jan van Dalen

Dujeepa D Samarasekara Jeroen van MerrÏenboer

Goh Poh Sun Joost Dijkstra

Kevin Tan Marjan Govaerts

Nigel Tan Mohammed Meziani

Lalit Krishna Renee Stalmeijer

Lim Wee Shiong Willem de Grave

Matthew Gwee Janneke Frambach

T Thirumoothy

Tan Chay Hoon

Teo Yik Ying

The local faculty with the 1st and 2nd intake of the MHPE-S programme.


Aligned to the CCE objectives during 2016, the Chapter will: • Develop closer collaboration with MOH to improve

clinical training both in postgraduate specialist and undergraduate training;

• Create Special Interest groups amongst the CCE members to liaise with key stakeholders;

• Plan and conduct medical education symposia to develop pedogogical skills of CEs at SMCM and other venues; and

• Plan and conduct MHPE-S Unit 1 and Unit 7 activities and enrol the 3rd cohort of masters students.

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“Recta Sapere” To Seek And Savour The Truth At All Times

‘Per pale and per chevron Gules and Azure a Chevron cotised between Three Leopards’ faces Or And for the Crest on a Wreath, Or Gules and Azure Two Eagles’ heads addorsed Azure beaked Or and

gorged with chaplet of Roses - Gules barbed and seeded in each beak a Poppy slipped and leave proper’.

In the centre of the Shield, the Chevron symbolises the coming-together of the specialists of medicine under one roof – the Academy. The three leopards represent the territories in the Singapore-Malaysia region. The two Eagles’ heads of the Crest remind us of the privilege we had of using the family Arms

of our first Master, Gordon Ransome, in the early years of our existence. The Poppies denote our common desire to relieve pain.

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Chapter�of�Emergency�Physicians��

Chapter�of�Pathologists��

Chapter�of�Psychiatrists��

Chapter�of�Public�Health�&�Occupational�Physicians��

College�of�Anaesthesiologists,�Singapore��

College�of�Dental�Surgeons,�Singapore��

College�of�Ophthalmologists,�Singapore��

College�of�Paediatrics�and�Child�Health,�Singapore��

College�of�Obstetricians�and�Gynaecologists,�Singapore��

College�of�Physicians,�Singapore��

College�of�Radiologists,�Singapore��

College�of�Surgeons,�Singapore��

ACADEMY OF MEDICINE, SINGAPORE81 Kim Keat Road, #11-00, NKF CentreSingapore 328836Tel: 6593 7800 Fax: 6593 7880Email: [email protected] Website: www.ams.edu.sgRegistration No: 197702012E • Charity No: 000043

ANNUAL REPORT

2016

ACADEMY OF MEDICINESINGAPOREAcademy of Medicine, Singapore

(INCORPORATED IN THE REPUBLIC OF SINGAPORE)Committed to specialist education and training since 1957

Academy of Medicine, Singapore 81 Kim Keat Road, #11-00, NKF Centre

Singapore 328836 Tel: 6593 7800 Fax: 6593 7880

Email: [email protected] Website: www.ams.edu.sg Registration No: 197702012E • Charity No: 000043

Annual Report2014

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academy of medicine, singapore academy of medicine … academy of medicine, singapore 81 kim keat...

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