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SINGAPORE

SINGAPORE. Kang-Hoe LEE, Associate Professor, National University Hospital, Singapore. TYPES of ICU models. Open (minority) and closed (majority) Government hospitals tend to be closed Private hospitals are open (15% of hospital beds). Type of training. Background training

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SINGAPORE

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  1. SINGAPORE Kang-Hoe LEE, Associate Professor, National University Hospital, Singapore.

  2. TYPES of ICU models • Open (minority) and closed (majority) • Government hospitals tend to be closed • Private hospitals are open (15% of hospital beds)

  3. Type of training • Background training • Medicine (MRCP or MMed) – Pulmonary/Internal Medicine • Anaesthesia (MMed) • Surgery – one person (Trauma – Miami) • Formal critical care training • Pulmonary (one-year of CCM) • Anaesthesia • Under review – critical care alone (FFICANZA-like)

  4. Current proposal

  5. Formal training • Medical students – brief exposure during anaesthesia posting; elective in 4th year • Residents – part of medicine/anaesthesia posting for some • Fellows/Registrar – part of pulmonary and anaesthesia training; others optional

  6. Key clinical decision makers • SICU – surgeon and anaesthesia • MICU – CCM and primary physician (final decision rests with CCM) • CTICU – mainly surgeons

  7. Educational needs • Acute medicine (cardiopulmonary emergencies): • FCCS course • Guidelines / protocols • Computer / clinical decision support • Recognition of ICU as a special area – special skills required 24 hours a day • Developing a joint CCM curriculum

  8. THANK YOU !

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