Briefing to Final Year Medical Students on Housemanship

Briefing to Final Year Medical Students on Housemanship 23 Jan 2006 Joint Committee for HO Training

Housemanship • Objectives • Postings • Application for Employment • Application for Postings • Assessment of Performance • Important Dates • Contacts Joint Committee for HO Training

Housemanship: • Continuation of undergraduate training • Period of clinical apprenticeship • Provisionally registered with the Singapore Medical Council • Builds on knowledge, skills and attitudes developed during undergraduate medical course Joint Committee for HO Training

Objectives of Housemanship Training • Competence in clinical diagnosis • effective history taking • thorough clinical examination • selection & interpretation of common diagnostic tests • Good clinical judgement in assessment and management of patients with broad range of common and important conditions • Competence in management of acute medical and surgical emergencies Joint Committee for HO Training

Objectives of Housemanship Training • Ability to perform common procedures properly • Ability to keep accurate medical records - including the use of computers • Ability to communicate effectively with patients, their relatives and members of the medical team Joint Committee for HO Training

Objectives of Housemanship Training • Develop qualities of professionalism and ethics in patient care, teamwork, integrity and compassion • Appreciation of the limits of your clinical ability, and to seek assistance where necessary • Develop the habits and skills for life long learning and professional development Joint Committee for HO Training

Housemanship Postings • 3 four-month postings • Medicine is a compulsory posting • 5 combinations of specialty postings approved by the Singapore Medical Council Joint Committee for HO Training

Combination of Postings • Medicine/ General Surgery/ Obstetrics & Gynaecology • Medicine/ General Surgery/ Paediatric Medicine • Medicine/ Orthopaedic Surgery/ Obstetrics & Gynaecology • Medicine/ Orthopaedic Surgery/ Paediatric Medicine • Medicine/ Orthopaedic Surgery/ General Surgery Joint Committee for HO Training

Positions Available for House Officers Joint Committee for HO Training

Combination of Posting and Hospitals • Independent of cluster of employment • Depends on combination of postings & hospitals allocated by Joint Committee • Mutual exchanges allowed within same specialty subject to approval by Joint Committee for HO Training • First posting will determine cluster of employment Joint Committee for HO Training

Cluster of Employment • Cluster of employment dependant on which hospital posted to for first posting • NHG • Alexandra Hospital • National University Hospital • Tan Tock Seng Hospital • SingHealth • Changi General Hospital • KK Women’s and Children’s Hospital • Singapore General Hospital Joint Committee for HO Training

Pre-Employment Administrative Requirements • Application for Employment • Application for Postings • Registration with Singapore Medical Council • Purchase insurance cover with SMA* • Pre-employment Medical Examination • Employment Pass (for foreigners) • House Officer Orientation Program *NHG HOs only. NHG will reimburse the HOs based on their choice of insurer. SingHealth HOs will have Medical Indemnity purchased by SingHealth Joint Committee for HO Training

Application for Employment • Common Application Form • Documents to be attached with application: • Transcript of results of year 1-4 Medical Studies • Copy of Final MBBS results* • ‘O’ and ‘A’ level (or equivalent) results • Birth certificate and/or Citizenship • Copy of NRIC • Copy of I/C (for Malaysians) and/or Passport (all foreigners) • Certificate of Service from SAF • Photo (pasted on Application Form) (*Submit Final MBBS results within 1 week of release) Joint Committee for HO Training

Registration with Singapore Medical Council • SMC Registration Form duly completed • Documents to be attached with application: • Transcript of results of year 1-4 Medical Studies • Copy of Final MBBS results • ‘O’ and ‘A’ level (or equivalent) results • Birth certificate and/or Citizenship • Copy of NRIC • Copy of I/C (for Malaysians) and/or Passport (all foreigners) • Certificate of Service from SAF • $125 fee (cheque payable to the “Singapore Medical Council”) Joint Committee for HO Training

Insurance and Pre-employment Medical Examination • Purchase insurance cover from SMA • Only for NHG HOs (NHG will reimburse the HOs based on the HO’s choice of insurer) • SingHealth HOs will have cover purchased by SingHealth • Level 2, Medical Alumni Building, College Road • $200 • Pre-employment Medical Examination • Arrange venue, date and time with employer Joint Committee for HO Training

Employment Pass (for non-Singaporeans) • Employment Pass Application Form duly completed in black ink - 1 copy • Documents to be attached with application: • Transcript of results of year 1-4 Medical Studies • Copy of Final MBBS results • ‘O’ and ‘A’ level (or equivalent) results • 2 recent photographs taken within last 3 months • Registration with Singapore Medical Council • Marriage certificate & spouse’s educational certificates if applicable • Applications for Dependant’s Passes if applicable Joint Committee for HO Training

Application for Postings • Common application form • Indicate choice* of combination of postings • Indicate preference for first posting (specialty and hospital) • Indicate choice* of hospital for each specialty • Joint Committee for HO Training will allocate the postings (* Indicate choices in order of preference with “1” being most preferred, “2” next preference, and so on) Joint Committee for HO Training

Joint Committee for HO Training • Joint Committee for HO Training • Prof Chee Yam Cheng, Asst CEO Clinical Manpower, NHG &Dr Howard Foo, Director Clinical Manpower, NHG • Dr Tay Ee Guan, Director Medical Manpower, SingHealth • Admin support from both clusters • Ms Nicole Ong, NHG • Ms Bessie Low, SingHealth • Joint committee will allocate • choice of combination of postings • choice of hospitals • order of postings Joint Committee for HO Training

Allocation of Postings - Factors considered: • Applicants’ choice • Applicant’s NUS ranking and exam results • Number of posts available • Objection to abortion Joint Committee for HO Training

Assessment of HO Training • Logbook • Issued at the beginning of HO training • Issued by Dean’s Office, Medicine, NUS • Records training experience • Assessment Report • Head of Department or nominee • At the end of each posting Joint Committee for HO Training

Assessment of HO Training (1) - Logbook • Records training experience • Emergency/urgent cases managed under supervision • Procedures - core skills and additional practical skills • Structured education programs and CMEs • Research projects • Presentations &/or publications • Identify and address possible areas of deficiencies Joint Committee for HO Training

Assessment of HO Training (2) - HO Assessment Report • Submitted by Head of Dept/Supervisor to Associate Dean of hospital at the end of each posting* • Associate Dean submit reviewed reports to Dean, Faculty of Medicine within one month of end of posting* • Dean, Faculty of Medicine evaluates doctor’s performance and adequacy of training • Dean, Faculty of Medicine makes recommendations to Singapore Medical Council on the doctor’s suitability for Full Registration * Third posting assessment submitted to Dean’s Office one month before end of posting Joint Committee for HO Training

Knowledge and Skills Competence in clinical diagnosis Clinical judgement in assessment and management of patients Management of acute emergencies Ability to perform ward procedures Work output Communications Ability to keep accurate medical records Communications with patients and relatives Professional attitudes Acceptance of responsibility Integrity and compassion Appreciation of limits of clinical ability Assessment Report for House Officers Joint Committee for HO Training

Important Dates Joint Committee for HO Training

HO Orientation 2006 - Centralised • Centralised (NUS-Clusters) House Officers’ Orientation Program • Attendance is compulsory for completion of House Officer training • Date: 28 April 2006 (8.30am to 10.30pm)* • Venue: CRC Auditorium, NUS * Dates are subjected to confirmation Joint Committee for HO Training

HO Orientation 2006 - Cluster • Separate program by cluster • 23 - 28 Apr 2006 • NHG : 8.00 am NHG College Tutorial Rm 2 & 3 • 20 - 28 Apr 2006 ( No program on 22 & 23 Apr 2006) • SingHealth : 9.00 am HPB Auditorium, Level 7 • Attendance is compulsory • Program covers • ACLS certification • Orientation to hospitals’ practices and procedures • Job shadowing of outgoing HOs Joint Committee for HO Training

How to contact us • Dr Tay Ee Guan • email: Tay.Ee.Guan@SingHealth.com.sg • Tel: 6557 4966 6557 4959 (Ms Bessie Low) • Dr Howard Foo • email: Howard_Foo@nhg.com.sg • Tel: 6471 5928 6471 5935 (Ms Nicole Ong) Joint Committee for HO Training

How to contact us SingHealth Medical Manpower Department 11 Third Hospital Avenue #07- 00 SNEC Building Singapore 168751 (Ms Bessie Low DID: 6557 4959) NHG HR Department 6 Commonwealth Lane Level 6 GMTI Building Singapore 149547 (Ms Nicole Ong DID: 6471 5935) Joint Committee for HO Training

Thank You Questions? Joint Committee for HO Training

Briefing to Final Year Medical Students on Housemanship