contents - Academy of Medicine, Singapore

03THE ACADEMY

Past Masters and Honorary Fellows List

Master’s Message

The 2020-2021 Council

The Academy

Representation at Ministry of Health and Related Organisations

Finance and Establishment Review Committee

YEAR IN REVIEWOur COVID-19 Initiatives

2020 Highlights

In the Limelight

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OUR COMMITTEES: SERVING MEMBERSMembership

Office of Professional Affairs

Deanery

Publications

Joint Committee on Specialist Training

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47COLLEGES

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

College of Ophthalmologists

College of Psychiatrists

College of Public Health and Occupational Physicians

College of Clinician Educators

College of Clinician Scientists

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108

113

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120CHAPTERS

Chapter of Pathologists

Chapter of Intensivists

Chapter of Family Medicine Physicians

Chapter of Pain Medicine Physicians

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24MAKING AN IMPACT: OUR WORK IN 2020

Our Strategic Focus

Strengthening advocacy to shape and influence healthcare policies

Advancing professionalism and upholding competency standards

Enhancing self-governance and self-regulation

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FINANCE STATEMENTS FOR THE FINANCIAL YEAR ENDED DECEMBER 2020

CONTENTS

OUR PEOPLE

ANNUAL REPORT 2020 | 1

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

PAST

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PAST MASTERS AND HONORARY FELLOWS LIST

PAST MASTERS2016 - 2020 Dr S R E Sayampanathan 1982 - 1984 Dr Chow Khuen Wai2012 - 2016 Dr Lim Shih Hui 1980 - 1982 Dr Lim Pin2010 - 2012 Dr Tan Kok Chai 1978 - 1980 Dr VK Pillay2008 - 2010 Dr Fock Kwong Ming 1975 - 1978 Dr Robert CK Loh2006 - 2008 Dr Ho Lai Yun 1973 - 1975 Dr Chew Chin Hin2004 - 2006 Dr Low Cheng Hock 1970 - 1973 Dr Seah Cheng Siang2002 - 2004 Dr K Satku 1968 - 1970 Dr Yahya Cohen2000 - 2002 Dr Walter TL Tan 1966 - 1968 Dr K Shanmugaratnam1998 - 2000 Dr Chee Yam Cheng 1964 - 1966 Dr Khoo Oon Teik1995 - 1998 Dr Tan Ser Kiat 1961 - 1964 Dr Gwee Ah Leng1992 - 1995 Dr Chao Tzee Cheng 1960 - 1961 Dr DWC Gawne1990 - 1992 Dr Raj Nambiar 1959 - 1960 Dr C Elaine Field1987 - 1990 Dr Tan Ngoh Chuan 1957 - 1959 Dr Gordon Arthur Ransome1984 - 1987 Dr Lawrence KC Chan

HONORARY FELLOWS2017 Mr Sundaresh Menon 1982 Dr Stanley J M Goulston2015 Mr JY Pillay 1982 Professor Ong Guan Bee2013 Mr Tharman Shanmugaratnam 1982 Dr Michael A Gilmour2011 Dr York Chow 1982 Dr C Elaine Field2007 Dr Oon Chiew Seng 1981 Emeritus Professor Robert Roaf2007 Mr Lee Hsien Loong 1979 Sir John Crofton2006 Dr Tony Tan 1979 Dr Toh Chin Chye2004 Dr Andrew Chew Guan Khuan 1977 Dr Yeoh Ghim Seng2003 Mr S R Nathan 1977 Sir Gordon Arthur Ransome2002 Mr Shaw Vee King 1975 Tan Sri Dr Runme Shaw2000 Dr Lee Seng Gee 1975 Prof Robert Emil Steiner2000 Dr Ong Teng Cheong 1975 Mr Lee Kuan Yew1996 Dato Seri Dr Mahathir bin Mohamad 1975 Prof Sir Ian Hill1996 Dr Kwa Soon Bee 1975 Dr R H Hickling1994 Mr Wee Kim Wee 1974 Sir Stanley Davidson1993 Dr Eugene M Hildreth 1974 Sir John Bruce1990 Mr Goh Chok Tong 1973 Sir Derrick Dunlop1988 Mr Shaw Vee Meng 1970 Sir John Lewthas Frew1988 Dr R F Robertson 1970 Sir Kenneth Beeson Noad1986 Mr Howe Yoon Chong 1969 Sir Alexander Oppenheim1986 Professor David Todd 1969 Sir Douglas Miller1984 Sir James Fraser 1967 Lord Brain


MASTER’S MESSAGE

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2020 was a year like no other. The outbreak of the COVID-19 global pandemic has drastically changed the way we live, socialise and work - where traditions were broken, technological innovations swiftly adapted and healthcare systems challenged to the brink.

In this unprecedented public health crisis, the dedication, resilience and courage of healthcare professionals has been extraordinary and inspiring. Let me take a moment to thank our fellows and members for playing a pivotal role in battling the virus and working tirelessly and selflessly to care for our patients and keep our nation safe.

I am pleased to present the 2020 Annual Report of the Academy which summarises the outstanding work done by our fellows and members. The report includes the accomplishments under my predecessor, Dr S R E Sayampanathan, who completed his term as the Master in June. On behalf of our fellows and members, I would like to extend a heartfelt appreciation to him for his leadership, commitment and contribution. Together with the new Council, we will continue the many important initiatives Dr Sayampanathan and the past Council have laid out.

Despite the many unforeseen challenges brought about by the rapidly evolving pandemic in 2020, the Academy remained steadfast in its commitment to serve our fellows

and members. Resources were quickly dedicated to roll out regular series of live CME/CPE-accredited webinars, COVID-19 resource sites, and consensus statements and policy guidelines. The aim is to provide healthcare professionals with continuing professional development programmes, updates on latest COVID-19 scientific findings and sharing of best practices. Regular engagement sessions with Ministry of Health’s Senior Management were also held to voice the views of the profession and to feedback and discuss healthcare concerns and issues. Our appreciation and thanks to many fellows and members who rose to the occasion to make this possible.

Moving forward in unprecedented times is not easy. We will remain committed to advance the strategic priorities of the Academy: (1) strengthening our advocacy role to shape and influence healthcare policies; (2) advancing professionalism and upholding competency standards; and (3) enhancing self-governance and self-regulation.

We will continue to further the relevance and growth of the Academy with adaptability and resilience – traits that enabled the Academy to prepare for, and survive, the unexpected.

PROFESSOR TEO ENG KIONGMaster

Despite the many unforeseen challenges brought about by the rapidly evolving

pandemic in 2020, the Academy remained steadfast in its commitment

to serve our fellows and members.


THE 2020-2021 COUNCIL

DR TEO ENG KIONG*MasterDirector (from 19 June 2010)Deputy Group Chairman Medical Board, Singapore Health ServicesChairman Medical Board and Senior Consultant, Gastroenterology & Hepatology, Changi General Hospital

DR VERNON LEEScribeDirector (from 11 June 2016)Director, Communicable Diseases, Ministry of Health, Singapore

DR TEOH TIONG ANNCensor-in-ChiefDirector (from 1 June 2019)General SurgeonTeoh Colon Rectum & General Surgery

DR WONG TIEN YINAssistant Master – Academic AffairsDirector (from 13 June 2015)Medical Director and Senior Consultant, Singapore National Eye CentreDeputy Group CEO, Research and Education, SingHealthProfessor and Vice-Dean, Duke-NUS Medical School

DR ALAN NG*BursarDirector (from 18 June 2011)Senior Consultant, Respiratory and Critical Care Medicine, Tan Tock Seng Hospital

DR ANG TIING LEONGCensorDirector (from 20 June 2020)Chief and Senior Consultant, Department of Gastroenterology and Hepatology, Changi General Hospital

DR WONG CHIANG YIN*Assistant Master – Administrative AffairsDirector (from 20 June 2009)Public Health Physician in private sector

DR SOPHIA CHEWAssistant BursarDirector (from 20 June 2020)Senior Consultant, Department of Anaesthesiology, Singapore General Hospital

DR HO KOK SUNCensorDirector (from 27 July 2015)Colorectal Surgeon, Ho Kok Sun Colorectal Clinic Service Pte Ltd

PATRON: MDM HALIMAH YACOB, PRESIDENT OF THE REPUBLIC OF SINGAPORE

ELECTED COUNCIL MEMBERS

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*These are Council members who have served on the board for 10 years or more. In accordance with the Academy’s Constitution, Council members shall be elected by voting members and each Council members shall hold office for a term of two consecutive years unless during his tenure he is elected Master-Elect in accordance with the procedure under Article 64. Council members shall be eligible for reappointment by election at the expiration of their two-year term of office. No Council member shall serve more than twelve (12) years consecutively. The year of service as the Immediate Past Master shall not count.


DR LIM LAY CHENGCensorDirector (from 15 June 2013)Consultant Haematologist, Blood Specialist Clinic

DR LING KHOON LINCensorDirector (from 20 June 2020)Senior Consultant and Head, KL Ling Gastroenterology and Liver Clinic

DR YEO JIN FEICensorDirector (from 11 June 2016)Associate Professor in Oral & Maxillofacial Surgery, Faculty of Dentistry, National University of SingaporeSenior Consultant, Oral & Maxillofacial Surgery, National University Hospital, National University Health System

DR NELSON CHUAPresident, College of Anaesthesiologists, SingaporeDirector (from 1 June 2019)Senior Consultant Anaesthesiologist, Tan Tock Seng Hospital

DR TAN YEH HONGPresident, College of Surgeons, SingaporeDirector (from 1 June 2019)Senior Consultant Urologist, Centre for Urology Robotic & Minimally Invasive Surgery

DR YIP CHEE CHEWPresident, College of Clinician EducatorsDirector (from 20 June 2020)Senior Consultant and Head of Department, Eye/Ophthalmology and Visual Sciences, Khoo Teck Puat Hospital

DR ANDREW OWPresident, College of Dental Surgeons, SingaporeDirector (from 3 June 2017)AOMF SurgerySpecialist in Oral and Maxillofacial Surgery, AOMF Surgery

DR EILLYNE SEOWPresident, College of Emergency PhysiciansDirector (from 20 June 2020)Senior Consultant, Acute and Emergency Care, Khoo Teck Puat Hospital

DR INNY BUSMANISChair, Chapter of PathologistsDirector (from 14 July 2015)Senior Consultant, Histopathology, Singapore General Hospital

DR YONG TZE TEINPresident, College of Obstetricians and Gynaecologists, SingaporeDirector (from 3 June 2017)Senior Consultant, Department of Obstetrics & Gynaecology, Singapore General Hospital

DR VERNON YONGPresident, College of OphthalmologistsDirector (from 20 June 2020)Senior Consultant and Head of Department, NHG Eye Institute, Tan Tock Seng Hospital

DR KENNETH TANChair, Chapter of IntensivistsDirector (from 1 June 2019)Anaesthetist, Anaesthesia and Intensive Care Services

DR NG KEE CHONGPresident, College of Paediatrics and Child Health, SingaporeDirector (from 1 June 2019)Senior Consultant, Children’s Emergency and Chairman, Medical Board, KK Women’s and Children’s Hospital

DR JOHN WONGPresident, College of PsychiatristsDirector (from 3 June 2017)Head & Senior Consultant, Department of Psychological Medicine, National University Hospital

DR LEE KHENG HOCKChair, Chapter of Family Medicine PhysiciansDirector (from 3 June 2017)Senior Consultant, Family Medicine and Continuing Care, Singapore General Hospital

DR DAVID LYEPresident, College of Physicians, SingaporeDirector (from 14 June 2014)Director, Infectious Disease Research and Training Office, National Centre for Infectious DiseasesSenior Consultant, Department of Infectious Diseases, Tan Tock Seng Hospital

DR MATTHIAS PAUL TOHPresident, College of Public Health and Occupational PhysiciansDirector (from 20 June 2020)Senior Consultant and Director, National Public Health & Epidemiology UnitNational Centre for Infectious Diseases

DR YEO SOW NAM, ALEXChair, Chapter of Pain Medicine PhysiciansDirector (from 20 June 2020)Director, The Pain Specialist

DR TAY KIANG HIONGPresident, College of Radiologists, SingaporeDirector (from 1 June 2019)Head and Senior Consultant, Department of Vascular and Interventional Radiology, Singapore General Hospital

DR PIERCE CHOWPresident, College of Clinician ScientistsDirector (from 13 June 2015)Senior Consultant Surgeon, National Cancer Centre Singapore

APPOINTED COUNCIL MEMBERS

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DR S R E SAYAMPANATHAN*Immediate Past MasterDirector (from 26 May 2007)Orthopaedic Surgeon, Orthopaedic ‘A’ Care Service Pte Ltd

DR RAYMOND SEETEditor, AnnalsDirector (from 1 March 2020)Senior Consultant, Division of Neurology, Department of Medicine, National University Hospital

EX-OFFICIO

CO-OPTED MEMBERS

DR LIM SHIH HUIDean, Academy DeanerySenior Consultant, NeurologyNational Neuroscience Institute, SGH Campus

DR BENJAMIN NGDirector, Office of Professional AffairsResident Physician, HeartlandHealth

MS JUNIA HENGExecutive Director (from 1 June 2011)General Manager (1 September 2010 – 31 May 2011)

MANAGEMENT

THE

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*These are Council members who have served on the board for 10 years or more. In accordance with the Academy’s Constitution, Council members shall be elected by voting members and each Council members shall hold office for a term of two consecutive years unless during his tenure he is elected Master-Elect in accordance with the procedure under Article 64. Council members shall be eligible for reappointment by election at the expiration of their two-year term of office. No Council member shall serve more than twelve (12) years consecutively. The year of service as the Immediate Past Master shall not count.


COUNCIL MEETING ATTENDANCE A total of 10 Council meetings were held for the year to discuss the business and affairs of the Academy. The attendance record of the meeting is as follows:

NAME DESIGNATION ATTENDANCEDr Teo Eng Kiong Master (2020-2021)

Master-Elect (2019-2020)10

Dr S R E Sayampanathan Immediate Past Master (2020-2021)Master (2019-2020)

9

Dr Wong Tien Yin Assistant Master - Academic Affairs (2020-2021)Censor (2019-2020)President, College of Ophthalmologists (2019-2020)

9

Dr Wong Chiang Yin Assistant Master - Administrative Affairs (2020-2021)Scribe (2019-2020)

8

Dr David Lye Assistant Master - Academic Affairs (2019-2020)President, College of Physicians

8

Dr Khoo Kei Siong Assistant Master - Administrative Affairs (2019-2020) 4Dr Vernon Lee Scribe (2020-2021)

President, College of Public Health & Occupational Physicians (2019-2020)4

Dr Alan Ng Bursar 10Dr Sophia Chew Assistant Bursar (2020-2021) 5Dr Teoh Tiong Ann Censor-in-Chief (2020-2021)

Assistant Bursar (2019-2020)7

Dr Chan Yew Weng Censor-in-Chief (2019-2020) 5Dr Ang Tiing Leong Censor (2020-2021) 5Dr Goh Yaw Chong Censor (2019-2020) 2Dr Ho Kok Sun Censor 9Dr Lim Lay Cheng Censor 10Dr Ling Khoon Lin Censor (2020-2021) 5Dr Yeo Jin Fei Censor 7Dr Nelson Chua President, College of Anaesthesiologists 9Dr Andrew Ow President, College of Dental Surgeons 3Dr Yong Tze Tein President, College of Obstetricians and Gynaecologists 6Dr Ng Kee Chong President, College of Paediatrics and Child Health 9Dr Tay Kiang Hiong President, College of Radiologists 10Dr Tan Yeh Hong President, College of Surgeons 7Dr Eillyne Seow President, College of Emergency Physicians (2020-2021) 4Dr Goh Siang Hiong President, College of Emergency Physicians (2019-2020) 4Dr Vernon Yong President, College of Ophthalmologists (2020-2021) 5Dr John Wong President, College of Psychiatrists 3Dr Matthias Paul Toh President, College of Public Health & Occupational Physicians (2020-2021) 5Dr Pierce Chow Kah Hoe President, College of Clinician Scientists 7Dr Yip Chee Chew President, College of Clinician Educators (2020-2021) 2Dr Dujeepa Samarasekera President, College of Clinician Educators (2019-2020) 3Dr Inny Busmanis Chair, Chapter of Pathologists 8Dr Kenneth Tan Chair, Chapter of Intensivists 9Dr Lee Kheng Hock Chair, Chapter of Family Medicine Physicians 3Dr Yeo Sow Nam, Alex Chair, Chapter of Pain Medicine Physicians (2020-2021) 8Dr Raymond Seet Editor, Annals (from 1 March 2020) 2Dr Erle Lim Editor, Annals (2019-2020) 0

THE 2020-2021 C

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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 3,800 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 Educators, Academy of Medicine, Singapore

• College of Clinician Scientists, Academy of Medicine, Singapore

CHAPTERS • 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 Pain Medicine Physicians, Academy of Medicine, Singapore

The Academy is registered and domiciled in Singapore with its registered office and primary 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 2020 to 16 May 2022.

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 Stone Forest CorpServe Pte Ltd was engaged as the Company Secretary to provide corporate secretarial services to the Academy. Fiducia LLP was re-appointed as the auditors for the accounts of the Academy.

REPRESENTATION AT MINISTRY OF HEALTH AND RELATED ORGANISATIONS Master of the Academy, Dr Teo Eng Kiong represented the Academy in the following:

• Co-Chairman of the Joint Committee on Specialist Training (JCST)

• Member of the Specialists Accreditation Board (SAB) • Member of the National Medical Excellence Awards (NMEA) Selection Panel

• Coordinator of the Professions Functional Group for nomination of Nominated Member of Parliament (NMP)

THE

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FINANCE AND ESTABLISHMENT REVIEW COMMITTEE (FERC)

FINAN

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BURSAR

For 2020, the impact of COVID-19 on the Academy’s activities has been significant. Many planned programmes and events have been suspended or postponed in adherence to government’s movement control and safe management measures.

The Academy’s Unrestricted FundThe Academy’s Unrestricted Fund, nevertheless, registered a positive financial performance for a seventh (7th) year running, achieving an operating surplus of $531,797 (2019: $389,973), albeit largely on account of the COVID-19 government grant, Job Support Scheme (JSS) which amounted to $387,471 (2019: Nil). This improved the Academy’s reserve by 14% (2019: 12%) to $4,223,666 (2019: $3,691,869) for the financial year ending 31 December 2020. The ratio of Unrestricted Fund reserve to Annual Operating Expenditure is 0.73 (2019: 0.54).

Membership subscription income grew at a nominal rate to $1,686,550 (2019: $1,664,443). Including $14,362 (2019: $31,204) in doubtful debt written back, membership subscription income accounted for 42% (2019: 41%) of total operating income. Course fees and examination fees income, totalling $673,436 (2019: $899,995) and $543,024 (2019: $891,035) respectively, contributed to 17% (2019: 22%) and 13% (2019: 21%) of total operating income.

Interest income declined to $38,473 (2019: $68,187). Lower yields on interest income were received by the Academy across the board as term deposit rates fell sharply in 2020. Term deposits of reserves of Restricted and Unrestricted Funds were reviewed and restructured. Income from Events fell to $62,649 (2019: $193,717).

In 2020, staff cost of $2,163,768 constituted 62% of the Academy’s operating expenses. The Academy’s staff cost covers secretariat and administrative support for the Academy’s Colleges and Chapters (including independent and non-independent). As the global COVID-19 pandemic

is still evolving with uncertainties, FERC has adopted a prudent approach and sustainable strategy to manage cost and protect jobs. Allowance for doubtful debts totalled $155,583 (2019: $84,649) as the Academy strives to keep subscription fees arrears not more than 2 years.

The Academy did a major upgrade to its information technology and operating system after the second half of 2019. As such, depreciation and IT expenses rose to $77,704 (2019: $33,697) and $141,612 (2019: $59,465) respectively. It is noteworthy that the timely upgrade had enabled the Academy’s operations to swing to virtual mode, maintaining business continuity when Singapore’s DORSON Level was raised to Orange in early February 2020.

Building Endowment Fund (BEF)The Building Endowment Fund (BEF) recorded a deficit of -$125,950 (2019: -$152,382) in 2020, mainly attributable to decline in interest and rental income. However, this was mitigated by government COVID-19 property tax rebates for 142 Neil Road and rental rebates at NKF Centre, which totalled $19,357. Depreciation for BEF stood at $32,775 (2019: $31,797) and an administrative fee of $23,534 is apportioned to the fund for the management of BEF, including the maintenance of all Academy’s offices and properties. BEF total fund carried forward stood at $7,631,266 (2019: $7,757,216).

Annals, Medical Journal of the AcademyAnnals recorded a deficit of -$52,124 (2019: -$3,923), largely due to the additional resources required to process record volume of submissions received in 2020 due to COVID pandemic. Annals’ total fund carried forward closed at $340,164 (2019: $392,288).

Maintaining the Academy’s reserve, ensuring business continuity and sustaining strategic efforts remained top priorities of FERC.

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, staff remuneration policy, operating budgets, the auditors’ report and the Academy overall financial position.

FINANCE & ESTABLISHMENT REVIEW COMMITTEE (2020-2021)Dr Ng Wei Keong Alan Chairman & BursarDr Sophia Chew Tsong Huey Vice Chairman & Assistant BursarDr Teo Eng Kiong Member & MasterDr Wong Chiang Yin Member & Assistant Master – Administrative AffairsDr Teoh Tiong Ann Member & Censor-in-ChiefDr Yeo Jin Fei Member & Censor


YEAR IN REVIEW

OUR COVID-19 INITIATIVES

OUR SUPPORT AND COMMITMENT IN THE BATTLE AGAINST A GLOBAL PANDEMIC

At a glanceCOVID-19 has represented a major public health challenge to Singapore and the world in 2020. The pandemic called for a transformation in patient care delivery, and for the physicians to embrace technology and digitalization to better serve the needs of patients.

With the situation evolving rapidly, the Academy alongside the Colleges and Chapters, were quick to put in place

the necessary infrastructure and system to ensure that we could continue to safely and effectively support the Fellows and Members in their professional development and lifelong learning journey. Live CME/CPE-accredited webinars were conducted, resource sites were developed and a multitude of policy guidelines were published by the respective specialties to keep the Fellows updated of the latest developments in the battle against COVID-19.

The collective efforts implemented included the following:

Total of 73 initiatives*

*Further details on these initiatives can be found under the Strategic Focus for Office of Professional Affairs and the respective College/Chapter reports.

3 Resource Sites

17 Position Statements,

Opinions and Guidelines

7 Scientific Articles and

Medical Literature

39 Live CME/CPE-Accredited Webinars

7 Clinical and Patient

Advisories

OUR C

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2020 HIGHLIGHTS

18 JANUARY The 53rd Singapore-Malaysia Congress of Medicine, Induction Comitia 2020 and 24th Gordon Arthur Ransome Oration were held at Carlton Hotel Singapore. Mr George Yeo, Former Cabinet Minister, Singapore was the Guest-of-Honour. Fellows from the Academy of Medicine, Malaysia and the Hong Kong Academy of Medicine attended the event.

29 FEBRUARY The Academy worked closely with the Chapter of Infectious Disease Physicians, College of Physicians Singapore to organise a live webinar on ‘COVID-19: The Singapore Experience - Insights from Infectious Diseases and Public Health Specialists’.The response was overwhelming and the programme was oversubscribed with over 800 participants. A re-telecast of the recorded webinar was held on 7 March.

16 APRIL A resource site on COVID-19 was launched.It contains literature articles developed by the Colleges and Chapters, news articles, media interviews with Fellow Academicians, CME webinars and guidelines.

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25 APRILIn view of the popularity of the first webinar, a second one entitled ‘COVID-19: The Singapore Experience (Part II)’ washeld and attended by over 3,000 participants.


20 JUNE The 42nd Annual General Meeting was held for the first time via electronic means, and was attended by 69 Fellows.

22 DECEMBER The Academy Fellows had an engagement session with A/Prof Kenneth Mak, Director of Medical Services, Ministry of Health, on COVID-19 vaccination strategy.

21 NOVEMBER The Academy collaborated with the College of Radiologists, Singapore to organise an e-Public Forum on ‘Your Interventional Radiologist and You Series: Women’s Health in the New Age’.

2020 HIG

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ACADEMY OF MEDICINE SINGAPORE

4 DECEMBER The Academy Council had an engagement session with Dr Koh Poh Koon, Senior Minister of State (Health), to share about updates and developments as well as future plans and initiatives to run programmes supporting and reinforcing self-regulation for the profession, and how the Academy can support the professionalisation of Exit Examinations in the next lap forward.

23 DECEMBER The Academy conducted a membership survey entitled ‘How Do We Do Better for You?’ to better serve the needs of its Fellows and Members.


MEDIA

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During the year, the Academy and Colleges conducted the following initiatives which received media coverage:

A guide to safe pregnancy and delivery during the pandemic was launched on 3 December by the Academy of Medicine Singapore, College of Obstetrician sand Gynaecologists Singapore, as well as the Obstetrical and Gynaecological Society of Singapore.

How can COVID-19 affect pregnancy and childbirth?- The Straits Times, 3 December -

Should couples try for a baby during COVID-19? Can COVID-19 be passed from mother to baby during birth? We ask an OBGYN.- Mothership.SG, 3 December -

The COVID-19 Webinar organised by the College of Clinician Scientists entitled ‘What is the Future for Healthcare under COVID-19?’ on 12 to 13 November.

Expert warns of new variants if coronavirus spreads to new wildlife hosts.- The Straits Times, 12 November -

Local research and development of vaccine Phase III clinical trials are expected to involve tens of thousands of domestic and foreign volunteers.- Lianhe Zaobao, 14 November -


OUR COMMITTEES: SERVING MEMBERS

“The COVID-19 outbreak has been tough for all. However, the Academy and its membership have continued to play our part in

helping Singapore through the crisis. The Academy strives to continue to hold the beacon of the highest standard of professionalism and

practice and inspire the future generations of specialists in Singapore.”

MEMBERSHIP

MEM

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HIP

ABOUT MEMBERSHIPThe Standing Committee on Membership is responsible for setting policies and procedures governing membership matters; membership growth and retention; and the creation and/or revision of membership categories.

THE 2019-2021 STANDING COMMITTEEChairman Dr Teoh Tiong Ann Censor-in-ChiefVice-Chairman Dr Vernon Lee ScribeMembers Dr Terence Kee College of Physicians, Singapore

Dr Terence Quah Chien Choon College of Anaesthesiologists, SingaporeDr Seow Choon Seong College of Surgeons, SingaporeDr Ian Tsou College of Radiologists, SingaporeDr Varsha Atul Shah College of Paediatrics and Child Health, SingaporeDr Inny Busmanis Chapter of Pathologists

Ex-Officio Dr Wong Tien Yin Assistant Master – Academic AffairsDr Yeo Jin Fei Censor

MEMBERSHIP ENROLMENT BY CATEGORIESMEMBERS ACTIVE ACTIVE (EXEMPTED) TOTALFellows (Local) 2,831 631 3,462Fellows (Overseas) 103 43 146Ordinary Members 56 0 56Associate Members 7 1 8Honorary Members 0 16 16Distinguished Overseas Members 0 229 229

Figures as of 31 December 2020

DR TEOH TIONG ANNCHAIRMAN

4,0003,5003,0002,5002,0001,5001,000

5000

3,214

2015

3,359

2016

3,518

2017

3,755

2018

3,862

2019

3,917

2020

MEMBERSHIP GROWTHThe Council approved a total of 140 new FAMS applications for 2020, bringing the total number of members to 3,917.


MEM

BERSHIP

MEMBERSHIP BREAKDOWN BY COLLEGES/CHAPTERSCOLLEGES/CHAPTERS 2020 2019 2018 2017 2016College of Anaesthesiologists, Singapore 172 177 188 149 146College of Dental Surgeons, Singapore 272 280 275 275 269College of Emergency Physicians 132 115 110 106 99College of Obstetricians and Gynaecologists, Singapore 235 242 235 236 233College of Ophthalmologists 209 203 192 181 171College of Paediatrics and Child Health, Singapore 223 228 223 222 207College of Physicians, Singapore 1,048 1,025 963 933 885College of Psychiatrists 128 125 119 123 120College of Public Health and Occupational Physicians 139 136 127 123 122College of Radiologists, Singapore 188 195 182 193 196College of Surgeons, Singapore 704 689 668 635 606College of Clinician Scientists 89 84 84 82 83College of Clinician Educators 84 86 84 85 77Chapter of Family Medicine Physicians 97 96 95 87 77Chapter of Intensivists 119 121 121 100 100Chapter of Pathologists 54 56 52 59 60Chapter of Pain Medicine Physicians 32Section of Sports Physicians 17 16 17 18 11

Excludes Ordinary, Associate, Honorary and Distinguished Overseas Members

MEMBERSHIP SURVEYA membership survey entitled ‘How Do We Do Better for You?’ was conducted on 23 December 2020 and disseminated to all Fellows and Members. The survey aims to get feedback from members (i) if they are aware of the benefits and privileges and how important and relevant these benefits are to them; (ii) other areas in which the Academy can help and support; and (iii) the areas/platforms which members would like to serve and contribute to the profession through the Academy.

NEW MEMBERSHIP INFORMATION BOOKLETA new membership information booklet was developed to better inform and illustrate to members their membership rights, obligations, benefits and privileges so that they can make the best of it to support their professional career.

The booklet is currently in electronic version and will be updated regularly in a timely manner. It is available on members’ dashboard in the Academy’s Membership Management System.


OFFICE OF PROFESSIONAL AFFAIRS

OPINIONS, ADVISORIES & CONSENSUS (OAC)

COMMITTEEA/Prof Alan Ng (Co-Chair)

A/Prof Ong Hock Soo (Co-Chair)

CLINICAL PRACTICE GUIDELINES (CPG)

COMMITTEEA/Prof Alfred Kow

(Co-Chair)Dr Bok Chek Wai

(Co-Chair)

Screening Test Review Committee

Committee on Aesthetic Medical PracticeDr Matthew YeoDr Terence GohDr Martin ChioProf Peter Lu

A/Prof Audrey Looi

Taskforce on Sedation by Non-Anaesthesiologists

ETHICS & PROFESSIONALISM

COURSESRS ETHICS COMMITTEE

Dr T Thirumoorthy (Chair)Dr Jason Yap

Dr Soh Teck HweeDr Vishalkumar

Dr Jayant Dr Tay Ee Guan

Dr Ong Eng Choon Dr Shahla Siddiqui

ORGANISATIONAL ETHICS COMMITTEE

Dr Benjamin Ng (Chair)Dr Sayampanathan

Dr Jeremy LimMs Sumytra MenonMr Wu Tuck Seng

FACULTY OF MEDICAL EXPERTS (FME)

(FOR CORONERS & EXTERNAL

STAKEHOLDERS)

COMMITTEEDr Ho Kok Sun (Co-Chair)

Dr Alan Ng (Co-Chair)Dr Goh Yaw Chong

(Vice-Chair)Dr Koh Dennis

Dr Tan Chieh Suai

MEDICAL EXPERT TRAINING COMMITTEE

(METC)

COMMITTEEDr T Thirumoorthy

(Co-Chair)Dr Bertha Woon

(Co-Chair)Dr Ho Kok Sun

(Vice-Chair)Dr Khoo Kei Siong

(Vice-Chair)Dr Boey Wah Keong Dr Seow Wan Tew Dr Lee See Muah Dr Cuthbert TeoDr Marian Wang

Dr Stephen PhangDr Winslow Munidasa

GUIDELINES, ADVISORIES & CONSENSUS COMMITTEE (GACC)

PROFESSIONALISM & ETHICS COMMITTEE (PEC)

OFFICE OF PROFESSIONAL AFFAIRS (OPA)

Dr Benjamin NgDIRECTOR

HONORARY LEGAL ADVISORS

MEDICAL EXPERTS COMMITTEE (MEC)

“Through the Office of Professional Affairs, the Academy playsa key role in influencing the professionalism, clinical practices and patient safety of our healthcare systems and services by providing

professional opinions, feedback on practice guidelines, and medical expert reports for medicolegal cases. Our medical fraternity, our

patients and the national healthcare systems stand to benefit from this valuable work of the Academy.”

ORGANISATIONAL STRUCTURE (2016 – 2020)

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DR BENJAMIN NGDIRECTOR

ABOUT OFFICE OF PROFESSIONAL AFFAIRSThe Office of Professional Affairs (OPA) coordinates and streamlines all activities relating to professional affairs, and ensures that healthcare in Singapore will benefit from these activities, particularly from the professional, quality and safety perspectives. Most of these involve providing opinions on professional and clinical practices in response to requests from various agencies such as the Ministry of Health, Health Sciences Authority, Singapore Police Force, Singapore Courts and Coroner.


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DEANERY

“The Deanery, together with the Colleges and Chapters, have developed and implemented several educational programmes

and academic initiatives over the years. As healthcare industry is continuously evolving, it is necessary for doctors to remain

up-to-date and expand their knowledge and skills to understand the new and developing areas in Medicine. Amid the COVID-19 pandemic, it is important that we continue to keep ourselves

updated through the use of digital tools and learning resources.”

ABOUT THE DEANERYThe Deanery is the education’s administrative arm of the Academy, 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.

THE 2019 – 2022 ADVISORY BOARDChairman Dr Chee Yam Cheng Past MasterCo-Chairman Dr Kenneth Mak 1st Representative, MOHMembers Dr Ho Lai Yun Past Master

Dr Tan Kok Chai Past MasterDr Goh Khean Teik 2nd Representative, MOHDr Chen Fun Gee Director, DGMSDr Lau Tang Ching Representative, YLLSOM, NUSDr Ian Edward Curran Representative, Duke-NUSDr Pang Weng Sun Representative, LKCSoM, NTU

THE 2017 – 2022 ACADEMIC BOARDChairman Dr Lim Shih Hui DeanVice-Chairman Dr Wong Tien Yin Vice-DeanMembers Dr Dujeepa Samarasekera Programme Director, MHPE-S

Dr Raymond Seet Editor, Annals, Academy of Medicine, SingaporeDr Tay Jam Chin Director, Staff Registrar Scheme (SRS) & Advanced Diploma ProgrammesDr Mabel Yap Representative, Professional Training & Assessment Standards DivisionDr Yip Chee Chew President, College of Clinician Educators

Co-opted Member Dr Fock Kwong MingEx-officio Dr Teo Eng Kiong

DR LIM SHIH HUIDEAN


PUBLICATIONS

ABOUT PUBLICATIONSThe Standing Committee on Publications is responsible for setting the policies and procedures for publication matters and overseeing the publication of the Annals.

The Annals is the official medical journal of the Academy of Medicine, Singapore. Established in 1972, the peer-reviewed journal seeks to publish novel findings from clinical research and medical practices that can benefit the medical community. It serves the various specialties that form the membership of the Academy, covering healthcare challenges, clinical management, medical education, emerging disease trends and scientific breakthroughs.

Published monthly online and in print, the open-access journal is indexed in the Index Medicus, Science Citation Index Expanded, ISI Alerting Services, and Current Contents/Clinical Medicine. The Annals’ 2019 Impact Factor is 1.533, and its 5-year Impact Factor is 1.617.

The Annals welcomes manuscripts that advance the science and practice of medicine in these domains: ageing, chronic medical diseases and digital technology. The rapidly ageing population and rising burden of chronic diseases worldwide invite new approaches towards health promotion and disease prevention. A healthcare system that is more data-driven and patient-centric, leveraging on technology and digital solutions, will be areas warranting further research.

In 2020, a total of 578 papers were submitted to the Annals, a huge jump of 321 (125%) more than the number received the previous year. Over the year, 12 monthly issues covering 168 articles were published.

EDITORIAL BOARDAssociate Professor Raymond CS Seet, a well-respected neurologist and researcher, has helmed the Annals since 1 March 2020. He is supported by a dedicated Editorial Board well-versed in diverse medical domains. Under his

leadership, the Board has stepped up assessment and review of the doubled manuscript submissions, as well as raised the volume and quality of the work published.

Regular Board meetings were held to constantly review the Annals’ position and chart strategic editorial direction. The journal is enhancing engagement with medical members, researchers, readers and stakeholders by expanding outreach channels. Social media such as Twitter and Instagram are tapped to enable dissemination and convenient access of newly published articles and findings, anywhere, anytime.

The Board membership for the year comprised the following:

Editor Dr Raymond CS SeetDeputy Editor & Treasurer Dr Deidre Anne De SilvaDeputy Editor Dr Ng Beng Yeong Associate Editors Dr Brian Goh

Dr Hsu Li Yang Emeritus Editors Dr Vernon MS Oh

Dr Tan Eng King Board Members Dr Chan Ling Ling

Dr Roger HoDr Felix YJ KengDr Mariko SY KohDr Alfred KowDr Lee Jan HauDr Tchoyoson CC LimDr Anselm MakDr Joseph SY NgDr Dujeepa SamarasekerDr Tan Hon LiangDr Clement WT TanDr Tang Tjun Yip

Immediate Past Editor Dr Erle CH LimEx-Officio Dr Raymond CS Seet

“As Singapore increases its influence in medicine globally, there is a need for us to grow our local journals to reflect progress and

achievements of our doctors and researchers. The Annals has grown substantially over the past decade into a leading medical journal in Singapore and the region. As we work hard to provide the best

holistic care for our patients, so should we work towards describing the rich phenotype of diseases in our multiethnic population and

engage the Annals to chart this medical narrative. Please continue to contribute your best work and discoveries to the Annals and help

grow our journal.”

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DR RAYMOND SEETEDITOR, ANNALS


The 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’ and ‘Meet-the-Residents’ sessions, specialist exit examinations, residency annual in-training assessments, 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 approximately 120 current trainees (Advanced Specialist Trainees, Seamless 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 approximately 2,100 residents.

Since April 2014, JCST Secretariat has also been actively supporting and conducting site accreditation visits for specialty training programmes accredited by JCST. It works closely with JCST Accreditation Committee and the Ministry of Health on reviewing and making recommendations for improvement to the accredited programmes.

JOINT COMMITTEE ON SPECIALIST TRAINING

DR TEO ENG KIONG CO-CHAIRMAN

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DR CHEN FUN GEE CO-CHAIRMAN


MAKING AN IMPACT: OUR WORK IN 2020

Enhancing self-governance and self-regulation

Advancing professionalism and upholding competency standards

Strengthening advocacy to shape and influence healthcare policies

3 Strategic Focus Supporting

Academy’s Mission

OUR STRATEGIC FOCUS In line with our continuing efforts to serve our members, the Academy will focus on three strategic priorities to help deliver our mission and vision, and provide value to our Fellows. They include strengthening our advocacy role, being more active in advancing professionalism and upholding competency standards, so as to enhance self-governance and self-regulation. As we navigate an increasingly complex and rapidly changing health care landscape, made even more challenging with the COVID-19 pandemic, both the physician’s role and patient care delivery are undergoing transformation brought about by digitalisation and technology.

The Academy is here to support the Fellows as they embrace innovation and evolve in their roles to deliver the best specialty care for their patients, and contribute positively to Singapore’s population health. Our commitment to facilitate capacity building via knowledge transfer, sharing of specialties expertise as well as fostering dialogue and constant engagement with the Fellows, help to inculcate the practice of lifelong learning so as to better meet the challenges of modern medicine. The strategic focus is therefore essential in providing a guide and framework for the Academy’s collective efforts, to ensure effective implementation and efficient resource utilisation.

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STRENGTHENING ADVOCACY TO SHAPE AND INFLUENCE HEALTHCARE POLICIES

OFFICE OF PROFESSIONAL AFFAIRSThe Office of Professional Affairs (OPA) plays a vital role in coordinating various initiatives under the Academy of Medicine, Singapore (AMS), that help to shape and

influence important healthcare policies and practices for the benefit of our medical fraternity, our patients and the national healthcare systems.

ANNUAL REPORT 2020 | 26ANNUAL REPORT 2020 | 26

Sustainable Healthcare Financing ProjectThe Academy, under the guidance and direction of the Council, formed a committee comprising of representatives from AMS, Singapore Medical Association (SMA) and College of Family Physicians, Singapore (CFPS), to look into the issues facing Singapore’s healthcare insurance and financing.

OPA assisted and facilitated the completion of a report outlining the issues which affect access to healthcare providers as well as patient care outcomes. The report also included suggestions of potential solutions to these issues. The committee, with the support of AMS, SMA and CFPS, submitted the report to the Ministry of Health (MOH).

The importance of maintaining a sustainable system for the provision of healthcare could not be overstated with the rapid aging of the Singapore’s population and rising costs of healthcare against limited resources. Under the guidance of MOH, the various stakeholders had agreed to work together to reach a fair and equitable solution. OPA will continue to support the project to ensure that the concerns of the medical fraternity and patient needs will be addressed.

Nomination of Nominated Member of Parliament (NMP)The Parliament of Singapore on 25 October 2020 invited the public for the submission of candidates to be considered for the appointment by the President as Nominated Members of Parliament (NMP). Master, AMS, was appointed as the Coordinator of the Professions Functional Group and was tasked with the coordination for the submission of suitable candidates to the Special Select Committee for consideration.

Under the direction of Master, OPA coordinated the nomination and the shortlisting of the following two candidates:• Dr Tan Yia Swam, Singapore Medical Association• Mr Khoong Hock Yun, Singapore Computer Society

The Special Select Committee will release its selection in January 2021.

Telemedicine: Continued Care in a COVID-19 WorldWith COVID-19, patient care delivery in Singapore was significantly disrupted and changed. With advances in technology and the importance of social distancing, telemedicine has evolved to be more than just phone calls for follow-up after consultation or non-urgent enquiries.

The Academy understands the importance of telemedicine and seek to advocate for the development of better telemedicine options and encourage its adoption by more medical practitioners. A/Prof Yeo Khung Keong and Dr Lim Kwang Hsien represented the Academy on the webinar titled ‘Telemedicine: Continued Care in a COVID-19 World’ on 13 June 2020, which was organized by SMA.

During the webinar, A/Prof Yeo and Dr Lim shared their experiences in using telemedicine in their practices. It was very well received and was attended by close to 1,800 participants. The Academy will continue to advocate and promote the use of telemedicine in Singapore.

Professional Opinion RequestsSince the establishment of a Memorandum of Understanding (MOU) between AMS and MOH in 2007, the Academy has been providing professional opinions to MOH on a range of healthcare and medical related issues, including clinical management and healthcare policies. The Academy also provided professional opinions to other governmental agencies such as Health Sciences Authority (HSA), Health Promotion Board (HPB), Ministry of Home Affairs (MHA), Singapore Medical Council (SMC) and Singapore Dental Council (SDC).

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Under the purview of OPA’s Guidelines, Advisories and Consensus Committee (GACC), the Academy had received a total of 63* professional and expert opinion requests as well as requests from governmental agencies seeking endorsements on guidelines pertaining to various healthcare and medical issues affecting the profession and community.

NO TOPIC/ISSUE ORGANISATION 1 Development of Specialty-Specific Consent Taking forms (In progress) SMC

2 Alleged Practice of Aesthetic Procedures [Urgent Request] MOH

3 GP qualifications to administer Vitiligo treatments by GPs MOH

4 Nomination of representatives for ADHD CPG Review workgroup MOH

5 Guidelines for the Use of Mifepristone for Medical Termination of Pregnancy (Medical TOP) MOH

6 SMC APOC Request on Aesthetic Procedures Course SMC

7 Use of Hyperbaric Chamber in a Special Needs kindergarten to treat cerebral palsy and autism spectrum disorder

MOH

8 Prescription of Anti-Depressants MOH

9 Performing Orthopaedic procedures in General Medical Clinic MOH

10 Publicity Claims on “Stem Cell Transplants Using Cord Blood” MOH

11 Publicity claims by a non-licensed Aesthetics entity MOH

12 Expert Opinion on Alleged Practice of Invasive Aesthetic Procedures [Case 17] MOH

13 Expired Pneumovax 23 MOH

14 Non-specialist treating Alzheimer’s patient MOH

15 Expert Opinion on Aesthetic Injections Provided by Unauthorised Person [Case 18] MOH

16 3D Dental Scanning Services for Aligners MOH

17 List of Aesthetic procedures and TOSP procedures MOH

18 Using of 0.25mm Micro-needling or Derma roller to administer aesthetic treatments MOH

19 Criminal Procedure Rules on expert evidence and panel of psychiatrists (In Progress) SMC

20 College of Psychiatrists’ Position on Conversion Therapy MOH

21 Stakeholder Consultation for Organ Transplant Licensing Requirements (In Progress) MOH

22 Inclusion of Tele-psychiatry into MOH’s Telemedicine E-training MOH

23 Tiering Surgical Procedures by Settings they can be performed MOH

24 SMC Aesthetic Practice Oversight Committee – Request for Nominees from Academy of Medicine Singapore

SMC

25 Indications of Prolotherapy MOH

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TYPE OF REQUESTS 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Professional Opinion 9 18 15 28 40 38 37 53 49 48 56 67 64 38

MOH Expert Opinion Report Requests

0 0 0 0 0 0 0 0 0 0 0 0 11 8

Feedback and Endorsement of Guidelines

4 4 5 5 8 1 5 4 3 2 5 6 3 4

Guidelines Development and Nominations for Workgroups and Committees & Consultation Sessions

0 3 3 2 1 1 1 2 0 0 4 8 8 13

Total Requests 13 25 23 35 49 40 43 59 52 50 65 81 86 63


26 MOH Request - TOSP Appeal MOH

27 Provision of Esophageal pH Testing and Manometry MOH

28 Clinical Guidelines on Use of Sedation during Gastrointestinal Endoscopy (In Progress) AMS

29 Invitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on MRI for low back pain

MOH

30 Transcranial Magnetic Stimulation (TMS) Therapy MOH

31 Representatives for Sports Safety Work Group: Preventive Strategies for Physical Activity Active SG

32 Request for AMS/College Of O&G to Develop Guidance for The Public on Pregnancy and Birth in Women During Covid-19

MOH

33 Advertisement by Medical Clinic on Cataract surgery MOH

34 Expert Opinion on Alleged Practice of Invasive Aesthetic Procedures [Case 19] MOH

35 Invitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Asthma

MOH

36 High Intensity Focused Ultrasound (HIFU) - Query MOH

37 Skin booster procedure using 1.0mm injection in a beauty salon MOH

38 Changes to the National Childhood Immunisation Schedule MOH

39 Development of National Claims Rules for Medishield Life (MSHL) on Endoscopic procedures - (Endoscopy for the GI system)

MOH

40 Storage of Vascular Tissues for Clinical Use MOH

41 MOH Fee Benchmark Consultation Sessions MOH

42 Corneal Lenticule Storage MOH

43 Expert Opinion on Alleged Practice of Aesthetic Procedures - Skin booster procedure using 1.0mm injection in a beauty salon [Case 20]

MOH

44 Expert Opinion on Alleged Illegal Practice of Dentistry - Teeth Whitening [Case 21] MOH

45 Expert Opinion on Provision of Invasive Aesthetic “fat-melting” procedures [Case 22] MOH

46 Ultrasound Guided Breast Procedure MOH

47 Operations of Medical Therapeutic Ultrasound Apparatus MOH

48 Collaboration on Specialty-Specific Guidance for Telemedicine (In Progress) MOH

49 Draft MOH National Guidelines for The Safe Prescribing of Opioids MOH

50 Expert Opinion on Alleged practice of invasive aesthetic practice by an unregistered doctor [Case 23]

MOH

51 Eye Therapy Services [Part 1 & 2] MOH

52 Use of Hyperthermia System for Cancer Management MOH

53 Provision of Female Circumcision services by medical practitioners MOH

54 Use of Platelets Rich Plasma to treat knee osteoarthritis MOH

55 Enquiry on Electromagnetic Hypersensitivity MOH

56 Injection of Glutathione + Vitamin C + Saline Mixture MOH

57 Dry Needling MOH

58 Updates to Table of Surgical Procedures and Call for Submission of Proposals For 2021/2022 Review Cycle

MOH

59 Latest Set of Anaesthetist and Inpatient Attendance Fee Benchmarks MOH

60 Invitation to review and endorse the ACE Clinical Guidance on Chest X-ray ACE

61 Allowable Procedures in an Ophthalmology Ambulatory Surgical Centre with Exemption from Blood Transfusion Services

MOH

62 Townhall Registration: Draft MOH National Guidelines for The Safe Prescribing of Opioids MOH*One case was subsequently withdrawn.

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Representation in Consultation Sessions and TaskforcesThe Academy has regularly been involved in reaching out to Fellows to participate in consultation sessions organised by governmental agencies covering proposed changes or introduction of important healthcare policies, legislations and practices. The Academy appreciates the efforts of our Fellows who had contributed their feedback to these sessions.

MOH Fee Benchmark Consultation SessionsIn November 2018, MOH published fee benchmarks for the private sector surgeon fees for common surgical procedures to encourage healthcare providers to charge more appropriately, and enable patients and payers to make better informed decisions on care options. The benchmarks were developed by the Fee Benchmarks Advisory Committee chaired by Dr Lim Yean Teng. Since the publication of the first tranche of fee benchmarks, the Committee has been working on the development of the Anaesthetist Fee Benchmarks, Daily Inpatient Attendance Fee Benchmarks, and updates to Surgeon Fee Benchmarks for selected Tables of Surgical Procedures (TOSPs).

Similar to the previous phase of fee benchmarks, MOH and the Committee held consultation sessions to seek the views of specialists in private practice and the larger medical community. MOH invited the Academy to nominate specialty representatives for the consultation sessions.

Review Committee on ADHD Clinical Practice Guidelines (CPG)As part of MOH’s ongoing efforts to review regulatory policies and develop appropriate standards of care in ensuring patient safety, the MOH Health Regulation Group (HRG) had approached the Academy for representatives to review and update the existing ADHD CPG which provides guidance to doctors on the management of ADHD patients, including the use of Vyvanse. This will be done in collaboration with the College of Family Physicians, Singapore (CFPS). The list of members below was nominated to be part of the review committee.

Review Committee for ADHD CPG A/Prof Daniel Fung College of PsychiatristsA/Prof John Wong Chee Meng

College of Psychiatrists

Dr Lim Choon Guan College of PsychiatristsDr Jennifer Kiing College of Paediatrics & Child

Health, SingaporeDr Sandra Sylvia Mascarenhas

College of Paediatrics & Child Health, Singapore

Screening Test Review CommitteeIn 2010, AMS’s Screening Test Review Committee (STRC) conducted a review of screening tests and published a report in 2011 which provided evidence-based guidance on the appropriate use of screening tests. In view of evolving evidence and perspectives in screening tests, STRC had agreed to perform annual review to update its report as necessary.

The following members, who have served their term from 2016-2019, were re-appointed for another three-year term, from 2020 to 2023.

Screening Test Review Committee Prof Chia Kee Seng (Chairman)

College of Public Health & Occupational Physicians

Dr Lim Yon Kuei Bernard

Chapter of General Surgeons, College of Surgeons, Singapore

Prof Lee Soo Chin Chapter of Medical Oncologists, College of Physicians, Singapore

Prof Lau Tang Ching Chapter of Rheumatologists, College of Physicians, Singapore

Dr Lester Leong College of Radiologists, Singapore

Dr Catherine OngChapter of Infectious Disease Physicians, College of Physicians, Singapore

Prof Lee Bee Wah College of Paediatrics and Child Health, Singapore

Dr Derrick Heng College of Public Health & Occupational Physicians

Dr Ong Hean Yee Chapter of Cardiologists, College of Physicians, Singapore

Healthcare Ethics Capability Committee (HECC)The Academy nominated Dr Benjamin Ng to represent the Academy as a member of the MOH Healthcare Ethics Capability Committee (HECC) which oversees the implementation of the training roadmap for registered healthcare professionals in clinical ethics, including reviewing and approving suitable new training programmes in line with the established ethics competency framework. The HECC is chaired by A/Prof Roy Joseph, who also currently chairs the National Medical Ethics Committee (NMEC). The Academy has been assigned by HECC to develop the specialty-specific ethics education modules for the SMC CME programmes.

Healthcare Ethics Capability Committee Dr Benjamin Ng AMS Representative

SMC Aesthetic Practice Oversight Committee (APOC)The Academy nominated the following doctors to SMC’s Aesthetic Practice Oversight Committee (APOC) for the term of 1 July 2020 to 30 June 2022.

SMC Aesthetic Practice Oversight Committee

Dr Gavin KangChapter of Plastic, Reconstructive & Aesthetic Surgery, College of Surgeons, Singapore

Prof Chua Sze Hon Chapter of Dermatologists, College of Physicians, Singapore

Oversight Committee for Consent Taking GuidelinesBased on the recommendations of the MOH appointed Workgroup to review the taking of informed consent and the SMC’s disciplinary process, formed against a backdrop that threatened to erode the trust in the patient-doctor relationship, and undermine the strength and proper

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functioning of the health ecosystem, the Academy was asked to develop specialty-specific consent taking guidelines for common treatments and procedures. During the Workgroup’s townhall sessions, participants had expressed concerns that consent forms could become extremely lengthy in an effort to avoid being deemed inadequate in a disciplinary investigation to a complaint, which could then result in being considered an “information overload” or “information dump” to the patient.

The College Chapters and Chapters/Sections under the Academy were considered to be the most appropriate professional groups to develop these guidelines on consent taking, as they are the content and practice experts. These Chapters/Sections were asked to identify the commonest 3-5 treatments/procedures in their respective specialties and develop the standard consent forms recommended for these treatments/procedures. The Academy subsequently established an Oversight Committee to collate these standard consent forms and calibrate them across all specialties to ensure standardization across disciplines with minimum variation.

Because of restrictions imposed by the COVID-19 pandemic, the target for the publication of these consent forms was delayed to late 2021.

Oversight Committee for Consent Taking Guidelines MembersA/Prof Ng Wai Hoe (Chairman)

Chapter of Neurosurgeons, College of Surgeons, Singapore

Dr Goh Yaw Chong (Co-Chair)


Prof Ang Tiing Leong Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Michael Lim Chun Leng

Chapter of Cardiologists, College of Physicians, Singapore

Dr Julian Kenrick Loh Chapter of Cardiologists, College of Physicians, Singapore

Dr Terence Quah College of Anaesthesiologists, Singapore

Dr Leonard Yip College of Ophthalmologists

Review Committee on Sedation GuidelinesIn preparation for the new Healthcare Services Act (HCSA), MOH had written to the Academy seeking assistance in the review of the 2014 guidance document, ‘Guidelines on Safe Sedation Practice for Non-Anaesthesiologists in Medical Clinics, including Stand-Alone Ambulatory Surgical Centres and Stand-Alone Endoscopy Suites in Singapore’, to ensure its relevance and up-to-date for the healthcare community.

The Academy convened the following review committee in December 2019 composing of Fellows from the specialties of Gastroenterology, Plastic Surgery, Family Medicine, General Dentistry, Oral Maxillofacial Surgery, Interventional Radiology, Cardiology, Neurology, Nephrology and doctors providing aesthetic services. The review paper was targeted to be completed by June 2020. Because of restrictions imposed by the COVID-19 pandemic, the target for publication was delayed to early 2021.

Review Committee on Sedation GuidelinesA/Prof Chew Tsong Huey, Sophia


Dr Nelson Chua College of Anaesthesiologists, Singapore (President)

Dr Tan Wah Tze College of Anaesthesiologists, Singapore

Dr Goh Siak Shyong Shawn

College of Dental Surgeons, Singapore

Dr Lai Wen Pui Bien College of Dental Surgeons, Singapore

Dr Teng Kuan Peng David

College of Emergency Physicians

Prof Evelyn Wong College of Emergency PhysiciansDr Tham Lai Peng College of Paediatrics and Child

Health, SingaporeDr Ngiam Siew Pei, Nicola


Dr Loh Xingyuan Julian Kenrick

College of Physicians, Singapore, Chapter of Cardiologists

A/Prof Gwee Kok Ann College of Physicians, Singapore, Chapter of Gastroenterologists

Dr Li Weiquan James College of Physicians, Singapore, Chapter of Gastroenterologists

Dr Matthew Cove College of Physicians, Singapore, Chapter of General Physicians

Dr Tham Hui Lian Carol

College of Physicians, Singapore, Chapter of Neurologists

Dr Tan Chieh Suai College of Physicians, Singapore, Chapter of Renal Medicine

Dr Toh Luke Michael Han Wei

College of Radiologists, Singapore

Dr Cheng Shin Chuen College of Surgeons, Singapore, Chapter of General Surgeons

Dr Teoh Tiong Ann College of Surgeons, Singapore, Chapter of General Surgeons

Dr Matthew Yeo College of Surgeons, Singapore, Chapter of Plastic, Reconstructive and Aesthetic Surgeons

Dr Goh Lin Hon Terence

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

Dr Tan Choon Seng Gilbert


Dr Chan Ping Wah, Kenneth

Chapter of Intensivists

Dr Yeo Sow Nam Chapter of Pain Medicine Physicians

Workgroup on the Use of Sedation During Gastrointestinal Endoscopy Clinical GuidelinesThe Academy formed a multi-disciplinary workgroup to develop a Clinical Guidelines on the Use of Sedation during Gastrointestinal Endoscopy in hospital-based practice based on best available scientific evidence. This guideline will serve as a framework to support best practices for the use of sedation during gastrointestinal endoscopy. It is still in development and targeted to be completed in early 2021.

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Workgroup: Clinical Guidelines on the use of Sedation During Gastrointestinal Endoscopy Dr Ang Tiing Leong (Co-Chair)

Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Ling Khoon Lin (Co-Chair)


Dr Koh Jianyi Calvin Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Li Weiquan James Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Lim Boon Leng Kieron


Dr Lui Hock Foong Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Ng Wee Khoon Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Quan Wai Leong Chapter of Gastroenterologists, College of Physicians, Singapore

Dr Tan Meng Yew Damien


Dr Aung Myint Oo @ Ye Jian Guo


Dr Chew Min Hoe Chapter of General Surgeons, College of Surgeons, Singapore

Dr Goh Yaw Chong Chapter of General Surgeons, College of Surgeons, Singapore

Dr Ho Kok Sun Chapter of General Surgeons, College of Surgeons, Singapore

Dr Ng Kheng Hong Chapter of General Surgeons, College of Surgeons, Singapore

Prof Goh Hak Su Chapter of General Surgeons, College of Surgeons, Singapore

Dr Cheong Wai Kit Chapter of General Surgeons, College of Surgeons, Singapore

Dr Seet Chuen Ping Edwin


Dr Tseng Seng Sou, Phillip


Dr Tan Chor Hiang Academy of Medicine, Singapore

Sports SG Sports Safety Work Group: Preventive Strategies for Physical ActivitySport Singapore (SG) together with HPB and MOH approached the Academy to initiate a joint collaboration to review the adequacy of safety measures and guidelines for people with existing medical conditions (both known and unknown to them, including seniors) who wish to embark on a more active lifestyle. The Academy nominated the following representatives to be part of a workgroup chaired by Dr Benedict Tan, to make recommendations on preventive strategies for the community. The workgroup will also look at enhancing awareness on the importance of pre-participation screening (e.g. via the Get Active Questionnaire).

Work Group: Sports SG Sports Safety - Preventive Strategies for Physical Activity Prof Teo Eng Kiong Master, Academy of Medicine,

SingaporeA/Prof Tong Khim Leng

Chapter of Cardiologists, College of Physicians, Singapore

Dr Patricia Lee Sueh Ying


Dr Priscilla Ng Chapter of Geriatric Medicine, College of Physicians, Singapore

Dr Benny Loo Kai Guo

College of Paediatrics & Child Health, Singapore

Dr Patrick Goh Section of Sports Medicine Physicians

Work Group: Development of National Claims Rules for MSHL (Endoscopy for the GI System)The Academy was approached by MOH to assist in developing a set of National Claims Rules guiding Medishield Life (MSHL) Claims which all IP insurers will be invited to adopt. The following representatives from the Chapter of Gastroenterologists, College of Physicians, Singapore, and the Chapter of General Surgeons, College of Surgeons, Singapore, were nominated to spearhead this initiative.

Work Group: National Claims Rules for MSHL (Endoscopy for the GI System) Dr Teoh Tiong Ann Chapter of General Surgeons,

College of Surgeons, SingaporeDr Ho Kok Sun Chapter of General Surgeons,

College of Surgeons, SingaporeProf Ang Tiing Leong Chapter of Gastroenterologists,

College of Physicians, SingaporeDr Chua Tju Siang Chapter of Gastroenterologists,

College of Physicians, SingaporeDr Aung Myint Oo @ Ye Jian Guo


Dr Lim Jit Fong Chapter of General Surgeons, College of Surgeons, Singapore

Work Group: Common Clinical Examination GuideThe Academy has been assisting the Singapore Police Force (SPF) with providing professional opinions in cases involving medical practices under investigation by the Police. In recent years, the Academy had received several requests to assist in the investigation of cases of alleged outrage of modesty during physical examination. The Police had requested for expert opinions on appropriate exposure and examination techniques during these physical examinations.

To reduce the need of the Police to seek such opinions from the Academy, the Faculty of Medical Experts Committee (FMEC) had developed a guide on the standard techniques for the types of patient examinations commonly done in day-to-day clinical practices. The goal is to provide the

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PUBLICATIONSThe Annals seeks to serve as the main medical publishing platform of the Academy of Medicine, Singapore, focused on delivering timely peer-reviewed research data that steer healthcare policies in Singapore. The journal aims to identify and highlight pressing areas of research in our healthcare landscape.

COVID-19 ImpactCOVID-19 has presented greater opportunities for research, resulting in overwhelming related studies and contributions. The 125% jump in paper submissions in 2020, with about half focusing on the disease, has made the Annals a rich repository for COVID-19 research. Given the ease of use and convenience of virtual meetings, the Board has been meeting more frequently to set strategic directions and resolve any issues for the journal.

Media CitationThe Annals was cited in the following media outlets in 2020:

TITLES AND VOLUMES/ISSUES OF ANNALS ARTICLES MEDIA DATE PUBLISHED

COUNTRY OF PUBLICATION

Comparative Analysis of Symptomatic and Asymptomatic SARS-CoV-2 Infection in Children

doi: https://doi.org/10.47102/annals-acadmedsg.2020257

Vol. 49 No. 8, Aug 2020, Pp530-537

Lianhe Wanbao 11 Oct Singapore

CNA (online) 21 Oct Singapore

Pregnancy Outcomes in COVID-19: A Prospective Cohort Study in Singapore

doi: https://doi.org/10.47102/annals-acadmedsg.2020437 Vol. 49 No. 11, Nov 2020, Pp857-869

The Straits Times (online) 18 Dec Singapore

CNA, Channel 5, 8world, Channel U, Suria, Vasantham (via meWATCH), Chinese and English Radios (Capital 95.8FM, CNA938)

18 Dec Singapore

8world (online) 18 Dec Singapore

Reuters (online) 18 Dec Global

Bangkok Post (online) 18 Dec Thailand

Yahoo! News (online) 18 Dec Global

National Post (online) 18 Dec Canada

TODAY (online) 19 Dec Singapore

Lianhe Zaobao 19 Dec Singapore

Berita Harian 19 Dec Singapore

The Mainichi (online) 19 Dec Japan

Malay Mail (online) 19 Dec Malaysia

Daily Sun (online) 19 Dec India

investigators with better clarity and understanding on how standard physical examinations would be performed so that they could decide on the merits of the complaints of alleged outrage of modesty and only refer to the Academy for opinions in cases which deviated from those outlined in the guide. The approved guide was then extended to SMA and CFPS for their feedback and support.

As a follow-up, a workgroup comprising the following representatives from the Academy, SMA and CFPS was formed to refine and improve on this guide as a collaboration between the three Professional Bodies.

Work Group: Common Clinical Examination Guide Dr Ho Kok Sun Chairman,

Faculty of Medical Experts, AMSDr Suraj Kumar Member,

College of Family Physicians, SingaporeDr Eng Soo Kiang Member,

College of Family Physicians, SingaporeDr Chie Zhi Ying Member,

Singapore Medical AssociationDr Ng Chew Lip Member,

Singapore Medical Association


https://www.annals.edu.sg/pdf/49VolNo8Aug2020/V49N8p530.pdf

https://www.annals.edu.sg/pdf/49VolNo8Aug2020/V49N8p530.pdf

https://doi.org/10.47102/annals-acadmedsg.2020257

https://www.annals.edu.sg/pdf/49VolNo11Nov2020/V49N11p857.pdf

https://www.annals.edu.sg/pdf/49VolNo11Nov2020/V49N11p857.pdf

https://doi.org/10.47102/annals-acadmedsg.2020437

ADVANCING PROFESSIONALISM AND UPHOLDING COMPETENCY STANDARDS

53rd Singapore-Malaysia Congress of Medicine, Induction Comitia 2020 And 24th Gordon Arthur Ransome Oration The 53rd Singapore-Malaysia Congress of Medicine, Induction Comitia 2020 and 24th Gordon Arthur Ransome Oration were held on 18 January 2020 at the Carlton Hotel Singapore. Themed ‘Opioids in Pain Management: Challenges, Evidence-Based Practice and Guidelines’, the symposium was organised following the cancellation of the 4th Tripartite Congress scheduled in Hong Kong in December

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2019. The aim of keeping the sequence of the Congress of Medicine running is to preserve continuity of the annual fellowship that is shared between the three Academies.

The presence of representatives from the Academy of Medicine of Malaysia and the Hong Kong Academy of Medicine has yet again affirmed the joint commitment between the sister Academies in maintaining the highest standards of professional and ethical practice in medicine.


https://www.ams.edu.sg/membership/induction-comitia-2020

https://www.ams.edu.sg/membership/induction-comitia-2020

https://youtu.be/MySEi07E7Gg

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The highlight of the evening was the 24th Gordon Arthur Ransome Oration entitled ‘Human Solidarity in a Fragmenting World’ delivered by Mr George Yeo, Former Cabinet Minister, Singapore. Mr Yeo also graced the Induction Comitia as the Guest-of-Honour.

A total of 79 inductees and 12 Distinguished Overseas Members were conferred with the Fellowship of the Academy that evening. The Academy also witnessed the conferment of our first FAMS (International) inductee. The evening concluded with a Congress Dinner which was attended by Past Masters, Council members of the Colleges and Chapters, overseas guests and Fellows.





COVID-19 Webinar: The Singapore ExperienceWith the rapidly evolving COVID-19 pandemic, it is pertinent that all Fellows are updated of the latest developments in a timely manner. As such, the Academy worked closely with the Chapter of Infectious Disease Physicians, College of Physicians Singapore to organise a live webinar on 29 February entitled ‘COVID-19: The Singapore Experience (Insights from Infectious Diseases and Public Health Specialists)’.

The response was overwhelming and the programme was oversubscribed with over 800 participants. A re-telecast of the recorded webinar was then held again on 7 March. In view of the popularity of the first webinar, a second one entitled ‘COVID-19: The Singapore Experience (Part II)’ was held on 25 April and attended by over 3,000 participants.

Publicity poster for COVID-19 Webinar: The Singapore Experience.

Seah Cheng Siang Memorial Research Award 2020The Academy of Medicine, Singapore and College of Clinician Scientists launched the Seah Cheng Siang Memorial Research Award 2020 in August. The annual Seah Cheng Siang Memorial Research Award aims to support clinical or basic research in important areas of medical and dental sciences. The award is capped at SGD$20,000.

The Seah Cheng Siang Memorial Research Fund was established in 1990 by the Academy to perpetuate the memory of a distinguished Academician and Past Master, Professor Seah Cheng Siang.

Dr Maria Noviani has been awarded the Seah Cheng Siang Memorial Research Award 2020 for her research project entitled ‘Characterization of Interstitial Lung Disease in Systemic Sclerosis in the Scleroderma Cohort in Singapore (SCORE)’.

Call for nomination ePoster for the Seah Cheng Siang Memorial Research Award 2020.

The winner of the Seah Cheng Siang Memorial Research Award 2020, Dr Maria Noviani.

Public Forum 2020 Live WebinarThe Academy collaborated with the College of Radiologists, Singapore to organize a Public Forum via electronic means on 21 November, entitled ‘Your Interventional Radiologist and You Series: Women’s Health in the New Age’.

The webinar was well-received with 421 attendees. Invited speakers discussed and shared with the attendees on the medical management and available surgical options for fibroids.

Publicity poster for Public Forum 2020 on ‘Women’s Health in the New Age: Fibroids and You’.

AMS Council Engagement Session with Senior Minister of State (Health), MOHThe Academy Council had an engagement session with Dr Koh Poh Koon, Senior Minister of State (Health), on 4 December to share about updates and developments of the Academy as well as its future plans and initiatives to run programmes supporting and reinforcing self-regulation for the profession. The Academy also had the opportunity to share its perspectives on Graduate Medical Education and how the Academy and the College of Clinician Educators can support the professionalisation of Exit Examinations in the next lap forward.

Sharing Session with Director Of Medical Services, MOH A sharing session hosted by A/Prof Kenneth Mak, Director of Medical Services, was held on 22 December for Fellows of the Academy. Entitled ‘COVID-19 Vaccination Strategy’, the live webinar shared on the COVID-19 vaccine landscape, and the importance of vaccination for the population so that Singapore can gradually return to a post-COVID new normal. Fellows had the opportunity to raise their views and concerns during the session.

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https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5271_fi_395.pdf&ofile=Covid19+Webinar+2020.pdf



https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5304_fi_422.pdf&ofile=RE_Telecast+Publicity+Poster+20200304+530pm.pdf

https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5304_fi_422.pdf&ofile=RE_Telecast+Publicity+Poster+20200304+530pm.pdf

https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5852_fi_567.pdf&ofile=CRS+Public+Forum+2020+-+Publicity.pdf

https://www.ams.edu.sg/view-pdf.aspx?file=media%5c5852_fi_567.pdf&ofile=CRS+Public+Forum+2020+-+Publicity.pdf

OFFICE OF PROFESSIONAL AFFAIRSAMS Clinical Guidelines on COVID-19 and literature articles for healthcare professionals – COVID-19 Resource SiteAs the body responsible for professional education and maintaining standards, the Academy has taken the lead to regularly issue to its members practice guidelines and consensus statements defining the criteria for the proper use of certain procedures and clinical practices, including the practice of high-technology medicine, and specifying who would be qualified to perform them, the training needed for qualification and the optimal facilities required to provide the care.

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With the ever-evolving SARS CoV-2 virus and its rapid developments, healthcare professionals need to be able to quickly and effectively adapt to the changes in practice, in accordance with the prevailing development.

Throughout 2020, the Colleges and Chapters had developed and published multiple guidelines and consensus statements for the different specialties, in an effort to provide guidance to healthcare professionals on the changes in practice as well as in the management of patients during the pandemic. A Micro-Site on COVID-19 was created and maintained by OPA to provide a resource website for healthcare professionals to easily access relevant literature articles and guidelines relevant to their medical practice.

Screen capture of the Academy’s resource site on COVID-19.

Below is the list of topics published in relation to COVID-19, available on the resource site.

TOPICS/TITLES TYPES PUBLISHED DATES

DEVELOPED BY COLLEGE/CHAPTER

COGS Committee Opinion on the Management of Pregnancy and Birth in Women with COVID-19

Committee Opinion

April College of Obstetricians and Gynaecologists, Singapore

Clinical Advisory on Management of IBD during COVID-19 Pandemic

Clinical Advisory

April Chapter of Gastroenterologists, College of Physicians, Singapore

Clinical Advisory for Rheumatology Patients - Guidance for COVID-19

Clinical Advisory

April Chapter of Rheumatologists, College of Physicians, Singapore

Clinical Advisory for Rheumatology Patients - Guidance for COVID-19 (Malay & Chinese)

Clinical Advisory

April Chapter of Rheumatologists, College of Physicians, Singapore

Guidelines on Summary of Key Actions in Response to COVID-19 by College of Ophthalmologists

Practice Guidelines

April College of Ophthalmologists

CSS Statement on Surgical Response During COVID-19 Pandemic by the College of Surgeons, Singapore

Position Statement

April College of Surgeons, Singapore

COVID-19 FAQs for Inflammatory Bowel Disease (IBD) Patients in Singapore (English, Malay, Mandarin)

FAQs April Chapter of Gastroenterologists, College of Physicians, Singapore

Clinical Advisory for managing neovascular AMD during COVID-19

Clinical Advisory

April College of Ophthalmologists

Chapter of Gastroenterologists professional guidance for management of patients with liver disease in Singapore during the COVID-19 pandemic

Practice Guidelines

April Chapter of Gastroenterologists, College of Physicians, Singapore


Position Statement on Period of Infectivity to Inform Strategies for De-isolation for COVID-19 Patients

Position Statement

May Chapter of Infectious Disease Physicians, College of Physicians, Singapore

Remote Reporting Guidelines for Home/Offsite Reporting Using a Virtual Desktop Connection during COVID-19 Pandemic

Practice Guidelines

May College of Radiologists, Singapore

The Role of Palliative Medicine in Allocating ICU beds and ICU Care Strategies in Covid-19 Scarcity

Position Statement

May Chapter of Palliative Medicine Physicians Joint Position Statement

Chapter of Pain Medicine Physicians Statement - Pain Procedures During Covid-19 Pandemic

Position Statement

May Chapter of Pain Medicine Physicians

Frequently Asked Questions (FAQs) on COVID-19 by Chapter of Infectious Disease Physicians

FAQs June Chapter of Infectious Disease Physicians, College of Physicians, Singapore

Clinical guidance on endoscopic management of colonic polyps in Singapore

Clinical Guidelines

June Chapter of Gastroenterologists, College of Physicians, Singapore

Medical Termination of Pregnancy (MTOP) Clinical Guidelines

June College of Obstetricians and Gynaecologists, Singapore

Practice Recommendations on the Prevention of Inadvertent Perioperative Hypothermia in Adult Patients Undergoing Elective Surgery and Procedures

Practice Guidelines

June College of Anaesthesiologists, Singapore

Clinical Cases in Electroconvulsive Therapy (ECT) E-Book October Section of Neurostimulation, College of Psychiatrists

Resumption of Services after COVID-19 Circuit Breaker Period

Practice Guidelines

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

Interim Treatment Guidelines for COVID-19 Practice Guidelines

June Chapter of Infectious Disease Physicians, College of Physicians, Singapore

Feedback Letter on Various Healthcare issues and PracticeFrom time to time, the Academy through the Colleges and Chapters, provides proactive feedback and suggestions to the relevant governmental agencies on healthcare policies and medical related issues that the profession finds to be of concern. In 2020, the Colleges and Chapters had provided five such feedback letters to SMC and MOH for their consideration.

TITLES COLLEGES/CHAPTERS INVOLVED WORKGROUP MEMBERS INVOLVEDLetter to MOH on Provision of Phototherapy by GPs and Misleading Clinic Names

Chapter of Dermatologists, College of Physicians, Singapore

Chapter of Dermatologists, College of Physicians, Singapore (CPS) and the Dermatological Society of Singapore (DSS)

Letter to MOH on Skin establishment/centre

Chapter of Dermatologists, College of Physicians, Singapore

Chapter of Dermatologists, College of Physicians, Singapore (CPS) and the Dermatological Society of Singapore (DSS)

Changes to the National Childhood Immunisation Schedule



Concerns on SMC Sentencing Guidelines

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

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

Concerns on SMC Sentencing Guidelines



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TOPICS/TITLES TYPES PUBLISHED DATES

DEVELOPED BY COLLEGE/CHAPTER

Medical Expert Witness Training Course 2020The Medical Expert Witness Training (MEWT) Course is conducted annually by the Academy in collaboration with SMA, Law Society of Singapore (LSS) and Singapore Academy of Law (SAL). This course is supported by the Singapore Courts. The course aims to train medical doctors to become competent medical expert witnesses in both report writing and providing oral expert testimony. The course has received positive and encouraging reviews every year in its running.

The Medical Experts Training Committee deliberated on the restrictions imposed on the conduct of course amidst the pandemic and the impact that it had on the educational objectives of the course. A decision was made to postpone the course for 2020, and resume the planning and organization of the course in 2021 if the pandemic situation eases and the course is able to comply with prevailing safety management measures.


DEANERYIn-Training ExaminationsSince 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 2020, the Academy administered 6 Specialty In-training examinations. 17 ITEs were cancelled due to COVID-19.

SPECIALTY (EXAMINATION) EXAMINATION BOARD DATES NO. OF CANDIDATESDiagnostic Radiology (DXIT) American College of Radiology 3-31 January 105Obstetrics & Gynaecology(CREOG)

American Congress of Obstetricians &Gynecologists

18 January 46

Endocrinology (ESAP-ITE) The Endocrine Society Cancelled -Infectious Diseases (IDSA-ITE) Infectious Diseases Society of America Cancelled -General Surgery (ABSITE) American Board of Surgery Cancelled -Emergency Medicine (ABEM-ITE) American Board of Emergency Medicine Cancelled -Medical Oncology (MedOnc-ITE) American Society of Clinical Oncology Cancelled -Otorhinolaryngology (OTE) American Board of Otolaryngology Cancelled -Rheumatology (ACR-ITE) American College of Rheumatology Cancelled -Gastroenterology (GTE) American Gastroenterological Association Cancelled -Anaesthesiology (ABA-ITE) American Board of Anesthesiology Cancelled -Pathology (RISE) American Society for Clinical Pathology Cancelled -Haematology (ASH-ISE) American Society of Haematology Cancelled -Nuclear Medicine (ABNM-ITE) American Board of Nuclear Medicine 2 April 3Renal Medicine (ASN-ITE) American Society of Nephrology Cancelled -Ophthalmology (OKAP) American Academy of Ophthalmology Cancelled -Respiratory Medicine (APCCMPD - ISE)

Association of Pulmonary and Critical Care Medicine Program Directors

Cancelled -

Paediatric Medicine (ABP-ITE) American Board of Pediatrics Cancelled -Internal Medicine (IM-ITE) American College of Physicians Cancelled -Psychiatry (PRITE) American College of Psychiatrists Cancelled -Cardiology (ACC-ITE) American College of Cardiology 21 October 31Family Medicine (ABFM-ITE) * American Board of Family Medicine 22-23, 26-28

October244

Orthopaedic Surgery (OITE) American Academy of Orthopaedic Surgeons

13 November 75

*Jointly organised with CFPS

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Diploma in Hospital Medicine/Hospital Clinician SchemeThe Diploma in Hospital Medicine is a two-year training programme to help clinicians acquire skills and knowledge on evaluating and managing patients admitted into hospitals. The structured programme and the close supervision of trainees will ensure the development of a competent and safe Hospital Medicine Clinician (HMC). The pilot intake started in January 2019 and two trainees were trained under the programme in 2020.

The programme will be superseded by the Hospital Clinician (HC) scheme from July 2021. The HC scheme, endorsed by the Ministry of Health, Singapore, has been implemented as part of the overall scheme of care transformation. The scheme provides opportunities for local doctors who are keen to develop a meaningful career as non-specialists (Hospital Clinicians) in broad-based, clinical focused work in public hospitals. Hospital Clinicians will anchor inpatient care services in acute and subacute public hospitals in a role complementary to specialists.

Mandatory Geriatric Medicine Modular CourseThe Academy, together with the Chapter of Geriatricians, College of Physicians, Singapore, has 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.

Under this course, residents will first need to complete three online modules in Year 1 before attending one combined topics workshop in Year 2. Each workshop has four case scenarios:

• Dementia/Delirium • Falls and Immobility • Atypical Presentation and Iatrogenesis • Decision Making Capacity / Perioperative Care


Master of Health Professions Education, Singapore (MHPE-S) 2020 MHPE-S Teaching FacultyMHPE-S Local Teaching Faculty

• Abhilash Balakrishnan • Ashokka Balakrishnan • Chay Oh Moh • Chen Fun Gee Edward • Clement Tan • Derrick Lian • Dujeepa D. Samarasekera • Jason Chan • Kevin Tan • Matthew Gwee • Nigel Tan • Predeebha Kannan • Raymond Goy • Richard Lee • T. Thirumoorthy • Victor Loh

MHPE-S Overseas Teaching Faculty • Fred Stevens • Gominda Ponnamperuma

2020 Intake (Unit One) and 2019 Intake (Unit Seven)The MHPE-S Unit One and Unit Seven were conducted through blended learning model in view of COVID-19. Delivered through a combination of face-to-face and online learning sessions, it enabled our students, overseas and local faculty to come together for the programme.

The 2020 Intake unit one was conducted from 5 - 22 October with nine participants. Dr Predeebha Kannan is the coordinator for Unit One.

The 2019 Intake students were back to the Academy for unit seven, held concurrently with 2020 Intake unit one. Dr Ashokka Balakrishnan is the coordinator for Unit Seven.

The programme director for MHPE-S is Dr Dujeepa D. Samarasekera.

2020 MHPE-S Master ThesisIn view of the ongoing pandemic, the master thesis presentations for graduating students were conducted through videoconferencing.

Screen capture of graduating students & faculty members during the 2020 MHPE-S Master Thesis online presentation session.

Self-Learning Module (SLM)The pilot specialty-specific Self-Learning Module (SLM) is an initiative in anticipation of SMC’s proposed mandatory Maintenance of Competency (MOC) which will replace the current compulsory Continuing Medical Education (CME) programme in the coming years. The Academy and Colleges/Chapters have jointly developed 34 specialty specific SLM modules.

Modules LaunchedAnaesthesiology Module 1Aviation Medicine Module 1Cardiology Module 1Cardiothoracic Surgery Module 1Dermatology Module 1Emergency Medicine Module 1Endocrinology Module 1Gastroenterology Module 1General Surgery Module 1Geriatric Medicine Module 1

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A total of four workshops were conducted in 2020. Due to COVID-19, the workshops were conducted online via videoconferencing.

DATES ORGANISING INSTITUTIONS TOPICS WORKSHOP FACILITATORS NO OF PARTICIPANTS

20 June Khoo Teck Puat Hospital Combined Topics Dr Ng Chong JinDr Claudia KohDr Nieh Chih MingDr Cheong Chin Yee

27

8 August Sengkang General Hospital Combined Topics Dr Goh Kai Heng RaymondDr Foo Swee SenDr Suantio Astrid Melani

46

10 October Ng Teng Fong General Hospital

Combined Topics Dr Lim Seok Mei Dr Gu JiaweiDr Ee Ying Hui Dina

38

21 November Tan Tock Seng Hospital Combined Topics Dr Lin Jia Jing Nicole Dr Lee Shaowen JoshuaDr Lim Zi Qian Celestine

39


Haematology Module 1Hand Surgery Module 1Infectious Diseases Module 1Internal Medicine Module 1Neurology Module 1Neurosurgery Module 1Nuclear Medicine Module 1Obstetrics & Gynaecology Module 1Occupational Medicine Module 1Ophthalmology Module 1Orthopaedic Surgery Module 1Otorhinolaryngology Module 1Paediatric Medicine Module 1Paediatric Surgery Module 1Palliative Medicine Module 1Plastic Surgery Module 1Psychiatry Module 1Public Health Module 1Rehabilitation Medicine Module 1Rheumatology Module 1Urology Module 1Breastfeeding Module 1Breastfeeding Module 2Breastfeeding Module 3

As at 31 December 2020, 680 modules have been completed by 337 doctors. There has been an increase in the number of SLM modules attempted as Fellows choose to continue their learning online and meet their CME requirements through SLM.

CORE MODULE

ONLY

CORE & NON-CORE

MODULE

NON-CORE

MODULE ONLY

TOTAL

No. of Users 229 66 42 337

% of Users 68% 20% 12% 100%

No. of Modules Completed

332 275 73 680

% of Modules Completed

49% 40% 11% 100%

CPD BulletinThe CPD Bulletin was launched in November 2019 to promote lifelong learning. This is a members-only weekly bulletin of objectively-selected and rigorously-summarised articles from the latest issues of the most prestigious journals, that will bring up-to-date information to busy clinicians - thereby helping them keep abreast with recent progresses in other fields of medicine. In 2020, 34 issues of CPD bulletin were developed.

Issue 1 Sports MedicineIssue 2 NeurosurgeryIssue 3 Palliative MedicineIssue 4 EndocrinologyIssue 5 AnaesthesiologyIssue 6 Intensive Care MedicineIssue 7 Infectious Diseases and COVID-19 articlesIssue 8 DermatologyIssue 9 PathologyIssue 10 HaematologyIssue 11 CardiologyIssue 12 Cardiothoracic SurgeryIssue 13 GastroenterologyIssue 14 Paediatric MedicineIssue 15 Family MedicineIssue 16 RadiologyIssue 17 PsychiatryIssue 18 Oral & Maxillofacial SurgeryIssue 19 Occupational MedicineIssue 20 Clinical Immunology & AllergyIssue 21 Obstetrics & GynaecologyIssue 22 Paediatric SurgeryIssue 23 EndodonticsIssue 24 General SurgeryIssue 25 Medical OncologyIssue 26 PeriodontologyIssue 27 Orthopaedic SurgeryIssue 28 UrologyIssue 29 Emergency MedicineIssue 30 OrthodonticsIssue 31 Paediatric DentistryIssue 32 Aviation MedicineIssue 33 Renal MedicineIssue 34 Otorhinolaryngology

AMS Fellowship Training ProgrammeThe 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 from 2014.

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 specialist in Brunei. There are a total of seven doctors training under the AMS AST programme in 2020.

Dental Specialist Accreditation Assessment The Academy has been providing secretariat support to the College of Dental Surgeons, Singapore (CDSS) for the administration of the Dental Specialist Accreditation Assessment since 2018. In 2020, the Academy administered two diets of the dental specialist accreditation assessment online, with a total of 15 candidates.

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Modules Launched


Staff Registrar Scheme A total of 25 doctors were trained under the SRS in 2020. Since 2007, 391 doctors had enrolled and 348 of them have successfully completed and graduated.

NO. DIPLOMAS APPROVED BY SMC DURATION TOTAL NO. OF

TRAINEES*

TOTAL NO. OF

GRADUATES*1 Diploma in Emergency Medicine 2 years 79 732 Diploma in Nuclear Medicine 2 years 1 13 Diploma in Paediatrics & Child Health 2 years 21 194 Diploma in Cardiothoracic Surgery 3 years 5 55 Diploma in Neurosurgery 3 years 7 46 Diploma in Cardiology 2 years 24 237 Diploma in Geriatric Medicine in Hospital and ILTC 2 years 76 678 Diploma in Infectious Diseases 2 years 6 69 Diploma in Orthopaedic Surgery 3 years 13 1010 Diploma in Palliative Medicine 2 years 12 1011 Diploma in Neurology 2 years 8 712 Diploma in Internal Medicine (with focus on Hospital Medicine) 2 years 42 3513 Diploma in Rehabilitation Medicine 2 years 13 1314 Diploma in Neonatology 2 years 15 1515 Advanced Diploma in Pathology 2 years 2 216 Diploma in Paediatric Cancer Care 2 years 5 517 Diploma in Urology 3 years 9 818 Diploma in Radiation Oncology 2 years 1 119 Diploma in Hand Surgery 3 years 1 -20 Diploma in Clinical Haematology (Adult) 2 years 5 521 Diploma in Obstetrics and Gynaecology 4 years - -22 Diploma in Medical Oncology 3 years 11 923 Diploma in Respiratory Medicine 2 years 5 524 Diploma in Respiratory Medicine (Clinical and Public Health - TB) 2 years 1 125 Diploma in Psychiatry 2 years 10 926 Diploma in Anaesthesiology 3 years 12 927 Diploma in Haematology (Transfusion Medicine) 2 years 3 328 Diploma in Endocrinology 2 years 4 3 Total 391 348

*since 2007

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Provision of Services for the Management, Implementation and Evaluation of Ministry of Health’s (MOH) Examination Administration, Workshops, Training and other Related Services for Healthcare ProfessionalsThe Academy has been awarded the contract to provide services for the management, implementation and evaluation of Ministry of Health’s (MOH) Examination Administration, Workshops, Training and other Related Services for Healthcare Professionals since 2017. It includes the coordination of local meetings, workshops and teleconferences for examination-related events for the 12 Specialty exams a year and the conduct of exam applications and registrations. At the end of the 3-year contract term in February 2020, the Academy was awarded a 4-year re-contract, starting from 1 March 2020. In view of the COVID-19 situation, the workshops have been conducted online since March 2020.

SPECIALTY EXAMINATIONSAnaesthesiologyDiagnostic RadiologyInternal MedicineGeneral SurgeryEmergency MedicinePathology Family MedicineObstetrics & GynaecologyPaediatric MedicinePsychiatryOphthalmologyOtorhinolaryngology


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The Reviewer Awards 2020 The Platinum Reviewer Award 2020 went to steadfast Annals supporter Dr Derrick Aw who conducted 12 reviews in 2020. The Gold Reviewer Awards were also presented to seven reviewers who submitted 6 to 10 quality reviews that adhered to the Annals’ Guidelines. These important medical professionals had been integral in providing helpful and valuable advice to the Editorial Board to ensure the high standards of the journal.

PUBLICATIONSDigital Object Identifier (DOI) SystemThe editorial team initiated the digital object identifier (DOI) system for articles published in the Annals to facilitate online search and citations. Social media, such as Twitter and Instagram, is being engaged to reach out to readers and increase the appeal of the Annals in a rapidly evolving medical publishing landscape.

Plans are in the works to renew the existing website to facilitate dissemination of information, retrieval and archiving of materials. Use of online analytics would improve our understanding and needs of Annals users, providing in-depth information to better organise and customise content.


ENHANCING SELF-GOVERNANCE AND SELF-REGULATION

OFFICE OF PROFESSIONAL AFFAIRSFaculty of Medical Experts (FME)The Academy receives numerous requests from various authorities or agencies such as the Ministry of Health, Singapore (MOH), Singapore Medical Council (SMC), Singapore Police Force (SPF), 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.

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The number of requests has been growing steadily over the years, and the Academy continues to support the demands for competent independent medical experts by recommending suitable experts to governmental agencies through the FME. Currently, there are a total of 97 Fellows, spanning 32 specialties, appointed as members of FME.

ANNUAL REPORT 2020 | 44ANNUAL REPORT 2020 | 44

Specialty Number Specialty Number Specialty NumberAnaesthesiology 6 Geriatric Medicine 3 Otorhinolaryngology 2Cardiology 4 Hand Surgery 1 Paediatric Medicine 4Cardiothoracic Surgery 1 Infectious Diseases 3 Plastic Surgery 5Dental Surgery 1 Internal Medicine 2 Psychiatry 6Dermatology 2 Medical Oncology 2 Radiation Oncology 1Diagnostic Radiology 2 Neurology 1 Rehabilitation Medicine 2Emergency Medicine 4 Neurosurgery 2 Renal Medicine 1Endocrinology 1 Obstetrics and Gynaecology 4 Respiratory Medicine 1Family Medicine 2 Ophthalmology 3 Rheumatology 2Gastroenterology 3 Orthodontics 1 Urology 1General Surgery 21 Orthopaedic Surgery 3

Independent Medical Experts (IME)

Singapore Police Force (SPF)The Academy continues to receive requests from the SPF seeking independent medical experts to assist in Coroner’s cases and Police investigations. In 2020, 27 independent medical expert reports were provided to the SPF for Coroners’ cases with two Coroner’s cases still in progress at time of print, along with one Police investigation case.

Types of Requests 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020Coroners’ Case 43 51 44 29 34 20 45 28 35 27Police Investigation 2 1 1 3 0 0 0 4 6 1

Number of Independent Medical Experts till 2020

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Faculty of Medical Experts Committee and RegistryThe Faculty of Medical Experts Committee (FMEC) recommends appropriate Faculty members for requests seeking competent medical expert opinions or assessments in medicolegal cases through the provision of medical expert reports, testimonies and evidence, or as an appointed medical assessor.

These Faculty members are Fellows of the Academy who have successfully completed the Medical Expert Witness Training Courses (MEWT) and invited to join the Registry under the Faculty.

With increasing demand for expert opinion to assist in medicolegal proceedings, the Academy is cognisant of the need to ensure the competency of Medical Experts.

Under the FME, members will be invited to attend various continuing medical education workshops and training courses to enhance their skills as well as to give them a platform to address their concerns as medical experts in focus group sessions as well as in interactive seminars.


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N In 2019, an AMS-SMC-CFPS Expert Opinion Framework was established between the Academy, SMC, and CFPS. Under this framework, the Academy assists SMC in recommending suitable medical experts to provide independent medical expert opinion reports for its CC and DT cases.

As of December 2020, there were a total of 74 independent medical expert reports provided to SMC for CC cases for the year, with six cases still in progress at time of print. There was request for one DT case in 2020. However, the case was subsequently withdrawn. The distribution of cases based on specialties is shown in the following table.

Singapore Medical Council (SMC) Complaints Committee (CC) and Disciplinary Tribunal (DT)

Singapore Dental Council (SDC) Complaints Committees (CCs)SDC approached the Academy for assistance in 2020 to provide expert opinion for its CC cases under a similar framework to the AMS-SMC-CFPS arrangement. The Academy recommended suitable dental experts in the specialty of Oral-maxillofacial Surgery for two SDC CC cases.

MOH Regulatory and EnforcementUnder the Memorandum of Understanding (MOU) between AMS and MOH since 2007, the Academy has been providing professional opinions to MOH on various healthcare and medical issues involving the profession.

In 2019, the arrangement was extended to include the provision of expert opinion reports for investigation of cases not involving doctors under MOH’s Regulatory & Enforcement Branch.

Under this new framework, the Academy assists MOH in recommending suitable medical experts to provide independent medical expert opinion reports which will be used for prosecution and litigation purposes. As of December 2020, the Academy had assisted in 23 such cases since 2018.

Specialty Number Specialty Number Specialty NumberAnaesthesiology 5 Neurology 3 Psychiatry 6Cardiology 1 Obstetrics and Gynaecology 6 Radiology 1Dermatology 4 Ophthalmology 7 Renal Medicine 2Emergency Medicine 1 Orthopaedic Surgery 5 Respiratory Medicine 2Gastroenterology 1 Otorhinolaryngology 3 Rheumatology 4General Surgery 7 Paediatric Medicine 1 Toxicology 2Hand Surgery 1 Paediatric Surgery 1 Urology 2Medical Oncology 2 Palliative Medicine 1Neonatology 2 Plastic Surgery 4

Table: Distribution of Expert Opinion Reports provided for CC Cases in accordance to specialty


FINANCIAL STATEMENTS 2020Financial Statements for the

Financial Year Ended 31 December 2020

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 2020

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) 6491.5218

DocuSign Envelope ID: A156AE2D-F920-48C2-92EF-40FC75377FAD

Academy Of Medicine Singapore [UEN. 197702012E]

Audited Financial Statements

For the Financial Year Ended 31 December 2020

Fiducia LLP, Public Accountants and Chartered Accountants of Singapore Page 2 of 52

DIRECTORS’ STATEMENT The directors present their statement to the members together with the audited financial statements of Academy of Medicine Singapore (the “Academy”) for the financial year ended 31 December 2020. In the opinion of the directors, a) the financial statements of the Academy are drawn up so as to give a true and fair view of the

financial position of the Academy as at 31 December 2020 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 statement are as follows: Teo Eng Kiong Sayampanathan Sarvaselan Reuben Emmanuel Chan Yew Weng (Council term ended on 20 June 2020) Erle Lim Chuen Hian (Council term ended on 20 June 2020) Goh Siang Hiong (Council term ended on 20 June 2020) Ho Kok Sun Khoo Kei Siong (Council term ended on 20 June 2020) Lim Lay Cheng Lye Chien Boon Ng Wei Keong Alan Pierce Chow Kah Hoe Robinson Inese Aisma Vernon Lee Jian Ming Wong Chiang Yin Wong Tien Yin Yeo Jin Fei Wong Chee Meng John Samarasekera Dujeepa Dasharatha (Council term ended on 20 June 2020) Andrew Ow Tjin-Chiew (Ou RenQiu) Lee Kheng Hock Yong Tze Tein Goh Yaw Chong (Council term ended on 20 June 2020) Teoh Tiong Ann Tan Hock Soon Kenneth Tay Kiang Hiong Tan Yeh Hong Chua Ping Ping Nelson Ng Kee Chong Seet Chee Seong (Appointed on 01 March 2020) Ang Tiing Leong (Appointed on 20 June 2020) Seow Eillyne (Appointed on 20 June 2020) Ling Khoon Lin (Appointed on 20 June 2020) Matthias Paul Toh Han Sim (Appointed on 20 June 2020) Sophia Chew Tsong Huey (Appointed on 20 June 2020) Yeo Sow Nam (Appointed on 20 June 2020) Yong Khet Yau Vernon (Appointed on 20 June 2020) Yip Chee Chew (Appointed on 20 June 2020)






DIRECTORS’ STATEMENT The directors present their statement to the members together with the audited financial statements of Academy of Medicine Singapore (the “Academy”) for the financial year ended 31 December 2020. In the opinion of the directors, a) the financial statements of the Academy are drawn up so as to give a true and fair view of the

financial position of the Academy as at 31 December 2020 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 statement are as follows: Teo Eng Kiong Sayampanathan Sarvaselan Reuben Emmanuel Chan Yew Weng (Council term ended on 20 June 2020) Erle Lim Chuen Hian (Council term ended on 20 June 2020) Goh Siang Hiong (Council term ended on 20 June 2020) Ho Kok Sun Khoo Kei Siong (Council term ended on 20 June 2020) Lim Lay Cheng Lye Chien Boon Ng Wei Keong Alan Pierce Chow Kah Hoe Robinson Inese Aisma Vernon Lee Jian Ming Wong Chiang Yin Wong Tien Yin Yeo Jin Fei Wong Chee Meng John Samarasekera Dujeepa Dasharatha (Council term ended on 20 June 2020) Andrew Ow Tjin-Chiew (Ou RenQiu) Lee Kheng Hock Yong Tze Tein Goh Yaw Chong (Council term ended on 20 June 2020) Teoh Tiong Ann Tan Hock Soon Kenneth Tay Kiang Hiong Tan Yeh Hong Chua Ping Ping Nelson Ng Kee Chong Seet Chee Seong (Appointed on 01 March 2020) Ang Tiing Leong (Appointed on 20 June 2020) Seow Eillyne (Appointed on 20 June 2020) Ling Khoon Lin (Appointed on 20 June 2020) Matthias Paul Toh Han Sim (Appointed on 20 June 2020) Sophia Chew Tsong Huey (Appointed on 20 June 2020) Yeo Sow Nam (Appointed on 20 June 2020) Yong Khet Yau Vernon (Appointed on 20 June 2020) Yip Chee Chew (Appointed on 20 June 2020)






DIRECTORS’ STATEMENT (CONT’D)

Arrangements to enable directors to acquire benefits Neither at the end of nor at any time during the financial year was the Academy a party to any arrangement whose objects are, or one of whose object is, to enable the directors of the Academy to acquire benefits by means of the acquisition of shares in, or debentures of, the Academy or any other body corporate. Other matters As the Academy is limited by guarantee, matters relating to interest in shares, debenture or share options are not applicable. Independent auditor The independent auditor, Messrs. Fiducia LLP, Public Accountants and Chartered Accountants, has expressed its willingness to accept re-appointment. On behalf of the Board of Directors,

Teo Eng Kiong Director

Ng Wei Keong, Alan Director

Singapore, 30 June 2021






Fiducia LLP Public Accountants and Chartered Accountants of Singapore 71 Ubi Crescent Excalibur Centre, #08-01 Singapore 408571 T: (65) 6846.8376 F: (65) 6491.5218

Independent auditor’s report to the members of: ACADEMY OF MEDICINE SINGAPORE [UEN. 197702012E] [A Company limited by guarantee and not having share capital] [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 2020, 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 2020 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 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, which we obtained prior to the date of this auditor’s report and the annual report, which is expected to be made available to us after that date. 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 2020, 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 2020 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 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, which we obtained prior to the date of this auditor’s report and the annual report, which is expected to be made available to us after that date. 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.







(CONT’D)


Responsibilities of Management and Directors 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. 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.







(CONT’D)


Auditor’s Responsibilities for the Audit of the Financial Statements (Cont’d)

Conclude on the appropriateness of management’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Academy’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the Academy to cease to continue as a going concern.

Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.

We communicate with the directors regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit. Report on Other Legal and Regulatory Requirements In our opinion, the accounting and other records required to be kept by the Academy have been properly kept in accordance with the provisions of the Companies Act, and the Charities Act and Regulations. During the course of our audit, nothing has come to our attention that causes us to believe that during the financial year: a. the Academy has not use of the donation moneys in accordance with the objectives as required under

Regulation 11 of the Charities (Institutions of a Public Character) Regulations; and

b. the Academy has not complied with the requirements of Regulation 15 of the Charities (Institutions of a Public Character) Regulations.

Fiducia LLP Public Accountants and Chartered Accountants Singapore, 30 June 2021 Partner-in-charge: Gan Chek Huat PAB No.: 01939







(CONT’D)


Auditor’s Responsibilities for the Audit of the Financial Statements (Cont’d)

Conclude on the appropriateness of management’s use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Academy’s ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future events or conditions may cause the Academy to cease to continue as a going concern.

Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation.

We communicate with the directors regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit. Report on Other Legal and Regulatory Requirements In our opinion, the accounting and other records required to be kept by the Academy have been properly kept in accordance with the provisions of the Companies Act, and the Charities Act and Regulations. During the course of our audit, nothing has come to our attention that causes us to believe that during the financial year: a. the Academy has not use of the donation moneys in accordance with the objectives as required under

Regulation 11 of the Charities (Institutions of a Public Character) Regulations; and

b. the Academy has not complied with the requirements of Regulation 15 of the Charities (Institutions of a Public Character) Regulations.

Fiducia LLP Public Accountants and Chartered Accountants Singapore, 30 June 2021 Partner-in-charge: Gan Chek Huat PAB No.: 01939


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STATEMENT OF FINANCIAL POSITION AS AT 31 DECEMBER 2020 2020 2019 Note S$ S$ ASSETS Current assets Cash and cash equivalents 10 11,674,104 6,000,809 Fixed deposits 11 5,772,759 9,602,670 Other receivables 12 933,099 1,043,453 Inventories 13 29,191 16,668 18,409,153 16,663,600 Non-current assets Plant and equipment 14 1,212,408 1,315,082 Investment property 15 3,858,241 3,884,966 5,070,649 5,200,048 Total assets 23,479,802 21,863,648 LIABILITIES Current liabilities Other payables 16 2,011,893 1,772,623 Contract liabilities 5 654,110 698,926 2,666,003 2,471,549 Total liabilities 2,666,003 2,471,549 NET ASSETS 20,813,799 19,392,099 FUNDS Unrestricted fund Accumulated fund 17 4,223,666 3,691,869 Restricted funds Annals fund 18 340,164 392,288 Building and endowment fund 18 7,631,266 7,757,216 Joint Committee on Specialist Training 18 4,122,142 3,234,509 College of Ophthalmologists 18 814,958 800,535 College of Public Health and Occupational

Physicians 18 351,303 350,046 College of Emergency Physicians 18 498,954 499,487 College of Psychiatrists 18 115,809 104,816 College of Clinician Scientists 18 29,146 16,728 College of Clinician Educators 18 133,741 104,728 Chapters' and Section funds 18 215,238 200,261 Lectures' funds 18 2,337,412 2,239,616 16,590,133 15,700,230 TOTAL FUNDS 20,813,799 19,392,099

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


Academy of Medicine Singapore [UEN. 197702012E]




STATEMENT OF CHANGES IN FUNDS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

Unrestricted

fund Restricted

funds Total funds 2020 S$ S$ S$ Balance at beginning of financial year

3,691,869 15,700,230 19,392,099

Net income for the financial year 531,797 889,903 1,421,700 Balance at end of financial year 4,223,666 16,590,133 20,813,799

Unrestricted

fund Restricted

funds Total funds 2019 S$ S$ S$ Balance at beginning of financial year 3,301,896 14,960,780 18,262,676 Net income for the financial year 389,973 739,450 1,129,423 Balance at end of financial year 3,691,869 15,700,230 19,392,099







STATEMENT OF CHANGES IN FUNDS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

Unrestricted

fund Restricted

funds Total funds 2020 S$ S$ S$ Balance at beginning of financial year

3,691,869 15,700,230 19,392,099

Net income for the financial year 531,797 889,903 1,421,700 Balance at end of financial year 4,223,666 16,590,133 20,813,799

Unrestricted

fund Restricted

funds Total funds 2019 S$ S$ S$ Balance at beginning of financial year 3,301,896 14,960,780 18,262,676 Net income for the financial year 389,973 739,450 1,129,423 Balance at end of financial year 3,691,869 15,700,230 19,392,099







STATEMENT OF CASH FLOWS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020

2020 2019 Note S$ S$ Cash flows from operating activities Net income for the financial year 1,421,700 1,129,423 Adjustments for: - Amortisation of right-of-use assets 14 171,461 171,461 - Allowance for doubtful debts 12 155,583 84,649 - Allowance for doubtful debts written back 12 (14,362) (31,204) - Depreciation of investment property 15 26,725 26,416 - Depreciation of plant and equipment 14 107,110 58,399 - Loss on disposal of plant and equipment 0 71 - Interest income (90,638) (149,415) Operating cash flow before working capital changes 1,777,579 1,289,800 Changes before changes in working capital - Other receivables and prepayments (94,228) (66,503) - Inventories (12,523) 7,724 - Other payables 239,270 (185,909) - Contract liabilities (44,816) (325,433) Net cash generated from operating activities 1,865,282 719,679 Cash flows from investing activities Purchase of plant and equipment 14 (175,897) (71,438) Proceeds from disposal of plant and equipment 0 20 Interest income received 153,999 136,781 Placement/(withdrawal) of fixed deposits 3,829,911 (442,863) Net cash provided by/(used in) investing activities 3,808,013 (377,500) Net increase in cash and cash equivalents 5,673,295 342,179 Cash and cash equivalents at beginning of financial year 6,000,809 5,658,630 Cash and cash equivalents at end of financial year 10 11,674,104 6,000,809







NOTES TO THE FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020 These notes form an integral part of and should be read in conjunction with the accompanying financial statements. 1. General information

Academy of Medicine Singapore (the “Academy”) is incorporated and domiciled in Singapore. The Academy’s registered office and principal place of business is located 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 company limited by guarantee. The Academy was incorporated on 19 September 1977 and was registered as a charity on 13 April 1984. The Academy has been accorded an Institutions of a Public Character (“IPC”) status from 17 May 2018 until 16 May 2020. The Academy has renewed its IPC status from 17 May 2020 to 16 May 2022. Each ordinary member undertakes to contribute to the assets of the Academy in the event of its being wound up while he is a member, or within one year if he ceases to be a member, for payment of the debts and liabilities of the Academy contracted before he ceases to be a member and of the costs, charges and expenses of the winding up and for the adjustment of the rights of the contributaries among themselves, such amount as may be required but not exceeding fifty dollars (S$50). The objects for which the Academy is established are: (a) to advance the art and science of medicine; (b) to promote 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 do all such things as are in furtherance of the above objects or any of them and particularly

the following provided that nothing shall be done for commercial reasons or solely for profit:

i) to grant specialist qualifications to persons who have fulfilled the criteria laid down; ii) to maintain and promote the highest standards of professional practice; iii) to maintain a high code of ethical conduct amongst its members; iv) to represent, express and give effect to the views and opinions of its members; v) to enter into any arrangements with any Government or other authority that may seem

conducive to the Academy’s objects, or any of them; and to obtain from such Government or authority any rights, privileges, and concessions which the Academy may think it desirable to obtain, and to carry out, exercise, and comply with any such arrangements, rights, privileges and concessions;

vi) to protect the interest and dignity of the Academy of Medicine; vii) to take over the whole or any part of the real and personal property belonging to, and

to undertake all or any of the liabilities of a company registered under the Companies Act (Chapter 50) known as “Academy of Medicine, Singapore”, whose registered address is 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836;

viii) to organise, promote and manage or cause to be organized, promoted or managed fundraising and business activities, to issue appeals, hold public discussions and take such steps as may be deemed necessary for the purpose procuring contributions to the funds of the Academy by way of donations or otherwise;






NOTES TO THE FINANCIAL STATEMENTS FOR THE FINANCIAL YEAR ENDED 31 DECEMBER 2020 These notes form an integral part of and should be read in conjunction with the accompanying financial statements. 1. General information

Academy of Medicine Singapore (the “Academy”) is incorporated and domiciled in Singapore. The Academy’s registered office and principal place of business is located 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 company limited by guarantee. The Academy was incorporated on 19 September 1977 and was registered as a charity on 13 April 1984. The Academy has been accorded an Institutions of a Public Character (“IPC”) status from 17 May 2018 until 16 May 2020. The Academy has renewed its IPC status from 17 May 2020 to 16 May 2022. Each ordinary member undertakes to contribute to the assets of the Academy in the event of its being wound up while he is a member, or within one year if he ceases to be a member, for payment of the debts and liabilities of the Academy contracted before he ceases to be a member and of the costs, charges and expenses of the winding up and for the adjustment of the rights of the contributaries among themselves, such amount as may be required but not exceeding fifty dollars (S$50). The objects for which the Academy is established are: (a) to advance the art and science of medicine; (b) to promote 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 do all such things as are in furtherance of the above objects or any of them and particularly

the following provided that nothing shall be done for commercial reasons or solely for profit:

i) to grant specialist qualifications to persons who have fulfilled the criteria laid down; ii) to maintain and promote the highest standards of professional practice; iii) to maintain a high code of ethical conduct amongst its members; iv) to represent, express and give effect to the views and opinions of its members; v) to enter into any arrangements with any Government or other authority that may seem

conducive to the Academy’s objects, or any of them; and to obtain from such Government or authority any rights, privileges, and concessions which the Academy may think it desirable to obtain, and to carry out, exercise, and comply with any such arrangements, rights, privileges and concessions;

vi) to protect the interest and dignity of the Academy of Medicine; vii) to take over the whole or any part of the real and personal property belonging to, and

to undertake all or any of the liabilities of a company registered under the Companies Act (Chapter 50) known as “Academy of Medicine, Singapore”, whose registered address is 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836;

viii) to organise, promote and manage or cause to be organized, promoted or managed fundraising and business activities, to issue appeals, hold public discussions and take such steps as may be deemed necessary for the purpose procuring contributions to the funds of the Academy by way of donations or otherwise;






1. General information (Cont’d)

The objects for which the Academy is established are: (cont’d)

(d) to do all such things as are in furtherance of the above objects or any of them and particularly the following provided that nothing shall be done for commercial reasons or solely for profit: (cont’d) ix) to operate with other Charities, voluntary bodies and statutory authorities and to

exchange community outreach programmes, information and advice with them; x) to establish or support any charitable trusts, associations or institutions formed for any

of the charitable purposes included in the Objects; xi) to do all such acts and things as are incidental or subsidiary to all or any of the above; xii) to act as trustees, committee members or managers of any real or personal property

given or held upon trust for charitable purposes; xiii) to accept gifts of any real or personal property for the general purposes of the Academy

or for any particular purpose thereof; xiv) subject to the provisions of Section 19(2) of the Companies Act, to purchase, take on

lease, exchange, or otherwise acquire any real or personal property and any rights or privileges which the Academy may think necessary or convenient for the promotion of its objects, and to construct, alter, repair, and maintain any buildings or erection necessary or convenient for the work of the Academy;

xv) to sell, let, dispose of, grant rights over or turn to account all or any of the property or assets of the Academy as may be thought expedient to the promotion of its objects;

xvi) to invest the monies of the Academy not immediately required for its purposes in or upon such investments, securities or property as may be thought fit;

xvii) to co-operate with and subscribe to any association, society or corporation whose objects shall be charitable and to purchase or otherwise acquire and undertake all or any part of the property, assets, liabilities and engagements of any such association, society or corporation;

xviii) Subject to the fourth paragraph of this Memorandum, to grant allowances and gratuities to past or present officers or servants of the Academy and to establish and maintain or participate in trust funds or schemes (whether contributory or non-contributory) for providing benefits for any such persons as aforesaid; and

xix) to do all such other things as are incidental or conducive to the attainment of the above objects or any of them.

2. Significant accounting policies 2.1 Basis of preparation

The financial statements have been prepared in accordance with Financial Reporting Standards in Singapore (“FRSs”) and the disclosure requirements of the Charities Act, Chapter 37 and Regulations. 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 areas involving a higher degree of judgement or complexity, or areas where assumptions and estimates are significant to the financial statements are disclosed in Note 3.






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

2.1.1 Interpretations and amendments to published standards effective in 2020

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 2020. The adoption of the standard did not have any material effect on the financial statements. Except for the adoption of amendments to FRS 116 Leases as described below, the adoption of these new or amended FRS and INT FRS did not result in substantial changes to the Academy’s accounting policies and had not material effect on the amounts reported for the current or prior financial years. Early adoption of Amendments to FRS 116 Leases – COVID-19 Related Rent Concessions The Academy has elected to early adopt the amendments to FRS 116 which introduced a practical expedient for a lessee to elect not to assess whether a rent concession is a lease modification, if all the following conditions are met: (a) the change in lease payments results in revised consideration for the lease that is

substantially the same as, or less than, the consideration for the lease immediately preceding the change;

(b) any reduction in lease payments affects only payments originally due on or before 30 June 2021; and

(c) there is no substantive change to other terms and conditions of the lease. The Academy has elected to apply this practical expedient to all property leases. As a result of applying the practical expedient, rent concessions of S$20,267 was recognised as negative variable lease payments in the profit or loss during the year.

2.1.2 Standards issued but not yet effective

The Academy has not adopted the following relevant new/revised FRS, INT FRS and amendments to FRSs that were issued but not yet effective:

Descriptions

Effective for annual periods

beginning on or after

Amendments to FRS 109, FRS 39, FRS 107, FRS 104 and FRS 116: Interest Rate Benchmark Reform – Phase 2

Amendments to FRS 103: Reference to the Conceptual Framework

Amendments to FRS 16: Property, Plant and Equipment – Proceeds before Intended Use

Amendments to FRS 37: Onerous Contracts – Cost of Fulfilling a Contract

Annual Improvements to FRSs 2018-2020 Amendments to FRS 1: Classification of Liabilities as

Current or Non-current Amendments to FRS 110 and FRS 28 Sale or Contribution

of Assets between an Investor and its Associate or Joint Venture

1 January 2021

1 January 2022

1 January 2022 1 January 2022 1 January 2022

1 January 2023

Date to be determined

The directors expect that the adoption of the revised standards above will have no material impact on the financial statements in the period of initial adoption.






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

2.1.1 Interpretations and amendments to published standards effective in 2020

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 2020. The adoption of the standard did not have any material effect on the financial statements. Except for the adoption of amendments to FRS 116 Leases as described below, the adoption of these new or amended FRS and INT FRS did not result in substantial changes to the Academy’s accounting policies and had not material effect on the amounts reported for the current or prior financial years. Early adoption of Amendments to FRS 116 Leases – COVID-19 Related Rent Concessions The Academy has elected to early adopt the amendments to FRS 116 which introduced a practical expedient for a lessee to elect not to assess whether a rent concession is a lease modification, if all the following conditions are met: (a) the change in lease payments results in revised consideration for the lease that is

substantially the same as, or less than, the consideration for the lease immediately preceding the change;

(b) any reduction in lease payments affects only payments originally due on or before 30 June 2021; and

(c) there is no substantive change to other terms and conditions of the lease. The Academy has elected to apply this practical expedient to all property leases. As a result of applying the practical expedient, rent concessions of S$20,267 was recognised as negative variable lease payments in the profit or loss during the year.

2.1.2 Standards issued but not yet effective

The Academy has not adopted the following relevant new/revised FRS, INT FRS and amendments to FRSs that were issued but not yet effective:

Descriptions

Effective for annual periods

beginning on or after

Amendments to FRS 109, FRS 39, FRS 107, FRS 104 and FRS 116: Interest Rate Benchmark Reform – Phase 2

Amendments to FRS 103: Reference to the Conceptual Framework

Amendments to FRS 16: Property, Plant and Equipment – Proceeds before Intended Use

Amendments to FRS 37: Onerous Contracts – Cost of Fulfilling a Contract

Annual Improvements to FRSs 2018-2020 Amendments to FRS 1: Classification of Liabilities as

Current or Non-current Amendments to FRS 110 and FRS 28 Sale or Contribution

of Assets between an Investor and its Associate or Joint Venture

1 January 2021

1 January 2022

1 January 2022 1 January 2022 1 January 2022

1 January 2023

Date to be determined

The directors expect that the adoption of the revised standards above will have no material impact on the financial statements in the period of initial adoption.






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

Income is measured based on the consideration to which the Academy expects to be entitled in exchange for transferring promised goods or services to a customer, excluding amounts collected on behalf of third parties.

Income is recognised when the Academy satisfies a performance obligation by transferring a promised good and service to the customer, which is when the customer obtains control of the good or service. A performance obligation may be satisfied at a point in time or over time. The amount of income recognised is the amount allocated to the satisfied performance obligation. Income is recognised as follows:

2.2.1 Income from members’ subscription

Income from members’ subscription 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 Interest income Interest income is recognised on a time-proportion basis using the effective interest

method.

2.2.6 Donations Donations are recognised on cash basis.

2.2.7 Rental income

Rental income arising from operating leases on investment property is accounted for on a straight-line basis over the lease term.

2.2.8 Other income

Other income is recognised upon receipt of income.






2. Significant accounting policies (Cont’d) 2.3 Government grants

Government grants are recognised when there is reasonable assurance that the grant will be received and all attaching conditions will be complied with. Where the grant relates to an asset, the fair value is recognised as deferred capital grant on the statement of financial position and is amortised to the statement of financial activities over the expected useful life of the relevant asset by equal annual instalments. Where loans or similar assistance are provided by governments or related institutions with an interest rate below the current applicable market rate, the effect of this favourable interest is regarded as additional government grant. Operating grant are recognised on accrual basis.

2.4 Expenditure recognition

All expenditure is accounted for on accrual basis, aggregated under the respective areas. Direct costs are attributed to the activity where possible, where costs are not wholly attributable to an activity, they are apportioned on a basis consistent with the use of resources. 2.4.1 Cost of generating funds

Cost of generating funds consists of costs that are directly attributable to the event organised by the Academy and are separated from those costs incurred in undertaking charitable activities.

2.4.2 Cost of charitable activities

Cost of charitable activities comprises all directly attributable costs incurred in the pursuit of the charitable objects of the Academy and an apportionment of overhead and shared costs.

2.4.3 Other expenditure

Other expenditure include the costs of governance arrangement, which relate to the general running of the Academy, providing governance infrastructure and ensuring public accountability. These costs include costs related to constitutional and statutory requirements and an apportionment of overhead and shared costs.

2.5 Financial assets

(a) Classification and measurement

The Academy classified its financial assets at amortised cost.

The classification of debt instruments depends on the Academy’s business model for managing the financial assets as well as the contractual terms of the cash flows of the financial assets.

Financial assets with embedded derivatives are considered in their entirety when determining whether their cash flows are solely payment of principal and interest.

The Academy reclassifies debt instruments when and only when its business model for managing those assets changes.






2. Significant accounting policies (Cont’d) 2.3 Government grants

Government grants are recognised when there is reasonable assurance that the grant will be received and all attaching conditions will be complied with. Where the grant relates to an asset, the fair value is recognised as deferred capital grant on the statement of financial position and is amortised to the statement of financial activities over the expected useful life of the relevant asset by equal annual instalments. Where loans or similar assistance are provided by governments or related institutions with an interest rate below the current applicable market rate, the effect of this favourable interest is regarded as additional government grant. Operating grant are recognised on accrual basis.

2.4 Expenditure recognition

All expenditure is accounted for on accrual basis, aggregated under the respective areas. Direct costs are attributed to the activity where possible, where costs are not wholly attributable to an activity, they are apportioned on a basis consistent with the use of resources. 2.4.1 Cost of generating funds

Cost of generating funds consists of costs that are directly attributable to the event organised by the Academy and are separated from those costs incurred in undertaking charitable activities.

2.4.2 Cost of charitable activities

Cost of charitable activities comprises all directly attributable costs incurred in the pursuit of the charitable objects of the Academy and an apportionment of overhead and shared costs.

2.4.3 Other expenditure

Other expenditure include the costs of governance arrangement, which relate to the general running of the Academy, providing governance infrastructure and ensuring public accountability. These costs include costs related to constitutional and statutory requirements and an apportionment of overhead and shared costs.

2.5 Financial assets

(a) Classification and measurement

The Academy classified its financial assets at amortised cost.

The classification of debt instruments depends on the Academy’s business model for managing the financial assets as well as the contractual terms of the cash flows of the financial assets.

Financial assets with embedded derivatives are considered in their entirety when determining whether their cash flows are solely payment of principal and interest.

The Academy reclassifies debt instruments when and only when its business model for managing those assets changes.






2. Significant accounting policies (Cont’d)

2.5 Financial assets (Cont’d)

(a) Classification and measurement (cont’d) At initial recognition

At initial recognition, the Academy measures a financial assets at its fair value plus, in the case of a financial asset not at fair value through profit or loss, transaction costs that are directly attributable to the acquisition of the financial assets. Transaction costs of financial assets carried at fair value through profit or loss are expensed in profit or loss.

At subsequent measurement

Debt instrument

Debt instruments of the Academy mainly comprise of cash and cash equivalents, fixed deposits and other receivables.

There are three prescribed subsequent measurement categories, depending on the Academy’s business model in managing the assets and the cash flow characteristic of the assets. The Academy managed these group of financial assets by collecting the contractual cash flow and these cash flows represented solely payment of principal and interest. Accordingly, these group of financial assets are measured at amortised cost subsequent to initial recognition.

A gain or loss on a debt instrument that is subsequently measured at amortised cost and is not part of a hedging relationship is recognised in profit or loss when the asset is derecognised or impaired. Interest income from these financial assets are recognised using the effective interest rate method.

(b) Impairment

The Academy assesses on forward looking basis the expected credit losses associated with its debt instruments carried at amortised cost. The impairment methodology applied depends on whether there has been a significant increase in credit risk. For cash and cash equivalents, fixed deposits and other receivables, the general 3 stage approach is applied. Credit loss allowance is based on 12-month expected credit loss if there is no significant increase in credit risk since initial recognition of the assets. If there is a significant increase in credit risk since initial recognition, lifetime expected credit loss will be calculated and recognised.

(c) Recognition and derecognition

Regular way 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 of a debt instrument, the difference between the carrying amount and the sale proceeds is recognised in profit or loss. Any amount previously recognised in other comprehensive income relating to that asset is reclassified to profit or loss.







2.6 Plant and equipment 2.6.1 Measurement

All 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.

Dismantlement, removal or restoration costs are included as part of the cost of plant and equipment if the obligation for dismantlement, removal or restoration is incurred as a consequence of acquiring or using the plant and equipment.

2.6.2 Depreciation

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

Useful lives

Office furniture, fittings and equipment 5-10 years Computers 3 years Right-of-use assets Over the remaining lease period

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 profit or loss in the financial year in which the changes arise.

Fully depreciated assets are retained in the financial statements until they are no longer in use.

2.6.3 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 profit or loss during the financial year in which it is incurred.

2.6.4 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 financial activities.







2.6 Plant and equipment 2.6.1 Measurement

All 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.

Dismantlement, removal or restoration costs are included as part of the cost of plant and equipment if the obligation for dismantlement, removal or restoration is incurred as a consequence of acquiring or using the plant and equipment.

2.6.2 Depreciation

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

Useful lives

Office furniture, fittings and equipment 5-10 years Computers 3 years Right-of-use assets Over the remaining lease period

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 profit or loss in the financial year in which the changes arise.

Fully depreciated assets are retained in the financial statements until they are no longer in use.

2.6.3 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 profit or loss during the financial year in which it is incurred.

2.6.4 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 financial activities.






2. Significant accounting policies (Cont’d) 2.7 Investment property

Investment property is properties held either to earn rental income or for capital appreciation or both. Investment property is 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 of 50 years. The estimated useful lives, residual values and depreciation method of the investment property is 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 plant and equipment as set out above up to the date of the change in use.

2.8 Impairment of non-financial assets

Non-financial assets are reviewed for impairment whenever there is any indication that these assets may be impaired. For the purpose of impairment testing of the assets, recoverable amount (i.e. the higher of the fair value less cost to sell and value in use) 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 difference between the carrying amount and recoverable amount is recognised as an impairment loss in profit or loss.

An impairment loss for an asset is reversed if, and only 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 accumulated amortisation or 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 financial activities.






2. Significant accounting policies (Cont’d) 2.9 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.

2.10 Inventories Inventories refer to souvenirs for distinguished guests. Inventories are carried at the lower of cost and net realisable value. Cost is determined using the first-in, first-out basis. Net realisable value is the estimated selling price in the ordinary course of business, less the estimated costs necessary to make the sale. When necessary, allowance in provided for damaged, obsolete and slow-moving items to adjust the carrying value of inventories to the lower of cost and net realisable value.

2.11 Financial liabilities

Financial liabilities are recognised when, and only when, the Academy becomes a party to the contractual provisions of the financial instrument and are classified according to the substance of the contractual arrangements entered into. All interest related charges are recognised in income and expenditure. Financial liabilities include “Other payables” in the statement of financial position. Financial liabilities are derecognised when the obligations under the liability is discharged, cancelled or expire. 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 profit or loss.

2.12 Other payables

Other payables, excluding accruals, are recognised at their transaction price, excluding transaction costs, if any, both at initial recognition and at subsequent measurement. Transaction costs will be recognised as expenditure in the statement of financial activities as incurred. Accruals are recognised at the best estimate of the amount payable.

2.13 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) 2.9 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.

2.10 Inventories Inventories refer to souvenirs for distinguished guests. Inventories are carried at the lower of cost and net realisable value. Cost is determined using the first-in, first-out basis. Net realisable value is the estimated selling price in the ordinary course of business, less the estimated costs necessary to make the sale. When necessary, allowance in provided for damaged, obsolete and slow-moving items to adjust the carrying value of inventories to the lower of cost and net realisable value.

2.11 Financial liabilities

Financial liabilities are recognised when, and only when, the Academy becomes a party to the contractual provisions of the financial instrument and are classified according to the substance of the contractual arrangements entered into. All interest related charges are recognised in income and expenditure. Financial liabilities include “Other payables” in the statement of financial position. Financial liabilities are derecognised when the obligations under the liability is discharged, cancelled or expire. 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 profit or loss.

2.12 Other payables

Other payables, excluding accruals, are recognised at their transaction price, excluding transaction costs, if any, both at initial recognition and at subsequent measurement. Transaction costs will be recognised as expenditure in the statement of financial activities as incurred. Accruals are recognised at the best estimate of the amount payable.

2.13 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.







2.14 Leases The Academy assesses at contract inception whether a contract is, or contains, a lease. That is, if the contract conveys the right to control the use of an identified asset for a period of time in exchange for consideration.

(a) As lessor

The Academy leases out the investment property under operating leases to non-related parties. Leases of an investment property where the Academy retains substantially all risks and rewards incidental to ownership is classified as operating leases. Initial direct costs incurred by the Academy in negotiating and arranging operating leases are added to the carrying amount of the leased assets and recognised as an expense in the statement of financial activities over the lease term on the same basis as the rental income.

The accounting policy for rental income is set out in Note 2.2.7.

(b) As lessee

The Academy applies a single recognition and measurement approach for all leases, except for short-term leases and leases of low-value assets. The Academy recognises lease liabilities representing the obligations to make lease payments and right-of-use assets representing the right to use the underlying leased assets.

Right-of-use assets

The Academy recognises right-of-use assets at the commencement date of the lease (i.e. the date the underlying asset is available for use). Right-of-use assets are measured at cost, less any accumulated depreciation and impairment losses, and adjusted for any remeasurement of lease liabilities. The cost of right-of-use assets includes the amount of lease liabilities recognised, initial direct costs incurred, and lease payments made at or before the commencement date less any lease incentives received. Right-of-use assets are depreciated on a straight-line basis over the shorter of the lease term and the estimated useful lives of the assets. If ownership of the leased asset transfers to the Academy at the end of the lease term or the cost reflects the exercise of a purchase option, depreciation is calculated using the estimated useful life of the asset. The right-of-use assets are also subject to impairment. The accounting policy for impairment is disclosed in Note 2.8. The Academy’s right-of-use assets are presented within plant and equipment as disclosed in Note 14.

Lease liabilities At the commencement date of the lease, the Academy recognises lease liabilities measured at the present value of lease payments to be made over the lease term. The lease payments include fixed payments (including in-substance fixed payments) less any lease incentives receivable, variable lease payments that depend on an index or a rate, and amounts expected to be paid under residual value guarantees. The lease payments also include the exercise price of a purchase option reasonably certain to be exercised by the Academy and payments of penalties for terminating the lease, if the lease term reflects the Academy exercising the option to terminate. Variable lease payments that do not depend on an index or a rate are recognised as expenses (unless they are incurred to produce inventories) in the period in which the event or condition that triggers the payment occurs.







2.14 Leases (Cont’d)

(b) As lessee (cont’d)

Lease liabilities (cont’d)

In calculating the present value of lease payments, the Academy uses its incremental borrowing rate at the lease commencement date because the interest rate implicit in the lease is not readily determinable. After the commencement date, the amount of lease liabilities is increased to reflect the accretion of interest and reduced for the lease payments made. In addition, the carrying amount of lease liabilities is remeasured if there is a modification, a change in the lease term, a change in the lease payments (e.g. changes to future payments resulting from a change in an index or rate used to determine such lease payments) or a change in the assessment of an option to purchase the underlying asset. The Academy has applied the amendment to FRS 116 Leases: Covid-19-Related Rent Concessions. The Academy applies the practical expedient allowing it not to assess whether a rent concession related to COVID-19 is a lease modification. The Academy applies the practical expedient consistently to contracts with similar characteristics and in similar circumstances. For rent concessions in leases to which the Academy chooses not to apply the practical expedient, or that do not qualify for the practical expedient, the Academy assesses whether there is a lease modification. Short-term leases and leases of low-value assets The Academy applies the short-term lease recognition exemption to its short-term leases of machinery (i.e. those leases that have a lease term of 12 months or less from the commencement date and do not contain a purchase option). It also applies the lease of low-value assets recognition exemption to leases of office equipment that are considered to be low value. Lease payments on short-term leases and leases of low value assets are recognised as expense on a straight-line basis over the lease term. Variable lease payments Variable lease payments that are not based on an index or a rate are not included as part of the measurement and initial recognition of the lease liability. The Academy shall recognise those lease payments in the statement of financial activities in the periods that triggered those lease payments.

2.15 Employee compensation

2.15.1 Defined contribution plans

The Academy makes contributions to the Central Provident Fund scheme in Singapore, a defined contribution pension scheme. Contributions to defined contribution pension schemes are recognised as an expense in the period in which the related service is performed.

2.15.2 Short-term employee benefits Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided. A liability is recognised for the amount expected to be paid if the Academy has a present legal or constructive obligation to pay this amount as a result of past service provided by the employee, and the obligation can be estimated reliably.







2.14 Leases (Cont’d)

(b) As lessee (cont’d)

Lease liabilities (cont’d)

In calculating the present value of lease payments, the Academy uses its incremental borrowing rate at the lease commencement date because the interest rate implicit in the lease is not readily determinable. After the commencement date, the amount of lease liabilities is increased to reflect the accretion of interest and reduced for the lease payments made. In addition, the carrying amount of lease liabilities is remeasured if there is a modification, a change in the lease term, a change in the lease payments (e.g. changes to future payments resulting from a change in an index or rate used to determine such lease payments) or a change in the assessment of an option to purchase the underlying asset. The Academy has applied the amendment to FRS 116 Leases: Covid-19-Related Rent Concessions. The Academy applies the practical expedient allowing it not to assess whether a rent concession related to COVID-19 is a lease modification. The Academy applies the practical expedient consistently to contracts with similar characteristics and in similar circumstances. For rent concessions in leases to which the Academy chooses not to apply the practical expedient, or that do not qualify for the practical expedient, the Academy assesses whether there is a lease modification. Short-term leases and leases of low-value assets The Academy applies the short-term lease recognition exemption to its short-term leases of machinery (i.e. those leases that have a lease term of 12 months or less from the commencement date and do not contain a purchase option). It also applies the lease of low-value assets recognition exemption to leases of office equipment that are considered to be low value. Lease payments on short-term leases and leases of low value assets are recognised as expense on a straight-line basis over the lease term. Variable lease payments Variable lease payments that are not based on an index or a rate are not included as part of the measurement and initial recognition of the lease liability. The Academy shall recognise those lease payments in the statement of financial activities in the periods that triggered those lease payments.

2.15 Employee compensation

2.15.1 Defined contribution plans

The Academy makes contributions to the Central Provident Fund scheme in Singapore, a defined contribution pension scheme. Contributions to defined contribution pension schemes are recognised as an expense in the period in which the related service is performed.

2.15.2 Short-term employee benefits Short-term employee benefit obligations are measured on an undiscounted basis and are expensed as the related service is provided. A liability is recognised for the amount expected to be paid if the Academy has a present legal or constructive obligation to pay this amount as a result of past service provided by the employee, and the obligation can be estimated reliably.






2. Significant accounting policies (Cont’d) 2.16 Funds

Restricted funds balance are restricted by outside sources and may only be utilised in accordance with the purposes for which they are established. Designated funds are earmarked for specific purposes and are largely made up of funds allocated at the discretion of the Board of Directors. These designated funds are treated as restricted funds as they contain funds restricted by outside sources. The Board of Directors retains full control over the use of unrestricted funds for any of the Academy’s purposes.

2.17 Foreign currency

Transactions in foreign currencies are measured in Singapore Dollar and recorded at exchange rates approximating those ruling at the transaction dates. Foreign currency monetary assets and liabilities are measured using the exchange rates ruling at the reporting date. All exchange differences are recognised in the statement of financial activities.

2.18 Contingencies

Contingent liabilities are not recognised in the financial statements. They are disclosed unless the possibility of an outflow of resources embodying economic benefits is remote. A contingent asset is not recognised in the financial statements but disclosed when an inflow of economic benefit is probable.

2.19 Events after the reporting date

Post year-end events that provide additional information about the Academy’s position at the reporting date (adjusting events) are reflected in the financial statements. Post year-end events that are not adjusting events are disclosed in the notes to the financial statements when material.

3. Significant accounting judgements and estimates

The preparation of the Academy’s financial statements requires management to make judgements, estimates and assumptions that affect the reported amounts of income, expenditure, assets and liabilities, and the disclosure of contingent liabilities at the end of each reporting period. Uncertainty about these assumptions and estimates could result in outcomes that require a material adjustment to the carrying amount of the asset or liability affected in the future periods.

3.1 Judgements made in applying accounting policies

The key critical judgements in applying the entity’s accounting policies concerning the future 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. 3.1.1 Government grants

Government grants to meet operating expenses are recognised as income in statement of financial activities on the accrual basis in the year these operating expenses were incurred and there is reasonable assurance that the Academy will comply with the conditions attached to it. For certain grants, the government agencies reserve the right to withdraw, withhold or reduce the amount of any funds approved but not yet disbursed or to call for the refund of all funds which have been disbursed to the Academy if the conditions are not met.






3. Significant accounting judgements and estimates (Cont’d) 3.2 Key sources of estimation uncertainty

The key assumptions concerning the future and other key sources of estimation uncertainty at the end of the reporting period are discussed below. The Academy based its assumptions and estimates on parameters available when the financial statements were prepared. Existing circumstances and assumptions about future developments, however, may change due to market changes or circumstances arising beyond the control of the Academy. Such changes are reflected in the assumptions when they occur. 3.2.1 Expected credit losses (ECL) on other receivables

ECLs are unbiased probability-weighted estimates of credit losses which are determined by evaluating a range of possible outcomes and taking into account past events, current conditions and assessment of future economic conditions. The Academy has used relevant historical information and loss experience to determine the probability of default of the instruments and incorporated forward looking information, including significant changes in external market indicators which involved significant estimates and judgements.

In determining the ECL of other receivables, the Academy has used one year of historical losses data to determine the loss rate and applied an adjustment against the historical loss rate based on the change in Gross Domestic Product (GDP) and unemployment rate to reflect the current and forward looking information. As at the reporting date, the ECLs for other receivables are $268,433 (2019: S$ 127,212).

3.2.2 Impairment of plant and equipment and investment property

Plant and equipment and investment property are tested for impairment whenever there is any objective evidence or indication that these assets may be impaired. This requires an estimation of the value in use of the cash-generating units. Estimating the value in use requires the Academy to make an estimate of the expected future cash flows from the cash-generating units and also to choose a suitable discount rate in order to calculate the present value of those cash flows.

3.2.3 Useful lives of plant and equipment and investment property

The useful life of an item of plant and equipment and investment property are estimated at the time the asset is acquired and is based on historical experience with similar assets and takes into account anticipated technological or other changes. If changes occur more rapidly than anticipated or the asset experiences unexpected level of wear and tear, the useful life will be adjusted accordingly. The carrying amount of the Academy’s plant and equipment and investment property as at 31 December 2020 and 2019 were disclosed in Note 14 and Note 15 of the financial statements respectively.

4. Income tax The Academy is a registered charity under the Charities Act since 13 April 1984. Consequently, the income of the Academy is exempted from tax under the provisions of Section 13 of the Income Tax Act, Chapter 134.






3. Significant accounting judgements and estimates (Cont’d) 3.2 Key sources of estimation uncertainty

The key assumptions concerning the future and other key sources of estimation uncertainty at the end of the reporting period are discussed below. The Academy based its assumptions and estimates on parameters available when the financial statements were prepared. Existing circumstances and assumptions about future developments, however, may change due to market changes or circumstances arising beyond the control of the Academy. Such changes are reflected in the assumptions when they occur. 3.2.1 Expected credit losses (ECL) on other receivables

ECLs are unbiased probability-weighted estimates of credit losses which are determined by evaluating a range of possible outcomes and taking into account past events, current conditions and assessment of future economic conditions. The Academy has used relevant historical information and loss experience to determine the probability of default of the instruments and incorporated forward looking information, including significant changes in external market indicators which involved significant estimates and judgements.

In determining the ECL of other receivables, the Academy has used one year of historical losses data to determine the loss rate and applied an adjustment against the historical loss rate based on the change in Gross Domestic Product (GDP) and unemployment rate to reflect the current and forward looking information. As at the reporting date, the ECLs for other receivables are $268,433 (2019: S$ 127,212).

3.2.2 Impairment of plant and equipment and investment property

Plant and equipment and investment property are tested for impairment whenever there is any objective evidence or indication that these assets may be impaired. This requires an estimation of the value in use of the cash-generating units. Estimating the value in use requires the Academy to make an estimate of the expected future cash flows from the cash-generating units and also to choose a suitable discount rate in order to calculate the present value of those cash flows.

3.2.3 Useful lives of plant and equipment and investment property

The useful life of an item of plant and equipment and investment property are estimated at the time the asset is acquired and is based on historical experience with similar assets and takes into account anticipated technological or other changes. If changes occur more rapidly than anticipated or the asset experiences unexpected level of wear and tear, the useful life will be adjusted accordingly. The carrying amount of the Academy’s plant and equipment and investment property as at 31 December 2020 and 2019 were disclosed in Note 14 and Note 15 of the financial statements respectively.

4. Income tax The Academy is a registered charity under the Charities Act since 13 April 1984. Consequently, the income of the Academy is exempted from tax under the provisions of Section 13 of the Income Tax Act, Chapter 134.






5. Revenue from contracts with customers a) Disaggregation of revenue from contracts with customers:

2020 2019 Note S$ S$ Revenue from: Donations 125,640 66,538 Examination income 2,213,439 2,472,043 Income from events 7 107,314 746,176 Professional and course fees 819,831 1,068,201 Rental income 37,500 52,500 Sponsorship and trade exhibition 34,073 14,500 Subscription fees 1,687,732 1,669,579 Miscellaneous income* 570,408 400,914 5,595,937 6,490,451 Timing of transfer of services - At a point in time 837,435 1,228,128 - Over time 4,758,502 5,262,323 5,595,937 6,490,451

* This included COVID-19 related rent concessions received from lessor of S$20,267 to which the Academy applied the practical expedient as disclosed in Note 2.1. (b) Contract liabilities

2020 2019 S$ S$ Amounts received in advance for professional aafees relates to course enrolment, aaexamination fees, rental income and aasubscription fees 654,110 698,926

(i) Income recognised in relation to contract liabilities

2020 2019 S$ S$ Revenue recognised in current period that was included in aacontract liabilities balance at the beginning of the year 698,926 1,024,359

The contract liabilities relate to the professional and course fee, examination fee, rental income and subscription fees for the unsatisfied performance obligation in providing the sponsorship support for event to be held and course to be conducted. Revenue will be recognised when the events are held and services rendered over the course period.

There is no significant changes in contract liabilities balances. (ii) Unsatisfied performance obligations The Academy is applying the practical expedient in the paragraph 121 of FRS 115. Under this practical expedient, the Academy need not disclose the information about its transaction price allocated to the remaining performance obligation as the Academy recognised revenue from the satisfaction of the performance obligation in accordance to the right to consideration from a customer in an amount that performance obligation is part of a contract that has an original expected duration of one year or less.






6. Donations in cash

2020 2019 S$ S$ Tax deductible donations 116,040 47,461 Non-tax deductible donations 10,000 70,001 126,040 117,462 The donations were allocated as follows: Donations 125,640 66,538 Income from events 400 50,924 126,040 117,462 During the financial year, the Academy issued tax-exempt receipts for donations collected amounting to S$116,040 (2019: S$47,461) pursuant to its Institutions of a Public Character (“IPC”) status.






6. Donations in cash

2020 2019 S$ S$ Tax deductible donations 116,040 47,461 Non-tax deductible donations 10,000 70,001 126,040 117,462 The donations were allocated as follows: Donations 125,640 66,538 Income from events 400 50,924 126,040 117,462 During the financial year, the Academy issued tax-exempt receipts for donations collected amounting to S$116,040 (2019: S$47,461) pursuant to its Institutions of a Public Character (“IPC”) status.


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7. Income and expenditure from events (Cont’d)

Income from events held by other entities During the financial year ended 31 December 2020, the Academy and other organisers share the total surplus of S$29,850 (2019: S$5,680). The share of surplus of S$2,500 each for the ECT Practitioner and Prescriber Course and S$27,350 each for Basic Medical Education as the Academy was the co-organiser for these events. During the financial year ended 31 December 2019, the Academy and other organisers share the total surplus of S$5,680 (2018: S$6,748). The share the surplus of S$496 each for the Annual Scientific Meeting and S$5,184 each for Family Medicine Review Course as the Academy was the co-organiser for these events. Total income from events held by Academy were allocated as follows:

2020 2019

S$ S$ Accumulated Fund 62,649 193,717 Chapters’ and Section Funds (Note 19) 5,768 40,589 College of Ophthalmologists 0 265,667 College of Public Health and Occupational Physicians 1,907 194,252 College of Emergency Physicians 140 38,997 College of Psychiatrists 0 7,274 College of Clinician Educators 7,000 0 77,464 740,496


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Acc

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ccou

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f Sin

gapo

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Page

31

of 5

2

8.

Cost

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ed A

ccou

ntan

ts o

f Sin

gapo

re

Page

32

of 5

2

8.

Cost

of

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d ot

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blic

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ount

ants

and

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rter

ed A

ccou

ntan

ts o

f Sin

gapo

re

Page

32

of 5

2

8.

Cost

of

char

itab

le a

ctiv

itie

s an

d ot

her

expe

ndit

ure

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t’d)

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9. Staff costs 2020 2019 S$ S$ Salaries and bonuses 2,994,712 2,965,908 CPF contributions and SDL 469,898 469,058 Foreign worker levy 0 769 Medical expenses 14,419 19,567 Staff training and recruitment 11,950 2,652 Staff insurance 8,746 4,504 Staff awards and benefits 17,588 10,888 Staff unutilised leave 8,427 6,691 3,525,740 3,480,037

Total amounts includes staff costs for Joint Committee on Specialist Training staff amounting to S$ 1,361,972 (2019: S$1,395,617).

10. Cash and cash equivalents 2020 2019 S$ S$ Cash on hand 1,697 1,826 Cash at banks 11,672,407 5,998,983 11,674,104 6,000,809

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

11. Fixed deposits

2020 2019 S$ S$ Fixed deposits 5,772,759 9,602,670

The fixed deposits mature within 2 to 11 months (2019: 3 to 11 months) from the financial year end and earn interest at rate of 0.10% to 0.48% (2019: 1.21% to 1.82%) per annum. At the reporting date, the carrying amount of fixed deposits approximate their fair values.






9. Staff costs 2020 2019 S$ S$ Salaries and bonuses 2,994,712 2,965,908 CPF contributions and SDL 469,898 469,058 Foreign worker levy 0 769 Medical expenses 14,419 19,567 Staff training and recruitment 11,950 2,652 Staff insurance 8,746 4,504 Staff awards and benefits 17,588 10,888 Staff unutilised leave 8,427 6,691 3,525,740 3,480,037

Total amounts includes staff costs for Joint Committee on Specialist Training staff amounting to S$ 1,361,972 (2019: S$1,395,617).

10. Cash and cash equivalents 2020 2019 S$ S$ Cash on hand 1,697 1,826 Cash at banks 11,672,407 5,998,983 11,674,104 6,000,809

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

11. Fixed deposits

2020 2019 S$ S$ Fixed deposits 5,772,759 9,602,670

The fixed deposits mature within 2 to 11 months (2019: 3 to 11 months) from the financial year end and earn interest at rate of 0.10% to 0.48% (2019: 1.21% to 1.82%) per annum. At the reporting date, the carrying amount of fixed deposits approximate their fair values.






12. Other receivables

2020 2019 S$ S$ Other receivables 889,739 815,568 Allowance of impairment (268,433) (127,212) 621,306 688,356 Amount due from related parties 87,113 8,768 Deferred expenditure 83,557 129,655 Deposits 31,075 26,725 Grant receivable – Jobs support scheme 76,192 0 Interest receivables on fixed deposits 6,487 69,848 Prepayments 27,369 120,101 311,793 355,097 933,099 1,043,453

Other receivables are non-interest bearing and are generally on 0 to 30 days’ terms. 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 Academy has adopted FRS 116 on 1 January 2019. The advance payment of rental have been recognised as right-of-use assets in the statement of financial position as at 31 December 2020. The amount due from a related parties are non-trade in nature, unsecured, interest-free and repayable on demand. The Jobs Support Scheme (JSS) provides wage support to employers to help them retain their local employees (Singapore citizens and Permanent Residents) during this period of economic and pandemic uncertainty. JSS payouts are intended to offset local employees wages and help protect their jobs. At the reporting date, the carrying amounts of other receivables approximate their fair values. There is no other class of financial assets that is past due and/or impaired except for other receivables. Receivables that are past due but not impaired The Academy had other receivables amounting to S$509,673 (2019: S$312,742) that were past due at the reporting date but not impaired. These receivables were unsecured and the analysis of their aging at the reporting date was as follows: 2020 2019 S$ S$ Other receivables past due but not impaired:

Lesser than 3 months 56,957 110,017 3 to 6 months 22,039 30,213 More than 6 months 430,677 172,512

509,673 312,742






12. Other receivables (Cont’d) Receivables that are impaired The Academy’s other receivables that was impaired at the reporting date and the movement of the allowance for impairment was as follows: 2020 2019 S$ S$ Other receivables – nominal amounts 889,739 815,568 Allowance for impairment (268,433) (127,212) 621,306 688,356

2020 2019 S$ S$ Movement in allowance for impairment: At beginning of financial year 127,212 172,577 Allowance written off 0 (98,810) Allowance written back (14,362) (31,204) Allowance made 155,583 84,649 At end of financial year 268,433 127,212

Other receivables that were determined to be impaired at the reporting date relate to debtors that were in significant financial difficulties and had defaulted on payments. These receivables were not secured by any collateral or credit enhancements.

13. Inventories 2020 2019 S$ S$

Souvenirs and gifts 29,191 16,668

The inventories are souvenirs for distinguished guests and gifts to doctors. There are no allowance for obsolete inventories as at 31 December 2020 and 2019.






12. Other receivables (Cont’d) Receivables that are impaired The Academy’s other receivables that was impaired at the reporting date and the movement of the allowance for impairment was as follows: 2020 2019 S$ S$ Other receivables – nominal amounts 889,739 815,568 Allowance for impairment (268,433) (127,212) 621,306 688,356

2020 2019 S$ S$ Movement in allowance for impairment: At beginning of financial year 127,212 172,577 Allowance written off 0 (98,810) Allowance written back (14,362) (31,204) Allowance made 155,583 84,649 At end of financial year 268,433 127,212

Other receivables that were determined to be impaired at the reporting date relate to debtors that were in significant financial difficulties and had defaulted on payments. These receivables were not secured by any collateral or credit enhancements.

13. Inventories 2020 2019 S$ S$

Souvenirs and gifts 29,191 16,668

The inventories are souvenirs for distinguished guests and gifts to doctors. There are no allowance for obsolete inventories as at 31 December 2020 and 2019.






14. Plant and equipment

Office furniture, fittings and equipment Computers

Right-of-use

assets Total S$ S$ S$ S$ Cost At 1 January 2019 515,797 566,243 3,086,292 4,168,332 Additions 13,962 57,476 0 71,438 Disposals (37,767) (122,614) 0 (160,381) At 31 December 2019 491,992 501,105 3,086,292 4,079,389 Additions 38,082 137,815 0 175,897 Disposal 0 (57,294) 0 (57,294) At 31 December 2020 530,074 581,626 3,086,292 4,197,992 Accumulated depreciation At 1 January 2019 448,136 499,423 1,747,178 2,694,737 Depreciation 16,579 41,820 171,461 229,860 Disposal (37,676) (122,614) 0 (160,290) At 31 December 2019 427,039 418,629 1,918,639 2,764,307 Depreciation 22,940 84,170 171,461 278,571 Disposal 0 (57,294) 0 (57,294) At 31 December 2020 449,979 445,505 2,090,100 2,985,584 Carrying amount 31 December 2019 64,953 82,476 1,167,653 1,315,082 31 December 2020 80,095 136,121 996,192 1,212,408 On 1 January 2019, the Academy has recognised and presented the right-of-use assets of S$1,343,109 within plant and equipment for right of use of the leasing premise with landlord, The National Kidney Foundation.

15. Investment property Freehold land Building Total S$ S$ S$ Cost At 1 January 2019, 31 December 2019 and 31 December 2020

3,000,000

1,338,616

4,338,616

Accumulated depreciation At 1 January 2019 0 427,234 427,234 Depreciation 0 26,416 26,416 At 31 December 2019 0 453,650 453,650 Depreciation 0 26,725 26,725 At 31 December 2020 0 480,375 480,375 31 December 2019 3,000,000 884,996 3,884,966 31 December 2020

3,000,000

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3,858,241

The leasehold property is located at 142 Neil Road, Singapore 088871.






15. Investment property (Cont’d)

Fair value measurements at financial year end using Recurring fair value

measurements investment property:

Quoted prices in active markets for identical

assets (Level 1)

Significant other observable

inputs (Level 2)

Significant unobservable

inputs (Level 3) S$ S$ S$ As at 31 December 2020 0 0 11,000,000 As at 31 December 2019 0 0 11,000,000

Valuation techniques used to derived Level 3 fair values Level 3 fair values of the Academy’s property have been generally derived using the direct sales comparison approach. Sales prices of comparable properties in close proximity are adjusted for differences in key attributes such as property size. The most significant input into this valuation approach is selling price per square meter. Valuation process of the Academy As at 31 December 2020, the fair values of the shop house unit 142 Neil Road, Singapore 088871 have been determined on the basis of internal valuation by the management. The valuation was arrived using managements’ experience, knowledge of the market prices and recently transacted sales and purchase prices for similar property. The fair value of investment property as at 31 December 2020 have been determined by directors of the Academy on the basis of comparable sales by reference to market evidence of transaction prices for similar properties. As at 31 December 2018, the property of the Academy was valued by United Valuers Pte Ltd, a firm of independent professional valuer, based on the property highest-and-best-use using the Market Approach to Value Method. This method relies on transacted prices of comparable properties to arrive at the market value. The fair value as at 31 December 2018 was valued using the desktop valuation method based on the full valuation report done in 2016. Any adjustments to value were made for factors affecting value, such as date of sale, location, storey height, size, improvements, state of repair and prevailing market condition. Investment property is leased out to non-related parties under operating leases (Note 21).

The following amounts are recognised in the statement of financial activities: 2020 2019 S$ S$ Rental income 37,500 52,500 Direct operating expenses arising from investment property: - Depreciation 26,725 26,416 - Property tax 15,602 22,400






15. Investment property (Cont’d)

Fair value measurements at financial year end using Recurring fair value

measurements investment property:

Quoted prices in active markets for identical

assets (Level 1)

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inputs (Level 2)

Significant unobservable

inputs (Level 3) S$ S$ S$ As at 31 December 2020 0 0 11,000,000 As at 31 December 2019 0 0 11,000,000

Valuation techniques used to derived Level 3 fair values Level 3 fair values of the Academy’s property have been generally derived using the direct sales comparison approach. Sales prices of comparable properties in close proximity are adjusted for differences in key attributes such as property size. The most significant input into this valuation approach is selling price per square meter. Valuation process of the Academy As at 31 December 2020, the fair values of the shop house unit 142 Neil Road, Singapore 088871 have been determined on the basis of internal valuation by the management. The valuation was arrived using managements’ experience, knowledge of the market prices and recently transacted sales and purchase prices for similar property. The fair value of investment property as at 31 December 2020 have been determined by directors of the Academy on the basis of comparable sales by reference to market evidence of transaction prices for similar properties. As at 31 December 2018, the property of the Academy was valued by United Valuers Pte Ltd, a firm of independent professional valuer, based on the property highest-and-best-use using the Market Approach to Value Method. This method relies on transacted prices of comparable properties to arrive at the market value. The fair value as at 31 December 2018 was valued using the desktop valuation method based on the full valuation report done in 2016. Any adjustments to value were made for factors affecting value, such as date of sale, location, storey height, size, improvements, state of repair and prevailing market condition. Investment property is leased out to non-related parties under operating leases (Note 21).

The following amounts are recognised in the statement of financial activities: 2020 2019 S$ S$ Rental income 37,500 52,500 Direct operating expenses arising from investment property: - Depreciation 26,725 26,416 - Property tax 15,602 22,400






16. Other payables 2020 2019 S$ S$ Accruals 629,334 686,060 Amounts due to related parties 679,506 758,706 Deferred grant income – Jobs support scheme 142,057 0 GST payable 67,301 54,991 Refundable deposit payable 0 71,265 Other payables 493,695 201,601 2,011,893 1,772,623

The amounts due to related parties are non-trade in nature, unsecured, interest-free and repayable on demand. The deferred grant income – Jobs Support Scheme (JSS) will be recognised as a grant income, on a systematic basis, over the estimated 17 months of economic uncertainty till August 2021 in which the entity recognises the related salary costs.

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

17. Unrestricted fund

Accumulated fund

Unrestricted fund are expendable at the discretion of the Board of Directors for the achieving of their overall objectives.

18. 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.

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.






18. Restricted funds (Cont’d)


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.


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.


The College of Clinician Educators (formerly Chapter of Clinician Educators) was set up as a non-independent College under the Academy Of Medicine Singapore on 3rd June 2017. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Clinician Educators 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 Pathologists - Chapter of Family Medicine, Physicians - Chapter of Intensivists






18. Restricted funds (Cont’d)


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.


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.


The College of Clinician Educators (formerly Chapter of Clinician Educators) was set up as a non-independent College under the Academy Of Medicine Singapore on 3rd June 2017. The College is established to forge a better identity and achieve a higher standing in order to drive the future development of Clinician Educators 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 Pathologists - Chapter of Family Medicine, Physicians - Chapter of Intensivists






18. 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 funds (Cont’d) 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.

Section of Neurostimulation The Section of Neurostimulation was formed as a Section of the College of Psychiatrists. The Section of Neurostimulation was established to provide training, develop safety guidelines, stimulate research and development and increase public awareness of Neurostimulation in Psychiatry. The Section will also collaborate and create links with international neurostimulation practitioners.

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.






18. Restricted funds (Cont’d) Lectures’ funds (Cont’d)

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. World Congress of Opthalmology Singapore The fund is to be utilised 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 organised 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. Paul W Ngui Named Lecture The Paul W Ngui Lecture was established in 2018 in recognition of the outstanding contributions to the development of Psychiatry in Singapore by Dr Paul W Ngui. The Paul W Ngui Lecture, delivered by distinguished members of the psychiatry and health care fraternity or key leaders of the community, will be held annually to promote the advancement of psychiatry and mental health. Robert Loh Faculty Scholar Programme in Ophthalmology The Robert Loh Faculty Scholar Programme was established to honor Dr Robert Loh pioneering work and contribution in Ophthalmology. The fund will be used to support clinical innovation, research and development, education and training activities at SNEC/SERI, Community Services and related Humanitarian mission. Andre Wansaicheong Lectureship fund The Lectureship was established in 2020 through a generous gift from the estate of the late Dr André Wansaicheong and donations from the Fellows of the Academy. The lectureship seeks to advance the practice of public health and occupational medicine, while perpetuating the memory of a distinguished Public Health Physician and Academician who dedicated much of his professional life in the service of public health.






18. Restricted funds (Cont’d) Lectures’ funds (Cont’d)

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. World Congress of Opthalmology Singapore The fund is to be utilised 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 organised 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. Paul W Ngui Named Lecture The Paul W Ngui Lecture was established in 2018 in recognition of the outstanding contributions to the development of Psychiatry in Singapore by Dr Paul W Ngui. The Paul W Ngui Lecture, delivered by distinguished members of the psychiatry and health care fraternity or key leaders of the community, will be held annually to promote the advancement of psychiatry and mental health. Robert Loh Faculty Scholar Programme in Ophthalmology The Robert Loh Faculty Scholar Programme was established to honor Dr Robert Loh pioneering work and contribution in Ophthalmology. The fund will be used to support clinical innovation, research and development, education and training activities at SNEC/SERI, Community Services and related Humanitarian mission. Andre Wansaicheong Lectureship fund The Lectureship was established in 2020 through a generous gift from the estate of the late Dr André Wansaicheong and donations from the Fellows of the Academy. The lectureship seeks to advance the practice of public health and occupational medicine, while perpetuating the memory of a distinguished Public Health Physician and Academician who dedicated much of his professional life in the service of public health.


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21. Operating lease commitment Operating lease commitment – where the Academy is a lessor The Academy has entered into commercial property leases on its investment property to non-related parties under non-cancellable operating leases. The future minimum rental receivables under non-cancellable operating leases contracted for at the end of the reporting period but not recognised as receivables, are as follows:

2020 2019 S$ S$ Not later than one year 0 37,500

22. Related party transactions and balances

In addition to the related parties’ 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: 2020 2019 S$ S$ Related parties - Colleges Event management fees (9,328) (22,053) Professional fees 121,126 185,184 Settlement of liabilities on behalf by the Academy 28,132 21,246 Settlement of liabilities on behalf of the Academy 0 (526) Fees for introducing members 0 23,100 Registration fee collected on behalf by the

Academy (33,337) (158,249) Miscellaneous charges (1,070) 0

23. Employee remuneration bands

No. of employee in remuneration bands: 2020 2019 Below S$100,000 50 48 Above S$100,000 and below S$200,000 3 3

During the current and previous year, none of the directors and key management personnel received any remuneration from the Academy.






24. Financial instruments by category The carrying amounts of financial assets and liabilities at amortised costs are as follows: 2020 2019 S$ S$ Financial assets, at amortised cost Cash and cash equivalents 11,674,104 6,000,809 Fixed deposits 5,772,759 9,602,670 Other receivables (excluding deferred expenditures and prepayments) 822,173 793,697 18,269,036 16,397,176 Financial liabilities, at amortised cost Other payables (excluding deferred JSS income and GST payable) 1,802,535 1,717,632

25. Financial risk management

The Academy is exposed to various financial risks arising from its operations. The key financial risks include credit risk, interest rate risk and liquidity 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 refers to the risk that the counterparty will default on its contractual obligations resulting in financial loss to the Academy. i) Risk management

The Academy has adopted the following policy to mitigate the credit risk. For banks and financial institutions, the Academy mitigates its credit risks by transacting only with counterparties who are rated “A” and above independent rating agencies. The Academy has adopted a policy of only dealing with creditworthy counterparties and obtaining sufficient collateral where appropriate, as a means of mitigating the risk of financial loss from defaults. The Academy performs ongoing credit evaluation of its counterparties’ financial condition and generally do not require a collateral. The maximum exposure to credit risk in the event that the counterparties fail to perform their obligation as at the end of the financial year in relation to each class of recognised financial assets is the carrying amount of those assets as stated in the statement of financial position.

ii) Impairment of financial assets

As at the reporting date, there are no amounts arising from expected credit losses for each class of financial assets. The Academy had applied the simplified approach by using the provision matrix to measure the lifetime expected credit losses for other receivables.






24. Financial instruments by category The carrying amounts of financial assets and liabilities at amortised costs are as follows: 2020 2019 S$ S$ Financial assets, at amortised cost Cash and cash equivalents 11,674,104 6,000,809 Fixed deposits 5,772,759 9,602,670 Other receivables (excluding deferred expenditures and prepayments) 822,173 793,697 18,269,036 16,397,176 Financial liabilities, at amortised cost Other payables (excluding deferred JSS income and GST payable) 1,802,535 1,717,632

25. Financial risk management

The Academy is exposed to various financial risks arising from its operations. The key financial risks include credit risk, interest rate risk and liquidity 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 refers to the risk that the counterparty will default on its contractual obligations resulting in financial loss to the Academy. i) Risk management

The Academy has adopted the following policy to mitigate the credit risk. For banks and financial institutions, the Academy mitigates its credit risks by transacting only with counterparties who are rated “A” and above independent rating agencies. The Academy has adopted a policy of only dealing with creditworthy counterparties and obtaining sufficient collateral where appropriate, as a means of mitigating the risk of financial loss from defaults. The Academy performs ongoing credit evaluation of its counterparties’ financial condition and generally do not require a collateral. The maximum exposure to credit risk in the event that the counterparties fail to perform their obligation as at the end of the financial year in relation to each class of recognised financial assets is the carrying amount of those assets as stated in the statement of financial position.

ii) Impairment of financial assets

As at the reporting date, there are no amounts arising from expected credit losses for each class of financial assets. The Academy had applied the simplified approach by using the provision matrix to measure the lifetime expected credit losses for other receivables.






25. Financial risk management (Cont’d) 25.1 Credit risk (Cont’d) ii) Impairment of financial assets (Cont’d)

To measure the expected credit losses, these receivables have been grouped based on shared credit risk characteristic and days past due. In calculating the expected credit loss rates, the Academy considers historical loss rates for each category of customers, and adjust for forward-looking macroeconomic data. Receivables are written off when there is no reasonable expectation of recovery, such as debtor failing to engage in a repayment plan with the Academy. The Academy categories a receivable for write off when a debtor fails to make contractual payment greater than 3 years past due based on historical collection trend. Where receivables have been written off, the Academy continues to engage in enforcement activity to attempt to recover the receivables due. Where recoveries are made, these are recognised in profit and loss. The Academy has no significant concentration of credit risk. The Academy has credit policies and procedures in place to minimise and mitigate its credit risk exposure. As at 31 December 2020 and 2019, the carrying amount of Academy’s other receivables were disclosed in Note 12.

The Academy considered that there was evidence if any of the following indicators were present: - IThere is significant difficulty of the debtor; or - IBreach of contract, such as default or past due event; or - It is becoming probable that the debtor will enter bankruptcy or other financial

Ireorganisation.

Financial assets that are neither past due nor impaired

Other receivables that are neither past due nor impaired are with creditworthy debtors with good payment record with the Academy. Cash and cash equivalents and fixed deposits are placed with or entered into with reputable financial institutions or companies with high credit ratings and no history of default.

Other that the above, there are no credit loss allowance for other financial assets at amortised cost as at 31 December 2020 and 2019.






25. Financial risk management (Cont’d) 25.2 Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of the Academy’s financial instruments will fluctuate because of changes in market interest rates. The Academy’s exposure to interest rate risk arises primarily from their cash and cash equivalents and fixed deposits.

The Academy does not expect any significant effect on the Academy’s profit or loss arising from the effects of reasonably possible changes to interest rates on interest bearing financial instruments at the end of the financial year.

Sensitivity analysis for interest rate risk At the reporting date, the interest rate profile of the Academy’s interest-bearing financial instruments was as follows:

2020 2019 S$ S$ Fixed rate instruments Financial assets Fixed deposits 5,772,759 9,602,670

The sensitivity analysis is based on changes in the interest rates of variable rate financial instruments. At the reporting date, the Academy does not have variable rate interest-bearing financial instruments.

25.3 Liquidity risk

Liquidity risk is the risk that the Academy will encounter difficulty in meeting its financial obligations due to shortage of funds. The Academy exposure to liquidity risk arises primarily from mis-matches of the maturities of financial assets or liabilities. The Board monitors and ensures that the Academy maintains a level of cash and cash equivalents deemed adequate to finance the Academy’s operations.

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

Within one year

Later than one year but not later than five years

Total 2020 S$ S$ S$ Financial assets Cash and cash equivalents 11,674,104 0 11,674,104 Fixed deposits 5,772,759 0 5,772,759 Other receivables (excluding deferred

expenditure and prepayments) 822,173 0 822,173 18,269,036 0 18,269,036 Financial liabilities Other payables (excluding deferred JSS

income and GST payable) (1,802,535) 0 (1,802,535) Net financial assets 16,466,501 0 16,466,501






25. Financial risk management (Cont’d) 25.2 Interest rate risk

Interest rate risk is the risk that the fair value or future cash flows of the Academy’s financial instruments will fluctuate because of changes in market interest rates. The Academy’s exposure to interest rate risk arises primarily from their cash and cash equivalents and fixed deposits.

The Academy does not expect any significant effect on the Academy’s profit or loss arising from the effects of reasonably possible changes to interest rates on interest bearing financial instruments at the end of the financial year.

Sensitivity analysis for interest rate risk At the reporting date, the interest rate profile of the Academy’s interest-bearing financial instruments was as follows:

2020 2019 S$ S$ Fixed rate instruments Financial assets Fixed deposits 5,772,759 9,602,670

The sensitivity analysis is based on changes in the interest rates of variable rate financial instruments. At the reporting date, the Academy does not have variable rate interest-bearing financial instruments.

25.3 Liquidity risk

Liquidity risk is the risk that the Academy will encounter difficulty in meeting its financial obligations due to shortage of funds. The Academy exposure to liquidity risk arises primarily from mis-matches of the maturities of financial assets or liabilities. The Board monitors and ensures that the Academy maintains a level of cash and cash equivalents deemed adequate to finance the Academy’s operations.

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

Within one year



expenditure and prepayments) 822,173 0 822,173 18,269,036 0 18,269,036 Financial liabilities Other payables (excluding deferred JSS

income and GST payable) (1,802,535) 0 (1,802,535) Net financial assets 16,466,501 0 16,466,501






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

Within one year



expenditure and prepayments) 793,697 0 767,191 16,397,176 0 16,397,176 Financial liabilities Other payables (excluding GST payable) (1,717,632) 0 (1,717,632) Net financial assets 14,679,544 0 14,679,544

26. Fair values

As at 31 December 2020, 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.

27. Reserve position and policy

The Academy’s reserve position for financial year ended 31 December 2020 and 2019 are as follows:

2020 2019 Increase/

(Decrease) S$’000 S$’000 %

A Unrestricted Funds Accumulated fund 4,224 3,692 14.41 B Restricted or Designated Funds Designated Funds 0 0 Restricted Funds 8,959 7,943 12.79 C Endowment Funds 7,631 7,757 (1.62) D Total Funds 20,814 19,392 7.33 E Total Annual Operating Expenditure 5,803 6,844 (15.21) F Ratio of Funds to Annual Operating Expenditure (A/E) 0.73 0.54

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 Cost of Generating Funds, Cost of Charitable Activities

and Other Expenditure. The Academy’s Reserve Policy is as follows: The reserve 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.






28. 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.

29. Impact of COVID-19 (Coronavirus Disease 2019) The COVID-19 pandemic has affected almost all countries of the world, and resulted in border closures, production stoppages, workplace closures, movement controls and other measures imposed by the various governments. The Academy’s significant operations are in Singapore which have been affected by the spread of COVID-19 in 2020. The nature of the Academy’s business and activities are those related to advance the art and science of medicine, promote study and research into medical and scientific problems, to sustain and foster postgraduate education and conduct higher professional examinations and therefore the Academy’s operations has been impacted by COVID-19. And up to the date of signing this report as the Academy’s planned events and activities have been temporarily halted or cancelled. Summarise the impact of COVID-19 as below on the Academy’s financial performance reflected in this set of financial statements for the year ended 31 December 2020: i. The Academy has assessed that the going concern basis of preparation for this set of

financial statements remains appropriate. The Board of Directors is continuously monitoring the COVID-19 pandemic situation and will take further action as necessary in response to the economic disruption.

ii. The Singapore Multi-Ministry Taskforce implemented an elevated set of safe distancing measures as a circuit breaker from 7 April 2020 to 1 June 2020, to pre-empt the trend of increasing local transmission of COVID-19. Except for those providing essential services and selected economic sectors which are critical for our local and the global supply chains, all businesses are required to suspend all in-person activities and the Academy’s physical operations were temporarily closed to adhere to the respective governments’ movement control measures.

iii. The government has also implemented assistance measures which might mitigate some of the impact of COVID-19 on the Academy’s results and liquidity. In place of face-to-face seminars, the Academy managed to hold webinars in 2020.

iv. In 2020, the Academy has received rental rebates for its office rental and also provided

rental concessions to sub-tenant for co-sharing of the Academy’s office premises. The effects of such rental concessions received/provided are disclosed in Note 5. As the global COVID-19 situation remains very fluid as at the date these financial statements were authorised for issuance, the Academy cannot reasonably ascertain the full extent of the probable impact of the COVID-19 disruptions on its operating and financial performance for the financial year ending 31 December 2021. If the situation persists beyond management’s current expectations, the Academy’s assets may be subject to further write downs in the subsequent financial periods.

30. Authorisation of financial statements

The financial statements for the financial year ended 31 December 2020 were authorised for issue in accordance with a resolution of the Board of Directors on 30 June 2021.


COLLEGES AND CHAPTERS

The largest specialists’ organisationof over 3,900 members

in 13 Colleges and 4 Chapters

COLLEGE OF ANAESTHESIOLOGISTS, SINGAPORE

ABOUT THE COLLEGEThe 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. Her registered address is: 81 Kim Keat Road NKF Centre, #11-00 Singapore 328836. Ms Maureen Low from Messrs FMG Corporate Services Pte Ltd is the appointed Company Secretaries of the College. Fiducia LLP has been appointed as its internal Auditors.

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

ANNUAL GENERAL MEETINGThe College 16th Annual General Meeting was held on 30 May 2020 via Zoom. A total of 59 Fellows attended the meeting.

COUNCIL MEETINGS In 2020, the Council met three times to conduct the business and affairs of the College on 14 April, 14 July and 21 September.

MEMBERSHIPAs at 31 December 2020, the College membership stood at 172 Fellows, comprising 164 Local Fellows and eight Overseas Fellows.

The following member was admitted as Fellows of the Academy of Medicine, Singapore (FAMS) and welcomed into the College: • Dr Goh Meng Huat

Year 2020. Many words were associated with 2020: COVID-19, pandemic, unprecedented, lockdown, zoom meetings. The College of Anaesthesiologists (CAS) was similarly not immune to the devastating effects of this coronavirus. Our pre-planned Refresher Course did not happen. Our AGM was conducted via zoom for the first time, as did all the other organisations. Our quarterly medical educational presentations were delayed until later part of the year and were conducted online. Nonetheless, they were of resounding success as our Fellows were getting familiar with online CMEs.

The College also missed the opportunity to engage the newly exited specialists because of the circuit breaker imposed at that time. When the situation returns to normalcy and larger gathering for meals is permissible, we will have to revive this engagement session to inform our younger colleagues of the important roles played by the College. There is a palpable sense among the senior anaesthesiologists in the College that “a lost generation” of anaesthesiologists have exited and continued to practice without seeing the need to be part of the College or realising that the work of the College impacts them as well.

That brings me to my next point. While it might have appeared doom and gloom in 2020, work continues in CAS. For our College, 2020 could also be significantly remembered as the year that MOH Fees Benchmark Advisory Committee (FBAC) announced the Anaesthesiology Fees benchmark in the private sector for nearly 200 procedures. This benchmark was two years in the making with countless engagement sessions between MOH FBAC, anaesthesiologists in private practice and the anaesthesiology fees committee from CAS. This momentous announcement marked the beginning of the end in the historical linking of anaesthetic fees to surgical fees. With our proposed principles on anaesthesia charging accepted by FBAC, the fees charged by our private anaesthesiologists can now be based purely on the anaesthetic factors and its associated risks. Our work has just started. We will continue to engage with FBAC on the rest of the procedures. I would like to express my heartfelt thanks to the members of the CAS anaesthetic fees committee for their really hard work to see this into fruition.

The MOH-directed review of the 2014 Sedation Guidelines, currently chaired by CAS past president, Dr Sophia Chew, has also been submitted to MOH, and is currently awaiting approval. This review committee has several representatives from the College. CAS is also involved in another committee on sedation by endoscopist. The College will continue to advocate for patient safety, access to safe anaesthesia and maintenance of high standards of clinical care for our fellows and patients.

On behalf of the College of Anaesthesiologists, I would like to thank everyone for your support for the past year.

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PRESIDENT’S MESSAGE


DR NELSON CHUA PING PINGPresidentDirector (from 18 May 2016)

DR PAN LING TE TERRYHonorary SecretaryDirector (from 23 May 2018)

DR TAN SOO GUANCouncil MemberDirector (from 23 May 2018)

DR LEE TZE WEECo-Opted Member

DR EDWIN SEET CHUEN PINGPresident-ElectDirector (from 23 May 2018)

DR LIE SUI ANHonorary TreasurerDirector (from 23 May 2018)

DR YEO SOW NAMCouncil MemberDirector (from 8 May 2015)

DR TERENCE QUAH CHIEN CHOONVice-PresidentDirector (from 18 May 2016)

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Professional Opinion RequestsThe College has been tasked by Academy of Medicine, Singapore, to lead a multidisciplinary committee to provide the following professional opinion to external parties:

TOPICS ORGANISATIONSMOH Fee Benchmark Consultation Sessions

MOH

Invitation to review and endorse the Agency for Care Effectiveness (ACE) Clinical Guidance on Chest X-ray

ACE


‘COVID-19 Pandemic: Evolving Roles and Practices of Anaesthesiologists in Unprecedented Times’ WebinarThe College held its first webinar on 27 May 2020 via Zoom. The theme of the webinar was ‘COVID-19 Pandemic: Evolving Roles and Practices of Anaesthesiologists in Unprecedented Times’.

Dr Lie Sui An, the coordinator for this webinar has invited anaesthesiologists from restructured hospitals to share their perspectives on the different approaches that they have undertaken in their work during the pandemic. The webinar was well-received by 350 attendees.


Combined Anaesthetic Meetings The College and the Singapore Society of Anaesthesiologists had organised a Combined Anaesthesia Meeting via webinar in 2020.

DATE 3 OCTOBERTheme Crisis Preparedness – Malignant

Hyperthermia and Its AftermathChairperson Dr Teo Li Ming

Head and Senior Consultant, Dept of Anaesthesiology, Sengkang General Hospital

Venue Online via Zoom Total Attendees 372

Screen capture of the Combined Anaesthetic Meeting in progress.

Screen capture of the Combined Anaesthetic Meeting programme.

Staff Registrar Scheme (SRS) – Diploma in Anaesthesiology CourseThe following candidates from the 3rd intake (May 2018) are currently in training:

NAME TRAINING PROGRESSDr Saw Nay Myo (KKH) 3rd yearDr Rhommela Garis-Duran (SKH) 3rd year

Pilot AMS Self-Learning Modules (SLM)As of 31 December 2020, CAS SLM had been attempted 24 times.


Independent Medical Expert (IME) Reports The College provided five IME reports to Singapore Medical Council and two IME reports to Singapore Police Force.

Screen capture of the ‘COVID-19 Pandemic: Evolving Roles and Practices of Anaesthesiologists in Unprecedented Times’ webinar programme agenda.

Screen capture of the panel of experts for the webinar.

‘OT Preparation during COVID-19 Pandemic – Our Local Experience’ Webinar In conjunction with the College Annual General Meeting on 30 May 2020, a webinar was held prior to the start of the meeting. The theme was on ‘OT Preparation during COVID-19 Pandemic – Our Local Experience’. The anaesthesiologists shared various control measures implemented at their institutions to ensure operating theatre readiness for safe and timely surgeries of COVID-19 patients, while ensuring staff safety and minimizing disease spread. The webinar was well-received by 250 attendees.

Screen capture of the ‘OT Preparation during COVID-19 Pandemic – Our Local Experience’ webinar programme agenda

Screen capture of the panel of experts for the webinar.

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ABOUT THE COLLEGEThe College was set up on 6 Aug 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. As at 31 December 2020, there is one full-time administrative staff allocated on a shared basis from the Academy of Medicine, Singapore.

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 or 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.

COLLEGE OF DENTAL SURGEONS, SINGAPORE

PRESIDENT’S MESSAGE2020 was an unprecedented year for the world. As the fight against COVID-19 continues into 2021, a new level of ‘norm’ had been established. Despite these changes, the dental profession has done well to adapt to these new challenges, and we will continue to do so. For CDSS, with support from the Academy, the College had also managed to maintain the majority of our key activities.

The Joint Committee for Dental Specialist Accreditation (JCDSA) is an integral part of CDSS, and reinforces the commitment by the College in ensuring the highest standards of professional education and training for our dental specialists. Together with examiners from our respective Dental Specialists Accreditation Committees (DSAC), two diets of the dental specialist exit interviews were conducted in 2020 via online platforms, with 14 candidates successfully passing the interviews.

The success of these interviews can only be attributed to the hard work of our JCDSA Chairman Dr Henry Ho, our DSAC Chairs and examiners, as well as the support staff of the Education and Training Department at the Academy. Without their dedication and commitment, these exam diets would not have been possible.

In support of the ongoing challenges with COVID-19, the College successfully hosted a webinar titled ‘Dentistry in a COVID-19 Environment’ in October 2020. The webinar drew almost 200 participants from our dental community. I would like to convey my sincere appreciation and thanks to our panel of distinguished speakers for their time and for sharing their expertise. In addition to this, the College also hosted two online study club sessions in Endodontics and Periodontics. These were well-attended by our Fellows and I would like to encourage continued support for these study clubs.

Finally, as we move into 2021, I would like to express my gratitude to past and present College Council Members for their support throughout my 4 years as President. I would also like to wish our President-Elect, Dr Yu-Jin Poh, the absolute best as he leads the new Council through the next year.

Wishing all Fellows, a happy and safe 2021!

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DR ANDREW OWPresidentDirector (from 23 May 2012)

DR LUI JEEN NEEHonorary TreasurerDirector (from 24 May 2016)

DR TOH SIEW LUANCouncil MemberDirector (from 22 May 2013)

DR SHAWN GOHChairman, Chapter of Oral & Maxillofacial SurgeonsDirector (from 25 May 2017)

DR WONG LI BENGChairman, Chapter of PeriodontistsDirector (from 25 May 2017)

DR POH YU JINVice-PresidentDirector (from 7 May 2014)

DR LAI YE CHOUNGCouncil MemberDirector (from 4 May 2018)

DR ANDREW AWCo-Opted Council MemberDirector (from 20 Apr 2015)

DR GERALDINE LEEChairman, Chapter of OrthodontistsDirector (from 25 May 2017)

DR CLARISSE NGChairman, Chapter of ProsthodontistsDirector (from 20 April 2015)

DR CHANG KOK MENGHonorary SecretaryDirector (from 24 May 2016)

DR HENRY HOJCDSA Chairman/Council MemberDirector (from 22 May 2013)

DR TAY LI CHYEChairman, Chapter of EndodontistsDirector (from 20 April 2015)

DR BIEN LAIChairman, Chapter of Paediatric DentistsDirector (from 25 May 2017)

DR GABRIEL CHONGChairman, Chapter of Public Health DentistsDirector (from 25 May 2017)


SPECIALTY CHAPTERSIn 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 (2020 – 2021) are as follows:

CHAPTER OF ENDODONTISTSChairman Dr Tay Li ChyeVice-Chairman Dr Lui Jeen NeeHonorary Secretary Dr Kuah Hong GuanCommittee Members Dr Benny Goh

Dr Wu Siwen

CHAPTER OF ORTHODONTISTSChairman Dr Geraldine LeeVice-Chairman Dr Sylvia TanCommittee Members Dr Vicpearly Wong

Dr Patricia YeongDr Marina Teh

CHAPTER OF ORAL & MAXILLOFACIAL SURGEONSChairman Dr Shawn GohVice-Chairman Dr Lye Kok WengHonorary Secretary Dr Wee Tze HaurCommittee Members Dr Winston Tan

Dr Clement Lye Poh Wah

CHAPTER OF PERIODONTISTSChairman Dr Wong Li Beng Vice-Chairman Dr Tan Wah Ching Honorary Secretary Dr Yang JingrongCommittee Members Dr Daylene Leong

Dr Jonathan Foo

CHAPTER OF PAEDIATRIC DENTISTSChairman Dr Bien LaiVice-Chairman Dr Terry TeoCommittee Member Dr Tang Kok Siew

CHAPTER OF PROSTHODONTISTSChairman Dr Clarisse NgVice-Chairman Dr Simon Ng Dih HannHonorary Secretary Dr Seetoh Yoong LiangCommittee Member Dr Kelvin Khng Kwang Yong

CHAPTER OF PUBLIC HEALTH DENTISTSChairman Dr Gabriel ChongVice-Chairman Dr Hemalatha NathanCommittee Member Dr Holy Koh Jr

MANAGEMENT AND AVOIDANCE OF CONFLICTS OF INTERESTThe elected Council Members are required to present their disclosure of interests and any potential conflicts of interest in a Director’s Disclosure to the Council every year.

ANNUAL GENERAL MEETINGThe College held its 12th Annual General Meeting on 21 May 2020 via Zoom.

COUNCIL MEETINGS ATTENDANCEA total of two Council meetings were held for the year to discuss the business and affairs of the College. It met on the following dates: 21 April and 16 September.

The attendance record of the meetings is as follows:

NAME DESIGNATION ATTENDANCEDr Andrew Ow President 2Dr Poh Yu-Jin Vice-President 2Dr Chang Kok Meng Honorary Secretary 2Dr Lui Jeen Nee Honorary Treasurer 1Dr Henry Ho Chee Wai Council Member 1Dr Toh Siew Luan Council Member 2Dr Lai Ye Choung Council Member 2Dr Andrew Aw Co-Opted Council Member 1Dr Geraldine Lee Ping Chairman, Chapter of Orthodontists 1Dr Tay Li Chye Chairman, Chapter of Endodontists 2Dr Shawn Goh Siak Shyong Chairman, Chapter of Oral & Maxillofacial Surgeons 2Dr Bien Lai Wen Pui Chairman, Chapter of Paediatric Dentists 1Dr Wong Li Beng Chairman, Chapter of Periodontists 2Dr Clarisse Ng Chairman, Chapter of Prosthodontists 1Dr Gabriel Chong Tse Feng Chairman, Chapter of Public Health Dentists 1

MEMBERSHIPCollege membership stood at 274 as at 31 December 2020. There were 264 Local Fellows, eight Overseas Fellows, one Ordinary and one Associate Member. There were 3 new admissions to the College in 2020.

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Professional Opinion RequestsThe College provided a total of three professional opinions on various topics requested by external parties. They are listed below:

DATES TOPICS ORGANISATION

5 February Publicity claims by a non-licensed Aesthetics entity

MOH

24 March 3D Dental Scanning Services for Aligners

MOH

5 November Expert Opinion on Alleged Illegal Practice of Dentistry - Teeth Whitening

MOH



Dentistry in a COVID-19 Environment Webinar The College held its first webinar on 10 October 2020 via Zoom and was moderated by Dr Andrew Ow, the College President. Attended by almost 200 participants, the speakers included:

• A/Prof Chng Chai Kiat, Chief Dental Officer, MOH • Prof Patrick Finbarr Allen, Dean, Faculty of Dentistry, NUS • A/Prof Patrick Tseng, Senior Consultant, Division of Endodontics, Restorative Dentistry and Prosthodontics, NUCOHS

• Dr Intekhab Islam, Senior Lecturer, Discipline of Oral and Maxillofacial Surgery Faculty of Dentistry, NUS

• Dr Limin Wijaya, Senior Consultant, Department of Infectious Diseases, SGH, Chapter of Infectious Disease Physicians, AMS

Joint Committee for Dental Specialist Accreditation ExamsThe Joint Committee on Dental Specialist Assessment conducted 2 examination diets in March and September 2020.

Fourteen candidates had undertaken and passed the exit interviews in the specialties of Oral & Maxillofacial Surgeons, Orthodontics, Periodontics, Endodontics and Prosthodontics.

APPRECIATIONThe College wishes to record its appreciation and thanks to all Fellows.


PRESIDENT’S MESSAGE The year 2020 was one like no other. When COVID-19 swept across the globe, it changed life as we knew it. To date there have been almost 100 million cases and 2 million deaths worldwide.

When it first hit, there was a lot of fear, reminiscent of SARS. Restricted movement, physical distancing and mask wearing has become the norm. In hospitals, medical teams were segregated. The need for the safe management of pregnant patients and their babies prompted the College to work on a committee opinion, as evidence was still scarce. That was also why our first Zoom CME focused on this important topic.

One year on, Singapore has survived relatively unscathed and we have to be thankful at how the task force, the medical professionals and the community banded together. But it has also shone a light on how some members of our community are more vulnerable than others.

It brings home the point that no one is safe till everyone is safe. As the COVID-19 vaccination programme rolls out, we hope that all the health professionals will continue to rally together to face the coming year ahead.

I am at the end of my second term as the President of the College, and appreciative of this opportunity to serve. I would like thank my Council members for their invaluable support, friendship and the willingness to work as a team. I am also grateful for the many Fellows who have willingly stepped up to help with the Zoom webinars, the TOSP meeting or to provide expert opinions.

Take care and stay safe everyone.

COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE

ABOUT THE COLLEGEThe College of Obstetricians and Gynaecologists, Singapore was incorporated under the Companies Act (Cap 50), on and from 17 August 2004 and that the company is a Public Company Limited by Guarantee. The College is registered and domiciled in Singapore with its registered office and primary place of business at 81 Kim Keat Road, #11-00 and #12-00, NKF Centre, Singapore 328836.

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

Stone Forest CorpServe Pte Ltd was engaged as the Company Secretary, while Fiducia LLP was re-appointed

as its internal auditor. As at 31 December 2020, the College does not employ any staff. The staff supporting the College’s work is employed by the Academy of Medicine, Singapore.

The vision of the College is to be the recognised leader in training, education, advocacy and enhancement of professional standards for obstetrics and gynaecology and its subspecialties. The mission is to promote and maintain the highest professional and ethical standards in obstetrics and gynaecology and its subspecialties.

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THE 2020 – 2021 COUNCIL

DR YONG TZE TEINPresidentDirector (from 3 November 2003)

DR TAN LAY KOKPresident-ElectDirector (from 30 May 2018)

DR MAHESH CHOOLANIVice-PresidentDirector (from 1 September 1997)

DR JASMINE BINTE MOHDHonorary SecretaryDirector (from 16 September 2010)

DR SERENE THAIN PEI TINGHonorary TreasurerDirector (from 1 May 2019)

DR SHAKINA RAUFFCouncil MemberDirector (from 11 May 2016)

DR EUGENE HUANG YOUJINCouncil MemberDirector (from 20 May 2020)

DR HO TEW HONGCo-Opted Member

DR TAN HAK KOONCo-Opted Member

DR YONG EU LEONGCo-Opted Member

DR CYNTHIA KEW CHIA YNGChairman, Section of Gynaecology Endoscopy

DR JEFFREY LOW JEN HUIChairman, Section of Gynaecology Oncology Director (from 1 May 2019)

DR GEORGE YEO SEOW HEONGChairman, Section of Maternal Fetal Medicine Director (from 1 September 1997)

DR TAN HENG HAOChairman, Section of Reproductive Medicine Director (from 25 May 2017)

DR JASON LIM SHAU KHNGChairman, Section of Urogynaecology Director (from 11 May 2016)


ANNUAL GENERAL MEETINGThe COVID-19 (Temporary Measures) Bill, passed in Parliament on 7 April 2020, has allowed for alternative arrangements for companies in Singapore to conduct meetings by electronic means.

The Constitution of the College of Obstetricians and Gynaecologists, Singapore does not provide for its Annual General Meeting (AGM) to be conducted by electronic means. In view of the current COVID-19 situation where a physical meeting is not possible and with the provision

provided in Part 4 of the Bill (Temporary Measures for the Conduct of Meetings), the 16th Annual General Meeting was held by electronic means on 20 May 2020. It was attended by 26 Fellows.

COUNCIL MEETINGS ATTENDANCEA total of six Council meetings were held for the year to discuss the business and affairs of the College. It met on the following dates: 8 January, 11 March, 15 April, 8 July, 9 September and 11 November.


NAME DESIGNATION ATTENDANCEDr Yong Tze Tein President 6Dr Tan Lay Kok President-Elect 5Dr Mahesh Choolani Vice-President 6Dr Jasmine Mohd Honorary Secretary 4Dr Thain Pei Ting Serene Honorary Treasurer 5Dr Khoo Chong Kiat* Council Member/Section Chairperson of Gynaecological Endoscopy 2Dr Huang Youjin Eugene** Council Member 2Dr Shakina Rauff Council Member 0Dr Kew Chia Yng Cynthia** Chairman, Section of Gynaecological Endoscopy 1Dr Low Jen Hui Jeffrey Chairman, Section of Gynaecological Oncology 3Dr Yeo Seow Heong George Chairman, Section of Maternal Fetal Medicine 6Dr Tan Heng Hao Chairman, Section of Reproductive Medicine 2Dr Lim Shau Khng Jason Chairman, Section of Urogynaecology 4

*Retired on 20 May 2020**Joined on 20 May 2020

MEMBERSHIP As at 31 December 2020, the total membership of the College stood at 236, comprising 225 Local Fellows, 10 Overseas Fellows and one Honorary Fellow.

Dr Yeo Mei-E Samantha Rachel was admitted into the Fellowship of the Academy of Medicine, Singapore.


Committee Opinion on Management of Pregnancy and Birth in Women with Coronavirus Disease (COVID-19)The Committee Opinion on ‘Management of Pregnancy and Birth in Women with Coronavirus disease (COVID-19)’ was developed in April 2020 by the College with inputs from the Academy of Medicine, Singapore and Ministry of Health, Singapore.

The focus of this document is on pregnant women with confirmed COVID-19 infection and hopes to provide guidance to OBGYNs practising in both public and private sectors in their management of COVID-19 positive obstetric patients. We express our heartfelt gratitude to Dr Serene Thain, A/Prof Tan Lay Kok, A/Prof Mahesh Choolani and A/Prof Yong Tze Tein for their contribution towards the development of this Committee Opinion.

Launch of FAQs to Guide Public on Pregnancy and Birth during COVID-19In December 2020, the College, Academy of Medicine, Singapore and Obstetrical and Gynaecological Society of Singapore launched a set of Frequently Asked Questions (FAQs) for the public on pregnancy and birth in women during COVID-19.

Titled ‘Frequently Asked Questions (FAQs): Pregnancy & COVID-19’, this is part of the efforts to support Singaporeans in their parenthood plans during this pandemic. The FAQs help to address concerns by couples and reassure them that they can still experience a safe pregnancy and delivery during this period.

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Topics of concern covered include COVID-19’s impact on pregnancy and the unborn child; antenatal care; the birthing process; postnatal care; fertility treatment as well as the safety of healthcare facilities.

We sincerely thanked our College representatives including A/Prof Yong Tze Tein, A/Prof Tan Lay Kok and A/Prof Su Lin Lin, as well as Dr Lim Min Yu and Dr Serene Thain, who represented Obstetrical and Gynaecological Society of Singapore.

Guidelines on Medical Termination of Pregnancy (MEDICAL TOP)The Guidelines on Medical Termination of Pregnancy was commissioned by the Ministry of Health, Singapore (MOH) and developed by the College alongside a working group of Obstetricians and Gynaecologists from three public restructured hospitals in Singapore.

It serves as a summary of best practices for Obstetricians and Gynaecologists in Singapore and may serve as a reference for other medical professionals in caring for women considering MTOP.

A Patient Information Leaflet for Outpatient Medical Termination of Pregnancy (MTOP) was also developed concurrently to inform patients of the procedures involved in MTOP as well as what to expect after treatment.

The MOH is currently reviewing the guidelines.

Guidelines for Managing Assisted Reproduction in Older WomenFollowing the abolishment of age limit for women undergoing in-vitro fertilisation (IVF) treatments, as part


of a range of measures to support marriage and parenthood, the College has developed a set of guidelines as a framework for clinicians to provide safe and effective treatment for this group of patients who are of higher risk.

The guideline provides guidance for 3 specific groups of patients:

• Postmenopausal women • Women at or more than 45 years of age (very advanced maternal age)

• Women who have previously undergone 10 or more ART cycles

The MOH is currently reviewing the guidelines.

Professional Opinion RequestsThe College provided professional opinions on various topics requested by external parties. They are listed below:

TOPICS ORGANISATION

Use of Dehydroepiandrosterone (DHEA) for the Treatment of Female Infertility

MOH

List of Aesthetic procedures and TOSP procedures MOH

Tiering Surgical Procedures by Settings they can be performed MOH

Query on High Intensity Focused Ultrasound (HIFU) MOH

Provision of Female Circumcision services by Medical Practitioners MOH

Continuing Medical Education (CME) – Live Webinars

MANAGEMENT OF PREGNANCY AND BIRTH IN WOMEN WITH CORONAVIRUS DISEASE (COVID-19)DATE 6 MAY

Topics & Speakers COGS Committee Opinion on Management of Pregnancy and Birth in Women with Coronavirus Disease (COVID-19)Dr Serene ThainConsultant, Department of Maternal Fetal Medicine, KK Women’s and Children’s Hospital

Sharing of Local O&G ExperienceA/Prof Mahesh ChoolaniHead & Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital

Sharing of COVID-19 ProtocolsA/Prof Tan Lay KokSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital

Panel Discussion and Q&A SessionDr Serene Thain, A/Prof Mahesh Choolani, A/Prof Tan Lay Kok and A/Prof Yong Tze Tein


UPDATE ON MANAGEMENT OF THE PREGNANT WOMAN WITH COVID-19 – VIEWPOINTS FROM UKDATE 18 JUNETopics & Speakers Welcome and Opening Remarks

A/Prof Tan Lay KokSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General HospitalDr Lim Min YuChair, Singapore International Representative Committee of RCOGCOVID-19 and PregnancyProf Catherine Nelson-PiercyConsultant Obstetric Physician, Guy’s and St Thomas Hospitals Trust, Queen Charlotte’s and Chelsea HospitalObstetric Emergencies in the Time of COVID-19Prof Tim DraycottRCOG Vice-President for Clinical Quality, Consultant Obstetrician North Bristol, NHS TrustDiscussion and Q&APanel

Moderators A/Prof Tan Lay KokSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General HospitalDr Lim Min YuChair, Singapore International Representative Committee of RCOG

CME – Education Programme on Prenatal Genetics and Genomics The College has prepared a 4-part Education Programme on Prenatal Genetics and Genomics for specialists practising Obstetrics & Gynaecology. Following the conclusion of each of the 4 webinar sessions, Self-Learning Modules (SLMs) will be developed concurrently to enhance the understanding of the topics. The aim is to equip and educate our Fellows in counselling and managing prenatal screening. Access to the SLM is exclusive to Fellows of the Academy.

SESSION 1 (No. of Attendees - 193)DATE 18 JULYTopics & Speakers Opening Address and Objectives of the Educational Programme on Prenatal Genetics & Genomics

A/Prof Yong Tze TeinPresident, College of Obstetricians and GynaecologistsABC of Genetics A/Prof Mahesh ChoolaniHead & Senior Consultant, Department of Obstetrics and Gynaecology, National University HospitalPrinciples of ScreeningA/Prof Tan Lay KokSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General HospitalScreening for Down Syndrome: Video-assisted Pre-test Counselling and Informed ConsentDr Arundhati GosaviConsultant, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology, National University Hospital

Moderator A/Prof Yong Tze TeinHead & Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital

SESSION 2 (No. of Attendees - 157)DATE 29 AUGUSTTopics & Speakers Feticide and MTPT Laws in Singapore

Dr Tan Kai LitConsultant Obstetrician and Gynaecologist, Thomson Women’s ClinicScreening for Aneuploidies and Single Gene DisordersDr Tan Wei ChingSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General HospitalCounselling Patients for NIPT and CMAProf Yeo SH GeorgeSenior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena Specialist CentreCase Discussion Vignette 1Dr Tony TanConsultant Obstetrician and Gynaecologist, Tony Tan Women & Fetal Clinic & PLL Anaesthesia ClinicMt Alvernia Hospital

Moderator A/Prof Tan Lay KokSenior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital

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SESSION 3 (No. of Attendees - 182)DATE 10 OCTOBERTopics & Speakers Current Guidelines on Prenatal Counselling of NIPT and CMA

A/Prof Tan Hak KoonChairman, Obstetrics & Gynaecology and Chief, Obstetrics, KK Women’s and Children’s Hospital NIPT – Challenges with Handling Abnormal ResultsProf Arijit BiswasSenior Consultant, Department of Obstetrics and Gynaecology, National University HospitalCombining Genomics and Non-genomic TestProf Yeo SH GeorgeSenior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena Specialist CentreCase Discussion Vignette 2Dr Chang Tou ChoongConsultant Obstetrician and Gynaecologist, WC Cheng & Associates, Thomson Medical Centre

Moderator Dr Serene ThainConsultant, Department of Maternal Fetal Medicine, Division of Obstetrics and Gynaecology, KK Woman’s and Children’s Hospital

SESSION 4 (No. of Attendees - 124)DATE 21 NOVEMBERTopics & Speakers Invasive Prenatal Testing: Procedures and Tests

Prof Arijit BiswasSenior Consultant, Department of Obstetrics and Gynaecology, National University HospitalCase Discussion Vignette 3Dr Lai Fon-MinConsultant Obstetrician & Gynaecologist , A Company for Women, Camden Medical CentreCase Discussion Vignette 4 and Panel DiscussionProf Yeo SH George, A/Prof Mahesh Choolani, A/Prof Tan Lay Kok, Dr Tan Kai Lit, Dr Lai Fon-Min, Dr Tony Tan, Dr Chang Tou Choong

Moderator Prof Yeo SH GeorgeSenior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena Specialist Centre

Development of Specialty-Specific Consent Taking GuidelinesIt was the recommendation of the Workgroup (that looks into Consent and Disciplinary Processes of SMC) that Specialty Specific Colleges and Chapters under the Academy of Medicine, Singapore develop their respective Specialty Specific Guidelines, to deal with standard common place treatments and procedures.

With the proposed departure from the Modified Montgomery Test, there will be emphasis given to the opinion of a responsible body of doctors as the minimum safe standard for doctors’ duty to advise.

Hence, the development of informed consent guidelines from the various Chapters will be critical to set this minimum benchmark.

The College Council has identified the commonest procedures or treatments in Obstetrics and Gynaecology, such as Normal Vaginal Delivery, Caesarean Section, Myomectomy, Hysteroscopy, Cystectomy, Ligation and Surgical Termination of Pregnancy, and formulated appropriate consent forms and patient information leaflets which will be submitted to the Academy in early 2021. The College is also seeking feedback from lay persons on these consents and is working with members of the SingHealth Patient Advocacy Network (SPAN) before finalising them.

ENHANCING SELF-GOVERNING AND SELF-REGULATION

Independent Medical Expert (IME) ReportsThe College provided six IME reports to Singapore Medical Council.

FUTURE PLANSThe College plans to stay relevant to our Fellows through continuous training and being more proactive in the training of future specialists.

We hope to expand our membership through constant engagement with our Fellows through College CME events. The College also hopes to review all important

Obstetricians & Gynaecologists Guidelines for the O&G specialists practising in Singapore.

APPRECIATIONThe College records its note of appreciation to all Fellows for their unfailing support and efforts rendered in the past year for ongoing projects and activities.


ABOUT THE COLLEGE The College of Paediatrics and Child Health, Singapore was incorporated under the Companies Act (Cap 50), on and from 17 August 2004 and is a Public Company Limited by Guarantee. The College is registered and domiciled in Singapore with its registered office and primary place of business at 81 Kim Keat Road, #11-00 and #12-00, NKF Centre, Singapore 328836.

The College was established under a Memorandum of Association which established the objects and powers of the College and is governed under its Articles of Association. Stone Forest CorpServe Pte Ltd was engaged as the Company Secretary to provide corporate secretarial services while Fiducia LLP was re-appointed as the auditor. As at 31 December 2020, the College does not employ any staff. The staff supporting the College’s work is employed by the Academy of Medicine, Singapore.

The vision of the College is to be the recognised leader in training, education, advocacy and enhancement of professional standards for paediatrics and its subspecialties. The mission is to promote and maintain the highest professional and ethical standards in paediatrics and its subspecialties.

The objectives of the College are as follows: • To advance the art and science of paediatrics and neonatology and its subspecialties

• 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

PRESIDENT’S MESSAGE2020 has truly been an extraordinary year. Despite safe distancing and the circuit breaker, we continued to gather together as a College, albeit virtually, to learn and grow through webinars and online meetings. Our College held one of the Academy’s first scientific webinars on COVID-19 in paediatrics at the start of DORSCON Orange and we continued our regular CME sessions leveraging on webinars.

In May 2020, we held our College’s 16th Annual General Meeting virtually for the first time and we had a very strong attendance. We have updated our CPCHS AMS Self-Learning Module (SLM) and have developed specialty-specific consent taking guidelines, focusing for a start on ‘Lumbar Puncture’ and ‘BCG Vaccination’.

During the last quarter of 2020, we started engaging with the Ministry of Health (MOH) on the changes to the National Childhood Immunisation Schedule. With the strengthening of family medicine practice in the community and the setting up of ‘Primary Care Networks’, integrating both the public and private GP sectors, we are working with MOH to re-shape and develop ‘Community Paediatrics’ for Singapore. The College is also planning to co-create a shared care model with MOH and other stakeholders moving into 2021.

We had planned to hold the first joint RCPCH-CPCHS Scientific Meeting in conjunction with the 9th Singapore Paediatric & Perinatal Annual Congress in September 2020. This RCPCH Conference with the theme of ‘Learning Together to Improve Child Health’ will instead be held in March 2021 via a Webinar platform.

COVID-19 has brought with it tremendous changes in the way we functioned as clinicians and interacted as a community in 2020, with telemedicine being more widely practiced as a key example. As we continue to adjust and adapt to a new 2021 norm, we will continue to work together as a community of paediatricians to improve the health of our children in Singapore.

COLLEGE OF PAEDIATRICS AND CHILD HEALTH, SINGAPORE

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DR NG KEE CHONGPresidentDirector (from 18 May 2013)

DR LEE YUNG SENGPresident-ElectDirector (from 14 May 2016)

DR CHUA MEI CHIENVice-PresidentDirector (from 19 May 2018)

DR KHOO POH CHOOHonorary SecretaryDirector (from 18 May 2013)

DR YEO WEE SONGHonorary TreasurerDirector (from 16 May 2020)

DR GOH YAM THIAM, DANIELCouncil MemberDirector (from 6 May 2017)

DR ONG HIAN TATCouncil MemberDirector (from 14 May 2016)

DR VICTOR SAMUEL RAJADURAIChairman, Chapter of NeonatologistsDirector (from 6 May 2017)

DR LIM KWANG HSIENCo-Opted Member

DR LOW KAH TZAYCo-Opted Member

DR NG YONG HONGCo-Opted Member


CHAPTER OF NEONATOLOGISTS (THE 2020 – 2021 BOARD)Chairman Dr Victor Samuel RajaduraiVice-Chairman Dr Daisy Chan Kwai LinHonorary Secretary Dr Ng Chin Yuen, StevenBoard Members Dr Natalie Epton

Dr Khoo Poh ChooDr Krishnamoorthy NiduvajeDr Poon Woei Bing

Ex-Officio (President, CPCHS) Dr Ng Kee ChongCo-Opted Members Dr Ong Eng Keow

Dr Ikshuvanam Malathi


Dr Khoo Poh Choo Honorary Secretary 4Dr Yeo Wee Song** Honorary Treasurer 4Dr Goh Yam Thiam, Daniel

Council Member 4

Dr Ong Hian Tat Council Member 4Dr Varsha Atul Shah* Council Member 1Dr Victor Samuel Rajadurai

Chairman, Chapter of Neonatologists 2

Dr Lim Kwang Hsien Co-Opted Member 4Dr Low Kah Tzay Co-Opted Member 3Dr Ng Yong Hong Co-Opted Member 4

*Retired on 16 May 2020**Joined on 16 May 2020

MEMBERSHIP As at 31 December 2020, the College membership stood at 223, comprising of 219 Local Fellows and four Overseas Fellows. There are 44 members under the Chapter of Neonatologists.

The following were admitted as Fellows of the Academy of Medicine, Singapore (FAMS) and welcomed into the College:


The Constitution of the College of Paediatrics and Child Health, Singapore does not provide for its Annual General Meeting (AGM) to be conducted by electronic means. In view of the current COVID-19 situation where a physical meeting is not possible and with the provision provided in Part 4 of the Bill (Temporary Measures for the Conduct of Meetings), the 16th AGM was held by electronic means on 16 May 2020. It was attended by 68 Fellows. The Chapter of Neonatologists, the sole Chapter of the College, also organised its 8th AGM on 9 May 2020.

COUNCIL MEETINGS ATTENDANCEA total of four Council meetings were held for the year to discuss the business and affairs of the College. It met on the following dates: 29 April, 24 June, 18 August and 6 November. The attendance record of the meetings is as follows:

NAME DESIGNATION ATTENDANCEDr Ng Kee Chong President 4Dr Liew Woei Kang* Immediate Past

President 1

Dr Lee Yung Seng President-Elect 4Dr Chua Mei Chien Vice-President 4



Engagement with Ministry of Health (MOH) on Changes on National Childhood Immunisation Schedule (NCIS)On 13 July 2020, the Ministry of Health announced updates for NCIS that ‘from 1 November 2020, Singaporean children will receive full subsidy for all NCIS vaccinations where the vaccine utilised is found on the Subsidised Vaccine List (SVL). These subsidies will be available at polyclinics and will be extended to all CHAS GP clinics.’

On behalf of the private paediatrician community, the College has written a letter to A/Prof Kenneth Mak, Director of Medical Services in August 2020 highlighting their concerns and feedback on the updated NCIS, as well as to arrange for a discussion with the Ministry.

The College had two fruitful meetings with MOH in September and October 2020, with proposals to extend the NCIS vaccination subsidies to Community Paediatricians and for the College to co-create a shared care model with the Ministry and other stakeholders. Talks are ongoing and there will be more updates in 2021.

MOH Child and Maternal Health Wellbeing Taskforce In December, MOH set up the Child and Maternal Health

Wellbeing Taskforce to ensure that women and children are well supported in their journey to attain good health and well-being, so as to maximize their human development potential. The three workgroups (WG) in the taskforce are:

• WG1: Child and Maternal Development and Wellbeing • WG2: Child/Maternal Health and Services Integration • WG3: Public Education and Stakeholder Engagement

Dr Low Kah Tzay represents the College for this taskforce in WG2 - Child/Maternal Health and Services Integration.

The Workgroup will focus on the following initiatives to achieve good health, social and educational outcomes for the children:

• Increase uptake of preventive health services and support services;

• Strengthen early detection and intervention of risk factors;

• Optimise care through building up sustainable community child/maternal health care and support models, and

• Enhance better service integration for child and maternal health and support services across settings/sectors

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• Dr Chin Hui-Lin • Dr Chow Chu-Tian Cristelle • Dr Lee Le Ye • Dr Loo Kai Guo Benny • Dr Low Jia Ming

• Dr Ng Beng Hui Nicholas • Dr Oh Lingzhi Bernice • Dr Ooi Pei Ling

NAME DESIGNATION ATTENDANCE


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Terms of Reference of WG2: Review maternal and child service integration and care/support models at the national level:1. Identify gaps and opportunities to enhance service

integration across settings & domains2. Formulate and oversee the implementation of a work

plan to enhance service integration on child and maternal health and support services

3. Propose indicators to monitor the progress and impact of the work plan


TOPICS ORGANISATIONUse of Hyperbaric Chamber in a Special Needs kindergarten to treat cerebral palsy and autism spectrum disorder

MOH

Collaboration on Specialty-Specific Guidance for Telemedicine

MOH

Review/Endorsement of the ACE Clinical Guidance on Asthma

MOH


Continuing Medical Education (CME) – Live Webinars

COVID-19 UPDATE FOR PAEDIATRICIANS DATE 26 FEBRUARYTopics & Speakers COVID-19: A Paediatric Update

Dr Kam Kai-QianAssociate Consultant, Infectious Diseases Service, KK Women’s and Children’s HospitalQ&A Session on COVID-19Adj. A/Prof Thoon Koh ChengHead & Senior Consultant, Infectious Diseases Services Service, KK Women’s and Children’s Hospital

Dr Chan Si MinHead & Senior Consultant, Division of Paediatric Infectious DiseasesKTP-NUCMI, National University Hospital

Dr Yung Chee FuConsultant, Infectious Diseases Service, KK Women’s and Children’s Hospital

Chairperson A/Prof Ng Kee ChongPresident, College of Paediatrics and Child Health, Singapore

COVID-19 IN PAEDIATRIC PATIENTS: THE SINGAPORE EXPERIENCE DATE 16 MAYTopic & Speakers COVID-19 in Paediatric Patients: The Singapore Experience

Adj. A/Prof Thoon Koh ChengHead & Senior Consultant, Infectious Diseases Service, KK Women’s and Children’s Hospital

Dr Li JiahuiConsultant, Infectious Diseases Service, KK Women’s and Children’s Hospital

Dr Chan Si MinHead & Senior Consultant, Division of Paediatric Infectious DiseasesKTP-NUCMI, National University Hospital


WHICH PATIENTS SHOULD HAVE GH TREATMENT?DATE 2 JUNETopic & Speaker Which Patients Should have GH Treatment?

Dr Warren Lee Wei RhenSenior Consultant, Paediatrician, Paediatric EndocrinologistDr Warren Lee’s, Paediatrics, Growth & Diabetes Centre

Chairperson Dr Yeo Wee SongCollege of Paediatrics and Child Health, Singapore

TELEMEDICINE FOR PAEDIATRICIANSDATE 15 AUGUSTTopics & Speakers Brief Introduction to Telemedicine

Dr Lim Kwang Hsien Consultant Paediatrician, Kinder Clinic, Mt Alvernia Medical CentreRules & RegulationsDr Raymond ChuaGroup Director, Health Regulation Group, Ministry of Health


Topics & Speakers Setting up TelemedicineA/Prof Ong Hian TatHead & Senior Consultant, Division of Paediatric NeurologyKTP-NUCMI, National University HospitalPaediatric Video Teleconsult – Sharing the SBCC ExperienceDr Jenny TangPaediatrician, Asthma, Lung, Sleep and Allergy, SBCC Baby & Child ClinicThe Future of TelemedicineDr Mark Koh Head & Senior Consultant, Dermatology Service, KK Women’s and Children’s Hospital

Chairperson Dr Lim Kwang Hsien College of Paediatrics and Child Health, Singapore

CLINICAL GENETICS IN THE MILLENNIUM DATE 7 NOVEMBERTopics & Speakers MOH Code of Practice & Standards on Genetics/Genomics Testing – Implications on the Ground

A/Prof Denise Goh Li MengHead & Senior Consultant, Division of Paediatric Genetics & MetabolismKTP-NUCMI, National University Hospital The Expanded Newborn Screening – Our Local ExperienceAdj. A/Prof Tan Ee ShienHead & Senior Consultant, Genetics Services, KK Women’s and Children’s HospitalGene Therapy in NeurogeneticsDr Furene WangConsultant, Division of Paediatric NeurologyKTP-NUCMI, National University HospitalTechnological Advancements in Genomics & BRIDGESDr Saumya Shekhar JamuarSenior Consultant, Genetics Services, KK Women’s and Children’s Hospital


AMS Self-Learning Modules (SLM)The College has contributed one Paediatric Medicine module, consisting of 20 multiple-choice questions (MCQs) per module and participants will be eligible for five CME points upon satisfactory completion of each module.

Access to the SLM is exclusive to Fellows and Members of the Academy.

Development of Specialty-Specific Consent Taking GuidelinesIt was the recommendation of the Workgroup (that looks into Consent and Disciplinary Processes of SMC) that Specialty Specific Colleges and Chapters under the Academy develop their respective Specialty Specific Guidelines to deal with standard common place treatments and procedures.

With the proposed departure from the Modified Montgomery Test, there will be emphasis given to the opinion of a responsible body of doctors as the minimum safe standard for doctors’ duty to advise. Hence, the

development of informed consent guidelines from the various Chapters will be critical to set this minimum benchmark.

The College Council has identified the commonest procedures/treatments in Paediatrics/Neonatology and formulated appropriate consent forms and patient information leaflets which have been submitted to the Academy.

Live Webinar by the Chapter of Neonatologists The Chapter organised a live Webinar on ‘COVID-19 Infection in Pregnancy & Newborn’ on 5 June 2020.


Independent Medical Expert (IME) Reports The Chapter of Neonatologists provided two IME reports to Singapore Medical Council.

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

APPRECIATIONThe College records its note of appreciation to all Fellows for their unfailing support and efforts rendered in the past year for ongoing projects and activities.

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TELEMEDICINE FOR PAEDIATRICIANSDATE 15 AUGUST


PRESIDENT’S MESSAGEThe year 2020 marks a very challenging year for all of us working in healthcare. In addition to all the disruption the pandemic has brought to society and economy, many of us served in the frontline and had to adapt our professional practice rapidly to the challenges posed by the pandemic. Aside from the demands of looking after a large number of COVID-19 patients, some of whom were very sick, we had to deal with concerns of our own health and the impact on our families. The heartening aspect of the pandemic is that hardly any one of us were infected via occupational exposure. As far as I know, no healthcare workers succumbed to the virus, in marked contrast to our colleagues in many parts of the world.

The College and the Academy responded rapidly to disseminate information related to the pandemic to our Fellows and wider medical community. These have included webinars on various aspects of COVID-19 and communication with leadership from the Ministry of Health so that our Fellows could hear and provide feedback to the Ministry. In addition, we have not neglected the continuing medical education outside of COVID-19. The College also participated in MRCP PACES examination in November 2020. Disruption from the pandemic included the cancellation of our annual Medicine Review Course, Seah Cheng Siang Memorial Lecture and College of Physicians Lecture, as well as our annual College Dinner.

The end of 2020 brought a ray of hope in the form of highly effective COVID-19 vaccines with good safety profile. Singapore has been effective in managing exit from the circuit breaker ending in June, allowing phase 3 to start before year end. While there are new strains of COVID-19 emerging, science has shown its promise in this pandemic. I remain hopeful that Singapore and the World will emerge from the pandemic towards the end of 2021.

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

ABOUT THE COLLEGEThe College of Physicians, Singapore 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. Stone Forest CorpServe Pte Ltd is the Company Secretary and Fiducia LLP is the auditor to the accounts of the College.

Physicians in Singapore are medical specialists in field of Adult Internal Medicine which is distinct from Surgery, Radiology, Anaesthesiology, Obstetrics and Gynecology 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.

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DR DAVID LYE CHIEN BOONPresidentDirector (from 7 May 2011)

DR TERENCE KEE YI SHERN Vice - PresidentDirector (from 31 May 2013)

DR FAITH CHIA LI-ANNHonorary TreasurerDirector (17 May 2019)


DR BOK CHEK WAIHonorary SecretaryDirector (from 23 May 2015)

DR LAU TANG CHINGCouncil MemberDirector (from 27 May 2017)

DR LEE LAI HENGCouncil MemberDirector (from 19 May 2018)

DR NG HENG JOOCouncil Member Director (from 2 June 2016)

DR YEO KHUNG KEONGChairman, Chapter of CardiologistsDirector (from 27 May 2017)

DR CHONG WEI SHENGChairman, Chapter of DermatologistsDirector (from 17 May 2019)

DR KURUMBIAN CHANDRANChairman, Chapter of EndocrinologistsDirector (from 17 May 2019)

DR ANG TIING LEONGChairman, Chapter of GastroenterologistsDirector (from 27 May 2017)

DR NIHAR PANDITChairman, Chapter of General Physicians Director (from 17 May 2019)


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DR TAN THAI LIANChairman, Chapter of GeriatriciansDirector (from 17 May 2019)

DR LEE LAI HENGChairman, Chapter of HaematologistsDirector (from 19 May 2018)

DR ASOK KURUPChairman, Chapter of Infectious Disease PhysiciansDirector (from 17 May 2019)

DR DARREN LIM WAN TECK Chairman, Chapter of Medical OncologistsDirector (from 17 May 2019)

DR RAYMOND SEET CHEE SEONGChairman, Chapter of Neurologists Director (from 17 May 2019)

DR PEH TAN YINGChairman, Chapter of Palliative Medicine Physicians Director (from 30 May 2020)

DR SHERRY YOUNG HSUEH YIChairman, Chapter of Rehabilitation Physicians Director (from 17 May 2019)

DR TITUS LAU WAI LEONGChairman, Chapter of Renal Physicians Director (from 27 May 2017)

DR MANJARI LAHIRIChairman, Chapter of Rheumatologists Director (from 17 May 2019)

DR BERNARD THONG YU HORChairman, Section of Clinical Immunologists and Allergists Non-Director

DR PHUA GHEE CHEEChairman, Chapter of Respiratory Physicians Director (from 27 May 2017)



Past Chairmen, Chapter of Physicians (1966-2004)Past Presidents, College of Physicians (Since 2005)2015 - 2019 Dr Chan Choong Meng 1988 - 1991 Dr Richard Guan2013 - 2015 Dr Tay Jam Chin 1987 - 1988 Dr Oh Min Sen Vernon2011 - 2013 Dr Ng Wei Keong Alan 1986 - 1987 Dr Chee Yam Cheng2009 - 2011 Dr Wong Kok Seng 1985 - 1986 Dr Arthur Tan Teow Hin2007 - 2009 Dr Ng Keng Yeen 1983 - 1985 Dr Tan Yew Oo2001 - 2007 Dr Lim Shih Hui 1982 - 1983 Dr Chia Boon Lock1998 - 2001 Dr Chong Siong Eng Roland 1979 - 1982 Dr Teoh Pek Chuan1997 - 1998 Dr Howe Hwee Siew 1977 - 1979 Dr Feng Pao Hsii1995 - 1997 Dr Ong Kian Chung Benjamin 1975 - 1977 Dr John A Tambyah1994 - 1995 Dr Cheng Jun 1972 - 1975 Dr Wong Poi Kwong1993 - 1994 Dr Tan Wan Cheng 1968 - 1972 Dr Khoo Oon Teik1991 - 1993 Dr Lee Kok Oon 1966 - 1968 Dr Gordon Arthur Ransome

Honorary Fellows2019 Dr Fock Kwong Ming2018 Dr Charles Toh Chai Soon2018 Dr Ong Yong Wan2016 Dr Chee Yam Cheng2016 Dr Ong Yong Yau2015 Dr Oh Min Sen Vernon2015 Dr Woo Keng Thye2005 Dr Chew Chin Hin

ANNUAL GENERAL MEETINGThe 16th Annual General Meeting of the College was held on 30 May 2020 via electronics means due to the COVID-19 pandemic. It was attended by 36 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 MEETINGSThe Council held six meetings in 2020 to conduct the business and affairs of the College. It met on the following dates: 8 January, 25 March, 30 May, 7 July, 2 September and 3 November.

MEMBERSHIPAs at 31 December 2020, the College membership stood at 1,055 comprising 993 Local Fellows, 54 Overseas Fellows, three Associate Members and five Ordinary Members. The College welcomed 24 new members in 2020. The total membership of 1,055 comprises:Cardiologists 140Dermatologists 106Endocrinologists 70Gastroenterologists 91General Physicians 87Geriatricians 71Haematologists 32Infectious Disease Physicians 31Medical Oncologists 74Neurologists 72Palliative Medicine Physicians 44Rehabilitation Physicians 33Renal Physicians 79Respiratory Physicians 82Rheumatologists 65


Professional Opinion RequestsThe College furnished professional opinions and feedback in various areas upon request: TOPICS ORGANISATIONS

Development of Specialty-Specific Consent Taking forms SMC

GP qualifications to administer Vitiligo treatments by GPs MOH

Nomination of representatives for ADHD CPG Review workgroup MOH

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SMC APOC Request on Aesthetic Procedures Course SMC

MOH Fee Benchmark Consultation Sessions MOH

Publicity claims by a non-licensed Aesthetics entity MOH

Expired Pneumovax 23 MOH

List of Aesthetic procedures and TOSP procedures MOH

Using of 0.25mm Micro needling or Derma roller to administer aesthetic treatments MOH

Stakeholder Consultation for Organ Transplant Licensing Requirements MOH


Indications of Prolotherapy MOH

Provision of Esophageal pH Testing and Manometry MOH

Clinical Guidelines on Use of Sedation during Gastrointestinal Endoscopy AMS

Invitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on MRI for low back pain

MOH

Transcranial Magnetic Stimulation (TMS) Therapy MOH

Representatives for Sports Safety Work Group: Preventive Strategies for Physical Activity ActiveSG

Invitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on Asthma

MOH

Skin booster procedure using 1.0mm injection in a beauty salon MOH

Endoscopic procedures - National Claims Rules for MSHL (Endoscopy for the GI system) MOH

Development of Guidelines on Endoscopic Surveillance and Management of Premalignant Upper GI Lesions

AMS

MOH Fee Benchmark Consultation Sessions MOH

Operations of Medical Therapeutic Ultrasound Apparatus MOH

Collaboration on Specialty-Specific Guidance for Telemedicine MOH

Use of Hyperthermia System for Cancer Management MOH

Use of Platelets Rich Plasma to treat knee osteoarthritis MOH

Injection of Glutathione + Vitamin C + Saline Mixture MOH

Dry Needling MOH

Invitation to review and endorse the ACE Clinical Guidance on Chest X-ray ACE

TOPICS ORGANISATIONS

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CPS Young Fellows Committee – Representing the voices of the next generation physiciansWith one quarter of the College members being young Fellows, it is imperative to proactively engage and encourage them to play a role in the development and success of the College. The formation of the CPS Young Fellows Committee provides these members with the platform to foster ideas and be more involved in College activities.

Representing the young Fellows at the College Council meetings, the Committee will be able to work directly with

the Council to address relevant feedback and concerns and recommend timely interventions. The Committee also supports networking and mentorship in the young members’ career development, across different Chapters and institutions from the public and private sectors.

Young Fellows are defined as those who are 40 years and below, or those who are within 5 years of exit examination. The Committee of 11 members is chaired by Dr Natalie Koh and co-chaired by Dr Raghav Sundar.


COVID-19 Webinar: The Singapore ExperienceThe change to DORSCON Level Orange impressed upon us an urgency to keep our Fellows and Members informed of important updates on COVID-19, and to provide some clarity in this ever-dynamic situation through innovative means and alternative sharing platforms. To this end, the Academy worked closely with the Chapter of Infectious Disease Physicians, College of Physicians, Singapore to organise a live webinar on ‘COVID-19: The Singapore Experience (Insights from Infectious Diseases and Public Health Specialists)’ that took place on 29 February 2020.

Screen capture of the ‘COVID-19: The Singapore Experience’ live webinar expert panelists and programme highlights.

The response to this inaugural webinar was overwhelming. It was oversubscribed, with over 800 participants. Our panel of experts delved into topics on Clinical Features, Diagnostics and Management; ICU Management; Infection Control Recommendations in the Hospital; Public Health Imperatives; and Infectious Diseases Perspectives Moving Forward. The webinar concluded with a lively and informative Q&A session. The feedback received from the webinar was also extremely encouraging. Some deemed the utilisation of technology to conduct and attend seminars as being a step forward in CPD and learning. The convenience of using one’s electronic device to attend a seminar was also commended as time saving and made the learning process easier. In response to the overwhelming demand, there was a re-telecast of the recorded webinar on 7 and 11 March 2020.

In view of the popularity of the first webinar, a second one titled, ‘COVID-19: The Singapore Experience (Part II)’ was held on 25 April 2020.

Screen capture of the expert panelists and programme highlights for the second instalment of the ‘COVID-19: The Singapore Experience’ webinar.

Screen capture of the expert panelists during the webinar.Top row (from left to right): Dr Asok Kurup, A/Prof Brenda Ang, Dr Ruth Lim. Bottom row (from left to right): A/Prof Dovid Lye, A/Prof Kenneth Mak, Prof Leo Yee Sin.

Cardiology Webinar SeriesThe Chapter of Cardiologists organized a series of free webinars pertaining to updates on lipid management in CV disease, with the mission of promoting scientific updates and advancing clinical standards and practice in the management of CV disease. The webinar ‘Lipid Management: How Low to Go’ was held on 27 June 2020 while ‘New Therapies in Lipid Management’ was held on 11 July 2020. The Chapter was honoured to have world-renowned cardiologist, Professor Stephen Nicholls, as one of the speakers for the webinar on ‘New Therapies in Lipid Management’, providing the latest insights on ‘What’s New on the Horizon for Lipids’.


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CME webinar poster on ‘Lipid Management: How Low to Go’ featuring the faculty speakers and programme highlights.

CME webinar poster on ‘New Therapies in Lipid Management’ featuring the faculty speakers and programme highlights.

Cardiovascular disease is the leading cause of death locally and globally and is projected to remain so. With this in mind, the Chapter organized a webinar on ‘Heart Attacks & Heart Disease’ on 25 September 2020.

Screen capture of the speakers during the ‘Heart Attacks & Heart Disease’ webinar on 25 September 2020.

CPS Seminar: Thrombotic Complications In COVID-19Held on 3 September 2020 via electronic means, the topics include ‘Clots in ICU and COVID-19’ by Dr Jensen Ng, ‘Stroke and COVID-19’ by A/Prof Raymond Seet, ‘Acute Myocardial Infarction and COVID-19’ by A/Prof Yeo Khung Keong and ‘Preventing Thrombotic Complications in COVID-19’ by A/Prof Lee Lai Heng. It ended with a panel discussion and was attended by about 280 participants.

CPS Seminar poster on ‘Thrombotic Complications in COVID-19’ featuring the faculty speakers and programme highlights.

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Screen capture of the World Thrombosis Day Forum 2020 title slide.

Screen capture of the presenters who are Board members of the Chapter of Haematologists.From left to right: A/Prof Lee Lai Heng, A/Prof Ng Heng Joo, Dr Chee Yen Lin.

Overview of Extracorporeal Shock Wave Therapy (ESWT)The Chapter of Rehabilitation Physicians worked with the Society of Rehabilitation Medicine (Singapore) to co-organise the webinar that was held on 20 November 2020. It was well attended by more than 60 participants. The speaker, A/Prof Benedict Tan Chi-Loong, Head & Senior Consultant, SingHealth Duke-NUS Sport & Medical Centre and Chief Sports and Exercise Medicine, Changi General Hospital, covered the topic of consensus statements recommendations for the use of ESWT in sports and rehabilitation treatments.

Screen capture of A/Prof Benedict Tan delivering his talk during the webinar on overview of ESWT.

World Diabetes Day Webinar: Diabetes ManagementThe Chapter of Endocrinologists organized a World Diabetes Day webinar entitled ‘Diabetes Management’ on 23 October 2020. It comprised of presentations by medical practitioners on various aspects of diabetes management from glucose monitoring, cardiovascular outcomes, and the role of telemedicine.

Ms Sumathi D/O Govindan shared on the ‘Role of Glucose Monitoring in Diabetes Management: A Nurse’s perspective’, while Dr Amanda Lam Yun Rui presented the ‘Role of Telemedicine in Diabetes Care’. Dr Natalie Koh Si Ya covered the topic on ‘SGLT-2 Inhibitors and Cardiovascular

Screen capture of the faculty speakers during the CPS Seminar.Top row (from left to right): A/Prof Raymond Seet, Dr Asok Kurup, Dr Jensen Ng. Bottom row: A/Prof Yeo Khung Keong, A/Prof Lee Lai Heng.

World Thrombosis Day Forum 2020Organised by the Chapter of Haematologists, College of Physicians, Singapore, the World Thrombosis Day was held on 7 November 2020.

It was held online where participants can interact and share their expertise in a virtual networking lounge. There was also a resource centre for participants to download Forum related information and materials.

The highlights were the presentations by three Board members from the Chapter of Haematologists. A/Prof Lee Lai Heng shared about ‘Epidemiology and risk factors for VTE in Asia’, A/Prof Ng Heng Joo presented on ‘VTE prophylaxis in medical and ICU patients’ and Dr Chee Yen Lin provided ‘Updates in treatment of cancer associated thrombosis’. There was also a panel discussion by the three speakers at the end of the presentation. The forum was well attended by more than 270 participants.

Principal Sponsor Major SponsorsOrganized by Supported by

Assess, Prevent & Treat Venous

ThromboembolismYou can reduce the toll of this deadly disorder

by identifying patients who might be at greatest risk

7 Nov2020

2.00 pmto

5.00 pm(UTC +8)

Time Topic

2.00 pm

2.30 pm

2.40 pm

3.10 pm

3.40 pm

4.10 pm

4.40 pm

Registration and Networking

Welcome Address

Epidemiology and Risk Factors for VTE in Asia A/Prof Lee Lai Heng

VTE Prophylaxis in Medical and ICU PatientsA/Prof Ng Heng JooUpdates in Treatment of Cancer Associated ThrombosisDr Chee Yen Lin

Panel DiscussionAll Speakers

Networking and Visiting Resource Centre

Please join us at 2 pm for our virtual networking and download useful materials at our Resource Centre

click here to

Dr Chee Yen LinHead & Senior Consultant,

Dept of Haematology-OncologyNational University Cancer Institute

A/Prof Ng Heng JooHead and Senior Consultant,

Department of Haematology SGH

A/Prof Lee Lai HengOrganising Chair

Senior Consultant, Department of Haematology SGHChairman, Chapter of Haemotologists

World Thrombosis Day Forum 2020 e-poster, featuring the speakers and programme highlights.


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Protection’. The webinar was well attended by more than 190 health care professionals.

Chapter of Endocrinologists, College of Physicians and Academy of Medicine, SingaporeWorld Diabetes Day Webinar

24 OCTOBER 2020SATURDAY

2PM SGT [GMT+8]

2:00 – 2:05pm Welcome and House Rules Dr Kurumbian Chandran

2:05 – 2:25pm Role of Glucose Monitoring in Diabetes Management: A Nurse's perspective Ms Sumathi D/O Govindan

2:25 – 2:45pm Role of Telemedicine in Diabetes Care Dr Amanda Lam Yun Rui

2:45 – 3:05pm SGLT-2 Inhibitors and Cardiovascular Protection Dr Natalie Koh Si Ya

3:05 – 3:20pm Discussion and Q & A Panel

This webinar is accredited CME Programme One (1) Credit /Point.

Dr Kurumbian ChandranHead of Division & Senior Consultant EndocrinologyNg Teng Fong General Hospital

FACULTY SPEAKERS PROGRAMME HIGHLIGHTS

FOR ZOOM REGISTRATION, PLEASE CLICK HERE

Dr Amanda Lam Yun RuiConsultantEndocrinologySingapore General Hospital

Dr Natalie Koh Si YaConsultantCardiologyNational Heart Centre Singapore and Sengkang General Hospital

Ms Sumathi D/O GovindanAdvanced Practice Nurse Nursing AdministrationKhoo Teck Puat Hospital

DIABETES MANAGEMENT

Co-Organisers: Sponsors:

World Diabetes Day webinar poster featuring the faculty speakers and programme highlights.

Feng Pao Hsii Award CeremonyThe Chapter of Rheumatologists conducted the Feng Pao Hsii Award Ceremony via electronic means on 19 September 2020.

The winners for AY 2019/2020 were Kwan Yu Heng from DUKE-NUS Medical School, Samuel Fong En Lei from Lee Kong Chian School of Medicine and Caitlin Ng Hsuen from Yong Loo Lin School of Medicine.

Kwan Yu HengDUKE-NUS Medical School

Samuel Fong En LeiLee Kong Chian School of Medicine

Caitlin Ng HsuenYong Loo Lin School of Medicine

The 3 winners of the Feng Pao Hsii Award. From left to right: Mr Kwan Yu Heng (Duke-NUS Medical School), Mr Samuel Fong En Lei (Lee Kong Chian School of Medicine), Miss Caitlin Ng Hsuen (Yong Loo Lin School of Medicine).

College of Physicians Prize in Internal MedicineEligible to medical students at Duke-NUS Medical School, Yong Loo Lin School of Medicine and Lee Kong Chian School of Medicine, the prize recognises graduating students with

overall outstanding performance and those who exemplify the core values in Internal Medicine. This University-level Award, valued at $1,000 will be disbursed annually to the winners from all 3 schools.

Continuing Professional Development (CPD) BulletinsThe College contributed the following CPD Bulletins with the assistance of its Chapters:

• Renal Medicine • Medical Oncology • Clinical Immunology & Allergy • Gastroenterology • Cardiology • Haematology • Dermatology • Infectious Diseases and COVID-19 articles • Endocrinology • Palliative Medicine


Independent Medical Experts (IME) ReportsThe College provided expert opinions for eight coroner’s cases from the Singapore Police Force for investigation and 20 complaint committee cases from the Singapore Medical Council.

APPRECIATIONThe College wishes to record its appreciation to all our members for their support and efforts rendered in the past year and to the College’s executives for their secretariat support.


PRESIDENT’S MESSAGE2020 is probably not the best year for most people due to the COVID-19 pandemic but on many occasions, it brought out the best in our people and organisations. Thanks to the dedication, passion and ingenuity of some of our Fellows, our College has continued to support our fraternity and has remained relevant even in these difficult times. The series of COVID-19 webinars organised by our College were very well-received and well-attended, including by people from around the world. One of the webinars was attended by more than 1,000 participants which was unprecedented and amazing! Dr Ian Tsou curated a COVID-19 resource page on the College website very early on in the pandemic. This sharing of information was very much appreciated by many, especially by radiologists in many parts of the world as it was useful in helping them prepare for the pandemic. Our College Council even managed to publish a paper on COVID-19 preparedness in the Journal of Clinical Radiology (ably led by Dr Ian Tsou)!

Despite the pandemic, our College continued to strengthen our role in advocacy to shape and influence healthcare policies by providing professional opinions to several Ministry of Health (MOH) enquiries last year. In order to garner a wider and more representative voice, our College formed the Radiology Heads Forum (RHF), comprising Heads of Radiology Departments in all public and key private hospitals, in the early part of 2020. We were planning to meet once every 6 months but circuit breaker measures prevented us from doing so. However, the RHF remained active and pertinent issues from MOH were circulated and discussed online and opinions were collated before responding to MOH. The RHF also provided a platform for the Heads to share information and bounce ideas off each other.

The Chapter of Diagnostic Radiology has been organising the National Residency Didactic programs for Year 1 to 4 for many years now but for the first time in history, the face-to-face teaching had to stop due to COVID-19. Our College swiftly responded by deploying our corporate Zoom account to enable the didactic teaching to continue virtually. Teaching via Zoom was by no means perfect, but it did allow some training to take place. The Chapters of Nuclear Medicine and Radiation Oncology also found the Year 1 didactics useful for their residents and because the lectures were online, we could easily extend the invitation for their residents to join. Similarly, SingHealth Radiological Sciences Academic Clinical Program approached our College to help them organise their Survival Radiology lecture series for medical students via Zoom which we gladly obliged, enabling a record number of local and overseas medical students to attend and benefit from the lecture series.

Another key event for 2020 was the membership drive to encourage all Radiology Residents to join the College and Academy of Medicine, Singapore as Ordinary Members. There were many good reasons to do this but the key impetus was to start their involvement in our professional body early, so that they can have a say and help shape their future.

After months of discussion and deliberation, the decision was finally made to cancel SGCR (Singapore Congress of Radiology) and WIRES (Workshops in Interventional Radiology and Education Singapore) which are the most significant event on our calendar each year. The organizing team has however kept up the publicity and momentum and has continued to organize webinars to keep in touch with the audience.

Despite the pandemic, our College did not forget our public education mission and continued with tradition to organize a public forum. The public forum was on uterine fibroids and was held over Zoom which attracted more participants compared to previous physical public forums!

2021 looks like another challenging year for our College. One of the key items is the formation of the Chapter of Interventional Radiologists which we hope will be the first step towards IR sub-specialty recognition and certification. Be assured that our College will strive to uphold the interests of our profession even in these difficult times.

COLLEGE OF RADIOLOGISTS, SINGAPORE

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ABOUT THE COLLEGEThe College of Radiologists Singapore was incorporated under the Companies Act (Cap 50), on and from 17 August 2004 and that the company is a Public Company Limited By Guarantee. The College is registered and domiciled in Singapore with its registered office and primary place of business at 81 Kim Keat Road, #11-00 and #12-00, NKF Centre, Singapore 328836.

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

Stone Forest CorpServe Pte Ltd was engaged as the Company Secretary to provide corporate secretarial services to the College. Fiducia LLP was re-appointed as the auditors for the accounts of the College. As at 31 December 2020, the College does not employ any staff. The staff supporting the College’s work is employed by the Academy of Medicine, Singapore.


The vision of the College is to provide leadership in training, education, advocacy, patient safety and professional guidance in the field of radiology practice, nuclear medicine, radiation oncology and other radiology sub-specialties in Singapore and the region. While the mission is to promote and maintain the highest professional and ethical standards in diagnostic and interventional radiology, nuclear medicine and radiation oncology and their sub-specialties.

The principal activities of the College are to advance the art and science of radiology and nuclear medicine and its sub-specialties, promote study and research into medical and scientific problems, to sustain and foster postgraduate education and conduct higher professional examinations and to award diplomas.

DR TAY KIANG HIONGPresident Director (since 7 May 2011)

DR TAN BIEN PENG President-ElectDirector (since 14 May 2016)

DR ANDREW TANVice-PresidentDirector (since 14 May 2016)

DR HUANG HIAN LIANGHonorary SecretaryDirector (since 12 May 2018)

DR STEVEN WONGHonorary TreasurerDirector (since 12 May 2018)

DR PUA UEICouncil MemberDirector (since 16 May 2020)

DR CHARLENE LIEWChairman, Chapter of Diagnostic RadiologistsDirector (since 25 May 2019)

DR KELVIN LOKEChairman, Chapter of Nuclear Medicine PhysiciansDirector (since 20 May 2017)

DR CHOO BOK AIChairman, Chapter of Radiation OncologistsDirector (since 25 May 2019)

DR CHOU HONGCo-opted Member

DR LENITH CHENGCo-opted Member

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SPECIALTY CHAPTERSIn accordance to the Constitution of the College of Radiologists, Singapore, the specialty chapters are to serve a two-year term. The Committee Members of the three Chapters of the College (2019 – 2021) are as follows:

CHAPTER OF DIAGNOSTIC RADIOLOGISTSChairman Dr Charlene LiewVice-Chairman Dr Luke TohSecretary Dr Chou HongCommittee Members Dr Ankit Tandon

Dr Lester LeongDr Lim Chee YeongDr Mohd Taufik

CHAPTER OF RADIATION ONCOLOGISTSChairman Dr Choo Bok AiVice-Chairman Dr Kiattisa SommatSecretary Dr Francis HoCommittee Members Dr Shaun Ho

Dr Jeremy Tey

CHAPTER OF NUCLEAR MEDICINE PHYSICIANSChairman Dr Kelvin LokeVice-Chairman Dr Winnie Lam Wing ChuenHonorary Secretary Dr Lu Suat JinCommittee Members Dr Aaron Tong

Dr Khor Lih Kin


The Constitution of the College of Radiologists, Singapore does not provide for its Annual General Meeting (AGM) to be conducted by electronic means. In view of the current COVID-19 situation where a physical meeting is not possible and with the provision provided in Part 4 of the Bill (Temporary Measures for the Conduct of Meetings), the 16th Annual General Meeting was held by electronic means on 16 May 2020. It was attended by 29 Fellows.

COUNCIL MEETINGS ATTENDANCEThe Council held six meetings in 2020 to conduct the business and affairs of the College. It had met on the following dates: 29 January, 16 March, 30 April, 20 July, 14 September and 17 November.


NAME DESIGNATION ATTENDANCEDr Tay Kiang Hiong President 6

Dr Ian Tsou* Immediate Past President 4

Dr Tan Bien Peng President Elect 3

Dr Andrew Tan Vice President 6

Dr Raymond Quah Honorary Secretary (2019-2020 Council) 3

Dr Huang Hian Liang Honorary Secretary (2020-2021 Council) 3

Dr Chou Hong* Honorary Treasurer (2019-2020 Council) 2

Dr Steven Wong Honorary Treasurer (2020-2021 Council) 3

Dr Huang Hian Liang*** Council Member (2019-2020 Council) 1

Dr Steven Wong Council Member (2019-2020 Council) 3

Dr Tan Bien Peng Council Member (2019-2020 Council) 2

Dr Pua Uei** Council Member (2020-2021 Council) 2

Dr Charlene Liew Chairman, Chapter of Diagnostic Radiologists 6

Dr Kelvin Loke Chairman, Chapter of Nuclear Medicine Physicians 6

Dr Choo Bok Ai Chairman, Chapter of Radiation Oncologists 6

Dr Daniel Tan* Co-Opted Member (2019-2020 Council) 2

Dr Chou Hong** Co-Opted Member (2020-2021 Council) 3

Dr Lenith Cheng**** Co-Opted Member 1*Retired on 16 May 2020**Joined on 16 May 2020*** Returned from HMDP in March 2020**** Joined on 14 September 2020

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MEMBERSHIPAs at 31 December 2020, the College membership stood at 214, comprising of 177 Local Fellows, 11 Overseas Fellows and 26 Ordinary Members.

In addition, College under the auspices of the Academy has been organising the National Didactic Programs for our nation’s Diagnostic Radiology Residency programs since 2011, and at no cost to Residents or their Sponsoring Institutions. In these past 9 years, College has continued to refine and improve the quality and relevance of the National Didactic Programs. Significant resources are needed to organise these programs and they are borne by the College as well as the goodwill of many radiologists in our fraternity. Thus, the College has also proposed for all Residents to join the Academy or College as Ordinary Members.

Other important reasons include involving our residents in the professional body at an early stage so that they can have a say and help shape their future. To remain relevant and representative of our profession, the College needs a strong membership, so we hope that Resident members will sign up to be College Fellows when they exit residency training in future. To-date, we have received at least 26 Residents joining as Ordinary Members. Breakdown of Fellows by specialties:

• Diagnostic Radiologists: 140 Fellows • Nuclear Medicine Physicians: 20 Fellows • Radiation Oncologists: 28 Fellows

The following was admitted as Fellow of the Academy of Medicine, Singapore (FAMS) and welcomed into the College:

• Dr Ooi Su Kai Gideon

The following were admitted as Ordinary Members of the Academy of Medicine, Singapore (CRS):

• Dr Chong Jingli • Dr Ge Shuliang • Dr Gu Tianyu Gary • Dr Guo Shuyi • Dr Loy Liang Meng • Dr Sim Zheng Ting Jordan • Dr Tan Timothy Shao Ern • Dr Tan Jia Wei • Dr Tay Victoria Kai Lin • Dr Wen Jinhang • Dr Ong Yan Zhi • Dr Tan Eelin • Dr Sing Wei Heng Benjamin • Dr Khalid Md Tauseef • Dr Khaw Mun Sze • Dr Lee Yan Ying Nicola • Dr Lim Zhan Ye • Dr Tang Si Zhao • Dr Teh Jing Wen Daniel • Dr Zhang Han


Professional Opinion Requests The College provided professional opinions on various topics requested by external parties. The professional opinions are listed below:

TOPICS ORGANISATIONS


Invitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on MRI for low back pain MOH

Ultrasound Guided Breast Procedure MOH

Use of Hyperthermia System for Cancer Management MOH

Invitation to review and endorse the ACE Clinical Guidance on Chest X-ray ACE


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COVID-19 Resource Website for Radiology and ImagingThe College developed a resource page in our College website with the great assistance of Dr Ian Tsou, to keep Fellows and Members updated on publications and webinars related to the pandemic.

NO DESCRIPTIONRADIOLOGICAL FEATURES OF COVID-191 CXR & CT Thorax Images of COVID-19 from Singapore2 An Overview of COVID-19, with Emphasis on Radiological Features3 CT scans obtained for Non-Pulmonary Indications: Associated Respiratory Findings of COVID-194 Surprise Diagnosis of COVID-19 following Neuro-Imaging Evaluation for unrelated reasons during the pandemic in

hot spots5 Proposal for international standardization of the use of lung ultrasound for patients with COVID-19. A Simple,

Quantitative, Reproducible Method.6 The Continuing Evolution of COVID-19 Imaging Pathways in the UK: A British Society of Thoracic Imaging Expert

Reference Group Update7 Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings related to

COVID-198.1 Chest CT findings in CORONAVIRUS DISEASE-19 (COVID-19): Relationship to duration of infection8.2 Imaging Profile of the COVID-19 Infection: Radiologic Findings and Literature Review8.3 Clinical Features of patients infected with 2019 Novel Coronavirus in Wuhan, China8.4 COVID-19 in Singapore—Current Experience Critical Global Issues that require attention and action8.5 CT Imaging features of 2019 Novel Coronavirus (2019-NCOV)8.6 Clinical Characteristics of 138 hospitalized patients with 2019 Novel Coronavirus-Infected Pneumonia in Wuhan,

China8.7 Time Course of Lung Changes on Chest CT during recovery from 2019 Novel Coronavirus (COVID-19) Pneumonia8.8 Chest Imaging Appearance of COVID-19 Infection8.9 COVID-19 infection presenting with CT halo sign

MANAGEMENT AND RECONFIGURATION OF RADIOLOGY DEPARTMENTS AND IMAGING CENTRES1 Diagnostic Ultrasound services during the Coronavirus Disease (COVID-19) Pandemic2 Variables influencing radiology volume recovery during the next phase of the COVID-19 Pandemic3 ACR Statement on Safe Resumption of Routine Radiology Care During the Coronavirus Disease 2019 (COVID-19)

Pandemic4 Rescheduling Nonurgent Care in Radiology: Implementation During the Coronavirus Disease 2019 (COVID-19)

Pandemic5 COVID-19 –Nuclear Medicine Departments, be prepared!6 Managing the COVID-19 Pandemic as a National Radiation Oncology Centre in Singapore7 Interventional Radiology Procedures for COVID-19 Patients: How we Do it8 Radiology Preparedness in the Ongoing Battle against COVID-19: Experiences from Large to Small Public Hospitals

in Singapore9 Adapting to a new normal? 5 key operational principles for a radiology service facing the COVID-19 pandemic10 Preparing IR for COVID-19: The Singapore Experience11 Facing a disruptive threat: how can a nuclear medicine service be prepared for the coronavirus outbreak 2020?12 Planning and coordination of the radiological response to the coronavirus disease 2019 (COVID-19) pandemic: the

Singapore experience13 Operational Strategies to Prevent Coronavirus Disease 2019 (COVID-19) Spread in Radiology: Experience from a

Singapore Radiology Department After Severe Acute Respiratory Syndrome14 Dealing with COVID-19: Initial Perspectives of a small Radiology department15 Navigating the challenges of the COVID-19 outbreak: Perspectives from

the radiation oncology service in Singapore16 Response to COVID-19 in Breast Imaging17 Early experience in the COVID-19 pandemic from a vascular surgery unit in a Singapore Tertiary Hospital18 The Impact of COVID-19 on Radiology Trainees19 Radiology Department Preparedness for COVID-19: Radiology Scientific Expert Review Panel20 Old Threat, New Enemy: Is Your Interventional Radiology Service Ready for the Coronavirus Disease 2019?

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21 The Battle Against Coronavirus Disease 2019 (COVID-19): Emergency Management and Infection Control in a Radiology Department

22 Déjà Vu or Jamais Vu? How the Severe Acute Respiratory Syndrome Experience Influenced a Singapore Radiology Department’s Response to the Coronavirus Disease (COVID-19) Epidemic

23 Is Your Interventional Radiology Service Ready for SARS? The Singapore Experience24 Severe Acute Respiratory Syndrome: Management and Reconfiguration of a Radiology Department in an Infectious

Disease Situation25 Hiding in the Bunker: Challenges for a radiation oncology department operating in the Severe Acute Respiratory

Syndrome outbreak26 Workflow changes in Nuclear Medicine during COVID-1927 Summary of segregation & re-configuration of radiology departments and imaging centres during COVID-1928 Guide to preparing the Radiology Department for COVID-19 patients

EDUCATIONAL WEBINARS AND VIDEOS ON COVID-191 Webinar on “RSNA: Radiology Surge and Second Surge Preparedness Part 2”2 Webinar on “RSNA: Radiology Surge and Second Surge Preparedness Part 1”3 Webinar on “RSNA: The Impact of COVID-19 on Radiology Residents and Resident Education”4 Webinar on “Rising to the Challenges of COVID-19 Pandemic in Asia (Part 2): Role of Ultrasound and Chest

Radiography in COVID-19”5 Webinar on “Rising to the Challenges of COVID-19 Pandemic in Asia: Role of Diagnostic Imaging in COVID-19 Crisis”6 Webinar on “Radiation Oncology Perspectives on COVID-19”7 Webinar on “Diagnostic Radiology and COVID-19”8 Webinar on “is your Interventional Radiology Service ready for COVID-19”9 Webinar on “CRS/SRS Neuroradiology Section Webinar: Neuroradiology Issues in COVID-19”10 COVID-19 Pandemic: Guidance for Nuclear Medicine Departments

PERSONAL PROTECTION AND INFECTION CONTROL MEASURES1 Recommended use of personal protective equipment in DORSCON Yellow and Orange2 Environmental Cleaning Guidelines for COVID-19 exposure3 Infection Control Measures for COVID-19 Exposure

UPDATES OF CASE DEFINITIONS, CIRCULARS AND PROTOCOLS1 Reminder to all healthcare institutions and healthcare workers on safe distancing measures and the deferment of

non-essential services during COVID-19 circuit breaker period2 Coronavirus (COVID-19): Information Technology Requirements for homeworking

• Interim Guidance to enable Remote Reporting during the COVID-19 Pandemic • Guidance on using a Virtual Desktop Connection for home reporting during COVID-19

3 Advice on remote workstation monitors during the COVID-19 pandemic4 Viral pneumonia of unknown cause in Wuhan City, China5 Management of suspected pneumonia patient and infection control measures for X-Ray laboratories6 Suspect case definition for Coronavirus Disease 2019 (COVID-19)

PERSONAL ANECDOTES FROM THE FRONTLINE, REPORTING ROOM AND PROCEDURE SUITE1 Together/Apart during COVID-19: Inclusion in the Time of Social Distancing2 Coronavirus Disease 2019 (COVID-19) and Beyond: Micropractices for Burnout Prevention and Emotional Wellness3 Reflections on COVID-19

• Dr Chew Yi Cong • Dr How Guo Yuan • Dr Tricia Kuah Zhi Ling • CGH

National Didactic Lecture Series Residency Program for R1-R4Due to Circuit Breaker measures, physical face-to-face lectures were not allowed. Our College responded swiftly and organised the National Didactic Lecture Series virtually with the use of the Academy’s corporate Zoom account as well as the deployment of Academy or College staff. These Lecture Series were organised by the Chapter of Diagnostic Radiologists.

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NO DESCRIPTIONMANAGEMENT AND RECONFIGURATION OF RADIOLOGY DEPARTMENTS AND IMAGING CENTRES


Part 1Course Leader: Dr Chou Hong

DATE TEACHERS TOPICS6 January Mr S Somanesan NM P1: Radionuclides and their production

NM P2: Gamma Camera; SPECT20 January Mr S Somanesan NM P4: Principles of PET imaging

NM P5: Safety issues in Radionuclide imaging3 February Mr S Somanesan

Mr Kwok Yew MunFRCR P1 MCQ warm-up quiz

10 February Prof Thng Choon Hua MRI P1MRI P2

17 February Prof Thng Choon Hua MRI P3MRI P4

24 February Dr Gervais Wansaicheong Ultrasound P1: Introductory physicsUltrasound P2: Ultrasound imagingUltrasound P3: Advanced topics in US imaging

6 July Dr Chea Yen Wei Cardio-thoracic & Vascular13 July Dr Lynette Teo Body Imaging (GI, HBS, Male GU and male pelvis)20 July Dr Chong Le Roy Musculoskeletal27 July Dr Lee Yeong Shyan Breast Imaging3 August Dr Thida Win Female Pelvis31 August Dr Yu Wai Yung CNS7 September Dr Niraj Dubey Emergency Limb and Joint trauma21 September Dr Harvey Teo Normal Development and Variants of the Musculoskeletal

System in Children28 September Dr PC Mohan Emergency Spine Trauma12 October Dr Gregory Kaw Emergency CT Chest26 October Dr Ting Yonghan

Dr Charles GohRapid Sets

2 November Dr Tchoyoson Lim Emergency CT Brain16 November Dr Yeong Kuan Yuen Emergency Chest Radiographs23 November Mr Kwok Yew Mun Ionizing Radiation (IR) P1: Interactions of X-rays with matter

Digital Radiology (DR) P1: Computers and PACSDR P2: Digital Detectors

30 November Mr Chia Koon Liang IR P2: Radiation dose and protectionIR P3: Imaging with X-rays and Film screen radiography

7 December Mr Chia Koon Liang IR P4: FluoroscopyDR P3: Computed Tomography

14 December Dr Gervais Wansaicheong Ultrasound P1: Introductory physicsUltrasound P2: Ultrasound imagingUltrasound P3: Advanced topics in US imaging

21 December Dr Andrew Tan Emergency CT Abdomen

Part 2ACourse Leader: Dr Winston Lim

DATE TEACHERS TOPICS8 January Dr Charles Goh Xian-Yang PETCT in gynaecological cancers

Dr Wong Su Lin, Jill Breast imaging 1: Screening and biopsy methods15 January Dr Lo Hoau Gong, Richard Urinary tract and adrenals22 January Dr Purohit Bela Satish Inflammation and Infections

Dr Samuel Ng Basic trauma, ischaemia and degenerative disease29 January Dr Parag Ratnakar Salkade 1. Orbit

2. Sinus5 February Dr Chan Ling Ling Brain tumours

A/Prof Winston Lim Spine and spinal cord12 February Dr Thian Yee Liang Imaging of small bowel

Dr Yeong Kuan Yuen Oesophagus and stomach

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DATE TEACHERS TOPICS19 February Dr Tan Tiong Yong 1. Essentials of ENT Imaging

2. Central skull base and temporal bone26 February Dr Leong Sum Abdominal interventional radiology10 June Dr Angeline Poh Choo Choo Imaging of pulmonary infections including TB17 June Dr Sumer Shikare Imaging of the critically ill

Dr Uppaluri Anandswaroop Occupational lung disease24 June Dr Lynette Teo 1. Congenital heart disease

2. Acquired valvular heart disease1 July Dr Charlene Liew The mediastinum

Dr Angeline Poh Lung Nodule Detection8 July Dr Low Choon Seng, Shoen Adrian Ischaemic heart disease

Dr K Gunasegaran Echocardiography and coronary angiography15 July Dr Suresh Balasubramanian Pulmonary thromboembolism and pulmonary hypertension

Dr Ashish Chawla Airway disease22 July Dr Kaw Jon Leng, Gregory The chest wall, pleura and diaphragm

Dr Wong En Shen, Daniel Arterial disease (excluding aorta): diagnosis and intervention5 August Dr Farah Gillan Irani The aorta: diagnosis and intervention

Dr Narayan Lath Cardiomyopathies, cardiac tumours and pericardium12 August Dr Zhuang Kun Da Interventional techniques in the thorax

Dr Ankur Patel Venous disease: diagnosis and intervention19 August Dr Tham Wei Ping Diffuse pulmonary disease

Dr Haja Mohideen Salahudeen Mohamed Pulmonary neoplasm and lung cancer staging2 September Dr Tang Phua Hwee Disorders of brain development and Phakomatoses

Birth trauma/ asphyxia, congenital infection9 September A/Prof Marielle Valerie Fortier Paediatric gastrointestinal

Paediatric urogenital16 September A/Prof Teo Eu-Leong Harvey James Imaging of Child abuse

Dr Shabana Rasheed Paediatric musculoskeletal23 September Dr Chou Hong Overview of imaging techniques in musculoskeletal radiology

Dr Niraj Dubey Lower extremity trauma30 September Dr Png Meng Ai Metabolic bone diseases

Dr Chandra Mohan Interventional techniques in musculoskeletal radiology7 October Dr Koh Wan Lin Internal derangements of lower limb joints

Dr Ian Tsou Internal derangements of upper limb joints14 October Dr Tang Phua Hwee Paediatric Chest

Paediatric Oncology21 October A/Prof Chee Swee Guan, Thomas Bone Infection

Dr Leong Ying Xin, Candice Arthritides28 October Dr Andrew Tan EH Scintigraphic applications in musculoskeletal radiology

Dr Kenneth Sheah Upper extremity trauma4 November Dr Louise Gartner Musculoskeletal tumors

Dr David Sia Musculoskeletal soft tissue infection11 November Dr Yeong Kuan Yuen Oesophagus and stomach18 November Dr Lee Chau Hung Radiology of trauma and acute abdomen

Dr Low Hsien Min Peritoneal spaces 25 November Dr Ho Teng Swan, Juliana Spleen and lymphoma

Dr Kwek Jin Wei Bile ducts and gallbladder2 December Dr Ho Chia Ming Colon and Anorectum

Dr Albert Low Su Chong Pancreas9 December Dr Cheng Tim-Ee Lionel Liver

Dr Leong Sum Abdominal interventional radiology16 December Dr Law Yan Mee Prostate cancer imaging

Dr Wong Su Lin, Jill Breast imaging 1: Screening and biopsy methods

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Part 2B/3Course Leader: Dr David Sia

DATE TEACHERS TOPICS9 January Dr Ng Chee Hui

Dr Gupta Achint

VIVA

16 January Dr Lee Chau HungDr Huang Kuang Hsin, Ivan

23 January Dr Wang Shao Ren @ Ong Shao JinDr Jeevesh Kapur

30 January Dr Kwek Jin WeiDr Chan Wan Ying

6 February Dr Lai Yusheng KeefeDr Wong Siew Kune

13 February Dr Gabriel Chan (Zeng Jun Yi)Dr Ting Yonghan

20 February Dr Cheng Lizhen, Amanda JoanneDr Loi Hoi Yin

27 February Dr Chng Soke MiangDr Saravana Kumar Swaminathan

9 July Dr Leong Chee Hao LesterDr Robert Chen Dr Andrew MakmurDr Ang Wei Liang Bertrand

16 July Dr Loke Siu ChengDr Justin KwanDr Goh Yong Geng

23 July Dr Wong Ying Mei Dr Cheng Tai Jit Lenith

30 July Dr Parag Ratnakar SalkadeDr Uppaluri Srinivas Anandswaroop Dr Ong Ching ChingDr Thian Yee Liang

6 August Dr Angeline Poh Dr Ram Pratab JeyaratnamDr Sia Soon Yiew DavidDr Koh Huiliang

13 August Dr Leong Ying Xin CandiceDr Kwok Ying ChristineDr Eide Sterling EllisDr Louise Elizabeth Gartner

20 August Dr Tang Phua HweeDr Thida WinDr Teo Yi-Ming Dr Teo Li San Lynette

27 August Dr Kwek Jin Wei Dr James Thomas Patrick Decourcy HallinanDr Lim Mei Chin

3 September Dr Ho Chi Long Dr Shawn Kok Dr Low Ying LiangDr Wang Shao Ren @ Ong Shao Jin

10 September Dr Arun Thomas Dr Karandikar Amit AnandDr Premilla PillayDr Faimee Erwan Bin Muhamat Nor

17 September Dr Adrian Shoen Low Choon SengDr Ankur Patel Dr Siew Poh Yiew EdwinDr Chua Yuru Wynne

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24 September Dr Shabana Rasheed Dr Mok Wing Yan Dr Jeevesh KapurDr Ng Jin Keat Sheldon

VIVA

1 October Dr Chng Soke MiangDr Yu Wai YungDr Lee King-Tak Joseph

8 October Dr Tandon Ankit AnilDr Huang Kuang Hsin, IvanDr Tan Ai PengDr Loi Hoi Yin

15 October Dr Joe FrancisDr Yong Yan Rong Dr Cheng Lizhen, Amanda JoanneDr Yong Hsiang Rong Clement

22 October Dr Karande Gita YashwantraoDr Mark Tan BangweiDr Arvind Kumar SinhaDr Yee Yong Chen

3 December Dr Sumeet Kumar10 December Dr Chan Wan Ying17 December Dr Li Junsiyuan

Dr Cheong Wei Kiong

Part 4Course Leader: Dr Ankit Tandon

DATE TEACHERS TOPICS14 January Dr Ivan Huang Interventional radiology procedures - indications, contraindications and

embolization materials28 January Dr Lorna Fan Imaging of small bowel diseases

Dr Saurav Gupta Role of radiologists in diagnosis and management of Interstitial Lung diseases

11 February Dr Tang Phua Hwee Tips regarding communication with the biostatistician (Non interpretive skills)Dr Ankit Tandon Imaging of Arthritis: Algorithmic approach

25 February Dr Andrew Tan Gee Seng Quality in Radiology (Non interpretive skills)Dr Sindhu John CNS infections

10 March Dr Chou Hong Radiologic Diagnosis & Management of Bone TumorsDr Ian Tsou Radiology reports: How to add value?

24 March Dr Pua Uei Diagnosis, Management & Post Treatment Assessment of Hepatocellular Carcinoma

Dr Tan Bien Soo Radiology with heart: volunteerism in radiology (Non interpretive skills)14 April Dr Winston Lim Brain trauma and stroke - what the radiologist need to know?

Dr Ankur Patel Vascular entrapment syndromes and vasculitis syndromes28 April Dr Wynne Chua Approach to adnexal masses

Dr Sundeep Punamiya Acute Aortic Syndrome12 May Dr Steven Wong MSK soft tissue tumours and tumour like lesions

Value-based imaging (Non interpretive skills)26 May Dr Yu Wai-Yung Inflammatory white matter disease2 June Dr Niketa Chotai Breast MRI guidelines

Dr Angeline Poh Healthcare systems and challenges (Non interpretive skills)16 June Dr Tchoyoson Lim Orientation of R4 trainees transiting to R5

Dr Sumeet Kumar Brain Tumours - Diagnostic strategy7 July Dr Luke Toh 1. Ethics & Professionalism (Part 1)

2. Case studies in radiology (Non interpretive skills)Dr Tang Phua Hwee Imaging of common Pediatric Intracranial Pathologies

DATE TEACHERS TOPICS

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DATE TEACHERS TOPICS21 July Dr Tan Tiong Yong My Life as an academic and public sector radiologist (Non interpretive skills)

Dr Joe Francis Imaging of osteomyelitis and musculoskeletal soft tissue infections: Current concepts

4 August Dr Luke Toh 1. Informed consent (Non interpretive skills) Professionalism (Part 2)2. Professionalism (Part 2)

Dr Teoh Wey Chyi Characterization of focal hepatic (excluding HCC) and splenic lesions18 August Ms Kuah Boon Theng

Dr Tan Bien SooMedicolegal Issues in Radiology: How to stay out of trouble while providing high quality care (Non interpretive skills)

Dr Narayan Lath Cardiac MRI Imaging of Ischemic Heart Disease and Non ischemic cardiomyopathies

15 September Dr Charlene Liew Applied Artificial Intelligence 101 for ResidentsDr Lester Leong Breast - Imaging Approaches to Diagnosis and Management of Common

Ductal Abnormalities29 September Dr Angeline Poh

Dr Lynette TeoHealthcare systems and challenges (Non interpretive skills)

13 October Dr Charlene Liew Professionalism: Focus on digital professionalism, social media and professional networking sites (Non interpretive skills)

Dr Lee Chau Hung Practical approach to solid and cystic lesions of kidney27 October Dr Lynette Teo How to apply for IRB and medical ethics (Non interpretive skills)

Dr Clement Yong Neck spaces and associated conditions3 November Dr Xie WanYing Radionuclide Scanning: Identification of radio-pharmaceutical and

appearance of pathologyDr Pushan Cardiac MIBI scan and Nuclear Cardiology

24 November Dr Gervais Wansaicheong Communication and teamwork (Non interpretive skills)Dr Chou Hong Radiologic Diagnosis & Management of Bone Tumors

8 December Dr Angeline PohDr Andrew Tan

Machine Learning, Big Data and RIS/PACS: What a Radiologist needs to know (Non-Interpretive skills)

Dr Ivan Huang Interventional radiology procedures - indications, contraindications and embolization materials

College of Radiologists, Singapore (CRS) Radiology Heads Forum (RHF)The College organised a Radiology Heads Forum on 9 January at the Jade Palace Seafood Restaurant. It was attended by College Council, heads of Radiology Departments in all public hospitals and specialty centres as well as major private hospitals.

The objectives of RHF are as follows:1. To garner wider and more representative opinions from

radiology departments of all public and key private hospital for key MOH enquiries/consultations

2. Share information and best practices 3. Share lessons learned from adverse events4. Bounce ideas or queries off each other5. Support group 6. Platform to engage our radiology community for College

initiativesa. dissemination of informationb. nominate volunteers

Attendees of the Radiology Heads Forum, held on 9 January at the Jade Palace Seafood Restaurant.

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Diagnostic Radiology Certifying Exam Gold Medal 2020The Diagnostic Radiology Certifying Exam Gold Medal 2020 is awarded to Dr Kabilan Chokkappan who has been nominated for the best performing, based on the Diagnostic Radiology Exit Interview and MCQ Examination results. The awarding of the gold medal will take place at the upcoming Singapore Congress of Radiology (SGCR) in August 2021.

This award is in line with the College’s participation in the training and professional development of our young radiologists. It is to give due recognition and encourage candidates who had excelled in their examination.

Webinars on COVID-19

IS YOUR INTERVENTIONAL RADIOLOGY SERVICE READY FOR COVID-19?

Date & Time 21 March, 3 – 4.30pm

Number of attendees

311

Topics & Speakers Introduction and brief overview of measures for COVID-19A/Prof Tay Kiang Hiong

IR during COVID-19: Operations and workflows Dr Too Chow Wei

IR during COVID-19: Perspectives from a small to mid sized IR practice Dr Farah Irani

Experience from National Centre for Infectious DiseasesDr Sundeep Punamiya

Chairperson Dr Andrew Tan G.S.

DIAGNOSTIC RADIOLOGY AND COVID-19

Date & Time 8 April, 7 – 8.30pm

Number of attendees 516

Topics & Speakers Imaging findings of COVID-19Dr Charlene Liew

Operational Considerations for a radiology department during the COVID-19 pandemic Dr Lionel Cheng

COVID-19 and Radiology – The Daegu experience Dr Kim Young Hwan

COVID-19: The Hong Kong ExperienceDr Johnny Ma

Chairperson A/Prof Tay Kiang Hiong

RADIATION ONCOLOGY PERSPECTIVE ON COVID-19

Date & Time 15 April, 7 – 8.30pm


Topics & Speakers Operation Consideration of Radiation Oncology DepartmentDr Timothy CheoDr Tho Lye MunDr Keen Hun TaiDr Cheng Boon

Fractionation StrategyDr Kiattisa SommatDr Shaun Ho

Remote Contouring and Planning Dr Choo Bok AiMr Mark Jones

Moderator Dr Francis Ho

Chairperson Dr Choo Bok Ai

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RISING TO THE CHALLENGES OF COVID-19 PANDEMIC IN ASIA: ROLE OF DIAGNOSTIC IMAGING IN COVID-19 CRISIS

Date & Time 18 April, 3 – 5pm

Number of attendees 1,097

Topics & Speakers Frontline and clinical sharing for COVID-19 in CHINAProf Song Bin

Frontline and clinical sharing for COVID-19 in KOREADr Yoon Soon Ho

Clinical Radiology for COVID-19 in Singapore Dr Ian Tsou

Moderator A/Prof Tay Kiang Hiong and Dr Andrew Tan E.H.


RISING TO THE CHALLENGES OF COVID-19 PANDEMIC IN ASIA (PART 2): ROLE OF ULTRASOUND AND CHEST RADIOGRAPHY IN COVID-19

Date & Time 2 May, 3 – 5pm


Topics & Speakers COVID-19 Imaging in the A&E setting: Experience from KoreaProf Ha Young Rock

COVID-19 imaging in the ICU setting: Experience from ChinaProf Wang Xiao Ting

Clinical value of Chest Radiography in COVID-19 A/Prof Tan Cher Heng

Moderator Dr Andrew Tan G.S. and A/Prof Tan Cher Heng


CT IMAGING AND AI IN COVID-19

Date & Time 13 June, 1.30 – 3pm


Topics & Speakers Role of CT in the Acute Setting of COVID-19Dr Savvas Nicolaou

AI Assisted CT as a Problem-solving Tool in Managing COVID 19 Patients & Predicting OutcomesDr William Parker

An AI Tool to Predict Severe Pneumonia Outcomes from Chest RadiographsDr Charlene Liew


Survival Radiology 2020: Pandemic Edition‘Survival Radiology’ is an annual full-day resident-led interactive case-based lecture series organised by the SingHealth Radiological Sciences Academic Clinical Programme (RADSC ACP) for local final-year medical students to prepare them for their final examinations and their House Officer year. Through collaboration with the College, we were able bring the 6th Edition of our highly-rated course online as a webinar series over two weekends during the Circuit Breaker period, reaching a record-breaking audience of more than 650 local and international medical students. Despite limitations in resources faced during the pandemic, we were heartened to receive overwhelmingly positive feedback on this joint-effort and we look forward to continuing the online webinar format in the coming year.

SESSION 1Date & Time 31 May, 2 – 3pm Topic & Speaker Lines and Tubes

Dr Mark WangCourse Directors Dr Sonia Lee and Dr David WenCourse Advisors Dr Lionel Cheng, Dr Vora Bimal and Dr Jyothirmayi

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SESSION 2Date 6 June, 2 – 5.30pmTopics & Speakers Neuro Imaging (Brain)

Dr Kee Tze PheiNeuro Imaging (Spine)Dr Tan Ze HaoBody Imaging (Chest)Dr Steve Wong

Course Directors Dr Sonia Lee and Dr David WenCourse Advisors Dr Lionel Cheng, Dr Vora Bimal and Dr Jyothirmayi

SESSION 3Date & Time 7 June, 2 – 5.30pmTopics & Speakers Body Imaging (Abdomen)

Dr Chua Wei MingMSK Imaging (Spine)Dr Mindy ChoongMSK Imaging (Limbs)Dr Tan Min-On

Course Directors Dr Sonia Lee and Dr David WenCourse Advisors Dr Lionel Cheng, Dr Vora Bimal and Dr Jyothirmayi

New Residents Welcome ProgrammeSESSION 1Date 18 July, 2 – 5.30pm Topics & Speakers Welcome and introduction to CRS and SRS

A/Prof Tay Kiang Hiong (CRS President)Dr Tan Cher Heng (SRS Vice-President)Roles and Responsibility of a Radiology ResidentDr Nicole Wee (NHG chief resident)Culture of Self-learning, Peer Support and Resources for the Radiology Resident Resources Dr Choo Yun Song (NUHS chief resident)ACGME milestones, EPA, assessment methods and Exit Requirements Dr Andrew Tan G.S. (RAC Chair)

Diagnostic Radiology Diadetic Programmes: What’s current and in storeDr Lim Chee Yeong (CRS Educational Committee)

Academic Radiology as a CareerDr Zhuang KundaDr Goh Yong Geng

Chairperson Dr Teoh Wey Chyi

SESSION 2Date & Time 25 July, 2 – 5.15pm Topics & Speakers Session 1: MBTI

• Didactic on the MBTI applications • Break out session 1: MBTI discussions • End of break out session 1: Sharing among groups • Facilitator Summary • Roles and Responsibility of a Radiology Resident

Session 2: Thomas-Kilmann – Conflict management session • Didactic on 5 Thomas-Kilmann conflict modes • Break out session 2: Thomas-Kilmann • End of break out session 2: sharing among groups • Facilitator Summary

Session 3: Dimensions of Communication in Radiology: Overview • Didactic on Stages of Imaging Cycle • Session for Invited Residents (R2-R3), Senior Residents (R4-R5) and faculty

Moderator Mohammad Taufik Bin Mohamed ShahChairperson Dr Teoh Wey Chyi

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Public Forum 2020 – Women’s Health in The New Age: Fibroids and YouDate & Time 21 November, 2 – 4pmNumber of Attendees 421 Topics & Speakers Fibroids - What Are They, Medical Management Options

Dr Samantha YeoImaging Findings of Fibroids, MRI-guided HIFUDr Mark WangSurgical Options – the Old and the New Dr Celene HuiUterine Artery Embolisation – Is it for you? Dr Luke Toh

Moderators Dr Too Chow Wei and Dr Kristen LeeChairperson Dr Luke Toh

FUTURE PLANSThe College is planning the formation of the Chapter of Interventional Radiologists in 2021, which will be the first step towards IR sub-specialty recognition and certification. The College is committed to uphold our professional interests and will continue to enhance our role in education of our radiological community and the public.

Screen capture of the speakers, moderator and chairperson during the live webinar of Public Forum 2020.Top row (from left to right): Dr Kristen Lee, Dr Luke Toh, Dr Too Chow WeiMiddle row (from left to right): Miss Sandy Goh, Dr Celene Hui, Dr Samantha Yeo. Bottom row: Dr Mark Wang.


Independent Medical Expert (IME) ReportsThe College provided one IME report to Singapore Medical Council (SMC).

APPRECIATIONThe College wishes to record its appreciation and thanks to all Fellows and the new Resident Members.

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PRESIDENT’S MESSAGE2020 was an exceptional year with the world facing a global health and economic crisis. As we enter year 2021 under the cloud of COVID pandemic, it is hoped that the various measures like vaccination program, mask wearing and safe distancing could help to mitigate the risk of infection. In the past one year, our clinical work and surgical procedures had to be adjusted accordingly to keep ourselves, co-workers and patients safe and healthy. Adjustment was also made to our teaching and learning, with most of the CME program moving to online platform. Some forms of teleconsulting are becoming common and play an important role in the patient’s consultation and management However, it remains a technical and clinical challenge for the surgeons, taking in account of the potential medico-legal implications.

The basis of informed consent taking remains important and relevant. The College encourage the Fellows to work and collaborate with respective Specialty Chapter to decide the minimum standard of consent taking in giving medical advice to patients. It is hoped that our surgical community can set our own standard of care expected of doctors in the provision of medical advice and the taking of informed consent.

I would like to take this opportunity to express my gratitude to the Council members for their hard work and sacrifice. Their dedication is deeply appreciated. I would like to thank all of you for your support. I hope more Fellows can step forward when called upon to contribute to our surgical community.

COLLEGE OF SURGEONS, SINGAPORE

ABOUT THE COLLEGEThe 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 College of Surgeons, Singapore was incorporated on 17 August 2004. Her registered address is: 81 Kim Keat Road NKF Centre, #11-00 Singapore 328836.

Ms Maureen Low from Messrs FMG Corporate Services Pte Ltd is the appointed Company Secretaries of College of Surgeons, Singapore. DBS Bank Ltd and Oversea-Chinese Banking Corporation Limited are the authorised banks of College of Surgeons, Singapore. Fiducia LLP has been appointed as the Auditors of College of Surgeons, Singapore.

The vision of the College is to be the recognised leader in training, education, advocacy and enhancement of professional satisfaction for surgery and its subspecialties. While the mission is to promote and maintain the highest professional and ethical standards in surgery and its subspecialties.

BOARD OF SPECIALTY CHAPTERSThe Board of the various Specialty Chapters has been elected into office for a two-year term from 2019-2021, after the 15th Annual General Meeting of the respective Chapters in 2019. The Boards of all the Specialty Chapter remained unchanged after the 16th Annual General Meeting of the respective Chapters in 2020.

The Specialty Chapters Board terms of office are as follows:

CHAPTER OF CARDIOTHORACIC SURGEONSChairman Dr Chao Tar Toong Victor Vice-Chairman Dr Lim Yeong PhangHonorary Secretary Dr Ong Boon HeanBoard Members Dr C Sivathasan

Dr James WongDr Lim Chong Hee

Co-Opted Members Dr Pang Yi Kit PhilipDr Kofidis Theodoros

CHAPTER OF GENERAL SURGEONSChairman Dr Ng Kheng HongVice-Chairman Dr Aung Myint OoHonorary Secretary Dr Cheng Shin ChuenBoard Members Dr Dennis Koh

Dr Joseph Lo ZhiwenDr Sunder S/O BalasubramaniamDr Vishalkumar G. Shelat

Co-Opted Members Dr Kow Wei Chieh, AlfredDr Lee Ser YeeDr Seow Choon SheongDr Chan Ching Wan

CHAPTER OF HAND SURGEONSChairman Dr Tan Ter ChyanVice-Chairman Dr Tan Siau Woon JacquelineHonorary Secretary Dr Duncan McGrouther Board Members Dr Yam Kean Tuck, Andrew

Dr Lee Yi Liang, JonathanDr Sechachalam SreedharanDr Wong Jian Hao Kevin

Co-Opted Member Dr Chin Yuan Hui Andrew

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CHAPTER OF NEUROSURGEONSChairman Dr Ng Wai HoeVice-Chairman Dr Ng Yew Poh VincentHonorary Secretary Dr Hwang Ying Khai, PeterBoard Members Dr Low David

Dr Seow Wan TewCHAPTER OF ORTHOPAEDIC SURGEONSChairman Dr Tay Keng Jin Darren Vice-Chairman Dr Goh Seo KiatHonorary Secretary Dr Lee Yee Han DaveBoard Members Dr Ganesan Naidu

Dr Lee Chee Siang, BernardDr Puah Ken LeeDr Das De Soumen

CHAPTER OF OTORHINOLARYNGOLOGISTSChairman Dr Yeo Seng Beng Vice-Chairman Dr Loh Chi Yuan IanHonorary Secretary Dr Ngo Yeow Seng Raymond Board Members Dr Mok Kan Hwei, Paul

Dr Tan Yau Boon BarrieDr Uppal SandeepDr Liu Jiaying

Co-Opted Member Dr Yuen Heng WaiCHAPTER OF PAEDIATRIC SURGEONSChairman Dr Loh Ser Kheng Dale Lincoln Vice-Chairman Dr Chiang Li WeiHonorary Secretary Dr Lee York TienBoard Members Dr Nyo Yoke Lin

Dr Mali Vidyadhar

CHAPTER OF PLASTIC, RECONSTRUCTIVE & AESTHETIC SURGEONSChairman Dr Kang Chun-Wui GavinVice-Chairman Dr Yeo Sze Wei MatthewHonorary Secretary Dr Jeremy SunBoard Members Dr Adrian Ooi

Dr Goh Lin Hon TerenceDr Pek Wan SzeDr Tan Ying Chien

CHAPTER OF UROLOGISTSChairman Dr Chong Yew Lam Vice-Chairman Dr Edmund ChiongHonorary Secretary Dr Chua Wei JinBoard Members Dr Heng Chin Tiong

Dr Ng Chee KwanDr Teo Chang Peng ColinDr Toh Khai Lee

Co-Opted Members Dr David Terrence Consigliere Dr Sim Hong Gee

ANNUAL GENERAL MEETINGThe 16th Annual General Meeting of the College of Surgeons, Singapore was held on 3 June 2020 via Zoom. It was attended by 28 participants.

COUNCIL MEETINGS ATTENDANCEA total of five Council meetings were held for the year to discuss the business and affairs of the College.


NAME DESIGNATION ATTENDANCEDr Tan Yeh Hong President 5Dr Goh Yaw Chong Vice-President 5Dr Seow Choon Sheong Honorary Treasurer 4Dr Bernard Lim Honorary Secretary 5Dr Chew Min Hoe Council Member 4Dr Alfred Kow Council Member 4Dr Victor Chao Tar Toong Chairman, Chapter of Cardiothoracic Surgeons 5Dr Ng Kheng Hong Chairman, Chapter of General Surgeons 5Dr Tan Ter Chyan Chairman, Chapter of Hand Surgeons 5Dr Ng Wai Hoe Chairman, Chapter of Neurosurgeons 1Dr Yeo Seng Beng Chairman, Chapter of Otorhinolaryngologists 5Dr Darren Tay Keng Jin Chairman, Chapter of Orthopaedic Surgeons 5Dr Dale Lincoln Loh Ser Kheng Chairman, Chapter of Paediatric Surgeons 4Dr Gavin Kang Chun-Wui Chairman, Chapter of Plastic, Reconstructive and Aesthetic Surgeons 5Dr Chong Yew Lam Chairman, Chapter of Urologists 5Dr Chua Wei Chong* Immediate Past President 1

*Retired on 3 June 2020

CHAPTER BOARD MEETINGSAt the time the Annual Report was written, the Boards of the various Specialty Chapters have met a total of five times.


DR CHEW MIN HOECouncil MemberDirector (from 24 May 2018)

DR ALFRED KOWCouncil MemberDirector (from 27 May 2019)

DR VICTOR CHAO TAR TOONGChairman, Chapter of Cardiothoracic SurgeonsDirector (from 29 May 2017)

DR NG KHENG HONGChairman, Chapter of General SurgeonsDirector (from 27 May 2019)

DR TAN TER CHYANChairman, Chapter of Hand SurgeonsDirector (from 29 May 2017)

DR NG WAI HOEChairman, Chapter of NeurosurgeonsDirector (from 27 May 2019)

DR YEO SENG BENGChairman, Chapter of OtorhinolaryngologistsDirector (from 29 May 2017)

DR DARREN TAY KENG JINChairman, Chapter of Orthopaedic SurgeonsDirector (from 27 May 2019)

DR LOH SER KHENG DALE LINCOLNChairman, Chapter of Paediatric SurgeonsDirector (from 29 May 2017)

DR GAVIN KANG CHUN-WUIChairman, Chapter of Plastic, Reconstructive & Aesthetic SurgeonsDirector (from 27 May 2019)

DR CHONG YEW LAMChairman, Chapter of UrologistsDirector (from 29 May 2017)

DR TAN YEH HONGPresidentDirector (from 02 June 2016)

DR GOH YAW CHONGVice-PresidentDirector (from 02 June 2016)

DR SEOW CHOON SHEONGHonorary TreasurerDirector (from 29 May 2017)

DR BERNARD LIM YON KUEI Honorary SecretaryDirector (from 08 May 2015)

THE 2020 - 2021 COUNCILThe following Council Members were elected to the 2020-2021 Council after the 16th Annual General Meeting. They are also the Directors of the Company: College of Surgeons, Singapore as filed in the Annual Returns with ACRA:

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MEMBERSHIPAs at 31 December 2020, the College has a total membership of 714 Fellows (up from 709 in 2019) comprising 685 Local Fellows (up from 676), 20 Overseas Fellows, and nine Ordinary Members.

CHAPTERS 2016 2017 2018 2019 2020Cardiothoracic Surgeons 38 39 39 42 42General Surgeons 194 205 207 215 218Hand Surgeons 29 39 40 40 39Neurosurgeons 23 22 22 25 26Orthopaedic Surgeons 88 94 104 105 105Otorhinolaryngologists 84 95 99 107 110Paediatric Surgeons 19 21 21 22 22Plastic, Reconstructive & Aesthetic Surgeons 59 63 64 70 69Urologists 70 74 76 83 83College of Surgeons, Singapore 604 652 672 709 714

Membership Composition CHAPTERS LOCAL ACTIVE LOCAL EXEMPTED OVERSEAS ORDINARY MEMBERSCardiothoracic Surgeons 30 10 2 0General Surgeons 163 45 9 1Hand Surgeons 34 3 0 2Neurosurgeons 20 5 0 1Orthopaedic Surgeons 72 29 0 4Otorhinolaryngologists 97 12 1 0Paediatric Surgeons 15 1 6 0Plastic, Reconstructive & Aesthetic Surgeons 56 12 0 1Urologists 72 9 2 0

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Professional Opinion ReportsThe College and its Chapters presented their views and suggestions to the Ministry of Health (MOH) and Singapore Medical Council (SMC) on the following issues:

TOPICS CHAPTERS ORGANISATIONExpert Opinion Report on Alleged Practice of Aesthetic Procedures. Plastic Surgeons MOHSMC APOC Request on Aesthetic Procedures Course Plastic Surgeons SMCPublicity claims by a non-licensed Aesthetics entity Plastic Surgeons MOHExpert Opinion on Alleged Practice of Invasive Aesthetic Procedures. Plastic Surgeons MOHExpert Opinion on Aesthetic Injections Provided By Unauthorised Person. Plastic Surgeons MOHList of Aesthetic procedures and TOSP procedures Plastic Surgeons MOHTiering Surgical Procedures by Settings they can be performed Plastic Surgeons MOHSMC Aesthetic Practice Oversight Committee – Request for Nominees from Academy of Medicine Singapore

Plastic Surgeons SMC

Expert Opinion on Alleged Practice of Invasive Aesthetic Procedures [Case 19]

Plastic Surgeons MOH

Skin booster procedure using 1.0mm injection in a beauty salon Plastic Surgeons MOHExpert Opinion on Alleged Practice of Aesthetic Procedures - Skin booster procedure using 1.0mm injection in a beauty salon [Case 20]



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Expert Opinion on Provision of Invasive Aesthetic “fat-melting” procedures [Case 22]


Operations of Medical Therapeutic Ultrasound Apparatus Plastic Surgeons MOHExpert Opinion on Alleged practice of invasive aesthetic practice by an unregistered doctor [Case 23]


Injection of Glutathione + Vitamin C + Saline Mixture. Plastic Surgeons MOHTiering Surgical Procedures by Settings they can be performed. Cardiothoracic

SurgeonsMOH

Storage of Vascular Tissues for Clinical Use Cardiothoracic Surgeons

MOH

Tiering Surgical Procedures by Settings they can be performed General Surgeons MOHStorage of Vascular Tissues for Clinical Use General Surgeons MOHUltrasound Guided Breast Procedure General Surgeons MOHPerforming Orthopaedic procedures in General Medical Clinic Hand Surgeons MOHTiering Surgical Procedures by Settings they can be performed Hand Surgeons MOHTiering Surgical Procedures by Settings they can be performed Neurosurgeons MOHIndications of Prolotherapy Orthopaedic Surgeons MOHMOH Request - TOSP Appeal Orthopaedic Surgeons MOHInvitation to review and endorse Agency for Care Effectiveness (ACE) Appropriate Care Guides (ACGs) on MRI for low back pain

Orthopaedic Surgeons MOH

Use of Platelets Rich Plasma to Treat Knee Osteoarthritis (ongoing) Orthopaedic Surgeons MOHSMC APOC Request on Aesthetic Procedures Course. Otorhinolaryngologists SMCList of Aesthetic procedures and TOSP procedures Otorhinolaryngologists MOHTiering Surgical Procedures by Settings they can be performed Otorhinolaryngologists MOHTiering Surgical Procedures by Settings they can be performed Paediatric Surgeons MOHTiering Surgical Procedures by Settings they can be performed Urologists MOHMOH Fee Benchmark Consultation Sessions College level MOH

Development of Specialty-Specific Consent Taking formsSMC has requested for the Chapters to develop specialty-specific consent taking forms.

CHAPTERS STATUSChapter of Hand Surgeons Provided feedback on 7 OctoberChapter of Neurosurgeons The process is ongoingChapter of Urologists Forms submitted on 15 January 2021Chapter of Paediatric Surgeons The process is ongoingChapter of Otorhinolaryngologists The process is ongoingChapter of Orthopaedic Surgeons The process is ongoingChapter of Plastic, Reconstructive & Aesthetic Surgeons Forms submitted on 17 November

MOH Fee Benchmark Consultation SessionsMOH has requested the Chapters to form focus group for the fee benchmark sessions. In view of the COVID-19 pandemic, the sessions are currently postponed. Participating Chapters include:

• Chapter of Hand Surgeons • Chapter of Neurosurgeons • Chapter of Urologists • Chapter of Paediatric Surgeons • Chapter of Otorhinolaryngologists • Chapter of Orthopaedic Surgeons

Chapter of Otorhinolaryngologists - Facial Plastic and Reconstructive Surgery SectionThe Facial Plastic and Reconstructive Surgery sub-committee, created at the Chapter of Otorhinolaryngologists 11th AGM in April 2017, tabled a special resolution for the creation of the Facial Plastic and Reconstructive Surgery Section at the AGM of the College of Surgeons, Singapore, in May 2018. It was approved by the College.

TOPICS CHAPTERS ORGANISATION


The section has conducted one meeting in 2020. The current exco members are:

Chairman Dr Loh Chi Yuan IanVice-Chairman Dr Loke Kok Teik DavidHonorary Secretary Dr Tay Su-Lin ValerieMembers

Dr Tan Kar SuDr Sandeep UppalDr Chua Yu Kim DennisDr Lee Tee SinDr Oo Kian Kwan KennethDr Sim Song Teck, RolandDr Zhang Zhiyong EdwardDr Tan Kar-SuDr Jenica YongDr Ng Chew LipDr Tan En-Pei Amanda


Webinar on Consent TakingThe College organised a webinar on Consent Taking on 17 October 2020. It was well attended by over ninety Fellows.

Screen capture of the Live webinar on Consent Taking, featuring the moderator, Dr Goh Yaw Chong and speaker, Mr Matthew Saw.

COVID-19 Resource Microsite for SurgeonsThe College published a COVID-19 Resource Microsite for Surgeons on the website as an educational resource for Fellows and other interested parties. This effort was spearheaded by Dr Seow Choon Sheong, with contributions from all the nine specialties. The microsite’s link is at https://www.ams.edu.sg/colleges/surgeons/COVID-19.

Screen capture of the College’s COVID-19 resource microsite for surgeons.

College of Surgeons Gold Medal 2020In recognition of the effort of the best performing candidates in the nine surgical specialties, as well as to give recognition and encouragement to these trainees to excel in their exit examination, the College had established the College of Surgeons Gold Medal in 2008.

This year’s award winners are listed below:

WINNERS INSTITUTIONS SPECIALITIESLin Wenjie Singapore General

HospitalGeneral Surgery

Hong Choon Chiet

National University Hospital

Orthopaedic Surgery

Lee Hwee Ping Geraldine

Tan Tock Seng Hospital

Plastic, Reconstructive & Aesthetic Surgery

Durai Pradeep Ng Teng Fong General Hospital

Urology

Liao Chin-Yi Ng Teng Fong General Hospital

Hand Surgery

Chua Jian Kai Andy

Sengkang General Hospital

Otorhinolaryngology

Chapter of Cardiothoracic Surgeons – Staff Registrar Scheme (SRS)The Chapter has rolled out a three-year programme SRS Programme since April 2008. The successful participants will be awarded the Diploma in Cardiothoracic Surgery conferred jointly by the Academy of Medicine, Singapore (AMS) and the College of Surgeons, Singapore (CSS). In 2017, one trainee was accepted into the program and completed training on 22 October 2020.

Chapter of General Surgeons - Exit Examination Preparatory Course 2020 The Chapter of General Surgeons organized its 10th Exit Examination Preparatory Course from 16 May to 31 October 2020 for the Advanced Surgical Trainees (ASTs) in General Surgery to help in their preparations for the exit examinations. The preparatory course was conducted through Zoom and comprised of mini lectures and mock VIVA.

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Dr Ng Kheng Hong, on behalf the Chapter Board, thanked Dr Seow Choon Sheong for serving as the Course Convenor for the past few years, and for continuously fine-tuning the curriculum so as to stay relevant to the changes in the profession.

PREPARATORY COURSES DATESJoint Specialty Fellowship Exam FRCS (GS) Revision Series Session 1

16 May

Joint Specialty Fellowship Exam FRCS (GS) Revision Series Session 2

5 Jun


20 Jun


18 Jul


15 Aug


27 Aug


5 Sep


19 Sep


10 Oct


31 Oct

Chapter of Paediatric Surgeons - Combined Journal Club 2020The combined NUH-KKH journal club was organised by the Chapter of Paediatric Surgeons via Zoom on 19 August 2020. 34 doctors attended the event.


Independent Medical Expert (IME) ReportsThe Chapters provided IME reports to Singapore Medical Council and Singapore Police Force as follows:

CHAPTER/SECTION NUMBER OF CASESSingapore Medical CouncilChapter of General Surgeons 7Chapter of Hand Surgeons 1Chapter of Orthopaedic Surgeons 5Chapter of Otorhinolaryngologists 3Chapter of Paediatric Surgeons 1Chapter of Plastic Surgeons 4Chapter of Urologists 2

SINGAPORE POLICE FORCEChapter of Cardiothoracic Surgeons 2Chapter of General Surgeons 6Chapter of Orthopaedic Surgeons 3Chapter of Otorhinolaryngologists 1Chapter of Urologists 1

CONTACT UPDATESAll Fellows of the College are advised to contact the College Secretariat if there are any changes to their personal particulars especially in their contact email, practice or residential address so that the College could continue to maintain contact with all its members. Kindly email changes (if any) to Membership Department, Academy of Medicine, Singapore at [email protected].

FUTURE PLANSThe College’s plans for activities in 2021 are as follows:

• College of Surgeons Lectureship Dinner 2021 • 15th College of Surgeons Lectureship • 25th Yahya Cohen Memorial Lectureship • College of Surgeons Gold Medal Award 2021 • Nomination and Election for College Council Members • Annual General Meetings of the College and its Specialty Chapters

Fellows will also be informed of any activities planned by their respective Specialty Chapters in due course.

APPRECIATIONThe College wishes to record its appreciation to all its Fellows and the Secretariat Staff for their enthusiastic support in the past year and looks forward to their ongoing support in future activities and projects of the College.


mailto:[email protected]

PRESIDENT’S MESSAGEIn 2020, Emergency Physicians, together with our other colleagues in the medical community, rose to the challenges presented by the COVID-19 pandemic in Singapore. We had faced similar situations, such as serious threats to public health posed by the SARS and H1N1 outbreaks in the past, but on this occasion, COVID-19 appears to be considerably more protracted, presently with no end in sight. The current pandemic is also more onerous, indisputably more exhausting and certainly far more emotionally draining than previous infectious outbreaks.

Fortunately, at the time of writing, it appears that no emergency physician has contracted this formidable disease. Our erstwhile – and both tentative and tenuous – exemption from the ravages of COVID-19 may be attributed to our training in disaster management, our collective experience as emergency physicians, logistical support from our national health and other civil authorities, a thriving professional network established within our medical fraternity and comprehensive preparations within our emergency departments and institutions, that have enabled us to meet the exceptional healthcare demands imposed by the current pandemic.

COVID-19 pandemic has changed the way we undergo and conduct medical training; Zoom is now a common word. Concurrently, capacious tents are now patient care areas, while personal protective equipment, particularly the ubiquitous N95 masks (which have necessitated the application of DuoDERM dressings in the appropriate areas) are the norm. Re-training in the use of PAPR, which is now employed more frequently (with the attendant risk of ‘heat exhaustion’) has also become de rigueur.

In short, the environment in which emergency medicine – and, indeed, medicine in general – is practised amid the pandemic, is expected to evolve constantly.

Last year also marked a change in the leadership of our College. Professor Goh Siang Hiong, completed his tenure as the second President of the College of Emergency Physicians. We would like to place our appreciation and gratitude to Siang Hiong for helming the College so capably during his time in office.

On behalf of the College Council, I wish all Fellows a safe and healthy 2021.

COLLEGE OF EMERGENCY PHYSICIANS

ABOUT THE COLLEGEOn 20 November 2014, we transformed from the Chapter of Emergency Physicians (originally formed on 13 November 2007) to the College of Emergency Physicians under the Academy of Medicine, Singapore (AMS). The College will continue to organise continuing education programmes 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.

ANNUAL GENERAL MEETINGThe College held its 6th Annual General Meeting on 8 May 2020, via Zoom.

Section of Clinical Toxicologists The Section of Clinical Toxicologists under the College of Emergency Physicians organised its 5th Annual General Meeting on 30 April 2020, via Zoom.

COUNCIL MEETINGSThe Council had met to consider the business and affairs of the College. It held three meetings in 2020.

MEMBERSHIPAs at 31 December 2020, College membership stood at 133, consisting of 126 Local Fellows, six Overseas Fellows and one Associate Member. There were 24 new admissions into the College this year:

• Dr Ang Joo Shiang • Dr Cheng Tai Win Lenard • Dr Chua Mingzhou John • Dr Ganti Sameera • Dr Huang Po Yu • Dr Kant Abhay • Dr Khoo Swee Min Kathleen

• Dr Kuan Kaibin Kelvin • Dr Kularathne Sembukuttige Yudara Madusanka

• Dr Lee Chiao Hao • Dr Loh Seow Siang • Dr Low Jian Wen Matthew

• Dr Manauis Charmaine Malenab

• Dr Mao Renhao Desmond • Dr Pillai Suresh • Dr Probert Joanne • Dr Saclolo Rafael Pulido • Dr Seet Huey Ying • Dr Swarup Shobhit • Dr Tan Hann Yee • Dr Teo Han Jie • Dr Tham Yumin Audrey • Dr Weng Yanyi • Dr Susmita Roy Chowdhury

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College of Emergency Physicians Networking SessionThe College organised a networking session in a ‘Speed Mentoring’ format on Zoom, where our young Associate Consultants had a chance to meet the Senior Consultants in a casual and friendly environment.

DR GOH SIANG HIONGImmediate Past President

DR EILLYNE SEOWPresident

DR MOHAN TIRUCHITTAMPALAMVice-President

APPRECIATIONThe College wishes to record its appreciation and thanks to all Fellows and the Secretariat for their kind support.

DR LIM SWEE HANSecretary

DR LEE WEE YEETreasurer

DR MARK LEONG KWOK FAIMember

DR PENG LI LEEMember

DR JAMES KWANMember



PRESIDENT’S MESSAGEWhat a year 2020 has been for us! COVID-19 was upon us from the start of February, and as I pen this message, appears to still be raging on, especially overseas. Singapore entered our local version of a national lockdown, called the ‘Circuit Breaker’, from early April to mid-June, during which as doctors, we were only allowed to manage essential and urgent conditions. Challenges faced by our colleagues in the public sector included being deployed to help out in COVID-19 related work, as well as being kept busy triaging patients and deciding on the urgency of their care. Some of our private colleagues also volunteered their services at the frontline, while the majority were also affected by the loss of patient volumes, both from local as well as from overseas. Personally, a huge challenge for me (and I believe for all of us as ophthalmologists) was how to keep myself and my family, and my patients safe from the pandemic.

The College, in consultation with the relevant sub-specialty committees, came out with several COVID-19 related tips and guidelines for our Fellows:

• Advisory for Managing Neovascular AMD during the COVID-19 pandemic • Urgency of Appointments and Surgery for Common Ophthalmic Conditions • Anterior Segment Surgery during the COVID-19 pandemic

We sincerely hope you have found these useful for your practice.

With the new Civil Law Amendment Bill being recently passed in Parliament, the College will also be coming up with standardised patient counselling templates, providing the minimum standard for pre-procedure information, for a host of commonly performed ophthalmic procedures, which we hope you will also find helpful.

I would like to thank all of you for your unwavering support, and the new College Council will continue to serve its members as best as they can.

COLLEGE OF OPHTHALMOLOGISTS

ABOUT THE COLLEGEThe Chapter of Ophthalmologists had subsisted under the purview of the College of Surgeons, Singapore since the College was formed in 2004. With a steady growth in the Chapter’s membership and in the objective to enhance the development of the specialty, as well as, having a stronger presence to advocate the future of ophthalmology, A/Prof Lim Tock Han, Chairman of the Chapter of Ophthalmologists mooted the idea of converting the Chapter into a College to better serve the community, all ophthalmologists and trainees. After a year of effort dedicated 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 as follows: • To promote and uphold the professionalism of ophthalmologists in Singapore

• To facilitate and enhance professional development and continuing medical education of the specialty; to maintain competency among doctors.

While the mission of the College is to advance the art and science of ophthalmic medicine and advocate the future of ophthalmology.

ANNUAL GENERAL MEETINGThe 11th Annual General Meeting (AGM) of the College of Ophthalmologists was held on 30 May 2020 via electronic means. It was attended by 71 Fellows who came to support and witness the 11th Council of the College took office virtually.

MEMBERSHIPCollege membership stood at 209 as at 31 December 2020. There were 206 Local Fellows and three Overseas Fellows. This translates to an encouraging 70% representation amongst all registered ophthalmologists with the Singapore Medical Council. The College welcomed 12 new Fellows in 2020:

• Dr Sim Khung Peng Shaun Sebastian • Dr Chiam Pei Yu Nathalie • Dr Foo Chao Ming Reuben • Dr Hoang Quan Van Manh • Dr Young Stephanie Ming • Dr Fenner Beau James • Dr Ng Kin Wah James • Dr Zhou Wenting • Dr Lee Yi Fang • Dr Mi Fang Helen • Dr Chee Ka Lin Caroline • Dr Zhao Songbo Paul

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DATES TOPICS ORGANISATION

24 March Seeking inputs on Performing Vitreolysis for Floaters and Collagen cross linking procedure

MOH

24 March Tiering Surgical Procedures by Settings where they can be performed MOH

21 August Advertisement by Medical Clinic on Cataract surgery MOH

16 October Corneal Lenticule Storage MOH

17 November Eye Therapy Services [Part 1 & 2] MOH

29 December Allowable Procedures in an Ophthalmology Ambulatory Surgical Centre with Exemption from Blood Transfusion Services

MOH


DR VERNON YONGPresident

DR WONG TIEN YINImmediate Past President

DR LEONARD YIP Vice-President

DR DANIEL SUHonorary Secretary

DR JACOB CHENGHonorary Treasurer

DR DORIC WONGCouncil Member

DR MOHAMAD ROSMANCouncil Member

DR SHARON TOW Council Member




COPH and SSO New Year Celebration Dinner 2020The College together with Singapore Society of Ophthalmology held a New Year celebration dinner on 10 January 2020 at COMO Cuisine. At the dinner, updates on the College’s major activities and efforts were shared and discussed with the Fellows. These included the Annual National Ophthalmology Meetings as well as updates on the Robert Loh Faculty Programme and Barry Cullen Fellowship.

Immediate Past President, Prof Wong Tien Yin (standing in both pictures), delivering his presentation

9TH College of Ophthalmologists LectureshipThe College of Ophthalmologists is honoured to have Professor Lim Tock Han to deliver this year’s lecture on ‘Polypoidal Choroidal Vasculopathy – An Angio graphic Discussion 2020’.

The talk was delivered at the 35th Singapore-Malaysia Joint Meeting in Ophthalmology in conjunction with the 1st Asia-Pacific Ocular Imaging Society Meeting on 17-19 January 2020.

Immediate Past President, Prof Wong Tien Yin (right), presenting the token of appreciation to Prof Lim Tock Han (left).

National Continuing Medical Education (CME) 2020The College organised two sub-specialty based national continuing medical education sessions (CME) in 2020. These sessions received enthusiastic and encouraging responses from the ophthalmology fraternity, with attendees expressing that the national CMEs are relevant in fulfilling the needs of ophthalmologists to keep up to date with advances and developments in the subspecialties outside their own.

SUB-SPECIALTY CATARACTDate 24 JuneTopic My Fellowship Year - Innovations In

Cataract Management From Israel & Germany

Speaker Dr John WongChairperson Dr Fam Han Bor

SUB-SPECIALTY MEDICAL RETINADate 4 and 21 NovemberTopic National Retina Round 2020 – Medical

RetinaChairperson Dr Doric Wong

CME Session: COVID-19 Perspectives in OphthalmologyThe CME talk on ‘COVID-19 Perspectives in Ophthalmology’ was organised and chaired by Dr Leonard Yip on 29 April 2020 via electronic means. We were honoured to invite distinguished panelists; Dr Loon Seng Chee, Dr Khor Wei Boon, Dr Louis Lim and Dr Rupesh Agrawal to share their insights.

GuidelinesThe College formulated the following to provide guidance to Fellows in aspects of patient care:

TOPICSUrgency of Appointments & Surgery for Common Ophthalmic Conditions Summary of Key Actions in Response to COVID-19Advisory for Managing Neovascular and During COVID-19 PandemicAnterior Segment Surgery During the COVID-19 Pandemic


Independent Medical Expert (IME) ReportsThe College provided seven IME reports to Singapore Medical Council.

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COLLEGE OF PSYCHIATRISTS

ANNUAL GENERAL MEETINGThe 6th Annual General Meeting of the College was held on 10 June 2020 via Zoom. A total of 20 Fellows attended the meeting.

COUNCIL MEETINGSThe Council meets once every four months to conduct the business and affairs of the College.

In 2020, the Council has met three times on 26 May, 11 August, and 9 December.

MEMBERSHIPThe membership of the College stood at 129 as at 31 December 2020, consisting of 123 Local and six Overseas Fellows.

The following was admitted as Fellows of the Academy of Medicine, Singapore (FAMS) and welcomed into the College:

• Dr Christopher Cheok Cheng Soon • Dr Arnab Kumar Ghosh • Dr Kamini d/o Rajaratnam • Dr Roche Glen Cedric Tze-Lee

PRESIDENT’S MESSAGE2020 has been a challenging year for all with the COVID-19 Pandemic! Healthcare professionals were mobilized to provide front-line first response and ran a major public health operation in Singapore. Dealing with the unknown at the start of the pandemic creates a major strain on first-line public health, infectious disease experts. The rising rates of infection and death were creating fear and crippling effect on the individuals and society, disrupting the economy and daily routines. The mental health impact on individuals and community stretches all with some becoming casualties.

The disruption affected many of the academic and professional development programs the College laid out at the start of the year. We were much relieved as Psychiatrist Fellows took up the call and contributed to the national COVID respond task force, supporting both front line medical and psychiatric care operations, contributed towards the various digital mental health tools and platform development, building new mental health information portal to support vulnerable populations and migrant workers.

While the COVID pandemic persists at a new pace into 2021, the College and its Council are happy to report that major academic and professional development continues through online portals and publications. With this, we would like to register our appreciation to the 2020 Council and the four Sections - Child & Adolescent Psychiatry, Neuropsychiatry, Neuro-stimulation, and Addiction Psychiatry; through their leadership and CME Faculties, new initiatives and professional CME program continue to be offered online. Importantly we are also very pleased to announce the establishment of a new Section of Forensic Psychiatry in December 2020, to provide a focused effort shaping the practice standard of psychiatry in cases across both contexts of criminal law and civil law practices. We trust incremental build-up of sub-specialty practice fraternity would further elevate the professionalism of College Psychiatrists, across both public and private institutions.

We would need your continued strong support in 2021, and as the current COVID pandemic abates in due course, we are confident that the College would further serve the Psychiatrist Fellows in building up a high standard of professionalism and provide quality care for our patients.

ABOUT THE COLLEGEThe College of Psychiatrists was officially formed on 5 November 2014 under the umbrella of Academy of Medicine, Singapore. Formerly, the Chapter of Psychiatrists was formed in 1986. Now as a College, it continues to provide professional leadership, continuing education in psychiatry, advocacy in quality care and safe clinical psychiatry practice. 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. From then, the College has enjoyed the following the advantages:

• Equal standing with other Colleges under the Academy; • Raising the profile of the specialty both locally and overseas;

• Providing a good platform to develop sub-specialties and allowing sub-specialties to have more focused activities;

• Acquiring greater autonomy in developing professional initiatives and activities;

• Having more financial autonomy.



DR JOHN WONG CHEE MENGPresident

DR DANIEL FUNG SHUEN SHENG President-Elect

DR LEE CHENGVice-President

DR GILES TAN MING YEEHonorary Secretary

DR ONG SAY HOWHonorary Treasurer

DR WINSLOW RASAIAH MUNIDASACouncil Member

DR GANGADHARAN SATHYADEVANCouncil Member

DR ROBIN GOH KYE HOCKSection Chairman

DR LEE TIH SHIHSection Chairman

DR JOHNSON FAMSection Chairman

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Professional Opinion RequestsThe College had submitted professional opinions to external parties as follows:TOPICS ORGANISATIONSCollege of Psychiatrists’ Position on Conversion Therapy

Health Services Integration and Development

DivisionInclusion of Tele-psychiatry into MOH’s Telemedicine E-training

MOH

Transcranial Magnetic Stimulation (TMS) Therapy

MOH

Use of Hyperbaric Chamber in a Special Needs Kindergarten to Treat Cerebral Palsy and Autism Spectrum Disorder

MOH

SMA Fitness To Drive ProjectCollege of Psychiatrists has been invited by Dr Chong Yeh Woei, Chairperson of SMA’s Fitness to Drive committee to participate in the Fitness to Drive project. This project will have policy impact and encompasses two major components:

• Review of Rule 8 of the Road Traffic (Motor Vehicles, Driving Licenses) Rules

• Review of SMA’s Fitness to Drive guidelines.

The College representatives are Adj. Assoc Prof Lee Cheng and Dr Giles Tan.


Educational Forum on Understanding AddictionThe Section of Addiction Psychiatry organised an educational forum on 13 February 2020 titled, ‘Understanding Addiction and Approaches to Motivational Interviewing’. Adj. Assoc Prof Lee Cheng and Dr Melvyn Zhang from the Institute of Mental Health (IMH) as well as Mr S B Viknesan from National Addictions Management Service (NAMS) were the speakers at this forum.


Mind Brain Rounds On 2 July 2020, the Section of Neuropsychiatry organised the Mind Brain Rounds at Singapore General Hospital via Zoom. The presenter was Dr Simon Ting from the National Neuroscience Institute (NNI). The session attracted 29 medical practitioners.

Another session of Mind Brain Rounds was organised by the Section on 8 October, with case study presentation on ‘Neuropsychiatric Sequalae of Carbon Monoxide Poisoning’ by Dr Cheryl Chang from the Singapore General Hospital. 47 medical practitioners attended this session.

Mind Brain Rounds aim to provide a platform for the exchange of educational content across three disciplines; Geriatric Medicine, Psychiatry and Neurology, under the Singhealth-Duke Memory and Congnitive Disorder Centre and is open to all dementia care team within the SingHealth campuses.

Electroconvulsive Therapy (ECT) Practitioner and Prescriber CourseThe Section of Neurostimulation organized a two-day course on 31 October and 7 November 2020 titled, ‘Electroconvulsive Therapy (ECT) Practitioner and Prescriber Course’.

The topics and presentations in this course were curated for the purpose of training ECT practitioners in modern ECT techniques and to share updates on current local and international evidence base for ECT indications.

From this course, participants acquired the practical knowledge in operating ECT machines, step-by-step guidance on performing empirically derived seizure titration and a better understanding of the framework on rational clinical approach to ECT prescription.

The course, which was attended by 38 medical practitioners, was chargeable.

e-Poster of speakers at the two-day ECT Practitioner and Prescriber Course.

Clinical Cases in Electroconvulsive Therapy (e-Book)The Section of Neurostimulation published an e-book in the Kindle platform on ‘Clinical Cases in Electroconvulsive Therapy’.

Educational forum e-poster on ‘Understanding Addiction and Approaches to Motivational Interviewing’ held on 13 February 2020.


The author and co-authors of the e-book are Dr Arvind Rajagopal, Dr Johnson Fam, Dr Vanessa Mok, Dr Poon Shi Hui and Dr Tor Phern Chern. The e-book is a compilation of over 20 ECT demonstrative cases of different practical aspects for ECT selection, prescription, modification and monitoring.

Cover page of the e-book on Clinical Cases in Electroconvulsive Therapy.

The first author, Dr Arvind, was motivated to document the clinical discussions of ECT cases he experienced while in the IMH Mood Disorder Unit. He mooted the idea of collating the cases into a book to share the knowledge in a systematic manner. Readers are able to gain a clinical framework to approach ECT practice and use the book for rapid targeted self-directed learning as the cases are listed based on clinical presentation or scenario.

The 24th World Congress of the International Association for Child and Adolescent Psychiatry and Allied Professionals (IACAPAP 2020)Organized by the Section of Child and Adolescent Psychiatry, the World Congress was held from 2-4 December 2020 with e-posters and oral presentations tracks.

Local and international industry and academic experts shared invaluable insights, with a keynote presentation on ‘Developmental Processes and Epigenetics’ by Dr Michael Meaney, James McGill Professor in the departments of Psychiatry and Neurology, and Neurosurgery at McGill University.

Over the three days, participants were exposed to a comprehensive programme featuring cutting-edge research and trends in Child and Adolescent Psychiatry. There were 31 local presenters and 333 overseas speakers, with 148 oral presentations and 142 e-posters presented.

This global event was structured to conduct ‘live’ sessions to suit a different region or time zone (in Singapore, New York and London). The Congress garnered the virtual attendance of 1,567 participants.

A/Prof Ong Say How was the Organizing Committee Chair while A/Prof Daniel Fung served as the Committee Advisor.

Screen capture of participants at the 24th World Congress of IACAPAP 2020 held on 2-4 December.

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Health Needs for Persons with Intellectual Disability in COVID-19 Era and Beyond WebinarCollege of Psychiatrists and Singapore Medical Association (SMA) signed an MOU on May 2019 to support educational programmes for medical professionals on the medical care of persons with diminished capacity. In the service of that objective, a webinar titled, ‘Health Needs for Persons with Intellectual Disability in COVID-19 Era and Beyond’ was held on 3 October 2020 for healthcare professionals.

CPD BulletinThe College published articles pertaining to Psychiatry sub-specialties to support and advance the professional development of College psychiatrists and the Academy specialists in emerging clinical and professional issues in psychiatry and mental health. The May 2020 issue featured the following articles:

• Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic

• Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

• The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease)

• Digital Mental Health and COVID-19: Using Technology Today to Accelerate the Curve on Access and Quality Tomorrow

• Posttraumatic stress symptoms and attitude toward crisis mental health services among clinically stable patients with COVID-19 in China

• The assessment and management of insomnia: an update

• Outcomes of Online Mindfulness-Based Cognitive Therapy for Patients with Residual Depressive Symptoms

• Quantifying the Association Between Psychotherapy Content and Clinical Outcomes Using Deep Learning

• The efficacy of app-supported smartphone interventions for mental health problems: a meta-analysis of randomized controlled trials

• Validation of an Electronic Health Record–Based Suicide Risk Prediction Modelling Approach Across Multiple Health Care Systems

• Risk of Suicide After Cancer Diagnosis in England • Long-term Outcomes of Cognitive Behavioural Therapy for Anxiety-Related Disorders: A Systematic Review and Meta-analysis

• A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression

• The efficacy and safety of nutrient supplements in the treatment of mental disorders: a meta-review of meta-analyses of randomized controlled trials

• Migration psychosis and homicide in Singapore: An 8-year update


Independent Medical Expert (IME) ReportsThe College assisted the Singapore Medical Council in one consultation on Criminal Procedure Rules on expert evidence and panel of psychiatrists.

FUTURE PLANSThe College Council will continue to embark on the following in 2021/2022:

• Targeted CME Clinical Skill workshops in emerging psychiatry practices, and Professional Up-to- Date Symposiums • Define focus areas for Mental Health and Wellness advocacy, and media communication engagement • Building capacity for Medical Experts in Psychiatry • Strengthen College’s financial plan and revenue streams to support sustainable programmes and mission • Focused enrolment of new Psychiatrist Fellows and Associate members to enhance professional representation in the Academy


PRESIDENT’S MESSAGE2020 has been truly extraordinary. We witnessed how the COVID-19 pandemic unfolded and spread rapidly worldwide. Our Fellows are at the frontlines across many sectors dealing with a wide range of COVID-19 issues, making important decisions and formulating policies to keep Singapore safe. I salute our Fellows and Preventive Medicine Residents who work tirelessly to contain the viral spread.

On 15 May 2020, we held the first tele-Annual General Meeting (AGM) for College of Public Health and Occupational Physicians during the height of a pandemic. I thank A/Prof Vernon Lee, our immediate Past President, for his visionary leadership and invaluable contributions during the past four years and increasing the standing of our College nationally.

With the world busy fighting the SARS-CoV-2 virus, the 15th Singapore Public Health & Occupational Medicine (PHOM) Conference had to be postponed. The College is exploring the possibility of a fully online edition in 2021. We continued to organize Continuing Medical Education (CME) activities using video-conferencing platform. We invited Fellows to present their work and share with the community.

Our College received a generous gift from the late Dr André Wansaicheong’s estate to establish the André Wansaicheong Lectureship. This Lectureship seeks to advance the practice of public health and occupational medicine, while perpetuating the memory of a distinguished Public Health Physician and Academician who dedicated much of his professional life in the service of public health. The Academy of Medicine Council and the College invited additional donations. With the dollar-for-dollar Government matching by the Bicentennial Community Fund (BCF) until 31 December 2020, a total of $76,310 was added to the initial donation.

As we progress into 2021, the Council wishes to record its appreciation and thank all College Fellows and Ordinary Members for their continued support. Stay physically and mentally strong as we ride through this pandemic.

COLLEGE OF PUBLIC HEALTH & OCCUPATIONAL PHYSICIANS

ABOUT THE COLLEGEThe College of Public Health and Occupational Physicians 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.

The vision of the College is to be an Entrusted Profession for a Healthy Population. The mission of the College is to promote and protect the health and well-being of everyone in society by:

• Equipping the practitioner • Enriching our community • Exemplifying excellence • Engaging public health challenges

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DR MATTHIAS TOHPresident

DR VERNON LEEImmediate Past President

DR BRIAN SEEVice-President

DR MELVIN SENGHonorary Secretary

DR DENNIS CHIAHonorary Treasurer

DR ANGELA CHOWCouncil Member

DR CLIVE TANCouncil Member

DR GAN WEE HOECouncil Member

DR BENJAMIN TANCo-Opted Member

DR LUCY LEONGCo-Opted Member



Screen capture of the attendees at the 7th College AGM.

ANNUAL GENERAL MEETINGThe 7th Annual General Meeting (AGM) of the College of Public Health & Occupational Physicians was held on 15 May 2020 via electronic means. It was attended by some 22 Fellows who came to support and witness the 7th Council of the College take office virtually.

MEMBERSHIPCollege membership stood at 151 as at 31 December 2020.There were 126 Local Fellows, 11 Overseas Fellows, 13 Ordinary Members and one Associate Member.

The following were admitted as Fellows of the Academy of Medicine, Singapore (FAMS) and welcomed into the College:

• Dr Chng Jeremiah • Dr Lam Meng Chon • Dr Lim Dwee Wee • Dr Tan Aidan Lyanzhiang

The following were admitted as Ordinary Members of the Academy of Medicine, Singapore (CPHOP):

• Dr Chan Tyson Kin-Chung • Dr Li Zongbin • Dr Tan Mei Ling • Dr Yong Ee Fang Sarah




DATE TOPIC ORGANISATION23 March Use of Hyperbaric Chamber in a Special Needs kindergarten to treat cerebral palsy

and autism spectrum disorderMOH

28 December Invitation to review and endorse the ACE Clinical Guidance on Chest X-ray ACE

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André Wansaicheong LectureshipThe André Wansaicheong Lectureship was established through a generous gift from the estate of the late Dr André Wansaicheong.

The André Wansaicheong Lectureship seeks to advance the practice of public health and occupational medicine, while perpetuating the memory of a distinguished Public Health Physician and Academician who dedicated much of his professional life in the service of public health.

The Lectureship will be delivered during the flagship Singapore Public Health & Occupational Medicine (PHOM) Conference of the Academy of Medicine Singapore’s College of Public Health & Occupational Physicians (CPHOP) that is held annually, and will cover topics relevant to the advancement of public health or occupational medicine for Singapore and the region.

In view of the dollar-for-dollar Government matching by the Bicentennial Community Fund (BCF) until 31 December 2020, the Councils of the Academy and the College took the opportunity to organize a donation drive in support of the André Wansaicheong Lectureship and further its cause.

The André Wansaicheong Lectureship

CME Session: ‘Informed Consent and the Potential Impact on the MOH Workgroup’s Recommendations on this – A Perspective’ The College organised a CME talk on 15 January 2020 where Mr Lek Siang Pheng, Deputy Managing partner, Dentons Rodyk, gave a talk on the topic ‘Informed Consent and the Potential Impact on the MOH Workgroup’s Recommendations on this—A Perspective’. The talk was held at the Ministry of Health, Singapore.

Mr Lek Siang Pheng (standing) speaking on the potential impact of MOH Workgroup’s recommendations on informed consent.

Participants of the CME Talk on informed consent held on 15 January 2020.

CME Session: ‘COVID-19 Epidemiological Investigation’The College organised a CME talk on ‘COVID-19 Epidemiological Investigation’ on 26 June 2020 via electronic means. We were honoured to invite A/Prof Teoh Yee Leong, Chief Scientific Advisor of CRIS, as the speaker.

Screen capture of Dr Matthias Toh, College President (left) with invited speaker, A/Prof Teoh Yee Leong, Chief Scientific Advisor, CRIS (right) during the CME session on 26 June 2020.

CME Session: ‘Ops Assurance: Managing COVID-19 in Migrant Workers in Singapore’The second CME talk on ‘Ops Assurance: Managing COVID-19 in Migrant Workers in Singapore’ was held on 25 August 2020 via electronic means. We were honoured to invite distinguished panelists, Dr Lionel Cheng, Dr Mohan Tiru, Dr Wu Hong King, A/Prof Jeremy Lim and A/Prof Hsu Li Yang to share their insights.

Screen capture of the distinguished panelists during the CME Talk on ‘Ops Assurance: Managing COVID-19 in Migrant Workers in Singapore’.

CME Session: ‘Re-telecast of 2nd Changi Aviation Medicine Symposium - Facing the Impact of COVID-19 as an Aviator’CGH’s Changi Aviation Medicine Centre (CAMC) and the Civil Aviation Medical Board of the Civil Aviation Authority of Singapore co-organised the 2nd Changi Aviation Medicine (CAM) Symposium on 30 September 2020. The Symposium provided perspectives on the impact of the COVID-19 pandemic on commercial pilots, and sought to support pilots with practical tips to safeguard their health and wellbeing.



At the request of the College Council, CAMC has agreed to re-telecast the recording of the 2nd CAM Symposium to allow our Fellows to glean a better understand of the impact of the COVID-19 pandemic on this unique occupational group. The re-telecast was held on 28 October 2020 virtually.

CME Session: ‘Dengue in Singapore 2020’The College organised a CME talk on ‘Dengue in Singapore 2020’ on 1 December 2020 via electronic means. We were honoured to invite Dr Leong Hoe Nam and Dr Ooi Eng Eong as speakers.

Screen capture of the moderator and speakers during the CME session on ‘Dengue in Singapore 2020’.Top row: Dr Ooi Eng Eong, Professor, Department of Microbiology and Immunology, NUS (left), Dr Dennis Chia, Honorary Treasurer (right). Bottom row: Dr Leong Hoe Nam, infectious disease specialist, Mount Elizabeth Novena Hospital, Singapore.

College of Public Health & Occupational Physicians Travel Assistance FundThis travel assistance fund sponsors Fellows to attend overseas meetings and conferences. Through participation, the College aims to: (a) develop ties and collaboration with public health colleges in other countries; and (b) promote the College annual Public Health and Occupational Medicine conference. Funding may include registration fee for the meeting, return economy class airfare and accommodation. In view of travel restrictions globally as a result of the pandemic, there was no application submitted in 2020.

College of Public Health & Occupational Physicians NewsletterThe College published Issue 16 and 17 of the newsletters in January and June 2020 respectively. The newsletter provides Fellows with updates of the College activities and useful specialty-specific information. It also reaches out to the College visitors.

Continuing Professional Development (CPD) BulletinsThe College published the CPD Bulletin for Occupational Medicine and Aviation Medicine issue in June and November 2020 respectively.

APPRECIATIONThe College wishes to record its thanks to all Fellows and friends who have supported the various activities throughout the year. The College also places on record its appreciation of the Secretariat.

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PRESIDENT’S MESSAGEIt is truly an honour to receive the torch from my dear colleague and mentor in Medical Education, Dr Dujeepa Samarasekera, to serve as the second President of the College of Clinician Educators (CCE). As the old Chinese idiom goes, 德薄任重 (dé bó rèn zhòng), I am deeply appreciative of the trust bestowed on me by my esteemed colleagues. It is my fortune to lead this illustrious organisation established by my predecessors and to work with a council formed by eminent educators.

The CCE has embarked on a new challenge, aligned with the Academy’s medical education agenda, to optimize the quality of our nation’s ‘Specialist Exit Examinations’. We will strategically tackle three main areas: examiners’ training, professionalisation of the administrative team, and establishing a digital examination management system. Our proposal was well-received when I presented it to the Academy’s Council Members and Dr Koh Poh Koon, Senior Minister of State, Ministry of Health, on 4 December 2020. To start, we will organise faculty development courses for examiners while working with relevant stakeholders on the aforementioned areas of focus.

We have also been engaged by the Ministry of Health Holdings to craft the ‘Teach to Educate’ section of the Singapore Chief Resident Programme (SCRP). With a system-based approach that meets organisational needs, the SCRP will be crucial in training future doctors to lead, manage and educate. During the SCRP last year, senior educators from the College have designed and conducted an online course from 28-29 May 2020, covering a broad spectrum of educational topics including clinical teaching, assessment, leadership, professionalism, and crisis management. I am heartened that we will assume an even greater role in the 2021 SCRP, with more dedicated teaching hours to develop a ‘signature’ course for the College.

Despite the constraints posed by the COVID-19 pandemic, I am proud to announce that five candidates (including myself) from the 2018-2020 Masters in Health Professions Education-Singapore (MHPE-S) class have graduated. The MHPE-S is a collaboration between the College and the University of Maastricht to train healthcare professionals from various fraternities to become educators that optimise practice and research using educational theories. The course has recently undergone a curricular revision and we will work to develop a training program that is contextualised to Singapore.

Lastly, with an ever-changing landscape of medical education amidst the pandemic, educators must be adaptive and work cohesively in anticipation of further challenges. Regardless of circumstances, I hope the CCE will continue to strive for excellence, living by our motto of ‘Disce’, ‘Educandi’, ‘Oraculi’- to Learn, Educate, and Mentor.

COLLEGE OF CLINICIAN EDUCATORS

ABOUT THE COLLEGEThe College of Clinician Educators (CCE) was formed in 2017, after four years as a Chapter. It was the 13th College established under the Academy of Medicine, Singapore. On 4 July 2018, the College Council members were elected.

The College continues to promote and support the development of study programmes, education guidelines for medical specialist training, and collaboration initiatives with both the public institutions and the private sector that support the national medical education agenda.

Being a part of the Academy enabled the College to develop new, purposeful and synergistic initiatives such as specific and targeted training and certification programmes in sub-specialties related to clinical education, credentialing of clinical educators involved in specialist training and closer collaboration with overseas colleges and institutions, anchoring medical education and academies.

The College 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 education scholarship

ANNUAL GENERAL MEETINGThe College held its Annual General Meeting on 19 May 2020.

COUNCIL MEETINGThe Council held one meeting in 2020 to conduct the affairs of the College on 17 September.

MEMBERSHIPAs at 31 December 2019, the College membership comprised 89 Local Fellows.

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DR YIP CHEE CHEWPresident

DR THAM KUM YINGVice-President

DR NIGEL TAN CHOON KIATCouncil Member

DR TAY SOOK MUAYCouncil Member

DR LIM WEE SHIONGCouncil Member

DR GOH SIANG HIONGCouncil Member

DR KEVIN TANCo-Opted Member

DR YONG WEI SEANCo-Opted Member

DR RICHARD LEE MENG KAMCo-Opted Member

DR YUEN HENG WAICo-Opted Member


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AMS-MAASTRICHT MHPE-Singapore Masters in Health Professions EducationThe Masters of Health Professions Education-Singapore (MHPE-S) programme explores the interrelation relationship between educational theory, research and

clinical practice. Participants are continuously encouraged to apply theory-based insights to solve real-life educational problems. MPHE graduates often ascend to leadership positions in academic medical institutions. The MHPE-S course is open to students from Medicine, Dentistry, Nursing, Pharmacy, Physiotherapy or speech therapy and health sciences.

The MHPE-S was launched by the College in collaboration with the University of Maastricht, and we have graduated


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20 candidates so far. We would like to congratulate the five graduates in 2020. We were also encouraged to see nine candidates taking up the challenge to join the 6th Intake (2020-2022) and eager to become better medical educators themselves.

Faculty for the programme include:

ACADEMY OF MEDICINE, SINGAPOREAbhilash Balakrishnan Kevin TanAshokka Balakrishnan Matthew GweeChay Oh Moh Nigel TanEdward Chen Fun Gee Predeebha KannanClement Tan Raymond GoyDerrick Lian Richard LeeDujeepa Samarasekera T ThirumoorthyJason Chan Victor Loh

MAASTRICHT UNIVERSITYCees van der Vleuten Joost DijkstraDaniëlle Verstegen Marjan GovaertsDiana Dolmans Mohammed MezianiGeraldine van Kasteren Renee StalmeijerJan van Dale Willem de GraveJeroen van MerrÏenboer

Singapore Chief Residency ProgramOrganised by Ministry of Health Holdings, the Singapore Chief Residency Programme (SCRP) is a year-long national programme that aims to prepare tomorrow’s doctors to meet the challenges in Singapore’s rapidly evolving healthcare landscape, promote excellence in the medical education, and advance the country’s Public Healthcare System.

The College ran the Medical Education Module as part of the SCRP, with the aim of providing an overview of the Medical and Health Professions Education landscape for the Chief Residents and develop the basic conceptual constructs and the foundational skill-sets in clinical teaching.

Due to COVID-19, the Medical Education module of the SCRP was conducted via Zoom. The Faculty for the programme include:

Dujeepa Samarasekera Kevin TanYip Chee Chew Lim Wee ShiongTham Kum Ying Nigel Tan Richard Lee T ThirumoorthyTay Sook Muay Yuen Heng WaiYong Wei Sean

Formation of Interest GroupsThe College has formed various interest groups in the following areas:

CURRICULUM DEVELOPMENT AND QACo-ordinators Dr Kevin Tan

Dr Nigel TanMembers Dr Vernon Oh Min Sen

Dr Toh Hong ChuenDr Chan Yee Cheun

ASSESSMENTCo-ordinators Dr Tham Kum Ying

Dr Abhilash BalakrishnanMembers Dr Inderjeet Singh Rikhraj

Dr Derrick Aw Chen WeeDr Preetha Madhukumar

STUDENT AND RESIDENT WELL-BEINGCo-ordinators Dr Tay Sook Muay

Dr Chay Oh MohMembers Dr Vernon Oh Min Sen

Dr T ThirumoorthyDr Marion Aw

FACULTY DEVELOPMENT AND SOTLCo-ordinators Dr Dujeepa Samarasekera

Dr Lim Wee ShiongMembers Dr Sohil Pothiawala

Dr Huma JaffarDr Lee Meng Kam RichardDr Shelat VishalkumarDr Chan Yee CheunDr Goh Poh SunDr Yong Wei Sean

These interest groups are the core groups who would be consulted to resolve matters in their specific areas, and liaise with relevant stakeholders to foster the College objectives. The College hopes to bring together all specialists in public institutions and the private sector interested in medical education to support the national medical education agenda. This can be achieved through these interest groups, by engaging stakeholders and creating future collaboration opportunities.

FUTURE PLANSThe College aims to:

• Continuously improve its role of acting as a ‘Think Tank’; • Advise on residency training in Singapore; • Conduct outreach to the medical education community in Singapore; • Develop a community of educators to support both undergraduate and residency training in Singapore; and • Advice the Academy Deanery and Colleges in their efforts to develop medical education programmes including Continuing Professional Development.


PRESIDENT’S MESSAGEWe live in very eventful times and 2020 will go down in history as a watershed year in science and medicine. The COVID-19 pandemic emerged at the beginning of 2020 and rapidly spread to all parts of the world, aided by the modern conveniences of air travel. It has impacted on every facet of human life and has caused economic, social and political upheavals. It has changed the way we work and teach and the way we manage our patients.

The devastating speed at which this pathogen spread has been met by an equally vigorous scientific response at a scale and speed that has never been seen before in history. Within the first week of the year the genetic sequence of the virus was unraveled and vaccine trials started within the first 6 months. Never has a scientific response been so crucial to humankind and never has science responded so well and with such magnificence.

We are proud that Fellows of our College have participated in key roles in this scientific response. They are a clear reflection of the importance of clinician scientists to society and the role will become increasingly more important as society wrestles with new challenges.

While COVID-19 is no way nearing its end yet, patterns and trends wrought by the pandemic are now more clearly discerned. The scientific world currently has a better understanding of how best to manage the disease and vaccination programs have begun in some countries including Singapore. The College of Clinician Scientists has conducted public webinars in 2020 examining the impact of COVID-19 on society and the unfolding scientific response and will continue to inform society.

We look forward to a better 2021 and are confident that Fellows of the College will continue to play important roles in these scientific endeavors. Take care and stay safe.

COLLEGE OF CLINICIAN SCIENTISTS

ABOUT THE COLLEGEThe College of Clinician Scientists comprises Fellows of the Academy who are nationally funded clinician-scientists and was formally inaugurated in 2016. The College had its beginnings as a Chapter within the Academy of Medicine Singapore in 2012.

Fellows of the College are specialist doctors who are also established clinician-scientists, accomplished in clinical and translational research including experience in collaborative research with the biomedical and pharmaceutical industry. We provide collective identity for clinician-scientists nationally and functions as the scientific voice of the Academy of Medicine, Singapore. In addition, the College is a highly valuable resource of scientific biomedical expertise for the nation and a font of mentorship for aspiring clinician scientists.

ANNUAL GENERAL MEETINGThe College 4th Annual General Meeting (AGM) was held on 22 May 2020 via Zoom, with the 4th Council of the College taking office. A total of 20 Fellows attended the meeting.

COUNCIL MEETINGSA total of three Council meetings were held in 2020 to conduct the business and affairs of the College on the following dates: 10 January, 18 September and 18 December.

MEMBERSHIPThe Membership of the College stood at 91 as at 31 December 2020. The College Membership consisted of 88 Local Fellows, one Overseas Fellows and two Associate Members.

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DR PIERCE CHOWPresident

DR MAHESH CHOOLANIPresident-Elect

DR TINA WONGVice-President

DR JOANNE NGEOW Honorary Secretary

DR CATHERINE ONGHonorary Treasurer

DR IAIN TANCouncil Member

DR WAN-YEE TEOCouncil Member

DR CHRISTOPHER CHENCo-Opted Member

DR JERRY CHANCo-Opted Member

DR JOHN CHIACo-Opted Member

DR ROGER FOOCo-Opted Member

DR KOH WOON PUAYCo-Opted Member

DR LIM SU CHICo-Opted Member


STRENGTHENING OUR ROLE IN CURATING SCIENCE TO EDUCATE THE PUBLIC AND TO CONTRIBUTE IN SHAPING IMPORTANT HEALTHCARE POLICIES

‘The Impact of COVID-19 on the Future of Clinical Trials’ WebinarThe College delivered a public webinar on 17 July 2020. The theme was ‘The Impact of COVID-19 on the Future of Clinical Trials’.

The College assembled a panel of experts to share their insights on aspects of clinical trials which COVID-19 has changed or strengthened, to understand how it has enabled Singapore to better cope with similar challenges in future.

Professor Pierce Chow gave an introduction and welcome speech and Dr Daniel Tan, Senior Consultant from NCCS was the moderator. Speakers included Dr Ken Lee, Chief Medical Officer from IQVIA; Dr Daphne Day, Medical Oncologist and Clinical Researcher from Monash University; Ms Sumitra, Regulatory Consultant from Health Sciences Authority and Associate Professor David Lye, Senior Consultant ID physician from NCID. The webinar was well received by 280 attendees. It was supported by an education grant from Roche Singapore Pte Ltd.

Screen capture of ‘The Impact of COVID-19 on the Future of Clinical Trials’ webinar title slide during Zoom session.

Screen capture of the speakers during the webinar. Top row (from left to right): Ms Sumitra (Regulatory Consultant, HSA), Dr Daniel Tan (Senior Consultant, NCCS), Prof Pierce Chow (College President).Bottom row (from left to right): Dr Ken Lee (Chief Medical Officer, IQVIA), Assoc Prof David Lye (Senior Consultant ID physician, NCID), Dr Daphne Day (Medical Oncologist and Clinical Researcher, Monash University).

‘What is the Future for Healthcare under COVID-19’ WebinarThe College delivered a two-day webinar ‘What is the Future for Healthcare under COVID-19’ on 12 and 13 November 2020. The two-day webinar was organised by Professor Tina Wong, Assistant Professor Wan-Yee Teo and Assistant Professor Catherine Ong. The College assembled a panel of experts to share their insights on how COVID-19 has impacted healthcare and to offer their views on what the future of healthcare will be like under COVID-19.

On Day 1, Professor Pierce Chow delivered the introductory speech outlining the impact of COVID-19 on society and the speed and scale of the scientific response. Professor Tina Wong and Assistant Professor Catherine Ong moderated the webinar and introduced the speakers. The theme of Day 1 was ‘Dissecting the Disease and its Effects’ and the speakers included Professor Kishore Mahbubani, Distinguished Fellow from Asia Research Institute (ARI) of NUS; Professor Lisa Ng, Senior Principal Investigator and Professor at Laboratory of Microbial Immunity, Infectious Diseases Horizontal Technology Centre (ID HTC) and Singapore Immunology Network (SIgN) of A*Star; Professor Wang Linfa, Professor of the Emerging Infectious Disease Programme at Duke-NUS; and Associate Professor David Lye, Director of the Infectious Disease Research at National Centre for Infectious Disease (NCID).

On Day 2, Associate Professor Mahesh Choolani delivered the introductory speech and Assistant Professor Wan-Yee Teo and Assistant Professor Catherine Ong moderated the webinar. The theme of Day 2 was ‘Looking into the Future’ and the speakers were Professor Ooi Eng Eong, Professor of the Emerging Infectious Disease Programme at Duke-NUS; Associate Professor Kim Yae Jean, Associate Professor of Sungkyunkwan University School of Medicine, Samsung Medical Center of South Korea; Professor Antonio Bertoletti, Professor of the Emerging Infectious Disease Programme at Duke-NUS; and Dr John Beigel, Associate Director (Clinical Research) of the Division of Microbiology & Infectious Diseases at the National Institute of Allergy and Infectious Disease of the USA’s National Institute of Health. The two-day webinar was well received by 598 attendees. It was supported by a grant from the National Medical Research Council Singapore.

Screen capture of the ‘What is the Future for Healthcare under COVID-19?’ webinar title slide during Zoom session.


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Screen capture of the moderators and distinguished speakers during the 2-day live webinar.

STRENGTHENING OUR ROLE IN ADVANCING BIOMEDICAL SCIENCE

Seah Cheng Siang Memorial Research AwardThe Academy of Medicine, Singapore and College of Clinician Scientists launched the Seah Cheng Siang Memorial Research Award in August 2020 in memory of the late Professor Seah Cheng Siang, distinguished Academician and Past Master of the Academy. The Award aims to promote excellence in translational, clinical and basic research and to develop an academic base to improve human health and healthcare services.

The Seah Cheng Siang Memorial Research Award 2020 has been awarded to Dr Maria Noviani, and her research project was entitled ‘Characterization of Interstitial Lung Disease in Systemic Sclerosis in the Scleroderma Cohort in Singapore (SCORE)’.

New Year Networking and Continuing Medical Education (CME)The College organised a New Year gathering on 10 January 2020 at Dallas Restaurant & Bar to strengthen the connection within the community of Clinician Scientists, before the first reported case of COVID-19 in Singapore on 23 January 2020. The invited speaker was clinician-scientist and entrepreneur Dr Tan Min-Han, who is the Founding CEO and Medical Director of Lucence Diagnostics. The presentation was titled ‘Commercialising Technologies – The Path from Physician to Entrepreneur’.

The New Year networking and CME session held on 10 January 2020 aimed to strengthen connection within the clinician scientists community.

Invited speaker, Dr Tan Min-Han (founding CEO and Medical Director, Lucence Diagnostics) presented on ‘Commercialising Technologies – The Path from Physician to Entrepreneur’.

APPRECIATIONThe College wishes to record its thanks to all Fellows and friends who have supported the various activities throughout the year. The College also places on record its appreciation of the Secretariat.

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ABOUT THE CHAPTERThe 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

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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 2020 - 2021 EXECUTIVE COMMITTEE

ANNUAL GENERAL MEETINGThe Chapter held its 34th Annual General Meeting on 22 May 2020 via electronic means.

MEMBERSHIPAs at 31 December 2020, the Chapter membership stood at 56.

DR INNY BUSMANISChair

DR CUTHBERT TEOVice-Chair

DR YEO CHIN PINSecretary

DR CHAN KWAI PENGTreasurer

DR JACQUELINE HWANGCommittee Member

DR SATHIYAMOORTHY SELVARAJANCommittee Member

DR TAN AI LINGCommittee Member

DR LIAN WEN QUAN, DERRICKCo-Opted Member

DR MARIAN WANGCo-Opted Member

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Professional Opinion RequestsThe Chapter received a professional opinion request from the Academy in October on the storage of corneal lenticule tissues.


South Central Association of Clinical Microbiology Audio-ConferenceThe Chapter co-organised the following CD-recorded Audio-conference sessions with the Singapore Society of Pathology & the Department of Pathology, Singapore General Hospital:

DATES TOPICS PRESENTERS MODERATORS20-Jan Implementation, Justification, and

Benefits of Lab AutomationKarissa Culbreath, PhD, D(ABMM)Associate Professor, Department of PathologyUniversity of New MexicoDirector, Infectious DiseaseTriCore Reference LaboratoriesAlbuquerque, New Mexico, USA

Dr Deborah Lai

17-Aug Fighting Carbapenemases: New antibiotics and AST testing

Eric Wenzler, PharmD, BCPS, BCIPD, AAHIVPAssistant ProfessorUniversity of Illinois at Chicago

Dr Kenneth Goh

7-Sep Rethinking Paradigms in Microbiology for Transgender Patients

Susan Butler-Wu, Ph.D., D(ABMM), SM(ASCP) LA County Hospital & USC Medical CenterAssociate Professor of Clinical Pathology, Keck School of Medicine of USC, Los Angeles, CA

Dr Chan Kian Sing

28-Sep Product Recalls in Clinical Microbiology: What should we do in the Lab?

Amy L. Leber, PhD, D(ABMM), SM(ASCP)MBNationwide Children’s HospitalThe Ohio State University

Dr James Sim

12-Oct Interferon gamma release assays for diagnosis of latent M. tuberculosis infection: what have we learned?

Niaz Banaei, MDProfessor of Pathology and MedicineDirector, Clinical Microbiology LaboratoryStanford University Medical Center

Dr Jamie Tan

16-Nov Blood Cultures for the Wee Ones Jennifer Dien Bard, Ph.D, D(ABMM)Director, Clinical Microbiology & VirologyChildren’s Hospital Los Angeles

Dr Shireen Tan

7-Dec Antifungals: resistant mechanisms, drug susceptibility testing, and emerging drug resistant fungi

Sean Zhang, MD, Ph. D, D(ABMM) Associate Professor of PathologyDirector, Clinical Mycology LaboratoryJohns Hopkins HospitalJohns Hopkins School of Medicine

Dr Tan Yen Ee


Chapter of Pathology and College of Clinician Educators Joint-Lecture Webinar Series The Chapter of Pathologists, in collaboration with the College of Clinician Educators presented three Lectures:

• Online Teaching: Best Practices and Sharing of Experiences by Dr Derrick Lian on 7 July

• Teaching for Effective Learning: Best Practices in mentoring and supervision to build resilience amongst Residents by Dr Dujeepa D. Samarasekera on 16 July

• Implementing Workplace based Assessments by Dr Tay Sook Muay on 7 Aug

Chapter of Pathologists Sponsored Best Poster Prize – SGH Pathology ACPThe Chapter instituted the award in the Residents and Trainees category last year, at the Annual Pathology Academic Clinical Programme Day, held in Academia, Singapore General Hospital, in an effort to promote the Academy, and foster research by our young, aspiring pathologists. This event showcases pathology research done by various bodies of health professionals, and the Chapter is proud to encourage our young researchers in their endeavours, with the presentation of a $150 book voucher and a beautiful crystal trophy.

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This year’s event on 6 October was held as a webinar for the first time, and the prize was awarded to Dr Aw Sze Jet for his presentation on ‘Perinatal autopsies of stillbirths - A clinical review’, the work undertaken in conjunction with A/Prof Kenneth Chang, during his posting to KK Women’s and Children’s Hospital.

Our Committee member, Dr Derrick Lian participated as the Chapter of Pathologists representative on the judging panel.

Chapter Chair, Dr Inny Busmanis presenting the trophy to Dr Aw Sze Jet.

Combined Chapter of Pathologists/SSP ASMThe webinar, held on 5th October, consisted of 2 sessions.

The first session, titled ‘Cytogenetics and FISH Applications in Haematology’ and ‘NGS Applications on Somatic Tumours’ were delivered by speakers, Dr Alvin LIm and Dr Evelyn Heng from the Cytogenetics Department at Singapore General Hospital. The second session, addressing advocacy for medical laboratory scientists and technologists, was delivered by A/Prof Raymond Lin, Dr Shirlena Soh, and Dr Adrian Yeo. All the speakers were presented with tokens of appreciation.

The webinar was attended by a total of 62 registrants.

Events SponsorshipThe Chapter also provided nominal sponsorship for event publicity in support of the following programmes:

• COVID-19 related papers with pathology input, disseminated to Chapter members, 6 April, 18 May &

11 September 2020 • Pathology Today Webinar ‘Recent Developments and Updates in Head and Neck Cancer’, 3 October 2020

• 7th Pathology ACP Research Day, 6 October 2020 • RCPA International Pathology Day programme,

11 November 2020 • WHO Tumour Classification Updates Webinar,

17 November 2020 • Breast cancer awareness video clip, for general public, November 2020

Continuing Professional Development (CPD) BulletinThe Chapter of Pathologists contributed to the March edition of the Bulletin.

CollaborationsLectures and educational event collaborations continue with the Singapore Society of Pathology, Pathology Academic Clinical Programme, and internationally, with the RCPA. Additional collaborations are also being planned with the Chapter of Dermatologists and the Hong Kong College of Pathologists.

Attendance at the 53rd Singapore-Malaysia Congress of MedicineThe Chair attended the 53rd Singapore-Malaysia Congress of Medicine, held at the Carlton Hotel Singapore, 18th January 2020.


Committee and Panel AppointmentsDrs Cuthbert Teo and Marian Wang remain on the Medical Experts Training Committee and SMC Panel of Medical Assessors. The Chapter Chair also remains a member of the AMS Standing Committee on Membership.

APPRECIATION The Chapter wishes to record its appreciation and thanks, particularly to the Executive Committee, and immediate past Secretariat Marcus Lin, and all Fellows for their kind support.

We welcome our new Secretariat, Chandrakala Krishna and also full member on the Committee Dr Derrick Lian, following resignation of Dr Sathiyamoorthy from the Committee and AMS.

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ABOUT THE CHAPTERThe 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 standardized level of high-quality care in Singapore.

THE 2019-2021 EXECUTIVE COMMITTEE Chairman Dr Kenneth Tan Hock SoonVice-Chairman Dr Kenneth Chan Ping WahHonorary Secretary Dr Tan Chee KeatMembers Dr Chia Yew Woon

Dr Ng Shi YiDr Matthew CoveDr Lee Tze Wee

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ANNUAL GENERAL MEETINGThe 6th Annual General Meeting of the Chapter was held on 30 April 2020 via Zoom. It was attended by 18 Chapter Fellows.

MEMBERSHIPAs at 31 December 2020, the Chapter had a total of 119 Local Fellows.


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Professional Opinion RequestThe Chapter was consulted for professional input on the following matters:

TOPIC ORGANISATIONCurrent charging practices in ICU setting in the private sector MOHRole and scope of work of Intensivists and fees guidelines (in progress) MOH


CME ActivitiesThe Chapter collaborated with the Society of Intensive Care Medicine (SICM) to produce a series of talk show style webinars via Zoom.

DATES TOPICS, HOSTS & PANELISTS

16 May

TALKSHOW 1 - WHAT HAPPENS IN THE FIRST 12 HOURS OF ICU ADMISSION FOR THE COVID-19 PATIENT?Host:Dr Kenneth Tan, Intensivist, Mount Elizabeth Novena Hospital; Chairman of Chapter of IntensivistsPanellists:Dr Kumaresh Venkatesan, Intensivist, Khoo Teck Puat HospitalDr Kenneth Chan, Intensivist, Respiratory Medical Associates, Gleneagles HospitalDr Tan Chee Keat, Intensivist, Ng Teng Fong General Hospital


23 May

TALKSHOW 2 - COVID-19 AND THE CARDIOVASCULAR SYSTEMHost:Dr Alvin Teo, Intensivist, Mount Elizabeth Novena HospitalPanellists:Dr Jonathen Venkatachalam, Intensivist, Khoo Teck Puat HospitalDr Tan Chee Keat, Intensivist, Ng Teng Fong General HospitalDr Ramanathan K.R, Intensivist, National University HospitalDr Jack Tan, Cardiologist, National Heart Centre Singapore/Sengkang General Hospital

30 May

TALKSHOW 3 - PANDEMIC ICU ETHICS: WHEN DEMAND EXCEEDS SUPPLYHost:Dr Tan Hon Liang, Intensivist, SICM PresidentPanellists:Dr Voo Teck Chuan, Lecturer, NUS Centre for Biomedical Ethics (CBmE)Dr Devanand, Intensivist, Singapore General HospitalDr Sumytra Menon, Co-Director, CENTRES (Clinical Ethics Network and Research Ethics Support)Dr Neo Han Yee, Palliative Care Medicine, Tan Tock Seng Hospital

6 June

TALKSHOW 4- THE CLOT THICKENS: CONTROVERSIES IN COVID-19 COAGULOPATHYHost:Dr Kenneth Tan, Intensivist, Mount Elizabeth Novena Hospital; Chairman of Chapter of IntensivistsPanellists:Dr Jensen Ng, Intensivist, Tan Tock Seng HospitalDr Ram, Intensivist, National University HospitalDr Ho Vui Kian, Intensivist, Seng Kang HospitalMr Yeoh Siang Fei, Pharmacist, National University Hospital

13 June

TALKSHOW 5 - ICU NUTRITION - FROM STAYING ALIVE TO HAVING A LIFEHost:Dr Jonathan Tan, Intensivist, Private PracticePanellists:Dr Charles Lew, Dietician, Khoo Teck Puat HospitalDr Andrew Li, Intensivist, National University HospitalMr Yeoh Siang Fei, Pharmacist, National University Hospital

20 June

TALKSHOW 6: LOW DOWN ON HIGH FLOW (NASAL CANNULA)Featuring:Dr See Kay Choong, Intensivist, National University HospitalDr Andrew Li, Intensivist, National University HospitalDr Mervyn Loi, Paediatric Intensivist, KK HospitalDr Puah Ser Hon, Intensivist, Tan Tock Seng HospitalDr Amit Kansal, Intensivist, Ng Teng Fong General Hospital

27 June

TALKSHOW 7: HIGH QUALITY CARDIOPULMONARY RESUSCITATIONHost:Dr Tan Hon Liang, Intensivist, SICM PresidentGuests:Dr Shanaz Matthew Sajeed, Emergency Medicine/Intensivist, Ng Teng Fong General HospitalDr Benjamin Leong, Emergency Medicine, National University HospitalDr Jade Kua, Paediatric Emergency Medicine, KK Women’s and Children’s HospitalDr Fong Wee Kim, Intensivist, SICM National Resuscitation Council representative, Tan Tock Seng Hospital

4 July

TALKSHOW 8: THE FUTURE OF HEART FAILUREHost:Dr Ruth Chen, Cardiologist, Tan Tock Seng Hospital/Woodlands HealthPanellists:Ms Kerk Ka Lee, Ventricular Assist Device Coordinator, National Heart Centre SingaporeDr Lim Choon Pin, Cardiologist, Private PracticeDr Lim Chong Hee, Cardiothoracic surgeon, Private PracticeDr Chia Yew Woon, Intensivist/Cardiologist, Tan Tock Seng Hospital

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18 July

TALKSHOW 9: PAEDIATRIC PERSPECTIVES ON COVID-19Host:Dr Thoon Koh Cheng, KK Women’s and Children’s HospitalPanellists:Dr Srinivas Murthy, Department of Pediatrics, The University of British ColumbiaDr Lee Jan Hau, KK Women’s and Children’s HospitalDr Patrick Davies, Paediatric Critical Care Unit, Nottingham Children’s Hospital, UK

25 July

TALKSHOW 10: ANTICOAGULATION IN CRRT (INCLUDING RCA)Host:Dr See Kay Choong, National University HospitalPanellists:Dr Manish Kaushik, Singapore General HospitalDr Chua Horng Ruey, National University HospitalDr Ben Khoo, Tan Tock Seng HospitalDr Chionh Chang Yin, Changi General Hospital

1 August

TALKSHOW 11: DEALING WITH INVASIVE FUNGAL INFECTIONS IN THE ICUHost:Adj A/Prof Ng Shin Yi, Singapore General HospitalGuests:A/Prof Tan Ban Hock, Singapore General HospitalDr Louis Chai, National University HospitalA/Prof Andrea Kwa, Singapore General Hospital

15 August

TALKSHOW SERIES 2: EPISODE 1: THE ROLE OF DIAGNOSTICS IN ANTIMICROBIAL STEWARDSHIP IN CRITICALLY ILL PATIENTSHost:Dr Kenneth Chan, Private PracticePanellists:Dr Lee Tau Hong, Tan Tock Seng Hospital/NCIDA/Prof Andrea Kwa, Singapore General HospitalDr Piotr Chlebicki, Private Practice

22 August

TALKSHOW SERIES 2: EPISODE 2: MANAGEMENT OF MDRO IN ICU SETTINGS: PART 1. MRSA, VRE AND ESBLSHost:Dr Adrian Kee, National University Health SystemGuests:Dr Adrian Ong, Mount Elizabeth Hospital, Private PracticeDr Lee Tau Hong, Tan Tock Seng Hospital/NCIDDr Indumathi Venkatachalam, Singapore General Hospital

29 August

TALKSHOW SERIES 2: EPISODE 3: MANAGEMENT OF MDRO IN ICU SETTINGS: PART 2. MRSA, VRE AND ESBLSHost:Dr Claudia Tien, Intensivist, Singapore General HospitalGuests:Dr Koh Yin Ling, Infectious Diseases, Mount Elizabeth Novena HospitalDr Loh Jiashen, Infectious Diseases, Sengkang General HospitalMr Yeoh Siang Fei, Pharmacist, National University Health System

19 September

TALKSHOW SERIES 2: EPISODE 4: SEDATION IN ICU PRESENT AND THE FUTUREHost:Dr Irene Wong, Intensivist/Anaesthetist, Singapore General HospitalGuests:Dr Kerstin Rohm, Special GuestDr Jason Phua, Intensivist/Respiratory Physician, Alexandra Hospital / National University HospitalDr Wong Yu Lin, Intensivist/Anaesthetist, Tan Tock Seng Hospital


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3 October

TALKSHOW SERIES 2: EPISODE 5: HAEMODYNAMICS – STATE OF THE ARTHost:Dr Liew Mei Fong, Intensivist/Respiratory, Alexandra Health/Tan Tock Seng HospitalGuests:Adj A/Prof Chia Yew Woon, Intensivist/Cardio, Tan Tock Seng HospitalA/Prof Ng Shin Yi, Intensivist/Anaesthetist Singapore General HospitalDr Jerry Lim, Intensivist/Anaesthetist, Changi General Hospital

17 October

TALKSHOW SERIES 2: EPISODE 6: USE OF COAGULATION FACTOR CONCENTRATES IN BLEEDING MANAGEMENTHost:Dr Jonathan Tan, Senior Consultant Anaesthesiologist/Intensivist, Mount Elizabeth Novena HospitalGuests:Dr Christopher King, Senior Consultant, National University HospitalClin Asst Prof Louis Ng, Deputy Director, Surgical Intensive Care Unit & Chairman, Changi General HospitalDr Chong Shang Yee, Consultant, Tan Tock Seng Hospital

31 October

TALKSHOW SERIES 2: EPISODE 7: CYTOKINES REMOVALHost:Dr Kenneth Tan, Anaesthetist/Intensivist Private PracticeGuests:Dr Nattachai Srisawat, Intensivist, Chulalongkorn University, ThailandDr Manish Kaushik, Nephrologist, Senior Consultant, Singapore General HospitalDr Gerald Chua, Intensivist, Senior Consultant, Ng Teng Fong General HospitalDr Matthew Edward Cove, Intensivist, Senior Consultant, National University Hospital

28 November TALKSHOW SERIES 2: EPISODE 8: ENSURING SAFETY AND TOLERANCE OF ENTERAL NUTRITION IN THE MEDICAL AND SURGICAL INTENSIVE CARE UNITSHost:Dr Jonathan Tan, Senior Consultant Anaesthesiologist/Intensivist, Mount Elizabeth Novena HospitalGuests:Dr Andrew Li, Consultant, Division of Respiratory & Critical Care Medicine, National University HospitalDr Frederick Koh, Associate Consultant, Colorectal Service, Sengkang General HospitalMr Yeoh Siang Fei, Department of Pharmacy, National University Health SystemDr Charles Lew, Principal Dietitian, Ng Teng Fong General Hospital

12 December TALKSHOW SERIES 2: EPISODE 9: IMPACT OF ILCOR GUIDELINE 2020 UPDATES TO TTM IN SOUTHEAST ASIAHost:Dr Ruth Chen, Woodlands Health Campus, SingaporeGuests:Dr Chia Yew Woon, Tang Tock Seng Hospital, SingaporeProf Sombat Muengtaweepongsa, Thammasat Hospital, ThailandDr Do Ngoc Son, Bach Mai Hospital, Vietnam


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CHAIRMAN’S MESSAGEWe embarked on 2020 with resolutions and workplans that never took into consideration the devastating pandemic that we are going through now. When SARS Cov-1 hit us, we were in disarray. Family physicians, especially those in solo practices, stood our ground largely on our own. The fight was mainly in the acute hospitals.

Then, SARS Cov-2 spread to the community, and more than ever, everyone realized that we made the right decision to invest in developing family medicine as a specialty. We find family physicians in the thick of battle protecting our fellow Singaporeans from the worst of the pandemic. Family physicians in the polyclinics and the pandemic ready GP clinics became the focal point of holding back the black tide of COVID-19. Volunteers ventured into the thick of battle when there was a surge in the number of cases in the dormitories. Family physicians in community hospitals and community care facilities sprang into action when the acute hospitals were overwhelmed.

The pandemic will be remembered as a time when Singaporeans from all walks of life came together to protect one another. While the worst is not over, I am confident that as a nation we will account ourselves well and become an exemplar of how an excellent healthcare system can effectively shield citizens and residents from the worst of the scourge. We can be proud that family physicians trained to the peak of their potential contributed significantly to this existential struggle against COVID-19. As Family Medicine Academicians we represent the tip of this spear that broke through the barrier of the naysayers who are proven wrong.

We need to train more and practice at the top of the license. The formation of the Chapter and the continuing work of the FAMS in our chapter will ensure that. The account provided in this annual report is testament to this effort, but it is only the tip of the iceberg. Out there in the frontline, FAMS of our Chapter are making a difference and showing everyone the true value of well-trained family medicine physicians.

CHAPTER OF FAMILY MEDICINE PHYSICIANS

ABOUT THE CHAPTERWith an ageing population and increasing chronic disease burden, the role of Family Medicine Physicians has become even more critical. There is a need for many better-trained family physicians to provide 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: (a) to promote and advance Family Medicine as a Specialty in Singapore and; (b) to foster interdisciplinary medical education in Family Medicine.

ANNUAL GENERAL MEETINGThe 5th Annual General Meeting of the Chapter of Family Medicine Physicians (‘Chapter’), Academy of Medicine, Singapore (‘AMS’/’Academy’) was held on 23 May 2020, via Zoom. A total of 19 Fellows attended the meeting.

CHAPTER MEETINGThe Chapter did not hold any board meeting in 2020 due to COVID-19.

MEMBERSHIPChapter membership stood at 96 as at 31 December 2020, comprising 95 Local Fellows and one Overseas Fellow.

The following was admitted as Fellow of the Academy of Medicine, Singapore (FAMS) and welcomed into the Chapter:

• Dr Gilbert Yeo Tian Seng

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THE 2019 – 2021 EXECUTIVE COMMITTEE

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DR LEE KHENG HOCKChairman

DR TAN BOON YEOWVice-Chairman

DR LEE ENG SINGSecretary

DR RICHARD LEE MENG KAMTreasurer

DR KONG JING WENCommittee Member

DR PATRICIA LEECommittee Member

DR GILBERT TAN CHOON SENGCommittee Member

DR WONG WEI MONCo-Opted Member

DR ONG CHONG YAUCo-Opted Member

DR LUKE LOW SHER GUANCo-Opted Member

DR TAN TZE LEECo-Opted Member

DR CHEONG PAK YEANAdvisor

DR GOH LEE GANAdvisor

DR LEE SUAN YEWAdvisor



Professional Opinion RequestsThe Chapter also shared professional opinions and suggestions to the Ministry of Health (MOH) on the following issues to help provide clinical guidance.

TOPICS ORGANISATIONInvitation to review and endorse the ACE Clinical Guidance on asthma

MOH

Invitation to review and endorse the ACE Clinical Guidance on Chest X-ray

MOH


Fellowship of the 3: Cardio-Renal Metabolic Connection in Diabetes in the Post COVID World - WebinarThe Chapter delivered a webinar titled ‘Fellowship of the 3: Cardio-Renal Metabolic Connection in Diabetes in the Post COVID World’ on 29th August 2020, 2-4pm. The webinar aimed to shed new insights on the care of diabetes Post COVID-19.

It was sponsored by Boehringer Ingelheim and moderated by Dr Gilbert Tan and Dr Richard Lee. Invited speakers include:

• A/Prof Khoo Chin MengHead & Senior Consultant Division of Endocrinology, Department of Medicine

• A/Prof Pipin KojodjojoSenior ConsultantDepartment of Cardiology, National University Heart Centre, Singapore

• A/Prof Jimmy Teo Boon WeeHead & Senior Consultant Division of Renal MedicineDepartment of Medicine, National University Hospital, Singapore

The webinar was well attended by 275 participants.

Screen capture of the ‘Fellowship of the 3: Cardio-Renal Metabolic Connection in Diabetes in the Post COVID World’ live webinar title slide.

Screen capture of the moderator and speakers during the webinar.From left to right (top): Dr Richard Lee. A/Prof Jimmy Teo Boon Wee and Dr Gilbert Tan.From left to right (bottom): A/Prof Khoo Chin Meng and A/Prof Pipin Kojodjojo


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CHAIRMAN’S MESSAGEYear 2020 had been a challenging year with the COVID-19 pandemic. Despite this, the Chapter of Pain Medicine Physicians continued to serve its mission by providing professional opinions to MOH, coming up with a position paper for pain management and COVID-19, conducting its inaugural Annual General Meeting, and engagements with MOH on TOSP codes for pain interventional procedures. Some members including myself, have also been involved in leading the National Opioid prescribing guidelines. I am also privileged to represent both AMS and SMA as Vice Chairman of the MOH appointed Committee in National Guideline for Opioid Use.

The challenges ahead for our fraternity of pain medicine physicians remain many, as we start to navigate 2021. Being a new Chapter, much work still needs to be done to further reinforce the various standards of training, patient’s care and treatments and consent takingfor pain management. One such area of concern includes interventional pain management. We also need to improve the accessibility of patients for pain treatments, especially with the new arrangements of panel doctors by insurance companies. To date, majority of physicians are not in the panel. Not only does this restrict the accessibility of patients to pain medicine physicians, it may also force patients to seek treatments from doctors who lack the necessary subspecialty expertise and compromise such care, or encourage patients to break away from non-panel doctors who have treated them for a long time.

I would sincerely encourage all Fellows to actively engage with the Chapter and charter our mission for a better standard of physicians’ training and patients’ care.

CHAPTER OF PAIN MEDICINE PHYSICIANS

ABOUT THE CHAPTERThe formation of the interim Chapter was passed at the 41st Annual General Meeting of the Academy of Medicine, Singapore on 1 June 2019. The Chapter aims to provide advisory opinion on the training and credentialing requirements needed for pain medicine physicians to perform competently, general pain management options, and specific interventional procedures.

INAUGURAL GENERAL MEETINGThe inaugural General Meeting of the Chapter was held on 6 May 2020 via Zoom. It was attended by 17 Chapter Fellows.

MEMBERSHIPAs at 31 December 2020, the membership of the Chapter stood at 32, comprising of all Local Fellows.

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Professional Opinion Requests The Chapter also presented its professional opinions and suggestions to the Ministry of Health (MOH) on the following issues:

TOPICS ORGANISATIONTOSP Codes on Pain Procedures MOHChapter of Intensivists’ Response on ICU Fee Guidelines Draft

MOH

Guidelines of use for MRI for back pain; use of prolotherapy

MOH


Symposium on Opioids in Pain ManagementIn conjunction with the 53rd Singapore-Malaysia Congress of Medicine (SMCM) held on 18 January 2020, the Chapter held a symposium titled, ‘Opioids in Pain Management - Challenges, Evidence-Based Practice and Guidelines’. Opioids has been known as an important option for acute, chronic and cancer pain management.

International speakers from Hongkong and Malaysia were invited to give their insights on the respective topics. It was well received by 50 attendees.


THE INTERIM EXECUTIVE COMMITTEE

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DR YEO SOW NAMChairman

DR CHOO CHEE YONGVice-Chairman

DR NICHOLAS CHUA HAI LIANGSecretary

DR BOEY WAH KEONGTreasurer

DR DARREN PHUA SHING KUANMember

DR YOONG CHEE SENGCo-Opted Member

DR JONATHAN ONG JIA YUANCo-Opted Member

DR ANGELA YEO SIOK HOONG Co-Opted Member

DR DIANA CHAN XIN HUICo-Opted Member


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Participants listening to a presentation during the ‘Opioids in Pain Management - Challenges, Evidence-Based Practice and Guidelines’ Symposium.

From Left to Right: Dr Deepak Mathur (Deputy Head of Department and Senior Consultant in Women’s Anaesthesia at the KK Women’s and Children’s Hospital), Professor Cheung Chi Wai (Clinical Professor from The University of Hong Kong), Professor Ramani Vijayan (Honorary Consultant Anaesthesiologist and Pain Management Specialist University Malaya Medical Centre), Dr Yeo Sow Nam (Chairperson Chapter of Pain Medicine Physicians), Dr Choo Chee Yong (Consultant Anaesthesiologist and Pain Specialist, Mount Elizabeth Novena Hospital).

Position Statement on Pain Management during COVID-19The Chapter also published a position statement on pain management to provide guidance on the changes in practice as well as the management of patients during the pandemic.


STAFF LIST(As of 31 December 2020)

ACADEMY OF MEDICINE, SINGAPOREJunia Heng (Ms) Executive Director

Corporate RelationsYazeedah Sa’at (Ms) Deputy Manager

FinanceCheong Kim Seng (Mr) ManagerCarin Loo (Ms) Executive Ng Bee Yean (Ms) ExecutiveCandy Toh (Ms) Officer

Human ResourcesJenny Huan (Ms) Assistant Manager

AdministrationJenny Huan (Ms) Assistant ManagerSally Lim (Ms) Officer

PublicationsTan Lay Leng (Ms) Deputy ManagerLinda Lim (Ms) Senior ExecutiveNuraiziah Johari (Ms) Executive

Professional AffairsSyairah Samsudin (Ms) Assistant ManagerRoland Lim (Mr) Executive

Education & TrainingKoh Ai Ling (Ms) Deputy ManagerAdam Koh (Mr) Senior ExecutiveJames Toh (Mr) ExecutiveMelissa Hong (Ms) ExecutiveWhu Wan Lin (Ms) Executive

Information TechnologyKelvin Yeo (Mr) Senior Executive

Secretariat of Colleges and ChaptersGoh Chew Lin (Ms) Senior ExecutiveCollege of Radiologists, SingaporeCollege of Public Health & Occupational PhysiciansCollege of Ophthalmologists

Joseph Kerk (Mr) Senior ExecutiveCollege of SurgeonsCollege of Anaesthesiologists, SingaporeChapter of Intensivist

Wendy Tan (Ms) Senior ExecutiveCollege of Physicians, Singapore

Samantha Chan (Ms) Senior ExecutiveCollege of PhysiciansCollege of Psychiatrists

He Shu Wei (Mr) ExecutiveCollege of Surgeons, Singapore

Marcus Lin (Mr) ExecutiveCollege of Dental Surgeons, SingaporeCollege of Emergency PhysiciansChapter of PathologistsCollege of Clinician Educators

Ser Hui Wen (Ms) ExecutiveCollege of Obstetricians & Gynecologists, SingaporeCollege of Paediatrics & Child Health, Singapore

Lawrence Poon (Mr) ExecutiveCollege of Clinician ScientistChapter of Family Medicine PhysiciansChapter of Pain Medicine

MembershipJoyce Low (Ms) ExecutiveJuliana Ismail (Ms) Senior Officer

JOINT COMMITTEE ON SPECIALIST TRAININGBetty Teo (Ms) Senior ManagerTriscilia Choa (Ms) Senior Manager (Operations)

Interim Aviation Medicine, Interim Radiation Oncology, Interim Orthopedics SurgeryTriscilia Choa (Ms) Senior Manager (Operations)

Neurosurgery, Site Accreditation, Interim Urology, Interim Emergency MedicineSiti Hawa (Ms) Assistant Manager

Internal Medicine, Nuclear Med, RheumatologyCarol Lee (Ms) Assistant Manager

Paediatrics Medicine, Neonatology, Psychiatry, Paediatrics Medicine Sub SpecNarinder Kaur (Ms) Assistant Manager

Diagnostic Radiology, Plastic Surgery, Transfusion Medicine, Palliative Medicine Stella Wong (Ms) Assistant Manager

Ophthalmology, Orthopedics Sheryl Kam (Ms) Senior Executive

Hand Surgery, General Surgery & Surgery in General Tan Hwee Miang (Ms) Senior Executive

Dermatology, Geriatric Med, O & GSerene Goh (Ms) Executive

Renal Medicine, Sports Medicine, Cardiothoracic SurgeryMichelle Tay (Ms) Executive

HematologyKevin Wang (Mr) Executive

Neurology, Rehabilitation Medicine, UrologySara Foo (Ms) Executive

Otorhinolaryngology (ENT), Endocrinology, AnesthesiologyDaphne Phoa (Ms) Executive

Emergency Medicine and PathologySeah Li Yi (Ms) Executive

Intensive Care Medicine and Respiratory Medicine, CardiologyJocelyn Lim (Ms) Executive

Medical Oncology, Gastroenterology & Clinician Scientist Chua Wei Ling (Ms) Executive

Preventive Medicine, Occupational Medicine and Infectious DiseasesLee Ying Ning (Ms) Executive

Aviation Medicine, Paediatrics Surgery & Radiation OncologyPoh Sze Hui (Ms) Executive

Iris Ong (Ms) Accounts ExecutiveRugayah Ishak (Ms) Senior Management Support OfficerRenny Ramli (Ms) Management Support OfficerSandra Ng (Ms) Management Support Officer

OUR PEO

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Academy of Medicine, Singapore81 Kim Keat Road, NKF Centre

#11-00, Singapore 328836Tel: 6593 7800 Fax: 6593 7880

Email: [email protected]: www.ams.edu.sg

Registration No: 197702012E Charity No: 000043

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