SINGAPORE

1
SINGAPORE

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

2
TYPES of ICU models

• Open (minority) and closed (majority)
• Government hospitals tend to be closed
• Private hospitals are open (15 of hospital beds)

3
Type of training

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

4
Current proposal
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Formal training

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

6
Key clinical decision makers

• SICU surgeon and anaesthesia
• MICU CCM and primary physician (final decision
  rests with CCM)
• CTICU mainly surgeons

7
Educational needs

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

8
THANK YOU !