Staff Registrar Scheme Diploma (SRS)

All trainees will be required to undergo an exit assessment which consists of:

• A two hour (120 min) written paper with eight short answer questions (SAQ)
• An oral examination by a panel of 2 examiners lasting 30 min

An Examination Board will be formed for each Diploma Examination, which will comprise at least 3 members and be chaired by President of the College of Anaesthesiologists or his/her designate. The trainee’s supervisor should not assess the candidate in the oral examination or be part of the Examination Board. The questions in the Diploma Examination will be based on topics covered in the Basic and Clinical modules of the programme.

• To provide opportunity for development of staff registrar based on candidates for those already be qualified in Internal Medicine overseas but do not satisfy our national professional requirements for registration as specialists in Cardiology.
• Allows departments to retain and train suitable foreign-trained doctors {eg doctors on Temporary Registration (service)}to the competency level of a Staff Registrar who can provide registrar level service work and who can provide continuity of care in the transition between MO postings.

• Provide an alternative career track for local Medical Officers (MOs) or Clinical Associates (CAs) who are not keen to go through specialist training and would like to have a long-term career in Cardiothoracic Surgery
• Provide a structured training for eligible foreign-trained doctors who wish to receive advanced training in Cardiothoracic Surgery
• Provide an avenue for institutions to retain good, temporarily- registered (service) doctors, by providing training to enable them to assist in cardiac operations and manage the cardiothoracic intensive care unit

Trainees will be assessed in the following manner:

End of Year 1 - Viva

End of Year 2 - Appraisal by supervisor & Viva

End of Year 3 - Appraisal by supervisor & Final exam consisting of Viva and Presentation of clinical case studies (both long and short cases)

The aim of the programme is to enable the trainee to acquire the skills and knowledge in the following:

• Knowledge and understanding of the practice of Clinical Haematology
• Skills in the diagnostic techniques required in the practice of haematology eg Bone marrow aspirates and trephines, administration of chemotherapy
• Management of hematologic emergencies e.g. leucostasis syndromes, tumor lysis syndromes, extravasation of vesicant chemotherapeutic agents
• Knowledge of specialist areas within haematology such as blood transfusion, bone marrow transplantation, sufficient for general haematology practice
• Acquire communication skills required for practice of clinical haematology
• Understand the tools of research in improvements in clinical practice and the need for continuing professional development for the maintenance of standards of practice

• Acquire the knowledge needed to manage the wide variety of clinical problems commonly encountered in the Emergency department
• Demonstrate the procedural skills integral to Emergency department work
• Demonstrate patient safety awareness, sound clinical reasoning and decision making through interactive tutorials and case studies
• Acquire communication skills and gain an understanding of ethical issues unique to emergency medicine through seminars, interactive tutorials and case studies
• Demonstrate basic ability to access, review and apply pertinent medical and scientific literature through the completion of a case report and focused literature review

The Final Assessment has 2 components: MCQ test and PACES. The conduct and format of both is similar to the semester MCQ tests and semester PACES. The Final Assessment will cover all topics completed within the Diploma Course.

The Final Grade comprises the candidate’s scores from semester MCQ tests, online assessments, case report and the Final Assessment score:

1. Semester 1 lab-based MCQ test
2. Semester 3 lab-based MCQ test
3. All online MCQ quizzes (open book)
4. Case report and focused literature review
5. Final assessment: MCQ and PACES

• Acquire the knowledge needed to manage the wide variety of clinical problems commonly encountered in the Endocrinology department
• Examples of knowledge and skills that are desirable include, but are not limited to the following:
  • Year 1 curriculum will focus on diabetes mellitus and principles of
  general endocrinology including thyroid, electrolyte, pituitary and adrenal conditions. Trainees will observe and perform fi ne needle aspiration of thyroid nodules under supervision.
  • Year 2 curriculum will consolidate the knowledge and skills gained in year 1. In addition, exposure to reproductive and paediatric endocrinology, nuclear and laboratory medicine, and up-to-date evidence-based management from medical literature. Trainees will also prepare for the exit exam at the end of this year.

Assessment Components will consist of:

1. Supervisor’s Report
2. Case Write ups
3. Exit Exam
4. Formative Assessment e.g. Endocrine Self-Assessment Program (ESAP) ITE

Exit Examinations:

1. Exit Viva

a) Written Examination

i. Short Case examination

iii. Viva examination.

At the end of the second year, the exit examination will be organized by Chapter of Geriatricians and will comprise of:

b) Viva station

• The successful candidate completing the Diploma in Haematology (Transfusion Medicine) will equip doctors with the necessary knowledge and skills in Transfusion Medicine.
• The trainees who have successfully completed the training will only be allowed to practice in Blood Services Group, HSA or equivalent health care institutions with a comprehensive blood transfusion service under the supervision of Consultants.

1. Logbook and Formative Assessment - Log books must be properly maintained and updated by the Trainees for the entire period of training and must be produced at the quarterly and semi-annual assessment and at the final exit assessment.

2. Interval Objective Assessment - This will take the form of MCQs or structured questions assessment at months 12 of the 2-year course;

3. Case-studies - Two written case reports at 9 and 18 months respectively after the start of their training. One has to be a donor-related and the other a patient-related case study;

4. Exit Examination - The exit examination will comprise of MCQs, structured questions and viva.

• Trainees will sit for multiple choice question examinations consisting of 60 questions to be attempted in 1 hour at the end of year 1 and 2
• Trainees will be required to undergo an exit examination conducted by the Chapter of Hand Surgeons at the end of the training period

• To obtain clinical knowledge in infectious diseases and HIV medicine
• To demonstrate clinical competency in the care of patients (from diagnosis to management)

The examination format consists of:

Year 1 Examination

• Module 1 : General infectious diseases and antimicrobial agents
• Module 2: HIV medicine and antiretroviral agents

Year 2 Examination

• Module 3: Tropical infectious diseases and travel medicine
• Module 4: Nosocomial infection and infection control

The trainee must satisfy the following criteria before he or she can sit for the Final Examination of the Diploma in Infectious Diseases:

• Achieved 80% attendance for teaching sessions
• Completes all requisite clinical rotations
• Have passed all clinical assessment modules

• To acquire core knowledge of medical conditions that are frequently seen in hospitalised patients in the General Medicine department
• To attain proficiency in history taking and examination techniques in the hospitalised medical patient
• To attain proficiency in medical procedures (lumbar puncture, bone marrow aspiration, abdominal paracentesis, pleural taps, joint aspiration)
• To attain clinical competency in managing acute medical emergencies commonly encountered in hospital practice
• To attain clinical competency in managing a wide variety of chronic and complex medical conditions and their complications
• To learn effective interpersonal and communication skills including difficult issues such as resuscitation status, futility, withholding or withdrawing therapy, informed consent, educating patients, working within multidisciplinary teams as members
• To learn the basics of evidence based medicine and its application in day to day clinical practice
• To learn effective skills which facilitate safe and seamless transitions of care

Continual assessment will be based on the following:

• Bi-Monthly Mini-CEX (Mini-Clinical Examination).
• Bi-Monthly patient care competency based evaluation for each rotation.
• Training Log Book: Review of case and procedure log, self-studying hours

A final examination will be conducted at the end of the course and will consist of the following components. The passing score should be 50% or more.

• Internal Medicine In-Training Examination

The aim of the programme is to enable the trainee to acquire the skills and knowledge in the following:

• History taking and examination techniques in the cancer patient.
• Managing acute oncology emergencies commonly encountered in hospital practice.
• Diagnosing and treating common cancers.
• Principles of pharmacology in relation to chemotherapy administration.
• Chemotherapy administration including indications, dose modifications, side effects and their management.
• Medical procedures commonly carried out in cancer patients (lumbar puncture, inthrathecal administration, bone marrow aspiration and trephine biopsy, abdominal paracentesis, pleural tap, insertion of percutaneous long line).
• Effective interpersonal and communication skills pertaining to the cancer patient, including breaking bad news, discussing resuscitation status, withholding or withdrawing therapy, informed consent, educating patients, and working within multidisciplinary teams as members.
• The basics of evidence based medicine and its application to clinical practice.

The aim of the programme is to enable the trainee to acquire the skills and knowledge in the following:

• Knowledge in perinatal counselling, neonatel resuscitation, newborn screening, routine care of the newborn baby, neonatel intensive care as well as special care of sick neonates.
• Develop competence in a wide spectrum of basic science knowledge, clinical and procedural skills while displaying professional skills.

• Provide an alternative career track for local Medical Officers (MOs) or Clinical Associates (CAs) who are not keen to undergo specialist training but would like to continue to practice long term in an approved institution

Final Examination:

• Clinical examination will consist of 1 long case and 2 short cases
• Viva voce test

The Chapter of Neurosurgeons, College of Surgeons, Singapore shall conduct a yearly interview with the trainees. Trainees are expected to pass the yearly interviews throughout the three years of training.

Final examination format will include multiple choice questions, written essays and clinical examinations.

• To address manpower and service requirements in public sector hospitals at Registrar or Senior Registrar level
• To provide the additional number of staff to develop and sustain specialty services in the department without inadvertently escalating the number of specialists in the process
• Allows departments to retain and train suitable non-specialist doctors who can provide continuity of care in the transition between MO postings

• To develop and sustain a high quality specialty services in Orthopaedic Surgery by retaining and training temporarily-registered (service), conditionally-registered doctors as well as fully-registered medical practitioners who have an interest in Orthopaedic Surgery and wish to continue a career in Orthopaedic Surgery but who do not qualify or do not wish to be a Specialist.
• To ensure the trainee has an adequate theoretical grounding in Orthopaedic Surgery so to enable them to work independently at the level of a Staff Registrar.
• To ensure the trainee is able to gain practical and surgical skills enabling them to manage patients at the Staff Registrar level.

Trainees are required to take the Orthopaedic In-Training Examination (OITE) annually.

At the end of the 3 year training period, trainees will be required to undergo an exit exam conducted by the Chapter of Orthopaedic Surgeons.

Applications for 7th Intake in 2017 are now closed. Period of appication was from 1 - 31 December 2017.

The aim of the programme is to enable the trainee to acquire the skills and knowledge in the following:

• Attain sufficient competency to practise paediatric oncology in the community, as well as to participate as a team member with the various paediatric sub specialists in providing comprehensive care to children with chronic and complex illnesses
• Attain sufficient competency to practise paediatric oncology in the community, as well as to participate as a team member with the various paediatric sub specialists in providing comprehensive care to children with chronic and complex illnesses

• To provide the additional number of staff to develop and sustain services in the Paediatrics department.
• Provide an alternative career track for local Medical Officers (MOs) who are not keen on specialist training and would like to have a long-term career in Paediatrics.

Trainees are required to partake in the following exams:

• Oral Exam at the end of Year 1 (Part 1)
• The candidate is expected to complete Part 1 of the training by the end of Year 1.
• Certification of Completion of Training (Oral Exam) at the end of Year 2 (Part 2)
• MCQs Exit Examination at the end of Year 2

The aim of the programme is to enable the trainee to attain the following General Competencies:

• Understand the local working environment and resources available;
• Competence in specimen handling and diagnostic pathology reporting;
• Effective communication skills and interpersonal skills

• Evaluating and managing patients with psychiatric disorders
• Assessment, understanding of the aetiological factors and biopsychosocial management of common psychiatric disorders e.g. psychosis, mood disorders, anxiety disorders, child and adolescent psychiatric disorders and mental disorders in the elderly
• Performance of risk assessment
• Ability to work in a multi-disciplinary team
• Appropriate utilization of community services for psychiatry patients

The aim of the programme is to enable the trainee to acquire the skills and knowledge in the following:

• Skills and knowledge in the evaluation and management of patients in Rehabilitation Medicine
• Management of common medical complications that occur in rehabilitation patients
• Effective communication skills and professionalism in rehabilitation care
• Awareness and knowledge of the social support system in the local context

The objectives of the Staff Registrar Scheme for the Diploma in Respiratory Medicine are as follows:

• To acquire core knowledge of medical conditions which are frequently seen in patients in a Department of Respiratory Medicine.
• To attain proficiency in history taking and examination techniques.
• To attain proficiency in interpretation of chest radiographs, pulmonary function tests, pleural fluid analysis, arterial blood gases and other investigations (including culture results, routine blood investigations, etc.).
• To attain proficiency in respiratory medicine bedside procedures (e.g. thoracentesis, chest drain insertion).
• To attain clinical competency in managing respiratory conditions, both in acute and chronic phases.
• To acquire effective interpersonal and communication skills including difficult issues such as resuscitation status, futility, withholding or withdrawing therapy, informed consent, educating patients, working within multidisciplinary teams as members.
• To learn the basics of evidence based medicine and its application in day-to-day clinical practice.
• To learn effective skills which facilitate safe and seamless transitions of care.

The objectives of the Staff Registrar Scheme for the Diploma in Respiratory Medicine-TB are as follows:

• To acquire knowledge and proficiency in the clinical management of TB patients

At the end of the first and second year, there will be an assessment for the trainee which consists of a Objective Structured Slide Examination (OSSE) as well as a clinical viva. Deficiencies identified by this assessment will be reported to the trainee’s department head and supervisor, for remediation.

To obtain the diploma, the SRS trainee must successfully pass exit examination consisting of a multiple choice question exam and a clinical examination involving case reports.