Graduate medical education (GME) in Singapore recently underwent major reform (2009-2012), leading to accreditation of residency programs by the Accreditation Council for Medical Education-International (ACGME-I) within two years initial commitment change. The main aims reforms were implement best practices GME, provide better support structures program administration, and bring all specialty training under one administrative umbrella. authors outline historic development GME Singapore,...

Abstract Background Dementia is a prevalent condition in an ageing population. Persons with dementia and their caregivers are often uncertain about what to expect after initial diagnosis. Previous studies conducted on the experiences of informal show clear demand address these: providing adequate information, psychosocial support access services. Introduction The diagnosis usually made by specialists hospital. Resources acute tertiary hospital valuable need be carefully distributed. To...

Abstract Introduction: Arrhythmias, especially atrial fibrillation (AF) and ventricular arrhythmias, are independent risk factors of mortality in patients with ischaemic heart disease (IHD). While there is a growing body evidence that suggests an association between obstructive sleep apnoea (OSA) cardiac on this relationship IHD has been scant inconsistent. We hypothesised IHD, severe OSA associated increased nocturnal arrhythmias. Methods: studied 103 consecutive who underwent overnight...

This article presents findings from a simulation-based interprofessional education (IPE) program involving trainee advanced practice nurses (APNs) and internal medicine residents (IMRs) based in Singapore. Trainee APNs IMRs participated semester-long series of high-fidelity simulations medical emergencies. Learners' attitudes toward the IPE intervention were assessed using validated Likert scaled surveys written comments. Overall satisfaction was high among learners, with strongly positive...

BACKGROUND:The use of metered-dose inhaler (MDI) with spacer instead nebulizer may be important during an outbreak airborne infection.However, there is a paucity data on patients' and nurses' abilities perspectives MDI for the treatment acute airway obstruction such outbreak.METHODS: We evaluated 50 consecutive MDI-withspacer treatments administered in respiratory wards National University Hospital Singapore, interviewed patients after each severe syndrome (SARS).We also conducted interviews...

Introduction: The implementation of competency-based internal medicine (IM) residency programme that focused on the assurance a set 6 Accreditation Council for Graduate Medical Education (ACGME) core competencies in Singapore marked dramatic departure from traditional process-based curriculum. transition ignited debates within local IM community about relative merits versus models medical education, as well feasibility locally implementing training structure originated very different...

We report two cases of acute lung injury after the inhalation nitric acid fumes in an industrial accident. The first patient, who was not using a respirator and standing close proximity to site spillage concentrated acid, presented within 12 h with worsening dyspnea required noninvasive ventilation for type 1 respiratory failure. second case day later similar symptoms, but only supportive treatment high-flow oxygen. Both patients' chest radiographs showed widespread bilateral airspace...

Introduction With the increasing complexity of healthcare problems worldwide, demand for better-coordinated care delivery is on rise. However, current hospital-based practices remain largely disease-centric and specialist-driven, resulting in fragmented care. This study aimed to evaluate effectiveness feasibility an integrated general hospital (IGH) inpatient model. Methods Retrospective analysis medical records between June 2018 August 2019 compared patients admitted under IGH model...

Most training programs have focused on the explicit teaching of professionalism, an approach that has seen limited success, to transform trainees into physicians. It is possible faculty members' reflective narratives, if appropriately shared with trainees, can facilitate processes reflection and socialization help shift paradigm toward supporting professional identity formation.In May 2010, online forum, where could share personal narratives all residents via email, was created for National...

Inaccurate and incomplete prescribing of nebulized bronchodilators can result in uncertainty suboptimal treatment. A prospective study was carried out to assess the completeness prescription quality bronchodilator drug administration via nebulizers.A total 121 consecutive inpatient prescriptions treatments administered 93 adult medical inpatients a university hospital were studied prospectively. Five different aspects examined their accuracy completeness. The each nebulizer treatment using...

<b>Introduction:</b> Arrhythmias, including atrial fibrillation/flutter (AF), are independent risk factors of mortality in patients with ischemic heart disease (IHD). While there is a growing body evidence that suggests an association between Obstructive Sleep Apnoea (OSA) and arrhythmias, on this relationship IHD has been scant inconsistent. We hypothesize IHD, OSA associated increased arrhythmias during sleep. <b>Methods:</b> This prospective study consecutive previous diagnosis referred...

We sought to determine the prevalence of OSA and its association with a panel established cardiovascular risk markers in an Asian community. Recruited 320 individuals health screening program at National University Heart Centre Singapore between September 2014 December 2015. 252 successfully underwent overnight sleep study. was defined as Apnea-Hypopnea Index ≥15.Fasting blood samples symptom-limited exercise treadmill test were performed profile.Among patients(mean age:48...

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)

The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)