Volume 40, Number 3

March 2011

The Dollars and Sense of Managing Drug-Resistant Tuberculosis in Singapore

The tremendous advances in the treatment of tuberculosis (TB) beginning with the advent of streptomycin, followed by a whole range of highly effective anti-tuberculosis therapies, many of which were studied in high quality randomised clinical trials conducted in Singapore have largely removed TB from the public imagination as a...

Postgraduate Training and Assessment in Hong Kong

The Faculty of Medicine of the University of Hong Kong was founded in 1887 as the Hong Kong College of Medicine. It was the first faculty of the University of Hong Kong and was the only center for the training of western medicine until 1982 when the Chinese University...

What Skills are Tested in the New PACES Examination?

Despite the continuing emergence of sophisticated technology to aid diagnosis, many experienced clinicians continue to believe that bedside clinical skills relating to communication and physical examination remain fundamental to the practice and delivery of high quality patient care. Patients also regard doctors with a good “bedside manner”, as better...

American Diagnostic Radiology Residency and Fellowship Programmes

American diagnostic radiology residency and fellowship programmes are accredited by the Accreditation Council for Graduate Medical Education (ACGME) with specific programme requirements written by the ACGME Diagnostic Radiology Residency Review Committee. In the past, these programmes were purely an apprenticeship model where the resident followed the attending radiologist and...

Managing a Case of Extensively Drug-Resistant (XDR) Pulmonary Tuberculosis in Singapore

Extensively drug-resistant tuberculosis (XDR-TB) is defined as TB which is resistant not only to the 2 best first-line anti-TB medications, rifampicin and isoniazid (known as multidrug-resistant or MDR-TB), but also to at least 1 of 3 injectable second-line agents (amikacin, kanamycin or capreomycin) and to any fluoroquinolone. XDR-TB is...