Volume 43, Number 11

November 2014

Unprofessional Doctors—Are They Really Born This Way?

• Ms M, a third-year medical student, posts a derogative comment on her Facebook account about a patient undergoing her fourth termination of pregnancy. • Dr R, a junior resident, yells on the phone, “I’m arranging an urgent CT scan, stop calling me about stupid ward changes!” • Mr S, a...

High Glycaemic Index (GI) of Asian Diet—What are the Clinical Implications?

Traditional Asian diets are characterised and dominated by high-glycaemic carbohydrates with primarily rice as the staple grain. Studies have shown that Asian rice, rice porridge, and glutinous (sticky) rice are extremely high in glycaemic index (GI). Plain rice has a high GI value of approximately 80, which elicits postprandial...

Antibiotic Therapy and Clinical Outcomes of Pseudomonas Aeruginosa (PA) Bacteraemia

Pseudomonas aeruginosa (PA) is a virulent nosocomial pathogen and PA bacteraemia is associated with high mortality ranging from 18% to 59%. It is ranked among the top 3 gram-negative bacteria associated with bacteraemia. It is commonly reported in patients with cancer and in intensive care units (ICUs). PA bacteraemia...

Hoarding in an Asian Population: Prevalence, Correlates, Disability and Quality of Life

Hoarding is defined as the acquisition of, and inability to discard items even though they appear to others to have no value, leading to clutter, distress, and disability. The clutter in severe hoarding precludes the use of space to accomplish the activities for which they were designed, such as...

When Traditional Model Meets Competencies in Singapore: Beyond Conflict Resolution

In 2010, graduate medical education in Singapore underwent major reform. With the implementation of competency-based residency programmes, hospitals in Singapore became the first outside the United States (US) to adopt a training structure based on the Accreditation Council for Graduate Medical Education (ACGME) core competencies and seek accreditation by...