Dear Editor, Road traffic injuries are a preventable cause of childhood morbidity and mortality.1,2 Use of age-appropriate child car seats (CCS) lowers the risk of injury and death by about 82% and 28%, respectively.3-5 In Singapore, although the Road Traffic Act states that CCS use is mandatory,6 many children...

Dear Editor, People with obesity contend with obesity-related stigmas, in addition to health complications.1 In contrast to the West, literature documenting the prevalence of such stigmas in Asia is sparse. We report the prevalence of perceived weight-based stigmatisation in Singapore. An anonymised questionnaire was administered to 101 consecutive patients presenting to...

Dear Editor, The advantages of employment for young people with mental health conditions (PMHC) are well known and documented,1 but many remain unemployed. Besides offering monetary benefits, employment provides a better self and social identity, helps the person gain a sense of personal achievement, and enhances mental well-being. Being unemployed...

Schizophrenia is a severe mental disorder with a profound impact on patients, their families, caregivers and society. The global prevalence of lifetime schizophrenia is 0.2–0.4% without significant differences between sex and ethnicity, nor between urban and rural environments.1 The health and economic burden of schizophrenia is significant, given the...

Schizophrenia is one of the most debilitating severe mental illnesses with significant impact,1 irrespective of culture or socioeconomic class.2 Over the decades, antipsychotic medication has been the mainstay of treatment for patients with schizophrenia. Nevertheless, about 25% of patients do not respond to first-line antipsychotic medication, with more than...

In the 1920s the government embarked on an ambitious programme to build hospitals, staffed largely by graduates of the King Edward College of Medicine. The “Mental Hospital”, commissioned and built by the British in 1928, was sited at Yio Chu Kang and spread out over 80 hectares of sprawling...

The National University of Singapore was started in 1905. Since then, it has trained many generations of medical practitioners. This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.

With the ageing population, degeneration of joints and osteoporosis and the resultant disability pose big public health problems in many countries of the world. These, together with the more disabling infective and inflammatory diseases of joints and the all-pervasive trauma damage joints in hundreds of millions of people in...

When the practice of orthopaedic surgery first began in Singapore, it was not a specialty in itself. There are no records as to when the first orthopaedic cases were managed, but it must have been when modern medicine was introduced into Singapore, at the beginning of the twentieth century...

The theme of this issue of the Annals, Academy of Medicine at the beginning of the year is suitably on osteoporosis. Osteoporosis, with its multi-faceted, multidisciplinary approach, has been identified as one of the four clinical fields selected also for emphasis by the Bone and Joint Decade initiative. This article...

The outcome of very-low-birth-weight (VLBW) premature babies with birth weights of <1500 g has remained an area of great concern for both parents and medical personnel. This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.

Dear Editor, Labour analgesia provided through the central neuraxial approach is offered for parturients who are in their active stage of labour, usually after 2–4cm of cervical dilatation. Lumbar epidural, the gold standard for labour analgesia, is recently recommended over other alternative methods of analgesia such as pressurised gaseous nitrous...

There is now worldwide consensus that the elements of medical professionalism need to be enhanced and explicitly taught in medical schools. Medical schools in the United Kingdom (UK) have recently published a model for a core ethics curriculum. This article is available only as a PDF. Please click on “Download...

Diabetes mellitus (DM) is a common and growing healthcare problem in Singapore with a prevalence of 9% in 1998. Since the 1990s, the Ministry of Health, Singapore has identified DM as a priority condition for disease control. This article is available only as a PDF. Please click on “Download PDF”...

Chinese medicine individualises its treatment plan and practice and refutes any general law. Therefore, Chinese medicine practitioners do not have the tradition of research. This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.

The advent of laparoendoscopic surgery in children has opened new avenues of treatment with added benefits but at the same time demands adequate training for its safe execution. Laparoscopic techniques can be safely incorporated into surgical residency training using graded and supervised clinical programmes. This article is available only as...

The movement of people from one place to another has shaped today’s political, social and economic world and continues to be a major influence on society. In 2000, almost 175 million people, or 2.9% of the world’s population, were living outside their country of birth for 1 year or...

In Singapore, trauma1-7 is the leading cause of hospitalisation and the fifth leading cause of morbidity and mortality.8,9 Common causes of trauma include road traffic accidents, industrial accidents, falls and recreational activities. In treating the trauma patient, it is essential that the processes of resuscitation and the identification of...

Allow me to thank you Mr President and your Council for asking me to deliver the 5th College of Physicians Lecture. Your President has suggested that with over 50 years of association with Medicine, the title be “In the Service of the Medical Profession”. This article is available only as...

With the exponential increase in the elderly population in Singapore, the training of young physicians of tomorrow in the care of elderly patients will need to change accordingly. A potential way to fulfill this need is to increase the number of specialists proportionately to manage elderly patients effectively. This article...

The government recently announced its intention to set up a second medical school at the Outram Campus. Duke University has been invited to help in the planning and organisation of this new Faculty of Medicine. It was chosen because it is one of the top biomedical universities in the...

Singapore has had only one medical school since 1905. This medical school, the Medical Faculty in the National University of Singapore (NUS), currently takes in about 230 students each year and its primary task is to train physicians for the entire nation. The NUS Medical Faculty is also involved...

On 3 July 2005, the Faculty of Medicine, National University of Singapore (NUS) and NUS will be celebrating their centenaries – a hundred years since the founding of the Medical School in Singapore in 1905. What a proud moment it will be for students, teachers and graduates. It will...

In 2005, the Medical Faculty of the National University of Singapore (NUS) will commemorate the 100th year of its founding. The Straits and Federal Malay States Government Medical School, as it was called, had a humble beginning, with an enrolment of only 23 students in 1905. This article is available...

The Straits and Federated Malay States Government Medical School was founded in 1905. Dr Chen Su Lan, 1 of the 7 graduates in the first class to qualify in March 1910, reminisced in 1965 on his training experiences: “Among the ‘killer’ diseases were malaria (there were 20 deaths a...

The teaching of Pathology began in 1905 with the founding of the King Edward VII College of Medicine. There was no Chair of Pathology and Dr GA Finlayson, the Government Pathologist, was appointed to head the department. This arrangement functioned satisfactorily and was continued even after the Chair of...

According to the World Health Organization/Global Initiative on Asthma (WHO/GINA) report on the global burden of asthma, Singapore is an intermediate-risk country for asthma prevalence, which is about 5% of the population. But has one of the highest rates of asthma deaths in the world. This article is available only...

Undergraduate medical education is considered a continuum leading into postgraduate training and ultimately medical practice.1 To this effect, it has been suggested that measures of performance of medical students and practising doctors should be aligned and the transition should be a smooth one. However, studies show a poor correlation...

The Academy of Medicine, Singapore was duly founded in 1957 as the professional corporate body of medical and dental specialists in Singapore. The Chapter of Surgeons was inaugurated in 1966 by the Master of the Academy of Medicine, Professor K Shanmugaratnam, as one of the first two Chapters of...

The transformation of the previous Chapter of Physicians, Academy of Medicine, Singapore to the current College of Physicians, Singapore in 2004 was the outcome of a steady progress in and a natural evolution of medical specialty development in Singapore. Just like the Academy which was established in 1957 as...

Paediatrics is among one of the earliest specialties to develop in Singapore and its early development has been documented on various occasions.1-4 At the end of the 1980s, there were some 100 practising paediatricians who were trained either locally or overseas. They formed the core group of paediatric specialists...

President of the College of Surgeons, distinguished guests, friends, ladies and gentlemen. It is a great honour and a unique privilege for me to be invited to deliver a named lecture for a third time. Twenty years ago, I gave the first overseas Joint Lecture of the Academy and...

Since the first positive 2009 pandemic influenza A (H1N1) case was reported in Singapore on 26 May 2009, the country saw an exponential rise in numbers of infected cases despite initial containment followed by mitigation efforts. Local incidence for acute upper respiratory infections (which was a reasonable surrogate for...

I am greatly honoured to be given the privilege of delivering the 3rd College of Surgeons Lecture, especially when I have retired from surgery for 3 years. I am not in a position to contribute anything significant to your knowledge. There is an old Chinese saying that learning is...

The health benefits of breast milk have been well documented, with positive implications for infants’ metabolic, immunologic, respiratory and digestive health. The World Health Organization (WHO) and the American Academy of Pediatrics recommend exclusive breastfeeding for 6 months and partial breastfeeding thereafter for at least 12 or 24 months....

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...

Muslim individuals worldwide participate in obligatory abstinence from oral consumption of medications, food and liquid during the fasting month of Ramadan. Fasting during Ramadan is one of the 5 pillars of Islam. However, Islam exempts individuals whose health may be significantly affected from fasting. Despite this, up to 80%...

In 2010, Duke-NUS Graduate Medical School (Duke-NUS) and Singapore Healthcare Services (SingHealth) launched an initiative to improve the lives of patients by combining their individual strengths to become an integrated academic healthcare cluster. This new academic healthcare cluster has a mission to provide outstanding clinical service, discover and promote...

The COVID-19 pandemic has disrupted healthcare systems and health professions education (HPE). There are few frameworks to help educators manage HPE before, during and after pandemics and epidemics. We developed a crisis management framework which draws from diverse theories to emphasise preparedness, leadership, stakeholder perceptions and organisational learning to provide...

It is challenging to maintain the resuscitation skills of doctors in a psychiatric hospital. Our study describes a resuscitation course designed specifically for the Institute of Mental Health in Singapore to address competency gaps, which proved to be relevant and helpful to the trainees.   This article is available only as...

Patients with rheumatic diseases frequently consult primary care physicians, internists and orthopaedic surgeons. In the past, few doctors took interest in these diseases. This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.