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Transforming medical education in the AI era: Balancing technological expertise with humanistic care in tomorrow’s doctors

Standing at the precipice of a new era in healthcare, the integration of artificial intelligence (AI) into clinical practice is progressing at an unprecedented pace. From AI algorithms detecting tumours with remarkable accuracy to predictive models forecasting patient outcomes, these technological marvels are not only changing how we practice...

The alcohol flushing syndrome: A risk factor for cancer

Globally, alcohol consumption is responsible for an estimated 3 million deaths annually and contributes to over 740,000 new cancer cases each year.1 Acetaldehyde, a byproduct of alcohol metabolism, has been designated as first-class carcinogens by the International Agency for Research on Cancer.2 In East Asian countries such as China,...

VOWELS: A communication framework for disclosing medical errors in medical oncology and palliative care

Dear Editor, Recognising the impact of medical errors on patients and the doctor-patient relationship has underscored the need for better communication.1,2 For the most part, these efforts are informed by Chafe et al.’s 6 steps that entail: (1) the identification of the error in a timely fashion; (2) determination of...

Knowledge, attitudes and practices of doctors on constipation management in Singapore

Dear Editor, Constipation is a common gastrointestinal disorder, affecting about 15% of the global population and severely impacting patients’ quality of life.1 The global constipation treatment market is estimated to worth USD22.93 billion in 2025. Patients with functional constipation had the highest treatment dissatisfaction at 63.4%. Poor satisfaction was reported...

Development and validation of a new self-assessment tool to measure professionalism among medical students

Professionalism is a concept that is difficult to define, but in relation to medical practice, it can be summarised as values, behaviours and conduct that foster the public’s trust in doctors. It comprises a complex interplay of abstract concepts that have led to many attempts at defining professionalism.1-4 With...

Nurturing professional behaviours and ethical practice: From students to professionals

Medical professionalism refers to the set of values, behaviours, and ethical principles that guide the conduct of medical professionals in their interactions with patients, peers and the broader healthcare system. From a training perspective, it is easier to focus on striving to achieve excellence in medical practice and meeting...

Script concordance test to assess diagnostic and management reasoning in acute medicine

Dear Editor,  Clinical reasoning, an essential skill for patient care, can be difficult to assess. We created and validated a script concordance test (SCT) to assess clinical reasoning in acute medicine. This tool was used to provide feedback and targeted remediation for Postgraduate-Year-1 (PGY1) doctors, guide teaching and learning, and...

Leveraging ChatGPT to aid patient education on coronary angiogram

Natural-language artificial intelligence (AI) is a promising technological advancement poised to revolutionise the delivery of healthcare.1 Traditionally, inclusion of technology in the augmentation of healthcare communication comprised the use of chatbots, which is limited by a predetermined set of queries and matched answers.2 However, natural-language AI models prompt a...

Investigating the stressors and coping mechanisms of students in medical school: A qualitative study

Dear Editor, Medical school can be a stressful experience for students, with burnout being increasingly common.1 Stressors in medical education include a heavy academic workload, pressure of good academic performance, and comparison with peers of high aptitude.2 Stress can be either beneficial or detrimental to development, depending on personal regulation...

Reducing non-clinical working hours of junior doctors could benefit patient outcomes

Dear Editor, An 80-hour duty limit for residents was first introduced by the Accreditation Council for Graduate Medical Education (ACGME) in 2003, with the further addition of a 16-hour continuous duty period limit for first-year residents in 2011. Prior studies1 have demonstrated an association between longer working hours and...

Teaching and learning during the COVID-19 pandemic: Perspectives of medical students in Singapore

Dear Editor, The coronavirus disease 2019 (COVID-19) pandemic has resulted in many changes to medical education, including the site and mode of teaching, conducting of examinations and a shift towards prioritising the mastery of clinical skills relevant to infection control. Hence, Ng et al.’s suggestions on how to maximise learning...

Theory and Practice in Continuing Medical Education

A physician’s education in medical science represents a continuum of several interrelated phases. It starts with medical school, passes through brief housemanship year, and continues throughout the professional career. This article is available only as a PDF. Please click on “Download PDF” on top to view the full article.

Quality Assurance of Problem-based Learning (PBL): The Hong Kong Experience

The Faculty of Medicine of the University of Hong Kong (HKU) was established in 1887 and its curriculum has been run in a traditional manner for over a century. The Faculty has been a major training ground for doctors in the Community of Hong Kong. This article is available only...

Problem-based Learning in Medical Education: The Singapore Hybrid

In 1969, the McMaster University Faculty of Health Sciences established a new medical school with a major difference from “traditional” medical schools in its overall educational philosophy that underpinned the design of its entire course curriculum. The medical educators in McMaster were critical of what they perceived as many...

Clinical Reasoning Learning Sessions

Many medical schools worldwide have made the shift toward problem-based learning (PBL) medical education. Some of them employ these new techniques in only part of their teaching, and usually in the pre-clinical phases, to make basic sciences easier and more attractive. This article is available only as a PDF. Please...

Stress among emergency medicine residents during the COVID-19 pandemic: A qualitative study

Dear Editor, The COVID-19 pandemic has disrupted medical education1,2 and distressed clinicians.3,4 Understanding the impact of this pandemic on emergency medicine (EM) residents’ experience of stress will allow for more effective interventions to aid residents, while reducing attrition and its impact on pandemic response. We present our qualitative study, guided by...

Book Review

These are challenging times for medical schools as the frontiers of knowledge have expanded enormously and rapidly in recent years. In order to keep up with the expanding knowledge and to impart it effectively and efficiently to our students, we as medical teachers will have to adopt new changes...

A Problem-Based Learning Pathway for Medical Students: Improving the Process Through Action Research

Problem-based learning (PBL) is a student-centred, self-directed, integrated and contextual mode of learning. It has been widely perceived by many to confer advantages in promoting critical thinking, retention of knowledge, independent learning and interpersonal skills. This article is available only as a PDF. Please click on “Download PDF” on top...

Curriculum TIPS For All of Us

Medical education is a lifelong learning process. Just as we remind our students and ourselves that the practice of medicine is a lifelong process in which we continually seek to improve our knowledge so that we give our patients the most effective care, so too with medical education. This article...

Facilitation of Students’ Discussion in Problem-based Learning Tutorials to Create Mechanisms: The Use of Five Key Questions

An important aspect of problem-based learning (PBL), particularly in the early years of the undergraduate medical, physiotherapy, nursing and dental courses, is teaching basic science in a clinical format.1,2 This approach should enhance students’ skills to develop reasoning strategies, use information in relevant situations, generate hypotheses for problems identified...

What do You Mean by “Satisfactory”?

There were 2 questions which initiated this research. One became the title of this paper; the other was a concern that the integration of competencies into existing assessment practices could jeopardise the high standards required of trainees before they graduate as independent practitioners. This article is available only as a...

Towards a Global Educational Matrix for Tomorrow’s Health Systems

Society supports medical schools expecting them to produce physicians who can improve both the health of the population as well as the health system itself. This goal has not been achieved yet; deaths from tuberculosis (1.7 million, 2006) are but one of many examples that points to that failure...

Innovative “Case-Based Integrated Teaching” in an Undergraduate Medical Curriculum: Development and Teachers’ and Students’ Responses

In Asia, the challenges facing medical education are similar across different countries. The learning process is still problematic with large classes, and most of the curriculum time being spent on traditional lectures. This article is available only as a PDF. Please click on “Download PDF” on top to view the...

The Future of Medical Education: The Second 100 Years

This is a proud year for the medical profession in Singapore, as we celebrate 100 years of medical education. As the oldest faculty in Singapore’s first university, we are reminded that it was the Medical School which laid the foundation for tertiary education in Singapore. It is appropriate that...

The NUS MBBS-PhD Programme: Nurturing Clinician-Scientists for Tomorrow

The MBBS-PhD programme is a significant milestone in medical education in Singapore. In July 2000, the Faculty of Medicine, National University of Singapore (NUS) launched this programme in collaboration with the Institute of Molecular and Cell Biology (IMCB), with support from the Economic Development Board (EDB), and the Agency...

A Century of Medical Students’ Activities (Medical College Union/Medical Society)

On 3 July 1905, the Straits and Federated Malay States Government Medical School was started with the objective of training the local men and women to become Assistant Surgeons and General Practitioners. After a petition set out by the Chinese and non-European communities to the then Governor of the...

The First Graduates in 1910

The Medical School in Singapore was founded on 3 July 1905; it was named the Straits and Federated Malay States Government Medical School. It was the forerunner of the Faculty of Medicine, National University of Singapore (NUS). This year (2005), the Faculty of Medicine (NUS) and the NUS celebrate...

Milestones of the Medical School and Medical Progress of Singapore over the Past 100 years

1905: The Medical School started off in an old female lunatic asylum on the site of the general hospital at Sepoy Lines.1 Called the Straits and Federated Malay States Government Medical School, it was founded on 3 July 1905. The official launch was on Thursday, 28 September 1905. The...

Self-directed Learning in Health Professions Education

More than 600,000 new citations were published in MEDLINE in 2005; this raised the total number of indexed citations to more than 14 million citations. In a study be Williamson et al, 2 out of 3 primary care physicians described the volume of literature as unmanageable, and 1 out...

Translating the Family Medicine Vision into Educational Programmes in Singapore

The core of the Family Medicine (FM) vision is patient-centred care, requiring specific education and vocational training. Modern day FM began its existence as a “counterculture” to the disease-and-body-part focus of the hospital specialties in the 1960s. This article is available only as a PDF. Please click on “Download PDF”...

Seeing the Wood for the Trees: Approaches to Teaching and Assessing Clinical Pharmacology and Therapeutics in a Problem-based Learning Course

Over the last 3 decades, the rate of knowledge accumulation in drug development has been enhanced by advances in molecular modelling, the molecular genetics of drug action and the screening from natural sources for novel therapeutic agents. These advances mandate the need for a more adaptive and responsive educational...

Impact of Various Continuing Medical Education Activities on Clinical Practice – A Survey of Malaysian Doctors on its Perceived Importance

Continuing medical education (CME) plays an indispensable role in the clinical practice of any doctor. The practice of evidence-based medicine today,1 or any meaningful learning per se, requires at least appropriate access to relevant updated medical information. However, the acquisition of such relevant medical knowledge can prove difficult and...

Characteristics of Medical School Graduates who Underwent Problem-Based Learning

Problem-based learning (PBL) is one of the medical education strategies to promote continuous active and self-directed learning.1,2 Our medical school implemented PBL in 1990 and currently there are 800 PBL graduates who are practising physicians. Studies have shown that PBL can change learning attitudes among undergraduate students3- 5 but...

The Challenges of “Continuing Medical Education” in a Pandemic Era

Although pandemics of influenza have occurred (albeit rarely, i.e. once every few decades) for more than 3 centuries, recent outbreaks of H1N1 and H5N1 influenza1 and the severe acute respiratory syndrome (SARS),2 have necessitated the institution of such measures as school closure and mandatory quarantine of cases1 in a...

The Pedagogical Value of a Student-run Community-based Experiential Learning Project: The Yong Loo Lin School of Medicine Public Health Screening

Experiential learning brings medical students out of the comfort zone of learning in their classrooms to acquire and apply knowledge and skills in an immediate and relevant setting. By linking theory and practice, experiential education differs from the traditional education in that it actively engages students in experiences that...

Two Strategies to Intensify Evidence-based Medicine Education of Undergraduate Students: A Randomised Controlled Tria

Knowledge and skills of evidence-based medicine (EBM) can be taught by many methods, such as role modeling evidence-based care, using evidence for clinical medicine instruction, and teaching specific EBM skills. Standalone courses and workshops away from the clinical environment are usually the traditional educational designs for teachers to convey...

Mentorship in Academic Medicine: A Catalyst of Talents

The field of medicine is complex. Its interwoven structure of clinical practice, medical education and biomedical research, coupled with intricacies of the health system, makes it challenging for one to navigate through without any help. In any academic medical centre (AMC) or hospital, there is an imperative for senior,...

Academic Medicine Education Institute (AM∙EI): Transforming the Educational Culture of Health Professionals

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...

“Are Medical Students’ Views of an Ideal Physician Eroding? A Study on Perceived Qualities of a “Role Model” Doctor Before and After Housemanship and between Two Cohorts Five Years Apart “

Role modeling has been reported as an increasingly prominent teaching need and strategy in the field of medical education. This aspect of training helps novice doctors to imbibe key values, attitudes, behaviours and ethics that define the medical profession. With the primary goal of medical education being to train...

Laparoscopic liver resection: Global diffusion and learning curve

Laparoscopic liver resection (LLR) is being utilised with increasing frequency worldwide, as initial concerns about the safety and feasibility of LLR, such as the risk of uncontrolled major haemorrhage and potential compromise of oncologic outcomes, were not supported by the data. On the contrary, LLR was found to be...