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Implementation of Pediatrics Residency Accredited Program in Singapore

When Singapore switched from a British-based specialist training to a United States residency program, this profound change had a strong impact on the routines and activities of Singapore’s large KK Women’s and Children’s Hospital. In their report, Yin et al. describe accommodations that were necessary to implement the new program, including faculty numbers and development, as well as a re-scheduling and re-design of resident training activities.
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In 2009, Singapore began replacing the British-based specialist training that constituted its postgraduate medical education with a United States-based Residency program, which is more structured. Singapore is the first country outside the United States to be accredited by the Accreditation Council for Graduate Medical Education — International (ACGME-I). This paper reviews the recent changes in the context of the Pediatrics program at the KK Women’s and Children’s Hospital, one of the five specialties chosen to launch the new residency programs. Most of the changes were made for accreditation purposes, so as to align with the requirements set by ACGME-I; however, local content and Ministry of Health (MOH) stipulations were also taken into account when designing the new pedagogical and training curriculum. Areas discussed include faculty numbers and development, concurrent training of trainees from the previous system, selection of residents, resident training, resident duty hours, mentors, curriculum, rotations, continuity clinics, scholarly activity, postgraduate exams, remediation, and chief residents.

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residency; postgraduate medical education; ACGME-I; international accreditation; curriculum development; Singapore



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