Duration of Residency Training in Singapore

The duration of residency training accredited by ACGME-I and that required for exit certification by the Specialists Accreditation Board is listed in the following table. Where the duration for accreditation exceeds that of ACGME-I, the remaining time will be accredited by the Joint Committee on Specialist Training (JCST).

Specialty Duration of training accredited by ACGME-I for residency programme (mths)  Total duration of training in Singapore (mnths) 
General Surgery 60 60

Singapore Country Addendum to the ACGME-I Advanced Specialty Requirements

The Singapore Country Addendum to the ACGME-I Advanced Specialty Requirements prescribes specialty-specific programme requirements applicable to residency programmes in Singapore as discussed with the ACGME-I and the Singapore Residency Advisory Committees (RAC).

Read together with the ACGME-I Advanced Specialty Requirements, they represent the requirements of graduate medical education in the specialties listed.

Section

ACGME-I Specialty Specific Program Requirements for Graduate Medical Education

Addition/Change

Clarification

II.E.8

New entry

The educational programme must include courses in Advanced Trauma Life Support, Fundamental Critical Care Support, Basic Cardiac Life Support, Advanced Cardiac Life Support, a Basic Laparoscopic Course and a course on critical analysis of medical literature that covers the fundamentals of scientific study designs, biostatistics, and evidenced-based medicine.

The RAC also recognizes courses that are equivalent in standing to the FCCS.

Singapore RAC specification for curriculum content.

II.F.1.F

No more than six months total may be allocated to research or to non- surgical disciplines such as anaesthesiology, internal medicine, paediatrics, or surgical pathology. (Gastroenterology is exempt from this limit if the rotation provides endoscopic experiences.)

 

No more than six months offull time researchor non-surgical discipline such as anaesthesiology, internal medicine, paediatrics, or surgical pathology. (Gastroenterology is exempt from this limit if the rotation provides endoscopic experiences.)

Singapore RAC specification for curriculum content.

II.F.4

Residents must have required experience with a variety of endoscopic procedures, including esophogastro-duodenoscopy, colonoscopy and bronchoscopy as well as experience in advanced laparoscopy; and

 

Residents must have required experience with a variety of endoscopic procedures, includingesophogastro-duodenoscopy, and colonoscopy as well as experience in advanced laparoscopy; and

Bronchoscopy skills are not required by general surgeons in the local context as it is performed by respiratory physicians. Singapore RAC specification for curriculum variation.

IV

New entry

IV. Formative Exams:

Singapore RAC specification for evaluation.

1. A yearly American Board of Surgery In Training Examination (ABSITE) for all residents (categorical and non-categorical) will be used to evaluate their standardized performance across their peer cohort at the end of each academic year.

ABSITE is exempted for residents sitting for the Exit Exam (MCQ) in the same year.

Performance in these assessments will not impede progression through training but may be used by fellowship or sub-specialty programs to differentiate abilities of the residents.

 

2. Following are applicable to residents entering R3 before 1 January 2021:

The Final Master of Medicine (Surgery) must be completed by the end of R4 before residents can be promoted to R5.

PDs must hold back residents at R4 if they do not complete the Final Master of Medicine (Surgery) by end of R4.

PDs must hold back residents at R3 if they do not complete the Primary MMed (Surgery) / MRCS by end of R3.

Following are applicable to residents entering R3 from 1 January 2021:

The Final Master of Medicine (Surgery) must be completed by the end of R3 before residents can be promoted to R4.

PDs must hold back residents at R3 if they do not complete the Final Master of Medicine (Surgery) by end of R3.

PDs must hold back residents at R2 if they do not complete the Primary MMed (Surgery) / MRCS by end of R2.

3. After the completion of the5-year residency program, residents must successfully pass the SAB prescribed exit examination before accreditation to be a specialist by Specialist Accreditation Board (SAB)).

Eligibility for the exit examination is contingent upon a written certification from the respective Program Director that the candidate has acquired the prescribed level of competency.

 



Requirements for Progression to Senior Resident

Specialty Requirements
General Surgery
  • Pass the M.Med (Primary) / MRCS
  • Achieve at least a minimum rating of *5 (Competent) on Competency Assessment (*based on overall rating)
  • PD certification of successful completion of R3

Exit Criteria

Specialty Current Exit Examinations / Assessments
General Surgery
  • ABMS-S MCQs
  • Conjoint exam (FRCS Ed)
    • Clinical assessment
    • Oral assessment