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 (mths)

Preventive Medicine

36

(36) + 24


Training Requirements Document

Specialty

Training Requirements

Preventive Medicine

Preventive Medicine Residency Training Requirements

 
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

I.B

The education in preventive medicine must be36months in length.

The duration of preventive medicine education is5years of residency. A course of full or part-time academic and/or didactic study leading to an MPH or other appropriate postgraduate degree is also required andmayextend the duration of the education correspondingly.

 

The total duration of training for an exit certification in Singapore is60months in length.

II.B.3.b.ii

The sequential acquisition of knowledge, skills and competence is clinical, academic/didactic, practicum; and

The sequential acquisition of knowledge, skills and competence is clinical and then concurrently, academic/didactic and practicum.

 

Singapore RAC specification for curriculum content.

C.1.

Preventive medicine is a36month clinical phase leading to the acquisition of clinical competencies

Year 1- Clinical component

 

Year 2- Basic practicum with didactic modules

 

Year 3- Basic practicum with didactic modules

 

(Residents pursue a part-time MPH concurrently with the basic practicum in Years2and3.A year out of the programme can be taken after the2ndyear to pursue a full-time MPH e.g. overseas. An MPH will be a requirement for progression to Year4)

 

Year 4- Advanced practicum*

Year 5- Advanced practicum

 

*Postings in the advanced practicum should include at least6months of training experience outside the main training site in years4and5. This should be in the form of attachments locally or overseas e.g. HMDP and may include additional didactic courses/modules.

 

The total minimum duration of training for an exit certification in Singapore is60months in length.

C.1. b.i

A minimum of two months must be spent in a rotation at a governmental public health agency.

 

Requirements have been encapsulated under Annex1(entitled Basic Practicum Phase Requirements)

Singapore RAC specification for curriculum content.

C.1. b. iii

A minimum of 12 months in a practicum phase leading to the acquisition of core preventive medicine competencies.

A minimum of 24 months in a basic practicum phase and then another 24 months in an advanced practicum phase.

Specific Basic and Advanced Practicum Phase Requirements are further described by RAC (Refer to Annexes 1 and 2 below)

 

Singapore RAC specification for curriculum content.

N.A.

 

New Entry

Progression:

Residents must have an MPH and pass an intermediate exam in order to progress from the Basic Practicum phase into the Advanced Practicum Phase

Singapore RAC specification for curriculum content.

 
Annex 1: Basic Practicum Phase Requirements

1. The Basic Practicum should lead to acquiring core knowledge and skills across the broad range of preventive medicine and public health competencies. The learning should be structured through a series of planned, guided and varied practical experiences that draw on the relevant knowledge base, cultivate an awareness of systems-based practice, and develop professionalism and communication skills.

2. The number and length of these core rotations will be at the discretion of the program director, with the following minimum requirements:

  • At least six months in direct patient care for the general population in a primary care or intermediate/long-term care setting.
  • At least three months in a government public health agency.
  • At least three months in communicable disease control including practical, hands-on experience in the investigation and control of a communicable disease outbreak, and clinical rotations with direct patient care. This requirement may be fulfilled on a sessional basis over the practicum phase.
  • Adequate rotation through an institution or department providing comprehensive occupational services to defined work groups, including regular and frequent presence in the worksites served. This rotation should include the planning of at least one practical workforce and environmental public health program. This requirement may be fulfilled on a sessional basis over the practicum phase.

3. As a whole, the practicum phase rotations should provide training experience in as many as possible of the following essential preventive health services:

  • Monitoring health status to identify community health problems;
  • Diagnosing and investigating health problems and health hazards in the community;
  • Informing and educating populations about health issues;
  • Mobilizing community partnerships to identify and solve health problems;
  • Developing policies and plans to support individual and community health efforts;
  • Enforcing laws and regulations that protect health and ensure safety;
  • Linking people to needed personal health services and ensuring the provision of health care when otherwise unavailable;
  • Ensuring a competent public health and personal health care workforce;
  • Evaluating the effectiveness, accessibility, and quality of personal and population-based health services;
  • Conducting research for innovative solutions to health problems;
  • Plan, manage, and evaluate health services to improve the health of a defined population using quality improvement and assurance systems;
  • Recognize, plan and mobilize resources to address emergent threats to public health

4. During the basic practicum years, the program should prescribe common didactic sessions to complement and integrate the practical learning which takes place at the training site, for one half-day session a week on average.

 

Annex 2: Advanced Practicum Phase Requirements

1. The advanced practicum in preventive medicine must provide 24 months of training with the goal of developing specialized skills in one or more of the following areas:

  • Public health (leading to specialist certification in Public Health)
  • Occupational and environmental medicine (leading to specialist certification in Occupational Medicine)

2. The advanced practicum will comprise postings to relevant institutions and departments that will allow the resident to acquire experience in all key aspects of the chosen field. The length of each posting should not be less than one year.

3. Residents must fulfil either one of the following during the training programme:

(a) Publish at least ONE first author paper on a public health or occupational medicine topic (in Preventive Medicine context in a refereed journal during the junior or senior residency years or
(b) Maintain a portfolio (during R4 and R5 years) which demonstrates a systematic approach to acquiring knowledge and skills in their chosen field.  The portfolio will have two parts:

Part 1: Three technical reports, each at least 2000 words in length, which exemplify the application of best practices.
These reports may take the form of a:
(i) Scholarly article/review of a standard acceptable for journal publication;
(ii) Series of policy papers;
(iii) Comprehensive needs assessment exercise; or
(iv) Study report, covering the collection, analysis and interpretation of data for monitoring or evaluation of a health programme for a defined population.

Part 2: Three process reports, one for each of the technical reports required in Part 1.  These reports should document the learning experience, showing evidence of depth and rigor in the preparation of the technical report.

 4. These projects should be planned at the start of the advanced practicum phase, to allow the trainee to take on a substantial, if not leading, role. Each technical report must be accompanied by a signed statement by the supervisor attesting to the role of the trainee in the project.

5. Advanced practicum residents are expected to assume progressive responsibilities during the course of their training, to participate in education of residents in their departments, and to organize learning activities.
 

Requirements for Progression to Senior Resident

Specialty

Requirements

Preventive Medicine

  • Completed and passed the MPH or equivalent
  • Passed the intermediate examination in Preventive Medicine
  • PD certification of successful completion of R3


Exit Criteria

Specialty

Current Exit Examinations / Assessments

Preventive Medicine
  • Written Exam – SEQ
  • Paper Critique
  • Oral assessment