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About Infectious Diseases Service
The Infectious Diseases (ID) service receives infectious diseases consults from paediatric medicine, intensive care units, bone marrow transplants, paediatric general surgery, neurosurgery, orthopaedics, otolaryngology, opthalmology and neonatology.

In KK Women's and Children's Hospital, the service also plays an important role in the infection control committee and infectious disease outbreak control, pharmacy and therapeutics committee and clinical pathways committee.

Nationwide, the service consults on national programmes such as the National AIDS Task Force, National Hand-Foot and Mouth Disease Task Force, National Bioterrorism Task Force, Health Sciences Authority for the evaluation and licensing of new anti-infective drugs, and is involved in the Singapore Infectious Diseases Society. The service also extends its services to the national Tuberculosis Control unit in reviewing and managing paediatrics tuberculosis cases and contacts.

Infectious diseases seen in the programme are a wide spectrum and include varicella-related necrotizing fasciitis, melioidosis, fever of unknown origin, tuberculosis, pneumococcal empyema, human immunodeficiency virus infections (HIV), candidemia in leukaemic patients, neurocysticercosis, neonatal syphilis and cytomegalovirus and toxoplasmosis, needlestick injuries plus other cases.

 
Objectives

The aims of the program are to train the fellow to become a clinical consultant in paediatric infectious diseases involved in patient care, teaching and research.

The training program includes microbiology, HIV medicine, infections in immunosuppressed hosts, infection control, neonatal infections, travel medicine and vaccinations. The candidate should be attached to the service for 1 year and ideally for 2 years.

 
Schedule
First year
KKH:
  • Referral letter and telephone consults as first line in consultation with ID paediatricians
  • Infectious diseases day and night calls.
  • Ambulatory infectious diseases clinic including vaccination and travel clinic.
  • ID rounds:
    • Neonatal Intensive Care Unit rounds (Monday afternoon)
  • Daily ID rounds after ward rounds
  • Tuberculosis control unit - paediatric clinics 2 Thursdays a month
  • Book study/ review:
    • Sarah Long's Principles and Practice of Pediatric Infectious Diseases 2002 edition, or
    • Mandell, Douglas and Bennett's Principles and Practice of Infectious Disease
    • The Red Book 2003
The fellow is expected to give lectures in needlestick injuries (HO / MO orientation), antibiotics in paediatrics (HO / MO orientation), antibiotic rounds ( hospital-wide) and other lectures, and to be involved in Paediatric Medicine teaching sessions and public talks.

The fellow should also participate in adult infectious disease hospital rounds e.g. Singapore General Hospital (SGH) Transplant and Infectious Diseases rounds, and National University Hospital (NUH) Infectious Diseases rounds.

 
Second year
The fellow will continue to do infectious diseases consults at KKH and will be posted for short periods to:
  • Communicable Diseases Centre, Tan Tock Seng Hospital HIV and Travel clinics for 1 month
  • Sexually Transmitted Diseases clinic at Kelantan government clinic x 1 week
  • Burns Unit at SGH x 1week
  • Microbiology for 1 month:
    • 1 week Bacteriology lab at KKH
    • 1 week Serology lab at KKH and SGH
    • 1 week Virology lab at KKH and SGH
    • 1 week Parasitology lab at SGH / National University of Singapore and Mycology at SGH
Fellows are expected to present a poster/oral presentation at 1 infectious diseases international conference and 1 local conference per year.

Fellows are expected to do 1 research project per year and publish at least 1 article per year (unless the recruitment period is over 2 years).

 
Assessment of Performance
Fellows will be assessed based on their competence at clinical decisions and consults, fulfillment of their responsibilities, teaching and participation in clinical research.
 
 For enquiries, please email: nur@kkh.com.sg