| Paediatric Subspecialty Training for Rheumatology |
- Qualification: MRCP or equivalent from country of origin
- 3 - 12 moths attachment (sponsor required)
- Outpatient clinics and inpatient consultations, combined clinic
- Hands-on for intra-synovial injections
- Appropriate medical insurance needed for co-management and procedures
- Participation in local research or study leading to presentation and /or publication
- On completion: Certification of training in specialised area
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| Paediatric Rheumatology Service |
- One paediatric consultant
- Annual number of new cases: approximately 70 new cases per year
- Scope of patients seen:
- SLE ( systemic lupus erythematosus)
- JDM ( juvenile dermatomyositis)
- JIA (juvenile idiopathic arthritis)
- Vasculitis
- Reactive arthritis
- Septic arthritis
- Limb aches and joint pains for investigation
- Suspected immunological /autoimmune disease
- Linked closely to immunology / allergy service in KKH (Rheumatology / Immunology / Allergy service)
- Affiliation to Tan Tock Seng Hospital adult rheumatology, immunology, allergy unit (RIA)
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| Services Provided |
- Outpatient clinics 3 x/week ( Mon, Tues, Wed) about 8 - 12 patients per session
- Inpatient referrals, consultations, admissions
- Combined clinic with orthopaedics, rehabilitation service
- Close link with referrals between orthopaedic, renal , endocrine, eye, dermatology services
- Intra-synovial joint injections ( in and outpatient basis, with and without sedation) for joints, tendon sheaths etc.
- Juvenile Arthritis Club, Juvenile Lupus Club, affiliated to National Arthritis Club
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| Current Projects / Reasearch |
- Rheumatology referral database
- SLE, JDM, JIA database
- Coxib trial
- Uveitis in JIA
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| Additional Planned Projects |
- Bisphosphonates in osteoporosis in children with CT disease
- NSAID hypersensitivity reaction in children - joint project with immunology service (KKH), European Network of Drug Allergies and TTSH RIA dept
- Vaccines: attenuated live vaccines for children on chronic steroid therapy - joint project with immunology and infectious diseases services, KKH
- Complementary and alternative medicine in children with rheumatic disease
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| Teaching |
- Informal rheumatology bedside and clinic teaching with hands on experience for fellow
- Formal lectures / teaching on rheumatology - currently incorporated into departmental MO bedside tutorials, MO trainee core lecture series, exam slide quiz, orientation lecture, department journal club
- Paedatric department teaching- morbidity, mortality and CICU rounds, journal club, monthly invited speakers, X-ray round, hospital conference
- Teaching at GP updates, public forums, parents and children of JAC and JLC at club activities
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| Fellow will be expected to |
- Observe and co-manage outpatient cases
- Co-see and co-manage inpatient referrals
- Learn intra-synovial aspiration and injection
- Participate in guided journal club, teaching sessions
- Participate in local research, study, and present findings, publish as appropriate
- Observe physiotherapy session in gym, hydrotherapy , making of splints and orthotics
- Participate in combined clinic
- Attend uveitis clinic, renal, eye, dermatology clinic as appropriate
- Attend local lectures or programmes in rheumatology conducted by RIA dept in KKH / TTSH or visiting lecturers
- Participate in some activities of support groups for children (juvenile arthritis club, juvenile lupus club)
- Attend Workshops in Rheumatology (yearly practical rheumatology meeting organised by Singapore and Malaysian Rheumatology Associations - SSIAR, MSR) usually in July / August.
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| For enquiries, please email: nur@kkh.com.sg |
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