Overview
The KK Women’s and Children’s Hospital (KKH) is an 830-bedded tertiary referral centre that offers a full range of services for neonates, children and women.
The fellowship programme in paediatric critical care is administered by the Children’s Intensive Care Unit (CICU). This is a 12 months training with an option to extend another 12 months for advanced intensive care training. The Children’s Intensive Care Unit is a tertiary, multidisciplinary paediatric intensive care unit with the nursing capability to support 16 beds with about 1700 admissions a year. Both negative and positive pressure isolation beds are available. There are separate facilities for cardiac step down patients and an intermediate care area that supports both medical and surgical patients.
The unit operates in an open collaborative manner, with all patients being managed by the CICU team. There are seven senior staff, and they provide consultant coverage at all times. A medical officer and a registrar are always resident on the unit. The unit (and the hospital) provides tertiary subspecialty paediatric care to the whole of Singapore. In addition, a significant number of international patients seek medical care here. We have available the full spectrum of advanced CICU monitoring and therapeutic technologies, including high frequency oscillatory ventilation (HFOV), continuous renal replacement therapy (CRRT), therapeutic plasma exchange (TPE), extra-corporeal membrane oxygenation (ECMO) support, inhaled nitric oxide, cardiac output measurement, intracranial pressure and continuous EEG monitoring. There are also extensive opportunities to care for patients following
cardiac surgery.
Other services provided by the CICU team include:
Objectives
The objective of the paediatric critical care fellowship is to train physicians to develop the knowledge, skills and attitudes necessary to practice as a paediatric critical care specialist. After completing the paediatric critical care fellowship programme, fellows will be competent in:
Course Contents
There are several components to the formal education programme for ICU fellows. The paediatric critical care fellowship programme covers the following:
*Please refer to the assessment and evaluation guidelinesopens in a new tab for further information about the course contents.
Training Methods
Fellows will provide and co-ordinate care for all patients in the unit, supervising the resident medical officers and working alongside the registrars/senior residents. They will attend and conduct ward rounds, be available throughout the day for admissions and to assist in the delivery of care. There will be opportunities to learn and perform skills relevant to invasive procedures involving airway management, vascular access, resuscitation and
emergency management.
Fellows will present cases to consultants on daily rounds and are expected to participate in the call roster for nights and weekends. In addition, after suitable experience and training, fellows will be expected to participate in the other services offered by the unit as mentioned above.
The schedule of normal clinical work is usually a five-day week, starting at 8am. Fellows and Registrars usually do 5 to 7 in-house calls a month on average, covering for nights and weekends. During these calls they will have a medical officer resident on the unit as well.
Target Audience and Expected Competencies
Fellows will need to demonstrate their proficiencies based on the following competencies:
(A) Patient Care
(B) Medical Knowledge
(C) Practice-Based Learning and Improvement
(D) Interpersonal and Communication Skills
(E) Professionalism
(F) Systems-Based Practice
*Please refer to our current and pastopens in a new tab fellows in this fellowship programme.
Course Materials
Interested applicants will need to take note of the following information on areas related to course materials.
If you have any questions about the fellowship application process, please contact the:
Head of Children's Intensive Care Unit
Division of Medicine
KK Women’s and Children’s Hospital
The paediatric critical care fellowship programme is managed by the following experts.
Name |
Designation |
Qualification |
Clin Assoc Prof Mok Yee Hui | Head and Senior Consultant, Children's Intensive Care Unit; Director, Paediatric Simulation Training Centre | MBBS, MRCPCH (UK) |
Clin Assoc Prof Chan Yoke Hwee | Senior Consultant, Children’s Intensive Care Unit; Chairman, Division of Medicine |
MBBS, MMed (Paed), MRCP (UK)(Paed), FAMS |
Assoc Prof Loh Tsee Foong | Senior Consultant |
MBBS, MMed (Paed), FAMS |
Assoc Prof Janil Puthucheary | Senior Consultant; Head, Dept of Paediatric Subspecialties |
MB BCh, BAO, MRCP (UK), MRCPCH |
Dr Loh Lik Eng | Senior Consultant; Director, Children's Hospital Emergency Transport Services (CHETS) |
MB BCh, BAO, MRCPCH (UK) |
Assoc Prof Lee Jan Hau | Senior Consultant |
MBBS, MRCPCH (UK), MCI |
Dr Anuradha P Menon | Consultant |
MBBS (Singapore), MMed (Paed) (Singapore) MRCPCH (UK) (Paed) |
Dr Judith Wong Ju-Ming | Consultant |
MB BCh BAO, LRCP & SI (Ireland), MRCPCH (Paed) (RCPCH, UK) |
Dr Siti Nur Hanim Binte Buang |
Associate Consultant |
MB BCh BAO, MRCPCH (UK) |
Dr Irene Chan Lai Yeen | Visiting Consultant |
MBBS (Singapore), MMed (Paed) (Singapore) |
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