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KKH the largest paediatric centre in Singapore with an annual paediatric medical admission of 16,000 patients and outpatient load of 47,000. With the development of the various paediatric sub-specialties in a general paediatric environment, the department is able to offer a comprehensive training for both doctors and nurses.
It is a hospital of choice for teaching and training in Paediatrics, not just for junior doctors and nurses but also for foreign medical staff from around the region. KKH has 450 paediatric medical beds catering to specialized care and general Paediatrics. There is strong support and collaboration from neonatal and paediatric surgical services, as well as laboratory and radiological support. As such, trainees will see a wide variety of cases particularly in the sub-specialties of cardiology, haematology / oncology, neurology, infectious diseases, gastroenterology, endocrine, renal, respiratory medicine and intensive care.
With well-equipped conference and teaching areas and the development of the hospital and department’s library, and IT support for teaching and training, learning becomes easier. Each trainee has his / her own supervisor who will meet regularly to assess learning and training or other matters. Training is approached with various techniques to ensure quality and an atmosphere of learning.
CARDIOLOGY
• Neonatal and paediatric cardiology
• 2D echocardiogram
• electrocardiogram
• fetoechocardiogram
• 24-hour ambulatory electrocardiogram
• Exercise treadmill
• Transesophageo-echocardiogram
• Cardiac catheterisation – diagnosis and interventional
CHILDREN’S INTENSIVE CARE
• Critical care management of paediatric medical patients
• Critical care, pre-operative and post-operative care of paediatric surgical including cardiac surgical patients
• Code blue team
• Emergency transport services
ENDOCRINOLOGY
• Paediatric diabetes impaired glucose tolerance, acanthosis nigricans, thyroid disorders, obesity, pituitary and hypothalamic endocrine disorders
• Disorders of growth and puberty
• Hyperlipidemia
GASTEROENTEROLOGY
• Paediatric gasteroenterology
• Paediatric gasterointestinal endoscopy
• Breath hydrogen test
• Oesophageal pH monitoring
• Paediatric hepatology
• Small bowel biopsy
• Rectal biopsy
GENETICS
• Genetic counselling
• Biochemical genetics service
• Thalassaemia screening and counselling
• Dysmorphology
HAEMATOLOGY / ONCOLOGY
• General haematology
• Oncology
• Haematopoletic stem cell transplantatian (allogenic and autologous)
INFECTIOUS DISEASE
• Management of HIV-infected patients
• Needlestick program
• Hospital Infection Control, outbreak management
• Antibiotic usage monitoring
• Tuberculosis
NEPHROLOGY
• General nephrology
• Neonatal nephrology
• Real time ultrasound guided renal biopsy
• Uronephrology
NEUROLOGY
• EEG / EMG
• Nerve conduction tests
• Brain stem auditory evoked response
• General paediatric neurology
RESPIRATORY MEDICINE
• General respiratory disorders
• Pulmonary assessment
• Respiratory infection
• Asthma management
• Chronic lung disease
• Sleep associated breathing disorders
• Paediatric flexible bronchoscopy
RHEUMATOLOGY / IMMUNOLOGY
• Joint injections
• Physiotherapy and hydrotherapy
• Childhood lupus, juventile dermatomyositis, juvenile idiopathic arthritis, vasculitis
• Multi-disciplinary combined clinic
CHILD DEVELOPMENT UNIT
• Assessment of children with development and behavioural problems
• Multidisciplinary intervention and rehabilitation programmes
• Follow-up and continuing care of high risk infants
• Parental guidance on child development (normal and abnormal)
• Counselling and management of families having children with development problems
• Liaison and joint management with schools on children with learning problems
• Assessment and placement of children with special needs for training and education
• Collaborate with Primary Health Services towards early identification of children with developmental problems, leading to early intervention
• Audiological assessment
• Developmental and psychological assessment
EMERGENCY MEDICINE
• Identification, stabilisation and treatment of all acute paediatric emergencies (medical and surgical)
• Paediatric Trauma Registry
• Child safety patient education
• Monitoring of paediatric poisonings
• Co-ordinate hospital’s major incident response
• Paediatric Field Team support in major incident
• Co-ordinate hospital’s response in national emergencies
NEONATOLOGY
• Neonatal intensive and special care
• Standby for high risk deliveries
• High risk and birth defect consultations
• Screening of well babies
• Neonatal follow-up
• Outpatient consultation
• Neonatal transport
Basic specialty training (Paediatrics) will ensure that trainees develop the skills and knowledge necessary to become a specialist in Paediatrics. Advanced trainees undergo general and sub-specialized training to gain further experience and confidence in the management of Paediatrics. Temporary fellows may gain experience in a particular field of Paediatrics in a short-term period.
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