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OVERVIEW

The Department of Haematology in the Singapore General Hospital treats patients with a variety of haematological disorders and malignancies. It provides both clinical and specialized services for the diagnosis and treatment of all blood and blood-related disorders at all hospitals and clinical services in the SingHealth cluster. The department also provides blood banking and apheresis services to the other disciplines in SGH. Clinical services are provided for the treatment of general haematology, coagulation and haemato-oncology.

Bone marrow and peripheral blood stem cell transplants have been carried out by the department since 1985. Approximately 50 to 60 transplants are done every year in our centre (90% of the total done in Singapore). The department has set up the National Haemophilia Registry and Haemophilia Treatment Centre that also provides a Home Treatment Program for Haemophiliacs throughout the nation.

The department is proud of its Laboratory Service which provides routine and specialized haematological services to various hospitals and clinics, Ministries, private clinics and laboratories. It also processes and interprets all bone marrow studies and undertakes immuno-phenotypings, cytogenetic work and specialized molecular studies in haematology.

TEACHING AND TRAINING

Other than conducting training for medical postgraduate and basic trainees, the department also provides advanced specialty training in Haematology.

ADVANCED SPECIALTY TRAINING PROGRAM

INPATIENT CARE
Routine care of haematology sub-specialty patients and provision of haematology consultations to other medical disciplines, care of patients undergoing therapeutic apheresis procedures, care of Hickman line, care of BMT patient, counseling of family members, dealing with Haematologic emergencies – Leucostasis syndromes, Tumour Lysis syndromes, extravasation of vesicant chemotherapeutic agents.

PROCEDURES
BMA aspirate & trephines, insertion of central & PICC lines, performance of lumbar punctures, administration of chemotherapy, venesection.

OUTPATIENT CARE
Routine care of haematology sub-specialty patients, preparation of patient for BMT, priming and preparation of patient for PBSC harvesting.

LABORATORY WORK
Morphology of blood and marrow smears, common coagulation tests and blood banking procedures, assessment of blood donor suitability, interpretation of haemoglobin electrophoretic strips, laboratory quality molecular biology will be helpful. Research training: Ability to critique journal articles, understanding of biostatistics, conduct of an actual research project, grant-writing and journal-writing skills The Department’s RCPA Quality Assurance Program in Haematology has been accredited by the Royal College of Pathologists of Australasia (1997). The Proficiency Training Program has been accredited by the College of American Pathologists (since 1990).

The Department is recognized by the Specialist Accreditation Board for advanced specialty training.

RESEARCH

The Department is carrying out intensive research on leukaemias and marrow transplants. Other projects include marrow progenitor selections and growth factors, molecular work and coagulation studies. Up and coming projects include graft engineering and antibody engineering.

WELFARE & FACILITIES FOR JUNIOR DOCTORS
Under construction