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Clin Assoc Prof Augustine Tee

Clin Assoc Prof Augustine Tee

​MBBS , MMed (Internal Med), FAMS, FCCP, FRCP (Edin), FRCP (Glasg)

Senior Consultant

Changi General Hospital

Specialty: Respiratory and Critical Care Medicine, Internal Medicine

Sub-specialties: Intensive Care Medicine, Endobronchial Ultrasound, Obstructive Lung Diseases

Clinical Appointments

  • Deputy Chairman, Medical Board (Medical Disciplines) Changi General HospitalChangi General Hospital
  • Senior Consultant Respiratory & Critical Care Medicine Changi General HospitalChangi General Hospital

Profile

Augustine Tee is a Senior Consultant and accredited respiratory physician, intensivist and general physician at Changi General Hospital (CGH). He is also a deputy chairman, Medical Board (Medical Disciplines) at CGH since January 2019.

He is the current vice-president of Asthma & Allergy Association S’pore, and has previously served two terms as chair of Chapter of Respiratory Physicians and as an exco member at the Singapore Thoracic Society. He is a member of many Ministry of Health working committees advising on Chronic Obstructive Pulmonary Disease (COPD), haze, respiratory therapy services, home palliative care services, healthcare financing, respiratory drug evaluation and medication safety. Dr Tee is an active investigator in clinical trials and a reviewer for many respiratory journals, being recognised with certificates of reviewing with distinction from the Singapore Medical Journal (2009-10 & 2013-14).

As a dedicated educator, he has received awards in 2014 and 2015 for teaching excellence from NUS Yong Loo Lin School of Medicine, Singhealth Advanced Internal Medicine Senior Residency programme, and CGH. Dr Tee is also a recipient of the Eastern Health Alliance Silver, Gold and Star Caring Awards in 2013, 2014 and 2015 respectively.

Education

  • Singhealth-SMU Graduate Diploma in Healthcare Management and Leadership (Oct 2015)
  • Fellow, Royal College of Physicians of Edinburgh (Oct 2011)
  • Fellow, Royal College of Physicians of Glasgow (Aug 2011)
  • Fellow, American College of Chest Physicians, USA (Feb 2010)
  • Fellow, Academy of Medicine, Singapore (Dec 2005)
  • Member, Royal College of Physicians, UK (Jul 2002)
  • Masters of Medicine (Internal Medicine), National University of Singapore (Sep 2002)
  • Bachelor of Medicine, Bachelor of Surgery, National University of Singapore (1997)

Professional Appointments and Committee Memberships

  • Adjunct Associate Professor, NUS Yong Loo Lin School of Medicine
  • Clinical Associate Professor, Duke-NUS
  • Clinical Core Faculty Member, Advanced Internal Medicine, SingHealth Senior Residency Program (from Jul 2013)
  • Senior Fellow, Ministry of Health Healthcare Family Fellowship Programme (HFFP) (from Oct 2017)
  • Chair, National Medication Safety Committee (from June 2017)
  • Co-chair, CGH Employee Experience Survey Taskforce 2017
  • Advisor to CGH JCI Medication Management and Use (MMU) & IPSG 3 Workgroup (from 2016)
  • Advisor to CGH Medication Safety Committee (from 2017)
  • Member, Chronic Obstructive Pulmonary Disease (COPD) Appropriate Care Guide (ACG) Expert Group, MOH (from Apr 2017)
  • Member, Singapore Medical Council Complaints Panel (from Dec 2014)
  • Member, MOH Residency Advisory Committee (RAC) for Respiratory Medicine (from 2014)
  • Visiting Consultant, Singapore Armed Forces Medical Corps (from Jan 2013)
  • Vice President, Asthma & Allergy Association Singapore (from 2012)
  • Clinical Director, CGH Medical Emergency Team Sub-Committee (from 2008)

Awards

  • Special Recognition Award, Role Model Class of 2015, NUS Yong Loo Lin School of Medicine, Singapore
  • Dean’s Award for Teaching Excellence (AY2014/2015), NUS Yong Loo Lin School of Medicine, Singapore
  • CGH Best Educator Award 2015: Medical – Undergraduate
  • EHA Caring Awards 2015, Star Category
  • CGH Best Educator Award 2014: Medical – Postgraduate (Residency)
  • Certificate of Commendation, Role Model Class of 2014, NUS Yong Loo Lin School of Medicine, Singapore
  • Residency in SingHealth Excels (RiSE) Outstanding Faculty Award 2014 EHA Caring Awards 2014, Gold Category
  • EHA Caring Awards 2013, Silver Category
  • Certificate of Reviewing with Distinction, Singapore Medical Journal Reviewer Recognition Award, 2009, 2010, 2013.
  • Singapore Health Service Quality Award 2011, Gold.
  • Dean’s Award for Teaching Excellence (AY2008/2009), NUS Yong Loo Lin School of Medicine, Singapore
  • Excellent Service Award, EXSA (SPRING Singapore) 2009, Gold.
  • CGH 10-year Long Service Award 2008
  • SingHealth-MOH Healthcare Manpower Development Program Award 2007
  • The Commendation Medal (SARS) National Day Awards, Singapore 2003

Research Interests

Publications

  • Augustine KH Tee. Chronic Obstructive Pulmonary Disease (COPD): "Not a Cigarette Only Pulmonary Disease". Ann Acad Med Singapore 2017 (In press)
  • Wei Ling Chua, Min Ting Alicia See, Helena Legio-Quigley, Daryl Jones, Augustine Tee, Sok Ying Liaw. Factors influencing the activation of the rapid response system for clinically deteriorating patients by frontline ward clinicians: a systematic review. International Journal for Quality in Health Care, 2017, 1–18.
  • Basavarajaiah G, Tee A, Chow WL, Burke C. Cost effectiveness of indacaterol/glycopyrronium in comparison to salmeterol/fluticasone combination in patients with moderate to severe chronic obstructive pulmonary disease: a LANTERN population analysis in Singapore setting. Singapore Med J 2017 (In press)
  • Loh CH, Tan SH, Tee KH. An Aggressive Small Round Blue Malignancy in the Intensive Care Unit. Ann Med Case Rep. 2017; 1: 1008.
  • Tunn Ren Tay, Hang Siang Wong, Rosna Ihsan, Hsiao Peng Toh, Xuening Choo, Augustine KH Tee. Comparison of the Proportion and Healthcare Utilisation of Adult Patients with Uncontrolled Severe Asthma versus Non-Severe Asthma Seen in a Southeast Asian Hospital-Based Respiratory Specialist Clinic.  Ann Acad Med Singapore 2017; 46: 217-28.
  • Tunn Ren Tay, Xuening Choo, Rosna Ihsan, Hsiao Peng Toh, Hang Siang Wong, Augustine Tee. Characteristics of non-smoking adult asthma patients with chronic airflow limitation. J Asthma 2017 Mar 23:1-7. DOI:10.1080/02770903.2017.1299756
  • Charlene JY Liew, Kah Yee Tham, Angeline CC Poh, Augustine Tee. Endobronchial lipoma. Singapore Med J 2017; 58(8): 510-511
  • Akash Verma, Aza Taha, Sridhar Venkateswaran, Augustine Tee. Effectiveness of medical thoracoscopy and thoracoscopic talc poudrage in patients with exudative pleural effusion. Singapore Med J 2015; 56(5): 268 – 273
  • Sandra Hui, Choon How, Augustine Tee. Does this patient really have chronic obstructive pulmonary disease? Singapore Med J 2015 April; 56(4): 194 – 197
  • Jansen Koh, Ying Xu, LiFang Yeo, Augustine Tee, Siau Chuin, John Law, Imran Bin Mohd Noor, Vijo Poulose, Jagadesan Raghuram, Akash Verma, Alvin Ng. Achieving Optimal Clinical Outcomes in Ultrasound-Guided Central Venous Catheterizations of the Internal Jugular Vein after a Simulation-Based Training Program for Novice Learners. Sim Healthcare 2014; 9: 161 – 166
  • Akash Verma, Mui Yok Lee, Chunhong Wang, Nurmalah Binte Mat Hussein, Kalai Selvi, Augustine Tee. Efficiency of Performing Pulmonary Procedures in a shared Endoscopy Unit: procedure time, turnaround time, delays and procedure waiting time. J Bronchol Intervent Pulmonol April 2014; 21 (2): 135 – 141
  • Tay TR, Koh J, Tee A. ICU Delirium: Is prevention better than cure? OA Critical Care 2014 Feb 22; 2(1): 3
  • Sridhar Venkaterswaran, Augustine Tee. Overlap syndrome between chronic obstructive pulmonary disease and obstructive sleep apnoea in a Southeast Asian teaching hospital. Singapore Med J 2014; 55(9): 488 – 492
  • Rinaldo Bellomo, Miklos Lipcsey, Paolo Calzavacca, Michael Haase, Anjia Haase-Fielitz, Elisa Licari, Augustine Tee, Louise Cole, Alan Cass, Simon Finfer, Martin Gallagher, Joanne Lee, Serigne Lo, Colin McArthur, Shay McGuinness, John Myburgh, Carlos Scheinkestel. The RENAL Study Investigators and The ANZICS Clinical Trials Group. Early acid-base and blood pressure effects of continuous renal replacement therapy intensity in patients with metabolic acidosis. Intensive Care Med 2013; 39: 429 – 436
  • Yin Shanqing, Augustine KH Tee. Cognitive Aspects of Diagnostics, Not Just Errors. Ann Acad Med Singapore Mar 2013: Vol. 42 No. 3
  • Augustine Tee. A New Gold Standard – Pharmacological Interventions of COPD. Singapore Fam Phys 2013; 39(2): 15 – 18
  • Tunn Ren Tay, Augustine Tee. Factors affecting pleural fluid adenosine deaminase level and the implication on the diagnosis of tuberculous pleural effusion: a retrospective cohort study. BMC Infectious Diseases 2013, 13: 546
  • Augustine Tee. Re-emergence of chronic obstructive pulmonary disease: it is time to think COPDifferently. Singapore Med J 2013; 54(12): 673 – 677
  • Calzavacca P, Licari E, Tee A, Bellomo R. Point-of-Care testing during medical emergency team activations: A pilot study. Resuscitation 2012; 83(9): 1119 – 1123
  • Jason Phua, BCH Ho, Tee A, et al. The impact of clinical protocols in the management of severe sepsis: a prospective cohort study. Anaes Int Care 2012; 40 (4): 663 – 674
  • Aza A M Taha, Kim Huat Augustine Tee. Guillain-Barre Syndrome associated with pulmonary tuberculosis. BMJ Case reports 2012; doi: 10.1136/bcr-01-2012-5484
  • Wei-Yen Lim. Ying Chen, Khoon Leong Chuah, Philip Eng, Swan Swan Leong, Elaine Lim, Tow Keang Lim, Alan Ng, Wee Teng Poh, Augustine Tee, Ming Teh, Agus Salim & Adeline Seow. Female reproductive factors, gene polymorphisms in the estrogen metabolism pathway and risk of lung cancer in Chinese women. AM J Epidemiol 2012 Mar 15; 175(6): 492 – 503
  • Lai SM, Tee A. Outpatient treatment of primary spontaneous pneumothorax using a small-bore chest drain with a Heimlich valve: the experience of a Singapore emergency department. Eur J Emerg Med 2012; 19(6): 400 – 404
  • Wei-Yen Lim, Khoon Leong Chuah, Philip Eng, Swan Leong, Elaine Lim, Tow Keang Lim, Alan Ng, Wee Teng Poh, Augustine Tee, Ming Teh, Agus Salim & Adeline Seow. Aspirin and non-aspirin non-steroidal anti-inflammatory drug use and risk of lung cancer. Lung Cancer 2012; 77: 246 – 251
  • Paolo Calzavacca, Augustine Tee, Elisa Licari, Antoine Guillaume Schneider and Rinaldo Bellomo. Point-of-Care Measurement of Serum Creatinine in the Intensive Care unit. Renal Failure 2012; Vol. 34(1): 13 – 18
  • Daphne Ang, Tiing Leong Ang, Eng Kiong Teo, Pon Poh Hsu, Augustine Tee, Choo Hean Poh, Jessica Tan, Jeannie Ong & Kwong Ming Fock. Is impedance pH monitoring superior to the conventional 24-h pH meter in the evaluation of patients with laryngorespiratory symptoms suspected to be due to gastroesophageal reflux disease? Journal of Digestive Diseases 2011; 12: 341 – 348
  • Wei-Yen Lim, Ying Chen, Safiyya Mohamed Ali, Khoon Leong Chuah, Philip Eng, Swan Swan Leong, Elaine Lim, Tow Keang Lim, Alan Ng, Wee Teng Poh, Augustine Tee, Ming The, Agus Salim, Adeline Seow. Polymorphisms in inflammatory pathway genes, host factors, and lung cancer risk in Chinese female never-smokers. Carcinogenesis 2011; 32(4): 522 – 529
  • Jason Phua, Younsuck Koh, Bin Du et al. for the MOSAICS Study Group. Management of severe sepsis in patients admitted to Asian intensive care units: prospective cohort study. BMJ 2011;342: d3245
  • Wei-Yen Lim, Khoon Leong Chuah, Philip Eng, Swan Swan Leong, Elaine Lim, Tow Keang Lim, Alan Ng, wee Teng Poh, Augustine Tee, Ming Teh, Agus Salim and Adeline Seow. Meat Consumption and Risk of Lung Cancer Among Never-Smoking Women. Nutrition and Cancer 2011; 63(6):  850 – 859
  • Siau C. Tee A. Au V, Raghuram J. Oh HML, Fock KM, Teo EK. Influenza A H1N1: Clinical spectrum of disease among adult patients admitted to a regional hospital in Singapore. Singapore Med J 2011; 52(7): 475 – 480
  • Paolo Calzavacca, Elisa Licari, Augustine Tee, Moritoki Egi, Andrew Downey, Jon Quach, Anja Haase-Fielitz, Michael Haase, Rinaldo Bellomo The Impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes – a follow up study. Resuscitation 2010; 81: 31 – 35
  • Augustine Tee, Angeline Poh. Rapidly Vanishing Pulmonary Pseudotumour. Ann Acad Med Singapore 2010; 39(1): 73 – 74
  • Paolo Calzavacca, Augustine Tee, Elisa Licari, Rinaldo Bellomo. Assessment of Point-of-Care Measurement of Urinary Creatinine and Electrolytes in the Intensive Care Unit. Renal Failure 2010; 32(1), 27 – 31
  • Siau C, Law J, Tee A, Poulouse V, Raghuram J. Severe refractory hypoxaemia in H1N1(2009) intensive care patients: initial experience in an Asian regional hospital. Singapore Med J 2010; 51(6): 490 – 495
  • Li Tang, Wei-Yen Lim, Philip Eng, Swan Swan Leong, Tow Keang Lim, Alan WK Ng, Augustine Tee, Adeline Seow. Lung Cancer in Chinese Women: Evidence for an Interaction between Tobacco Smoking and Exposure to Inhalants in the Indoor Environment. Environ Health Perspect 2010; 118: 1257 – 1260
  • Paolo Calzavacca, Elisa Licari, Augustine Tee, Inga Mercer, Michael Haase, Anja Hass Fielitz, Daryl Jones, Geoff Gutteridge, Rinaldo Bellomo. Features and outcome of patients receiving multiple Medical Emergency Team reviews. Resuscitation 2010; 81(11): 1509 – 1515
  • Jansen Koh, Augustine Tee, Jimmy Wai Heng Phoo, Ghee Chee Phua, Kwok Wah Leong, Naville Chia, Soon Keng Goh, Jonathan Tan, Benjamin Ho, Chee Keat Tan, Graeme Maclaren, Jason Phua. A National point-prevalence survey of the practice of sedation, analgesia, neuromuscular blockade and delirium assessment in adult intensive care units in Singapore. Crit Care & Shock (2010) 13: 122 – 131
  • Jansen Koh, Augustine Tee. Tuberculous Abscess Manifesting as Unilateral Gynecomastia. N Engl J Med 2009; 361: 23
  • Augustine Tee, Ng Fong Ching, Neo Soon Keow. In-hospital mortality among unplanned admissions to a medial intensive care unit. Crit Care & Shock 2008 (11): 149 – 153
  • Mamun Kaysar, Tee Augustine, Lim Jim, Castasus Benjamin. Predictors of length of stay between the young and aged in hospitalized community-acquired pneumonia patients. Geriatr Gerontol Int 2008; 8: 227 – 233
  • Augustine Tee, Paolo Calzavacca, Elisa Licari, Donna Goldsmith, Rinaldo Bellomo. Bench-to-bedside review: The MET syndrome – the challenges of researching and adopting medical emergency teams. Crit Care 2008; 12: 205
  • MS Koh, A Tee, P Wong, P Antippa, LB Irving. Advances in lung cancer diagnosis and staging: endobronchial ultrasound. Int Med J 2008; 38: 85 – 89
  • Paolo Calzavacca, Elisa Licari, Augustine Tee, Moritoki Egi, Michael Haase, Anja Haase-Fielitz, Rinaldo Bellomo. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care Med 2008; 34: 2112 – 2116
  • Amila C A CY Punyadasa & Augustine Tee. Pseudopneumothorax – Hold that chest tube! Int J Emerg Med 2008 (1): 59 – 60
  • AKH Tee, MS Koh, PG Gibson, TJ Lasserson, AJ Wilson, LB Irving. Long-acting beta2-agonists versus theophylline for maintenance treatment of asthma. Cochrane Database of Systematic Reviews 2007, Issue 3
  • MS Koh, A Tee, TJ Lasserson, LB Irving. Inhaled corticosteroids compared to placebo for prevention of exercise induced bronchoconstriction. Cochrane Database of Systematic Reviews 2007, Issue 3
  • ChoonHow How, Augustine Tee, Joanne Quah. Delayed presentation of gastrothorax masquerading as pneumothorax. Primary Care Respiratory Journal 2007; 16(1): 54 – 56
  • TL Ang, AKH Tee, KM Fock, EK Teo, TS Chua. Endoscopic ultrasound- guided fine needle aspiration in the evaluation of suspected lung cancer. Respir Med 2007; 101: 1299 – 1304
  • TL Ang, TS Chua, KM Fock, AKH Tee, EK Teo, K Mancer. EUS-FNA of the Left Adrenal Gland is Safe and Useful. Ann Acad Med Singapore 2007; 36: 954 – 7
  • KH Augustine Tee & KP Hui. Clips, Spirometry and Submaximal Inhalation for Exhaled Nitric Oxide. Am J Respir Crit Care Med 2005; 172: 931
  • Augustine KH Tee, Kok Pheng Hui. Effect of nasal clip, spirometry manoeuvre and submaximal inspiratory effort on measurement of exhaled nitric oxide levels in asthmatics. Chest 2005; 127: 131 – 134
  • AKH Tee, HML Oh, IYJ Wee, BP Khoo, WT Poh. Dapsone Hypersensitivity Syndrome Masquerading as a viral exanthema: 3 Cases and Mini Review. Ann Acad Med Singapore 2004; 33: 375 – 8
  • Augustine KH Tee, Helen ML Oh, KP Hui, Christopher TC Lien, K Narendran, BH Heng and AE Ling. Atypical SARS in Geriatric Patient. Emerg Infect Dis 2004; 10(2): 261 – 4
  • Tee KH, Seet LT, Tan WC, Choo HW, et al. Advance directive: a study on the knowledge and attitudes among general practitioners in Singapore. Singapore Medical Journal 1997 Apr; 38(4): 145 – 8

Research Trials