Doctors who specialise in Respiratory Medicine diagnose and treat conditions affecting the respiratory system. Our programme trains the resident to become a specialist in providing care for patients with a spectrum of respiratory diseases.
Our comprehensive 3-year NHG Respiratory Medicine Residency Programme is designed to provide the resident with the training, experience, and resources for his/her development as a respiratory physician. Respiratory Medicine is no doubt an exciting, dynamic, and rewarding specialty, with its modern form encompassing the specialties of critical care and sleep medicine. It is one of the few specialties that offer the opportunity for dual accreditations in respiratory and intensive care medicine.
The intensive care unit is a complex and challenging environment because its practice of high-tech medicine is juxtaposed with ethical, legal, psychosocial, economic, and cultural issues. On the other hand, sleep medicine relates to the study of the most fundamental, but often neglected, activity in our daily lives – sleep. In fact, the physiological and pathological processes that occur in the sleep state are deeply linked to many disease states beyond that of respiratory sleep disorders. The resident will learn to manage the complexities of a patient's breathing patterns in his/her waking and sleeping states.
Most of the training will take place at Tan Tock Seng Hospital (TTSH) and NHG's participating site, Khoo Teck Puat Hospital (KTPH). The dedicated and experienced teaching faculty from these hospitals will ensure that the resident receives the highest standard of training, experience, and guidance.
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Curriculum
Respiratory medicine is the study of physiology and the diseases that affects it, which includes airway to lung parenchyma diseases, cancer, infective diseases, and inflammatory and vasculitic processes. The training includes the interpretation of lung function, pathology, clinical implications, and management.
Respiratory Medicine is a specialty that involves respiratory and intensive care medicine. Thus, the resident will be exposed in managing patients not only in the wards and clinics, but also in the Medical Intensive Care Unit (MICU), the Medical High Dependency Unit (MHDU), and the Non-Invasive Ventilation Unit (NIVU). Further training will be at the respiratory physiology laboratory, and sleep medicine laboratory. The resident will also get opportunities to be trained in flexible fibre-optic bronchoscopy, interventional bronchoscopy, pleuroscopy, and other pleural procedures.
A large proportion of investigations, diagnosis, and management of patients are performed as outpatient. The resident will have strict supervision and monitoring of his/her clinical practice. He/she will also have subspecialty respiratory medicine training at our dedicated clinics on asthma, COPD, lung nodule, bronchiectasis, pulmonary fibrosis, and tuberculosis.
Research stands at the forefront of medicine. Therefore, it will play an important part in the resident's training. He/she will also have the opportunity to be involved in clinical trials and will receive supervision and support from our dedicated faculty.
The training curriculum encompasses various aspects of Respiratory Medicine:
Medical Intensive Care Unit
Respiratory Care
Pulmonary Function and Sleep Medicine
Ambulatory Clinics
Procedural and Technical Skills
Interventional Bronchoscopy
Laboratory and Imaging
Research
In each facet of Respiratory Medicine, the resident will be trained accordingly in:
Disease management, evaluation, and management
Procedures and technical skills
Knowledge demonstration
Management skills
Our programme is fully accredited by the ACGME-I (Accreditation Council for Graduate Medical Education International) and complies with its Foundational and Advanced Specialty Requirements.
Rotations
A sample rotation chart for one of our residents is illustrated below.
There are opportunities for the resident to pursue a clinician-scientist career in the future.
