Programme >

Residency Symposium
Research and Education in Residency – For Tomorrow’s Healthcare


 Track type: Symposium


 Duration: 90 minutes


 Location: Academia, Level 1, L1-S3

Topic 1:
The Relationship between Prior Work Experience and Attrition amongst Obstetrics & Gynaecology Residents in Singapore
 Speaker: Dr Jill Lee


What causes Residents to leave their Residency training? Why do others stay? Resident attrition wastes scarce healthcare education resources and causes stress to fellow Residents.


In this presentation, Dr Jill Lee will discuss her research on the relationship between prior work experience and attrition, among Obstetrics & Gynaecology (O&G) Residents in Singapore. In this mixed-methods, case-control study of two intakes of O&G Residents, Dr Lee recruited Residents who have considered leaving, using a questionnaire to identify risk factors, as well as conducting structured interviews with them.


In the interviews with the Residents, Dr Jill Lee found that those with prior O&G Medical Officer (MO) experience faced lower stress levels as an O&G Resident. Prior experience reduced the learning curve for these Residents, and helped set appropriate and realistic expectations of the programme, of the specialty, and of themselves. This led to improved job satisfaction and reduced attrition. Astute recognition of risk factors allows healthcare leaders and educationists to develop better selection criteria, as well as safety nets, and support systems to reduce Resident attrition.




Topic 2:

A Resident's Perspective on Research and Education in SingHealth

Speaker: Dr Keh Yann Shan 

Embarking on a career in SingHealth Residency is a breathtaking and challenging journey. Residents need to continuously strive to fulfill their clinical duties while keeping up with their medical training. SingHealth Residency also places a strong emphasis on Education and Research, with Residents being strongly encouraged to participate and contribute to the numerous initiatives. Residents have the opportunity to be part of an institution-wide teaching culture where they both learn and teach as they progress through Residency. Our Residents also have a wide range of research projects that they can participate in to gain exposure to cutting-edged medical research. Dr Keh shares his perspective on how putting all these activities together can make for a truly memorable experience.

Topic 3: 
Cloud-based Automated Software for Diabetic Retinopathy Screening in a National Screening Programme

 Speaker: Dr Daniel Ting

To evaluate the diagnostic performance of a cloud-based automated software for diabetic retinopathy (DR) in a national level screening programme in Singapore.

We developed a “cloud-based” DR screening software (the Singapore Eye LEsioN Analyzer [SELENA]) that utilises deep learning technology and a machine-learning technology. We tested images captured from 381 consecutive patients (n=762 eyes) over a 1-month period from the Singapore Integrated Diabetic Retinopathy Programme (SiDRP). We calculated the area under curve (AUC), sensitivity, specificity of SELENA, in detection of referable DR (moderate non-proliferative diabetic retinopathy [NPDR] and above, including ‘ungradable’ images), with reference to retinal specialists’ grading.

For the detection of referable DR (n=133), the AUC of SELENA was 0.92. When the sensitivity level for detection of ‘referable DR’ was set at 95% and 90%, the specificity level of SELENA was 54% and 62%, respectively, whereas for specificity level of 95% and 90%, SELENA had a sensitivity level of 60% and 70%, respectively. The detection rate of vision threatening DR (n=40) and repeatability of SELENA (n=762) were 100%. In this pilot study, SELENA has shown to be effective in detecting DR in a national tele-medicine DR screening programme. Future research is essential in exploring its clinical and cost‐effectiveness in a large scale prospective study.

Topic 4:
Why Medtech Innovation and Why Now? – A Resident’s Experience

Speaker: Dr Rena Dharmawan 

From continuous blood glucose monitoring simply through a contact lens to robots assisting surgeons in major surgeries, the possibilities for medtech innovation is endless. Medical technologies are an intrinsic part of our daily practice. As clinicians and healthcare workers, we play a unique role of not only being able to directly identify unmet clinical needs, but also test devices and guide researchers and manufacturers towards developing clinically-relevant solutions to improve patient outcomes. In Singapore, the medical technology industry, although still at its early stage, is rapidly booming with an estimated of more than five billion dollars spent in 2015, and an increasing number of public and private funding for projects in the field. With a systematic approach to needs findings, invention and implementation of new biomedical technologies (and some luck!), the right innovation can truly improve our practice and patient outcomes. 

*Information is correct at time of update