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NATIONAL UNIVERSITY HOSPITAL NUS YONG LOO LIN SCHOOL OF MEDICINE AND NUS FACULTY OF DENTISTRY SHAPING MEDICINE FOR THE FUTURE “We believe that committed people, convicted by the power of ideas and given the space to bring them to life, can engender significant and positive improvements to the quality of healthcare.” Associate Professor Benjamin Ong Chief Executive, NUHS As Singapore’s population ages and the country’s healthcare system readies itself to meet the challenges that come with caring for an increasing number of elderly people, the National University Health System (NUHS) intends to play a key, contributing role in shaping medicine for Singapore’s future. Established in January 2008, the NUHS (which groups the National University Hospital and the National University of Singapore’s Yong Loo Lin School of Medicine and Faculty of Dentistry under a common governance structure) is working towards this goal through the development and promotion of academic medicine. This seeks to raise the quality of clinical care through hypothesis-driven research and outcomedriven education – scientists partner their clinician colleagues to develop solutions to actual problems that doctors have to wrestle with on a regular, daily basis; students work alongside senior healthcare professionals, developing their skills under close supervision and mentorship. The end goal is excellence in clinical care, research and education. Leveraging on a versatile and experienced team of clinicians, researchers and educators, the NUHS aims to provide the best of clinical care by applying the knowledge and findings of our research to the benefit of our patients, while delivering top-notch medical education and training to produce Singapore’s next generation of doctors, dentists, nurses and allied healthcare professionals. NUHS 02 Nurturing Singapore’s next generation of clinicians and researchers Working with a team comprising local and international Through the NUS Yong Loo Lin School of Medicine and programme will focus on the developmental aspects of the NUS Faculty of Dentistry, the NUHS is at the forefront metabolic disease and address an emerging area of of medical undergraduate and postgraduate education science that can enhance public health policies and guide as well as training in Asia. Talented professors are backed clinical care of the rapidly growing populace affected by sophisticated laboratories and advanced simulators to by Type 2 Diabetes and its related diseases. researchers and clinicians, this flagship research provide medical, nursing and dental students with skills training, in addition to guided learning at the clinics and Yet, another highlight is on-going work building on the hospital bedside. discovery in 2008 by a NUHS research team led by Professor Yoshiaki Ito of RUNX3, a gatekeeper gene which A focus on life-saving, translational clinical research prevents the uncontrolled growth of cells leading to The NUHS creates a dynamic and exciting environment Professor in Medical Oncology and Principal Investigator that actively encourages clinicians, basic science and of the Institute of Molecular and Cell Biology, Agency clinical researchers to work closely together. This for Science, Technology and Research (A*STAR) and collaborative framework means diseases common in Deputy Director of Cancer Science Institute, Singapore, Singapore and Asia are targeted, improving prevention by of the National University of Singapore. colorectal cancers. Professor Ito is the NUS Yong Loo Lin early diagnosis and strategies to either retard or reverse the consequences. The NUHS’ research focus includes A continuing focus on patient care cancer, cardiovascular diseases, diabetes and obesity, The continual quest to provide the best of care to our neurocognition, eye diseases and infectious diseases. patients has led to a culture of continual learning To date, the NUHS has won several major research grants, and improvement amongst staff at the National University enabling critical, path-finding Translational and Clinical Hospital (NUH). New techniques and surgical methods are also actively acquired to enhance the quality of our clinical care. Research (TCR) Flagship programmes to find solutions to the threats of gastric cancer and metabolic diseases For example, patients with chest pains undergo timely as well as replace the plasma in the patient’s blood and surgeons with hands-on experience amidst realistic (diabetes and obesity) in Singapore. cardiac investigation now at the Emergency Medicine suppress the patient’s immune system to overcome the operating theatre conditions and situations, under Department, which reduces inpatient admissions and cross-match positive diagnosis. the guidance of experienced local and international Funded by the National Research Foundation (NRF), subsequent hospital visits. The hospital has also successfully Dr Yeoh Khay Guan (Senior Consultant, Department of reduced the median intervention time for acute Cancer Centre, modeled after the St Jude Children’s Gastroenterology and Hepatology, NUH and Associate myocardial infarction (heart attack) patients undergoing Research Hospital in the United States (the world’s Involvement in research which brings long-term benefits to Professor with the NUS Yong Loo Lin School of Medicine) primary percutaneous coronary intervention (ballooning leading centre for children with cancer), has its entire patients also continues to be a key emphasis at the NUHS. and his team’s on-going quest to stop gastric cancer in its and stenting) to improve patients’ survival rate. environment designed for holistic care to aid the With strengths in clinical trials and a sound, supportive recovery of young cancer patients. infrastructure, our clinician-researchers continue to garner tracks involves screening to pick up the disease at its very • Services and facilities like the Viva-University Children’s surgeon-trainers. earliest stages. Since 2007, about 2,300 people have been New initiatives in clinical care screened: 10 were found with silent cancers so early that • New techniques and surgical methods are also actively NUH, which caters to outpatient dengue cases, helps a study showed that different ethnic groups have different acquired to enhance the quality of our clinical care. dengue patients avoid hospitalization and frees more reactions to warfarin due to differences in genetic make-up. A NUH multi-disciplinary team became the first beds for patients who need them. With the setting The study found that patients could ward off a common Also funded by the NRF, Associate Professor Chong in Singapore to surmount two medical challenges up of the DOM Clinic, NUH is also prepared to combat side effect (excessive bleeding) of the drug when a more Yap Seng from the Department of Obstetrics and to successfully perform a living donor kidney dengue outbreaks, which usually happen every one precise dose is given. NUHS doctors have also developed a Gynaecology at the National University Hospital and his transplantation – a situation that was reported in to four years. scoring system that can help predict the risk of colorectal team of international and Singaporean clinicians and less than forty cases worldwide. The two medical researchers are investigating the growing epidemic of challenges faced were blood group incompatibility Puat Advanced Surgery Training Centre, the region’s first Colorectal cancer is ranked as the top-killer among men metabolic diseases in Singapore. It is a formative research (ABO incompatibility) and a receiver being cross-match one-stop training centre to equip surgeons here and and No.2 killer among women in Singapore, which is one of thrust that may profoundly influence how metabolic positive as the receiver had antibodies against the from the region, the Middle East and Europe with the the countries with the highest colorectal cancer rates. The diseases with Asian features are managed, prevented donor’s tissue antigens. The team imported a device latest skills. Made possible by a S$7million gift from the ability to identify those at highest risk will help prioritise and treated. from Sweden to remove the blood group antibodies, Estate of Tan Sri Khoo Teck Puat, the Centre provides screening and enable early and successful treatment. they would not have been detected on routine care. • The Dengue Outpatient Monitoring (DOM) Clinic in • Another initiative is the establishment of the Khoo Teck major grants and involvement in clinical trials. For example, cancer in Asians – also known as cancer of the large bowel. NUHS 04 THE NUHS GROUP National University Hospital NATIONAL UNIVERSITY HOSPITAL www.nuh.com.sg 6 Intensive care units 23 Operating theatres The National University Hospital (NUH) is a tertiary specialist hospital that provides advanced, leading-edge medical care and services. Equipped with comprehensive state-of-art facilities as well as dedicated and well-trained 997 Beds 5479 Staff staff, the NUH is a major referral centre that delivers care in a wide range of medical and dental specialties including cardiology, gastroenterology and hepatology, obstetrics and gynaecology, oncology, ophthalmology, paediatrics and orthopaedic surgery. It is the principal teaching hospital of the NUS Yong Loo Lin School of Medicine. With combined resources (from the teaching hospital, the NUS Yong Loo Lin School of Medicine HOSPITAL WORKLOAD 2007 AND 2008 Total patient volume 08 848,008 07 803,978 Inpatient discharges 08 55,941 07 55,007 and Faculty of Dentistry), the NUH is able to meet the healthcare needs of patients, train future generations of doctors more effectively and help develop solutions to Outpatient attendances 08 645,086 07 610,559 our healthcare problems through research. Backed by substantive expertise and experience, the NUH was chosen Day surgeries by the Ministry of Health in 2007 to develop two new 08 28,628 national specialist centers, the National University Heart 07 26,865 Centre, Singapore and National University Cancer Institute, Emergency Medicine Department attendances Singapore to meet the growing needs for heart and 08 118,353 cancer treatments. In 2004, the NUH became the first Singapore hospital to receive Joint Commission International (JCI) Accreditation, an international stamp for excellent clinical practices in patient care and safety. It was also the first hospital in Singapore to receive a triple ISO certification concurrently for Quality, Environmental, and Occupational Health & Safety Management Systems in 2002. 07 111,550 The NUH – a tertiary specialist hospital that provides advanced, leading-edge medical care and services. NUHS 06 NUS Yong Loo Lin School of Medicine www.med.nus.edu.sg Established in 1905, the NUS Yong Loo Lin School of Medicine (YLLSoM) was the first institution of higher learning in Singapore and the precursor of what would become the National University of Singapore. The School offers one of the finest undergraduate medical programmes in the Asia-Pacific region and commands NUS YONG LOO LIN SCHOOL OF MEDICINE CLASS OF 2009 237 167 58 25 89 Bachelor’s Degrees conferred Master of Medicine Degrees conferred Master of Science Degrees conferred Master of Public Health conferred Doctoral Degrees conferred international recognition and respect. For Academic Year 2009-2010, the NUS Yong Loo Lin School of Medicine FACULTY AND STAFF 2009 had an intake of 260 new students for the July admission. 190 496 292 411 256 The School strives to fulfill its tripartite mission of providing excellent clinical care, training the next generation of healthcare professionals and fostering research that will transform the practice of medicine. It plays a pivotal role in producing future leaders in healthcare delivery, discovery Executive and professional staff Non-academic staff Other teaching staff Research staff Academic staff NUS Faculty of Dentistry Alice Lee Centre for Nursing Studies www.dentistry.nus.edu.sg medicine.nus.edu.sg/nursing The NUS Faculty of Dentistry began as the Department of The establishment of the Alice Lee Centre for Nursing and public service as well as in Singapore’s Biomedical Dentistry within the King Edward VII College of Medicine Studies (ALCNS) in 2005 within the NUS Yong Loo Lin Sciences Initiative and Singapore Medicine, a medical in 1929. It was the first dental school to be established School of Medicine marked a historical milestone in tourism initiative. The School’s 18 departments in the in a British colony in the east. The three departments of nursing in Singapore. The Centre was founded through a basic sciences and clinical specialties work closely with the the Faculty – Oral and Maxillofacial Surgery, Restorative generous gift of $10 million from the Lee Foundation Alice Lee Centre for Nursing Studies, the Centre for Dentistry and Preventive Dentistry – together with the and is named in memory of the late Alice Lee, the mother Biomedical Ethics and the Centre of Excellence for Health Division of Graduate Dental Studies strive to fulfill the of businessman philanthropist Dr Lee Seng Gee, Services Research to ensure that teaching and research are Faculty’s mission of excelling in clinical care, research and Chairman of the Lee Foundation. It offers Singapore’s aligned and relevant to Singapore’s healthcare needs. education. The faculty has an intake of 44 undergraduate first bachelor’s degree in nursing. students annually and will increase to 48 in the 2010 intake. The Faculty works closely with the departments On 27 July 2009, the ALCNS took over the management of the NUS Yong Loo Lin School of Medicine and other of the Master of Nursing Programme from Division of teaching hospitals and institutions across Singapore in Graduate Medical Studies (DGMS). This programme aims healthcare delivery and education and also partners to prepare Registered Nurses for an advanced clinical role departments in other Faculties of the University, public and use research to improve patient outcomes. It provides institutions and private enterprises in multi-disciplinary the academic and clinical foundations for Advanced research activities. Practice Nursing. The current specialisations include adult health, mental health and critical care. NUS FACULTY OF DENTISTRY CLASS OF 2009 31 6 20 1 Bachelor’s Degrees conferred Graduate Diplomas awarded Master Degrees conferred Doctoral Degrees conferred NUS ALICE LEE CENTRE FOR NURSING STUDIES CLASS OF 2009 28 Bachelor’s Degrees conferred (18 proceeded to their honours year in August 2009) 2 Master of Nursing Degrees conferred FACULTY AND STAFF 2009 FACULTY AND STAFF 2009 7 45 5 35 Executive and professional staff Non-academic staff Research staff Academic staff 6 11 1 2 15 Executive and professional staff Non-academic staff Other teaching staff Research staff Academic staff NUHS 08 National University Heart Centre, Singapore National University Cancer Institute, Singapore www.nuhcs.com.sg www.ncis.com.sg The National University Heart Centre, Singapore (NUHCS) The National University Cancer Institute, Singapore (NCIS) brings together resources, expertise and capabilities in offers a broad spectrum of cancer care and management the areas of cardiology, cardiothoracic and vascular covering both paediatric and adult cancers, with surgery to better meet the needs of the growing number expertise in prevention, screening, diagnosis, treatment, of patients with heart disease. A key centre for the rehabilitation and palliative care. The Institute’s strength treatment and management of complex cardiovascular lies in the multidisciplinary approach taken to develop diseases, its core clinical programmes include heart failure, a comprehensive and personalised plan for each cancer congenital heart disease, acute coronary syndrome and patient and his or her family. vascular medicine and therapy. These four core clinical programmes are carefully selected because of their NCIS draws on the expertise of their specialists in the strategic importance – the needs of an ageing population fields of haematology-oncology, radiation oncology, and our current strengths in medical as well as surgical gynaecologic oncology, paediatric oncology, surgical expertise and facilities. oncology, oncology nursing, oncology pharmacy, palliative care, pathology, radiology, medical specialities including Comprising a team of cardiac specialists and experts from gastroenterology and hepatology, infectious diseases, a multitude of medical and surgical disciplines, the NUHCS pulmonary and critical care, psychiatry; epidemiology and provides a comprehensive and holistic approach to the public health as well as other allied health sciences. treatment of patients with heart problems. This approach is backed by cutting edge knowledge and information With several award-winning clinician-scientists and gathered by the Cardiovascular Research Institute (CVRI). clinician-investigators, NCIS has an international reputation Working in close collaboration with both local and in translational research and clinical trials, providing internationally renowned research institutes such as the patients with access to promising breakthroughs in cancer Agency for Science, Technology and Research (A*STAR) diagnostics, technology and therapies. NCIS is also and New Zealand’s Christchurch School of Medicine and closely affiliated with the Cancer Science Institute of Health Sciences, the CVRI will focus on developing niche Singapore, NUS. research work in creating new knowledge in support of the NUHCS’ core clinical programmes. The Institute’s outreach efforts include prevention and screening programmes to reduce cancer mortality and to diagnose the disease at its most treatable stage. Yong Loo Lin School of Medicine & Faculty of Dentistry NATIONAL UNIVERSITY HEALTH SYSTEM 5 Lower Kent Ridge Road Singapore 119074 Tel: (65) 6779 5555 Fax: (65) 6779 5678 www.nuhs.edu.sg