Gastroenterology, Hepatology & Nutrition Service

Overview

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Programme(s)

Gastroenterology, Hepatology & Nutrition Service

Objectives

Competency in diagnosis and management of common gastroenterology and hepatology conditions
Competency in managing childhood nutrition and growth
Competency in handling gastroenterology and hepatology emergencies
Competency in performing and interpreting pH/impedence studies
Advanced trainees are expected to be able to perform procedures like endoscopy, liver and rectal biopsies
Research is a strongly encouraged component of training

Content Contents

Teaching Programme

Assessment, investigation and management of Paediatric patients with gastrointestinal and liver disorders (eg. acute and chronic diarrhoea, inflammatory bowel disease, gastrointestinal hemorrhage, obstructive jaundice in infancy, liver failure, chronic hepatitis B)
Upper GI endoscopy and colonoscopy, sclerotherapy of varices and polypectomy.
Small intestinal biopsy with Watson Biopsy Capsule, partial-thickness rectal biopsy and percutaneuos liver biopsy.
Urea breath test
24-hour oesophageal pH/impedence monitoring
Review of biopsy slides, X-ray studies and isotope scans with the respective specialist on a regular basis.
Principle and practice of enteral and parenteral nutrition.

Method

Method of Training

Daily inpatient ward rounds and case discussion with consultant
Consultant supervised outpatient clinic (twice a week)
Consultant supervised liver clinic (monthly)
Combined multi discipline journal club with paramedical staff (monthly)
Performing and interpreting 24-hour pH/impedence studies
Hands-on procedure training for endoscopy, liver and rectal biopsy
“Hot-topic” management and work flow discussion
Transition observership programme for inflammatory bowel disease and hepatitis B (in conjunction with adult Gastroenterology and Hepatology Department of
Singapore General Hospital)
Systemic lectures, tutorials and ward rounds
Seminars, journal reading and research projects
Laboratory experience through bench work and laboratory based research projects. Opportunities to collaborate in biomedical research with NUS, Singapore-MIT alliance and A*STAR can be arranged.

For Whom

Doctors with interest in specializing in gastroenterology, hepatology and nutrition

Pre-requisite

All applicants must fulfil the requirements for temporary registration with the Singapore Medical Council.

Duration

Designation

Two-year posting

First Year

Emphasis on clinical training in general Paediatric Gastroenterology, Hepatology and Nutrition at inpatient and outpatient level.
Familarize with radiological and radioisotope studies and laboratory tests
Hands-on experience in upper gastrointestinal endoscopy, small intestinal biopsy, rectal biopsy and percutaneous liver biopsy and continuous oesophageal pH/impedence monitoring
Active involvement in nutritional support, both enteral and parenteral, of paediatric patients.

Second Year

Increasing responsibility in the management of Paediatric gastroentrology patients
Commence training in colonoscopy, polypectomy and sclerotherapy of varices
Increasing labarotory involvement including histopathology, immunology and research

Training Dates/Period

To enquire before applying

Certification

Certificate of fellowship at the end of the attachment

Positions/Training Places

One to two Fellowship training positions will be given for a given duration.

Course Fee

Fees will be determined upon application.

Funding

Candidates should be self-funded or have funding from external sources/institutions.

Contact of Organiser/Institution

Gastroenterology Service, Department of Paediatrics
Division of Medicine
KK Women’s and Children’s Hospital