Diagnostic and Interventional Imaging

COMPUTED TOMOGRAPHY

• Mainly gynaecologic oncology cases: cervical, uterine, ovarian cancers
  
• 1 session/week
  
• The fellow is expected to participate in case presentations at tumour boards.
  

MRI PELVIS

• Gynaecological oncology (ca cevix, uterine malignancy, ovarian)
• Other gynaecological / pelvic pathology
• Non-gynaecological pelvic studies

OBSTETRIC ULTRASOUND (Antenatal Diagnostic Clinic – Observership)

Learning objectives:

• Overview of prenatal diagnosis
  
• Learning of foetal anomalies by systems
  
• Obstetric ultrasound report
  
• Presentation of post-natal findings at Birth Defect clinic
  
• How to communicate findings to patients and documentation
  

Foetal anomalies
The trainee should attend the weekly Birth Defect Clinic where ultrasound findings of foetal anomalies are presented and management is discussed. Post-natal findings are presented for correlation to antenatal diagnosis.

BREAST IMAGING

Mammography (includes tomosynthesis), breast ultrasound (includes whole breast automated scans) and MRI.

The trainee can expect to learn the basics of screening mammography and detection of cancers, how to perform assessment of mammography screen-detected findings, how to utilise advanced breast imaging techniques (tomosynthesis and whole breast volume scans) in assessment. The trainee will also gain some exposure to image-guided breast biopsies and breast MRI.

Training Methods

The trainee will:

1. carry out radiological duties, which include supervised reporting of studies or performance of procedures related to training module;
2. participate in presentations during multi-disciplinary sessions, tumour boards and departmental rounds;
3. attend didactic lectures, multidisciplinary meetings and birth defect meetings;
4. attend daily radiological review sessions and consensus meetings;
5. self-study with the use of departmental library or online educational resources.
     

Past and Present Fellows

• Dr Chu Ka-Man (Hong Kong)
  01.07.2011 to 31.08.2011, Observer in Women’s Imaging
• Dr Marwar Mohammed Al Meslemani (Bahrain)
  01.10.2010 to 31.10.2012, Fellow in Breast and Gynaecological Imaging
• Dr Farhana Fadzli (Malaysia)
  01.09.2015 to 31.12.2015, Fellow in Breast Imaging
  
• Dr Roaa
  01.06.2019 to 31.05.2020, Fellow in Breast Imaging
  
• Dr Amina
  01.06.2022 to 31.05.2023, Fellow in Women’s Imaging
  
  

Team of Experts
Gynae imaging

• Dr Lee Yien Sien
• Dr Thida Win
• A/Prof Ong Chiou Li
• Dr Teo Sze Yiun
• Dr Lau Li Ching

• A/Prof Ong Chiou Li
  

• Dr Lee Yien Sien
• Dr Thida Win
• A/Prof Ong Chiou Li
• Dr Teo Sze Yiun
  
• Dr Lau Li Ching
  

II Assessment and Evaluation

Aims of Assessment

Trainees are required to continually demonstrate the following six competencies throughout the programme:

(A) Patient Care

• Communicate clearly and with care and compassion during all interactions with patient/caregiver such as during consent-taking, or explanation of imaging results

(B) Medical Knowledge

• Possesses good basic knowledge of imaging anatomy and pathology
• Demonstrates knowledge of imaging protocols, and methods for optimising image quality
  
• Makes accurate observations, interprets findings, formulates radiological reports and provides diagnosis or differential diagnoses that are useful for clinical management of patients

(C) Practice-Based Learning and Improvement

• Has good basic understanding of safety in radiological investigations
• Applies ALARA principles in imaging
• Recommends imaging appropriately
• Recognises and manages contrast reactions
  
• Where required, able to select sedation agent and dosage appropriately for procedures
• Fulfills institutional requirements of patient safety
• Possesses self-directed learning plan based on self-reflection of learning experience and feedback

(D) Interpersonal and Communication Skills

• Understands critical result reporting and urgent communication of results to referring clinicians
• Communicates effectively with colleagues to ensure proper transfer of care
• Clear and accurate reports
• Communicates effectively under stressful situations

(E) Professionalism

• Advocates importance and priority of patient interests
• Fulfills training related responsibilities
• Treats colleagues with respect
• Maintains patient confidentiality
• Recognises his/her limitations and seeks help when needed
• Responses appropriately to feedback/constructive criticism
• Functions effectively as a team member

(F) Systems-Based Practice

• Participates in incident/occurrence reporting as per hospital guidelines
• Participates in quality improvement project if assigned
  

Assessment Approaches

• Trainees are required to keep a logbook of their learning experiences. This will be regularly reviewed with their assigned supervisors.
• Records directly observed procedures as part of learning experience
• Maintains a record of mini-clinical examinations conducted and graded by supervisors
• 6-monthly global assessment with 360 multi-source feedback

Evaluation Process

General overall grading system

The general overall grading system evaluates the trainee’s performance upon completion of the programme. All trainees will be given a general overall grading status at the end of the programme based on the grading criteria requirements incorporating the six competencies that trainees must demonstrate throughout the programme.

Training may be terminated in the event of trainee’s non-compliance to hospital regulations, misbehaviour resulting in disciplinary actions, or engagement in illegal activities. Other factors such as incompetence, language impairments or safety concerns would also be taken into consideration.

Trainees with USP may opt for extension of their training up to 3 months during which they must demonstrate improvement in their skills, and learning ability.

III Target Audience and Eligibility Requirements

Target Audience

Those who have completed basic Radiology training and successfully exited from programme.

Pre-requisite/Eligibility Requirement(s)

Entry requirement: FRCR or equivalent

IV Other Information

Course Fees

Course fees will be disclosed upon acceptance.

Funding

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

Certification

A certificate will be awarded upon successful completion of the programme.