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SINGAPORE RESIDENCY TRAINING IN DIAGNOSTIC RADIOLOGY MODULAR YEAR TWO (FRCR 2A) TEACHING PROGRAMME 2012- 2013 Prepared by: Professor Wilfred CG Peh 23 March 2012 FINALISED 24 April 2012

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SINGAPORE RESIDENCY TRAINING

IN DIAGNOSTIC RADIOLOGY

MODULAR YEAR TWO (FRCR 2A) TEACHING PROGRAMME

2012- 2013

Prepared by: Professor Wilfred CG Peh

23 March 2012

FINALISED 24 April 2012

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TABLE OF CONTENTS 1. Singapore year 2 modular (FRCR 2A) teaching programme - Committee 2. Abstract of the revised format for the Fellowship examination

(Final FRCR examination- part A) 3. Programme Organisation 4. Overall schedule 2012- 2013 5. Module 1: Cardiothoracic and Vascular 6. Module 2: Musculoskeletal and Trauma 7. Module 3: Gastro-intestinal 8. Module 4: Genitourinary, Adrenal, Obstetrics & Gynaecology, and Breast 9. Module 5: Paediatrics 10. Modules 6: Central Nervous and Head & Neck 11. Important dates in 2012 - 2013 12. Important addresses

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Singapore modular (FRCR 2A) teaching programme – Committee Chairman: Professor Wilfred CG Peh ([email protected]) Members: Dr Tan Bien Soo ([email protected]) Dr Ian YY Tsou ([email protected]) Assoc Prof Thng Choon Hua ([email protected]) Assoc Prof Ong Chiou Li ([email protected]) Assoc Prof Harvey EL Teo ([email protected])

Assoc Prof Tchoyoson CC Lim ([email protected])

Trainee representative: Dr Ng Chee Hui ([email protected]) Secretariat:

Deborah Halim ([email protected])

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Final FRCR Examination – Part A: abstracted information Published December 2007/ Updated September 2011; Accessed 24 April 2012 For updated and detailed information, please refer to: www.rcr.ac.uk

Fellowship of the Royal College of Radiologists (FRCR) may be obtained by examination after two and a half years of full-time clinical radiology training.

Candidates are not permitted to attempt both Part A and Part B at the same sitting and must have passed the First FRCR Examination prior to entering the Final FRCR Part A Examination.

The examination is divided into six modules:

Module 1: Cardiothoracic and Vascular Module 2: Musculoskeletal and Trauma Module 3: Gastro-intestinal (including liver, biliary, pancreas and spleen) Module 4: Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Module 5: Paediatrics Module 6: Central Nervous and Head & Neck (including spine, eyes, ENT, salivary glands and dental)

Some diseases, due to their nature or radiological manifestations, cannot be categorised into a single module. Candidates should expect a few multiple choice questions relating to these sorts of conditions to contain parts referring to other modules.

Where appropriate, questions on similar topics may appear in more than one module.

The clinical content of the syllabus will remain unchanged, although the physics component will be discontinued.

Each module is examined by a separate single best answer (SBA) question paper covering all imaging modalities and including some anatomy and techniques. The six modules are held over three consecutive days twice a year, normally in March and September.

There is no limit on the number of modules that may be attempted at a single sitting, nor on the number of attempts that a candidate may make at the examination overall. There is no requirement to resit a module once it has been passed. Candidates need to pass all six modules in order to be deemed to have achieved overall success in the Final FRCR Part A Examination.

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Applicants need to hold a formal clinical radiology training post, in which they are actively receiving clinical radiology training, (or have held such as post in the past) and to have passed the First FRCR Examination in order to enter the Final FRCR Part 2A Examination. There is no requirement to have completed a specific duration of training.

There is no requirement to provide confirmation that formal training or lecture course attendance covering the examination syllabus for the modules to be entered has been undertaken. Those who enter the examination on the basis of UK training require the signature of the head of their training scheme on their application form to confirm that the number of modules to be entered is appropriate.

The examination will continue to comprise six modules. Each of the six modules will be examined by a single paper of 75 questions, which will be of two hours in duration.

Each module is examined by MCQs only. The duration of each module’s question paper and the number of MCQs each is shown below.

The examination will continue to be held twice a year, usually in March and

September. At each of the two sittings, the modules will be scheduled over three consecutive days (usually Monday, Tuesday and Wednesday), with one module during each morning and afternoon session.

10.00 am – 12.00 pm 2.00 pm – 4.00 pm

Day 1 Module 1: Cardiothoracic and Vascular

Module 2: Musculoskeletal and Trauma

Day 2 Module 3: Gastro-intestinal

Module 4: Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast

Day 3 Module 5: Paediatrics

Module 6: Central Nervous and Head & Neck

Candidates are able to sit the examination at five UK venues (Birmingham, Bristol, Edinburgh, London and Manchester) and two non-UK venues (Hong Kong and Singapore).

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Singapore modular (FRCR 2A) teaching programme – Organisation 1. This programme is organised under the auspices of the Singapore Residency

Advisory Committee (RAC) for Diagnostic Radiology (DR). 2. This programme consists of 6 clinical modules, and is aimed at preparing

radiological trainees for the final FRCR examination- part A. 3. The module series runs as a cycle over one calender year, starting from May

2012 and ending by April 2013. 4. The 2012- 2013 programme will be targeted at radiological trainees who entered

training in 2011, and who have passed or sat the FRCR part 1 examinations.

5. Each of the six module leaders will recruit recognised expert radiologists in each field to be teachers for their modules. As a general guide, all teachers should be accredited radiologists of associate consultant level or above, or equivalent non-radiological experts. These teachers will first be endorsed by this committee, and then by the STC (DR).

6. The module leaders devise the contents of their own modular programme and the

assigned teachers. Each module programme will be endorsed by this committee, followed by endorsement by STC (DR).

7. Each module programme should cover the respective subspecialty topics

comprehensively. Each module will consist of didactic teaching, and time for discussion between teachers and trainees.

8. In order to derive maximum benefit, trainees are encouraged to read up on topics

before each teaching session. 9. The sessions will take place on Wednesday afternoons from 2.00pm to 5.30pm.

The sessions should be fully utilised, i.e. last the full 3.5 hours, and at least 2 different topics should be taught. Time should be allocated for a short break between lectures, and discussion. Trainees should be punctual.

10. The 2012 - 2013 cohort representative will be responsible for communication and

coordination between the teaching programme committee and the trainees. He or she will also be responsible for regularly submitting completed programme attendance sheets to the RAC via the College of Radiologists secretariat, and also assist the programme committee when required. Feedback from trainees is important to ensure that the module programmes are relevant and appropriate. The cohort representative, with the assistance of the College secretariat, will also liaise with the teachers and inform all trainees of each weeks’ teaching venue after confirmation with the teachers.

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Singapore residency year 2 modular (FRCR 2A) teaching programme – 2012-2013 overall schedule Dates

Topics Remarks

2 May – 13 June 2012

Cardiothoracic and Vascular (module 1)

20 June 2012

Buffer week

27 June – 11 July 2012

Paediatrics (module 5)

18 July – 22 August 2012

Musculoskeletal and Trauma (module 2)

29 August 2012

Buffer week

5 - 12 September, 26 September – 24 October 2012

Gastro-intestinal (module 3)

FRCR 2A 17-19 September 2012

31 October 2012

Buffer week

7 November 2012 – 2 January 2013

Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast (module 4)

Christmas week 24-26 December 2012

9 January 2013 Buffer week

16 January – 6 March 2013

Central Nervous and Head & Neck (module 6)

Chinese New Year week 13 February 2013

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Module 1: Cardiothoracic and Vascular Faculty Module leader: Dr Tan Bien Soo Dr Apoorva Gogna

Teachers: Dr Gregory Kaw Dr Angeline Poh Dr Anthony Goh Dr Kwek Boon Han Dr Kevin Chen Dr Tan Ru San Dr Lynette Teo Dr Daniel Wong Dr Manish Taneja Dr John Huang Dr Goh Poh Sun Dr Cheah Foong Koon Dr Michael Lin Dr Ng Yuen Li

Assoc Prof Tay Kiang Hiong

Venue: Department of Diagnostic Radiology, Singapore General

Hospital (unless otherwise prearranged with individual teachers)

Note: Dates and topics listed below are subject to changes.

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Date Teacher Topic Remarks

2 May 2012

Dr Gregory Kaw Dr Ng Yuen Li

1. The chest wall, pleura and

diaphragm 2. Chest trauma The critically ill patient

9 May 2012

Dr Anthony Goh Dr Kwek Boon Han

1. Nuclear medicine in

respiratory disease 2. Nuclear medicine in

cardiovascular disease Large airway obstruction

16 May 2012

Dr Kevin Chen Dr Tan Ru San

1. Ischaemic heart disease 2. Cardiomyopathies, cardiac

tumours and pericardium Echocardiography

23 May 2012

Dr Lynette Teo Dr Goh Poh Sun Dr Daniel Wong

Pulmonary neoplasm Pulmonary thromboembolism Arterial disease (excluding aorta): diagnosis and intevention

30 May 2012

Dr John Huang Dr Angeline Poh

1. Congential heart disease 2. Acquired valvular heart

disease Pulmonary infection

6 June 2012

Dr Tan Bien Soo A/P Tay Kiang Hiong Dr Michael Lin

Interventional techniques in the thorax The aorta: diagnosis and intervention The mediastinum

13 June 2012

Dr Cheah Foong Koon Dr Manish Taneja

1. Diffuse pulmonary disease 2. Industrial lung disease Venous disease: diagnosis and intervention

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Module 2: Musculoskeletal and Trauma Faculty Module leader : Dr Ian YY Tsou Teachers : Assoc Prof Thomas SG Chee Assoc Prof Quek Swee Tian Dr Png Meng Ai Dr Ong Keh Oon Dr Andrew Tan Dr Lesley A Goh Dr Koh Wan Lin Dr Chandra Mohan Dr Niraj Dubey

Dr Kenneth Sheah Professor Wilfred CG Peh Learning Objectives

To achieve competency in the principles of musculoskeletal imaging.

To understand the pathophysiologic basis of imaging of the musculoskeletal system.

To pass the musculoskeletal module of the FRCR Part 2A examination.

Venue: Departments of Diagnostic Radiology in Singapore teaching hospitals. Representative to arrange with respective teacher prior to session

Note: Dates and topics listed below are subject to change.

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Date Teacher Topic Venue

18 July 2012

Prof Wilfred Peh Dr Niraj Dubey

Overview of imaging techniques in musculoskeletal radiology Lower extremity trauma

KTPH

25 July 2012

Dr Andrew Tan Dr Png Meng Ai

Scintigraphic applications in musculoskeletal radiology Metabolic bone diseases

SGH

1 August 2012

Dr Ong Keh Oon Dr Chandra Mohan

Internal derangements of upper limb joints Interventional techniques in musculoskeletal radiology

SGH

8 August 2012

Assoc Prof Thomas Chee Dr Ian Tsou

Bone infection Arthritides

TTSH

15 August 2012

Assoc Prof Quek Swee Tian Dr Lesley Goh

Musculoskeletal tumours Musculoskeletal soft tissue infection

NUH

22 August 2012

Dr Kenneth Sheah

Dr Koh Wan Lin

Upper extremity trauma Internal derangements of lower limb joints

TBA

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Module 3: Gastro-intestinal Faculty Module leader : Assoc Prof Thng Choon Hua

Teachers : Dr Andrew Tan Dr Austin Htoo Dr Juliana Ho Dr Kwek Jin Wei Assoc Prof Tay Kiang Hiong Dr Michael Clarke Dr Teh Hui Seong

Dr Albert Low Learning Objectives

To achieve competency in the principles of GI imaging.

To pass the GI module of the FRCR Part 2A examinations. Venue: Department of Diagnostic Radiology, Singapore General Hospital

Note: Dates and topics listed below are subject to change.

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Date Teacher Topic Remarks

5 September 2012

Dr Albert Low

Focal liver lesion

Include biliary cystadenoma. Include colloid scans

12 September 2012

Dr Andrew Tan Pancreas Include chemical fat sat and water excitation

17 September 2012

FRCR 2A examination week

26 September 2012

Dr Kwek Jin Wei

Bile ducts and gallbladder

Include Caroli’s Include relevant nuclear medicine e.g. HIDA Feature HASTE/SSFSE

3 October 2012

A/P Tay Kiang Hiong

Abdominal interventional radiology

Exclude renal procedures

10 October 2012

Dr Austin Htoo Oesophagus, stomach and small bowel

Include AXR

17 October 2012

Dr Michael Clarke Dr Juliana Ho

Colon and rectum Spleen, lymphoma and haematological conditions

Include syndrome of polyps and Chagas disease Include abdominal adenopathy

24 October 2012

Dr Teh Hui Seong A/P Thng Choon Hua

Radiology of trauma and acute abdomen Generalised liver lesions, cirrhosis and hepatoma

Include Morton Meyer and anatomy of peritoneal spaces Include mesenteric ischaemia Include Budd Chiari, fungal and other infections, portal vein thrombosis

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Module 4: Genitourinary, Adrenal, Obstetrics & Gynaecology, and Breast Faculty Module leader: Assoc Prof Ong Chiou Li Teachers: Dr Lam Shu Lin Dr Goh Poh Sun Assoc Prof Thng Choon Hua Dr Richard Lo Dr Gan Yu Unn Dr Llywellyn Sim Dr Teo Sze Yiun Dr David Ng Learning Objectives

To achieve competency in the principles of genito-urinary, adrenal, ob-gyn and breast imaging.

To understand the pathophysiologic basis of imaging of these systems.

To pass the GUT, Breast, Adrenal and Ob-Gyn module of the FRCR Part 2A examination.

Venue : Departments of Diagnostic Radiology in Singapore teaching hospitals. Representative to arrange with respective teacher prior to session

Note : Dates and topics listed below are subject to change.

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Date Teacher/Venue Topic Remarks

7 November 2012

Dr Teo Sze Yiun (KKWCH)

Breast imaging 1: Screening and biopsy methods

Screening issues, accuracy, safety, epidemiology & biopsy methods

14 November 2012

Dr Llewellyn Sim (SGH) A/P Thng Choon Hua (NCC)

Breast imaging 2: Diagnosis & assessment, metastatic patterns Prostate cancer imaging

Diagnosis of benign, indeterminate and malignant processes by mammo, US and MRI, breast cancer metastastic disease Screening, diagnosis, metastatic disease and role of MRI

21 November 2012

A/P Ong Chiou Li (KKH) A/P Ong Chiou Li (KKH)

Hysterosalpingography and fertility Obstetric US

Technique, variants, uterovaginal anomalies, development, Technique and protocols, early trimester, screening and growth scans (overview)

28 November 2012

Dr Lam Shu Lin (KKH)

Gynaecological US

Technique, congenital anomalies, tumours and infections

5 December 2012

Dr Richard Lo (SGH)

Urinary tract and adrenals

GU and adrenal interventions

12 December 2012

Dr Gan Yu Unn (SGH)

Urinary tract and adrenals

Development, techniques, US, CT and IVU

19 December 2012

Dr Teo Sze Yiun (KKH)

Female pelvic MRI

Techniques, principles, anomalies, infections, infertility and neoplasms

26 December 2012

Christmas week

2 January 2013

Dr David Ng (NUH)

GU tract nuclear imaging

Renal functional assessment – techniques and physiology

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Module 5: Paediatrics Faculty Module leader: Assoc Prof Harvey Teo Teachers: Dr Marielle Fortier Dr Tang Phua Hwee Venue: Department of Diagnostic Radiology, KK Women’s and

Children’s Hospital

Note: Dates and topics listed below are subject to change.

Date Teacher Topic Remarks

27 June 2012

A/P Harvey Teo

Paediatric musculoskeletal Imaging of child abuse

4 July 2012 Dr Tang Phua Hwee

Paediatric Chest Paediatric Oncology

11 July 2012 Dr Marielle Fortier

Paediatric gastrointestinal Paediatric urogenital

NB: Paediatric neuroradiology will be taught under Module 6 (Central Nervous/ Head & Neck).

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Module 6: Central Nervous and Head & Neck

Faculty Module leader: Assoc Prof Tchoyoson Lim Teacher: Dr Sitoh Yoh Yian Dr Francis Hui Dr Winston Lim Dr Chan Ling Ling Dr Samuel Ng Dr Tan Tiong Yong Assoc Prof James Khoo Prof Vincent Chong Venue : Representative to arrange with respective teacher prior to session

Note : Dates and topics listed below are subject to change.

Date Teacher Topic Remarks

16 January 2013

Dr Samuel Ng

Basic trauma, ischaemia and degenerative disease

Cerebral ischaemia/infarction and venous thrombosis. Head trauma. “orphan” category – hydrocephalus and neurodegenerative diseases (including mesial temporal sclerosis)

23 January 2013

Dr Francis Hui

Vascular disorders

Haemorrhage, vascular malformations (AVM, cavernoma) and aneurysms. Vascular intervention. Spinal vascular

30 January 2013

Dr Chan Ling Ling

Brain tumours

Intra-axial and extra-axial brain tumours: Gilomas, meningiomas, pede tumours, metastases, choroids plexus, sellar, pineal tumours Tumour/tumour-like – lipoma, colloid cyst, Langerhans cell histiocytosis

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Date Teacher Topic Remarks

6 February 2013

Dr Sitoh YY

A/P Tchoyoson Lim

Inflammation and Infections Paediatric neuroradiology

Intracranial and spinal infections. White matter diseases – EM, MS and leukodystrophies. Sarcoidosis. Disorders of brain development and hydrocephalus Phakomatoses and syndromes (exclude white matter disease) Birth trauma/ asphyxia, congenital infection and non-accidental injury

13 February 2013

Chinese New Year week

20 February 2013

Prof Vincent Chong

Orbit Sinus

Orbital cavity tumour, optic neuritis Pseudotumour and dysthyroid disease, inflammation

27 February 2013

A/P James Khoo

ENT

Oral cavity, oropharynx and salivary glands, larynx, hypopharynx and thyroid

6 March 2013

Dr Tan Tiong Yong Dr Winston Lim

Central skull base and temporal bone Spine and spinal cord

Tumours – epi/dermoid, CP angle schwannomas, glomus tumour Temporal bone – congenital malformation, degenerative, vascular anomalies,cholesteatoma/inflammatory, trauma,degenerative, trauma, congenital (dysraphism). Infectious, inflammatory, neoplastic diseases (syrinx) of the spine and spinal cord (excluding infections and vascular disorders)

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Important Dates in 2012 - 2013

7-8 July 2012 14th Singapore Final MMed-FRCR 2B Preparation Course 17-19 September 2012 FRCR 2A Examination February 2013 15th Singapore Final MMed-FRCR 2B Preparation Course March 2013 FRCR 2A Examination April 2013 Joint NUS Final MMed (DR)-Final FRCR (Part B)

Examination

Important Addresses The Royal College of Radiologists 38 Portland Place, London W1N 4JQ, UK Tel : 020 7636 4432 Fax : 020 7323 3100 Email: [email protected] Website: http://www.rcr.ac.uk Singapore Resident Advisory Committee (Diagnostic Radiology) Ms Stella Wong, Executive JCST Secretariat 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836 Tel : (65) 6593 7826 Fax : (65) 6593 7861 Email: [email protected] Singapore Final MMed-FRCR 2B Preparation Course & Joint Final MMed (Diagnostic Radiology) - FRCR (Part B) Examination Ms Kimberley Yang, Executive Goh Mei Ling, Manager Division of Graduate Medical Studies National University of Singapore, Block MD5 Level 3, 12 Medical Drive, Singapore 117598 Tel : (65) 6516 1939 Fax : (65) 6773 1462 Email: [email protected]; [email protected] Website: www.med.nus.edu.sg/dgms College of Radiologists, Singapore Ms Deborah Halim, Executive 81 Kim Keat Road, #11-00 NKF Centre, Singapore 328836 Tel : (65) 6593 7806 Fax : (65) 6593 7860 Email: [email protected]