research brochure - SingHealth Polyclinics

Transcription

ADVANCING THE FRONTIER OF FAMILY MEDICINE WITH RESEARCH
About
SingHealth Polyclinics
I
FOREWORD by CEO
SingHealth Polyclinics, a leader in Family Medicine, provides
seamless, patient-centred and preventive healthcare that is
affordable and accessible to all.
SingHealth Polyclinics’ network of 9 polyclinics provides
primary healthcare services to the community. It plays
an integral role in promoting a healthy lifestyle within the
community and empowering families with the knowledge
of common health issues, care and treatment options.
SingHealth Polyclinics is a member of Singapore Health
Services (SingHealth) — a public healthcare cluster which
also manages three hospitals and five specialty centres.
Vision
Leader in Family Medicine.
Excellent Health for the Nation.
Mission
Provide better, safer and affordable care.
Nurture generations of healthcare professionals.
Advance the frontiers of Family Medicine.
Dr Adrian Ee Guan Liang
Chief Executive Officer
The history of polyclinics dates back as
early as 1910, when the Maternal and
Child Health Services was launched and
the first city Outpatient Dispensary was
established at South Canal Road. Today,
the polyclinics have evolved to be at the
helm of primary healthcare developments
for the nation.
At SingHealth Polyclinics, we strive to
deliver quality care to our patients and we
recognise that the healthcare landscape
and the needs of the population are
changing rapidly. To meet the challenges
ahead, we need to transform how we
deliver care so that we can advance
Family Medicine and bring about excellent
health for the nation. Research, together
with innovation, is the key thrust of our
transformation — it helps us adapt,
respond to our external environment and
push the frontiers of Family Medicine.
Research, especially in primary care,
enables us to build a strong system that
provides excellent care for the population
and nurture generations of healthcare
professionals with an inquiring spirit.
Our research journey was boosted with
the formation of our SHP Research
Department in 2012, headed by Dr Tan
Ngiap Chuan. We have made much
progress in the last 3 years — achieving
numerous awards at regional and
international conferences and published
papers in high impact journals by medical,
nursing, pharmacy and allied health staff
in primary care. I am very proud of the
efforts of the SHP Research team — this
book documents our research journey,
the milestones achieved and profiles the
key researchers in SHP. It is an inspiring
read and evidence that we can make
our vision of being a leader in Family
Medicine, a reality.
Congratulations to the Research team!
II
DIRECTOR’S
PREFACE
Dr Tan Ngiap Chuan
Director, Department of Research
I had once written a paper, published in
the Asia Pacific Journal of Public Health,
describing my conceived blueprint on
primary care research in Singapore when
I was still a junior Family Physician. Along
the way, my energy and attention were
divided between research commitments
and running a busy polyclinic at Pasir
Ris. On hindsight, the missing elements
in the blueprint for successful research
endeavors include the paucity of
professional guidance required to assist
budding researchers transform research
ideas to scientifically robust proposals
and the inadequate administrative and
professional support to operationalise
research projects. These challenges
can deter novice researchers from any
research participation, and project a
daunting imagery that research is difficult
and impossible to execute.
The opportunity to review the blueprint
surfaced when I was designated to
be the director of the newly created
Department of Research at SingHealth
Polyclinics (SHP). What are missing in
the old blueprint become the essential
components incorporated in the new plan
to re-energise the development of Family
Medicine (FM) research in the institution.
From a two-person department, it has
expanded to more than 10 staff, and
is still growing. Research consultation
clinics are now available for experienced
Family Physicians-researchers to mentor
any staff planning or are currently
undertaking research. This creates an
internal ecosystem that is favorable for
anyone with a brilliant research idea to kickstart their research journey with minimal
hurdles. Serendipitously, the establishment
of Academic Medicine Research Institute
within the SingHealth Regional health
System and Duke NUS Graduate Medical
School add fuel to vitalise the research
landscape in SHP.
The Department has invited distinguished
Primary Care Professors, who are
successful researchers, to guide us during
the nascent stage of our development.
We also visited the Department of
Primary Care Health Sciences in Oxford
University in April 2014. The trip was
graciously coordinated by Prof Andrew
Farmer, who was SHP first invited HMDP
expert in 2013. The study visit provided
us invaluable insight into the research
infrastructure; talent management
and versatile support team that allow
primary are research to flourish. From
the subsequent visiting HMDP experts,
we learnt more on the creative use of
database, leveraging on various funding
resources to support research, incremental
build-up of research capacity, mitigate
the risk of overheating the development
and avoid over-taxing the current limited
human capital in research.
The department now focuses on three
Signature Research Programmes that
are aligned to SHP’s vision to be a leader
in FM and missions to provide better,
safer and affordable primary healthcare
services, nurture generations of primary
healthcare professionals and advance
the frontier of the discipline. These
include patient-centric chronic disease
management, critical amidst an increasing
greying population; education research
to groom the multidisciplinary primary
healthcare professionals; and innovations
in primary care to serve the patients
more effectively and efficiently, riding on
advancements in technology.
The seeds of research and innovations
sowed in the first two years of the
III
department’s operation are now bearing
fruits. The number of research projects,
multidisciplinary SHP staff embarking
on research, magnitude of grants,
quality of publication and even research
internship for medical undergraduates are
rapidly rising. I look forward to a bumper
research harvest in 2015, with potential
patents in the pipeline, the outcomes
of three longitudinal cohort studies in
diabetes, asthma and chronic hepatitis
infection and completion of studies
relating to sleep, dyslipidemia, diabetic
eye complications, nursing research in
infant nutrition, tuberculosis treatment
and pharmacy research in medication
review and dispensing services. The
results from these studies will enhance
our understanding of the management of
local common diseases, provide impetus
to raise the standard of primary healthcare
services. These favorable deliverables
from the SHP research programmes
will be timely tributes to the health of
Singaporeans in 2015, when the nation
celebrates its 50th anniversary.
IV
CONTENTS
Foreword by CEO
I
Director’s Preface
II
About SHP Department of Research
01
SHP Department of Research
Organisation Chart
02
SHP Signature Research Programmes
(SRP)
03
Research Milestones
04
Current Funded Projects
05
Awards (2012– 2014)
06
Our Researchers
07
Highlights of Research Findings
20
Research Training in SHP
21
About SHP
Department
of Research
Research in SingHealth Polyclinics (SHP)
began in 2001 when a small group of
multidisciplinary staff gathered to form the
ASPIRE (A SingHealth Polyclinics’ Initiative
for Research Excellence) Committee. Led
by Dr Tan Ngiap Chuan, the Committee
helped facilitate research by reviewing the
scientific merits of research proposals and
organised research ethics training.
In 2006, the Department of Education
and Research was established to cater to
expanding medical education programmes
in SHP. Working collaboratively with the
ASPIRE committee, the department
continued to support research training
activities. Between 2008 and 2012, four
SHP Family Physicians completed their
advanced research training armed with
Master of Clinical Investigation (MCI)
degrees awarded by NUS.
Research assumes an expanding role
in Academic Medicine. As a result, the
department split into two respective
departments in October 2012. The
Department of Research was set up and
led by its Director, Dr Tan Ngiap Chuan.
By December 2014, it has expanded
to a team comprising of 12 staff.
01
The Department of Research provides the
following services:
• A
ssist researchers in research grant
applications and budget planning
• A
ssist researchers in submitting
applications to ethics board for review
• E
stablishes links with academic
institutions and industry partners for
research collaborations
• A
dministration of seed funding to
support budding researchers
• M
anagement of research data and
databases, publications and grants
• M
aintenance and updating of SHP
research web portal
• O
rganise in-house research training
including basic/qualitative research
workshops
• R
un research consultation / biostatistical
consultation clinics with researchers
02
SHP Department of Research
Organisation Chart
Dr Tan Ngiap Chuan
SHP Signature
Research
Programmes (SRP)
Director, Research
Patricia T Kin
Senior Manager
Research Operations
Research Operations
Eileen
Koh Yi Ling
Biostatistician
Health Economist*
Study Support
Caris Tan
Yang Thong
Ng Chiat Eng
Executive, Research
Clinical Research
Coordinator
Usha Sankari
Kavitha Mannath
Executive, Data
Management
Dr Nguyen
Van Hai
ASPIRE Committee
Dr Andrew
Wee Kien Han
Associate Consultant
Jacqueline
De Roza
Clinical Research
Coordinator
Advanced Practice
Nurse
Xu Huiyan
Clinical Research
Coordinator
Bandy Goh
Qiuling
Clinic Pharmacy
Manager
Siti Maryam Bte
Abdul Rahman
Clinical Research
Coordinator
Hanniel Lim
Han Rong
Physiotherapist
Uma Rani
d/o Singaram
Samidurai
Clinical Research
Coordinator
Sharon Leow Kiat Peng
Clinical Research
Coordinator
Susan Toh Boon Lee
Clinical Research
Coordinator
*Seconded from Duke-NUS
Graduate Medical School
Chronic Disease
Management
Primary healthcare covers an entire
spectrum of health and disease conditions
from newborn to the elderly. With the
advent of the rapidly aging population in
Singapore and a concomitant expanding
pool of patients with chronic ailments
in primary care, research focusing on
chronic disease management becomes a
vital pillar in SHP. Research provides the
platform for the healthcare professionals
in the institution to constantly review
and assess the long-term health of these
affected patients and the effectiveness and
efficiency in which the health services are
delivered to them.
03
Education Research
SHP is a certified training center for
the discipline of FM in Singapore with
the Accreditation Council for Graduate
Medical Education (ACGME). It also
provides undergraduate training
to medical students from the local
medical colleges, student nurses from
the polytechnic nursing schools and
pharmacy interns in Singapore. Naturally,
education research takes a central role
to assess the quality and effectiveness
of the various multidisciplinary training
programs to nurture generations of
healthcare professionals, one of our key
missions. Education research will play
a pivotal role to support the Academic
Clinical Program (ACP) for FM due to be
launched in 2015.
Innovations in
primary care
SHP has been actively exploring new
effective ways to provide quality
care for patients and their families,
and therefore, we need to develop
healthcare innovations to advance the
frontier of FM. SHP staff will tap on
the expertise of engineers, designers,
information technology and infocommunication professionals in other
academic institutions and partner them
to develop innovative and low-cost
devices and systems to better serve
the patients. Research is applied to
evaluate the cost-effectiveness, safety
and acceptability of these new gadgets.
Looking ahead, research will provide
fuel to spark creativity and develop
a culture of innovations amongst its
multidisciplinary staff.
04
Research
Milestones
Current Funded
Projects
2001
Formation of
(SHP) ASPIRE
Committee
2012
2013
Organised the 1st
SHP Biostatistical
Consultation Clinic
session
Organised the 1st
SHP Research Writing
Workshop
2002
Dr Tan Ngiap
Chuan received
the 1st SingHealth
Foundation research
grant for SHP
2006
Establishment of
SHP Department
of Education and
Research
2008
Organised the 1st
SHP Qualitative
Research workshop
2012
SHP Department
of Education and
Research became two
separate departments
Establishment of
SHP Department of
Research in October
2012
2010
Organised the 1st
SHP Research
Consultation Clinic
(RCC) session
2008–2012
Four SHP Family
Physicians graduated
with NUS-MCI
(Master in Clinical
Investigations) degree
• Insulin Resistance and Mild
Cognitive Impairment (MCI) in Older
Chinese Adults with Pre-Diabetes
and Diabetes: Cognitive Effects of
Lifestyle Intervention and Metformin
Treatment in a Randomised
Controlled Trial
Hosted MOH-HMDP
Visiting Experts: Prof
Andrew Farmer,
University of Oxford
and Prof David
Price, University of
Aberdeen, UK
PI: Dr Andrew Wee Kien Han
(in collaboration with NUS —
A/Prof Ng Tze Pin)
2014
PI: Dr Sinead Wang Zhen
Organised the 1st
SHP Basic Research
Workshop.
Hosted MOH-HMDP
Visiting Expert: Prof
Chris Salisbury –
University of Bristol, UK
1st SHP Institutional
Clinician Scientist:
Dr Andrew Wee
• A
ssessing the risk of coronary
artery disease and its association
with anxiety disorders amongst
patients presenting with chest pain
in a primary healthcare setting:
a comparison of 3 predictive models
• L
ipid HEALTH study: Lipid Health
beliefs Affecting Lipid Treatment
and Health-seeking behaviour
PI: Dr Tan Ngiap Chuan / Dr Paul Goh
• A
study to assess the utility of
healthcare kiosks for follow up
of stable chronic disease
PI: Dr Juliana Bte Bahadin
• F
easibility-Pilot Study of the
Association between Muscle
Strength & Tinetti Performance
Oriented Mobility Assessment
(POMA) Score with Serum Vitamin
B12 Levels in Elderly Diabetics of
Marine Parade Polyclinic
PI: Dr Andrew Wee Kien Han
05
• A
Randomised Controlled Trial
to Improve Diabetes Outcomes
through Financial Incentives
[Simplified Title: Trial to Incentivise
Adherence for Diabetes (TRIAD)]
Site PI: Dr Shah Mitesh
(in collaboration with Duke-NUS —
Dr Marcel Bilger)
• M
anagement of Hypertension and
multiple risk factors to Enhance
Cardiovascular Health —
A Cluster of Randomised Trial in
SingHealth Polyclinics pilot study
(SingHypertension study)
Site PIs: Dr Paul Goh Soo Chye /
Dr Jason Chan Meng Huey
(in collaboration with Duke-NUS —
Prof Tazeen Jafar)
• Insomnia and healthcare
utilisation: a cross-sectional
study of 2 primary care clinics
in Singapore
PI: Dr Andrew Ang Teck Wee
• B
iomechanical risk factors in
trigger finger
PI: Dr Koh Kim Hwee
• C
ohort study of patients with
chronic hepatitis B infection in
primary care
PI: Dr Tan Ngiap Chuan
• A
sthma Self-Management Phone
Intervention Research
(ASPIRE study)
PI: Dr Tan Ngiap Chuan
• “
BE KIND” — Behaviour,
Experiences, Knowledge and
Information needed by newlydiagnosed (type 2) Diabetic
patients
PI: SSN Hamidah Bte Karim
06
2014
2nd Prize (Oral
Presentation) – CGH-EHA
Scientific Meeting 2014
Presenter: Nurse Clinician
Lee Hwee Khim
Title: The socio economic
impact and quality of life of
patients with tuberculosis
undergoing direct observed
therapy in public primary
care clinics in Singapore
Best Poster Presentation
– SingHealth Duke-NUS
Scientific Congress 2014
Study team comprising Dr
Tan Ngiap Chuan (SHP), Dr
Rahul Malhotra (Duke-NUS)
Title: Association of Hand
Grip Strength and 4-year
Mortality among Elderly
Singaporeans
2nd Runner up (Oral
Presentation) – WONCA
Asia Pacific Regional
Conference 2014 (Kuching,
Malaysia
Presenter: Nurse Manager
Azizah Bte Mohd Yusoff
Title: Factors influencing
decision making in weaning
diet: Asian mothers’
perspectives
Merit Award (Oral
Malaysia)
Presenter: Dr Anandan
Gerard Thiagarajah
Title: Users of a personalised
phone application to support
asthma self-care: what are
their views? A qualitative study
Merit Award (Poster
Malaysia)
Presenter: Dr Tan Ngiap Chuan
Title: Longitudinal study of
multi-ethnic Asian patients
with type 2 diabetes mellitus
managed in primary care:
would they be able to achieve
their glycemic control?
Merit Award (Oral
Presentation) in WONCA
Malaysia)
Presenter: Dr Agnes Koong
Ying Leng
Title: When the phone
rings: a qualitative study
on its effects on patient’s
and healthcare worker’s
experiences during primary
care consultation
2013
Best Oral Presentation
(Clinical Medicine) – CGHEHA Scientific Meeting
2013
Presenter: Dr Tan Hwee
Leong (study team includes
Dr Gilbert Tan and Dr Tan
Ngiap Chuan from SHP)
Title: Orthostatic hypotension
- Prevalence and associated
risk factors amongst the
ambulatory elderly in an
Asian population
Best Poster Presentation
CGH-EHA Scientific
Meeting 2013
Presenter: Dr Joanne Quah
Hui Min
Title: Health as a value in
older vs younger primary
care patients
2012
(2012-2014)
3rd Prize – Oral
Presentation (Nursing)
in CGH-EHA Scientific
Meeting 2012
Lian Lay Geok
Title: Knowledge, practice and
barrier to self-footcare amongst
people with type 2 diabetes in
the primary care setting
Gold Award in 1st TTSH
Nursing Conference 2013
Jacqueline Giovanna de Roza
Title: Exploring Singaporean
mothers’ knowledge,
attitude and practice about
weaning diet
1st Prize – Poster
Presentation (Nursing)
in CGH-EHA Scientific
Meeting 2012
Ngoh Soh Heng Agnes
Title: Adult asthma patients
who smoke: how much do
they know about smoking
and its effects on asthma?
Awards
DR TAN NGIAP CHUAN
DR ANDREW WEE KIEN HAN
DR JOANNE QUAH HUI MIN
DR AGNES KOONG YING LENG
DR ANG TECK WEE ANDREW
MS HAMIDAH BINTE KARIM
MS BANDY GOH QIULING
MR HANNIEL LIM HAN RONG
DR IAN PHOON KWONG YUN
MS JACQUELINE GIOVANNA DE ROZA
DR JULIANA BTE BAHADIN
MS LEE HWEE KHIM
DR SINEAD WANG ZHEN
DR PETER MOEY KIRM SENG
DR KOH KIM HWEE
MS STEPHANIE TEO SWEE HONG
07
08
DR TAN
NGIAP CHUAN
Dr Tan Ngiap Chuan was appointed
as the Director of Research in SHP in
October 2012, after serving as Clinic
Director of SHP-Pasir Ris from 2002.
He graduated with both the Master in
Family Medicine and Master in Clinical
Investigations (NUS). Dr Tan is an
adjunct assistant professor at Duke
NUS Graduate Medical School and a
Clinical Physician faculty member of the
SHP Family Medicine (FM) Residency
Program. He is a Fellow of the College
of Family Physicians of Singapore and
a member of the College Council since
2010. He is also the recipient of the
Singapore Healthcare Humanity award
in 2006 and the SingHealth GCEO
Excellence Award for Outstanding
Clinician in 2012.
Dr Tan is also a member of the SingHealth
Research Council and the Academic
Medicine Research Institute. He received
the MOH HMDP award in 2002, and
was attached to the Queen Mary School
of Medicine & Dentistry, University of
London for his immersion in primary care
research under the mentorship of the late
Prof Yvonne Carter.
Dr Tan’s research focuses on
assessing the management of chronic
diseases, such as diabetes mellitus,
hypertension, dyslipidemia, asthma
and chronic hepatitis B infection. He
is currently involved in longitudinal
studies relating to outcomes of diabetic
patients in primary care under the
Singapore Consortium of Cohort
Studies, the Singapore National Asthma
Program and a SingHealth Foundation
funded database on patients with
chronic Hepatitis B infection. His other
research interests include innovative
approaches to serving the patients
in primary care through the design of
new care delivery system and point-ofcare devices and their evaluations for
application in clinical practices.
Dr Tan receives research grants
exceeding S$1.2 million and serves as
a grant reviewer for applicants of the
SingHealth Foundation and Hong Kong
Health and Research Fund grant call. Dr
Tan publishes in local and international
medical journals and delivered oral
and poster presentations in numerous
conferences, with awards received
at the WONCA World Congress in
Singapore in 2007 and WONCA Asia
Pacific Regional (APR) conferences
in 2011 and 2014. He serves as
a reviewer for various local and
international medical journals such as
the International Journal of Asthma and
Allergy, Current Diabetes Review and
Malaysian Family Physician.
Dr Tan is the main facilitator in the
SHP Basic Research and Qualitative
Research workshops respectively and
uses the Research Consultation Clinics
as a platform to mentor researchers
from SHP, General Practitioners and
medical students from local medical
schools. He is also appointed by the
College of Family Physicians Singapore
as a trainer for the research module for
Fellowship trainees since 2010. Dr Tan
was invited by WONCA APR and the
Fiji College of General Practitioners to
conduct the “Primary Care Research
Workshop” in Nadi in 2013. Together
with Prof Ng Chirk Jenn from University
of Malaya and A/P Goh Lee Gan from
National University of Singapore, Dr Tan
pioneered a new method of intensive
research coaching for primary care
professionals known as “Research
Championship”, which inaugurated
at the 2nd Asia Pacific Primary Care
Research Conference in 2010. Based on
the “Preparation-Intensive CoachingCompetition” or “PICC” model, the
championship has become the highlight
of the conference.
Selected Publications
Research Domain/
Projects
Research Grants
ipid HEALTH study: Lipid Health beliefs
L
Affecting Lipid Treatment and Health-seeking
behavior
ssessing Acquired Color Vision Impairment
A
(ACVI) amongst patients with type 2
Diabetes Mellitus (ACVI-DM study)
Cohort study of patients with Chronic
Hepatitis B infection in primary care
09
Tan NC, PAIR UP for primary care excellence:
perspective from a primary healthcare provider
in Singapore. Singapore Med J 2014 Mar;55(3):
110-6
Tan NC, Aw L, Khin LW, Thirumoorthy
T, Lim SH, Tai BC, Goh LG. How do
Primary Care Physicians in Singapore keep
themselves healthy? Singapore Med J 2014
Mar;55(3):155-9.
Tan NC, Ngoh SHA, Teo SHS, Swah TS, Chen
ZJ, Tai BC. Impact of cigarette smoking on
symptoms and quality of life of adults with
asthma managed in public primary care clinics
in Singapore: a questionnaire study. Primary
Care Respiratory Journal 2012; 21(1): 90-3.
doi:10.4104/pcrj.2012.00003
Lipid HEALTH study (from Singapore Heart
Foundation)
ohort study of patients with Chronic
C
Hepatitis B infection in primary care (from
SingHealth Foundation)
SingHypertension study as co-I: Management
of Hypertension and multiple risk factors to
Enhance Cardiovascular Health — A Cluster
of Randomised Trial in SingHealth Polyclinics
(from NMRC)
10
DR ANDREW
WEE KIEN HAN
Dr Andrew Wee is an Associate
Consultant (Family Physician) of SHPMarine Parade. He obtained his MBBS
(Singapore) degree in 1996 and MMed
(Family Medicine) in 2002. He received
his Collegiate Fellowship from the College
of Family Physicians Singapore in 2011.
He went on to complete the Master of
Clinical Investigation from NUS-YLLSOM
in 2012. In October 2014, he was part of
the first batch of family physicians to be
recognised and received as a Fellow of the
Academy of Medicine Singapore (FAMS).
His accolades for medical excellence
include the Star Award – Singapore Health
Quality Service Award 2014 and Star
Award – Eastern Health Alliance Caring
Awards 2014.
Dr Wee’s passion for research started
at a very young age, having created
his very own mini-biology lab at home.
Apart from his innate spirit of inquiry,
his deep passion for public interest and
safety also spurs him to do research. He
advocates the synergistic combination of
clinical quality with research to improve
patient care.
Dr Wee is a recipient of the 2014
ExxonMobil-NUS Research Fellowship
which ensures protected time for him
to undertake noteworthy research
projects in the polyclinics. He is also an
active member of the SHP Research
Committee (ASPIRE) and is a peer
reviewer for scientific journals.
Dr Wee has a keen interest in the
diverse fields of botany, zoology,
pharmacology, psychiatry, chronic
diseases (diabetes mellitus,
hypertension, dyslipidaemia,
neurodegenerative diseases), obesity,
nephrology and cancer biology.
Research Domain/
Projects
Feasibility-Pilot Study of the Association
between Muscle Strength and Tinetti
Performance Oriented Mobility Assessment
(POMA) Score with Serum Vitamin B12
Levels in Elderly Diabetics of Marine Parade
Polyclinic
Evaluating Vitamin B12 Deficiency in Diabetic
Patients of the Family Physician Clinic (FPC)
of Marine Parade Polyclinic
Insulin Resistance and Mild Cognitive
Impairment (MCI) in Older Adults with PreDiabetes and Diabetes: Cognitive Effects
of Lifestyle Intervention and Metformin
Treatment in a Randomised Controlled Trial
Research Grants
Feasibility-Pilot Study of the Association
between Muscle Strength and Tinetti
Performance Oriented Mobility Assessment
(POMA) Score with Serum Vitamin B12
Levels in Elderly Diabetics of Marine Parade
Polyclinic (SingHealth Foundation Grant in
April 2013).
Insulin Resistance and Mild Cognitive
Impairment (MCI) in Older Adults with PreDiabetes and Diabetes: Cognitive Effects
of Lifestyle Intervention and Metformin
Treatment in a Randomised Controlled Trial
(Site PI – NMRC Individual Research Grant
in 2012).
11
12
Research
Selected
Domain/Projects Publications
Health-related Quality of Life
in the Primary Care Elderly
Population with Multiple
Morbidity
DR JOANNE
QUAH HUI MIN
Health as a Value in Older
vs Younger Primary Care
Patients Determinants of
poor sleep quality in elderly
patients with Diabetes
Mellitus, Hypertension and
Hyperlipidemia
Dr Joanne Quah is the Clinic Director
of SHP-Outram. She obtained her
MBBS degree in 2001 and MMed
(Family Medicine) in 2006 from the
National University of Singapore (NUS).
She went on to complete her Master
of Clinical Investigation from NUS in
2010 together with the first batch of
graduands, and is also a Fellow with the
College of Family Physicians Singapore
since 2010.
Reliability of Family
Medicine Residency
Program Monthly Core Topic
Multiple Choice Questions
as Formative Assessment
to Predict Residents’
Performance at the InTraining Examination
Her research interests revolve around
primary care, and include diabetes
mellitus, quality of life, depression,
value of health, multi-morbidity and
education research. Dr Quah has
also attended numerous scientific
conferences to deliver oral and/or
poster presentations.
Video Consultation Teaching
and the use of Real vs
Standardised patients in
Postgraduate Medical
Education in SingHealth
Polyclinics
Master of Medicine (Family
Medicine) Preparatory
Workshop- Feedback
from participants and
performance of participants
at the actual exam
Quah JH, Tong L, Barbier S.
Patient Acceptability of Tear
Collection in the Primary
Healthcare Setting. Optom
Vis Sci. 2014 Apr; 91(4):452-8.
Quah JH, Liu YP, Luo N,
How CH, Tay EG. Younger
adult type 2 Diabetic
patients have poorer
glycaemic control: a crosssectional study in a Primary
care setting in Singapore.
BMC Endocrine Disorders.
June 2013. 13:18.
Luo N, Cang SQ, Quah
HM, How CH, Tay EG. The
discriminative power of
the EuroQol visual analog
scale is sensitive to survey
language in Singapore.
Health and Quality of Life
Outcomes. Mar 2012;10:32.
Quah JH, Teo SS, Yap GHB,
Lim HB, Chow MH. Clinical
audit on hypoglycaemic
symptoms in type 2 diabetic
patients in SingHealth
Polyclinics. Proceedings of
Singapore Healthcare. 2011;
20(2): 89-96.
Quah JH, Luo N, Ng WY,
How CH, Tay EG. Healthrelated quality of life is
associated with diabetic
complications, but not
with short-term diabetic
control in primary care. Ann
Acad Med Singapore. 2011
Jun;40(6):276-86.
13
Research Grant
SingHealth Foundation
Health Services Research
Grant for the study on
“Prevalence, Perceptions
and Barriers to care of
Depression among Geriatric
Primary Care patients
in Singapore.”
Award
Led a team of NUSYLLSOM medical students
to clinch first prize - Best
Poster Award (Research)
at the CGH-EHA Annual
Scientific Meeting for the
project - “Health as a value
in older versus younger
primary care patients”,
November 2013.
14
and MMED (FM) in 2011.
She is also a Fellow in the
College of Family Physicians
Singapore since 2014.
DR AGNES
KOONG YING LENG
Dr Agnes Koong is the Clinic
Director of SHP-Marine
Parade. She obtained her
MBBS degree in 2001 and
the Graduate Diploma for
Family Medicine in 2007,
DR ANG TECK WEE
ANDREW
Dr Andrew Ang is a Family
Physician in Geylang
Polyclinic. He completed
his medical undergraduate
studies in 2004 from
the National University
of Singapore (NUS). He
MS HAMIDAH BINTE
KARIM
Ms Hamidah Binte Kari is a
Senior Staff Nurse in SHP-
She recently attended
the WONCA Asia Pacific
Regional Conference 2014
in Kuching, Malaysia where
she received a Merit Award
for the Oral Presentation
category for the project
“When the Phone Rings:
A Qualitative Study on
its Effects on Patient’s
and Healthcare Worker’s
subsequently went on to
do his Postgraduate Family
Medicine studies, where
he obtained his MMED
(Family Medicine) from NUS
in 2011. He also obtained
his Collegiate Membership
from the College of Family
Physicians Singapore
(MCFPS) in 2014.
Research Domain/Projects
• Insomnia and Healthcare
Utilisation: A Crosssectional Study of Two
Primary Care Clinics in
Singapore (INSTILL)
Bedok. She obtained the
Advanced Diploma in Nursing
Paediatrics from Nanyang
Polytechnic in 1997 and went
on to complete the Bachelor
of Science in Nursing (Hons)
from the University of
Sunderland (UK) in Singapore
in 2010. She also completed
a 13-week comprehensive
training as a Diabetes Nurse
Experiences During Primary
Care Consultation.”
•Impact of phone usage
during primary care
consultations
• Master of Medicine
(Family Medicine)
examination: Assessing
its Relevance and Values
in Enriching Learning
(MARVEL)- A primary care
physician’s perspective
MS BANDY GOH QIULING
Ms Bandy Goh is a Clinic
Pharmacy Manager from the
Pharmacy Administration
in SHP Head Office. She
obtained her Master of
Clinical Pharmacy from the
University of South Australia
in 2011.
•Assessing the risk of
coronary artery disease
and its association with
anxiety disorders amongst
patients presenting with
chest pain in a primary
healthcare setting: a
comparison of 3 predictive
models (CHERISH)
• BE KIND ‘Behaviour,
Experiences, Knowledge
and Information needed
by Newly-diagnosed (type
2) Diabetic patients”
Educator at the Royal Prince
Alfred Hospital - Diabetes
Centre in Sydney Australia
in 2001.
“BE KIND” – Behaviour,
Experiences, Knowledge
and Information Needed by
Newly-Diagnosed (Type 2)
Diabetic Patients.
15
• Impact of Medication
Review Service on
Diabetes Control in
Primary Care Patients
•Goh BQ, Tay AHP, Khoo
RSY, Goh BK, Lo PFL,
Lim CJF. Effectiveness
of Medication
Review in Improving
Medication Knowledge
and Adherence in
Primary Care Patients.
Proceedings of Singapore
Healthcare. 2014 Jun;
23(2): 134-141.
•Drug Information Needs
and Concerns of Patients
Prescribed with New
Chronic Medication
•Effectiveness of
Medication Review in
Improving Medication
Knowledge and
Adherence in Primary
Care Patients
• Herbal/Health
Supplements Intake by
Polyclinic Patients on
Warfarin
12th Institution of Engineers
Singapore (IES) Innovative
Design Award in May 2013 for
his Tennis Elbowciser project.
Research Domain/Project
MR HANNIEL
LIM HAN RONG
Biomechanical Innovation
Device in Rehabilitation
Mr Hanniel Lim currently
works as a Physiotherapist in
SHP-Tampines. He obtained
his Bachelor of Physiotherapy
(First Class Honours) from
the University of Queensland,
Australia in 2009. Among
his achievements was a
Bronze Award from the
Tennis Elbowciser: An
elbow-exercising invention
related to the field of
human limb correction
device, that alleviates elbow
joint pain from a person
diagnosed with lateral or
medial epicondylalgia, more
Patent
• Goh BQ, Tan SK, Tay SCS,
Goh CC, Lo PFL, Tang
WP, Khoo SYR. HerbalHealth supplements intake
by polyclinic patients on
warfarin. Proceedings of
Singapore Healthcare.
2011; 20(2): 97-104.
commonly known as “Tennis
elbow” and “Golfer’s elbow”.
Selected Publication
Reliability and Validity of the
Bioimpedance Spectroscopy
for Measurement of
Knee Effusion Following
Total Knee Arthroplasty.
Proceedings of Singapore
Healthcare 2011.
16
Singapore Medical Journal
in 2012.
DR IAN PHOON
KWONG YUN
Dr Ian Phoon is a Family
Physician in Pasir Ris
Polyclinic. He obtained his
MBBS degree (Singapore) in
1999 and his MMED (Family
Medicine) Singapore in 2007.
He attended the SingHealth
Polyclinics Qualitative
Research workshop in 2008.
He also received a Reviewer
Recognition Award from
•Raising the Awareness
of HPV Vaccination and
cervical cancer screening in
Hwa Chong Junior College
students — A community
Health Project
•Barriers to Insulin Initiation
Among Patients with Poorly
Controlled Type 2 Diabetes
in the Polyclinic
•Retrospective Review
of Feedback from
Postgraduate Family
Medicine doctors who
participated in the Video
•Exploring Singaporean
Mothers’ Knowledge,
Attitude and Practice (KAP)
About Weaning Diet:
A Qualitative Study
MS JACQUELINE
GIOVANNA DE ROZA
Ms Jacqueline De Roza is
an Advanced Practice Nurse
(APN) in Community Health in
SHP-Geylang. She completed
an Advanced Diploma in
Nursing (Community Health)
in 2008 and a Master of
Nursing in 2010.
•Multidimensional Factors
Affecting Medication
Adherence Among Adults
with Chronic Diseases on
Monotherapy in Singapore:
A Cross-Sectional Study
•Tan GC, De Roza J, Chen
RY, How CH. PILL Series.
Diabetes mellitus: the first
Consultation Teaching
workshop in SingHealth
Polyclinics
•A study to assess the utility
of healthcare kiosks for
follow up of stable chronic
disease
•Phoon IKY, Chang WT.
Practical assessment of
colour vision to certify
fitness for driving. The
Singapore Family Physician.
Jan–Mar 2013. 39(1): 63-66.
•Tan AM, Muthusamy L,
Ng CC, Phoon IKY, Ow JH,
Tan NC. Initiation of insulin
for type 2 diabetes mellitus
patients: what are the
issues? A qualitative study.
Singapore Med J. 2011
Nov;52(11):801-9.
DR JULIANA BTE BAHADIN
Dr Juliana Bahadin is the Clinic
Director of SHP-Bedok. She
obtained her MBBS degree in
1997 and Master of Medicine
(MMED) in Family Medicine
in 2005. She is also a Fellow
in the College of Family
Physicians Singapore since
2010. Her other appointments
include Adjunct Lecturer in
NUS-YLLSOM and Adjunct
Assistant Professor in DukeNUS since 2013.
visit. Singapore Med J.
Jul 2013. 54(7): 377-380;
quiz 381.
Award
•First Prize — Oral
Presentation on ‘Exploring
Singaporean Mothers’
Knowledge, Attitude and
Practice (KAP) about
Weaning Diet: A Qualitative
Study’, 1st TTSH Nursing
Conference, 2013.
MS LEE HWEE KHIM
Ms Lee Hwee Khim serves
as a Nurse Clinician in SHPOutram and has worked
in the primary health care
for the past 14 years. She
obtained her Bachelor of
Nursing degree from La Trobe
University (Singapore) in 2000
and the Advanced Diploma in
Nursing (Community Health)
in 2004. She is also a Certified
Diabetes Educator.
•Retrospective study of
management of urinary
tract infections amongst
polyclinic doctors and
surveillance of antibiotic
resistance pathogens
causing community
acquired urinary tract
infections
17
uropathogens isolated.
Singapore Med J. 2011
Jun;52(6):415-20.
•Lim FS, Foo M,
Kanagalingam D, Lim R, Bte
Bahadin J, Tan KL, Tan TE,
Tan R, Bte Idris D, Ong A,
Chee E. Enhancing chronic
disease management
through telecare — the
Singapore Health Services
experience. J Telemed
Telecare December 1, 2007
vol. 13 (3):73-76.
•Bahadin J, Teo SS, Mathew
S. Aetiology of communityacquired urinary tract
infection and antimicrobial
susceptibility patterns of
•Direct Observed
Therapy Study — a
Commitment to Optimise
the Management of
Tuberculosis (DOTCOMT):
Understanding the
socioeconomic impact
and quality of life of
patients with tuberculosis
undergoing DOT in
primary care in Singapore
•Mackey S, Teo SS,
Dramusic V, Lee HK,
Boughton M. Knowledge,
Attitudes, and Practices
Associated With
Menopause: A Multiethnic, Qualitative Study
in Singapore. Health Care
Women Int. 2013 May 16.
•An Investigation of
Singapore Women’s
Knowledge, Attitudes
and Practices Associated
with menopause
Award
•2nd Prize — Oral
Presentation on ‘”The
Socio-economic Impact
and Quality of Life of
Patients with Tuberculosis
Undergoing Direct
Observed Therapy in Public
Primary Care Clinics in
Singapore”, CGH Scientific
Meeting, November 2014.
18
DR SINEAD WANG ZHEN
Dr Sinead Wang is the Deputy
Clinic Director of SHP-Marine
Parade. She is also a Core
Faculty Member of the
SingHealth Polyclinics Family
Medicine (FM) Residency
Programme. She graduated
from the NUS-YLLSOM in
2007, and continued her
studies in Singapore to
obtain her MMed (FM) in
2011. She became a Fellow
of the College of Family
Physicians Singapore (CFPS)
in 2014. Dr Wang also holds
Graduate Diplomas in Geriatric
Medicine, Mental Health, and
Family Practice Dermatology.
•Assessing the risk of
coronary artery disease and
DR PETER MOEY
KIRM SENG
Dr Peter Moey is the Clinic
Director of SHP-Pasir Ris, who
has become a Fellow of the
College of Family Physicians
in 2014. As a young Family
Physician, Dr Moey won the
first Research Championship
at the 2nd Asia Pacific Primary
Care Research Conference in
Singapore in 2010.
•Masks in Preventing
Aerosol SpreadKnowledge and
Experience amongst
Singapore Residents —
A Qualitative Study
•Comparison of
transcutaneous
bilirubinometer
with serum bilirubin
measurements in healthy
late preterm and term
neonates in Singapore.
•Sustained and White Coat
Hypertension in Primary
Care — Diagnosis, Risk
Factors and role of Retinal
Vascular Imaging. — Coinvestigator (collaboration
with SERI)
Dr Moey undertook a qualitative
research study to explore the
public’s attitude towards the use
of face mask. This is a preventive Selected Publications
measure to reduce the spread of •Sim SW, Moey KS, Tan
infectious disease. He is currently
NC. The use of facemasks
also involved in collaborative
to prevent respiratory
studies with institutions such as
infection: a literature
KKH and SERI.
review in the context of
its association with anxiety
disorders amongst patients
presenting with chest pain
in a primary healthcare
setting: a comparison
of 3 predictive models
(CHERISH)
•Master of Medicine (FM)
examination: Assessing
its Relevance and Values
in Enriching Learning
(MARVEL)- A primary care
physician’s perspective
DR KOH KIM HWEE
Dr Koh Kim Hwee is a
Family Physician in SHPTampines. He received his
MBBS (S’pore) in 2007.
He was later trained in
surgery and obtained the
MRCS (Glasgow) in 2010.
He subsequently went
into Family Medicine (FM)
training and obtained
the MMed (FM) in 2012
and MCFP(S) in 2013. Dr
Koh also has interest in
psychiatry and dermatology,
and obtained the Graduate
Diploma in Mental Health in
2012 and Graduate Diploma
(FP) in Dermatology in 2013.
the Health Belief Model.
Singapore Med J. Mar
2014; 55(3):160-7.
•Moey KS, Priya Sen.
Penile Siliconomas In A
Foreign Worker Population
in Singapore. Dermatology
Bulletin; Institute of
Dermatology, Singapore;
Volume 21, No 3, 2010;
Pg 39–42
•An Approach to Common
Urological Disorders
(Contributing Co-author,
2013) — by SGH Urology
Department.
Award
•Champion, 1st Research
Championship, 2nd Asia
Pacific Primary Care
Research Conference,
Singapore 2010.
MS STEPHANIE TEO
SWEE HONG
Ms Stephanie Teo is the Deputy
Director, Nursing Administration
in SingHealth Polyclinics. She
obtained a Master of Health
Science Management degree
from the University of Sydney
in 2009. She was awarded the
SingHealth Lee Foundation-DS
Lee Foundation Excellence
in Nursing Award for Nursing
Leader in 2010. She also
received numerous researchrelated training which include
Nvivo training (for qualitative
research), SPSS and the
Joanna Briggs Institute (JBI)
Comprehensive Systematic
Review training in Adelaide and
has participated in the 3rd Asia
Pacific Primary Care Research
Conference in 2011.
•Direct Observed Therapy
Study — a Commitment to
Optimise the Management
of Tuberculosis (DOTCOMT):
Understanding the
socioeconomic impact and
quality of life of patients with
tuberculosis undergoing DOT
in primary care in Singapore
•An Investigation of Singapore
Women’s Knowledge,
Attitudes and Practices
Associated with menopause
•Exploring Singaporean
Mothers’ Knowledge,
Attitude and Practice (KAP)
About Weaning Diet: A
Qualitative Study
•Mackey S, Teo SSH,
Dramusic V, Lee HK,
Boughton M. Knowledge,
attitudes, and practices
associated with menopause:
a multi-ethnic, qualitative
study in Singapore. Health
Care Women Int. 2014
19
•Biomechanical Risks
Factors in Trigger Finger
•Lipid HEALTH study: Lipid
Health beliefs Affecting
Lipid Treatment and Healthseeking behaviour
Award
•First Prize – Clinical Poster
Award, CGH Annual
Scientific Meeting, 2009
May;35(5):512-28. [Epub:
July 2013]
•Chow WL, Joshi VD, Tin AS,
van der Erf S, Lim JF, Swah
TS, Teo SSH, Goh PS, Tan
GC, Lim C, Kee TY. Limited
knowledge of chronic kidney
disease among primary care
patients — a cross-sectional
survey. BMC Nephrol. 2012
Jul 2;13(1):54.
•Meng OY, Lim C, Leng
CW, van der Erf S, Joshi
VD, Sin ST, Teo SSH, Chye
PG, Seng GT, Yi-Shern TK.
Factors influencing living
kidney donation in Singapore.
Prog Transplant. 2012
Mar;22(1):95-101.
•Tan NC, Ngoh SH, Teo SSH,
Swah TS, Chen Z, Tai BC.
Impact of cigarette smoking
on symptoms and quality
of life of adults with asthma
managed in public primary
care clinics in Singapore:
a questionnaire study.
Prim Care Respir J. 2012
Mar;21(1):90-3.
20
Highlights
of research
findings
Research
training in SHP
Medical undergraduates can also
deliver quality public health talks
to patients and caregivers when
guided by their tutors.
Tan NC, How CH, Shah M, Hwang SW, Chee
YJ, Tay EG. Delivering Health Talks to Public in
Primary Care Setting: A Novel Approach to Induct
Medical Students towards Social Responsibility
and Health Advocacy. Medical Science Educator
2013;55(1): 17-21
Home and working environment
may have an impact on the dietary
and lifestyle habits of the younger
adult patients with diabetes.
Quah HMJ, Liu YP, Luo N, How CH, Tay EG.
Younger adult type 2 Diabetic patients have poorer
glycemic control: a cross-sectional study in a
Primary care setting in Singapore. BMC Endocrine
Disorders 2013;13:18 doi:10.1186/1472-6823-13-18
Smoking worsens the quality of life
for patients suffering from asthma,
increases their risk of cough
(71%), breathlessness (39%) and
awakening at night (84%).
Tan NC, Ngoh SHA, Teo SHS, Swah TS, Chen ZJ,
Tai BC. Impact of cigarette smoking on symptoms
and quality of life of adults with asthma managed
in public primary care clinics in Singapore: a
questionnaire study. Primary Care Respiratory
Journal 2012;20(1):90-93
Empowering primary healthcare
professionals with research related
skills relevant to their specific
study is challenging due to time
and resource constraints in busy
primary care settings. “Research
Championship”, a new approach
to train novice researchers with
intensive personalised coaching
within a competitive, award
incentivised environment, has
been developed and is now the
highlight of the Asia Pacific Primary
Care Research Conference.
Tan NC, Ng CJ. The novel “Prepare-Intensive
Coaching-Compete (PICC)” model to learn
research. Education Primary Care 2012;23(2);
120-124
SingHealth Polyclinics continue to increase its
efforts to develop and nurture the research
potential of its multi-disciplinary staff by
organising basic and qualitative research
workshops, participating in local/overseas
scientific symposiums or conferences and
attending talks on conducting proper and
responsible research.
21

research brochure - SingHealth Polyclinics

Transcription

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