Our Community Outreach Efforts... A classic display of our Core Values Compassion and Social Responsibility

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1 Our Community Outreach Efforts... A classic display of our Core Values Compassion and Social Responsibility Doing our bit for the community through various health and dental screening sessions, charitable activities, as well as humanitarian efforts are some of our social contributions in the past and recent years. For these, we salute our people for their noble efforts and contributions towards and beyond the nation. Making A Difference To The Well-Being Of Our Community As part of the hospital s efforts to provide opportunities for interaction between the community and the hospital, a McCare Programme was launched in September The McCare volunteers from McDonald s restaurant brought cheer to our paediatric patients with their creative and fun-filled programmes. In the same year, we also actively participated in the Ministry of Health (MOH) s first National Health Fair that was held in October. During the Asthma Association s 3 rd Walk-A-Jog fundraising event in November 1999, NUH employees showed up in force and helped raised a grand total of $28,730 through the month-long event. More than 4,000 people were screened in 2001, 2002 and 2003 at the Community Mass Health Screening sessions organised by NUH, held at 17 sites. In 2000 and 2003, we participated in MOH s mass screening exercise for the elderly, and provided free eye screening for more than 200 Samsui women respectively. Our hospital also provided free health screening for more than 1,400 people during three out of several events organised with Southwest CDC at Boon Lay and HarbourFront. In line with our core values of being compassionate and socially responsible, we adopted Very Special Arts (VSA), a non-profit organisation that supports talented artists with disabilities, in Our hospital strongly supports VSAs cause in caring for the challenged members of our community. We believe that we can learn from the determination and courage of the artists who stand strong and face up to their disabilities. A series of activities were McCare Programme (1989) Charity Bazaar for Very Special Arts (2002) Warming the hands and hearts of our community for 20 years... and running.

2 NUH 20 th Anniversary Commemorative Book Our People. Our Pride. 24 & 25 organised to raise funds for VSA, which amounted to more than $15,000. These included charity bazaars, sale of desk calendars and creation of a mini art gallery along one of the walkways in NUH where paintings by VSA artists were exhibited for sale. Bringing Bright Smiles To Our People A total of 2,900 elderly poor under the care of the Lions Befrienders were smiling brighter. Together with the NUS Faculty of Dentistry and the Lions Befrienders, our NUH Dental Centre undertook a pilot community service project in January 1999 to provide free dental services to the elderly poor. This was just another little step towards our goal of making good healthcare services available to all, particularly the poor and elderly! A total of 14 and 35 community dental screenings were conducted in 2002 and 2003 respectively. During these sessions, more than 230 people were screened and treated. Another 62 people were treated in In 2004, our hospital partnered the NUH Employees Union (NUHEU) to encourage staff volunteerism and community involvement through the adoption of St Theresa s Home. Every last Saturday of the month, a group of our staff would visit the elderly residents of the home to spend time interacting and caring for them. As part of our community outreach and role in preventive healthcare, a group of our nurses and colleagues were involved in Jurong HealthConnect s My HealthCheck@Jurong & Healthy Eating events held in March and April At the event, we received good response with 213 people being screened and another 500 visited our health education booth. Extending A Helping Hand To The Tsunami Victims People from all over the world (including Singapore) and independent organisations flocked to the areas that were struck by the world s worst earthquake and tsunami disaster on 26 Dec 2004, to bring aid to the victims of this calamity. Joining the nation s efforts in humanitarian aid, many of our colleagues stepped forward and volunteered their services for NHG missions to render medical help to the victims in Banda Aceh, Indonesia and Trincomalee, Sri Lanka. At the same time, through NHG, we also responded to the Singapore Red Cross Society through a collection of more than $35,000 for the Tidal Waves Asia Fund. Colleagues whose family members were affected by this disaster were not forgotten a total of about $6,322 was raised to help them tide over that difficult period. We did all these together, in the spirit of humanity. Your efforts made a big difference and touched both the tsunami survivors as well as fellow Singaporeans. You kept our Singapore flag flying high. You earned the respect of those you have helped, with your humility and sensitivity to local customs. When the call for help came,you responded as one profession. By so doing, you have made a difference to the lives of the tsunami victims. To each of you, I salute you. ~ Mr Khaw Boon Wan, Minister for Health, 30 Mar 2005 Tsunami Relief Efforts (2005) Visit to St Theresa s Home (2004)

3 Institute; General Manager, NHG NAME DATE JOINED CURRENT DESIGNATION Senior Management Tyrone Goh 1 Dec 85 Director, Operations, Children s Medical Business Development Unit Khong Lai Lin Cannie Diagnostics; Acting CEO & General Manager, NHG Gulf 4 Jun 85 Executive Assistant Corporate Communications & Services Tao Mei Hwa Sally 25 Feb 85 Receptionist Environmental Services Chee Siew Kee Koh 11 Jul Senior Hospital Attendant Joseph Paul Francis 15 Jun Jul 85 Lee Lay Hospital Attendant Supervisor 85 Kee Tin 31 Senior Hospital Attendant Khim 12 Senior Hospital Attendant Lim Bock Keow Dec 85 1 Jul Senior Hospital Attendant Lim Siew Luang Mar Senior Hospital Attendant 85 Low Keow Hua 3 Jul Hospital Attendant Rokiah Bte Mohamed Jun 85 Senior 29 Senior Hospital Attendant 85 Salbiah Bte Sajalin 4 Jun Teh Senior Hospital Attendant Jul 85 Selamat Bin Liam 10 Jun Woon Hospital Attendant Supervisor 85 Ah Eng Kim Tee 85 1 Hospital Attendant Jun 85 Senior Hospital Attendant Finance Lee Anita Louisa 1 Jun 85 Syed Johara Bte Syed Kasim 17 Jun 85 Joseph Patients Accounts / Service Officer Samuel Sathianathan Executive 1 Oct 85 Senior Storekeeper Human Resource Lim Peck Geok Patricia 1 Jul 85 Executive Assistant Medical Records Office Rubiah Bte Samin 2 May Administrative Assistant Woon Hee Lee 24 Jul Senior Administrative Assistant NUH Call Centre Loh Pai Loi 11 Jun 85 Customer Service Assistant Santhi D/O Vyravan 29 Jul 85 Customer Service Assistant Operations Tan Joo Gertrude 25 Apr 85 Senior Administrative Assistant Operational Support Services Indira Devi D/O Nambiar 11 Mar 85 Administrative Assistant Patient Services Ng Siok Wan 15 Jul 85 Senior Patient Account / Service Officer Quality Improvement Unit Ng Sow Chun 1 Aug 85 Assistant Manager

4 NAME DATE JOINED CURRENT DESIGNATION Department of Diagnostic Imaging Salaton Bte Daslan 1 Jun 85 Senior Assistant Nurse Wee Chuan Hock Bernard 4 Jun 85 Photo Technician Supervisor Yeo Hong Lan 4 Jun 85 Senior Administrative Assistant Laboratory Medicine Chow Kau Carol 16 May 85 Principal Medical Technologist Goh Soon Heok 12 Jun 85 Senior Materials Coordinator Kamsani Bin Sahari 24 Jun 85 Junior Medical Technologist Lim Su Thay 1 Jun 85 Senior Education Coordinator Mad Ali Bin Md Noor 20 May 85 Hospital Attendant Supervisor Mah Kong Yeng Joanna 15 Aug 85 Nurse Manager Managa D/O Dharmalingam 11 Jun 85 Medical Laboratory Technologist Nora Bte Abdul Rahman 24 Jun 85 Junior Medical Technologist Ong Bee Ang Ricky 2 Dec 85 Deputy Manager Seong Peck Sheong 27 May 85 Principal Medical Technologist Vijayaletchumy D/O Udai Raj Si 29 Jul 85 Medical Laboratory Technologist Yuen Chee Seng Mark 10 Jun 85 Principal Medical Technologist Zarinah D/O Abdul Razack 10 Jun 85 Senior Administrative Assistant Liver & Renal Transplant Programme Manjit Kaur D/O Charan Singh 10 Jun 85 Chief Transplant Coordinator/Manager Orthopaedic Surgery Lim Irene 14 May 85 Administrative Assistant Pathology Ang Low Sian Wendy 1 Jun 85 Senior Clerical Officer Pharmacy Chan Wai Fun 27 May 85 Senior Pharmacy Technician Rehabilitation Medicine Salinah Bte Abdullah 16 Dec 85 Therapy Assistant Shakila Begum 23 Dec 85 Therapy Assistant Endoscopy Centre Kamsia Bte Marsan 10 Jun 85 Senior Assistant Nurse Kok Lai Chun 1 Oct 85 Senior Assistant Nurse Kwok Fong Yee 2 May 85 Nurse Manager M Vijayaletchumi 20 May 85 Senior Patient Service Associate ENT Clinic Lim Lee Boon 31 Dec 85 Senior Nurse Manager Obstetrics & Gynaecology Clinic Kung Guat Beng 15 Oct 85 Senior Staff Midwife Lim Soo Lang 2 Sep 85 Nurse Manager Orthopaedic/Hand Clinc Sun Mai Cheng Vicky 1 Jun 85 Senior Staff Nurse Tan Ang Chew Eng 12 Aug 85 Senior Staff Nurse Radiotherapy Centre Chai Chuen Fun 1 Aug 85 Senior Staff Nurse Surgery Clinic Chua Siang Ee 4 Jun 85 Administrative Assistant University Digestive Centre S Jayamalar 20 May 85 Patient Care Assistant

5 Chan Bee Eng 31 Dec 85 Assistant Director, Nursing Administration Saroja Devi D/O Srinivasa Naidu 2 May 85 Siti Cardiac Nurse, Nursing Administration Zubaidah Bte Mordiffi 10 Jun 85 Wong Mee Kin Senior Nurse Educator, Nursing Administration 10 Jun 85 Nurse Manager, Nursing Administration Zarifah Bte Ahmad Zakri 3 Aug 85 Alijah Bte Isnin Senior Staff Nurse, Children s Emergency 8 Jul 85 Senior Assistant Nurse, Cardiothoracic Kalaivani Priya 12 Nov 85 ICU Haryati Administrative Assistant, Cardiothoracic Bte Abdul Wahab 22 Jul 85 ICU Foo Boon Swee Patients Accounts/Service Officer, Day Surgery Centre Lim Boo Eng 10 Jun 85 Senior Staff Nurse, Day Surgery OT 13 Nov 85 Ong Chin Chye Senior Operating Theatre Attendant, Day Surgery OT 1 Jul 85 Png Bee Hong Senior Operating Theatre Attendant, Day Surgery OT Sinniah Balakrishna 1 Aug 85 Nurse Manager, Day Surgery OT 2 Sep 85 Siti Meriam Binte Rais Senior Operating Theatre Attendant, Day Surgery OT 2 Sep 85 Nurse Manager, Day Surgery OT Yam Swee Fook Nee Ho 2 Sep 85 K T Meenaka Nurse Manager, Day Surgery OT 1 Jul 85 Wong Woon Senior Staff Nurse, Day Surgery Ward Kiew Chan Yin Yee 15 Aug 85 Senior Staff Nurse, Day Surgery Ward Dimney Patricia 1 Oct 85 Nurse Manager, Delivery Suite Lee Siew Hong 15 Aug 85 Nurse Clinician, Delivery Suite Fu Lee Ping 15 Mar 85 Senior Staff Nurse, Delivery Suite 1 Oct 85 Heng Siew Hiang Senior Assistant Nurse, Emergency Medicine Arumugam 15 Oct 85 Senior Assistant Nurse, Neonatal ICU Magalingam 1 Jul 85 Chan Swee Lan Operating Theatre Attendant, Operating Theatre Eng Foong Lan 16 Dec 85 Patient Care Officer, Operating Theatre 1 Jul 85 Ho Siew Foo Nurse Manager, Operating Theatre 1 Aug 85 Nurse Manager, Operating Theatre Koh Watt Eng Mavis Regina 2 Sep 85 Leo Kin Nurse Manager, Operating Theatre 19 Aug 85 Senior Assistant Nurse, Operating Theatre Leong Lee Yuet 15 Jul 85 Ong Teh Senior Staff Nurse, Operating Theatre 17 Jun 85 Senior Hospital Attendant, Operating Theatre Wong Mei Tan Mei Kin Tan Bee Lan 1 Aug 85 Senior Staff Nurse, Operating Theatre Tan Lian Kheng 2 Dec 85 Senior Assistant Nurse, Paediatric ICU 1 Jul 85 Chan Sok Yin Nurse Clinician, Patient Education Support Services 4 Nov 85 Senior Staff Nurse, Ward 42 Sharifah Bte Mohd Deh 1 Aug 85 Yu Chun Yen Senior Staff Nurse, Ward 51 1 Jun 85 Staff Nurse, Ward 64 Antony Florance 2 Sep 85 Senior Assistant Nurse, Ward 96 Asnah Bte Abdool Aziz Ng Tze Fah 29 Jul 85 Patient Care Officer, Ward 96 1 Aug 85 Senior Staff Nurse, Ward 96 Rapiah Bte Abdul Patah 3 Aug 85 Yuen Mei Choy Senior Staff Nurse, Ward Jun 85 Senior Staff Nurse, Ward 96 NAME DATE JOINED CURRENT DESIGNATION Nursing Tan Chwee Eng 2 Sep 85 Assistant Director, Operating Theatre, Endoscopy Centre & Diagnostic Imaging Tong Kim Loo 2 Sep 85 Nurse Manager, Operating Theatre

6 Our Processes. Our Challenge. We have made significant changes and improvements to our processes over the years. Our Patients First philosophy has kept us going strong we are continuously seeking innovative and better ways to delight our patients! In this section, you will be introduced to a few significant process improvement initiatives that we have undertaken thus far all for delivering high standard and better quality of patient care. Intellectual victory is built on continued efforts to challenge oneself and to conquer new grounds. What s your next move?

7 ISO... Establishing An Efficient Management System In December 2002, we were awarded the ISO 9001, ISO and OHSAS certificates at one go! These awards were the results of more than a year of hard work and dedication from our staff. Together, we have established an effective management system that ensures delivery of quality care and services within a safe and fulfilling work environment. This ISO initiative started in October 2001 when we decided to put in place a structured framework that ensures consistent management of our work processes as well as controls and minimises environmental hazards, health and safety risks in the hospital. With expert guidance of the consultants from Neville Clarke, various project teams established and implemented consistent systems for nursing care, equipment maintenance, waste disposal, hazards and risks control, as well as other work areas. JCI... Achieving Consistency In Care Processes We are recognised for our commitment in providing continuous quality patient care with the achievement of Joint Commission International (JCI) accreditation in September This accreditation signifies that the processes and procedures that we have put in place are of international standards. All of us, from senior management team, clinicians to frontline staff, were involved in the 10 months of intense preparation. Work began in October 2003 our colleagues from Quality Assurance division of Medical Affairs, armed with only two booklets on JCI standards, began on a self-assessment and identified gaps in our hospital s processes. In February 2004, expert advice and guidance was sought from two JCI consultants, Dr R. Scott Altman and Ms Frieda A. Walter, who imparted to us the must-knows of JCI through a 3-day crash course. The last act was an amazing 5-day audit race in July The three JCI surveyors, Amrlis Daerr, Ann Fonville and John Porvaznik, certainly made their presence felt. Nonetheless, our staff have proven to be articulate, skilful and knowledgeable as the surveyors went about their on-site observations, interviews and document reviews. The commitment of hospital leadership to quality and safety in patient care is inspiring. It is rare that a large and complex healthcare organisation can achieve the degree of consistency in care processes as the staff has achieved at National University Hospital. ~ Marlis Daerr, Surveyor, Joint Commission International

8 NUH 20 th Anniversary Commemorative Book Our Processes. Our Challenge. 30 & 31 NAUT1CUS... Improving Patient Services To Achieve One Patient Vision As the last leg of the NHG IT harmonisation initiative, we successfully implemented Naut1cus in October An administrative system, Naut1cus integrates patient management and accounting as well as materials and financial management across all NHG institutions, thus achieving our One Patient vision. It was definitely months of hard work for our staff following the intense preparation of our JCI accreditation. Here s a glimpse of our journey... Reducing The Waiting Time... Through Project NEMO Aimed at improving our Department of Emergency Medicine s admission time, Project NEMO looked at admission and discharge processes as well as the turnaround time of various support services. The team, comprising representatives of relevant departments, identified and explored ways to reduce the waiting time for admission at our Emergency. After much effort, the waiting time (at 80 th percentile) was brought down from 3.5 hours to 2.5 hours. Total commitment during training sessions... Briefings, discussions and dilemmas? Going live... CPSS... Improving Patient Care Through Technology Our patients can receive even safer, more efficient and effective care with the Computerised Patient Support System (CPSS). A computerised medical records system, CPSS allows medical staff quick access to patients medical records from all the departments in the hospital, 24 hours a day. CPSS contains everything from case summaries and details of drugs dispensed, to x-ray reports and other clinical test results. A key feature of the system is an alarm prompt that warns doctors of patients drug allergies and alerts them if the medicine dosage is incorrectly prescribed. CPSS also helps to prevent unnecessary repeated tests on patients, thus optimising efficiency and reducing medical costs. With the help of wireless technology (such as tablet PCs), doctors on their ward rounds can also gain access to CPSS. This facilitates the retrieval of essential medical information to help in their clinical diagnoses. This patient-centred initiative has even won us an award in the IT Category at the Asian Hospital Management Awards 2003 in Manila, Philippines. With Naut1cus We bring convenience to patients a single master record with information such as registration, admission, transfer and discharge for each patient. We achieve greater efficiency an Integrated View of the Customers (IVOC) allows staff to view information about the patient on a single screen. We make it easier for patients to make comparison in prices between healthcare providers the standardised format for bills and statement of accounts are being used across all the NHG hospitals. We help to bring cost down for patients the central vendor management system facilitates negotiations for better prices.

9 For every service that we provide, we will do it safer, better, faster and cheaper.

10 NUH 20 th Anniversary Commemorative Book Our Quality Culture 32 & 33 Our Quality Culture In NUH, Quality is everyone s business. From the CEO, Chairman of Medical Board, to the frontline staff who are actively involved in providing care and service to our patients, each of us has an important role to play in ensuring that we provide quality and affordable healthcare services. Our Quality Policy: To Our Patients Quality Care and Service To Our Staff Safe and Fulfilling Work Environment To Our Community Responsible Citizenry 1985 Together with our dedication to medical excellence, we actively strive to build a Culture of Caring. Our patientcentred Culture of Caring is one that is conscientiously practised throughout the patient s stay with us We launched a hospital-wide training programme CARE in January. CARE seeks to instill a set of positive and practical values in our staff that will motivate each staff to provide quality standards of care to our patients. Our very first in-house Quality Convention (QC) was held on 30 Apr Each year, four QCs were held in NUH to applaud winning Quest teams for their effort. There are four contest categories: Outstanding Project, Innovation, Patient Care and CEO s Award. In 1998 alone, 20 teams presented their projects during these conventions To keep the spirit of Quality Circle alive and thriving, three Quest showcases were held to highlight commendable Quality Circle projects by various Quest teams. Quality Circle teams from other organisations who had won National Quality Circle awards were invited to present their Quality Circle projects to promote an environment of continual learning and sharing. A total of 21 teams participated in the Quest conventions in 1999, vying for the three contest categories Outstanding Project, Innovation, Patient Care, with 14 teams winning awards In a survey in August 1990, 90% of the respondents rated our customer service as good, compared to only 71% in We established our Total Quality Management (TQM) Programme in 1991 to seek ways to improve our services through active involvement of quality improvement projects/initiatives. Quality improvement teams were formed to look into improving services for our patients We launched our NUH Quality Circle Quest teams on 6 Mar A year into our Quality Circle launch, we have seen some dramatic changes in our productivity levels. Started out with ad-hoc Work Improvement Teams (WITs), we have since moved forward to a systematic method of training, coaching and rewarding Quest team members. Our Quality Focus received renewed emphasis with the launch of the 1 st NUH Quality Day in October The event was a reaffirmation of our commitment to quality improvements and an opportunity to reward and recognise staff for their outstanding and valuable contributions. Top achievers in their respective areas walked away with prizes under categories of Quality Pillar Award, Outstanding Project Award and Handwashing Activity Award. To learn from best practices, we also invited the award-winning team from the Central Provident Fund Board, and the Singapore Quality Class award winner, Philips Electronics, to share on their quality projects.

11 Our 1 st NHG Quality Week on 21 Oct 2000 was launched by the then NHG CEO, Mr Tan Tee How, to heighten the awareness and importance of quality amongst the staff and to promote a cluster identity within the newly incorporated NHG. At our annual Quality Week, leading quality practitioners and leaders from around the world were invited to share ideas and best practices on patient safety. Themes for NHG Quality Week: 1 st NHG Quality Week 2000 Synergy in Quality 2 nd NHG Quality Week 2001 Communication Clear. Concise. Complete 3 rd NHG Quality Week 2002 Quality: Our Commitment, Your Trust 4 th NHG Quality Week 2004 Patients First, Safety Always Service With A Thought (SWAT) To facilitate quick organisation-wide learning by sharing actual happenings in the hospital and highlighting learning points for improvement, SWAT was launched in 28 Sep Since then, we have been receiving positive feedback on SWAT and some of our departments have used SWAT for their sharing and learning. Since it started, SWAT has a total of four makeovers. Each change is aimed to ensure that the text is easy to read and the contents are comprehensive. With each new layout, a lot of thoughts were given into making the cases, and its actions steps, as concise and easy for staff to understand In line with NUH s mission to hold the interest of the patient paramount, a dedicated Quality Improvement Unit (QIU) was set up in September 2001 to enhance the quality and standards of our patient service. Our Patient Relations Team regularly visit inpatients to seek their feedback and provide any necessary assistance. Through periodic patient focus group meetings, improved feedback management, patient satisfaction surveys, speedy service response and recovery, QIU aims to improve the quality and level of service that we provide to our patients. Committed to excellence, we launched our CARE service standards in June By showing Confidence, Attentiveness, Respect and Empathy, we want to make a difference in the lives of patients we care for, everyday. We had our first Learning From The Best series in 2001 where award-winning and outstanding quality organisations were invited to share with our staff on their quality journey. Current

12 NUH 20 th Anniversary Commemorative Book Our Quality Culture 34 & 35 Quality Wall of Fame 1997 Singapore Quality Class (SQC) In 1997, NUH was awarded the Singapore Quality Class (SQC) Business Excellence Certification. This award (SQC) recognises organisations for their commitment to achieving business excellence. The Business Excellence Framework reinforces NUH s commitment to apply an excellence model to adopt a total approach in managing people, processes and customers to achieve better business results With a strong commitment to providing smooth, efficient and consistent quality service delivery, our Department of Diagnostic Imaging attained the ISO 9001:2000 standards Joint Commission International (JCI) In recognition of our ongoing commitment to provide high standards of patient care, we are the 1 st hospital in Singapore to be granted accreditation from the Joint Commission International in August Being accredited with JCI is a recognition of our ongoing commitment to provide continuous quality patient care. It also affirms that the processes and procedures, which we have put in place, are of international quality standards that represent a worldwide consensus on quality patient care and reflects state-of-art healthcare practices and delivery trends Singapore Service Class We are the 1 st hospital to achieve the three international standards ISO We are proud to be the 1 st hospital in 9001 (Quality Management System), ISO (Environmental Management Singapore to be awarded the prestigious System) and OHSAS (Occupational Health and Safety Management Singapore Service Class (S-Class). It System), all at one go and within a year in December reflects our hospital s pledge towards service excellence and recognises our This means that our integrated Quality, Environmental, Health and Safety efforts to provide quality customer care management systems are in line with international standards. We will continue to our patients. to focus on improving our existing processes and systems, to deliver better quality care and service. The S-Class membership will also allow us to connect with a network of leading service-oriented organisations to learn and share best practices. These will help us in our service excellence journey, which benefits our patients.

13 Our Research Philosophy We believe that biomedical and clinical research excellence is vital in maintaining NUH s position as a leader at the cutting edge of medical technology and expertise. Together with the National University of Singapore (NUS), our hospital will encourage and facilitate the development of clinical research. Our hospital is in a unique position to be a research centre. The Faculties of Medicine and Dentistry, located within the hospital premises, bring along with them a legacy and tradition of clinical and basic research. Besides our close proximity with the NUS, we are also fortunate to be located in an academic environment of the other centres of biotechnological research, including the Institute of Molecular and Cellular Biology and the Clinical Research Centre. Our Hospital also enjoys close links and collaborative arrangements with both local and foreign research centres.

14 NUH 20 th Anniversary Commemorative Book Our Research Philosophy 36 & 37 Through research, we bring to our patients, as safely and quickly as possible, treatments on the forefront of responsible medicine. Research is our investment in the care of our patients of today and tomorrow. Its value is evident in the quality and breadth of research conducted by our doctors and researchers in the recent years. Healing Heads (CTU) to primarily meet this need. As a key partner of NUS, the CTU maintains a strong link with the University and provides a conducive environment for conducting clinical trials. Partnering With Top Medical College ON 28 Jun 2004, NUH and NUS officially inked a Memorandum of Understanding (MOU) with Christian Medical College (CMC), a top medical college in India. As a strategic partner of NUS and the main facility where its Faculty of Medicine provides clinical care, NUH strongly supports and endorses this collaboration. The signing of this MOU allows our hospital and CMC to share and explore developments in patient care, medical research and education. There will also be opportunities to learn from each other s best practices. Patients from both countries will ultimately benefit from this partnership. In 2003, researchers from NUH and NUS have jointly developed a better and yet cheaper treatment for patients who have undergone operation on their skulls for head injuries. The core research team has developed a biodegradable mesh-like plastic that allows the bone tissue to grow and cover the holes in the skull of patients who are being operated on. This plastic can be cut into any size and is a more natural option as compared to the conventional method of harvesting a bone from another part of the body or implanting a titanium plate in the skull. It is also much cheaper about half the cost of a titanium plate implant. Converting Clinical Waste Into Biological Treasure Together with NUS, our hospital set up a NUH-NUS Tissue Repository (TR) as a central tissue repository supporting research at NUH in The TR collects and stores unwanted tissues removed during surgery, and preserves them for medical research that is aimed at improving the diagnosis and treatment of diseases. This tissue repository aims to provide medical researchers with high quality samples and data, in a safe, efficient and ethical manners, and to support the development of Singapore Tissue Network. Research work is being carried out to determine how this plastic can be used for certain spinal problems as well as to regenerate cartilage. There are also plans to extend the use of this research breakthrough to re-grow or re-shape the bone in the eye area to benefit accident victims. Co-ordinating Clinical Research Activities With the numerous clinical research activities going on within the Hospital, there was a need for a facility to be set up to co-ordinate such activities as well as epitomise use of resources needed for clinical trials undertaken by the NUH doctors. In September 1997, we set up The NUH Clinical Trials Unit

15 Some of our Outstanding Research Achievements 1993 (NSTB) Young Scientist s Award for this research The Dept of Orthopaedic Surgery was given the Suppression of tumour growth through Award for the Best Basic Science Research Paper inhibition of tumour blood vessel formation using by the Paediatric Orthopaedic Society of North a gene therapy approach. America. It gained recognition for its research work on the deformities resulting from injury to Dr Jenny Chang, Dept of Medical Oncology, won the growth plate and methods of transplantation the best poster prize at the 23 rd European Society of growth plate tissue to repair such injuries. for Medical Oncology (ESMO) Congress for her poster Germline BRCA1 mutations in young onset 1996 breast cancer in Singaporean women. Dr Euan Murugasu (Dept of Otolaryngology) was awarded the Master s Gold Medal at the 9 th Dr Calvin Fones, Dept of Psychological Medicine, British Academic Conference in Otolaryngology won the first prize in research at the 7 th Congress and the Inons Registrar s Prize from the Joanna of Asean Federation for Psychiatry and Mental Sheldon Prize from the Sussex Medico-Chirurgical Health in Selangor, Malaysia. Society. The awards were for his research in determining the mechanisms of neural efferent Dr Aymeric Lim, Dept of Hand and Reconstructive control from the brain in regulating the functioning Microsurgery, won the Young Orthopaedic of the ear and the effects of ototoxic drugs on Investigator s Award at the 18 th Asean the ear. Orthopaedic Association and 21 st Singapore Orthopaedic Association Meeting. The paper on 1997 The neuromuscular compartments of the flexor Dr Chong Yap Seng, Dept of Obstetrics and carpi ulnaris was among the best five selected Gynaecology, was awarded the Young papers submitted. Investigator Award by the Australian and New Zealand Colleges of Obstetrics and 1999 Gynaecology for his research paper on the A team from the Dept of Paediatrics, Children s alternative use of misoprostol for post-partum Medical Centre, discovered the linkage between bleeding. asthma and atopy, and chromosome 5q. The NUS Medical Faculty was awarded For leading the research team, Dr Lynette Shek, 75 research grants from the National Medical Dept of Paediatrics, won the 1999 NUH-Young Research Council and the University Academic Doctor s Award at the NUH-Faculty of Medicine Research fund of which 60% was given to clinical Annual Scientific Meeting. departments in NUH. Dr Tan Gim Huat, Dr Heng Chew Kiat, Dr Daniel 1998 Goh and Professor Yap Hui Kim of the Dept of Dr Shirley Ooi, Dept of Emergency Medicine, Paediatrics were recognised with the Best won the Young Investigator s Award from the Paediatric Paper Award at the 24 th Australian and Emergency Medicine Foundation, USA for her New Zealand Annual Scientific Meeting on study on Troponin-T. Intensive Care. The team s research sought to determine the relationship between proinflammatory and anti-inflammatory cytokines Dr Denise Goh, Dept of Paediatrics, won the Young Investigator s Award at 9 th ASEAN and the risk of Multi-Organ Dysfunction Syndrome Paediatric Federation Conference for her work (MODS) and mortality. on The clinical syndrome of birds nest allergy and immunochemical characterisation of the Dr Tan Gim Huat, Dept of Paediatrics, Children s allergen(s) of the edible nest of swiftlets, Medical Centre, won the Best Paediatric Medical collocalia SPP. Paper award at the 24 th Australian and New Zealand Annual Scientific Meeting on Intensive Dr Kuo I Chun, Dept of Paediatrics, was awarded Care and the 6 th Australian and New Zealand the Young Scientist Award at the 2 nd NUH Faculty Paediatric and Neonatal Intensive Care of Medicine Annual Scientific Meeting 1998 for Conference. His research paper on Low HLA-DR his work on A novel murine model for airway expression on monocytes was predictive of inflammation induced by a major dust mite increased mortality in critically ill children. allergen. Dr Marion Aw, Dept of Paediatrics, Children s Dr Kong Hwai Loong, Medical Oncology Dept, Medical Centre, won the Young Investigator s won the National Science and Technology Board Award at the 33 rd Malaysia-Singapore Congress of Medicine in Kuala Lumpur for her work on cytokine profiles in paediatric renal transplant recipients. Dr Jimmy So, Dept of Surgery, won the Young Surgeon s Award at the 33 rd Annual Combined Surgical Meeting for his research on expression of cell cycle regulators p27 and cycline in gastric carcinoma and its prognostic implication. Prof Robert Pho, Dept of Hand and Reconstructive Microsurgery was awarded Doctor of Medicine degree from University of Sydney for his work on vascularised fibular graft. Dr Aymeric Lim, Dept of Hand and Reconstructive Microsurgery, won the Young Investigator s Award at the 3 rd NUH-Faculty of Medicine Annual Scientific Meeting for his work on The neuromuscular compartments of the flexor carpi ulnaris. A/Prof Stephen Hsu, Dept of Preventive Dentistry, won the International Association for Dental Research (IADR)/Colgate Research award in preventive dentistry, USA, for his research on laser treatment in preventing tooth decay. Dr Keson Tan, Dept of Preventive Dentistry, won the IADR SEA Division Implantology Research Award for the Best Research Paper in Implantology research, at the IADR Division 14 th Annual Scientific Meeting. Dr Kong Hwai Loong, Head of the Cancer Gene Therapy Laboratory at NUS was awarded the Singapore Youth Award for his contribution to cancer research Dr Looi Kok Poh won the Annual Scientific Meeting Young Doctor s Award for his paper on A new technique to correct carpal instability due to scapholunate dissociation. Dr Joyce Lim and A/Prof Yong Eu Leong, Dept of Obstetrics and Gynaecology, won the 2 nd prize for their poster presentation at the International Meeting of the XVII th Asian and Oceanic Congress of Obstetrics and Gynaecology for their discovery of a novel molecular mechanism involving the androgen receptor and a coactivator responsible for low sperm counts in a sub-population of infertile males. The Paediatric Orthopaedic Division won the Best Basic Science Research Paper award at the Annual Scientific Meeting for their research Tissue engineering in repair of cartilage defects. Dr James Hui Ho Po won the Best Basic Science Poster Award for his poster entitled Efficacy of cultured mesenchymal stem cells transfer with and without periosteal flap, chondroctes, transfer, mosaicplasty and frilling on repair of full thickness defects in articular cartilage: an experimental study. A/Prof Loke Kah Yin, Dept of Paediatric, received the Singapore Youth Awards (Individual), for his breakthrough research on the genetics of inherited adrenal disorders and other achievements in the field of science and technology. Dr Lee Yung Seng won the Young Doctor s Merit Award at the 4 th Annual Scientific Meeting for his research into the benefits of pamidronate in children with Osteogenesis imperfecta. Dr Gong Wei-Kin, Dept of Paediatric Department, won the Young Doctor s Award at the 4 th Annual Scientific Meeting, and the National Kidney Foundation s Young Investigator s Award at the 7 th Asian Congress of Paediatric Nephrology, for his study on mononuclear cell 12/5 Lipoxygenaese (LO) GeneActivation: A novel pathogenetic pathway for induction of minimal change nephritic syndrome. Dr Marion Aw, Dept of Paediatrics, won the Young Investigator Award for her poster presentation at the First World Congress of Paediatric Gastroenterology, Hepatology and Nutrition for her study on Mycophenolate Mofetil its use in paediatric liver transplant. A/Prof Keng Siong Beng, A/Prof Keson Tan, Dr Adrian Yap and Mr Tok Wee Wah won the Craniofacial Biology Prize for the best paper at the 15 th International Association for Dental Research for their research work on characterisation of TMJ sounds of normal, clicking crepitations into different sound wave patterns. Dr Joyce Lim and A/Prof Yong Eu Leong won a runner-up poster prize at the 2 nd combined Annual Meeting of the Biochemistry and Molecular Biology and Singapore Society of Microbiology and Biotechnology, for their presentation on the ability of mesterolone to compensate for the suboptimal activity of a mutant androgen receptor at the molecular level. Dr Chan Poh Chong, Dept of Paediatrics, won Best Oral Paper Presentation Award at the 11 th Congress, Western Pacific Association of Critical Care Medicine held in Singapore, for his paper on a predictive model of mortality for patients under intensive care.

16 NUH 20 th Anniversary Commemorative Book Our Research Philosophy 38 & Scientific Meeting in Melbourne for their joint optimal management of children on chronic Dr Lynette Shek, Consultant, Children s Medical A multi-disciplinary team from the Departments paper on Radiation oncology specialist training peritoneal dialysis. Institute, NUH and Dr Allen Yeoh, Consultant, of Medicine, Surgery, Medical Oncology and in Singapore. Children s Medical Institute, NUH were recipients Pathology, research efforts into gastric cancers 2003 of the inaugural CSI Award, Category B: Junior have been awarded a prestigious Poster of 2002 Dr Allen Yeoh, The Children s Medical Institute, Clinician-Scientists. Distinction at the international Digestive Disease Dr Lee Yung Seng, Children s Medical Institute, and his team from the Institute of Infocomm Week, San Francisco, USA. won the Young Researcher Award at the 11 th Research clinched the Gold Award at the 6 th Asia Dr Sudhakar Venkatesh, Assoc Consultant, and ASEAN Paediatric Federation Conference for his Innovation Awards 2003, for their work in A/Prof Wang Shih Chang, of the Dept of Diagnostic Dr Teo Swee Guan, Cardiac Department won research on obesity genes and the molecular developing a simple diagnostic kit to detect Imaging at NUH and Diagnostic Radiology at NUS, the third prize at the Young Investigator Contest pathogenesis of obesity. Acute Lymphoblastic Leukaemia (ALL) in children. won the Best Scientific Paper Award (Chest section) at the Singapore Cardiac Society s 14 th Annual at the European Congress of Radiology 2005 for Scientific Meeting for his work on electron-beam Dr Allen Yeoh, Children s Medical Institute, 2004 their winning paper on Severity Assessment & computerized tomography (CAT scan). received the prestigious Singapore Youth Award Dr Chng Wee Joo (Dept of Haematology- Quantification of Pulmonary Embolism with CT (Science and Technology) 2003 for his outstanding Oncology) and Dr Alphonsus Chong Khin Sze Pulmonary Angiography as Predictors Of Patient A/Prof Stephen Hsu, Consultant, Preventive achievements in the diagnosis and treatment of (Dept of Hand & Reconstructive Microsurgery), Outcome. Dentistry, received the Foundation Research acute lymphoblastic leukaemia. clinched two out of the four 2004 A*STAR Award form the American Academy of Paediatric (Agency for Science, Technology and Research) The Biomedical Research Council (BMRC) of the Dentistry, USA for his work in using low-energy A/Prof Ho Khek Yu, Department of Surgery, won International Fellowships. The winners also Agency for Science, Technology and Research laser with organic matrix to prevent enamel the poster of Distinction at the World Congress received the prestigious Scholarship Award from (A*Star) has dished out $48.2 million in its third and caries. of Gastroenterology, for his paper entitled Curry Dr Vivian Balakrishnan, Minister of State, MTI & latest Grant Call to 74 biomedical projects. The Reduces Symptoms Threshold to Gastric MND at the A*STAR Scholarships Award biggest grant of $3.5 million went to A/Prof Yeoh Dr Yong Than Fui, Preventive Dentistry, won the Distension Following Water Ingestion. Ceremony Khay Guan at the National University of Singapore International Association for Dental Research SEA and National University Hospital. He is working Division Travel Award (runner-up) for his research Dr Allen Yeoh Eng Juh, Children s Medical Institute, A/Prof Lim Thiam Chye (Senior Consultant, Dept on the identification of novel biomarkers for the presentation on comparison of 3D and 2D received the NUS Young Investigator Award for of Surgery), Dr Chou Ning (Consultant, Dept of screening of stomach cancer in Singapore. methods of space assessment. his research Bioldiscovery and development of Surgery) and team won a Gold at the prestigious DNA and proteomic diagnosis biochips in 7 th Asian Innovation Awards, for creating creative The A*Star Research Grant awardees from NUH Dr Allen Yeoh Eng Juh, Children s Medical childhood ALL. ways of improving the lives of neurosurgery were A/Prof Mahesh Choolani (Dept of Obstetrics Institute, received the Neustein Novel patients. & Gynaecology), A/Prof James Hui (Dept of Technology Award by the Society of Paediatric A/Prof Loke Kah Yin, Children s Medical Institute, Orthopaedic Surgery), Dr Lynne Lim (ENT Pathology, USA, for his project Molecular was given an award at the Haridas Memorial This project has also bagged another win at the Department), A/Prof Wong Hee Kit (Dept of Fingerprinting for Sub-classification in childhood lecture of the Singapore Paediatric Society for prestigious Engineering Achievement Awards Orthopaedic Surgery), A/Prof Yap Hui Kim (Dept ALL using the affymetrx gene-chip. He was also his project molecular characterisation of the 2004 organised by the Institution of Engineers, of Paediatrics) and A/P Yong Eu Leong (Dept of awarded the American Society of Haematology CYP21 gene for congenital adrenal hyperplasia Singapore (IES). Obstetrics & Gynaecology). Merit Award, Florida, for his work on expression in Singapore. profiling of Paediatric ALL blasts at diagnosis Ms Foong Pei Pei, Shaw-NKF Children s Kidney Professor Yong Eu Leong, Dept of Obstetrics & accurately predicts both the risk of relapse and Dr Chng Seo Yi, Children s Medical Institute, who Centre, CMI, won the Best Oral Presentation Gynaecology, was given the inaugural Clinician- of developing therapy induced acute myeloid was the winner of the Lung and Childhood Young Award Nursing at the NHG Annual Scientific Scientist Investigator (CSI) award for his research leukemia. Investigator Award at the 5 th International Congress for her abstract titled Algorithm to on The link between molecular genetics and human Congress on Paediatric Pulmonology held in Achieve Prescribed Dialysis Adequacy Targets infertility, prostate cancer and sexual ambiguity. A/Prof Loke Kah Yin, Children s Medical Institute, France, for her paper, Prevalence and factors for Non-compliant children on Automated was awarded the Best Clinical Service Poster associated with snoring and Obstructive sleep Peritoneal Dialysis (APD). Dr Goh Boon Cher, Dept of Haematology Award at the 5 th NUH-NUS Faculty of Medicine apnea syndrome in Asian Primary School Oncology, Division of Medical Oncology, was Annual Scientific Meeting, for his work on Three children. Dr Narasimhan Kothandaraman, Department of given the inaugural Clinician-Scientist Investigator novel mutations of the CYP21 Gene in congenital Obstetrics and Gynaecology, won the Best Oral (CSI) award for his research on How the different adrenal hyperplasic. Dr Dawn Lim Li-Chen, Children s Medical Institute, Presentation Award at the NHG Annual Scientific Asian ethnic groups respond to the toxic levels was awarded the Travel Grant at the 58 th Annual Congress, for his abstract titled Early Detection in chemotherapy. Dr Stacey Tay Kiat Hong was conferred the Young Meeting of the American Academy of Allergy, Of Epithelial Ovarian Cancer Using A Proteomics Doctor s Award at the 5th NUH-NUS Faculty of Asthma and Immunology in New York, USA, for Based Protein Profiling Approach Combined With Dr Alleh Yeoh, Dept of Paediatrics, was given the Medicine Annual Scientific Meeting for her her work on Pattern of sensitisation to Blomia A Novel Selection Strategy. inaugural Clinician-Scientist Investigator (CSI) award research project a novel approach to detecting Tropicalis and its recombination allergens in four for his research on How to accurately predict pathogenic mutations in duchenne and becker muscular dystrophy by protein truncation analysis using transformed lymphocyte cell lines. Dr Christopher Wynne and Dr Thomas Shakespeare of Dept of Haematology-Oncology won the Best Poster Award at the Royal Australia and New Zealand College of Radiologist tropical Asian populations. Nurse Foong Pei Pei was awarded the International Society for Peritoneal Dialysis Award for the Best Submitted Paediatric abstract by a non-physician (Florida, USA) for her paper A paediatric renal nurse specialist is critical in the 2005 Dr Goh Boon Cher, Hematology-Oncology, The Cancer Institute@NUH and Prof Yong Eu Leong, Director of Research, NUH & Senior Consultant, Obstetrics and Gynaecology, NUH were the recipients of the inaugural Clinician-Scientist Investigator (CSI) Award, Category A: Senior Clinician-Scientists. childhood acute lymphoblastic leukaemia, the most common cancer in children. Dr Lynette Shek, Dept of Paediatrics, was given the inaugural Clinician-Scientist Investigator (CSI) award for her research on To find out causes of childhood allergies such as asthma and how to prevent them.

17 Our Learning & Teaching Culture NUH supports clinical teaching for medical students through its strong partnership with the Faculty of Medicine, National University of Singapore. With a tradition steeped in teaching, the early goal at NUH was to inspire and instruct medical students and doctors in training. The diversity of clinical problems seen at NUH and the opportunity to participate in a multi-disciplinary group practice of medicine, provide an ideal learning and teaching environment. That charge has expanded over the years to include formal training programmes and continuing medical education programmes not only for doctors but other healthcare professionals in our hospital. The Japanese origami crane is a well-known symbol of peace and health. Legend depicts that a crane lives for a thousand years and anyone who folds one thousand paper cranes will have their heart s desire come true. Folded cranes are also given to people who are unwell to wish them a quick recovery. The legend was dramatised in the true story of Sadako & the One Thousand Paper Cranes, and has been used by educators worldwide to teach children about the power of the individual to create change and values that are cherished by all cultures.

18 NUH 20 th Anniversary Commemorative Book Our Learning & Teaching Culture 40 & 41 Training the Doctors of Tomorrow Recognising that continuing education is the key to delivering the highest quality of care to our patients, we continue to build on a structured postgraduate training programme for basic and advanced trainers to ensure a high level of professionalism in our doctors. Some of our programmes include weekly Grand Rounds where doctors share new trends in clinical medicine, impart clinical reasoning and problemsolving skills and foster development of professional and ethical attitudes; the Evidenced-based Medicine (EBM) Committee to raise the level of awareness of and develop EBM clinical guidelines; and the GP Training Committee to empower our GP partners to participate in providing integrated and seamless healthcare through co-ordinated Continuing Medical Education (CME) and Shared Care programmes. The Hospital also holds Annual Scientific Meetings (ASM) to provide a platform for young doctors and scientists to present the best of their academic and research activities. Gathering medical professionals from Singapore and around the world, the ASM provides an ideal base for presenting the latest research findings and forming networks. As we learn from and teach our counterparts both locally and internationally, we hope to work towards the resolution of the complex problems in clinical practice. Training Healthcare Professionals for the Future Training activities are not confined to clinicians and medical students but extended to all staff. Nursing, paramedical and administrative staff are also given the opportunity to upgrade themselves to better serve the needs of patients. Staff at NUH attend relevant development programmes conducted in-house, locally and overseas. Overseas programmes include attachments with hospitals or tertiary institutions in other countries. These learning opportunities allow staff to acquire knowledge of leading medical technologies in disease management. In addition, staff are trained in continuous improvement skills (such as Clinical Practice Improvement Programme, Plan-Do-Check-Action, and Six Sigma) and LeaderONE programmes, which aim to empower and equip staff with the necessary skills to take responsibility and initiate change at every level for better services and for clinical competence. NUH recognises that it must keep abreast of the latest medical advances in the local and international arena. Thus, our doctors through the sponsorship of the hospital, regularly participate in conferences locally and overseas, and attend training in internationally recognised centres to undergo subspecialisation.