SINGAPORE RESIDENCY TRAINING IN DIAGNOSTIC RADIOLOGY

MODULAR YEAR TWO (FRCR 2A) TEACHING PROGRAMME 2012- 2013

Prepared by: Professor Wilfred CG Peh 23 March 2012 FINALISED 24 April 2012

TABLE OF CONTENTS
1. 2. Singapore year 2 modular (FRCR 2A) teaching programme - Committee Abstract of the revised format for the Fellowship examination (Final FRCR examination- part A) Programme Organisation Overall schedule 2012- 2013 Module 1: Cardiothoracic and Vascular Module 2: Musculoskeletal and Trauma Module 3: Gastro-intestinal Module 4: Genitourinary, Adrenal, Obstetrics & Gynaecology, and Breast Module 5: Paediatrics Modules 6: Central Nervous and Head & Neck Important dates in 2012 - 2013 Important addresses

3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

Singapore modular (FRCR 2A) teaching programme Committee

Chairman: Members: Professor Wilfred CG Peh Dr Tan Bien Soo Dr Ian YY Tsou Assoc Prof Thng Choon Hua Assoc Prof Ong Chiou Li Assoc Prof Harvey EL Teo Assoc Prof Tchoyoson CC Lim (wilfred.peh@gmail.com) (gdrtsb@sgh.com.sg) (mrimaging@gmail.com) (dditch@nccs.com.sg) (ong.chiou.li@kkh.com.sg) (eteo@kkh.com.sg) (tchoyoson_lim@nni.com.sg)

Trainee representative: Dr Ng Chee Hui Secretariat: Deborah Halim (deborah_halim@ams.edu.sg) (cheehui.ng@mohh.com.sg)

Final FRCR Examination Part A: abstracted information

Published December 2007/ Updated September 2011; Accessed 24 April 2012 For updated and detailed information, please refer to: www.rcr.ac.uk

Fellowship of the Royal College of Radiologists (FRCR) may be obtained by examination after two and a half years of full-time clinical radiology training. Candidates are not permitted to attempt both Part A and Part B at the same sitting and must have passed the First FRCR Examination prior to entering the Final FRCR Part A Examination. The examination is divided into six modules: Module 1: Cardiothoracic and Vascular Module 2: Musculoskeletal and Trauma Module 3: Gastro-intestinal (including liver, biliary, pancreas and spleen) Module 4: Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Module 5: Paediatrics Module 6: Central Nervous and Head & Neck (including spine, eyes, ENT, salivary glands and dental)

Some diseases, due to their nature or radiological manifestations, cannot be categorised into a single module. Candidates should expect a few multiple choice questions relating to these sorts of conditions to contain parts referring to other modules. Where appropriate, questions on similar topics may appear in more than one module. The clinical content of the syllabus will remain unchanged, although the physics component will be discontinued. Each module is examined by a separate single best answer (SBA) question paper covering all imaging modalities and including some anatomy and techniques. The six modules are held over three consecutive days twice a year, normally in March and September. There is no limit on the number of modules that may be attempted at a single sitting, nor on the number of attempts that a candidate may make at the examination overall. There is no requirement to resit a module once it has been passed. Candidates need to pass all six modules in order to be deemed to have achieved overall success in the Final FRCR Part A Examination.

Applicants need to hold a formal clinical radiology training post, in which they are actively receiving clinical radiology training, (or have held such as post in the past) and to have passed the First FRCR Examination in order to enter the Final FRCR Part 2A Examination. There is no requirement to have completed a specific duration of training. There is no requirement to provide confirmation that formal training or lecture course attendance covering the examination syllabus for the modules to be entered has been undertaken. Those who enter the examination on the basis of UK training require the signature of the head of their training scheme on their application form to confirm that the number of modules to be entered is appropriate. The examination will continue to comprise six modules. Each of the six modules will be examined by a single paper of 75 questions, which will be of two hours in duration. Each module is examined by MCQs only. The duration of each modules question paper and the number of MCQs each is shown below. The examination will continue to be held twice a year, usually in March and September. At each of the two sittings, the modules will be scheduled over three consecutive days (usually Monday, Tuesday and Wednesday), with one module during each morning and afternoon session.

Day 1

10.00 am 12.00 pm Module 1: Cardiothoracic and Vascular Module 3: Gastro-intestinal

2.00 pm 4.00 pm Module 2: Musculoskeletal and Trauma Module 4: Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast Module 6: Central Nervous and Head & Neck

Day 2

Day 3

Module 5: Paediatrics

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

Singapore modular (FRCR 2A) teaching programme Organisation

1. This programme is organised under the auspices of the Singapore Residency Advisory Committee (RAC) for Diagnostic Radiology (DR). 2. This programme consists of 6 clinical modules, and is aimed at preparing radiological trainees for the final FRCR examination- part A. 3. The module series runs as a cycle over one calender year, starting from May 2012 and ending by April 2013. 4. The 2012- 2013 programme will be targeted at radiological trainees who entered training in 2011, and who have passed or sat the FRCR part 1 examinations. 5. Each of the six module leaders will recruit recognised expert radiologists in each field to be teachers for their modules. As a general guide, all teachers should be accredited radiologists of associate consultant level or above, or equivalent nonradiological experts. These teachers will first be endorsed by this committee, and then by the STC (DR). 6. The module leaders devise the contents of their own modular programme and the assigned teachers. Each module programme will be endorsed by this committee, followed by endorsement by STC (DR). 7. Each module programme should cover the respective subspecialty topics comprehensively. Each module will consist of didactic teaching, and time for discussion between teachers and trainees. 8. In order to derive maximum benefit, trainees are encouraged to read up on topics before each teaching session. 9. The sessions will take place on Wednesday afternoons from 2.00pm to 5.30pm. The sessions should be fully utilised, i.e. last the full 3.5 hours, and at least 2 different topics should be taught. Time should be allocated for a short break between lectures, and discussion. Trainees should be punctual. 10. The 2012 - 2013 cohort representative will be responsible for communication and coordination between the teaching programme committee and the trainees. He or she will also be responsible for regularly submitting completed programme attendance sheets to the RAC via the College of Radiologists secretariat, and also assist the programme committee when required. Feedback from trainees is important to ensure that the module programmes are relevant and appropriate. The cohort representative, with the assistance of the College secretariat, will also liaise with the teachers and inform all trainees of each weeks teaching venue after confirmation with the teachers.

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

Dates 2 May 13 June 2012 20 June 2012 27 June 11 July 2012 18 July 22 August 2012 29 August 2012

Topics Cardiothoracic and Vascular (module 1)

Remarks

Buffer week Paediatrics (module 5)

Musculoskeletal and Trauma (module 2) Buffer week FRCR 2A 17-19 September 2012

5 - 12 September, Gastro-intestinal (module 3) 26 September 24 October 2012 31 October 2012 7 November 2012 2 January 2013 9 January 2013 16 January 6 March 2013 Central Nervous and Head & Neck (module 6) Genito-urinary, Adrenal, Obstetrics & Gynaecology and Breast (module 4)

Buffer week Christmas week 2426 December 2012 Buffer week Chinese New Year week 13 February 2013

Module 1: Cardiothoracic and Vascular

Faculty Module leader: Dr Tan Bien Soo Dr Apoorva Gogna Dr Gregory Kaw Dr Angeline Poh Dr Anthony Goh Dr Kwek Boon Han Dr Kevin Chen Dr Tan Ru San Dr Lynette Teo Dr Daniel Wong Dr Manish Taneja Dr John Huang Dr Goh Poh Sun Dr Cheah Foong Koon Dr Michael Lin Dr Ng Yuen Li Assoc Prof Tay Kiang Hiong

Teachers:

Venue:

Department of Diagnostic Radiology, Singapore General Hospital (unless otherwise prearranged with individual teachers) Dates and topics listed below are subject to changes.

Note:

Date

Teacher Dr Gregory Kaw

Topic 1. The chest wall, pleura and diaphragm 2. Chest trauma The critically ill patient

Remarks

2 May 2012 Dr Ng Yuen Li

Dr Anthony Goh 9 May 2012

1. Nuclear medicine in respiratory disease 2. Nuclear medicine in cardiovascular disease Large airway obstruction 1. Ischaemic heart disease 2. Cardiomyopathies, cardiac tumours and pericardium Echocardiography Pulmonary neoplasm Pulmonary thromboembolism Arterial disease (excluding aorta): diagnosis and intevention 1. Congential heart disease 2. Acquired valvular heart disease Pulmonary infection Interventional techniques in the thorax

Dr Kwek Boon Han Dr Kevin Chen 16 May 2012 Dr Tan Ru San Dr Lynette Teo 23 May 2012 Dr Goh Poh Sun Dr Daniel Wong

Dr John Huang 30 May 2012 Dr Angeline Poh

Dr Tan Bien Soo 6 June 2012 A/P Tay Kiang Hiong Dr Michael Lin The aorta: diagnosis and intervention The mediastinum

Dr Cheah Foong Koon 13 June 2012 Dr Manish Taneja

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

Module 2: Musculoskeletal and Trauma

Faculty Module leader : Dr Ian YY Tsou

Teachers

: Assoc Prof Thomas SG Chee Assoc Prof Quek Swee Tian Dr Png Meng Ai Dr Ong Keh Oon Dr Andrew Tan Dr Lesley A Goh Dr Koh Wan Lin Dr Chandra Mohan Dr Niraj Dubey Dr Kenneth Sheah Professor Wilfred CG Peh

Learning Objectives

To achieve competency in the principles of musculoskeletal imaging. To understand the pathophysiologic basis of imaging of the musculoskeletal system. To pass the musculoskeletal module of the FRCR Part 2A examination. Departments of Diagnostic Radiology in Singapore teaching hospitals. Representative to arrange with respective teacher prior to session Dates and topics listed below are subject to change.

Venue:

Note:

Date

Teacher Prof Wilfred Peh

Topic Overview of imaging techniques in musculoskeletal radiology Lower extremity trauma

Venue

18 July 2012 Dr Niraj Dubey

KTPH

Dr Andrew Tan 25 July 2012 Dr Png Meng Ai

Scintigraphic applications in musculoskeletal radiology Metabolic bone diseases

SGH

Dr Ong Keh Oon 1 August 2012 Dr Chandra Mohan

Internal derangements of upper limb joints SGH Interventional techniques in musculoskeletal radiology

8 August 2012

Assoc Prof Thomas Chee Dr Ian Tsou

Bone infection TTSH Arthritides

Assoc Prof Quek Swee Tian

15 August 2012

Musculoskeletal tumours Musculoskeletal soft tissue infection NUH

Dr Lesley Goh

22 August 2012

Dr Kenneth Sheah Dr Koh Wan Lin

Upper extremity trauma TBA Internal derangements of lower limb joints

Module 3: Gastro-intestinal
Faculty Module leader Teachers : Assoc Prof Thng Choon Hua : Dr Andrew Tan Dr Austin Htoo Dr Juliana Ho Dr Kwek Jin Wei Assoc Prof Tay Kiang Hiong Dr Michael Clarke Dr Teh Hui Seong Dr Albert Low

Learning Objectives To achieve competency in the principles of GI imaging. To pass the GI module of the FRCR Part 2A examinations. Venue: Note: Department of Diagnostic Radiology, Singapore General Hospital Dates and topics listed below are subject to change.

Date 5 September 2012 12 September 2012 17 September 2012 26 September 2012 3 October 2012 10 October 2012

Teacher Dr Albert Low

Topic Focal liver lesion

Remarks Include biliary cystadenoma. Include colloid scans Include chemical fat sat and water excitation FRCR 2A examination week

Dr Andrew Tan

Pancreas

Dr Kwek Jin Wei

Bile ducts and gallbladder

Include Carolis Include relevant nuclear medicine e.g. HIDA Feature HASTE/SSFSE Exclude renal procedures

A/P Tay Kiang Hiong Dr Austin Htoo

Abdominal interventional radiology Oesophagus, stomach and small bowel Colon and rectum

Include AXR

Dr Michael Clarke 17 October 2012 Dr Juliana Ho Dr Teh Hui Seong 24 October 2012

Include syndrome of polyps and Chagas disease

Spleen, lymphoma and haematological conditions Radiology of trauma and acute abdomen

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

A/P Thng Choon Hua

Generalised liver lesions, cirrhosis and hepatoma

Module 4: Genitourinary, Adrenal, Obstetrics & Gynaecology, and Breast

Faculty Module leader: Teachers: Assoc Prof Ong Chiou Li Dr Lam Shu Lin Dr Goh Poh Sun Assoc Prof Thng Choon Hua Dr Richard Lo Dr Gan Yu Unn Dr Llywellyn Sim Dr Teo Sze Yiun Dr David Ng

Learning Objectives To achieve competency in the principles of genito-urinary, adrenal, ob-gyn and breast imaging. To understand the pathophysiologic basis of imaging of these systems. To pass the GUT, Breast, Adrenal and Ob-Gyn module of the FRCR Part 2A examination. Venue : Departments of Diagnostic Radiology in Singapore teaching hospitals. Representative to arrange with respective teacher prior to session : Dates and topics listed below are subject to change.

Note

Date 7 November 2012

Teacher/Venue Dr Teo Sze Yiun (KKWCH)

Topic Breast imaging 1: Screening and biopsy methods

Remarks Screening issues, accuracy, safety, epidemiology & biopsy methods Diagnosis of benign, indeterminate and malignant processes by mammo, US and MRI, breast cancer metastastic disease Screening, diagnosis, metastatic disease and role of MRI Technique, variants, uterovaginal anomalies, development, Technique and protocols, early trimester, screening and growth scans (overview) Technique, congenital anomalies, tumours and infections GU and adrenal interventions

Dr Llewellyn Sim (SGH) 14 November 2012 A/P Thng Choon Hua (NCC) A/P Ong Chiou Li (KKH)

Breast imaging 2: Diagnosis & assessment, metastatic patterns

Prostate cancer imaging

21 November 2012

Hysterosalpingography and fertility

A/P Ong Chiou Li (KKH) 28 November 2012 5 December 2012 12 December 2012 19 December 2012 26 December 2012 2 January 2013 Dr David Ng (NUH) Dr Lam Shu Lin (KKH) Dr Richard Lo (SGH) Dr Gan Yu Unn (SGH) Dr Teo Sze Yiun (KKH)

Obstetric US

Gynaecological US Urinary tract and adrenals

Urinary tract and adrenals

Female pelvic MRI

Development, techniques, US, CT and IVU Techniques, principles, anomalies, infections, infertility and neoplasms Christmas week

GU tract nuclear imaging

Renal functional assessment techniques and physiology

Module 5: Paediatrics
Faculty Module leader: Teachers: Assoc Prof Harvey Teo
Dr Marielle Fortier

Dr Tang Phua Hwee Venue: Department of Diagnostic Radiology, Childrens Hospital KK Womens and

Note:
Date 27 June 2012

Dates and topics listed below are subject to change.

Teacher A/P Harvey Teo Topic Paediatric musculoskeletal Imaging of child abuse Remarks

4 July 2012

Dr Tang Phua Hwee

Paediatric Chest Paediatric Oncology

11 July 2012

Dr Marielle Fortier

Paediatric gastrointestinal Paediatric urogenital

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

Module 6: Central Nervous and Head & Neck

Faculty Module leader: Assoc Prof Tchoyoson Lim Teacher: Dr Sitoh Yoh Yian Dr Francis Hui Dr Winston Lim Dr Chan Ling Ling Dr Samuel Ng Dr Tan Tiong Yong Assoc Prof James Khoo Prof Vincent Chong : Representative to arrange with respective teacher prior to session : Dates and topics listed below are subject to change.
Teacher Dr Samuel Ng 16 January 2013 Topic Basic trauma, ischaemia and degenerative disease Remarks Cerebral ischaemia/infarction and venous thrombosis. Head trauma. orphan category hydrocephalus and neurodegenerative diseases (including mesial temporal sclerosis)

Venue Note
Date

Dr Francis Hui 23 January 2013

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

Dr Chan Ling Ling 30 January 2013

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

Date

Teacher Dr Sitoh YY

Topic Inflammation and Infections

Remarks Intracranial and spinal infections. White matter diseases EM, MS and leukodystrophies. Sarcoidosis.

6 February 2013

A/P Tchoyoson Lim

Paediatric neuroradiology

Disorders of brain development and hydrocephalus Phakomatoses and syndromes (exclude white matter disease) Birth trauma/ asphyxia, congenital infection and non-accidental injury Chinese New Year week

13 February 2013

20 February 2013

Prof Vincent Chong

Orbit Sinus

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

27 February 2013

A/P James Khoo

ENT

Oral cavity, oropharynx and salivary glands, larynx, hypopharynx and thyroid Tumours epi/dermoid, CP angle schwannomas, glomus tumour Temporal bone congenital malformation, degenerative, vascular anomalies,cholesteatoma/inflammato ry, trauma,degenerative, trauma, congenital (dysraphism). Infectious, inflammatory, neoplastic diseases (syrinx) of the spine and spinal cord (excluding infections and vascular disorders)

Dr Tan Tiong Yong

Central skull base and temporal bone

6 March 2013 Dr Winston Lim Spine and spinal cord

Important Dates in 2012 - 2013

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

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