精神経誌（2009 ）111 巻 10 号

1244

第回日本精神神経学会総会

シ ⃞ン ⃞ポ ⃞ジ ⃞ウ ⃞ム⃞

Postgraduate Psychiatric Training in Singapore
Phern‑Chern Tor（The National University Hospital of Singapore)

Singapore is a small island between theThe basic trainee is expected to complete 5‑6

M alaysian peninsula and Indonesian Archipela-case write‑ups and participate in home visits,

go with a population of 4.8 million people. The

occupational therapy sessions and basic psycho-

ethnic composition is a microcosm of Asia withtherapy. The advanced trainee is required to3 main races cultures in Singapore; Chinesecomplete a thesis before sitting for his exit

（74.7%）, Malay（13.6%）and Indian（8.9%）.

examination. The exit examination is the ﬁnal

Post graduate psychiatry training in Sin-assessment for completion of training and con-gapore is currently in transition between 3

sists of a journal critique and vignette discus-systems.

sion.

The training program is evolvingfrom a rigid system of time‑based（3 years ofThis program is now being revised to an

basic and advanced speciality training each）

ACGM E（American College of Graduate M edi-and phasic progression （determined by thecal Education）Residency style program set topassing of a M aster of Medicine examination

begin in Nov 2010. This will be an integrated,

before progression to the advanced phase）to a

seamless 5 year program beginning from intern-competency‑based and seamless progression ofship and will have enhanced supervision, withtraining （requiring only 5 years）.

Medicaleach resident in the program being supervisedOﬃcers were allowed to apply for traineeshipby the year directly senior to him as well by aafter completing 1 year of internship. In thedesignated supervisor. This program has very

past few years there have been slots for 20

strict guidelines for training and supervision

trainees a year, usually with under half of theand is expected to take psychiatric training inslots being ﬁlled.

Singapore to the next level.

The actual training is still divided into
basic and advanced training. The former con-Adequacy of Psychiatric Training :sists primarily of didactic lectures that are

A Singaporean Perspective

centralised at a National level at the Instituteof M ental Health on a weekly basis withBackground

decentralized supervision at the traineeʼ
s de-The specialty training program for psychi-partment. Advanced training is decentralized

atry in Singapore is transiting to a seamless 5

to the traineeʼs department and generally con-year training program. It is timelyto assess thesists of weekly presentations and discussions.

perceived adequacy of current psychiatric spe-

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シンポジウム：Post‑graduate Psychiatric Training in Asia

cialty training.

1245

important aspects of training were disorder anddiagnosis, pharmacological treatment, clinical

Aim and M ethodology

interview and treatment skills. Psychiatrists

An anonymous survey was sent out all

rated most aspects of training as being more

psychiatry trainees and psychiatrists in theimportant than trainees except for cultural

public sector to assess the current adequacy

aspects, research and basic neuroscience. Psy-and perceived importance of 11 aspects of psy-chiatrists rated adequacy of training better

chiatric specialist training.

than trainees except for research.

Results

Conclusion

49%（54 of 110）of respondents replied toThere were perceived deﬁciencies in all 11the survey. The current adequacy of training

aspects of training. Psychiatrists and trainees

was less than the perceived importance of train-

have diﬀerent perceptions of adequacy anding for all 11 aspects of training. The mostimportance of training.