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Category of subject: Clinical - short posting|
Duration of posting: 3 weeks in 3rd/4th year
Final examination: None
Anaesthesia (or Anesthesia) is "a three week full day course in the third or fourth year consisting of lectures in the basics of anaesthesia, surgical intensive care and resuscitation, demonstrations, hands-on clinical experience and tutorials" according to the NUS website. It's actually a fairly relaxed short posting with the likes of ENT and eye. The course is divided amongst the hospitals, with each hospital taking charge of the lectures, tutorials, and hands-on for one subspeciality (outlined below). There is also a section on intubation and resuscitation, even involving a realistic patient simulator in NUH.
At the end of the posting, there is a short clinical test (sample below), which accounts for a miniscule portion of the final surgical mark. If you fail however, you may be required to repeat the posting during your holiday!!. There is no final exam; however, there will be a few questions on it in the surgical MCQs of the final MBBS.
Official syllabus available?: No|
2 CGs do each anaethesia posting together. The first week is spent in NUH, followed by rotations through the other hospitals - approximately 1-2 days each. The resuscitation course is held at NUH and involves a human simulator. There are no compulsory calls or ward rounds.|
Usually didatic lectures and tutorials in the morning, followed by an OT posting in the late morning or afternoon. There will be 2-3 of you in each theatre, and if you're lucky, you'll get to intubate a patient or two. Other than that, there's nothing much to look at other than the drugs and monitors (which will get boring very fast). Familiarize yourself with the equipment and procedures as these will come out for the test.
Primary textbook (choose 1)|
Lecture notes usually sufficient.
If you're really keen however, try:
(1)Anaesthesia - a practical handbook by Hwang Nian Chih from SGH. Recommended mainly for its local authors and overview of all the relevant subtopics. About $30 from the Co-op, pub 1998, but it's not in the official booklist.
(2)Oxford Handbook of Anaesthesia by Keith G. Allman, most recent edition Apr 2002. I haven't read it myself, but is probably more organized and comprehensive.
(1) Basics of Anesthesia by Robert K. Stoelting. Don't be fooled by the name, this 500 page, $100+ book has enough "basics" to see you from medical student days all the way through your anesthesia traineeship.
Other must-have stuff
Revision guides & MCQs
Book review sites
|Past year questions|
Anaesthesia End-Of-Posting SAMPLE Questions
The end of posting test in 1999 was held in the anesthesia department of NUS. It consisted of an OSCE style exam with 6 stations, with candidates moving from station to station at the sound of the buzzer. Each station has questions either on theory, an actual instrument, or involving an examiner and practical procedures.|