The Division of Gynaecologic Oncology at the NCIS is committed to training and developing specialists and healthcare professionals equipped to deliver holistic evidence-based care to women living with cancer. Our philosophy of training is to nurture didactic and skill-sets development in a systematic fashion within an atmosphere of collegiality where our patients and our trainees come first. Our objective is to improve the health of our patients by inculcating in all our trainees the spirit of humanistic evidence-based care.
Student Internship Programme in Gynaecologic Oncology
We believe that a lifelong of service to women living with cancer begins with building sound foundations. This is why the Division of Gynaecologic Oncology created the Student Internship Program in Gynaecologic Oncology.
This 8-week total immersion program firmly embeds the 4th year medical student in the team of gynaecologic oncologists, nurse practitioners, specialist trainees and women's mental healthcare professionals that care for women living with cancer. The student functions as an intern on the service by performing the duties of a senior house officer on a sub-specialistrotation. They perform all ward procedures under the supervision of oncology nurse practitioners and are involved in all surgical cases performed by the Division of Gynaecologic Oncology including both subsidized and private cases. The students are also given the responsibility of completing a clinical study, review or audit by the end of the 8-week rotation. They are equipped with the skills for self-directed study with regular assessments of their didactic development and assimilation of level-appropriate gynaecologic oncology. The value of this rotation as a training tool is most evident in the popularity of this highly coveted rotation amongst 4th year medical students who place competitively for the single internship spot.
The division is committed to training generalist obstetrician-gynecologists that are well grounded in the principles of care for women living with cancer. Our trainees have constant exposure to the full spectrum of the care that the Division is called upon to deliver which not only revolves around the care of women living with cancer but includes complex pelvic surgery, surgical and acute care of the sick patient, management of complex postoperative pain and the management of patients with chronic issues such as pain, boweldysfunction, and lymphedema. The trainees receive dedicated and protected exposure during their subspecialty rotations with the Division of Gynaecologic Oncology; a 3-month and 6-month rotation in their 4th and 5th year of specialist training respectively. The trainees with the Division are involved in all the surgical cases wheretheir didactic and skill sets are tested and evaluated.
Fellows in Gynaecologic Oncology
The Division is committed to raising the standard of care for women living with cancer through the conscientious training and nurturing of subspecialists. The division takes on fellows in gynaecologic oncology for a period of 12 months.
During this training period, fellows are introduced to the pathophysiology of gynaecologic malignancies, the role of surgery, chemotherapy and radiotherapy in the management of gynaecologic malignancies, palliative medicine and end of life care and the role of mental and psychosocial management in the care of women living with cancer. Fellows are given sound surgical training in advanced gynaecologic and pelvic surgery, basic colorectal surgery and urological surgery. Finally, Fellows with the Division are expected to be fully engaged in the teaching and training activity of the Division. Direct proctoring of resident surgical cases and active participation in twice-weekly bedside teaching rounds are examples of how Fellows with the Division train and teach as part of their own Fellowship in Gynaecologic Oncology.
Anatomy of Complications Workshop and the GRACES Surgical Partners Programme
The Division of Gynaecologic Oncology also actively trains other gynaecologic surgeons. This is done mainly through two flagship training programmes, the Anatomy of Complications Workshop and the GRACES Surgical Partners Programme.
The Anatomy of Complications Workshop is a highly popular 2-day hands-on immersion course in recognizing, repairing and avoiding complications of surgeryin the pelvis. The course structure includes didactic lectures inanatomy, cadaveric prosection review, wet specimen labs and live animal surgery. The target audience is any surgeon that operates in the pelvis. Since its inception, this Divisional educational activity has been enthusiastically over-subscribed. The reviews by course participants have been consistently glowing and the scores for content, conduct and clinical utility and relevance high.
The Surgical Partners Programme is an outreach effort by the Division through its involvement in the Gynaecologic Robot-Assisted Cancer and Endoscopic Surgery (GRACES) programme at NUH. The goal of the program is to increase accessibility of cutting-edge surgical technology to thewomen of Asia who need gynaecologic surgery. The modus operandi is to train, nurture and continually accredit gynaecologic robot-assisted surgical centers all over Asia.
As a centre of excellence in gynaecologic robot-assisted surgery, we realise the limitations of a single centre in providing care to all the women in Asia who require gynaecologic surgery. By providing support in the form of training and network support to motivated, highly skilled gynaecologic surgeons who are interested in the possibilities that this technology can benefit their patients, the Division through GRACES hopes to be able to raise the bar in women's healthcare in Asia.