Singhealth Residency Training Program! Amos Questions Quiz
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- 1.Programs can refer to common program guidelines on duty hours, scholarly activities and evaluation process in the advanced specialty requirements.
- A.
True
- B.
False
- 2.The internal review is only instituted by SingHealth GME HQ and is not a requirement by ACGME-I for accreditation.
- A.
True
- B.
False
- 3.Program A’s approved ACGME-I total complement for a 3-year Residency Training is 24 with 8 resident intakes per year. In year 1, since the residency has only started, they only have 5 residents. In year 2, 8 residents were matched to the Program. In year 3, what is the maximum number of residents Program A can take? (assuming there is no MOH national quota)
- A.
8 residents
- B.
9 residents
- C.
11 residents
- 4.For any projected increase in complement, program must put up the request to GMEC 2-4 months prior to the submission of proposed intake for the next academic year.
- A.
True
- B.
False
- 5.Resident D went on call and started his shift at 8AM on Monday. What would be the latest time he can stay at the hospital post call?
- A.
8AM on Tuesday
- B.
3PM on Tuesday
- C.
2PM on Tuesday
- 6.Resident E’s shift ended at 5PM. However, there was a specialty talk which he decided to attend. The talk ended at 10PM. What is the earliest time he can come back to work the following day without violating any rule?
- A.
7AM
- B.
8AM
- C.
10AM
- 7.The CCC decides on resident promotion and remediation using assessment tools like mini-CEX, 360 and competency evaluation forms.
- A.
True
- B.
False
- 8.A Resident approached her PD to voluntarily separate from the Program. Despite counselling, she has made up her mind on leaving the program. How soon can the resident stop her training?
- A.
With immediate effect since this is voluntary separation.
- B.
The 1-month notice period will commence after she has met DIO for the exit interview.
- C.
As a norm, she is supposed to serve 1-month notice to GME Office
- D.
She can only leave at the end of her posting, so as not to disrupt the manpower situation.
- 9.The Program Report Card tracks the academic non-progression of the residents. What should the program do if a resident is not performing to the expected standards?
- A.
Talk to the resident and document the interview regarding non-performance
- B.
Initiate a Performance Improvement Plan for the resident, and with clear expected performance requirements.
- C.
If the resident is still unable to meet the expected standards after repeated remediation, program could retain the resident or initiate separation, even though this means a red mark in the report card.
- 10.Resident Z was not promoted to the next year level and was placed on 6-months PIP by the CCC. At the end of the 6-month review period, it was noted that the resident failed to meet the set KPIs and the supervisor reported that the resident needed a reminder by the PE to complete required evaluations timely. What are the options for the CCC?
- A.
Extend the PIP period for another 3- 6 months
- B.
The CCC can decide, if warranted, to terminate resident even if the 12-months PIP is not completed
- C.
The CCC can report the resident to MOHH/SAF as the employer for further action
- 11.A Paeds resident wishes to get a locum shift in KKH Children’s Emergency and sought the PD’s permission. What are some considerations by the PD to approve or reject the request?
- A.
Moonlighting is strictly not allowed in SingHealth Residency
- B.
Resident’s academic performance is below par
- C.
Resident will violate the short break rule if he applies for locum
- D.
Resident will violate the 80-hour duty hour rule
- 12.An R1 PGY4 can supervise an R1 PGY1 in clinical work.
- A.
True
- B.
False
- 13.An R4 resident is conducting a clinic together with an R1. A faculty is situated in another consultation room to supervise the residents’ clinic sessions. For this particular day, the turn-up rate of patients is very high and thus the load is higher than usual. Which of the following is acceptable?
- A.
The faculty can assign the R4 to supervise the R1 clinic as part of the graduated responsibility while indirectly supervising the R4
- B.
The faculty must directly supervise the R1 and R4
- C.
To cut-down on the faculty workload, he/she can directly supervise the R1 and indirectly supervise the R4
- 14.The following are true on the roles of the PEC:
- A.
The PEC reviews the internal reviews, citations, and feedback from the resident and faculty survey and should not have the PD as a committee chair
- B.
The PEC reviews faculty performance and provide recommendation to the PD on those that are not performing and requires remediation
- C.
The recommendations provided by the PEC must be implemented by the PD
- D.
The PEC at a minimum must have their annual meeting every July of each academic year
- 15.A Senior Resident was approached and been offered commercial sponsorship by a Pharmaceutical company. What should the resident do?
- A.
Accept the offer and request the vendor to write a letter to his PD to secure approval of the request
- B.
Resident cannot accept the sponsorship and inform the vendor that the request must go through the PD and/or HOD
- C.
Inform the vendor that he is not assured he will be the one getting the sponsorship since there would be certain eligibility criteria set by the program
- D.
Inform the vendor to secure MOHH approval for him to accept the sponsorship
- 16.A resident did not agree with the decision of the PD regarding his non-promotion. Which of the following is true for the appeal process?
- A.
The resident can write an appeal letter to DIO
- B.
DIO will hear both parties’ justification for the PDs decision and resident’s reasons for appeal to come up with settlement
- C.
If PD/Resident do not agree with DIO decision, the matter will be escalated to GMEC
- D.
An independent subcommittee could be convened by DIO to hear the case
- E.
The decision of the GMEC will be deemed final
- 17.If a Program has 5 doctors listed as ‘Core Faculty’ (CF), and another 10 doctors (different from the 5 CF) listed as ‘Physician Faculty’, how many Physician Faculty does the program has in total under the ACGME-I rules
- A.
10
- B.
15
- C.
16
- 18.Faculty A has conducted 4 hours of workshop. This can be counted as:
- A.
Service education time
- B.
Protected training time
- C.
Protected education time
- 19.The following activities can be clocked as residents protected training time except:
- A.
Surgical simulator teaching
- B.
Core lectures every Tuesday morning
- C.
Viewing of online lectures at home after office hours
- D.
CRAFD Workshop
- 20.In order to receive funding for faculty, the required FTE must be met and submitted to GME office. How many percent of the Faculty Funding will be possibly disbursed if the institution HR is not able to provide backfills?
- A.
25% assuming the training deliverables are met.
- B.
50% assuming the training deliverables are met.
- C.
None, because it is a requirement that both service and training deliverables must be met to receive funding.
- D.
75% because the required FTE has been met.
- 21.What is the implication if the program scores an average of less than 3.5 in Q 34 ACGME-I survey? (5)The best possible experienceIf I had to select residency programs again, I'd pick this one(4)A good experienceIf I had to select residency programs again, I would probably choose this one.(3)A neutral experienceIf I had to select residency programs again, I might or might not choose this one.(2)A negative experienceIf I had to select residency programs again, I would probably not choose this one.(1)A very negative experienceIf I had to select residency programs again, I would definitely not pick this one.
- A.
Funding will be affected
- B.
Program will fail accreditation
- C.
ACGME-I will arrange to visit the program within 3 months
- D.
No implication, as MOH funding is delinked from ACGME-I guidelines
- 22.What is the budgeting principle of the Operating Expense (Opex) of programs based on?
- A.
Number of Faculty in the program.
- B.
Number of Residents in the program.
- C.
Number of Program Executives in the program.
- D.
Number of Residents’ engagement programs conducted.
- 23.Who is responsible for the recruitment/replacement and interview of the Program Executives?
- A.
GME Office for the non-decentralized programs
- B.
ACP managers for the decentralized programs
- C.
ACP vice chairs for the decentralized programs
- D.
Program Directors if there are repeated (more than 2) resignations from the same program
- 24.GME provides the programs with OPEX funding. For ACPs with several programs under their charge, the ACP chair can redistribute/reallocate the funding among the programs.
- A.
True
- B.
False
- 25.Residents are only seconded to the Sponsoring Institution for training and they are employed by MOHH.
- A.
True
- B.
False
- 26.What arrangement must be made by the program if they are keen to host residents from other SI?
- A.
Ensure that there is a duly signed Program Letter of Agreement (PLA) with details such as number of residents and posting duration.
- B.
Ensure that the Finance department is aware of the arrangement.
- C.
Ensure that these residents are aware that they are the extra headcount to the departments.
- D.
Ensure that there is sufficient faculty to supervise the residents
- 27.What is the cycle for the National Matching exercise?
- A.
Submission of portfolio to the program -> Preliminary Shortlisting-> MMI -> Matching
- B.
Submission of portfolio to MOHH -> MMI -> Ranking -> Scramble -> Final Matching
- C.
Submission of portfolio to MOHH -> MMI -> Ranking -> Matching -> Scramble
- D.
Submission of portfolio to MOHH -> Ranking -> MMI -> Scramble
- 28.If a program intends to allocate 10 places for the graduating seniors, and receives 100 eligible candidates from MOHH, how should the program do the ranking?
- A.
Rank only 10 candidates that the program wants
- B.
Rank all 100 candidates to ensure 100% match
- C.
Rank at least 12-15 candidates, in case there are candidates in the top 10 who did choose the SingHealth as first choice
- D.
Rank all good candidates
- 29.Your program wants to take in a particular candidate who failed the MMI interview. What could you do as the Program Director?
- A.
Continue to rank the candidate
- B.
Inform the candidate that he failed the MMI
- C.
Write to MOHH to appeal for the candidate
- D.
Ask the candidate to appeal to MOHH
- 30.The progression rate (year to year progression) for a particular program has not been good for the past few years. What could be the possible problems?
- A.
The program has not been taking in good candidates
- B.
The expectations for the residents are set too high
- C.
The training program is not structured
- D.
The faculty are not committed in teaching, or have no time to teach
- E.
There are no proper remediation plans for residents who are clinically weak
- 31.During the ranking exercise, the program asked for 10 places. The final outcome was that only 8 candidates were matched to your program. What are some possible consequences?
- A.
The program can select 2 more candidates during the next exercise
- B.
There may not be enough specialists to meet future service/education needs
- C.
MOH may cut the intake numbers during the next exercise
- D.
This will encourage future applicants to apply for the program
- 32.A PGY1 resident is required to complete the following rotations in order to fulfil SMC licensing requirement:
- A.
3 months Emergency Medicine and 3 months Anaesthesiology.
- B.
3 months Radiology and 3 months General Surgery.
- C.
3 months Internal Medicine and 3 months General Surgery.
- D.
3 months Internal Medicine and 3 months Orthopedic Surgery
- 33.In the new PGY1 framework, the following are true statements:
- A.
A PGY1 who was matched to a Phase 2 Program (e.g. Ophthalmology, Otolaryngology) will complete his PGY1 as a TY categorical residents
- B.
A PGY1 who was matched to a Phase 1 program like Internal medicine and Paediatrics must complete PGY1 in the National PGY1 framework
- C.
PGY1 training in the respective training hospitals is overseen by the Performance Review Subcommittees (PRS)
- D.
All PRS are under the ambit of DIO
- 34.CS residents are required to do an extra year of training.
- A.
True
- B.
False
- 35.What are the four generic ACGME competencies?
- A.
Medical Knowledge
- B.
Professionalism
- C.
Patient Care
- D.
Interpersonal and Communication Skills
- E.
Practice Based Learning and Improvement
- F.
Systems-Based Practice
- 36.If a resident missed a lunchtime lecture which was recorded by CRAFD, how could he view the recorded lecture?
- A.
Through the SingHealth internet
- B.
Through e-lectures under SingHealth Intranet
- C.
Via lecture recording links sent by CRAFD to the Program Executives (who will send the links to the residents)
- 37.A resident who missed a particular lecture claimed that he has viewed the recorded lecture. Is there a way for the PD to verify this? How can the PD verify this?
- A.
Yes, by asking IT helpdesk to check
- B.
Yes, by asking CRAFD to check
- C.
Yes, by logging in to the SingHealth Intranet
- D.
No. Tracking cannot be done
- 38.A faculty has to conduct the same lecture for new residents rotated to the department once every few months. How can this be done more efficiently?
- A.
Record the lecture and put them on Mediasite
- B.
Develop an e-learning module and put it on Blackboard
- C.
Rotate faculty to conduct the lecture for the residents
- D.
Get the senior residents to conduct the lecture
- 39.Residents are required to learn certain clinical procedures when rotated to a program. However, viewing these procedures is dependent on the availability of patient cases. Which of the following is the best solution in this situation?
- A.
Get Clinical Departments to purchase medical instructional DVDs
- B.
Get CRAFD to record the procedures for residents’ viewing
- C.
Get residents to learn the procedures from Internet
- 40.In your PIF, you required the residents to attend generic competency workshops conducted by CRAFD. You expect that the site visitor may ask you for the consolidated attendances and percentage of residents who have attended it. What is the best way to get this information?
- A.
Ask CRAFD for a summary report when the information is urgently needed
- B.
Get the PE to analyze using the attendance sheets
- C.
Get the PE to consolidate the 6-monthly resident participation report provided by CRAFD
- 41.How do you develop your residents in the 4 generic ACGME-I competencies?
- A.
Send them to attend workshops organized by CRAFD
- B.
Identify courses provided by SingHealth Academy and AM.EI that can meet one of the generic competency objectives
- C.
Encourage them to attempt the Generic Competencies modules on e-learning platforms such as IHI and Black Board.
- D.
Incorporate application of the 4-generic competencies in program level activities, such as resident teaching in lectures
- 42.In your PIF, you are required to describe how senior residents develop teaching skills to educate others. What are the ways to fulfill this?
- A.
Send residents to overseas medical education conferences
- B.
Send residents to the AM.EI-CRAFD workshops on Residents as Future Teachers (RaFT)
- C.
Get Senior Residents to help facilitate in program core lectures
- 43.If your program would like to conduct a customised Evidence Based Medicine Workshop for your residents only within the department teaching timeslot, you can work with CRAFD to arrange a dedicated run for this.
- A.
True
- B.
False
- 44.A resident wishes to seek counselling services and wanted anonymity. What would you advise?
- A.
Refer him to DIO
- B.
Advise him to call Trauma Recovery and Corporate Solutions (TRaCS)
- C.
Advise him to call MOHH HR
- D.
Refer him to the Institution CMB
- 45.What could a resident do if he requires a particular journal for his research/project?
- A.
Access the SingHealth or Institutions’ e-library from the intranet
- B.
Use the NUS e-library, if he has been granted access by Duke-NUS
- C.
If not available on the SingHealth/Institution e-library, request for department or program to subscribe to the journal
- D.
Purchase directly from e-library websites and claim from department
- 46.A resident can access the SingHealth and Institutions’ e-library from home.
- A.
True
- B.
False
- 47.The objectives of residency comms are to:
- A.
Showcase the successes of the programs
- B.
Showcase outstanding residents and their achievements
- C.
Provide regular updates on Residency matters to faculty and residents
- D.
Help to publicize the programs to local and overseas medical students
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