Overview


Mr Tan Tock Seng ( 陈笃生) was born in Malacca in 1798 to an immigrant Hokkien father and Peranakan mother. In 1819, at the age of 21, he moved to Singapore to sell fruit, vegetable and fowl. He soon became a notable businessman, owning huge parcels of land and property. Mr Tan was an influential Chinese leader and was the first Asian to be appointed a Justice of Peace. His role in helping the early Chinese immigrants settle disputes earned him the title "Captain of the Chinese".
In 1844, at a time where crime, violence, disease and poverty were rife and the poor were dying from malnutrition, diseases, gangrenous sores and opium addiction, Mr Tan contributed Spanish $7,000 to the construction of the first Chinese Pauper's Hospital and tasked it to take care of the 'diseased of all nations'. This was how Tan Tock Seng Hospital came about – founded on a legacy of compassion, philanthropy and care.
TTSH is part of the National Healthcare Group, providing holistic and integrated patient care. The hospital has 36 clinical and allied health departments, 15 specialist centres and is powered by more than 6,000 healthcare staff. TTSH sees over 2,000 patients at its specialist clinics and some 460 patients at its emergency department every day.


Directions and Navigation


Address: Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433

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Bus Services along
SBS Transit
SMRT Bus
Along Thomson Rd
21, 56, 57, 131, 166
980
Along Moulmein Rd
21, 124, 518

Along Balestier Rd
21, 130, 131, 139, 145, 186


From NUS:Take 95 to Buona Vista MRT and continue to Novena MRT. Turn left and TTSH is just at the exit

Parking:
- No parking lots given to student.
- There are no allocated parking lots for students. Drivers can park at Carpark A and basement 3 at standard charges:
  • Monday to Saturday (7 am to 6 pm ) $2.20 per 60 minutes
  • Monday to Saturday (6 pm to 7 am) $2.00 per entry
  • Sunday and Public Holiday $2.00 per entry
- Can consider parking along the private estates but may risk getting fined.


Important information


- General atmosphere
  • TTSH is a great place for learning in general. The various departments are very committed to teaching – there are pre-arranged tutorials by the Assistant Dean’s Office and the tutors are approachable and willing to teach. The patients are generally easy-going and do not reject medical students. The nurses and hospital staff are friendly. However, it is easy to be swamped by tutorials (up to 3 or 4 a day) so the skill of good time management is very useful!

- Food
  • Inside TTSH
|| Food Outlet
Location
Remarks
Kopitiam
Level 1
Do get the discount card
7 Eleven
Level 1

Mr Bean
Level 1
Soya bean food and beverage
Subway
Level 1
Change of meals when you are tired of kopitiam
Delifrance
Level 1

Starbucks
Level 1
50% on the last Friday of every month


  • Outside TTSH
    • Novena Square
      • Just a 5 minute walk from TTSH: great varieties of food, but may be different to eat out especially due to the tutorials. Can consider eating out on Fridays!
      • Consider walking further to the famous fish soup place opposite Novena square
        • Wee Nam Kee
          • From the Foot Limb Centre, continue walking down and you will see a church. Opposite lies a food heaven, with many small eateries and the famous Wee Nam Kee chicken rice.

- Hospital layout

Discipline
Ward
General Medicine
5/7/8/9/10
Respiratory
7/8
Cardiology
8
Renal
9B
Rheumatology
7
Neurology
10
Surgery
10/11/12
ICU/CCU
6
Orthopaedics
10
  • List of Wards and discipline
    • Each level has 4 wards: A, B, C, D
    • Variety of patients are usually distributed so do ask around for cases
    • Access cards are needed for everywhere
    • “Restricted” areas in the hospital : ICU / CCU

- Timetable
  • Best recommended time slot for clerking: Try to come early and clerk before ward rounds, since you will often be swamped by tutorials later in the day. If not, morning would be better than afternoon as patients are more alert and willing to talk.

- General posting tips
  • Excellent variety of bread-and-butter medical or surgical conditions, thus seize that chance. Do practise sufficient PEs and pick up signs
  • Try not to get distracted by complicated cases although there are many lying around. Would be good to have a good relationship with yr HOs and MOs and get them to update you on good cases to clerk.
  • Plan your schedule well, which takes a week or two to get used to: Consider having lesser or more tutorials of particular sub-specialties according to your cg’s needs. Also have some time to clerk patients

- Summary and recommendations
  • TTSH has a high patient load and many good cases.
  • TTSH pledges itself to be a teaching hospital, so make good use of the environment. HOs and MOs are often very willing to teach, but do be considerate because they are often swamped with patients too.


General Surgery at Tan Tock Seng Hospital

Posting in the Hospital:
- Overview of the programme in each hospital
  • Ward rounds
    • Starts at around 6.30am but may start even earlier at 6am
    • Attendance is a must, although you wouldn’t get to do much except to help obtain case files beforehand, draw curtains and assist in whatever things the rounding doctors may need.
    • Exit rounds
      • Attendence depends on your tutor. Some exit rounds end quite early while some end quite late. Like 5-6pm

- Strengths of programme:

Case load:
High
Variety of cases:
High
Teaching:
Planned but can consider changes according to cg’s needs
Experience of tutors:
High

- Look out for: What to look out for in each hospital
  • Attire/things to bring.
    • Good to bring along measuring tape, pen torch and of course, stethoscope
    • Sometimes it might be good to carry along some gloves and KY jelly too.
    • Nurses/paramedical staff ADO’s policies in different hospitals
      • While tutorials are planned, do inform your tutors early because they may have some urgent operations

- Recommended tutorials
  • Dr Teo Li Tserng: Fluids and Electrolytes
  • Dr Sriram: vascular; esp aneurysms
  • Prof Vijayan: Lumps and bumps
  • Dr Aung Lwin: GI in general

- Summary and recommendations:
  • Surgery at TTSH is intense but be wise in managing your time well. You have to balance integrating yourself into the team/clerking patients and creating time for yourself to study.
  • Keep in mind that you are being tested on the basics: history taking, physical examination, presentation, basic management/treatment for common cases, and not the details of operating techniques of exotic operations. If you can’t reach a diagnosis, no point knowing all the complicated procedures.
  • The HOs and MOs in TTSH are generally highly willing to give tutorials; so don’t be worried to approach any one of them. Keep in mind that registrars and consultants may be extremely busy and cannot offer you long tutorials
  • Prof Low Cheng Hock is a gem; he is highly passionate about teaching. Be sure to ask him for tutorials on surgical instruments, tubes&drains and slides! He’d be more than willing to help
  • Lastly, the vascular clinics are all pretty good so please spend more time there. And practise your physical examinations!


Internal Medicine at Tan Tock Seng Hospital

Posting in the Hospital:

- Overview of the programme
  • The posting is intense due to the high number of tutorials. As one tutor so succinctly puts it, students face “death by tutorials”!
  • Instead of case write-ups, students are assigned patients and have to write the ‘SOAP’ notes, which will need to be presented as a Chart Simulated Record (CSR) to your principal tutor
  • Ward rounds – Attendance is expected, but may be excused if you have clinics or tutorials.

- Strengths of programme:
Case load:
High
Variety of cases:
High esp rheumatological and neurological conditions
Teaching:
Planned but can consider changes according to cg’s needs
Experience of tutors:
High

- Look out for: What to look out for in each hospital
  • Nurses/paramedical staff – generally friendly
  • ADO’s policies in different hospitals - Students to call up mentors

- Recommended tutorials
  • Generally ADO will arrange tutors for you. Most tutors are good.
  • TTSH practises rotatory for their tutors; therefore, each batch of students will get different tutors. Would be good to ask from seniors which are the better ones. Else, it is alright to ‘test the waters’ by arranging one tutorial first and request for additional if you think the tutor is good

- Summary and recommendations:
  • The posting is intense due to the high number of tutorials.
  • Students are expected to attend morning rounds, but doctors will excuse you if you have a tutorial to attend.
  • TTSH is a great place to learn: there is a great number and variety of cases and most tutors are good at teaching.
  • Normal clinical attire (excluding ties) is expected
  • Students are expected to contact/call their tutors to arrange for tutorials.
  • Enjoy your posting at the TTSH general medicine department. It’ll be a great learning experience!



Orthopaedics at Tan Tock Seng Hospital

Posting in the Hospital:

- Overview of the programme
  • Orthopedics in ttsh is very pro-teaching, having a lot of tutorials which were scheduled for us very frequently. They were very exam-oriented as well and would prepare students for osce sufficiently well. Clinic sessions not as structured, strength is in slides teaching and going through of physical examination is important for OSSEs and OSCEs respectively.
  • Ward rounds: Depends on individual teams whether one need to go. Some are pro-teaching, others are not, some want you to go, others don’t, some has team breakfast at starbucks daily, some don’t have team breakfast. Depends on one’s luck!
  • Exit rounds: Not required

- Strengths of programme:
Case load:
Medium
Variety of cases:
Medium
Teaching:
Directed but do confirm with tutors
Experience of tutors:
High

- Look out for: What to look out for in each hospital
  • Nurses/paramedical staff – generally friendly
  • ADO’s policies in different hospitals - Students to call up mentors

- Recommended tutorials
  • Physical examination by Dr Ganesan
  • Yu chan sing (spine). Nice tutor, lenient but not demanding enough to ensure complete learning by the end of posting. Very open to questions but otherwise not pro-teaching.
  • Dr Hitendra Doshi--very nice doctor as well. But because he sees mainly trauma, his clinics are not useful. Gives good combined cg tutorials and slide teaching.
  • Dr yong fok chuan(hand). Very understanding and nice and wants to see consistent progress. Teaches but very strict in getting steps correct and on marking cex.


- Summary and recommendations:
  • Orthopedics in ttsh is moderately intense. Tutors are very pro-teaching but patients are overclerked sometimes.
  • Ask if one doesn’t know anything. Most are very willing to teach.