Programme B Details
The MMed (FM) Programme B is a structured training programme
for family physicians in Singapore.
It is jointly organised by the College
of Family Physicians Singapore
and the Division of Graduate Medical Studies, National University of
Application form for the programme can be found on the College website.
Aims and Objectives:
The aim of this 1 year part-time course is to provide a comprehensive and
structured training programme for doctors working in primary care who have
already completed the 8 modules of the family medicine modular course to
prepare them to sit for the Master of Medicine (Family Medicine)
The intending course participant must have the following entry
- Work experience – Has practiced at
least 5 years in primary care or recognized equivalent to be eligible to
register for this programme. The intending course participant must be in
active practice, preferably full-time or not less than 28 hrs per week.
Work experience practicing part-time or as locum tenens will not be
counted as work experience.
- Training – The satisfactory
completion of the Family Medicine Modular Course of 8 modules over two
years is required.
- Practice audit – The trainee’s
practice need to a certification that it fulfils the audit requirements for
Family Medicine training. The focus is on the case mix, workload, and
level of practice.
- Ability to work at least 28
hours a week during the programme year -- The trainee will need to
have a signed undertaking that he or she is able to continue to work at
least 28 hours a week fulfil the one year work experience whilst under
training. Failure to fulfill this requirement will not fulfil the
- Registration with SMC – Full or
The programme is designed
for mature practicing doctors. Each trainee is attached to a supervisor
assigned by the College
of Family Physicians.
The tutorials and FM Rounds are usually conducted from 5.15pm to 6.45pm
The structured training programme for
Programme B consists of the following:
1. FM Joint sessions
10 per year
Structured monthly programme – these are joint
teaching sessions with the Programme A trainees.
2. Small group tutorials
30 per year
These include CME sessions, tutorials and other teaching
in the clinics. These are customized according to the individual needs of
3.Clinical refresher course
5 day compulsory course
This is to revise the clinical examination skills and
patient clerking skills.
4. Self directed learning
Throughout the learning period
Learning through practice -- each trainee is encouraged to
keep a portfolio of their learning – recording a 1 page portfolio for
a teachable event. A Logbook is kept.
5. Practice audit
Once during the year
A practice audit will be conducted to assess the
trainee’s practice management standard.
*An attendance of
75% needs to be fulfilled for each of the components 1-4.
- MMed Logbook:
The trainee shall document all training and work experience in the
prescribed logbook, which shall be checked and countersigned by the
The supervisor shall have a formal discussion with the trainee every 6
months for assessment of training and work progress. The supervisor
shall submit a formal assessment report to FMTC every 6 months using a
- 2 Weeks Advanced FM course
where foreign experts were brought in to impart his knowledge.
to continue with the same practice:
This may render the trainee’s fulfillment of the 1 year work
experience void whilst under the programme, unless arrangements are made to
have an alternative training practice that meets audit requirements.
(Programme B) Examination:
The candidate applying for the MMed (Family Medicine) Examination needs
to fulfill the following examination requirements:
- Work experience – Has practised at
least 6 years in primary care or recognized at the time of sitting for
the Examination. Work experience practicing part-time or as locum tenens
will not be counted as work experience.
- Satisfactory completion of the modular course
– A certificate of satisfactory completion will be issued by the
College for trainees who have attended 75% of each module of
- Satisfactory completion of the clinical
refresher course – A satisfactory completion of the 5-day-clinical
refresher course is required.
- Satisfactory completion of the Logbook
entries and in-training assessments – In complete logbook entries
and unsatisfactory in-training assessments may bar the candidate’s
eligibility to sit for the Examination until these shortfalls are
- Posses a valid BCLS
certificate – An expired certificate may bar the candidate’s
eligibility to sit for the Examination. BCLS competency certificate is
mandatory for examination applications with DGMS, NUS. Candidates must
satisfy this requirement on their own.
During the period of supervised
training in preparation for the M.Med.(Family Medicine) Examination, the
candidate is required to submit a one week Practice diary of 50 cases and one
Audit Project of cases the candidate has personally managed.
MMed (FM) Programme B
diary of 50 cases
the candidate’s practice
the end of training period
PRACTICE DIARY WRITTEN SUMBISSION
AND CLINICAL PRACTICE ASSESSMENT
format as of 2011 Exam
practice diary of 50 cases will replace the one week practice profile in the current
format of the examination will be a written submission of the practice diary
in a prescribed format, and a viva on the clinical practice related a
selection of the cases in the diary.
of the practice diary. The objective of the practice diary of
50 cases remain the same, viz to assess the recording of cases seen
succinctly; and to assess in the viva the knowledge, attitude and skills in
areas relevant to clinical practice.
of recording of the practice diary. This will be laid out in a landscape
tabular format of one row for each of the 50 cases (See Figure 1 for a
sample of practice diary recording). The information to be entered are:
Column 1 – Serial numbering of the cases
from 1 to 50
Column 2 – Identity of the case (candidate
must be able to track the identity to the patient’s case records but
confidentiality is maintained)
Column 3 – Subjective and objective
information including investigation results of the case
Column 4 – Provisional diagnoses
Column 5 – Management of case including
– written. The written submission of the 50 cases will be marked
out of 10 marks based on succinctness and relevance of medical record keeping,
and the absence of gross clinical practice errors.
– viva on clinical practice skills. The viva on cases
selected out of the practice will be marked out of 30 marks on the following
aspects of clinical practice:
short term management skills (5 marks)
long term management skills (10 marks)
therapeutic skills (10 marks)
preventive care and self care information to the
patient (5 marks).
7. Assessment – viva on ethics, law, and
professionalism questions. The viva on ethics, law, and professionalism questions will be based on
cases related to the
practice diary. This will be marked out of 20 marks.
(Note: All MMed FM Programme streams sit for the same
MMed (FM) Examination)
Paper 1: Written
paper (3 hours)
Q1. Essay – Short answer question
format (implement in 2010),
Q2. Evolving scenario,
Q3. Short answer,
Q4. Health Education talk –
Critical reading question (effective from 2011)
Paper 2: MCQ (3 hours)
120 Questions – scenario based 1
Paper 3: Slide interpretation (1
30 slide interpretation (current format)
Oral Examination (30 minutes)
1 week practice diary of 50 cases (effective from 2011) and
1 audit project; Oral interview
2 long & 4 short cases (current format)
MMed (FM) Course Fees (payable to College of Family Physicians Singapore)
College member: S$6,206*
Non-College member: S$6,634*
* Inclusive of 7% GST and non-refundable registration fee of S$107
1) Fees do not include Advanced FM Course Fees, Examination Fees & BCLS
2) Fees are payable to National University of Singapore when applying for