COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
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COLLEGE OF OBSTETRICIANS AND
GYNAECOLOGISTS, SINGAPORE
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
PRESIDENT’S MESSAGE
The year 2020 was one like no other. When COVID-19 swept across the globe,
it changed life as we knew it. To date there have been almost 100 million cases and
2 million deaths worldwide.
When it first hit, there was a lot of fear, reminiscent of SARS. Restricted movement,
physical distancing and mask wearing has become the norm. In hospitals, medical
teams were segregated. The need for the safe management of pregnant patients
and their babies prompted the College to work on a committee opinion, as evidence
was still scarce. That was also why our first Zoom CME focused on this important topic.
One year on, Singapore has survived relatively unscathed and we have to be thankful at
how the task force, the medical professionals and the community banded together. But it
has also shone a light on how some members of our community are more vulnerable than others.
It brings home the point that no one is safe till everyone is safe. As the COVID-19 vaccination programme rolls out, we hope
that all the health professionals will continue to rally together to face the coming year ahead.
I am at the end of my second term as the President of the College, and appreciative of this opportunity to serve. I would
like thank my Council members for their invaluable support, friendship and the willingness to work as a team. I am also
grateful for the many Fellows who have willingly stepped up to help with the Zoom webinars, the TOSP meeting or to
provide expert opinions.
Take care and stay safe everyone.
ABOUT THE COLLEGE
The College of Obstetricians and Gynaecologists, Singapore as its internal auditor. As at 31 December 2020, the
was incorporated under the Companies Act (Cap 50), on College does not employ any staff. The staff supporting the
and from 17 August 2004 and that the company is a Public College’s work is employed by the Academy of Medicine,
Company Limited by Guarantee. The College is registered Singapore.
and domiciled in Singapore with its registered office and
primary place of business at 81 Kim Keat Road, #11-00 and The vision of the College is to be the recognised leader
#12-00, NKF Centre, Singapore 328836. in training, education, advocacy and enhancement of
professional standards for obstetrics and gynaecology and
The College was established under a Memorandum of its subspecialties. The mission is to promote and maintain
Association which established the objects and powers of the highest professional and ethical standards in obstetrics
the College and is governed under its Articles of Association. and gynaecology and its subspecialties.
Stone Forest CorpServe Pte Ltd was engaged as the
Company Secretary, while Fiducia LLP was re-appointed
ANNUAL REPORT 2020 | 1
THE 2020 – 2021 COUNCIL
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
DR YONG TZE TEIN DR TAN LAY KOK DR MAHESH CHOOLANI
President President-Elect Vice-President
Director (from 3 November 2003) Director (from 30 May 2018) Director (from 1 September 1997)
DR JASMINE BINTE MOHD DR SERENE THAIN PEI TING DR SHAKINA RAUFF
Honorary Secretary Honorary Treasurer Council Member
Director (from 16 September 2010) Director (from 1 May 2019) Director (from 11 May 2016)
DR EUGENE HUANG YOUJIN DR HO TEW HONG DR TAN HAK KOON
Council Member Co-Opted Member Co-Opted Member
Director (from 20 May 2020)
DR YONG EU LEONG DR CYNTHIA KEW CHIA YNG DR JEFFREY LOW JEN HUI
Co-Opted Member Chairman, Section of Gynaecology Chairman, Section of Gynaecology Oncology
Endoscopy Director (from 1 May 2019)
DR GEORGE YEO SEOW HEONG DR TAN HENG HAO DR JASON LIM SHAU KHNG
Chairman, Section of Chairman, Section of Reproductive Medicine Chairman, Section of Urogynaecology
Maternal Fetal Medicine Director (from 25 May 2017) Director (from 11 May 2016)
Director (from 1 September 1997)
ANNUAL REPORT 2020 | 2
ANNUAL GENERAL MEETING
The COVID-19 (Temporary Measures) Bill, passed in provided in Part 4 of the Bill (Temporary Measures for the
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
Parliament on 7 April 2020, has allowed for alternative Conduct of Meetings), the 16th Annual General Meeting
arrangements for companies in Singapore to conduct was held by electronic means on 20 May 2020. It was
meetings by electronic means. attended by 26 Fellows.
The Constitution of the College of Obstetricians and COUNCIL MEETINGS ATTENDANCE
Gynaecologists, Singapore does not provide for its Annual A total of six Council meetings were held for the year to
General Meeting (AGM) to be conducted by electronic discuss the business and affairs of the College. It met on
means. In view of the current COVID-19 situation where the following dates: 8 January, 11 March, 15 April, 8 July,
a physical meeting is not possible and with the provision 9 September and 11 November.
The attendance record of the meetings is as follows:
NAME DESIGNATION ATTENDANCE
Dr Yong Tze Tein President 6
Dr Tan Lay Kok President-Elect 5
Dr Mahesh Choolani Vice-President 6
Dr Jasmine Mohd Honorary Secretary 4
Dr Thain Pei Ting Serene Honorary Treasurer 5
Dr Khoo Chong Kiat* Council Member/Section Chairperson of Gynaecological Endoscopy 2
Dr Huang Youjin Eugene** Council Member 2
Dr Shakina Rauff Council Member 0
Dr Kew Chia Yng Cynthia** Chairman, Section of Gynaecological Endoscopy 1
Dr Low Jen Hui Jeffrey Chairman, Section of Gynaecological Oncology 3
Dr Yeo Seow Heong George Chairman, Section of Maternal Fetal Medicine 6
Dr Tan Heng Hao Chairman, Section of Reproductive Medicine 2
Dr Lim Shau Khng Jason Chairman, Section of Urogynaecology 4
*Retired on 20 May 2020
**Joined on 20 May 2020
MEMBERSHIP
As at 31 December 2020, the total membership of the Dr Yeo Mei-E Samantha Rachel was admitted into the
College stood at 236, comprising 225 Local Fellows, 10 Fellowship of the Academy of Medicine, Singapore.
Overseas Fellows and one Honorary Fellow.
MAKING AN IMPACT: OUR WORK IN 2020
STRENGTHENING ADVOCACY TO SHAPE AND INFLUENCE HEALTHCARE
POLICIES
Committee Opinion on Management of Pregnancy and Launch of FAQs to Guide Public on Pregnancy and Birth
Birth in Women with Coronavirus Disease (COVID-19) during COVID-19
The Committee Opinion on ‘Management of Pregnancy In December 2020, the College, Academy of Medicine,
and Birth in Women with Coronavirus disease (COVID-19)’ Singapore and Obstetrical and Gynaecological Society of
was developed in April 2020 by the College with inputs Singapore launched a set of Frequently Asked Questions
from the Academy of Medicine, Singapore and Ministry of (FAQs) for the public on pregnancy and birth in women
Health, Singapore. during COVID-19.
The focus of this document is on pregnant women with Titled ‘Frequently Asked Questions (FAQs): Pregnancy &
confirmed COVID-19 infection and hopes to provide COVID-19’, this is part of the efforts to support Singaporeans
guidance to OBGYNs practising in both public and private in their parenthood plans during this pandemic. The FAQs
sectors in their management of COVID-19 positive obstetric help to address concerns by couples and reassure them
patients. We express our heartfelt gratitude to Dr Serene that they can still experience a safe pregnancy and delivery
Thain, A/Prof Tan Lay Kok, A/Prof Mahesh Choolani and during this period.
A/Prof Yong Tze Tein for their contribution towards the
development of this Committee Opinion.
ANNUAL REPORT 2020 | 3
Topics of concern covered include COVID-19’s impact of a range of measures to support marriage and
on pregnancy and the unborn child; antenatal care; the parenthood, the College has developed a set of guidelines
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
birthing process; postnatal care; fertility treatment as well as a framework for clinicians to provide safe and effective
as the safety of healthcare facilities. treatment for this group of patients who are of higher risk.
We sincerely thanked our College representatives including The guideline provides guidance for 3 specific groups of
A/Prof Yong Tze Tein, A/Prof Tan Lay Kok and A/Prof Su patients:
Lin Lin, as well as Dr Lim Min Yu and Dr Serene Thain, who •• Postmenopausal women
represented Obstetrical and Gynaecological Society of
•• Women at or more than 45 years of age (very advanced
Singapore.
maternal age)
Guidelines on Medical Termination of Pregnancy •• Women who have previously undergone 10 or more ART
(MEDICAL TOP) cycles
The Guidelines on Medical Termination of Pregnancy was
commissioned by the Ministry of Health, Singapore (MOH) The MOH is currently reviewing the guidelines.
and developed by the College alongside a working group
of Obstetricians and Gynaecologists from three public Professional Opinion Requests
restructured hospitals in Singapore. The College provided professional opinions on various
topics requested by external parties. They are listed below:
It serves as a summary of best practices for Obstetricians TOPICS ORGANISATION
and Gynaecologists in Singapore and may serve as a
Use of Dehydroepiandrosterone
reference for other medical professionals in caring for
(DHEA) for the Treatment of Female MOH
women considering MTOP.
Infertility
A Patient Information Leaflet for Outpatient Medical List of Aesthetic procedures and
Termination of Pregnancy (MTOP) was also developed MOH
TOSP procedures
concurrently to inform patients of the procedures involved
in MTOP as well as what to expect after treatment. Tiering Surgical Procedures by
MOH
Settings they can be performed
The MOH is currently reviewing the guidelines.
Query on High Intensity Focused
MOH
Guidelines for Managing Assisted Reproduction in Older Ultrasound (HIFU)
Women
Provision of Female Circumcision
Following the abolishment of age limit for women MOH
services by Medical Practitioners
undergoing in-vitro fertilisation (IVF) treatments, as part
ADVANCING PROFESSIONALISM AND UPHOLDING COMPETENCY
STANDARDS
Continuing Medical Education (CME) – Live Webinars
MANAGEMENT OF PREGNANCY AND BIRTH IN WOMEN WITH CORONAVIRUS DISEASE (COVID-19)
DATE 6 MAY
Topics & Speakers COGS Committee Opinion on Management of Pregnancy and Birth in Women with Coronavirus
Disease (COVID-19)
Dr Serene Thain
Consultant, Department of Maternal Fetal Medicine, KK Women’s and Children’s Hospital
Sharing of Local O&G Experience
A/Prof Mahesh Choolani
Head & Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital
Sharing of COVID-19 Protocols
A/Prof Tan Lay Kok
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
Panel Discussion and Q&A Session
Dr Serene Thain, A/Prof Mahesh Choolani, A/Prof Tan Lay Kok and A/Prof Yong Tze Tein
ANNUAL REPORT 2020 | 4
UPDATE ON MANAGEMENT OF THE PREGNANT WOMAN WITH COVID-19 – VIEWPOINTS FROM UK
DATE 18 JUNE
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
Topics & Speakers Welcome and Opening Remarks
A/Prof Tan Lay Kok
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
Dr Lim Min Yu
Chair, Singapore International Representative Committee of RCOG
COVID-19 and Pregnancy
Prof Catherine Nelson-Piercy
Consultant Obstetric Physician, Guy’s and St Thomas Hospitals Trust, Queen Charlotte’s and Chelsea Hospital
Obstetric Emergencies in the Time of COVID-19
Prof Tim Draycott
RCOG Vice-President for Clinical Quality, Consultant Obstetrician North Bristol, NHS Trust
Discussion and Q&A
Panel
Moderators A/Prof Tan Lay Kok
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
Dr Lim Min Yu
Chair, Singapore International Representative Committee of RCOG
CME – Education Programme on Prenatal Genetics and Genomics
The College has prepared a 4-part Education Programme on Prenatal Genetics and Genomics for specialists practising
Obstetrics & Gynaecology. Following the conclusion of each of the 4 webinar sessions, Self-Learning Modules (SLMs) will
be developed concurrently to enhance the understanding of the topics. The aim is to equip and educate our Fellows in
counselling and managing prenatal screening. Access to the SLM is exclusive to Fellows of the Academy.
SESSION 1 (No. of Attendees - 193)
DATE 18 JULY
Topics & Speakers Opening Address and Objectives of the Educational Programme on Prenatal Genetics & Genomics
A/Prof Yong Tze Tein
President, College of Obstetricians and Gynaecologists
ABC of Genetics
A/Prof Mahesh Choolani
Head & Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital
Principles of Screening
A/Prof Tan Lay Kok
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
Screening for Down Syndrome: Video-assisted Pre-test Counselling and Informed Consent
Dr Arundhati Gosavi
Consultant, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynaecology,
National University Hospital
Moderator A/Prof Yong Tze Tein
Head & Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
SESSION 2 (No. of Attendees - 157)
DATE 29 AUGUST
Topics & Speakers Feticide and MTPT Laws in Singapore
Dr Tan Kai Lit
Consultant Obstetrician and Gynaecologist, Thomson Women’s Clinic
Screening for Aneuploidies and Single Gene Disorders
Dr Tan Wei Ching
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
Counselling Patients for NIPT and CMA
Prof Yeo SH George
Senior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena
Specialist Centre
Case Discussion Vignette 1
Dr Tony Tan
Consultant Obstetrician and Gynaecologist, Tony Tan Women & Fetal Clinic & PLL Anaesthesia Clinic
Mt Alvernia Hospital
Moderator A/Prof Tan Lay Kok
Senior Consultant, Department of Obstetrics and Gynaecology, Singapore General Hospital
ANNUAL REPORT 2020 | 5
SESSION 3 (No. of Attendees - 182)
DATE 10 OCTOBER
COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS, SINGAPORE
Topics & Speakers Current Guidelines on Prenatal Counselling of NIPT and CMA
A/Prof Tan Hak Koon
Chairman, Obstetrics & Gynaecology and Chief, Obstetrics, KK Women’s and Children’s Hospital
NIPT – Challenges with Handling Abnormal Results
Prof Arijit Biswas
Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital
Combining Genomics and Non-genomic Test
Prof Yeo SH George
Senior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena
Specialist Centre
Case Discussion Vignette 2
Dr Chang Tou Choong
Consultant Obstetrician and Gynaecologist, WC Cheng & Associates, Thomson Medical Centre
Moderator Dr Serene Thain
Consultant, Department of Maternal Fetal Medicine, Division of Obstetrics and Gynaecology,
KK Woman’s and Children’s Hospital
SESSION 4 (No. of Attendees - 124)
DATE 21 NOVEMBER
Topics & Speakers Invasive Prenatal Testing: Procedures and Tests
Prof Arijit Biswas
Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital
Case Discussion Vignette 3
Dr Lai Fon-Min
Consultant Obstetrician & Gynaecologist , A Company for Women, Camden Medical Centre
Case Discussion Vignette 4 and Panel Discussion
Prof Yeo SH George, A/Prof Mahesh Choolani, A/Prof Tan Lay Kok, Dr Tan Kai Lit, Dr Lai Fon-Min,
Dr Tony Tan, Dr Chang Tou Choong
Moderator Prof Yeo SH George
Senior Consultant Obstetrician & Gynaecologist, The Prenatal Consultants, Mount Elizabeth Novena
Specialist Centre
Development of Specialty-Specific Consent Taking The College Council has identified the commonest
Guidelines procedures or treatments in Obstetrics and Gynaecology,
It was the recommendation of the Workgroup (that looks such as Normal Vaginal Delivery, Caesarean Section,
into Consent and Disciplinary Processes of SMC) that Myomectomy, Hysteroscopy, Cystectomy, Ligation and
Specialty Specific Colleges and Chapters under the Academy Surgical Termination of Pregnancy, and formulated
of Medicine, Singapore develop their respective Specialty appropriate consent forms and patient information leaflets
Specific Guidelines, to deal with standard common place which will be submitted to the Academy in early 2021. The
treatments and procedures. College is also seeking feedback from lay persons on these
consents and is working with members of the SingHealth
With the proposed departure from the Modified Patient Advocacy Network (SPAN) before finalising them.
Montgomery Test, there will be emphasis given to the
opinion of a responsible body of doctors as the minimum
safe standard for doctors’ duty to advise.
ENHANCING SELF-GOVERNING
AND SELF-REGULATION
Hence, the development of informed consent guidelines
from the various Chapters will be critical to set this Independent Medical Expert (IME) Reports
minimum benchmark. The College provided six IME reports to Singapore Medical
Council.
FUTURE PLANS
The College plans to stay relevant to our Fellows through Obstetricians & Gynaecologists Guidelines for the O&G
continuous training and being more proactive in the specialists practising in Singapore.
training of future specialists.
APPRECIATION
We hope to expand our membership through constant The College records its note of appreciation to all Fellows
engagement with our Fellows through College CME for their unfailing support and efforts rendered in the past
events. The College also hopes to review all important year for ongoing projects and activities.
ANNUAL REPORT 2020 | 6
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