SGH Organization Chart (in Practical Terms)

Intro
  Singapore General Hospital, being the largest hospital in Singapore, correspondingly has the largest number of departments and subspecialities. In practical terms, this results in a bewildering array of people for the HO to call for "reviews", blue letters and even clerking new cases.
  This is broken down into 2 sections: The first table shows the various departments, and the second, how to go about calling for new cases, reviews and urgent blue letters.

Division
of Medicine		 Miscellaneous Division
of Surgery
  • Internal Medicine (DIM)
  • Endocrine
  • Gastroenterology
  • Haematology
  • Neurology
  • Oncology (NCC)
  • Renal Medicine
  • Respiratory
  • Neonatology
  • Rehab Medicine
  • Cardiology (NHC)
  • Oncology (NCC)
  • Opthamology (SNEC)
  • Diagnostic Radiology
  • Therapeutic Radiology (NCC)
  • Dental Center (NDC)
  • Pathology
  • General Surgery
  • Colorectal Surgery
  • Urology
  • Obstetrics & Gynaecology
  • Orthopaedic Surgery
  • Anaesthesia
  • Hand Surgery
  • Neurosurgery
  • Otolaryngology
  • Opthamology (SNEC)
  • Plastic Surgery
    • * The top half are departments with HOs, the bottom half are those without.


    Medical Department Main Ward MO for new cases: Review by:
    Cardiology (NHC) 44Cardio is a HOMO posting:
    The cardio MO will clerk and do all changes for cardio cases everywhere.    		Team of previous Consultant
    NB: NHC notes have to be specifically traced
    Endocrine 46By ward & classPrevious Consultant
    Gastroenterology 46By ward & classPrevious Consultant
    Haematology 72??
    Internal Medicine (DIM) 48DIM admissions outside 48, 63 and 78 are reviewed and managed by the medical department on call that day. Call 48 to find out which dept is on take, then call as for that dept.Previous Consultant.
    "ID" referrals go here.
    Neurology 74MO of consultant/Triaging MOPrevious Consultant
    Oncology (NCC) 73Team on call/
    By organ system    		Previous Consultant
    NB:Trace NCC notes specifically.
    Renal Medicine
    (NOT urology)     		42By ward/blockTeam of Previous Consultant
    Respiratory 45By class & sexTeam of Previous Consultant
    Rehab Medicine 63C- NA -Consultant
    Therapeutic Radiology Blk 2
    Basement
    Ext 4210    		- NA -Consultant (written on TRD card)
    NB: TRD notes cannot be traced
    Interventional Radiology Blk 2
    Level 2
    Ext 3941    		- NA -XRay form(Despatch, don't fax),
    Not blue letter
    Go to Blk 2 Lvl 2 to discuss with the radiologist if urgent.

    Surgical Department Main Ward MO for new cases: Review by:
    General Surgery 57, 58Team on takeTeam of previous consultant
    Colorectal Surgery 47TeamPrev consultant
    ENT 63A- NA -Prev consultant
    Eye 64- NA -Prev consultant
    Hand Surgery 75- NA -Prev consultant
    Neurosurgery 52B- NA -Prev consultant
    Plastic Surgery 43, 63A- NA -Prev consultant
    Obstetrics & Gynaecology 53A,52A?Prev consultant
    Orthopaedic Surgery 75, 76By ward/stationPrev consultant(no reg) or overflow MO
    NB: Trace ortho notes specifically
    Urology
    (NOT Renal)     		55BTeamPrev consultant
    Anaesthesia SICU- NA -Write Op date and theatre in blue letter
    Includes pain service


    Notes about:
    New cases (Medical)
  • Medical HOs are station based: Clerk all medical cases that appear in your station (except Cardio), but call the relevant discipline's MO to review. You do NOT have to clerk cases outside your ward (even those in your discipline) unless your MO asks you to. Tell non-medical wards to call the relevant MO direct.
  • Cases admitted from "clinic" or electively after office hours are clerked by the PASSIVE doctor (most often an MO) on call.
    New cases (Surgical/Ortho)
  • GS goes on take from 8am - 8am the next day: All A&E admissions anywhere are yours.
  • GS electives should be clerked by the relevant team
  • Ortho A&E admissions are often preclerked in Ortho A&E - check for case notes in the folder
  • Ortho A&E admissions after 5 are almost always clerked and do NOT need a HO review in the ward except for traction, blood cultures or i/v medication not available downstairs.
  • Ortho electives often have PAT done - check for results and case notes.

    Notes about:
    Calling doctors
  • Get the handphone number from the operator or the mother ward(see above).
  • The number of Ward xx is 4xx0(Central/ICU), 4xx1(A side), 4xx2 (B side). Eg 4460 is 46 central.
  • When paging, DON'T press '**'. Either key in your 4 digit extension, or the full number. The first 4 digits of SGH numbers are 6321 (for extensions beginning with 4 and 5), or 6326 (for 5xxx and 6xxxx).
  • If they don't call back, either try again, or check with the main ward if he's (1)Post call (2)On leave (3)Changed his handphone number
  • If still no reply, try the (a)clinic (b)OT
  • Failing which, call another member of his team

    Notes about:
    Blue letters & Calling
  • Non-urgent blue letters can be despatched. No need to call.
  • Urgent blue letters: Call the reg-on-call, then write his name, number and "Contacted: Do NOT despatch" on the top of the letter.
  • "Named" blue letters (those addressed to a specific doctor) need to be called.
  • "Reviews" do not need a blue letter, but make sure you call the correct doctor, and know why you need a review.
  • In general, call the doctor who saw the patient - most often the registrar answering the blue letter, or the doctor who saw him in clinic. If the blue letter is months old, or the reg has moved on, follow the charts above.
  • For simple problems and reviews, especially when calling busy departments (Eg: Renal, GS and Cardio), try calling the MO. These would include: Renal dialysis patient admitted for an unrelated problem (he still needs dialysis!), Uncomplicated post-op wound review.

      Hope that helps. Drop a note using the link below if you have any corrections or suggestions.

    Gerald
    28 Apr 2006
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