Requirements for Successful Completion

NUS Pharmacy - Hematology Oncology Pharmacy Residency

Specialty Residency in Hematology/Oncology

Pharmacy Practice

(ADMISSION MAY 2009)

APPLICATION INFORMATION

DEPARTMENT OF PHARMACYFACULTY OF SCIENCE

NATIONAL UNIVERSITY OF SINGAPORE

Department of Pharmacy, Faculty of Science, National University of Singapore 1


Specialty Residency in Hematology/Oncology Pharmacy Practice

PART I : PROGRAMME INFORMATION

Description and Objectives

In collaboration with the National Cancer Centre Singapore, the National University Hospital and the Singapore General Hospital, the Hematology/Oncology Pharmacy Practice Residency is a one-year educational programme providing the resident with an opportunity to conceptualize, integrate, and transform accumulated experiences and knowledge for improved patient care.

Hematology/Oncology Specialty Residency is desirable for advanced patient care practice and future pharmacy leaders. These programmes are estimated to be equivalent to three to five years of work experience. The residency in oncology pharmacy requires active participation by the resident in the provision of pharmaceutical care. Thus, the resident is directly involved in making professional decisions through activities such as providing patient services, participating in management operations and working on assigned projects. Through actual experience, the resident learns how these activities interrelate and can be best coordinated with other disciplines involved with drug use throughout the practice site.

Qualifications of Applicant

1. Holder of the following degree, or its equivalent: Master in Clinical Pharmacy or Doctor of Pharmacy from institutions of higher learning that offer such degree that is recognized by the Singapore Pharmacy Council.

2. Registered to practice Pharmacy (patient care) in Singapore. As residents function as licensed pharmacists in patient care activities, overseas applicants must be eligible for pharmacist licensure in Singapore and must have attained licensure before the initiation of residency.

3. Preferably has at least 3 years of relevant work experience as a pharmacist in hospital, community, industry, etc. and documented proof.

4. Provide written statement of career goals, as well as be available for assessment and interview.

5. Special exceptions for admission may be made for candidates, on a case-by-case basis with strong justifications if they do not meet the stated qualifications, under the discretion of Department of Pharmacy, NUS.

Programme Structure



The residency in clinical pharmacy requires active participation by the resident in the provision of pharmaceutical care. Thus, the resident is directly involved in making judgmental decisions through activities such as providing patient services, participating in management operations and working on assigned projects. Through actual experience, the resident learns how these activities are interrelated and best coordinated with other disciplines involved in patient care. Most activities are associated with block-time rotations. Selected activities run throughout the year and will be coordinated with the rotation activities. The resident is provided an opportunity to learn fundamental clinical, operational and management skills while participating in the provision of exemplary pharmacy practice. The resident is provided an opportunity to learn fundamental clinical, operational and management skills while participating in the provision of exemplary pharmacy practice during the following rotations:

Rotation Description Duration(weeks)

CORE40 weeks

Orientation

Medical Oncology Ward Rotation Ambulatory Care Clinics

Hematology Ward Rotation Ambulatory Care Clinics

Bone Marrow Transplant Ward Rotation Clinic

Pain Management/Palliative Care Ward Rotation Hospice visits

Pediatric Heme/Onc Ward Rotation Clinics

Radiation Oncology

Investigational Drugs

2

12

8

4

4

4

2

2



Surgical Oncology 2

ELECTIVES 8 Weeks

(Any 2 Postings)

Transplant Infectious Diseases

Nutritional Support

Benign Hematology

Repeat any of the core rotations

4

4

4

4

Other residency related activities

Completion of Residency Project

Publication of a hematology/oncology review topic in an international-refereed journal

CITI certification

Teaching/In-services as assigned

Requirements for Successful CompletionTo receive a NUS Hematology/Oncology Pharmacy Specialty Residency Certificate of Completion, the resident must:

Successfully complete all rotations. A resident successfully completes a rotation when on the final rotation evaluation the resident does not receive a needs improvement in any goal evaluation.

Successfully complete, turn in, and present all projects 2 weeks prior to end date.

Tuition FeesTuition fees for this residency programme will be SGD$ 25,000 per annum, excluding traveling fees for support to attend oversea postings and fees for participation in pharmacy conferences.

PART II : APPLICATION AND ADMISSION

Information The following information has been prepared to assist in the filing of application for admission to the Hematology/Oncology Pharmacy Residency. For more information, please visit the programme website at www.pharmacy.nus.edu.sg. Alternatively, queries may be directed to:

The AdministratorHematology/Oncology Pharmacy ResidencyDepartment of Pharmacy, Faculty of ScienceNational University of Singapore18 Science Drive 4


http://www.pharmacy.nus.edu.sg/


Singapore 117543Email: [email protected]

Procedure To apply for the programme, please submit a complete application package which comprises the following documents:1. Application form (pages 6-10)

The application form requires summaries of academic or professional activities. Please provide the information in the form, instead of making referral to curricular vitae or transcript. Please do not send the application documents by fax.

2. Official transcripts and certificatesOriginal transcripts should be provided. Otherwise, certified true copy of applicant’s credentials should be provided. Non-English credentials should be translated into English language.

3. Standardized test score (where necessary)If English language is not applicant’s native language or the medium of instruction for undergraduate degree programme, please submit test scores for TOEFL (Test of English as a Foreign Language) or IELTS (International English Language Testing System). Please note that the scores for TOEFL and IELTS are valid for two years.

4. Two (2) referee letters (pages 11-14)Please provide two referee letters, from two persons who are in a position to evaluate the applicant’s qualifications for residency training, in separate sealed envelopes.

5. Application fee form (page 15)Please complete and submit the application fee form.

6. Application feeThe one-time non-refundable application fee is S$100. Please attach a bank draft or local cheque made payable to “National University of Singapore”.

7. Checklist (page 16) for your reference

All the documents should be filled in English. Non-English documents must be accompanied by an English translation. Students found to have given inaccurate information may be required to withdraw from the programme. Applicant’s full name should be written on the first page of every document and any variation in the name that appears in any of the documents should be highlighted.

Please ensure that all the application documents are mailed in time to reach the National University of Singapore by application deadline, which is 1 February 2009 for the May 2009 intake.



ADMISSION APPLICATION FORMSpecialty Residency in Hematology/Oncology Pharmacy Practice

May 2009

PERSONAL PARTICULARS

Name (as in Identity Card / Passport) Prefix (Dr/Mr/Mrs/Mdm/Miss/Ms) Surname / Family Name Given Name Alias (if any) Chinese Name (if Applicable)

Age GenderDate of Birth (dd/mm/yy) EthnicityPlace of Birth No. of ChildrenNationality Marital Status

NRIC No. (Singaporean and PR)

Passport No. (Non-Singaporean and PR) Place of Issue Date of Expiry

CONTACT INFORMATION

Home address

Country Postal code

Postal address

Country Postal code Email addressPhone numbers Home Mobile

NEXT OF KIN

Name RelationshipAddress

Country Postal codeEmail address Phone numberOccupation Employer


Affix photo here


QUALIFICATION

Tertiary Education (To applicant: Please indicates both undergraduate and graduate education, including currently enrolled course and the expected completion date.)

From (mm/yy)

To (mm/yy)

Institute Degree/Course Class of Degree

Rank / position

Duration (years)

Medium of Instruction

Standardized Tests and Graduate Record Examination (To applicant: Please provide the necessary information if applicable.)

Date (mm/yy) ScoresTOEFL Listening

ReadingWritingTotal

IELTS

Date (mm/yy) ScoresGRE Verbal

QuantitativeAnalyticalTotal

Employment/Internship (To applicant: Please list the current or most recent position first. Do not make referral to your CV.)

From (mm/yy)

To (mm/yy)

Company Name, address and phone number

Position held Full-/ part-time

Nature of job

Membership / Professional Qualifications / Awards / ScholarshipFrom To Organization Membership position / Certification /



(mm/yy) (mm/yy) Name, address and phone number) Awards / Achievements

Major Extra-curricular activities / community activities (To applicant: Please selectively list in the order of importance)

From (mm/yy)

To (mm/yy)

Activities Office position held / Honours

Elected / Appointed

Language Skills

LanguageWriting ability (Excellent /

Moderate / Minimal)Verbal fluency

(Excellent / Moderate / Minimal)

Native / Second language

REFEREES(To applicant: Please suggest two referees. Submit the referee’s forms in sealed enveloped together with this application forms.)

Referee 1 Referee 2NameOrganizationPosition HeldAddress

Phone numberEmail address

PERSONAL STATEMENT / LETTER OF MOTIVATION



(To applicant: Discuss your academic and career objectives. If you are sponsored by your company, please describe the deliverables and objectives of the company sponsorship. Please use an additional sheet if necessary.)



SUPPLEMENTARY QUESTIONS(To applicant: Please answer the following questions. Delete where applicable for questions with asterisk *.)

Financial support Self-financed / Company sponsorship / Others (please specify _______________________) *

Are you currently enrolled in other graduate/professional programmes?

Yes/No *

Have you previously applied for graduate admission in NUS?

Yes/No* If yes, please provide details on the course and the date applied _________________________

How did you know about this residency programme? NUS website / Search Engine / Newspaper / Professional magazine / Friends / Others (please specify _______________________)*

DECLARATION

I declare that all information and statements provided in this form are correct. I understand that any false information or omission of material information will render this application invalid.

________________________________________ ______________________________Signature Date



REFEREE’S FORM(To applicant: You need to submit two (2) copies of referee’s forms, which are sealed and signed individually.)

Name of Applicant

REFEREE INFORMATION:Name Years known:Address

Country Postal codeEmail address Phone numberOrganization Position held

Dear Referee,

Thank you for writing on behalf of the candidate who is applying for the Hematology/Oncology Pharmacy Residency in National University of Singapore. Your views and assessments of the applicant’s abilities and personalities serve useful and supportive functions in our evaluation for admission. Please write as fully as possible about the applicants. Your comments will be held completely confidential. Please seal and sign across the envelope flap. The applicant will submit the sealed, signed envelope to us as a part of the completed application package. We sincerely thank your effort on the behalf of the applicants. Your evaluation is much appreciated.

Yours sincerely,Admission Evaluation CommitteeDepartment of Pharmacy, Faculty of ScienceNational University of Singapore

Evaluation of Applicant:1. How long have you known the applicant and in what capacity?

2. Please indicate your impression on the applicant’s commitment and ability to successfully complete the programme.



3. Please evaluate the applicant’s in terms of qualities listed below. As a basis for comparison, please evaluate the applicant to his peers and colleagues at the same level.

Qualities Unable to comment

Below average

Average Good Excellent Outstanding

Lower 50% Top 50% Top 25% Top 10% Top 3%General abilityEnglish proficiencyVerbal ability Written abilityAnalytical abilityIntellectual abilityPotential to grasp new ideaLeadershipManagerial potential Potential to manage complex projectsAbility of work with other Emotional maturity CreativitySelf-discipline Professional integrity

4. Please make additional comments about the applicant’s potential or personal qualities which you feel is valuable for the consideration of the admission committee. We are particularly interested in information not otherwise apparent in the applicant’s record.



Signature Date

REFEREE’S FORM(To applicant: You need to submit two (2) copies of referee’s forms, which are sealed and signed individually.)

Name of Applicant

REFEREE INFORMATION:Name Years known:Address

Country Postal codeEmail address Phone numberOrganization Position held

Dear Referee,

Thank you for writing on behalf of the candidate who is applying for the Hematology/Oncology Pharmacy Residency in National University of Singapore. Your views and assessments of the applicant’s abilities and personalities serve useful and supportive functions in our evaluation for admission. Please write as fully as possible about the applicants. Your comments will be held completely confidential. Please seal and sign across the envelope flap. The applicant will submit the sealed, signed envelope to us as a part of the completed application package. We sincerely thank your effort on the behalf of the applicants. Your evaluation is much appreciated.

Yours sincerely,Admission Evaluation CommitteeDepartment of Pharmacy, Faculty of ScienceNational University of Singapore

Evaluation of Applicant:1. How long have you known the applicant and in what capacity?

2. Please indicate your impression on the applicant’s commitment and ability to successfully complete the programme.



3. Please evaluate the applicant’s in terms of qualities listed below. As a basis for comparison, please evaluate the applicant to his peers and colleagues at the same level. Qualities Unable to

commentBelow average

Average Good Excellent Outstanding

Lower 50% Top 50% Top 25% Top 10% Top 3%General abilityEnglish proficiencyVerbal ability Written abilityAnalytical abilityIntellectual abilityPotential to grasp new ideaLeadershipManagerial potential Potential to manage complex projectsAbility of work with other Emotional maturity CreativitySelf-discipline Professional integrity

4. Please make additional comments about the applicant’s potential or personal qualities which you feel is valuable for the consideration of the admission committee. We are particularly interested in information not otherwise apparent in the applicant’s record.



Signature Date



APPLICATION FEE

(Note to applicant: A non-refundable fee of S$100 is required for the application. Please attach a bank draft (drawn on a bank in Singapore) or a local Singapore cheque made payable to “National University of Singapore”. Please write your name and “2009 HOPR” at the back of the bank draft or cheque. Payment by telegraphic transfer should be avoided. Sending of cash is not encouraged. Please not that your application will only be processed upon the receipt of the application fee.)

PERSONAL INFORMATIONName (Dr/Mr/Mrs/Mdm/Miss/Ms)**Please delete accordingly (as in Identity Card / Passport) (Underline surname / family name)

Mailing address

Phone number Fax numberMobile number Email

For official use only

Date Receipt Number

Received the sum of S$100 in payment of the application fee for admission to the Hematology/Oncology Pharmacy Residency (May 2009 intake)



CHECK LIST:

Please check that the following documents are enclosed in the application package:1. Completed application form2. Official transcripts and certificates3. Standardized test score (where necessary)4. Two (2) referee forms in separate sealed and signed envelope5. Application fee form6. A non-refundable fee of S$100

REMINDER

Please ensure that all the application documents are mailed in time to reach National University of Singapore by the application deadline. The applicant is held responsible for the accuracy of the information provided.

DISCLAIMER

The information provided in prospectus is accurate as of November 2008.The National University of Singapore reserves the right to make changes.


Documents

Requirements for Successful Completion