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Abstract

This experience was really eye-opening and we got to take part in a really interesting and unique project that allowed us to have contact with the public and learn so much. In the end, we came up with a few beautiful videos promoting the General Practitioner (GP) clinics as a good option in the management of chronic diseases such as diabetes and high blood cholesterol.

Introduction

The CGH department we were in focused on policy planning and publicity of healthcare policies and programmes, including the ideation and development, and implementation of projects related to GP and targeting the various age demographics of the population such as the elderly. They initiate programmes meant to assist the public to gain access to more convenient and accessible healthcare. An example of how this was done is how the logo of Our Silvercare Hub was actually designed by our mentor based on the tangram commonly used as a form of leisure especially for the elderly generation, as part of the planning and publicity of the programme.

Our Silvercare Hub

Over the course of the internship, I learnt that this department was focused on how to bring healthcare accessibly to the public. Conceiving ideas to continually advance the outreach and quality of healthcare in Singapore is part of their work, which I deem very admirable. I have always found such behind-the-scenes work fascinating, since its such people and projects who actually bring healthcare to the masses. If a single doctor can only treat one patient at a time, I believe such work can spread something more to the public – knowledge that is power, enabling the public to, in knowing about what is being done/ what can be done to assist them in their healthcare, to in conjunction with healthcare personnel be responsible for their healthcare, by seeking help through the relevant channels and route where applicable. I feel that in this way, the healthcare standards of the general population can be raised more efficiently to a higher level since it is a product of many efforts instead of solely the burden of the healthcare personnel. How many people are visiting the doctors, while the rest are consuming media? Just by considering the extent of how such media outlets engage the sheer number of people, can it also be considered that many people can benefit from such publicity. The healthcare system, in general, whereby everyone follows the ideal pathway through the system (eg. Going to the GP instead of the A&E) would be much more efficient as well!

A photo of us...

Photo: ...on the first day of work!

Our project

Regarding my project, which I was assigned to since the very first day – the conceptualisation and creation of a relevant video… The project aims to direct public focus to the General Practitioner (GP) clinics located right below most houses, to manage their chronic conditions on a long-term basis. Although there are over 1000 GP clinics around Singapore, many people choose to go to the hospital or polyclinic due to a multitude of reasons.

In an effort to ensure the efficiency of the healthcare system and make full use of human resource in Singapore, the focus is now being shifted to the GPs. Hence, our department was working on ways to promote the GP clinics as a reliable and convenient place to visit to manage chronic conditions. We learnt that General Practitioners are well-trained professionals able to support patients in managing their chronic disease. The outcome of the project was to create a video explaining what GP clinics are and why the public should opt for it. Throughout the course of the project, we were invested into 3 main stages: Research, Survey, Video creation.

Research

The Research phase not only included some presentations by the relevant professionals about the relevant schemes, it was built on 3 research projects given to my team and me. On the first day, included in a timetable we were given were the research scopes that were relevant to our project as a whole. The first research was on Singapore’s Healthcare Landscape, the second was on the Primary Healthcare in Singapore, and the third was on common chronic conditions. We sat through presentations on the healthcare system in Singapore, and presented the first research regarding the Introduction to Singapore’s healthcare system to our peers.

Research 1

Photo: A slide I created for our presentation on Singapore's Healthcare Landscape

Research 2

Research 2 was on Singapore's Primary Care System, including the differences between the private (eg. GP clinics) and subsidized (eg. Polyclinics) sectors.

Photo: The subsidies provided for the private Primary Care sector (GP clinics) under the CHAS Scheme

Research 3

Photo: A slide I created for our presentation to showcase our research on chronic diseases

Survey

After we had a better idea of what we were going to work on, we went into the Survey phase that was coming up with survey questions and ultimately a survey form that our respondents could fill up. We then headed to CGH to interview 120 people (which became 114 relevant responses when we compiled the results by creating a google forms, after which we individually input each collected response into) to hear the patients’ opinions on the subject of GP clinics. We designed a survey results slides to record our findings (shown below).

General Information

The respondents' general information (No confidential information was collected)

Comparison

Finding out the respondent's preferences: Hospital, Polyclinic, General Practitioner

CHAS Scheme

Discovering how the CHAS Scheme applies in the respondents' lives

Video Creation

After we compiled our survey results, we could now use all the information and perspectives we obtained to start the formation of our video. I made 3 videos, including 1 stop motion one and 2 created by an app. Of the 3, my second one was deemed to be the most professional looking, so we used that as the template for one of the final 2 videos we were making. My story board for the stop motion video was commended by my mentors.

This comprehensive process allowed us to be the ones exploring the topic we were going to work on and it is very satisfying to know that we were in charge of our learning process and this whole WOW experience. In the end, although the video will most likely not be shown on the screens at the hospital (something we were working towards), I am very proud of all the effort I put in to come up with the video, seeing as I was the main one working on the abovementioned video since I came up with the template. I came into this project being excited to know that there was actually a deliverable I could take home – the videos, so I will cherish the videos I made along with all the others I have previously made for other projects.

Screenshots of the videos I created

1. Clay animation

Photo: The software I used to create the clay animation video, one of our 2 final videos

2. Stop Motion animation

Hand drawn and pieced together by me

Photo: Introducing the schemes that can be used at the GP clinics

Photo: Software I used to piece the stop motion animation together scene by scene

3. A family doctor

Photo: The third video had a slightly different content to the first two

3 things I learned from this experience...

This experience really opened my eyes to:

A. The amount of planning that goes into making an efficient healthcare system

In initiating the plans and maintaining them, lots of efforts are being made by people who are not always acknowledged. However, these people are really the ones who allow the system to flow so smoothly to the benefit of the general public. Although many times, when I visit the hospital or polyclinics, I see videos which seem very simple and easy to make, those videos actually require a lot of hard work and planning to make sure it answers to the needs and wants of the public, and are able to captivate them while still sending the message across. This process also requires creativity and a complete understanding of what happens in the healthcare system and how people view healthcare, and this knowledge is then used to initiate brand new ideas and schemes. I admire such people as they are so fluid and creative (able to come up with new and good ideas). I have always found schemes very useful to the public as by knowing how such schemes can help one, one can then be aware of the most convenient and low-cost path in healthcare available to them. Familiar taglines like the Chinese “建国配套,陪你到老” are all created by these people, and as previous government campaigns have proven, really cause an impact on people’s lifestyles and how they approach their problem. An ability to impact lives like this, to me, is astonishing and amazing.

B. More about GP and GP clinics

The main focus of this project, we delved into how the General Practitioner (GP) clinics are able to provide for people’s chronic conditions. GPs are trained to help people better handle their condition. Also, the government has put in many facilities like Community Health Centres that can be found all over Singapore to assist the GPs in diagnosis. Schemes that group GPs together to allow them to have greater buying power and to share resources are also implemented to allow GPs to be able to provide lower cost, and higher quality services to the public. (Greater buying power = cheaper pharmaceutical drugs = lower cost for consumers and also means GPs are able to provide more to customers for less price on their part, hence an increase in quality of healthcare).

Many people think GPs are not capable of helping them, but even chronic conditions like diabetes can be followed-up in the GPs, and the concept of one family doctor for each person, to ensure a holistic healthcare service where the doctor knows your whole family history and is thus able to provide better diagnosis and treatment for a person, I feel, is a really good concept that would raise the health standards of people in Singapore.

I also learnt a lot about the healthcare system in Singapore, for example, how they group patients into different priorities depending on their severity, and thus navigate patients through the different routes in healthcare. There are still many other programmes that some may not know of, but are put in place to help residents of Singapore access quality healthcare.

C. Presentation skills

There are many things I learnt about formatting a presentation. From the start, the slides should not be too wordy – as quoted by my mentor: “Nowadays infographics are a trend.” The slides should be presented such that the audience is able to understand what you are talking about at any given time, by including captions for photos used and not including too much information on the slides that may steal the attention of the audience. Do not use rival company’s photos, have an agenda slide etc. And for survey results – graphs should be in ascending/descending order, colour should be standardised, title of the charts should be the question asked, the sample size should be stated etc. I don’t think I would learn such skills from school, a non-working environment, and I am very glad I learnt these skills from my mentors while I had the opportunity to do so.

2 interesting aspects of my learning...

Insights of my learning

A. Creativity

Such a job requires a lot of creativity as many of the people working there are in charge of the ideation and implementation of the programmes to better the system.

On 2 occasions, my mentors have told me how they need new, fresh minds to help them think of new ideas to promote their cause because many of them “have been on this job for so long, so all (their) ideas are already there”. I understand from them how difficult it is to continually push for ideas even if they do not see an improvement in the cause and how difficult it must be to keep thinking of new ideas. I admire their passion and the amount of effort they must put in to keep the programme ongoing. However, when their programme garners a lot of support, and they are able to help people with it, I am very sure that it gives them a lot of satisfaction.

B. Knowledge and expertise

This job requires quite a great depth of knowledge in this field, and the people working in the department have to also know how the public thinks, so as to, in combining their knowledge of the situation and the healthcare needs, together with the social aspect of publicising the programme, push for their cause in an efficient way. I am very inspired by how their job is so people-focused.

My mentors were highly fluent in English, Mandarin and Malay, and are thus able to help and target people of different ethnic backgrounds. This made me realise the importance of language and studying our mother tongue, especially when working in this field, and serving the public in Singapore.

Also, I learnt that in this job, one must be very organised in order to get the product done. From planning to research to surveys to creating a product or campaign and getting approval while making sure all the content put up is not offensive or inaccurate, one must keep track of the whole experience to make sure everything goes according to plan. My mentor is incredibly meticulous – from the first day, she gave us a timetable that planned out whatever we were going to do for each day we went to work and that made our experience so much better! Even after each presentation she guided us and gave us feedback on how to improve, and she was with us every step of the way. We are very grateful to have had such a planned and organised experience (that included presentations for us to learn about the system!) that allowed us to learn as much as we could.

A takeaway for life...

This experience opened my eyes to this type of job scope. All along, I have wanted to balance my creativity with something that could help people, and when I came to this internship, I realised this may be something I would actually want to pursue as a career in the future, which would allow me to serve people in my own way.

I learnt the spirit of inquiry, to ask when in doubt, and from there I learnt a lot from my mentors - more than I expected to learn during this process since I was only expecting to do the videos. I really enjoyed this process of exploring more about the healthcare system in Singapore.

I appreciate my group members for being such nice people who made my time very enjoyable as we could joke around easily. We also often brought a stash of snacks to the office to eat and we all shared. The office environment was great and very open, so I enjoyed working there a lot.