• Zhen Chang Liang, Shirley Beng Suat Ooi, and Wilson Wang.
• Z.C. Liang is a resident, Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; ORCID: http://orcid.org/0000-0001-7046-8918. S.B.S. Ooi is senior consultant, Emergency Medicine Department, National University Hospital, National University Health System, associate professor, Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, and designated institutional official, National University Health System Residency Programme, Singapore; ORCID: http://orcid.org/0000-0002-8661-7225. W. Wang is senior consultant and associate professor, Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; ORCID: http://orcid.org/0000-0003-3803-9392.
• Acad Med. 2020 Sep 1; 95 (9): 1359-1361.

AbstractThe ongoing coronavirus disease 2019 (COVID-19) crisis has hit Singapore hard. As of February 25, 2020, Singapore had the fourth highest number of confirmed COVID-19 infections outside of China, only trailing behind South Korea, Italy, and Japan. This has had reverberating effects on Singapore's health care system, and has, consequently, also affected medical education all the way from the undergraduate to the postgraduate level. While efforts are underway to contain disease spread and transmission, the authors believe that this is an opportune time to examine and reflect on the impact that medical crises like COVID-19 can have on medical training and education and to evaluate "business continuity plans" to ensure quality medical education even in the face of constant disruptions from pandemic outbreaks. Medical training is as important a mandate as patient care and service. The authors believe that even in trying times like this, rich and precious lessons can be sought and taught, which will immensely benefit medical students and residents-the health care leaders of tomorrow. In this Perspective, the authors discuss the various ways in which the COVID-19 crisis has affected medical instruction in Singapore and explore pertinent practical and creative solutions for the continuity of medical training in these trying times, drawing on their previous experience with the Severe Acute Respiratory Syndrome outbreak in 2003 as well as the current ongoing COVID-19 crisis.

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