In Singapore, the Ministry of Health (MOH) raised the public health response level from DORSCON (Disease Outbreak Response System Condition) ‘Yellow’ to ‘Orange’ on 7 February 2020. This instituted strict movement restrictions for all healthcare workers to minimise cross-institutional transmission of COVID-19, creating a unique scenario where many residents physically located in different healthcare institutions at the start of DORSCON Orange were unable to return to their matched Sponsoring Institutions (SIs) to begin residency training in July 2020. Residents faced multiple administrative and emotional challenges as a result of freezing of cross-institutional movement. These challenges included concerns with regards to meeting training requirements (due to different modes of assessment, and posting structures between the 3 SIs) and concerns with regards to emotional support (due to starting residency in an unfamiliar environment where the resident may have less pre-existing connections/support). These challenges were swiftly addressed by the strong support of foster and parent institutions, and close communication between the leadership of the 3 SIs. Lessons learnt from the current pandemic include the need for a common online platform across the 3 SIs with regards to assessment forms, importance of sharing teaching materials between the different SIs and the need for close collaboration between parent and foster SIs with regards to balancing training requirements versus the needs posed by a pandemic situation on the healthcare structure.

在新加坡，卫生部 (MOH) 于 2020 年 2 月 7 日将公共卫生响应级别从 DORSCON（疾病爆发响应系统条件）“黄色”提高到“橙色”。这对所有医护人员实施了严格的行动限制，以尽量减少交叉感染。 COVID-19 的机构传播，创造了一个独特的场景，在 DORSCON Orange 开始时，许多居住在不同医疗机构的居民无法返回其匹配的赞助机构 (SI) 以在 2020 年 7 月开始住院医师培训。居民面临多重行政管理由于跨机构运动的冻结而导致的情绪挑战。这些挑战包括对满足培训要求的担忧（由于不同的评估模式、和 3 个 SI 之间的张贴结构）以及对情感支持的担忧（由于在不熟悉的环境中开始居住，在这种环境中，居民可能拥有较少的预先存在的联系/支持）。在寄养机构和家长机构的大力支持以及 3 个 SI 领导层之间的密切沟通下，这些挑战得到了迅速解决。从当前大流行中吸取的教训包括需要在 3 个 SI 之间建立一个通用的在线平台来评估表格、在不同 SI 之间共享教材的重要性以及在平衡培训要求方面家长和寄养 SI 之间需要密切合作与大流行情况对医疗保健结构造成的需求相比。