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cooperation between Health and Home Affairs ministries, with the former providing the medical manpower, the latter the facilities. There is no Hospital Order in Singapore and indeed the Judiciary would argue that there is no need for it. I agree with Ruth McCutcheon about overseas training experience at senior registrar level (a point to consider for the future specialist registrar grade). Piachaud (1992) suggests forging links with a view to establishing a list of approved overseas centres for the purpose of higher psychiatric training. The recent establishment of the Institute of Mental Health in Singapore heralds an important move towards more research and development; the service would certainly welcome a partnership in this endeavour. As a possible training centre, Singapore offers a unique blend of East and West, continues to use English as the first language, and has highly advanced information technology. The logical first step would be an exchange exercise in the subspecialities and I invite the Joint Committee of Higher Psychiatric Training (JCHPT) to consider this.

Lithium prescribing and monitoring in general practice