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Clin Asst Prof Christopher Lien Tsung Chien

Clin Asst Prof Christopher Lien Tsung Chien

MBBS (Singapore), MRCP (UK), FRCP (Edin), FAMS, MPA (Harvard)

Senior Consultant

Changi General Hospital

Specialty: Geriatric Medicine

Conditions Treated by this Doctor:
Cognitive Disorders, Falls, Parkinson’s Disease.

Clinical Appointments

  • Senior Consultant Geriatric Medicine Changi General HospitalChangi General Hospital

Profile

Dr Christopher Lien Tsung Chien is a senior consultant with the department of Geriatric Medicine at Changi General Hospital (CGH). He graduated from the National University of Singapore in 1988 and trained across local hospitals in Singapore. In 1995, he continued specialty training in Scotland and worked at Ninewells Hospital and Medical School, the Royal Victoria Hospital in Dundee, Ashludie Hospital in Angus and the Perth Royal Infirmary in Perthshire.

He then returned to Singapore in 2001 after obtaining his Certificate of Completion of Speciality Training (CCST) in general internal medicine and geriatric medicine, and has been at CGH ever since. He also has a Masters in Public Administration from the Kennedy School of Government in Harvard University (2012 - 2013).

Dr Lien has been director of Community Geriatrics since 2006 with an interest in the development of transitional, intermediate and long term care services for the elderly, and in Parkinson's Disease in Older People. He is also the current chair of the Chapter of Geriatricians, College of Physicians, Academy of Medicine, Singapore and a governor of the Lien Foundation.

Education

  • FRCP (Edinburgh), 2015
  • MPA (Harvard), 2013
  • FAMS (Fellow of Academy of Medicine, Singapore), 2008
  • CCST (General Internal Medicine & Geriatric Medicine, UK), 2001
  • MRCP (UK), 1995
  • MBBS (Singapore), 1988

Professional Appointments and Committee Memberships

  • Clinical Lecturer - NUS Yong Loo Lin School of Medicine
  • Adjunct Faculty - Geriatric Education and Research Institute
  • Clinical Lead - EAGLEcare Programme
  • Director - Community Geriatrics
  • Member - Advisory Board, ARISE (Ageing Research Institute for Society & Education) , NTU
  • Member - Research & Innovation Committee, Agency of Integrated Care (AIC)
  • Member - Advisory Board, Lien Centre for Palliative Care, Duke-NUS Graduate Medical School
  • Member - Scientific Advisory Committee, Centre for Aging Research & Education (CARE), Duke-NUS Graduate Medical School
  • Chairman - Chapter of Geriatricians, College of Physicians, Academy of Medicine, Singapore
  • Member - Residency Accreditation Committee (RAC) for Geriatric Medicine (MOH)
  • Member - Adult Protection Team, Ministry of Social & Family Development (MSF)
  • Member - National Dementia Network, (MOH)
  • Member - NTUC (Health) Board
  • Member - Medical Advisory Board, St Andrews Community Hospital (SACH)
  • Governor - Lien Foundation

Awards

  • Long Service Medal, National Day Award, 2016
  • Gold Service Award, CGH, 2011
  • Best Service Award, CGH, 2010

Research Interests

  • Care Transitions
  • End of Life Care in Nursing homes
  • Geriatric Services in the community
  • Frailty and Falls

Publications

• Dent E, Lien C, Lim WS, Wong WC, Wong CH, Ng TP, Woo J, Dong B, de la Vega S, Hua Poi PJ, Kamaruzzaman SBB, Won C, Chen LK, Rockwood K, Arai H, Rodriguez-Mañas L, Cao L, Cesari M, Chan P, Leung E, Landi F, Fried LP, Morley JE, Vellas B, Flicker L. The Asia-Pacific Clinical Practice Guidelines for the Management of Frailty. J Am Med Dir Assoc. 2017 Jul 1;18(7):564-575. 

• Matchar DB, Duncan PW, Lien CT, Ong MEH, Lee M, Gao F, Sim R, Eom K. Randomized Controlled Trial of Screening, Risk Modification, and Physical Therapy to Prevent Falls Among the Elderly Recently Discharged From the Emergency Department to the Community: The Steps to Avoid Falls in the Elderly Study. Arch Phys Med Rehabil. 2017 Jun;98(6):1086-1096 

• Lim SC, Ong JPL, Poh CH, Lien CTC Nutrition and the Role of Tube Feeding in the Elderly. J J Geronto. 2016, 2(1): 017 

• Atypical SARS in a Geriatric Patient. Emerging Infectious Diseases. Tee AKH, Oh HML, Hui KP, Lien CTC, Narendran K, Heng BH, Ling AE. Vol 10, No.2 (Feb 2004): 261-264 

• Mamun K, Lien CTC, Goh-Tan CYE, Ang WST Polypharmacy and Inappripriate Medication Use in Singapore Nursing Homes. Ann Acad Med Singapore 2004; 49-52 

• Heart Failure in frail elderly patients: diagnostic difficulties, co-morbidities, polypharmacy and treatment dilemmas. Lien CTC, Gillespie ND, Struthers AD, McMurdo MET. European Journal of Heart Failure 4 (2002) 91-98. 

• Epidemiology. Parkinson’s Disease in the Older Patient. Mutch WJ, Lien C. Ed Playfer JR, Hindle JV. Arnold Publishers 2001. 

• The Attitudes of Geriatricians to driving in older patients. Gillespie ND, Lien CT, McMurdo MET. Age and Ageing March 1998, Vol 27, Supplement 1, P42, No.59 

• Rising acute medical admissions: the potential role of the Geriatrician. C.T. Lien, A.E. Hill, M.E.T.McMurdo, N.D.Gillespie et al. Age and Aging 1998, Vol 27, Supplement 1, P32, No.50. 

• The treatment of Parkinson’s Disease in older people, Lien CTC, Mutch WJ. Scottish Medical Journal 1997; 42: 147-150 

• Ismail NH, Lieu PK, Lien CT, Ling ML. Bacteraemia in the Elderly. Ann Acad Med Singapore 1997; 26: 593-8

Research Trials