A surgeon’s worldview: stories from 30 years in global health

We speak to Prof Chua Yeow Leng, a pioneering cardiothoracic surgeon, on the 30 years of his global health journey and the ethos behind his actions. 


Prof Chua Yeow Leng’s global health journey has been shaped by one philosophy: that the more you understand the world, the better equipped you are to make a lasting impact on it.

He can recount, off the top of his head, the names of countless colleagues, students, and mentors from every corner of the globe. In his work, he’s amassed a vast network of collaborators, from hospital directors in Indonesia to military officials in Nepal. These connections are not just professional affiliations to him—they represent the essence of two-way learning.

He reflects on his early experiences working with the Wuhan Asia Heart Hospital in China, when he joined a SingHealth team of surgeons to conduct trainings for their Chinese counterparts in 1989.

“We were initially the teachers, but by the early '90s, they were already performing more cardiac surgeries than Singapore, to such a degree of finesse that we began sending our surgeons there for attachments." The sheer volume of patients at Wuhan’s hospital provided Singapore’s budding surgeons with the invaluable exposure to rare conditions they could never encounter back home. The mentors had become the students, and that, for Prof Chua, is a beautiful thing.


Prof Chua’s passion for doing good work is palpable, but his ambitions stretch far beyond individual clinical training. During his stint as Group Director at the SingHealth International Collaboration Office, his focus shifted from improving surgical skills to tackling issues on a macro-level by strengthening healthcare systems through capacity building. This transition is a reflection of his belief that the most effective interventions happen when entire teams—and even whole health systems—are empowered to function cohesively.

“In the past, we would train a couple of nurses on the side while conducting surgical training," he explains. "But that had a limited impact. It made me think about how we could increase the reach of our education efforts.”

Picture 1

Nurses who took part in the Continuing Nursing Education Programme in 2019 in Mandalay


His approach evolved in places like Myanmar, where SingHealth and local collaborators organised seminars for nurses across the region. The programme saw so much success that 300 participants from the Mandalay region took part in the Continuing Nurse Education (CNE) programme in 2019. Training en masse allowed him to reach more people efficiently, providing a framework that could be scaled and sustained across the healthcare system.


Picture 2

The SingHealth team with the Prime Minister of Nepal while embarking on the post-disaster recovery management project

Prof Chua’s work in global health has taken him to some of the most remote and challenging places. In post-earthquake Nepal, he and his team met with politicians, doctors, and military leaders to understand the critical issues that exacerbated the disaster. What they discovered was not just a shortage of medical expertise but systemic and infrastructure breakdowns that immobilised the country’s response efforts. 

Working with local leaders, the SingHealth team helped craft a solution that involved training not only doctors but also hospital managers, disaster responders, and physical therapists, ensuring the entire healthcare system was better equipped to handle future crises. 

This sense of seeing the big picture is essential to Prof Chua’s philosophy. Global health is about building a depth and breadth of knowledge that allows you to understand how the world works and how to engage effectively within it.

 

“I do global health because it allows you to see the world and understand why things happen the way they do—geographically, historically, culturally. That’s what allows me to connect with people, which feeds back and allows me to do better global health work. I consider it a privilege to be able to see the world this way.” 

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