ACE Clinical Guidances (ACGs)

ACE Clinical Guidances (ACGs)

ACGs* provide concise, evidence-based recommendations to inform specific areas of clinical practice and serve as a common starting point nationally for clinical decision-making. ACGs are underpinned by a wide array of considerations contextualised to Singapore, based on best available evidence at the time of development. Each ACG is developed in collaboration with a multidisciplinary group of local experts representing relevant specialties and practice settings. ACGs are not exhaustive of the subject matter and do not replace clinical judgement. 

Registered doctors and pharmacists may claim 1 Continuing Medical Education (CME)/Continuing Professional Education (CPE) point under category 3A for reading each ACG.

*previously known as Appropriate Care Guides
Published on 24 May 2021
Last Updated on 24 May 2021
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This ACE Clinical Guidance (ACG) outlines some common clinical contexts in which chest X-ray (CXR) is unlikely to confer clinical benefits. Examples of targeted use of CXR in these clinical contexts are included where applicable. 

Download the PDF below to access the ACG.
Registered doctors and pharmacists may claim 1 Continuing Medical Education (CME)/Continuing Professional Education (CPE) point under category 3A for reading each ACG.

ACG recommendations
1. General medical examination: CXR may not be indicated.
2. Preoperative testing: CXR may not be indicated.
3. Lung cancer screening: CXR is not indicated.

When not to order chest X-ray (May 2021)

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