As LKY would say, "hard truths". Local standards have dropped since the local cohort size was increased and admission criteria lowered such that they been overtaken by UK/AU/US med schools. During the good old days where got such bad news as below?

s://.straitstimes.com/singapore/health/90-breast-cancer-patients-may-have-received-unnecessary-treatment-at-khoo-teck-puat