The Pharmacist Who Asked Why

For years, Khee Fui did what a good pharmacist is trained to do: make sure the right drug reaches the right patient, safely and effectively. He believed in that work. But one question kept surfacing, one the clinical guidelines could not fully answer: why do two patients with the same diagnosis, on the same treatment, sometimes go on to fare so differently?

That question, and his unwillingness to let it go, is what led him to the MSc in Precision Health and Medicine (MScPHM).

"As a pharmacist, I was trained to think carefully about whether a treatment is safe, appropriate, and effective for a patient. But I became increasingly interested in the specific mechanisms differentiating patient outcomes, and how biomedical science, data, and technology might help us understand those differences better."
Khee Fui, whose questions as a pharmacist led him to the MScPHM programme at NUS

A Question the Guidelines Couldn't Answer

Clinical guidelines are essential, but Khee Fui had begun to see their edge. Two people can share a diagnosis and still differ in everything that matters underneath it: the molecular mechanism of their disease, the way they respond to a drug, the risk that waits quietly years down the line. He became convinced the answers were hiding in data the field was only beginning to learn how to read — that large biomedical datasets and machine learning could see past the broad clinical labels to the subtypes, molecular patterns, and mechanisms that routine practice never makes visible.

Not Leaving Pharmacy, Going Deeper Into It

So he did not leave pharmacy. He followed it down to the molecule. For Khee Fui, the MScPHM was never a departure from his profession but a way to build on it — a programme sitting exactly where biomedical science, clinical relevance, and data-driven medicine meet. It let him keep hold of the mechanistic questions that had always pulled at him while putting new tools in his hands: multi-omics, computational analysis, and the machine learning methods now reshaping biomedical research.

Putting It to the Test: The Relapse That Comes Late

His convictions deepened in one of his MScPHM courses, PHM5010 Precision Biomarkers, where a research project led him to late relapse in estrogen receptor-positive breast cancer — a disease that can return long after a patient believes the danger has passed. Khee Fui built a machine learning approach that integrated clinical and transcriptomic data to find the features that mark out who is truly at risk over the long term.

Khee Fui presenting his research work during the MScPHM programme

And here is where his pharmacist's instincts proved his greatest asset. He refused to be impressed by a model simply because it performed well.

"The project taught me that model complexity and predictive performance are only one aspect of the story. We also need to ask whether our models capture a meaningful and interpretable biological signal, whether the findings are robust, and whether such research can contribute to better understanding of disease processes or better patient care."

Where He Is Headed

Khee Fui now hopes to spend his career at the meeting point of healthcare, biomedical research, and artificial intelligence — doing the translational work that turns computation into something clinicians can use: disease risk prediction, biomarker discovery, pharmacogenomics, multi-omics. The pharmacist who once asked why one patient differs from another is now helping to build the tools that might one day answer him.

Advice to Future Students

His advice to those thinking of following him is honest about the cost.

"The MScPHM is intellectually enriching, but it can also stretch you in unfamiliar ways. Precision medicine needs people who can cross boundaries. Be open to discomfort, because struggling with new challenges is a part of growth."

About the student

Student: Mr Yong Khee Fui

Programme: 2025 MScPHM with Capstone

Khee Fui trained and practised as a pharmacist, where a persistent question — why patients with the same diagnosis and treatment can fare so differently — drew him toward the molecular mechanisms and data behind those differences. He joined the MScPHM programme at NUS Medicine to build on his pharmacy background rather than leave it, taking up multi-omics, computational analysis, and machine learning. In the PHM5010 Precision Biomarkers course he developed a machine learning approach integrating clinical and transcriptomic data to identify patients at risk of late relapse in estrogen receptor-positive breast cancer. He now hopes to work at the intersection of healthcare, biomedical research, and artificial intelligence, in areas such as disease risk prediction, biomarker discovery, and pharmacogenomics.