BOW - UPEM POSTGRABUATE CIRCUIT COURSES 1989 REPORTDOH-UPCH POSTGRADUATE CIRCUIT COURSE ‘1990 REPORT The DOH-UPCH Postaraduate Circuit Course Project was leunched in Getobers 1909. The ereiect has far its aeneral objective to provide continuing medical education to DOH physi- cians, The specific objective is te promote expertise in the nedical statf of the government’ provincial hospitals. The project started with the DOH identifying four pilot provincial hospitals which will serve as centers for the postgraduate courses. One hospital selected is lecated in Luzon, the IWabela Provincial Hospital in Ylagan, Isabela. Another hospital selected is located in the Visayas, Dr. Rafael Tumbokon Memorial Hospital in Kalibe, akian, The other twe hospitals selected are’located in Mindanao, the Misamis Occidental Pravin~ ciel Hompitel in Oroquieta City and the South Cotobate Provincial Hospital in Koronadat City. In additionst to these four provin~ cial hospitals designated by OOH, the Postgraduate Institute of Medicine, on its own has decided to provide posteraduate courses in Cotobate Regional Hospital at the same time that a course is being held in South Cotabato Provincial Hospital. The project calls for the holding of three pogtgraduate . courses per year per canter at 4-nonths dritervals. The Institute perder VT Geslggs the course content and the teaching program ae well. 4 Cy Upelides the faculty. The taculty are racrusted trom. the U.P. “Collmg® of Medicine on » voluntary basis. The transportation fare of the tacuity to and from the centers 42 being shouldered “by the DOM while the board Jind Lodging arw-being shouldered by the provincial hospitals or by the community physicians.After the hospitals were identified, the officers of the Institute went to the designated centers to asvess the training needs of the hospitel physicians and the prevailing health problems in the community. The course content was then designed based on these two conditions. The teaching methods have been variable but they have been muinly éidactica, panel discussions, wet clinics, practicum, and case and problem presentations by the community physicians: Each postaraduate course proper would usually run for 21/2 days. There are pretest and posttests to assess learning during each course. The regular subsequent Visits of the faculty have alse provided opportunities to assess further the learning of the community physicians’ as well as the effectivity of the courses. hs of December, 1990, the Institute has provided one course lach in South Cotobate Pravinelal Hospital and in Cotobato Regions) Hospital; two courses in Misamis Occidental Provincial Hospitals. thre cnurnes in Tlagan Provincial Hospitals and tour courses in Dr. Rafael Tumbokon Meworial Hospital. The five centers were not provided courses all at the same time. The centers with more courses were started earlier than the others. Once started, « center would receive another course, in 4~month hme. The facuity usually consisted on the average of 12 members per course. The composition hat been basically two internists; two pediatriciones two obstetrician-aynecologistey two general Surgeons the anesthesiologist; and two administrative officers. The composition and number varied trom time to time depending ontne course content. For sxanple, an arthapadié surgeon would” Pe with the tean if there would be an prthopedis topie in the cours content. fae of Deceaber, 1970, = total of G2 faculty mpabars of the U.p. Gollege of Medicine and 1 invited faculty menber of the U-P. college of Public Hesltts had participated. fon the averages the number of participants during each course had been 80, The participants consisted not only of the nedicai staft of the provineial hospital or of the regional poapitat, but also the aunicipal health officers, the physicians jn the district hospitals, governnent physicians from :« nearby province, and also private practitioners: The general sanauseént of the project, after one year, can be said to be productive of achievemants that the DOH and the, Inatitute officials could be proud of. elon are sone description of changes and inprovenents, (See sso individual center's report). posttest results were always better than the pretest results There were medical equipments in, the provincial hospitals which were either non-functioning ar nen Unable because the local staff did not know, how to use then, The faculty of the Institute “had- nade these equipments functional. Examples. of such equip~ nents were the respirators, the incubators, the defibrillators, and the cautery machines.The old practice of waiting and demanding for blood before an emergency aneration could be instituted nas been changed. Emergency operation even without blood has been accepted es a form of resuscitative proce dure in patients uttering fron acute and aessive bidod lose: More and more patients are being saved through this practice. Furthermore, expenses on blood have been reduced. 4. The rational "use of laboratory examinations had been taught. The result had been that the medical tech noloaists are no longer overloaded with requents. Alco, the money saved from unnecessary laboratory examinations can now be channeled to other needs. Si The utitization of .the hospital beds is starting to be maximized. Patients who ‘ean be discharged are . discharged. Trough the wet clinics which consiwted of opera- ‘tions, bedside rounds, and practicum, the skills of the government physicians have been enhanced, 7. Through the cage prewentations by the community phywicians, improvement in rational diagnosis and treatment of patients has been observed “in those centers with more than ene visit by the faculty. The problems encountered in the project involve primarily the head office of DOH. These problems can be enumerated as follows +f. Communacations fram the Institute for the .pravincsst hospitals relayed through the head office of DOH were at times not sent or delayed. Solutions starting next year, the Institute will not rely too much on the head office of DOH. 2. The DOH has not ket up to the meno of agreement with regards the publication of manuscripts. The -Insti~ tute is providing mast of the printing materials for. the handouts. Unless the DOH acts on this problem, starting next yeat, the Institute will be forced to omit handouts. The 1991 schedule is shown below + DOH-UPCH POSTGRADUATE CIRCUIT COURSES 1991 Schedule SCHEDULE PLACE January 16 - 18, 1991 South Cotobate Provincial Hospital febeusey 7 2 10, i991 Masami Occidental Provincial Hospital Perch 21 = 28) 1991 Tagan Provincial Hospital peril 4 = 71 tg7i Rafael Tumbokon Menarial Hospital May $1 a2) 551 Stuth cotosato Provincial Hospital Tere «G81 tout Mitamds Oseidentel Provincial Hospital Buly 8-7) 3991 Tagan Provincial Hospital Puniot, 8 11, 1991 Rafael Tumbokon Memorial Hospital Goptenber S- 8, 1991 South Cotobato Provincial Hospital: Setcoue 3-6) i99i Misamis Occidental Provincial Hospital October 47 = 20, 1991 Tagan Provincial Hospital Rovenber 7-10) 1991 Rafael Tumbokon Meworaal Hospital Prepared by ¢ REYNALOO 0. JOSON, M.D. Director Postoraduate Institute of Medicine January 38, 1991aePEND ICES DOH-UPCH FOSTERADUATE CIRCUIT COURSE INCLUSIVE: DATES. NO. OF PARTICIPANTS AND FACULTY GOKIRSE COORDINATORS LIST DF FACULTY REPORTS FROM ChE CENTERS OR, RAFAEL TUMBOKON MENORTAL HOSPITAL. ILAGAN PROVINCIAL HOSPITAL MISANIS OCCIDENTAL PROVINCIAL HOSPITAL SOUTH COTOBATO PROVINGIAL HOSPITAL REPORTS OF COURSE COORDINATORS: DR. RAFAEL TUMBOKON MEMORTAL HOSPITAL (4) TLAGAN PROVINCIAL HOSPITAL <3) MIGAMIS OCCIDENTAL PROVINCIAL PROVINCIAL HOSPITAL (2) SOUTH COTOBATO PROVINCIAL HOSPITAL (1)DOH-UPCH POSTERAOUATE CIRCUIT COURSE fs of December 1990 INCLUSIVE DATES DR. RAFAEL TUMBOKON MEMORIAL HOSPITAL ist COURSE Detober 2-5, 1990 / 2nd COURSE February 25-25, 1990- Sra COURSE Sune 14-17, 1990 ~ 4th COURSE Novanber 29-Decenber 2, 1990, ISABELA PROVINCIAL HOSPITAL ist COURSE Horch 1-48, 1990 - 2nd COURSE “uty 12-18, 1990 ~ ‘Sed COURSE November 15-18, 19907 MISANIS OCCIDENTAL PROVINCIAL HOSPITAL, Ast COURSE May 24-27, 1990 - 2nd) COURSE 1990 - SOUTH COTOBATG PROVINCIAL HOSPITAL ist COURSE puoust 16-18, 1990 2 COTOHATO REGIONAL HOSPITAL 7 Ast COURSE fuoust 16-18, 1990DOH-UPCH POSTBRADUATE CIRCUIT COURBES fs of December 1990 No. of PARTICIPANTS AND FACULTY DR. RAFAEL TUMBOKON MENORYAL HOSPITAL PARTICIPANTS FACULTY ist COURSE 8s. as 2nd COURSE 6s “10 Sed COURSE ES 12 Sth COURSE a7 az ISABELA PROVINCIAL HOSPITAL At COURSE 60 a 2nd COURSE 52 an Sra, COURSE 48 2 MISAMIS OCCIDENTAL PROVINCTAL HOSPITAL ist COURSE 3 a2 2nd COURSE 36 a2 SOUTH COTOHATO PROVINCIAL HOSPITAL Ast COURSE 49 az COTORATO REGIONAL HOSPITAL ist COURSE =. 42DOH-UPCH POSTGRADUATE CIRCUIT COURSES fs of December 1970 COURSE COORDINATORS . COURSE COORDINATORS CENTERS Le ARTURD S. DELA PENA, M.D. KLAN i 2. MARIO FESTIN, MDs ‘AKLAN 3S. NELSON D. CABALUNA, r.D. SABELA 4. RICARDO MANALASTAS, M-D- TSABELA 3. DANIEL DE’ LA PAZ, M.D. MIsAMIS OCeSDENTAL 6. ARMAND] C. CRISOSTOMO, M.0. coroparaDOH-UPCH POSTSRADUATE CIRCUIT COURSE he of December 1950 LIST OF FACULTY COLLEGE OF MEDICINE DEPARTHENT OF MEDICINE Foe Wiencon svc. : 44. OFELIA JAVELLANA, M.D. a 2) damit! ea. : + 19. ARTEMIO ROXAS, M.D. : aDEPARTHENT OF SURGERY No. OF COURSE FARTICIPATED 4. REYNALOG 0. JOSON, MD. 6 21, NELSON D. CABALUNA, H.D. 4 S." ARTUR S. DELA FEMA, MD. a 4. ANTONIO A. LIMSON, M.D. 2 S. ROBERTO VALENZUELA, M20. 2 6. TEODORO HERBOSA, MD. 7. ADRIAN V. LAUDICD, M.D. 1 @. ADRIAN MANAPAT, H.D. 1 9. RICARDO ABALOS, M.D. 1 10. CRIGOSTOMD ARCILLA, “M.D. 1 : 44, ARMAND C. CRISOSTOMO, M.D. 4 12, DANIEL DE LA PAZ, M.D. » £ 13. JOSE GONZALES, MeD. a 14, MARIO DE VILLA, M.D. 1 "45. ALVIN CABALLES, "AD. 1 DEFARTHENT OF 08-0! CURSE PARTICIPATED 4. RECARDO MANALASTAB, M.D. 3 2. VIRGINIA DE JESUS, M.D. Se MARIO FESTIN, M.D. 4. MARIE JEAN MACARUBBO, M.D. 5S. MILDRED PAREIA, M.D. 6. VIRGINIA ABALOS, .D- ’ 7. BINA PAGKATIPUNAN, 1.0. "10. ae a2. 13. LILIGETH STA-SU, M.D/ SUSAN CU, M.D. Lursa acu, 1D. AIDA JARDOLIN, MD. FELIX SALGADO, M-D: JOSE ARANES, M.D. DEPARTMENT OF PEDIATRICS ae az. as. 14. DEPARTMENT OF ANE: a. 2 ONES MAGNO, 1:0. MIGUEL JAVIER, 1-D. LORNA RANOS-ABAD, 11.D. MICHAEL MANALAVBAY: M.D HERMINIA CIERA, M.D. EDISON TY, M.D. EDGARDO ORTIZ, M.D. MELVIN HINGOA, M.D. HERBERT UY, M.D. ALEXANDER 0. TUAZON, 1.0. ARNIEL STA, M.D. SYLVIA ESTRADA, M.D. SJOSTELYN EUSEBIO, M.D. GRACE AGRAGADA, H-D- amHesta LOURDES KOH, ".D. ERMAN, TOLENTINO, M.D. a NO. OF COURSE PARTICIPATED NO. OF COURSE PARTICIPATED, 3re: S. CONCEPCION CRUZ, M.D. 2 4. ROBERT GOMEZ, M.D. 2 8. GRACE BANZGN, H.D. 1 . “ROSARIO SENGIA, M.D. 1 7. ED SIMON, M.D. 4 8. RICHARD BURTGSAY, M.D. 1 9. LEONARDO ARENAS, M.D. 1 DEPARTMENT OF RADIOLOBY NO. OF COURSE PARTICIPATED 4. SOSELITO LEGASPI, M.D, 1 -2. GAUDENCIO VEGA, 1.D. 1 DEPARTMENT OF ORTHOPEDICS NO, OF COURSE PARTICIPATED ALBERT DY, M.D. 2 JOSE IGNACIO, 4.D- 1 DEPARTMENT OF REMABILITATION MEDICINE No OF COURSE PARTICIPATED A. NTONIG-O. PERIQUET, 1.0. 1 DEPARTMENT OF BIOCHEMISTRY NG. OF COURSE PARTICIPATED A, MARITA V.T. REYES, 1.0. : j pear analDEPARTHENT OF OTORHINOLARYNGOLOGY NO. OF COURSE PARTICIPATED 4. FREDERICK 0. LEH, Mad. . 1 DEPARTMENT OF PHARMACOLOGY NO. OF COURSE PARTICIPATED 1, TSIDRO C. BIA, M.D. 1 COLLEGE OF PUBLIC HEALTH NO. GF COURSE PARTICIPATED 1. RUBEN CaRAGAY, M.D. 1 ee a RE