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PHILIPPINE COLLEGE OF PHYSICIANS40TH ANNUAL CONVENTION – BUSINESS MEETINGPRESIDENT’S REPORT – FY ENDING MAY 31, 2010

As the 45th President of the College, it is my honor to report on the accomplishments of your Board of Regents for the fiscal year beginning June 1, 2009 until our term ends on May 31, 2010. Included in this report are items initially reported in the midyear President’s Report which is posted in our website :

1. THE BOARD OF REGENTS AND THE COMMITTEES

President - Eugenio Jose F. Ramos, M.D., FPCPVice-President - Jaime C. Montoya, M.D., FPCPSecretary - Norbert Lingling D. Uy, M.D., FPCPTreasurer - Oscar T. Cabahug, M.D., FPCPRegents - Priscilla B. Caguioa, M.D., FPCP

Anthony C. Leachon, M.D., FPCPMariano B. Lopez, M.D., FPCPKenneth Hartigan-Go, M.D., FPCPMarilyn Ong-Mateo, M.D., FPCP

Immediate Past President - Charles Y. Yu, M.D., FPCP

2. THE REALITIES & DOWNSIDES OF GROWTH

At 57 years old, the PCP has come a long way from a very simple beginning. We now are the recipients of its stature. Though far from perfect, as a lot more things have yet to be put in place, a lot more still needs to be done. From a professional body focused in preserving its gains, it now must look outward to the rest of the world, to determine its fit, assess its relevance, redefine its roles and expand its reach. Change has come to bear; leading change requires so much more of us than the current competencies that we possess to adapt to it.

The PCP has grown tremendously in terms of membership. From 7,660 members in 2009, it now boasts of over 8,105 members, almost 50% of them concentrated in the national capital region (NCR) and the rest scattered all over the country. A significant number of members have begun to disengage from PCP activities, reflected in terms of low attendance in College activities and a rising amount of annual dues collectibles. As the passing rate in the annual PSBIM examinations stagnates around the 50% rate, the number of affiliate members has risen to surpass 50% of the total College membership. Moreover, these affiliate members have begun to question the relevance of PCP in their careers; many of them have begun to involve themselves in the endeavors of the Philippine Association of Medical Specialists (PAMS), a fast-growing association consisting of doctors who had undergone specialty training in internal medicine, surgery, obstetrics & gynecology, and pediatrics but who had failed to pass the corresponding diplomate board exams. PAMS has actually begun to assume a position that parallels the PMA in many ways.

The growing number of affiliate (non-fellow) members in the provinces, their increasing disengagement from the affairs of PCP as they continue to feel disenfranchised and ‘second-class”, the rising delinquency in the payment of membership dues, the mal-distribution of members across the country, the increasing and unregulated entanglement with the pharmaceutical companies and other healthcare vendors, and many more evolving issues urgently called for in-depth root-cause analyses. Clearly, the College could no longer maintain the status quo nor rely on more-of-the-same solutions that had been employed in the previous years.

The rapid changes in the health sector, including the growing problem in the areas of access to and equity in health care, the surge of medical information and an increasingly demanding publics, the migration of well-trained healthcare personnel – from rural to urban areas, from the Philippines to developing nations, required of the PCP’s leaders to look at the College’s challenges from a bigger perspective. There was a dire need to shift paradigms and to get the members to embrace change.

As current leaders of the College, the Board of Regents stepped back and up to have a wider perspective of the national organization, saw a better view of what needed to be done, and with your cooperation actually have put in place the framework for the next decade. Foremost of the fundamentals was ensuring the survival and forward movement of the College by putting in place the infrastructure for MEMBERSHIP ENGAGEMENT. That's getting members back, attracting new ones, and keeping them! In simple terms, that's doing a lot more than just CMEs, medical missions, conventions and post-graduate courses. In short, putting relevance to what being a PCP member really means!

People ProcessHow does the PCP manage its members, select its leaders?

Strategy ProcessHow does the PCP address its challenges?

Operation ProcessHow does the PCP get things done?

SocialOperating

MechanismsSetting up the culture

of looking beyondself; of

compassion& social

involvement

Bringing thePCP to meet

the demands ofChange

(Tooling,Training,Coaching

& Mentoring)

Demography &socio-political

Dynamics;partnerships,Alliances &

CollaborationsHow does the PCP

fit & influence key forcesIn the country?

The PCP (AT ITS BEST)

1 2 3 4

THE 4 PILLARS OF AN EFFECTIVE ORGANIZATION(KEY RESULT AREAS)

People &Culture

MembershipDevelopment

External Engagement

Structure &Processes

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3. THE 4 PILLARS STRATEGY

The centerpiece of the current PCP leadership is membership engagement and development through structural re-design, chapter empowerment, community engagement and collaboration, and culture change. Pre-work was done in the months leading to June 2009 through chapter visitations to consult and feel the pulse of the members as well as evaluate the level of organizational readiness and leadership capacity.

The organizational structure of committees consisting of 12 standing committees, 3 constitutional committees and 17 ad hoc committees were re-arranged to fit into the Four (4) Pillars of an Effective PCP, as follows :

4. VISIONING THE PCP IN ITS DESIRED STATE

To define PCP in terms that the members can readily connect to, the key result areas were painted in its imagined state:

• The college influences health legislations & policies and their implementation in the country. • The government, academe and the communities at large seek the opinion of the college on health

issues; partnerships are established.• The college sets the standards of medical care in the country; it influences decisions, behaviors,

and health outcomes.• The stature of the medical profession is regained and enhanced in the country.• The college shapes the ambition of the medical students and young doctors to become internists.• The doctors in the country want to be identified with the college; they put in value and derive value

from it as well.

This was the dream state that the current leadership had at the start of the fiscal year, as the Board of Regents (BOR) along with the committee leaders participated in the strategic planning workshop. The 4 Pillars template has been adopted as the main guide to the BOR’s planning, discussions, and decision-making throughout the duration of the current presidency.

Metaphors in pursuing the 4 Pillars strategy

• Build a sturdy house that provides comfort and protection to its members• Provide a wide and welcoming entrance for new members• Ensure an unobstructed exit door for unworthy or unaligned members.• Maintain compelling and engaging reasons to keep members in the house.• Capacitate the members to interact / communicate with the world outside.• Prepare the house and its members

– To open it to guests– To go our and engage the world– To establish networks with other houses

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Engaging our members require of us a deeper understanding of the dynamics of medical practice under a variety of living conditions all over the country, putting ourselves, in effect, in the place of our members out there and seeing their predicaments through their eyes. And so, we realized that a lot more must be required of our leaders so that our members could make good sense out of their membership in the PCP. Out of this analysis came the decision to erect the first pillar: to restructure the College by creating 9 new chapters in the provinces, and to subdivide the NCR into 8 chapters.

The responses of the sitting chapter presidents were varied but predominantly positive. Our past PCP presidents were apprised from the outset because their consent and cooperation were essential. Some chapter presidents actually broached the idea even before it was raised, by just answering a challenge: “How do we empower our members so that they commit to actively participate in the affairs of the PCP?” The leaders of all 9 new chapters (Ilocos-Abra, Northwestern Luzon, Upper Northeastern Luzon, Rizal, Bohol, Capiz-Aklan, Northwestern Mindanao, Caraga and Socsksargen) were inducted in time, and those of the 8 NCR chapters (Camanava, Matapat, Manila, Marikina, Pamunlas, Pasay, Pasjman and Quezon City) will be inducted this May during the annual convention.

By getting the chapters to be leaner- with the leaders and the members closer to each other - and by investing the leaders with the skills and resources to be attuned to the health issues and the needs of their respective communities, we dream of the time when the doctors learn to lead and productively engage their communities in healthy and positive endeavors, and are once again looked upon as real professionals. We aim to convince the chapter leaders to look at their present positions as a rare opportunity to make a difference, not just as doctors who diagnose and treat disease, but as health leaders who make things happen. There was no need to belabor the importance of organizing the College at the chapter level. With the chapter leaders’ own personal vision, they are expected to get on with the tasks at hand without further interference.

We did not want to delay the changes that had to happen lest the rest of the changes that were already happening (whether we liked them or not; whether we were ready for them or not) overtook us. Without the structures we could not lay the circuits for effective communication and engagement. The members themselves and the communities were the best place to start.

We also knew that something had to be done about current ethical challenges to our profession, about how doctors behave in a society that looks up to role-models and is oftentimes shortchanged. Last January, the Board of Regents and leaders of the component societies had a dialogue with the CEOs of the pharma industry. We felt that we had to grab the bull by the horns and take the lead in putting an end to our overdependence on the drug companies for anything and everything that we otherwise should really be doing by ourselves. We challenged ourselves by asking whether we could truly say that we had defined the practice of our profession with elegance and professionalism.

A workshop was held on January 9 with the representatives of the component societies to bring to the table their respective advocacies, with the aim of consolidating the PCP's policies on Philippine healthcare that would eventually drive the College's legislative agenda. The by-product of this activity was used by the College in the PCP-sponsored Presidential Forum on Health held on March 16, 2010, 6:00-8:00 pm live via the ANC Channel. The forum, participated in by two presidentiables Sec Gilberto Teodoro and Senator Richard Gordon, gave us a glimpse of how these politicians thought and would formulate executable plans that would pursue, support and enhance our health agenda. The activity was made in collaboration with the Ateneo School of Medicine and Public Health.

In May, during the convention, proposed amendments to the constitution that aim to further tighten our relationship with our members, achieve “Brain Gain” by attracting qualified kababayans from abroad, etc. will be presented. Furthermore, during the convention we will be recognizing the most appropriate members of exemplary character and contributions to the College with the appropriate awards. The PCP Exemplar in Residency Training (formerly Most Outstanding Resident in Internal Medicine or MORIM) will also be selected not just based on the usual parameters, but more appropriately on the bases of what being a resident in INTERNAL MEDICINE really should stand for.

Our annual convention this May is going to be spartan but elegant, simple but substantial. We will distinctly separate pharma-sponsored lectures from academic lectures. We will also focus on Internal Medicine as a distinct discipline that puts a premium on real physician-patient partnership.

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3. STANDING AND AD HOC COMMITTEE REPORTS

The PCP of today is the result of the leadership of past presidents based on the challenges they faced at the time. Over the years, these challenges have changed, along with patients and health profile which affected the delivery of health, requiring a different approach in finding solutions.

In the last stratplan workshop, the present leadership identified those things that they can do better (housekeeping), the things that need to be put in place immediately to align with the realities of the changes in healthcare (game change) and the things they should be investing on to create impact and achieve the vision of the PCP (landscape change). The main directive was on getting things done.

In order to better understand and achieve this, the committees were categorized into 4 Key Result Areas or Pillars :

1) People and Culture

o Ethicso Awardso Newsletter o PCP Foundationo Council of Elders

People and Culture is the foundation which requires leadership. This defines the culture that the PCP stands and aims for. It requires the Ethics Committee to lay down the groundwork for an ethical culture; which will be evident in the awards given to members, giving due recognition to people who our members should emulate; and reflected in the articles we publish in our newsletters.

2) Structures and Processes

o Chapters o Subspecialty Societieso PSBIMo Accreditationo RTPo RITE

Part of the plan is to create additional chapters in areas that are geographically challenged but with enough fellows to comply with the basic requirements of membership. These chapters will be empowered to be the leaders in their respective localities.

People & Culture

ExternalPublics

Structure & Processes

THE PCP 2009 ONWARDS

Membership Development

Dr. Montoya Dr. Ramos Dr. Uy Dr. Cabahug

Information Technology

Ways and Means 40TH Annual ConventionLong Term Planning

Constitution and By-LawsNominations

Research

Credentials

CME

PCP Foundation

Council of Elders Dr. YuRTP

PSBIM

Accreditation

RITE

Chapters

CSAS

AFIM

Health Forum/ Media Relations

HMO

Dr. YuDisaster & Calamity

Legislation

Advocacies

Newsletter

Ethics

Awards

Dr. YuMORIM

COSA

PJIM

PCP Quiz

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The PSBIM, Accreditation and RTP Committees need to communicate in order to achieve congruency and create better internists who will pass the diplomate exams.

3) External Engagement

o Health Forum/Mediao HMOo AFIMo Legislationo Advocacieso Disaster and Calamity

PCP will now look beyond itself and engage the world outside of its members. Leadership will move from leading in healthcare issues affecting the country, like the AH1N1, to creating a healthcare agenda that we will actively support and lobby.

We need to know what manage-care is all about and how to control it rather than be victims of the HMOs. We will align with our subspecialty societies in terms of our advocacies to create a bigger impact. We need to learn to be media savvy, and use our Health Forum to push our agenda and be the mouthpiece for our advocacies.

4) Membership Development

o Membership and CMEo Researcho PJIMo COSAo MORIMo Quiz

Going around the chapters has helped the Board realize the main issues affecting the members. One issue is members who cannot pass the diplomate exams. The Board needs to identify the process by which these can become fellows without first becoming diplomates.

Next is the orientation of our CMEs. A lot of it is attendance-oriented and pharma-sponsored. The committee assigned will be working on a CME that is web-based for members in far places to be able to comply without the need to travel.

As for Research, there was a suggestion to de-emphasize it because not everyone is into research. Instead of making it as a requirement, the College should provide an enabling environment to do researches.

The committees on Information Technology, Constitution and By-laws and Nominations will cut across all 4 pillars.

The challenge for this year’s leadership, both for the Board of Regents and the Committee Chairs, was in identifying what needs to be done, the metrics of success and the timelines.

PILLAR ON PEOPLE AND CULTUREHow we think, feel and behave

Social Operating Mechanisms - Setting up the culture of looking beyond self; of compassion and social Involvement.

“How do we become the people that best define what PCP is?”

3.1 Ethics

Regent Coordinator : Dr. Anthony C. LeachonChair : Dr. Heizel Manapat-ReyesCo-chair : Dr. Patrick Moral

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Members :Immediate Past PCP President Dr. Charles YuMember from the Council of Elders Dr. Antonio VillalonRepresentative of Subspecialty Societies Dr. Patrick MoralRepresentative of PCP Chapters Dr. Editha Cañete-MiguelPCP member from DOH Dr. Kenneth RonquilloPCP member from academe Dr. Libertad N. RosalesPCP Lawyer Dr. Rudyard Avila III

This is the first year that the Ethics Committee was constituted as a regular committee of the PCP. The antecedent Ad Hoc Committee on Ethics completed the formulation of the Code of Ethics of the PCP and outlined the following functions for the regular Ethics Committee:

1. setting of standards2. review and restitution for complaints, and 3. increasing the awareness of members regarding professional ethics.

Likewise, the rules drafted by the Ad-Hoc Committee require participation of the specific constituencies as mentioned above.

For this year, the Committee determined its short-term and medium term plans. The priority is to inform all the members that the PCP now has a Code of Ethics. The following strategies have been done to increase awareness of the Code:

1. Posting of the Code of Ethics on the PCP website

2. Reminding of Chapter Presidents to discuss the Code of Ethics during one of their Chapter meetings. To this end, we have response from two Chapter Presidents of their compliance. In the letter of request, the Committee also requested for comments on bioethical and professional issues that confront the different Chapters that have not been covered by the Code. There has not been any response to this.

3. Showcasing a People and Culture booth during the mid-year convention. However, this did not materialize as the convention was cancelled due to inclement weather. The plans for this have been put forward to the Annual Convention. The aim for this is to enable our members to reflect on the values that are important to them as physicians, as well as identify role models/exemplars in medicine.

4. Disseminating the Code of Ethics to new members and trainees

5. Representation has been made to the RITE and CME Committees for inclusion of the Code of Ethics and self-assessment regarding this in the website. The requisite questions have been submitted.

6. Presentation of the Code of Ethics to various stakeholders in a series of discussions.

Plans that have yet to be accomplished include the following:

1. Representation to the Philippine Specialty Board of Internal Medicine for inclusion of ethics in the diplomate examination in 2011

2. Representation to the Residency Training Committee for the formal inclusion of Ethics and Professionalism in the Residency Curriculum

3. Completion of a Trainors’ Workshop on Professional Ethics, Bioethics and Social Ethics. The curriculum for this is being prepared and plans are to conduct this on the 3rd or 4th

quarter of the year. The target is to hold 2 workshops of 40 participants each, torepresent the different accredited training institutions. The workshop participants will then be expected to facilitate the application of the Ethics and Professionalism Curriculum in their hospitals.

4. Representation to the Board of Regents for the regular inclusion of ethics and professionalism topics during annual and mid-year conventions.

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This year, the Committee had two cases formally filed for deliberation:

1. The first is a case filed by a physician against one the of component societies of the PCP for alleged inaction of the later on a case that the proponent filed against one of the members of the component societies. The subspecialty society has already set corrective action on this upon the request of the Ethics Committee.

2. The second case is one filed by several physicians and hospital authorities against one of our affiliate members for misrepresentation and conduct unbecoming of a physician. The case is in the investigatory phase.

3.2 Awards

Regent Coordinator : Dr. Anthony C. Leachon Chair : Dr. Inocencio P. AlejandroCo-Chair : Dr. Helen Ong-GarciaCommittees of Peers

The situation and challenge to the Awards Committee

The Philippine College of Physicians (PCP) comes with a long history of awarding its Fellows who have excelled in the roles of internist-physician, teacher and researcher but has recently recognized the need to include other physician-roles and other PCP membership categories to lift up as potential role models.

The existing awards process is a product of the thoughtful reflection among the regents, past awardees and the general membership. Its strengths include the unquestionable merits of the past awardees, the institutionalization of the nomination process, and the celebration of the contributions of illustrious men with national prominence. Its perceived weaknesses include the under-representation of membership categories other than the fellows, potential overlap in the existing award categories, poor recognition of the PCP physicians’ role as change agent in the community as developer or health care advocate and a recognition ceiling for women, young, non-subspecialist or non-NCR candidates.

This Awards Committee, therefore, was tasked to recognize and present role models of the Filipino internist in his various roles as clinician, mentor-educator, researcher, health care advocate and community organizer for the benefit of the Filipino using the discipline of Internal Medicine and its subspecialties.

The “new” PCP Exemplars: process and categories

There are three obvious changes to the existing Annual PCP College awards: new names, new categories and new nomination-evaluation form. The changes in the names were meant to reflect more explicitly the purpose for each of the awards, namely:

Annual PCP College Awards = PCP Exemplar Awards for Excellence

Distinguished Internist Award = PCP Exemplar for Clinical Practice (excellent and ethical practice of Internal Medicine)

Distinguished Researcher Award = PCP Exemplar for Clinical Research(exemplary record of research toward the understanding of the interaction of a person and his/her environment in health and disease)

Distinguished Teacher Award = PCP Exemplar for Clinical Education(total development of physician-peers, trainees and/or students)

Two new awards will be given – the PCP Exemplar for Healthcare Advocacy (advocacy at the national level with impact on public health) and the PCP Exemplar for Community Development(exemplary effectiveness in developing and implementing health and/or disease programs at the local community setting).

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The Gonzalo F. Austria Memorial Award or Most Distinguished Physician Award will be retained as the highest award - the epitome of the internist in her/his various roles.

The same evaluation question is asked at all levels of the awards process – nomination by a peer, evaluation by a supervisor and/or beneficiary, and group evaluation by a Committee of Peers.

Past awardees were recruited to form the Committee of Peers lending credibility to the group evaluation. These in turn were chosen based on nominations solicited from the different PCP Chapters and Specialty Societies. Care was taken to ensure representation of those outside of the National Capital Region and those of female gender.

Learnings and Suggestions

The annual college awards - now the PCP Exemplars - are important to the individual PCP member, as well as to the PCP Chapters and Societies. The Awards Committee is grateful for the enthusiastic participation of our members through their nominations, evaluations and/or participation in the Committee of Peers. Their participation exceeded our guarded expectations due to the tight schedule and the unfamiliar awards process.

We have learned that the response was greatest to information dissemination through text messaging. There are still members, however, accessible only through postal mail and email.

We noticed that a significant number of nominators needed reminders to use the new nomination-evaluation forms. We will aim to familiarize the individual PCP member on its use during the Annual Convention.

There are two procedures that were not implemented this year: first, to include space for a short description by the nominator-evaluator on the merits of the proposed nominee, and second, to form a documentation sub-committee, which will verify the accomplishments of the proposed nominee.

The Board of Regents has approved the recommendations of the Awards Committee to recognize the following respected members of the College this year :

Gonzalo F. Austria Distinguished Physician Award - Dr. Dante D. Morales (formerly Most Distinguished Physician Award)PCP Exemplar for Clinical Practice - Dr. Luciano F. FernandezPCP Exemplar for Clinical Education - Dr. Sandra V. NavarraPCP Exemplar for Healthcare Advocacy - Dr. Ma. Encarnita B. LimpinPCP Exemplar for Community Development - Dr. Isabelita F. Siapno

The selection for the PCP Exemplar for Excellence was made by the Board of Regents and the following member is being recognized for his invaluable contribution and humble service to the College during the fiscal year.

PCP Exemplar for Excellence - Dr. Sandra Tankeh-Torres

3.3 NewsletterRegent-Coordinator : Dr. Anthony C. LeachonEditor : Dr. Rogelio V. Tangco

The Filipino Internist is the official newsletter of the Philippine College of Physicians. Its aim is to promote the mission and vision of the College by way of facilitating communication between the Board of Regents of PCP and its member-physicians.

In so doing, the newsletter enables the members to keep abreast of the activities of the College, to vent out their opinions and views on issues that are raised within the College, and to participate in national issues and advocacies that concern Filipino physicians in general and as PCP fellows in particular.

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Part of the improvements within the committee is to make The Filipino Internist newsletter available to its members and partners anytime through the PCP website. All issues will be posted on the PCP website which members can download. Only those issues that will be distributed during annual and midyear conventions will be printed to participants. There will be no mailing of newsletters.

As we had begun with professional editorial assistance, so shall we continue to obtain the professional services of Mr. Ruben Tangco to help us couthe in better language and graphics the ideas we propose and the images we project in our newsletter. The Filipino Internist shall continue to be a mirror of the members of the College, not just its mouthpiece. It will reflect its culture of professionalism and intellectual pursuit, ethical medicine, and commitment and concern for our fellow Filipinos.

3.4 PCP FoundationRegent-Coordinator : Dr. Charles Y. YuChair : Dr. Jose D. Sollano, Jr.Members : Dr. Rody G. Sy

Dr. Dante D. MoralesDr. Eugenio Jose F. RamosDr. Jaime C. MontoyaDr. Norbert Lingling D. UyDr. Oscar T. CabahugDr. Antonio H. VillalonDr. Rudyard A. Avila, IIIQuasha, Ancheta, Pena, Nolasco Law Office

On March 19, 2009, the Department of Social Welfare and Development (DSWD), through the office of then Secretary Esperanza I. Cabral, approved a grant of P1 Million to the PCP Foundation for the HERO Advocacy Project.

The grant will be used in coordination with the HERO Advocacy Committee for the printing of the HERO modules and flipcharts.

3.5 Council of Elders

Regent Coordinator : Dr. Charles Y. YuChair : Dr. Dante D. MoralesMembers : Dr. Ramon F. Abarquez, Jr.

Dr. Sol Z. AlvarezDr. Felicidad G. Cua-LimDr. Marcelito L. DuranteDr. Augusto D. LitonjuaDr. Jose D. Sollano, Jr.Dr. Venancio I. GloriaDr. Antonio H. VillalonDr. Fernando F. PiedadDr. Abdias V. AquinoDr. Romeo A. DivinagraciaDr. Clemente M. AmanteDr. Teresita S. De GuiaDr. Cecil Z. Tady

The Council of Elders is composed of Past Presidents of the College. Last year, the constitutional amendment concerning the creation of the Ethics Committee as a standing committee of the College has been approved by the membership. All functions of the Council, therefore, that apply to ethics were reclassified to the Ethics Committee. Consequently, the new functions of the Council of Elders as stated in the Constitution and By-laws are as follows :

1. Act as Advisory Council to the Board of Regents regarding issues and decisions particularly where the name of the College is at stake;

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2. It shall be called upon to arbitrate on College issues or controversies;3. It shall recommend to the Board of Regents, proposals that it feels will benefit the general

membership and the College as a whole;4. Such other functions as may be assigned to the Council from time to time.

PILLAR ON STRUCTURE AND PROCESSES

“How do we become an agile and dynamic organization geared for membership growth & engagement, sustainability and leadership?”

3.6 Philippine Specialty Board of Internal Medicine

Chairman : Dr. Manuel C. Jorge II (UP)Secretary : Dr. Norbert Lingling D. UyMembers : Dr. Gorgonia P. Panilagao

Dr. Anastacio R. AquinoDr. Ludovico L. Jurao Jr.Dr. Alex V. VarillaDr. Gedeonino V. PadillaDr. Felycette Gay M. LapusDr. Geselita N. MaambongDr. Edgardo P. FajardoDr. Alda F. TulioDr. Elizabeth Angelica L. Roasa

Health Professions Educator : Dr. Roel AP Romero

A total of 533 examinees took the written certifying examinations on January 24, 2010 at the UST Medicine Building. A total of 292 examinees or 54.78% passed. All examinees passed the institutional oral examinations given by their training programs. A total of 292 candidates will be certified as Diplomates in Internal Medicine during the Opening Ceremonies and Convocation of the 40th Annual Convention. Dr. Manuel C. Jorge II, PSBIM Chair, has prepared an analysis of the results of the examinations for discussion with the Chairmen and Training Officers of PCP-accredited hospitals. There will also be a “PSBIM Hour” session during the annual convention, designed to help residents and future examinees pass the written certifying exams.

3.7 Accreditation Committee

Regent Coordinator : Dr. Mariano B. LopezChair : Dr. Dennis James N. Torres / Dr. Teodoro B. RamosMembers : Dr. Albert Hans P. Bautista (special project)

Dr. Edwin S. Tucay (special project)Dr. Mario M. PanaliganDr. Gerald M. LuzanoDr. Daphne D. BateDr. Teodoro B. RamosDr. Jose Edzel V. TamayoDr. Ricardo A. Francisco, Jr.Dr. Cecilia A. JimenoDr. Rodney M. JimenezDr. Auxencio A. Lucero, Jr.Dr. Ma. Martina F. AlcantaraDr. Virginia S. De Los Reyes

Health Professions Educator : Dr. Roel AP. Romero

This report covers the period from June 2009 to April 2010. In the month of December 2009, Dr. Teodoro Ramos succeeded Dr. Dennis James Torres as committee chair.

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The committee continued its task of inspecting annual reports, visiting hospitals and communicating with these hospitals regarding their strengths and weaknesses. It has remained steadfast in promoting yearly submission of department reports in order to facilitate document preparation and inspection.

It held a total of seven (7) en banc meetings to evaluate and make recommendations to the Board of Regents regarding the accreditation of hospitals, improvement of the process of accreditation and other matters. The committee has, likewise, sat with the RTP and RITE committees in trilateral meetings in order to align their respective functions.

The committee has recommended full accreditation of twenty eight (28) hospitals, provisional 3 status for two (2), provisional 2 for three (3) and provisional 1 for five (5). Two hospitals have pending applications for provisional 1 status. At present, a total ninety four (94) hospitals are accredited by PCP nationwide.

3.8 Residency Training Program

Regent-Coordinator : Dr. Mariano B. LopezChair : Dr. Imelda Muriel-MateoMembers : Dr. Rufino E. Chan

Dr. Francisco P. TranquilinoDr. Frances Marie A. PurinoDr. Elaine C. CunananDr. Diana A. PayawalDr. Ma. Celine T. AquinoDr. Miriam R. TimoneraDr. Pompeyo R. Bautista, Jr. Dr. Melvin A. Pasay

Health Professions Educator : Dr. Roel AP. Romero

I. Committee Goals for the Year:

a. Defining committee’s functions1. Develop Standards for PCP-IM Residency Training Program Design 2. Facilitate implementation of Design-based Training Program 3. Provide the basis for accreditation of Residency Training Programs

b. Organization (based on FUNCTIONS):1. Subcommittee on RTP Design – tasks:

1.1 To periodically evaluate effectiveness and efficiency of currently-used design

1.2 To recommend modifications, revisions to currently-used design

1.3 To try innovations among selected programs

2. Subcommittee on Implementation of RT Programs:2.1 To continuously gather information on RTP needs to

effective and efficient implementation2.2 To facilitate training of trainors2.3 To try out new ways of implementation among selected

programs

3. Subcommittee on RTP Maintenance 3.1 To periodically evaluate effects of trainor-training 3.2 To present to other two subcommittees the results of

evaluation 3.3 To conduct studies which with help improve RTP

Implementation and design

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II. Accomplishments :

Four Workshops conducted for 2009- 2010: for “Training the Trainors” with objective of contributing to the development of PCP standards for Residency Training Program Design and Implementation.

Activities include :1. Understanding the goal of the PCP IM-RTP2. Determining the residents’ training needs to help attain the goal

a. writing raining objectives in the context of the practiceenvironment

b. supervising for development of self –directionc. structuring conferences in-aid-of clinical problem solving and decision makingd. providing formal feedback and deciding on attainment of

objectives e. facilitating mastery of content

f. facilitating development of continuous learning3. Managing the Residency Training Program

The 4 Workshops were as follows :

1. NCR Workshop : September 10, 2009 at the PCP Office

18 institutions signed up for the workshop; 9 institutions attended1.1 Cardinal Santos Medical Center 1.2 Batangas Regional Hospital1.3 Dr. Jose R. Reyes Memorial Medical Center1.4 MCU-FDTMF1.5 Medical Center Manila1.6 Our Lady of Lourdes Hospital1.7 St. Luke’s Medical Center1.8 Tondo Medical Center1.9 Univ. of Perpetual Help Dr. Jose G. Tamayo Med Ctr (BL)

2. Mindanao Workshop: January 27-29, 2009Venue: Iloilo City

18 signed up for the workshop; 6 institutions attended2.1 Iloilo Doctors Hospital 2.2 Iloilo Mission Hospital 2.3 San Pedro Hospital 2.4 St. Paul’s Hospital 2.5 West Visayas State Univ. Med. Center2.6 Western Visayas Medical Center

3. Visayas Workshop : February 24 – 25, 2010Venue : Cebu City

27 signed up for the workshop; 15 institutions actually attended3.1 Cebu City Medical Center 3.2 Cebu Doctors Univ. Hospital3.3 Cebu Velez General Hospital3.4 Chong Hua Hospital3.5 Ciudad Medical Center 3.6 Davao Doctors Hospital3.7 Davao Regional Hospital3.8 Divine Word Hospital3.9 Eastern Visayas Reg. Med. Center 3.10 Perpetual Succor Hospital3.11 SWU-Sacred Heart Hospital

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3.12 Vicente Sotto Memorial Medical Center 3.13 Visayas Community Medical Center 3.14 Western Mindanao Medical Center 3.15 Zamboanga City Medical Center

4. Luzon Workshop : April 7-9, 2010.Venue : Tarlac City

22 signed up for the workshop; 14 institutions actually attended 4.1 Angeles University Foundation Medical Center 4.2 Baguio General Hospital and Medical Center 4.3. Bulacan Medical Center 4.4. Cagayan Valley Medical Center 4.5. Dr. Paulino J. Garcia Memorial Research Med Ctr.4.6. Ilocos Training and Regional Medical Center4.7. Jecsons Medical Center4.8. Jose B. Lingad Memorial Regional Hospital4.9. Premiere Medical Center4.10. Region I Medical Center 4.11. SLU-Hospital of the Sacred Heart4.12. Tarlac Provincial Hospital4.13 Universidad De Sta. Isabel-Mother Seton Hospital4.14 University of Perpetual Help Dr. Jose G. Tamayo Med. Ctr. (BL)

III. Meeting with Accreditation Committee (chair and 3 group leaders) - held last April 12, 2010- discussed with the Committee on Accreditation the year end evaluation

Objectives:i. Assess attainment of committee plans ii. Provide inputs relevant to accreditation Committee functions iii. Organize data needed for planning (June 2010 – April 2011)

IV. Action Plans/ Remaining Tasks:1. Prepare modules on RTP design and implementation2. Get feedbacks from training institutions for future modification and revision of the program 3. Finalize updated glossary of common diseases

V. Number of meetings held = 4

3.9 Residents in Training Examinations-Self-Assessment Modules (RITE-SAM)

Regent-Coordinator : Dr. Mariano B. LopezChairman : Dr. Lenora C. FernandezCo-Chairman : Dr. Raul V. DesturaMembers : Dr. Francisco K. Ontalan III

Dr. Roberto C. MirasolDr. Efren R. VicaldoDr. Ma. Encarnita B. LimpinDr. Marilou P. MaglanaDr. Vivian Labi-Untalan

I. BACKGROUND AND RATIONALE FOR RITE COMMITTEE

The PCP was regularly conducting the Residency Evaluation Examination (REE) on an annual basis from 1988-1997. This annual written examination was given to second and third year internal medicine residents-in-training for the purpose of preparing them for the Philippine Board of Internal Medicine (PBIM) and to detect early on the trainees who would need more academic assistance to pass their future Board examination. The functions of the Committee handling the REE was included in the PCP Constitution under

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Article VI, Section 2, letter d. The REE was later changed to Residents-in-Training Examination (RITE) from 1998-2003 with this examination serving the dual purpose of being a preparatory examination for the PBIM and as a summative examination that can be used by the individual training institutions to assess the cognitive knowledge of their second and third year residents-in-training. All these efforts were geared towards increasing the number of examinees who can pass the PBIM since the PBIM passing rate ranged from 23-66% only from 1988-2003.

However, after conducting an evaluation on the usefulness of the REE and the RITE in preparing the residents-in-training for the Internal Medicine Board examination (PBIM), the reliability of the REE and RITE as examinations ranged only from 63-78% and were assessed to lack validity. The following problems were also consistently identified:

1. The REE & RITE written examination structure was not appropriately planned & implemented.

2. The role of the training program in utilizing the REE/RITE remained vague, thus, the trainees & the institutions did not prepare & utilize the REE/RITE results in a serious & consistent manner.

3. There was the basic fault of evaluating a training program by giving an examination (as a summative evaluation tool) to its product (residents-in-training) which would not help the training program improve in carrying out its goals of training.

The RITE was then halted from 2004 up to 2009.

In the recent years, the PCP Board of Regents resolved to re-institute the functions of the Residents-in-Training Examination (RITE) Committee to continue the assistance of the PCP to the Residents-in-Training in preparing for the PBIM. The RITE Committee was re-formed on September 2009.

II. OBJECTIVES OF THE RESIDENTS-IN-TRAINING EXAMINATION (RITE) COMMITTEE

The re-formed RITE Committee started to meet on September 2009 and its objectives, functions & activities were re-structured.

The working objectives of the Resident-in-Training Evaluation (RITE) Committee are:

1. To provide an opportunity for residents-in-training to assess their knowledge gained in a formative manner.

The indirect goal of helping prepare the residents-in-training for the PBIM may be achieved if the residents-in-training will utilize these formative evaluation activities to strive to gain more knowledge in order to prepare for the PBIM.

2. To provide a formative tool to the training programs which they can use to assess the knowledge gained by their trainees.

The RITE Committee agreed that it is NOT the role of the RITE to evaluate the residency training program. The Committee also agreed that helping prepare the residents-in-training for the PBIM cannot be done by trying to simulate the PBIM because the circumstances of the examinee are different & that the PBIM can never be adequately simulated. The annual written examination to the residents-in-training as the main activity of the RITE Committee was then decided against.

The RITE Committee decided that the best manner to accomplish these objectives was to provide a formative tool that will be cost & manpower-effective. The best formative tool decided on by the Committee was the on-line Self-Assessment Module (SAM). Modules on the most common diseases in the Glossary of PCP for Internal Medicine Practice will be formulated and these will be disseminated to the residents-in-training & the training programs through the PCP website.

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III. THE SELF-ASSESSMENT MODULES (SAM) OF THE PCP RITE COMMITTEE

The SAM of the PCP RITE Committee will be on-line formative evaluation tools that the residents-in-training can utilize to assess their knowledge on the most common diseases.

A. Premises

These are the following premises in the construction of the Self-Assessment Modules (SAMs):

1. Its effectivity will be based on the principle of providing continuing education to adult learners through self-study and self-directed learning.

2. The SAM is NOT an examination but is instead a formative learning tool.3. It will NOT be a PCP requirement but the residents are encouraged to take

the SAM with the assistance of the training programs.4. Security is not a concern in taking the SAM since the SAM is not an

examination and will not be used by the PCP or by the training programs as a grading or summative evaluation tool.

5. The role of the training program and faculty staff will be to assist the resident in acquiring knowledge in the parts where the resident is deficient in (as to be identified in the SAM feedback).

B. Structure

Each common disease chosen will have a SAM. The structure of the SAM is based on principles of evaluation and concept learning and will be divided into four parts according to the level of knowledge gained.

PARTS PURPOSES CONCEPT GAINS

I Placement Integrative reconciliation(know, not know)

II Progress (extent of K) Progressive differentiation- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -III Problem (help) Peer feedback

(RTP responsibility)- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -IV Promotion (self-confidence) Superordinate learning

(Residents’ decision)

C. Content:

Each common disease chosen will have 1 SAM. The sources will be the textbook of Harrison’s Principles of Internal Medicine and the clinical practice guidelines on the disease.

The three parts of the SAM are as follows:1. Placement:

- Concepts of Pathogenesis (etiologies, risk factors, mechanisms producing pathology)

- Concepts of Pathology (mechanisms responsible for macro, micro and molecular tissue and organ changes)

2. Progress- Concepts of Pathophysiology (tissue and organ damage-related

mechanisms responsible for dysfunction)- Principles of Clinical Diagnosis (derived from concepts of Pathogenesis,

Pathology and Pathophysiology)- Principles of Diagnostic Confirmation (derived from concepts of :

Pathogenesis – etiologic tests, Pathology – imaging tests, Pathophysiology – physiologic tests)

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- Principles of Therapeutic Intervention (derived from concepts of : Pathogenesis – specific treatments, Pathology – supportive treatments, Pathophysiology – symptomatic treatments)

- Principles of Prevention (derived from epidemiologic information and concepts of : Pathogenesis – primordial and primary prevention (vaccines), Pathology and (secondary prevention (vs. recurrence), Pathophysiology – tertiary prevention (vs. undesirable sequelae and complications)

3. Promotion- Problem-solving (principally clinical Impression, based on principles of

clinical diagnosis and use of evidence)- Decision-making for tests (based on principles of diagnostic

confirmation and use of evidence)- Decision-making for treatments (based on principles of therapeutic

intervention and use of evidence)- Continuity of care (based on principles of prevention and use of

evidence)

The test blueprint will be based on the 3 parts mentioned above.

D. Conduct of the SAM

The SAM will be taken by the resident in phases where after taking the first part of the SAM, an immediate feedback will be given to the resident on-line so that the resident can have the opportunity to improve on his/her deficient aspects with the assistance of the training program staff. The resident then proceeds to complete the rest of the SAM on-line. Immediate feedback will again be given on-line to the resident. The SAM for each disease will be available on-line only for a specific time period so that the availability of the SAMs will be distributed throughout the year.

IV. ACTIVITIES OF THE RITE COMMITTEE (September 2009-September 2010)

1. RITE meetings (6 projected meetings for whole year)2. SAM Writeshop (accomplished Jan 31, 2010)3. Module making (all already submitted preliminary draft)4. SAM Refinement (3-4 meetings from April-June 2010)5. SAM Web re-formatting & operationalization with Beta-testing & Pilot-testing

(May-July 2010)6. Launching & advertising of SAM

- pamphlet publication- dissemination to Training Institutions, Training Officers, Residents-in-

Training (May-August 2010)7. Operationalization with regular SAM usage (August 2010- August 2011)8. Initial evaluation of SAM (December 2010)

3.10 Chapters

Chairman : Dr. Eugenio Jose F. RamosRegent-Coordinators

Bicol - Dr. Mariano B. LopezCentral Luzon - Dr. Priscilla B. CaguioaNorthern Luzon - Dr. Mariano B. LopezNortheastern Luzon - Dr. Norbert Lingling D. UySouthern Luzon - Dr. Oscar T. CabahugWV - Panay - Dr. Norbert Lingling D. UyWV - Negros Occidental - Dr. Eugenio Jose F. Ramos

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Negros Oriental - Dr. Kenneth Hartigan-GoCentral Visayas - Dr. Anthony C. LeachonEastern Visayas - Dr. Kenneth Hartigan-GoSouthern Mindanao - Dr. Oscar T. CabahugNorthern Mindanao - Dr. Eugenio Jose F. RamosWestern Mindanao - Dr. Jaime C. Montoya

a. The induction of chapter officers was one of the activities that your current president considers highly important. It is an opportunity to interact with chapter members since most of the chapters held their general assembly on the day of the induction ceremony. Here issues and concerns raised were relayed for clarification and/or approval. I am very fortunate to have witnessed most, if not all, of the chapter inductions during my term of office.

b. I have often stated in my emails and writings that the organization and mobilization of each chapter – specifically, the full engagement of the members in the undertakings of the chapter – holds the key to our success as an organization.

The most common issue raised during my chapter visits was the difficulty in gathering members because of geographical distance. There were two chapters, the Southern Mindanao Chapter (SMC) and Northeastern Luzon Chapter (NEL), which brought the issue of chapter division during the visits. NEL even voted among themselves during the general assembly for the division of their chapter into two– Upper and Lower NEL.

With a membership of 7,660 in July 2009 and growing at a rate of 5-8% annually, it would be impossible to lead through the existing thirteen (13) regional chapters nationwide. Thus, in August 2009, the Board of Regents formally approved the creation of new provincial chapters, from 13 to 22. Delinquencies from annual dues that will be collected by these chapters from the 80’s to 2008 will be given back to the respective chapters. This will serve as start-up funds of the new chapters.

Likewise, the Board approved the creation of eight (8) chapters within the National Capital Region (NCR) on September 2009. The division of provincial and NCR chapters are as follows :

Provincial Chapters 1. Central Luzon 2. Ilocos-Abra3. Northern Luzon4. Northwestern Luzon5. Lower Northeastern Luzon6. Upper Northeastern Luzon7. Southern Luzon8. Rizal9. Bicol10. Bohol11. Central Visayas12. Eastern Visayas13. Negros Oriental14. WV-Negros Occidental15. WV-Panay16. Capiz-Aklan17. Northern Mindanao18. Northwestern Mindanao19. Caraga20. Southern Mindanao21. Socsksargen22. Western Mindanao

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NCR Chapters

1. Caloocan-Malabon-Navotas-Valenzuela (Camanava)2. Makati-Taguig-Pateros (Matapat)3. Manila4. Marikina5. Parañaque-Muntinlupa-Las Piñas (Pamunlas)6. Pasay7. Pasig-San Juan-Mandaluyong (Pasjman)8. Quezon City

We will officially meet all the presidents and officers of these chapters during the Opening Ceremonies and Convocation on May 2, 2010 as well as during the Annual Luncheon Meeting with Chapter Presidents on May 3, 2010 at the SMX Convention Center.

c. Each chapter of the College had contributed significantly to the development and improvement of the PCP and its members within their region. Activities were held that enthused membership participation and interaction, especially with the A(H1N1) epidemic and the disaster brought about by typhoons Ondoy and Peping that hit the country last year. Almost every chapter was involved in relief operations and medical missions which saw the best of us in those trying times.

In terms of external engagement, some of the chapters had assumed leadership positions and relevance within their communities and spheres of influence that went beyond their membership. Let me highlight a few :

1) Tri-media campaign of the PCP Southern Mindanao Chapter

The PCP-SMC was able to forge an arrangement with the media in their region to advance our mission of educating the public on health concerns and other issues. Each week a member of the chapter is requested to guest in a radio or television interview or write a newspaper article on topics close to their hearts or field of specialization.

The following are the chapter’s media partners :

i. DXUM Radyo Ukay 819khz AM. The program, Salamat po, Doktor, hosted by Mr. Lucio Guttierez, every Sunday at 7-8 am.

ii. Cable TV Channel 28. The program, Medicine and People, and interview with Manny Comilang, every Friday or Sunday, 12nn to 1pm.

iii. The Mindanao Times. The column, Internal Affairs, usually found in theOpinions section of the paper, every Thursday.

PCP SMC also presented to the Davao City Council a legislation to regulate advertisements of food supplements that are being misrepresented as cure-alls. The Davao City Council has passed a resolution urging the BFAD and DOH to regulate the marketing of such products. A counterpart local ordinance is still currently being discussed. They have also launched the “no approved therapeutic claim” public information campaign. Posters of its various interpretations in the vernacular have been strategically placed in hospitals and individual clinics.

2) Go Green Advocacy and “I helped plant a million mangroves” project of the PCP Central Visayas Chapter

Around P20,000 donation for mangrove seedlings was raised on the day the “million mangroves” project was launched (during the 16th Postgraduate course) on 26 March 2010. The donations came from the chapter and individual donors.

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3) Bloodletting activity of the PCP-Upper Northeastern Luzon Chapter

The chapter sponsored a blood donation drive on March 29, 2010 in Tuguegarao City, which coincided with the observance of the Lenten season. The obtained blood units was enough to help a hundred patients.

d. We missed the chance to be together on October 22-24 for the 2009 Midyear Convention in Baguio City. The necessary cancellation was due to the disaster brought about by typhoons “Ondoy” and “Peping” that greatly affected most of northern Luzon.

We would like to thank the PCP Northern Luzon chapter for their dedication in preparing for this midyear convention. After calling off the midyear convention, the chapter’s efforts were then directed towards helping the victims of the typhoon through rehabilitation programs.

e. 21st Midyear Convention, 2010, Limketkai Stadium, Cagayan de Oro CityHosted by the Northern Mindanao Chapter

f. Bidding to host the 2011 midyear convention is open.

3.11 Clinical Subspecialties and Affiliate Societies

Regent-Coordinator : Dr. Eugenio Jose F. RamosCoordinator : Dr. Ma. Lourdes O. DaezMembers : The Presidents of the 15 Component & Affiliate Societies

Component Societies1. Philippine College of Chest Physicians2. Philippine Heart Association3. Philippine Rheumatology Association4. Philippine Society of Allergology, Asthma

and Immunology5. Philippine Society of Endocrinology and

Metabolism 6. Philippine Society of Gastroenterology7. Philippine Society of Geriatric Medicine8. Philippine Society of Hematology

and Blood Transfusion9. Philippine Society of Medical Oncology10. Philippine Society for Microbiology

and Infectious Diseases11. Philippine Society of Nephrology

Affiliate Societies1. Philippine Diabetes Association2. Philippine Society of Nuclear Medicine3. Philippine Neurological Association4. Philippine Dermatological Association

The PCP and its subspecialty societies can accomplish so much more - without losing our individual society's autonomy - if and when we complement each other's endeavors, pool our resources, and quadruple our voices. During the fiscal year, several meetings were held with the subspecialty societies of the PCP on the following important issues :

1) Deciding on our health legislative agenda for the next 1-2 years

- Identify and integrate issues that each society feels strongly about; Identified bills needed that can push forward the interests of the PCP and the societies.

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- Finding congressmen to sponsor these bills; pool our expertise and resources together and come up with a much stronger stand on issues.

2) Pursuing our individual advocacies using the PCP chapters as movers and implementors

- Since PCP's members are distributed all over the country among the college's chapters. Our chapters are communities of internists and sub-specialists; they are members of the component societies as well. Advocacies are not exactly exclusive to specific specialties, just as diseases and health conditions are multi-factorial. Each of the societies’ advocacies, therefore, have better chances of success - with greater impact - when pursued with this in mind. PHA's Advocacy in Healthy Lifestyle, for example, can be complemented at the community (chapter) level by PCCP's advocacy against cigarette-smoking, or PSEM's advocacy on diabetes, etc.

3) The PCP Committee on Health Crises Preparedness and Management (formerly Disaster & Calamity Committee) has established a nationwide network of experts at the chapter level to deal with epidemics. The component societies can just establish connection with this network to make their own disaster preparedness plans more streamlined and efficient. When disaster occurs, all the subspecialties of IM will need to be mobilized quickly to respond to emergencies.

The committee was quickly activated just after last year’s annual convention in May when the H1N1 flu entered Philippine jurisdiction and a national scare threatened the occurrence of hysteria. With the benefit of networking among the PCP’s component societies ( PSMID, PCCP) and chapter leaders, PCP was able to mobilize manpower resources to provide expert assistance. During the height of the relief operations for the victims of super typhoons “Ondoy” and “Peping”, PCP and its subspecialty societies pooled together and organized its resources to bring significant impact and help, not only through relief goods but more importantly, through medical services where they are much needed.

4) Our HERO project is really about health education. The component and affiliate societies contribute to the program by providing their respective modules for elementary, high school, collegiate, and post-graduate levels. We must agree that our members do find fulfillment giving lectures to students. At the chapter level, members can take up the representative role of their respective component societies and report their teaching activities as part of the component societies' annual program.

The PCP subspecialty societies were the content experts of the HERO modules and flipcharts that are now ready for use by the DepEd teachers this coming school year as part of our HERO Advocacy Project.

5) Media Communications. The PCP has been holding the weekly Health Forum every Tuesday at Annabel's, QC. The component societies can use the forum to push forward their respective advocacies and other issues.

The DZEM has allotted a regular timeslot for PCP in its radio program “Health Watch” every Saturdays, 6:00-7:00 am. Host is Ms. Anabel Surara. This is via phone patch. The Committee has assigned schedules for the next 6 months which will feature, among others, the PCP and the advocacies and programs of its subspecialty societies.

6) Redefining boundaries of our relationships with the pharmaceutical companies

The meeting with the Presidents and General Managers of pharmaceutical companies on January 2009 was aimed to introduce to the pharma companies the PCP’s desire for a redrawing of the boundaries of our relationship and a redefinition of our terms of engagement. In the long-term, such desire – and its eventual realization – would be to our mutual advantage.

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We are fully aware of the challenges that the pharma companies face amid the odds of aggressive and reckless competition, and the demands of the political environment. In the current milieu, the cost of engaging the doctors for the purpose of growing company sales is formidable. It is no surprise, therefore, that competitive strategies already border on unethical practices that find our members in less-than-elegant situations. In the final analysis, it is the medical profession that stands to lose. The extent and the direction to which the doctor-pharma relationship has evolved now compels us, doctor-leaders, to examine our stewardship mandates. If we do not draw the lines from our end, nobody else would.

The PCP looks at our relationship with pharma from the perspective of our members’ values toward patient care and service. We need to put up limits on those aspects of our relationship that feed on the culture of entitlement among our members, whet their appetite for luxury and comfort, and in the end alienate them from the primary beneficiaries of the medical profession – our patients.

If pharma can help us in our quest to become better scientists and more compassionate physicians, the relationship that would evolve must necessarily include a deeper understanding and appreciation of our patients’ predicaments and the nurturing of values that promote a healing physician-patient relationship.

7) And lastly, the Board of Regents has recognized the contribution of the Philippine Society for Microbiology and Infectious Diseases (PSMID) for its timely, informative and relevant advisory regarding Leptospirosis at the height of the rising cases of leptospirosis from government and private hospitals. PSMID’s collaboration with our other PCP component societies, the Philippine Society of Nephrology (PSN), Philippine College of Chest Physicians (PCCP) and Philippine Society of Hematology and Blood Transfusion (PSHBT) has resulted in a complete and enlightening report which the Department of Health(DOH), the media and our fellow PCP members now use.

The advisory speaks well of our role as leaders in healthcare especially in times of natural calamities, not just through our efforts in medical missions but more importantly, in the aspects of health education.

PILLAR ON EXTERNAL ENGAGEMENTDemography and Socio-political Dynamics Partnerships, Alliances and Collaborations - How does the PCP fit and influence key forces In the country?

“How do we project ourselves and engage the world as a leader in health?”

3.12 Media Communications

Regent Coordinator : Dr. Norbert Lingling D. UyChair : Dr. Chad Rey CarunginMembers : Atty. Joey HisamotoHonorary Members : Dr. Fernando G. Ayuyao

Dr. Marcelito L. Durante

PCP WEEKLY HEALTH FORUM

On May 19, 2009, Dr. Eugene Ramos met with tri-media reporters from different media companies to define PCP’s goals through the PCP Health Forum, which are : 1) project the image of a leader for change in giving quality patient care; 2) convey the professional practice of internists; and 3) be a strong voice for public health issues through its advocacies and lobby for much-needed health legislations. Concerning the scarce health reports in media’s coverage, the health reporters suggested that topics for the Health Forum should be lined up along the health stories appearing currently in the news and those that follow the track of continuing public health interest.

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This suggestion has been followed in the choices of topics of the Health Forum through out the whole year covered by this report, from June 1, 2009 until April 6, 2010.

Leading topics of the PCP Health Forum include the following : global fear of the new virus A(H1NI) “Foot Tracking the A(H1N1) – Thermal Scanners and the RITM Laboratory Test Kits” (June 2); “Sanitizing the Dead Against Contagion to the Living” (June 9); “Antibiotics versus Infection” (June 23); global climate change “7th Plague: Threats to Public Health Due to Global Climate Change” (July 21); social problems on growing children’s interest on video games, teen-age adventures on blogging, and adult addiction to cosmetic surgery “NeuroAdaptation, the New Buzzword in Addiction” (Nov. 10); “The Filipino Disabled: Profile, Dynamics and Demography”; potential sites of epidemic of dengue, malaria, and vector borne diseases in Metro Manila “The Sex Lives of Mosquitoes” (July 7); and “The Human Immune System and Chemotherapy”. The proper protocol of Newborn Care contained the DOH Administrative Order was presented with AUV and charts of statistics by the World Health Philippines on December 15.

On September 15, 2009, the PCP Health Forum hosted, upon the request of Secretary Duque, the Forum on “Compliance to MDRP/GMAP: Moving Forward to More Quality and Affordable Medicines” which had a huge attendance of stakeholders and media reporters. The Forum became source of the sensational incident of heated argument between Secretary Duque and Dr.Rustico Jimenez, president of Private Hospitals Association of the Philippines concerning the increased prices of hospital care due to the government cut of the prices of medicine. PCP gained mileage from this Forum. The Forum on “Government Price Control of Medicines” (Aug. 4) was said to be a historic first because the Forum was the first venue that both PHAP and the Philippine Chamber of Pharmaceutical Industries (PCPI) sat jointly in a press conference or meeting.

The health threats of the devastating typhoons Ondoy and Peping brought the PCP the image as a reliable source of health information. PCP acted ahead of the DOH, a fact that the latter will always remember. The Forum on “Epidemics Top All Natural Calamities” caused Dr. Rogent Sollante of PSMID to be quoted on leptospirosis in all newspapers for two weeks and he was seen in all television news programs. The presences of Secretary of Health Dr. Francisco Duque and DSWD Secretary Esperanza Cabral the following week solidified that enhanced status of the PCP. Media roamed again with news from the Health Forum.

Sexual abuse was another topic that was downloaded by media from the Health Forum. PMA President Rey Melchor Santos gave interviews on the Kho-Halili video tapes (May 26), and Dr. Agnes Bueno and Atty. Evelyn Ursua on “Child Abuse” (Oct. 20).

The Forum on World Pneumonia Day gave the PCP an international exposure through CNN and the Bill and Melinda Gates Foundation when the National Health Institute – UP Manila through Dr. Lulu Bravo took the video to New York and Boston, Massachusetts. Billed “9000 Filipino Infants and Kids Die of Pneumonia Every Year. What can each one of us Do About It?” (Oct. 27) was a gathering of all stakeholder organizations on pneumonia in the Philippines. Dr. Chad Rey Carungin represented the PCP in that event. Local media covered this event too.

A series of forums on Universal Health Care was held in order to generate and sustain interest of both the public and the media for the successful holding of the PCP Presidential Forum on March 16, 2010 which was aired live via ANC Channel. Topics include “Can Election Candidates Save the Filipinos From Fear and Depression?” from the Philippine Psychiatric Association (PPA) which

received front page and page 2 coverage in print media and television exposure in primetime news programs of the two biggest channels in the country; “For Health Care Reform: Public Vaccination (Policies, Problems, Safety and Solutions)” by the World Health Organization (WHO) team leader, Dr. Howard Zobel; “Problems and Solutions to Health Care Issues In Aging Filipinos” presented by the Philippine Society of Geriatric Medicine”; “Health Regulation System” by Dr. Kenneth Hartigan-Go; “Health Financing” by Dr. Alberto “Quasi” Romualdez (Feb. 9); “Human Resources for Health” by Dr. Ed Domingo (Feb. 16); “National Health Governance” by Dr. Junice L. Demeterio-Melgar (Feb. 23); “Local and Foreign Bound Migration of Doctors, Nurses & Allied Professionals” by Dr. Jaime Galvez-Tan, and “UHC and the Organization of our Health Services” by Dr. Ramon Pedro Paterno. The tickler to the PCP 40th Annual Convention, “The 2008 UP PGH HIV Study on the Incidences of HIV/AIDS in Metro Manila” received more exposures from media. Dr. Esperanza Cabral, the new Secretary of Health, headed the panel of speakers.

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The UHC series has been assisted by the Pharmaceutical Healthcare Association of the Philippines (PHAP), through Dr. Reiner Gloor, Mr. Eufe Tantia and Miss Marian Pausanos, who had provided the laptop and LCD used in each forum (February – April).

Please note that ALL PRINT media releases used the phrase “the health forum organized by the Philippine College of Physicians”. Television showed at random the large tarpaulin of PCP logo on their screens if they use the long shot camera angle towards the speakers. That happens when the guests are government officials or the line up of speakers are familiar celebrities. We can say that for the year 2009 – 2010, only the PCP has shared with the Department of Health the front pages of newspapers and the television screens on prime news programs. Media health reporters have grown accustomed to the PCP Health Forum.

3.13 HMOs, RUV and Philhealth

Regent-Coordinator : Dr. Norbert Lingling D. UyChair : Dr. Jasmin V. Reyes-Igama (Luzon) Members : Dr. Bernard S. Chiew (Mindanao)

Dr. Dennis A. Entera (Central Visayas)

With the contract signing on May 2009 at the SMX, only 653 members have consented. The committee obliged the help of the chapters for the dissemination of information and the secretariat emailed all members. Those who do not have email addresses were sent letters through snail mail.

As of November 2009, the committee came up with the Implementing Guidelines for the Memorandum of Agreement (MOA). A grievance committee was formed with Dr. Igama as the chair, Dr. Norbert Lingling Uy, Dr. Bernard Chiew, Dr. Allan Paul Espina and Mr. Carlos Da Silva as members. The committee plans to have a booth during the 40th Annual Convention to further disseminate the information as well as provide venue for others to sign up. The committee will be allowing members to sign up even those who are not updated on payment of membership dues. As soon as all have been issued the unifying contract, members are then obliged to pay their dues in a year’s time as a pre-requisite for issuance of good standing for AHMOPI and Philhealth accreditation. Non-compliance after the first round of contract would mean non-renewal of the MOA with a non-paying member.

3.14 Legislation

Regent Coordinator : Dr. Marilyn Ong-MateoChair : Dr. Rudyard A. Avila IIIMembers : Dr. Esperanza I. Cabral

Dr. Jose D. Sollano, Jr.Dr. Jose C. Montemayor, Jr.Dr. Rodel V. Capule

The Committee met to provide its opinion on the following major issues confronting the PCP in 2009 – 2010 :

1. Healthcare Reform Billa. Conduct research on healthcare data b. Draft the proposed statement on healthcare reformc. Work with the Advocacy Committee on this

2. New Physicians’ Acta. Reviewed the new Physician’s Act statement prepared by the PMA and provided

legal opinion b. Revisions to the new Physician’s Act for approval

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The committee worked closely with the Advocacy Committee in preparation for the PCP Presidential Forum on Health held on March 16, 20101. Proposed PCP Healthcare Agenda 2. Logistics and invitations to presidentiables

In coordination with the Judiciary Committee and the Ethics Committee :1. Completion of presentation of evidence in the Burden vs. PCP case. Status : dismissal of

the civil cases in favor of the PCP.2. Review of cases filed to the Ethics Committee 3. Provided legal opinions on those cases

3.15 Advocacy

Regent Coordinator : Dr. Marilyn Ong-MateoChairman : Dr. Alberto T. ChuaSubcommittee on HERO : Dr. Abundio A. Balgos

Dr. Denky Shoji W. Dela RosaDr. Peter San DiegoDr. Cynthia Cuayo-Juico

Subcommittee on Pharmacovigilance : Dr. Cecilia A. Jimeno Subcommittee on Tobacco Free Philippines : Dr. Ma. Encarnita B. Limpin Other Committee members : Dr. Maria Adelaida M. Iboleon-Dy

Dr. Saturnino P. JavierDr. Gabriel V. Jasul, Jr.

General Objective : Actively influence National Health Policies and Legislation towards better health care delivery

Specific Functions of the Committee on Advocacy :1) Develop and promote PCP stand on Health issues2) Establish, promote and accelerate PCP advocacy programs3) Coordinate and support advocacy programs of PCP component / affiliate societies and

chapters

Activities / Accomplishments :1) Issuance of PCP Advisory on Fake Flu vaccines – Aug 20092) Coordinate with PCP Component / Affiliate societies and PCP Chapters in their advocacy

programs3) Coordinate with PCP Media Affairs Committee in promoting the various advocacy

programs thru the weekly Health Forum and DZEM radio show “Health Watch”4) Establish the PCP Advocacy Campaign on the “Safety Issues and Misleading

Advertisements of Food Supplements”

4.1) communicated to Food Drug Administration proposed measures like:- Requiring minimum human "safety" studies before FDA registration of

supplements- Requiring companies marketing food supplements to collect data on

adverse effects and to report them to FDA- Requiring the label of "No Therapeutic Claim" to be in both English and

Pilipino- Requiring all advertisements for food supplements (radio, TV, print,

internet ) to be first screened by an independent body to make sure that they are not misleading and contain no therapeutic claim

4.2) offered PCP’s participation in the drafting of the new Implementing Rules and Regulations for the functions and responsibilities of the new FDA

4.3) provide PCP members an easy way of reporting adverse effects of food supplements thru PCP website and to share these reports to FDA

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4.4) coordinated closely with Advertising Standards Council and volunteer the services of PCP Advocacy Committee and other PCP experts who can review the scripts of the proposed ads for food supplements, with the main purpose of preventing misleading claims. Draft Memorandum of Agreement submitted to Advertising Standards Council

5) Compiled and review existing legislative bills pertaining to Healthcare6) Organized with the Legislation Committee the Workshop on PCP Healthcare Agenda last

Jan 9, 20107) Worked closely with the Legislative Committee, Media Affairs Committee and PCP Staff in

organizing the PCP Presidential Forum held on March 16, 2010

The HERO Project : Updates and Accomplishments

The Philippine College of Physicians (PCP), in its advocacy for better health for Filipinos, started a committee for health education in 2007. Headed by Dr. Anthony Leachon, this committee rapidly evolved into a dynamic group that was able to involve government units from the Department of Education, Department of Health , legislators, as well as the Philippine Medical Association and its component societies and other non-governmental organizations. The initial phase of implementation led to the presidential order entitled Health Education Reform Order (H.E.R.O.), giving an official mandate to the health education thrusts of the PCP, through its HERO sub-committee, under the Committee on Advocacy and Legislation.

The first phase of implementation resulted in the creation of modules for training the teachers to educate school children and parents on disease prevention, as well as assistance in the physical examination of public school teachers and students. The second phase of the HERO project implementation is towards the creation of teaching modules and materials for wellness and disease prevention, for use in public elementary and secondary schools. The basic concept of wellness was adapted from the six dimensions of wellness developed by Dr. Bill Hettler of the National Wellness Institute (NWI) in the U.S.A., but modified into seven dimensions to fit the acronym: HEROISM. Many thanks to the past and present HERO committee members and to the various subspecialty chapters, in cooperation with MMLDC and selected supervisors from the Department of Education who worked together in making the HERO modules from the first to the second phase.

The subsequent training modules which will come out after this initial set of teaching modules, will be based on local adaptation of other wellness modules in other countries. It is the goal of the HERO sub-committee in particular, and the Philippine College of Physicians in general, to be able to promote better health and well-being through curricular reforms towards wellness in our educational institutions.

3.16 Health Crisis Preparedness and Management (Formerly Disaster and Calamity)

Regent-Coordinator : Dr. Marilyn Ong-MateoChair : Dr. Maria Gina C. NazarethMembers : Component and Affiliate Societies

Introduction

The Committee on Health Crisis Preparedness and Management of the Philippine College of Physicians (PCP), formerly known as the Committee on Disaster and Calamity, was created on June 2009 as a response to properly address the then looming AH1N1 pandemic. The string of recent natural disasters that hit the country like the typhoons “Ondoy” and “Pepeng” (and the subsequent increase in the incidence of leptospirosis), the eruption of Mt. Mayon, and the present drought brought about by the El Nino phenomenon underscored the need for committed efforts to focus on overall disaster preparedness from a medical standpoint. When faced with these

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seemingly insurmountable challenges given the geographical, economic, cultural and sociopolitical landscape of the country, the committee seeks to promote and to undertake a strategic, systematic, sustainable, sensible and self-assured approach in reducing both the vulnerabilities1 and risks to imminent hazards2. The PCP’s stand is one of pro-active approach to informing, motivating and involving people in all aspects of disaster risk reduction down to the grassroots level by enhancing all the PCP chapters’ capability in risk management preparedness. A more focused and resolute plan of action should be in place at all times so that individual efforts by members and collective endeavors by the chapters and by the College itself transcend mere interim responses, knee-jerk reactions or marginal rejoinders that mitigate nothing but superficial concerns that cloud the deeper, more significant issues. In a nutshell, the PCP should aim for partnering with vulnerable communities in developing a culture of resilience³ to disasters.

Challenges Posed by Disasters

Disaster risk arises when hazards interact with physical, social, economic and environmental vulnerabilities. Events of hydrometeorological origin constitute the proximate cause for a large majority of disasters. Despite the growing understanding and acceptance of the importance of disaster risk reduction and increased disaster response capacities, disasters and in particular the management and reduction of risk continue to pose challenges at both national and global settings.

Objectives, Expected Outcome and Strategic GoalsThe Committee has identified the following key points for crises preparedness:

Objectives1. To adhere to the guiding framework on disaster reduction provided by the International

Strategy for Disaster Reduction (ISDR). 2. To undertake activities aimed at increasing awareness on the importance of disaster

reduction policies, thereby facilitating and promoting the implementation of these same guidelines

3. To ensure the accuracy, reliability and availability of appropriate disaster-related information to the general public and to disaster management agencies at macro- and micro-levels.

4. To share good practices and lessons learned to better understand disaster reduction within the context of attaining sustainable development, as well as to properly identify and address procedural and administrative gaps and challenges

The Committee is confident that fulfilling these objectives will substantially reduce disaster-related losses particularly with direct social, economic and environmental impact on the local communities.

Strategic Goals

To attain these objectives, the Committee adopts the following strategic goals:1. The development and strengthening of mechanisms and capacities at all levels,

particularly at the communities, that can systematically contribute to building resilience to hazards.

2. The effective integration of disaster risk principles into sustainable development guidelines, with planning and programming at all levels aimed at putting emphasis on prevention, mitigation , preparedness and vulnerability reduction

3. The systematic incorporation of risk reduction approaches into the implementation of emergency preparedness, response and recovery programs in the affected communities.

Priorities for Action

The committee has adopted the following priorities for action:1. Ensure that disaster risk reduction is a priority.

Among many things, prioritizing disaster risk reduction encompasses the encouragement of community participation in disaster risk reduction through adoption of specific policies, the promotion of networking, the strategic management of volunteer resources, the attribution of roles and responsibilities, and the delegation and provision of the necessary authority and resources.

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2. Identify, assess and monitor disaster risks and enhance early warning protocols.2.a. Develop, update and disseminate maps and related information to communities

at risk in an appropriate format. 2.b. Establish, review periodically, and maintain information systems as part of early

warning strategies with the goal of ensuring rapid and coordinated responses/actions in cases of alert/emergency.

3. Draw on knowledge, innovation and education as tools to building a culture of safety and resilience at all levels 3.a. Act as consultative body on health issues pertaining to disaster events. 3.b. Provide easily understandable information on disaster risk reduction and

protection options, to encourage and enable people to take appropriate action to reduce risks and to build resilience.

3.c. Strengthen networking among disaster experts in order to formulate and consolidate measures that agencies will exploit when developing local risk reduction plans.

3.d. Develop local and national user-friendly directories, inventories and national information-sharing systems and services for an efficient and smooth transfer of good practice principles

3.e. Encourage the implementation of local risk assessment and disaster preparedness program in schools. Efforts will be geared towards the development of programs and activities that will teach students how to minimize the effects of hazards.

3.f. Support community-based initiatives, taking into account the crucial role volunteers play in enhancing local capacities to mitigate and to cope with disasters.

3.g. Promote participation of the media in order to inspire a culture of disaster resilience and strong community involvement through sustained public education campaigns and public consultation at all levels of society.

4. Reduce underlying risk factors Disaster risks related to changing social, economic, environmental conditions and land use, and the impact of hazards associated with weather, water, geological events and climate change are addressed in development planning and programs as well as post disaster situations.

4.a. Promote food security as an important factor in ensuring resilience of communities to hazards, particularly in areas prone to floods, drought and other hazards that can weaken agriculture-based livelihoods

4.b. Strengthen the implementation of social safety-net mechanisms to assist the poor, the elderly, the disabled, and other susceptible populations affected by disasters. Enhance psycho-social training programs in order to mitigate the psychological damage on vulnerable populations, particularly children, in the aftermath of disasters.

4.c. Advance the development of financial risk-sharing mechanisms, particularly insurance and reinsurance against disasters

4.d. Support the establishment of public-private partnerships to better engage the private sector in disaster risk reduction activities; encourage the private sector to foster a culture of disaster prevention, putting greater emphasis on allocating resources to, pre disaster activities such as risk assessments and early warning systems.

5. Strengthen disaster preparedness for effective response at all levels During times of disaster, impacts and losses can be substantially reduced if individuals and communities are well prepared and ready to act and are equipped with the knowledge and capacities for effective disaster management.

5.a. Coordinate with government agencies (e.g. NDCC) to strengthen policies, technical and institutional capacities in local and national disaster management including those related to training, technology, human and material resources.

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5.b. Advance relevant and focused dialogue, exchange of information and coordination among both vulnerable populations and support groups on early warning, disaster risk reduction, disaster response, development and other relevant agencies and institutions at all levels, with the aim of fostering a holistic approach towards disaster risk reduction.

5.c. Strengthen and develop coordinated national approaches and create or upgrade communication systems to prepare for and ensure rapid and effective disaster response in situations that exceed local coping capacities.

5.d. Develop specific mechanisms to engage the active participation and ownership of relevant stakeholders, including communities, in disaster risk reduction, in particular in building on the spirit of volunteerism.

Implementation and Follow–up

All PCP chapters are mandated to pursue committed efforts at their levels, to undertake the following tasks with a strong sense of responsibility and accountability. They are encouraged to collaborate with the local government units, civil society and other stakeholders in the pursuit of their agenda.

a. Prepare and designate an appropriate coordination mechanism for the implementation and follow up of these priorities for action

b. Conduct baseline assessments on the status of disaster risk reduction. c. Provide a summary of the programs for disaster risk reduction related to the mentioned

priorities for action annually d. Promote the integration of existing climate variability and projected climate change into

strategies for the reduction of disaster risks. PCP chapters should ensure that the risks associated with geological hazards, such as earthquakes and landslides, are fully taken into account in disaster risk reduction programs

3.17 External Relations

Regent Coordinator : Dr. Anthony C. LeachonChair : Dr. Ma. Encarnita Blanco-Limpin

The College continues to collaborate with other allied health organizations such as the PMA, DOH and other health agencies on issues affecting the medical profession and the country as a whole.

PILLAR ON MEMBERSHIP DEVELOPMENTBringing the PCP to meet the demands of Change (Tooling, Training, Coaching & Mentoring)

“What should we learn as leaders in health and how do we sustain our growth? How do we bring the PCP up to the standards of the 21st century?”

3.18 CME and Membership and Credentials

Regent-Coordinator : Dr. Oscar T. CabahugChair : Dr. Sandra Tankeh-Torres

I. CME

A. CME online

- Local Clinical Practice Guidelines (CPGs) submitted by component societies and scientific lectures from conventions will be posted at the PCP website. Test questions will be added at the end of each module and will be considered as additional sources of CME referred to as CME Online.

- Dr. Coralie Therese D. Dimacali heads a working group assigned to create the test questions (5) for each CPG/module. Each completed module will be accredited 5 PCP-CME units.

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B. PCP Review Courses

PCP or PSBIM did not conduct a review course for affiliate members. However, the UP-PGH Department of Medicine held a 5-day workshop in November 2009 which was open to interested members.

C. Proposed revisions of guidelines for PCP-CME credit units. Major changes include:1. Omission of the PCP function/responsibilities as a CME activity.2. Addition of CME Online as an accredited activity.3. Addition of activities to be given CME accreditation.

D. PMA Convention and Requirements for CME and Membership

1. PCP was requested to participate in the 2010 PMA Annual Convention, the theme being “Medico legal implications of Practice Guidelines”.

2. PMA Updates:

2.1 The Implementing Rules and Regulations (CME IRR) that is in accordance with the PMA CME Code 2002 and in consultation with representatives of various Component, Specialty, Subspecialty and Affiliate societies under the PMA that met last July 4th and the following suggestions were made:• Focus on nationwide CME accreditation as a requisite to PRC

physicians’ licensure renewal. All Specialty Divisions and Component and Clustered Affiliate societies (CME Coordinators) will coordinate with their respective sub-units and submit annually (January 31, 2010)

• A master list of members who are and who are not “active” PMA members

• A society collated PMA CME credits obtained by each member for encoding at PMA

2.2 To archive growth, achievement, advocacies, merits, awards among others, as membership measure of the “sense of belonging” to the PMA and as a “performance index” or BENCH-MARK PRIDE, an annual report is expected.• List of outstanding accomplishments in order to “bench-mark” and

assess performance of each Component Societies, Specialty Divisions, Sub-specialty and Affiliate Societies.(August 31, 2010)

a) Submit candidates for various awards related to researches, advocacies, leaderships, outstanding accomplishments, public service

b) Submit collated number of each societies’ o academic ranked memberso editorial board membership in medical journals, books,

magazines, PIMSo published or presented research outputs (senior or co-

author)o number of lectures or speaking engagementso CME participations as chair, moderator, reactoro Consultancy, scientific paper contest judge, advisory

board membership

2.3 To be sensitive to the global economic scenario and to lead in coordinating action plans with industry partners in CME growth, CME commission will monitor:

• Progress report regarding coordinated CME activities of their respective sub-units in their locality through “Governors”

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o Progress report regarding “back-to-back” annual scientific meetings OR EACH Specialty divisions and Cluster Coordinators of Affiliate societies

o Submit names of Societies’ Ways and Means Head to get support for potential sponsor

o All Component Societies, Specialty Divisions, Specialty & Affiliate Societies should submit any possible partners whether Pharmaceutical Companies or agencies that can sponsor any I.T. CME Online activities.

2.4 To provide a “sense of membership support”, a Collegiate Peer Review Board can provide expert opinions in the event of medico-legal problems or intramural conflicts.• Each Specialty Division will coordinate with their respective

Subspecialties and other Affiliate Societies to constitute a working Peer Review Board

• Chair and membership with the expertise of each members shall be submitted to the CME Commission annually

• Role of “Council of Elders” vs. Ethics Board• PRC role vs. Integrated Bar Appreciation

II. Membership and Credentials

A. A new pathway for Affiliate Members in active service with PCP for 10 years or more is being proposed. A task force comprised of Dr. Vicente V. Tanseco (Head), was convened to recommend the criteria, application process, portfolio method of evaluation, privileges and benefits for applicants of this pathway. They suggested that affiliate members who are successfully recognized will be given the title “Associate Fellow”. However, upon deliberation with the Board and Constitution Committee, the Membership Committee finally recommends the title “FULL MEMBER”.

Criteria of Affiliate Member:1. Conferred an Affiliate Member in 1997 onwards 2. Must be an Affiliate Member in good standing for at least 10 years

2.1 Updated annual dues2.2 Has complied with the required PCP-CME units as follows:

i. For Affiliate Members applying from 2010-2012, 1200 cumulative CME units for the last 10 years

ii. For Affiliate Members applying after 2012, must comply with the number of CME units prescribed by the Membership Committee

3. Must have taken the PSBIM exams at least 3 times

Application Process for Full Membership:1. The affiliate member is endorsed by the chapter he/she belongs to. For

NCR affiliate members, this will start 2011. The endorsement will be based on:

1.1 Active participation in PCP chapter activities and/or involvement in PCP committees

1.2 Practice of Internal Medicine in an ethical and professional manner according to the standard set forth by the PCP for 10 years after residency training as certified by the hospital authority (Medical Director or Chair of the Department of Medicine) in his locality.

The chapter must be able to document the reasons why they think the candidate merits special consideration, such as his or her reputation as an outstanding clinician or consultant, unique contribution to medical education and/or research, leadership in the medical community, etc.

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2. The affiliate member submits a letter of intent addressed to the Membership Committee.

3. Applications are approved by the Board of Regents as recommended by the Membership Committee.

4. The candidate undergoes a portfolio evaluation in lieu of examination, consisting of :4.1 Has taught or currently teaching in an accredited college of Medicine for

at least 5 years or 4.2 has been or currently is a member of the IM Department in a PCP-

accredited hospital for at least 5 years or 4.3 Undergoes a panel interview and successfully passes an oral

examination by the PCP chapter the fellow belongs to. The panel should consist of at least 3 PCP fellows in good standing. There must be documentation that the candidate's clinical competence has been evaluated and judged to be superior.

Privileges and Benefits of a Full Member:1. Full members are entitled to the same benefits as Fellows except for the

following :1.1 A full member may vote but cannot be voted upon as members of the

Board of Regents.1.2 A full member can be a member of any Standing committee except the

Residency Training Program and Accreditation Committees.1.3 A full member cannot be a member of the PSBIM.

2. PCP endorses the successful candidate to PHIC as a specialist.

B. Brain Gain: Foreign-graduates becoming PCP Diplomates

A foreign trained member in the College can become Diplomate if the member meets the following requirements:• He/She must have a license to practice in the Philippines issued by the

PRC.• He/She must be board certified in Internal Medicine in the United States,

United Kingdom and Canada.

In the recent years, there has been a clamor from foreign-trained internists who have passed the Board Certifying examination in the countries where they trained, to have their certifying examinations accredited by PCP. With the recognition that Board certifying examinations in Internal Medicine in certain countries are at par with the locally given examinations by the PSBIM, there is a proposal to formally recognize and accept internists with board certification limited to those given by the American Board of Internal Medicine (US and Canada) and the British Royal College of Internal Medicine (UK). These specialty boards were chosen based on their very strict eligibility requirements in accepting candidates for board certification.

III. Membership Profile

a) Current membership benefits include :i. Disability benefit of P40,000.00 and death benefit of P20,000.00.

ii. PCP PASA-Clinic (Physicians Assistance to Start-up A Clinic). Every year, five qualified PCP members will receive assistance worth P20,000.00 to start up their own clinic. Entry requirements are :

- Must be an active PCP Member- Must have passed the PCP Diplomate exam - Must show an ITR- Must be endorsed by the chapter- Must be subject to Board approval- The PCP member must be willing to practice in an underserved

area for at least one year.

PHILIPPINE COLLEGE OF PHYSICIANS : MEMBERSHIP GROWTH CHART

0

2000

4000

6000

8000

10000

12000

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

F ELLO WS

F ULL M EM B ER S(D IP LO M A T ES)

A F F ILIA T EM EM B ER ST O T A LM EM B ER SH IP

PCP : COMPARATIVE MEMBERSHIP PERCENTAGE DISTRIBUTION

0%

20%

40%

60%

80%

100%

1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

A F F ILIA T EM E M B E R S

F ULL M E M B E R S(D IP LO M A T E S )

F E LLO W S

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iii. Educational Plans, Pension Plans and Health Insurance Plans. All of these packages with special rates and premiums will be offered exclusively to members. These packages have been arranged with the different companies and cannot be availed of outside of the PCP.

b) The current breakdown of membership in the PCP is as follows :Fellows - 3,120Full Members - 988 Affiliate Members - 3,661

Total Number of Members - 7,769

There are 336 new Affiliate Members and 148 new Fellows scheduled for induction during this year’s annual convention. 4 Fellows applied for Life Membership and 4 Fellows will be promoted to Life Fellowship. This brings the total membership to 8,105.

PCP MEMBERSHIP GROWTH CHART 2009-2010

3.19 PCP Assistance Program

Regent-Coordinator and Chair : Dr. Oscar T. Cabahug

The College turned over death benefits of P20,000 each to the families of the following Fellows who passed away during the fiscal year :1. Dr. Teddy Tan

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2. Dr. Bernardo Briones3. Dr. Luis Roy Colendrino4. Dr. Romulo Pua

While there may be other PCP Fellows who passed away during the year, their death benefits can only be processed upon formal notice and submission of pertinent documents including copy of death certificate.

Disability benefits of P40,000 were awarded to the following Fellows in good standing with the College :1. Dr. Romulo Pua2. Dr. Florenz Eubil Bilocura3. Dr. Johnel Candava4. Dr. Mayleen Laico5. Dr. Luis Roy Colendrino6. Dr. Ma. Teresa Buniag-Soriano

3.20 Research

Regent-Coordinator : Dr. Oscar T. CabahugChair : Dr. Francisco P. TranquilinoMembers : Dr. Rontgene M. Solante

Dr. Noemi S. PestanoDr. Patrick N. MagalitDr. Marie T. MagnoDr. Nemencio A. Nicodemus, Jr.

I. Committee Goals for the Year :

a. Revise/ update the research requirements of the Residents-in-training and submit to PCP Board for approval.

b. Conduct consultations with selected Chapters to assess and address their various research needs.

c. To evaluate research proposals applying for research grants.d. Evaluate the conduct of the yearly Research Workshops and Oral Free

Communication and to make proposals for their revisions/improvements.e. Evaluate and recommend research abstracts for poster presentation during the free

communications sessions of the Annual Convention.


a. Reviewed the following research abstracts for the selection of papers for poster presentation for the free communication session of the 2010 Annual Convention:

i. Analytical study abstracts1. Total number of abstracts submitted - 48 2. Number of abstracts for poster presentation - 22

ii. Meta-analysis study abstracts1. Total number of abstracts submitted - 552. Number of abstract for poster presentation - 27

iii. Descriptive Study abstracts 1. Total number of abstracts submitted - 852. Number of abstract for poster presentation - 36

iv. Case-report Study abstracts1. Total number of abstracts submitted - 1642. Number of abstracts for poster presentation - 69

______ Total = 352

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b. NEW MECHANICS FOR RESEARCH GRANTS

There will be a maximum of five chosen papers which will be granted P100,000.00. Submission of research proposals will be from March 15 - April 15, 2010. The papers which will qualify for a grant will be published in the PJIM.

Revised Research Guidelines :

First Year:

Option 1: Critical appraisal- CAT on Diagnostics - 2- CAT on Therapeutics - 2- With or without Meta-analysis

Option 2: Meta-analysis or Case Reports

Second Year:

Option 1: Critical appraisal- CAT on Diagnostics - 2- CAT on Therapeutics - 2- CAT on Prognosis - 2- With or without Meta-analysis

Option 2: Research Protocol

Third Year:

Option 1: Critical appraisal- CAT of Meta-analysis - 2- With or without CAT on Clinical practice guidelines - 2

Option 2: Completed Research Paper

Other Options:Creative Works a. published books for lay (Snoring, Allergy, Kidneys and Me, etc.)b. Patient education materialsc. Physical Examination Modules for students

- Review unpublished works, re-write/revise and publish- Research Apprenticeships- Clinical Trials of Consultants with Pharmaceuticals

c. In order to address the various research needs of the Chapters, the Committee assigned one member per Chapter (more than 1 Chapter per Committee member). The role of this point person is to coordinate on a regular basis with his assigned Chapters and address whatever problems they may encounter in the implementation of the PCP Research Requirements. If such problems cannot be resolved at this level, then the assistance of the entire Committee can be tapped.

d. Chapter Assignments of Committee Members :

Dr. Tranquilino - Metro Manila = 39 Central Visayas = 8

Dr. Pagcatipunan - Central Luzon = 10 Bicol Chapter = 3

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Dr. Magno - Negros Oriental = 1Eastern Visayas = 2 WV-Negros Occidental = 3

Dr. Solante - Northern Mindanao = 2Southern Mindanao = 6

Dr. Nicodemus - Western Visayas Panay = 5Bohol = 1

Dr. Pestaño - Southern Luzon = 5Western Mindanao Chapter = 3

Dr. Magalit - Northern Luzon = 2North Luzon = 2Upper-Northeastern Luzon= 1

3.21 Scientific Activities

Regent-Coordinator : Dr. Priscilla B. CaguioaChair : Dr. Jude Erric L. CincoMembers : Dr. Catherine Cruz-Rosales

Dr. Raul V. Destura Dr. Elizabeth R. SebastianDr. Esther Fredelyn M. TomasDr. Roberto C. Tanchangco

2 Major Activities :1. CHALLENGE THE CHIEFS - 25 November 2009 – Nathan Hall, GSK Bldg.

Winner : España-Universities Cluster 2nd : Bay Area Cluster3rd : Quezon City Cluster 4th : Edsa-Ortigas Cluster

Attendance : 368

2. INTERHOSPITAL CASE CONFERENCE - 24 March 2010 – Nathan Hall, GSK

Winner : España-Universities ClusterAttendance : 372

CLUSTER HEADS- Bay Area

Dr. Nympha David-Ribargoso - Edsa-Ortigas ClusterDr. Francis Marie A. Purino - España-University ClusterDr. Jade D. Jamias - Quezon City Cluster

Changes were made to Interhospital Case Conference rules for this year. At the start of the contest, only the case summary was given to the participants while laboratory workups were withheld. After participants have reviewed the case, they were given the opportunity to ask for labs. Only then are available labs provided to them. Conversely, labs not requested even if available but withheld.

3.22 Philippine Journal of Internal Medicine

Regent Coordinator : Dr. Priscilla B. CaguioaEditor-in-Chief : Dr. Rafael R. Castillo Editorial Board : Dr. Linda A. Lim-Varona

Dr. Miguel A. Ramos, Jr.

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Business Manager : Ms. Connie Bayona

The Philippine Journal of Internal Medicine (PJIM) is the official publication of the PCP. The Editorial Board had continued to ensure that the journal meets the standard for scientific publication. The journal includes medico-legal and other commentaries, reviews and short communications on controversial issues and letters to the editors.

Starting January 2010, the publication of the PJIM will be quarterly instead of bi-monthly to ensure better quality and to allot more time in gathering research papers and conducting peer reviews. Also, the PJIM will be available through the PCP website, which the membership can download anytime. Only a limited copy of 500 will be printed for distribution to the medical libraries and institutions. Ms. Connie Bayona, the business manager of the journal for 47 years, has retired from her work with the PJIM. The Board gave due recognition to her dedication and services to both the PJIM and the PCP.

The PJIM will still be open for announcements and advertisements that are health-related.

3.23 PCP EXEMPLAR IN RESIDENCY TRAINING (MORIM)

The PCP Most Outstanding Resident in Internal Medicine (MORIM) has been redesigned to encourage more nominees from PCP-accredited institutions. It will now be called the PCP Exemplar in Residency Training. The purpose of this award is to stimulate outstanding performance in Internal Medicine Residency in the Philippine setting by giving due recognition to and highlighting the outstanding accomplishments of current residents in training.

There will be general criteria that will simplify and encourage the nomination process thru a survey, either manual or via the internet. All the general nominees will then be collected and screened. The top 20 nominees will be selected. Among the top 20 nominees, they will the previously utilized selection criteria will be applied. The top 5 will be selected and 1 major winner will be announced during the convention. PCP member’s choice thru text voting will also be given to stimulate interest on the award.

The incentives and benefits for all the winners are :- Provide an automatic accreditation to practice in his or her hospital of choice within the

community of the winner- Provide free clinic space in the said hospital in order for the winner to practice

3.24 PCP-Pfizer Medical Quiz Contest (Year 16)

Regent-Coordinator : Dr. Priscilla B. CaguioaChair : Dr. Gregorio G. Rogelio Members : Dr. Manolito L. Chua

Dr. Antonio Renato B. Herradura Dr. Froilan A. De LeonDr. Luis G. SalvadorDr. Lyndon John Q. LlamadoDr. Sjoberg A. KhoDr. Roberto A. Bolinas, Jr.

This annual activity involving all accredited residency training programs and chapters has reaped success, camaraderie and fellowship among residents, in addition to providing learning opportunities for the trainees. It has been maintained as a project for over a decade.

Nine (9) elimination rounds were held, participated in by 85 accredited hospitals, and the results were as follows :

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Elimination Round Group Finalists

First GMA Group 1 Ospital ng MakatiSecond GMA Group 2 UST HospitalThird Western Visayas Dr. Pablo O. Torre Memorial HospitalFourth Luzon 1 Baguio General Hospital & Medical CenterFifth Luzon 2 De la Salle University Medical CenterSixth Mindanao Davao Doctors HospitalSeventh Central and Eastern

Visayas Chong Hua HospitalEighth GMA Group 3 St. Luke’s Medical CenterNinth GMA Group 4 Quezon City General Hospital

3.25 Information Technology

Regent-Coordinator : Dr. Kenneth Hartigan-GoChair : Dr. Pedro P. San Diego, Jr.Members : Dr. Arlene Lim-Vitug

I. Committee goals for the year :

a. Develop, host and maintain the PCP websiteb. Align with other committees on IT needs that can be linked to the websitec Hire IT personnel for one (1) year.d. Prepare for the annual convention IT Exhibite. Review of existing set ups and recommends updates to the national office

computer system and equipments


a. Following the approval of the Board of Regents on the IT budget of P2 million, the committee worked on outsourcing website developer/host and in hiring the IT personnel who will be on a retainer basis for a year. The new website will feature programs such as CME online, PJIM online, online payment of annual dues and registration fees, etc.

Also included in the IT budget is the integration of a knowledge management system for the committees of the College.

b. Prepared audio-video presentation for the PCP Annual Convention c. PCP Kids’ Neverland – PCP Annual Convention (Hall 1, SMX)d. Update the PCP Textlink system

III. Remaining tasks :

1. Accreditation Committee program on submission of hospital requirements 2. Review of existing set ups of the College and of each committee and makes

appropriate recommendations in terms of systems and equipments

3.26 Constitution and By-Laws

Regent Coordinator : Dr. Charles Y. YuChair : Dr. Jose D. Sollano, Jr.Members : Dr. Dante D. Morales

Dr. Ramon F. Abarquez, Jr.Dr. Abdias V. AquinoDr. Rudyard A. Avila IIIDr. Vicente V. Tanseco, Jr.

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Proposed amendments to the By-Laws were circularized to all members in April and are for formal approval by membership during the annual business meeting on May 4. These amendments affect the following provisions :

a) Article II – MembershipSection 1 (add new Membership Category)

b) Article II – Membership Section 4 (title of Full Member to be given to Affiliate Members in good standing for 10 years or more)

c) Article II – MembershipSection 3 (foreign graduates becoming PCP Diplomates)

d) Article II – MembershipSections 4 – 10 (corrected to reflect changes with respect to the introduction of the new membership category)

e) Article II – Membership Section 11 – Voting Privileges (Full Members and Diplomates in good standing may vote)

f) Article VIII-A – Uniform By-laws of ChaptersSections 2, 3 & 8 (corrected to reflect changes with respect to the introduction of the new membership category)

g) Article VI – Standing CommitteesSection 1 (add Residency Training Program Committee)

h) Article VI – Standing CommitteesSection 2 (functions of the Residency Training Program Committee defined)

3.27 Ways and Means

Regent-Coordinator and Chair : Dr. Oscar T. Cabahug

The financial position of the College was reviewed early on at the start of the fiscal year. Careful planning was made during the strategic planning workshop and at the first board meetings to decide on worthwhile projects that would need funding and investments in pursuit of the College goals. Cost-cutting measures were also identified and adopted to ensure sustainability in the years to come.

The IT Infrastructure and Chapters were identified as the two main areas where the current leadership should invest on. The IT infrastructure specifically the PCP website, because it serves as the medium where all communications between the leadership and membership and vise-versa emanates, and where continuing medical education, training, information-gathering and announcements can be found. And the chapters, because given the much needed push and assistance to stand on its own, they will be the ones providing quality leadership and direction to the members in the areas and regions within their reach.

Moreover, the Board approved the committee’s recommendation to hire an external auditor and an in-house cashier to provide the needed check and balance and accuracy in the financial reports. The firm Po Lao Marquez Benedictos and Company is the new external auditor of the PCP.

The financial report will be presented by Dr. Oscar T. Cabahug, incumbent Treasurer during the business meeting.

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3.8 40th Annual Convention : 02-05 May 2010SMX Convention Center Mall of Asia Complex, Pasay City

Overall Chair, Organizing Committee - Dr. Jaime C. Montoya

Chair, Scientific Committee - Dr. Lia Aileen M. PalileoMembers - Dr. Aldrin B. Loyola

Dr. Elaine C. CunananDr. Norman L. MaghuyopDr. Homer U. CoDr. Jean B. AlcoverDr. Ronald Allan M. FabellaDr. Justina S. CalibusoDr. Elenore UyDr. Edwin G. TanDr. Sherwin E. Feir

Lay Forum Coordinators - Dr. Carmen N. ChungcungcoDr. Shoji Denky W. Dela Rosa

Chair, Medical Informatics Sessions - Dr. Peter P. San Diego, Jr.Member - Dr. Iris Thiele Isip-Tan

Chair, Free Communication Sessions - Dr. Francisco P. TranquilinoMembers - Dr. Rontgene M. Solante

Dr. Noemi S. PestanoDr. Patrick N. MagalitDr. Marie T. MagnoDr. Nemencio A. Nicodemus, Jr.

Chair, Physical Arrangements Committee - Dr. Chad Rey V. Carungin Members - Dr. Jose Edzel V. Tamayo

Dr. Melvin F. Dalluay Dr. Arlene A. MarceloDr. Bernardo E. Capuno, Jr.Dr. Agnes CruzDr. Noel Estrella

Chair, Exhibits and Industry Participation - Dr. Narcisa Sonia C. Comia

Chair, Registration Committee - Dr. Noel M. CastilloMembers - Dr. Norman Manny SJ. Jurado

Dr. Robinzon D. FernandezDr. Maria Cecilia I. JocsonDr. Mariann N. AlmajarDr. Jhoel Norman Q. TomasDr. Amiel Cornelio E. Dela Cruz

Chair, Socials Committee - Dr. Deborah David-Ona

Chair, Publicity and Promotions Committee - Dr. Ma. Encarnita Blanco-Limpin

Several changes were instituted in this year’s annual convention, not just in keeping with the challenging times, but more importantly, in carrying out the Board’s thrust of organizational professionalism. Scheduled on 02-05 May 2010, the 40th Annual Convention will be held at the SMX Convention Center situated at the Mall of Asia Complex in Pasay City. The theme for this year is “Medicine Beyond Medicine: Traversing Boundaries, Crossing Borders.”

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The organizing committee envisions the convention as a venue wherein we, as Filipino internists, may explore our own territories, examine our follies and strengths, and rediscover our own relevance. We will be redefining ourselves and our profession- beyond our traditional roles as clinicians, beyond the biomedical definition of health, beyond geographic boundaries, all within the bounds of medical ethics, all for the improvement of our patients’ welfare.

All Plenary Sessions will be in the morning of the convention while all Break-out Sessions will be in the afternoon. There will be no Breakfast sessions. The following are the Plenary Sessions topics:

a) Putting the Patient First : Primary Care Revisitedb) The Life and Works of a Rural EBM Practitionerc) HIV : A Historical Perspectived) Going Beyond the Numbers : The Face of the Filipino Patiente) Universal Health Care : The Solution to the Health Needs of Every Juan

A summary of the types of sessions is as follows :

Plenary Sessions - 5Convention Symposia - 7Clinical Updates - 2Foundation and Innovations - 4Health Policy and Advocacy - 2Drug Issues in Medical Practice - 3Career Management - 2Practice Guidelines - 1PSBIM Hour - 1Informatics - 3 (with a medical informatics exhibits)Research Workshops - 1Free Communications (Posters) - 3 (total of 150 papers)

Participation by pharmaceutical and healthcare partners is in the following areas :

Exhibits - 53 booths ( 42 companies )Satellite Symposia (dinner) - 1 ( 1 company )Hospitality Suites - 8

Several pre-convention activities are lined up on May 2, 2010, Sunday. A Leadership Workshop for the chapter officers under PCP and the lecture on Philippine HIV/AIDS Epidemic for DOH andPCP specialists. For the chairpersons and training officers of PCP Accredited hospitals, there is the Annual Luncheon Meeting of Accredited Hospitals.

The Fellowship Night will showcase our own “PCP’s Got Talent” with the participation of members from the chapters. The Socials Committee promises this to be an exciting night.

The housing bureau, shuttle services to and from the SMX convention center and PCP Kids’ activity center called Neverland is in full operation this convention to ensure delegates’ convenience while attending this annual meeting. Several changes was instituted in this year’s convention. For one, there will be no lunch symposia given by pharmaceutical companies. Instead, delegates will be provided lunch sponsored by the College. A dining area will be designated in Hall 4 where delegates can chit-chat with other attendees or go around the exhibit booths.

It is our hope that members will enjoy the fellowship and collegial unity that abounds in an annual meeting. We look forward to seeing all of you this coming May for the 40th Annual Convention!

3.28 Nominations

Regent Coordinator : Dr. Charles Y. YuChair : Dr. Cecil Z. Tady

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Members : Dr. Venancio I. GloriaDr. Rene I. JuanezaDr. Fernando G. Ayuyao

The Nominations Committee is also referred to as Elections Committee, under the provisions of the By-Laws. Their functions include acting as Search Committee and Board of Canvassers. It is composed of the five (5) immediate Past Presidents of the College.

Several action steps will be implemented this year to ensure increase in voters :

1) Frequent announcements/reminders for fellows to vote, before and during the annual convention. PCP email and Textlink system will be utilized for this.

2) Strategic and visible location of the voting precinct during the annual convention, preferably adjacent to the registration area for easy access of fellows.

3) Install bigger signages and steps for voting within the convention site. 4) Registration encoders will be trained to instruct fellows upon their registration to proceed

to the voting area to vote. Special ushers will be assigned to encourage and guide/escort them to the voting precincts.

5) Stickers will be given to fellows who have already cast their votes. This will help identify who have or who have not voted.

Dr. Tady also suggested for an online voting system to be implemented starting next year. The Nominations Committee will work with the IT committee on this specifically issues regarding security and confidentiality of votes.

The canvassing of votes for the new Board of Regents will be held on May 4, 2010, Tuesday. The induction and turnover ceremonies will be held during the Closing Ceremonies on 5 May 2010, Wednesday.

3.29 Judiciary Task Force

Regent Coordinator : Dr. Charles Y. YuChair : Dr. Jose D. Sollano, Jr.Members : Dr. Vicente V. Tanseco, Jr.

Dr. Adriano G. De La PazDr. Ramon F. Abarquez, Jr.Dr. Rudyard A. Avila IIIDr. Roel A.P. RomeroQuasha, Ancheta, Peña, Nolasco Law Office

The civil cases against the College have been dismissed by the Court of Appeals in favor of PCP.

4. The ASEAN Federation of Internal Medicine (AFIM)

It was during the 23rd International Congress of Internal Medicine (ICIM), held on February 1996 in Manila, Philippines, when the Presidents of national societies of Internal Medicine in the ASEAN region agreed to form the Federation. The four society countries represented were : The College of Physicians of Malaysia, The Royal College of Physicians of Thailand, The Indonesian Society of Internal Medicine and The Philippine College of Physicians.

In a duly signed memorandum of agreement, the Federation committed to work towards the attainment of: 1) Mutual cooperation in the conduct of training and research in Internal Medicine and its subspecialties through exchange programs and similar activities; 2) Continuing medical education through the exchange of expertise and sharing of information, technical support and knowledge among practitioners of Internal Medicine, not only in the ASEAN region but also worldwide; 3) Collaboration in scientific studies or clinical researches on issues of intra-regional and inter-regional interest; and 4) Advocacy on medical issues and other issues that affect health care ranging from socio-economic and environmental issues, delivery of quality health services and cost-effective medical care which are relevant particularly to the economically disadvantaged ASEAN lower countries.

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In revisiting these goals, the current PCP Board learned that collaborations lasted for only a year after its formation. Two chance meetings, the 2008 ICIM in Buenos Aires, Argentina and the 2008 CMAAO (Confederation of Medical Associations of Asia and the Pacific) meeting in Manila on November 2008 sparked interest in its possible reactivation. It was in the light of the harmonization agreement in ASEAN that the College believed reactivating the AFIM would be a timely move.

In January 2009, invitations were sent out to the 10 ASEAN member countries especially the four original members. The Philippine College of Physicians expressed willingness to host the meeting during their 39th

Annual Convention scheduled on May 3-6, 2009 in Manila, Philippines, which was the original site of the federation.

Three from the original four member societies were present during the AFIM meeting held on May 5, 2009 at Sofitel Philippine Plaza Hotel in Manila, namely : The Indonesian Society of Internal Medicine represented by its president, Dr. Aru W. Sudoyo, The College of Physicians of Malaysia represented by its president, Dr. Steven Chow, and The Philippine College of Physicians represented by its president, Dr. Charles Y. Yu. Discussions focused on the reactivation of the AFIM, its expansion to include all countries represented in the ASEAN region and other issues of common interest i.e. the ASEAN Mutual Recognition Arrangement on Medical Practitioners. Towards the end of the meeting, the presidents of the national societies of Internal Medicine of the Philippines, Malaysia and Indonesia affirmed and adopted the earlier AFIM Memorandum of Agreement of 1996 and bound themselves to meet to revive and re-establish the ASEAN Federation of Internal Medicine. The Philippine College of Physicians (PCP) was chosen to be the first headquarter of the AFIM under the leadership of Dr. Yu, the incumbent president of the PCP.

This May 2010 marks the 14th year since the formation of the ASEAN Federation of Internal Medicine (AFIM). We have once again invited the four member societies to meet and further the objectives of this federation. The meeting will take place on May 3, 2010 at The Sofitel Philippine Plaza Hotel.

5. PCP PRESIDENTIAL FORUM ON HEALTH : “What has Health got to do with Everything!”March 16, 2010, 5 PM – 8 PM, ANC live, 6 PM – 8 PM

The Philippine College of Physicians (PCP), the 8,000-member-strong national umbrella organization of medical specialists in Internal Medicine and its sub-specialty fields is cognizant of the chronic problems that beset the health sector of the country and the perennial attempts to solve them with little success. As an institution, it understands its role in maintaining the health of the nation not only as healthcare provider but most importantly, as a catalyst in effecting change in anything and everything that impacts health - whether positively or negatively.

The Challenges

Our healthcare system is in dire need of help, specifically in 4 major areas:

1. So much needs to be done to alleviate poverty and give access to healthcare to the majority of Filipinos. Resource allocation for health is limited not necessarily because the resources are scarce but also because health is viewed as consumption rather than investment.

2. The quality of care, including the efficiency of the health systems – both central and devolved – is inconsistent and unreliable.

3. Intervening social, economic, political and cultural factors in governance create conflicts that disturb the people’s understanding of what health really is all about.

4. To make matters worse, our healthcare providers opt to go to foreign lands to earn more, leaving behind a shortage of human resources that are mal-distributed across the regions.

Everyone’s Goals

Surely, we want a country where all its citizens have easy access to a decent healthcare, where the quality of care that they receive - on time and from an appropriately paid and contented workforce - has scientific basis.

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We want a government that puts a premium on good governance and education that tempers considerations for economic growth with considerations for the health and well-being of its citizens.

We want a people who have the proper appreciation of good health, who take responsibility for their own health and that of their offspring, and are ready to accept accountability for their decisions and behavior.

What we all agree on

All of these we wish for ourselves and for our country. These are the things on which we all share a common ground regardless of the differences in the manner to achieve them. There should be little or no disagreement on these things that we wish for. Regardless of the political party that we may belong to, or the health platform that the candidates are currently establishing , everyone has the same dream and wish : Equity in health and development; a healthy Philippines.

Why aren’t we there yet?

While healthcare resources are, indeed, limited, the availability of resources does not necessarily translate to the improvement in the delivery and quality of care. That is because putting together a viable healthcare program involves the participation of various shareholders in the health sector, each of whom has legitimate agenda to pursue and interests to protect.

The Players in Healthcare

The players in healthcare, by the nature of their respective self-interests, make the problem daunting. The healthcare providers – the doctors, nurses, pharmacists, midwives, etc – have diverse views and values –economic and otherwise - for which reasons many of them have left the country or have opted to crowd themselves in the major cities of the Philippines.

Disparities in the quality of care between government and private hospitals, as well as the fragmentation of care into sub-specializations, with premium on technological advancements, have begun to emphasize the inequities that define private versus public facilities, general versus specialized care, and rich versus poor.

Third-party payors, insurers and funders of healthcare have to stay viable by putting up controls to minimize cost. Wasteful practices underscored by the inappropriate use of technology and the misuse and abuse of pharmaceutical products are borne out of unregulated relationships between the healthcare providers and the various business groups in healthcare. Healthcare delivery has evolved to mean state-of-the-art facilities and the belief that there is a pill for every ill.

Be that as it may, morbidity and mortality rates of infectious and cardiovascular diseases as well as cancer have not shown any decline. That the insurers, funders and vendors have to protect their bottom-line and ensure their growth is an important reality. Oftentimes, however, the partnership between healthcare vendors and funders and the healthcare providers forgets one important party - the patients and the public at large.

“Big business” representing the ‘sin industry’ dilutes the messages on healthy lifestyles and create conflicts of values among the citizens. The images that portray certain lifestyles to be hip and pleasurable are far more compelling than messages that emphasize responsible behavior and accountability. Moreover, these entities have overwhelming influence not only in media but all the way up to the highest levels of government that formulate policies. In the name of attracting big investments in the Philippine economy, decisions are made that may put the people’s health in jeopardy.

In addition, lobby groups and dominant institutions in society exercise evident power in preventing the passage of laws that run counter to their values in spite of the fact that these laws stand to benefit the silent majority by the options that these laws provide.

Last but not least, the Filipino citizen, needs to assume bigger responsibility over his own health, to accept accountability for his behavior that puts him at risk of the diseases that nobody wants to contract. As it is, the government has limited resources for health that are better and more cost-efficiently allocated to disease prevention rather than treatment. Given that health is a right of every citizen that the government must protect, a responsible and accountable citizen, supported by an effective health education that presents to him/her the risks and benefits of the options that he/she can make, can go a long way in optimizing our health resources with greater impact.

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The Philippine Leader’s take on Health

Whoever is going to be the next president of the Philippines must necessarily have a national perspective on health that integrates the individual perspectives of the healthcare players. If healthcare were an orchestra and the various healthcare players its vital components in producing music, the president is theconductor who prepares the musical score and ensures that each component blends perfectly with the rest. To be able to do this, he must address the foundational flaws in healthcare and get each player to confront himself.

Foundational Flaws that must be confronted.

The realization of our vision for a healthy Philippines, of the substantive resolution of the protracted problems in the health sector, is deterred by 2 foundational flaws that both the Filipino people and our political leaders must confront.

1. Health is understood wrongly. It is seen as a cost center rather than an investment. If health defines life and its development, it therefore must be put up there as a priority in nation-building because all the plans for productivity and economic growth mean nothing without good health. In reality, that isn’t so.

2. Health is seen as an entitlement, a right that civil society must provide its citizens; the responsibility and accountability for one’s health are lost in the din of everyone’s demands for free healthcare. As a result, the government and the healthcare providers have taken up defensive positions to appease the citizenry. “Libreng gamot” and “libreng hospital” as well as medical missions that dole out free medicines that serve little benefit have become ‘solutions’ to the problem; the citizens meanwhile continue to act irresponsibly and assume no accountability for their behavior.

Is health a top priority in the presidential campaign?

On March 16, 2010 at the PCP-sponsored Presidential Forum on Health: “What has health got to do with everything!”, we look forward to a substantive forum that takes off from this common ground that defines what we aim to achieve in Philippine healthcare. That the forum would be participated in by the 4 presidential candidates that the PCP membership has limited its choices to is a reflection of our respect for them as well as an expression of our hope that the next president of the country from among them fully understands what health is really all about.

We all look forward to our presidential candidates to say the truth about the state of Philippine healthcare and our capacity to confront the realities head-on. We are not looking forward to promises; we want to know HOW they are going to lead and orchestrate the various players in healthcare and integrate health into the overall scheme of governance.

In other words, HOW are they going to orchestrate all the stakeholders in health to address the 4 major issues in health considering the 2 foundational flaws that undermine their resolution.

The PCP Commitment

The PCP is committed to do its share, not only in providing care but also in health education as well as the training, distribution and mobilization of our growing membership. Where issues that affect health are not within our control, we will closely collaborate with the other healthcare players. All we pray for is a president who can lead effectively because he knows fully well that health has a lot to do with everything in nation-building.

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I and the Board of Regents have laid the cards of change and have sought to explain why it is essential for PCP to go back to the basics of running of an effective organization :

1) to bring back in focus what really defines and drives us as physicians and as an organization in the rapidly changing world; to evolve a leadership mindset in every member so that he acquires a worldview that transcends self-interest and parochial concerns.

2) to build our capacity to engage and, where we must, lead such world; 3) to promote growth and development of our members, bring them at par with the best in the world,

by getting them engaged in and with the PCP, using technology that gets us all connected with each other and with the rest of the world.

4) to ensure that our structures and processes are aligned with what we aim to achieve, viz., efficiency and effectiveness in a.) the communities where the members can make a difference and are best equipped to exercise leadership, b.) in the national scene where leadership gaps in health care need to be filled by – quite clearly - nobody else but ourselves.

All of the foregoing – the 4 Pillars of an Effective PCP - have been what my office and the Board of Regents have been pursuing all these months. I talked about it clearly during my inaugural address last year; the members of the board and of the various committees focused on its implementation plan during the strategic planning workshop in July; and the key elements that are required to ensure that things get done on time are already in place. The board has not only been supportive but gung-ho, challenged no doubt by a sense of urgency that disfavors indecisiveness and more-of-the-same thinking. Our collective motto this year is: “ Let’s get things done!” The organization and mobilization of the members – specifically, the full engagement of the members in the undertakings of an empowered and innovatively-led chapter – holds the key to our success.

It is a continuing process; this doesn’t start and end in one president’s term or in one fiscal year. First, the chapters need to decide the things that they want to achieve. Then they make an accurate assessment of the challenges, potential allies and partners, and resources in the community needed to achieve what they want. Next, they determine the fit of their organization in the community, i.e., everything that impacts health and health care delivery, including the values, attitudes and behavior of the members that would favor or undermine PCP’s capacity to assume a leadership position in that community.

Then we work on getting our members to identify with the PCP by providing them opportunities for personal and professional growth . We do this by all the means available, including the use of technology to provide each member access to information, a direct link to the PCP, and to be in touch with each other and what is best in the world.

And then we finally engage that world, starting with the entities in the community, viz., its political leaders, the businesses that can help us improve health appreciation and care delivery there, the academe that can educate the next generation of leaders, and the media that can help us communicate our message to the greatest number of people. We cannot easily do all of these if our members are not directly engaged and empowered to deal with the relevant health challenges in their own communities, if they are far removed from the realities of their own circumstances, if the PCP leadership is too centralized in a distant place, defined by time and hierarchy rather than by the relevance of the issues where the members practice.

The difficulties that we encountered initially as we assumed positions of leadership in the PCP – as in any organization – stemmed from an inertia among our members to participate in and commit to the tasks ahead. Our members have their own individual interests, and the PCP can be a distraction. Ah, but the challenge of creating something that impacts society has its rewards, and if change happens because we have done something good, it ultimately comes back to us as a great benefit! Self-fulfillment is the ultimate currency that sustains us as individuals, as physicians, and as members of the human race. I absolutely believe that the PCP members are made of - and for-bigger stuff far more satisfying than just a successful medical practice and a comfortable life!

We can opt to let time pass and just allow things to happen; we can perpetuate more-of-the-same thinking and rely on the comfort of business-as-usual. As elected leaders, we can count the months of our tenure, line up the activities that we can include in our annual report, and be content with the distinction of having been an officer of the PCP at one time in our lives.

Or we can decide to make things happen in more meaningful ways, aware of the fact that if we continue to do the same thing over and over again, we can expect no better – or no different – results each time. We can make use of the opportunity of our position to inspire and mobilize our members, to make them see what they are prone to overlook, engage them in endeavors that add value both to their profession and to the community, and show them that being a member of PCP gives them a sense of purpose. We can move them away from looking at issues from a

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purely personal perspective to appreciating issues from a broader context of society and country beyond personal interests, so that they can begin to be a part of the solution rather than the problem in rebuilding the nation.

I thank the Board of Regents for their openness, enthusiasm, and support for the major initiatives that have been put forward so far. Our board meetings have been animated and intellectually stimulating, making the transformation of a good idea into an even better one easy and remarkable. Discussions were based on hard facts as well as experience, but always focused on the welfare of the PCP as an organization.

I believe that the roadmap for PCP’s leadership position in pursuing our nation’s health care agenda in the medium-term and the long haul has been laid out beautifully for execution. The challenge now is in identifying a core group of movers and mavens who can inspire and mobilize “PCP champions” in the communities. Once the inertia is overcome, it is just a matter of time before we reach the tipping point. We will build on the small successes that gain for our members a better appreciation of themselves. From thinking small, we will quickly progress to thinking big. Because all that it calls for is character and a readiness to lead change.

I may be leading this organization with a clear vision and adequate resources at hand, but a good strategy at the national level doesn’t count if things at the periphery do not fall into place. Engaging our members at the level of the chapter is the only way to ensure the success of our endeavors. And so I challenge you individually to look at the chapter that you belong to in a new light, because to every individual member in this age of globalization, the relevance of a national movement depends on its impact in the local setting. In health care as in politics, everything is local.

The PCP will outlast us because we commit to always contribute to its future.

04 May 2010, Pasig City.

Your president,

EUGENIO JOSE F. RAMOS, M.D., FPCP

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