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DEPARTMENT OF SURGERYOspital ng Maynila Medical Center

Pres. Roxas Blvd. cor Pres. Quirino Ave. Malate, ManilaPHONE: 524 -6061 LOC. 103/300

ANNUAL REPORT OF ACCREDITED GENERAL SURGERY TRAINING PROGRAMS

JANUARY 2006 TO DECEMBER 2006

HOSPITAL : OSPITAL NG MAYNILA MEDICAL CENTER

DATE : February 27, 2007

DEPARTMENT CHAIRMAN : REYNALDO O. JOSON, MD

TRAINING OFFICER : HARRY GO, M.D.

HOSPITAL DIRECTOR : CHRISTIA PADOLINA, M.D.



I. HOSPITAL1. Total number of beds excluding bassinets 300

Number of bassinets 50

2. Existing Departments:Internal Medicine (X) YES ( ) NO AccreditedOB-GYNE (X) YES ( ) NO AccreditedPediatrics (X) YES ( ) NO Accredited

Anesthesia (X) YES ( ) NO Accredited Pathology (X) YES ( ) NO Accredited Radiology (X) YES ( ) NO Accredited

3. Out-patient Department (X) YES ( ) NONumber of Surgical Consultations (January-December): 10236 consultations

4. Laboratorya) Name of Head : SERGIO PAGUIO, MD, FPSP, FPSNMb) Examinations done :

HEMATOLOGY CBC, ESR, Malarial parasite detection, hemoglobin, hematocrit, MCV, MCH, MCHC, peripheral smear, toxic granulation, platelet count (qualitative/quantitative), white blood cell count, clotting time, bleeding time, cell count (CSF, pleura, other body fluids)

CLINICAL CHEMISTRY FBS, RBS, BUN, creatinine, cholesterol, triglycerides, uric acid, serum electrolytes (Na, K, Ca, Cl), bilirubin, LDL, HDL, CSF sugar, total proteins, OGTT

SERUM ENZYMES amylase, SGOT, SGPT, LDH, alkaline phosphatase, creatinine kinase

CLINICAL MICROSCOPY urinalysis, fecalysis, seminalysis, pregnancy test

HISTOPATHOLOGY Pap smear, biopsy, frozen section, permanent section, autopsy, decalcification

CYTOLOGY Papanicolau stain (cervical, sputum, body fluid), H&E stain, FNAB, cell block

BACTERIOLOGY Gram stain, KOH, AFB, culture & Sensitivity

BLOOD BANKING & SEROLOGY cross matching, blood typing, reverse typing, Coomb’s test, RPR test

IMMUNOPATHOLOGY AFP, CEA, PSA, HCG, GI-MA, BR-MA,



ELISA (for HIV), HbsAg, anti-HBs, anti-Hbe, anti-HCV, TSH, T3, T4

5. Radiologya) Name of Head: MANOLO C. MAGLONZO, MD, FPCRb) Diagnostic Services

(X) Chest X-ray (X) skull & skeletal survey(X) Upper GI series & Barium enema, colonogram(X) IVP, cystogram, urethrogram(X) Retrograde pyelography(X) Ultrasonography(X) Angiography(X) Operative cholangiography(X) Portable X-ray(X) Endoscopy( ) CT scan }( ) MRI } done outside( ) Nuclear medicine }

6. Ancillary facilitiesElectrocardiogram (X) YES ( ) NOHeart Station (X) YES ( ) NOSurgical Care facilities (X) YES ( ) NORecovery Room (X) YES ( ) NORehabilitation facilities (X) YES ( ) NO

7. Pathologya) Name of Hospital Pathologist: SERGIO PAGUIO, MD, FPSP, FPSNM

b) Frozen section (X) YES ( ) NOc) Number of autopsies

8. Facilities for Blood storage (X) YES ( ) NO

9. Medical Librarya) Textbooks

(X) Principles of Surgery(X) Atlas of Operative Technique(X) Anatomy Book(X) Surgical Anatomy(X) Physiology(X) Pathology(X) Internal Medicine(X) Head & Neck Surgery

b) Journals(X) Philippine Journal of Surgical Subspecialties(X) Foreign Surgical Journals

- SGO- SCNA- Annals of surgery- American Journal of Surgery- International College of Surgeons



10. Records Section (X) YES ( ) NONumber of Years Charts are Preserved : 25 years

0-5 yrs ACTIVE CIRCULATION6-10 yrs SEMI-ACTIVE11-25 yrs INACTIVE> 25 yrs FOR DISPOSAL

II. DEPARTMENT OF SURGERY1. Total number of surgical beds

a) Infirmary Beds 05b) Service Beds 58

Total= 63

2. Major Operations per year, for the past 2 years2005 : 878 operations 2006 : 922 operations

Medium Operations per year, for the past 2 years2005 : 661 operations 2006 : 769 operations



OPERATIONS:I. Breakdown of OperationsOperations 2003 2004 2005 2006

Total 6652 6462 5706 5567 Major 1144 1071 873 922 Medium 859 925 778 789 Minor 4649 4466 4055 3856

Elective 818 911 764 746 Emergency 1611 1390 1131 1000 Trauma 122 94 94 99 Non-Trauma 1483 1322 1037 901

Major done by Consultants 133 131 111 101 done by Residents 1011 958 760 750 Assisted by Consultants

77 81 54 71

Medium done by Consultants 26 27 25 33 done by Residents 833 980 745 713 Assisted by Consultants

11 12 18 23

Minor done by Consultants 15 16 23 11 done by Residents 4634 4862 4032 3844 Assisted by Consultants

4 1 3 1



III. THE RESIDENCY TRAINING PROGRAM (2006)1. Length of program……………………………5 years2. Number of surgical residents………………14

ANNUAL ROTATION OF RESIDENTS FOR 2006

NAME Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecC.Leyson GSII

IGSIII GSI GSI GSII GSII GSIII GSIII GSI GSI GSII GSII

Chua GSI GSI GSI GSI GSII GSII GSII GSII GSIII GSIII GSIII GSIIILeyson GSII GSII GSII GSII GSIII GSIII GSIII GSIII GSI GSI GSI GSIPingul GSII

IGSIII GSIII GSIII GSI GSI GSI GSI GSII GSII GSII GSII

Aludino GSI GSI GSII GSII GSIII GSIII GSI GSI GSII GSII GSIII GSIIIMujer GSII GSII GSIII GSIII GSI GSI GSII GSII GSIII GSIII GSI GSICabahug GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIDe Leon GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIGuerra GSII

IGSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSI

Cruz GSIII

GSIII GSI GSI GSII GSII GSIII GSIII GSI GSI GSII GSII

Deveza GSI GSI GSII GSII GSIII GSIII GSI GSI GSII GSII GSIII GSIIIEstonilo GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIGonzales GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIBalucating GSII

IGSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSI

Note:GS I – Head and Neck, Breast, Skin and Soft tissue tumors, Orthopedics, Plastic and Reconstructive

GS II – Esophago-Gastric Surgery, Hepatobiliary and Pancreatic Surgery, Retroperitoneal Surgery, Thoracocardiovascular Surgery, Urology

GS III – Entero-Colo-Recto-Anal Surgery, Hernia Surgery, Pediatric Surgery, Neurologic Surgery



RESIDENTS’ STATUS

A. RESIDENT STAFFJANUARY 2006– DECEMBER 2006

CHIEF RESIDENTMaria Cecilia T. Leyson, MD

ASSOCIATE CHIEF RESIDENTSDerrick Chua, MDOliver S. Leyson, MDJose Mario Amado M. Pingul, MD

FIFTH YEAR RESIDENTSMaria Cecilia T. Leyson, MDDerrick Chua, MDOliver S. Leyson, MDJose Mario Amado M. Pingul, MD

FOURTH YEAR RESIDENTSNolan O. Aludino, MDRoderick S. Mujer, MD

THIRD YEAR RESIDENTSMartin Joseph S. Cabahug, MDRommel Q. De Leon, MDJeffy Guerra, MD

SECOND YEAR RESIDENTSBenjamin C. DevezaHaidee Cruz

FIRST YEAR RESIDENTSHarvey Balacuting, MDEdwin Estonilo, MDRoberto Gonzales, MD

NEW RESIDENT

Effective January 1, 2007, five (5) new doctor was carefully chosen and appointed as First year Resident of the Department of Surgery, namely:

First YearMichelle GalangJonathan MalabananMichael Angelo Sunaz



Edelweis VelasquezAllan Gabriel

Note: Their appointments will be contractual on yearly basis.

RECENT GRADUATES:

Maria Cecilia T. Leyson, MDDerrick Chua, MDOliver S. Leyson, MDJose Mario Amado M. Pingul, MD

The following are residents who resigned from the training: 1. Romero Dangoy 2. Trisha Daughterty Medina

RESIDENCY IN-SERVICE TRAINING EXAMINATION RESULTS (2006)

NAME YEAR LEVEL

RAW SCORE PERCENTAGE PERCENTILE

by level overall1. Derrick Chua 5 148/240 61.67% 97.10 98.302. Maria Cecilia T. Leyson 5 119/240 49.58% 44.93 50.573. Oliver S. Leyson 5 124/240 51.67% 60.87 64.774. Jose Mario M. Pingul 5 128/240 53.33% 71.01 76.145. Nolan O. Aludino 4 112/240 46.67% 37.38 32.956. Roderick S. Mujer 4 122/240 50.83% 61.68 59.667. Martin Joseph S. Cabahug 3 65/180 36.11% 0.00 0.008. Rommel Q. De Leon 3 78/180 43.33% 18.42 18.429. Jeffy Guerra 2 88/180 48.89% 50.88 50.8810. Benjamin C. Deveza 2 57/120 47.50% 54.89 61.9211. Haidee Cruz 2 51/120 42.50% 24.81 30.9612. Harvey Balucating 1 50/120 41.67% 29.73 26.6913. Roberto Gonzales 1 58/120 48.33% 72.30 66.1914. Edwin Estonilo 1 48/120 40.00% 20.27 18.15

GRADUATES OF THE RESIDENCY PROGRAM & THEIR PRESENT STATUS

The Surgery residency program of Ospital ng Maynila had already produced 75 graduates, about a third of who are fellows of the Philippine College of Surgeons & diplomates of the Philippine Board of Surgery. Most of them also are currently in private practice. Some of them had come back to the hospital to serve as consultants, while others have gone to subspecialty training.



SURGICAL TRAINING PROGRAM GRADUATES AND THEIR PLACEMENTS

1973 Mauricio Ambrosio MD (deceased)

Bernardo S. Fernandez MD FPOA, FPCS, FWPOA Asso. Professional Lecturer, PLM College of

Medicine

1974 Edgardo Santos MD FPCS, Director, Mt. Banawe General Hosp.

1975 Isidro Quiza MD FPCS, presently in the USA

1976 Arturo Chavez MD FPCSPrivate practice

1977 Joey Bedia MD Private practice, IloiloPassed written exam, PBS part I

1978 Arellano T. So MD MBA, DPBS, FPCS, FICSDirector, OMMC 1992 to 1995, 1999-2000(deceased)

1979 Rafael Medel MD Private practice

Gil Marasigan DPBS, FPCSPrivate practice

1980 Liberty de Guzman DPBS, FPCSPrivate practice

Rodolfo Roquino MD DPBS, FPCSPrivate practice

1981 Antonio Romero MD Private practice (UAE)

Rodolfo Valeriano MD Private practice

1982 Harry L. Go MD DPBS, FPCS, FPSGSConsultant, OMMC, Dept of Surgery

Associate Professor IV,, Department of Surgery, College ofMedicine, PLM

Daniel Mata, MD Assistant Professor, Department of Surgery, PLM Passed written exam, PBS Part I

1983 Demosthenes Reyes MD DPBS, FPCSPrivate practice

Bibiano Austria MD Private practice



1984 Edgardo Fernandez MD DPBS, FPCSPrivate practiceChairman, Department of Surgery,

Perpetual Help Medical Center (Las Pinas)

Lily Oyog MD Private practice (Taiwan)Passed written exam, PBS part I

Laverne Malit MD DPBS, FPCSPrivate practice

1985 Roman Manalang MD Private practicePassed written exam, PBS part I

Rene Mangahas MD Private practice (Tarlac)

1986 Leandrito Rojas MD Private practice (Cavite)Passed written exam, PBS Part I

Demetrio Flores MD Private practice (Isabela)

1987 Nestor Rivera MD Private practice (Pangasinan)

Thomas Marquez-Lim MD DPBS, FPCSPrivate practice (Davao City)

Danilo Ramilo MD Director, Talisay District Hospital Passed written exam, PBS Part I

1988 Rommel G. Carino MD DPBS, FPCS, FTCVSConsultant, Philippine Heart Center

Braulio Ocampo MD Medical Director, United Lab Pharmaceuticals

Private practicePassed written exam, PBS Part I

1989 Eutiquio Imperial MD DPBS, FPCS, FTCVSConsultant, Philippine Heart Center

Julius Inocencio MD Private practicePassed written exam, PBS Part I

1990 Eduardo Arguelles MD DPBS, FPCSPrivate practice

Carlos Lagman MD DPBS, FPCSPrivate practice

Jose Dorotan MD Residency Training in Surgery, USA

1991 Ma. Mercedes Altavas MD DPBS, FPCSPrivate practice



Nilo Javier MD Private practicePassed written exam, PBS part I

1992 Federico Dazo MD DPBS, FPCSPrivate practice

Leandro Resurreccion III MD DPBS, FPCS, Fellow, Pediatric SurgeryGraduate, Pediatric Surgery, PGHPost-Graduate Training in Pediatric

Surgery, Sydney, AustraliaConsultant, OMMCPrivate practice

Gabriel Eala MD Private practice

1993 Juvenal Quitiquit MD Fellow, TCVS, Philippine Heart CenterDPBS, FPCS

Teodoro C. Cabiscuelas MD Private practicePassed written exam, Part I PBS

1994 Leopoldo Orantia MD Medical Officer IV, ER Department, OMMCPassed written exam, PBS Part I

Albert Daco MD Private practice

Arturo Decano, M.D. Private practiceLecturer, St. Luke’s Medical Center,

College of Medicine

1995 Joselito Luceno MD Private practicePassed written exam, PBS Part IMedical Officer IV, Gat Andres Bonifacio

Memorial Medical Center

Isagani Orogo MD Private practice

German Estrella MD San Francisco Medical Center, Tissue Bank, California

Karl Oliver Laqui MD Private practice Passed written exam, PBS Part I

Rafael Montemayor, MD Presently in the USAResearch Coordinator, Northern California

Transplant Bank (Tissue Bank International)

1996 Donnatella Valena MD Hospital Director, St. Peter General Hosp.Gumaca, Quezon

Sherwin Villaruel MD Medical Officer III, Gat Andres BonifacioMemorial Medical Center

Hipolito Resonable MD Private practice, Ilocos



Ignacio Alcantara MD Private practice, Pagsanjan

Eleanor Cruz MD Medical Officer III, Gat Andres BonifacioMemorial Medical Center

1997 Hector Mercado MD DPBS Medical Officer III, Gat Andres BonifacioMemorial Medical Center

Danilo Sedutan MD Chief of Clinics, Protacio Memorial HospPassed written exam, PBS Part I

Luz Andaya-Velasco MD Private practicePassed written exam, PBS Part I

1998 Allan Hilario MD Medical Director, St. Peter General HospPassed written exam, PBS Part I

Joseph Tibio MD Medical Officer III, Gat Andres BonifacioMemorial Medical Center

Passed written exam, PBS Part I

Mario Lato MD Medical Officer III, Gat Andres BonifacioMemorial Medical Center

1999 Anthony J. Ramos, MD Presently in the USA

2000 Stephen F. Marcelo, MD Passed written Exam, PBS Part 1Medical Officer, Ospital ng Sampaloc

2003 Ana Maria G. Agoo-Llado, MD DPBS, Volunteer Consultant Ospital ng Maynila

Joseph A. Estanislao, MD DPBSPrivate Practice at Catarman, Northern Samar

Vivian P Enriquez, MD DPBS, Surgical oncologist Consultant-OMMC

Nolim’t Jay T. Raquel, MD FPCSSan Juan Municipal Hospital

2004 Rolando V. De Guzman, MD DPBSMindoro

Alfred D. Troncales, MD DPBS,Graduate of Fellowship training

program in Pediatric Surgery (PCMC)



Alexander D. Deveza, MD DPBSPresently in Bahrain

Miguel Gary D. Galvez, MD Passed Written Exam, Part 1Medical Officer VolunteerOspital ng Maynila

2005 Marlou O. Padua Passed Written Exam, Part 1Calamba, Laguna

Redomir Roque Passed Written Exam, Part 1Manila

Maria Hazel Z. Turingan DPBSFellowship Training In Thoracocardiovascular Surgery(PGH) –will finish on 2008

2006 Janix M. De Guzman Passed Written Exam, Part 1Ospital ng Maynila Medical CenterAsian Hospital

Rubi Ann Claire Chan Passed Written Exam, Part 1Fellowship Training in Pediatric Surgery(PCMC)—will finish by 2008

NUMBER OF GRADUATES…………………………………………………….75

A. FELLOWS…………………………………………………………………22

B. DIPLOMATES (JUST PASSED PART 1 & 2, SINCE 2003)……………………..8

C. NON-FELLOWS…………………………………………………………45

a. PASSED PART I……………………………….23b. HAVE NOT PASSED/TAKEN PART I…….22



CONFERENCES

Tuesday and Thursday ConferencesGeneral Information and 2006 Schedule

General Schedule and Place of Conferences

1. Conferences are held every Tuesday and Thursday, 8-10 am.2. The number of conferences every Tuesday and Thursday may range from 1

to 2.2.1 If there will be one conference, the time is 8-10 am. 2.2 If there will be three conferences, first conference is at 8-9 am, the second, at

9-10 am and the third, at 10-11 am.3. Unless otherwise specified, the conferences will be held at the Department of

Surgery Conference Room on the 3rd floor.

Objectives of Conferences

1. Training cum evaluation of resident and consultant staff of the Department of Surgery

2. Joint conferences with other departments such as Departments of Anesthesia, Pathology, Radiology, Pediatrics, and Internal Medicine

3. Research forum4. Business meetings 5. Performance reports and audits6. Clinical practice guidelines development

Who can attend

Except for the business meetings, anybody is welcome to attend.

General Scheme in Scheduling of Conferences

52 weeks per year52 Tuesdays and 52 Thursdays per yearDiscounting the established holidays in the country and city of Manila, average total number of Tuesdays and Thursdays in a year: 90

For 2005: 90 conference days (50 Tuesdays and 40 Thursdays)Maximum number of Tuesday conferences per year at 3 conferences per day: 180Maximum number of Thursday conferences per year at 2 conferences per day: 80Total number of conferences for 2004: 260



Regular schedule all year round:

Tuesdays:8-9 am: Surgery-Anesthesia Conference (50 conferences)9-10 am: Residents’ Case Management, Presentation-Discussion and Sharing of

Information (50 CPDs at average of 3 CPDs per resident)Grand Rounds (with participation from other departments):all the CMPDSI were treated as grand rounds from February onwards (> 12 per year)

10-11 am: Journal Club (critical appraisal of journal): every other month (6x/year)Journal Club (journal reporting): every other month (6x/year)Debate (3x/year)ECHO Conference: every 4 months (3x/year)

Thursdays Monthly Performance Reports: Every month (Total of 12 per year with 1 hour per meeting)Business Meetings: Every 2 months (Total of 6 per year with 1 hour per meeting)Clinical Practice Guidelines Development Research Updates and Forums: 6x/year(research protocol presentation, update presentation, final research paper presentation)Hospital Tumor Board: every other month (6x /year)Medical – Surgical Education Conference: every 4 months (3x /year)

Abbreviations:

SA-PP-MM =Surgery-Anesthesiology Conference, Preop-Postop Conference, Mortality-Morbidity ConferenceCPD = Case Presentation and DiscussionJC/D/E/GR = Journal Club / Debate / ECHO / Grand Round

PR = Performance ReportBM = Business MeetingCPG = Clinical Practice GuidelinesMed- Surg Education = Medical-Surgical EducationHTB = Hospital Tumor Board



2006 Conferences

JanuaryTrauma – Med-Surg Education - Research

T TH3 5

MPR (Annual) Governance BM

10 128-9 SA-PP-MM Med-Surg

EducationSurgical Curriculum9-10 CPD Trauma

Multiple abdominal injuries Dr. Cruz

10-11 JC/D/E/GR ECHO PCS Annual Convention Topics

17 198-9 SA-PP-MM Trauma Disaster

preparedness program

9-10 CPD Grand Rounds

TraumaChestDr. Deveza

ECHO Annual Convention Topics

10-11 JC/D/E/GR

24 268-9 SA-PP-MM Research Update9-10 CPD Trauma

CraniocerebralDr. Guerra

Journal ClubDr.Pingul/Estonillo

Critical Appraisal

10-11 JC/D/E/GR

318-9 SA-PP-MM 9-10 CPD Trauma

ExtremityDr. De Leon

10-11 JC/D/E/GR



FebruaryHead and Neck – Hospital Tumor Board

T TH2

MPRDrs. Aludino/De Leon

Governance

7 98-9 SA-PP-MM CPG

Drs. Cruz/Deveza/Guerra/De Leon

CPG – Trauma9-10 CPD

Grand Rounds

Head and Neck –TraumaDr. Cabahug

10-11 JC/D/E/GR CPGDr. Cabahug

Head and Neck Trauma

14 168-9 SA-PP-MM HTB

Dr.Pingul/Guerra

9-10 CPDGrand Rounds

Head and Neck Mass – NonthyroidDr. Aludino

10-11 JC/D/E/GR

21 238-9 SA-PP-MM CPG

Drs. Aludino/Mujer

Head and Neck Tumors(Thyroid and Non-thyroid)


Posterior Neck MassesDr. Mujer

Debate

10-11 JC/D/E/GR

288-9 SA-PP-MM 9-10 CPD

Grand Rounds

Lateral Neck MassesDr. Chua

10-11 JC/D/E/GR



MarchChest and Breast T TH

2CPGDr. Chua Head and nexk

masses/infection

7 98-9 SA-PP-MM MPR

Drs. Aludino/De Leon Governance9-10 CPD

Grand Rounds

Difficulty of swallowingDr. C. Leyson

10-11 JC/D/E/GR BM


Dr. C. LeysonEsophageal non-traumatic disorders


Difficulty of breathingDr. O.Leyson

10-11 JC/D/E/GR


Dr. O. LeysonLung Tumors


Imperforate Anus Dr. Pingul

Journal ClubDr. Chua/Gonzales

Critical Appraisal

10-11 JC/D/E/GR

28 308-9 SA-PP-MM Research Update9-10 CPD

Grand Rounds

Breast massDr. Balucating

CPGDrs. Balucating

Breast cancer advance, metastatic and recurrent breast ca

10-11 JC/D/E/GR



AprilAbdomen

T TH4 8-9 SA-PP-MM 6


Acute abdomen – Peritoneal IrritationDr. Estonilo


Governance

10-11 JC/D/E/GR

11 138-9 SA-PP-MM HOLY WEEK

MAUNDY THURSDAY


Acute abdomen – Peritoneal IrritationDr. Gonzales

10-11 JC/D/E/GR


Dr.Pingul/Guerra


Fistula-in anoDr. Cruz

10-11 JC/D/E/GR

25 278-9 SA-PP-MM Debate


Non-acute abdomenDr. Deveza

Research Update

10-11 JC/D/E/GR

SA-PP-MM =Surgery-Anesthesiology Conference, Preop-Postop Conference, Mortality-Morbidity ConferenceBM = Business MeetingCPD = Case Presentation and DiscussionGR = Grand RoundsMPR = Monthly Performance ReportMAR – Medical Anecdotal Reporting



MayAbdomen

T TH2 8-9 SA-PP-MM 4


Bakbakan—Antipolo, Rizal


Governance

10-11 JC/D/E/GR BM


Dr. Deveza/CPG – Non-acute abdomen9-10 CPD

Grand Rounds

Non-acute abdomenDr. Deveza

10-11 JC/D/E/GR

16 188-9 SA-PP-MM


JaundiceDr. Cabahug

?

10-11 JC/D/E/GR

23 258-9 SA-PP-MM Vomiting

/obstipationDr. Guerra


JaundiceDr. De Leon

Research Update

10-11 JC/D/E/GR

308-9 SA-PP-MM Discussion on

Mortality Audit9-10 Pulmonary Embolism10-11 JC/D/E/GR

SA-PP-MM =Surgery-Anesthesiology Conference, Preop-Postop Conference, Mortality-Morbidity ConferenceBM = Business MeetingCPD = Case Presentation and DiscussionGR = Grand RoundsMPR = Monthly Performance ReportMAR – Medical Anecdotal Reporting



JuneAbdomen

T TH1

CPGDrs. De Leon/Cabahug

Jaundice

6 88-9 SA-PP-MM MPR

Drs. Aludino/De Leon


Vomiting /obstipationDr. Guerra

10-11 JC/D/E/GR

13 158-9 SA-PP-MM Executive

Committee meeting


Vomiting /obstipationDr. Aludino

10-11 JC/D/E/GR


Dr. Pingul/GuerraPain Management

9-10 CPD Grand Rounds

Earthquake drill

10-11 JC/D/E/GR


Drs. Estonilo/De Leon

Acute Abdomen BleedingObstructionperforation


GI BleedingDr. Mujer

Research Update

10-11 JC/D/E/GR

July



Abdomen

T TH4 6

8-9 SA-PP-MM MPRDrs. Aludino/De Leon

Governance


Abdominal Vascular EmergencyDr. Chua

BM

10-11 JC/D/E/GR


Dr. AludinoCPGDr. Guerra

Intestinal obstructionVomiting/obstipation


Abdominal TumorDr. O. Leyson

10-11 JC/D/E/GR

18 208-9 SA-PP-MM debate


Lower GI Bleeding Dr. Pingul

10-11 JC/D/E/GR

25 278-9 SA-PP-MM


Journal ClubDr. CLeyson/Cruz

Critical Appraisal

10-11 JC/D/E/GR



AugustExtremity and Skin and Soft Tissue

T TH1 3



Abdominal Tumor--pancreatic head massDr. C. Leyson

10-11 JC/D/E/GR

8 108-9 SA-PP-MM Outside the Hospital

activity9-10 CPDGrand Rounds

HerniaDr. Balucating

10-11 JC/D/E/GR


Dr. Pingul.Guerra9-10 CPD

Grand Rounds

HerniaDr. Estonilo

10-11 JC/D/E/GR

22 248-9 SA-PP-MM Journal Club

Dr. OLeyson/Balucating

Critical Appraisal


Difficulty in urinationDr. Gonzales

10-11 JC/D/E/GR


Drs. Pingul/MujerGI Bleeding


Acute abdomen in newbornsDr. Deveza

Lecture on pain Management

Dr. Mark Kho

10-11 JC/D/E/GR CPGDr. OLeyson/CLeyson

Abdominal Tumor

SeptemberTumors/Soft tissue/Trauma



T TH

5 7 Post graduate course-PGH

8-9 SA-PP-MM9-10 CPD

Grand Rounds

Acute abdomen in infantsDr. Cruz

10-11 JC/D/E/GR

12 14MPRDrs. Aludino/De Leon

8-9 SA-PP-MM BM9-10 CPD

Grand Rounds

SST – Infection (non-complicated)Dr. Cabahug

10-11 JC/D/E/GR

19 21CPGDrs. Balucating/Estonilo

CPG - Hernia

8-9 SA-PP-MM 9-10 CPD

Grand Rounds

SST – Infection (complicated)Dr. De Leon

CPGDr. Gonzales

Difficulty in urination

10-11 JC/D/E/GR

26 28 CPGDr. Cruz/Deveza

Acute abdomen in newborns

8-9 SA-PP-MM CPGDr. De Leon/ Cabahug

Skin and soft tissue Infection


SST – traumaDr. Guerra

10-11 JC/D/E/GR

October



T TH3 5



SST – tumorDr. Aludino

ECHO PSGS 4th Surgical Forum

10-11 JC/D/E/GR


Dr. Mujer/DevezaCritical Appraisal


Bone tumorDr. Mujer

10-11 JC/D/E/GR Journal ClubDr. Aludino /De Leon

Critical Appraisal

17 198-9 SA-PP-MM HTB9-10 CPD

Grand Rounds

Head and Neck TraumaDr. Chua

CPG Dr. Mujer

Bone Tumors

10-11 JC/D/E/GR

24 26 Consultant lecture Dr. Saguil 8-9 SA-PP-MM Abdominal Mass

in pediatrics9-10 CPD

Grand Rounds

HOLIDAY

10-11 JC/D/E/GR

31 8-9 SA-PP-MM 9-10 CPD

Grand Rounds

NO CONFERENCE

10-11 JC/D/E/GR



NovemberInfection

T TH2

MPRDrs. Aludino/De LeonBM

7 98-9 SA-PP-MM CPG Prevention of

Surgical Site Infection


10-11 JC/D/E/GR ECHOPGH-Post Grad

Masters in Surgery

14 168-9 SA-PP-MM Research

Protocol9-10 CPD

Grand Rounds

Abdominal TraumaDr. CLeyson

Journal Club

10-11 JC/D/E/GR

21 238-9 SA-PP-MM


Chest TraumaDr. O. Leyson

CPGDr. Chua

Head & neck Trauma

10-11 JC/D/E/GR CPGDr. Balucating

Head and Neck-TumorsRevision

28 308-9 SA-PP-MM HOLIDAY9-10 CPD

Grand Rounds

Trauma of the ExtremityPingul

10-11 JC/D/E/GR

December



Acute Abdomen

T TH5 7



Abdomen-tumorsDr. Cruz

BM – Year End Evaluation

Governance

10-11 JC/D/E/GR


Dr. GuerraCritical Appraisal


10-11 JC/D/E/GR CPGDr. Gonzales

Skin and Soft tissue tumor

19 21 HTBCPG Prevention of

intraabdominal infection

26 28



SCIENTIFIC PAPERS PRODUCED

PUBLISHED – 2004

1. Selective Versus Mandatory Preoperative Work Up of Patients for Thyroidectomy Vivian P Enriquez, MD; Rolando V. De Guzman, MD,; Redomir P. Roque, MD,; Janix M. De Guzman, MD,; Harry L. Go, MD, FPCS,; Anthony Adrian C. Yu, MD, FPCS,Edgardo P. Penserga, MD, FPCS, Reynaldo O. Joson, MD, FPCS

Published: Phillipine Journal of Surgical Specialties Volume 59 Number 1, January-March, 2004

2. A Quality Study on Operations Performed for Fibrocystic Breast Changes in a City Government Hospital SettingRubi Ann Claire Chan, MDReynaldo O. Joson, MD, FPCS

Published: Phillipine Journal of Surgical Specialties Volume 59 Number 3, July-September, 2004

3. Swallowed Barbecue Stick Causing a Surgical Abdomen – Maria Cecilia T. Leyson, Reynaldo O Joson

Published: Phillipine Journal of Surgical Specialties 2003

4. Use of External Oblique Myocutaneous Flap in Closing Large Wound Defect after Mastectomy (completed) by Mario Guevarra, MD FPCS; Oliver Leyson, MD

Published: Phillipine Journal of Surgical Specialties, 2006



FOR PUBLICATION

1. Tap water vs Saline Solution in Cleaning Traumatic Wounds in a Department of Surgery by Marlou Padua, MD—For publication, PJSS

2. External Compression Dressing at the Axillary area with Shoulder Immobilization vs Tube drain in Mastectomy Patients by Rubi Ann Claire Chan, MD—for publication, PJSS

3. A Randomized Clinical Trial Comparing Partial Wound Closure and Secondary Wound Closure in the Prevention of Surgical Site Infection among Patients with Acute Perforative Appendicitis by Maria Cecilia T. Leyson, MD—for publication, PJSS

4. Management of Breast Abscess by needle Aspiration by Oliver Leyson, MD—for publication, PJSS

5. Increasing Success Rate of Arterio-venous Fistula by Maria Cecilia T. Leyson, MD. –for revision/ publication

UNPUBLISHED

1. Consistency of Surface Lumps (completed by) Hazel Turingan, MD

2. Increasing and sustaining Efficiency in the Ambulatory Surgical Care Unit (completed) by Janix M. De Guzman, MD

3. Preoperative Physical Status Evaluation: Variability Between Anesthesiologisat and Surgeons, The Effects of Re-orientering them to a System of Classification and Outcome Evaluation (completed) by Derrick Chua, MD

4. Use of External Oblique Myocutaneous Flap in Closing Large Wound Defect after Mastectomy (completed) by Mario Guevarra, MD FPCS; Oliver Leyson, MD

5. Mortality analysis in a Department of Surgery (completed) by Jose Mario Amado M. Pingul, MD



6. Reducing the In-Hospital Mortality rate of Patients Operated for Diabetic Foot in a City Government Hospital (completed) by Nolan Aludino, MD

7. Prospective RCT on the use of Sterile Gauze Dressing on Sutured Scalp Lacerations (completed) by Roderick Mujer, MD

8. Rationalization of Post-operative Pharmacological analgesic Therapy in Post Hemorrhoidectomy Patients (completed) by Martin Joseph Cabahug, MD

9. The use and non-use of topical antibiotic in less severe burn wounds (completed) by Rommel De Leon, MD

10.Analgesics used in Acute Appendicitis (completed) by Jeffy Guerra, MD

11.Rationalization of Post-operative Pharmacological analgesic Therapy in Post Herniorrhaphy Patients (completed) by Trisha Daughterty Medina, MD

PAPERS PRESENTED IN 4TH ASIA-PACIFIC PROBLEM BASED LEARNING FORUM

1. Distance and On-Line Education in a Department of Surgery in the Philippines – presented by Marlou Padua, MD

2. Systematization of Problem-Based Learning Activities in a Department Of Surgery in the Philippines – presented by Redomir P. Roque, MD

3. Debate As A Teaching-Learning Activity In A Department Of Surgery In The Philippines – presented by Hazel Turingan, MD

4. Development of a Balanced Scorecard in the Department of Surgery in the Philippines – presented by Anthony Adrian Yu, MD, FPCS, Janix M. de Guzman, MD

5. Structured Management of a Patient Process – An Algorithm to Facilitate Problem-Based Learning in Medicine– presented by Janix M. De Guzman, MD

6. Development of a health-process-evidence based Clinical Practice Guidelines model in a Clinical Department in the Philippines- presented by Rubi Ann claire Chan, MD

7. Action Research Program of OMMC Surgery– presented by Derrick Chua, MD



8. Faculty-Assisted Time Management Program for Surgical Residents of OMMC Surgery – presented by Edgardo Penserga, MD

9. Learning Portfolio as a clinical teaching activity in a department of Surgery – presented by Oliver Leyson, MD

10.Journal Club in a Clinical Department in the Philippines- presented by Jose Mario Amado M. Pingul, MD

11.OMMC Surgery Clinical Pictorial Examination for Senior Medical Students – presented by Maria Cecilia T. Leyson, MD

12.Development of a Performance Evaluation System in the Department of Surgery OMMC – presented by Roderick Mujer, MD

13.Medical Anecdotal Reporting as a Teaching Learning Activity in a Clinical Department in the Philippines – presented by Nolan, Aludino, MD

14.Development of a Knowledge Management System in a Department of Surgery in the Philippines – presented by Martin Joseph Cabahug, MD

15.Development of a Structured Curricular Program to Maximize Learning from Patient Mortality and Morbidity – presented by Rommel De Leon, MD

16.Social Responsibility Program in a Department of Surgery in the Philippines – presented by Jeffy Guerra, MD

17.Structured Curricular Program on Surgical Operations for Surgical Residents of OMMC Surgery – presented by Trisha Daughterty Medina, MD



Researches for 2005

1. Cardiac Rate as a Predictor of Thyroid Function in Patients with Thyroid Nodule (Completed) by Janix De M. Guzman

2. Clinical Profile and Outcome of Patients with Fournier’s Gangrene in OMMC from 2001 to 2004: A Retrospective Study (Completed) by Rubi Ann Claire D. Chan

3. Early Versus Late Feeding After Emergency Laparotomy (Completed) by Derrick K. Chua

4. Increasing Success Rate of Arteriovenous Fistula Creation in Patients in Need of Hemodialysis (Completed) by Maria Cecilia T. Leyson

5. Prospective Randomized Controlled Trial on the Use of Sterile Gauze Dressing after an Anorectal Procedure (Completed) by Oliver S. Leyson

6. Needle Aspiration versus Open Drainage for Simple Cutaneous Abscess (Completed) by Jose Mario Amado M. Pingul

7. A Validation Study of the OMMC Department of Surgery Protocol on Head Injuries(Completed) by Nolan O. Aludino

8. Prospective Case Series on the Perioperative Cystic duct and Common Bile Duct Measurements Among Filipinos(Completed) by Roderick S. Mujer

9. Comparative Study on Sterile Vs Non-sterile Gloves in the Repair of Uncomplicated Lacerations in the Emergency Room of Ospital ng Maynila Medical Center (Completed) by Martin Joseph Cabahug

10.Right Lower Quadrant Incision vs. Midline Incision for Patient with Ruptured Generalized Appendicitis(Completed) by Rommel De Leon

11.Accuracy of Suspicious and Atypical FNA Results in Breast Tumors (Completed) by Jeffy Guerra

12.Prevalence of Indefinite Fine Needle Aspiration Breast Biopsy results and a look at Management and Decision-Making in Twelve Cases(Completed) by Benjamin Deveza



Research 2006

1. A Randomized Controlled Trial Comparing Complication Rates of Simple Interrupted Technique and Inverted-T Technique in Repairing Minor Traumatic Lacerations – Maria Cecilia T. Leyson, MD; Edgardo Penserga, MD; Reynaldo O. Joson, MD

2. A Randomized Controlled Trial : Conservative Management vs. Cruciate incision on Plantar Punctured wounds—Oliver S. Leyson, M, Reynaldo O. Joson, MD

3. Pioneering Biotherapy (Maggot Debridement Therapy) in the Philippines Using Materials Sustainable in a Government Hospital—Derrik K Chua, MD; Reynaldo O. Joson, MD.

4. Reliability and Accuracy in the Interpretation of Consistency of Surface Lumps (Thyroid Nodules)—Jose Mario Amado Pingul, MD, Reynaldo O. Joson, MD, Rodney Dofitas, MD.

5. A Comparative Study on the Management of Blisters Secondary to Superficial Partial Thickness Burns. Nolan O. Aludino, MD, Enrico Valera, MD.

6. Sonographically Guided Percutaneous Needle Aspiration of Multiloculated, Recurrent and Progressive Breast Abscess—Roderick S. Mujer, MD, Edgardo Penserga, MD, Reynaldo O. Joson, MD

7. How Time Affects the Rixk of Rupture in Appendicitis: A Retrospective Study--Rommel Q. De Leon, MD, Adrian Anthony Yu.

8. Conservative Management of Diabetic Foot; An Experience in Ospital ng Maynila Medical Center. Martin Joseph Cabahug, MD, Gerardo Sison, MD.

9. Metronidazole and Gentamycin as Empiric Treatment for Acute Appendicitis in Pediatrics: A Case-Series. – Jeffy Guerra, MD, Esther Saguil, MD.

10.Management of Potentially Contaminated Hand Incision or Laceration: Primary vs. Secondary Closure.-- Benjamin Deveza, MD, Janix De Guzman, MD, Edgardo Penserga, MD, Reynaldo O. Joson, MD.

11.Treatment Augmentation with Antibiotics on Uncomplicated Cutaneous Abscess after Incision and Drainage--Haidee Cruz, MD, Reynaldo O. Joson,MD



12.Clinical Predictors of Malignancy and Benignity of Thyroid Nodules. Harvey Balucating, MD, Reynaldo O. Joson,MD, Edgardo Penserga, MD.

13.Clinical Predictors in Diagnosing Superficial Soft Tissue Masses --Edwin Estonilo, MD, Reynaldo O. Joson, MD

14.A Prospective Study on Clinical Predictors of Benignity or Malignancy in Female Filipino Patients with a Palpable Breast Mass--Roberto Gonzales, MD, Reynaldo O. Joson, MD.



OSPITAL NG MAYNILA MEDICAL CENTERDEPARTMENT OF SURGERY

CHAIRMANREYNALDO O. JOSON, MD, DPBS, FPCS

TRAINING OFFICERHARRY GO, MD, DPBS, FPCS, FPSGS

CONSULTANTS

GENERAL SURGERYOrlino Bisquera, MD, DPBS, FPCS, FPSGSRodney Dofitas, MD, DPBS, FPCS, FPSGSHarry L. Go, MD, DPBS, FPCS, FPSGSMario Guevarra, MD, DPBS, FPCS ,FPSGSAlfonso Nunez, MD, DPBS, FPCSEdgardo Penserga, MD, DPBS, FPCS ,FPSGSDanilo Francesco Querijero, MD, DPBS, FPCS,FPSGSAnthony Adrian Yu, MD, DPBS, FPCS, FPSGSVivian Enriquez, MD, DPBSAlfred Philip De Dios, MD,

ORTHOPEDIC SURGERYGerard Juan Sison, MD, FPCS

PEDIATRIC SURGERYEsther Saguil, MD, FPCS, DPBPS

THORACIC AND CARDIO-VASCULAR SURGERYDennis Hernandez, MD, DPBS, FPCS, FPATACSICarlo Aleta, MD, FPCS

PLASTIC AND RECONSTRUCTIVE SURGERYEnrique Valera, MD, FPCS, FPAPS, DPBPSJohn Joven Cruz. MD, FPCS

UROLOGYEmilio L. Cano, MD, FPCS, FPUARoberto Zaide, MD, FPCS, FPUA

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