STRATEGIC PLANNING Third Year Rotations: Batch 2014 Feedback As of November 6, 2014

3rd Year Rotations ROTATIONSDURATION% FMC2 months16.7 SHPM Rotation1 month8.3 GP-in1 month8.3 GP-out1 month8.3 Urban Community2 months16.7 Rural Community3 months25 OB (LR/DR)1 month8.3 RITM1 month8.3 TOTAL12 MONTHS100

FMC Rotation2 months/ACR Minimum : 4 residents (at least 1 senior) Leave of absences, emergency absences Quota: New 80/ FF-up 60 – Continuity: 60 (decked by FMC Residents) – Service Follow-Up: 20 (decked by Service Residents) Ambulatory Care Unit Follow-up Patients – Suggestion: 5 AMBU patients quota per day to follow-up as FMC Service-Up (Service FF-up 15+5), to be logged in AMBU logbook Short Visit Clinic for seniors

SHPM Rotation 1 month/Hospice duty SHPM rounds of charity patients, home visits, OPD, lectures and reports Consultant mentor and resident mentee – rounds with Charity Patients – (±) rounds with consultants in the Pay Wards For Junior residents and outside rotators, Home Visit and rounds with fellow, if possible Standby FHU senior (refer to GP-out FHU post)

GP-in1 month/ACR Orientation w/ consultant/s Ideally, early daily rounds of consultants of their patients Difficulty for Residents: – Financially-constrained patients

GP-out1 month / ACR Clarification of Rotation – Clinical Practice for the resident in their future practice (like the elective rotation during 2nd year), may be done outside PGH – If in FMAB, options of observership with and involvement of other consultants – Family Health Unit (FHU) post: Suggestion: incorporate in the Service FF-ups of residents as families enrolled in service – Residents see and ff-up Service families in the FHU (3rd Flr OPD) instead of FMC (Rm 118) – Addresses the issues of endorsements/ repetitive rapport- building with families enrolled in FHU

Urban Community 2 months/ACR Fabella Barangay Health Center - 1 month OPD general patients (pedia, adult, elderly) and OB pre- natal check-ups, and assisting in the checking of students’ charts and teaching clerks Communication/correspondence with LHC doctor and LHC staff on Urban community setting and issues Suggestions: – Decrease Fabella Health Center exposure to ~2 weeks: similar skills/knowledge with FMC Rotation – Exposure to lying-in and birthing centers affiliated with Fabella or the Health Department of Manila

Urban Community 2 months/ACR NGO – Council for Health Development (CHD) CHD Rotation - 1 month Clinic in the CHD (Visayas Ave., QC) every Tues AM-PM/Thurs PM Orientation and Discussion on NHS w/ Dra Juile Caguiat at ComMed Office (Paco, Manila) Other activities : – Meeting with All-UP Workers’ Union, jail visits, home visits of medical/social nature, barangay health workers lectures/trainings, rallies, medical missions

Urban Community 2 months/ACR CHD Rotation - 1 month Issues: Transportation and commute to the CHD Clinic Similar clinical cases in the OPD, but understandably, social aspect of this patient population (Urban Poor, advocacy groups) is the unique feature of this rotation Suggestions: A possible rotation in the DOH/WHO for exposure in the administrative role and systems management of the physician

Urban Community 2 months/ACR Canossa Health Center - 1 month -Human Resource development -Clinic physician and manager

Rural Community 3 months Good exposure with consultants, community organizers, and barangay and municipality leaders and members, patients in the community (pedia, adult, elderly, prenatal) Suggestions: Mixed reviews: 2 months vs 3 months More exposure with the MHO as an administrator in the Municipal Health Unit Schedule of going to community (transportation, overnight stay)

OB (LR/DR) 1 month / OB duty When OBAS or nursery is closed, there is increased difficulty in acquiring OB cases Adequate guidance of the senior resident in OB procedures

RITM 1 month / RITM duty Emergency Room, in-patient and outpatient exposure of general and infectious disease cases (mostly adults, but sometimes pedia) under the close guidance of fellows and consultants Pre-exposure prophylaxis of Rabies vaccine – PPE donning training and actual practice – Risk of exposure to residents Suggestions: Additional knowledge and skills re: approach to patients and families with chronic Infectious Diseases – HIV counselling seminars – Mixed reviews: Longer duration of Infectious Disease Rotation, whether inside or outside RITM

Thank you.