1. Pinoy MD A 10-yr Philippine Medical Scholarship Program
Kenneth G. Ronquillo, MD, MPHM, CESE
Director IV
Health Human Resource Development Bureau
Department of Health

2. Pinoy MD Philippine Medical Scholarship Program
A program Designed to produce competent, committed and community-oriented doctors that would address the needs of the health sector.
A partnership between the Philippine Charity Sweepstakes Office (PCSO), the Department of Health (DOH) and selected Private Medical Colleges and State Universities.

3. Decline in Production Workforce Element
Education is expensive with low return of investment (up to P85,000/sem)
Decline in enrolment from 10% to 70%
Decline in NMAT takers by 24% (4,475) in 2003 & 9% (4,070) in 2004
Passing rate of 51.4% - 66% over the last 5 years
Better compensation and career opportunities elsewhere

4. Distribution of Physicians per Region 1998-2004
Inequitable Distribution
Workforce Element
Distribution of Physicians per Region

5. Low Retention Migration Policy Gaps (Magna Carta, Labor Code)
Workforce Element
Migration
Policy Gaps (Magna Carta, Labor Code)
Compensation differential between the public and private hospitals
Difficult working environment

6. Vacant Physician Posts
Region
LGU Hosp
CHD Hosp
MHO*
CHO
Total I 13 3 4 24 II -- 10
III IV 6 V VI 14 1 28
VII 33 11 50
VIII 19 46 IX 8 X 21 9 2 35 XI
XII
CAR 15 18
CARAGA 20
ARMM - 38
Source: CHED Survey 2004, *HHRDB Survey, 2007

7. Pinoy MD Program Design and Career Paths
Selection by
PMD Member Schools
Scholarship grant to include:
tuition fees
board and lodging
books
basic equipment
transportation
monthly allowance
fees for the licensure review
fees for the licensure exam
Medical school
5-year
scholarship
Licensure Exam
DTTB Medical Pool Gov’t Ofc Univ./Col.
(Rural) (Specialist) (Public Health) (Academe)
10-year
payback
(Suggested)

8. Budget Allocation Scholarship Cost
1. Payment for Partner Schools
Per semester
1.2 Tuition Fees 15,000.00
1.3 Miscellaneous 2,000.00
1.4 Laboratory
1.5 Student Fund
P18,000.00
Allowances per Scholar per semester
2.1 Book 10,000.00
2.2 Uniform 2,500.00
2.3 Living Subsidy 18,000.00
2.4 Lodging 12,000.00
2.5 Transportation 7,200.00
2.6 Miscellaneous 5,000.00
P54,700.00
Subtotal per semester P72,700.00
Subtotal per year P145,400.00
PhilHealth Insurance P1,200.00
for Scholars
Total Per Scholar P146,600.00*
*Not inclusive of management costs and immersion programs.

9. Program Status Quick Overview
Current Scholars: Batch 1 – 52 scholars
Batch 2 – 82 scholars
PMD Schools: partner schools in 7 regions
Funding Agencies: PCSO main agency for scholarship cost.
PMD Med Schools augment cost.
HHRDB currently shoulders management costs.
CHD augments management costs.
Improvements: In MOA, contracts and application processes.

10. Policies and Mechanisms to Sustain PMD Program
Unload Capital / Lower Program Cost
Require short term rural service from board passers, thus decreasing PMD scholarship items
Partner with MD-nurses and other agencies to sustain scholars/government items for scholars (sponsorship)
Added tax for MD’s nursing tuition to sustain scholars/government items
Beneficiary counterparts
Require counterpart from the benefactor in terms of MD items to be created over 5 yrs time to sustain remaining 5 yrs (10-yr payback) OR to have the sustain remaining 2 yrs of payback (5-yr payback)

11. Policies and Mechanisms to Sustain PMD Program
Sustain or Increase Number of Applicants
Partner with involved organizations to decrease cost of related entrance examinations and requirements (eg, NMAT, MCAT, College Application Forms, etc.)
Open application to all sects.
Increase number of PMD Member Schools to cover all regions
Adjustments in Payback Mechanism
Decrease to 5 years – Civil Service policies involved
Provide options for adjustments in10-yr payback. Eg, 1 barrio year:2 NCR years (academe, residency in NCR, government office, etc)

12. Policies and Mechanisms to Sustain PMD Program
Ensure current funding
PCSO commitment
PMD Medical Schools commitment

13. Policies and Mechanisms for Workforce Retention
1. Pay Equity
Standardized entry level compensation for HRH, including medical residents
Option 1 Support the passage of the Government Compensation & Classification Act (GCCA bill)
Option 2 Creation of a separate health sector from non-agricultural sector for minimum wage setting by the Regional Wage Board

14. Policies and Mechanisms for Workforce Retention
2. Rights and Benefits
Increased compensation and benefits to HRH in general, and specifically to those in hard to reach areas and/or hard to fill positions
Option 1 Issuance by DILG of a policy/circular reiterating the strict implementation by LGUs of the Magna Carta, particularly in hard to reach areas

15. Policies and Mechanisms for Workforce Retention
2. Rights and Benefits
Option 2 Amend the Magna Carta IRR to delete the clause: “… subject to the availability of funds” and replace with the clause “incorporated in their annual budgetary proposal for the national agencies” and, “incorporated in their respective local budget (LGU).”

16. Policies and Mechanisms for Workforce Retention
2. Rights and Benefits
Option 3 Amend the Magna Carta IRR by increasing sanctions for non-compliance by payment of double indemnity (to be at par with the Labor Code).
Option 4 Provide sanctions for violations by private sector health facilities of labor laws, sanctions such as revocation or non-renewal of license to operate amending DOH AO 147 s.2004 and non-issuance/renewal of business permits for non-DOH licensed health facilities

17. Policies and Mechanisms for Workforce Retention
3. Social Responsibility of Private Sector
Option 1 Issuance of a policy by DOLE for monitoring health facilities for compliance with the labor code using the following models:
Kapatiran WISE-TAV (Big Brother-Small Brother pilot program)
Inspection Blitz
Zero-Accident Program

18. Pinoy MD Health Human Resource Development Bureau
MARIO C. VILLAVERDE, MD, MPH, MPM, CESO II
Pinoy MD Project Manager
KENNETH G. RONQUILLO, MD, MPHM, CESE
Chairman of the Secretariat and
Administrative Support
RODEL G. NODORA, MD, EMBA
Vice-Chairman of the Secretariat

19. Pinoy MD Philippine Medical Scholarship Program
Thank You!

20. Pinoy MD Philippine Medical Scholarship Program
(Extra slides follow)

21. Pinoy MD Our Budget and Allocations
Scholarship Cost per Year:
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
7,916,400
21,608,840
41,508,324
65,171,616
93,152,484
113,800,465
Scholarship Cost for Years 1 to 6: P343,158,129
Management Cost per year: P3,902,000.00

22. PMD Under New Management
Health Human Resource Development Bureau (HHRDB)
9 PMD Member Schools:
Emilio Aguinaldo Educational Corporation, Manila
Pamantasan ng Lungsod ng Maynila, Manila
University of the Philippines Manila, Manila
Our Lady of Fatima University, Manila
Cagayan State University, Cagayan
West Visayas State University, Iloilo
University of St. La Salle, Bacolod
UP Manila School of Health Sciences, Leyte
Mindanao State University, Iligan

23. PMD Under New Management
Health Human Resource Development Bureau (HHRDB)
3 New PMD Member Schools:
1. Davao Medical School Foundation, Davao
2. Matias Aznar Memorial College of Medicine, Cebu
Iloilo Doctors College of Medicine, Iloilo
Total of 12 PMD Member Schools in 7 Regions

24. Pinoy MD Our Framework Provisions:
Must complete medical degree and pass Physician’s Licensure Exam within prescribed period.
Payback for willful breech of contract is total amount spent on scholarship plus 10% interest per annum.
Payback for unavoidable breech of contract is 2 years service to government for every year of scholarship spent.