Evolution of OMMC Surgery Department: A Journey of Progress

MESSAGE 6thAnnual Tripartite Postgraduate Course April 19, 2018 Reynaldo O. Joson, MD, MHA, MPHEd, MSc Surg

Winds of Change: Evolution of Department of Surgery How the OMMC Surgery Department has changed or evolved through the years and the directions you have laid down for the department.

How OMMC Department of Surgery has evolved through the years 1969 - Ospital ng Maynila Medical Center - Department of Surgery 1973 - first graduates General Surgery Residency Program in existence for 45 years now. Accredited initially by the Philippine College of Surgeons and later by the Philippine Society of General Surgeons in 2003. Program lost its accreditation in June 2001 and regained it in November 2001 with conditional accreditation. In 2003, Program was granted full accreditation and this has been maintained since then up to the present, 2018.

How OMMC Department of Surgery has evolved through the years If I were to sum up the evolution of the OMMC Department of Surgery in two words or phrases, these would be: MORE STRUCTURED AND WITH INNOVATIONS, more structured and with innovations in governance, training, service and research. These milestones occurred in 2001 when I took over the helms and these were maintained and continually improved by Dr. Adrian Yu, Dr. Harry Go, Dr. Hazel Turingan, and lately, Dr. Penserga.

The directions that I as a former chairman of the Department has laid for the Department I was appointed Chairman of the Department of Surgery in February of 2001 by Dr. Christia Padolina. I held the chairmanship up to July of 2009, thereafter, I passed the baton to Dr. Adrian Yu, then to Dr. Harry Go, then to Dr. Hazel Turingan and then to Dr. Edgardo Penserga. I am currently designated as a Chairman Emeritus of the Department since July, 2009.

The directions that I as a former chairman of the Department has laid for the Department When I took over the Department in 2001, the accreditation of the training program was suspended by the Philippine Society of General Surgeons. I was able to restore the accreditation for the Department and maintained it before my retirement.

The directions that I as a former chairman of the Department has laid for the Department During my stewardship from 2001 to 2009, I can say with all humility that I have contributed significantly in improving the governance, service, training, and research programs of the Department of Surgery. Some of the notable projects are listed below. I will just enumerate them, the details you will see in my blogs if you are interested. https://wordpress.com/view/rojosonommcsurgeryfilesandn otes.wordpress.com

The directions that I as a former chairman of the Department has laid for the Department During my stewardship from 2001 to 2009, I can say with all humility that I have contributed significantly in improving the governance, service, training, and research programs of the Department of Surgery. Medical Anecdotal Report or Narrative Medicine Patient Management Process Disaster Preparedness Program Internal Communication System / Knowledge Management System General Surgery On-line Journal Debate in General Surgery Public Health Education / Advisory

The directions that I as a former chairman of the Department has laid for the Department Medical Anecdotal Report or Narrative Medicine A brief narrative report on an actual medical event that involves a patient seen by a surgical resident. The medical observation must have an impact on the reporter as a physician in terms of insight gained and which the reporter thinks is worth sharing with colleagues as this might help improve patient care. Any aspect of patient management may be reported as an insight which is eventually categorized as predominantly physical or biological, psychosocial, or ethical issue.

The directions that I as a former chairman of the Department has laid for the Department Medical Anecdotal Report or Narrative Medicine Each resident is required to submit one MAR a month, following a template, posted in Department s group email, trainee s online journal and presented and discussed in regular biweekly Department s conferences.

The directions that I as a former chairman of the Department has laid for the Department Medical Anecdotal Report or Narrative Medicine Each resident is required to submit one MAR a month, following a template, posted in Department s group email, trainee s online journal and presented and discussed in regular biweekly Department s conferences. 1562 MARs published in Internet (from 2004 to 2018 as of March 2008)

The directions that I as a former chairman of the Department has laid for the Department Patient Management Process Utilization of a template on structured patient management process. Used as department protocol in problem-solving and decision-making during actual patient management, conferences, debates, and formulation of clinical practice guidelines.

The directions that I as a former chairman of the Department has laid for the Department Patient Management Process Utilization of a template on structured patient management process. Used as department protocol in problem-solving and decision-making during actual patient management, conferences, debates, and formulation of clinical practice guidelines.

The directions that I as a former chairman of the Department has laid for the Department During my stewardship from 2001 to 2009, I can say with all humility that I have contributed significantly in improving the governance, service, training, and research programs of the Department of Surgery. Medical Anecdotal Report or Narrative Medicine Patient Management Process Disaster Preparedness Program Internal Communication System / Knowledge Management System General Surgery On-line Journal Debate in General Surgery Public Health Education / Advisory

The directions that I as a former chairman of the Department has laid for the Department During my stewardship, I made the Department of the Surgery known within and outside the Philippines.

The directions that I as a former chairman of the Department has laid for the Department In September 2004, the Department participated in the 4thAsia-Pacific Problem-based Learning Conference in Health Sciences with 17 educational papers.

The directions that I as a former chairman of the Department has laid for the Department In October 2004, the Department was an awardee in the Asian Hospital Management Awards for its submitted project entitled Knowledge Management System of the Department of Surgery of Ospital ng Maynila Medical Center.

The directions that I as a former chairman of the Department has laid for the Department In February 2005, that Department was an awardee in the Anvil Award for its submitted project Wholistic Corporate Social Responsibility Program of Department of Surgery, Ospital ng Maynila Medical Center.

The directions that I as a former chairman of the Department has laid for the Department In September 2005, the Department was an awardee in the Asian Corporate Social Responsibility Award for its submitted project entitled Conducive Practice Program for Surgical Residents of the Department of Surgery of Ospital ng Maynila Medical Center.

What has transpired thereafter my retirement in 2014 I am happy to see the foundations that I laid down during my time were being maintained, continually improved and reinvigorated. Examples are the continuance of the Medical Anecdotal Reports (now requiring the surgical interns and clerks to do the same, example of reinvigoration) and the continual use of the template on Patient Management Process.

What has transpired thereafter my retirement in 2014 Another example a vivid illustration of reinvigoration of the foundations that I laid down.