STRATEGIC PLANNING

Third Year Rotations: Batch 2014 Feedback

As of November 6, 2014

3rd Year RotationsROTATIONS DURATION %FMC 2 months 16.7SHPM Rotation 1 month 8.3GP-in 1 month 8.3GP-out 1 month 8.3Urban Community 2 months 16.7Rural Community 3 months 25OB (LR/DR) 1 month 8.3RITM 1 month 8.3TOTAL 12 MONTHS 100

FMC Rotation 2 months/ACRMinimum : 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-in 1 month/ACR

• Orientation w/ consultant/s• Ideally, early daily rounds of consultants of

their patients• Difficulty for Residents: – Financially-constrained patients

GP-out 1 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 monthIssues:• 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.