Pinoy MD A 10-yr Philippine Medical Scholarship Program

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

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

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

6. Vacant Physician Posts Source: CHED Survey 2004, *HHRDB Survey, 2007

7. Pinoy MD Program Design and Career Paths Selection by PMD Member Schools DTTB Medical Pool Gov’t Ofc Univ./Col. (Rural) (Specialist) (Public Health) (Academe) • 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 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 500.00 • 1.5 Student Fund 500.00 • 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: 12 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: 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.