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Emerging Trends in the Training of Filipino Physicians. Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg Postgraduate Course and 1 st Alumni Homecoming Zamboanga Medical School Foundation, Inc. Carlos Dominguez Conference Hall Zamboanga City April 26, 2002. Greetings and Thanks!.
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Emerging Trends in the Training of Filipino Physicians Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg Postgraduate Course and 1st Alumni Homecoming Zamboanga Medical School Foundation, Inc. Carlos Dominguez Conference Hall Zamboanga City April 26, 2002
Greetings and Thanks! Invitation to be one of speakers Invitation to revisit ZMSF Opportunity to interact with graduates
Greetings and Thanks! Honor and privilege Opportunity for deja vu 7 years – challenging, exciting, happy moments Driving force to think and learn from my topic
de javu 1994 Preparation Faculty Training
de javu First batch of faculty First batch of students
de javu PBL
Initial Programme • Emerging Trends in the Concepts of Health • Emerging Threats to the Filipino Health • Emerging Trends in the Training of Filipino Physicians • Emerging New Roles of Filipino Physicians
Central Message • The emerging trends in the training of Filipino physicians in Philippine medical schools • in consideration at the very least of the • emerging trends in the concepts of health, • emerging threats to Filipino health, and • emerging new roles of Filipino physicians.
Preparation of Talk Did NOT communicate with other speakers! Strictly speaking, whatever the speakers will say on the three topics, should have an influence on the training of Filipino physicians. The only question left to answer – is there an emerging trend in the training of Filipino physicians that considers the emerging trends in the concepts of health, emerging threats to Filipino health, and emerging new roles of Filipino physicians?
Emerging Trends in the Training of Filipino Physicians Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg Postgraduate Course and 1st Alumni Homecoming Zamboanga Medical School Foundation, Inc. Carlos Dominguez Conference Hall Zamboanga City April 26, 2002
Emerging Trends Emerging Trends - something starting to be practiced in a certain community, whether global or local. Emerging Trends in the Training of the Filipino Physicians - what is that something starting to be practiced in the training of Filipino Physicians. Training in Medical Schools
Emerging Trends in Medical Education in the Philippines Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg Postgraduate Course and 1st Alumni Homecoming Zamboanga Medical School Foundation, Inc. Carlos Dominguez Conference Hall Zamboanga City April 26, 2002
Emerging Trends Changes Emerging trends Previous state Reasons Status
Emerging Trends in Medical Education in the Philippines Changes Emerging trends in medical curriculum Traditional medical curriculum Reasons Status How/Problems
What governs type of medical curriculum? • The weighted objectives of the school administration in establishing and maintaining a medical school • Business objective • Community health development objective • Other objectives like excellence and social responsibility 2. The trend in the medical education, both global and national
What governs type of medical curriculum? 30 medical schools in the Philippines 30 types of medical curriculum
Medical Curricula in the Philippines Evolving and still evolving! Difficulty in identifying traditional curriculum and emerging trends!
Medical Curricula in the Philippines Traditional - predominant types of medical curriculum adopted and being adopted by most medical schools in the country in the past and even up to the present times. • Types of curriculum – • Philosophy-orientation-objectives • Content • Teaching-learning methods • Assessment methods • Other elements of curriculum
Medical Curricula in the Philippines Emerging trends - what is/are different from the traditional curriculum that is/are starting to be practiced -by at least two medical schools in the country and perceived to be as something better than the traditional ones -during the past 10 years
Medical Curricula in the Philippines Emerging trends - what is/are different from the traditional curriculum • Types of curriculum – • Philosophy-orientation-objectives • Content • Teaching-learning methods • Assessment methods • Other elements of curriculum
Medical Curricula in the Philippines Emerging trends - what is/are different from the traditional curriculum that is/are starting to be practiced -by at least two medical schools in the country and perceived to be as something better than the traditional ones -during the past 10 years
Emerging Trends in Medical Education in the Philippines About 10/30 How many schools? Which schools? Let’s NOT talk about this!
Emerging Trends in Medical Education in the Philippines Driving forces for the changes or the emerging trends, aside from survival reason and keeping up with the trends?
Emerging Trends in Medical Education in the Philippines Driving forces for the changes or the emerging trends, aside from survival reason and keeping up with the trends? • Continuous drive to be more effective and efficient. • Applicable to changes and trends seen in content, teaching-learning methods, and assessment methods such as must-know and concept teaching; problem-based learning methods, and electronic learning materials.
Emerging Trends in Medical Education in the Philippines Driving forces for the changes or the emerging trends, aside from survival reason and keeping up with the trends? • Realization, even if late, of the true values that must be honestly brought out by the school and inculcated into the graduates. • Applicable to the changes and trends seen in philosophy-orientation-objectives.
Emerging Trends in Medical Education in the Philippines Driving forces for the changes or the emerging trends, aside from survival reason and keeping up with the trends? • Realization, even if late, of the true values that must be honestly brought out by the school and inculcated into the graduates. • Curriculum must be truly community-oriented and truly contributing towards health development of a target community. Curriculum must put holistic concept of health into practice and equal if NOT more emphasis on development of attitude and skills of physicians-to-be.
Emerging Trends in Medical Education in the Philippines How are the changes being implemented or what is the status of the trend in the Philippines and their associated problems, if any?
Emerging Trends in Medical Education in the Philippines How are the changes being implemented? The answer right away is WITH DIFFICULTY but the changes definitely will occur in due time. 10/30 schools! More will be forthcoming! PBL!
Emerging Trends in Medical Education in the Philippines What are the problems in adopting the emerging trends in medical education in the Philippines? 2 problem areas: 1. School administration - put more weight on business objectives (viability of the school) over emerging trends.
Emerging Trends in Medical Education in the Philippines What are the problems in adopting the emerging trends in medical education in the Philippines? 2 problem areas: 2. Faculty, most of whom, do NOT have competency to teach and do NOT understand philosophy and principles of andragogy or teaching-learning and on top of this, most of whom put more weight on income generation (personal viability) over commitment and love of teaching.
Emerging Trends in Medical Education in the Philippines Changes Emerging trends in medical curriculum Traditional medical curriculum Reasons Status How/Problems
Vision for More Effective Medical Curriculum in the Philippines
What brought about my Personal Vision/Aspirations for a More Effective Medical Curriculum in the Philippines? Areas of Dissatisfaction 1. Present medical schools and their curricula have NO documented direct and significant impact on the health development in the country.
What brought about my Personal Vision/Aspirations for a More Effective Medical Curriculum in the Philippines? Areas of Dissatisfaction 2. A lot of things in the present medical curricula are not relevant. 3. Present medical curricula are NOT student-friendly.
1. Present medical schools and their curricula have NO documented direct and significant impact on the health development in the country. • 1a. Present medical schools are contented merely with graduates passing the board. • 1b. Present medical schools consider that with production of board-certified physicians and with the latter practicing in the country, they have already contributed to the health development in the country.
1. Present medical schools and their curricula have NO documented direct and significant impact on the health development in the country. • 1c. Present medical schools consider incorporating a community immersion subject a way of contributing to the health development in the country. 1d. Present medical schools do not work closely with the Department of Health which is the main agency in charge of health development in the country.
My vision and aspiration: • Medical schools and their curricula should have documented direct and significant impact on the health development in the country.
My vision and aspiration: • They should go beyond producing board-passers, community immersion, and should work closely with DOH by incorporating the latter programs in their curricula.
My vision and aspiration: • As part of requirements for graduation, students with the help of faculty • should solve (at least attempt) one health problem in their assigned community formally documented through an action research.
Community Health ManagementAction Research Outputs • Reducing the Incidence of Diarrheal Diseases in Barangay Bantonan, Camalig, Albay, Through a 4-year Community Participated Intervention Program Using a Primary Health Care Approach (With Pictorial)