PROJECT NAME: TRAINED GENERAL SURGEONS FOR WESTERN MINDANAO BY
THE YEAR 2000
GOAL: By the year 2000, all government hospitals in Western
Mindanao with operating room capabilities will have at
least one trained general surgeon.
DEFINITION OF TERMS IN GOAL:
GOVERNMENT HOSPITALS: Both local and regional (city,
district, provincial, regional
hospitals)
WESTERN MINDANAO: Zamboanga del Sur, Zamboanga del
Norte, Basilan, Sulu, Tawi-tawi,
Zamboanga City, Dipolog, Dapitan,
Pagadian
OPERATING ROOM CAPABILITIES: Those with the following setup prior
to the training:
STRUCTURE: With operating room, table, instruments, and
anesthesia equipment
PERSONNEL: 1. With physician presently doing surgery
without formal training or with physician
willing to undergo formal surgical training
to be able to perform surgery in a government
hospital
2. With at least an anesthetist, if not
anesthesiologist
TRAINED GENERAL SURGEON: Completed a formal, structured
general surgery course of Zamboanga
City Medical Center
IMPACT: 1. Improved surgical health care system
:Effectiveness, efficiency, and equity in surgical
health care
:Effectiveness, efficiency, and equity in surgical
health manpower development
2. Model in the surgical health manpower development in
the Philippines
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GENERAL OBJECTIVE:
To produce at least one trained general surgeon in all
government hospital in Western Mindanao with operating
room capabilities by the year 2000.
SPECIFIC:
By the year 2000, the project must be able to:
1. Produce at least one trained general surgeon in all government
hospitals in Western Mindanao with operating room capabilities.
2. Produce general surgeons who are effective, efficient, humane,
and community-oriented.
3. Produce general surgeons who will serve in a government
hospital in Western Mindanao with operating room capabilities but
without a trained surgeon.
4. Improve the surgical care delivery system in Western Mindanao
in terms of:
4.1 Increase in number of surgical cases being handled by local
government hospitals with operating room capabilities with
acceptable complication rate.
4.2 Increase in number of trained general surgeons in local
government hospitals with operating room capabilities.
5. Organize and implement an effective and efficient network
system among trained general surgeons in Western Mindanao for
service, training and research development.
STRATEGIES:
I. ORGANIZATIONAL DEVELOPMENT
1. Participatory decision-making of consultants and
residents of the Department of Surgery of Zamboanga City Medical
Center in
1.1 Planning the project
1.2 Implementing the project
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2. Cooperative work
3. Division of work with identified duties and responsibilities.
4. Approval and support of Zamboanga City Medical Center
Administration.
II. MULTISECTORAL DEVELOPMENT
1. Zamboanga Medical School Foundation
2. Local government
3. Local government hospitals
4. Funding agencies
5. Local medical societies
III. PROJECT IMPLEMENTATION
1. Identify government hospitals in Western Mindanao with
operating room capabilities.
1.1 Those with trained general surgeons.
1.2 Those without trained general surgeons.
2. Invite and encourage concerned hospitals to at least enrol one
trainee in the formal structured general surgery course to be
offered by the Department of Surgery of Zamboanga City Medical
Center.
3. Enter into a memo of agreement with local government hospital
administration and its trainee:
3.1 Support of administration for trainee in his training
program.
3.2 Trainees to serve his hospital during and after his training.
Note: Memo of agreement should be attractive to trainees as well
as contributing to the goals of the project.
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4. Develop a formal, structured general surgical curriculum that
will
4.1 produce effective, efficient, humane, and community-oriented
general surgeon.
4.2 be practical yet effective in consideration of ability and
constraints of trainees (work, distance, time, and logistics).
Note: Distance education mode
5. Train trainors in ZCMC.
6. Formulate, pilot test, and then implement a networking system
among trained general surgeons in Western Mindanao for purposes
of service, training, and research development.
Note: The system must be effective, efficient, and practical.
7. Formulate an evaluation system for the project, both internal
and external.
8. Disseminate project plan.
9. Develop multisectoral cooperation.
10. Secure funds for the project.
EVALUATION:
Internal Evaluation
- Project leaders
- Faculty
- Trainees
- Agencies under multisectoral cooperation
External Evaluation
- Hospital administration and staff
- Local governments
- Health educators from Manila or elsewhere
- Patients
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EVALUATION TOOLS:
Trainees
Assessment of competencies
Examinations
- Written
- Oral/Practical
Projects
Continuous evaluation
Assessment of project
Questionnaires/Interview
EXTERNAL EVALUATORS:
Questionnaires/Observations/Interviews
Preproject and postproject data
BUDGET: For
1. Plane fare and board and lodging of Project Consultant, Dr.
Reynaldo Joson.
2. Plane fare and board and lodging of resource persons and
external evaluators from Manila or elsewhere.
3. Teaching and learning materials
4. Communication - mails, phones, fax, etc.
5. Miscellaneous expenses
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PERSONNEL
Project consultant: Reynaldo O. Joson, MD, MHA, MHPEd
Project directors:
Dr. Alfonso Montuno, MHA, Chief of Clinics, ZCMC
Dr. Alex Cerillo, Chairman, Department of Surgery, ZCMC
Project coordinators:
Dr. Jaime Lu
Dr. Marissa Lim
Dr. Hindenburg Calumba
Dr. Joseph Chiong
Project assistant coordinators and committee chairmen:
ZCMC Surgical consultants
ZCMC Surgical residents
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