Justification for the Award Based on the Published Criteria

DR. JOSE P. RIZAL MEMORIAL AWARD

PHILIPPINE MEDICAL ASSOCIATION

NOMINEE: REYNALDO O. JOSON, MD, MHA, MHPEd, MScSurg

Under the Category of Academe

Justification for the Award Based on the Published Criteria

ACADEME CATEGORY - CRITERIA AND RATING GUIDE

PREAMBLE

Since 1975, after graduating from the University of the Philippines College of Medicine (UPCM) and Philippine General Hospital (PGH) up to the present (2019), Dr. Reynaldo O. Joson has been living a life reflective of that of Dr. Jose P. Rizal, a COMMUNITY-ORIENTED PHYSICIAN, a 5-STAR PHYSICIAN (MD-Clinician; MD-Community Health Problem Solver; MD-Educator; MD-Researcher; and MD-Manager) and a HOLISTIC PHYSICIAN-EDUCATOR (medical healer cum life coach in intentional living in the context of health). He has constantly strove for excellence and quality professional services to his community, patients, and students in the Philippines.

He subscribes to and is an advocate of the Health for All Filipinos Movement. For this reason, he created a personal program in 1989 which he dubbed as Education for Health Development in the Philippines (EdHeDePhi).

Before 1989, ROJoson had participated in numerous surgical missions in underserved communities in the Philippines. However, starting 1989, he felt EDUCATION would carry more impact and longer lasting effect in improving the health care delivery systems and services in the Philippines. He subscribes to the saying “Give a man a fish, you feed him for one day. Teach him how to fish, you feed him for his whole lifetime.” That was how his Education for Health Development in the Philippines (EdHeDePhi) Program started in 1989 and is continuing up to the present (2019).

The goal of the EdHeDePhi is health development in the Philippines through education.

The objectives are: 1) to promote a dynamically improving health education in health and non-health educational institutions and 2) to conduct health education to the public.

To promote a dynamically improving health education in health and non-health educational institutions, the following have been utilized:

- Agents: a) curriculum; b) educators; and c) students.

- Tools: a) services and b) research

- Strategies: a) curriculum development and improvement; b) faculty training - student training; c) public health education; d) multi-sectoral cooperation; and e) outreach programs.

The targets of ROJoson's EdHeDePhi are the following: a) public; b) health educational institutions - medical schools, nursing schools, and other paramedical schools; c) non-health educational institutions; and d) other health agencies.

The evaluation indicators would consist of documented improvements in a) health development in the Philippines, in specific communities in the Philippines; b) health problems in the Philippines, in specific communities in the Philippines; c) health education curriculum; d) health educators; and e) competencies of health education students.

ROJoson has devoted and focused 40 years of his professional life after graduation from the UPCM in 1974 to the following medical endeavors which all redound to better health care delivery services not only to his patients and institutions he is connected with but also to patients and institutions at large (in the Philippines):

· Medical-surgical education

· Patient-centered care management

· Community service through outreach medical-surgical education inclusive of public health education

· Health action research

· Hospital administration and quality management system

· Hospital disaster preparedness program

All the abovementioned focused medical endeavors are considered his flagship projects under the Education for Health Development in the Philippines (EdHeDePhi) Program.

For education, he has used the following teaching-learning strategies and activities for his students (in medicine, in surgery, in hospital administration, in hospital quality management system, and in hospital disaster preparedness program) and for the public or community at large (in public health management, in public health education, and in patient-centered care management):

· Large group learning

· Small group learning (inclusive of small group discussion)

· Individualized instruction

· Active learning

• • Problem-based learning (See ROJoson’s Pioneering Effort in Problem-based Learning)

  • Self-directed learning

  • Demonstration and return demonstration

  • Debate (See ROJoson’s Pioneering Effort in Debate as a Teaching-learning Activity)

· Lecture

· Blended learning (combined face-to-face and online learning)

• • Distance education in medicine and surgery

· Telehealth and Telemedicine (See ROJoson’s Pioneering Effort in Telehealth and Telemedicine)

· Online Collaborative and Interactive Learning (OCIL) [See ROJoson's Pioneering Effort in OCIL]

· Narrative Medicine (See ROJoson’s Pioneering Effort in Narrative Medicine – Medical Anecdotal Reports)

· Modules and self-instructional programs, printed and online

· Books

· Research publications

· Speaking engagement and presentation

· Online publications (blogs and social media)

· Advocacies and Advisories

The subsequent reports to follow, under each judging criterion of the Award (Academe Involvement; Research and Scholarly Works; Community, Socio-cultural and Religious Involvement; Government Service / Partnership; Professional Practice, Experience and Training; Excellence in other fields of endeavor), will elucidate on the program and implementation of the ROJoson's EdHeDePhi and its outcome and impact in improving the health care delivery systems and services in the Philippines. The reports together with supporting documents and additional documents containing more detailed information will show how ROJoson has distinguished himself in living a life reflective of Dr. Jose P. Rizal, particularly in being a COMMUNITY-ORIENTED PHYSICIAN, a 5-STAR PHYSICIAN (MD-Clinician; MD-Community Health Problem Solver; MD-Educator; MD-Researcher; and MD-Manager) and a HOLISTIC PHYSICIAN-EDUCATOR (medical healer cum life coach in intentional living in the context of health).

ACADEME INVOLVEMENT

ROJoson's operational concepts of ACADEME INVOLVEMENT: being a teacher and educator in formal institutions and in his personal capacity (outreach educational programs).

ROJoson has distinguished himself as a teacher and educator in the formal institutions he has been connected starting 1982 (37years):

• University of the Philippines College of Medicine

• Philippine General Hospital

• Zamboanga Medical School Foundation now Ateneo de Zamboanga University School of Medicine

• Bicol Christian College of Medicine

• Southwestern University College of Medicine

• Ospital ng Maynila Medical Center

• Manila Doctors Hospital

• University of the Philippines College of Public Health

• World Health Organization – Western Pacific Region

• Zuellig Family Foundation

ROJoson has also distinguished himself as a teacher and educator in his personal capacity (outreach educational program) starting 1989 (30 years) through his Education for Health Development in the Philippines Program, particularly on the following domains:

• Health Professional Education

• Public Health Education

• Online Collaborative and Interactive Learning Program

• Intentional Living Program

• Patient Empowerment Program

ROJoson has been recognized as a well-rounded academic physician (HOLISTIC EDUCATOR) through the following awards and honors:

• 2019 University of the Philippine College of Medicine Alumni Society Distinguished Alumnus Award

• 2019 Recognition of his pioneering contribution to the Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine)

• 2015 University of the Philippines Alumni Society Lifetime Distinguished Achievement Awardee

• Exemplar Award, Manila Doctors Hospital, 2015

• 2013 Xavier-Kuangchi Exemplary Alumni Award

• University of the Philippine Manila Centennial Professorial Chair Award in 2008

• 2006 Philippine Society of Oncology Most Outstanding Teacher in Oncology

• Finalist in Academe and Research, Philippine Medical Association Dr. Jose P. Rizal Memorial Awards, 2004 and 2005

• Winner, 2005 Anvil Award, Wholistic Corporate Social Responsibility Program of Department of Surgery, Ospital ng Maynila Medical Center, February, 2005

• Runner-up, 2005 Asian Corporate Social Responsibility Awards, Conducive Practice Program of the Department of Surgery, Ospital ng Maynila Medical Center (September 9, 2005)

• Winner, 2004 Asian Hospital Management Awards, Knowledge Management System of the Department of Surgery of Ospital ng Maynila Medical Center (October 7, 2004)

• 2004 University of the Philippines Alumni Society Professional Awardee in Medicine

• 2004 Lino Ed Lim Award for the Most Outstanding Medical Teacher in Clinical Sciences, University of the Philippines College of Medicine

• 2003 University of the Philippine College of Medicine Alumni Society Outstanding Educator Award

• 1986 Department of Surgery Philippine General Hospital Hall of Fame Award for Surgical Consultant

As a teacher and educator, he has:

• Delivered lectures and talks in more than 300 occasions from 1976 to 2018 (see supporting documents).

• Published 50 research papers [4 – international; 47 – local] as of August, 2019 (29 as primary author); with more than 16 research awards (see supporting documents).

• Written more than 100 scientific papers aside from the research publication and more than 80 scientific books, primers and course packs (see supporting documents).

• Published about 323 websites as of August 16, 2019 (see supporting documents).

• Presented 19 Papers (co-authors and main authors) at the 4th Asia-Pacific Conference on Problem-based Learning in Health Sciences, September, 2004, Manila (see supporting documents).

• Hosted 2 Facebook Timelines with about 6000 friends as of August 16, 2019 which he has been using since June 16, 2011 as his main vehicle for his Education for Health Development in the Philippines Program and for his advocacy programs (see supporting documents).

• Been promoting at least 10 advocacies since 2001 which are related to public health promotion, rational patient management, and quality health care delivery system in hospitals and medical clinics (see supporting documents).

ROJoson's most notable specific academic achievements consist of the following:

• In University of the Philippines College of Medicine - Philippine General Hospital:

  • Under his leadership, he created the first Head and Neck Surgical Oncology Program (in 1990) and the first Surgical Oncology Fellowship Program (1994) in the entire Philippines.

• In the Department of Surgery of Ospital ng Maynila Medical Center:

  • Under his leadership, in 2004, he pioneered Narrative Medicine Project through the Medical Anecdotal Reports which has been promoting development of holistic, professional and compassionate surgeons among the trainees.

• In the Department of Surgery of Zamboanga City Medical Center:

  • Under his directorship, he pioneered Distance Education in General Surgery from 1991 to 1997 which had produced 7 trained general surgeons added to the pool of 3 original trained surgeons that served the 3 million population of Western Mindanao in 1997.

• In the Philippines, he can be considered as one of the pioneers of telehealth and telemedicine when he initiated and developed the Distance Education in General Surgery in 1991 and the Online Collaborative and Interactive Learning in hospital administration in 2010.

• In Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine), he was the primary designer and developer of its innovative medical curriculum (problem-based, competency-based, community –based) in 1993 to 1996). In 2019, 25 years after the establishment of the school, it has produced the following outcome and impact:

  • Majority of graduates are practicing in the region - 80% are practicing in the underserved municipality in Western Mindanao.

  • Graduates are serving as municipal health officers in underserved communities in the region.

  • 55% increase (n=20 to 31) in the number of municipalities of Western Mindanao with a doctor, mostly graduates of the medical school.

  • Improved infant mortality rate in the region. The infant mortality rate in the region has decreased by approximately 90% in 2011 compared with a national change of approximately 50% in the same time period.

  • First medical school in the Philippines with a dual MD-MPH degree program which started in 1998; has produced 381 MD-MPH graduates as of 2018.

  • 2nd medical school that has offered a Master in Health Profession Education in the Philippines; has produced 16 Masters in Health Profession Education from 1999 to 2018.

  • The medical school has a Charles Boelen International Social Accountability Award from the Association of Faculties of Medicine of Canada (AFMC).

  • Feedback of Dean Fortunato Cristobal on the 25th anniversary of the ZMSF/ADZU-SOM in July 2019:

    • “I still feel that ADZU-SOM owe much to you for setting us 25 years ahead of the rest of the medical schools in the country. What they are talking now about terminal competencies, 5-star physicians and outcome-based education, OSCE, etc, you had well articulated them in the ADZU-SOM curriculum. These cannot be erased in our history."

    • "Looking back your mind set was way ahead of our times by 20 years+. It is only now the other medical schools are considering seriously about terminal objectives, and about the 5-star physicians, when in fact you were the first to introduce the terms: Physician-Clinician, Physician-Manager, Physician-Researcher, Physician-Leader / Manager, and Physician-Teacher ..... You were also the first to introduce PBL, competency-based, and COME curriculum in the Philippines, not to mention assessments like OSCE."

Overall, ROJoson's most notable outcome and impact in his medical surgical education endeavor (the other endeavors will be presented in subsequent judging criteria) consists of promoting the development at least if not producing rational, effective, efficient, cost-effective, compassionate and community-oriented physicians and surgeons in the Philippines. This redound to better or improvement of health care delivery services in the Philippines through the medical and surgical students that he has positively influenced.

RESEARCH AND SCHOLARLY WORKS

ROJoson has distinguished himself starting 1976 up to present 2019 (43 years) as a researcher and creative creator in science (particularly surgery), technology (particularly online educational tools), and community programs (promoting action researches for community health problems).

More specifically, he has distinguished himself:

· AS A RESEARCHER IN SURGERY

· AS AN ACTION RESEARCHER

· AS A CREATIVE CREATOR (INNOVATOR) IN SURGERY, MEDICAL EDUCATION, AND COMMUNITY HEALTH PROGRAMS

Below is a summary of his research and creative outputs as of 2019:

COMMUNITY, SOCIO-CULTURAL AND RELIGIOUS INVOLVEMENT

COMMUNITY INVOLVEMENT

ROJoson's operational concept of COMMUNITY INVOLVEMENT:

As an academic physician, ROJoson's operational concept of COMMUNITY INVOLVEMENT consists primarily of not confining himself in the ivory tower of the primary formal institutions he is connected with, specifically, University of the Philippines College of Medicine (UPCM) and Philippine General Hospital (PGH). He has to reach out to the institutions outside UPCM and PGH needing educational assistance.

Secondarily, his operational concept of COMMUNITY INVOLVEMENT consists of promoting community health (inclusive of and not just individual and family health) with the end-goal of HEALTH FOR ALL FILIPINOS.

ROJoson has distinguished himself in doing outreach health educational programs outside UPCM and PGH. From 1989 to 2019 (30 years), ROJoson was deeply involved in community service through outreach health educational programs in the Philippines (outside UPCM-PGH).

Principally, the outreach educational programs are in medicine, surgery, hospital administration, hospital disaster preparedness program, and public health education.

The objectives are the following:

• To improve surgical practice in the Philippines

• To improve hospital administration in the Philippines

• To improve hospital disaster preparedness program in the Philippines and Asia Pacific

• To control maternal death in Zamboanga Peninsula

• To promote public health education and empower patients and the Filipino people in health and how to live life in the context of health

• To avoid unnecessary and unsafe health practices and medical procedures.

• To promote cost-effective management of medical conditions by both physicians and patients.

Specifically, he has done at least the following:

§ DOH-UPCM Postgraduate Circuit Courses in provincial hospitals of Isabela (Ilagan), Aklan, Koronadal (South Cotobato) and Misamis Occidental (Oroquieta) [1989-1991]

§ Zamboanga City Medical Center – A General Surgery Course (1991 to 1997)

§ Tondo Medical Center – A General Surgery Course (1993 to 1995)

§ Zamboanga Medical School Foundation – Medical Curriculum and Faculty Development (1993 to 1996)

§ Bicol Christian College of Medicine – Medical Curriculum and Faculty Development (1995 to 2003)

§ Southwestern University College of Medicine – Medical Curriculum and Faculty Development (1995 – 2000)

§ Ospital ng Maynila Medical Center – A General Surgery Course (2001 to 2014)

§ University of the Philippines College of Public Health – Hospital Administration Lectures (1993 to 2018)

§ Zuellig Family Foundation – Coaching in Maternal Mortality Control Management System in Zamboanga Peninsula (2015)

§ Zamboanga City Medical Center – Earthquake Business Continuity Program (2016)

§ Ciudad Medical Zamboanga – Philippine Quality Award (2013)

§ Salubris Medical Center in Nueve Vizcaya – Quality and Safe Management System (2016-2017)

§ Online Collaborative and Interactive Learning in hospital administration, hospital quality management system, hospital disaster preparedness program (Google Sites, Wordpress.com, Facebook) [2010 to present]

§ Online Education for Health Development in the Philippines - Advocacies and Advisories; How to Live Life in the Context of Health; Medicine and Surgery; etc.

• Tripod.com – started in 1989 (inactive already)

• Facebook – started June 16, 2011 with at least 6000 followers as of August 2019

• Wordpress.com – started May 2010

• Google Sites – started circa 2011

ROJoson also has distinguished himself in promoting community health and solving community health problems with the end-goal of HEALTH FOR ALL FILIPINOS.

He has done this primarily through the community health action researches that were built into the innovative problem-based and community-based medical curriculum he designed for Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine) [Mindanao]; Bicol Christian College of Medicine (in Luzon); and Southwestern University College of Medicine (in the Visayas).

Examples of completed community health action researches done by medical students in Ateneo de Zamboanga University School of Medicine are shown below:

SOCIO-CULTURAL INVOLVEMENT

ROJoson is a Chinese national (pure, born of Chinese parents, in 1949) who became a Filipino by naturalization in 1976.

When he was in University of the Philippines Diliman taking his BS Pre-Medical Course, he was advocating for the integration of the Chinese into the Filipino society through the UP Filipino-Chinese Students Association (he was its president in 1968-1969) and through the Sapang Palay Project of the Philippine Historical Commission (which was promoting the Chinese integration). Aligned with his advocacy, he changed his Chinese surname of "DY" to a Filipino family name "JOSON" after his naturalization process. Aligned with his advocacy also, he married a Filipina to complete the Chinese-Filipino integration. This backstory of ROJoson's racial origin and assimilation and integration into the Filipino society approximates the life of Dr. Jose P. Rizal. Dr. Rizal was a Chinese mestizo who functioned as a Filipino working for the Filipino nation and people. ROJoson is a pure Chinese who by his acts of naturalization and change of name has proclaimed his loyalty to the Philippines and as will be seen within these nomination documents, has been functioning as a Filipino working for the Filipino nation and people (specially as a Filipino physician).

As to languages and dialects, he can speak English, Chinese (Mandarin and Fookien) and Filipino (Tagalog).

As to socio-civic involvement, he is a member of the Mu Sigma Phi Fraternity of the University of the Philippines College of Medicine; member of the Philippine Medical Association (Manila Medical Society - he was a speaker once in the PMA convention); member of the Philippine College of Surgeons (regular speaker in its convention circa 1982 to 1996); once an examiner of the Philippine Board of Surgery (1984 to 1996); member of the University of the Philippines College of Medicine Alumni Association, Philippine General Hospital Alumni Association; National Teachers Training Center for Health Profession Alumni Association; UP College of Public Health Alumni Association; University of the Philippines Alumni Association; once a member of St. Andrew Parish Church Lay Minister Group (2002).

Before 1989, he used to join surgical missions for the underprivileged Filipinos. After 1989, he decided to change focus. He has been on outreach educational mission creating the Education for Health Development in the Philippines Program in 1990. He believes in "Teach a man to fish, you feed him for his whole lifetime." He has traveled to various parts of the Philippines (north to south) to conduct his outreach educational mission (for departments of surgery; hospitals; medical schools; etc.)

For his cultural-educational cum vacation tours (especially with his family), he has traveled to various countries in the world (Europe, America, Asia, Africa, etc). His latest was in Israel (September 2019).

For his sports, he has been into swimming, lawn tennis, bowling, table tennis, windsurfing, stand-up paddling, and snorkling. He is an advocate of daily walking exercise and daily stretch-flex exercise for the healthy lifestyle package. For the past 5 years (65 to 70 years old), he has been doing 3-km to 5-km daily walking cum rosary prayer and 20 to 30 minutes of stretching and flexing exercise. He has been reminding his 6000 Facebook friends in doing the same as part of the healthy lifestyle and intentional living he is promoting.

He has been into medical photography since 1977 when he was still a surgical resident in the Philippine General Hospital. Medical photography and slide preparation for medical presentation are important skills that are of importance to academic physicians and surgeons. Since 1981, he has been advocating the proper ways of preparing overhead transparencies then slide preparations during presentation particularly in medical conferences (https://www.slideshare.net/rjoson/the-art-of-creating-digital-slides-for-a-medical-presentation-rojoson-2017). At the same time, he has been advocating proper ways of taking pictures that will be used in medical presentation. He has been teaching to surgical residents in various hospitals, medical students in various medical schools and hospital staff as well. He has consolidated all his experiences and past writings in this website, Digital Medical Presentation - https://sites.google.com/site/digitalmedicalpresentation/.

Relating socio-cultural involvement to the practice of medicine, majority of his patients are Filipinos and he respects the varying socio-cultural tendencies of his patients, mentees, and colleagues when dealing and interacting with them and particularly, in doing problem-solving and decision-making in the management of their medical problems.

RELIGIOUS INVOLVEMENT:

ROJoson is a Catholic. He graduated from Xavier School, a Catholic school, in 1966. He was a member of the Solidality of Our Lady when he was in high school. He is a practicing Catholic. He has a family unified in Catholicism. He was once a lay minister in St. Andrew Parish in Makati circa 2002.

He has imbibed and lived the ideals promoted by his Jesuit teachers in Xavier School, specifically to be Man for Others. For this, he was selected as the 2013 Xavier-Kuangchi Exemplary Alumni Awardee.

Although a Catholic, he respects the religious affiliation and also the culture and values of his patients, mentees and colleagues. When he started promoting his Intentional Living Program in 1994, serving both as a PHYSICIAN HEALER and also as a LIFE COACH, it was not in the context of a specific religion, but in the context of health. This is because he respects the religious affiliations of his mentees. See ROJoson's Intentional Living Program.

His operational definition of INTENTIONAL LIVING PLAN is that it is a plan you make targeting a certain number of years in which you write down things you intend or want to accomplish on your graduation day (last day of your targeted year) which will make you feel you have lived your life to the fullest; you have lived a meaningful life; and you are contented and ready to die a happy death. [Assumption and reality: all of us will die one day.]

GOVERNMENT SERVICE / PARTNERSHIP

ROJoson's operational concept of GOVERNMENT SERVICE / PARTNERSHIP:

• Working in government institutions to personally treat underprivileged Filipino patients.

• Working in government institutions to teach and supervise health profession students to provide quality health care services in the Philippines and to the underprivileged Filipino patients.

• Working in government and non-government institutions (PARTNERSHIP) to teach medical students to be community-oriented physicians.

• Providing outreach training programs to government institutions (PARTNERSHIP) to improve health care delivery systems.

• Providing outreach training programs to non-government institutions (PARTNERSHIP) to improve health care delivery systems.

• Providing outreach surgical service to indigent patients consulting in ROJoson Medical Clinic (PARTNERSHIP with GOVERNMENT in HEALTH FOR ALL FILIPINOS MOVEMENT)

• Providing outreach health educational program through blogs and social media (PARTNERSHIP with GOVERNMENT in HEALTH FOR ALL FILIPINOS MOVEMENT)

ROJoson has distinguished himself as a productive and effective health professional and manager-leader of hospital and medical school units as well as health programs, both in his appointed and voluntary capacity. He has been aligning, coordinating and integrating the policies and procedures of the national government, local government and private hospital management with those of his units, both as a government professional as well as private professional, all towards HEALTH FOR ALL FILIPINOS.

IN HIS APPOINTED CAPACITY:

In University of the Philippines College of Medicine - Philippine General Hospital

• Director, Postgraduate Institute of Medicine (1989-1991)

• Chief, Division of Head and Neck, Breast, Esophagus, and Soft Tissue Surgery, Department of Surgery, Philippine General Hospital (July 13, 1994 - 2000) (Acting Chief – 1992 – 1994)

• Chairman, Committee on Graduate Program, Department of Surgery, UP College of Medicine (2004 – 2014)

• Chairman, Year Level 7 Committee (1988)

In Ospital ng Manila Medical Center

• Supervising Training Officer, OMMC, 1992 to 2000

• Chairperson, Department of Surgery, Ospital ng Maynila Medical Center (2001 – July 11, 2009; 2014)

In Manila Doctors Hospital

• Training Officer, Department of Surgery, Manila Doctors Hospital (1985 to 1987)

• Assistant Medical Director, Manila Doctors Hospital (1989 – 2009)

• Director, Manila Doctors Hospital Emergency Room (1991 - ?)

• Head, Industrial Medical Services Department, Manila Doctors Hospital (1993 – 1995)

• Head, Corporate Planning Office, Manila Doctors Hospital (2005 – 2009)

• Quality Management Representative, Manila Doctors Hospital (2005 – 2009)

• Coordinator, Manila Doctors Hospital Balanced Scorecard (2004 – 2009)

• Senior Vice-President for Corporate Affairs, Manila Doctors Hospital (April, 2009 – 2014)

• Board of Advisers, Manila Medical Services Inc. (January 2016 – 2018)

• Member, Audit Committee of the Manila Medical Services Inc. (2017 – 2018)

• Adviser, Executive Committee, Manila Doctors Hospital (2014 – 2018)

IN HIS VOLUNTARY CAPACITY:

Director of the Education for Health Development Program in the Philippines

Providing education to students and public to improve health condition and health care delivery services in the Philippines since 1990 through blended learning (face-to-face with online learning).

Manager of ROJoson Medical Clinic

Promoting and providing patient-centered care management, cost-effective management and intentional living program to his patients since 1982.

ROJoson's output and impact based on his operational concept of GOVERNMENT SERVICE / PARTNERSHIP

Working in government institutions to personally treat underprivileged Filipino patients.

He has worked in the following government institutions as a surgical consultant and as a regular employee to personally treat underprivileged Filipino patients:

• Philippine General Hospital, Department of Surgery (1982 to 2014 upon his compulsory retirement at age 65 and after age 65 up to present 2019 - at age 70).

  • Ospital ng Maynila Medical Center, Department of Surgery (from 1989 to 2014 upon his compulsory retirement at age 65).

Working in government institutions to teach and supervise health profession students to provide quality health care services in the Philippines and to the underprivileged Filipino patients.

He has worked in the following government institutions as a surgical consultant and as a lecturer to teach and supervise health profession students to provide quality health care services in the Philippines and to the underprivileged Filipino patients:

• Director, Postgraduate Institute of Medicine, University of the Philippines College of Medicine (1989-1991), coordinating the DOH-UPCM Postgraduate Circuit Courses in 4 provincial hospitals in Luzon, the Visayas, and Mindanao.

• University of the Philippines College of Medicine (1985 to 2014 upon his compulsory retirement at age 65 and after age 65 up to the present 2019 - at age 70)

• Philippine General Hospital, Department of Surgery (1982 to 2014 upon his compulsory retirement at age 65 and after age 65 up to present 2019 - at age 70).

  • Ospital ng Maynila Medical Center, Department of Surgery (from 1989 to 2014 upon his compulsory retirement at age 65).

• University of the Philippines College of Public Health (1993 to present 2019) as a lecturer in the Master of Hospital Administration Program.

Working in government and non-government institutions (PARTNERSHIP) to teach medical students to be community-oriented physicians.

He has worked in the following government and non-government institutions (PARTNERSHIP) to teach medical students to be community-oriented physicians:

• University of the Philippines College of Medicine (1985 to 2014 upon his compulsory retirement at age 65 and after age 65 up to the present 2019 - at age 70)

• Philippine General Hospital, Department of Surgery (1982 to 2014 upon his compulsory retirement at age 65 and after age 65 up to present 2019 - at age 70).

  • Ospital ng Maynila Medical Center, Department of Surgery (from 1989 to 2014 upon his compulsory retirement at age 65).

• Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine) [1993 to 1996] - designing a medical curriculum with health action researches to solve the health problems of medical students' assigned community.

• Bicol Christian College of Medicine (1995 to 2003) - designing a medical curriculum with health action researches to solve the health problems of medical students' assigned community.

• Southwestern University College of Medicine (1995 to 2000) - designing a medical curriculum with health action researches to solve the health problems of medical students' assigned community.

• Manila Doctors Hospital internship program (1984 to present 2019)

Providing outreach training programs to government institutions (PARTNERSHIP) to improve health care delivery systems.

In his personal capacity, as part of his outreach education program, he has done the following for government institutions:

• Distance Education in General Surgery in Zamboanga City Medical Center (1991 to 1997)

• Distance Education in General Surgery in Tondo Medical Center (1993 to 1995)

• Earthquake Business Continuity Program in Zamboanga City Medical Center (2016)

• Safe Hospital Initiative Workshop for Philippines Department of Health Hospital Emergency Managers (2009)

• Earthquake Business Continuity Workshop in Department of Health Central Office (2015)

Providing outreach training programs to non-government institutions (PARTNERSHIP) to improve health care delivery systems.

In his personal capacity, as part of his outreach education program, he has done the following for non government institutions:

• Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine) [1993 to 1996] - designing an innovative medical curriculum to improve the health care delivery systems in the Philippines (see the resulting impact under ACADEME INVOLVEMENT)

• Bicol Christian College of Medicine (1995 to 2003) - designing an innovative medical curriculum to improve the health care delivery systems in the Philippines

• Southwestern University College of Medicine (1995 to 2000) - designing an innovative medical curriculum to improve the health care delivery systems in the Philippines

• Ciudad Medical Zamboanga - a private hospital - improving the hospital quality management system for the patients in Zamboanga Peninsula - impact: the hospital being awarded the Philippine Quality Award in 2013, the first hospital in the Philippines to get such an award

• Salubris Medical Center in Nueva Vizcaya - a private hospital - designing the hospital quality management system for the patients in Nueva Vizcaya (2016 - 2017)

• Zuellig Family Foundation partnership in reducing the maternal mortality rate in Zamboanga Peninsula (2016-2017)

• World Health Organization - Western Pacific Region in training hospital emergency managers both in the Philippines and in Western Pacific Region in Hospital Disaster Preparedness Program and Safe Hospital Initiative (2007 - 2015)

Providing outreach surgical service to indigent patients consulting in ROJoson Medical Clinic (PARTNERSHIP with GOVERNMENT in HEALTH FOR ALL FILIPINOS MOVEMENT).

ROJoson has an outreach medical and surgical service to indigent patients consulting in his clinic to contribute to the HEALTH FOR ALL FILIPINO MOVEMENT (PARTNERSHIP WITH GOVERNMENT) since he started private practice in 1982. He does not deny quality medical services and advices for indigent patients who go to his clinic - either no charge for professional fee on consultation, lowering the professional fee rate to the level a patient can afford to pay, or paying in installment and as able. He has a formal Indigent Help Program for Mastectomy Patients to promote early consult and treatment among breast cancer patients (2018 - 2019).

Providing outreach health educational program through blogs and social media (PARTNERSHIP with GOVERNMENT in HEALTH FOR ALL FILIPINOS MOVEMENT)

To promote HEALTH FOR ALL FILIPINOS, to reach out to educate more Filipinos compared to the reach of face-to-face teaching, ROJoson went into the use of Internet, blogs and social media in his health educational program as early as 1990. All his blogs and social media (Facebook) are under the umbrella of Education for Health Development in the Philippines Program. He has:

• Published about 323 websites as of August 16, 2019 (see supporting documents).

• Hosted 2 Facebook Timelines with about 6000 friends as of August 16, 2019 which he has been using since June 16, 2011 as his main vehicle for his Education for Health Development in the Philippines Program and for his advocacy programs (see supporting documents).

• Been promoting at least 10 advocacies since 2001 which are related to public health promotion, rational patient management, and quality health care delivery system in hospitals and medical clinics (see supporting documents).

PROFESSIONAL PRACTICE, EXPERIENCE AND TRAINING

As a medical professional, ROJoson has distinguished himself as a clinical specialist, a health educator specialist, a public health specialist, a specialist in hospital administration and quality management system and a specialist in hospital disaster preparedness program.

This part of the justification will focus on ROJoson as a clinical specialist. The other specializations of ROJoson will be expounded in the "EXCELLENCE IN OTHER FIELDS OF ENDEAVORS. Excellence in his health education specialization has been expounded under ACADEME INVOLVEMENT.

AS A CLINICAL SPECIALIST

ROJoson finished his general surgical residency at the Philippine General Hospital in 1981 (1976 - 1981). He started private practice and academe practice in 1982. His academic practice has been mainly in the University of the Philippines College of Medicine. His private surgical practice has been mainly in Manila Doctors Hospital and ManilaMed (formerly Manila Medical Center). His government surgical practice has been in the Departments of Surgery of the Philippine General Hospital (1982 to 2014 to 2019) and Ospital ng Maynila Medical Center (1989 to 2014). He had travelling fellowship in surgical oncology in 1985.

ROJoson manages the ROJoson Medical Clinic (private) with main clinic office in Manila Doctors Hospital.

His declared specialties: General Surgery and Surgical Oncology (Head and Neck, Thyroid, Breast, Abdomen, Gallbladder, Stomach, Intestines, Hernia, Skin and Soft Tissue Disorders).

Notable accomplishments in his surgical professional practice, experience and training in UPCM-PGH, Ospital ng Maynila Medical Center and Manila Doctors Hospital consist of the following:

• In University of the Philippines College of Medicine - Philippine General Hospital:

  • Under his leadership, he created the first Head and Neck Surgical Oncology Program (in 1990) and the first Surgical Oncology Fellowship Program (1994) in the entire Philippines.

  • He was given a Hall of Fame Award for being an outstanding for three consecutive years by the surgical residents in 1986.

  • He was awarded the 2008 Centennial Professional Chair Award by the University of the Philippines Manila.

• In the Department of Surgery of Ospital ng Maynila Medical Center:

  • Under his leadership, in 2004, he pioneered Narrative Medicine Project through the Medical Anecdotal Reports which has been promoting development of holistic, professional and compassionate surgeons among the trainees.

  • He led the Department of Surgery of Ospital ng Maynila Medical Center to win 3 international awards:

    • Winner, 2005 Anvil Award, Wholistic Corporate Social Responsibility Program of Department of Surgery, Ospital ng Maynila Medical Center, February, 2005

    • Runner-up, 2005 Asian Corporate Social Responsibility Awards, Conducive Practice Program of the Department of Surgery, Ospital ng Maynila Medical Center (September 9, 2005)

    • Winner, 2004 Asian Hospital Management Awards, Knowledge Management System of the Department of Surgery of Ospital ng Maynila Medical Center (October 7, 2004)

  • He established and developed the OMMC Surgery Indigent Patient Help Program.

• In Manila Doctors Hospital, he was awarded the MDH Exemplar Award in 2015.

As a clinical specialist, he has been promoting and providing patient-centered care management, cost-effective management and intentional living program to his patients since 1982.

Patient-centered care management

Patient-centered care management is the practice of caring for patients (and their relatives) in ways that are meaningful and valuable to the individual patient. It includes listening to, informing and involving patients in their care.

The IOM (Institute of Medicine) defines patient-centered care as: “Providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.”

In patient-centered care, an individual’s specific health needs and desired health outcomes are the driving force behind all health care decisions and quality measurements. Patients are partners with their health care providers, and providers treat patients not only from a clinical perspective, but also from an emotional, mental, spiritual, social, and financial perspective.

ROJoson started his journey on Patient-centered Care Management (PCCM) in 1982 when he formally started his private practice in general surgery. PCCM was not formally and intensely taught when he was a medical student in UPCM and in surgical residency training in PGH. He would continuously improve his management of patients along the principles of PCCM using problem-based learning and self-directed learning. Circa 1985, he formulated his Management of a Patient Process including its maxims, rules and guides which would promote rational, holistic, professional, compassionate, and cost-effective treatment. [Link: https://rojosonmedicaleducation.wordpress.com/2017/06/13/maxims-rules-and-guides-in-the-management-of-a-patient-rojoson/]

Because of his promotion of the Management of a Patient Process, the surgery residents of PGH gave him a monicker of “Josonics” or “Josonic Disciples.” Here are some quotes on his monicker during his retirement in 2014 from PGH.

“Allow me to thank you, in behalf of the numerous students you have equipped with your “josonics”, I am thanking you with all my heart for everything you have done for us.” – Dr. Anthony Perez (2014)

“I still apply “Josonics” among my students. This mindset has been spread thru batches of residents not just in PGH. The words like “Is it normal or is it abnormal? ” and “Is there a mass”? still echoes vividly in my brain. In the world of fast changing innovations in medical practice, logic keeps me grounded to the basics. Thanks to you Dr. Reynaldo O Joson.” – Dr. Leonardo Ona (2014)

“Thank you Dr Joson for the mentoring. Josonics is a big part of my daily clinical decision making.” – Dr. Sara Padua-Labilles (2014)

“We are your JOSONICS disciples!” – Dr. Alex Lagon Cerrillo (2014)

“I am very happy for you and happy to be a Josonic student. I first encountered the word when I came to PGH. Dr. Catalan asked me once “So you’re a Josonic?” To which I replied yes, yes I am. And I’ve heard the word a lot since then… “– Dr. Hazel Turingan (2014)

“RJ as he is called by his GS1 friends, gave a “josonite” speech regarding his thoughts after retirement. Oh man! An excellent speech. A standing ovation, it was.” – Dr. Lito Legaspi (2014)

“Yes, I believe the words “Josonic”, “ Josonites” were coined in the mid 1990’s: we started using it sometime 1993-1994, you were Chief of GS 1 and you came up with the GS 1 Vision Mission Goals, and I remember that I was GS 1 Senior Resident then Surgical Oncology Fellow around that time…” – Dr. Malou Matsuda (2014)

“The surgical residents used to say the word "Josonic", whenever we would try to dissect a problem to its basic dimensions, and try to come up with effective solutions using a risk-benefit table. To be Josonic meant that one was being a critical thinker, and that one was being rational. I was proud to be called "Josonic" by my colleagues.” – Dr. Malou Matsuda (2004)

[Link: https://rojosonuppghgs1filesandnotes.wordpress.com/2014/02/07/messages-to-rojoson-on-retirement-from-upm-2014/]

Some notable impact of ROJoson’s advocacies on patient-centered care management:

• being promoted online, particularly in Facebook, it has influenced at least some of his Filipino physician followers (medical students, residents and fellows, and established medical and surgical practitioners) to follow suit thereby improving health care delivery services in the Philippines.

• it has influenced at least some of his Filipino patients and the lay Filipino people on what to expect and what to look for in their search for value-based health care services.

• it has protected and saved his patients from unnecessary medical procedures and their corresponding expenses and potential complications.

• it has empowered his Filipino patients and the lay Filipino people on at least a knowledge on how to have value-based health care services for themselves.

• it has brought about delightful patient experience.

Cost-effective Management Program

ROJoson has conducted researches that promoted cost-effective management for the Filipino patients that led to advocacies against unnecessary operations, procedures, and health practices, such as no to routine circumcision, no to routine mammography, no to unnecessary normal appendectomy, no to unnecessary fibrocystic breast operations, and beware of santol seed swallowing.

Intentional Living Program

In 1994, ROJoson started playing the dual role of a PHYSICIAN HEALER and LIFE COACH when he saw a lot of terminally-ill patients dying in an UNCONTENTED STATE. He formulated the Intentional Living Program (initially named as Self-declared Living Plan).

His operational definition of INTENTIONAL LIVING PLAN is that it is a plan you make targeting a certain number of years in which you write down things you intend or want to accomplish on your graduation day (last day of your targeted year) which will make you feel you have lived your life to the fullest; you have lived a meaningful life; and you are contented and ready to die a happy death. [Assumption and reality: all of us will die one day.]

In 2019, he created an ROJoson Online Collaborative and Interactive Learning course on Intentional Living for patients and friends in his Facebook. He is teaching people on how to live life in the context of health. His main strategies are: being productive; having peace of mind; being contented; enjoying; happy; longevity; and preparation for a happy death. For details, see https://sites.google.com/site/rojocilonintentionalliving/home.

Advocacies and Advisories

He has several advocacies and advisories for his patients and the public.

ROJoson’s Advocacies with Online Sites (Partial List)

· Rational Patient Management Process [https://rojosonmedicaleducation.wordpress.com/2017/06/13/maxims-rules-and-guides-in-the-management-of-a-patient-rojoson/]

· No to Routine Circumcision [https://xtulepinoy.wordpress.com/]

· Beware of Santol Seed Swallowing [https://rojosonmedicalclinic.wordpress.com/category/santol-seeds/]

· NO to Unnecessary Operations and Diagnostic Procedures [https://rojosonmedicalclinic.wordpress.com/2017/10/22/rojosons-patients-advised-against-unnecessary-operations-and-procedures-a-registry-a-resumption/]

· Cancer Survivor Registry [https://sites.google.com/site/rojosonscancersurvivors/home; https://sites.google.com/site/rojosonscancersurvivors2/home]

· No to Patient Queueing [https://sites.google.com/site/rojoson70memoir/no-queuing---no-long-waiting-time-in-clinic---a-legacy;https://rojosonwritingsonhospitaladministration.wordpress.com/2019/03/02/feedback-on-rojoson-medical-clinics-booked-appointment-time-system/;https://rojosonwritingsonhospitaladministration.wordpress.com/2016/10/06/no-queues-by-appointment-only/; https://sites.google.com/site/rojosonmedicalclinic/booked-appointment-performance---december-2018-and-2018]

· Legible Physician Handwriting [https://rojosonmedicalclinic.wordpress.com/category/handwriting/]

· Healthy Lifestyle [https://rojoson.wordpress.com/2019/07/03/rojosons-diet-to-stay-healthy/;https://rojoson.wordpress.com/category/exercise/; https://rojoson.wordpress.com/2016/05/30/rojosons-stretching-and-flexing-exercises/]

· Intentional Life Plan – Intentional Living [https://rojosonnotesonlife.wordpress.com/category/intentional-life-plans/; https://sites.google.com/site/howtoliveliferojosonmodel/]

· Keeping and Giving Medical Records to Patients [https://rojosonmedicalclinic.wordpress.com/category/keeping-medical-records/]

EXCELLENCE IN OTHER FIELDS OF ENDEAVOR

As mentioned above, ROJoson has devoted and focused 40 years of his professional life after graduation from the University of the Philippines College of Medicine in 1974 to the following medical endeavors which all redound to better health care delivery services not only to his patients and institutions he is connected with but to patients and institutions at large (in the Philippines):

· Medical-surgical education

· Patient-centered care management

· Community service through outreach medical-surgical education inclusive of public health education

· Health action research

· Hospital administration and quality management system

· Hospital disaster preparedness program

All the abovementioned focused medical endeavors are considered his flagship projects under a program he dubbed in 1990 as Education for Health Development in the Philippines (EdHeDePhi). The EdHeDePhi has one central theme: using EDUCATION as the primary tool for improving the health care services in the Philippines.

NOTE: The focus of the Philippine Medical Association Dr. Jose P. Rizal Memorial Award in the ACADEME CATEGORY is medical-surgical education, which was expounded above in ACADEME INVOLVEMENT AND PROFESSIONAL PRACTICE, EXPERIENCE AND TRAINING. The “EXCELLENCE IN OTHER FIELDS OF ENDEAVOR” would cover the other medical endeavors of ROJoson, namely:

· Patient-centered care management

· Community service through outreach medical-surgical education inclusive of public health education

· Health action research

· Hospital administration and quality management system

· Hospital disaster preparedness program

Patient-centered care management and community service through outreach medical-surgical education inclusive of public health education have been expounded under “PROFESSIONAL PRACTICE, EXPERIENCE AND TRAINING” and COMMUNITY, SOCIO-CULTURAL, AND RELIGIOUS INVOLVEMENT respectively above.

What will be expounded below will be the following:

· Health action research

· Hospital administration and quality management system

· Hospital disaster preparedness program

What will presented are just the IMPACT. The details can be seen in the SUPPORTING DOCUMENTS.

IMPACT OF ROJOSON’S ENDEAVOR IN HEALTH ACTION RESEARCH

ROJoson has been doing medical researches as early as when he was just a first-year surgical resident in the Department of Surgery of the Philippine General Hospital. During his 5-year residency years (1976 – 1981), he completed 12 research papers with 9 published (5 during residency years and an additional 4 after residency) and with 5 research awards.

After residency, he continued to do medical researches. As of 2019, he has a total of 50 published papers (4 - international; 47 – local; 29 – with ROJOSON as primary author). He has a total of at least 16 research awards (1976 – October, 2006).

Most of his research papers from 1976 up to present (2019) are of the action research types. However, it was only when he formulated the innovative problem–based and community–based medical curriculum of the Zamboanga Medical School Foundation / Ateneo de Zamboanga University School of Medicine (ZMSF/ADZU-SOM) in 1994 and when became Chairman of the Department of Surgery of Ospital ng Maynila Medical Center (OMMC-Surgery) that he gave preference for health action researches rather than on the traditional medical researches as action researches focus on solving problems. In ZMSF/ADZU-SOM, the emphasis had been to do action researches for health problems in the community the medical students were assigned to. In OMMC-Surgery, the emphasis had been to do action researches to improve patient care in the Department through improved governance, service and training.

ROJoson had extensive experiences in doing and teaching residents do health action researches in OMMC-Surgery. There were a lot of action research papers that he did with the residents of the Department of Surgery of Ospital ng Maynila Medical Center from 2001 to 2009 when he was Chairperson of the said Department. Unfortunately, most were not published because of the preference of the available local medical journals for traditional medical researches. However, the results of the completed action researches were used to improve patient care and also governance, service, and training of the OMMC-Surgery.

Traditional medical researches are more focused on hypothesis testing rather than on solving health problems. For one reason or another, probably, because of lack of relevance and practicality, the utility of traditional medical researches usually ends after being presented in scientific meetings and after being published in journals. Furthermore, traditional clinical medical researches, which usually come in the form of experimental and randomized controlled clinical trials, are more technically difficult to conduct that physicians usually frown upon them.

ROJoson’s Achievements and Contributions to Society in the Local and National Level

ROJoson advocated action researches in the community health management courses in the curriculum of Zamboanga Medical School Foundation / Ateneo de Zamboanga University School of Medicine (ZMSF/ADZU-SOM) for which he was the primary designer and developer. The medical students have been producing researches that involved solving specific health problems in the specific setting of the community they have been assigned to (from 1994 to 2019). The action researches qualify the students of ZMSF/ADZU-SOM to get an MD-MPH degree.

The innovative medical curriculum of ZMSF/ADZU-SOM was adopted by Bicol Christian College of Medicine from 1995 to 2003 and Southwestern University College of Medicine in Cebu from 1995 to 2000. Thus, the medical students in these two medical schools had also tried to produce researches that involved solving specific health problems in the specific setting of the community they were assigned to.

Samples of action research outputs from Community Health Management Courses of Medical Schools Helped by ROJoson Circa 1994 – 2005:

From ZMSF/ADZU-SOM

Links: http://som.adzu.edu.ph/; http://som.adzu.edu.ph/research/index.php?pageNum_search=20; http://som.adzu.edu.ph/research/index.php?pageNum_search=21]

ROJoson’s use of action researches in medical, surgical, hospital administration, educational researches and community health problems from 1976 to 2019 has promoted problem-solving and continual improvement of existing management systems. The use of action researches have promoted relevance, quality, cost-effectiveness, and equity in the research outputs.

ROJoson has taught his students how to use action researches.

ROJOSON AS A PUBLIC HEALTH SPECIALIST AND USE OF HEALTH ACTION RESEARCHES

ROJoson helped designed the Community Management Courses (in 1993) in the innovative problem-based and community-based medical curriculum of Zamboanga Medical School Foundation / Ateneo de Zamboanga University (ZMSF /ADZU-SOM) which enabled the medical students to solve the health problems in their assigned community while they are still students.

He promoted Health Action Researches in the Department of Surgery of Ospital ng Maynila Medical Center which tried to resolve public health issues when he was the Chairman (2001-2009). He also advocated public health education with respect to potential surgical problems.

AS A SPECIALIST IN HOSPITAL ADMINISTRATION AND QUALITY MANAGEMENT SYSTEM

ROJoson promoted better hospital administration and hospital quality management system in local hospitals, hospitals in the Philippines and hospitals in Asia through his hands-on experience, teaching, lecturing and serving as consultant and resource person since 1989 (30 years).

Quality hospital administration and quality management system promotes quality delivery of health care services to local hospitals, hospitals in the Philippines and in Asia, particularly to Filipino patients.

ROJoson was instrumental in getting the ISO 9001 certification of Manila Doctors Hospital in 2005 thereby becoming the first hospital in Manila to acquire an ISO 9001 certification. MDH has maintained its ISO accreditation from 2005 up to present (2019).

ROJoson was an adviser in getting accreditation with Accreditation Canada International for Manila Doctors Hospital in 2011. It has maintained this international accreditation since 2011 up to the present (2019).

ROJoson was instrumental in getting the Philippine Quality Award for Ciudad Medical Zamboanga in 2013, the first hospital to get this Award.

AS A SPECIALIST IN HOSPITAL DISASTER PREPAREDNESS PROGRAM

From 2005 to 2019 (14 years), ROJoson was deeply involved in hospital disaster preparedness programs. He has promoted safe hospital initiative in local hospitals, hospitals in the Philippines and hospitals in the Western Pacific Region.

Safe Hospital in terms of structural, non-structural and functional safety, preventing destruction of hospitals thereby avoiding injuries and death to patients, guests and staff in the hospital and providing continuous delivery of health care services particularly during disasters.

He has served in the following:

· Chair of the MDH Disaster Preparedness Committee (2005 to 2007)

· Adviser of MDH Safety Promotion and Disaster Preparedness Committee (2005 to 2014)

· Chair of the Ospital ng Maynila Medical Center Department of Surgery Disaster Preparedness Committee (2001 to 2014)

· Facilitator, Online Collaborative and Interactive Learning (OCIL) on Hospital Disaster Preparedness Programs and Safe Hospital Initiative (Google Sites, Wordpress.com, Facebook)

· Initiator of a structured OMMC Department of Surgery Code White Alert System

· Initiator of Rain-Flood-Wind Situation Preparedness Program including MDH Perimeter Flood Advisory Project

· Consultant, WHO-DOH Central Office Earthquake Business Continuity Plan, November 27, 2015 to December 15, 2015

· Consultant, Zamboanga City Medical Center Earthquake Business Continuity Program (2016)

· Lecturer, UP College of Public Health (MHA Classes and Short Courses) on hospital disaster program and safe hospital initiative (2013 to 2018)

· Resource Person, and Module Writer and Facilitator in hospital disaster program and safe hospital initiative for WHO (Western Pacific Region) [2007- 2015]