PROFESSIONAL PRACTICE, EXPERIENCE AND TRAINING

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/]

See the following for details:

• Supporting Documents:

  • ROJoson's Academic Background

  • ROJoson's Past Employment and Affiliations

  • ROJoson's Honors and Awards

  • ROJoson's Research and Publications

  • ROJoson's Professional, Medical and Community Services

  • Feedback on ROJoson's Medical Endeavors

• PREAMBLE

• Education for Health Development in the Philippines (https://sites.google.com/site/rojosonpmadjprma2020/education-for-health-development-in-the-philippines; https://rojosonedhedephi.wordpress.com/2019/11/22/edhedephi-evaluation-2019/)

• ROJoson’s Pioneering Effort in Problem-based Learning in Medicine and Surgery (https://sites.google.com/site/rojosonpmadjprma2020/problem-based-learning-in-medicine-and-surgery)

• ROJoson’s Pioneering Effort in Debate as a Teaching-learning Activity (https://sites.google.com/site/rojosonpmadjprma2020/debate-as-a-teaching-learning-activity)

• ROJoson’s Pioneering Effort in Telehealth and Telemedicine (https://sites.google.com/site/rojosonpmadjprma2020/telemedicine-and-telehealth)

• ROJoson's Pioneering Effort in Online Collaborative and Interactive Learning (OCIL) [https://sites.google.com/site/rojosonpmadjprma2020/online-collaborative-and-interactive-learning]

• ROJoson’s Pioneering Effort in Narrative Medicine – Medical Anecdotal Reports (https://sites.google.com/site/rojosonpmadjprma2020/medical-anecdotal-reports)

• ROJoson as a Community-oriented Physician (see COMMUNITY INVOLVEMENT - https://sites.google.com/site/rojosonpmadjprma2020/community-involvement)

• ROJoson as a 5-star Physician (https://sites.google.com/site/rojosonpmadjprma2020/rojoson-being-a-5-star-filipino-physician)

• ROJoson as a Holistic Physician-Educator - ROJoson's Intentional Living Program (https://sites.google.com/site/rojosonpmadjprma2020/rojoson-intentional-living-program)

• ROJoson's Patient Empowerment Program (https://sites.google.com/site/rojosonpmadjprma2020/rojoson-patient-empowerment-program)

• ROJoson's Endeavor: Medical-surgical education (https://sites.google.com/site/rojosonpmadjprma2020/medical-surgical-education)

• ROJoson's Endeavor: Patient-centered care management (https://sites.google.com/site/rojosonpmadjprma2020/patient-centered-care-management)

• ROJoson's Endeavor: Community service through outreach medical-surgical education inclusive of public health education (https://sites.google.com/site/rojosonpmadjprma2020/community-service-through-outreach-medical-surgical-education-inclusive-of-public-health-education)

• ROJoson's Endeavor: Health action research (https://sites.google.com/site/rojosonpmadjprma2020/health-action-research)

• ROJoson's Endeavor: Hospital administration and quality management system (https://sites.google.com/site/rojosonpmadjprma2020/-hospital-administration-and-quality-management-system)

• ROJoson's Endeavor: Hospital disaster preparedness program (https://sites.google.com/site/rojosonpmadjprma2020/-hospital-disaster-preparedness-program)

ROJ@19nov25