DR. JOSE P. RIZAL MEMORIAL AWARD

PHILIPPINE MEDICAL ASSOCIATION

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

Under the Category of Academe

PREVIOUSLY RECEIVED AWARDS AND HONORS JUSTIFICATION AND SUMMARIES

2003 Outstanding Educator Award – University of the Philippines Medical Alumni Society

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

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

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

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

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)

2006 Most Outstanding Teacher in Oncology – Philippine Society of Oncology

2008 Centennial Professorial Chair - University of the Philippines Manila

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

Honors Given to ROJoson for his Contribution to Zamboanga Medical School Foundation (ZMSF) now Ateneo de Zamboanga University School of Medicine (ADZU-SOM) – 2019

2019 Distinguished Alumnus Award - University of the Philippines Medical Alumni Society

2003 Outstanding Educator Award – University of the Philippines Medical Alumni Society

REYNALDO O. JOSON, M.D. ’74

Outstanding Educator (Philippines)

Notable among his achievements in medical education are the following:

Recipients of his educational mission are not confined to medical students but include surgical residents, hospital administration students and the lay people (notably: public advocacy such as NO to routine circumcision and the danger of santol seed swallowing.)

Medical professional recipients are not confined to UP College of Medicine, Philippine General Hospital and UP College of Public Health. Beneficiaries include various medical schools and hospitals throughout the country, which he visited and distance mode of education programs developed via instructional modules in print medium and later through an electronic medium via internet using webpages and emails. He started his Education for Health Development in the Philippines when he was Director of the UPCM Postgraduate Institute of Medicine in 1989 with the UPCM-DOH Postgraduate Circuit Courses in four provincial hospitals as his initial project. He conducted a distance education program in surgery in Zambaoanga City Medical Center from 1991-1997 which produced 7 competent general surgeons who would complement the only 3 general surgeons in 1997 to serve the surgical needs of at least 3 million population of Western Mindanao. He pioneered distance education in surgery/medicine in the Philippines. His work was published in an international journal (Education for Health) and in the UP Manila Journal.

He helped establish the Zamboanga Medical School Foundation, Inc. (ZMSFI) in 1994 and formulated an innovative curriculum which was truly community-, competency-, and problem-based learning. His innovative curriculum was adopted by 2 other medical schools in the country in 1995. He developed the first Head and Neck Surgical Oncology Fellowship Program and the first structured Surgical Oncology Fellowship Program in the country in 1991 and 1995 respectively.

From 2001 to 2003, as chairman, he revived and developed the Department of Surgery of Ospital ng Maynila Medical Center to become a model for other departments of surgery in the country.

He established a multi-center cooperative and collaborative action research study group participated by various departments of surgery in the country. He has formulated a structured, simplified, step-by-step patient management process that facilitates and standardizes problem-solving and decision-making by physicians on any clinical issue and health problem. He is pioneering and advocating health-process-evidence-based clinical practice guidelines. This prolific teacher has written more than 34 self-instructional modules and primers, books and websites, published 29 articles in the medical journals and truly deserve the title Most Outstanding Educator.

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

Excellence in:

Education / Training

Research

Medical Service

Community Service

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

Reynaldo O. Joson

BS Premed ’69, MD ’74, MHA ’91, MHPEd ’93, MS Surg ‘97

SUMMARY OF NOMINEE’S ACHIEVEMENTS AND JUSTIFICATION

Dr. Reynaldo O. Joson is a doctor of medicine who has continuously strived for WHOLISM and EXCELLENCE in his chosen profession since his graduation in 1974 from the UP College of Medicine. He is a WHOLISTIC physician in that he is a physician-clinician, physician-community-health-problem-solver, physician-teacher-learner, physician-researcher, and physician-administrator, rolled into one person, as evidenced by his formal training and regular practices during the past decade. He is also a WHOLISTIC physician in that he caters both to the physical and psychological needs of his patients as evidenced by his Cancer Crusaders Club of 15 years giving psychosocial therapy to cancer patients.

Aside from WHOLISM, he also strived for EXCELLENCE in his various roles as a physician. He is a practicing general and cancer surgeon with a degree of Master of Science in Surgery (1997). He is a practicing physician-administrator, presently the Chairperson of the Department of Surgery of Ospital ng Maynila Medical Center (since 2001) and Assistant Medical Director of Manila Doctors Hospital (since 1989) with a degree of Master in Hospital Administration (1991). He is a practicing physician-teacher presently an Associate Professor at the UP College of Medicine with a degree of Master in Health Profession Education (1993). He is a practicing physician-researcher who has completed more than 50 researches since 1976 with 31 publications in local journals and 3 international publications. He is a practicing physician-community-health-problem-solver with his pioneering works in problem-based community-oriented medical curriculum (since 1994) used by Zamboanga Medical School Foundation, Inc., Southwestern University College of Medicine in Cebu, and Bicol Christian College of Medicine in Legazpi; distance education in medicine and surgery (since 1991); and advocacies on unnecessary operations and procedures (since 2002).

Outstanding in his achievements, particularly on education in medicine and surgery, public health, and hospital administration, he was awarded the 2003 Most Outstanding Educator in the Philippines by the UP Medical Alumni Association last December, 2003.

He is now internationally recognized as the prime mover against unnecessary routine circumcision in the Philippines.

He deserves the Outstanding Professional Award in Medicine because of his WHOLISM and EXCELLENCE as a physician and because of his notable achievements in the field of medicine, particularly, problem-based learning in medicine, distance education in medicine and surgery, and advocacies for unnecessary operations and procedures, all of which are directed towards health development and improvement of the quality health care in the Philippines.

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

Name of Project:

Knowledge Management System

Category:

Human Resource Development

Descriptive Title:

Knowledge Management System of the Department of Surgery of Ospital ng Maynila Medical Center

Summary

Introduction

Knowledge management system (KMS) is a strategy to create a system of codifying, storing, sharing and transferring of knowledge to achieve an organization’s vision and mission and sustainable growth. This was the operational concept adopted by the Department of Surgery of Ospital ng Maynila Medical Center (OMMC Surgery) when it started to develop a KMS in 2001.

Objective

To establish a structured KMS in OMMC Surgery that will facilitate the development of surgical residents as a knowledge-based workforce.

Initiatives

1. To design and continually develop a structured KMS that will consist of an integrated internal communication, data/information management, and learning management system.

2. To develop an online KMS to complement the non-electronic KMS for reason of efficiency.

3. To evaluate the impact of the KMS on the performance of the surgical residents in terms of learning and that of the Department of terms of accomplishment of objectives.

Results

The internal communication system developed consisted of a departmental memo folder, department’s group email, department’s websites, business meetings, Tuesday and Thursday conferences, and bulletin board.

The data/information management system developed consisted of determining what data/information to collect; how to collect, codify, and store; and how to utilize them. The clinical practice guidelines and the performance reports were the main content of the Department’s data and information bank.

The learning management system consisted of the surgical curriculum as the blueprint with all teaching-learning activities being primarily implemented and monitored in the regular Tuesday and Thursday conferences, independent modular instructions, actual patient care, and online learning portfolio.

The online KMS was developed with the acquisition of computers and an LCD projector, computer literacy (word processing, powerpoint presentation, Internet access, emailing, and web page making) by of all residents, and logistics for Internet access.

A website (http://ommcsurgery.tripod.com) was established which served as a repository of information of the Department in mid-2001. By November, 2001, memos were being stored and disseminated through the department’s computers and compact discs.

In 2002, a department’s group email-website was established (ommcsurgery@yahoogroups.com and http://groups.yahoo.com/group/ommcsurgery) which was initially used to transmit and store memos and as a communication system. By 2003 onward, the e-group was being used for storing, sharing and transferring of data, information, and knowledge among the surgical residents. Specifically, the “Files” folder under the Yahoo! Groups and the Yahoo Briefcase (http://asia.briefcase.yahoo.com/ommcsurgery) were being used for storing of data and information in the Internet. The “Polls” facilities under Yahoo! Groups were being used to administer quizzes and get opinions. Answers in problem-based learning issues, medical anecdotal reports, researches, and other assignments were posted in the e-group and Yahoo Briefcase. More than ten other websites were created to post clinical practice guidelines, research outputs, and other important projects of the Department. In January, 2004, all residents started creating a web-based journal of their surgical training (http://rjoson-gsj.tripod.com)

The results of a formative evaluation done in 2004 showed that the KMS was 1) structured in the sense it had an evident integrated system of communication, data/information and learning management and 2) effectively and efficiently promoting storing, easy retrieval, sharing, and transferring of knowledge within the Department and among the surgical residents at the most minimized cost (through donors and use of free Internet facilities).

Evaluation was also done based how much knowledge the staff had acquired and its impact on organizational performance.

The tangible output in terms of surgical residents’ perspective consisted of full accreditation of the Department’s general surgery training program by the Philippine Society of General Surgeons from a suspension status in 2001; improved passing rate of residents in the Philippine Board of Surgery Resident-in-Training Examination from 53% in 2001 and 2002 to 75% to 2003; 100% passing rate of graduates in the Part I national certifying board examination in 2003 and 2004 as compared to the historical record on one passer every 5 years; 99% overall surgical residents’satisfaction index; 98% surgical residents’ satisfaction index on the training program; and 17 abstracts accepted for presentation in an international conference in health profession education in September, 2004.

The tangible quality patient care outcome consisted of a drop in the average number of clients’ complaints from 6 a year in 2001 to one a year in 2002 to present; acceptable mortality and morbidity rate at less than 5%; acceptable recovery rate at more than 90%; and more than 90% achievement of the annual performance targets since 2001 in terms of patient care.

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

NOMINEE: REYNALDO O. JOSON, MD

Executive Summary

2004

Since 1981, after his graduation from his surgical residency, Dr. Reynaldo O. Joson has been living a life reflective of that of Dr. Jose P. Rizal, a community-oriented physician, a medical educator, and a health researcher who constantly strived for excellence and quality services to his community, patients, and students in the Philippines.

As a community-oriented physician, he worked in government hospitals (Philippine General Hospital and Ospital ng Maynila Medical Center) to cater to the needs of the indigent Filipino patients. He conducted and facilitated educational training programs to physicians in government hospitals in Luzon, in the Visayas, and in Mindanao. He created a surgeon-to-surgeonless community program with a diploma in general surgery and health profession education. He promoted an innovative medical curriculum, specifically a community-based and problem-based learning curriculum in medical schools in Luzon (Bicol Christian College of Medicine), in the Visayas (Southwestern University College of Medicine), and in Mindanao (Zamboanga Medical School Foundation). He conducted researches that promoted cost-effective management for the Filipino patients and 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.

As a medical educator, he pioneered innovative medical education in the Philippines, specifically on problem-based learning and distance and online education in medicine and surgery. He has more than 20 educational websites in the Internet. He established and developed the first Head and Neck Surgical Oncology and Surgical Oncology Fellowship Programs in the Philippines. In the 2004 Asia-Pacific Conference on Problem-based Learning in Health Sciences held from September 22-24, 2004, he presented 19 papers that covered innovative teaching-learning activities, evaluation and educational management strategies. Last October 7, 2004, he received the 2004 Asia Hospital Management Award for his project in human resource development in the Department of Surgery of Ospital ng Maynila Medical Center, the first government hospital ever to win such an international award.

As a researcher, from 1976 to present, he has more than 90 scientific papers; more than 80 scientific books, primers, and course packs; 43 published papers with 4 international publications; and 14 research awards. He has been doing researches not only in clinical medicine, but also in hospital administration and health profession education. He pioneered action researches in medicine and health-process-evidence-based clinical practice guidelines in the Philippines to make researches and guidelines useful and relevant in solving the country’s health problems.

As a clinician, he has been an advocate of quality and holistic patient care. He has been the chairperson of the Quality Council of Manila Doctors Hospital since 1998. He pioneered patient support group in the Philippines through the Philippine Stoma Association in 1979 and the MDH-Cancer Crusaders Club in 1988 (the longest existing cancer support group in the Philippines).

As an administrator, he is pioneering balanced scorecard in hospitals and clinical departments in the Philippines. As chairperson of the Department of Surgery of the Ospital ng Maynila Medical Center, in 3 years’ time, he was able to transform a dying department into a model department of surgery in the Philippines, one with international recognition, as attested by the 17 educational papers presented in the 2004 Asia-Pacific Conference in Problem-based Learning and winning the 2004 Asia Hospital Management Award, the only Philippine hospital that won the prestigious award in 2004 and a city-government hospital at that.

Executive Summary

2005

Since 1981, after his graduation from his surgical residency, Dr. Reynaldo O. Joson has been living a life reflective of that of Dr. Jose P. Rizal, a community-oriented physician, a medical educator, and a health researcher who constantly strived for excellence and quality services to his community, patients, and students in the Philippines.

As a community-oriented physician, he worked in government hospitals (Philippine General Hospital and Ospital ng Maynila Medical Center) to cater to the needs of the indigent Filipino patients. He conducted and facilitated educational training programs to physicians in government hospitals in Luzon, in the Visayas, and in Mindanao. He created a surgeon-to-surgeon-less community program with a diploma in general surgery and health profession education. He promoted an innovative medical curriculum, specifically a community-based and problem-based learning curriculum in medical schools in Luzon (Bicol Christian College of Medicine), in the Visayas (Southwestern University College of Medicine), and in Mindanao (Zamboanga Medical School Foundation). He conducted researches that promoted cost-effective management for the Filipino patients and 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.

As a medical educator, he pioneered innovative medical education in the Philippines, specifically on problem-based learning and distance and online education in medicine and surgery. He has more than 20 educational websites in the Internet. He established and developed the first Head and Neck Surgical Oncology and Surgical Oncology Fellowship Programs in the Philippines. In the 2004 Asia-Pacific Conference on Problem-based Learning in Health Sciences held from September 22-24, 2004, he had 19 papers presented that covered innovative teaching-learning activities, evaluation and educational management strategies. On October 7, 2004, he received the 2004 Asian Hospital Management Award for his project in human resource development in the Department of Surgery of Ospital ng Maynila Medical Center, the first government hospital ever to win such an international award. On September 9, 2005, he will receive the 2005 Asian Corporate Social Responsibility (runner-up) Award for his project “Conducive Practice Program for Surgical Residents of the Department of Surgery of Ospital ng Maynila Medical Center.”

As a researcher, from 1976 to present, he has more than 90 scientific papers; more than 80 scientific books, primers, and course packs; 44 published papers with 4 international publications; and 16 research awards. He has been doing researches not only in clinical medicine, but also in hospital administration and health profession education. He pioneered action researches in medicine and health-process-evidence-based clinical practice guidelines in the Philippines to make researches and guidelines useful and relevant in solving the country’s health problems.

In 2004, he was one of the five finalists in the 14^th Dr. J. P. Rizal Memorial Awards for Academe and Research.

As a clinician, he has been an advocate of quality and holistic patient care. He has been the chairperson of the Quality Council of Manila Doctors Hospital since 1998. He pioneered patient support group in the Philippines through the Philippine Stoma Association in 1979 and the MDH-Cancer Crusaders Club in 1988 (the longest existing cancer support group in the Philippines).

As an administrator, he is pioneering balanced scorecard in hospitals and clinical departments in the Philippines. As chairperson of the Department of Surgery of the Ospital ng Maynila Medical Center, in 4 years’ time, he was able to transform it into a model department of surgery in the Philippines, one with international recognition, as attested by the 17 educational papers presented in the 2004 Asia-Pacific Conference in Problem-based Learning and winning the 2004 Asian Hospital Management Award and the 2005 Asian Corporate Social Responsibility Award. Under his stewardship, in February, 2005, the Department of Surgery of Ospital ng Maynila Medical Center got an Anvil Award for its wholistic social responsibility program.

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

Summary

A social responsibility program (SRP) is expected of the Department of Surgery of Ospital ng Maynila Medical Center (OMMC Surgery) as a result of its 2001 vision-mission-goal-objectives and core values statements. OMMC Surgery adopted World Health Organization (WHO) concept of social responsibility and evaluation framework of values.

All governance, service, training, and research activities of the Department were directed towards addressing the health concerns of the community, specifically, Manila, Metro Manila, and the Philippines as well as those of the surgical residents, its main workforce.

The program had seven specific projects, namely: Operasyon Pinoy (a daily in-house surgical mission for indigent Filipino patients with common surgical disorders); Public Health Education (advisories on how to prevent common and dangerous surgical disorders); Advocacies against Unnecessary Procedures and Operations (prevention of unnecessary pain, complications, and expenses); Cost-effective Patient Management (provision of quality health care with the least cost and burden); Health Profession Education (provision of quality education to surgical residents); Health Action Researches (conduct of useful researches with impact on quality patient care); and Conducive Practice (promotion of conducive working environment for surgical residents).

The seven projects can be categorized under two intentions: Healthy Urban Poor-Health for All Filipinos Program and Education for Health Development in the Philippines Program.

OMMC Surgery SRP simultaneously covers the needs of its external and internal clients and uses an integrative and collaborative strategy to ensure an effective and efficient achievement of its goal. Effecting reduction of patient and disease burden in the external clients will make the SRP for surgical residents easier to accomplish. Promoting healthy healers in the surgical residents will facilitate achievement of healthy Filipino citizenry in the SRP of external clients.

The tangible output in terms of surgical residents’ perspective consisted of full accreditation of the Department’s general surgery training program by the Philippine Society of General Surgeons from a suspension status in 2001; improved passing rate of residents in Philippine Board of Surgery Resident-in-Training Examination from 53% in 2001 and 2002 to 75% to 2003; 100% passing rate of graduates in Part I national certifying board examination in 2003 and 2004 as compared to the historical record on one passer every 5 years; 100% staff retention rate; only 2 out 15 residents with sick leave per year; 96% conducive practice index; 99% overall surgical residents’ satisfaction index; 98% surgical residents’ satisfaction index on training program; 17 abstracts presented in an international conference in health profession education; social responsibility orientation of residents as demonstrated in their active participation in the Department’s SRP; more than 90% achievement of annual performance targets since 2001; and most important of all, international recognition on human resource development through the 2004 Asian Hospital Management Awards given last October 7, 2004 in Bangkok, Thailand.

The tangible quality patient care outcome consisted of a drop in the average number of clients’ complaints from 6 a year in 2001 to one a year in 2002 to present; acceptable mortality and morbidity rate at less than 5%; acceptable recovery rate at more than 90%; reduction of sudden cancellation rate of elective operations from by 50%, from10% to 5%; reduction of unnecessary routine circumcision by 100%; unnecessary breast mass excision by 75% from 35% in 2001 to 15% in 2002 and to 7% in 2003; and normal appendectomy rate from 10% in 2002 to 1% in 2003; average number of patient’s hospital visits prior to operations from 6 to 2; and 50% reduction of average operative expenses per patient.

Evaluation showed the SRP satisfied the WHO framework of values, namely, relevance, quality, cost-effectiveness, and equity. Targeting the needs of its underprivileged clients and its workforce satisfied the relevance criterion. The comprehensiveness of the SRP and the quality of service, training, and research activities satisfied the quality criterion. The Cost-effective Patient Management Program and Operasyon Pinoy satisfied the cost-effectiveness and equity criteria respectively.

The initial difficulties consisted of absence of a published model of structured social responsibility program in a department of surgery that could be used as a guide; lack of social responsibility orientation and know-how of staff; and lack of logistics. These difficulties were overcome by a competent, resourceful, innovative, sincere and committed Department’s steward-educator, cooperative surgical staff and very productive donor development program. All the aforementioned factors together with the desire to create a model of SRP in a department of surgery served as motivations to nurture the program.

The SRP is ingrained into the system through the Department’s vision-mission statements, core values and its balanced scorecard. The seven projects have been continually intensified for the past 3 years and have already become regular activities of the Department. Everyday in OMMC Surgery is a social responsibility day.

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

Abstract

Surgical residents are certified physicians pursuing on-the-job training in a hospital setting to become specialists in surgery. They constitute the workforce of any Department of Surgery.

For the Department of Surgery of Ospital ng Maynila Medical Center (OMMC Surgery) to have a genuine social responsibility program (SRP), it must have a conducive working environment program for its surgical residents not only to facilitate achievement of its vision-mission but also to be socially responsive to the needs of its workforce.

In 2001, a conducive practice program (CPP) for surgical residents was set up under a new leadership in OMMC Surgery in the setting of a city-government hospital with a perennial problem of lack of resources. This program was being continually developed up to present and it consisted of four strategies, namely: personal welfare promotion; on-the-job training (OJT) facilitation; physical environment improvement; and lastly, motivation promotion schemes.

Initiatives under personal welfare promotion consisted of policies of 24-hour duty every 3 days rather than every other day; chief resident being allowed to go home rather than staying in the hospital for 365 days a year; mandatory 2-week rest and recreation leave per year; safe drinking water provision; no-smoking rule within the hospital premises; and a faculty-assisted time management program.

Initiatives under OJT facilitation consisted of clear and well-disseminated policies and procedures; structured and functional communication, information, and knowledge management system; structured general surgery curriculum; standardized clinical practice guidelines; faculty-assisted training programs, such as time management program, operations, and research; provision of surgical equipment, instruments, and supplies; and provision of volunteer parasurgical staff (clerk-secretary and nurses) to assist the residents.

Initiatives under physical environment improvement consisted of continual structural facilities improvement whenever feasible dictated by availability of funds in the emergency room, outpatient department, operating room, wards and residents’ quarters. A no-smoking rule was strictly enforced in compliance with the Philippines Clean Air Act.

Initiatives under motivation promotion schemes consisted of the three aforementioned initiatives. In addition, they consisted of a competent, servant, proactive, and trusted leadership; governance by participatory management and decision-making; innovative and efficient teaching-learning methods; acceptable amount of honorarium; and donor development fund that assisted in the service, training and research activities of the residents.

The tangible output in terms of surgical residents’ perspective consisted of full accreditation of the Department’s general surgery training program by the Philippine Society of General Surgeons from a suspension status in 2001; improved passing rate of residents in the Philippine Board of Surgery Resident-in-Training Examination from 53% in 2001 and 2002 to 75% to 2003; 100% passing rate of graduates in the Part I national certifying board examination in 2003 and 2004 as compared to the historical record on one passer every 5 years; 100% staff retention rate; only 2 out 15 residents with sick leave per year; 96% conducive practice index; 99% overall surgical residents’satisfaction index; and 98% surgical residents’ satisfaction index on the training program.

The tangible quality patient care outcome consisted of a drop in the average number of clients’ complaints from 6 a year in 2001 to one a year in 2002 to present; acceptable mortality and morbidity rate at less than 5%; acceptable recovery rate at more than 90%; and more than 90% achievement of the annual performance targets since 2001 in terms of patient care.

The initial difficulties consisted of changing an entrenched tradition of unstructured residents’ welfare program, absence of a social responsibility orientation of the previous administration, and lack of funds from the hospital administration and city government. A competent, servant, proactive, and trusted leadership was able to gradually overcome the difficulties and to institute the necessary changes towards a conducive working environment for surgical residents. All the aforementioned factors that led to the resolution of the difficulties also served as motivations to nurture the program. Another important motivation was the desire to create a model of SRP and a model of CPP in a department of surgery.

The CPP has been institutionalized by making it a part of the management strategic tool and a part of the Department’s balanced scorecard under the learning and growth perspective. The program will be sustained by teaching the faculty and residents on the why and how of such program in the development of any department of surgery. With a competent steward, a department with a genuine SRP incorporated in its vision-mission-core values should not find it hard to sustain this kind of a program. The OMMC Surgery’s CPP can serve as a model for other departments of surgery.

2006 Most Outstanding Teacher in Oncology – Philippine Society of Oncology

Dr. Reynaldo O. Joson deserves to receive the “Most Outstanding Oncologist Award” because of his outstanding achievements as a clinician, teacher, and research in the field of oncology.

I. As a clinician in the field of oncology

A. He established the first recorded cancer and ostomy support group in the Philippines when he formed the Philippine Stoma Association (PSA) in 1979 when he was still a resident in the Department of Surgery in the Philippine General Hospital. The PSA is a support group of patients with ostomies, commonly resulting from an operation for colorectal cancers. This support group became the forerunner of the present ostomy club in the PGH. Also, because of the PSA, enterostomal therapists were first established in the Philippines, also in 1979.

Evidences and References:

Problems of rehabilitation of Filipino stoma patients.

Joson RO; Gutierrez RR. J Enterostomal Ther 1983; 10(5):161-165.

Problems of rehabilitation of Filipino stoma patients.

Joson RO; Gutierrez RR. J Philipp Med Assoc 1985; 6(1):13-17.

http://stoma_mgt_phil.tripod.com

B. He established the Manila Doctors Hospital Cancer Crusaders Club (MDH CCC) in 1988, the longest running cancer support group in the Philippines. The members of the MDH CCC were tapped by the Philippine Cancer Society (PCS) in the early 90s to help establish the PCS cancer support group and other cancer support groups in the Philippines.

Evidences and References:

http://ca_crusaders_club.tripod.com

C. He established and maintained a Hospital Tumor Board in the Ospital ng Maynila Medical Center (OMMC) since 2002. It is a model hospital tumor board in the country because it has clear, definite, and specific direction, task prescription, and performance evaluation. It has a clear organizational primer; a practical cancer registry that is easy to accomplish; and useful innovative approaches such as unifying the concepts of different oncologists which often times contribute to slowing if not breakdown of tumor boards. Furthermore, through the Hospital Tumor Board, cancer pain management in OMMC became more structured.

Evidences and References:

Structuring a Hospital Tumor Board – OMMC Experience

Paper presented in 2004 in the Convention of Philippine Society of Medical Oncology and Philippine Society of Oncology

http://omtumorboard.tripod.com

D. He developed a structured cancer pain control program in the Department of Surgery of Ospital ng Maynila Medical Center since 2003.

Evidences and References:

Establishing a Structured Cancer Pain Control Program in a Tertiary Government Hospital - 3^rd place – Research Contest – Philippine Society of Medical Oncology - 2004

E. He treated countless of cancer patients, both private and charity, in the Philippine General Hospital, Ospital ng Maynila Medical Center, Medical Center Manila, Manila Doctors Hospital, and in his out of town surgical missions since 1976. Starting 2002, he conducted in-house surgical missions, dubbed as Operasyon Pinoy in Ospital ng Maynila Medical Center, which included Operasyon Bosyo at Kanser sa Suso. His cancer specialties included head and neck, thyroid, breast, gastrointestinal, and skin and soft tissue cancers.

Evidences and References:

See Publications

II. As a teacher in the field of oncology

A. He developed the first Head and Neck Surgical Oncology Fellowship Program in the Philippines in 1991 (still ongoing in the Philippine General Hospital).

B. He developed the first structured Surgical Oncology Fellowship Program in the Philippines in1995 (still ongoing in the Philippine General Hospital).

C. He has been a consultant of the Division of Surgical Oncology of the Department of Surgery at the Philippine General Hospital since 1985. He was chief of the Division from 1994 to 2000.

D. He has published more than 90 scientific papers - more than 80 scientific books / primers / course packs and more than 43 journal papers.

E. He received the following awards in recognition of his excellence as a teacher, physician, and researcher:

Hall of Fame Award, Surgery Consultant, Department of Surgery, PGH 1986

University of the Philippine Medical Alumni Society’s 2003 Outstanding Educator Awardee (December, 2003)

University of the Philippine Alumni Association’s 2004 Professional Awardee in Medicine (June, 2004)

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

Awardee, Lino Ed Lim Award for the Most Outstanding Medical Teacher in the Clinical Sciences, University of the Philippines College of Medicine, 2004-2005 (November 16, 2004)

Finalist, Dr. Jose P. Rizal Memorial Awards in Academe and Research, Philippine Medical Association (November 26, 2004)

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

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

Visit: http://reynaldojoson.tripod.com

III. As a researcher in the field of oncology

1. He has published more than 90 scientific papers - more than 80 scientific books / primers / course packs and more than 43 journal papers.

2. He has 14 research awards (1976 – present)

3. He has a total of 91 completed papers; 6 as secondary investigator; rest – as principal investigator

   1. He established the Multi-Center Cooperative Collaborative Action Research Study (MCCCARS) in 2002. Visit: http://mcccars.tripod.com

List of published papers:

*Bold letters – research in oncology

http://omsurg_research.tripod.com

2008 Centennial Professorial Chair - University of the Philippines Manila

Justification Why Dr. Reynaldo O. Joson Deserves the Special Recognition Awards in Medical Education (Centennial Professorial Award)

Dr. Reynaldo O. Joson of UPCM Class 1974 has excelled in MEDICAL EDUCATION and through his meritorious work has achieved national and international distinction. He was given the UP Medical Alumni Association Most Outstanding Medical Educator Award in 2003; the UP Alumni Association Professional Award in Medicine in 2004; and a Lino Ed Lim Award for the Most Outstanding Teacher in the Clinical Sciences by the UP College of Medicine in 2004. He was one of the five 2004 finalists in the Philippine Medical Association’s Dr. Jose P. Rizal Memorial Awards in Academe and Research. Internationally, he contributed 19 papers in medical education in the 4^th Asia-Pacific Conference on Problem-based Learning in Health Sciences in 2004. Lastly, he won a 2004 Asian Hospital Management Award in the Human Resource Category with his project entitled, Knowledge Management System in the Department of Surgery of Ospital ng Maynila Medical Center.

Since 1981, after his graduation from his surgical residency in the Philippine General Hospital, Dr. Joson has been living a life reflective of a community-oriented physician, a medical educator, and a health researcher who constantly strived for excellence and quality services to his community, patients, and students in the Philippines.

As a community-oriented physician, he worked in government hospitals (Philippine General Hospital and Ospital ng Maynila Medical Center) to cater to the needs of the indigent Filipino patients. He conducted and facilitated educational training programs to physicians in government hospitals in Luzon, in the Visayas, and in Mindanao. He created a surgeon-to-surgeonless community program with a diploma in general surgery and health profession education. He promoted an innovative medical curriculum, specifically a community-based and problem-based learning curriculum in medical schools in Luzon (Bicol Christian College of Medicine), in the Visayas (Southwestern University College of Medicine), and in Mindanao (Zamboanga Medical School Foundation). He conducted researches that promoted cost-effective management for the Filipino patients and 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.

As a medical educator, he pioneered innovative medical education in the Philippines, specifically on problem-based learning and distance and online education in medicine and surgery. He has more than 20 educational websites in the Internet. He established and developed the first Head and Neck Surgical Oncology and Surgical Oncology Fellowship Programs in the Philippines. In the 2004 Asia-Pacific Conference on Problem-based Learning in Health Sciences held from September 22-24, 2004, he presented 19 papers that covered innovative teaching-learning activities, evaluation and educational management strategies. In October 7, 2004, he received the 2004 Asian Hospital Management Award in Bangkok, Thailand for his project in human resource development in the Department of Surgery of Ospital ng Maynila Medical Center, the first government hospital ever to win such an international award.

As a researcher, from 1976 to present (2004), he has more than 100 scientific papers; more than 80 scientific books, primers, and course packs; 45 published papers with 4 international publications; and 14 research awards. He has been doing researches not only in clinical medicine, but also in hospital administration and health profession education. He pioneered action researches in medicine and health-process-evidence-based clinical practice guidelines in the Philippines to make researches and guidelines useful and relevant in solving the country’s health problems.

As a clinician, he has been an advocate of quality and holistic patient care. He has been the chairperson of the Quality Council of Manila Doctors Hospital since 1998. He pioneered patient support group in the Philippines through the Philippine Stoma Association in 1979 and the MDH-Cancer Crusaders Club in 1988 (the longest existing cancer support group in the Philippines).

As an administrator, he is pioneering balanced scorecard in hospitals and clinical departments in the Philippines. As chairperson of the Department of Surgery of the Ospital ng Maynila Medical Center, in 4 years’ time (2001 to 2004), he was able to transform a deteriorating department into a model department of surgery in the Philippines, one with international recognition, as attested by the 17 educational papers presented in the 2004 Asia-Pacific Conference in Problem-based Learning and winning the 2004 Asian Hospital Management Award, the only Philippine hospital that won the prestigious award in 2004 and a city-government hospital at that.

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

Justifications

In the letter of announcement by the UPAA Awarding Committee to me, it says: “We are immensely proud of U.P. alumni like you and are bestowing this award in recognition of your leadership, achievements and contributions in your field of endeavor. All these have benefited not only yourself and your profession, but also the University and the community you have chosen to serve.”

What I have projected in my brief curriculum vitae for presentation during the awarding is a 5-star physician (a physician; a physician-teacher; a physician-researcher; a physician-manager; and a physician-community-health problem-solver).

Honors Given to ROJoson for his Contribution to Zamboanga Medical School Foundation (ZMSF) now Ateneo de Zamboanga University School of Medicine (ADZU-SOM) - 2019

Invited Keynote Speaker, 25^th Anniversary, 2019

Zamboanga Medical School Foundation (ZMSF) now Ateneo de Zamboanga University School of Medicine (ADZU-SOM)

Feedback of Dean Fortunato Cristobal on the 25^th 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 School 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 year+. 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."

· In 1994, ROJoson HELPED established and developed ZMSF / ADZU-SOM; still in existence as of 2019 (25 years now).

· ROJoson HELPED design the innovative medical curriculum – problem-based, competency-based, community-based in 1993.

· 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.

· 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.

2019 Distinguished Alumnus Award - University of the Philippines Medical Alumni Society

Summary of Nomination

Dr. Reynaldo Joson is a distinguished 5-star physician graduate of UPCM who can serve as role model for both graduates and undergraduates. He has been previously recognized by UPMAS as Outstanding Educator in 2003; by UPAA as Professional Awardee in Medicine in 2004; and by UP Manila as recipient of Centennial Professorial Chair in 2008. Even after his mandatory retirement from government service in 2014 and up to now, at age 70, he has continued to enhance his competencies as an educator, surgical specialist, researcher, manager and community health problem solver. He has continued to have exceptional, innovative and pioneering achievements in medical-surgical education; patient-centered care management; community service through outreach medical-surgical education; health action research; hospital administration and quality management system; and hospital disaster preparedness program. Over the years, he has expanded his reach to potential beneficiaries of his advocacies through use of blended learning, a combination of face-to-face and online learning. He has maximally utilized blogs and social media for this outreach educational program to his students and the public. He is now strengthening his advocacies in patient-centered care management, cost-effective treatment and intentional-living projects to contribute to the recently enacted universal health care program in the Philippines.

ROJ@19nov15