RESEARCH AND SCHOLARLY WORKS

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: (See supporting documents for details.)

ROJoson's Health Action Research

Most of ROJoson's 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

ROJoson advocated health action researches (Health Action Research Project) in the Department of Surgery of Ospital ng Maynila Medical Center from 2001 to 2009 when he was Chairperson of the said Department.

Links: http://omsurg_research.tripod.com/; http://reynaldojoson.tripod.com/researches_unpublished03_04.htm

The Health Action Research Project was part of OMMC Surgery Social Responsibility Program which satisfied the WHO framework of values, namely, relevance, quality, cost-effectiveness, and equity.

Relevance – Solving situational health problems in the Department through research contributes to relevance of the project. With relevance, the output of the project benefits the patient-clients of the Department in terms of provision of improved health care. With relevance too, the project makes the surgical residents more motivated to do such kind of clinical medical researches and it facilitates formation of effective and efficient surgeon-researchers. The same reasonings and justifications for relevance go for the Multi-center Cooperative and Collaborative Action Research Study (MCCCARS) project of OMMC Surgery.

Quality - The Health Action Research Project improves patient care. Thus, quality service is being promoted. It also improves the teaching method on research to surgical residents. Thus, quality training in research is being promoted.

Cost-effectiveness – The Health Action Research Project promotes cost-effectiveness in patient care. It also promotes cost-effectiveness in teaching research to surgical residents, in terms of more research outputs and meaningful and useful at that in consideration of logistical constraints, compared to when traditional clinical medical researches will be emphasized.

Equity –Action researches, being situational, solve the health problems of the underprivileged and indigent patient-clients of the Department in the most effective and efficient way possible thereby still producing quality health care. They also solve the health educational problems of a scarcely funded health institution and still produce effective educational methods of research.

A paper entitled “Development of an Action Research Program in a Department of Surgery in the Philippines” was presented in the 4^th Asia-Pacific Conference on Problem-based Learning in Health Sciences in 2004 with the following abstract:

Abstract

In the Philippines, action research is practically unheard of in the field of clinical medicine. This paper reports on the development of an action research program in the Department of Surgery of Ospital ng Maynila Medical Center. With the guidance of the Chairman of the Department and a research grant from the North Texas Association of Philippine Physicians, 4 action research papers were produced in 2003 by 16 residents and 16 papers by 16 residents in the following year. The action research program has produced tangible changes in patient care such as 1) use of selective preoperative screening leading to reduction of unnecessary laboratory examinations, reduction of average number of preoperative patient visits from 6 to 2 and preoperative medical expenses by 50%; 2) reduction of discrepancy in clinical and pathological tumor and nodal evaluation in breast cancer patients thereby improving accuracy of the pretreatment cancer staging; 3) reduction of incidence of sudden cancellation in elective operations from 10% to 5% thereby avoiding patient anxiety; 4) reduction of unnecessary appendectomy from 10% to less than 5%; 5) reduction of unnecessary fibrocystic breast excisions in young women from 35% to 7%; and 6) reduction of incidence of surgical wound infections in appendiceal and colorectal surgery. With the residents doing one small scale action research per year and with the motivating effect of relevance and tangible outcome of such kind of research, the authors are confident that the residents will imbibe the habit of doing high impact medical researches.

https://rojosonommcsurgeryfilesandnotes.wordpress.com/2018/03/29/development-of-an-action-research-program-in-a-department-of-surgery-in-the-philippines-2/

Below is a sample of action researches made by the OMMC Surgery which have impact on improving patient care, governance system, and educational and training system of OMMC Surgery.

ROJoson established the Multi-center Cooperative and Collaborative Action Research Study (MCCCARS) among surgeons in different parts of the country in 2004. [Link: http://mcccars.tripod.com]

A 2004 report on MCCCAR shows the following:

As of October, 2002, 17 surgeons subscribed to the e-group of the MCCCARS and these surgeons were affiliated with 8 different centers distributed over Metro Manila, other parts of Luzon, the Visayas, and Mindanao (Ospital ng Maynila Medical Center; Philippine General Hospital; Manila Doctors Hospital; Zamboanga City Medical Center; Davao Regional Hospital; Visayas Community Medical Center, Batangas Regional Hospital; Region 1 Medical Center)

As of December, 2003, about 70 surgeons are now subscribed to the egroup of the MCCCARS

An e-group (mcccars@yahoogroups.com) and a website (http://mcccars.tripod.com) were set-up to facilitate communication among members of MCCCARS.

The multi-center cooperative and collaborative action research studies have been producing the following impact:

1. Utility (problem-solving and improvement in patient care) not only in one institution but also in multiple institutions and simultaneous at that

2. Learning of research methodology by participants in the process of cooperating and collaborating

3. Motivation to do research in the process of cooperating and collaborating

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

See Supporting Documents and Links for details of the following:

Author- Scientific Papers (aside from published papers > 100; Scientific Books/Primers/Course Packs > 80 (Last updating: December 2012] –

https://sites.google.com/site/rojosonwritings/

https://sites.google.com/site/rojosonwritings2/home

https://sites.google.com/site/rojosonwebsites/scribd-publications---rojoson

https://www.scribd.com/user/234369296/rojoson

https://www.facebook.com/pg/Reynaldo-O-Joson-838073943009332/photos/?ref=page_internal

Notable Books:

· Basic Introduction to the Operation [https://www.facebook.com/pg/ROJosonMedicalClinic/photos/?tab=album&album_id=1447198831967828]

· Manual for Surgical Interns [https://www.facebook.com/pg/ROJosonMedicalClinic/photos/?tab=album&album_id=684856764868709]

· Nurses as Members of the Surgical Team [https://www.scribd.com/document/195193688/Nurses-as-Members-of-the-Surgical-Team]

· Thyroid Surgical Diseases [https://www.facebook.com/pg/Reynaldo-O-Joson-838073943009332/photos/?tab=album&album_id=1049005138582877]

· Neck Dissection [https://www.facebook.com/pg/ROJosonMedicalClinic/photos/?tab=album&album_id=1133520720002309]

· Medical Anecdotal Reports

[https://www.scribd.com/document/251392007/Medical-Anecdotal-Reports-Volume-1]

[https://www.scribd.com/document/251391679/Medical-Anecdotal-Reports-Volume-2]

Online Publications

Websites (as of August 16, 2019) – TOTAL = 323

https://sites.google.com/site/rojosonwebsites

· ROJoson Wordpress.com Sites (as of August 16, 2019) – TOTAL = 58

· https://sites.google.com/site/rojosonwebsites/rojoson-wordpresscom-sites

· ROJoson Google Sites (as of August 16, 2019) – TOTAL = 229 (Majority are instructional modules in medical education and hospital administration)

· https://sites.google.com/site/rojosonwebsites/rojoson-google-sites

· ROJoson Tripod Sites (as of August 16, 2019) – TOTAL = 36

· https://sites.google.com/site/rojosonwebsites/websites-from-1990-to-2008

Slideshare (August 25, 2013 – August 16, 2019) – TOTAL = 107

https://sites.google.com/site/rojosonwebsites/slideshare-publications---rojoson

http://www.slideshare.net/rjoson

Scribd (August 25, 2013 – August 16, 2019) – TOTAL = 56

https://sites.google.com/site/rojosonwebsites/scribd-publications---rojoson

https://www.scribd.com/user/234369296/rojoson

YouTube (July 21, 2013 – August 16, 2019) – TOTAL = 161

https://sites.google.com/site/rojosonwebsites/youtube-publications---rojoson

https://www.youtube.com/channel/UCs6aacnC45DPPOvfN9Vpilw

Facebook (June 16, 2011 – August 16, 2019) – TOTAL = 2 Timelines, 1 Group for Patients and 10 Pages.

Aside from the blogs and other websites, Facebook is currently my main vehicle for my Education for Health Development in the Philippines Program and for my advocacy programs.

Timeline1 - https://www.facebook.com/rjoson2001 (maximum quota of 5000 friends reached as of May 2017 and with more than 800 followers as of August 16, 2019)

Timeline 2 - https://www.facebook.com/reynaldo.ojoson.73 (>500 friends as of August 16, 2019)

Group for Patients (>800 members as of August 16, 2019)

Speaking Engagement / Lectures / Talks from 1976 to 2018 – TOTAL = more than 300

See Supporting Documents and Links for details.

Speaking Engagements

http://rojosonfacebooknotes.wordpress.com/category/lectures-of-rojoson-project (2012 – 2018)

http://rojosonspeakingengagements1982onwards.wordpress.com

https://sites.google.com/site/rojosonwebsites/rojoson-s-speaking-engagements-1976-onwards

ROJoson’s Advocacies with Online Sites (Partial List) - See Supporting Documents and links for details.

· 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 Research and Publications (https://sites.google.com/site/rojosonpmadjprma2020/research-and-publications)
  - ROJoson's Health Action Research (https://sites.google.com/site/rojosonpmadjprma2020/health-action-research)

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/]

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

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

· 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/]

ROJ@19nov17

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