Distinguished Researcher

DISTINGUISHED RESEARCHER AND CREATIVE CREATOR IN SCIENCE, TECHNOLOGY, NATIONAL DEVELOPMENT POLICIES AND COMMUNITY PROGRAMS

ROJoson has distinguished himself 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

Please see also the following for more information on ROJoson as a distinguished researcher and creative creator:

· Essay – Health Action Research

· Supporting Documents – RESEARCH AND PUBLICATIONS JOSON REYNALDO

The research life of Dr. Reynaldo Joson began in 1976 during his surgery residency training at the Philippine General Hospital. During his 5 years of training (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, as a consultant, he continued to conduct researches not only in surgery but also in medical education, hospital administration, and health social sciences.

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).

Aside from doing traditional medical researches, he has been doing health action researches and writing scientific papers, books, primers, and course packs or modules. To his credit, as of 2019, he has at least 100 scientific papers (aside from published papers) and at least 80 scientific books, primers, and course packs or modules. With this amount of output, ROJoson can truly be considered as a role model of a physician-researcher.

Notable among his research achievements are the following: 1) holistic physician-researcher in that he is a clinician, community-health-problem-solver, teacher-learner, administrator and researcher rolled into one person and that he has been conducting researches not only in clinical medicine but also in health profession education and hospital administration; 2) Pioneering health action researches in the Philippines so as to produce more relevant and useful researches that have impact on health development. He established the Multi-center Cooperative and Collaborative Action Research Study group in 2001 to solve the health problems in the country through distance education and action research participated by various departments of surgery and surgeons in the country; 3) Pioneering health-process-evidence-based clinical practice guidelines to make the conventional evidence-based clinical practice guidelines more relevant and useful in the Philippines; 4) Successful development of a system to promote research among his surgical staff in the Department of Surgery of Ospital ng Maynila Medical Center producing at least 50 researches with 7 publications and 9 research awards in a span of 3 years; 5) Successful development of a system to widely disseminate his research findings through the trimedia, medical journals, and Internet so as to make them useful for health development in the country.

Because of his research and writing track records, he has been appointed as an editorial consultant of the Philippine Journal of Surgical Specialties (long before 2005 to circa 2010) and of the UP Manila Journal (long before 2005 to circa 2012).

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

AS RESEARCHER IN MEDICAL / SURGICAL EDUCATION

AS AN ACTION RESEARCHER

See write-up in Essay – Health Action Research.

Here are some excerpts from the write-up.

ROJoson uses action researches for medical, surgical, hospital administration, educational researches and community health problems from 1976 to 2019.

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 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.

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 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.

A paper entitled “Development of an Action Research Program in a Department of Surgery in the Philippines” was presented in the 4th 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:

All researches have impact on improving patient care, governance system, and educational and training system of OMMC Surgery.

Below is a list of some titles of completed action research papers from which the types of improvement can be appreciated:

ROJoson used action researches in the formulation of health-process-evidence-based clinical practice guidelines for relevance, quality, cost-effectiveness, and equity. The following paper was presented in the 4th Asia-Pacific Conference on Problem-based Learning in Health Sciences in 2004 with the following abstract:

DEVELOPMENT OF A HEALTH-PROCESS-EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES MODEL IN A CLINICAL DEPARTMENT IN THE PHILIPPINES

https://rojosonommcsurgeryfilesandnotes.wordpress.com/2015/08/24/development-of-a-health-process-evidence-based-clinical-practice-guidelines-model-in-a-clinical-department-in-the-philippines/

When formulating conventional evidence-based clinical practice guidelines in medicine, there are two problems commonly encountered in developing countries such as the Philippines. One problem is the insufficiency of data-evidences, particularly those from the community. The other problem is the non-applicability of existing evidence-based guidelines in the literature primarily because of cost and availability reasons. This paper reports on the development of a health-process-evidence-based clinical practice guidelines (HPE-CPG) model in the Department of Surgery of Ospital ng Maynila Medical Center which was primarily designed to facilitate formulation and utility of the guidelines. The basic methodology of generating evidence-based guidelines was used – clinical question formulation, literature search for evidence, analysis of evidences, formulation of answers to questions posed, group deliberation, testing, refinement, and institutionalization. This was the basis for the tag of “evidence-based”. In the formulation of answers and deliberation phase, the World Health Organization concept of health and primary health care approach (basis for the “health-based”) and the conventional patient management processes (basis for the “process-based”) were utilized, one, to help make decisions where there were no existing evidences or just soft evidences and two, to ensure utility of the guidelines. The formulated guidelines were evaluated using effectiveness, efficiency and utility as general parameters and standards set by the Department as specific parameters. The Department has formulated HPE-CPGs on thyroid disorders, breast disorders, appendicitis, hernias, and other clinical conditions since 2002. The outcome has been facilitation of patient management by resident staff and achievement of department targets for improved patient care.

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]

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

ROJoson has pioneered the following in the Philippines:

· Telehealth, telemedicine and distance education in medicine

· Online Collaborative and Interactive Learning (OCIL)

· Debate in teaching surgery

· Narrative medicine (Medical Anecdotal Reports)

· Support groups for stoma patients and cancer patients (Philippine Stoma Association and MDH Cancer Crusaders Club)

· Enterostomal therapist

· Cancer Survivor Registry

ROJoson has also pioneered the following in medical - surgical education as reflected in the 19 papers he spearheaded in the 4th Asia-Pacific Conference on Problem-based Learning in Health Sciences in 2004:

Link: https://rojosonommcsurgeryfilesandnotes.wordpress.com/2018/03/29/ommc-surgery-participation-in-4th-asia-pacific-conference-on-problem-based-learning-in-health-sciences-in-2004-papers/

Below are samples of books, primers, self-instructional programs and webpages that ROJoson has created:

ROJ@19sept28