EDIT ORIAL

EDITORIAL

Maria Concepcion C. Vesagas, MD, FPCS

Editor-in-Chief

George G. Lim, MD, FPCS

Regent-in-Charge
KINDLING
Marwin Emerson V. Matic, MD, FPCS
Jose S. Pujalte Jr., MD, FPCS
Marcus Jose B. Brillantes, MD, FPCS Maria Concepcion C. Vesagas, MD, FPCS
Editorial Staff

Jemme O. Dioquito
Nelson P. Cayno
Production Staff
I t is well known among doctors how long and arduous the road to
surgical specialization is. Each journey starts in basic education, into
higher learning, then into tertiary education for the medical degree. Training
Incisions, the PCS newsletter, is a biennial
publication of the Philippine College of Surgeons, goes further and lasts for a minimum of 5 years. (Some go the distance and
992 EDSA, Quezon City 1005, Tel. No. 928-1083.
Comments and feedback indicating the writer's full pursue a second degree or specialization.) After obtaining that coveted certifi-
name, address, contact numbers and e-address are cate of expertise, one goes into surgery as a livelihood with a sense of fulfill-
welcome. Letters to the editor may be edited for
reasons of clarity and space. E-mail to
ment.
[email protected]
It should not be, though.
Our Cover
"Resting" by Dr. Antonio G. Vasquez Jr., Grand One should not view oneself as “full” upon accomplishment of surgical
Price winner and Fellow's Choice award for the
9th Photo Contest 2013 with the theme training. If such perspective takes over, then, there will be no room for im-
"Serenity" provement. Rather, there is a fire in each one that needs to keep burning, a
flame that needs to be fed. Learning provides that fuel that keeps the flame alit.

In This Issue What a pupil learned 10 years ago is at best historical, and in some cases
obsolete. Though it is true that human gross anatomy by which a surgical
career is hinged upon has not changed over centuries, the concepts by which
9 Assuring the Quality
of the Filipino Surgeon
disease is produced, understood and battled against have. A surgeon’s work is
largely based on body structures and organs, and comprehending the hows and
14 Surgeons are Human
Beings After All
whys of treatment of maladies “arms” the surgical practitioner, so to speak.
Today, disease is fought on the molecular levels, a scrutiny into how the human
16 Breast Fellow Scholars Speak body works in the infinitesimal front. Pathogens are analyzed by way of their
lipopolysaccharide coats, transcription patterns, RNA signatures, etc. Thera-
pies are directed towards genes; medications target receptors on cell membrane
Regulars surfaces.
2 EDITORIAL
A surgeon’s education is never complete, even with all the years one has
3 FROM THE PRESIDENT
completed. A surgical career is truly a life dedicated not just to service but to
4 ACROSS THE BOARD learning as well. Keeping abreast with trends, current concepts, fresh technol-
ogy assists one in becoming better surgeons for our patients, residents and stu-
17 CHAPTER NEWS
• Central Luzon / Cordillera dents as well. And fulfillment takes over when one has ignited the flames in
• Negros Occidental others, too. One can hope that the students and residents the surgeon teaches
• Northern Mindanao / Panay will be better than him. Only then can one really say that he is fulfilled.
• North Eastern Luzon/
Southern Tagalog So rest not on your laurels, dear surgeons. Science is not static, it is ever
• Metro Manila changing, it is ever surprising.

22 SOCIETY NEWS
• AFN / PALES You will be amazed at how much research has uncovered.
• PUA / AWSP
Socrates said it best. “Education is the kindling of a flame, not the filling of
24 COMMITTEES a vessel.”

2 INCISIONS
A good part of the first 3 months of the year 2014
has been spent going around inducting the incoming
FROM
officers of the different chapters of the College. After the
induction ceremonies, a dialogue with the chapter offic- THE
ers and fellows is held to discuss various concerns and
problems encountered. A few years back the practice of
the PCS President in going to the different chapters for PRESIDENT
the induction of the incoming officers was stopped for
several years because it was deemed unnecessary consid- Jesus V. Valencia, MD, MHPEd, FPCS
ering that the incoming chapter President should have
been inducted during the PCS Annual Convention in
December; not to mention the significant expense/cost
incurred by the College to defray the transportation cost ated by LGU's like Mayors, Governors etc. To address
for the PCS President and/or Vice-President to visit the these concerns, PCS will try to work out a MOA with
different chapters. The trip can also be very physically LGU's so that our Fellows can be involved early on from
exhausting, sometimes taking as long as 10-12 hours of the screening up to postoperative stage. I am also enjoin-
travel by land in those chapters not accessible by plane. ing our Fellows, in the spirit of our social responsibility
The practice was resumed, however, because of insistent mission, to get themselves actively involved in these mis-
requests from the different chapters and also because of sions if the opportunity arises rather than wait for post-
the added benefit of providing the opportunity to dia- operative complications to be inherited later on.
logue with the fellows of the different chapters to discuss
their problems and concerns. The third common concern voiced by our chapters
is how to elicit active participation of the Fellows in their
After having gone practically to all the chapters, there chapter activities. Many of the chapters suggest empow-
seems to be common ground in most of their concerns. ering them to issue certificates of good standing to their
First is regarding our MOA with AMOPI. A lot of our Fellows so that in effect they will be encouraged to at-
Fellows from the different chapters are disgruntled after tend and actively participate in their respective chapter
encountering a lot of difficulties attending to their pa- meetings/activities. The College will try to come up with
tients covered by the HMO's under the AMOPI umbrella. a common set of requirements/parameters for the issu-
In particular, they complain that a lot of times the coor- ance of this certificate of good standing after reviewing
dinators get involved as the attending Surgeons of their all the suggestions/recommendations from the different
cases. As an offshoot of this dialogue it was agreed that chapters.
it would be best if we can coordinate or forge a MOA
with the officers/leaders of private hospital associations The newly inducted chapter officers were likewise
so that this problem with the HMO coordinators can be reminded of the four basic values which serve as admin-
addressed. I also advised our Fellows to document this istrative cornerstones of the current PCS Board of Re-
problem and concerns regarding the AMOPI agreement gents in handling the affairs of the College which should
so that we can discuss them in the Grievance Commit- be cascaded to the different chapters as well. These in-
tee. So the consensus is that after all that has been said clude Professionalism, Patient Safety, Social Responsi-
and done it is still perhaps to the best interest of our bility and Sound Fiscal Management: Professionalism,
Fellows if we continue with our existing MOA with to prove by role modeling that we are Surgeons doing
AMOPI. the right thing; optimum Patient Safety to prove that we
are Surgeons doing the right thing right; Social Respon-
Another concern frequently brought up in most chap- sibility to render service and link up with those who need
ter dialogues are the perennial problems encountered with us most at the time we are most needed; and Fiscal disci-
foreign medical/surgical missions or what we label as pline so that we can be a financially sustainable medical
itinerant surgeries done in different parts of the country. organization capable of achieving what we swore to do
Although there are existing guidelines, they are not usu- - serve God and country by serving the best interest of
ally followed, especially when these missions are initi- our brethren.

INCISIONS 3
 ACROSS
THE
BOARD
George G. Lim, MD, FPCS, FPSGS, FPSCRS, FPALES

Greetings to all our Fellows!

As your new Board Secretary, I am now tasked to relay to you what transpired during our regular Board
meetings. I will try to make it as brief as possible but not in a way that our Fellows will get the impression that
our meetings were as brief. Ordinarily, we stay from 1200 NN to about 600 PM; each issue is taken up and
discussed comprehensively, with decisions made collectively.

1st BOARD OF REGENTS MEETING

January 25, 2014 (Saturday); 12:00 Noon

2014 Budget
The Board APPROVED using the 2013 Budget and a supplemental budget for 2014. The supplemental
budget will be presented for the Fellows' approval during the Midyear Convention Business Meeting in
May.

Membership Information System

The Board approved pursuing the project with Mr. Jose Ronelle Bartolome with Dr. George G. Lim as the
point person. Dr. Lim shall also oversee the training of the staff and he was given three (3) months to
make the program operational.

Real Estate Investment

As suggested during the Business Meeting at the PCS Midyear Convention in Naga City last year, the
Committee on Finance has been tasked to re-study the viability of purchasing a lot for investment purposes.

Fund Raising for Typhoon Yolanda Victims

The College was able to raise the following amount:
Donations (from Fellows, Guests, Chapters) Php 119,057.00
ACS Employees & Staff (deposited through PCSF) 136,000.00
Savings from Fellowship Night 500,000.00
Total: Php 755,057.00

The Board will disburse this to the affected Chapters depending on their rehabilitation needs at present.

The PCS Southern Tagalog Chapter has donated the amount of Php20,000 to the victims of the recent
earthquake and Typhoon Yolanda.

Financial Assistance for 16 Fellows affected by Typhoon Yolanda

Sixteen PCS Fellows severely affected by Typhoon Yolanda requested for some financial assistance.
With the approval of the Executive Committee, each of them were given Php20,000 assistance, such
amount to be deducted from the total collection.

4 INCISIONS
Academy of Medicine of the Philippines (AMP)
The following PCS Committee Chairs were nominated as members of the Joint Committees representing
the College:
Membership - Dr. Alejandro C. Dizon
Certification & Accreditation - Dr. Eduardo R. Gatchalian
Surgical Training - Dr. Orlando O. Ocampo
CSE - Dr. Napoleon B. Alcedo, Jr.

Treasurer's Report
Summary of Cash Transactions for November and December 2013
Nov. Dec. TOTAL
Income/Receipts 3,612,086.67 6,806,959.78 10,419,046.45
Expenses 3,963,837.88 2,700,678.56 6,664,516.44

Add: $6,708 dollar disbursement (Php value) 292,944.50

Total Expenses per books 6,957,460.94
Disbursements 5,958,726.91
Outstanding Checks 998,734.03
Cash Balance (10,419,046.45 - 5,958,726.91) 4,460,319.54
Add/(Less): unrealized gain (loss) (1,091,239.67)
Increase (Decrease) in Cash Value 3,369,079.87

Investments and Cash in Bank (as of December 31, 2013)

Short-term Php 5,731,510.10
Long-term 77,673,695.82
TOTAL Php 83,405,205.92
Cash in Bank 21,545,432.19
GRAND TOTAL Php 104,950,638.11

Proposed 2014 Committee Membership

The Board approved the Committee memberships for this year.

40th PCS Midyear Convention

The Board approved the proposed scientific program, speakers, and session chairs for the 40th PCS Midyear
Convention on May 9-10, 2014 in Davao City with the theme: "Bridging Gaps and Breaking Barriers in
Surgical Oncology".

2nd BOARD OF REGENTS MEETING

March 1, 2014 (Saturday); 12:00 Noon

PCS Amendments
The Committee will restudy amending our By-laws including the timetable for this.

Philippine Medical Association

A series of meetings have been scheduled to resolve the issue of affiliate societies in contrast to specialty
societies in order to prevent members of these affiliate societies from being mistaken or misrepresenting
themselves as certified specialists.

INCISIONS 5
Treasurer's Report
Summary of Cash Transactions
Beginning Balance
Long Term Investment Php 72,492,049.60 (69%)
Short Term Investment 2,628,167.29 (3%)
Dollar Account 10,079,280.92 (10%)
Cash in Bank 19,801,181.37 (19%)
Php 105,000,679.18
Receipts 1,963,638.05
TOTAL Php 106,964,317.23
Disbursements Php 808,416.35
Outstanding checks 1,208,600.14
TOTAL Cash Outflow 2,017,016.49
TOTAL 104,947,300.74
Add: Unrealized Gain (Loss) (363,782.38)
Balance-Jan. 31, 2014 Php 104,583,518.36

Employees Retirement Pension Plan

The Board approved getting the services of a financial analyst to study the Retirement Plan and Fellows
Assistance Plan.

70th Annual Clinical Congress

The Board reviewed the proposed scientific program and invited speakers for the Congress on November
30-December 3, 2014 at the EDSA Shangri-La Hotel with the theme: Technology and the Changing
Practice of Surgery.

Trauma: Advocacy on Road Safety

The Board approved launching the Road Safety advocacy as a pre-Midyear Convention activity by
distributing car stickers for free to Fellows of the College.

Critical Care and Surgical Nutrition

The Board approved conducting a P.O.I.N.T.S. (Problem-Oriented ICU and Nutrition Training for Surgeons)
Workshop with 4-6 modules illustrating cases for discussion on common clinical problems interspersed
with slides indicating current recommendations or guidelines for the diagnosis and management of these
problems.

Alternative non-FDA approved Cancer Treatments

The Board approved issuing a Position Statement regarding alternative non-FDA approved cancer
treatments, the contents of which shall be evidence-based. The Committee on Cancer shall prepare a
draft and present this to the Board.

Cancer Awareness Video-Making Contest (Inter-Chapter contest)

The Board approved conducting a Video-Making Contest to highlight the College's role in cancer awareness
and prevention.

Cancer Bulletin
The Board approved the inclusion of the Cancer Bulletin in our PCS website.

Surgical Infections
The Board approved to disseminate the Poster on Needlestick Injuries and to disseminate the IDSA
Guidelines and 2013 Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery.
6 INCISIONS
Surgical Research
The Board approved pursuing the Course on "Critical Appraisal" offered to Fellows, residents, accredited
training programs, Chapters, and specialty societies. An initial workshop will be conducted on June 21,
2014.

EBCPG on Acute & Chronic Wound Care

The Board approved in principle the formulation of Evidence-Based Clinical Practice Guidelines on
Acute & Chronic Wound Care.

Annual PCS Surgical Research Contest (Champion of Champions)

The Board approved the conduct of Annual PCS Surgical Research Contest during the PCS Annual
ClinicaL Congress.

Surgical Manpower Study

The Board approved updating the Surgical Manpower Study and the 2008 Core Curriculum on
Professionalism, by the Committee on Surgical Training. In coordination with the Committee on Ethics
& Judicial Matters, they shall also conduct a Workshop in preparation for the publication of the Handbook
on Good Surgical Practice.

Publications & Documentation

The Board approved the publication of three (3) "INCISIONS" newsletters for the year scheduled for
distribution in May, August, and December.

Bids for 2015 Midyear Convention

As of date, the College received bids from the PCS Cebu-EV Chapter and Southern Tagalog Chapter to
host the 2015 Midyear Convention. No decision has yet been made.

3rd BOARD OF REGENTS MEETING

March 29, 2014(Saturday); 12:00 Noon

Assistance for Typhoon Yolanda Victims

The Board approved giving Php135,000.00 to each of the affected Chapters (Cebu-EV, Negros Occidental,
and Panay) as additional financial assistance for the typhoon victims, subject to their liquidation.

PCS Foundation
The Board approved the issuance of Official Receipts by the PCS Foundation for revenues from Hospitality
Suites and Exhibit Booths and donations by pharmaceutical companies during the Midyear Convention
and Annual Clinical Congress.

Academy of Medicine of the Philippines (AMP)

The Securities and Exchange Commission has approved the By-Laws of the AMP. A letter will be sent to
all PCS Fellows encouraging them to become AMP members including a brief description about what the
AMP is all about. No application fees will be charged.

Invitations from Foreign Surgical Groups

Drs. Jesus V. Valencia and Arturo E. Mendoza, Jr. will be attending the Royal Australasian College of
Surgeons meeting in Singapore on May 5-9,2014 and the College of Surgeons, Academy of Medicine of
Malaysia meeting in Sarawak, Malaysia on May 23-25, 2014.

INCISIONS 7
Membership Information System
PCS Fellows can now update their personal profiles online to keep their information up to date. Their
usernames are the initial of their first name followed by their surname without any space and all in lower
case. The Accounting part of the software is still under construction and will be ready for testing soon.

Inter-Branch Payment of PCS Dues

The Board approved adopting the MetroBank Bills Payment Collection Agreement for inter-branch
transactions to avoid deposits from unidentified Fellows who fail to send in a copy of their deposit slips.
A similar arrangement is being looked into for Banco de Oro.

PCS Building
The following 2014 Projects with a cost of Php 432,895.00 (Budget for Improvements-Php1.1M) were
approved:
• Exterior re-painting (last done in 2011)
• Interior re-painting (last done in 2011)
• Rehabilitation/maintenance of water line
• Re-upholstery of chairs
• Minor renovation of ground floor (near lobby measuring 43 sq.m) with an additional cost of Php85,000.

70th Annual Clinical Congress

Regional/Overseas College Presidents who have confirmed their participation are:
Dr. Andrew L. Warshaw: President, American College of Surgeons
Dr. Peter Wong: President, College of Surgeons, Academy of Medicine, Malaysia
Dr. Michael Hollands: Immediate Past President, Royal Australasian College of Surgeons
Dr. Kesavan Esuvaranathan: President, College of Surgeons, Singapore
Dr. Graham Layer: Secretary-General, Royal College of Surgeons of Edinburgh

Legends of the Knife

Starting this year, the Legends of the Knife award, as endorsed by the PCS Metro Manila Chapter, shall
have the following basic guidelines:
• Nominee must be 60 years old and above;
• He/She must be inclined in Teaching /Training;
• He/She must have significant achievements;
• He/She must have made significant contributions to Surgery;
• No posthumous recipient; and
• Same award may be given to more than one person in a year.

Trauma Courses
Informative brochure on the courses offered by the College, i.e. ATLS, DSTC, BEST and BETTER is
being prepared.

Surgical Infections
The College will execute a Memorandum of Agreement (MOA) with Operating Room Nurses Association
of the Philippines (ORNAP) for the revision of the ORNAP Manual for documentation purposes.

Quality Assurance & Patient Safety

The Committee is intensifying its mandate to monitor compliance with the PCS-WHO Surgical Safety
Checklist.

Joint Coordinating Council on Accreditation and Certification (JCCAC)

The Board APPROVED the creation of a Sub-committee on Curriculum whose tasks are to formulate the
common core competencies (template)/concept map on curriculum development and to collate and
review the existing curriculum of all surgical specialties.

8 INCISIONS
 Assuring the Quality
of the Filipino Surgeon*
P
Alberto B. Roxas, MD, FPCS
President, Philippine College of Surgeons 2001
resident Alfred Belmonte; Honorable Edgardo
Fernando, Chair, Board of Medicine; Dr. Leo Olarte,
President, Philippine Medical Association; Officers
and Members of the Board of Regents, Chairman further training. He came back and established his
and Members of the Board of Governors, Honorary surgical practice. In time, he earned a respectable
Fellows, Past Presidents of the College, special reputation as a surgeon and become known as "El
mention goes to Dr. Antonio C. Oposa, this year's Mago Del Bisturi" meaning "The Wizard of the
Lifetime Achievement Awardee and who taught me Scalpel". In 1913, he became the Director of the
to operate with the scalpel; Presidents of Surgical Hospital San Juan de Dios, which was then the
Colleges in the Asia Pacific Region, invited Speakers, Teaching Hospital of UST. He established a 3-year
Fellows of the College, our Inductees, guests, ladies surgical residency training program patterned after
and gentlemen, good morning. models abroad. In 1929, aside from being Hospital
Director, Dr. Singian was appointed Chairman of the
It is with deep honor and humility that I accepted Department of Surgery, Faculty of Medicine and
the invitation of President Belmonte to be the G. T. Surgery of UST. Dr. Singan was famous for his passion
Singian Memorial Lecturer this year. It is indeed a for study and hard work. He was a strict disciplinarian.
pleasure and a great opportunity to take a good look He exacted perfection from everyone. He demanded
at our College on its 77th year of existence. A past excellence in patient care. In 1932, he had a stroke.
president usually stays on the sidelines unless asked He could no longer operate but continued his practice.
by the incumbent president. And there is no better He was very much interested in radiotherapy. In 1936,
way to speak out with everybody listening intently with a group of surgeons he had invited to his house,
than to deliver the G.T. Singian Memorial Lecture in they established the Philippine College of Surgeons
the Opening Ceremonies. Thank you, Mr. President. which will be "the guardian of the highest Filipino
The G. T. Singian Memorial Lecture is in honor of surgical ideas and practice". Dr Singian died the
our College's Founding President, Dr. Gregorio T. following year at the age of 65 years.
Singian. Dr. Singian was born in 1872 in San Fernando,
Pampanga, which is about 2 hours ride from Metro
Manila. He obtained his medical degree from the
Faculty of Medicine & Surgery of the Royal
Pontifical University of Santo Tomas. At that time,
UST was the only medical school in the Philippines.
Dr Singian graduated in 1896 summa cum laude.
Coming from an affluent family, he went abroad for

* The 44th Dr. Gregorio T. Singian Memorial Lecture delivered by Dr Alberto

B. Roxas during the Opening Ceremonies of the 69th Annual Clinical
Congress of the Philippine College of Surgeons on December 1, 2013 at the
Isla Ballroom of the EDSA Shangri-La Hotel.

INCISIONS 9
 Since then and through seventy-seven years of committed efforts of its leaders and members, the Philippine
College of Surgeons has steadily grown into what it is today, the umbrella organization of surgical specialties
in the Philippines, recognized in the country, the region and the world. Today, the continuing challenge to our
Fellows is to keep the flame and passion of Dr. Singian burning and to join the multi sectoral movement to
illuminate the right path to universal health care for the Filipino people.

Aligned with this topic, I will talk on "Assuring the Quality of the Filipino Surgeon". As surgeons, we have
the mandate and the social responsibility to actively participate in the preparation and training of the next
generation of surgeons for the country. These surgeons will take care of us when we need an operation in the
near future. Individually, we should reflect and decide how best we can contribute to this collective effort.
There are three (3) levels where we can participate, namely,

1. Basic medical education - this refers to the M.D. Program and the Postgraduate Internship Program
with the Commission on Higher Education (CHED) as the government regulatory body.

2. Postgraduate medical education - this refers to the various specialty and subspecialty training programs.
And finally,

3. Continuing Professional Development (CPD) - this refers to the continuing surgical education for
practicing surgeons.

Both the postgraduate medical education and continuing professional education involves the practice of
profession thus the Professional Regulations Commission through the Professional Regulatory Board of
Medicine (PRBoM) is the government regulatory body. And there are three (3) major areas where we can
focus our attention in order to achieve excellence, regardless of the level of training and learning. These are
the following,

1. Selecting the best students or trainees for the programs.

2. Selecting the best faculty and constantly training the faculty to be the best teachers.

3. Providing the best learning environment where the best students and the best teachers can engage,
interact and learn from each other. This includes clarifying the learning outcomes of graduates of the
M.D. Program and graduates of surgical residency and fellowship training programs in order to address
mismatch between what is taught in school or training programs and what is actually encountered in
practice. This also includes the assessment of students and trainees and program monitoring and
evaluation.

Please allow me to elaborate further. Medical Education in the Philippines is influenced by the American
educational system. Students seeking admission to the MD Program must be a holder of a baccalaureate
degree and must have taken the National Medical Admission Test (NMAT). After completing four (4) years
of medical school, medical graduates undergo a year of postgraduate internship in an accredited hospital of
choice as a requirement before licensure.

At present, there are thirty-eight (38) MD Programs recognized by CHED. For the past five (5) years
(2008-2012), these programs produce about 2,169 medical graduates each year and about 1,811 postgraduate
interns are matched each year. Only four (4) programs do not participate in the National Internship Matching
Program. Medical students of these programs graduate after internship. About 3,688 examinees take the
licensure examinations each year, of which about 2,439 passed with an annual national passing average of
60%-70%.

10 INCISIONS
 There is a pool of examinees from various programs who have failed at least once in the licensure
examinations. Classified as Repeaters, their overall passing rate is only 25%-30%. They bring down the
institutional passing rate and they do not usually participate in the review courses offered by their school.
Seventeen (17) of the thirty-eight (38) programs have institutional passing average in the licensure examinations
below the national passing average. Furthermore, the outcome of the joint monitoring visits of CHED and the
Professional Regulatory Board of Medicine (PRBoM) revealed that these poorly-performing programs have
major deficiencies in Faculty, Admissions & Selection, Curriculum & Instruction and Facilities for Clinical
Teaching.

Thus, CHED has embarked on a grand plan of providing ample opportunities for MD programs to transform
themselves into excellent programs with at least 90% institutional passing average in the licensure examinations
by the year 2020. Policies to be implemented soon includes,

1. Guidelines for Accreditation of Health Facilities Utilized for Clinical Training of Students in the Basic
Medical Education;

2. Rationalizing Medical Education in the Philippines which proposes a comprehensive action plan to
improve medical education;

3. Implementation of a National Medical Admission Test (NMAT) Cut-off Score of 40th percentile as
an admission criterion beginning AY 2014-2015. The cut-off score shall be gradually increased until
60th percentile in 2020;

4. Determination and Implementation of Admissions Quota of Higher Education Institutions Offering

MD Program to ensure that student intake is based on Faculty resources and available teaching facilities;

5. Classification of Medical Schools Based on Performance in the Physicians' Licensure Examinations

and Compliance to Minimum Requirements. The List shall be published regularly for the guidance of
the general public. It shall be a positive List of schools with satisfactory performance in licensure
examinations and satisfies minimum requirements;

6. Policies, Standards and Guidelines on Outcome-Based Education for the MD Program to define, among
other things the learning outcomes or program outcomes expected of medical graduates. Seven (7)
program outcomes has been identified. These are
a) Clinical Competence;
b) Communication skills;
c) Management of research findings;
d) Inter-professionalism;
e) Health system management to care;
f) Personal and continuing professional development; and
h) Adherence to professional and ethical practice.

Competency standards for each program outcome has also been formulated as well as the curricular goals.
Individual programs are given ample space to innovate in their curriculum in line with the assessment of how
best to achieve the program outcomes in their particular contexts and their respective missions. These policies
include Quality Assurance with external accreditation. Programs that do not qualify to undergo external
accreditation shall initially undertake a consultancy service in order to conduct a Self-Study. The resulting Self-
Study Report shall be part of the developmental plan that a poorly performing program shall submit to
CHED. Also incorporated in these policies are the recommendations from the Global Call for Trans-formative
Education, Inter-professional Education and Social Accountability of Medical Schools that are deemed
appropriate for the local setting.

INCISIONS 11
 The net result of these comprehensive efforts will address the current mismatch of what is taught in
school and what is expected of medical graduates in the field. Moreover, with only excellent MD programs
existing in the country by the year 2020, consequently only quality medical graduates shall be accepted as
trainees in the residency and fellowship training programs.

Postgraduate medical education in the Philippines is likewise influenced by the American system. Residency
and fellowship training programs are implemented according to guidelines set forth their respective autonomous
specialty and subspecialty societies. Certifying board examinations are conducted by their respective specialty
and subspecialty boards. Over the years, these boards have maintained their integrity and have earned the
respect of the general public as well. These boards are recognized by the Philippine Medical Association, the
accredited physicians' organization. At present, there are three hundred twenty-seven (327) accredited training
programs of 13 surgical specialty and subspecialty societies and boards. For the past five (5) years, the passing
rates in the certifying boards of General Surgery is 45%- 59% for the written part and 30%-74% for the oral
part. In Ophthalmology, the passing rates are 41%-59% for the written part and 34%-74% for the oral part.
There is a pool of examinees who have failed at least once in the certifying examinations, written or oral and
classified as Repeaters. Another drawback with the current situation is that the certificate of training issued by
these boards to specialists and subspecialists do not carry government imprimatur. Thus, the certificate may
not be recognized in other countries resulting in downgraded qualifications and lower compensation.

With the Philippine Qualifications Framework (PQF), the ASEAN Mutual Recognition Arrangements
(MRA) in 2015 and the future scenario of mobility of professionals, including surgeons in the region, the
PRBoM is mandated to assert its oversight function in order to achieve competitiveness of Filipino doctors in
the region. Our College must promote cooperation and collaboration with the PRBoM in this endeavor. The
PRBoM may conduct multi-sectoral consultations and develop an overarching framework including quality
assurance, wherein which the various specialty and subspecialty societies and boards can function with the
least interference. With quality assurance in place including external accreditation, residency and fellowship
training programs will be enhanced and would greatly benefit graduates of the programs. Likewise, the PQF
mandates a shift to outcome-based education with the use of learning outcomes that will define the products
of the training programs. Subsequently, the passing rates in the certifying board examinations will improve.
Within the same framework, our College can also engage the Department of Health (DOH) through its HRH
Network Philippines and eventually draw projections on the surgical manpower needs of the country. Such
important data can motivate the College to increase or reduce the number of training programs. Much still has
to be done by the PRBoM to establish a structure that will function as an accreditation and certifying body for
postgraduate medical education involving not only Filipinos but foreign nationals. PRBoM also has to formulate
a needs assessment in postgraduate medical education in order to develop a comprehensive plan to bring the
training programs to excellent status.

Continuing Professional Development shall ensure that the surgeon has the ability to engage in lifelong
learning and has an understanding of the need to keep abreast of developments in their respective field of
practice in order to improve patient care. Existing practices in continuing surgical education utilizes attendance
in conventions and postgraduate courses which does not produce the desired results. Yet, everybody including
our College continues this practice in the absence of an effective alternative method. The PRBoM is in the
process of instituting changes in Continuing Professional Development with workplace assessment as a tool
to evaluate healthcare professionals. Hopefully, these activities will lead to improved patient care. A compelling
reason to pursue Continuing Professional Development is the fact that doctors account for 30-40% of cases
filed in the PRC Legal Division though doctors constitute only 3.3% of all professionals in the country. The
most common ground for filing cases against doctors is gross negligence/incompetence. The next most common
ground is dishonorable/unethical/unprofessional conduct.

Despite these challenges facing us today, I could not recall of such a time as now that there are numerous
opportunities to achieve improved patient care and universal health care in the Philippines.

12 INCISIONS
 First, President PNOY announced that his Administration will achieve universal health care during his
term of office. Second, the ASEAN MRA in 2015 is motivating new initiatives from government. Likewise,
the Philippine Qualifications Framework (PQF) was approved by President PNOY prompting PRC to shift to
outcome-based education. The shift will allow PRC to assert oversight function in postgraduate medical
education aside from continuing professional development. Third, CHED also shifted to outcome-based
education amid protests from some stakeholders. The shift provided the opportunity to revise the medical
curriculum, which is ongoing as we speak. Also, I could not recall of such a time as now that the major
stakeholders such as the Commission on Higher Education, the Professional Regulatory Board of Medicine,
the Department of Health, the Association of Philippine Medical Colleges Foundation and the Philippine
Medical Association are working harmoniously toward common goals. These are good reasons to hope for a
bright future ahead.

In closing, the passion for excellence and hard work exemplified by Dr. Singian and sustained by the
College in its culture of excellence and social responsibility has brought the College to where it stands high
today. This culture will eventually "assure the quality of the Filipino surgeon". The strong foundation of our
College lies in its membership. The College has to strengthen further its commitment to education.

This is a Call for all Fellows to actively participate in the three (3) levels of training and learning. Fellows
have to engage and collaborate with other stakeholders in order to achieve common goals. This is also a Call
for the Professional Regulatory Board of Medicine to proceed full speed ahead with its developmental plans
in postgraduate medical education and continuing professional development. Together, we shall keep the
flame and the passion of Dr Singian burning towards improved patient care and universal healthcare.

Thank you for your kind attention and a pleasant good morning to all.

INCISIONS 13
 BREAST FELLOW
A
conferences, the way I did during my residency. I
assisted and performed grueling tumor operations
fter three years of private surgical practice in together with my oncology consultants at Vicente
Cagayan de Oro City, I realized that I needed Sotto Memorial Medical Center and other private
specialization to attend to the needs of our institutions. I spearheaded breast cancer
community; thus was born my aspiration to train in chemotherapy at the VSMMC breast center every
surgical oncology. I was reluctant at first because I Wednesday with the general surgery residents under
had four kids to support and pursuit of such training the supervision of Dr. Yray. Since Dr. Siguan is a
could be much of a burden. I lobbied for a training known research enthusiast, I had to adjust my literary
program in Manila and Cebu. and typing skills because after all research was not
my cup of tea. But to my surprise, I published two
In April of 2010 I decided to further my training research papers, one of which was accepted for
in Cebu, under the stewardship of Dr. Stephen Sixto presentation at the 2012 World Cancer Congress in
Siguan and Dr. Mark Denver Yray. It was like placing Montreal Canada.
my future on them. I went through ups and downs
during my fellowship. There was one point I felt like I also juggled my weekend free time for our breast
quitting because of my mentors' toughness and my cancer community outreach program, assisting Velez
difficulty in adjusting. It was not easy when you have College of Medicine in their breast cancer module.
had a good practice back home and then leave that Cancer pain management was also part of my task
and go for training again. Nevertheless, I passed my with the support of the cancer pain consultant. I went
first year of fellowship training and proceeded to the along with my GS consultants and acquired more
last year. Things went smoothly the second year since insights from them. I also had the chance to meet a
I had fully adopted to the system and I brought my lot of cancer survivors. Furthermore, I initiated a Rural
family with me as support. My boss recommended model in breast cancer control program in Argao, Cebu,
me as a PCS scholar which inspired me even more. a dream come true for my steadfast superior. Despite
all of my shortcomings I was able to traverse the
Every endeavor in the fellowship was significant demands of training.
to me because I knew I would use it when I got back
home. I led the residents for their ward rounds twice My family and I explored the charm and beauty
a day, studied well for preoperative and post operative of Cebu from North to South. We were able to
witness the world renowned Sinulog Festivities in
honor of Sr. Sto. Nino. We took pleasure of the
Herbert C. Tagab, MD, FPCS Cebuano culture and the unsurpassed Cebuano food,
to mention, the famous spicy lechon, shoot-to-kill in
STK, the notorious baby backribs in Casa Verde and
the elegant dinner buffet in Marco Hotel. Exceptionally
memorable was the coal mine descent and the 200
feet below the ground experience in Argao.

The PCS Foundation helped a lot during the course

of my fellowship. It bolstered my financial capacity.
It aided my daily allowances during my outside
rotation in Perpetual Succour Hospital in Cebu and
St. Luke's Medical Center in Quezon City and Global
City. Indeed, it was an outstanding journey with the
Foundation. Most especially, I gained the trust and
friendship of my mentors. I will certainly cherish it
The author with his wife and four children. and forever be grateful.
14 INCISIONS
SCHOLARS SPEAK
I n celebration of the 20th anniversary of the
Avon Breast Cancer Crusade, the foundation
nipple sparing mastectomy. I was also able to
redefine my skills in sentinel node biopsy.

selected 25 scholars worldwide from 22 countries

for a 4 week intensive training and Avon Breast Care Center has the unique way
prece ptorship in breast cancer surger y, of helping their patients thru their patient
pathology, breast imaging, medical oncology, navigators. These navigators are the ones who
clinical trial design, community and public follow up the patients from the time of
health. I was privileged to be chosen as one of diagnosis, surgery, discharge and progress.
the first global breast scholars. This paved the
way for me to apply for a PCS Foundation
scholarship as a Breast Fellow Scholar. This scholarship enabled me to receive
training from some of the world renowned
breast cancer surgeons. The advanced skills and
The program started last Sept. 10, 2012. All new information that I have lear ned will
25 global Scholars were sponsored to attend the definitely improve both the treatment and care
4 day American Society of Clinical Oncology of women with breast cancer. Thus without
(ASCO) Breast Cancer Symposium in San hesitation I share these knowledge and
Francisco, California USA. This was followed information with the surgical residents in our
by 4 weeks of intensive training and training program and to my fellow surgeons in
preceptorship in breast cancer surgery. Each this PCS Midyear Convention.
scholar was assigned a specific institution, I was
stationed at the Olive View UCLA Medical
Center in Los Angeles.

My four week breast fellowship training

Alex L. Tan, MD, FPCS
included the following: stereotactic guided
biopsies/ultrasound guided biopsies, diagnostic
and screening mammography, needle
localization biopsies, tumor board conferences,
and breast cancer surgeries with reconstruction.

I also had the opportunity to do

preceptorship training under Dr. Armando
Giuliano, principal author of ACOSOG Z011
at the Cedars Sinai Medical Center in Los
Angeles. His tumescent technique in doing
mastectomy in just 30 minutes was remarkable.
This technique is helpful especially in doing The author (left) with Ms. Lori Viveros, Program Manager, Avon
Cares for Life-Olive view UCLA Medical Center.

INCISIONS 15
SURGEONS ARE
HUMAN BEINGS
AFTER ALL
Serafin C. Hilvano,MD, FPCS, FACS, American Surgical Association(Hon)
Professor Emeritus, Department of Surgery, College of Medicine, University of the Philippines Manila

J
classical Gambee technique. The post-operative course
was uneventful, devoid of the so-called "extension
ust like human beings, surgeons do get sick, and syndrome".
at times go under the knife, the main implement of
their profession. This situation brings them down to The second instance when I became a patient, was
earth from a high and mighty position. Twice I have problematic and life threatening. I was not a party to
been on the receiving end of treatment, the first being the decision on what to do for my situation because I
on the cutting end of the knife. On the second time I was brought to ER in shock. After resuscitation, I was
was brought to the emergency room in shock, subjected intubated prior to a CT scan and had a stat TACE for
to a battery of tests, including a CT scan for a bleeding a large bleeding tumor in the left lobe of my liver.
tumor in the liver, for which a stat transarterial Because of an overly distended abdomen due to ileus
chemoembolization (TACE) was done. after the chemoembolization and continued oozing
from the hepatic mass, I agreed to be opened up. I
Years previously, I had treated myself was writing down my suggestions to the surgeon on
conservatively for which I believed was diverticulitis. what to do during laparotomy with accompanying
I based my diagnosis on what I felt and on my diagrams, not being able to dissociate myself from
abdominal findings, with no consults with being a surgeon during that occasion. My colleagues
gastroenterology friends or surgeons nor submitted to from the Division of Hepatobiliary and Pancreatic
contrast studies and Surgery discussed my case with the Gastrointestinal
colonoscopy. The decision to staff and Interventional Radiologists on what was the
undergo an operation was solely best approach in dealing with my situation, considering
mine, when the direct the strong possibility of a fatal consequence of an
tenderness on the left lower operation. The night prior to the open procedure a
quadrant became prominent. In small group came to the ICU to convince me not to
addition there was a narrowed, submit to an operation. They presented acceptable
inflamed sigmoid colon seen on and convincing reasons that the ileus will reverse itself.
colonoscopy, which verified the They prevailed. Thank God for them and my attending
intraluminal situation. My physicians at the National Kidney & Transplant
choice of surgeon was the one Institute!
whom I knew did bowel
anastomoses with the same Whiling away the long nights while intubated in
technique I have been using, the the ICU consisted of observing tracings on the
monitors, listening for footsteps approaching my
cubicle, counting the chimes of the clock and looking
for signs of dawn. I had no fear of death even though
my life was on the brink as I was prepared to meet
my Creator. What I feared most were the extractions
of blood samples for the ABG's, the pain of which
was excruciating.

It was not easy for me to be just a patient and

follow doctors orders, as most would tell me, because
the Surgeon in me prevails, even as I lay in a hospital
The Author bed being treated.
16 INCISIONS
 CHAPTER NEWS

• Central Luzon • Cordillera

T he PCS Central Luzon Chapter started the

year 2014 with the Induction of New Officers and
T he Cordillera Chapter held a medical and
surgical mission during the Panagbenga festival last
Turnover Ceremonies. This was held at Partyland February at Binga town, Itogon. They conducted
Restaurant in San Fernando, Pampanga last February digital rectal examinations for prostate cancer, together
15, 2014. This was a joint induction with the PSGS with minor surgeries for various ailments.
Central Luzon Chapter. Several fellows from Bulacan,
Pampanga, Nueva Ecija, Tarlac and Zambales
attended the induction, as well as the residents from
the five training hospitals of the chapter. Dr. Jesus V.
Valencia, PCS President and Dr. Jose Rhoel C. De
Leon, PSGS President were the guests of honor for
the occasion.

Dr. Valencia inducted into office the new officers

of the chapter: Dr. Bethoven J. Go - President; Dr.
Andrew Jay G. Pusung - Vice-President, Dr. Hjordis
Marushka B. Celis - Secretary and Dr. Protacio T.
Bajao (Bulacan), Dr. Dindo Cajucom (Nueva Ecija),
Dr. R-Jay Manzo (Olongapo/Zambales), Dr. Ericson
Salas (Pampanga) and Dr. Jericho Calibaran (Tarlac)
(Directors). The chapter president, Dr. Bethoven Go,
also inducted the new fellows of the chapter.

In his speech, Dr. Valencia once again reiterated

his plan of action, which he wishes to accomplish
during his term. He also handed a check representing
the chapter share from the various activities of the
College. After the induction, an open forum was held
discussing the many concerns and problems of the
fellows and the chapter in general. Other surgical missions for the 2014 are planned
at Bontoc General Hospital, Luis Hora General
Hospital in Bauko, Mt. Province and Dennis Molintas
Memorial Hospital in Bokod, Benguet.

Currently, members of the chapter talk about

surgical diseases on local TV via ABS-CBN Baguio.
Other plans for the year are blood donation program,
digital rectal examination for prostate cancer, tree
planting and annual screening
for breast cancer at the Bagiuo
City Jail, continuing medical
education activities, work-
shops and lay fora.
PCS President Dr. Jesus V. Valencia administers oath to the
chapter officers.

INCISIONS 17
• Negros Occidental

L ast January 20-24, 2014, the

PCS-Negros Occidental Chapter
celebrated the National Cancer
Consciousness Week. Different
lectures about Cancer were held in various venues.
Emphasis was given on Cancer awareness and how
proper management will have an impact on its
outcome. The chapter received excellent feedback
from the participants.

A surgical mission was held together with the

Bacolod Surgical Residency Training Consortium on
February 15 and 16 at Canlaon City and Victorias City,
respectively.

Last March 15, the chapter held its induction

ceremony with PCS Vice President Dr Arturo
Mendoza in attendance.

The chapter has also been very active helping its

fellow Negrenses, especially typhoon victims. The
identified barangays are now on recovery process and
the chapter pledges to support and provide more
assistance by helping restore their livelihood and
dwelling structures. Some fellows have personally
provided some boats to fisher folks for their fishing.
The chapter is also planning to provide the same. The
chapter's community outreach program, in
coordination with other civic organizations will
continue this year, with a target to double its
beneficiaries.

18 INCISIONS
• Nor ther
thernn Mindanao
Norther • PPana
ana
anayy

T he Northern Mindanao Chapter had its induction

ceremony for the 2014 Officers last March 15, 2014 at
Mallberry Business Hotel, Cagayan de Oro City. Elected
W e envision this year of the Wooden Horse as an
exciting year for the PCS-Panay Chapter, even though it is
another tumultuous year for its leaders. As leaders, we are
were Dr. Michael Edmundo C. Bibera, (President); Dr.
called to give ourselves to others, so that, others might follow
Peter S. Quiaoit, (Vice President) Dr. Jose Joaquin E. and do the same, and it goes on and on… which, in the end,
Hernandez and Dr. Donald S. Co, (Secretaries); Dr. will benefit the whole system or the whole organization. As
Jasmin M. Batara, (Assistant Secretary); Dr. Efren Mr. John C. Maxwell, author of the 21 Irrefutable Laws of
Domiciano C. Villahermosa (P.R.O.); Drs. Gabriel C. Leadership, has said: "Leadership may mean, Increase in
Malbas, Andrew M. Marcella, Alexander N. Nacita and Responsibilities, and Decrease in one's Rights", and we are
Roger Stephen S. Viajar, (Directors) and Dr. Dinah C. often asked to give up more than others can. That is why, few
Abella, (Governor). have chosen the path we have thread.
The PCS-Panay Chapter Board of Officers for 2014 is
The inducting officer and guest of honor was PCS
composed of Dr. Venerio G. Gasataya, Jr. (President); Dr.
President Dr. Jesus V. Valencia. In his remarks, he
Guadalupe V. Matejka, ( Vice-President); Dr. Carol Joy T.
encouraged the fellows of the Chapter to continue the Quimpo, (Secretary); Dr. Lister P. Leonida, (Treasurer); Dr.
excellent work which earned them the distinction of being Romulo S. Barrameda, Jr. (PIO); Drs. Raoul R. Cañonero,
elevated to the hall of fame, as most outstanding chapter Juan Manuel U. Tirol, Ryan Ed S. Comuelo, Gaudencio S.
for three consecutive years. He cited the fellows from the Franco and Henry P. Tupas, (Directors) and Dr. Luis Serafin
chapter who served well as members of the Board of D. Dabao, (Ex-officio)
Regents and producing a PCS President in the person of As of the first quarter of the year, the following were the
Dr. Maximo M. Simbulan Jr. accomplished activities of the chapter:
For January, the chapter celebrated the The National
He encouraged the fellows to use the wisdom and
Cancer Consciousness Week with the following activities:
experience of the senior fellows of the chapter in its
Media/Radio Advertisement and announcement of PCS-
activities. The drive to become relevant to the community NCCW activities for the week through Aksyon Radyo AM
by carrying out its projects for those who have less in life last January 19-20; posting of NCCW posters and tarpaulins
was given emphasis, as well as sound financial situation in all major Iloilo City hospitals and The Iloilo Medical Society
of the chapter to be able to carry its work in the Building; distribution of NCCW educational flyers and
community. The occasion was attended by Dr. Dures Fe pamphlets at SM City Iloilo entrances and mall strategic areas
E. Tagayuna, a member of the Board of Regents 2014, last January 22; NCCW OPD and Clinic presentations.
who is from Northern Mindanao. Four new fellows were In February, the PCS-Panay Chapter Board had a meeting
inducted as members of the NM Chapter for 2014. The with Subspecialty Society Group Heads. The chapter concerns
chapter plans to enhance its Disaster Preparedness of the fellows together with that of the subspecialty groups
Program in light of the two typhoons which directly were gathered, submitted and discussed, with the proposed
affected them, and the most recent, Typhoon Yolanda, plans and solutions. The minutes of the meeting regarding
which devastated Eastern and Western Visayas. this, were summarized and presented to the PCS-Vice-
President, Dr. Arturo Mendoza, during his visit to the chapter
The chapter plans to promote the programs of the during The PCS-Panay Chapter Board of Officers Induction
College in Northern Mindanao such as Cancer and Dialogue in March. The Vice-President of the Philippine
Consciousness Week. It has conducted a lay forum, College of Surgeons, Dr. Mendoza promised to present the
guested in a radio program, conducted Cancer screening chapter concerns to the next Board of Regents Meeting in
in various commercial establishments of Iligan and Manila.
Cagayan de Oro Cities last January 2014. Continuing The Chapter, therefore, supports the different programs
surgical education such as scientific meetings, roundtable and proposed projects of our Board of Regents for 2014,
discussions is in the works in cooperation with friends through the national office. We further declare our desire to be
from pharmaceutical industry. The Chapter is planning of help to our least privileged and needy brothers and sisters,
especially those who had been hit by typhoon Yolanda, as we
to organize a Biennial Post-Graduate Course in Surgery
continue our efforts to reach out to them and render most
which will cater to the needs of consultants, residents,
needed services.
and medical students of Northern Mindanao. They are We encourage all our Fellows to unite and gather our
eyeing to host the PCS Midyear Convention in Cagayan strengths as an organization of prestigious surgical specialists,
de Oro for 2015 or 2016. and move forward for a better PCS.

INCISIONS 19
• Nor th Easter
North Easternn Luzon • Souther
Southernn TTagalo
agalo
agalogg

T he North Eastern Luzon Chapter, the youngest

chapter of the PCS, enters its second year of existence
T he Southern Tagalog Chapter has started the new year running.
On January 7, the chapter held a Trauma Lecture with Dr. Warren Roraldo
conducting a lecture on "Primary Survey in Trauma" in University of
with high hopes and bold aspirations. Despite the birth Perpetual Help Dr. Jose G Tamayo Medical Center.
pains we encountered, we are determined to grow into Two days later, the Department of Surgery of University of Perpetual
maturity. We are in a process of solidifying the Help-Consortium, in coordination with the Department of Obstetrics and
membership so as to create a cohesive force to implement Gynecology of the University of Perpetual Help Dr. Jose G Tamayo
Medical Center organized a blood letting activity last January 9. This was
projects that would benefit the PCS, the community and headed by Dr. Cesar Ubaldo, Chairman of the Department of Obstetrics
the members as well. and Gynecology.
The chapter also promoted National Cancer Consciousness Week
The North Eastern Luzon Chapter joined in the
via a TV Interview on Royal Cable where Dr. Roy Alfurong discussed the
celebration of the National Cancer Consciousness Week different projects of PCS-STC and NCCW on January 17. The chapter
last January 20, 2014. We held a symposium/ dialogue held a bike ride promoting cancer awareness in Nuvali on January 19.
at Santiago City in cooperation with the city health Surgeons and nurses from the various hospitals located in the Southern
officials. Simultaneously, PCS fellows in Nueva Vizcaya Tagalog area joined the exercise. Various Lay Fora were handled by Drs.
Rachel Agarrado and Emman Baes on January 20 in various locations:
also held a cancer information drive through DWRV, Ospital ng Binan, University of Perpetual Help Dr. Jose G Tamayo Medical
Radio Veritas in Bayombong, NV. Topics regarding cancer Center, and Alpha Angelicum. More forums followed on January 25 at
awareness, early detection, prevention and cure were the Batangas Medical Center and at the De La Salle University Medical
discussed according to the specific specialty involved. An Center.
PCS-STC members Dr. Emmanuel Baes and Dr. Warren Roraldo
open forum followed to clarify and understand questions gave ATLS lectures last March 7-8. The ATLS group of the chapter also
and myths regarding cancer. welcomed two new members, Dr. Jose Tenorio and Dr. Carlo Jose
Fuentabella. They join Doctors Ramoncito Magnaye, Emmanuel A.
Last February 2014, the North Eastern Luzon Chapter Baes, Warren Roraldo and Arvin Briones.
held its first general meeting at Cauayan City. This came To help encourage non-fellows to take the Surgery Diplomate Board
after the lecture on Surgical Nutrition sponsored by Exam, Dr. Emman Baes and Dr. George Alora conducted a talk last
Abbott. Various projects to be implemented in 2014 were March 14 at Racks, Paseo De Sta Rosa.
discussed. The projects include a surgical mission at
Junior Surgeon Southern Tagalog
Santiago City, tree planting at Magat Dam and blood Dr. Emmanuel Baes, the current chapter president, introduced the
donation drive at Cauayan City. Fund raising was PCS-ST program "Junior Surgeon- Southern Tagalog Chapter" last March
seriously considered to augment our finances. Setting up 17. Together with Dr. Kartrina Velasco, he gave a lecture on first aid to
a permanent secretariat of the chapter was proposed to high school students of University of Perpetual Help High School and
Alpha Angelicum. Similar workshops are scheduled this coming June in
centralize communications between members and with Laguna. Batangas, Cavite and Quezon.
the national office. Regular general meetings and
fellowships will definitely be calendared to enhance Doctors Baes and Velasco at the First Aid Workshop
camaraderie among the members and to get updates about The Department of Surgery of the University of Perpetual Help Dr.
Jose G. Tamayo Medical Center, Jonelta Foundation Perpetual Help,
the chapter as well. together with the PCS-STC, held a surgical mission for the Jonelta Members
Despite the vast geographic consideration of the of the University of Perpetual Help Dr. Jose G. Tamayo Medical Center
was held last March 20-21. Operations done were laparoscopic and open
chapter, we are determined to make every member to be cholecystectomies, thyroidectomies, mastectomies, and
counted and the circle that we form be strengthened. We hemorrhoidectomies.
aspire to be a chapter to be reckoned with. Another mission was held Medical Mission on March 23 in Palawan
by the PCS-ST. The M.O.B. (Milagros Olivares Borabien) Foundation
was a partner in this undertaking.

20 INCISIONS
• Metro Manila

T he 2014 Board of Directors of the Philippine College of Surgeons Metro Manila Chapter, headed
by its President, Dr. Domingo S. Bongala Jr., has laid out the plans for the many upcoming activities of
the chapter.

The officers and new fellows of the chapter were inducted last February 21, 2014 at the Richmonde
Hotel, Pasig City with Philippine College of Surgeons Vice President Dr. Arturo Mendoza as guest
speaker and inducting officer.

The Committee on Surgical Education headed by Dr. Paul Anthony L. Sunga has lined up the following
surgical subspecialty symposia at Unilab: on May 2, a Panel Discussion on "Head and Neck: The Mystery
behind Unknown Primary Malignancy"; and on September 19, a Lecture on "The Significance of Simulator
on Surgical Training." The chapter is also looking forward to the very popular and well attended "Batakan
ng Utak" scheduled on August 23, 2014 at the Bayanihan Hall. Since this is becoming a seriously
competitive affair, some revisions will be implemented to make this quiz contest more relevant to the
participants.

Dr. Alfred Q. Lasala II who chairs the Committee on Surgical Training has prepared a very interesting
annual PCSMMC Postgraduate Course with the theme "Managing Surgical Complications and Complex
Situations." This will be held on June 24-25, 2014 at the Bayanihan Hall. Topics will include complex
cases for the general surgeon, surgical oncology, abdominal infections, gastrointestinal bleeding, trauma,
hepatobiliary conditions, among others.

Sometime August, during the PSGS National Convention, the chapter will hold a fund-raising concert
featuring the band of PCSMMC director Dr. Ronald A. Yutangco.

The PCS MMC enjoins all members to participate and is looking forward to seeing them during these
activities! / Luisa D. Aquino, MD, FPCS, FPSPS

INCISIONS 21
 SOCIETY NEWS

• Academ
Academyy of FFilipino
ilipino Neurosurgeons
geons,, Inc
Neurosurgeons Inc..

T he Academy of Filipino Neurosurgeons, Inc.

has a monthly scientific meeting every last Wednesday
of the month. For the first quarter of 2014, the AFN
had the following topics and speakers for its monthly
scientific meeting:
1 Dr. Theodor S. Vesagas, Executive Secretary, Philippine Board of
Neurological Surgery :"Philippine Neurosurgical Training: Current
Status and Future Directions"
2 Dr. Shirley Lourdes B. Domingo, Philhealth Vice-President, NCR
and Rizal: "AFN Meets Philhealth: Issues and Concerns"
3 Dr. Rodrigo Angelo Ong, Philippine Coast Guard Auxiliary:
“Disaster Preparedness for the Neurosurgeon”

2014 Officers of the Academy of Filipino Nuerosurgeons, Inc. Oath Taking,

December 4, 2013 at EDSA-Shangrila Hotel from left to right: Dr. Alfred
Tan (President), Dr. Jose Aguilar (Vice-President) and Dr. Renan Acosta
1 2 3 (Secretary-Treasurer)

• PPALES:
ALES: New Directions towards Inter
towards national Excellence
International

T he Philippine Association of Laparoscopic & Endoscopic

Surgeons has recently elected its new set of Board of Directors during the
69th Annual Clinical Congress of the Philippine College of Surgeons.
PALES Goes 3D
The Philippine Association of Laparoscopic & Endoscopic Surgeons
(PALES) announced the holding of the first-ever congress that will tackle
the multi-disciplinary approaches and concerns in Minimal Invasive
Surgery.
The new set of officers is led by its President - Jose Macario V. Faylona,
Taking the theme "PALES Goes 3D", PALES seeks to further
MD, Vice President - Alex A. Erasmo, MD, Secretary - Anthony R.
Perez, MD and Treasurer - Ramund Andrew G. Ong, MD. The new integrate and mobilize its members to chart the organization's Direction
members of the board of directors are the following: Drs. Alfred Allen E. in the years to come, to achieve more technologically-enhanced
Buenafe, Ramon L. De Vera, Jeffrey J.P. Domino, Noel C. Evangelista, Developments in MIS, and to strengthen its Dynamism for a deeper and
Miguel C. Mendoza, Hermogenes J. Monroy III, Alejandro M. Palines renewed commitment of different specialties performing MIS procedures.
Jr., Don Edward S. Rosello, Jose Antonio M. Salud, Ernesto C. Tan and As preparations for the Congress shift to high gear, CSE chair Dr. Vivencio
Dr. Vivencio Jose P. Villaflor III. Jose P. Villaflor and PALES Board Members expressed their utmost
Having attained the privilege to host the upcoming Endoscopic and excitement and optimism for this forthcoming event. "This early, our
Laparoscopic Surgeons of Asia (ELSA) convention by the year 2017, its invited speakers and other guests have confirmed their attendance. They
Board of Directors wasted no time in conducting its strategic plan last too are showing a high level of enthusiasm to attend the PALES congress."
February 9, 2014 at the Unilab Bayanihan Center, Pioneer St., Among the highlights of the congress are:
Mandaluyong City. It crafted its vision to be an internationally renowned • 3D Presentation of digestive diseases
society of surgeons, dedicated to the safe, excellent, efficient and accessible • Live telesurgery
practice of laparoscopic and endoscopic procedures in the country. • Satellite laboratory simulation
To achieve this strategy, the board aims to continually standardize • Video and video editing contest for resident physicians
and advance the training of laparoscopic and endoscopic surgery as well • Collaboration w the PSA, APHS, nurses
as ensure the accessibility of its expertise to all regions of the country • Participation of urology, pediatric surgery, thoracic surgery,
while promoting a fellowship of competent, safe, ethical and compassionate colorectal surgery
surgeons. It also aspires to pursue international excellence in this field thru • Pre and post-convention workshops
collaborative efforts and encourage relevant research and innovations to The Congress will be held from July 10 to 12, 2014 at the Manila
its members. Diamond Hotel on Roxas Boulevard, Pasay City.
With these new goals set and plans laid out, the new Board of
Directors now focuses on a daunting task of implementing its mission to
lead PALES towards an achievable new direction. This would truly advance
and uplift the practice of laparoscopic and endoscopic surgery in the
country.

22 INCISIONS
• Philippine Urological Association, Inc
Urological Inc..
Samuel Vincent G. Yrastorza MD

association really had to focus on. The goal set for this was to

T he PUA conducted its Strategic Planning Workshop at

the Privato Hotel along Shaw Boulevard on March 15 of the
present year. This was led by our president, Dr. Ulysses
attain fair and just RUV values for the surgical procedures as
well at pushed for more secondary procedures that will be
credited by the PHIC.
The skills workshops training for the general membership
came in 2nd on the priority list. The general sentiment was
Quanico and the present members of the executive board. that the existing skills workshops for the general membership,
Participating urologists came from as far as Western Visayas, should be pushed more for the general membership. As
Mindanao and Southern Luzon to tackle important issues. surgeons we need to continuously hound our skills and keep
The workshop focused on the goals that the PUA would abreast with the advances in urology worldwide.
like to achieve by 2016. With numerous activities on line, the The National PaDRE has been a core activity of the
group decided to concentrate on 3 priority activities: association for the past years. It is held every year, on one
Saturday in June which is the day before Father's Day. On this
1. HMO and PHIC concerns day, free prostate screening is conducted for men 40 years and
2. Skills workshop training for the general membership above through DRE Centers nationwide. It was decided during
3. National DRE the group discussions to adopt the Dr. Quanico's suggestion to
widen the scope of the activity to Men's Health. This was to
These are the projects that were deemed to be of high give the yearly activity a facelift and make it more exciting
impact to the association and its members and greatly support and appealing to the general public. It was also decided that
its mission, vision and core values. However, these will not Free Men's Health examination would be provided in all public
be the only activities of the association. Other existing projects and private Urology clinic all over the country. This would be
and activities like the surgical missions would still continue the first service of such kind in the Philippines and our way of
and get the support of the association. giving back for our countrymen.
The HMO and the PHIC concerns topped the priority list The strategic planning ended on a high note with everyone
as most of the participants felt that this was one area that the being optimistic on meeting the set goals.

• The Association of Women Surgeons of the Philippines (A

Surgeons WSP)
(AWSP)

T
The majority milled around the make-up table where some
opted for a makeover from Avon. On hand were tools to apply
his wasn't an ordinary PCS-related meeting. The first eyeliners, foundations, powders, blush, and lipsticks. Gales of
inkling was at the registration: women wearing fascinators manned laughter were heard along with oohs and aahs as the women
the registration table, their necks laden with crepe-paper leis of surgeons took advantage of Avon's expert makeup artists. "Before
various colors. They urged registrants to choose a lei in the color and after" photographs documented the transformation.
of their choice. Upon entering the venue, one found a large set of Giveaways were distributed and the main event began.
makeup on the table with directors' chairs strewn near it. The first portion was the Avon talk which centered on beauty
It was Women's Month and the Association of Women and wellness. It was emphasized that a nurturer who was well
Surgeons of the Philippines wasn't going to let that pass by without further strengthened the way she raised her family members, dealt
a celebration. With the theme of Beauty & Wellness, the AWSP with her hospital colleagues and treated her patients.
held an acquaintance party on March 15, 2014 at the Unilab After a few minutes of serious lecture and some questions,
Bayanihan Hall Annex. the next part of the acquaintance party took place. This was ably
Participants included founding members, consultants and emceed by Dr. Joan Tagorda and assisted by Drs. Cheryl Cucueco,
residents of various training programs. Rica Lumague, Edna Dacudao, Hilda Sagayaga and Monette
Casupang.
The competitive spirit was strong among the yellow, green,
pink and purple teams (depending on the color of the lei one
chose upon registration.) A "bring me" game warmed up the crowd.
A hilarious karaoke game followed.
(It was a wonder to the residents that the more established
members of the PCS were as enthusiastic about the games as the
younger ones.) The next game, charades, had movies as the
subject.
The cocktail fare and drinks were consumed as the afternoon
progressed. The day ended with a group snapshot of the women
surgeons of the country.

INCISIONS 23
COMMITTEES 2014
I. CLUSTER A: SCIENTIFIC PROGRAM AND SURGICAL EDUCATION CONCERNS
Head: Arturo E. Mendoza, Jr., M.D.

1. Committee on Conventions
Chair: Arturo E. Mendoza, Jr.MD
Members: George G. Lim, MD
Gabriel L. Martinez, MD
Napoleon B. Alcedo Jr., MD (CSE)
Domingo S. Bongala, MD (MYC 2014)
Jorge M. Concepcion, MD (ACC 2014)
Alfred Q. Lasala, II, MD (MYC 2015 / Socials & Sports)
Mary Geraldine Remucal, MD (ACC 2015)
Alfred Philip O. de Dios, MD (Physical Arrangements)
Ma. Concepcion C. Vesagas, MD (Publications/Documentation)

Function: The Committee shall organize and prepare a program for the Midyear and Annual
Conventions in coordination with the respective standing committees.

Tasks:
1) To oversee the overall planning and implementation of the PCS Midyear and Annual
Conventions
2) To market the PCS conventions to surgery societies, surgeons in the ASEAN region and the
other international surgery organizations
3) To devise strategies to improve the attendance of Fellows and residents in the PCS
Convention
4) To analyze the evaluation of the midyear and annual conventions and submit
recommendations to the BOR

2. Committee on Continuing Surgical Education

Chair Napoleon B. Alcedo, Jr., MD
Co-Chair: Jorge M. Concepcion, MD (ACC 2014)
Members: Domingo S. Bongala, Jr., MD (MYC 2014)
Alfred Q. Lasala, II, MD (MYC 2015)
Mary Geraldine Remucal, MD (ACC 2015
Roberto O. Domingo, MD (Primary Care)
Ma. Rical M Lumague, MD (Postgraduate Course)
Jeffrey Geronimo Domino, MD

Regent-in-charge: Jose Macario V. Faylona, MD

Function: The Committee shall prepare, arrange or coordinate all scientific meetings and
postgraduate courses of the College. It shall also collaborate with Chapters and affiliate
societies in the preparation of their scientific meetings.
Tasks:
1) To prepare the scientific program for both the Midyear Convention and Annual Clinical
Congress for the next three (3) years
2) Conduct primary care sessions in several identified areas

24 INCISIONS
 COMMITTEES 2014
3) Coordinate the postgraduate activities of the different institutions that conduct postgraduate
courses.
4) To determine CSE units for each scientific sessions/postgraduate/workshop conducted
5) Create proceedings of selected lectures during the convention for uploading to the PCS
website.
6) Submit updated speakers’ bureau
7) Finalize the rules and guidelines regarding conduct of postgraduate courses during
conventions
8) To include topics during the conventions that will strengthen ethics and values formation
education in the training and continuing surgical education activities of the College
9) To ensure the proper evaluation of the different sessions and the convention as a whole

a) Sub-committee on Midyear Convention, 2014

Chair: Domingo S. Bongala Jr., MD
Co-Chair: Dakila P. de los Angeles, MD
Members: Elvis C. Llarena, MD
Jose A. Solomon, MD
Catherine Co, MD
Luinio S. Tongson, MD
Eduardo S. Eseque, MD
Dante G. Ang, MD
Representative from PCS DSM Chapter

b) Sub-committee on Annual Clinical Congress, 2014

Chair Jorge M. Concepcion, MD
Co-Chair: Ma. Concepcion C. Vesagas, MD
Members: Jeffrey Jeronimo P. Domino, MD
Pierette Y. Kaw, MD
Ronald A. Yutangco, MD
Marielou B. Fuentes, MD
Alfred Philip O. De Dios, MD
Samuel Yrastoraza, MD
Marco Paul Lopez, MD
Karen Luna, MD
Bong Tuason, MD

c) Sub-committee on Midyear Convention, 2015

Chair: Alfred Q. Lasala II, MD
Co-Chair: Jose A. Solomon, MD
Members: Joan S. Tagorda, MD
Marilo N. Agno, MD
Andrei Cesar S. Abella, MD
Elvis Llarena, MD
Catherine Co, MD
Alfred Philip de Dios, MD
Allen Anthony D. Sese, MD

INCISIONS 25
COMMITTEES 2014
d) Sub-committee on Annual Clinical Congress, 2015
Chair: Mary Geraldine Remucal, MD
Co-Chair: Alfred Philip O. de Dios, MD
Members: Carlo Angelo Cajucom, MD
Enrique Hilario O. Esguerra, MD
Aldine Astrid B. Ocampo, MD
Vivian P. Enriquez, MD
Dante G. Ang, MD

e) Sub-committee on Primary Care Surgery for Family Physicians

Chair: Roberto O. Domingo, MD
Members: Andrei Cesar S. Abella, MD
Alfred Philip O. de Dios, MD
Stanley U. Kho, MD
Mary Geraldine B. Remucal, MD
Joel P. Merced, MD

f) Sub-committee on Postgraduate Courses & Scientific Meetings

Chair: Ma. Rica M. Lumague, MD
Co-Chair: Marilou N. Agno, MD
Members: Orlino C. Bisquera Jr., MD
Miguel C. Mendoza, MD
Romel T. Menguito, MD

3. Committee on Awards
Chair: Ernesto C. Tan, MD
Co-Chairs: Ramon L. de Vera, M.D.
Domingo S. Bongala Jr, MD (President, PSGS)
Enrico P. Ragaza, MD
Alfred H. Belmonte, MD

Regent-in-charge: Jesus V. Valencia, MD

Tasks:
1) In addition to the current awards being given, the Committee shall study giving more awards
in recognition to outstanding Fellows of the College.
2) To review the guidelines for the search of the Lifetime Achievement Award and set guidelines
for the Legends of the Knife.

4. Committee on Socials & Sports

Chair: Alfred Q. Lasala II, MD
Co-Chairs: Marcus Jose B. Brillantes, MD
Noel C. Evangelisa, MD
Vincent Paul Olalia, MD

Regent-in-charge: Ramon S. Inso, MD

Task:
1) To schedule other sports activities, other than golf.

26 INCISIONS
 COMMITTEES 2014
5. Committee on Trauma
Chair: Joel U. Macalino, MD
Co-Chairs: Adrien R. Quidlat, MD
Members: Jorge M. Concepcion, MD
Marcelo M. Pacheco, MD
Emmanuel M. Bueno, MD
Adonis C. Gascon, MD
Michael Angelo T. Francisco, MD
Alfonso Nunez, MD
Raymundo R. Resurreccion, MD
Enrico P. Ragaza, MD (for the ATLS)
Joseph T. Juico, MD (for the BETTER Course)

Regent-in-charge: Ramoncito C. Magnaye, MD

Functions: The Committee shall initiate, coordinate and implement all activities of the College related
to trauma. It shall establish a National Trauma Program for the teaching, research and
practice of the surgery of trauma. It shall encourage the establishment of trauma centers
nationwide for the management of all types of injuries including burns.
Tasks:
1) To continue the ATLS Course
2) To continue the BEST program
3) To conduct trainers’ workshop for BETTER as needed
4) To coordinate with government and NGOs in terms of trauma injury prevention and control
to include surveillance, lobbying for appropriate legislation
5) To coordinate and support the PCS chapters regarding their trauma programs especially
on disaster preparedness
6) To establish a network of communication to connect PCS and Chapters to other agencies
involved in cases of disaster and mass casualty events
7) To create quality assurance programs for trauma patients

Ad-Hoc Committee on ATLS:

Chair: Maximo H. Simbulan Jr., MD

Course Director: Enrico P. Ragaza, MD
Assistant Course Director: Orlando O. Ocampo, MD

6. Committee on Critical Care & Nutrition

Chair: Raymundo R. Resurrecion, MD
Co-Chairs: Luisito O. Llido, M.D.
Jesus Fernando B. Inciong, MD
Leoncio L. Kaw Jr., MD
Orlando O. Ocampo, MD
Marie Dionne Sacdalan, MD
Marc Paul Lopez, MD
Reynaldo Sinamban, MD
Eduardo Ayuste, MD

Regent-in-charge: Dures Fe E. Tagayuna, MD

INCISIONS 27
COMMITTEES 2014
Tasks:
1) To ensure compliance to IONS forms and implementation (?)
2) To involve multiple disciplines in formulating policies on surgical nutrition
3) To promote EBCPG on Critical Care and Nutritional Support for surgical patients.
4) To develop relevant educational programs for conventions and dissemination through Chapters.
5) To conduct seminars/workshops on Critical Care similar to B.E.S.T.
6) To create a curriculum for the seminars/workshops on Critical Care

7. Committee on Cancer
Chair: Mark R. Kho, MD
Co-Chair: Ida Marie T. Lim, MD
Members: Vivian P. Enriquez, MD
Alex S. Sua, MD
Norwin T. Uy, MD
Vitus R. Talla, MD
Gerald T. Alcid, MD
Catherine S. Co, MD
Marwin Matic, MD
Edmundo E. Villaroman, MD

Regent-in-charge: Hermogenes J. Monroy, III, MD

Function: The Committee shall initiate, coordinate and implement all activities of the College related
to cancer. It shall establish a National Cancer Program for the teaching, research, and
surgery of cancer. A national cancer education shall be institutionalized by the College
alone or in cooperation with other National Cancer agencies.

Tasks:
1) To continue promoting cancer awareness in the community
2) To enrich the teaching and training of residents on cancer
3) To conduct cancer lay forum during the Midyear Convention and Annual Clinical Congress
4) To pursue until fruition of the research on hormone receptor status of breast cancer
specimens (together with committee on research/PSP)
5) To establish network data on cancer

8. Committee on Surgical Infections

Chair: Martin Anthony A. Villa, MD
Co-Chair: Esther A. Saguil, MD
Members: Emmanuel S. Asedillo, MD
Allan Troy D. Baquir, MD
Miguel Gary D. Valdez, MD
Catherine Co, MD
Sir Emmanuel S. Astudillo, MD

Regent-in-charge: Jose Antonio M. Salud, MD

28 INCISIONS
 COMMITTEES 2014
Function: The Committee shall initiate, coordinate and implement all activities of the College related
to surgical infections. It shall establish a National Infection Control Program for the
prevention, surveillance and control of surgical infection.

Tasks:
1) To continue dissemination of present Evidence-based Clinical Practice Guidelines on
infections
2) To produce relevant information materials on surgical infections
3) To conduct regional surgical infection forum
4) To establish national data on surgical infections

9. Committee on Surgical Research

Chair: Alfred Philip O. De Dios, MD
Co-Chair: Leonardo O. Ona III, MD
Members: Jose Modesto B. Abellera III, MD
Ma. Cheryl L. Cucueco, MD
Bernardita C. Navarro, MD
Ma. Luisa D. Aquino, MD
Aldrin Joseph R. Gamboa, MD
Catherine Co, MD
Arlene T. Fajardo, MD

Representatives from specialty societies: (to be submitted by specialty societies)

Regent-in-charge: Rose Marie R. Liquete, MD

Function: The committee shall initiate, coordinate and implement all activities of the College related
to surgical research in cooperation with other committees.

Tasks:
1) To continue conducting activities that will develop the knowledge and capability of Fellows
and residents in research
2) To oversee the development of evidence-based practice guidelines on common surgical
conditions in cooperation with PHIC and DOH.
3) To submit adapted/screened evidence based clinical practice guidelines on top 5 surgical
diseases on all specialties
4) To establish study groups on selected surgical disease
· Thyroid
· Breast
· Peptic ulcer diseases

a) Sub-committee on Inventions & Innovations

Chair: Leonardo A. Ona III, MD

Members: Martin Anthony A. Villa, MD
Samuel Vicente Yrastorza, MD

Regent-in-charge: Hermogenes J. Monroy III, MD

INCISIONS 29
COMMITTEES 2014
10. Committee on Surgical Training
Chair: Orlando O. Ocampo, MD
Co-Chairs: Gerald T. Alcid, MD
Alfred Philip O. de Dios, MD
Eduardo S. Eseque, MD
Gerardo L. Irigayen, MD
Andrew Jay G. Pusung, MD
Allan Troy D. Baquir, MD
Andrei Cesar S. Abella, MD
Alfred Q. Lasala III, MD
Briccio G. Alcantara, MD
Delfin B. Cuajunco, MD
Cenon R. Alfonso, MD
Adrien R. Quidlat, MD

Lesli Reyes, MD – ORTHO

Specialty society representatives:

Regent-in-charge: Edgar A. Baltazar, MD

Function: The educational welfare of surgical residents in PCS accredited training programs shall
be the primary concern of the committee. Likewise, it shall propose and supervise
remedial courses in surgery in cooperation with the respective PCS chapters whenever
necessary. Where Surgical Residency Scholarships are available, the Committee shall
evaluate and select the scholars.

Tasks: 1) To disseminate and implement the core curriculum on professionalism

2) To identify issues and concerns that cut across all surgical specialties
3) To draft handbook on good surgical practice, Philippine version, with Com. on Ethics &
Judicial Matters

a) Sub-committee on ASEAN Summit

Chair: Josefina R. Almonte, MD
Members: Armando C. Crisostomo, MD
Shirard A. Adiviso, MD
Jose Y. Cueto Jr., MD
Rolando Reyes, MD

Regent-in-charge: Edgar A. Baltazar, MD

Task: 1) To come up with activities for the Asean Summit on Basic Core Competencies for Asean
General Surgeons.

11. Committee on Quality Assurance & Patient Safety

Chair: Cenon R. Alfonso, MD
Co-Chairs: Joseph D. Quebral, MD
Jorge M. Concepcion, MD
Manuel Francisco T. Roxas, MD

Regent-in-charge: Jose Antonio M. Salud, MD

Task: 1) To develop measures that will improve patient safety

2) To disseminate the Patient Safety Program
30 INCISIONS
 COMMITTEES 2014
II. CLUSTER B – POLITICAL FUNCTIONS
Head: George G. Lim, MD

1. Committee on Membership
Chair: Alejandro C. Dizon, MD
Members: Ervin H. Nucum, MD
Jose Vivencio P. Villaflor III, MD
Hernan P. Ang, MD
Erwin B. Alcazares, MD (Chair, PCS MMC Committee On Membership)
Jose A. Solomon, MD(Chair, PSGS Committee On Membership)

Regent-in-charge: George G. Lim, MD

Function: The committee shall consider and evaluate all applications for membership and
make recommendations to the Board of Regents. It shall promote activities for
membership development.

Tasks:
1) To screen all applicants to the PCS
2) To recommend to the BOR applicants who passed the screening process of the
committee to be members of the PCS.
3) To recommend to the BOR members to be “dropped” from the roster.
4) To develop strategies that will improve monitoring of Fellows attendance in the
conventions.
5) To finish the Fellows Database System
6) To formulate a Membership Development Program
7) To develop a Handbook/Curriculum on surgeons career path
8) To come up with a more comprehensive Initiate orientation activities
9) To draft a proposal for additional membership category to the College

2. Committee on Nominations
Chair: Stephen Sixto Siguan, MD
Members: Josefina R. Almonte, MD
Maximo H. Simbulan Jr. MD
Alfred H. Belmonte, MD
Jesus V. Valencia, MD (President, 2014)
Servando Sergio DC Simangan Jr., MD (Chair, BOG)

Function: The committee shall seek and nominate Fellows best qualified to serve as Regents.
It shall evaluate and nominate twenty candidates.

3. Commission on Elections (COMELEC)

Chair: Vicente Q. Arguelles, MD
Commissioners: Ponciano M. Bernardo Jr., MD
Leonardo A. Ona Jr., MD
Adriano V. Laudico, MD
Roman L. Belmonte Jr., MD

INCISIONS 31
COMMITTEES 2014
Tasks:
1) To come up with a short but comprehensive Candidates curriculum vitae performance
of the previous Board of Regents
2) To implement and supervise all electoral functions including but not limited to referenda,
plebiscite and the like.

4. Committee on By-laws and Amendments

Chair: Hector M. Santos Jr., MD
Members: Teresita R. Sanchez, MD, LlB
Apolonio L. Lasala, MD
Romeo G. Encanto, MD
Cenon R. Alfonso, MD
Leo O. Olarte, MD, LlB
Atty. JJ Disini (By Invitation)

Regent-in-harge: Ramon S. Inso, MD

Function: The committee shall initiate, receive, evaluate and make recommendations on all
amendment proposals to the Board of Regents who shall in turn refer the same to the
general membership for final disposition.

Task:
1) To address issues raised regarding the procedure of getting proxies for the amendment
of the By-Law.

5. Committee on Ethics & Judicial Matters

Chair: Josefina R. Almonte, MD
Members: Ramon L. de Vera, MD
Alejandro C. Dizon, MD
Cenon R. Alfonso, MD
Rica D. Mirasol-Lumague, MD
Atty. JJ Disini (by invitation)

Regent-in-charge: Jesus V. Valencia, MD/Rose Marie R. Liquete, MD

Function: The committee shall initiate, receive, investigate, evaluate and recommend to the oard
of Regents for action any or all matters pertaining to the ethical and professional conduct
of a Fellow and other judicial matters. It shall establish the disciplinary procedures of
the College upon approval by the Board.

Tasks:
1) To recommend topics for CSE on ethical issues.
2) To monitor compliance of Fellows to PMA & PCS Code of Ethics
3) To come up with a Handbook on good surgical practice with Committee on Surgical
Training

32 INCISIONS
 COMMITTEES 2014
III. CLUSTER C – FINANCIAL MATTERS
Head: Gabriel L. Martinez, MD

1. Committee on Finance
Chair: Jaime L. Balingit, MD
Members: Elvis L. Bedia, MD
Domingo O. Amistad, MD
Romeo R. Fernandez, MD (Chair, Committee on FAP)
Jose A. Solomon, MD (Chair, PCS Building Committee)

Regent-in-charge: Gabriel L. Martinez, MD

Function: The committee shall be charged with preparing recommendations for the management
of the funds of the College thru long term financial planning and fiscal control and in
consultation with the President and the various committees, prepare and recommend
the annual budget to the Board of Regents.
Tasks:
1) To increase financial stability of the College
2) To increase income from the building & other sources of income
3) To continue cost efficient measures
4) To increase investment portfolios

2. Committee on PCS Building

Chair: Jose A. Solomon, MD
Members: Luis O. Buño Jr., MD
Dexter M. Aison, MD
Romeo R. Fernandez, MD
Rouel Mateo M. Azores, MD
Jose Ravelo T. Bartolome, MD

Regent-in-charge: Antonio S. Say, MD

Tasks:
1) To monitor the structural integrity of the PCS building
2) Recommends repairs of the physical structure of the PCS Building
3) To address the concerns of the tenants

3. Committee on Fellows Assistance Plan

Chair: Romeo R. Fernandez, MD
Members: Roberto M. De Leon, MD
Josefino C. Qua, MD
Emmanuel F. Montana Jr., MD
Erwin Emeterio L. Isla, MD

Regent-in-charge: Antonio S. Say, MD

Function: The committee shall manage the health and welfare concerns of the Fellows. The
committee shall supervise and implement the FAP in cooperation with the Board of
Regents who shall from time to time, determine the membership obligations and
benefits.

INCISIONS 33
COMMITTEES 2014
Tasks:
1) To study measures to make Fellows Assistance Plan (FAP) viable.
2) To monitor the pension plan for Fellows
3) To conduct actuarial studies of FAP
4) To devise alternative usage of the FAP for the benefit of our Fellows.
5) To formulate strategies on how to augment FAP benefits

4. Committee on Internal Audit

Chair: Ma. Cheryl L. Cucueco, MD
Members: Bilson S. Ong, MD
Josefino G. Sanchez, MD
David Dy, MD

Regent-in-charge: Fernando A. Melendres, MD

Function: The committee shall conduct an annual internal audit of all the funds and properties
of the College. It shall prepare auditing rules to be adopted by the Board including
those for the annual internal audit. Internal audit must be reported to the Board
quarterly.

Tasks:
1) To conduct annual internal audit of all funds and properties of PCS
2) To oversee that the Committees tasks/functions are accomplished.

5. Committee on Administrative Concerns

Chair: Arturo E. Mendoza Jr., MD
Members: Jesus V. Valencia, MD
Gabriel L. Martinez, MD
George G. Lim, MD
Atty. JJ Disini (By Invitation)

Tasks:
1) To define the job descriptions of the PCS employees
2) To devise strategies to improve the working relationship of the administrative staff
3) To enhance the skills of the administrative staff
4) To convert College documents to an electronic form.

IV. CLUSTER D - EXTERNAL AFFAIRS, MEDIA & PUBLIC RELATIONS

Head: Fernando A. Melendres, MD

1. Committee on External Affairs & Public Relations

Chair: Romeo G. Encanto, MD
Members: Dennis H. Littaua, MD (Foundation Day)
Servando Sergio DC Simangan Jr., MD (Legislative Liaison)
Samuel Vicente Yrastorza, MD (Website)

Regent-in-charge: Fernando A. Melendres, MD

34 INCISIONS
COMMITTEES 2014
Functions: The committee shall conduct information drives, promote wholesome public relations
for the College nationally and internationally and address health bills and issues
involving physicians in general and surgeons in particular.

The committee shall serve as the liaison organization to promote the interest and
welfare of surgeons in the Philippines. It shall serve as the public relations arm of
the College.

It shall address health bills and issues involving health care, physicians in general
and surgeons in particular.

Tasks:
1) To encourage other PCS Chapters to either establish a Klinika ng Bayan or to adopt a
district hospital program
2) To develop a video regarding the PCS Klinika ng Bayan and other socio-civic activities of
the College.
3) To ensure that the PCS website is fully operational and regularly updated
4) To get a list of all pending medical bills in Congress
5) To lobby for the approval of the Medicine Act of 2000 and other bills beneficial to patients
and doctor
6) To continue the “Ang Galing Mo Dok” program and Health Forum
7) To help formulate health bills that will improve patient health and protect the interest of
patients and physicians
8) To organize a Patient Liaison Group in each Chapter
9) To explore the possibility of putting up a telemedicine facility in strategic places in the
country
10) To pursue the tax relief bill

a) Sub-committee on Legislative Liaison

Chair: Servando Sergio DC Simangan, Jr.MD
Members: Dale Avellanosa, MD
Pierrette Kaw, MD
Dionne Sacdalan, MD

b) Sub-committee on Media Liaison

Chair: Jose S. Pujalte, Jr., MD
Members: Rhoderick M. Casis, MD
Christopher Cheng, MD
Luis Florencio, MD

c) Sub-committee on PCS Website and Medical Informatics

Chair: Samuel Vincente Yrastorza, MD
Members: Narciso F. Atienza, Jr., MD
Robert Y. Chan, MD

INCISIONS 35
COMMITTEES 2014
d) Sub-committee on PCS Foundation Day
Chair: Dennis Littaua, MD
Members: Virgilio Siozon, MD
Elvis C. Llarena, MD
Pauldion V. Cruz, MD
Alfred Q. Lasala II, MD

e) Ad-hoc Committee on International Relations

Chair: Alfred H. Belmonte, MD
Members: Josefina R. Almonte, MD (2012-14)
Maximo H. Simbulan Jr., MD (2012-15)

Tasks:
1) To develop and nurture relations with surgical and non-surgical organizations towards
achieving the College’s Mission and Vision
2) To organize activities for the delegates of the ASEAN summit.

2. Committee on HMO & RVS

Chair: Enrico P. Ragaza, MD
Members: Rey Melchor F. Santos, MD
George Co Jr., MD (Ophtha)

Society representatives:

Regent-in-charge: Dures Fe E. Tagayuna, MD

Function: To study and accredit HMO programs in order to safeguard the professional interest
of surgeons.

Tasks:
1) To review the Memorandum of Agreement with AHMOPI and make recommendations
regarding renewal
2) To continue to negotiate for better benefits for Fellows/Diplomates of PCS with the AHMOPI
and the PHIC
3) To disseminate information and guidelines regarding relationship with AHMOPI
4) To discuss again with AHMOPI on IRR on charging in relation to the case mix rates

3. Committee on SURE & Outreach Services

Chair: Joseph Melbert O. Gulfan, MD
Members: Edmund R. Mercado, MD
Luis N. Florencio Jr., MD
Randolf Carmelo T. Trinidad, MD

Regent-in-charge: Maximo B. Nadala, MD

Function: The committee shall establish a National Program on Outreach Services to extend
charity surgical care to the indigent population of the country.

36 INCISIONS
 COMMITTEES 2014
Tasks:
1) To conduct surgical missions for indigent patients in underserved areas (by chapters
and affiliate societies) in conjunction with LGUs and other NGOs.
2) To monitor and implement guidelines in the conduct of surgical missions/S.U.R.E.
activities
3) To monitor the activities of the MOA with Coron District Hospital.

4. Committee on Publications & Documentation

Chair: Ma. Concepcion C. Vesagas MD
Members: Marwin Emerson V. Matic, MD
Raymund Noel C. Mallari, MD
Noelito M. Lacsamana, MD
Peter Raymund M. Quilendrino, MD

Regent-in-charge: George G. Lim, MD

Function: The committee shall manage all publications of the College except the PJSS and
promulgate rules and regulations pertaining thereto. The Secretary of the College
shall serve as ex-officio member of the committee with all the rights of membership.

Tasks:
1) To provide a list of educational opportunities, professional enhancement
2) To inform public of conventions through broadsheet, supplements and website
3) To make a unified and accurate PCS history
4) To properly document convention proceedings
5) To publish the PCS Desk Calendar for 2015
6) To ensure timely publication of the quarterly issues of the PCS Newsletter
7) To ensure that all worthwhile articles are sent out in the PCS Website
8) To complete the history of the PCS for posting in the website.
9) To ensure photo documentation of official PCS functions and activities.

a) PCS Newsletter
Editor-in-Chief: Ma. Concepcion C. Vesagas MD
Editorial Staff: Jeannette Nora I. Silao, MD
Marwin Emerson V. Matic, MD
Joel U. Macalino, MD
Marcus Jose B. Brillantes, MD
Jose S. Pujalte Jr., MD
Regent-in-charge: George G. Lim, MD

Task:
1) To discuss and devise strategies to widen the circulation of the PCS Newsletter.

5. Joint Coordinating Committee for Accreditation & Certification (JCCAC)

Chair: Eduardo R. Gatchalian, MD
Co-Chair: Alfred H. Belmonte, MD
Members: Shirard L. Adiviso, MD
Robert C. So, MD

INCISIONS 37
COMMITTEES 2014
Society Representatives:
William L. Olalia, MD (GS)
Ariel A. Zerudo, MD (Urology)
Dures Fe E. Tagayuna, MD (Pediatric Surgery)
Andres D. Borromeo, MD (Orthopedic Surgery)
Glenn Angelo S. Genuino, MD (Plastic & Reconstructive Surgery)
Leovigildo Isabela Jr., MD (Neurosurgery)
Felixberto S. Lukban, MD (TCVS)
Edgardo C. Rodriguez Jr., MD (Otolaryngology- Head and Neck Surgery)
Benito V. Purugganan, MD (Transplant Surgery)
Ricardo Quintos, MD, MD (Vascular Surgery)
Hermogenes J. Monroy II, MD (Colorectal Surgery)
Cosme I. Naval, MD (Ophthalmology)

Regent-in-charge: Edgar A. Baltazar, MD

6. PHILIPPINE JOURNAL OF SURGICAL SPECIALTIES

Editor-in-Chief: Theodor S. Vesagas, MD
Co-Editor: Domingo S. Bongala, MD
Associate Editors: Nilo C. de los Santos, MD
Antonio L. Anastacio, MD
Juanito S. Javier, MD
Adrian E. Manapat, MD
Jose D. Quebral, MD
Ma. Luisa D. Aquino, MD
Ida Marie T. Lim, MD
Jose Luis J. Danguilan, MD
Jose Macario V. Faylona, MD
Eric A. Arcilla, MD
Charlotte M. Chiong, MD
Alfred Philip O. De Dios, MD
Catherine Co, MD
Arlene Fajardo, MD

Task:
1) To ensure timely publication of the PJSS

38 INCISIONS