departmentof medicine
Residency Training Program
I. The MMC Department of Medicine Residency Training Program
The INTERNIST
Definition:
A Doctor of Medicine who is trained to diagnose and treat adults (from adolescence to senescence) afflicted with medically-treatable diseases and disorders ranging from the common to the rare, from simple to complex; including the puzzling, the chronic and the multiple. He is entrusted to bring to patients an understanding of wellness (health promotion and disease prevention). He is responsible for updating hisknowledge in many areas of cardiovascular diseases, cancer, diabetes, gastrointestinal, infections, renal and pulmonary disease, allergology and immunology, hematology, rheumatology, critical care, common problems of the eyes, ears, skin, brain and nerves, reproduction; women?s health, mental healthand public health; including Clinical Nutrition, Clinical Pharmacology and Therapeutics, Adolescent Medicine,Substance Abuse and Dependence, GeriatricMedicine, Tropical Medicine, Occupational and Environmental Medicine, Physical Medicine and Rehabilitation.
In his role as primary attendingphysician, he aims to take care of the whole patient for life, in the various settings of the office or clinic, hospital, intensive care and nursing homes.He coordinates care with other medical specialists and manages associateddifficult medical problems. Often, in his role of medical consultant, he is referred to as the ?doctor?s doctor.?
A. Mission
The mission of this program is to train and develop physicians with the knowledge, skills, and attitudes requisite to patient care in Internal Medicine. Emphasis is placed onthe humane application of scientific knowledge; stimulating our graduates toacquire new knowledge and skills through life long self-directed learning, cost-effective utilization of public resources, the responsiveness to the needs of individual and the community with the highest standards of academic excellence and professional ethics.
B. General Requirements for Residency Appointment
1. Graduated from a recognized medical school
2. Certification from the Professional Regulations Commission Medical Board of Examiners with license to practice Medicine in the Philippines
3. Submission of school transcript of records, class standing, and grade of medical board exam
4. Mustpass the physical and psychological examination
5. Screening(interview and written examination) by the Residency Admissions Committee
6. Endorsement by the Residency Admissions Committee to the Chairman of the Department
7. Recommendation by the Chairman of the Department to the Medical Education Office of the Makati Medical Center
C. GOALS
c1.Principal Goals:
a) To assure acquisition of the professional knowledge, skills and attitudes necessary forthe practice of Internal Medicine. This goal is achieved by maintaining apost-graduate medical education program that meets the accreditation requirements of the Philippine College of Physicians.
b) The residency training program is framed to fulfill the mission and vision of the MakatiMedical Center and promulgates these through its post-graduate trainingprogram. This includes a commitment to public service in scholarly environment.
c) To encourage research among resident physicians.
d) To prepare the resident physicians to become eligible for certification to the PhilippineCollege of Physicians.
c2.Secondary Goals
The candidate for certification to the program must demonstrate the following qualities:
a) Patient Services: The program requires candidates for certification to deliver high quality service to the public. The trainees should demonstrate or provide:
· Unconditional concerns for the individual welfare.
· Patient service that is humane and upholds ethical standards.
· Ability to work harmoniously with other health care providers.
b)Professional Characteristics: Candidates must demonstrate the highest standard of professional conduct.
c) Scholarly Attributes: He should have the initiative for self-directed learning, commitment to research and intellectual honesty.
d) Institutional Commitment: The candidate must be committed to carry out themission of the Makati Medical Center and comply with all institutional policies and procedures.
e) Clinical Competence: Clinical competence must be demonstrated in the followingareas:
1. Medical Knowledge
2. Clinical Judgment
3. Competence in Clinical and Procedural Skills
4. Humanistic Attributes
5. Professionalism
6. Ability to Impart and Share Knowledge
D. ResidentsAssignments/Rotation
Level I: Atleast 80% of their patient exposure should be at the General Wards andOut-Patient setting.
Level II: Should have primary responsibility for Medical ER cases
SpecialtyRotation?at least 2 months structured rotation in at least 3 of the 4 Majorsubspecialties (Cardio, Pulmo, ID, GI) as well as rotation to the other medical subspecialties
Level III: Should have primary responsibility for ICU/CCU cases
Should exercise supervisory function over the care of medical out-patient, in-patient,and ER cases
One month elective rotation (subspecialty or other medical fields) is required.
E. Resident Cases
Resident cases are defined as:
? Cases wherein the resident physician is given major responsibility in the day to day patient problem management, with graduated supervision as necessary from the consultant who must be a PCP Diplomate or Fellow, regardless of whether theyare charity or private patients.
The minimum number of Resident cases/admissions annually should be:
1. General ward admission? 60 admissions x total number of residents
2.ICU/CCU?24 admissions x number of 3rd year residents
3.OPD/ER?120 consults x total number of residents
F. Required Interactive Training
Daily: Problem solving/decision making interactions with Senior Resident and/or Consultant
Weekly Conferences: May take either of the following formats:
1. Grand rounds
2. Specialty Conferences
3. Mortality/Morbidity
4. Didactics
Annual: CPC(this maybe done as a Cluster/Chapter activity)
Research forum
Otheractivities may include:
1. Bioethics conference
2. Leadership activities
3. Administrativetraining
G. ResearchActivities
Eachresident is expected to undertake and finish a research activity every year. Asper recommendation of the research committee, the following are the expectedresearch activity per year level:
First-Year Resident: Meta-analysis/Case Report
Second-Year Resident: Research Protocol
Third-Year Resident: Completed Research Paper
