Molding future pulmonologists
The Philippine College of Chest Physicians (PCCP) serves as the accrediting body for hospitals and institutions which gives adult pulmonary medicine training nationwide.
The society’s role is to formulate and execute policies, rules and regulations governing certification, through its Pulmonary Training Program Accreditation Board. Likewise, the Specialty Board is the one in charge of certifying qualified pulmonologists as Diplomate members of the College. This is a mechanism that ensures quality and standard of its programs as well as its graduates of pulmonary medicine fellowship.
Here are the various training institutions in the Philippines accredited by the College:
Chinese General Hospital and Medical Center
Chinese General Hospital and Medical Center (CGHMC), a 700-bed capacity tertiary hospital, started its full comprehensive two-year pulmonary fellowship training program in 1999.
The goals of the fellowship training program are to provide the fellows with diverse and robust clinical training, and to develop and mentor the future leaders in pulmonary medicine.
The program accepts two fellows each year and trainees participate predominantly in patient care during the first year. Clinical training on the 2nd year occurs during ICU rotations and each fellow spends two to three months undergoing imaging and diagnostic rotations as electives, giving them additional exposure to one of the most advanced and state- of-the-art imaging equipment in this institution.
Bronchoscopies on patients are performed by the pulmonary medicine fellows, in addition to performing thoracentesis and pleural biopsy and conduction of pulmonary function testing. Throughout the fellowship, outpatient clinics provide ambulatory experience, and numerous conferences provide a formal didactic experience.
True to the definition of patient education, the CGHMC Section of Pulmonary Medicine imparts information to their patients and their caregivers about important issues in providing healthcare assistance with their respiratory diseases and health behaviors to improve their health status.
Chong Hua Hospital
Chong Hua Hospital (CHH) is one of the first institutions outside Metro Manila to have a Pulmonary Fellowship Training Program. Accredited in 2007, Chong Hua Hospital has produced eight graduates, with a 100 percent passing rate in the specialty board exam.
It also has other subspecialty fellowship training programs including Cardiology, Nephrology and Endocrinology Fellowship Program, which greatly complement and enhance the Pulmonary and Pulmonary Critical Care Medicine Fellowship Program.
The CHH Pulmonary Fellows have garnered awards during PCCP conventions, as best debate speakers, or as part of the best Debate team. The Fellows have also been recognized in the field of research in local, as well as international conventions. In the 2017 PCCP Annual Convention, Chong Hua won its first ever “Best in the Interhospital Case Contest”; it was also the first time for a training program outside Metro Manila to win the coveted contest.
With a strong support from the Chong Hua Hospital Administration and the Active Staff of the Section of Pulmonary Medicine, we continue our vision to be “an innovative leading center of lung diseases for years to come while rendering service to the community,” and achieve our mission of “unparalleled passion and commitment in providing excellent and quality care for respiratory patients daily.”
Cardinal Santos Medical Center
The Fellowship Training Program in Pulmonary Medicine projected by the Cardinal Santos Medical Center (CSMC) Section of Pulmonary Medicine and Critical Care is geared towards training qualified professionals to be competent, responsible, dedicated, compassionate and holistic specialists in the field of Pulmonary Medicine and Critical Care. Training a specialist well versed in the clinics, the academe and in research is the primary goal of the program.
The course is a two-year fellowship program, which aims to provide trainees with the required knowledge and in-depth clinical training to understand and manage pulmonary diseases in an appropriate and responsible manner.
The two-year program will consist of clinical rotations in the Wards, Emergency Room, Intensive Care Unit, and Out-patient Department. Included in the training program are rotations in the Pulmonary Diagnostic and Therapeutic Laboratory, Sleep Laboratory, and Pulmonary Rehabilitation Center. In addition to the clinical and subspecialty rotations, the trainee will also be required to complete a research study and provide mentorship to Internal Medicine Residents and Interns.
The Chairman of the Section of Pulmonary Medicine is Dr. Cecil Z. Tady. The chief training officer is Dr. Agnes Del Rosario, and the training committee members are: Dr. Michelle Angela Tan-Reyes, Dr. Niño Gil Oconer, and Dr. Angelo Adraneda.
Lung Center of the Philippines
The Pulmonary Medicine Fellowship Training Program of the Department of Pulmonary, Critical Care and Sleep Medicine is a two-year post-residency training program accredited by the PCCP. The training program commences on the first of April each year and completion of training is by the end of March. Currently, we have 20 Pulmonary Fellows, including the Chief Fellow, eight fellows in their first year, and 11 fellows in their second year.
The training program adheres to the guidelines and recommendations of the PCCP Accreditation board. All fellows-in-training undergo clinical rotations on a monthly basis. The rotation in the TB-PMDT is also incorporated in the two-year fellowship training which equips the fellows-in-training with the knowledge and skills for DOTS and DOTS-plus management, making them certified treatment partners in TB-PMDT wherever they eventually choose to set up their clinical practice. There are also elective rotations in other areas such as Pathology, Radiology, Thoracic Surgery and Anesthesia.
The trainees are also required to comply with the required number of procedures during their training, i.e. pleural biopsy, thoracentesis, and bronchoscopy. Additional assignments include the following: as facilitators in the Asthma Club Seminar and Workshop held once a month and lecturers in the COPD and Bronchiectasis Support Group Program educational sessions every other month.
Makati Medical Center
The year 2017 was very fruitful for the Section of Pulmonary Medicine of Makati Medical Center. To start off, they celebrated the World Asthma Day last May 2 by conducting a simple lecture to charity patients regarding the Fundamentals of Asthma, common triggers, treatment and proper inhaler technique.
During the celebration of the National Lung Month, the institution had the Lobby Exhibit on Community Acquired Pneumonia in order to educate patients on the symptoms, mode of transmission and most importantly on prevention thru vaccination.
The 5th Pulmonary post-graduate course was held with the theme “Screen and Clear” and was attended by 234 delegates comprising of internists and pulmonologists alike from different hospitals in Metro Manila. The topics discussed were Vaccination for Lung Diseases, Tuberculosis and Migration, Pulmonary Diseases and Life Insurability, Lung Cancer Screening and Pulmonary Disability Evaluation.
First Year Fellows in Training, Dr. Gracielle May Mendoza-Yu and Dr. Annie May Dela Cruz also presented the First Atrial Septostomy in the Philippines in a patient with Idiopathic Pulmonary Hypertension during the Interhospital Grand rounds held last November 28, 2017.
To cap off last year’s activities, MMC celebrated the World COPD day last November 24 by offering free spirometry to their service patients.
Manila Doctors Hospital
The Manila Doctors Hospital Pulmonology Fellowship is a two-year training program accredited by PCCP. The section aims to develop competent, compassionate and civic minded pulmonologists.
Trainees and graduates of our institution are receiving excellent training in clinical patient care and education, mastery of skills in diagnostic procedures, and research. Our Pulmonary Program was initiated in 1992 by its first Chairman Dr. Florencio Chavez with Dr. Camilo Roa, Jr. as the first training officer. Presently, it is headed by Dr. Dennis Teo, chairman, and Dr. Gian Carlo Arandia, training officer.
The fellows are mandated to complete a minimum of 24 months of clinical training during fellowship. The first year of fellowship comprises of clinical patient care of all in-patients and out-patients, diagnostics rotation on Pulmonary function test, thoracentesis and bronchoscopy, and community or social service patient care with our out-patients. Second year fellows are involved in intensive care unit (ICU) and coronary care unit (CCU) monitoring and treatment, ventilator management and weaning, and subspecialty rotations on Sleep Medicine, Thoracic and vascular surgery management (TCVS), Pulmonary rehabilitation (in partnership with Lung Center of the Philippines), Thoracic Radiology Department, and MDR/ TB Dots.
Several clinical and conferences are offered in the institution regularly. Likewise, activities dedicated in reaching out to our colleagues and community thru, Inhaler workshops, Asthma and COPD yearly celebration, Free Annual Mechanical ventilator workshop, and Lung Clinic at OPD that caters to our pulmonary patients daily.
Perpetual Succour Hospital
This is the pioneering adult pulmonary fellowship training program outside of Metro Manila, founded on March 16, 2011. The program finds its home in Perpetual Succour Hospital, a 300-bed capacity tertiary hospital which rests in heart of uptown Cebu City. This institution takes pride in their thrust for innovation and spiritualism in healthcare provision. The program showcases intensive, innovative and holistic approaches to pulmonary management under supervision from a very competent pulmonary training core.
From its humble beginnings in 2011, the burgeoning training program has currently produced seven graduates all of whom are diplomates and three of whom are fellows of the college of chest physicians’ respectively.
Research papers from our graduates have been acknowledged and presented internationally. It is an opportunity for trainees in the Visayas and Mindanao regions to train in pulmonary medicine closer to home, however it is not limited there. Its doors very much welcome trainees from Luzon as well. The hospital boasts of a training program which is at par with and compliant with the standards set by PCCP. It’s thrust it to train to be the best, produce the best and provide the best pulmonary care to the Filipino people.
Philippine Heart Center
The Philippine Heart Center (PHC) started its Pulmonary and Critical Care fellowship training in 1976. It was the first structured fellowship training center for both Adult and Pediatric Pulmonology. The founding of this training program began under the leadership of Dr. Teresita S. De Guia.
It is proud to be the only institution in the country to be offering a 3-year fellowship training program in the field; accepting only diplomates of the PCCP to train as fellows. The first two years are devoted to prime and mold the trainees in basic pulmonary and critical care medicine. The third year of training was designed to hone trainees in becoming the forefronts in Clinical Research in either Critical Care Medicine, Pulmonary Rehabilitation or Sleep Medicine. It is the mission of the faculty to ensure that each fellow pursues sub specialization that matches their interests and prepare them for a successful career.
The specialists in the Pulmonology Division under the chairmanship of Dr. Aileen Guzman-Banzon provide extensive consultative, diagnostic and therapeutic services for patients with lung diseases. Cutting-edge technology in the field of pulmonary medicine is used to provide excellent quality of care to outpatients and inpatients.
Clinical expertise and research are integrated to provide the best care available while advancing the science of pulmonary and critical care medicine for the future.
St. Luke’s Medical Center, Quezon City – Institute of Pulmonary Medicine
St. Luke’s Medical Center Institute of Pulmonary Medicine (IPM) began under the leadership of Dr. Alberto A. Lardizabal, its first Institute Director. He started the fellowship training program in 1987 to answer the growing need for physicians who are adept in the management of pulmonary and critical care cases in the hospital so that they may eventually serve various centers and communities in the Philippines.
In the succeeding years, IPM continued to grow under the direction of Dr. Cecil Z. Tady (1998-2005), Dr. Myrna N. Banares (2005-2013), Dr. Roberto A. Barzaga (2013-2018) and Dr. Ma. Janeth T. Samson (2018-present). The institute continued to acquire state of the art facilities for pulmonary function testing, pulmonary rehabilitation, interventional pulmonology and mechanical ventilation.
Four intensive care units of the medical center contributed to the medical staff’s proficiency in pulmonary critical care management. IPM has embarked on various workshops and international symposia to augment the continuing education of both consultants and fellows.
In 2006, IPM on CME Tour was conceptualized. It is an annual two-day postgraduate conference and workshop which aims to bring the latest evidence-based updates in pulmonology to different regions in the country. IPM’s advocacy for disease prevention also led to the establishment of the Smoking Cessation Program.
Being a Joint Commission International (JCI) accredited hospital, consultants and fellows join the thrust towards patientcentered medical care. To date, IPM has produced 100 graduates and will continue to provide holistic and quality training to aspiring pulmonologists.
The Medical City
The PCCP-accredited Pulmonary Medicine Fellowship Training Program in TMC started in 2012, with the goal of producing competent and compassionate pulmonologists.
Its fellowship program lasts two years. The first year is devoted to core clinical training and research; the second year involves a more personalized schedule for electives based on each individual’s learning goals.
The attending staff is made up of 30 board certified pulmonologists, some of whom have advanced training in interventional pulmonology, sleep medicine and critical care. Aside from the core competencies, fellows have procedure training in diagnostic bronchoscopy including endobronchial ultrasound and transbronchial needle aspiration (EBUS). They are also trained how to conduct and interpret cardioplumonary exercise testing (CPET). Our fellows gain extensive experience in other areas such as Sleep medicine, Critical Care, Pulmonary Diagnostics and Rehabilitation and research.
The fellowship program offers a full complement of didactic teaching sessions, multidisciplinary conferences, and opportunities to participate in national and international conventions. We have close working relationships with thoracic surgery, pathology, radiology and oncology, which promote the multidisciplinary care of patients. The program takes pride in having had four graduates in 2012.
Presently, it has four fellows who are on their way to becoming competent specialists. Truly, the TMC Pulmonary Fellowship Program is well on its way to becoming an integral part of the TMC and the PCCP Community.
University of the Philippines – Philippine General Hospital
The section of Pulmonary Medicine of the Philippine General Hospital was founded in 1961 with the fellowship program initiated in 1978, making it one of the oldest training pulmonary medicine institutions in the Philippines.
From a small struggling section founded by five visionary pulmonologists, it has blossomed into a successful institution that has produced numerous alumni garnering recognitions from PCCP. It has also garnered recognitions for researches presented both locally and internationally and has produced PCCP board top-notchers.
Catering to the largest training hospital in the country with a 1500 bed capacity, the section has been part of rendering service to more than 600,000 patients each year who have sought care in the biggest tertiary hospital in the Philippines.
The section takes pride in its patient-centered and consultant guided mentoring program, providing opportunities for procedures and skills training as early as the first year of fellowship.
Becoming a pulmonologist trained in PGH entails compassion and commitment in learning while providing service and adapting to the ever changing needs and demands of the Filipino people. This program creates competent and socially relevant pulmonologists. It is a training built on leadership – by setting an example, a learning made by empowering all stakeholders of health, and a learning accomplished by working and building together.
They say there is strength in numbers, and indeed, there is. From five visionary pulmonologists, the section has blossomed into an institution with at least 600,000-patient exposure; with interactions to the other trainees of the 15 different clinical departments in PGH and the various allied medical professionals from at least five colleges in UP Manila and its 4,000 employees; Hence, it produced more than 150 5-star physician graduates; over a thousand programs, researches and health policy changes. Truly the Section of Pulmonary Medicine of the Philippine General Hospital has become the standard among the standouts.
University of Perpetual Help DALTA Medical Center
The Perpetual Help Medical Center – Las Pinas Section of Pulmonary Medicine started its humble beginnings in the southern part of Metro Manila more than 20 years ago. A small group of pulmonologists, led by their incumbent Chairman Dr. Ricardo M. Salonga, with the support of owner Dr./BGen. Antonio Laperal Tamayo, intended to provide the best medical care for their patients suffering from pulmonary diseases. Since then, it has become one of the forefronts in patient care and Pulmonary Medicine Training in our country.
The Institution boasts of state of the art facilities catering to a wide variety of cases. The pulmonary laboratory has round the clock availability of mechanical ventilators, arterial blood gas machine, nebulizers and acquired recently an upgraded spirometry unit. The Radiology Section is capable of doing x-rays, computed tomography scan and magnetic resonance imaging. The Nuclear Medicine Unit can do Ventilation Perfusion Scans and Positron-Emission Tomography Scans. The institution is also capable of facilitating Sleep Studies. Pulmonary rehabilitation programs are offered for patients with lung diseases. Likewise a TB-DOTS center is made available which is aligned with the government’s goal of TB eradication.
The Section has produced a number of successful pulmonologists in line with the training standards set by the PCCP. Past PCCP Presidents Dr. Elsie Ong, Dr. Mario Juco and Dr. Chad Rey Carungin have contributed to the welfare and growth of the Section and their trainees. Today, still led by their Chairman Dr. Salonga with Deputy Medical Director for Professional Affairs Dr. Jose Edzel Tamayo and Training Officer Dr. Rodolfo Dizon, Jr., the PHMC-LP Section of Pulmonary Medicine continues to pursue excellence in pulmonary healthcare and produce top notch pulmonologists who will perpetuate the knowledge and skills shared to them by the PHMC-LP Section of Pulmonary Medicine Consultant Staff.
University of Santo Tomas
Education, training and service are the key programs that the Center for Respiratory Medicine (CRM) of the University of Santo Tomas Hospital (USTH). Located at the campus of a 407 year-old university and affiliated with the 147 year-old Faculty of Medicine & Surgery, CRM carries the mission of a teaching hospital helping educate medical student to postgraduate trainees. Its fellowship training program, which produced its first graduate 35 years ago, has provided over 90 pulmonologists all over the archipelago and beyond the country’s shores.
Staffed by sixteen pulmonologists, most of whom are professors in the academe, the service and training are kept abreast of the latest developments in the field. From the basics of physiology and pharmacology to the special areas of interventional pulmonology, pulmonary rehabilitation, pulmonary vascular and sleep disorders, CRM is equipped to handle the various respiratory diseases. In addition, the numerous specialties and programs in USTH provide multidisciplinary perspectives, especially for the most difficult cases.
The CRM program is anchored on the service it provides to a hospital that is uniquely structured as private institution that has the largest number of beds allocated for clinical cases. This system allows CRM to lend its expertise to those who may be financially constrained. Along these lines, educational programs and workshops are conducted regularly, in cooperation with foundations or local societies to share skills and knowledge to other physicians. Notably, its bronchoscopy and ultrasound workshops are highly anticipated activities.
Beyond the clinical aspects of medical care, the curriculum of the CRM program enhances the patient-pulmonologist partnership by training its staff on how to conduct family meetings and by actively participating in ethics consults, allowing for a holistic approach to each patient encounter.
Though tradition is part of the long history of the institution CRM belongs to, it continues to change with the times, adopting new technology such as pioneering the use of endobronchial ultrasound, using it for the patients benefit and helping other physicians develop their skills. At the CRM, beyond training, one receives an education.
Veterans Memorial Medical Center
Veterans Memorial Hospital is the shining fulfillment of America’s promise to care for the Filipino veteran who fought alongside the Allied Forces in World War II. It stands as a tribute to those who have taken upon themselves the fight for our country’s freedom. Then and now, it stands out among medical institutions in the country not only for its esteemed and exclusive clientele but in that, it has plodded on well as a wholly non-profit operation notwithstanding the political, social and economic travails that have plagued the country.
The Section of Pulmonary Medicine has an equally rich history since it is one of the three major services created at VMMC’s inception. It was originally known as Tuberculosis service, expressly treating those afflicted with the disease. With the rising number of patients diagnosed with lung cancer, bronchiectases, pneumonia and COPD, the service in 1970, was expanded and renamed the Department of Pulmonary Diseases.
In the years that passed, the department became a section in 2010 under the Department of Internal Medicine and a lot of positive changes have happened since. At present, the section is one of only four offering a fellowship program.
The Section boasts of a challenging practice of Pulmonary Medicine, given the geriatric population being served at VMMC. The elderly patient is a complex case, engendered by the increasing burden of advance diseases, high rates of bothersome symptoms along with the risk of functional and cognitive decline.
The practice is one that is highly specialized, that is, aggressively trying to resolve the symptoms given the reduced reserves of the elderly patient tempered with utmost regard to the quality of life of the patient as well as the unmet needs of the family and caregivers.
The staff proudly serves the Filipino veteran and his dependents, giving their time, talent and service to reflect in equal measure the selfless service and sacrifice that had won the freedom for the country.
Aug 2018 Health and Lifestyle