Primer On PGH Internship Program

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PRIMER ON THE

PGH MEDICAL INTERNSHIP PROGRAM

Juliet Sio-Aguilar, M.D., M.Sc.


Stella Marie Legaspi-Jose, M.D., M.H.P.Ed.
Blesila A. Ebina

University of the Philippines Manila | Philippine General Hospital


Manila | 2020
b Primer on the PGH Medical Internship Program
Philippine General Hospital c

Primer on the
PGH Medical Internship Program

Juliet Sio-Aguilar, M.D., M.Sc.


Stella Marie Legaspi-Jose, M.D., M.H.P.Ed.
Blesila A. Ebina

University of the Philippines Manila


Philippine General Hospital
Manila

2020
Philippine General Hospital i

FOREWORD

The Philippine General Hospital (PGH), recognized as the National


University Hospital and the teaching hospital of the University of
the Philippines College of Medicine (UPCM), continues to open
its facilities for the clinical exposure of medical interns, not only
from the University of the Philippines but also from other medical
schools. With an annual census of nearly 700,000 patients served
at the institution, the Hospital of over 100 years is undoubtedly
a rich source of experience for the young colleagues desirous of
acquiring the cognitive knowledge and skills as applied in specific
patient encounters. Under the close supervision of consultants and
faculty members of the PGH and the UPCM, the medical interns
are provided hands-on activities with patients for them to reach the
level of competency and expected training outcomes. Outpatient
experiences, inpatient care, and urgent and emergent sound
decision-making are imbedded in the clinical training program.

This primer is a concise and valuable document that will provide


basic information about the internship program and the attendant
rules and codes of conduct that will allow the medical intern to
flourish in an environment that will be promotive of the training
expectations.

The Hospital remains responsive to the call to render quality


health care in a competent, humane, and ethical manner. Effective
teamwork especially in challenging times is integral to this noble
call to service.

GERARDO D. LEGASPI, M.D.


Director
Philippine General Hospital iii

TABLE OF CONTENTS

Foreword i

General Description 1

Admission Guidelines to the Medical Internship Tracks 2

Policies on Internship Matching for Postgraduate Interns 3

M.D./Ph.D. Program 5

Dress Code and Identification Card 6

Attendance and Duty Hours 6

Teaching and Evaluation 7

Recognition for Outstanding Performance 8

Policies and Guidelines Related to COVID-19 Pandemic 9

Conduct and Decorum 10

Disciplinary Action for Infractions 11

Privileges 14

Appendices 16


1

GENERAL DESCRIPTION

The PGH medical internship program subscribes to the


provisions set in the National Internship Program of the
Association of Philippine Medical Colleges Foundation
(APMCF), which is under the supervision of the
Commission on Higher Education (CHED). This 12-month
program is an integral part of the medical undergraduate
curriculum of the UP College of Medicine (UPCM) but is
open to postgraduate medical interns (PGI) from other
medical schools who have been successfully matched for
training in the Philippine General Hospital (PGH). While
some degree of academic freedom is allowed for the
medical internship training program of the UPCM-PGH,
the basic tenet is to prepare the medical interns in their
final clinical year before acquiring medical licensure and
this is uniformly applied for both the UPCM medical
interns and the PGI. All UPCM undergraduate medical
students must have passed all required courses in LU VI
(Clerkship) in order to be promoted to LU VII (Internship).

There are chiefly four tracks for the PGH medical internship
program, namely: (1) Track A: Regular Internship; (2)
Track B: Core Internship + Electives; (3) Track C: Straight
Internship; and (4) Track D: M.D./Ph.D. The PGI are only
allowed to participate in Track A (Regular Internship
Program). Once accepted into a program, the medical
intern shall not be allowed to shift to any other track.
2 Primer on the PGH Medical Internship Program

ADMISSION GUIDELINES TO THE MEDICAL INTERNSHIP TRACKS

Track A: Regular Internship

• Most medical interns participate in this track of the medical internship program.

• This track consists of rotations in 14 clinical departments for a period ranging from
one week to eight weeks. The rotations include clinical exposure in the different
clinical departments, namely, Anesthesiology, Dermatology, Emergency
Medicine, Family and Community Medicine, Medicine, Neurosciences, Obstetrics
and Gynecology, Ophthalmology and Visual Sciences, Otorhinolaryngology,
Orthopedics, Pediatrics, Psychiatry and Behavioral Medicine, Rehabilitation
Medicine, and Surgery.

Track B: Core Internship + Electives

• This track is open only to the medical students of the UP College of Medicine.

• The students eligible to apply to this track belong to the top 30% of the class who
do not have a grade lower than 2.75 in any subject and also do not have academic
deficiencies.

• Applicants are pre-screened according to the computed general weighted


average grade (GWAG) from LU I to LU VI and the comprehensive examination
scores from LU III to LU V, after which the interview score is added for the final
ranking.

• A maximum of 20 students can be accepted to this track. Those who do not


qualify shall automatically be included in the Track A Internship Program.

• The program consists of eight-week rotations in five major departments (Family


and Community Medicine, Medicine, Obstetrics and Gynecology, Pediatrics, and
Surgery). The Track B intern shall also be required to choose elective rotations of
12 weeks to complete the required 52-week internship. Any elective may be
chosen provided that these were not enrolled in during clerkship.
Philippine General Hospital 3

Track C: Straight Internship

• Only students from UP Manila College of Medicine can apply for the Track C
Internship Program.

• Eligible to apply are those students belonging to the top 20% of the class who
do not have any grade lower than 2.25 in any subject and do not have academic
deficiencies.

• Applicants are pre-screened according to the computed GWAG and the


comprehensive examination scores from LU III to LU V.

• The names of applicants who meet the pre-screening criteria for Track C are sent
to the concerned departments for final acceptance to the program.

• A maximum of 20 students can be accepted to the program.

• Students who are not accepted in the straight internship program shall
automatically be included in the Track A Internship Program.

• Track C medical interns rotate in the chosen department for the most part of the
training program. They are also required to complete an eight-week rotation in
the Department of Family and Community Medicine (DFCM).

Track D: M.D./Ph.D.

• This track is reserved for those who are pursuing a combined Doctor of
Medicine course and Doctor of Philosophy (M.D./Ph.D.). Applicants to this track
must have a GWAG of at least 2.5 and must not have academic deficiencies in
any subject.


POLICIES ON INTERNSHIP MATCHING FOR POSTGRADUATE INTERNS

Eligibility

An applicant to the medical internship program of the PGH must be a graduate or


prospective graduate of a medical school duly recognized by the Commission on
4 Primer on the PGH Medical Internship Program

Higher Education (CHED). For Filipino citizens who are graduates of foreign medical
schools, they must have their credentials confirmed by the Department of Foreign
Affairs (DFA) and validated by the CHED.

APMCF Matching Process

The national medical internship program is managed by the APMCF. All applications
to the program are processed through the Electronic National Internship Program
System (E-NIPS) of APMCF. Once APMCF activates the application period, the
students register into the system with the approval of their respective medical schools.
Application forms are uploaded electronically.

APMCF reviews the application forms and forwards a list of prospective interns to
PGH along with the corresponding name of medical schools, the class ranking, and
the general weighted average of the applicants. PGH screens the list, chooses the
applicants, and sends the list of selected names to APMCF. APMCF then transmits
this list to the respective medical schools. After being notified of the results of the
matching process through E-NIPS, the applicants signify their acceptance of the
assigned hospital. APMCF releases the final list of interns matched to PGH.

Admission Process

All accepted PGIs are required to submit the following documents:

• Application form

• Certificate of completion of Doctor of Medicine degree or certified true copy


(CTC) of Diploma

• Certificate for Medical Internship from Association of Philippine Medical College


Foundation (APMCF)

• Updated Philippine Health Insurance (PhilHealth) membership for at least one


year (photocopy)

• Medical Clearance
o Chest X-ray within the last six months
o HBsAg and anti-HBsAg results
o Varicella IgG result
o Proof of last vaccination of measles, mumps and rubella (MMR)
o Proof of last vaccination of tetanus, diphtheria and pertussis (Tdap)
o Full Hospital Infection Control Unit (HICU) clearance
Philippine General Hospital 5

• Certificate of Basic Life Support (BLS)

• Certificate of Advanced Cardiac Life Support (ACLS)

• Memorandum of Agreement (MOA) with the PGH Director and the trainee

• Acknowledgement of the PGH Primer on the Internship Program

The medical forms are downloadable from www.pgh.gov.ph/en/adminoffices/ddho


and are to be printed in standard A4 size white-colored paper. These forms are
accomplished and duly attested by any certified medical specialist. The results of the
medical clearance are then validated by the UP Health Service.

The application form, the MOA, and the acknowledgement of the PGH Primer on the
Internship Program are also downloadable from the above website. All forms and the
MOA are to be printed in standard A4 size white-colored paper. These forms and the
MOA are also available at the Office of the Deputy Director for Health Operations
(ODDHO).

Accepted applicants shall be required to remit an application fee of P200.00 payable


through the PGH Cashier’s Office upon submission of the requirements.

Report for Duty

All successfully-matched interns must attend the general orientation to be conducted


by the ODDHO. Announcements shall be coursed through APMCF and the Deans of
the various medical schools. Non-attendance of the orientation without valid reasons
and formal coordination with the ODDHO means forfeiture of the slot.

All interns shall report for duty on the first day of the internship program unless
otherwise specified. They shall be given a definite period within which to complete
and submit all the documentary requirements. This is generally two months from the
start of internship.


MD/PhD PROGRAM

The M.D./Ph.D. (Molecular Medicine) program is an academic program of the UP


College of Medicine. This dual-degree program develops aspiring physician-scientists
for careers dedicated to the pursuit of basic and applied biomedical research
towards the advancement of health from the individual to the global perspectives.
6 Primer on the PGH Medical Internship Program

The program includes tracks in Biochemistry and Molecular Biology, Physiology


(Molecular), Pharmacology (Toxicology and Therapeutics), Medical Microbiology/
Microbial Immunology, and Medical Parasitology. The 8-year program consists of five
years of medical education intertwined with a year of graduate level course work and
research, and two years of Ph.D. thesis preparation and dissertation.

The program offers a full scholarship supported by the Department of Science and
Technology (DOST) through the Philippine Council for Health Research Development
(PCHRD). This DOST-PCHRD scholarship provides for the full tuition, book allowance,
and a monthly stipend. Other benefits include support for enhancement courses
and immersion activities; research grant for the Interdisciplinary Course (IDC) 211;
dissertation grant; protected time to complete the dissertation; and assistance for
attendance in local, national, or international conferences.


DRESS CODE AND IDENTIFICATION CARD

All medical interns shall wear the prescribed uniform for the corresponding settings
at all times.

• The prescribed uniforms for the respective areas are as follows:


o General Areas: white blazer with PGH logo on the left side of the blazer over
any maroon-colored shirt, white skirts or pants (females) and trousers
(males) with closed shoes
o Emergency Room: blazer over any maroon-colored shirt. Blazers may be
removed but the Medical Intern IDs must be prominently displayed across
the left side of the chest for ready identification.
o Operating Rooms and other sterile areas: maroon-colored scrub suit with
the official Medical Intern ID pinned across the left side of the chest

• The inner shirt and the scrub shirt shall not bear the name of any other institution. It is
optional for the name of the Philippine General Hospital to be inscribed.

• The official Medical Intern ID bearing the full name and nickname of the intern
and his/her designation as a medical intern for the specified time period must
be displayed across the left side of the chest at all times.

All Medical Intern IDs (ARTA and PGH ID) shall be surrendered to the ODDHO upon
completion of the medical internship program. Those who have lost their IDs shall execute
an affidavit of loss duly attested by the PGH Deputy Director for Administration. A sample of
the affidavit can be obtained from the PGH Human Resource Development Office. Failure
to surrender the ID or submit an affidavit of loss shall cause the intern’s clearance from the
Hospital to remain pending.
Philippine General Hospital 7

ATTENDANCE AND DUTY HOURS

All medical interns shall abide by the policies of the departments where they are
rotating. The different departments have the prerogative to design their program of
activities for the medical interns with the goal of blending academic learning with
actual patient care. The interns shall report for their duty on time, stay throughout the
duty wherever they are assigned, and answer all calls promptly. They shall be readily
available in the department during office hours. The department shall institute its own
system of keeping track of the whereabouts of its interns.

As medical interns, they are considered as the youngest members of the hospital staff
and may have to report for duty despite official suspension of classes by the governing
authorities. They shall however be allowed to leave the premises of the hospital when
they are not on extended duties once their work have been completed.

In support of the overall physical and mental health of medical interns and in
compliance with the regulations set the APMCF, the Departments are discouraged
from assigning straight 24-hour duty schedules to the medical interns. A break of four
to six hours is strongly recommended if extended 24-hour duties cannot be avoided.
A 12-hour duty shift is however preferred.

Absences from the duties (whether regular or extended duties) shall be dealt with in
accordance with the policies of the University and the Hospital where the deficiencies
were incurred. Generally, excused absences shall be made up for on a one-to-one
basis. For absences due to health reasons, the intern shall submit a medical certificate
from his/her physician and present this to the UP Health Service (UPHS). In case of a
medical leave for a more serious condition, the intern must secure a medical leave
form from UPHS and present this to the ODDHO for proper filing with PGH and the
APMCF. Similarly, the policies on attendance of the University and the Hospital apply.

All sanctions shall be in consonance with the prevailing guidelines of the UP College
of Medicine and the Philippine General Hospital.


TEACHING AND EVALUATION

The medical interns are jointly under the tutelage of the faculty of the UP College
of Medicine and the Medical Specialists of the Philippine General Hospital. Each
department through its respective LU VII Committee shall be responsible for the overall
program of the medical interns under its care. An orientation on the expectations,
learning formats, and evaluation process shall be conducted at the start of the rotation.
8 Primer on the PGH Medical Internship Program

The evaluation scheme and the set of evaluation tools shall be available to the medical
interns to serve as guideposts for the evaluation process. The consultant coordinator
shall ensure that formative and summative evaluations of the medical interns are
performed.

The LU VII Academic Committee oversees the internship programs of the various
departments. It addresses the concerns of the medical interns and the faculty on
matters pertaining to the internship program. Issues unresolved at the Committee
level shall be elevated to the UPCM (through the Office of the Associate Dean for
Academic Development) and PGH (through the Office of the Deputy Director for
Health Operations).

RECOGNITION FOR OUTSTANDING PERFORMANCE

Every year, each clinical department recognizes Ten Outstanding Interns of the
Department from among the UPCM interns and PGI with exemplary performance. The
criteria for the selection of these outstanding interns differ among the departments
which are consonant with the intended outcomes of their trainees. These generally
include cognitive knowledge, clinical skills, and affective behavior.

On a wider scale, medical interns from Tracks A and B who are the top 15 performers
of their class for the various departments vie for the coveted Ten Most Outstanding
Medical Interns of the UPCM-PGH. To be eligible for consideration, the medical intern
must be among the top 15 performers in at least three of the following departments,
namely, Anesthesiology, Family and Community Medicine, Medicine, Obstetrics and
Gynecology, Ophthalmology and Visual Sciences, Otorhinolaryngology, Orthopedics,
Pediatrics, Psychiatry and Behavioral Sciences, Rehabilitation Medicine, and Surgery.

Using a scheme that includes the rank in the top 15 and the duration of the clinical
rotation, this score represents 80% of the final score, with the remaining 20%
contributed by the grade in the LU VII Comprehensive Examination. A bonus of 5
points is credited for research work done, presented, or published during the course
of internship. The final score should at least be equivalent to the converted university
grade of 1.75. Moreover, no outstanding intern should have been judged guilty in
a disciplinary case filed against him/her. A similar process of evaluating the Most
Outstanding Straight Intern may be conducted upon the recommendation of the
different departments with a straight internship program. The clinical score of 80%
shall include the performance in Family and Community Medicine.


Philippine General Hospital 9

POLICES AND GUIDELINES RELATED TO COVID-19 PANDEMIC

In response to the impact of the global COVID-19 pandemic declared in March 2020,
the Philippine General Hospital heeded the call to be a COVID-19 Referral Hospital
in the National Capital Region, allocating at least 130 beds solely for the care of
COVID-19 patients. General policies and specific guidelines were set in place to ensure
a safe environment for all the staff and the patients in the hospital. As a consequence,
only the urgent and emergent non-COVID-19 cases were admitted during the period
following the declaration.

As the hospital transitions to the resumption of elective and semi-urgent services for
non-COVID-19 cases, a gradual and calibrated return of these services is adapted.
With the wards allocated into the COVID and non-COVID areas, a realignment of
patient services for the non-COVID areas has been instituted, transcending the usual
departmental structure. The patient services have been reorganized into the following
categories: adult medical, adult surgical, pediatric, obstetrics, ophthalmologic,
psychiatric, and oncologic services. Prioritization of the care of the non-COVID
patients has been adapted according to the level of urgency of care. With the ward
set-up redesigned to comply with physical distancing, the total number of patients
and personnel in the wards including the medical interns has been reduced. Other
infection control measures such as frequent handwashing, the use of proper personal
protective equipment (PPE), and cough and sneeze etiquette have been enforced.
Routine RT-PCR testing of all patients has also been implemented.

In congruence with the CHED Resolution and the APMCF Statement regarding
the learning activities of the medical interns amid the COVID-19 pandemic and in
conjunction with the PGH Hospital Infection Control Unit policies, the following
measures shall be adapted:

• There shall be no face-to-face interactions with patients earlier than September


1, 2020. Alternative learning strategies such as online tutorials, conferences, and
small group discussions via online platforms, virtual “rounds”, and the like shall
be utilized to achieve the competencies necessary of medical interns.

• There shall be no rotations in the emergency department, outpatient clinics, all


wards, and the community during the set period. Once clearance has been
sanctioned by the CHED and APMCF, the medical interns shall be allowed to
rotate in the non-COVID wards and the community.

• All interns must be free of any COVID-19-related symptoms for at least 14 days
before starting their clinical rotations.
10 Primer on the PGH Medical Internship Program

• The appropriate use of PPE shall be instituted for all personnel including the
medical interns. The recommended PPE in the wards is level 2 PPE; i.e., surgical
mask plus face shield or eye goggles. The use of N95 or KN95 masks is optional.

• Adherence to infection control measures by the interns shall be strictly enforced.


When the ward rotations are allowed, physical distancing, frequent handwashing,
and wearing of the appropriate PPE shall be complied with by the interns at all
times. Conversations especially during mealtime when people are not wearing
masks are discouraged.

• Appropriate workspace with good air exchanges or free flow of air shall be
facilitated by the ward managers.

• In the event that a medical intern contracts COVID-19 or other infections, he/
she may avail of the services of the UP Health Service (UPHS). If hospitalization
is recommended, the option to be confined at the PGH Infirmary is available but
the intern shall be subject to the rules and regulations of the PGH. If COVID-19
testing is recommended, such service shall be provided for free to the medical
interns. For those with mild infections and those who are considered close
contacts (i.e., being within 2 meters of a COVID-19 individual for more than 15
minutes or in contact with infectious secretions without proper PPE), home
isolation or quarantine with supervised monitoring by UPHS shall be instituted
during the period of observation. For moderate, severe, or critical COVID-19
infections, the intern may opt for confinement in PGH and the hospitalization cost
may be waived in accordance with the provisions of PhilHealth.


CONDUCT AND DECORUM

The medical interns shall observe professional conduct and decorum at all times. They
shall observe all rules and regulations of the Hospital and the University. Ignorance
thereof shall not be an excuse.

• They shall demonstrate courtesy and understanding to the hospital and university
authorities, staff, patients, and the public.

• They shall adhere strictly to the rules on attendance and be in their designated
posts on time.
Philippine General Hospital 11

• They shall wear the prescribed uniforms while at the respective areas of duty.

• They shall carry out all clinical duties and responsibilities as prescribed in the
internship program of the various clinical departments.

• They shall handle all hospital equipment, properties, and resources with due care
and attention. Damage to or loss of hospital property shall be dealt in accordance
with the hospital policies.

• They shall exhibit honesty and integrity in their interactions with people and in the
performance of their work.

• They shall not speak on behalf of the hospital nor access any form of media to
express sentiments about their work and the institution. Instead, they are
encouraged to discuss any concerns with the department coordinator or the
ODDHO.

• They shall regard all information about the patients with sanctity and confidentiality.

• They shall abide by all policies related to the workplace and not engage in
smoking, drinking alcoholic beverages, gambling, business transactions, and the
like.

DISCIPLINARY ACTION FOR INFRACTIONS

All medical interns shall be subject to the same disciplinary action for infractions
related to their training. The UPCM policies shall be applied to all interns including
PGI. The following are the guidelines as referenced from the Rules and Regulations of
the UPCM Internship Program version 2013. Sanctions for violations on the dress code
as written in this primer supersede those in the UPCM Internship Program version
2013.
12 Primer on the PGH Medical Internship Program

Table 1. Sanctions for infractions related to the interns’ attendance.


INFRACTIONS SANCTIONS
Tardiness in Reporting for Duty
Late by one hour or less, unexcused 1st offense: reprimand
2nd offense: 12 hrs duty
3rd offense: 24 hrs duty
More than one hour late, unexcused 1st offense: 1 extra 24 hrs duty
2nd offense: 2 extra 24 hrs duty
3rd offense: 3 extra 24 hrs duty
Tardiness in Conferences and Lectures
More than 15 minutes Reprimand
More than 30 minutes Considered as an absence in the conference
Out of Post
During extended duty 1st offense: 2 extra 24 hrs duty
2nd offense: 3 extra 24 hrs duty
3rd offense: 5 extra 24 hrs duty
Absence in Clinical Work
Excused 1:1 make-up
Unexcused 1st offense: 2 extra 24 hrs duty
2nd offense: 3 extra 24 hrs duty
3rd offense: 5 extra 24 hrs duty
Absence in Conferences and Lectures
Excused No sanction
Unexcused 1st offense: 2 journal appraisals or half-day
OPD duty
2nd offense: 4 journal appraisals or whole-
day OPD duty
3rd offense: 6 journal appraisals or one
24-hr duty
Note: All journal articles are to be
approved by the consultant-in-charge.
Unauthorized Substitution of Duty Schedule
For the offender 1st offense: 1 similar duty
2nd offense: 2 similar duties
3rd offense 3 similar duties
For the substitute intern 1st offense: reprimand
2nd offense: 1 similar duty
3rd offense: 2 similar duties
Absence without Leave (AWOL)
AWOL < 20% of required days Extension of stay: double the
corresponding number of days on AWOL
AWOL > 20% of required days Dropped from the rolls

Note: All extra 24-hr duties are to be scheduled on days specified by the Department involved.
Philippine General Hospital 13

Table 2. Sanctions for infractions related to the interns’ performance of duties.


INFRACTIONS SANCTIONS
Incomplete medical records and 1st offense: 8 hrs duty
progress notes 2nd offense: 24 hrs duty
3rd offense: 2 extra 24 hrs duty
Unauthorized laboratory requests or 1st offense: 1 extra 24 hrs duty
fictitious results 2nd offense: 2 extra 24 hrs duty
3rd offense: 3 extra 24 hrs duty
Non-conformance with the standards set Repeat rotation of one week
by PGH
Negligence in the care of a patient leading Repeat rotation
to serious injury or death (grave offense) UP Manila Students’ Disciplinary Tribunal
(SDT)/ Legal Office Investigation

Table 3. Sanctions for infractions related to the interns’ conduct and decorum.
INFRACTIONS SANCTIONS
Failure to follow dress code 1st offense: Reprimand
2nd offense: Reprimand by the ODDHO
3rd and subsequent offenses: One-week
suspension or 200 hrs of extended duties
Gambling/ smoking within the hospital 1st offense: Reprimand
2nd offense: 1 extra 12 hrs duty
3rd offense: 2 extra 24 hrs duty
Reporting to work under the influence of 1st offense: 3 extra Sunday duties
alcohol or prohibited drugs 2nd offense: SDT/Legal Office
Investigation
Pilferage of hospital or public property
All these constitute grave offenses:
Unprofessional conduct (e.g., fighting or UP Manila Students’ Disciplinary
insulting patients; charging fees or Tribunal (SDT)/ Legal Office
unauthorized solicitation of funds) Investigation
Sexual harassment and acts of
lasciviousness, adultery, or concubinage
Carrying or use of deadly weapons
Insubordination or willful disobedience to
a superior
Cheating including tampering of medical
data

Note: All infractions shall undergo due process of investigation prior to the institution of sanctions.
Such investigation shall be initiated by the department where the offense occurred. Should the
intern question the decision, he/she may appeal to the LU VII Academic Committee; and if still
unsatisfied, the case may be elevated to the Grievance Committee.


14 Primer on the PGH Medical Internship Program

PRIVILEGES

Meal Allocation

As members of the hospital staff, all medical interns are allocated meals at the hospital
for breakfast, lunch, and supper. They are to avail of these meals during the specified
times scheduled by the Dietary Department. There is no option for monetization of
meals.

Hospital Dormitories

The medical interns can avail of the use of hospital quarters, especially when on 24-
hour duty, subject to space availability. They must signify their intention to use the
dormitory through the Office of the DDHO. They shall not change their assigned
hospital quarters without the permission of the Hospital Director or his/her authorized
representative.

The dormitory managed by PGH that is open to male and female interns is Dormitory
III. This is located at the right side of the hospital between the basketball court and
the power house. All dormitory occupants shall be subject to the maintenance fees
including electric bills corresponding to the dormitory assignment.

Other dormitory facilities in campus include the UP Manila Dormitory and the Phi
Dormitory. The policies and guidelines on the use of these facilities are governed by
the UP Manila Office of Student Affairs.

Library Access

Due to the current infrastructure development in the UPCM campus, the Florentino B.
Herrera Jr. Medical Library has given way to the construction of the UP Manila Library,
which will ultimately house the college libraries in the UP Manila including the F.B.
Herrera Jr. Medical Library. In the meantime, UPCM is equipped with a virtual library
that has accessibility to various research databases such as Journal Storage (JSTOR),
Elton B. Stephens Company (EBSCO), Ovid Medline, and ScienceDirect. JSTOR alone
has more than 12 million academic journals and articles. All these journals can be
accessed on-campus via UP Manila Network or off-campus via Virtual Private Network.
Philippine General Hospital 15

The physical library is temporarily located at the Department of Physiology of the


UPCM. To access the library, the medical interns shall present their ID. Should they
need to borrow any books and/or other reading materials, they shall secure a library
card and provide two copies of their most recent 1” x 1” picture to the UP Manila
Librarian. The interns shall undertake to strictly abide by existing rules and regulations
of the Library pertaining to borrowing of books and other reading materials. For more
information, visit the website library.upm.edu.ph.

Official University Email Addresses

To facilitate access to online conferences or tutorials, all postgraduate medical interns


shall be provided with a university email address for the duration of their stay in PGH.
Requests for such privilege shall be coordinated through the ODDHO. All UPCM
interns shall have been provided with their university email addresses in the earlier
years of their undergraduate medical education.

16 Primer on the PGH Medical Internship Program

Appendix A. Application Form


Philippine General Hospital 17

Appendix B. Validated Medical Certificate Form


18 Primer on the PGH Medical Internship Program

Appendix C. Hospital Infection Control Unit Clearance Form


Philippine General Hospital 19

Appendix D. Memorandum of Agreement

MEMORANDUM OF AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This Memorandum of Agreement entered into on this _____ day of ________________


in ______________, by and between:

The UNIVERSITY OF THE PHILIPPINES, the National University of the


Philippines, a public and secular institution of higher learning, created by virtue of
Act No. 1870, as amended and reorganized and operating by virtue
of Republic Act No. 9500, through its constituent university, University
of the Philippines Manila, and through the PHILIPPINE GENERAL HOSPITAL
(PGH), with address at the Philippine General Hospital Complex,
Taft Avenue, Manila, represented in this Agreement by the PGH Director,
______________________________________ (name of the Director),
hereinafter referred to as the “HOSPITAL”;

-and-

__________________________________________________, a medical graduate of


__________________________________________ (name of the School), residing at
_____________________________________________________ hereinafter referred
to as the “INTERN”

WHEREAS, the HOSPITAL offers an intensive training program in internship to qualified


selected medical graduates of different medical schools;

WHEREAS, the Program integrates all relevant disciplines which interns are expected
to undergo in order to attain the minimum standards of fitness and performance
required for the National Internship Program;

WHEREAS, the intern is willing to accept the benefits that he/she will derive from
this Agreement without compensation, and intends to perform the accompanying
obligations provided therein;

NOW THEREFORE, for and in consideration of the foregoing, the HOSPITAL and the
INTERN hereby enter into this Agreement subject to the following conditions:
20 Primer on the PGH Medical Internship Program

1. The Internship Training shall be for a period of one (1) year effective from
__________________ to _________________, provided all pertinent requirements
are submitted.

2. The INTERN shall fully commit to the goal, policies and standards of the
National Internship Program and the Philippine General Hospital.

3. Any misconduct or breach of the rules and regulations of the HOSPITAL on the
part of the INTERN shall be a ground for termination of the latter’s eligibility
under this Agreement upon sufficient investigation and proof of misconduct
or breach. As an alternative to the termination of the INTERN’s training, the
HOSPITAL shall have the right to discipline the INTERN and to impose such
other measures as may be appropriate under the circumstances in accordance
with all applicable laws.

4. The INTERN shall be liable for the following if he/she preterminates his/her
training without valid reason/s:

a) He/She shall be permanently barred from any training program in the


HOSPITAL.
b) He/She shall not be employed in any capacity in the HOSPITAL.
c) In case the INTERN will transfer to other accredited training institutions,
the HOSPITAL shall issue a certificate of pre-termination of training.

5. It is hereby expressly agreed and understood that the relationship between


the HOSPITAL and the INTERN is purely and simply that of Trainor and Trainee
without compensation; hence, there exists no employer-employee relationship
between them.

6. This Agreement is considered terminated upon the INTERN’s fulfillment of


the requirements and consequent completion of training, withdrawal,
resignation or removal/disqualification of the INTERN for cause;

7. In case of conflict between the Parties arising from this Agreement, both
Parties agree to freely and voluntarily submit themselves to necessary
consultation and negotiation for purposes of amicable settlement and find
a mutually acceptable solution to their dispute. Existing University policies on
alternative dispute resolution shall be followed by the parties.

Should the Parties fail to reach an amicable settlement of their dispute, the
same shall be submitted to arbitration, in accordance with Republic Act No.
9285 or the ADR Law of 2004. However, should the dispute between the
Parties reach the courts of law, the parties agree that the competent courts of
Quezon City shall have exclusive jurisdiction over the same.
Philippine General Hospital 21

8. No certificate of completion shall be issued in favor of the INTERN without this


written agreement;

9. Any other additional term that will be deemed necessary shall be agreed upon
in writing by both parties and embodied in a Supplemental Agreement.

IN WITNESS WHEREOF, the parties aforementioned have hereunto signed this


Agreement on the date and at the place first above written.

University of the Philippines Manila


Philippine General Hospital

By:

__________________________ _______________________
(Name) (Name)
Director Medical Intern

Signed in the Presence of:

______________________________
(Name)
Deputy Director for Health Operations

_______________________________
(Name)
Coordinator for Training
22 Primer on the PGH Medical Internship Program

Republic of the Philippines)


City of Manila ) S.S.

ACKNOWLEDGEMENT

BEFORE Me, a Notary Public for __________________ personally appeared on


________________________, the following persons, presenting to me their respective
Competent Evidence of Identity, as indicated below:

Name Government Issued ID No. Issued at / on


(Passport, Driver’s License, COMELEC
Voter’s ID)

______________________ ________________ _________________


(PGH Director)
______________________ ________________ _________________
(Medical Intern)

Known to me and to me known to be the same person who executed the foregoing
instrument and having acknowledged before me that is their own, respective, free and
voluntary act and deed, and of the entity they respectively represent.

TO THE TRUTH OF THE FOREGOING, witness now my hand and seal on the date and
at the place indicated.

Doc. No. ______ NOTARY PUBLIC


Page No. ______
Book No. ______
Series of ______


Philippine General Hospital 23

Appendix E. Acknowledgement of the Primer on the PGH Medical


Internship Program

ACKNOWLEDGEMENT

In consideration of my admission to the Medical Internship Program of the Philippine


General Hospital (PGH), University of the Philippines Manila (UPM), I hereby
acknowledge that I have read and fully understood, and pledge to abide by the rules
on conduct and discipline as stated in the Primer on the PGH Medical Internship
Program and other subsequent rules, policies, and regulations that will be enforced
by authorities of PGH and UPM.

In testimony thereof, I affix my signature this _____ day of __________________.

____________ _________________________
Date Signature of the Medical Intern
over Printed Name

_________________________
Medical School

24 Primer on the PGH Medical Internship Program

Appendix F. PGH Clearance for Postgraduate Interns


Philippine General Hospital 25

Appendix G. Roster of PGH and UPCM Officials and Key Administrators


of the Internship Program

University of the Philippines System


Danilo L. Concepcion President

University of the Philippines Manila


Carmencita D. Padilla, M.D., MHAPS Chancellor
Nymia P. Simbulan, Ph.D. Vice-Chancellor for Academic Affairs
Arlene A. Samaniego, M.D. Vice-Chancellor for Administration
Armando C. Crisostomo, M.D. Vice-Chancellor for Research
Michael L. Tee, M.D., M.H.P.Ed. MBA Vice-Chancellor for Planning and
Development

Philippine General Hospital


Gerardo D. Legaspi, M.D. Director
Juliet O. Sio-Aguilar, M.D., M.Sc. Deputy Director for Health Operations
Maria Julieta Teresa U. Benedicto, M.D. Deputy Director for Administration
Maria Margarita DL. Lat-Luna, M.D. Deputy Director for Fiscal Services
Cecilia G. Peña, R.N., M.A.N. Deputy Director for Nursing
Homer U. Co, M.D. Coordinator for Services
Stella Marie L. Jose, M.D., M.H.P.Ed. Coordinator for Training
Jean Anne B. Toral, M.D., M.Sc. Coordinator for Research

University of the Philippines–College of Medicine


Charlotte M. Chiong, M.D., Ph.D. Dean
Abner L. Chan, M.D. College Secretary
Coralie Therese D. Dimacali, M.D. Associate Dean for Academic
Development
Ma. Liza Antoinette M. Gonzales, M.D., M.Sc. Associate Dean for Faculty and Students
Jose Joven V. Cruz, M.D. Associate Dean for Planning and
Development
Marissa M. Alejandria, M.D., M.Sc. Associate Dean for Research
Teresa Luisa G. Cruz, M.D., M.H.P.Ed. Director, Postgraduate Institute of
Medicine

Department Chairs
Grace Anne B. Herbosa, M.D. Anesthesiology
Eileen Liesl A. Cubillan, M.D. Dermatology
April B. Llaneta, M.D. Emergency Medicine
Allan R. Dionisio, M.D. Family and Community Medicine
Nelson T. Geraldino, M.D. Laboratories
John D. Añonuevo, M.D. Medicine
26 Primer on the PGH Medical Internship Program

Carissa P. Dioquino-Maligaso, M.D. Neurosciences


Efren J. Domingo, M.D., Ph.D. Obstetrics and Gynecology
Marissa N. Valbuena, M.D., M.H.P.Ed. Ophthalmology and Visual Sciences
Juanito S. Javier, M.D. Orthopedics
Josefino G. Hernandez, M.D. Otorhinolaryngology
Lorna R. Abad, M.D., M.Sc. Pediatrics
Anselmo T. Tronco, M.D. Psychiatry and Behavioral Medicine
Catherine Jessica M. Lazaro, M.D. Radiology
Sharon D. Ignacio, M.D. Rehabilitation Medicine
Crisostomo E. Arcilla Jr., M.D. Surgery
Esther A. Saguil, M.D., Ph.D. Outpatient Services
Maridione M. Suter, M.D. Pay Patient Services

LU VII Academic Committee 2019-2021


Allan R. Dionisio, M.D. Chair
Crisostomo E. Arcilla Jr., M.D. Co-Chair
Marissa N. Valbuena, M.D., M.H.P.Ed. Co-Chair
Josefino G. Hernandez, M.D. Co-Chair
Catherine Jessica M. Lazaro, M.D. Co-Chair
Coralie Therese D. Dimacali, M.D. UPCM Dean’s Representative
Stella Marie L. Jose, M.D., M.H.P.Ed. PGH Coordinator for Training
Antonio Alan S. Mangubat, M.D. Anesthesiology
Luretta D. Enecio-Tayao, M.D. Anesthesiology
Scarlett Mia S. Tabuñar, M.D. Emergency Medicine
Anna Guia O. Limpoco, M.D Family and Community Medicine
Peter Julian A. Francisco, M.D. Family and Community Medicine
Paolo Victor N. Medina , M.D. Family and Community Medicine
Homer U. Co, M.D., M.Sc. Medicine
Gracieux Y. Fernando, M.D. Medicine
Janus P. Ong, M.D. Medicine
Veeda Michelle M. Anlacan, M.D. Neurosciences
Ibeth Marie Y. Sih, M.D. Neurosciences
Doris R. Benavides, M.D. Obstetrics and Gynecology
Nilo Vincent D.G. Florcruz, M.D. Ophthalmology and Visual Sciences
Raquel M. Joaquin-Quiño, M.D. Ophthalmology and Visual Sciences
Nathaniel S. Orillaza Jr., M.D. Orthopedics
Arsenio Claro A. Cabungcal, M.D. Otorhinolaryngology
Philip B. Fullante, M.D. Otorhinolaryngology
Edna May Lasap-Go, M.D. Pathology
Marysia Stella T. Recto, M.D. Pediatrics
Aimee Lou M. Nano, M.D. Pediatrics
Norieta C. Balderrama, M.D. Psychiatry and Behavioral Medicine
Christine Susan V. Sababan-Sagpao, M.D. Radiology
Noel Nathaniel Napa, M.D. Rehabilitation Medicine
Derek C. Resurreccion, M.D. Surgery
President, UPCM LU VII Class
President, PGI
Philippine General Hospital 27

PANUNUMPA SA WATAWAT NG PILIPINAS PGH HYMN

Ako ay Filipino, Mahal ko, o pagamutang bayan,


Buong katapatang nanunumpa Tanglaw ng maysakit at kapansanan.
Sa watawat ng Pilipinas Dinggin ang daing ng sambayanan,
At sa bansang kaniyang sinasagisag, Bigyang pag-asa ang may karamdaman.
Na may dangal, katarungan at kalayaan Sa ‘yo’y walang tutulad o papantay,
Na pinakikilos sa sambayanang Sa pagtuklas o pagsasanay.
Maka-Diyos, makakalikasan, Serbisyong tapat ang aming alay
Makatao at makabansa. Tungo sa bukas at bagong buhay.

PGH! O, PGH!
PANUNUMPA NG LINGKOD BAYAN Dakila ang ‘yong kasaysayan.
Habang panahong katapatan
Ako’y isang lingkod ng bayan, Paglilingkod ng buong kahusayan.
Katungkulan ko ang maglingkod
Nang buong katapatan at kahusayan Serbisyong tapat ang aming alay
At makatulong sa katatagan Tungo sa bukas at bagong buhay.
At kaunlaran ng aking bayan.
PGH! O, PGH!
Sisikapin kong patuloy na maragdagan Dakila ang ‘yong kasaysayan.
Ang aking kaalaman. Habang panahong katapatan,
Magiging bahagi ako Paglilingkod ng buong kahusayan,
Ng kaayusan at kapayapaan sa pamahalaan. Paglilingkod ng buong karangalan!
Susunod at tutulong ako
Sa pagpapatupad ng mga umiiral na batas
At alituntunin
Nang walang kinikilingan. U.P. NAMING MAHAL

Isasaalang-alang ko U.P. naming mahal, pamantasang hirang,


Ang interes ng nakararami, Ang tinig naming, sana’y inyong dinggin,
Bago ang pansarili kong kapakanan. Malayong lupain, amin mang marating,
Isusulong ko Di rin magbabago ang damdamin,
Ang mga programang mag-aangat Di rin magbabago ang damdamin.
Sa antas ng kabuhayan ng mamamayan.
Aktibo akong makikibahagi Luntian at pula,
Sa mga dakilang layunin sa lipunan. Sagisag magpakailanman,
Ating pagdiwang, bulwagan ng dangal.
Hindi ako magiging bahagi, Humayo’t itanghal, giting at tapang,
At isiswalat ko Mabuhay ang pag-asa ng bayan,
Ang anumang katiwaliang Mabuhay ang pag-asa ng bayan.
Maka-aabot sa aking kaalaman.
Gagawin kong kapaki-pakinabang
Ang bawa’t sandali.
Sa lahat ng panahon,
Sisikapin kong makatugon sa mga hamon sa
lingkod bayan.

Ang lahat ng ito
Para sa ating Dakilang Lumikha
At sa ating bayan.
Kasihan nawa ako ng Maykapal.
28 Primer on the PGH Medical Internship Program

Data for the development of this primer were sourced from the following documents:
UPCM Internship Program Rules and Regulations version May 1, 2013
APMCF Electronic National Internship Program (E-NIPS)
PGH Training Manual 2017

The cover design and the layout of this manuscript were provided by
Ms. January R. Kanindot of the UP Manila Information, Publications,
and Public Affairs Office (UPM-IPPAO)

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