Primer On PGH Internship Program
Primer On PGH Internship Program
Primer On PGH Internship Program
Primer on the
PGH Medical Internship Program
2020
Philippine General Hospital i
FOREWORD
TABLE OF CONTENTS
Foreword i
General Description 1
M.D./Ph.D. Program 5
Privileges 14
Appendices 16
1
GENERAL DESCRIPTION
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
• 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.
• 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.
• 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.
• 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.
• 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
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.
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
• Application form
• 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
• Memorandum of Agreement (MOA) with the PGH Director and the trainee
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).
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 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 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.
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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).
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
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:
• 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.
• 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.
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
Note: All extra 24-hr duties are to be scheduled on days specified by the Department involved.
Philippine General Hospital 13
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
Philippine General Hospital 17
18 Primer on the PGH Medical Internship Program
Philippine General Hospital 19
MEMORANDUM OF AGREEMENT
-and-
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:
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
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.
By:
__________________________ _______________________
(Name) (Name)
Director Medical Intern
______________________________
(Name)
Deputy Director for Health Operations
_______________________________
(Name)
Coordinator for Training
22 Primer on the PGH Medical Internship Program
ACKNOWLEDGEMENT
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.
Philippine General Hospital 23
ACKNOWLEDGEMENT
____________ _________________________
Date Signature of the Medical Intern
over Printed Name
_________________________
Medical School
24 Primer on the PGH Medical Internship Program
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
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
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)