VISION

A community of life-long learner and achievers in the field of Family and Community Medicine…. innovative, progressive, highly competent, with moral, ethical, and spiritual vigor, inspired by live, compassion and respect for human life, family and country. Committed to the development and delivery of comprehensive, continuous, coordinated, accessible and holistic care to families and communities.
 

MISSION

We commit ourselves to excellence and leadership in relevant family-centered and community – oriented medical education, research, and service.

The Department of Family and Community Medicine traces its roots to the PGH Department of Outpatient Services and Community Health. It evolution was set in motion in July 1973 when Chairperson Dr. Mario T. Gutierrez started a two-year general practice residency in the Outpatient Department. Eight consultants originally supervised the program: Dr. Ramon L. Arcadio (Pediatrics), Dr. Federico Cruz (Medicine), Dr. Nestor Pareja (Surgery), Dr. Adriano Laudico (Surgery), Dr. Augusto Manalo (Obstetrics-Gynecology), Dr. Ramon Chikiamco (Obstetrics-Gynecology), Dr. Robert Tan (Ophthalmology, and Dr. Carlos Reyes (Otorhinolaryngology), Dr. Oscar Mayo served as its first chief resident/ Dr. Arcadio became its first chaipeson from 1976 to 1979.

The three-year residency training in Family Practice was implemented on July 1, 1974, and accredited by the Philippine Academy of Family Physicians (PAFP). It aimed to develop specialists and leaders in family medicine through family and community- oriented programs in education, service, and research. On August 21, 1974, clinical clerkship in Family Medicine was introduced as a four-week rotation. By the end of 1975, through the efforts of Director Gabriel Carreon of the PGH and Dean Florentino Herrera, Jr. of the College of Medicine, the Department of Family Medicine was created.

First decade (1975 to 1984): In Search of an Identity

In its first year, the department took on management responsibilities of the Outpatient Department. Emergency Room Complex, Domiciliary Service, General Patient Service Beds in two wards, and the PGH Employees Clinic. The fledging three-year residency training program was given a total of thirteen resident positions.

As a pioneering program, and like Family Medicine programs in other countries, the department had its birthing pains. The residency program was defined in the first decade of its existence. Training, which was originally limited to in-patient and out-patient rotations in Internal Medicine, Pediatrics, and Obstretrics and Gynecology, eventually included Behavioral Science and a Family Health Care Program. Family Medicine Residents acted as Ambulance Surgeons on Duty (ASOD) at the ER Complex. A Community Medicine rotation was introduced with the establishment of a community health program in Angono, Rizal. From 1973 to 1979, residents went on duty at the PGH Employees Clinic. The Family Health Care program became a prototype of its kind. Similar programs became a requirement of PAFP for all Family Medicine Residency programs.

In the UPCM, the department was tasked to handle a series of FCH courses from first to fourth year. Faculty members took further studies, earning their Master in Public Health/Occupational Health and certificates in Community Health and Family Medicine from local and foreign institutions.

By the end of the decade, two graduates of the residency program had been elected to the Board of Directors of the PAFP.

Second Decade (1985 – 1994): Building the Core

On its tenth anniversary, the department conducted a landmark workshop to examine the identity of the specially and review its program. The integration of the behavioral sciences into the clinical program was concretized with the development of new programs on Primary Care Counselling and Hospice and Palliative Care. These again served as prototypes emulated by other Family Medicine Residency programs in the country.

The year 1992 brought with it sweeping changes in the administration of the ER Complex that eventually led to the establishment of the Department of Emergency Medicine. The department was given the management of a 24-hour ambulatory section formerly called the night BPO–a first in the country.

In 1993, the UPCM received a grant of five million pesos from the Department of Health for its proposed CBHP in Laurel, Batangas. The community rotation was given fresh impetus. At this time, the Community Health Program Committee of the UPCM–from the ashes of the closed CCHP Program in Bay, Laguna–and the Department of Family Medicine merged and became the DFCM. Dr. Ricardo Uy, the first graduate of the program to become chairperson, was then at the helm.

Graduates of the program made significant contributions to the growth of the specialty. Dr. Zorayda E. Leopando founded the Philippine Society of Teachers in Family Medicine (PSTFM) and became one of the presidents of the PAFP. Her significant role in WONCA also started at this time. Other graduates soon followed in assuming leadership positions in both organizations.

Third Decade (1995-2004): Family and Community Medicine

In this decade, Community-Oriented Medical Education (COME) became a centerpiece of the College administration. By 1995, the CBHP was strengthened to include urban and rural components. Although the Laurel program ended, a new program in Sto. Tomas, Batangas began and the Urban CBHP in Pasay City was established.

The department immersed itself in preparations for the Organ System Integrated Curriculum for the undergraduates. It was within the department that patient-centered family-focused, and community-oriented care was coined, developed, and promoted.

The residency program was strengthened with identification of the five star roles of a family physician: health care provider, teacher/educator, researcher/lifelong learner, manager/social advocate and counselor. This was eventually adopted by the PAFP. The residency program was enriched by the addition of electives in every year level; the use of Observed Structured Clinical Examination (OSCE) as an evaluation tool; mentoring as a teaching methodology; and the introduction of the use of the learning portfolio to residents and consultants. Family Health Care was elevated from a rotation to a conceptual framework for all activities of the department.

In 1999, the department offered the Master of Science in Clinical Medicine–Family and Community Medicine. This track attracted many enrollees (twenty-four as of 2003), a number of whom were foreign students. It has graduated five doctors from Indonesia and three from the Philippines. In 2003, the South East Asian Ministers of Education Organization (SEAMEO) recognized the graduate program, paving the way for scholarships for students from the region.

The National Network on Quality Improvement in Family Medicine was a landmark project of the department together with the PAFP. The network has campaigned for participation by all family physicians in QA through general assembly of the PAFP. It finished model QA projects, produced sixty clinical practice guidelines, and established the National Center for Quality Improvement in Family Medicine. Research and community projects increased with the addition of three projects within the department: the Community-Based Program in Sto. Tomas, funded by Canada Funds; Women’s Reproductive Health in the Philippines, Vietnam, and Cambodia, funded by the Rockefeller Foundation; and Safe Kids, a project based in Pasay.

LIST OF PROGRAMS  OFFERED  BY  DFCM

 

  1. Master of Science in Clinical Medicine [Family Medicine]
  2. Residency training in Family  and Community  Medicine  – 3 year program
  3. Fellowship in Hospice care and Palliative  Medicine  – one year program

LIST OF DFCM FACULTY / CONSULTANT STAFF 

AY 2018

CHAIR:      Dr. Josefina S. Isidro-Lapeña

 

FULL TIME – REGULAR [7]
Anthony GH Cordero
Allan R. Dionisio
Edelina P. dela Paz
Josefina Isidro-Lapena
Portia Grace F. Marcelo
Paolo B. Medina
Gene A. Nisperos

REGULAR – PART TIME [4]
Alex JB D. Alip Jr
Annie A. Francisco
Anna Guia O. Limpoco
Leilani A. Nicodemus

CLINICAL ASSOC PROF – MS [9]
Andrew E. Ang
Jonathan Babsa-ay
Eva Irene Y. Maglonzo
Karin V. Estepa Gracia
Manuel F. Medina
Shiela Marie S. Lavina
Ma Consuelo B. Pumanes
Rachel Marie B. Rosario
Marishiel M. Samonte

CLINICAL ASSO PROF – [8]
Agnes B. Bausa-Claudio
Doris Mariebel C. Camagay
Wilfredo del Rosario
Ranali NN P. Mendoza
Jardine S. Sta Ana
Phillip Nino P Tan Gatue
Martha JP S. Umali
Florinda D. Urbano – Canuto

SPECIAL ITEMS
Louricha Opina-Tan [CHDP]

Ambulatory Clinic

The Ambu Clinic is an integral part of the emergency services of the UP-PGH.  The Ambu serves as the link between the Acute Care Unit of the ER and the outpatient services of the hospital.  The unit sees patients whose medical conditions are  not severe enough to warrant ACU management but needs immediate care and treatment prior to outpatient referral.  Here, trainees learn how to obtain a concise history, do directed physical exams and to prioritize diagnostics tto be ordered.  Providing symptom relief is another major skill obtained by trainees.  At the Ambu, trainees develop the ability to provide more holistic care as they see patients from a very wide spectrum, from pediatric to adult, encompassing all the specialties.
 

Family Health Unit (FHU)

The FHU of the DFCM offers a patient centered, family focused, community oriented quality care.  It provides comprehensive medical and psychosocial care for families with chronic diseases, developmental disabilities, lifestyle and wellness issues, mental health, alcohol/smoking/substance issues, through its individual and family interventions.  The family health unit is an avenue for collaborations with other specialties and allied health professions, thus promoting inter-professionalism.
 

Family Medicine Clinic (F MC)

The Family Medicine Clinic is the outpatient ambulatory unit of the Department of Family and Community Medicine. It is a primary care center which simulate the family practice which provides comprehensive medical care. It is subdivided into three subunits namely First Contact Care Clinic, Follow-up Care Clinic and Continuity Clinic whereby medical services are provided to the general population of Metro Manila and the rest of the country. Appropriate evaluation and management is instituted and for some cases, referral to other specialists if necessary. The psychological and behavioral problems involving the patient and his family are also addressed. Linkages to the different local hospitals and health centers are facilitated by endorsing patients back to their localities for continuance of healthcare after proper evaluation, initial management and stabilization or control of illness.

The clinic provides training for residents, medical students including clerks and interns, to acquire knowledge, skills and attitudes of a Family Physician particularly, skills and attitudes in caring for patients, their families, and the impact of illness to the community. The clinic also serves as an area of health research for the residents, consultants, students and nurses.

Supportive, Palliative and Hospice Medicine (SPHM)

SPHM services include:

  1. Impeccable symptom control (pain, breathlessness, nausea, vomiting, constipation etc);
  2. Excellent communication for better illness understanding that will lead to:

2.1  Better treatment decision making
2.2  Home care
2.3  Terminal care
2.4  Disclosure
2.5  Advance directives
2.6  Individual and family counseling
2.7  Bereavement
2.8  Admission to a dedicated hospice unit as the need arises

UP Health Service  (UPHS)

The Employees’ Clinic attends to primary and preventive health care needs  of UP Manila students and employees.

Faculty Research Inventory 2015-2018

 

Faculty Research (published)
 

Aquino-Francisco, A. A., Mejia-Samonte, M. D., Layug, R. A., & Laviña, S. M. S. Evidence-Based Medicine and Quality Assurance Workshops for Screening of Osteoporosis as a Teaching Strategy in the Residency Training Program in Family and Community Medicine at the UP-Philippine General Hospital.  Acta Medica Philippina Vol 49. No 4 2015 

Medina P.  A Historical Perspective of the Mandatory Service Policy in the Philippines: A Document Analysis.  Accepted for Publication: Philippine Journal of Health Research and Development (May 23, 2018)

Medina P Who, What Where and How? An Exercise in Rights-Based Health Systems Thinking As Applied to Health Financing Poster Presentation; Towards Unity for Health (TUFH) Annual Conference; World Summit on Social Acountability, Hammamet, Tunisia April 8-12, 2017

Faculty Research (presented)

Using Kuwento ni Rosario as a Case Study to Introduce the WHO Health Systems Framework and the Social Determinants of Health to 3rd Year Medical Students Through an Interactive Facilitator-guided Workshop-Discussion (ABSTRACT) Poster Presentation; Towards Unity for Health (TUFH) Annual Conference; World Summit on Social Acountability, Hammamet, Tunisia April 8-12, 2017

Faculty Research (submitted for publication)

Urbano-Canuto, FDR, Laviña, SML and Limpoco, ANO.  Perception and Satisfaction Survey of Foster Parents Hosting Students of the University of the Philippines in the Community Rotation

Gabuyo, AKV and Laviña, SML Cost of Medications, Preference and Willingness-to-Pay for Pain Relief among Adult Patients Diagnosed with Acute and Chronic Musculoskeletal Pain Conditions.

Dionisio, AR.  Ciguatera Fish Poisoning in the Philippines:  A Review of Confirmed outbreaks from 1988 to 2018.

Francisco, PJA, Lavina, SML, Nicodemus, LA and Preserga EZG.  Patient- Reported Outcomes of Filipinos with Knee Osteoarthritis Enrolled in the Osteoarthritis Multidisciplinary Clinic: A Cross-Sectional Study at The University of the Philippines – Philippine General Hospital

Faculty and Residents Researches (Ongoing)

Laviña, SM and Layug RA.  Prescription Analysis of Potential Drug-Drug Interactions with Medications Prescribed to Adult Filipinos seen at a Primary Care Clinic in a Government Teaching Hospital

Nicodemus, LA, Germar, MJC, Dimacali, CRD and Laviña, SML.  Simulation-Based Exercises: A method to assess acquisition of basic obstetric skills among clinical clerks

Mendoza, R.  Home health care utilization among chronically and terminally ill patients initially admitted in a tertiary hospital

Narag, JRMT and  Medina, PVN.  Environmental Factors, Pulmonary and Dermatologic Reported Symptoms among Biomass Exposed Families Living Near and Far from a Coal Stockpile Facility in Tondo, Manila: A Cross Sectional Study

Engada, KM and Umali, MJP.  Factors associated with Self-Reported Willingness to Transfer Medical Care to Local Health Centers among Patients with non-communicable disease consulting at the UP-PGH Family Medicine Clinic.

Pasuelo A. and Limpoco, AG. Effects of Cash Incentive Implementation of Pantawaid Pamilyang Pilipino Program (4Ps) on Family Attendance to Health Consultations, School and Family Development Sessions in an Urban Community Setting.

Lachica, J and Ang, A. Sociodemographic, clinical and Familycharacteristics asspciated with Glycemic control among adult type 2 diabetes melliuts patients in the Family Medicine Clinic Outpatient department of Philippine General Hospital: A Case Control Study.

Salonas, L and Babsa-ay, J.  Environmental Factors, Pulmonary and Dermatologic Reported Symptoms among Biomass Exposed Families Living Near and Far from a Coal Stockpile Facility in Tondo, Manila: A Cross Sectional Study

Guevarra JP, Medina P Perception of Program Administrators and Students on the Implementation of Return Service Agreement in the Philippines

Abelardo C., Medina P. Components of Compulsory Service Program for Health Professionals in Low-and Middle-income Countries: A Scoping Review

Sablan B , Medina P  The Effect of A Smoking Cessation Program for Families on the Clinical Course of Children Diagnosed with TB

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