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 DFCM FACULTY / CONSULTANT STAFF
CHAIR: Dr. Josefina S. Isidro-Lapeña
Regular Faculty, Full Time:
- Anthony H. Cordero – (Director, CHDP)
- Edelina P. dela Paz – (Vice Chair, SMU)
- Allan R. Dionisio
- Portia Grace F. Marcelo
- Gene Alzona Nisperos
- Dr. Elizabeth R. Paterno
Regular Faculty, Part Time:
- Alex J.B. Alip, Jr. – (Secondment – August 2017 – July 2018)
- Josephine C. Dizon
- Annie A. Francisco – (Sabbatical – Jan. 01, 2018 – Dec. 31, 2018)
- Paolo Medina
- Leilanie A. Nicodemus
Clinical Faculty, Part Time:
- Andrew E. Ang
- Maria Consuelo Balita-Pumanes
- Agnes B. Bausa-Claudio – (Resigned eff. Feb. 08, 2018)
- Karin E. Garcia
- Shiela Marie S. Laviña
- Eva Irene Y. Maglonzo
- Manuel Medina, Jr.
- Marishiel Mejia-Samonte
- Rachael Marie B. Rosario
Clinical Faculty, WOC
- Jonathan Babsa-ay
- Doris Mariebel C. Camagay
- Wilfredo A. del Rosario
- Anna Guia O. Limpoco
- Nenacia Ranali Nirena R. Palma-Mendoza
- Jardine Sta. Ana
- Philip Tan Gatue
- Martha Jane Pauline S. Umali
- Urbano-Canuto, Florinda
Instructor / Faculty with Cross Appointment
- Vivien Fe F. Fadrilan-Camacho
- Louricha Opina-Tan
Family Health Unit (FHU)
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:
- Impeccable symptom control (pain, breathlessness, nausea, vomiting, constipation etc);
- Excellent communication for better illness understanding that will lead to:
2.1 Better treatment decision making
2.2 Home care
2.3 Terminal care
2.5 Advance directives
2.6 Individual and family counseling
2.8 Admission to a dedicated hospice unit as the need arises
UP Health Service (UPHS)