Archive for the ‘education’ Category

Medical Profession Needs to Prepare for the Rapidly Growing Elderly Population

Thursday, June 17th, 2010

The Philippines needs to prepare for the burgeoning population of older persons. The population 60 years and above has grown at a very rapid rate, increasing from 3.2 million in 1990 to 4.6 million in 2000. By the year 2030, ten percent of our population will be composed of senior citizens. The National Institutes of Health (NIH) study “Status of Geriatric Education in Philippine Medical Schools” presented during the NIH Forum 17 June 2010, looked at how Geriatrics (the study of health and disease in old age) is taught in Philippine Medical Schools and the perception of graduating medical students on how well they can take care of old patients after receiving their MD diplomas.

The study revealed that most medical schools do have Geriatrics as part of a required course and 61% enjoy institutional support for developing said course. However, although 70% of the graduating medical students believe they are prepared to take care of the elderly in outpatient clinics and hospitals, only 61% of their teachers think they possess the necessary KAP (knowledge, attitude and practice) for such a job!

Some of the contributors to the lack in KAP of fresh graduates include the crowded medical course schedule and the lack of a curricular map of subjects that teach them how to take care of the elderly. Medical students learn the basics during the first three years of med school (classroom) but may not possess the skills in the final clinical years called internship (hospital exposure). The lack of clinical teachers and researchers were also identified as obstacles to the development of a good Geriatric program.

This study also contains recommendations as to how the situation can be rectified; how we can mold our future doctors into providing excellent and compassionate healthcare for the elderly. We can begin by increasing the number of doctors that are trained and dedicated to teaching, and by establishing a well mapped curriculum in Geriatrics. We also need to support researches that lead to improvement of the health and quality of life of the aging Filipino. The Association of Philippine Medical Colleges, DOH, DSWD, NIH and CHED can help lead this change.

About the NIH and Aging Study Group:

The National Institutes of Health (NIH) was created on January 26, 1996 by the UP Board of Regents as an institutional home of a network of various research and extension units specializing in health and socio-biomedical concerns. This thrust is consistent with the country’s vision of “Health for All”.

Currently, the NIH has various research institutes and active study groups that continue to develop and produce outputs that serve as vital guideposts in shaping national programs and policies. The Aging Study Group and the Committee on Aging and Degenerative Diseases (COMADD) has contributed greatly to current clinical and educational programs and policies on Aging. The vision of COMADD is “The Filipino elderly enjoying a healthy body, mind and spirit, being treated with dignity, and valued as a productive member of society, in a dynamic process unique to himself, and beginning a life of unlimited possibilities”.

Principal Investigator:
Shelley F. de la Vega, MD., MSc
Chair, Aging Study Group
Institute of Health Policy and Development Studies
UP Manila-NIH

Co-Investigators:
Jose Alvin Mojica, M.D., MHPEd
Chair, Department of Rehabilitation Medicine
Philippine General Hospital

Josephine Agapito, PhD
College of Arts and Sciences
UP Manila

Click here to view related post in Manila Bulletin Online

Preventing Alzheimer’s Part 2: The NIH Consensus 2010

Tuesday, May 4th, 2010

Part 2: Cognitive Engagement and Physical Activity

1. Cognitive Engagement.

Cognitive Training – modest benefits on cognitive functioning and a small but statistically significant effect on reducing the extent of age-related decline in cognitive function at a 5-year follow-up. Very small but statistically significant benefit on instrumental activities of daily living—for example, managing finances, managing medications, keeping house, and, in a subgroup analysis, benefit on driving performance in the elderly.

However, these results from a single trial must be replicated to confirm the benefits of cognitive engagement on preventing
cognitive decline over a longer time period and in study subjects with varying levels of baseline cognitive abilities before a firm recommendation can be made.

2. Physical Activity. Increased physical activity, including walking, may help maintain or improve cognitive function in normal adults.

Tai chi PGH Geriatric Clinic

Although encouraging, these data should be viewed as preliminary. Work is ongoing to further investigate the benefits of
physical activity.

Factors associated with decreased risk of Alzheimer’s disease and cognitive decline were cognitive engagement (as indicated by literacy and social enrichment), physical activities in later life, and a diet low in saturated fat and high in vegetable intake. Light to moderate alcohol intake
is reported to be associated with reduced risk of Alzheimer’s disease, but results are inconsistent for cognitive decline

Source: NIH State-of-the-Science Conference:
Preventing Alzheimer’s Disease and Cognitive Decline
April 26–28, 2010

How to Make Wise Health Choices

Saturday, March 13th, 2010

Ask yourself these questions before following a health advise from a friend:

1. Is this person giving advise a friend or a salesperson?

2. Will I suffer from harm if I do not follow his/her health advise?

3. What kind of product or procedure is this person recommending?

4. What are the benefits?

a. what are the effects on my body/mind and are these the effects I desire?
b. how soon can the benefits be felt?
c. how long will the effects last?
d. how many in 10 who follow the advise will feel the benefit? how many in 100?
e. how many in 10 people tested represent my age group?


Watch out for testimonials or personal anecdotes! One person in ten may have benefited but you need to ask: “How many took the product? What happened to the nine others who took the product?”

5. Are there side effects or harmful outcomes?

how many in 10 persons will feel worse? how many in 100?

7. Will the cost/money/time I spend be worth the benefit?

8. Do I have enough information to make a wise health choice?

a. ask about scientific randomized trials or systematic reviews on the product or procedure in which all relevant studies are identified and those of adequate quality selected. Results from selected studies are usually pooled (using meta-analysis) to give the
best single estimate of effect.
b. ask for help from a trusted physician but avoid doctor shopping.
c. search trusted internet sites and peer reviewed medical journals.

Do your homework! Click any of these links for medical information on western and complementary medicine Medline Plus , the Cochrane Review of Complementary Medicine and Pubmed and the US Food and Drug Administration

Watch out for quacks and snake-oil salesmen!
You may be dealing with a quack if:
1. The information only includes stories of patients who benefit from the product.
2. You cannot obtain information on the number of people who do not improve after taking the product/procedure.
3. The advertiser is quiet about those who experience harmful side effects.

Reference: Irwig et al. Smart Health Choices. Allen and Unwin 1999.

Mercedes Concepcion is Newest National Scientist

Sunday, March 7th, 2010

Mercedes Concepcion, PhD

Mercedes Concepcion, PhD


Dr. Concepcion was elected Academician by the National Academy of Science and Technology (NAST), and was proclaimed National Scientist in January 2010. She obtained her B.Sc. degree in chemistry from UP in 1951 before pursuing Biostatistics at the School of Hygiene and Tropical Medicine of the University of Sydney from 1953 to 1954 under the Colombo Plan fellowship. She obtained her PhD from the University of Chicago in 1963.

Dr. Concepcion was crucial in the establishment of the UP Population Institute (UPPI) in 1964, which was funded by the Ford Foundation. The UPPI was instrumental in the enactment of the Population Act of 1971.

In the last Annual Scientific Meeting of the NAST “Active Aging towards Quality Life” held July 8 and 9, 2009 at the Manila Hotel, she served as Steering Committee member and co-Chair of sessions on the sociological and demographic aspects of Aging. She played an important role in drafting the Resolution on Active Aging by the NAST.

National Advisory Council on Aging Member is Newest National Scientist

Sunday, February 7th, 2010

Dr. Ernesto O. Domingo, university professor emeritus of the UP College of Medicine, is the newest National Scientist of the country.

Ernesto Domingo Physician and National Scientist

Ernesto Domingo Physician and National Scientist


He was nominated by the National Academy of Science and Technology (NAST), one of the two advisory bodies of government in matters of Science and Technology. Dr. Domingo has been Academician of the NAST since 1992 in the field of health sciences, particularly in his field of specialization, internal medicine and gastroenterology.

Dr. Domingo’s vital work on liver cancer remains the major source in the country of information on the disease’s etiology, manifestation and treatment. His research focuses on three areas: schistosomiasis, viral hepatitis and liver cancer. The Clinical Epidemiology Unit (CEU) of the UP College of Medicine was another significant program established by Dr. Domingo.

Dr. Domingo actively participated in the steering committee of the NAST Scientific Meeting on Active Aging and was named member of the National Advisory Council on Active Aging in July 2009.

Longevity and Wellness Postgraduate Course

Sunday, December 6th, 2009

The Department of Internal Medicine, Section of Geriatrics and the Wellness Center of The Medical City Ortigas recently hosted a successful Postgraduate Course The Fountain of Wellness and Longevity.
The course included topics on healthy aging, preventive geriatrics, cancer screening, boosting the immune system, coffee and the heart, and graceful aging. The President of the Hong Kong Geriatrics Society, Dr. Bernard Kong, delivered a talk on Pneumonia in the Elderly. Postgrad Group Photo with Kong 2
The next day, TMC residents presented a case of pneumonia in the elderly. The case conference was moderated by Dr. Josephine Ramos (TMC Pulmonologist). Guest geriatricians Dr. Bernard Kong (HK) and Dr. Philip Poi (Malaysia) graciously joined the discussion.
Tmc Res With Kong 09

National Conference on Aging 2009

Sunday, November 15th, 2009

The National Conference on Aging “Promoting Wellness, Improving Quality of Life of Oder Persons” was held at the Balyuan Convention Center, Tacloban on October 28-29, 2009, completing the 5-day geriatric education outreach of the UP Manila-NIH Committee on Aging (COMADD). The event was hosted by the School for Health Sciences Palo and attracted participants from Region 8, Quezon province, Manila, and Southern Luzon.
National Conference on Aging Group Photo Balyuan 09.1
Basic topics on Gerontology and Geriatrics were discussed, with the following objectives:
1. Discuss the myths and theories on aging
2. Discuss the value of health promotion and disease prevention such as
• Immunization
• Nutrition
• Exercise
• Risk management/lifestyle modifications
3. Explain the common medical problems/conditions in aging
a. Depression
b. Dementia/Delirium
c. Communication Disorders
d. Falls and Immobility
e. Pain
f. Polypharmacy and Rational Drug Use
g. Urinary and Bowel Incontinence
4. Recognize the emotional, spiritual and psychosocial needs of the elderly
5. State policies/laws on the rights of elderly

National Conf Aging Tacloban 10.2009
The COMADD shared their knowledge and led the captivated audience in plenary lectures and wet clinic demonstrations. The Overall Chairperson of the 5-day educational outreach was Dr. S de la Vega (UPM-NIH, Chair COMADD) with Co-Chairs Dean J Siega-Sur (UP SHS) and former NTTC Dean JAP Mojica. Other members of the faculty were Prof. L Manahan (UPCN), Prof. A Balagabno (UPCN), Dr. D Camagay (UP-PGH), Dr. D. Dychingbing-Agsaoay (UP-PGH), Prof. EJ Gorgon (UP CAMP), Prof. JD Agapito (UPCAS), Ms. E Limos (UP-PGH Nutrition), Prof. G Manalang (UPCPH) and Dr. M Bodo-Bernabe (PSGM), and Dr. I Alejandro Jr (PSGM VP).
Dr. de La Cruz, past President of the Federation of Senior Citizens Associations of the Philippines shared his wise thoughts about aging and advocated for better policies on geriatric education and healthcare for older persons. Dr. L Opina- Tan faculty from the UP Community Health Development Program in San Juan Batangas, gave a return-demo lecture of what she learned during the 3 day Training of Trainors workshop in Palo.

EXECUTIVE COMMITTEE MEMBERS:

Over all Chairman: Dr. Shelley de la Vega
Co- Chairs: Dr. Jose Alvin Mojica
Dean Jusie Lydia Siega-Sur
Prof. Amabel Ganzo

Ways and Means Committee:
SHS : Prof. Amabel Ganzo
Dean Jusie Lydia Siega-Sur
Prof. Zenaida Varona
ComADD: Dr. Shelley de la Vega

Program and Commercial Exhibit Committee:
Chairman: Dr. Romeo Ceniza
Members: Dr. Norlita Arcamo
Dr. Aileen Espina
SHS Medical Students

Physical Arrangement:
Chairman: Prof. Teresita Sardan
Members: Ms. Loreta Soledad
Dr. Filedito Tandinco
Prof. Helen Gumba
Prof. Carmelita Espinosa

Registration and Awards Committee:
Chairman: Prof. Evangeline Culas-Pasagui
Members: Prof. Rolando Borinaga
Prof. Carmen Firmo
Dr. Filedito Tandinco

Social Program:
Chairman: Prof. Amabel Ganzo
Members: Ms. Esther Hope Acosta
Prof. Carmelita Espinosa
Dr. Carmen Firmo

Invitation and Publicity:
Chairman: Prof. Amabel Ganzo
Members: Prof. Sylvia Sustento
Prof. Zenaida Varona

The project was made possible by educational grants from President GMA and the Bristol Myers Squibb Foundation.

Workshop on Geriatric Assessment in Leyte

Saturday, November 14th, 2009

UP NIH and SHS Training of Trainors Faculty Palo Leyte 10.2009
The UP Manila-NIH Committee on Aging successfully conducted a Training-of-Trainors Workshop on Geriatric Assessment from October 24-26, 2009 at the School of Health Sciences Palo, Leyte. Objectives of the workshop were:
1. To develop a core of trainers on gerontology (the study of the science of aging) and geriatrics (that branch of medicine that is dedicated to the prevention, diagnosis and treatment of older person’s diseases) at the UP School of Health Sciences that is in keeping with their mission/vision/objectives and Republic Act 9257.
2. To increase the capacity of healthcare providers at the community and provincial levels to detect age-related health problems and/or geriatric diseases and syndromes for appropriate management.
3. To strengthen the capacity of existing educators, healthcare providers and services to become models of age-friendly practices.
4. To improve the functional capacity of impaired and disabled older persons.
The Geriatric Assessment Workshop was chaired by Dr. Doris Camagay (UP-PGH), with co-chairs Dr. Dorothy DyChingBing-Agsaoay (UP-PGH) and Prof Edward James Gorgon (UP-CAMP).
TOT Experiential 11
The third day focused on Enhancing Competencies and Instructional Design with the objective of providing opportunity for the SHS faculty to analyze and decide on the content of the course design on Care of the Older Person. The Competency workshop was chaired by Prof. Araceli Balabagno, PhD (UPCN) and co-chaired by Prof. Amabel Ganzo (UP SHS).

The National Conference on Aging immediately followed and completed the program on basic geriatrics and gerontology.

The workshop is designed to increase the capacity of healthcare providers at the community and provincial levels to detect age-related health problems and/or geriatric diseases and syndromes for appropriate management.

Completing the faculty list are Prof. L Manahan (UPCN), Prof. JD Agapito (UPCAS), Ms. E Limos (UP-PGH Nutrition), Prof. G Manalang (UPCPH) and Dr. M Bodo-Bernabe (PSGM). Administrative assistance was provided by Ms. Angel Alarca. The Overall Chairperson of the 5-day educational outreach was Dr. S de la Vega (UPM-NIH) with Co-Chairs Dean J Siega-Sur (UP SHS) and former NTTC Dean JAP Mojica.

The project was graciously hosted by the faculty of the School of Health Sciences, Palo, Leyte and was made possible by educational grants from President Arroyo and the Bristol Myers Squibb Foundation.

PSGM Certified Geriatric Medicine Specialists

Sunday, July 20th, 2008

You can find PSGM Certified Geriatric Medicine Specialists in the
best hospitals in the Philippines

Manila Doctor’s Hospital
GEM
Geriatric Multidisciplinary Clinic
TM Kalaw St.
Ermita, Manila
Tel 5243011 loc 4603

Philippine General Hospital
Geriatric Outpatient Clinic
Department of Outpatient Services
Taft Avenue
Ermita, Manila
Tel 5218450

St. Luke’s Medical Center
Geriatric Center
E. Rodriguez Ave.
Cubao, Quezon City
Tel 7230101 loc 4911

The Medical City
Geriatric Wellness
Center for Healthy Aging
Ortigas, Ave., Pasig
Metro Manila
Tel 6356789 loc 6386

University of Sto. Tomas Hospital
Rm 6011 MAB
España
Metro Manila
Tel 7499768

Improving Healthcare of Older Filipinos

Sunday, July 20th, 2008

The Baseline Survey for the National Objectives of Health (BSNOH) research done by the UP Manila NIH and DOH revealed that of the 2,690 older persons surveyed, only 0.3 percent ever had a Geriatric Health Screen. The number of elderly who had screening for geriatric syndromes such as urinary incontinence, memory and affective illnesses was less than 5 percent. The BSNOH Survey also revealed that fewer that 10 percent had their height and weight determined, and only 15 percent had a hearing evaluation. Sixty one percent indicated that lack of money was the major reason for delaying medical consultation, and ninety two percent were without any form of pension.

Philhealth (PHIC) is trying to address this gap by creating responsive benefits that will address the rising prevalence of chronic diseases. These include a hypertension package, out-patient drug benefits, home peritoneal dialysis. PHIC plans to invest in long-term care bundle payments for post hospital care, integration of acute care and some coverage into one delivery system. In the open forum that followed, issues raised included the difficulty in Philhealth reimbursement of all members of the multi-disciplinary healthcare team, and the lack of coverage for nursing home and home care.
Policy Workshop 2007