Posts Tagged ‘education’

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

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.

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.

Region 8 Hosts National Conference on Aging

Thursday, October 8th, 2009

The School for Health Sciences in Palo Leyte will host the first Region 8 National Conference on Aging “Promoting Wellness, Improving Quality of Life of Older Persons” to be conducted on October 27-28, 2009 at Balyuan Convention Center, Magsaysay Boulevard, Tacloban City.

Faculty: University of the Philippines Manila-National Institutes of Health Committee on Aging and Degenerative Diseases in cooperation with The School of Health Sciences, Palo Leyte.

Thanks and see you in Tacloban

National Academy of Science and Technology Resolution on Active Aging

Thursday, July 16th, 2009

NATIONAL ACADEMY OF SCIENCE AND TECHNOLOGY (NAST), PHILIPPINES
31st Annual Scientific Meeting
08-09 July 2009; The Manila Hotel

Resolution on Active Aging

Whereas, in the global scene, the population of older persons grows at a rate of 2.6 percent every year, which is significantly faster than the population as a whole, which increases at 1.1 percent annually;

Whereas, in the Philippines, 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;

Whereas, in the Philippines, the rate of growth of the population 60 years and above, is at 3.6 percent per annum;

Whereas, the 1987 Philippine Constitution, Republic Act Nos. 7876, 8425 and 9257, General Appropriations Act of 2006, and Executive Order No. 266 were formulated to take care of its elderly members to design programs which will be beneficial to senior citizens, their families and the rest of the communities that they serve;

Whereas, the Philippine Plan of Action for Senior Citizens covering the period 2006-2010 identified major areas of concerns, target outputs, and responsible agencies/institutions, which have to be fully implemented;

Whereas, active aging is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age;

Whereas, active aging allows people to realize their potential for physical, social, and mental well being throughout the life course and to participate in society according to their needs, desires and capacities, while providing them with adequate protection, security and care when they require assistance;

Whereas, the active aging approach is based on the recognition of the human rights of older people and the United Nations Principles of independence, participation, dignity, care and self-fulfillment.

NOW, THEREFORE, the National Academy of Science and Technology, Philippines on their 31st Annual Scientific Meeting recommends the following action point to be addressed accordingly by the appropriate agencies.

• Service Delivery

 Recognize home and residential care as a significant strategy for better care for the aging population, through standardized guidelines (DOH and DSWD);

 Designate health professionals, trained and dedicated to the care of the senior citizens in all hospitals, especially in the DOH retained hospitals (DOH);

 Subject services, drugs and other items to 20% discount based on the retail price which already includes VAT (DOF);

 Create an enabling and conducive work environment while allowing the elderly to work and remain productive (DSWD and DOLE);

• Research and Innovation

 Conduct research to address pressing concerns and issues affecting the aging population (DOST and DSWD);

 Establish an institute for aging that will identify and implement priority researches on the aging population including the development of new parameters for defining and characterizing the dependency ratio for senior citizens (UPM-NIH);

 Create innovative mechanism for savings and income generation for the purpose of providing regular pension for senior citizens (DOST);

 Create an investment mechanism and income protection for the senior citizens (BSP and NEDA);

 Develop nutritional standards for the elderly that are affordable and cost effective (DOST);

 Develop technology for improved access, functional independence, and social connectivity for senior citizens (DOST).

• Training and Education

 Give high priority to the promotion of quality aging by all sectors of both public and private sectors (DepEd);

 Launch information and education campaign to promote lifestyle change through primary and secondary education on aging (DepEd);

 Incorporate in the school curriculum values formation specially for better appreciation of the elderly (DepEd); and

 Educate middle age workforce on the benefits of senior citizens and prepare them for retirement (GSIS, SSS, DSWD);

• Policy

 Revisit the composition of the National Inter-Agency Coordinating and Monitoring Board (DSWD);

 Review existing laws to ensure their proper implementation (DSWD);

 Establish, fully implement, and further strengthen the Office for Senior Citizens Affairs (OSCA) in all Local Government Units (DILG); and

 Consolidate and update national data related to aging (DSWD).

IT IS FURTHER RESOLVED that the National Academy of Science and Technology, Philippines supports the national program for aging and commits to the creation of the National Advisory Council on Active Aging that will further define the strategies and programs that have to be implemented to realize the aforementioned objectives.

Download documents and Annual Scientific Meeting Proceedings link to NAST

“How to Grow Old Gracefully” by National Scientist Castillo

Friday, July 10th, 2009

HOW TO GROW OLD GRACEFULLY, NOT GRUDGINGLY
By GELIA T. CASTILLO

Discussion paper for the FORUM ON HEALTHY LIFESTYLE: SECRET OF GRACEFUL LIVING by the National Academy of Science and Technology,Philippines, held at the Manila Hotel, May 14, 2009.

Let me begin with a Doctor;s Prescription for Well-Being (Sherwin B. Miland, The Art of Aging, Random House, NY 2007) which says: “Whatever may happen in the far-off future, the one certainty with which no responsible scientist can disagree is that there is at present no medicine or pill of any value to combat aging, nor is there likely to be one soon, if ever. Some of our most experienced biogerontologists are convinced that no aging gene will ever be found… Hence, the better we have used our years, the greater will be the rewards of individuality and accrued wisdom.” (pp 186 & 296)
The onset of aging can be so gradual that we are often surprised to find that one day it is fully upon us and the realization is rarely welcome. Dr. Sherwin B. Muland shown us that getting older has its blessing. Age concentrate not only in the mind but the body’s energies, leading many new levels of creativity, perceptiveness and spiritual growth. Becoming old, Muland teaches us is not a disease but an art – for those whom practice it well it can bring remarkable fulfillment. Faith and inner strength, the deepening of personal relationships and the realization that career does not define identity, the acceptance that some goals will remain unaccomplished – these are among the secrets of those who age well.
It may be hard to believe, but we all started young. As a lifelong participant in this inevitable growing-up process, there are some thoughts I’d like to share with people from all age cohorts:
1) Have a purpose in life. It is neither healthy nor spiritually uplifting to say: “We are already in the pre-departure area.” There must be a reason for getting up each morning, whether it be exercise, prayer, plants, telenovelas, Manny Pacquiao, Kris Aquino or a paper to read or write.
2) Be happy. A glass half-filled must be seen as half full rather than half-empty. Intellectual curiosity works wonders fro an otherwise idle mind, consumed with self-pity.
3) Be beautiful or handsome on a day-to-day basis, not just during the holidays. Beauty is enhanced by years of experience and accumulated wisdom which the young do not yet have. Never underestimate what this means for self respect. For those 80 an above, try not to look poor and try not to look sick. It makes a lot of difference in the way other people respond to you.
4) Have friends and enjoy each other. However, friendship is like a plant. It needs to be nurtured so it will grow, blossom and bear fruit. We need friends more than we realize.
5) Practice selective memory i.e. remember good times and never mind the bad times. Hold no grudges against anyone in the interest of good health.
6) Economic independence is a virtue to be cherished especially later in life. This means preparing for old age while still young. If you have not done this, pray, count your blessings and make the most out of them. For those overflowing with assets, resists the pressure to turn over all of them to your heirs. Leave yourself enough liquidity to keep under your pillow. Money is not everything, but it is a great thing to have at your fingertips.
7) Do not live all your life for your children. Live a part of it for yourself, otherwise, you will manifest the Orphan Mother or Orphan Father symptoms. Children have their own lives to live. Let us not prevent them from doing so. Grandchildren are precious “bonuses” provided they are not your full responsibility.
8) The “Wheel of Life” (gulong ng palad) continues to turn even in old age. Be kind when you are at the top. If you had done that in the younger years, the later years are bound to be kinder to you. Those who retire from high positions of power, tend to suffer from the “withdrawal of power” syndrome and may become difficult to live with.
9) Share whatever you have – whether it be wisdom, time, talent, resources or even laughter. Being old is not an excuse for being boorish. A lady should always be a lady and a gentleman should always be a gentleman.
10) In unequal society, the burden of disease and benefit of good health are also unequally distributed. There is a negative correlation between poverty incidence and longevity. The rich tend to live longer than the poor. Unlike what we were taught in grade school that: “health is wealth”, in real life, it is wealth which buys health. Women also live longer than men and perhaps can enjoy a second chance in life more than men.

Over a 100-year period (1902-2003), the Filipino female added 58.6 years to her life. While the male added only 55.66 years. This is a difference of 2.9 years. As of 2003, females outlive males by 5.2 years. This female advantage over males in terms of life expectancy was observed on all provinces including ARMM. As a matter of fact, Basilan females could expect to live 7.4 years longer than males. Does this mean Filipino females are healthier than males even in high poverty provinces? To add to this definition of “disadvantage,” Maligalig and Albert (2008) found that it is the boys more than the girls who are more likely not to attend schools (Maligalig, Dalisay S and Jose Ramon C Albert, Ensuring a more evidence-based policy for basic education” Policy Notes, no. 2008-03 April 2008, Philippine Institute for Development Studies). These have very real implications for our young people and for relationships. Perhaps more girls will marry younger men with lower education and even lower income than theirs.

Finally, whether male or female, poor or non-poor, let us enjoy the gift of life. We go through it only once.

National Scientists Support Active Aging

Friday, July 10th, 2009

The National Academy of Science and Technology (NAST), the country’s highest scientific advisory body made up of scientists recognized for their excellent contribution to Philippine development, recently hosted the Annual Scientific Meeting with the theme “Active Aging towards Quality Life” held July 8 and 9, 2009 at the Manila Hotel.
Heading the first day were DOST Secretary Alabastro who recognized the need for research and technology to support improved services for the aging population, and DSWD Secretary Cabral, re-committing the leadership role of her department in the quest for quality of life for our senior citizens. Dr. de la Vega gave the first plenary, on the concepts of Active Aging, based on the WHO framework.
The highlight of the 2-day event was the reading of the NAST Resolutions, supporting current government laws especially RA9257 and the Philippine Plan of Action for Senior Citizens, and calling for action and the creation of an Institute for Aging. Our NAST Scientists will continue to contribute towards achieving Active Aging for Quality Life by creating the National Advisory Council on Active Aging.

Powerpoint presentations are available at the NAST website