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Pinoy MD A 10-yr Philippine Medical Scholarship Program Kenneth G. Ronquillo, MD, MPHM, CESE Director IV Health Human Resource Development Bureau Department.

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Presentation on theme: "Pinoy MD A 10-yr Philippine Medical Scholarship Program Kenneth G. Ronquillo, MD, MPHM, CESE Director IV Health Human Resource Development Bureau Department."— Presentation transcript:

1 Pinoy MD A 10-yr Philippine Medical Scholarship Program Kenneth G. Ronquillo, MD, MPHM, CESE Director IV Health Human Resource Development Bureau Department of Health

2 Pinoy MD Philippine Medical Scholarship Program A partnership between the Philippine Charity Sweepstakes Office (PCSO), the Department of Health (DOH) and selected Private Medical Colleges and State Universities. A program A program Designed to produce competent, committed and community-oriented doctors that would address the needs of the health sector.

3 Education is expensive with low return of investment (up to P85,000/sem) Education is expensive with low return of investment (up to P85,000/sem) Decline in enrolment from 10% to 70% Decline in enrolment from 10% to 70% Decline in NMAT takers by 24% (4,475) in 2003 & 9% (4,070) in 2004 Decline in NMAT takers by 24% (4,475) in 2003 & 9% (4,070) in 2004 Passing rate of 51.4% - 66% over the last 5 years Passing rate of 51.4% - 66% over the last 5 years Better compensation and career opportunities elsewhere Better compensation and career opportunities elsewhere Decline in Production Workforce Element

4 Distribution of Physicians per Region 1998-2004 Inequitable Distribution Workforce Element

5 MigrationMigration Policy Gaps (Magna Carta, Labor Code)Policy Gaps (Magna Carta, Labor Code) Compensation differential between the public and private hospitalsCompensation differential between the public and private hospitals Difficult working environmentDifficult working environment Low Retention Workforce Element

6 Vacant Physician Posts Region LGU Hosp CHD Hosp MHO*CHOTotal I1303424 II----10---- III----0---- IV00606 V----6---- VI10141328 VII33011650 VIII101419346 IX----8---- X2139235 XI----4---- XII----3---- CAR01518033 CARAGA82010846 ARMM---38---- Source: CHED Survey 2004, *HHRDB Survey, 2007

7 Pinoy MD Program Pinoy MD Program Design and Career Paths DTTB Medical Pool Gov’t Ofc Univ./Col. DTTB Medical Pool Gov’t Ofc Univ./Col. (Rural) (Specialist) (Public Health) (Academe) Selection by PMD Member Schools 10-yearpayback (Suggested)  Scholarship grant to include:  tuition fees  board and lodging  books  basic equipment  transportation  monthly allowance  fees for the licensure review  fees for the licensure exam Licensure Exam Medical school 5-yearscholarship

8 Budget Allocation Budget Allocation Scholarship Cost 1. Payment for Partner Schools Per semester 1.2 Tuition Fees 15,000.00 1.3 Miscellaneous 2,000.00 1.4 Laboratory 500.00 1.5 Student Fund 500.00 P 18,000.00 P 18,000.00 2.Allowances per Scholar per semester 2.1 Book 10,000.00 2.2 Uniform 2,500.00 2.3 Living Subsidy 18,000.00 2.4 Lodging 12,000.00 2.5 Transportation 7,200.00 2.6 Miscellaneous 5,000.00 P54,700.00 P54,700.00 Subtotal per semester P72,700.00 Subtotal per year P145,400.00 3.PhilHealth Insurance P1,200.00 for Scholars for Scholars Total Per Scholar P146,600.00* *Not inclusive of management costs and immersion programs.

9 Program Status Program Status Quick Overview Current Scholars: Batch 1 – 52 scholars Batch 2 – 82 scholars Batch 2 – 82 scholars PMD Schools: 12 partner schools in 7 regions Funding Agencies: PCSO main agency for scholarship cost. PMD Med Schools augment cost. HHRDB currently shoulders management costs. CHD augments management costs. Improvements: In MOA, contracts and application processes.

10 Unload Capital / Lower Program Cost Require short term rural service from board passers, thus decreasing PMD scholarship itemsRequire short term rural service from board passers, thus decreasing PMD scholarship items Partner with MD-nurses and other agencies to sustain scholars/government items for scholars (sponsorship)Partner with MD-nurses and other agencies to sustain scholars/government items for scholars (sponsorship) Added tax for MD’s nursing tuition to sustain scholars/government itemsAdded tax for MD’s nursing tuition to sustain scholars/government items Beneficiary counterparts Require counterpart from the benefactor in terms of MD items to be created over 5 yrs time to sustain remaining 5 yrs (10-yr payback) OR to have the sustain remaining 2 yrs of payback (5-yr payback)Require counterpart from the benefactor in terms of MD items to be created over 5 yrs time to sustain remaining 5 yrs (10-yr payback) OR to have the sustain remaining 2 yrs of payback (5-yr payback) Policies and Mechanisms to Sustain PMD Program

11 Sustain or Increase Number of Applicants Partner with involved organizations to decrease cost of related entrance examinations and requirements (eg, NMAT, MCAT, College Application Forms, etc.) Partner with involved organizations to decrease cost of related entrance examinations and requirements (eg, NMAT, MCAT, College Application Forms, etc.) Open application to all sects. Open application to all sects. Increase number of PMD Member Schools to cover all regions Increase number of PMD Member Schools to cover all regions Adjustments in Payback Mechanism Decrease to 5 years – Civil Service policies involved Decrease to 5 years – Civil Service policies involved Provide options for adjustments in10-yr payback. Eg, 1 barrio year:2 NCR years (academe, residency in NCR, government office, etc) Provide options for adjustments in10-yr payback. Eg, 1 barrio year:2 NCR years (academe, residency in NCR, government office, etc) Policies and Mechanisms to Sustain PMD Program

12 Ensure current funding PCSO commitmentPCSO commitment PMD Medical Schools commitmentPMD Medical Schools commitment Policies and Mechanisms to Sustain PMD Program

13 1. Pay Equity Option 1 Support the passage of the Government Compensation & Classification Act (GCCA bill) Option 2 Creation of a separate health sector from non-agricultural sector for minimum wage setting by the Regional Wage Board Standardized entry level compensation for HRH, including medical residents Policies and Mechanisms for Workforce Retention

14 2. Rights and Benefits Option 1 Issuance by DILG of a policy/circular reiterating the strict implementation by LGUs of the Magna Carta, particularly in hard to reach areas Increased compensation and benefits to HRH in general, and specifically to those in hard to reach areas and/or hard to fill positions

15 Policies and Mechanisms for Workforce Retention Option 2 Amend the Magna Carta IRR to delete the clause: “… subject to the availability of funds” and replace with the clause “incorporated in their annual budgetary proposal for the national agencies” and, “incorporated in their respective local budget (LGU).” 2. Rights and Benefits

16 Policies and Mechanisms for Workforce Retention Option 3 Amend the Magna Carta IRR by increasing sanctions for non-compliance by payment of double indemnity (to be at par with the Labor Code). Option 4 Provide sanctions for violations by private sector health facilities of labor laws, sanctions such as revocation or non-renewal of license to operate amending DOH AO 147 s.2004 and non- issuance/renewal of business permits for non- DOH licensed health facilities 2. Rights and Benefits

17 Policies and Mechanisms for Workforce Retention 3. Social Responsibility of Private Sector Option 1 Issuance of a policy by DOLE for monitoring health facilities for compliance with the labor code using the following models: Kapatiran WISE-TAV (Big Brother-Small Brother pilot program)Kapatiran WISE-TAV (Big Brother-Small Brother pilot program) Inspection BlitzInspection Blitz Zero-Accident ProgramZero-Accident Program

18 Pinoy MD Health Human Resource Development Bureau MARIO C. VILLAVERDE, MD, MPH, MPM, CESO II Pinoy MD Project Manager KENNETH G. RONQUILLO, MD, MPHM, CESE Chairman of the Secretariat and Administrative Support RODEL G. NODORA, MD, EMBA Vice-Chairman of the Secretariat

19 Pinoy MD Philippine Medical Scholarship Program Thank You!

20 Pinoy MD Philippine Medical Scholarship Program (Extra slides follow)

21 Pinoy MD Our Budget and Allocations Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 7,916,40021,608,84041,508,32465,171,61693,152,484113,800,465 Scholarship Cost per Year: Management Cost per year: P3,902,000.00 Scholarship Cost for Years 1 to 6: P343,158,129

22 PMD Under New Management 9 PMD Member Schools: 1. Emilio Aguinaldo Educational Corporation, Manila 2. Pamantasan ng Lungsod ng Maynila, Manila 3. University of the Philippines Manila, Manila 4. Our Lady of Fatima University, Manila 5. Cagayan State University, Cagayan 6. West Visayas State University, Iloilo 7. University of St. La Salle, Bacolod 8. UP Manila School of Health Sciences, Leyte 9. Mindanao State University, Iligan Health Human Resource Development Bureau (HHRDB)

23 3 New PMD Member Schools: 1. Davao Medical School Foundation, Davao 2. Matias Aznar Memorial College of Medicine, Cebu 3. Iloilo Doctors College of Medicine, Iloilo Total of 12 PMD Member Schools in 7 Regions PMD Under New Management Health Human Resource Development Bureau (HHRDB)

24 Pinoy MD Our Framework Provisions: Must complete medical degree and pass Physician’s Licensure Exam within prescribed period. Must complete medical degree and pass Physician’s Licensure Exam within prescribed period. Payback for willful breech of contract is total amount spent on scholarship plus 10% interest per annum. Payback for willful breech of contract is total amount spent on scholarship plus 10% interest per annum. Payback for unavoidable breech of contract is 2 years service to government for every year of scholarship spent. Payback for unavoidable breech of contract is 2 years service to government for every year of scholarship spent.


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