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The Pinoy MD program is a 10-year Philippine medical scholarship program that aims to address the country's shortage of doctors. It is a partnership between the Philippine Charity Sweepstakes Office, the Department of Health, and selected private and state medical schools. The program provides full scholarships to medical students in exchange for 10 years of government service after graduation. It aims to produce competent and community-oriented doctors, especially for rural areas where they are needed most. However, declining enrollment in medical schools, inequitable doctor distribution, low retention of doctors in public service, and funding challenges threaten the sustainability of the program. Various policies and mechanisms are proposed to address these issues and ensure the long-term success of the Pinoy
The Pinoy MD program is a 10-year Philippine medical scholarship program that aims to address the country's shortage of doctors. It is a partnership between the Philippine Charity Sweepstakes Office, the Department of Health, and selected private and state medical schools. The program provides full scholarships to medical students in exchange for 10 years of government service after graduation. It aims to produce competent and community-oriented doctors, especially for rural areas where they are needed most. However, declining enrollment in medical schools, inequitable doctor distribution, low retention of doctors in public service, and funding challenges threaten the sustainability of the program. Various policies and mechanisms are proposed to address these issues and ensure the long-term success of the Pinoy
The Pinoy MD program is a 10-year Philippine medical scholarship program that aims to address the country's shortage of doctors. It is a partnership between the Philippine Charity Sweepstakes Office, the Department of Health, and selected private and state medical schools. The program provides full scholarships to medical students in exchange for 10 years of government service after graduation. It aims to produce competent and community-oriented doctors, especially for rural areas where they are needed most. However, declining enrollment in medical schools, inequitable doctor distribution, low retention of doctors in public service, and funding challenges threaten the sustainability of the program. Various policies and mechanisms are proposed to address these issues and ensure the long-term success of the Pinoy
Kenneth G. Ronquillo, MD, MPHM, CESE Director IV Health Human Resource Development Bureau Department of Health 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 Designed to produce competent, committed and community-oriented doctors that would address the needs of the health sector.
Education is expensive with low return of investment (up to P85,000/sem) Decline in enrolment from 10% to 70% 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 Better compensation and career opportunities elsewhere
Decline in Production Workforce Element Distribution of Physicians per Region 1998-2004 0 100 200 300 400 500 600 700 800 1998 1999 2000 2001 2002 2003 2004 NCR CAR I II III IV V VI VII VIII IX X XI XII Caraga ARMM Inequitable Distribution Workforce Element Migration Policy Gaps (Magna Carta, Labor Code) Compensation differential between the public and private hospitals Difficult working environment
Low Retention Workforce Element Vacant Physician Posts Region LGU Hosp CHD Hosp MHO* CHO Total I 13 0 3 4 24 II -- -- 10 -- -- III -- -- 0 -- -- IV 0 0 6 0 6 V -- -- 6 -- -- VI 10 14 1 3 28 VII 33 0 11 6 50 VIII 10 14 19 3 46 IX -- -- 8 -- -- X 21 3 9 2 35 XI -- -- 4 -- -- XII -- -- 3 -- -- CAR 0 15 18 0 33 CARAGA 8 20 10 8 46 ARMM - -- 38 -- -- Source: CHED Survey 2004, *HHRDB Survey, 2007 Pinoy MD Program Design and Career Paths
DTTB Medical Pool Govt Ofc Univ./Col. (Rural) (Specialist) (Public Health) (Academe) Selection by PMD Member Schools
10-year payback
(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-year scholarship 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 P18,000.00
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 Subtotal per semester P72,700.00
Subtotal per year P145,400.00
3. PhilHealth Insurance P1,200.00 for Scholars
Total Per Scholar P146,600.00*
*Not inclusive of management costs and immersion programs. Program Status Quick Overview Current Scholars: Batch 1 52 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. Unload Capital / Lower Program Cost Require 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) Added tax for MDs 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) Policies and Mechanisms to Sustain PMD Program 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.) Open application to all sects. Increase number of PMD Member Schools to cover all regions
Adjustments in Payback Mechanism 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) Policies and Mechanisms to Sustain PMD Program Ensure current funding PCSO commitment PMD Medical Schools commitment
Policies and Mechanisms to Sustain PMD Program 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 Policies and Mechanisms for Workforce Retention 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 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 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 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) Inspection Blitz Zero-Accident Program 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 Pinoy MD Philippine Medical Scholarship Program Thank You! Pinoy MD Philippine Medical Scholarship Program (Extra slides follow) Pinoy MD Our Budget and Allocations Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 7,916,400 21,608,840
41,508,324 65,171,616
93,152,484
113,800,465
Scholarship Cost per Year: Management Cost per year: P3,902,000.00 Scholarship Cost for Years 1 to 6: P343,158,129 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) 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) Pinoy MD Our Framework Provisions: Must complete medical degree and pass Physicians Licensure Exam within prescribed period. 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.