Transcript Pinoy MD Philippine Medical Scholarship Program

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
Pinoy MD
Philippine Medical Scholarship Program
A program Designed to produce competent,
committed and community-oriented doctors
that would address the needs of the health
sector.
A partnership between the Philippine Charity Sweepstakes
Office (PCSO), the Department of Health (DOH) and selected
Private Medical Colleges and State Universities.
Decline in Production
Workforce Element
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
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
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
Inequitable Distribution
Workforce Element
Distribution of Physicians per Region 1998-2004
800
700
600
500
400
300
200
100
0
1998
1999
2000
2001
2002
2003
2004
NCR
CAR
I
II
III
IV
V
VI
VII
VIII
IX
X
XI
XII
Caraga
ARMM
Low Retention
Workforce Element
• Migration
• Policy Gaps (Magna Carta, Labor Code)
• Compensation differential between the
public and private hospitals
• Difficult working environment
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
Selection by
PMD Member Schools
Medical school
Licensure Exam
DTTB
(Rural)
Medical Pool
(Specialist)
 Scholarship grant to include:
 tuition fees
 board and lodging
5-year
 books
 basic equipment
scholarship  transportation
 monthly allowance
 fees for the licensure review
 fees for the licensure exam
Gov’t Ofc
(Public Health)
Univ./Col.
(Academe)
(Suggested)
10-year
payback
Budget Allocation
Scholarship Cost
1. Payment for Partner Schools
Per semester
1.2 Tuition Fees
1.3 Miscellaneous
15,000.00
Subtotal per semester
P72,700.00
2,000.00
1.4 Laboratory
500.00
1.5 Student Fund
500.00
P18,000.00
Subtotal per year
3. PhilHealth Insurance
P145,400.00
P1,200.00
for Scholars
2. Allowances per Scholar per semester
2.1 Book
2.2 Uniform
10,000.00
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
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.
Policies and Mechanisms
to Sustain PMD Program
Unload Capital / Lower Program Cost
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•
•
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 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)
Policies and Mechanisms
to Sustain PMD Program
Sustain or Increase Number of Applicants
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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
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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
for Workforce Retention
1. Pay Equity
Standardized entry level compensation for
HRH, including medical residents
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
Policies and Mechanisms
for Workforce Retention
2. Rights and Benefits
Increased compensation and benefits to HRH in
general, and specifically to those in hard to reach
areas and/or hard to fill positions
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
Policies and Mechanisms
for Workforce Retention
2. Rights and Benefits
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).”
Policies and Mechanisms
for Workforce Retention
2. Rights and Benefits
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 nonissuance/renewal of business permits for nonDOH licensed health facilities
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
Scholarship Cost per Year:
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 for Years 1 to 6: P343,158,129
Management Cost per year: P3,902,000.00
PMD Under New Management
Health Human Resource Development Bureau (HHRDB)
9 PMD Member Schools:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Emilio Aguinaldo Educational Corporation, Manila
Pamantasan ng Lungsod ng Maynila, Manila
University of the Philippines Manila, Manila
Our Lady of Fatima University, Manila
Cagayan State University, Cagayan
West Visayas State University, Iloilo
University of St. La Salle, Bacolod
UP Manila School of Health Sciences, Leyte
Mindanao State University, Iligan
PMD Under New Management
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
Pinoy MD
Our Framework
Provisions:
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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 unavoidable breech of contract is 2
years service to government for every year of
scholarship spent.