What To Expect As A Community Physician

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My slides during the presentation I gave at the first Philippine Conference on Community Health at U.P. College of Medicine in 2012

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What To Expect As A Community Physician

  1. 1. SUPPORT FOR COMMUNITYPHYSICIANSBien Eli Nillos, MDProgram AssociateZuellig Family FoundationFormer Doctor to the Barrios, Batch 23
  2. 2. THE COMMUNITY PHYSICIAN Educational Upgrade Government Physicians Non-Government Physicians Technical Support Financial Stability Career Growth Favorable Working Conditions
  3. 3. THE “PERKS” OF BEING A COMMUNITY PHYSICIAN  SALARY  Magna Carta For Health Workers  R.A. 7305  Sec. 15 (b) – On Call  Sec. 16 - Overtime  Sec. 17 – Holiday  Sec. 19 (b) – Salaries  Sec. 20 – Other Benefits  Sec. 25 – Remote Assignments
  4. 4. THE “PERKS” OF BEING A COMMUNITY PHYSICIAN  Continuing Professional Education  Technical and Program Updates (Regional/Provincial)  Continuing Medical Education (Doctors to the Barrios)  Organization-sponsored Professional updates (AMHOP, RAMP Course, Medical Societies)
  5. 5. THE “PERKS” OF BEING A COMMUNITY PHYSICIAN  Logistics, Equipment and Other Technical Support  Free Medicines and Vaccines (CHD/PHO)  Grants for Health Facilities  Facilitating Accreditations
  6. 6. “Survey results from the Department of Health reported that 10% of Philippine municipalities are doctorless. Most doctors practice in urban settings like the National Capital Region (NCR) where Manila, the nation’s capital is located.” – Mobility of Health Professionals, U.P. Manila 2011
  7. 7. Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet, Volume 377, Issue 9767
  8. 8.  Many factors contribute to the uneven distribution of the health workforce, including the distribution of health facility infrastructure, poor working and living conditions in rural areas, and the concentration of income-earning opportunities (eg, through secondary employment) in urban and more prosperous areas.
  9. 9. Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet, Volume 377, Issue 9767
  10. 10. THE REALITIES ON THE GROUND  SALARY  Magna Carta For Health Workers  R.A. 7305, while a national law, not fully implemented  LGU-dependent – National Government seems to be “weak” in implementing this national law.  e.g.BEMONC – Doctors are on call 24 hours a day 7days a week but Magna Carta provision for On Call not implemented
  11. 11. THE REALITIES ON THE GROUND  Continuing Professional Education  Plenty of technical trainings, none, or at least a few, on Management/Leadership Training  Trainings don’t trickle down to the LGU level  LGU’s don’t all the time allow their RHPs/MHOs to attend trainings for many reasons  Postgraduate courses available to DTTB’s (only?)
  12. 12. THE REALITIES ON THE GROUND  Logistics, Equipment and Other Technical Support  While EPI vaccines/anti- TB meds are provided free, not all medicines are made available  Devolved health system – responsibility to provide health facilities rests on LGU  Not all DOH reps are functional
  13. 13. ENDTwitter: @Doc_BienFacebook: https://www.facebook.com/bienMDEmail: benillos@zuelligfoundation.orgBlog: http://bayenn.blogspot.com

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