A New Breed of Doctors:
The ADZU-SOM Experience
Presented by: Ellery Ivan E. Apolinario
“WE HAVE OUTRUN THE
EDUCATIONAL SYSTEM
FRAMED FOR SIMPLER
DAYS FOR SIMPLER
CONDITIONS”OSLER
1903
1910 Flexner Report
Medical schools should
be university-based and
medical education should
be grounded in
scientific know...
1 2 3 4
BASIC
SCIENCES
PRE-
CLINICAL
SCIENTIFICALLY ORIENTED
EXTENSIVE KNOWLEDGE
DISCIPLINE ORIENTED
Flexnerian Model
Flexner Medical Education Model-1910
1st Half Classroom-based
Basic Sciences
2nd Half Hospital-Based
Clinical Sciences
Bio...
21st Century
Growing Disconnect
Training
Wider Health Issues
People
NEW CHALLENGES
NEW COMPLEXITIES
New Competencies
Same Training
Can a medical school respond
to the needs of the community
as well as produce competent doctors?
ZAMBOANGA
MEDICAL
SCHOOL
FOUNDATION
1994
ADZU-SOM
2004
TRIPLE-HELIX
Self-directed Learners
Physician Clinicians
Health Researchers
Physician Teachers
Physician Managers
ROLES OF
PHYSICIANS
SETTING
Harsh Realities
MOST
UNDERSERVED
AREAS
2003
40 Top Poorest Municipalities
28 - Mindanao
14 - Zamb. Peninsula
Siay- ZDN – Phil Poorest
2006...
PROBLEM-BASED
LEARNING
COME / COBE
COMPETENCY- BASED ASSESSMENTS
PBL
Session
A cycle of classroom
and patient interaction
OSCE
Objective
Structured
Clinical
Examination
What they can do with
What they know
COMMUNITY IMMERSION
4th Year
1st Year
2nd Year
3rd Year
Same
Community
HIGH IMPACT
WHAT DO WE DO IN THE
COMMUNITY?
INTERSECTORAL
MEETING
House to
House
surveys
CONSULTATIVE MEETING
WITH COMMUNITY LEADERS
Baseline
Data
NEEDS
ASSESSMENTS
COMPREHENSIVE
HEALTH PLAN
COMMUNITY
LEADERSHIP
Half-way House
to help curb
maternal and
child mortality
COMMUNITY
IMMERSIONHEALTH
RESEARCH
IDENTIFIED
HEALTH-RELATED
PROJECTS
MEDICAL
SERVICES
Communities
Forming Students
Student Transforming
Communities
Where are the graduates?
95.4%
Philippines
90 %
Region 9
73 %
Gov’t
Service
50 %
Rural
Areas
4.6%
Abroad
Served 4-6 yrs
before they left
UPDATED GRADUATE
PLACEMENTS
`
`
Employed in Gov’t Positions
Residency Training at ZCMC
Full-time faculty
House Officer in ...
What are the best practices
of the School of Medicine?
In summary:
•A socially accountable medical school
•An innovative m...
• Special thanks to:
– Dr. Fortunato Cristobal
– Dr. Pascualito Concepcion
– Dr. John Michael Dellariarte
– Dr. Clare C. C...
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
Audrn national convention slide presentation
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  • Health as a social product
  • Yellow boat
  • Audrn national convention slide presentation

    1. 1. A New Breed of Doctors: The ADZU-SOM Experience Presented by: Ellery Ivan E. Apolinario
    2. 2. “WE HAVE OUTRUN THE EDUCATIONAL SYSTEM FRAMED FOR SIMPLER DAYS FOR SIMPLER CONDITIONS”OSLER 1903
    3. 3. 1910 Flexner Report Medical schools should be university-based and medical education should be grounded in scientific knowledge. Abraham Flexner
    4. 4. 1 2 3 4 BASIC SCIENCES PRE- CLINICAL SCIENTIFICALLY ORIENTED EXTENSIVE KNOWLEDGE DISCIPLINE ORIENTED Flexnerian Model
    5. 5. Flexner Medical Education Model-1910 1st Half Classroom-based Basic Sciences 2nd Half Hospital-Based Clinical Sciences Bio-physical Scientific Model Individual Health Care
    6. 6. 21st Century Growing Disconnect Training Wider Health Issues People
    7. 7. NEW CHALLENGES NEW COMPLEXITIES New Competencies Same Training
    8. 8. Can a medical school respond to the needs of the community as well as produce competent doctors?
    9. 9. ZAMBOANGA MEDICAL SCHOOL FOUNDATION 1994 ADZU-SOM 2004
    10. 10. TRIPLE-HELIX
    11. 11. Self-directed Learners Physician Clinicians Health Researchers Physician Teachers Physician Managers ROLES OF PHYSICIANS
    12. 12. SETTING
    13. 13. Harsh Realities
    14. 14. MOST UNDERSERVED AREAS 2003 40 Top Poorest Municipalities 28 - Mindanao 14 - Zamb. Peninsula Siay- ZDN – Phil Poorest 2006 10 Poorest Provinces 7 – In Mindanao 1st – Tawi-Tawi 2nd- ZDN 2007 Hunger Incidence - Region 2nd ARMM 3rd Zamb. Peninsula
    15. 15. PROBLEM-BASED LEARNING COME / COBE COMPETENCY- BASED ASSESSMENTS
    16. 16. PBL Session
    17. 17. A cycle of classroom and patient interaction
    18. 18. OSCE Objective Structured Clinical Examination What they can do with What they know
    19. 19. COMMUNITY IMMERSION 4th Year 1st Year 2nd Year 3rd Year Same Community HIGH IMPACT
    20. 20. WHAT DO WE DO IN THE COMMUNITY?
    21. 21. INTERSECTORAL MEETING
    22. 22. House to House surveys
    23. 23. CONSULTATIVE MEETING WITH COMMUNITY LEADERS
    24. 24. Baseline Data NEEDS ASSESSMENTS COMPREHENSIVE HEALTH PLAN COMMUNITY LEADERSHIP
    25. 25. Half-way House to help curb maternal and child mortality
    26. 26. COMMUNITY IMMERSIONHEALTH RESEARCH IDENTIFIED HEALTH-RELATED PROJECTS MEDICAL SERVICES
    27. 27. Communities Forming Students
    28. 28. Student Transforming Communities
    29. 29. Where are the graduates?
    30. 30. 95.4% Philippines
    31. 31. 90 % Region 9
    32. 32. 73 % Gov’t Service
    33. 33. 50 % Rural Areas
    34. 34. 4.6% Abroad Served 4-6 yrs before they left
    35. 35. UPDATED GRADUATE PLACEMENTS ` ` Employed in Gov’t Positions Residency Training at ZCMC Full-time faculty House Officer in Private Hospitals in Zamboanga ` The School’s Contribution towards Health in the hands of the people
    36. 36. What are the best practices of the School of Medicine? In summary: •A socially accountable medical school •An innovative medical curriculum that focuses on local needs •A school that transforms the students and the community it serves
    37. 37. • Special thanks to: – Dr. Fortunato Cristobal – Dr. Pascualito Concepcion – Dr. John Michael Dellariarte – Dr. Clare C. Concepcion

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