1. A New Breed of Doctors:
The ADZU-SOM Experience
Presented by: Ellery Ivan E. Apolinario

2. “WE HAVE OUTRUN THE
EDUCATIONAL SYSTEM
FRAMED FOR SIMPLER
DAYS FOR SIMPLER
CONDITIONS”OSLER
1903

3. 1910 Flexner Report
Medical schools should
be university-based and
medical education should
be grounded in
scientific knowledge.
Abraham Flexner

4. 1 2 3 4
BASIC
SCIENCES
PRE-
CLINICAL
SCIENTIFICALLY ORIENTED
EXTENSIVE KNOWLEDGE
DISCIPLINE ORIENTED
Flexnerian Model

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. 21st Century
Growing Disconnect
Training
Wider Health Issues
People

7. NEW CHALLENGES
NEW COMPLEXITIES
New Competencies
Same Training

8. Can a medical school respond
to the needs of the community
as well as produce competent doctors?

9. ZAMBOANGA
MEDICAL
SCHOOL
FOUNDATION
1994
ADZU-SOM
2004

10. TRIPLE-HELIX

11. Self-directed Learners
Physician Clinicians
Health Researchers
Physician Teachers
Physician Managers
ROLES OF
PHYSICIANS

12. SETTING

13. Harsh Realities

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. PROBLEM-BASED
LEARNING
COME / COBE
COMPETENCY- BASED ASSESSMENTS

16. PBL
Session

18. A cycle of classroom
and patient interaction

20. OSCE
Objective
Structured
Clinical
Examination
What they can do with
What they know

22. COMMUNITY IMMERSION
4th Year
1st Year
2nd Year
3rd Year
Same
Community
HIGH IMPACT

23. WHAT DO WE DO IN THE
COMMUNITY?

26. INTERSECTORAL
MEETING

27. House to
House
surveys

28. CONSULTATIVE MEETING
WITH COMMUNITY LEADERS

29. Baseline
Data
NEEDS
ASSESSMENTS
COMPREHENSIVE
HEALTH PLAN
COMMUNITY
LEADERSHIP

30. Half-way House
to help curb
maternal and
child mortality

31. COMMUNITY
IMMERSIONHEALTH
RESEARCH
IDENTIFIED
HEALTH-RELATED
PROJECTS
MEDICAL
SERVICES

32. Communities
Forming Students

33. Student Transforming
Communities

40. Where are the graduates?

41. 95.4%
Philippines

42. 90 %
Region 9

43. 73 %
Gov’t
Service

44. 50 %
Rural
Areas

45. 4.6%
Abroad
Served 4-6 yrs
before they left

46. 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

47. 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

48. • Special thanks to:
– Dr. Fortunato Cristobal
– Dr. Pascualito Concepcion
– Dr. John Michael Dellariarte
– Dr. Clare C. Concepcion