CATEGORY… · Web viewA. Thyroidectomy 43 4 2 47 (thyroid, parathyroid, B. Parotidectomy 1 1 salivary glands, C. Mandibulectomy maxilla, manidible, oral D. Radical neck dissection/MRND

DEPARTMENT OF SURGERYOspital ng Maynila Medical Center

Pres. Roxas Blvd. cor Pres. Quirino Ave. Malate, ManilaPHONE: 524 -6061 LOC. 103/300

ANNUAL REPORT OF ACCREDITED GENERAL SURGERY TRAINING PROGRAMS

JANUARY 2008 TO DECEMBER 2008

HOSPITAL : OSPITAL NG MAYNILA MEDICAL CENTER

DATE : January 15, 2009

TRAINING OFFICER : HARRY GO, M.D.

Signature : ___________________

DEPARTMENT CHAIRMAN : REYNALDO O. JOSON, MD

Signature : ___________________

HOSPITAL DIRECTOR : FIDEL CHUA, M.D.

Signature : ___________________



I. BREAKDOWN OF OPERATIONS:

Operations Jan- Nov 2008

Total 5423 Major 946 Medium 754 Minor 3723

Elective 727 Emergency 1041 Trauma 80 Non- Trauma 883

Major Done by Consultants 92 Done by Residents 854 Private Cases 20 Charity Cases 834Medium Done by Consultants 37 Done by Residents 717 Private Cases 12 Charity Cases 705Minor Done by Consultants 5 Done by Residents 3718



MAJOR OPERATIONS 2008 (100 Major operations per 5 residents)CATEGORY SPECIFIC OPERATIONS NUMBER OF OPERATIONS

Service Pay Total Required

Resident Consultant

I. HEAD & NECK A. Thyroidectomy 43 4 2 47(thyroid, parathyroid, B. Parotidectomy 1 1salivary glands, C. Mandibulectomymaxilla, manidible, oral D. Radical neck dissection/MRND 4 4cavity (15 cases) E. Others

1. Excision of submandibular gland 2. Excision dermatofibroma

3. Wide excision, fibrosarcoma, trapezial myocutaneous flap; fasciocutaneous flap4. Wide excision squamous cell

Tongue 5. Wide excision trichilemmal tumor

TOTAL 48 4 2 52 45II. BREAST (10 cases) A. Modified Radical Mastectomy 58 3 2 63

1. Modified Radical mastectomy w/ Reconstruction 1 1 2B. Conservative breast surgery

1. Wide excision with axillary nodeDissection

1 1

2. Total mastectomy 2 23. Segmentectomy/

Quadrantectomy2 2

C. 1. Radical mastectomyC. Wide excision 2 2 2

TOTAL 63 5 6 68 30III. ESOPHAGUS, STOMACH, DUODENUM, SMALL

A. Gastrectomy with or without vagotomy

4 4

INTESTINES (10 B. Vagotomy with pyloroplasty 1 1cases) C. Gastrojejunostomy 3 3

D. Proximal gastric vagotomyE. Resection of small bowel 7 7F. Adhesiolysis 15 15G. Esophageal surgery 1. colonic interposition 2. gastric pull up 1 1H. Distal esophagectomy; total gastrectomy; splenectomy; distal pancreatectomy, esophagojejunostomy, Jejunojejunostomy, Tube JejunostomyI. Distal esophagectomy,Total

Gastrectomy, Roux Y esophagojejunostomy, tube jejunostomy, CTT, bilateral



J. Repair of small bowel (Enterorrhaphy, duodenorrhaphy)

1

K. Entero-enterostomy 1L. Ileostomy / Closure of ileostomy 2 2M. Others

1. Closure of perforated ulcer2. Explor Lap, Biopsy of Ulcer

Margin, Gastrorrhaphy, Omental patching

1 1

3. Explor Lap, Omental Patching Tube Jejunostomy

4. Explor Lap, Graham patch5. Tube gastrostomy/ jejunostomy 2 1 2 3

6. Gastrotomy for UGIB 17. Explor lap; Excision of

Mesenteric Cyst 8. Explor Lap; placement of drain

TOTAL 36 2 4 38 30IV. COLON, RECTUM A. Colectomy& ANUS (10 cases) 1. Right Hemicolectomy 5 5

2. Left hemicolectomy3. Low Anterior Resection 3 1 3

B. Colostomy / closure of colostomy 30 30D. Miles Operation and pull-through

OperationsE. Hartman’s procedure 8 8F. APR 2 2G. Others

1. Segmental resection, descending Segmental resection, stomach, colon, Nephrectomy, L

1

2. Segmental resection, ileocecal3. cecorrhaphy, appendectomy 2 24. drainage of intra-abdominal

abscessTOTAL 50 2 50 30V. COMPLICATED APPENDIX (10 cases)

227 5 17 232

VI. HEPATOBILIARY, A. Cholecystectomy

GALLBLADDER, 1. Without CBD exploration 188 2 8 190PANCREAS, SPLEEN 2. With CBD exploration 5 3 5& PORTAL B. T-Tube cholecystostomyHYPERTENSION C. Choledochoduodenostomy(25 cases) D. Sphincterotomy/sphincteroplasty

E. Cholecystojejunostomy 2 2F. Distal pancreatectomyG. Whipple’s operationH. Splenorrhaphy, splenectomy 1 1I. DevascularizationJ. Shunting proceduresK. Hepatic resection/

hepaticojejunostomy



L. Others 1. Explor Lap; Liver Biopsy 1 1

2. Explor lap: Debridement (necrotizing pancreatitis), placement of sump drain

1 1

3. Drainage of hepatic abscess and cyst

TOTAL 197 3 11 200 75VII. TRAUMA (10 cases)

A. Explor lap with surgery for intra- abdominal injury

69 1 70

B. Thoracotomy 2 2C. Neck exploration for trauma 2 1 2D. Repair of major vessel 5 5E. Limb amputation

TOTAL 78 1 1 79 30VIII. OTHERS(10 cases)

30

A. ORTHOPEDICS 1. Below-knee amputation 25 252. Above-knee amputation w/ inguinal

node dissection ®3. Above-knee amputation 6 64. Above the elbow amputation5. Ray amputation 5 56. Open reduction & internal fixation 77. Partial hip replacement 28. Transmetatarsal

amputation/Disarticulation3 3

9. Sequestrectomy Placement of Antibiotic Beads And External Fixature

10. Anterior cruciate ligament Reconstruction

TOTAL 39 9 39B. PEDIATRIC SURGERY

1. Explor lap: Reduction of intussusception, appendectomy

7 7

2. Repair of diaphragmatic hernia, 1 13. Sigmoid / transverse colostomy 9 94. Closure of colostomy 55. Cutback anoplasty 3 36. Closure of omphalocoele 5 57. Explor lap: Lysis of Ladd’s bands,

derotation of intestines2 2

8. Explor lap, Lysis of Ladd’s band Detortion of midgut volvulus

9. Tube cholecystostomy; IOC with liver biopsy

10. Kasai procedure with liver biopsy11. Ex-lap excision teratoma12. Explor lap, resection anastomosis,

ileum5 5

13. Excision of Omphalomesenteric Duct; Enterorrhaphy, ileum

1 1



14. Explor Lap, Excision of Meconium Cyst, Resection (Ileum), Double Barrel Ileostomy

15. Explor lap, resection rectosigmoid colon, colostomy

1 1

16. Excision lymphangioma axilla left 2 217. Duodenojejunostomy 1 1

TOTAL 42 42C.UROLOGY 1. Ureterolithotomy

2. Pelvolithotomy 1 13. Cystolithotomy 1 14. Orchiectomy 5 3 5

5. Nephrostomy 1 1 6. Nephrectomy 2 2

6. Varicocoelectomy 8 1 6 7TOTAL 16 1 11 17D. TCVS 1. Anterolateral thoracotomy,

decortications1 1 2

E. PLASTIC & RECONSTRUCTIVE

1. Cheiloplasty 1 2 1

2. Palatoplasty 1 3. Repair of naso-oral fistula 2 4. Skin grafting 10 2 10

5. Creation of thenar flap6. Fasciotomy 1 17. Breast reconstruction TRAM8. Augmentation mammoplasty 29. Reduction mammoplasty 110. Release of Contracture with

Rotational Flap and Skin Grafting

11. Excision with transpositional flap

12. Wide excision, Basal cell carcinoma, back

3 3

13. Wide Excision with Advancement Flap

14. Wide excision malignant fibrous histiocytoma thigh

2 2

15. Wide excision rhabdomyosarcoma

3 3

TOTAL 20 10 20 Craniotomy 15 1 18 16



MEDIUM OPERATIONS 2008 ( 100 Major operations per 5 residents) CATEGORY SPECIFIC OPERATIONS NUMBER OF OPERATIONS

Service Pay Total Required



Resident

Consultant

I. HEAD & NECK( 5 cases) A. Excision of branchial cleft cyst

B. Thyroglossal duct cystC. Excision of cystic hygroma 1 1D. Tracheostomy 3 3E. CricothyroidotomyF. Others ( Debridement, Excision under GA )

6 6

TOTAL 9 1 10 15II. HERNIA (15 cases) A. Inguinal Hernia 156 1 13 157

B. Incisional hernia 3 1 4C. Umbilical hernia 5 2 7D. Femoral hernia

TOTAL 164 4 13 168 45III. UNCOMPLICATED APPENDIX(30 cases)

212 3 8 215 90

IV. ANAL SURGERY(20 cases)

A. Hemorrhoids 58 2 9 60

B. Fistula 10 2 10C. I & D of abscessD. Others Rectal biopsy 1

TOTAL 68 2 12 70 60V. THORACOSTOMY(15 cases)

78 2 80

VI. Other Subspecialty Procedures(15 cases)

Vascular access (AV Fistula, sribner shunt)Pediatric cutdownExcision of baker’s cystDisarticulation (diabetic foot)Suprapubic cystostomyTenckhoff catheter insertion

178 178 45

MAJOR/ Medium Operations DONE BY Senior (4th year and 5th year) RESIDENTS

GENERAL DATA DIAGNOSIS PROCEDURE



******SEE APPENDIX*******

2. RESIDENTS STATUS2.1Name of all residents

RESIDENT STAFF JANUARY 2008– DECEMBER 2008

CHIEF RESIDENTJeffy G. Guerra, MD

FIFTH YEAR RESIDENTSMartin Joseph S. Cabahug, MDRommel Q. de Leon, MDJeffy Guerra, MD

FOURTH YEAR RESIDENTSBenjamin C. Deveza, MDHeidee Cruz, MD

THIRD YEAR RESIDENTSHarvey Balucating, MDRoberto Gonzales, MDEdwin Estonilo, MD

SECOND YEAR RESIDENTSMichelle Galang, MDJonathan Malabanan, MDMichael Angelo Sunaz, MDEdelweiz Velasquez, MD

FIRST YEAR RESIDENTSJohn Llyod Fonte, MDAlma Jawali, MDRobelle Joan Peralta, MD

ANNUAL ROTATION OF RESIDENTS FOR 2008NAME Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecCabahug GSII GSII GSII GSII GSIII GSIII GSIII GSIII GSI GSI GSI GSIDe Leon GSI GSI GSI GSI GSII GSII GSII GSII GSIII GSIII GSIII GSIII



Guerra GSIII GSIII GSIII GSIII GSI GSI GSI GSI GSII GSII GSII GSIICruz GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIDeveza GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIBalucating GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIEstonilo GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIGonzales GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIGalang GSII GSII GSII GSII GSIII GSIII GSIII GSIII GSI GSI GSI GSIMalabanan GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIISunaz GSI GSI GSI GSI GSII GSII GSII GSII GSIII GSIII GSIII GSIIIVelasquez GSIII GSIII GSIII GSIII GSI GSI GSI GSI GSII GSII GSII GSIIFonte GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIJawali GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIPeralta GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIII

Note:GS I – Head and Neck, Breast, Skin and Soft tissue tumors,

GS II – Esophago-Gastric Surgery, Hepatobiliary and Pancreatic Surgery, Retroperitoneal Surgery,

GS III – Entero-Colo-Recto-Anal Surgery, Hernia Surgery,

SS1 - Orthopedics, Plastic and Reconstructive

SS2- Thoracocardiovascular Surgery, Urology

SS3- Pediatric Surgery, Neurologic Surgery

2.2 New residents appointed

NEW RESIDENT DATE OF APPOINTMENT DURATIONJohn Llyod Fonte, MD January 1, 2008 1 yearAlma Jawali, MD January 1, 2008 1 yearRobelle Joan Peralta, MD January 1, 2008 1 year

2.3 Name of residents who resigned and the reason for resignationN/A

2.4 PBS-RITE

RESIDENCY IN-SERVICE TRAINING EXAMINATION RESULTS (2008)Passing rate: 60% (9/15)



NAMEYEA

R LEVEL

RAW SCOREP: PASSF: FAIL

MPL PERCENTAGE

PERCENTILEby

leveloverall

Martin Cabahug V 102/240 (F) 110/240 42.50 11.54 17.26Rommel deLeon V 109/240 (F) 110/240 45.42 21.79 28.43Jeffy Guerra V 124/240 (P) 110/240 51.67 56.41 68.02Haidee Cruz IV 115/240 (P) 110/240 47.92 47.06 42.64Benjie Deveza IV 81/240 (F) 110/240 33.75 0.00 0.00Harvey Balucating III 105/170 (P) 75/170 61.76 97.33 97.33Edwin Estonilo III 82/170 (P) 75/170 48.24 57.33 57.33Roberto Gonzales, Jr. III 88/170 (P) 75/170 51.76 76.67 74.67Michelle Galang II 63/130 (P) 55/130 48.46 53.19 68.15Jonathan Malabanan II 54/130 (F) 55/130 41.54 16.31 27.39Michael Sunaz II 55/130 (P) 55/130 42.31 19.86 33.44Edelweis Velasquez II 80/130 (P) 55/130 61.54 97.87 98.73John Lloyd Fonte I 70/130 (P) 55/130 53.85 92.49 89.17Alma Jawali I 53/130 (F) 55/130 40.77 32.37 22.93Robelle Peralta I 52/130 (F) 55/130 40.00 29.48 19.75

2.5 Name of residents from other institutions N/A

2.6 Names of graduates of the program and their status

NUMBER OF GRADUATES (2002-2007)_______________19

A. FELLOWS______________________________________ 3

B. DIPLOMATES (JUST PASSED PART 1 & 2, SINCE 2002)_____________ 9

A. NON-FELLOWS_________________________________ 7

a. PASSED PART I_________________________ 5b. HAVE NOT PASSED/TAKEN PART I__________2

SURGICAL TRAINING PROGRAM GRADUATES AND THEIR PLACEMENTS

2002 Ana Maria G. Agoo-Llado, MD DPBSCurrently in Australia



Joseph A. Estanislao, MD FPCSSamar

Vivian P Enriquez, MD FPCS, FPSGSSurgical oncology Consultant-OMMC, OLLH

Nolim’t Jay T. Raquel, MD FPCS, FPSGSSan Juan Municipal Hospital

2003 Rolando V. De Guzman, MD DPBS, FPCSOriental Mindoro

Alfred D. Troncales, MD DPBS, FPCSPediatric Surgeon

OMMC

Alexander D. Deveza, MD DPBS, FPCSPrivate Practice

Miguel Gary D. Galvez, MD DPBSPrivate Practice, Manila

2004 Marlou O. Padua , MD Passed Written Exam, Part 1Calamba, Laguna

Redomir Roque, MD Passed Written Exam, Part 1Medical Officer III- GAT Andres Manila

Maria Hazel Z. Turingan, MD DPBSThoracocardiovascular Surgery

2005 Janix M. DeGuzman, MD DPBSMedical Officer Volunteer

Ospital ng Maynila

Runie Ann Claire Chan, MD Passed Written Exam, Part 1Pediatric SurgeryLaguna

2006 Ma. Cecilia T. Leyson, MD Passed Written Exam, Part 1Private Practice

Derrick Chua, MD DPBSProfessor, UERM Metropolitan Hospital



Oliver S. Leyson, MD Board Eligible

Jose Mario Amado M. Pingul, MD Passed Written Exam, Part 1Private Practice, Bataan

2007 Roderick S. Mujer, MD DPBSPrivate Practice, Laguna

Nolan Aludino, MD Board Eligible

2008 Jeffy G. Guerra, MD Board Eligible

3. CONFERENCES



Regular schedule all year round:

Tuesdays:8-9 am: Medical Anecdotal Report9-10am: Surgery-Anesthesia Conference (50 conferences)10-11 am: Residents’ Case Management, Presentation-Discussion and Sharing of Information (50 CPDs at average of 3 CPDs per resident)

Grand Rounds (with participation from other departments): all the CMPDSI were treated as grand rounds from February onwards (> 12 per year)

10-11 am: (Usually Thursday)Journal Club (critical appraisal of journal): every other month (6x/year)Journal Club (journal reporting): every other month (6x/year)Debate (3x/year)ECHO Conference: every 4 months (3x/year)

Thursdays Monthly Performance Reports: Every month (Total of 12 per year with 1 hour per meeting)Business Meetings: Every 2 months (Total of 6 per year with 1 hour per meeting)Clinical Practice Guidelines Development Research Updates and Forums: 6x/year(research protocol presentation,

update presentation, final research paper presentation)Hospital Tumor Board: every other month (6x /year)Medical – Surgical Education Conference: every 4 months (3x /year)

Abbreviations:

SA-PP-MM =Surgery-Anesthesiology Conference, Preop-Postop Conference, Mortality-Morbidity ConferenceCPD = Case Presentation and DiscussionJC/D/E/GR = Journal Club / Debate / ECHO / Grand Round

PR = Performance ReportBM = Business MeetingCPG = Clinical Practice GuidelinesMed- Surg Education = Medical-Surgical EducationHTB = Hospital Tumor Board

2008 Conferences



JanuaryInduction of Annual Plan (IAP)Medical Surgical-Education-Research-Trauma

T TH3

IAP

8 10MPR/BM With

Dr. Deveza/EstoniloSA-PP-MM

Surg Cur Dr. deLeon Project Presentation

All Residents

PSGS Acc Rev

Dr. Guerra

15 17SA-PP-MM Research

Protocol

DPP Dr. Guerra/Deveza

22 24MARSA-PP-MM Research CPD Grand Rounds

TraumaTrauma – multiple injuriesAbdomen - (Dr. Fonte)

JC/D/E/GR29 31

MAR/SA-PP-MM

Research

CPD Trauma – chest(Dr. Jawali)

Journal Club Dr. Fonte

JC/D/E/GR



FebruaryTrauma, Hospital Tumor Board

T TH5 7

MAR MAR

SA-PP-MM

CPDGrand Rounds

Trauma – extremityDr. Peralta

MPR /BMDr. Deveza/Estonilo

Governance

JC/D/E/GR 1412 MAR MAR

CPDFM- Surg Rotators

SA-PP-MM

CPDGrand Rounds

Trauma – craniocerebralDr. Galang

Med-Surg EdTrauma

Dr. Penserga

19 21MAR MARSA-PP-MM CPG

TraumaJC/D/E/GRCPD Head and Neck –

TraumaMalabanan

HTB Dr. Balucating

26 28MAR MARSA-PP-MM Tissue Review Dr. GonzalesJC/D/E/GRCPD Head and Neck

Mass – NonthyroidDr. Sunaz

Journal ClubDr. Jawali

MarchHead and Neck



T TH4 6

MAR MAR

SA-PP-MMJC/D/E/GRCPDGrand Rounds

Posterior Neck Masses Dr. Velasquez

MPR/BMDr. Deveza/Estonilo

Governance

11 13MAR MAR

Med-Surg EdHead and Neck

Dr. DediosSA-PP-MM

JC/D/E/GRCPD Lateral Neck

MassesDr. Estonilo

CPGNeck Mass

18 20MAR HolidaySA-PP-MM

JC/D/E/GRCPD

Anterior Neck Mass (benign)Dr. Balucating

25 27MAR MAR

SA-PP-MMJC/D/E/GRCPD

Anterior Neck Mass (Malignant)Dr. Gonzales

Research Update

Journal Club Dr. Peralta

April



Chest and BreastT TH1 MAR 3 MAR


Difficulty of swallowingDr. Cruz

CPGDifficulty of Swallowing Dr. Cruz

8 10MAR MAR

MPR/BMDrs. Deveza/Estonilo

GovernanceSA-PP-MM

JC/D/E/GRCPDGrand Rounds

Difficulty of breathingDr. Deveza

Journal ClubDr. Galang

15 17MAR MAR

SA-PP-MM HTB Dr. BalucatingJC/D/E/GRCPDGrand Rounds

Breast lesion Dr. Cabahug

22 24MAR MAR


Breast Mass (Ca, Early)Dr. deleon

Tissue ReviewDr. Gonzales

29Med Surg EducationBreast

Dr. Enriquez

SA-PP-MMCPDGrand Rounds

Breast Mass (Ca, late)Dr. Guerra

JC/D/E/GR

MAYAbdomen



T TH6 1

SA-PP-MM Holiday

CPDGrand Rounds

Acute abdomen – Peritoneal Irritation Dr. Fonte

JC/D/E/GR13 8

SA-PP-MM MAR

GovernanceCPDGrand Rounds

Acute abdomen – Peritoneal Irritation Dr. Jawali

JC/D/E/GR MPR/BMDrs. Deveza/EstoniloJournal Club Dr. Malabanan

20 15SA-PP-MM MAR

CPDGrand Rounds

Non-acute abdomenDr. Peralta

Debate

JC/D/E/GR

27 22SA-PP-MM MAR

CPD Non-acute abdomenDr. Galang

CPG Acute/NonAcute Abdomen

JC/D/E/GR

29ResearchMed Sur EducAbdomen

Dr. Nunez

June



AbdomenT TH3 5

MARSA-PP-MM

MAR


Governance

CPD JaundiceDr. Malabanan

Med SUrg EdHBT Dr. Go

JC/D/E/GR10 12

MAR HolidayCPD Jaundice

Dr. Sunaz

JC/D/E/GR

17 19MARSA-PP-MM

MAR

CPDGrand Rounds

Vomiting (Obstipation)Dr. Velasquez

HTB Dr. Balucating

JC/D/E/GR CPG Jaundice

24 26MARSA-PP-MM

MAR

CPD Vomiting (Obstipation)Dr. Balucating

Tissue Review Dr. Gonzales

JC/D/E/GR Journal Club Dr. Sunaz

July



Abdomen

T TH1 3

SA-PP-MM MPR/BMDrs. Deveza/Estonilo

Governance

CPDGrand Rounds

GI BleedingDr. Estonilo

BM

JC/D/E/GR

8 10SA-PP-MM MARCPDGrand Rounds

Abdominal Vascular EmergencyDr. Gonzales

JC/D/E/GRMed Surg Educ Abdominal Vascular Emergency

Dr. Hernandez

15 17 MARSA-PP-MM CPG Vomiting

CPDGrand Rounds

Abdominal TumorDr. Cruz

JC/D/E/GR

22 24 MARSA-PP-MM Research Update

CPDGrand Rounds

Abdominal TumorDr. Deveza

Journal ClubDr. Velasquez

JC/D/E/GR


Retroperitoneal TumorCabahug

Debate

JC/D/E/GR

August ABDOMEN



T TH7



Acute Abdomen in NewbornDr. deLeon

JC/D/E/GR CPG Abdominal Tumor


Acute Abdomen in InfantsDr. Guerra

HBT Dr. Balucating

JC/D/E/GR Med Surg EducPedia

Dr Troncales

19 28SA-PP-MM MAR

CPDGrand Rounds

Abdominal Wall HerniaDr. Fonte


JC/D/E/GR Journal Club Dr. Balucating

26SA-PP-MM CPDGrand Rounds

Difficulty in UrinationDr. Jawali

JC/D/E/GR

September Extremity and Skin and Soft Tisue



T TH7



Acute Abdomen in NewbornDr. deLeon



Acute Abdomen in InfantsDr. Guerra

HBT Dr. Balucating

JC/D/E/GR Med Surg EducPedia

Dr Troncales

19 28SA-PP-MM MAR

CPDGrand Rounds

Abdominal Wall HerniaDr. Fonte


JC/D/E/GR Journal Club Dr. Balucating


Difficulty in UrinationDr. Jawali

JC/D/E/GR



October TUMORT TH7 2

SA-PP-MM MPR/BMDrs. Deveza/Estonilo

CPDGrand Rounds

LiverDr. Balucating

JC/D/E/GR


PancreasDr. Estonilo

JC/D/E/GR ECHO PSGS Surgical ForumMed Sur EducAbdominal Tumor

Dr. Enriquez


GastricDr. Gonzales

CPGSST Infection

JC/D/E/GR Journal Club Dr. Gonzales

28 23SA-PP-MM MAR

CPDGrand Rounds

ColonDr. Cruz

HTB Dr. Balucating

JC/D/E/GR 30MARTissue Review Dr. Gonzales

NovemberInfectionAnnual Review and PlanningResearch Proposal



T TH6

MPR/BM/ ARPDrs. Deveza/Estonilo

7 ARP4 13

SA-PP-MM Research ProposalCPD

Grand Rounds

Head and Neck InfectionDr. Deveza



Chest InfectionDr. Cabahug

HTBDr. Balucating

JC/D/E/GR Journal Club Dr. Cruz

18 27SA-PP-MM MAR

CPDGrand Rounds

Abdominal InfectionDr. deLeon

Tissue ReviewDr. Gonzales

JC/D/E/GR Medsurg educTCVS

Dr. Hernandez


Skin and Soft Tissue InfectionDr. Guerra

JC/D/E/GR

December 2008Annual Review and Planning (ARP)

T TH2 4



SA-PP-MM MPRDrs. Deveza/Estonlo

9Annual PCS Convention

11

ARP

16 18ARP ARP

Cumulative Summary of Conferences 2008

Type of conference Number of 1. Preoperative/postoperative

conference38

2. Morbidity/Mortality Audit 253. Case Presentation 344. Journal Club 185. Grand Rounds 156. Tumor conference 167. Debate 1

4. SCIENTIFIC PAPERS PRODUCED



4.1 PUBLISHED

1. Selective Versus Mandatory Preoperative Work Up of Patients for Thyroidectomy Vivian P Enriquez, MD; Rolando V. De Guzman, MD,; Redomir P. Roque, MD,; Janix M. De Guzman, MD,; Harry L. Go, MD, FPCS,; Anthony Adrian C. Yu, MD, FPCS,Edgardo P. Penserga, MD, FPCS, Reynaldo O. Joson, MD, FPCS

Published: Phillipine Journal of Surgical Specialties Volume 59 Number 1, January-March, 2004

2. A Quality Study on Operations Performed for Fibrocystic Breast Changes in a City Government Hospital SettingRubi Ann Claire Chan, MDReynaldo O. Joson, MD, FPCS

Published: Phillipine Journal of Surgical Specialties Volume 59 Number 3, July-September, 2004

3. Swallowed Barbecue Stick Causing a Surgical Abdomen – Maria Cecilia T. Leyson, Reynaldo O Joson

Published: Phillipine Journal of Surgical Specialties 2003

4. Use of External Oblique Myocutaneous Flap in Closing Large Wound Defect after Mastectomy (completed) by Mario Guevarra, MD FPCS; Oliver Leyson, MD

Published: Phillipine Journal of Surgical Specialties, 2006

5. Analgesics used in Acute Appendicitis (completed) by Jeffy Guerra, MD

Published: Phillipine Journal of Surgical Specialties, 2006



FOR PUBLICATION

1. Tap water vs Saline Solution in Cleaning Traumatic Wounds in a Department of Surgery by Marlou Padua, MD—For publication, PJSS

2. External Compression Dressing at the Axillary area with Shoulder Immobilization vs Tube drain in Mastectomy Patients by Rubi Ann Claire Chan, MD—for publication, PJSS

3. A Randomized Clinical Trial Comparing Partial Wound Closure and Secondary Wound Closure in the Prevention of Surgical Site Infection among Patients with Acute Perforative Appendicitis by Maria Cecilia T. Leyson, MD—for publication, PJSS

4. Management of Breast Abscess by needle Aspiration by Oliver Leyson, MD—for publication, PJSS

5. Increasing Success Rate of Arterio-venous Fistula by Maria Cecilia T. Leyson, MD. –for revision/ publication

4.2 UNPUBLISHED

1. Consistency of Surface Lumps (completed by) Hazel Turingan, MD

2. Increasing and sustaining Efficiency in the Ambulatory Surgical Care Unit (completed) by Janix M. De Guzman, MD

3. Preoperative Physical Status Evaluation: Variability Between Anesthesiologisat and Surgeons, The Effects of Re-orientering them to a System of Classification and Outcome Evaluation (completed) by Derrick Chua, MD

4. Mortality analysis in a Department of Surgery (completed) by Jose Mario Amado M. Pingul, MD

5. Reducing the In-Hospital Mortality rate of Patients Operated for Diabetic Foot in a City Government Hospital (completed) by Nolan Aludino, MD

6. Prospective RCT on the use of Sterile Gauze Dressing on Sutured Scalp Lacerations (completed) by Roderick Mujer, MD



7. Rationalization of Post-operative Pharmacological analgesic Therapy in Post Hemorrhoidectomy Patients (completed) by Martin Joseph Cabahug, MD

8. The use and non-use of topical antibiotic in less severe burn wounds (completed) by Rommel De Leon, MD

9. Rationalization of Post-operative Pharmacological analgesic Therapy in Post Herniorrhaphy Patients (completed) by Trisha Daughterty Medina, MD

Research 2006

1. A Randomized Controlled Trial Comparing Complication Rates of Simple Interrupted Technique and Inverted-T Technique in Repairing Minor Traumatic Lacerations – Maria Cecilia T. Leyson, MD; Edgardo Penserga, MD; Reynaldo O. Joson, MD

2. A Randomized Controlled Trial : Conservative Management vs. Cruciate incision on Plantar Punctured wounds—Oliver S. Leyson, M, Reynaldo O. Joson, MD

3. Pioneering Biotherapy (Maggot Debridement Therapy) in the Philippines Using Materials Sustainable in a Government Hospital—Derrik K Chua, MD; Reynaldo O. Joson, MD.

4. Reliability and Accuracy in the Interpretation of Consistency of Surface Lumps (Thyroid Nodules)—Jose Mario Amado Pingul, MD, Reynaldo O. Joson, MD, Rodney Dofitas, MD.

5. A Comparative Study on the Management of Blisters Secondary to Superficial Partial Thickness Burns. Nolan O. Aludino, MD, Enrico Valera, MD.

6. Sonographically Guided Percutaneous Needle Aspiration of Multiloculated, Recurrent and Progressive Breast Abscess—Roderick S. Mujer, MD, Edgardo Penserga, MD, Reynaldo O. Joson, MD

7. How Time Affects the Risk of Rupture in Appendicitis: A Retrospective Study--Rommel Q. De Leon, MD, Adrian Anthony Yu.

8. Conservative Management of Diabetic Foot; An Experience in Ospital ng Maynila Medical Center. Martin Joseph Cabahug, MD, Gerardo Sison, MD.



9. Metronidazole and Gentamycin as Empiric Treatment for Acute Appendicitis in Pediatrics: A Case-Series. – Jeffy Guerra, MD, Esther Saguil, MD.

10.Management of Potentially Contaminated Hand Incision or Laceration: Primary vs. Secondary Closure.-- Benjamin Deveza, MD, Janix De Guzman, MD, Edgardo Penserga, MD, Reynaldo O. Joson, MD.

11.Treatment Augmentation with Antibiotics on Uncomplicated Cutaneous Abscess after Incision and Drainage--Haidee Cruz, MD, Reynaldo O. Joson,MD

12.Clinical Predictors of Malignancy and Benignity of Thyroid Nodules. Harvey Balucating, MD, Reynaldo O. Joson,MD, Edgardo Penserga, MD.

13.Clinical Predictors in Diagnosing Superficial Soft Tissue Masses --Edwin Estonilo, MD, Reynaldo O. Joson, MD

14.A Prospective Study on Clinical Predictors of Benignity or Malignancy in Female Filipino Patients with a Palpable Breast Mass--Roberto Gonzales, MD, Reynaldo O. Joson, MD.

Research for 20071. Conservative Management Of Stable Patient with Traumatic

Pneumothorax. Roderick S. Mujer, MD

2. Rationalization of the use of laxative in post-hemorrhoidectomy patients. Nolan Aludino, MD

3. Does Administration of Parenteral Antibiotic Reduces the Incidence of intrathoracic infections in Patients Sustaining Penetratng Stab Wound to the Chest after Close Tube Thoracostomy? A Randomomized controlled trial. Jeffy Guerra, MD

4. Validation Scheme in diagnosing Acute Appendicitis in Pediatrics. Rommel de Leon, MD

5. Paint only vs Scrub and Paint of povidone Iodine as pre operative skin preparation in abdominal surgical site: a meta analysis of RCTs. Benjamin Deveza, MD

6. Effect of sham feeding as Bowel function after midline laparotomy.Ruptured Angiolipoma: A case ReportHarvey Balucating, MD



7. Efficacy of sclerotherapy using povidone iodine in the management of ganglion cystCarcinosarcoma: a case reportRoberto Gonzales, MD

8. Sarcoma of the thigh: case report. Edwin Estonilo, MD

9. Incision and drainage without packing vs I&D with packingMucinous cyst adenoma on the colon mesenteryMichelle Galang, MD

10.Clinical indicators of Ileocecal Tb: a case seriesPseudopapillary tumor of the pancreas: a case reportJonathan Malabanan, MD

11.Literature review on clinical indicators of intracranial Injury among pediatric patientsDouble primary carcinoma: a case reportMichael Sunaz, MD

12.Complete Vs Partial closure in Non perforative Appendicitis in ages 13-60.Edelweiz Velasquez, MD

RESEARCH 2008

1. Primary vs Secondary Healing in Uncomplicated Stab Wounds in Soft TissueBy: Dr. Martin Joseph Cabahug

2. Ray Amputation Under Local Anesthesia Versus Regional Anesthesia in Patients with Gangrene of the Digit of the Foot

By: Dr. Rommel de Leon

3. Does Local Lidocaine Infiltration Reduces Pain Score in Patients Undergoing Chest Tube Removal? A Randomized Clinical Trial

By: Dr. Jeffy Guerra

4. Predictors for Prolonged Hospital Stay More than Five Days in Patients Undergoing Elective Open Cholecystectomy

By: Dr. Haidee Cruz



5. A Comparative Study on the Outcome of Splint versus cast in the Management of Forearm Fractures in Pediatric Patients

By: Dr Benjamin Deveza

6. Clinical Predictors in Patients with Suspected Penetrating Chest InjuriesBy: Dr. Harvey Balucating

7. Approach to Pneumothorax: Manual Aspiration versus Chest Tube Drain: A Randomized Prospective Study

By: Dr. Edwin Estonilo

8. Role of Oral Contrast Bowel Follow Through in the Management of Small Bowel Obstruction

By: Dr. Roberto Gonzales. Jr

9. A Case Series in the Incidence of Fecalith in Acute AppendicitisBy: Dr. Michelle Galang

10. Prospective Study in the Clinical Predictors of Penetrating Chest InjuryBy: Dr. Jonathan Malabanan

11. Sensitivity Of the NICE Guidelines in Predicting Intracranial Injury Among Pediatric Patients

By: Dr Michael Angelo Sunaz

12. Risk of Developing Contralateral Inguinal Hernia After Unilateral Repair in Children

By: Dr Edelwies Velasquez

13. Cloxacillin versus No Antibiotics in Lacerated and Incised Wounds seen at OMMC Surgery ER: A randomized Clinical Trial

By: Dr. John Lloyd Fonte

14. Assessment of Pre-operative Cefoxitin versus Penicillin in Acute Perforative Appendicitis

By: Dr Alma Jawali-Lucero

15. Comparison of Wide Excision Technique versus Minimal Excision Technique as a Mode of Treatment of Epidermal Cyst

By: Dr Robelle Joan Peralta



5.Other Departmental Activities-Disaster Preparedness Program-Annual Breast and Thyroid Surgery Mission- Operasyon Pinoy

6.Rotations of Residents

NAME Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecCabahug GSII GSII GSII GSII GSIII GSIII GSIII GSIII GSI GSI GSI GSIDe Leon GSI GSI GSI GSI GSII GSII GSII GSII GSIII GSIII GSIII GSIIIGuerra GSIII GSIII GSIII GSIII GSI GSI GSI GSI GSII GSII GSII GSIICruz GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIDeveza GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIBalucating GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIIIEstonilo GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIGonzales GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIGalang GSII GSII GSII GSII GSIII GSIII GSIII GSIII GSI GSI GSI GSIMalabanan GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIISunaz GSI GSI GSI GSI GSII GSII GSII GSII GSIII GSIII GSIII GSIIIVelasquez GSIII GSIII GSIII GSIII GSI GSI GSI GSI GSII GSII GSII GSIIFonte GSIII GSIII GSIII GSIII GSII GSII GSII GSII GSI GSI GSI GSIJawali GSI GSI GSI GSI GSIII GSIII GSIII GSIII GSII GSII GSII GSIIPeralta GSII GSII GSII GSII GSI GSI GSI GSI GSIII GSIII GSIII GSIII

Note:GS I – Head and Neck, Breast, Skin and Soft tissue tumors,

GS II – Esophago-Gastric Surgery, Hepatobiliary and Pancreatic Surgery, Retroperitoneal Surgery,

GS III – Entero-Colo-Recto-Anal Surgery, Hernia Surgery,

SS1 - Orthopedics, Plastic and Reconstructive

SS2- Thoracocardiovascular Surgery, Urology

SS3- Pediatric Surgery, Neurologic Surgery



CERTIFICATION OF THE COMMITTEE

This is to certify that I, reviewed and concurred on the data presented.

1. Jeffy Guerra, MDChief Resident

2. Benjamin Deveza, MDFourth Year Resident

3. Harvey Balucating, MDThird Year Resident

4. Michelle Galang, MDSecond Year Resident

5. John Loyd Fonte, MDFirst Year Resident

Documents

CATEGORY… · Web viewA. Thyroidectomy 43 4 2 47 (thyroid, parathyroid, B. Parotidectomy 1 1 salivary glands, C. Mandibulectomy maxilla, manidible, oral D. Radical neck dissection/MRND