March 2017 Vol. 13 Issue 1 BroadCast - PSNpsn.ph/sites/default/files/BROADCAST 2nd DRAFT.pdf · March 2017 Vol. 13 Issue 1 March 9 is the 12th edition of the World Kid-ney Day (WKD),

Official newsletter of the Philippine Society of Nephrology

What’s Inside

March 2017 Vol. 13 Issue 1

March 9 is the 12th edition of the World Kid-ney Day (WKD), a joint initiative of the International Federation Kidney Foundation (IFKF) and the Inter-national Society of Nephrology (ISN). WKD is a cel-ebrated event focused on kidney health across the globe. It aims to raise awareness about protective behaviours and preventable risk factors to avoid the burden of kidney disease.

For this year, the theme for WKD is “Kidney Disease and Obesity—Healthy Lifestyle for Healthy Kidneys.”

In celebration of the theme for World Kidney Day 2017, Obesity and Kidney Diseases, the Uni-versity of the Philippines-Philippine General Hospi-tal (UP-PGH) Section of Nephrology, in cooperation with Philippine Society of Nephrology (PSN), pre-pared several activities that aim to promote aware-ness and encourage a more active and healthier lifestyle among Filipinos.

Obesity-related information in the form of infographics and video presentations were dis-seminated via social media thru Facebook and Twitter using the hashtags #move4kidneys #ShooO-besity #FightAgainstFats #WKDPhil2017. The “#move4kidneys” is a symbolic gesture to remem-ber that kidneys are vital organs and that they should be taken care of. This action urges everyone around the globe, from all cultures and ages, to keep fit and active.

Various media appearances in radio and televi-sion were also initiated to promote awareness.

On March 5 (Sunday), UP-PGH being this year’s host, started a WKD Kick off Event which started with a parade around the UP Diliman Campus, fol-lowed by a flashmob, a public gathering of patients, relatives, staff, medical residents, nephrology fel-lows and consultants, performing a choreographed dance number at the iconic Quezon Hall in UP Dili-man Campus. This was participated by the PSN, Pediatric Nephrology Society of the Philippines (PNSP), UP-PGH, Chinese General Hospital (CGH), Makati Medical Center (MMC), National Kidney and

Transplant Institute (NKTI), St. Luke Medical Center (SLMC), The Medical City, University of Sto.Tomas (UST), Veterans Memorial Medical Center (VMMC), Dialysis PH Support Group, Renal Nurses Associa-tion of the Philippines (RENAP), and different He-modialysis units around Metro Manila. The event was concluded through a MetaBEAT Exercise for all headed by Coach Toni and Coach Jim Saret of ABS-CBN The Biggest Loser.

On March 9, each PSN Chapter and Hemodi-alysis unit was challenged to create their own WKD event. A series of activities have been lined up to celebrate WKD all over the Philippines. The differ-ent institutions nationwide held their own flashmob dance, zumba marathon, lay forum, quiz show, yoga, funrun, brisk walking exercises. Indeed, World Kid-ney Day 2017’s campaign to raise awareness on Obesity and Kidney Disease and #move4kidneys is a success! Together, let us continue to get moving and Celebrate our Kidneys!

World Kidney Day 2017Elizabeth S. Montemayor, MD. FPCP, FPSN

BroadCast

World Kidney Day 2017

Educators Change Lives: They Lead, Inspire and Innovate President’s Message

Editorial

Unleashing Your Inner Researcher Series PSN Holds 2nd Post graduate Course Transition

Mindanao Chapter Updates

Moving Forward WKD CELEBRATION

Pontifical Academy of Sciences and Organ Trafficking PNSP expands the Cluster in CME

2017: A banner Year for PSN Southern Tagalog Chapter Translational Nephrology Research Outcomes

PanghiMagas

PSN at a Glance

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March 2017 Vol. 1 Issue 22 BroadCast

I thought the A1 nephrologist award given to me in 2013 was the last recognition I would ever receive from PSN. Today’s invitation to de-liver the keynote is indeed another honor. I am grateful for this occasion and I thank my former fellow in UP-PGH, Dr. Donnah De Leon, chair of the scientific committee.

I joined the Board of PSN in the early ‘90’s, then with Dr. Mike Alfil-er and Dr. Filoteo Alano. I spent 6 years in the Board and decided to withdraw, not for anything else, but just the realization that it wasn’t the task carved for me. I did the same with the Philippine Society of Hy-pertension. Others are destined to lead through the medical societies, to lay the foundation for that “unity and friendship which is essential to the dignity and usefulness of the pro-fession.” (1) The society serves as the “professional cement” so to speak, that would link each one of us, forev-er. I’m happy to see the blossoming interests of our young colleagues. All the best to each one of you, the current board and the past, for your timeless dedication to keep all of us “up to the times.”

I have not left the society though. I just chose another path. I found hope in the academe. I set my eyes on the future of our profession. I watched them all “ get set” in their starting blocks, was magnetized at how they crossed the hurdles, some even with grace and shook their hands in triumph when they all reached the finish line. I never gave up on them even if it meant real sweat and tears. Looking back, I was fortunate to be with these young ne-phrologists. I designed new teaching methods that enabled me, not only them, to understand concepts even better. I was a witness to their trans-formation. We all gave a share of our time for each other. Years later, it was and still is, sweet and warm. I enjoyed their company, even dined with them, for learning need not always be inspired by the sublime; even fellows, like them, can be sourc-es of wisdom.

In 2004, I chaired the Depart-ment of Medicine in UP PGH for nearly 9 years. It was a turning point. While it was refreshing to be with young residents, I had to deal with non-cognitive demands like setting values and seeking role models. Wil-liam Osler (2) reminds us that “ the practice of medicine is not a business and can never be one, the education of the heart - the moral side of man - must keep pace with the education of the head.” Even the “philosophy of honest work insists that we are here, not to get all we can out of

life about us, but to see how much we can add to it.” “Each case has its lesson- a lesson that may be, but not always, learnt, for clinical wisdom is not the equivalent of experience.” Every year, during graduation, I al-ways remind them of that critical fork in the road during their forma-tive years as aspiring doctors. This is when they must discern whether what drives them to excel is the lure of financial rewards and social stature or a burning desire to serve and heal our community. I submit that only a journey that can enrich us in mind and spirit is worth embarking on; all other rewards would flow as a matter of course.

As I mixed with residents and medical students, I became cogni-zant of some missing elements. In an incisive article written a few years ago, Dr. K. Srinath Reddy, then Presi-dent of the Public Health Foundation of India, sheds light on what he calls the “ missing ‘E’s” of medical educa-tion. He points out the downside of the heavily science-based model of education that took root in the 20th century: “ it limits the understanding of a complex interplay of multiple systems that operate within the hu-man body, as well as in its physical and social environments, to define the balance between health and dis-ease. There is now a growing recog-nition of the need to infuse a greater degree of interdisciplinary learning into medical education...”

He sees the need for the cur-riculum and teaching methods to be reconfigured “to increase emphasis on Epidemiology, Economics, Ethics, Empathy and Engagement with the health system.”

Looking at PSN, it is perhaps fair to say that our society is culturally predisposed toward adapting to Dr Reddy’s paradigm. We, the members of PSN, come from different regions. Whether in private or government practice or in the academe, our daily exposure to the poor and chronically ill has also made us and our trainees sensitive to the socio-economic cir-cumstances of our patients. Never-theless, we still need to strengthen our trainees capacity for holistic treat-ment: to look beyond the patient and understand his/her family and circumstances. This requires an em-phasis on “core needs” of patients by discerning what is judicious and what is unnecessary to maximize limited resources. While we are not expected to relieve our patients from the grip of poverty we should at least ensure that the recommended treat-ment would not push them to a more desperate situation. We would also need to infuse didactics and clinical

wards with more public health issues to let our students and trainees sense the reality of the health system and prepare them for graduation.

Dr Reddy goes beyond the tra-ditional definition of epidemiology and looks toward employing proac-tively for disease prevention, health promotion and risk management. He points out that risk assessment is key to decision-making both on a macro and micro scale. “ Epidemiological orientation will prepare a doctor to be a better clinician, researcher and policymaker.”

In the area of ethics, a gap exists in discussing and modeling concepts like confidentiality, informed consent and patients’ rights .

In terms of engagement, the argument is for systemically instilling deeper familiarity with the workings of the public health system so that students and trainees would be able to function productively in rural and depressed urban health settings.

Has PSN done its share in pro-moting the “E’s” of medical educa-tion in its training program. PSN has pursued its vision and mission by committing itself to promoting poli-cies on health promotion and disease prevention. It has lobbied for Phil-health benefits. It has aimed for high-er standards of care. It has adapted to the needs of the time knowing that conditions of practice have altered and are altering rapidly. On the other side, it should continuously evaluate its inter professional relationships, and infuse its core values in its inter-action with stakeholders.

This brings me now to another aspect in my academic career: aca-demic leadership.

In June 4, 2012, I was appoint-ed Dean of the UPCM by the Board of Regents. Looking back, I remem-ber having said: “The curious thing about life journeys is that we can nev-er be absolutely sure of our destina-tion. We may aspire for certain things that, in the end, do not turn out to be meant for us. Was the deanship meant for me? It would be presump-tuous of me to make such a claim. By the same token, it would be false modesty on my part to deny that I am prepared for this job.”

It’s been 4 years of deanship for me. What I am preoccupied with nowadays is cultivating aca-demic leaders who would lead the College beyond 2018. In CHANGE, a magazine of higher learning, a faculty wrote “there is a fair amount of skepticism on the part of faculty, particularly successful faculty, about the value of academic leadership.” An administrator remarked “ we are really questioning the idea of pro-

tecting junior faculty from service..... Strategically, we need to give people opportunities to show leadership and to develop their skills.”(3)

Academic leadership begins when we set aside our personal bi-ases to commit ourselves fully to the advancement of our society. We should nurture a relationship of mu-tual trust in which we allow members of the team to create the roadmap for their journey. We should welcome the young fellow and not regard him/her as an intruder to be shunned. We savour our old ideals and should keep some space for the new and lasting ones; as Kipling said “ The men bulk on the old trail, our own trail, the out trail. They’re God’s own guides on the long trail, the trail that’s always new.”

With academic leadership comes the importance of succession development, even in PSN. In the UP College of Medicine, for instance, most of our faculty members are clini-cians; only some have administrative responsibilities. The next few years will see the retirement of many of our peers, prodding us to look seriously at training our younger faculty mem-bers to gradually assume leadership roles.

According to an international source: “serving in informal roles ( such as members of committees) is a ‘necessary if not sufficient’ seg-ue into academic administration for emergent leaders. The faculty in this study recognized that each formal and informal leadership role they had played had enhanced their leader-ship skills and inspired many of them to reconsider their skepticism about becoming administrators.”(4)

But the far bigger challenge is how to motivate our leader-grade faculty members (or PSN members) to aspire for such positions. Even our situation in the UPCM seems to re-flect a global phenomenon.

With many baby boomers preparing to retire, higher educa-tion is facing an anticipated short-age of academic administrators. Compounding this challenge, many mid-career faculty are reluctant to

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Keynote Speech PSN Plenary (April 21, 2016)

Educators Change Lives: they Lead, Inspire and Innovate Agnes D. Mejia, MD

Professor and Dean UP College of Medicine

BroadCastMarch 2017 Vol. 1 Issue 2 3

President’s Message

Victor Doctor MD, FPPS, FPSN, FPNSP

Board of Trustees

The PSN, consolidated in a Bahay na Bato for its 3-year plan, is ending its second year. To feature back our Bahay na Bato, here is the miniature “blueprint” of our house. The founda-tions are integrity and pride with its five pillars.

With integrity of our membership as the authorities on kidney health, we can curb the increasing incidence of chronic renal disease. We would be recognized as the expert champions for kidney health.

We have for Membership and Engagement Expansion Activities such as:

International Society of Nephrol-ogy (ISN) confirmed collective mem-bership facilitated from the previous board.

We have linked through partner-ship with the Japanese Society of Ne-phrology to upgrade procedures and safety in hemodialysis. Subsequently, we shall upgrade training and possi-ble modernization in techniques and equipment.

We shall sustain intact communi-cations with the PSN chapters.

For the Curricula and Programs:Our Training Programs will be pat-

terned after the new Outcome Based Education (OBE). Our training con-tents will still be intact but in OBE sys-tem.

From the Pediatric Nephrology Society of the Philippines (PNSP), we added extra feature of our Annual Convention in November 2016, the pre-convention course on Fluids and Electrolytes.

For our PSN 37th Annual Conven-tion, we have on the first day, for the

1st time, the Asian Forum for Chron-ic Kidney Disease Initiatives (AFCKDI) with our Asian experts together with our own.

Research activities:The community research on de-

tection of kidney diseases in children will still have to be pursued. Togeth-er on the line, is Chronic Hemodialy-sis Outcomes in the Philippine Setting (CHOPS).

Kidney Health for All is our battle cry for our services in our training institu-tions and dialysis units and our advocacy programs throughout the country. We should encourage new members to be distribut-ed in less covered areas in the Philippines who shall be properly adopted by the chapters. Included in this pillar are the activities of the Committee on Re-nal-related Disaster Preparedness. We must consider that disasters are reali-ties of our times. We shall also inte-grate with the services of the govern-ment and health systems taking into considerations proper compensation and recognition of our members.

Financial Sustainability:For administrative and financial

competence, we came up with a con-crete manual for administration from an expert consultant, which we will be used as guidelines for office admin-istration, for the members, and the Board of Trustees.

We have to be recognized by our nation that the Philippine Society of Nephrology is the Expert Champions for Kidney Health.

VICTOR S. DOCTOR, MDPresident

ROBERTO C. TANCHANCO, MDVice President

HELEN T. OCDOL, MDSecretary

ELIZABETH ANGELICA LAPID-ROASA, MDTreasurer

Board Members

ELIZABETH S. MONTEMAYOR, MDNOEL M. CASTILLO, MDRONALD S. PEREZ, MD

MAALIDDIN B. BIRUAR, MDJEANETTE R. YBIERNAS, MD

MARIA GINA C. NAZARETH, MDImmediate Past President

President 2016-2017Philippine Society of Nephrology


TRANSThe prefix of the year is TRANS….. It is

the predominantly used prefix globally and also in Nephrology. We encounter in today’s issue of our publication the following words … TRANSLATIONAL.. TRANSITIONING.. and TRANSFORMATION. These are strong words which means we have to keep going , move across and beyond

TRANSlational MedicineAs this years theme of our convention,

TRANSLATIONAL encompasses the biomed-ical interdisciplinary field with 3 main pillars of health which is benchside, bedside and community. The movement is now to have translational researches which applies findings from basic science to be converted to knowl-edge that will enhance human health and well being. The aim is to have more meaning-ful outcomes for all the things we are doing. These we hope will produce more innovations and creations that will put into good use in our

clinical practice but we should remember that the true science of translational medicine must encourage the flow of information from the lab to the clinic to the community back to the clinic and to the lab. These continuous feed-back and communication among diverse play-ers in the system is essential for the continu-ous success and improvement of patient care

TRANSitioningIt is one of the flagship program of PSN.

It is the purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child centered to adult oriented health systems.We all aspire a seamless and optimal care for our patients. These chronically impaired subset of patients must be given the best opportunity to have a lifespan that is comparable with oth-er adolescents. We can all play a vital role to make this a reality. Studies have proven that better compliance to medication and coping mechanism skills are enhanced by this pro-gram. It is therefore important that we seriously make available this opportunity to

our patients.

TRANSfor-mation

Transforma-tive education is learning using a prior interpretation to construe a new or re-vised interpretation of the meaning of one’s experience to guide future action. Transfor-mation to be the best is guided by psycholog-ical, convictional and behavioral actions. We all must metamorphose to be able to assert change. As Dr. Mejia in her Keynote said, we are educators capable of Changing Lives: we Lead, Inspire and Innovate . The real test of happiness is when we are able to motivate them to be a better person--- empowering them with a life of gratitude and service.

EDITORIAL Agnes Alarilla-Alba, MD, FPPS, FPSN, FPNSP

The Philippine Society of Nephrolo-gy (PSN) ensures adherence to the high-est standards of excellence in training and research in the field of Nephrology. Research has been one of the main thrust of the PSN, hence, a yearly re-search forum for the training fellows is being implemented.

This year’s Research Forum was held at Discovery Suites last January 28. It was attended by 34 fellows of the fol-lowing training institutions: Chinese General Hospital, Chong Hua Hospital, Makati Medical Center, National Kid-

“Unleashing Your Inner Researcher Series” Annual

Research ForumAilene R. Buelva-Martin, MD, FPCP, DPSN

The Research Board, headed by Dr. Ronald S. Perez, plans to hold the research forum as a three part series for the next fiscal year. The three-part series will compose of: 1st part- Critical Appraisal,

2nd part- Protocol and Statistics and the 3rd part- Protocol Presentation with Panelists. The Research Forum will also be re-titled to “Unleashing Your Inner Researcher Series.”

ney and Transplant Institute, Perpetu-al Succour Hospital, St. Luke’s Medical Center, The Medical City, University of Santo Tomas Hospital, UP-Philippine General Hospital, and Veterans Memo-rial Medical Center. Dr. Helen T. Ocdol, the Secretary of the PSN, graced the forum as welcoming speaker.

This was a one-day forum with high yield lectures on Protocol Develop-ment and How to Calculate Adequate Sample Size by Dr. Amiel Nazer C. Ber-mudez; and Critical Appraisal by Dr. Vonn P. Velasco.

At the end of the lectures, the fel-lows were divided into small groups

wherein a facilitator, a member of the Research Committee, was assigned to each group to apply what they have learned on protocol develop-ment. During the small group discus-sion, each fellow was encouraged to discuss and ask ques-tions regarding their topics for their research proposal. This exercise allowed the fellows to formulate appropriate objectives, study de-sign and method for their respective topics.


And so goes the catchphrase that defined the mood and flavor of the sec-ond group of participants for the second Post-Graduate Course for Medical Direc-tors and Hemodialysis Unit Heads held last July 27-30, 2016 at the Discovery Suites in Ortigas Center, Pasig City. Succeeding the leadoff event held in the first quarter of

2016, this managerial course boasted more participants and was held over the course of four days. The program intends to enhance the managerial skills of board-certified ne-phrologists charged as hemodialysis unit heads of hospital-based centers or medical directors of freestanding units.

For the first three days, the program was outlined into specific matters cover-ing the operation of a hemodialysis unit.

Technical concerns delved into dialy-sis modality, water safety and purification, dialyzer reprocess-ing, infection control and waste manage-ment while the aspect of daily operations was elucidated with Operations Manage-ment, Governance, Leadership and Duties and Responsibilities of the Team. Com-plementary lectures on Philhealth policies, PCSO and DSWD assistance provided gain-ful insight into the benefits appropriated to patients. A minimum of 26 hours in atten-dance was mandated to qualify for comple-tion of the course. The course culminated on the fourth day with a Case Presentation from the participants, whose efforts were rewarded with a certificate and plaque of completion. In the end, the pervading at-mosphere was that of a group whose re-laxed mien belied the sense of accomplish-ment felt.

The continuing success as proven by a consistent turnout led to two subsequent postgrad courses held October 5-8, 2016 and February 22-25, 2017.

Transition(al). It’s just one word but its weight seems immeasurable because it means a great deal to an adolescent. A “nor-mal” adolescent’s mind is at times likened to the craziest Sudoku puzzle; imagine that of a “sick” adolescent. Young people at this age are supposedly closing in on the peak of physical health, strength and mental ca-pacity, therefore it is so frustrating for them to realize that they are dealing with a lot of issues both physically and mentally . During teenage years insecurities are almost univer-sal. It is actually overcoming self-doubts that mark the start of maturing into adults.

End stage renal disease may be dark and ominous to an adolescent. To be told that he is at the “end” when he clearly is only “starting” is a scary thing. Even adults who seemingly were confi-dent, without most self-doubt sudden-ly sees himself stricken with a disease would feel at lost.

When we were fellows assigned as a Transitional Nephrology Fellow , We honestly felt compassion for these young adults because they really need-ed a helping hand. The uneasiness and

the quest to know more about their illness and how they will be affected by it is real. We do appreciate the efforts of “Transition Champions” in pursuing the ideals of tran-sitioning, turning compassion to passion in the work that they do”.

We have come to appreciate and see the anxiety of our young patients at the time that their pediatric caregivers prepare them for adult clinics, where more patients are seen and with longer waiting times at the out patient service. It was also thru their eyes that I saw the value and purpose of transi-

tioning. Many would say that young as they may be, there is character and strength to be found in reality and acceptance, but hope and optimism would not hurt either. To be able to bridge that gap is a conscious effort to connect and give these young children a friendly passage to becoming adult patients. It is an effort to consolidate both Pediat-ric and adult Medicine health care workers

into a streamlined and systematic approach to the care of adolescent patients with Chronic Kidney Disease.

Transition clinics enabled our ad-olescent to be independent and has a clear picture of their illness. They become more compliant and that they do understand that they have to be responsibe about their own needs and treatment and not to just rely on their parents. This transition program empowered them to be decision mak-ers of their own future.

PSN Holds Second Postgraduate Course for Medical Directors and Hemodialysis Unit Heads Maria Eliza R. Navarro, MD, FPCP, FPSN

“ If you want to walk fast, walk alone. If you want to go further, walk together.”

TRANSITION Trisha Manalaysay, MD, DPSN and Don Dones, MD, DPSN


A lot of things were gained from all the preparations and practic-ing for the Fellowship Night Competition during the 2016 PSN Annual Convention. Aside from winning the Grand Prize for the third time, the Mindanao Chapter has formed a tighter bond … a bond that has helped in the success of all its endeavors.

Coordinating with a 75-strong team is never easy, especially if members are located in all points of Mindanao from Agusan to Zam-boanga. But through the wonders of modern technology and innate human ingenuity and resourcefulness, bringing together everyone in the Mindanao Chapter, be it virtually or physical, has become a cinch.

The foremost activity the Mindanao Chapter organized for this year was a postgraduate course entitled “First HD Congress: A Team Approach”. This was held last January 27 to 28, 2017 at the Pinnacle Hotel in Davao City. It aimed to strengthen the hemodialysis team in giving the best quality of care through a holistic approach in managing hemodialysis patients. Delegates included physicians and nurses from all over Mindanao totaling more than 400. Overall chairman of the congress was Dr. Jeanette Ybiernas and head of the Scientific Commit-tee was Dr. Rodelie Banico.

The scientific program was divided into two days. The first day was devoted to the hemodialysis process, starting off with an overview on hemodialysis by Dr. Ramon Jose Suarez followed by innovations in the hemodialysis technique, in particular, the continuous renal replace-ment therapy, focusing on its principles, prescription, and dosing by Dr. Vimar Luz. Additional updates on methods in improving the he-modialysis process included the utility of body composition in volume management by Dr. Froilan de Leon as well as the dialyzer by Dr. Jose Maria Anson.

The second day was devoted to the hemodialysis patient, on con-ditions we commonly encounter in these patients such as difficult to treat hypertension by Dr. Lynn Gomez, cardiovascular complications by Dr. Michael Abutazil, better anemia management treatment option thru darbepoietin alpha by Dr. Romina Danguilan, neurologic compli-cations by Dr. Annabelle Lao-Reyes, and clinical and practical use of cinacalcet by Dr. Ma. Isabel de Leon-Duavit.

The chapter also invited the president of the Philippine Society of Nephrology, Dr. Victor Doctor, who talked about hemodialysis in children.

In order to stay true to the team approach theme of the con-gress, three multidisciplinary panel discussions were conceptualized with invited experts in their own fields taking part in the exchange of knowledge. The first panel discussion tackled on the common con-cerns regarding the hemodialysis water system followed by a case of an unfortunate vascular access. The second panel discussion focused on intrahemodialysis complications as well as infections in HD patients: how to recognize and properly manage them. The third panel discus-sion attempted to shed light into the issues on caring for the hemodi-alysis patient and end-of-life concerns.

The chapter also gathered together for a meeting with Dr. Doctor and Dr. Roberto Tanchanco (PSN Vice President) on the evening of the first day of the HD congress. This was followed by Mindanao Chapter’s Fellowship Night.

Additional activities for the past year included the recently con-cluded World Kidney Day last March 9, 2017 which was celebrated by most cities in Mindanao. Activities included Zumba, lay fora, radio guesting, and free blood and urine exams.

Despite the fact that Mindanao was hit by two calamities, the floods in Cagayan de Oro and the earthquake in Surigao, the Mindan-ao Chapter still stands strong and continues to be expert champions for kidney health.

Mindanao Chapter Updates Rodelie A. Banico, MD, FPCP, FPSN

Cagayan de Oro City

Cotabato City

Davao CityGen. Santos City

Celebration Around Mindanao


Moving Forward

Marissa Elizabeth Lim MD, FPCP, FPSN

The last four years have been years of growth for the Committee on Con-tinuing Medical Education. The pride of the Committee during this time was the development of the In-Service Examination for the Nephrology Fellows-in-Train-ing. As sign of the continuing growth of the society, this year, we had the most number of examinees at 75.

To standardize training, enhance theoretical knowledge and to prepare the fellows for private practice, the In- Service examination was conceptualized. The 1st In-Service Examination was held during 2014 in a written format. To save time and manpower we have been giving it for the last 3 years via online electronic fashion.

A seminar on test construction was conducted by Dr. Nenita Collantes to prepare the examinees in conducting fair and properly created ques-tionairres. This was held last September 2, 2016 at the Cocoon Hotel together with the Nephrologists of St. Lukes Medical Center, Quezon City. The whole day affair honed the skills of Nephrologists through workshops in giving critique to questions and hands on construction of the test items.

After this initial workshop seminar, the committee had regular monthly meetings to prepare the actual questions for the in service exam. There were 4 testing centers: Chong Hua Hospital, National Kidney and Transplant Institute, St. Lukes Medical Center Quezon City and University of Sto Tomas. The exam-ination was held last February 4, 2017 and lasted for half day.

In due time the committee will also be conducting feedback to the fellows who took the examination.

The Continuing Medical Education Committee is led by Dr. Marissa Eliza-beth L. Lim. Our very consistent and dedicated adviser is Dr. Nenita Collantes. The Chair of the Information Technology Committee and the Computer Mas-termind who encoded the examination questions is Dr. William Gregory Rivero. We greatly appreciate all the members of the CME committee for the devotion and dedication in this endeavor. Special thanks goes to Dr. Alex Tan, Jr. for proctoring the examinees from Cebu.

We envision that these changes will improve the quality of nephrol-ogist that we will have in the future.

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fill these important positions, concerned that academic leadership is incompatible with work-life balance, that it detracts from their commit-ments to research and teaching, and that it is tantamount to “ going to the dark side” (5)

What is crucial is the infusion of the spirit of service in all aspects of the (college) opera-tions. This entails making everyone in our fac-ulty realize that the vocation of healing does not stop at the level of individual patients. This is why we do extensive community service and for PSN, outreach programs.

Academic leadership should be viewed from the same prism. As a faculty member, one takes part in the noble task of honing possibly an entire generation of future Filipino physicians. This is undeniably an excellent way of rendering service to the nation. But, when one embraces a role in giving shape to poli-cies, processes and practices that would make the College an even better vehicle for the pro-fessional and ethical formation of present and future generations of doctors, it becomes clear

that one has entered an even higher plane of service.

The power of broad service orientation in institutions (and society) like ours is immense and almost mystical. As one writer puts it meta-phorically: “ Like mortar between bricks, ser-vice is paramount to stabilizing and sustaining our structures. It is also the intersecting point between all the bricks. The bricks sit in isola-tion, separated from one another by the mor-tar. The bricks need the mortar, and the mortar needs the bricks. They are interdependent, the presence of one without the other results in structural instability and weakness (6)”

As an administrator, my humble intention is not to create an impression but to make sure that our College will get to where it wants to go. Like many who aspire to help transform our College and our nation and the PSN, I, too, har-bor my share of that “impossible dream”. But my convictions dictate that I must first master the art of the possible. There is nothing more corrosive of a dream than the feeling of futili-ty. The vital lesson is simple: pay attention to the little things that legions of stakeholders can

deliver, and bigger dreams will fall into place. For me, who will be stepping down as

Dean in two years time, it is equally important that after I eventually leave the post, successive administrations can continue seamlessly and sustainably in the same general direction, an-imated by our mission and vision. After all, the true test of leadership, I have taught, is not to make oneself indispensable but to inspire and empower others to carry on.

Let me end with the inspiring words of Sir Charles Handy, “ We can not wait for great vi-sions from great people for they are in short supply at the end of history. It is up to us to light our own small fires in the darkness.”

(1) Osler, New Haven, 1903(2) ibid(3) Deborah de Zure, Allen Shaw & Julie Rojewski. “Cultivating the next generation of academic leaders: implications for administrators and faculty” , CHANGE (the magazine of higher learning) Jan-Feb 2014.(4) ibid(5) ibid(6) Bradley J. Cardinal, “ Service vs serve-us: what will your legacy be. Journal of physical education, recreation and dance (2013) 84:5, 4-6.


Various media appearances in radio and television were

also initiated to promote awareness.

Dr. Elizabeth Montemayor’s guesting on Chinoy TV last

February 26, 2017

Dr. Francisco Anacleto, Jr.’s guesting on DZMM Magandang Gabi Dok

last March 9, 2017

Dr. Russel Villanueva.’s guesting on NewsRoom5 Live last March 9, 2017

Dr. Ronald Perez’s guesting on DZBB 594KPH SuperRadyo last March 1, 2017 with

Dialysis PH Support Group

World Kidney Day Parade at UP

Diliman Campus

Registration Area and Breakfast Booth

MetaBEAT Exercise for all with Coach Toni and Coach Jim Saret

PSN North Luzon Chapter

St. Therese Dialysis Center, Inc.

Perpetual Help Medical Center HD unit Flashmob

Laguna Holy Family Hospital HD unit Flashmob

UP - Philippine General Hospital

Our Lady of Lourdes Hospital Flashmob

Tagaytay Medical Center HD Unit FlashMob

PSN Western Visayas Chapter

PSN Western Visayas-Bacolod Chapter

Kidney Foundation of the Philippines

Divine Grace Medical Center HD Unit FlashMob

Tacloban City PSN Mindanao Chapter

Davao Medical School Foundation Hospital

Far North Luzon General Hospital and Training Center

WORLD KIDNEY DAY 2017


From February 7 to 8, 2017, seventy five participants from all over the world were convened by the Pontifical Academy of Science in a summit held within the hallowed walls of the Vat-ican. Concerned about the apparent resurgence of organ trafficking several years after the Declaration of Istanbul con-tributed to the control of the problem, the convenors were instructed by Pope Francis to prepare a global statement with moral authority, which would reaffirm the harms of organ trafficking, bring new support to the cessation of organ traf-ficking and to produce a spring-board for new action.

I was privileged to be invit-ed as a participant and for these

two days, I listened to reports on the state of transplantation and the problem of organ trafficking from countries from every cor-ner of the globe. I presented our own statistics and partici-pated in vibrant discussions led by Dr. Francis Delmonico, past president of The

Transplantation Society and now WHO adviser for transplantation, and Monsignor Marcelo Sanchez Sorondo. The end-product of these deliber-ations is the statement which the Pontifical Academy issued at the conclusion of the summit.

The full statement can be accessed through the PSN web-site. It calls for specific actions from governments, religious leaders, international institutions like the WHO and United Na-tions agencies as well as health care professionals. Specifically, it calls for healthcare profes-sional organizations involved in tranplantation, like the PSN, to promote among their mem-bers awareness of, and com-pliance with, legal instruments and international guidelines against organ trafficking and human trafficking for the pur-pose of organ removal. It also

calls for healthcare profession-al to perform an ethical and medical review of donors and recipients that takes account of their short- and long-term

outcomes. Thus, an action plan on how the PSN can do its share to achieve the aims set by the Pontifical Academy would be the next step. Let’s do it!

The International Delegates in the Pontifical Meeting

1. That all nations and all cultures recognize hu-man trafficking for the purpose of organ removal and organ trafficking, which include the use of or-gans from executed prisoners and payments to do-nors or the next of kin of deceased donors, as crimes that should be condemned worldwide and legally persecuted at the national and international level.

2. That religious leaders encourage ethical or-gan donation and condemn human trafficking for the purpose of organ removal and organ trafficking.

3. That nations provide the resources to achieve self sufficiency in organ donation at a national lev-el- with regional cooperation as appropriate – by re-ducing the need for transplants through preventive measures and improving access to national trans-plant program in an ethical and regulated manner

4. That governments establish a legal framework that provides an explicit basis for the prevention of prosecution of transplant related crimes, and pro-

tects the victims regardless of the location where the crimes may have been committed for example be-coming a party to the council of Europe Convention against organ trafficking

5. That healthcare professionals perform an ethical and medicl review of donors and recipients that takers account of their short and long term outcomes

6. That governments establish registries of all organ procurement and transplants performed within the jurisdiction as well as all transplants in-volving their citizens and residents perform in other jurisdiction

7. That governments develop a legal framework for health care professionals to communicate infor-mation about suspected cases of transplant related crimes while respecting their professional obliga-tions to the patients

8. That responsible authorities , insurance pro-

viders and charities not cover the costs of transplant procedures that involve human trafficking

9. That responsible authorities with the support of the justice system investigate transplants that are suspected of involving crime committed within their jurisdiction

10. That healthcare professional organizations involve in transplantation promote among their members awareness of and compliance with legal instruments and international guidelines against or-gan trafficking and human trafficking for the pur-pose of organ removal

11. That the WHO, the council of Europe, Unit-ed Nations agencies and international bodies co-operated in enabling a comprehensive collection of information on transplant on transplant related crimes, to yield a clearer understanding of their na-ture and scope and of the organization of the crimi-nal networks involved.

Pontifical Academy of Sciences issues call for renewed action against organ traffickingBenita S. Padilla, MD. FPCP, FPSN

RECOMMENDATIONS of PAS Summit

Philippines duly represented in the Pontifical Meeting in the Person of Dr. Benita Padilla

Dr. Padilla with ___________


The Pediatric Nephrology Soci-ety of the Philippines has added on to the list of it’s CME activities. Last 20 November 2016 The 1st PNSP Teaching Course was held at the Ateneo de Manila School of Medi-cine as a whole day pre-convention to our 21st Annual Convention. The focus was on Fluids & Electrolytes. Two plenary sessions set the tone of the day. Dr Francisco E. Anacleto handled Water and Sodium while our invited guest Dr Kar Hui Ng from Singapore tackled Acid Base and Potassium. There were 5 breakout case-based workshops. The Mem-ber’s Class was facilitated by Dr Kar Hui Ng, Dr Victor S. Doctor, Dr Re-medios Dee-Chan, Dr Maria Rosa-rio F Cabansag and Dr Francisco E Anacleto. The Non-Members class with Pediatricians, Family Medicine Consultants and Residents-In-Train-ing was facilitated by Dr Agnes A. Alba, Dr Nathan C. Bumanglag, Dr Ma Angeles G. Marbella, Dr Lynette F. Alcala, Dr Lorna L. Simangan, Dr Esther T. Medina, Dr Orpheus C. Monakil, Dr Paul Joseph T. Galutira Dr Rachelle dela Cruz, Dr Ma Norma V Zamora.

The Teaching Course was start-ed with a Pre-test and ended with a Post-test. It was noted that there was an average 4-point improvement of the scores. The overall response and attendance of the participants were very encouraging as they deemed the course to be very useful and rel-evant. The activity hopes to empha-size on the basic concepts of patho-physiology of fluid and electrolyte as clinical situations are dealt with. And for the Members, may it be a venue for developing a speaker’s bureau.

PNSP expands the Cluster

on CME Maria Norma V. Zamora, MD

FPPS, FPSN, FPNSP

With two major events to host for 2017, PSN Southern Tagalog Chapter suddenly finds itself in a frenzy organizing and tediously pre-paring for the two events , and to think that the year has barely started! First, for its 7th Post-graduate Course in Hemodialysis on March 12, and second, for the much-anticipated 2017 PSN Midyear Convention on October 12- 14 in Puerto Princesa, Palawan.

Now on its 7th year, the Chapter’s Post-graduate Course in Hemodialysis at the Sum-mit Ridge Hotel in Tagaytay on March 12 once again offers the latest updates in hemodialysis under the theme “Understanding the Hemodi-alysis Prescription”. Catering to the legion of hemodialysis nurses in the region and beyond, the Course has posted a progressively bigger attendance each year. This year’s scientific pro-gram explores the various aspects of the hemo-dialysis prescription that will surely enhance dialysis nursing capabilities.

The Organizing Committee is headed by Dr. Reden Silva, with able support from Drs. Ruth Bernardo, Jojo Ty, Maritess Reynera, Cha Escobin, Mic Roxas, Aljun Malanbut, Faye Ver-gara, Dan Dones and all the Chapter members.

Meanwhile the Chapter is also embark-ing on an even bigger project —- the hosting of the 2017 PSN Annual Midyear Convention, slated October 12 - 14 in Puerto Princesa, Pal-

awan. Chapter President Dr. Gladys Diaz has appointed Dr. Joseph Abcede as Overall Chair of the Convention. Preparations had begun in the latter part of 2016, which included several ocular visits to Puerto Princesa.

Palawan, being the country’s last ecologi-cal frontier, is indeed the appropriate venue to showcase the nephrologist’s concern for the en-vironment. Aptly themed “Green Nephrology: Physicians as Stewards of Nature”, the Midyear Convention promises to be another landmark event for the Society.

The Scientific Committee, chaired by Dr. Rhodora Valenzona, has assembled a roster of outstanding speakers who will tackle different topics relevant to environmental preservation, including “green dialysis”, tropical renal diseas-es, and toxic nephropathies.

We all hope to see you in this undertak-ing!!!

2017: A Banner Year for PSN-Southern Tagalog Chapter

Edgardo F. Faustino, MD


It is that time of year again when we come together as a society to hold our annual convention. But the mean-ing of this convention for us is not merely a time to update ourselves on our knowledge and skills in nephrolo-gy with the help of our esteemed lo-cal and international speakers. Much more than that, perhaps, it is an oc-casion for us to re-energize ourselves for the year ahead, drawing upon the positive energy that we absorb from reuniting with our colleagues and friends, rekindling camaraderies, sharing battle stories, declaring our dreams and aspirations to one anoth-er.

The theme of this year’s Annual Convention – Translational Nephrol-ogy: Research Outcomes to Clinical Application – speaks to the continuing effort of our Society to stay relevant in our rapidly changing times. Staying relevant requires us to keep abreast of all the issues, old and new and emerg-ing, that affect our mission to be ex-pert champions for kidney health; it also requires us to be familiar with, and better yet to participate in the ef-forts to generate new knowledge, new technologies, and new approaches to tackle all these issues.

Our Society’s most anticipated event this year has an added special touch, as we host our friends in the Asian region who share our passion for combating kidney disease and championing kidney health for all, in the 11th Annual Meeting of the Asian

Forum for Chronic Kidney Disease Ini-tiatives. Because we are hosting this meeting, we have ended up having perhaps the most number of interna-tional speakers in recent history since we hosted the 14th Asian Colloquium in Nephrology 15 years ago, in 2002.

The exciting sessions that will surely add spice to our convention, though, would be the Townhall Debate that will tackle the issue of whether our national insurance program (PHIC) should really push for a PD First Pro-gram, or just let the default situation – with HD as the predominant modali-ty for ESRD in our country – remain as the status quo. This session will surely be exciting with the dynamic and bril-liant proponents for each side waging battle – Dr. Romina Danguilan of NKTI for the PD First side, and Dr. Raymond Alonso of UPCM-PGH for the HD First side, with Dr. Ophelia Javellana as ref-eree, or rather, moderator!

Being the busy and no-nonsense professionals that nephrologists are, we cannot do away with the important meetings that help keep our organi-zation running smoothly and our en-gagement with our patients and other stakeholders in our practice going well – the meetings of our Training Pro-gram Heads, our HD and PD Heads, and our very own Business Meeting.

Nephrologists may by default work hard on a daily basis, but they also know how to have a wonderful time, and so the Fellowship Night has always been a highlight of the annual

convention. But because the neph-rons have become rather exhausted from the intense preparation that they put into their performances, the So-cials Committee instead prepared a different format this year – a singing contest! There will be a live band ac-companying our songster colleagues, and it will surely be a fun and magical night when we shall be in awe of our singing nephrons!

The Organizing Committee spent a lot of time and energy over the year to prepare this convention, and I do believe that it has been able to put together a program packed with the elements needed for a successful convention: relevant topics, excellent and renowned speakers, a smartly or-ganized schedule, exciting formats, sound and solid processes in place, adequate support from our friends in the industry, and most especially, a team of dedicated and passionate nephrologists and staff committed to ensure that everything runs smoothly and well.

May we all have four days of fruit-ful learning, and may we all be better armed with the knowl-edge we gain and the experiences we share to become truly expert champions for kidney health.

Mabuhay ang PSN! Mabuhay tayong lahat!

Roberto C. Tanchanco, MD, FPCP, FPSN, MBAOver-All Chair, 37th PSN Annual Convention

Translational Nephrology: Research Outcomes to Clinical Application


PSN at a Glance

Aanhin ang guwapo..Kung tanging nais lang ay

hubarin panty mo?

Aanhin ang kagandahan..Kung ginagamit lang sa kalandian?

Aanhin ang pag-ibig na wagas…Kung walang pambili ng bigas?

Aanhin ang ka-sweetan…Kung hanggang kaibigan

lang naman?

Aanhin ang magandang dress….Kung mukha naman ay stressed?

Aanhin ang tahanang mala-palasyo…

Kung wala naming wifi dito?

Aanhin ang gabi…Kung pangit naman ang katabi?

Aanhin mo ang sexy…Kung ang mukha ay scary?

Aanhin mo ang marriage

contract…Kung sa iba naman ku-

mo-contact?

PANGHImagas PANGHI: masangsang na amoy ng ihi

PANGHIMAGAS: pamutat o panghuling pagkain upang matanggal ang suya tulad nitong Aanhin seriesWalang Kinalalaman ang PSN sa mga nakasulat dito. Patnubay ng magulang ang kailangan

Marvin Callanta, MD FPPS, FPSN, FPNSP

Aanhin Series…..Agnes A. Alarilla-Alba, MD

CHAIRPERSON

MEMBERSRodelie A. Banico, MDMarvin S. Callanta, MD

Edison SA Guerrero, MDMarie Fe Vergara-Lim Dy, MD

Rene H. Francisco, MDMaria Eliza R. Navarro, MD

Elizabeth Montemayor, MDCLUSTER HEAD

BroadCastersCLUSTER ON PUBLICATION

Public Health - Community Development Activity - Balucuc, Pampanga

PSN Strategic Planning

PSN OBE WorkshopPSN Research Forum

Documents

March 2017 Vol. 13 Issue 1 BroadCast - PSNpsn.ph/sites/default/files/BROADCAST 2nd DRAFT.pdf · March 2017 Vol. 13 Issue 1 March 9 is the 12th edition of the World Kid-ney Day (WKD),