rojosonommcsurgeryfilesandnotes.files.wordpress.com… · Web viewA Randomized Clinical Trial Comparing Partial Wound Closure and Secondary Wound Closure in the Prevention of Surgical

CATEGORY

DEPARTMENT OF SURGERY

Ospital ng Maynila Medical Center

Pres. Roxas Blvd. cor Pres. Quirino Ave. Malate, Manila

PHONE: 524 -6061 LOC. 103/300

ANNUAL REPORT OF ACCREDITED GENERAL SURGERY TRAINING PROGRAMSJANUARY 2007 TO DECEMBER 2007

HOSPITAL:OSPITAL NG MAYNILA MEDICAL CENTER

DATE:February 21, 2008

TRAINING OFFICER:HARRY GO, M.D.

DEPARTMENT CHAIRMAN:REYNALDO O. JOSON, MD

HOSPITAL DIRECTOR: FIDEL CHUA, M.D.

I. BREAKDOWN OF OPERATIONS:

Operations2007

Total

5983

Major

1034

Medium

812

Minor

4137

Elective

875

Emergency

1119

Trauma

31

Non- Trauma

1041

Major

Done by Consultants

110

Done by Residents

924

Assisted by Residents

112

Medium

Done by Consultants

24

Done by Residents

740

Assisted by Residents

22

Minor

Done by Consultants

7

Done by Residents

4135

MAJOR OPERATIONS 2007

CATEGORY

SPECIFIC OPERATIONS

NUMBER OF OPERATIONS

RESIDENTS

CONSULTANTS

TOTAL

ASSISTED BY

DONE BY

I. HEAD & NECK

A. Thyroidectomy

99

5

6

110

(thyroid, parathyroid,

B. Parotidectomy

3

3

6

salivary glands,

C. Mandibulectomy

maxilla, manidible, oral

D. Neck Dissection (modified/Radical/Selective)

cavity (10 cases)

E. Others

1. Excision of submandibular gland

2. Excision dermatofibroma

3. Wide excision, fibrosarcoma,

trapezial myocutaneous flap;

fasciocutaneous flap

4. Wide excision squamous cell

Tongue

5. Wide excision trichilemmal tumor

TOTAL

102

8

6

116

II. BREAST (10

cases)

A. Modified Radical Mastectomy

72

30

15

117

1. Modified Radical mastectomy w/

reconstruction

B. Conservative breast surgery

1. Wide excision with axillary node

dissection

2. Total mastectomy

4

2

4

10

3. Segmentectomy/

quadrantectomy

C. 1. Radical mastectomy

C. Wide excision

12

5

5

22

TOTAL

88

37

24

149

III. ESOPHAGUS,

STOMACH, DUODENUM, SMALL

A. Gastrectomy with or without vagotomy

4

2

1

7

INTESTINES (10

B. Vagotomy with pyloroplasty

cases)

C. Gastrojejunostomy

2

2

D. Proximal gastric vagotomy

E. Resection of small bowel

F. Adhesiolysis

30

1

31

G. Esophageal surgery

1. colonic interposition

2. gastric pull up

H. Distal esophagectomy; total

gastrectomy; splencetomy; distal

pancreatectomy,

esophagojejunostomy,

Jejunojejunostomy, Tube

Jejunostomy

I. Distal esophagectomy,Total Gastrectomy, Roux Y esophagojejunostomy, tube jejunostomy, CTT, bilateral

J. Repair of small bowel (Enterorrhaphy, duodenorrhaphy)

K. Entero-enterostomy

15

1

16

L. Ileostomy / Closure of ileostomy

1

1

M. Others

1. Closure of perforated ulcer

2. Explor Lap, Biopsy of Ulcer Margin, Gastrorrhaphy, Omental patching

3. Explor Lap, Omental Patching Tube Jejunostomy

4. Explor Lap, Graham patch

5. Tube gastrostomy/ jejunostomy

2

1

1

4

6. Gastrotomy for UGIB

7. Explor lap; Excision of Mesenteric Cyst

8. Explor Lap; placement of drain

TOTAL

52

3

6

61

IV. COLON, RECTUM

A. Colectomy

12

2

14

& ANUS (10 cases)

1. Right Hemicolectomy

2. Left hemicolectomy

3. Low Anterior Resection

B. Colostomy / closure of colostomy

19

2

21

D. Miles Operation and pull-through

operations

E. Hartman’s procedure

F. APR

1

1

2

G. Others

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

2. Segmental resection, ileocecal

3. cecorrhaphy, appendectomy

4. drainage of intra-abdominal abscess

TOTAL

32

1

4

37

V. COMPLICATED APPENDIX (10 cases)

245

2

5

252

VI. HEPATOBILIARY,

A. Cholecystectomy

GALLBLADDER,

1. Without CBD exploration

154

3

13

170

PANCREAS, SPLEEN

2. With CBD exploration

20

2

22

& PORTAL

B. T-Tube cholecystostomy

HYPERTENSION

C. Choledochoduodenostomy

(25 cases)

D. Sphincterotomy/sphincteroplasty

E. Cholecystojejunostomy

F. Distal pancreatectomy

G. Whipple’s operation

1

1

2

H. Splenorrhaphy, splenectomy

I. Devascularization

J. Shunting procedures

K. Hepatic resection/ hepaticojejunostomy

L. Others

1. Explor Lap; Liver Biopsy

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

3. Drainage of hepatic abscess

TOTAL

175

4

15

194

VII. TRAUMA

(10 cases)

A. Explor lap with surgery for intra-

abdominal injury

33

33

B. Thoracotomy

3

3

C. Neck exploration for trauma

5

5

D. Repair of major vessel

1

1

E. Limb amputation

TOTAL

42

42

VIII. OTHERS

(15 cases)

A. ORTHOPEDICS

1. Below-knee amputation

46

1

47

2. Above-knee amputation w/ inguinal node dissection ®

3. Above-knee amputation

2

2

4. Above the elbow amputation

5. Ray amputation

6. Open reduction & internal fixation

1

10

11

7. Partial hip replacement

8. Transmetatarsal amputation/Disarticulation

9. Sequestrectomy Placement of Antibiotic Beads And External Fixature

10. Anterior cruciate ligament

reconstruction

TOTAL

49

11

60

B. PEDIATRIC SURGERY

1. Explor lap: Reduction of intussusception, appendectomy

4

4

8

2. Repair of diaphragmatic hernia,

2

2

4

3. Sigmoid / transverse colostomy

4. Closure of colostomy

5. Cutback anoplasty

6. Closure of omphalocoele

7. Explor lap: Lysis of Ladd’s bands, derotation of intestines

8. Explor lap, Lysis of Ladd’s band

Detortion of midgut volvulus

9. Tube cholecystostomy; IOC with liver biopsy

10. Kasai procedure with liver biopsy

11. Ex-lap excision teratoma

12. Explor lap, resection anastomosis, ileum

13. Excision of Omphalomesenteric Duct; Enterorrhaphy, ileum

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

15. Explor lap, resection rectosigmoid colon, colostomy

16. Excision lymphangioma axilla left

17. Duodenojejunostomy

TOTAL

6

6

12

C.UROLOGY

1. Ureterolithotomy

1

1

2. Pelvolithotomy

3. Cystolithotomy

3

3

4. Orchidectomy

5. Nephrostomy

6. Nephrectomy

1

1

6. Varicocoelectomy

2

2

TOTAL

4

3

7

D. TCVS

1. Anterolateral thoracotomy, decortication

E. PLASTIC & RECONSTRUCTIVE

1. Cheiloplasty

2

2

2. Palatoplasty

3. Repair of naso-oral fistula

4. Skin grafting

5. Creation of thenar flap

6. Fasciotomy

7. Breast reconstruction TRAM

8. Augmentation mammoplasty

9. Reduction mammoplasty

10. Release of Contracture with Rotational Flap and Skin Grafting

11. Excision with transpositional flap

12. Wide excision, Basal cell carcinoma, back

13. Wide Excision with Advancement Flap

14. Wide excision malignant fibrous histiocytoma thigh

15. Wide excision melanoma foot

TOTAL

2

2

Grand Total (Other cases)

59

MEDIUM OPERATIONS 2007

CATEGORY

SPECIFIC OPERATIONS

NUMBER OF OPERATIONS

RESIDENTS

CONSULTANTS

TOTAL

ASSISTED BY

DONE BY

I. HEAD & NECK

( 5 cases)

A. Excision of branchial cleft cyst

B. Thyroglossal duct cyst

C. Excision of cystic hygroma

1

1

D. Tracheostomy

7

7

E. Cricothyroidotomy

F. Others ( Head and Neck Cases)

14

TOTAL

21

1

1

II. HERNIA

(15 cases)

A. Inguinal Hernia

122

3

125

B. Incisional hernia

7

C. Umbilical hernia

5

D. Femoral hernia

TOTAL

134

III. UNCOMPLICATED APPENDIX

(30 cases)

220

2

222

IV. ANAL SURGERY

(20 cases)

A. Hemorrhoids

56

2

58

B. Fistula

39

2

1

42

C. I & D of abscess

2

2

D. Others

Rectal biopsy

TOTAL

97

2

3

102

V. THORACOSTOMY

(15 cases)

73

73

VI. Other Subspecialty Procedures

(15 cases)

Vascular access (AV Fistula, sribner shunt)

Pediatric cutdown

Excision of baker’s cyst

Disarticulation (diabetic foot)

Suprapubic cystostomy

Tenckhoff catheter insertion

140

MAJOR/ Medium Operations DONE BY Senior GRADUATING RESIDENTS

GENERAL DATA

PRE-OP

DIAGNOSIS

POST-OP

DIAGNOSIS

PROCEDURE DONE

HISTOPATH

OUTCOME

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

2. RESIDENTS STATUS

2.1 Name of all residents

RESIDENT STAFF

JANUARY 2007– DECEMBER 2007

CHIEF RESIDENT

Roderick S. Mujer, MD

FIFTH YEAR RESIDENTS

Roderick S. Mujer, MD

Nolan O. Aludino, MD

FOURTH YEAR RESIDENTS

Martin Joseph S. Cabahug, MD

Rommel Q. de Leon, MD

Jeffy Guerra, MD

THIRD YEAR RESIDENTS

Benjamin C. Deveza, MD

Heidee Cruz, MD

SECOND YEAR RESIDENTS

Harvey Balucating, MD

Roberto Gonzales, MD

Edwin Estonilo, MD

FIRST YEAR RESIDENTS

Michelle Galang, MD

Jonathan Malabanan, MD

Michael Angelo Sunaz, MD

Edelweiz Velasquez, MD

ANNUAL ROTATION OF RESIDENTS FOR 2007

NAME

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Mujer

GSIII

GSIII

GSIII

GSIII

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

Aludino

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

Cabahug

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

De Leon

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

Guerra

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

Cruz

SS2

SS2

SS2

SS2

SS3

SS3

SS3

SS3

SS1

SS1

SS1

SS1

Deveza

SS3

SS3

SS3

SS3

SS1

SS1

SS1

SS1

SS2

SS2

SS2

SS2

Balucating

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

Estonilo

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

Gonzales

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

Gabriel

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

Galang

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

Malabanan

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

Sunaz

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

GSI

GSI

GSI

GSI

Velasquez

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

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

Michelle Galang, MD


Michael Angelo Sunaz, MD


Their appointments would be contractual on yearly basis. Effective January 1, 2007

2.3 Name of residents resigned from the program

1. Allan Gabriel- Health reason

2.4 PBS-RITE

RESIDENCY IN-SERVICE TRAINING EXAMINATION RESULTS (2007)

name

YEAR LEVEL

RAW SCORE

PERCENTAGE

PERCENTILE

by level

overall

Roderick Mujer

V

122/240

50.83%

46.27

51.72

Nolan Aludino

V

116/240

48.33%

31.34

35.63

Martin Cabahug

IV

111/240

46.25%

28.04

24.14

Rommel deLeon

IV

109/240

45.42%

22.43

20.11

Jeffy Guerra

IV

124/240

51.67%

58.88

58.05

Haidee Cruz

III

83/180

46.11%

40.00

40.00

Benjie Deveza

III

66/180

36.67%

0.00

0.00

Harvey Balucating

II

72/120

60.00%

94.94

96.18

Edwin Estonilo

II

49/120

40.83%

19.62

26.04

Roberto Gonzales, Jr.

II

61/120

50.83%

74.05

75.37

Michelle Galang

I

57/120

47.50%

64.62

62.50

Jonathan Malabanan

I

51/120

42.50%

42.31

36.11

Michael Sunaz

I

49/120

36.67%

12.31

10.07

Edelweis Velasquez

I

54/120

45.00%

50.77

49.65

2.5 Name of residents from other institutions

N/A

2.6 Names of graduates of the program and their status

NUMBER OF GRADUATES…………………………………………………….81

A.FELLOWS…………………………………………………………………24

B. DIPLOMATES

(JUST PASSED PART 1 & 2, SINCE 2002)……………………..9

A. NON-FELLOWS…………………………………………………………48

a. PASSED PART I………………………………. 24

b. HAVE NOT PASSED/TAKEN PART I…….24

SURGICAL TRAINING PROGRAM GRADUATES AND THEIR PLACEMENTS

1973Mauricio Ambrosio MD(deceased)

Bernardo S. Fernandez MDFPOA, FPCS, FWPOA

Consultant, Orthopedic Surgery

Private Practice

1974Edgardo Santos MDFPCS, Director, Mt. Banawe General Hosp.

1975Isidro Quiza MD FPCS, presently in the USA

1976Arturo Chavez MDFPCS

Private practice

1977Joey Bedia MDPrivate practice, Iloilo

Passed written exam, PBS part I

1978Arellano T. So MDMBA, DPBS, FPCS, FICS

Director, OMMC 1992 to 1995, 1999-2000

(deceased)

1979Rafael Medel MDPrivate practice

Gil MarasiganDPBS, FPCS

Private practice

1980Liberty de GuzmanDPBS, FPCS

Private practice

Rodolfo Roquino MDDPBS, FPCS

Private practice

1981Antonio Romero MDPrivate practice (UAE)

Rodolfo Valeriano MDPrivate practice

1982Harry L. Go MDDPBS, FPCS, FPSGSConsultant, OMMC, Dept of Surgery

Associate Chairman,

Department of Surgery, College of

Medicine, PLM

Daniel Mata, MDAssistant Professor,

Department of Surgery, PLM

Passed written exam, PBS Part I

1983Demosthenes Reyes MDDPBS, FPCS

Private practice

Bibiano Austria MDPrivate practice

1984Edgardo Fernandez MDDPBS, FPCS

Private practice

Chairman, Department of Surgery,

Perpetual Help Medical Center

(Las Pinas)

Lily Oyog MDPrivate practice (Taiwan)


Laverne Malit MDDPBS, FPCS

Private practice

1985Roman Manalang MDPrivate practice


Rene Mangahas MDPrivate practice (Tarlac)

1986Leandrito Rojas MDPrivate practice (Cavite)


Demetrio Flores MDPrivate practice (Isabela)

1987Nestor Rivera MDPrivate practice (Pangasinan)

Thomas Marquez-Lim MDDPBS, FPCS

Private practice (Davao City)

Danilo Ramilo MDDirector, Talisay District Hospital


1988Rommel G. Carino MDDPBS, FPCS, FTCVS

Consultant, Philippine Heart Center

Braulio Ocampo MDMedical Director, United Lab Pharmaceuticals

Private practice


1989Eutiquio Imperial MDDPBS, FPCS, FTCVS

Consultant, Philippine Heart Center

Julius Inocencio MDPrivate practice


1990Eduardo Arguelles MDDPBS, FPCS

Private practice

Carlos Lagman MDDPBS, FPCS

Private practice

Jose Dorotan MDPrivate Practice

1991Ma. Mercedes Altavas MDDPBS, FPCS

Private practice

Nilo Javier MDPrivate practice


1992Federico Dazo MDDPBS, FPCS

Private practice

Leandro Resurreccion III MD DPBS, FPCS, Fellow, Pediatric Surgery

Graduate, Pediatric Surgery, PGH

Private practice

Gabriel Eala MDPrivate practice

1993Juvenal Quitiquit MDFellow, TCVS, Philippine Heart Center

DPBS, FPCS

Teodoro C. Cabiscuelas MD Private practice

Passed written exam, Part I PBS

1994Leopoldo Orantia MDMedical Officer IV, ER Department, OMMC


Albert Daco MDPrivate practice

Arturo Decano, M.D.Private practice

Lecturer, St. Luke’s Medical Center,

College of Medicine

1995Joselito Luceno MD Private practice


Medical Officer IV, Gat Andres Bonifacio

Memorial Medical Center

Isagani Orogo MDPrivate practice

German Estrella MDSan Francisco Medical Center, Tissue Bank, California

Karl Oliver Laqui MDPrivate practice


Rafael Montemayor, MDPresently in the USA

Research Coordinator, Northern California

Transplant Bank (Tissue Bank

International)

1996 Donnatella Valena MDHospital Director, St. Peter General Hosp.

Gumaca, Quezon

Sherwin Villaruel MDMedical Officer III, Gat Andres Bonifacio


Hipolito Resonable MDPrivate practice, Ilocos

(deceased)

Ignacio Alcantara MDPrivate practice, Pagsanjan

Eleanor Cruz MD Medical Officer III, Gat Andres Bonifacio


1997Hector Mercado MDDPBS

Medical Officer III, Gat Andres Bonifacio


Danilo Sedutan MDChief of Clinics, Protacio Memorial Hosp


Luz Andaya-Velasco MDPrivate practice


1998Allan Hilario MDMedical Director, St. Peter General Hosp


Joseph Tibio MDMedical Officer III, Gat Andres Bonifacio



Mario Lato MDGat Andres Bonifacio


1999Anthony J. Ramos, MDPresently in the USA

2000Stephen F. Marcelo, MDPassed written Exam, PBS Part 1

Medical Officer, Ospital ng Sampaloc

2002 Ana Maria G. Agoo-Llado, MD DPBS

Currently in Australia

Joseph A. Estanislao, MD DPBSSamar

Vivian P Enriquez, MDFPCS, FPSGS

Surgical oncology

Consultant-OMMC

Nolim’t Jay T. Raquel, MDFPCS, FPSGS

San Juan Municipal Hospital

2003 Rolando V. De Guzman, MD DPBS

Mindoro

Alfred D. Troncales, MD DPBSPediatric Surgeon

Alexander D. Deveza, MD DPBS

Private Practice

Miguel Gary D. Galvez, MD Passed Written Exam, Part 1

Medical Officer Volunteer

Ospital ng Maynila

2004 Marlou O. Padua, MDPassed Written Exam, Part 1

Calamba, Laguna

Redomir Roque, MDPassed Written Exam, Part 1

Medical Officer III- GAT Andres Manila

Maria Hazel Z. Turingan, MDDPBS

Fellowship Training

In Thoracocardiovascular Surgery

(PGH) –will finish on 2008

2005 Janix M. DeGuzman, MDDPBSMedical Officer Volunteer

Ospital ng Maynila

Runie Ann Claire Chan, MDPassed Written Exam, Part 1

In Fellowship Training Pediatric Surgery

(PCMC)

2006Ma. Cecilia T. Leyson, MDPassed Written Exam, Part 1

Private Practice

Derrick Chua, MDDPBS

Professor, UERM

PT Division

Oliver S. Leyson, MD Board Eligible for Part I & II

Jose Mario Amado M. Pingul, MDPassed Written Exam, Part 1

Private Practice

2007Roderick S. Mujer, MD Board Eligible Part 1 & II

Nolan Aludino, MDBoard Eligible Part 1 & II

3. CONFERENCES

Regular schedule all year round:

Tuesdays:

8-9 am: Medical Anecdotal Report

9-10am: 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 Conference

CPD = Case Presentation and Discussion

JC/D/E/GR = Journal Club / Debate / ECHO / Grand Round

PR = Performance Report

BM = Business Meeting

CPG = Clinical Practice Guidelines

Med- Surg Education = Medical-Surgical Education

HTB = Hospital Tumor Board

2007 Conferences

JanuaryDisaster preparedness program-Skin and Soft Tissue Infection-Cancer Consciousness Week

T

TH

2

4

8-9

MPR (Annual)

Governance

9-10

Business Meeting

10-11

MAP

9

11

8-9

SA-PP-MM

Trauma

Disaster preparedness program

9-10

CPD

SST- Infection

(Non Complicated)

Dr. Galang

10-11

JC/D/E/GR

ECHO

PCS Annual Convention

Topics

16

18

8-9

SA-PP-MM

Med-Surg Ed

NeuroSurgery Lecture

Dr. Orata

9-10

CPD

SST- Infection

(Complicated)

Dr. Malabanan

HTB

Cancer Registry

Dr. Guerra/ Balucating

10-11

JC/D/E/GR

23

25

8-9

SA-PP-MM

Journal Club

Critical Appraisal

9-10

CPD

Grand Rounds

Congenital Hernia

Dr. Gabriel

Research Update

10-11

JC/D/E/GR

30

8-9

SA-PP-MM

9-10

CPD

Acquired Hernia

Dr. Sunaz

10-11

JC/D/E/GR

February

T

TH

1

MAR

CPG

SST-Infection

CPD

Dr. Galang/ Malabanan

Dr. Daguigoy

Dr. Olegario

FM- Srg Rotators

6

8

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

CPD

Grand Rounds

Ano-Rectal Fistula

Dr. Velasquez

MPR

Dr. Deleon/ Deveza

Governance

CPG

Hernia

Dr. Gabriel/

Sunaz

13

15

8-9

MAR

MAR

9-10

SA-PP-MM

DEBATE

10-11

CPD

Dificulty in Urination

Dr. Balucating

20

22

8-9

MAR

MAR

9-10

SA-PP-MM

Med-Surg Ed

Critical Care

Ventilatory Set-Up

Dr. Hernandez

10-11

JC/D/E/GR

CPD

Acute Abdomen in Infants

Dr. Estonilo

CPG

Ano-Rectal Fistula

Dr. Velasquez

27

8-9

MAR

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

SST-Tumor

Dr. Gonzales

March

Colorectal Cancer

T

TH

1

MAR

Med-Surg Ed

Colorectal

Session with Anesthesia Department

Re: Guidelines and other matters

Dr. Catherine Co

6

8

8-9

MAR

MAR

MPR

Dr. Deleon/ Deveza

Governance

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

Grand Rounds

SST-Tumor

Dr. Gonzales

Tissue Review

Surgery & Pathology

Dr. Cruz

13

15

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

Vomiting

Dr. Cruz

Business Meeting

20

22

8-9

MAR

MAR

9-10

SA-PP-MM

HTB


10-11

11-12

JC/D/E/GR

CPD

Parasurgical Conference

Upper G.I Bleeding

Dr. De Veza

Meeting with OB-Gyne, Anes, ENT/Ophtha

27

29

8-9

MAR

MAR

9-10

SA-PP-MM

Research Update

10-11

JC/D/E/GR

CPD

Repeat presentation

Upper G.I Bleeding

Dr. De Veza

April

T

TH

3

8-9

MAR

5

HOLIDAY!!!!!

HOLY WEEK

MAUNDY THURSDAY

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

Lower G.I Bleeding

Dr. Cabahug

10

12

8-9

MAR

MAR

MPR

Drs.De Leon/ Deveza

Governance

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

Resectable Colo-Rectal CA

Dr. De Leon

Journal Club

Critical Appraisal

Dr. Gabriel/

Guerra

17

19

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

JC/D/E/GR

CPD

Grand Rounds

Unresectable Colo-Rectal Cancer

Dr. Guerra

24

26

8-9

MAR

MAR

9-10

SA-PP-MM

CPG

Ano-Rectal Fistula

Dr. Velasquez

10-11

JC/D/E/GR

CPD

Acute abdomen – Peritoneal Irritation in Newborn

Dr. Aludino

MAY

T

TH

1

8-9

SA-PP-MM

3

MAR

9-10

CPD

HOLIDAY!!!!

MPR

Drs. de Leon/Deveza

Governance

10-11

JC/D/E/GR

Business Meeting

8

10

8-9

MAR

MAR

Tissue Review

Surgery & Pathology

(February)

Dr. Cruz

9-10

CPD

Grand Rounds

Acute abdomen – Peritoneal Irritation in Adult

Dr. Mujer

10-11

JC/D/E/GR

15

17

8-9

MAR

MAR

9-10

CPD

Non-acute abdomen

Dr. Gabriel

Debate

Hernia

10-11

JC/D/E/GR

CPG

Difficulty in Urination

Dr. Balucating

22

24

8-9

MAR

MAR

9-10

CPD

Extremity Trauma

Dr. Galang

HTB


10-11

JC/D/E/GR

29

31

8-9

MAR

MAR

9-10

CPD

Chest Trauma

Dr. Malabanan

10-11

JC/D/E/GR

Research Update

June

T

TH

5

7

8-9

MAR

SA-PP-MM

MAR

MPR

Drs.De Leon/ Deveza

Governance

9-10

CPD

Chest Trauma

Dr. Malabanan

CPG

Acute Abdomen

Dr. Estonilo

10-11

JC/D/E/GR

CPG

SST-Tumors

Dr. Gonzales

12

14

8-9

MAR

CPG

Vomiting

Dr. Cruz

9-10

10-11

JC/D/E/GR

Abdominal Trauma

Dr. Sunaz

CPG

G.I Bleeding

Dr. Cabahug/

Deveza

19

21

8-9

MAR

SA-PP-MM

MAR

9-10

CPD

Grand Rounds

Craniocerebral Trauma

Dr. Velasquez

Journal Club

Critical Appraisal

Dr. Cabahug/ Galang

10-11

JC/D/E/GR

Parasurgical Staff Meeting

Ward and OR Nurses

26

28

8-9

MAR

SA-PP-MM

MAR

9-10

CPD

Abdominal-Vascular Trauma

Dr. Balucating

Med-Surgical Education

Endourology

Dr. J.L Sy

10-11

JC/D/E/GR

July

Cancer- National Disaster Consciousness

T

TH

3

5

8-9

MAR

MAR

9-10

SA-PP-MM

MPR

Drs. De Leon/ Deveza

Governance

10-11

CPD

Mortality Review

BM

JC/D/E/GR

10

12

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

CPD

Head & Neck Trauma

Dr. Estonilo

Tissue Review

Surgery & Pathology

(April&May)

Dr. Cruz/ Gonzales

JC/D/E/GR

17

19

8-9

MAR

MAR

9-10

SA-PP-MM

HTB


10-11

CPD

Mortality Review

JC/D/E/GR

24

26

8-9

MAR

MAR

9-10

SA-PP-MM

Research Update

10-11

CPD

Head Tumor

Dr. Gonzales

JC/D/E/GR

31

8-9

MAR

9-10

SA-PP-MM

10-11

CPD

Mortality Review

JC/D/E/GR

AUGUST

T

TH

2

MAR

CPG

G.I Bleeding

Dr. Cabahug/

Deveza

7

9

8-9

MAR

MAR

9-10

SA-PP-MM

MPR

Drs.De Leon/ Deveza

10-11

CPD

Neck Tumor

Dr. Cruz

PSGS Requirements Review

JC/D/E/GR

14

16

8-9

MAR

MAR

9-10

SA-PP-MM

Journal Club Critical Appraisal

Dr. Gonzales/ Sunaz

10-11

CPD

Mortality Audit

JC/D/E/GR

21

23

8-9

MAR

MAR

9-10

SA-PP-MM

CPG on Colorectal Cancer

Dr. Deleon/

Guerra

10-11

CPD

Salivary Gland Tumor

Dr. Deveza

JC/D/E/GR

28

30

8-9

MAR

MAR

9-10

SA-PP-MM

DEBATE

10-11

CPD

G.I Tumors

Dr. Cabahug

JC/D/E/GR

September

T

TH

4

6

8-9

MAR

MAR

9-10

SA-PP-MM

MPR


Governance

10-11

CPD

Mortality Audit

JC/D/E/GR

11

13

8-9

MAR

MAR

9-10

SA-PP-MM


De Leon/ Velasquez

10-11

CPD

Malignant Breast Disorder (Early)

Dr. De Leon

JC/D/E/GR

18

20

8-9

MAR

MAR

9-10

SA-PP-MM

HTB


10-11

CPD

Malignant Breast Disorder (Advanced)

Dr. Guerra

JC/D/E/GR

25

27

8-9

MAR

MAR

9-10

SA-PP-MM

Pre-Res Case Presentation

Dr. Jawali

10-11

CPD


Dr. Fonte

Tissue Review

Surgery & Pathology

(June & July))

Dr. Cruz/ Gonzales

OCTOBER

T

TH

2

4

8-9

MAR

MAR

9-10

SA-PP-MM

MPR


Governance

10-11

CPD

JC/D/E/GR


Dr. Peralta

Business Meeting

9

11

8-9

MAR

MAR

CPG

Trauma

Balucating/ Estonilo/ Galang/ Malabanan/ Sunaz/ Velasquez

9-10

SA-PP-MM

10-11

CPD

JC/D/E/GR

Mortality Review

CPG

Head and Neck Tumors

Cruz/Deveza/

Gonzales

16

18

8-9

MAR

MAR

9-10

SA-PP-MM


Dr. Estonilo

10-11

CPD

JC/D/E/GR

Graded Oral Presentation

23

25

8-9

MAR

MAR

9-10

SA-PP-MM

“Critical Care”

Medical-Surgical Education

Dr. Dennis Hernandez/

Dr. Janix De Guzman

10-11

CPD

JC/D/E/GR

Mortality Review

30

8-9

MAR

9-10

SA-PP-MM

10-11

CPD

JC/D/E/GR


November

T

TH

1

HOLIDAY!!!

6

8

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

CPD


Dr. Cabahug

MPR


Governance

JC/D/E/GR

13

15

8-9

MAR

MAR

9-10

SA-PP-MM

10-11

Journal Club

Critical Appraisal

Dr. Gonzales

Residents

Research Topic Presentation

20

22

8-9

MAR

MAR

9-10

SA-PP-MM

HTB


10-11

CPD

Mortality Audit

Pre- Res Case Presentation

JC/D/E/GR

27

29

8-9

MAR

MAR

9-10

SA-PP-MM

Tissue Review

Surgery & Pathology

(September & October)

Dr. Cruz/ Gonzales

10-11

Journal Club

Critical Appraisal

Dr. Deveza

December

T

TH

4

SA-PP-MM

6

Journal Club

De leon/Sunaz

MPR


7

Strategic Planning

11

13

MAR

SA-PP-MM

Journal Club

Residents

Research Topic Presentation

18

20

Business meeting

Perpetual Duty Planning

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 Setting

Rubi Ann Claire Chan, MD

Reynaldo 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 Aspirationby 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

PAPERS PRESENTED IN 4TH ASIA-PACIFIC PROBLEM BASED LEARNING FORUM

1. Distance and On-Line Education in a Department of Surgery in the Philippines – presented by Marlou Padua, MD

2. Systematization of Problem-Based Learning Activities in a Department Of Surgery in the Philippines – presented by Redomir P. Roque, MD

3. Debate As A Teaching-Learning Activity In A Department Of Surgery In The Philippines – presented by Hazel Turingan, MD

4. Development of a Balanced Scorecard in the Department of Surgery in the Philippines – presented by Anthony Adrian Yu, MD, FPCS, Janix M. de Guzman, MD

5. Structured Management of a Patient Process – An Algorithm to Facilitate Problem-Based Learning in Medicine– presented by Janix M. De Guzman, MD

6. Development of a health-process-evidence based Clinical Practice Guidelines model in a Clinical Department in the Philippines- presented by Rubi Ann claire Chan, MD

7. Action Research Program of OMMC Surgery– presented by Derrick Chua, MD

8. Faculty-Assisted Time Management Program for Surgical Residents of OMMC Surgery – presented by Edgardo Penserga, MD

9. Learning Portfolio as a clinical teaching activity in a department of Surgery – presented by Oliver Leyson, MD

10. Journal Club in a Clinical Department in the Philippines- presented by Jose Mario Amado M. Pingul, MD

11. OMMC Surgery Clinical Pictorial Examination for Senior Medical Students – presented by Maria Cecilia T. Leyson, MD

12. Development of a Performance Evaluation System in the Department of Surgery OMMC – presented by Roderick Mujer, MD

13. Medical Anecdotal Reporting as a Teaching Learning Activity in a Clinical Department in the Philippines – presented by Nolan, Aludino, MD

14. Development of a Knowledge Management System in a Department of Surgery in the Philippines – presented by Martin Joseph Cabahug, MD

15. Development of a Structured Curricular Program to Maximize Learning from Patient Mortality and Morbidity – presented by Rommel De Leon, MD

16. Social Responsibility Program in a Department of Surgery in the Philippines – presented by Jeffy Guerra, MD

17. Structured Curricular Program on Surgical Operations for Surgical Residents of OMMC Surgery – presented 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 2007

1. 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 Report

Harvey Balucating, MD

7. Efficacy of sclerotherapy using povidone iodine in the management of ganglion cyst

Carcinosarcoma: a case report

Roberto Gonzales, MD

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

9. Incision and drainage without packing vs I&D with packing

Mucinous cyst adenoma on the colon mesentery

Michelle Galang, MD

10. Clinical indicators of Ileocecal Tb: a case series

Pseudopapillary tumor of the pancreas: a case report


11. Literature review on clinical indicators of intracranial Injury among pediatric patients

Double primary carcinoma: a case report

Michael Sunaz, MD

12. Complete Vs Partial closure in Non perforative Appendicitis in ages 13-60.


5.Other Departmental Activities

-Disaster Preparedness Program

- Operasyon Pinoy

6.Rotations of Residents

NAME

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Mujer

GSIII

GSIII

GSIII

GSIII

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

Aludino

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

Cabahug

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

De Leon

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

Guerra

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

Cruz

SS2

SS2

SS2

SS2

SS3

SS3

SS3

SS3

SS1

SS1

SS1

SS1

Deveza

SS3

SS3

SS3

SS3

SS1

SS1

SS1

SS1

SS2

SS2

SS2

SS2

Balucating

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

Estonilo

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

Gonzales

GSI

SS1

GSI

SS1

GSI

SS1

GSI

SS1

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSIII

SS3

GSII

SS2

GSII

SS2

GSII

SS2

GSII

SS2

Gabriel

GSI

GSI

GSI

GSI

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

Galang

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

Malabanan

GSII

GSII

GSII

GSII

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

Sunaz

GSII

GSII

GSII

GSII

GSIII

GSIII

GSIII

GSIII

GSI

GSI

GSI

GSI

Velasquez

GSI

GSI

GSI

GSI

GSIII

GSIII

GSIII

GSIII

GSII

GSII

GSII

GSII

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

rojosonommcsurgeryfilesandnotes.files.wordpress.com… · Web viewA Randomized Clinical Trial Comparing Partial Wound Closure and Secondary Wound Closure in the Prevention of Surgical