Pinoy MD Philippine Medical Scholarship Program

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Pinoy MD A 10-yr Philippine Medical Scholarship
Program
Kenneth G. Ronquillo, MD, MPHM, CESE Director IV
Health
Human Resource Development Bureau Department of
Health
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Pinoy MD Philippine Medical Scholarship
Program
A program Designed to produce competent,
committed and community-oriented doctors that
would address the needs of the health sector.

• A partnership between the Philippine Charity
  Sweepstakes Office (PCSO), the Department of
  Health (DOH) and selected Private Medical
  Colleges and State Universities.

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Decline in Production Workforce Element

• Education is expensive with low return of
  investment (up to P85,000/sem)
• Decline in enrolment from 10 to 70
• Decline in NMAT takers by 24 (4,475) in 2003
  9 (4,070) in 2004
• Passing rate of 51.4 - 66 over the last 5 years
• Better compensation and career opportunities
  elsewhere

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Distribution of Physicians per Region 1998-2004
Inequitable Distribution Workforce Element
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Low Retention Workforce Element

• Migration
• Policy Gaps (Magna Carta, Labor Code)
• Compensation differential between the public and
  private hospitals
• Difficult working environment

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Vacant Physician Posts
Source CHED Survey 2004, HHRDB Survey, 2007
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Pinoy MD Program Design and Career Paths
Selection by PMD Member Schools

• Scholarship grant to include
• tuition fees
• board and lodging
• books
• basic equipment
• transportation
• monthly allowance
• fees for the licensure review
• fees for the licensure exam

Medical school
5-year scholarship
Licensure Exam

• DTTB Medical Pool Govt Ofc
  Univ./Col.
• (Rural) (Specialist) (Public Health)
  (Academe)

10-year payback
(Suggested)
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Budget Allocation Scholarship Cost

• 1. Payment for Partner Schools
• Per semester
• 1.2 Tuition Fees 15,000.00
• 1.3 Miscellaneous 2,000.00
• 1.4 Laboratory 500.00
• 1.5 Student Fund 500.00
• P18,000.00
• Allowances per Scholar per semester
• 2.1 Book 10,000.00
• 2.2 Uniform 2,500.00
• 2.3 Living Subsidy 18,000.00
• 2.4 Lodging 12,000.00
• 2.5 Transportation 7,200.00
• 2.6 Miscellaneous 5,000.00
• P54,700.00

• Subtotal per semester P72,700.00
• Subtotal per year P145,400.00
• PhilHealth Insurance P1,200.00
• for Scholars
• Total Per Scholar P146,600.00
• Not inclusive of management costs and immersion
  programs.

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Program Status Quick Overview
Current Scholars Batch 1 52 scholars
Batch 2 82 scholars PMD Schools 12
partner schools in 7 regions Funding Agencies
PCSO main agency for scholarship cost. PMD
Med Schools augment cost. HHRDB currently
shoulders management costs. CHD augments
management costs. Improvements In MOA,
contracts and application processes.
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Policies and Mechanisms to Sustain PMD
Program

• Unload Capital / Lower Program Cost
• Require short term rural service from board
  passers, thus decreasing PMD scholarship items
• Partner with MD-nurses and other agencies to
  sustain scholars/government items for scholars
  (sponsorship)
• Added tax for MDs nursing tuition to sustain
  scholars/government items
• Beneficiary counterparts
• Require counterpart from the benefactor in terms
  of MD items to be created over 5 yrs time to
  sustain remaining 5 yrs (10-yr payback) OR to
  have the sustain remaining 2 yrs of payback
  (5-yr payback)

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Policies and Mechanisms to Sustain PMD
Program

• Sustain or Increase Number of Applicants
• Partner with involved organizations to decrease
  cost of related entrance examinations and
  requirements (eg, NMAT, MCAT, College Application
  Forms, etc.)
• Open application to all sects.
• Increase number of PMD Member Schools to cover
  all regions
• Adjustments in Payback Mechanism
• Decrease to 5 years Civil Service policies
  involved
• Provide options for adjustments in10-yr payback.
  Eg, 1 barrio year2 NCR years (academe, residency
  in NCR, government office, etc)

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Policies and Mechanisms to Sustain PMD
Program

• Ensure current funding
• PCSO commitment
• PMD Medical Schools commitment

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1. Pay Equity
Policies and Mechanisms for Workforce
Retention
Standardized entry level compensation for HRH,
including medical residents
Option 1 Support the passage of the Government
Compensation Classification Act (GCCA bill)
Option 2 Creation of a separate health sector
from non-agricultural sector for minimum wage
setting by the Regional Wage Board
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Policies and Mechanisms for Workforce
Retention
2. Rights and Benefits
Increased compensation and benefits to HRH in
general, and specifically to those in hard to
reach areas and/or hard to fill positions
Option 1 Issuance by DILG of a policy/circular
reiterating the strict implementation by LGUs of
the Magna Carta, particularly in hard to reach
areas
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Policies and Mechanisms for Workforce
Retention
2. Rights and Benefits
Option 2 Amend the Magna Carta IRR to delete the
clause subject to the availability of funds
and replace with the clause incorporated in
their annual budgetary proposal for the national
agencies and, incorporated in their respective
local budget (LGU).
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Policies and Mechanisms for Workforce
Retention
2. Rights and Benefits
Option 3 Amend the Magna Carta IRR by increasing
sanctions for non-compliance by payment of double
indemnity (to be at par with the Labor Code).
Option 4 Provide sanctions for violations by
private sector health facilities of labor laws,
sanctions such as revocation or non-renewal of
license to operate amending DOH AO 147 s.2004 and
non-issuance/renewal of business permits for
non-DOH licensed health facilities
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Policies and Mechanisms for Workforce
Retention
3. Social Responsibility of Private Sector

• Option 1 Issuance of a policy by DOLE for
  monitoring health facilities for compliance with
  the labor code using the following models
• Kapatiran WISE-TAV (Big Brother-Small Brother
  pilot program)
• Inspection Blitz
• Zero-Accident Program

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Pinoy MD Health Human Resource
Development Bureau

• MARIO C. VILLAVERDE, MD, MPH, MPM, CESO II
• Pinoy MD Project Manager
• KENNETH G. RONQUILLO, MD, MPHM, CESE
• Chairman of the Secretariat and
• Administrative Support
• RODEL G. NODORA, MD, EMBA
• Vice-Chairman of the Secretariat

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Pinoy MD Philippine Medical Scholarship
Program

• Thank You!

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Pinoy MD Philippine Medical Scholarship
Program

• (Extra slides follow)

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Pinoy MD Our Budget and Allocations
Scholarship Cost per Year
Scholarship Cost for Years 1 to 6 P343,158,129
Management Cost per year P3,902,000.00
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PMD Under New Management
Health Human Resource Development Bureau (HHRDB)

• 9 PMD Member Schools
• Emilio Aguinaldo Educational Corporation, Manila
• Pamantasan ng Lungsod ng Maynila, Manila
• University of the Philippines Manila, Manila
• Our Lady of Fatima University, Manila
• Cagayan State University, Cagayan
• West Visayas State University, Iloilo
• University of St. La Salle, Bacolod
• UP Manila School of Health Sciences, Leyte
• Mindanao State University, Iligan

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PMD Under New Management
Health Human Resource Development Bureau (HHRDB)

• 3 New PMD Member Schools
• 1. Davao Medical School Foundation, Davao
• 2. Matias Aznar Memorial College of Medicine,
  Cebu
• Iloilo Doctors College of Medicine, Iloilo
• Total of 12 PMD Member Schools in 7 Regions

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Pinoy MD Our Framework

• Provisions
• Must complete medical degree and pass Physicians
  Licensure Exam within prescribed period.
• Payback for willful breech of contract is total
  amount spent on scholarship plus 10 interest per
  annum.
• Payback for unavoidable breech of contract is 2
  years service to government for every year of
  scholarship spent.