what to expect as a community physician
DESCRIPTION
My slides during the presentation I gave at the first Philippine Conference on Community Health at U.P. College of Medicine in 2012TRANSCRIPT
SUPPORT FOR COMMUNITY PHYSICIANSBien Eli Nillos, MDProgram AssociateZuellig Family FoundationFormer Doctor to the Barrios, Batch 23
THE COMMUNITY PHYSICIAN Government
Physicians Non-Government
Physicians
Financial Stability
Educational Upgrade
Technical Support
Career Growth
Favorable Working Conditions
THE “PERKS” OF BEING A COMMUNITY PHYSICIAN SALARY Magna Carta For Health Workers
R.A. 7305 Sec. 15 (b) – On Call Sec. 16 - Overtime Sec. 17 – Holiday Sec. 19 (b) – Salaries Sec. 20 – Other Benefits Sec. 25 – Remote
Assignments
THE “PERKS” OF BEING A COMMUNITY PHYSICIAN Continuing Professional
Education
Technical and Program Updates (Regional/Provincial)
Continuing Medical Education (Doctors to the Barrios)
Organization-sponsored Professional updates (AMHOP, RAMP Course, Medical Societies)
THE “PERKS” OF BEING A COMMUNITY PHYSICIAN
Logistics, Equipment and Other Technical Support
Free Medicines and Vaccines (CHD/PHO)
Grants for Health Facilities
Facilitating Accreditations
“Survey results from the Department of Health reported that 10% of Philippine municipalities are doctorless. Most doctors practice in urban settings like the National Capital Region (NCR) where Manila, the nation’s capital is located.” – Mobility of Health Professionals, U.P. Manila 2011
Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet, Volume 377, Issue 9767
Many factors contribute to the uneven distribution of the health workforce, including the distribution of health facility infrastructure, poor working and living conditions in rural areas, and the concentration of income-earning opportunities (eg, through secondary employment) in urban and more prosperous areas.
Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet, Volume 377, Issue 9767
THE REALITIES ON THE GROUND SALARY Magna Carta For Health Workers
R.A. 7305, while a national law, not fully implemented
LGU-dependent – National Government seems to be “weak” in implementing this national law.
e.g.BEMONC – Doctors are on call 24 hours a day 7days a week but Magna Carta provision for On Call not implemented
THE REALITIES ON THE GROUND Continuing Professional
Education
Plenty of technical trainings, none, or at least a few, on Management/Leadership Training
Trainings don’t trickle down to the LGU level
LGU’s don’t all the time allow their RHPs/MHOs to attend trainings for many reasons
Postgraduate courses available to DTTB’s (only?)
THE REALITIES ON THE GROUND Logistics, Equipment and
Other Technical Support
While EPI vaccines/anti-TB meds are provided free, not all medicines are made available
Devolved health system – responsibility to provide health facilities rests on LGU
Not all DOH reps are functional
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