Pinoy MDA 10-yr Philippine Medical Scholarship Program

Kenneth G. Ronquillo, MD, MPHM, CESEDirector IV Health Human Resource Development BureauDepartment of Health

Pinoy MDPinoy MDPhilippine Medical Scholarship ProgramPhilippine Medical Scholarship Program

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

A programA program Designed to produce competent, committed and community-oriented doctors that would address the needs of the health sector.

Education is expensive with low return of investment Education is expensive with low return of investment (up to P85,000/sem)(up to P85,000/sem)

Decline in enrolment from 10% to 70%Decline in enrolment from 10% to 70% Decline in NMAT takers by 24% (4,475) in 2003 & 9% Decline in NMAT takers by 24% (4,475) in 2003 & 9%

(4,070) in 2004(4,070) in 2004 Passing rate of 51.4% - 66% over the last 5 yearsPassing rate of 51.4% - 66% over the last 5 years Better compensation and career opportunities Better compensation and career opportunities

elsewhereelsewhere

Decline in ProductionDecline in ProductionWorkforce ElementWorkforce Element

Distribution of Physicians per Region 1998-2004Distribution of Physicians per Region 1998-2004

0

100

200

300

400

500

600

700

800

1998 1999 2000 2001 2002 2003 2004

NCRCARIIIIIIIVVVIVIIVIIIIXXXIXIICaragaARMM

Inequitable DistributionInequitable DistributionWorkforce ElementWorkforce Element

• MigrationMigration

• Policy Gaps (Magna Carta, Labor Code)Policy Gaps (Magna Carta, Labor Code)

• Compensation differential between the Compensation differential between the public and private hospitalspublic and private hospitals

• Difficult working environmentDifficult working environment

Low Retention Low Retention Workforce ElementWorkforce Element

Vacant Physician PostsVacant Physician Posts

RegionRegion LGU HospLGU Hosp CHD HospCHD Hosp MHO*MHO* CHOCHO TotalTotal

II 1313 00 33 44 2424

IIII ---- ---- 1010 ---- ----

IIIIII ---- ---- 00 ---- ----

IVIV 00 00 66 00 66

VV ---- ---- 66 ---- ----

VIVI 1010 1414 11 33 2828

VIIVII 3333 00 1111 66 5050

VIIIVIII 1010 1414 1919 33 4646

IXIX ---- ---- 88 ---- ----

XX 2121 33 99 22 3535

XIXI ---- ---- 44 ---- ----

XIIXII ---- ---- 33 ---- ----

CARCAR 00 1515 1818 00 3333

CARAGACARAGA 88 2020 1010 88 4646

ARMMARMM -- ---- 3838 ---- ----

Source: CHED Survey 2004, *HHRDB Survey, 2007

Pinoy MD ProgramPinoy MD ProgramDesign and Career Paths

DTTBDTTB Medical Pool Gov’t Ofc Medical Pool Gov’t Ofc Univ./Col.Univ./Col.

(Rural)(Rural) (Specialist) (Specialist) (Public Health) (Public Health) (Academe)(Academe)

Selection bySelection by

PMD Member SchoolsPMD Member Schools

10-year10-yearpaybackpayback

(Suggested)(Suggested)

Scholarship grant to include: Scholarship grant to include: tuition feestuition fees board and lodgingboard and lodging booksbooks basic equipmentbasic equipment transportationtransportation monthly allowancemonthly allowance fees for the licensure review fees for the licensure review fees for the licensure exam fees for the licensure exam

Licensure ExamLicensure Exam

Medical schoolMedical school5-year5-year

scholarshipscholarship

Budget AllocationBudget AllocationScholarship Cost

11. Payment for Partner Schools. Payment for Partner SchoolsPer semesterPer semester

1.2 Tuition Fees1.2 Tuition Fees 15,000.00 15,000.00

1.3 Miscellaneous 1.3 Miscellaneous 2,000.00 2,000.00

1.4 Laboratory1.4 Laboratory 500.00 500.00

1.5 Student Fund 1.5 Student Fund 500.00 500.00

PP18,000.0018,000.00

2.2. Allowances per Scholar per semesterAllowances per Scholar per semester

2.1 Book 2.1 Book 10,000.0010,000.00

2.2 Uniform2.2 Uniform 2,500.00 2,500.00

2.3 Living Subsidy 2.3 Living Subsidy 18,000.0018,000.00

2.4 Lodging 2.4 Lodging 12,000.00 12,000.00

2.5 Transportation2.5 Transportation 7,200.00 7,200.00

2.6 Miscellaneous 2.6 Miscellaneous 5,000.00 5,000.00

P54,700.00P54,700.00

Subtotal per semesterSubtotal per semester P72,700.00 P72,700.00

Subtotal per year Subtotal per year P145,400.00P145,400.00

3.3. PhilHealth InsurancePhilHealth Insurance P1,200.00 P1,200.00

for Scholarsfor Scholars

Total Per Scholar P146,600.00*Total Per Scholar P146,600.00*

*Not inclusive of management costs and *Not inclusive of management costs and immersion programs.immersion programs.

Program StatusProgram StatusQuick Overview

Current Scholars:Current Scholars: Batch 1 – 52 scholarsBatch 1 – 52 scholars

Batch 2 – 82 scholarsBatch 2 – 82 scholars

PMD Schools:PMD Schools: 12 partner schools in 7 regions12 partner schools in 7 regions

Funding Agencies:Funding Agencies: PCSOPCSO main agency for scholarship cost. main agency for scholarship cost.PMDPMD Med Schools Med Schools

augment cost.augment cost.HHRDBHHRDB currently currently

shoulders management costs.shoulders management costs.CHDCHD augments augments

management costs.management costs.

Improvements:Improvements: In MOA, contracts and application In MOA, contracts and application processes.processes.

Unload Capital / Lower Program CostUnload Capital / Lower Program Cost• Require short term rural service from board passers, Require short term rural service from board passers,

thus decreasing PMD scholarship itemsthus decreasing PMD scholarship items• Partner with MD-nurses and other agencies to Partner with MD-nurses and other agencies to

sustain scholars/government items for scholars sustain scholars/government items for scholars (sponsorship)(sponsorship)

• Added tax for MD’s nursing tuition to sustain Added tax for MD’s nursing tuition to sustain scholars/government itemsscholars/government items

Beneficiary counterpartsBeneficiary counterparts• Require counterpart from the benefactor in terms of Require counterpart from the benefactor in terms of

MD items to be created over 5 yrs time to sustain MD items to be created over 5 yrs time to sustain remaining 5 yrs (10-yr payback) OR to have the remaining 5 yrs (10-yr payback) OR to have the sustain remaining 2 yrs of payback (5-yr payback)sustain remaining 2 yrs of payback (5-yr payback)

Policies and MechanismsPolicies and Mechanismsto Sustain PMD Programto Sustain PMD Program

Sustain or Increase Number of ApplicantsSustain or Increase Number of Applicants Partner with involved organizations to decrease cost of Partner with involved organizations to decrease cost of

related entrance examinations and requirements (eg, related entrance examinations and requirements (eg, NMAT, MCAT, College Application Forms, etc.)NMAT, MCAT, College Application Forms, etc.)

Open application to all sects.Open application to all sects. Increase number of PMD Member Schools to cover all Increase number of PMD Member Schools to cover all

regionsregions

Adjustments in Payback MechanismAdjustments in Payback Mechanism Decrease to 5 years – Civil Service policies involved Decrease to 5 years – Civil Service policies involved Provide options for adjustments in10-yr payback. Eg, 1 Provide options for adjustments in10-yr payback. Eg, 1

barrio year:2 NCR years (academe, residency in NCR, barrio year:2 NCR years (academe, residency in NCR, government office, etc) government office, etc)

Policies and MechanismsPolicies and Mechanismsto Sustain PMD Programto Sustain PMD Program

Ensure current fundingEnsure current funding• PCSO commitmentPCSO commitment

• PMD Medical Schools commitmentPMD Medical Schools commitment

Policies and MechanismsPolicies and Mechanismsto Sustain PMD Programto Sustain PMD Program

1. Pay Equity1. Pay Equity

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

Standardized entry level compensation for HRH, including medical residents

Policies and MechanismsPolicies and Mechanismsfor Workforce Retentionfor Workforce Retention

Policies and MechanismsPolicies and Mechanismsfor Workforce Retentionfor Workforce Retention

2. Rights and Benefits2. Rights and Benefits

Option 1Option 1 Issuance by DILG of a policy/circular Issuance by DILG of a policy/circular reiterating the strict implementation by LGUs of reiterating the strict implementation by LGUs of the Magna Carta, particularly in hard to reach the Magna Carta, particularly in hard to reach areasareas

Increased compensation and benefits to HRH in general, and specifically to those in hard to reach

areas and/or hard to fill positions

Policies and MechanismsPolicies and Mechanismsfor Workforce Retentionfor Workforce Retention

Option 2Option 2 Amend the Magna Carta IRR to delete Amend the Magna Carta IRR to delete the clause: the clause: “… subject to the availability of “… subject to the availability of fundsfunds”” and replace with the clause “incorporated and replace with the clause “incorporated in their annual budgetary proposal for the in their annual budgetary proposal for the national agencies” and, “incorporated in their national agencies” and, “incorporated in their respective local budget (LGU).”respective local budget (LGU).”

2. Rights and Benefits2. Rights and Benefits

Policies and MechanismsPolicies and Mechanismsfor Workforce Retentionfor Workforce Retention

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

2. Rights and Benefits2. Rights and Benefits

Policies and MechanismsPolicies and Mechanismsfor Workforce Retentionfor Workforce Retention

3. Social Responsibility of Private Sector3. Social Responsibility of Private Sector

Option 1Option 1 Issuance of a policy by DOLE for Issuance of a policy by DOLE for monitoring health facilities for compliance with the monitoring health facilities for compliance with the labor code using the following models:labor code using the following models:

• Kapatiran WISE-TAV (Big Brother-Small Brother Kapatiran WISE-TAV (Big Brother-Small Brother pilot program) pilot program)

• Inspection BlitzInspection Blitz• Zero-Accident ProgramZero-Accident Program

Pinoy MDPinoy MDHealth Human Resource Development BureauHealth Human Resource Development Bureau

MARIO C. VILLAVERDE, MD, MPH, MPM, CESO IIMARIO C. VILLAVERDE, MD, MPH, MPM, CESO IIPinoy MD Project Manager Pinoy MD Project Manager

KENNETH G. RONQUILLO, MD, MPHM, CESEKENNETH G. RONQUILLO, MD, MPHM, CESEChairman of the Secretariat and Chairman of the Secretariat and Administrative SupportAdministrative Support

RODEL G. NODORA, MD, EMBARODEL G. NODORA, MD, EMBAVice-Chairman of the SecretariatVice-Chairman of the Secretariat

Pinoy MDPinoy MDPhilippine Medical Scholarship ProgramPhilippine Medical Scholarship Program

Thank You!Thank You!

Pinoy MDPinoy MDPhilippine Medical Scholarship ProgramPhilippine Medical Scholarship Program

(Extra slides follow)(Extra slides follow)

Pinoy MDPinoy MDOur Budget and AllocationsOur Budget and Allocations

Year 1Year 1 Year 2Year 2 Year 3Year 3 Year 4Year 4 Year 5Year 5 Year 6Year 6

7,916,4007,916,400 21,608,84021,608,840 41,508,32441,508,324 65,171,61665,171,616 93,152,48493,152,484 113,800,465113,800,465

Scholarship Cost per Year:

Management Cost per year: P3,902,000.00

Scholarship Cost for Years 1 to 6: P343,158,129

PMD Under New ManagementPMD Under New Management

9 PMD Member Schools:9 PMD Member Schools:

1.1. Emilio Aguinaldo Educational Corporation, ManilaEmilio Aguinaldo Educational Corporation, Manila

2.2. Pamantasan ng Lungsod ng Maynila, ManilaPamantasan ng Lungsod ng Maynila, Manila

3.3. University of the Philippines Manila, ManilaUniversity of the Philippines Manila, Manila

4.4. Our Lady of Fatima University, ManilaOur Lady of Fatima University, Manila

5.5. Cagayan State University, CagayanCagayan State University, Cagayan

6.6. West Visayas State University, IloiloWest Visayas State University, Iloilo

7.7. University of St. La Salle, BacolodUniversity of St. La Salle, Bacolod

8.8. UP Manila School of Health Sciences, LeyteUP Manila School of Health Sciences, Leyte

9.9. Mindanao State University, IliganMindanao State University, Iligan

Health Human Resource Development Bureau (HHRDB)

3 New PMD Member Schools:3 New PMD Member Schools:

1. Davao Medical School Foundation, Davao1. Davao Medical School Foundation, Davao

2. Matias Aznar Memorial College of Medicine, Cebu2. Matias Aznar Memorial College of Medicine, Cebu

3.3. Iloilo Doctors College of Medicine, IloiloIloilo Doctors College of Medicine, Iloilo

Total of 12 PMD Member Schools in 7 RegionsTotal of 12 PMD Member Schools in 7 Regions

PMD Under New ManagementPMD Under New ManagementHealth Human Resource Development Bureau (HHRDB)

Pinoy MDPinoy MDOur FrameworkOur Framework

Provisions:Provisions: Must complete medical degree and pass Physician’s Must complete medical degree and pass Physician’s

Licensure Exam within prescribed period.Licensure Exam within prescribed period. Payback for Payback for willful breech of contractwillful breech of contract is total is total

amount spent on scholarship plus 10% interest per amount spent on scholarship plus 10% interest per annum.annum.

Payback for Payback for unavoidable breech of contractunavoidable breech of contract is 2 is 2 years service to government for every year of years service to government for every year of scholarship spent.scholarship spent.