5-star physician: am i? how to be?

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A ROJoson lecture in the University of the Philippines College of Medicine Learning Unit 3 class. ROJoson - one of the 5 resource persons invited by Dr. Delen de la Paz for her class on 5-Star Physician.

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5-Star PhysicianUPCM LU3 HS 201 Human Health and Wellness

March 24, 2014

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

Courtesy of Dr. Delen dela Paz

5-Star PhysicianAm I?

How to Be One?

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianAm I?

How to Be One?

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star Physician * Care provider

* Decision-maker

* Communicator

* Community leader

* Manager

**WHO Proposed Ideal Profile of a Physician

Charles Boelen~1993

5-Star Physician * Care provider

* Decision-maker

* Communicator

* Community leader

* Manager

**WHO Proposed Ideal Profile of a Physician

possessing a mix of aptitudes

to carry out range of services to meet the requirements of

Relevance

Quality

Cost-effectiveness

Equity

in health

5-Star Physician

• Care Provider • Decision-maker • Communicator • Community Leader • Manager

WHO

• Care Provider • Decision-maker • Communicator • Community Leader • Team Member

WONCA

Health Care Provider• Counselor• Researcher• Educator• Leader / Manager• Social Mobilizer

UP-PGH-CM Dept of Fam & Com Med

• Healer • Counselor • Researcher / Life-long Learner

• Educator / Teacher • Manager/Social Advocate

OMMC Dept of Fam & Com Med

5-Star Physician - Parameters

Aptitude Mix

•Health Care Provider / Healer / Counselor

•Decision-maker (Ethical and Cost-effective)

•Communicator / Counselor / Social Advocate

•Community Leader /Social Advocate

•Manager / Team Member / Social Advocate

•Researcher / Life-long Learner

•Teacher / Educator

•Other specific parameters from WHO and WONCA

**Collated from WHO, WONCA and PH Departments of Family and Community Medicine

5-Star Physician * Care provider

* Decision-maker

* Communicator

* Community leader

* Manager

**WHO Proposed Ideal Profile of a Physician

• assesses and improves the quality of care

• makes optimal use of new technologies

• promotes healthy lifestyles

• reconciles individual and community health requirements

• works efficiently in teams

5-Star Physician a CARE PROVIDER

who considers the patient as an integral part of a family and the community and provides a high standard of clinical care (excluding or diagnosing serious illness and injury, managing chronic disease and disability) and

provides personalised preventive care whilst building a trusting patient- doctor relationship

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a DECISION MAKER

who chooses which technologies to apply ethically and cost-effectively while enhancing the care that he or she provides

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a COMMUNICATOR

who is able to promote healthy life-styles by emphatic explanation, thereby empowering individuals and groups to enhance and protect their health

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a COMMUNITY LEADER

who has won the trust of the people among whom he or she works, who can reconcile individual and community health requirements and initiate action on behalf of the community

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a TEAM MEMBER

who can work harmoniously with individuals and organisations, within and outside the health care system, to meet his or her patients and community's needs

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star PhysicianAm I One? an Epitome?

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianAm I an Epitome?

What are theKey Result Areas?

Key Performance Indicators? *

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianAm I an Epitome?

Self-assessment

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader / Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

I ACCOMPLISH AND PRACTICE THESE!

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment

reconcile individual and community health requirements (WHO)

consider the patient as an integral part of a family and the community and provides a high standard of clinical care and providepersonalised preventive care whilst building a trusting patient- doctor relationship (WONCA)

I ACCOMPLISH AND PRACTICE THESE!

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader / Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator I OBTAINED AND PRACTICE THESE UP TO NOW!

MD (Doctor of Medicine) - 1974

MHA (Master in Hospital Administration) – 1991

MHPEd (Master in Health Profession Education) – 1993

MSc Surg (Master of Science in Clinical Medicine – General Surgery) – 1998

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Manager / Team Member• Director, UPCM Postgraduate Institute of

Medicine (1989-1991)• Division Chief, UP-PGH GSI (1994-2000)• Assistant Medical Director, MDH (1989-

2009)• Head, Corporate Planning Office, MDH

(2005-2009)• Senior Vice-President for Corporate

Affairs, MDH (2009-2014) • Chairman, Department of Surgery, Ospital

ng Maynila Medical Center (2001-1999)

Team Member of Organizations Mentioned

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Researcher

Published papers =50 (4 - international; 47 – local);(9 – from 2000 to October, 2006)

Research awards >16 (1976 – October, 2006)

*As of 2012

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Learner

Problem-based Learner Self-directed Learner

Masterals (3)

Writings and lectures (numerous)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / TeacherSubjects:

Medicine (particularly Surgery)Hospital Administration

Health Profession EducationPublic Health

Author- Scientific Papers > 100; Scientific Books/Primers/Course Packs > 80 [as of December 2012]

Websites = 207 [as of December 26, 2013]YouTube Publications = 165 [as of Mar 2014]Facebook Pages

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / TeacherOutreach Surgical Education

UPCM-DOH Postgraduate Circuit Courses in Provincial Hospitals (1989-1991)

Distance Education in General Surgery in Zamboanga City Medical Center (1991-1997)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / TeacherOutreach Medical Education

Zamboanga Medical School Foundation (now Ateneo de Zamboanga University School of Medicine) – Problem-based, competency-based, and community-based medical curriculum) – 1994 – 1997

First medical school in the Philippines to grant dual degree (MD-MPH)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / TeacherOutreach Hospital Administration

Ciudad Medical Zamboanga (2009 – present)

First hospital in the Philippines to receive the Philippine Quality Award (2013)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / Teacher

Module Writer and Facilitator

WHO Hospital Preparedness Programs(2007 – 2011)

Online Collaborative and Interactive Learning Courses (2010 – present)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Educator / Teacher

Awards

Awardee, Lino Ed Lim Award for the Most Outstanding Medical Teacher in the Clinical

Sciences, University of the Philippines College of Medicine, 2004-2005

Most Outstanding Teacher in Oncology, Philippine Society of Oncology (October,

2006)

Centennial Professorial Chair, University of the Philippines Manila (2008)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Social Advocate

Advocacies:

Education for Health Development in the Philippines

No to Unnecessary Laboratory and Treatment Procedures

No to Unnecessary Firecracker InjuriesBeware of Santol Seed Swallowing

How to Live Life to the Fullest

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

MD - Health Care Provider / Healer / Counselor

MDH Cancer Crusaders Club (2008 up to present – longest cancer support group)

Cancer Survivor Registry (2012 – 88 as of March 2014)

Facebook with Patients, Students, and Medical Colleagues as Friends (1,400+)

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star PhysicianAm I an Epitome?

ROJoson’s Self-assessment Health Care Provider / Healer / Counselor

Decision-maker (Ethical and Cost-effective)

Communicator / Counselor / Social Advocate

Community Leader /Social Advocate

Manager / Team Member / Social Advocate

Researcher / Life-long Learner

Teacher / Educator

5-Star Physician - Parameters

Aptitude Mix

• Health Care Provider / Healer / Counselor

• Decision-maker (Ethical and Cost-effective)

• Communicator / Counselor / Social Advocate

• Community Leader /Social Advocate

• Manager / Team Member / Social Advocate

• Researcher / Life-long Learner

• Teacher / Educator

• Other specific parameters from WHO and WONCA

**Collated from WHO and PH Departments of Family and Community Medicine

5-Star Physician * Care provider

* Decision-maker

* Communicator

* Community leader

* Manager

**WHO Proposed Ideal Profile of a Physician

• assesses and improves the quality of care

• makes optimal use of new technologies

• promotes healthy lifestyles

• reconciles individual and community health requirements

• works efficiently in teams

5-Star Physician a CARE PROVIDER

who considers the patient as an integral part of a family and the community and provides a high standard of clinical care (excluding or diagnosing serious illness and injury, managing chronic disease and disability) and

provides personalised preventive care whilst building a trusting patient- doctor relationship

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a DECISION MAKER

who chooses which technologies to apply ethically and cost-effectively while enhancing the care that he or she provides

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a COMMUNICATOR

who is able to promote healthy life-styles by emphatic explanation, thereby empowering individuals and groups to enhance and protect their health

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a COMMUNITY LEADER

who has won the trust of the people among whom he or she works, who can reconcile individual and community health requirements and initiate action on behalf of the community

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician a TEAM MEMBER

who can work harmoniously with individuals and organisations, within and outside the health care system, to meet his or her patients and community's needs

*WONCA Criteria for 5-Star Doctor Award

(World Org. of Family Doctors)

5-Star Physician * Care provider

* Decision-maker

* Communicator

* Community leader

* Manager

**WHO Proposed Ideal Profile of a Physician

possessing a mix of aptitudes

to carry out range of services to meet the requirements of

Relevance

Quality

Cost-effectiveness

Equity

in health

5-Star PhysicianAm I an Epitome?

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianHow to Be One?

Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg

Invited Speaker

UPCM LU3 HS 201 Human Health and WellnessMarch 24, 2014

5-Star PhysicianHow to Be?

ROJoson’s Advices and Recommendations:

Not only Family Medicine Physicians should be 5-Star Physician.

All physicians regardless of specialty!

5-Star PhysicianHow to Be?

ROJoson’s Advices and Recommendations:

Not just titles - MD, Masters, PhD, President of Organizations; Members of Organizations; etc.

Must have activities, projects, and programs with tangible and measurable impact on:

• Relevance• Quality• Cost-effectiveness• Equity

in Health

5-Star PhysicianHow to Be One?

ROJoson’s Advices and Recommendations:

• Know the parameters of a 5-Star Physician (particularly aptitudes needed and key result areas and key performance indicators).

• Acquire the aptitudes as early as now and refine and reinforce thereafter.

• Look for and grab opportunities to practice the aptitudes.

• Do continual self-assessment on status.• Leave the world graciously and honorably

knowing that you are or have been a 5-Star physician.

5-Star PhysicianHow to Be One?

ROJoson’s Advices and Recommendations:

Once you are have been a 5-Star physician,

then you can say that you have accomplished your mission as a

physician in this world!

5-Star Physician

MD-Clinician

MD-Community Health Problem

Solver

MD-Educator

MD-Learner

MD-Researcher

MD-Manager

5-Star PhysicianAm I? How to Be One?

For queries,

Text me: 0918-804-03-04Email me:

rjoson2001@yahoo.com

Suggested Readings: • ROJoson’s Curriculum Vitae• ROJoson’s Legacies

*Will give URLs upon request or just Google search

5-Star PhysicianAm I? How to Be One?

Thank you for your attention!

Hope you find my talk useful!

5-Star PhysicianAm I? How to Be One?

5-Star PhysicianAm I? How to Be One?

5-Star PhysicianAm I? How to Be One?

5-Star PhysicianAm I? How to Be One?

5-Star PhysicianAm I? How to Be One?

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