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Residency Training
Program

  Anatomic and Clinical Pathology
  Anesthesia
  Dermatology
  Internal Medicine
  Neurology and Psychiatry
  OB-Gynecology
  Ophthalmology
  Orthopaedics
  Otorhinolaryngology
  Pediatrics
  Physical Medicine and Rehabilitation
  Preventive, Family and Community Medicine
  Radiological Sciences
  Nuclear Medicine
  DEPARTMENT OF SURGERY
  General Surgery
  Neurological Surgery
  Urological Surgery

  Anatomic Pathology
 

        The Residency Training Program in Clinical and Anatomic Pathology aims to provide the knowledge and proficiency as well as the perspective and sensibility essential to the practice of Clinical and Anatomic Pathology in a training and service-oriented tertiary general hospital in the University setting. The program integrates Clinical Pathology and Anatomic Pathology. One and a half (1 1/2) years is devoted for Clinical Pathology while the rest is devoted to Anatomic Pathology for a total duration of four (4) years of training. Clinical Pathology training encompasses the different sections/disciplines of Hematology (including special staining procedures); Microbiology and Mycology; Clinical Microscopy, Clinical chemistry; Blood Banking; and Special tests including serology, radioisotope studies, immunology and immunochemistry, immunofluorescent studies, electrophoresis, endocrinology and coagulation studies as well as toxicology and drug monitoring. The resources and scope of the Department include the clinical laboratories equipped with state of the art technology and a consultant staff available round the clock. The residents are provided hands-on training supervised closely by a consultant staff and they participate in various hospital and university conferences and activities. They have access to library facilities within the Department and the Faculty of Medicine and Surgery. Additionally, residents are encouraged to attend postgraduate courses, seminars, conventions, do research and to use the research facilities. The residents also have the additional duty to teach the undergraduate medical students, and medical technologists. They are also exposed to and required to have working knowledge and experience on subjects such as laboratory management and administration, quality control and quality assurance programs. The Clinical Laboratory residents and consultant staff work in close coordination with other Departments and hospital committees such as the Department of Forensic Medicine as well as the Hospital Infection Control Committee.

  Anesthesia
 

        The Department offers a three-year Residency Training program accredited by the Philippine Board of Anesthesiology.

        The objective of the program is mastery of preoperative medicine in managing patients for surgery in the preoperative, intra-operative and post-operative stages. It requires thorough knowledge and skills in clinical disciplines as well as basic medical sciences. The training includes acute and chronic pain control and critical care management.

  Dermatology
 

        The three-year Dermatology Residency training program is given full accreditation since 1981. All seven consultants are fellows of the Philippine Dermatological Society with different training and subspecialties abroad. The facilities for learning are the following:

  • The Skin Information Centre and Out-patient Department of Dermatology;
  • The In-patient admissions and referrals from both clinical and pay division of the hospital;
  • The "Dermatology Center" which offers phototherapy, iontophoresis, intense pulsed light (IPL) procedures, patch testing, wound management and tar baths services.

        The Residents handle varied dermatological cases with supervision from the consultants. Grand rounds, lectures and journal clubs provide more opportunity to learn and exchange new information with the chance to discuss the dermatologic aspect of cases of interest with other disciplines and sub-specialties in medicine. Residents are also given the opportunity to teach undergraduates as well as do researches.

        About 40 dermatologists have graduated from the portals of the university hospital.

  Internal Medicine
 

        The Department of Medicine offers a three-year training program in Medicine accredited by the Philippine College of Physicians. Training in Medicine is aimed at producing a clinician who has adequate knowledge and skills in General Medicine through a broad range of activities which include direct patient care in the service wards of the hospital as well as the Outpatient Department, bedside rounds and conferences. The Department of Medicine regularly holds the following conferences in which the residents, fellows, consultant staff and even medical undergraduates participate: Besides Medical Grand Rounds, Conference on Therapy, Specialty seminars in Gastroenterology, Hematology-Oncology, Pulmonary Medicine, Cardiovascular Medicine, Endocrinology, Nephrology, Rheumatology and Clinical Immunology, Infectious and Tropical Medicine, Morbidity and Mortality Audit, the different sections of the Department of Medicine, have in addition, other conferences and learning activities for the resident, intern and medical undergraduate. Residents are evaluated each year based on performance, examinations and research output.

        The Department of Medicine likewise offers Fellowship Training Programs in the following specialties: Cardiology, Endocrinology and Metabolism, Gastroenterology, Clinical Hematology, Infectious and Tropical Diseases, Medical Oncology, Nephrology, Pulmonary Medicine; Rheumatology, Clinical Immunology and Osteoporosis. A prerequisite for admission into any of the fellowship programs is completion of three-year residency training in an institution accredited by the Philippine College of Physicians. Some Sections of the Department of Medicine may require achievement of Diplomate in Medicine before admission into the fellowship-training program.

  Neurology and Psychiatry
 

        The Department of Neurology and Psychiatry offers three pathways for training in the specialties. The resident may opt for training in Neurology for the duration of three years. Under this program, the resident will be trained in the fundamentals and skills necessary for competence in the management of various neurological disorders. Training in Psychiatry for three years will expose the resident to a large variety of patients suffering from psychiatric problems so that at the end of training, he/she shall be able to competently recognize and treat patients presenting with mental illness. The four-year combined Residency training program in Neurology and Psychiatry is a third option. This program offers a comprehensive learning experience in the filed of neurosciences. The Philippine Neurological Association (PNA) and the Philippine Psychiatry Association (PPA) accredit the straight three-year residency programs in Neurology and Psychiatry, respectively. Both Specialty Boards of the PNA and PPA also accredit the four-year combined residency program.

  OB-Gynecology
 

        The Residency Training Program is aimed at providing adequate training for the practice of Obstetrics and Gynecology that meets the requirements for accreditation as a specialist by the Philippine Board of Obstetrics and Gynecology. The program's objectives include the provision of adequate clinical experience in diagnosis, prenatal and postnatal care; the development of sound judgment and appropriate technical skills in assisting deliveries and performance of obstetrical and gynecological operations and the development of the understanding of various medical and surgical complications of obstetrical and gynecologic operations. The program is also intended to stimulate interest in the field of research while offering opportunities to undertake research projects.

        The program is a properly organized and progressively graded clinical experience over a period of four (4) years to develop responsibility for total patient care, to encourage participation in research activities and to prepare the resident for future academic endeavors. The moral and ethical values consistent with Catholic tenets are always underscored in the training program, both in the conduct of patient care as well as in teaching. The Philippine Board of Obstetric and Gynecology accredit the Program.

  Ophthalmology
 

        The Residency Training Program in ophthalmology is a three-year clinical course with the primary objective of providing adequate preparation in the practice of the specialty as well as inculcating a positive orientation and attitude towards research. The training is focused on the following objectives: comprehensive evaluation of all patients with ophthalmic problems; understanding the pathophysiology of disease; utilization of correct diagnostic aids; formulating an accurate clinical diagnosis; formulation of a comprehensive treatment plan; understanding the goals of the treatment program; development of the necessary surgical skills; development of the attitudes of updating oneself with the latest publications on ophthalmology problems and undertaking scientific research. The Philippine Ophthalmological Association has accredited this program.

  Orthopaedics
 

        The Department of Orthopaedics was established on May 5, 2006 from its humble beginnings as a section under the Department of Surgery in 1946. Its Residency Training Program was started in 1989 with the primary objective of producing competent orthopaedic surgeons. Its strength lies in the program's emphasis on surgical acumen, technical expertise and research.  The Orthopedic program consists of exposures in trauma, joint reconstruction, spine surgery and instrumentation, hand and microvascular surgery, adult and pediatric orthopaedics, arthroscopy and sports medicine.

Objectives

        Aware of the need to train young surgeons in the specialty of Orthopaedics, the University of Santo Tomas Hospital hereby prescribes the following in Orthopaedics Training Program.

        The program is so structured that it provides adequate and competent training of residents in Orthopaedics. Graduates are expected to be eligible to the prescribed examination and to qualify with the requirements of the Philippine Board of Orthopaedics.

Program Description

      This is a straight 5-year training program in the specialty of Orthopaedics to be given by the Department staff of Orthopaedics of the University of Santo Tomas Hospital.  Candidates for admission to the program must have the following qualifications:

  1. Must have served a year of rotating Internship in an approved and accredited hospital.
  2. Must have passed the prescribed examination of the government to practice Medicine in the Philippines.
  3. Must be of good moral character

      The program accepts (1) Filipino Orthopaedic resident per year. A foreign medical graduate or another Filipino Orthopaedic resident may likewise be accepted in the program subject to the approval of the Department Chairman and the availability of vacancies in the 5 year training program.

 

  Otorhinolaryngology
 

        The Residency Training Program provides diversified training beyond the staple tonsillectomy and mastoidectomy to include diseases of the head and neck. The aim is to train the competent otolaryngologists capable in diagnostic and therapeutic endoscopy (esophagoscopy, bronchoscopy and laryngoscopy); surgery for airway (tracheostomy and cricothyrotomy); surgery of the head and neck (tumors of the thyroid, parotid glands, oral cavity, maxilla, mandible, paranasal sinuses, laryngeal tumors, neck dissection); plastic and reconstructive surgery (repair of congenital lip and palate defects, rhinoplasty); and maxillofacial surgery. The program requires residents to give weekly lectures in general otolaryngology and its subspecialties as well as to present in grand rounds and monthly audits. Workshops and laboratory work in temporal bone dissection; cadaver dissection in functional endoscopic sinus surgery and the microvascular workshop further enhance this delicate balance of theory and skills. Residents rotate to the Armed Forces of the Philippines Medical Center where residents are exposed to maxillofacial trauma incurred by battle-worn troops fresh from encounters which allows the training physician first-hand experience at maxillofacial and reconstructive surgery. The rotation at the Manila Medical Society Clinic allows the resident a free hand in the management of ear, nose, throat and head and neck diseases. These various activities conform to the University and Hospital's threefold objectives of service, training and research. The Philippine Society of Otorhinolaryngology Head and Neck Surgery accredits this program.

  Pediatrics
 

        The Pediatric Residency Training Program is a three-year program with the Chief Resident at the fourth year level. The Philippine Pediatric Society duly accredits the program for Phase III (tertiary level). The residents receive training in hospital based and outpatient (ambulatory) pediatric services as well as exposure to community pediatrics. The Chairman of the Department administers the program with the assistance of the Residency Training Committee headed by the Training Officer. The residents are supervised by duly certified Fellows and Diplomats of the Philippine Pediatric Society in General Pediatrics as well as in the subspecialties of Hematology, Neonatology, Cardiology, Nephrology, Allergology and Immunology, Pulmonology, Endocrinology, Infectious Diseases, Neurology, Gastroenterology and Adolescent Medicine.

        The activities of residents fall into two categories. Clinical work includes evaluation and management of pediatric patients in the Out-Patient Department and Emergency Room, direct care and responsibility for admitted patients in the service ward as well as involvement in the care of private patients. Didactic activity consist of Grand Rounds, Admitting conferences, ER, Ward, and NICU Audits, Mortality Audit, Faculty Development Hour, Clinicoradiologic and Clinicopathologic conferences, Case Management conference and Basic Science Lectures. These are held regularly with the participation of residents, fellows and the consultant staff. The Training Committee based on performance, attitude, and quarterly examinations and research output evaluates residents at the end of each year.

  Physical Medicine and Rehabilitation
 

        In January 1977, the Department of Rehabilitation Medicine applied for and received approval from the Philippine Board of Specialists to offer a three-year Residency training program for physicians who wish to specialize in the field of Rehabilitation Medicine. The funding for the training program was to be wholly subsidized by the World Rehabilitation Fund and the Rusk Institute of New York University. Under this cooperative effort, the University of Santo Tomas accepted the responsibility of providing the venue for training and the trainers who must be qualified specialists under the guidelines of the American Board of Physical Medicine and Rehabilitation. It also agreed to the stipulation of the grant to disseminate physician-specialists in the field to care for the disabled population, not only to the different regions of the Philippines, but also to the other developing countries of Southeast Asia. The present training program is supervised by a team of consultants who guide residents in the knowledge and skills necessary for rehabilitation of a wide range of disorders and specific patient subsets included in the ten subspecialties of Rehabilitation Medicine, i.e. Rehabilitation of diseases affecting muscle and nerve, Rehabilitation of joint and connective tissue disorders, Rehabilitation of musculoskeletal and soft tissue disorders, Pediatric rehabilitation, Prosthetics, Orthotics and Assistive devices, Cardiopulmonary, vascular and cancer rehabilitation, Psychiatric therapeutics, Rehabilitation of spinal cord disorders, Rehabilitation of brain disorders, Industrial rehabilitation, Stroke rehabilitation, Pain rehabilitation, Electro-diagnosis, Geriatric Rehabilitation and Sports medicine. The Philippine Board of Rehabilitation Medicine accredits this program.

  Preventive, Family and Community Medicine
 

        The following are some of the salient features, which distinguish the USTH Family Medicine Residency Training Program:

  1. This is both a university hospital and community-based residency. With this set-up residents are made to experience different practice styles in various settings. The integration of the training program with the St. Martin de Porres in Sapang Palay greatly enhances the diversity of experience enjoyed by our residents. In these facilities they have the opportunity to appreciate health and disease in the context of family and community setting, as well as identify and use existing resources in the community. Their ambulatory rotations and community work in these centers have created an excellent balance between education to the resident and service to the patient.
  2. Family Medicine has good working relationships with other specialties. The residents rotate in different areas of the hospital including the emergency room, outpatient department and wards. In this way, their clinical training is broadened.
  3. A highly structured competency-based curriculum relating to the biopsychosocial aspects of the resident's development is a significant element of the three-year residency.
  4. Research is an integral part of the residency training, thus, the Research, Evidence-based and Quality Assurance Series is conducted.

        There is a comprehensive and a well-structured Family Health Care Program. This enables the resident to manage the family as a unit of care and establish an effective doctor-patient relationship. The Philippine Academy of Family Physicians accredits the three-year Residency Training program of Preventive, Family and Community Medicine.

  Radiological Sciences
 

        The Residency Training Program is a four-year program designed to develop competence and experience in the performance and interpretation of radiological procedures in Diagnostic Radiology, Nuclear Medicine, Ultrasonography, Computed Tomography, Magnetic Resonance Imaging and Vascular and Interventional Radiology. The Program allows residents hands on experience in performing the whole range of diagnostic imaging procedures under the guidance of different consultants. They take an active part in daily film interpretation sessions in the different sections, present cases in the departmental grand rounds and conferences, participate actively in regular teaching and audit conferences of the Department. Periodic evaluation of didactic knowledge is done regularly. Residents are required to complete and present at least four scientific papers at the end of their training period.

  Nuclear Medicine
 

        The Section of Nuclear Medicine, Department of Radiology offers residency and fellowship training in the field of Nuclear Medicine. The 3-year residency training is offered to physicians who have no previous residency training. The 2-year fellowship training is offered to physicians who have finished residency in Radiology, Pathology, Internal Medicine or Pediatrics.>

  DEPARTMENT OF SURGERY
 

        The main objective of the Residency and Fellowship Training Programs of the Department of Surgery is the formation of the THOMASIAN SURGEON. It is the vision of the Department that the trainee graduates with the necessary proficiency in the art and science of his chosen surgical specialty and that he is totally committed "to continuing education and training; to rendering humane surgical care; to contributing to the progress of Philippine Surgery through research and to attaining national and international recognition on a platform of moral and professional integrity, academic freedom, respect for human life and dignity and justice for all". He graduates as the embodiment of the Department's slogan "The Thomasian Surgeon: A Hand that Heals". His distinguishing trait is his adherence to contemporary practice of surgery tempered by sound bioethical considerations.

  General Surgery
 

        The Residency Training Program in General Surgery started in the early fifties and was re-structured to its present system in 1969. The surgical curriculum is over a period of five (5) years and has been re-oriented into a competency-based, resident oriented educational curriculum. It is one of the first programs accredited by the Philippine College of Surgeons. It is established to prepare, mold and train physicians to become surgeons with clearly demonstrated knowledge, skills, and clinical judgment related to General Surgery. The Program adheres to the definition of General Surgery by the Philippine Board of Surgery, as requiring;

  1. A basic knowledge of surgical anatomy, physiology, pathology, oncology, metabolism, wound healing, surgical bacteriology and sepsis, shock and resuscitation, immunology and organ transplantation, fluids and electrolytes, nutrition, burns and critical care.
  2. A sound understanding of the principles of radiology, ultrasonography, computed tomography, magnetic resonance imaging and other diagnostic aids including the use of radioisotopes and mammography.
  3. An adequate practical experience in proctosigmoidoscopy and indirect laryngoscopy, bronchoscopy, esophagoscopy, gastroscopy, choledocoscopy, colonoscopy and laparoscopy.
  4. A comprehensive skill in diagnosis, preoperative, operative and postoperative care of patients with disease of the a) alimentary tract, b) abdomen and its contents, c) head and neck, d) breast, e) vascular system, f) endocrine system, and g) soft tissues.
  5. Adequate knowledge and skills in all phases of care of the injured patient including care provided in the emergency room and intensive care unit. The general surgeon must show competence in the emergency treatment of trauma.

        An appropriate clinical experience to include operative and non-operative care of common problems in the special disciplines of thoracic and cardiovascular, gynecologic, neurologic, orthopedic, pediatric, urologic surgery and anesthesiology is acquired by exposure to these disciplines.

        The modified pyramidal system is employed without prejudice to the vertical system. The Philippine Society of General Surgeon accredits this program.

  Neurological Surgery
 

        The Neurological training program is a 6-year program offering comprehensive training in clinical neurosurgery and neuroscience research. The program has three (3) residents and admits a new resident every two years. The program for each year level is as follows: PGY-I General Surgery; PGY-II Basic Neurosciences (6 months of Clinical Neurology; 3 months of Neuropathology; 3 months Neuroradiology); PGY-III to IV Clinical Neurosurgery with the option to do a research paper. There are six (6) Neurosurgical Fellow Staff members handling the program with an annual operation census of more than 300 cases. The Philippine Society of Neurosurgery accredits this program

  Urological Surgery
 

        Training in Urology started in 1940 as preceptorship type of training and later evolved into a formal residency program in the late 1970's. Admission into the program requires two years of basic General Surgery. In 1997, it expanded into a six-year program with one resident per year level. The Section prefers to train applicants from areas deprived of urological services. In addition to General Urology, training in Pediatric and Female Urology, Infertility, Endo-urology, and urological research is provided. The program aims to produce and distribute competent graduates capable of providing specialized care to patients in other parts of the country. The Philippine Urological Association accredits this program.