Mary Judith Q. Clemente, MD
Transcription
Mary Judith Q. Clemente, MD
BUSINESS MAIL Bulk Pre-Sorted Third Class Mail Postage Paid at Quezon City Central Post Office Under Permit No. PS-503-03-NCR • Valid Until December 31, 2012 Subject for Postal Inspection ____________________________________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ D r. Lilia P. Luna, our guest of honor and inducting officer, Dr. Sylvia A. Carnero, 2011 POGS President, members of the new and outgoing BOT, Past Presidents of the POGS, Prof. Wulf Utian, PBOG chair and members, CREED chair and members, Regional Directors, Chapter Presidents, Mr. Herman Esling, Assistant Vice President and General Manager of Biofemme, members of the organizing committee, ladies and gentlemen, good evening. Fellow POGS members, thank you very much for giving me this rare and distinct opportunity of being President of our distinguished society for 2012. The road towards the POGS presidency was filled with a lot of challenges. Some of you have been witness to some of them. When I was still young, I have always wanted to be a doctor. My concept then of a doctor was that of a general practitioner, as my 2 uncles were. They were very successful and were highly regarded by the people in the community. Even as I pursued my medical studies in Manila, I never had it in my mind that one day I would be president of a medical society. I became involve with POGS because of my superiors in FEU-NRMF. They were the ones who nominated or included me in the committees that they headed and in the activities of POGS. I thank them very much because this has opened a lot of opportunities for me, leading to the POGS presidency. I will now beg your indulgence as I give you my thoughts for the coming year. For the year 2012, my primary thrust will be on the promotion of Women’s Reproductive Health and Rights. In his address during the just concluded September 2011 AOCOG Convention in Taipei, current FIGO president, Prof. G. I. Serour, said that “reproductive and sexual ill health accounts for an estimated one third (1/3) of the global burden of disease and early death in women of reproductive age (15-44 yrs)”. I sincerely agree with his statement. There is no area in health in which inequality is as striking and as wide as in women’s health globally. In the Philippines, this is clearly demonstrated in the status of health of marginalized compared with well-to-do women, uneducated or less educated compared to well-educated women and women in rural areas compared to women in urban areas. As physicians, and fellows of a society as prestigious and well-placed as the POGS, we have been privileged with the ability, capacity, and resources to try to bridge this gap. Our ultimate objective, after-all, is the delivery of the best medical care possible to all women of our nation, not just to an advantaged few. This is no easy task as I am sure you would agree. Neither are the outcomes immediate. As with any noble goal in life, there are often a multitude of barriers to overcome. FIGO World Report on Women’s Health listed global challenges which I think we can all closely identify with. These are as follows: Mary Judith Q. Clemente, MD T he 2011 POGS Annual Convention was a mixture of recreation and learning as obstetrician-gynecologists from all over the country gathered at the Philippine International Convention Center (PICC) and the Sofitel Philippine Plaza to discover and learn advances in the field, as well as to celebrate Dr. Mary Judith Q. camaraderie and reunite with Clemente friends and colleagues. The theme, Recent Advances in Obstetrics and Gynecology (OBGYN): Towards the Millennium Development Goals, was in keeping with the vision of POGS to alleviate the present condition of Filipino mothers, ensuring them of a safe pregnancy and allowing them access to appropriate reproductive health care. Dr. Rey H. de los Reyes, POGS President for 2012 • Insufficient political commitment and funding for health services • Difficulty in achieving intersectoral action for health • Health workforce shortage or inadequate utilization of existing health workforce • Lack of continuing education and training • Lack of recording, monitoring, and accountability • Rapid demographic and epidemiological changes • Natural and man-made disasters • Conservative and religious group pressure (optional) We realize that most if not all of these difficulties exist in our country. The next important step after identification of these challenges is obviously, to develop effective solutions that have not only urgent but more importantly, long-lasting and preventive value. Therefore, it would be worthwhile to contemplate on the different components of Women’s Reproductive and Sexual Health as it entwines with the different elements of MDG. The 8 MDGs were based on agreements made at UN conferences in the 1990s. The MDGs, thus, becomes a form of blueprint agreed to by all of the world’s countries and all of the world’s leading development institutions as they pledged to combine their efforts and draw up programs to meet the needs of the world’s poorest. Our country, the Philippines, is a signatory to this agreement. It is does implied that we should participate in the activities towards achievements of these goals. The Millennium Development Goals are: 1. Eradicate extreme poverty and hunger 2. Achieve universal primary education 3. Promote gender equality and empower women 4. Reduce child mortality 5. Improve maternal health 6. Combat HIV/AIDS, malaria and other diseases 7. Ensure environmental sustainability 8. Develop a global partnership for development Analysis of the health-related MDGs would show that their attainment is closely dependent on the promotion and attainment of the different elements of Reproductive and Sexual Health. In fact, the ICPD in 1994 which sets the basis for the elements of RH, for which again our country is one of the Dr. Rey H. de los Reyes with Dr. Sylvia de las Alas-Carnero, outgoing 2011 POGS President during the turnover rites (turn to page 3) The highlight of this year’s convention, the lecture and plenary sessions, was graced by luminaries in the field to include several world-renowned speakers, as well as local experts. November 9 started with the plenary sessions on Safe Motherhood with lectures on the prevention and management of some of the more common, albeit challenging, OB-GYN conditions. The keynote lecture was delivered by Prof. Takeshi Aso as he elaborated on how he perceives the practice of obstetrics and gynecology will evolve in 10 years. With the improving quality of healthcare, more women are living longer lives. As obstetrician-gynecologists, we have to be adept in addressing peculiar conditions for this special group of patients. Another interesting plenary session was that given by Ms. Ugochi Daniels as she talked about how POGS and the United Nations Population Fund (UNFPA) can forge a partnership to further women’s healthcare. The afternoon, on the other hand, was devoted to simultaneous lecture sessions on feto-maternal medicine, menopause and reproductive endocrinology, oncology and pelvic surgery. Speakers from here and abroad shared valuable insights in their fields of expertise. The next day started off with plenary sessions on reproductive endocrinology and infertility with lectures on the advances in areas like hormonal contraception, hormone replacement therapy and even robotic surgery. Even if technology like this is still in the horizon for the country, Filipino obstetriciangynecologists, no doubt, are more than capable of being leaders in the field of reproductive endocrinology. The simultaneous afternoon sessions were divided into four groups: gynecologic endoscopy and infertility, adolescent and pediatric gynecology, infectious diseases and obstetric hemorrhage. The last lecture day was capped off by the very relevant and challenging field of gynecologic oncology. The lectures were composed of topics on learning and teaching gynecologic surgery, methotrexate in OB-GYN practice, the new International Federation in Obstetrics and Gynecology (FIGO) staging and the possible pitfalls of colposcopy. The afternoon session was composed of interesting lectures on non-hemorrhagic obstetric emergencies, difficult labor, urogynecology and menstrual disorders. The 2011 POGS Annual Convention was truly a successful forum for revisiting the basics as well as discovering the advances in the field of OB-GYN. Congratulations to all the organizers of this event as we end another annual convention and prepare for the next year ahead. Committee on IMMUNIZATION FOR WOMEN A SUB-COMMITTEE OF WOMEN’S REPRODUCTIVE HEALTH ADVOCACY Susan Pelea-Nagtalon, MD Project Director IFW Taskforce PROJECT DIRECTOR: LEADER, IFW WORKING GROUP: SECRETARY IFW RESEARCH RESOURCE PERSON: Susan Pelea-Nagtalon MD Ricardo M. Manalastas Jr. MD Christia S. Padolina MD Antonia E. Habana MD Members Guadalupe N. Villanueva MD Angel R. Bandola MD Jericho Thaddeus P. Luna MD Benjamin D. Cuenca MD Christine D. Dizon MD. Patricia M. Kho MD Lylah D. Reyes MD Rey H. de los Reyes MD Sybil Lizanne R. Bravo MD Analyn F. Fallarme MD Lorina Q. Esteban MD Martha M. Aquino MD Jennifer T. Co MD Jessica O. Cruz MD Shown below is the summary of the 2011 undertakings of the IFW Working Group: February 2, 2011 Cravings, Shangrila Mall, Ortigas Center IFW Taskforce General Meeting and Orientation to CPG Development March 29, 2011 POGS Assembly Hall, QC Initial Presentation of the IFW Taskforce and POGS Officers Policies and Guidelines May 20, 2011 Diamond Hotel, Roxas, Boulevard Final Presentation to Stakeholders Taskforce Board of Trustees Regional Directors, PBOG, CREED; Chairs & Training Officers of POGS-accredited training institutions, POGS CME, AMHOP, Phil. Society of Family Physicians, PSMID, Phil. Foundation for Vaccination, Perinatal Association of the Phils. PSREI, PSCM July 1, 2011 Midas Hotel, Pasay City Review and Editing of Manuscripts Dr. Susan Nagtalon Dr. Ricardo Manalastas Jr. Dr. Guadalupe Villanueva Dr. Angel Bandola Dr. Christia Padolina ANNUAL REPORT 2011: Women’s Health is about prevention, screening, diagnosis and management of conditions affecting women across the continuum. Undoubtedly, prevention has been the key factor in maintaining good health and preventing diseases. One of the important preventive strategies that has proven its worth through the years, is VACCINATION. In the POGS, we have observed the gradual rise in its inclusion in healthcare management among our members since 2006. This year, the IFW Working Group embarked on formulating the POLICIES and RECOMMENDATIONS for Immunization in Women. Dr. Ricardo Manalastas Jr. led the group in the performance of this task, and before the end of the first half of the year, this was completed and submitted to the CPG Committee for presentation to the Board of Trustees for final approval. It is the group’s fervent hope that the printed handbook (though an educational grant from GSK) be available for free to thePOGS members of good standing. The section on ‘Vaccinations for Pregnant Women’ was submitted to Dr. Eric Tayag of the Phil. Foundation for Vaccination, for inclusion in the CPG for Adult Vaccination. Presentations of the 2011 module on IFW Policies and Recommendations to the POGS NCR (August 17, 2011; 100 attendees) and Region III (October 13, 2011; 120 attendees) were undertaken. More cascades will be done in 2012 in coordination with the Regional Directors. All taskforce members in attendance, POGS RH Advocacy Committee Chair Dr. Mario Bernardino IFW 2011 Module Topics: Part I Preconception and Interconception Vaccines: Influenza, Td, Tdap Part II Postpartum Vaccines: Hepatitis B, MMR, VaricellaOther Vaccines: Hepatitis A, Pneumococcal, HPV Millennium Run for Women’s Health Winners DOCTORS CATEGORY MALE 10K 1st : Jeric Castrillo, MD 2nd : Romerico Torres, MD 3rd : John Coloma, MD 5K 1st : Erick Labios, MD 2nd : Norberto Toy, MD 3rd : Romeo Santos, Jr., MD 3K 1st : Genio Jose, MD 2nd : Ronie Borgunia, MD 3rd : Roberto Abat, MD 1.5K 1st : Virgilio Castro, MD 2nd : Ike Dizon, MD 3rd : Felipe Estrella, MD FEMALE 10K 1st : Gerda Cuestas, MD 2nd : Rowena Tabio, MD 3rd : Duchen Banal-Silao, MD 5K 1st : Caridad Ramos, MD 2nd : Marie Claire Rodil Brion, MD 3rd : Therese Mallen, MD 3K 1st : Maria Adesita Denalay, MD 2nd : Nelinda Pangilinan,MD 3rd : Merrybelle Lupas, MD 1.5K 1st : Sharon Macasandia, MD 2nd : Ida Balanan, MD 3rd : Geralyn De Vera, MD NON-DOCTORS CATEGORY 2 MALE 10K 1st : Welson Maninquil 2nd : Mat Ohalloran 3rd : Jandel Pastasas 5K 1st : Edmond Corpuz 2nd : Melanio Ayala 3rd : Glen Faraon 3K 1st : Benjo Narciso 2nd : Migue Narciso 3rd : Gaston Beloso, MD 1.5K 1st : Raphael Lorenzo Valenzuela 2nd : Zeth Rick Quizon 3rd : Zeke Dizon FEMALE 10K 1st : Keshia Fule 2nd : Estuar Mitch 3rd : Keylyn Dela Paz 5K 1st : Pitchie Tamayo 2nd : Cheska Jimenez 3rd : MM Cabanban 3K 1st : Helen Castillo 2nd : Regina Castillo 3rd : Julia Balanag 1.5K 1st : Yna Albarracin 2nd : Chris Magpantay 3rd : Leah Guilot Inaugural Address (continued from page1) signatories, stated that all countries should strive to make accessible reproductive health to all individuals of appropriate age as soon as possible and no later than the year 2015. The same date set-forth by the MDG. It is worthwhile to stress that the attainment of MDG GOALS especially 3, 4, 5 and 6 can be made possible with the realization of the different elements of reproductive health. To illustrate, the achievement of gender equality and women empowerment in health care delivery is one effective strategy to improve both maternal and child health. Appropriate nationwide application of the PMAC obviously reduces maternal morbidity and mortality. Promotion of aggressive educational campaigns, and screening on reproductive tract infections is the most effective scheme to control HIV/AIDS, malaria and others. In relation to MDG 5, it is said that though some progress is being made in reducing maternal mortality, only 5 countries of the 68 countdown nations have attained 97% reduction of maternal and child deaths and only they are on track to achieve this goal. World-wide, more than 50% of all maternal deaths occur in six countries: India, Nigeria, Pakistan, Afghanistan, Ethiopia and Democratic Republic of Congo. In the Philippines, the UN report stated that as of 2010 “The decline of Maternal Mortality has slowed down considerably and appears to have stalled, and this goal has been identified as the least likely to be achieved for the Philippines.” From an MMR of 162/100,000 live births in 2006, the MMR in 2010 is still at 130/100,000 live births, still far from the target of 52/100,000 live births by 2015 which is only 4 years away from now. This underscores the need for all of us to all work together in order to further reduce the gap for our target MMR. There is no more time to lose. We must work hand in hand in order to make an impact in our effort to lower the MMR. We have existing programs that are actually now being implemented. These programs must be continued, and if needed, modified and their goals redirected in response to the urgency demanded of the times. These are the ALARM Course, MDG Countdown, Immunization for Women and RH activities. It is my firm belief that the MDG Countdown will work better if supported/aided by the ALARM Course. The current thrust of ALARM of including non-POGS members to participate in its courses is very laudable and I hope will be continued. Dr. Rey H. de los Reyes and family MDG 5 cannot be achieved by us obstetricians alone. In accordance with other international health organizations, we should coordinate our efforts with other paramedical workers who also render similar services to our clients. It is therefore important that we continue to tieup with midwives and nurses organizations like the Integrated Midwives Association of the Philippines (IMAP) and the Philippine Nurses Association (PNA). Reinforcing the knowledge and skills of the midwives is especially essential because most of our births are actually attended by midwives and not by doctors in most low resource areas throughout the country. We must therefore persevere in giving courses in order to improve their knowledge and skills including the immediate identification and anticipation of obstetric complications for expedited medical attention. This training will enhance the delivery of the best possible obstetric care to our women, especially to those who are less privileged. They are the ones who need help the most and yet currently they are also the ones for whom medical and obstetrical care is most inaccessible. We should continue to strengthen our community service activities and evaluate the impact of such services in addressing the needs of our womenfolk. I would also give my thanks to all the pharmaceutical companies who have supported not only our annual convention this year but also the other activities POGS all these years, most especially MSD, GSK, DKT, Sanofi and Ferring Pharma, Thank you very much. May you not get tired of supporting POGS so that we can attain our Mission and Vision. The Committee on Women’s Reproductive Health has already started this year on lay education on RH by conducting training of trainers on relevant topics on RH. We should introduce amendments to its functions and objectives to be abreast with the current situations and needs. It should be the committee in facilitating, organizing, and evaluating all RH-related projects and activities of the major committees of our society. Hence, its most important function is one of integration so that necessary overlaps, delays, inadequacies can be more efficiently identified and remediation effected in the soonest possible time. One area in women’s reproductive health that requires sustained aggressive efforts is cervical cancer. In the Philippines, it remains to be the 2nd most common cancer in women and the most common gynecologic cancer. Its estimated national standardized mortality rate is 5.3/100,000, based on the 2010 Philippine Cancer Facts and Estimate. In 2010, it is estimated that there will be 1,984 deaths due to this disease. About 56% of Filipino women with cervical cancer will die within 5 years. The high mortality is due to its late diagnosis. About 2/3 of cervical cancer in our country are diagnosed in the advanced stage where mortality is high. Median survival 76 months and the five year survival 51.7%. About 12 Filipino women die each day of cervical cancer. This is lamentable given the fact that the cause of cervical cancer has long been identified, the HPV. It is a preventable and curable cancer. I feel that the primary cause of its high incidence and late diagnosis is the lack of knowledge among women at risk about cervical cancer. It is therefore imperative that we educate these women and give them the appropriate information on preventive action and early diagnosis. This is the main objective of the program is “Women First” – this is a lay information campaign on cervical cancer. This is to encourage women to take action against cervical cancer. We have prepared a lay lecture which can be delivered by any obstetrician/gynecologist. This was initially launched in August of 2009. I hope that we will be able to reach out to more women next year and the coming years so we can have an impact in reducing cervical cancer in our country. I appeal to all of you to help and actively participate in this campaign. The lay module is available for you to use in your practice and community service activities. A simple but time-tested tool for effective health care, as I am sure you would all agree, is the strengthening of doctor-patient relationship. Based on POGS Ethical Guidelines, we have developed the slogan “My OB, My Partner in Health” which appeals to me as the “battle-cry” of the 2012 administration. As the primary physician of women, we should establish good rapport with the patient we serve. Inaccessibility may not always pertain to geographic and financial barriers but to patient’s fears and misconceptions as well. No woman should be made to feel intimidated in approaching us. They should feel free to openly tell us their problems concerning their health without fear of judgment, prejudice or persecution. Such is as integral part of the patient’s rights. Though we ourselves are humans bearing our own beliefs and biases, we must overcome these as we strive to listen and attend to our patients. Good communication and rapport will always lead to good management and preventive care. In addition, a good doctor-patient relationship often discourages medico-legal proceedings. I commend the past administrations for the initiation and implementation of many worthwhile projects of the society. These include the ALARM, AHIP, IFW, and the MDG Countdown. We fully intend to continue these endeavors. To the newly inducted fellows of the POGS, congratulations and welcome to the society. I would like to repeat the entreaty of my predecessor Dr. Sylvia Carnero that when you go back tomorrow to your practice, you will continue to be advocates for women’s health. Obstetrician and Gynecologists have an important role to play as service providers, health educators, trainers, mentors and advocates for women’s reproductive and sexual health. To hers I add my personal appeal. Please stay and help us plug that brain drain. Your country needs you. Before I end, allow me a few more minutes to express my sincerest gratitude to the following: To the dedicated people who have collectively made this convention a success- the chairs and members of the organizing committee: Dr. Sylvia Carnero, Honorary Chair, Dr. Jennifer Co, Convention Secretary; Members: Dr. Christia Padolina, Dr. Jericho Thaddeus Luna and Dr. Efren Domingo; Arrangements: Drs. Rommel Duenas and Lylah Reyes; Documentation: Drs. Ma. Julieta Germar and Lilli May Cole Exhibits: Drs. Rosemarie Tiburcio and Benjamin Cuenca; Hospitality and Tours: Drs. Joan TanGarcia and Prudence Aquino; Programs and Invitation: Drs. Ma. Carmen Quevedo and Anna Lyn Matignas; Registration: Drs. Caridad Molino and Emmanuel Dagala; Scientific Program: Drs. Lilia Luna and Florante Gonzaga; Socials: Drs. Anna Belen Alenzuela and Zeny Malilay Souvenir Program: Drs. Gil Gonzalez and Marie Alleli de Castro; Sports: Drs. Rudie Frederick Mendiola and Marinella Agnes Abat; Ways and Means: Drs. Nelinda Catherine Pangilinan and Jericho Thaddeus Luna To my mentors- Dr. Lilia P. Luna, Dr. Flordeliza Baltazar, Dr. Delfin Tan, Dr. Evelyn Palaypayon, Dr. Sylvia Carnero, Dr. Deane Campo-Cruz and the rest of my FEU-NRMF family for the support and inspiration. To my mentors in Gynecologic Oncology: Drs. Luciano Sotto, Augusto Manalo and Genara Limson. To my colleagues from Jose R. Reyes Memorial Medical Center especially Dr. Marife Perez and the rest of the consultant staff; To my colleagues from Rizal Medical Center especially Dr. Bernardita Javier and the rest of the consultant staff; To my colleagues from Mary Chiles General Hospital and Ospital ng Makati; To my former residents who are now my colleagues and co-fellows; My heartfelt gratitude to all of you. Let me also thank my family, my brothers, sisters and relatives, for their support and understanding. To my children, Ryan and Kaye, the most important people in my life, my inspiration and strength in facing all the challenges of life. Lastly, I give thanks to the Almighty God from whom all good things come. 3 Valedictory Address Sylvia de las Alas-Carnero, MD A POGS President 2011 nother busy and memorable year has drawn to a close. The society looks back with pride and thanks for the opportunities for growth that came our way and the blessings of energy and collective ability to accomplish them. We also look forward with hope that these endeavors will continue to bear fruit as we work for the full realization of our fellowship’s mission and vision. In so short a time, the POGS has made significant steps towards this and have taken up well from where we left off a year before. We thank our able past leaderships and efforts that have provided us with the inspiration and motivation to do so. These have certainly made my job easier. I deliver this address tonight as a testament to the skills, resourcefulness, commitment, and generosity that marks each and every member of our fellowship and the people who have helped us in pushing forth our advocacies. And I do so with respect and appreciation for the society that we are and the privilege for service that has been given to us. entity from PBOG. It has embarked on an intensified program on training of trainors, resident mentoring for examination preparation and resident performance evaluation. In addition, a CREED handbook for training standardization has been formulated for distribution in all accredited hospitals nationwide. Thank you very much, Dr. Evelyn Palaypayon. The community service has conducted outreach programs to low resource areas in seven regions conducting major surgeries, ligations, ultrasound examination, cryosurgery procedures, VIA, prenatal check ups in addition to lay health education on reproductive health and adolescent health in coordination with the AHIP. For 2011, the AHIP has lectured to some 13,000 students from throughout the country with new and updated modules. My gratitude to Drs. Mayumi Bismark, Maricar Quevedo, the Regional Directors, and the various health advocates who have assisted us in these activities. Dr. Carnero with incoming president Dr. Rey H. de los Reyes and Dr. Christia S. Padolina, secretary When you gave me the honor of the presidency a year ago, I set before you the roadmap with which I believe will bring us closer to the realization of our organizational objectives. I remember the anxious thoughts I entertained then and the times I would ask myself if I could do justice to the role that you have bestowed on me. But as each day passed, I realized that these fears were unfounded simply because I have you all at my side. Tonight, I am again reporting to you but this time, there are no more anxieties. There is only joy and gladness for the accomplishments of our fellowship. We have delivered. So allow me briefly to highlight to you the fruits of our labor for this year: The WRHA committee has conducted an RH forum for the purpose of updating members of the latest status of the RH bill on both senate and congress and providing an opportunity for clarifying issues and misconceptions on the bill. It has initiated the training of trainors on RH lay lectures in many areas of the country for the purpose of disseminating lay education on reproductive health and related issues. In cooperation with the MSD, the committee held the health education on reproduction (HER) summit for the membership. The summit included not only medical lectures on common reproductive concerns as urinary tract infection, immunization and updates on contraception but also included the status of the RH bill and Women’s sexual and reproductive health rights. AS special guest, we had the privilege of hearing none other than Senator Pia Cayetano as she presented the Bill’s updates in the upper house. I am also very happy to announce that the POGS, through the sponsorship of the UNFPA, has awarded a technical / equipment grant for quality care to seven regions amounting to P1,000,000. Modern family planning methods funded by the UNFPA were implemented by the committee during the community outreach activities. Committee Dr. Sylvia de las Alas-Carnero members also attended the various symposia conducted nationwide regarding the different RH elements including those for HIV-AIDS, contraceptives and emergency contraception. The POGS has also consistently sent representatives to the senate and congressional hearings on the RH Bill and other related bills to keep membership updated on important legislative proceedings. Thank you, Dr. Mario Bernardino for a job well done. This year the ALARM course has been given in five regions of the country- regions 8, 6, 3, 1 and the NCR. Participants included accredited residency training graduates who have not passed the specialty board examinations. The purpose of which is to motivate them to retake the examinations and improve test performance. Thank you to the dedicated ALARM faculty. The MDG countdown launched in 2010 has been continued this year with suggested revisions and improvements for future implementation. It is the hope of this administration that improvement of midwifery skills especially in early detection or anticipation of obstetric complications through such training workshops will help lower our maternal mortality rates. My gratitude to Drs. Regta Pichay and Cynthia Tan. We have also made our stand on various issues to the PMA including revisions in PHIC regulations and establishing an RVU assignment for additional procedures such as the creation of a neovagina and amniocentesis. We are currently petitioning for a return to original case payment rates for cesarean section which as you know has been lowered considerably. I would like to acknowledge the efforts of the Task Force chair, Dr. Blanca De Guia-Fuerte. In matters of POGS representation to the various hearings in both upper and lower house, I would also like to thank Dr. Santiago del Rosario for his diligence in attending these sessions. In my capacity as chair of external affairs, our society has turn to page 5 As a reflection of the dynamism of the POGS, we have revised our mission vision to fit the demands of the changing times and have realigned our future action plans accordingly as you are all aware. This is also our banner year for updates. The society has a new administrative manual to help facilitate and expedite our daily proceedings as an organization. I would like to thank Dr. Bernardita B. Javier for this. A new ethical guidelines handbook which would include critical updates on areas such as of reproductive health and contraception, infertility and assisted reproductive techniques, neonatal and perinatal care, end of life care to name a few. This is for free distribution to all members of the society. Thank you to Dr, Lourdes Blanco Capito. We have five new clinical practice guidelines that have been launched to add to the nine that are already in circulation. These are the CPGs on Immunization for Women, Diabetes Mellitus in Pregnancy, Multiple Pregnancy, Gestational Trophoblastic Disease and the updated CPG on Abnormal Bleeding. A sixth one which is being completed in cooperation with the WHO and DOH is on Intrapartum and Immediate Postpartum Care. I want to acknowledge the efforts of Dr. Efren Domnigo for these accomplishments. New guidelines for the Mutual Assistance Program has been set this year. These will serve to provide more benefits and financial assistance to our members. My gratitude to Dr. Manuel Ramos. For this year, the Council for Residents’ Education, Enhancement, and Development or CREED has been established as a separate Dr. Carnero with her family together with Dr. Evelyn P. Palaypayon, 2005 POGS president Valedictory Address (continued from page 4) had constant and continued representation and participation in various scientific conferences locally and internationally including the Mutual Recognition Agreement on Medical Practitioners in Singapore. In this conference, the Philippines is one of the signatories of the ten ASEAN member states. This important agreement seeks to improve the quality of health care and promote best care practices throughout the region by continued upgrading of training and information sharing among practitioners in the entire region. This also seeks to facilitate mobility of medical practitioners within the ASEAN. We will be complying with the mandate of the PMA and the PRC with regards the updating of our registry. The form has been distributed amongst the members. It can also be downloaded from our website (www.pogsinc.org). I ask you to please accomplish this form in the soonest possible time. Permit me then just a few more moments to make my acknowledgementsTo Dr. Lilia Luna, thank you for your gracious presence as guest of honor and inducting officer of tonight’s POGS annual convention closing ceremonies. I congratulate the 2011 POGS Organizing Committee, headed by Dr. Rey de los Reyes and the Chairs, Co-chairs and members of the various subcommittees for their dedication, patience and industry in coming up with yet another successful convention. Your work is truly inspired and inspiring. Thank you for being a supportive vice president. L-R: Jericho Thaddeus P. Luna, MD, Treasurer, Enrico Gil C. Oblepias, MD, Member, Mario A. Bernardino, MD, Member, Christia S. Padolina, MD, Secretary, Rey H. de los Reyes, MD, President, Raul M. Quillamor, MD, Vice President, Ma. Carmen H. Quevedo, P.R.O., MD, Mayumi S. Bismark, MD, Member, Blanca C. de Guia-Fuerte, MD, Member, Anne Marie C. Trinidad, MD, Member, and Ramon M. Gonzalez, MD, Member To the 2011 Board of Trustees - you have never, even for one moment given me cause to regret my presidency. I thank you all most sincerely for making my term easy and smooth sailing. Thank you for going that extra mile, you are all a joy to work with. My special thanks to my very reliable Secretary, Dr. Christia Padolina, for her efficiency and for taking care of the details of daily governance. My sincerest gratitude also to the Treasurer, Dr. Ricky Luna, the PRO, Dr. Efren Domingo, and the members of the Board of TrusteesDrs. Mario Bernardino, Mayumi Bismark, Virgilio Castro, Blanca De Guia-Fuerte, Ramon Gonzalez and Anne Marie Trinidad. To all the chairs and members of the various POGS committees, my congratulations for your achievements in behalf of the society. Thank you for your support and industry. To the newly elected 2012 Board, my congratulations and my thanks in advance for I know you will pursue our beloved society’s mission and vision, and that you will continue the many worthwhile projects and activities in women’s health care and education. To my colleagues and friends, thank you for your support and inspiration and for never failing me in my times of need. I would like to acknowledge my FEU-NRMF family, my UDMC family, and AFP V. Luna family for believing and trusting in me. To my husband Ding, my son Ryan and his wife Karren, and my beloved granddaughter Yna- thank you for your understanding and for the love and inspiration. To my BFF, Evelyn, thank you for always being there for me. So I end this talk as I end my presidency- with gratitude, joy and hope. Gratitude for the privilege that the society has given me as president of this prestigious fellowship. It is both a humbling and exhilarating experience. The presidency has allowed me a wider perspective of the magnitude of the task behind pushing for optimum reproductive health care and well-being for the Filipina and her family. Yet despite this, I have realized the strength of enlightened and collective effort. No problem will prove insurmountable for a fellowship of more than 3000 dedicated, generous, and skilled women’s health advocates which makes up our society. To the new fellows, I add all of you to these numbers. I ask you tonight, even as I give you my most sincerest congratulations and welcome, to continue to support our advocacies and work for our objectives. Tonight as you swear your allegiance to the fellowship, you will be making these goals your own. I am confident that the support of the membership that has been rendered to me as well as all the other presidents before me will continue for the subsequent leadership. This gives me hope that a better life for all our nation’s women, regardless of age, creed, or social standing, is soon within reach. Above all, I thank God Almighty for making all these things happen. Good evening to all. New Diplomates Dr. Carnero inducting both the new fellows and diplomates New Fellows 5 Teaching Resident-Physician Trainees how to perform Obstetric-Gynecologic Procedures: Scrubbing intraoperatively with our trainees during the performance of a Gynecologic procedure, like a Total Hysterectomy. Or to teach a Primary or a Repeat cesarean section. It is the end of another Residency Training Year. During this period, the need to see our trainees perform a “swan song” procedure. Often, it is not frequent for us to correct the trainee in the proper handling of the surgical instruments. Like for instance the metzembaum scissors. The traditional and repeated admonition to use the Metz with its tip directed on its concave facing towards the specimen. Not the reverse. Many times, this simple admonition, (as simple as how to use/handle the spoon and fork when a toddler starts learning how to eat with the spoon and the fork) is not being observed by our very own trainees at the threshold of graduation. Year End in Residency Training: Most of the resident physician trainees may be passing evaluation but a few will probably fail, or a few will need an extension. To those who pass and get promoted to the next upper year level, the challenge is to finish the 4-year residency training in four years, not more. The extension of several weeks or months may be a needed method in order to learn and relearn many fundamental and basic knowledge/s that are not assimilated during the training year that is almost finished. To those who will not pass, those who may be pyramidalyzed (as they call the system), the usual action says- vertical system subject to passing evaluation- the admonition is to repeat the whole year level in the same institution, or get out of the institution in another one with a milder and gentler evaluation scheme. Tidbits: 1.) The graduation ceremonies of the resident physician trainees vary in terms of magnitude of preparations, by virtue of the venue, the attires, the catering, and in fact up to the level of programme content. 2.) The first ten years of private practice of Obstetrics and Gynecology is the most difficult. You might meet your most serious morbidities during these years. 3.) The second ten years of private practice of Obstetrics and Gynecology is the decade of stabilization of skills, decorum and decision-making. You usually start mellowing down. 4.) The third ten years of practice of Obstetrics and Gynecology, you tend to start slowing down, yet you are actually at your prime. You may commit the least number of morbidities. You earn more and you tend to charge highest compared to the past three decades. The POGS cycle of Ups and Downs: 1.) The POGS is on its 65th Year! 2.) The POGS Annual Income is Positive in Growth. 3.) The POGS Fairview property is gaining in value in terms of price/sqm. 4.) The Audit of the POGS accounts shows stability and solid foundation 5.) Dr Quillamor and Dr. Padolina. 6.) The POGS lot in Malakas street is being planned for a future project. A project team to be appointed? 7.) The CREED and The PBOG. 8.) The PBOG and the CREED. 9.) The new POGS Certificate of Good Standing 10.) The PHIC cesarean section benefits 11.) The UNFPA funding of the MDG Project in the Philippines 12.) The New 2011 CPGs launched by the POGS. 13.) The forthcoming Christmas and New Year Holidays after a 2011 full of work and endeavors. Profound Gratitude: Thank you to 1.) The 2011 Officers and Board of Directors of the POGS 2.) The PBOG and The CREED 3.) The Regional Directors 4.) The Committee Heads and Members of all Standing Committees of the POGS 5.) The Chairs and Training Officers of all Accredited Institutions for Training in the Country 6.) The members of the CPG Committee 7.) The members of the Committee of the PRO, the Newsletter and the WEBPAGE 8.) Secretaries of the PRO, Newsletter and WEBPAGE and the CPGs, Mel, Nelfia, Joy, and the Executive Secretary, Ms. Cora Roque. Thank you for the three years to be of service to POGS. Dr. Jack D. Sobel Dr. Aso with Drs. Pagtakhan-Luna, Carnero, and de los Reyes Prof. Takeshi Aso, MD, PhD, Keynote Lecturer Dr. Paktakhan-Luna, keynote speaker and inducting officer with Drs. Co, Carnero, de los Reyes and Padolina Dr. Lilia Pagtakhan-Luna, POGS President, 1991, Keynote Speaker and Inducting Officer Dr. Helen Grace Te-Santos, Ramon Lopez Awardee for Community Service being congratulated by Dr. Gonzaga and Dr. Carnero Ms. Ugochi Daniels of United Nations Population Fund Dr. Ryan Borja Capitulo, Constantino P. Manahan Young Researcher Awardee with Drs. Padolina, Gonzaga and Carnero Dr. Helen Grace Te-Santos and family with Drs. Padolina, Gonzaga and Dr. Carnero Drs. Gonzaga and Carnero together with the family of Dr. Capitulo 8 We are requesting for continous support from all of you. Kindly deposit your cash donations to BPI Divisoria, current account under the name POGS region 10 with account number 935-8055-15. Please scan the deposit slip and send an e mail copy to [email protected] which is the personal e-mail of Dr. Jana Tusalem. POGS national is also accepting donations as indicated in our call for help. We will be sending acknowledgement receipts as donations come in. It’s the time to be generous and it’s time to help our kababayan. We all have our individual problems and concerns which sometimes appear insurmountable and overwhelming. We even question why events occur when they’re not suppose to. Time is precious. Let’s do what we can NOW and trust HIM that in time, things will be fine . To all of you who were with me in 2011, thank you very much. O In the spirit of Christmas. . . Let’s help our Filipino brothers and sisters in CDO and Iligan h how time flies so FAST! It seems like I just started my term as Board secretary last January of 2011 and now it’s almost 2012. Time is relative. It is what we make of it. Relationships and friendships are preferably honest, permanent and long lasting. Positions and accolades are temporary laurels. Sometimes we are jolted out of our complacency for a reason. The reason might not be evident outright but in due time it will be. When the realization comes out then we can sigh a prayer of thanksgiving for everything that has happened the way it did. POGS had its midyear convention in Cagayan de Oro City last summer. It was picturesque and grand. Everybody enjoyed it and congratulated our colleagues in Northern Mindanao for a job well done. With a blink of an eye and in the darkness of the night, the fury of typhoon Sendong struck! Tragedy has spared no one. You’ve read it on the newspapers, heard it on the radios, have seen it on television and have accessed it thru the internet. Over the holiday season, Dr. Jana Tusalem, our regional director for region 10 together with our other OB coulleagues have been working hard to lighten up the burden. At the outset our initial concern was to ensure the welfare of all our POGS members. Some of our members who were really badly affected include: Dr. Mae Lumang, Dr. Joeva Yap, Dr. Beethoven Saquilayan and Dr. Carlos Tan of CDO and Dr. Celina Destura of Iligan. With strong prayers and ‘bayanihan’ we hope you all recover soon. Dr. Jana together with region 10 members used the donations coming from POGS national and from the other regions in buying and distributing 4,000 packs of ‘noche Buena’ last December 24 in the various evacuation centers. They sacrificed time supposedly spent for the family to be with our distraught countrymen. POGS plays a special concern and role in this tragedy, as reported by Dr. Cynthia Tan, who attended the disaster coordinating meeting in DOH there are two thousand (2,000) pregnant women in evacuation centers. Surely their prenatal care, delivery and postpartum care should be carefully handled. Its difficult enough to be pregnant and its even doubly dangerous to deliver in precarious environment. Induction of 2012 POGS Officers and Members of the Board of Trustees Election Opening of Exhibits Plenary Sessions 9 PHILIPPINE OBSTETRICAL AND GYNECOLOGICAL SOCIETY (Foundation), INC. PHILIPPINE BOARD OF OBSTETRICS AND GYNECOLOGY 2012 PBOG CALENDAR OF ACTIVITIES A. DIPLOMATE PART I (WRITTEN) EXAMINATION • • • • Period of application Deadline for distribution of documents to Examiners Date of Examination Venue : March 19 to April 20, 2012 : April 27, 2012 : July 15, 2012 : UST Cinematorium B. DIPLOMATE PART II (ORAL) EXAMINATION – 1st Batch • • • • Period of application : December 01, 2011 to January 06, 2012 OR when 150 complete applications have been accepted, whichever comes first. Deadline for distribution of documents to Examiners : January 13, 2012 Date of Examination : March 9, 16 & 23, 2012 Venue : POGS Building C. DIPLOMATE PART II (ORAL) EXAMINATION - 2nd Batch • • • • Period of application : April 30 to June 01, 2012 OR when 150 complete applications have been accepted, whichever comes first. Deadline for distribution of documents to Examiners : June 08, 2012 Date of Examination : August 10, 17, 24, 31, 2012 Venue : POGS Building The Diplomate Part 2 (Oral) Examination will be held in 2 batches, each batch limited to the first 150 applications who have complied with the requirements. By: Ana Victoria V. Dy Echo, MD I n September 11, 2011, Philhealth released a circular announcing the new Case Rate Payments. In the new case rate payment, the benefit claim for cesarean section has decreased to P19,000 (from an original P25,000). In line with this, Philhealth drafted a policy statement for cesarean section, enumerating the list of indications for cesarean section warranting Philhealth accreditation. These measures were deemed necessary to lower cesarean section rate, as cesarean section has been identified as Philhealth’s most frequently paid surgical procedure. In response to this policy statement, POGS President Dr. Sylvia delas AlasDr. Ana Victoria V. Carnero called on the POGS Committee on Clinical Practice Guidelines, Dy Echo the Task Force on Cesarean Section and Philhealth Committee members to convene and evaluate the proposed list of acceptable indications for cesarean section. Last October 22, 2011, representative members, which included Dr. Efren J. Domingo, Dr. Ma. Luisa Acu, Dr. Bernabe Marinduque, Dr. Ilem Esmeraldo, Dr. Valerie T. Guinto and Dr. Ana Victoria V. Dy Echo met at Mario’s Restaurant with the objective of completing a list of valid indications for cesarean sections and providing justifications for these indications. It is the hope of POGS that with the proposed list of acceptable indications for cesarean section, the OB-GYNs will be guided as to proper assessment of their patients’s conditions before proceeding to performing cesarean sections. Consequently, this may decrease the cesarean section rate, and subsequently Philhealth may consider bringing back case payment rate of cesarean section to its original rate. Listed below are the proposed maternal and fetal indications for cesarean section. This list was submitted to Philhealth for final evaluation and approval. D.HOSPITAL ACCREDITATION VISITS Date: March 10 to September 2012 Deadline for Application: February 17, 2012 FEES: Application fee2,000 (must be made upon submission of requirements) Examination fee 3,000 (must be made upon approval of requirements) For Particulars Call: ABIGAIL ELSIE D. CASTRO, M.D. Secretary, PBOG In Response to PhilHealth Policy Statements for Valid Indications for Cesarean Section MEL OR OZIEL POGS Secretariat Tel. Nos. 921-75-57 Telefax: 921-90-89 Email: [email protected] Maternal Indications 1. Previous cesarean section 2. Uterine scar secondary to (a) previous myomectomy, (b) repair of uterine anomalies 3. Dystocia secondary to arrest disorders: (a) arrest of dilatation, arrest of descent, failure of descent 4. Abnormalities/tumors of the reproductive tract: (a) cervical stenosis, (b) cervical carcinoma, (c) congenital anomalies of the vagina, (d) myoma in the lower uterine segement or cervix causing tumor previa 5. Placental abnormalities associated with antepartum hemorrhage: (a) placenta previa totalis, or other types of placenta previa with antepartum hemorrhage, (b) vasa previa, (c) abruptio placenta 6. Failed induction of labor (more than 18 hours of induction) 7. Prelabor and/or prolonged rupture of membranes with signs of intraamnionic infection/chorioamnionitis 8. Maternal medical conditions: (a) uncontrolled maternal hypertension, (b) maternal conditions that preclude valsalva maneuver (e.g. left sided valvular stenosis, dilated aortic valve root, cerebral AV malformations, recent detachment, recent vagina/perineal reparative surgery), (c) active genital infections associated with increased risk for maternal-fetal transmission (e.g. active genital HSV, bulky condyloma acuminata, HIV, hepatitis B infection with high infectivity) Fetal Indications 1. Nonreassuring fetal status documented on biophysical profile, Doppler velocimetry, nonstress test, contraction stress test, intrapartum tracing (Category III), evidence of prolonged academia, except in situations where monitoring is not available. In such instances, fetoscope documentation is necessary. 2. Category II fetal status, in the presence of other adverse fetal factors (e.g intrauterine growth restriction, postdatism) 3. Anhydramnios 4. Congenital anomalies 5. Abnormal fetal presentation (breech, face, transverse, compound) 6. Cord prolapse of a viable fetus 7. Fetal macrosomia 8. Multiple pregnancy Combined/Additive Maternal and Fetal Factors 1. Oligohydramnios, associated with other high risk conditions, examples of which are: a. Unfavorable cervix b. Intrauterine growth restriction c. Postdatism d. Maternal hypertension e. Poor obstetric history 2. Elderly/advanced maternal age, associated with a history of infertility 3. Thick meconium staining seen during early stages of labor 4. Poor obstetric history in the presence of other maternal/fetal factors In picture (from L-R): Dr. Valerie Guinto, Ms. Joy Aquino, Dr. Sylvia delas alas-Carnero, Dr. Efren Domingo, Dr. Ana Victoria Dy Echo, Dr. Ilem Esmeraldo, Dr. Bernabe Marinduque and Dr. Luisa Acu 10 Colposcopy Units in the Philippines Benjamin D. Cuenca, MD The Philippine Society for Cervical Pathology and Colposcopy (PSCPC) comes up with a list of certified colposcopists in their respective places of practice to ease the referral system among its colleagues. The society, headed by its prexy, Dr. Mary Cristine F. Palma, has always been concerned with quality services rendered by its members. Colposcopy Training Centers *UP-PGH Medical Center Section Head: Dr.Maria Julieta V. Germar Trainees: Dr. Bessie Escobal Dr. Annebelle Morillo PGH Hospital: Dr. Carolyn Zalameda-Castro Dr. Lilibeth L. Sia Su Dr. Jericho Thaddeus P. Luna Dr. Jean Anne B. Toral Dr. Elizabeth Espino-Strebel Dr. Esther Rhadamantine V. Ganzon Jr. Dr. Renee Vina G. Sicam Dr. Filomena S. San Juan Dr. Ana Victoria D. Echo Asian Hospital and Medical Center: Dr. Glenn B. Benitez Dr. Teresita Cantos-David Dr. Elsie R. Dancel Dr. Manuel S. Manabat Dr. John David Zamora Dr. Aina Sales-Diaz East Avenue Medical Center: Dr. Marie Aleli De Castro - Malig Dr. German Tan Cardoso Cardinal Santos Medical Center: Dr. Christine Joy G. Garcia Dr. Patricia Luna-Sun Dr. Aris Luke I. Dungo Dr. Elmer R. Santos Manila Adventist Medical Center: Dr. Edgar D. Licup Zamboanga Puericulture Center Dr. Ma. Gay M. Gonzalez Brent Hospital and College, Inc. (Zamboanga City) Dr. Ma. Gay M. Gonzalez Zamboanga City Medical Center Dr. Ma. Gay M. Gonzalez Manila Doctors’ Hospital: Dr. Aida J. Bautista Dr. Elsie R. Dancel Dr. Efren J. Domingo Dr. Filomena S. Sanjuan Jose Reyes Hospital: Dr. Benjamin D. Cuenca Dr. Lilli May T. Cole Dr. Rey H. De los Reyes Chinese General Hospital: Dr. Victoria Sy-Fernando Dr. Helen P. Serrano St. Lukes Global: Dr. Leo Francis Aquilizan Dr. Maria Julieta V. Germar Dr. Efren J. Domingo Dr. Jay Arnold F. Famador FEU-NRMF Hospital: Dr. Rey Delos Reyes Dr. Rommel Dueñas Dr. Lazarito Villamor St. Luke’s Medical Center: Dr. Leo Francis N. Aquilizan Dr. Wilhemina D. Rivera Dr. Maria Elvira G. Casals Dr. Rey H. Delos Reyes Dr. Melinda M. Cayabyab Dr. Mary Christine F. Palma Mary Chiles General Hospital: Dr. Rey H. Delos Reyes Mary Johnston Hospital: Dr. Elsie R. Dancel Dr. Doris R. Benavides San Pablo Doctor’s Hospital, Laguna Dr. Bernardita Calayan-Brion Medical Center Manila: Dr. Angeles Padilla-Cruz † San Juan De Dios Hospital: Dr. Imelda O. Andres † Dr. Manuel S. Manabat Dr. Caridad E. Molino UST Hospital: Dr. Gil S. Gonzalez Dr. Jocelyn Z. Mariano Makati Medical Center: Dr. Glenn B. Benitez Dr. Jay Arnold F. Famador Dr. Genara Limson Dr. Rebecca B. Singson Dr. Annebelle D. Aherrera Medical Center Parañaque: Dr. Virgilio R. Oblepias Perpetual Help Medical Center (LP): Dr. Manuel S. Manabat Dr. John David Zamora Dr. Marie Aleli De Castro-Malig Victor R. Potenciano Medical Center: Dr. Edna C. Banta Dr. Emilio Glenn B. Evangelista Dr. Mary Christine F. Palma World Citi Medical Center: Dr. German Tan-Cordoso Dr. Irene M. Tagayuna Dr. Rene Vergel De Dios Sotto The Medical City Hospital: Dr. Ronald Augustine Campos Dr. Edna Banta Dr. Mary Christine Palma Dr. Maria Julieta V. Germar Dr. Emilio Glenn B. Evangelista Dr. Jericho Thaddeus P. Luna Veterans Memorial Medical Center: Dr. Teresita B. Cardenas Dr. Rene Vergel De Dios Sotto UERMMC: Dr. Lili May T. Cole Dr. Maribel Emma Co-Hidalgo Dr. Jay Arnold F. Famador UDMC Hospital: Dr. Irene M. Tagayuna Our Lady of Lourdes Hospital: Dr. Aris Luke I. Dungo Dr. Jocelyn M. Beloy Metropolitan Hospital: Dr. Benjamin D. Cuenca Dr. Carmen Ang-Jimenez Dr. Ruth Judith Gay V. Cristobal Dr. Elizabeth King-Supelana Dr. Benjamin D. Cuenca Fabella Hospital: Dr. Ma. Cynthia F. Tan Las Piñas Doctors Hospital: Dr. Teresita Cantos-David Dr. Marie Aleli De Castro - Malig Calayan Women’s Clinic, San Pablo, Laguna Dr. Josefina V. Calayan Dr. Bernardita Calayan-Brion MCU-FDTMF Hospital: Dr. Edna C. Banta MPI-Medical Center Muntilupa: Dr. Gemmari G. Dela Merced Midland Plaza Suite6 6B: Dr. Cecilia L. Llave Healthserv Los Baños Medical Center Dr. Salvador Luis R. Villanueva Launching of Clinical Practice Guidelines Handbook and POGS Code of Ethics Dr. Sylvia de las AlasCarnero and Dr. Efren J. Domingo Dr. Carnero with Dr. Lourdes B. Capito During the POGS Annual Convention Business Meeting last November 9, 2011, 2 important references for the POGS members were launched. The Committee on Clinical Practice Guidelines, led by Dr. Efren J. Domingo, launched 5 new Clinical Practice Guidelines: (1) The Second Edition of the CPG on Diabetes Mellitus; (2) the Second Edition of the CPG on Multiple Pregnancy; (3) The CPG on Immunization for Women, launched in cooperation with the POGS Committee on Immunization for Women; (4) The Second Edition of the CPG on Gestational Trophoblastic Diseases, launched by the PSSTD; (5) The Updated Edition of the CPG on Abnormal Uterine Bleeding, launched by the Task Force Chair Dr. Lourdes Capito, emphasizing the new FIGO Nomenclature on AUB. The Adhoc Committee on the the Ethical Guidelines, headed of Dr. Lourdes B. Capito, launched the Ethical Guidelines in Obstetrical and Gynecological Practice, Medical Education and Research. These handbooks were all presented and accepted by the POGS President Dr. Sylvia delas AlasCarnero during the meeting. Members may get their copies from the POGS Office. Committee on Newsletter, Public Information and Foundation Day 2011 Dr. Efren J. Domingo P.R.O. and Chairman Dr. Mary Judith Q. Clemente Dr. Ana Victoria V. Dy Echo Dr. Esther Rhadamanthine V. Ganzon Dr. Christine Joy G. Garcia Dr. Laureen Honor F. Mondragon Members 11 Announcement Welcome to the City of Smiles, BACOLOD CITY, venue of the 2012 POGS Midyear Convention. Our Theme: POGS CELEBRATES THE SMILING PINAY! We are inviting noted speakers who will speak on exciting and empowering issues in different stages in her life: in utero to menopause. We have lined up for cultural out of town tours and trekking up Mount Canlaon volcano for extreme sports enthusiasts. You can go whale or dolphin watching in Bais City or proceed to Boracay. KARI KAMO SA BACOLOD! EVELYN R. LACSON, MD Regional Director, POGS Region 6 Program of Activities April 23, 2012 – Monday 08:00am-05:00pm Arrival of Delegates 06:00pm-09:00pm Welcome Dinner for Board of Trustees, Regional Directors, Speakers and Organizing Committee Venue: Nature’s Village Resort April 24, 2012 – Tuesday 08:00am-05:00pm Registration of Delegates 08:00am-12:00nn Fun Run/ Amazing Race Board of Trustees/ Regional Directors’ Meeting Venue: L’Fisher Hotel 01:30pm-02:00pm Opening of Exhibits Venue: Lobby, L’Fisher Hotel 05:30pm-09:00pm OPENING CEREMONY & WELCOME RECEPTION Venue: La Proa Grand Ballroom, L’Fisher Hotel April 25, 2012 – Wednesday 08:00-08:20am Clinical Gynecological Approach Especially for Kids and Teens 08:30-08:50am Ovarian Pathology in the Young and the Restless 09:00-09:20am Adolescent Pelvic Pain 09:30-09:50am Updates in Menstrual Disorders in Teen 10:00-10:30am Break 10:30-10:50am Teen Reproductive Health: Adolescent Sexuality in the Philippines 11:00-11:20am Fetal Origin of the Metabolic Syndrome 11:30am-01:30pm Lunch break: MSD Luncheon Symposium 01:30pm-03:00pm Multicare Resident’s Interesting Case Contest 05:30pm-09:00pm Fellowship Night Venue: Bacolod City New Government Center April 26, 2012 – Thursday 08:00-8:20am Menopause Alert: Female Sexual Dysfunction, A Neglected Problem 08:30-10:30am Sexuality in Menopause 10:30am-12:00pm Laughter Yoga 12:00-1:30pm EMBIL Luncheon Symposium 02:00pm-03:00pm Closing and Turnover Ceremonies UNITED DOCTOR’S MEDICAL CENTER Department of Obstetrics and Gynecology 18th Annual Postgraduate Course in Practical Obstetrics and Gynecology February 20-21, 2012 Century Park Hotel Guest Speaker: Prof. Sir. Sabaratnam Arulkumaran For inquiries, please contact: 0917-5614344 / 712-3260 / [email protected] DE LOS SANTOS MEDICAL CENTER 10th Postgraduate Course February 8-10, 2012 Edsa Shangila Hotel, Ortigas
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