Tag: Learning & Development

Learning and development (L&D) is a function within an organization that is responsible for empowering employees’ growth and developing their knowledge, skills, and capabilities to drive better provisions of healthcare.

  • Standing on the shoulder of giants- My Family

    I would be a leap of faith just to believe I can be where I am today, but my family just made it all possible.

    “Our family is everything to me. No matter how remote my actions and decision are before, today and in the future, you’ll find a “connection” between those actions and you, my family”R.A., an excerpt from a letter to his mom and siblings, during the “hard times” of med school.

    Third sibling in a family of four, the eldest of the boys, a father’s pet and the family’s nightmare, I am cut for an outrageous fate. Fate, it seems, is full of ironies.


    The passing of a beloved father

    My dad died when I was just eight years old and my family was plunged into an abyss of compounding problems fit for a telenovela.

    And so goes the story of my re-education.

    A cut for survival
    It was surviving that was central to the family’s agenda. So, a “cut” is made in all the basic needs of the family- food, shelter, education, for us to survive.

    It was education that was hardly hit, thanks to EDSA revolution back then. A sibling in college, another one entering college soon and a younger brother in elementary- all surviving and being supported by a single working mom. The loss of our dad has had the ripple effect in no time. But there were signs of disasters waiting to happen.

    The grim reality
    You gotta have a scholarship in high school or you’ll not going to any school at all” this grim reality my mom told me with tears welling in her eyes. “We can’t afford to send you to school”. These words, sunk into the deepest recess of my brain and bled my heart to no end. It was a cut my mom made to ensure the survival of our family. And though, I sense the simmering helplessness and agony in her, she has shown a firm and decisive role to govern her family through the hard times.

    Why me? Was it because I was the third or was it because I was expendable to the family?” At a young age of 12, I knew a storm of hard ships is coming our way. But this was just the beginning. And I was one of the hardest hit.

    One step at a time.
    So, while gnawing in pain and agony for the luck I got, I took it on as a challenge. “I will loose nothing in this uphill battle. I have no way to go but up.”

    My dad wanted a doctor in the family and this was his plan for our eldest sister early on. But he did not lived long enough to even see my sister step into college. The dire financial chaos my family is in only dampened the spirits of my sister to even enter premed. She went into accountancy instead.

    Meanwhile, I was inching my way though high school scholarships. The initial taste of success emboldened me to “I want some more” type of aggressive academic greed. Daunting the challenges were at those times, I stood my ground and leaned on the “walls” of my family. If I was victorious , that is because I was so darn proud of my family. We were beginning to shatter all the gloomy expectations for our family

    Undaunted and victorious over the challenges given to me in high school, I trained my gun next on college. Opportunity then knocked when UPCAT applications came into my mailbox. “A scholarship and a thick stomach is all I need” I jokingly told my mom and sisters. “You got to be nuts” said my sister. “Even if you get inside UP and get a scholarship, will you be able to survive on that alone, through college in a far away place? Away from us?” They’re afraid I’d land with the “great thud” when I hit the ground of failure.

    Give me just a year. If I fail, I’ll stop at my wishful thinking and go back here…” My family knew that with my initial success in high school, I am virtually unstoppable. So I got my way. Though afraid of what I might get into, they supported me all the way through, hugs and tears included. I am embarking on a path no one else in my family had gone into. So the benchmark is, unknown.

    The Ebb and Flow Cycle
    So that serie
    s of “one year” came and lead into another… and another. My family and especially my mom was an inspiration. She never spent a dime on my tuition fee, that is because I felt, she has had enough of her share of hardships. So I made it a point my mom would be proud of me, and she be proud of her self. That despite having to bring up all four ostensibly ambitious children, her hard work did pay off in thousand folds. So every year during my college, she has to travel from our place to my school, climb up the stage and receive an honor in recognition for growing up four fine and ambitious children, proud of their mom, proud of their family. It was a memento of her marvel for survivorship.

    It was like these since then, the same story repeated through med school and even training. I, haughtily pursuing my medical career and my family giving the turbo charged after burners in times of chaos. I was busy carving a path for my career, and my family asphalted it for me.

    Whether my decisions would run for and contrary to their wisdom, they embrace me and hug me though my journey. How I became a doctor despite all of these, is another story to tell. But my family is pivotal to all the decisions I made in the past.

    I stood my ground through years. But I have shoulders to stand on- my family.

  • An Electronic Health Record for Philippine healthcare system

    screen shot of FFEHR, an EHR for Philippine health care (photo taken from FFEHR project site)

    Long overdue and much awaited, an Electronic Health Record or EHR has been released for the Philippine healthcare system. Quoting DabawGNU, the co-developer of this EHR,

    The first beta release of FFEHR, an electronic health record application commissioned by the ASEAN+3 node of the International Open Source Network (IOSN), was released to the public last April 28, 2008. This release comes six months after the University of the Philippines Manila-National Telehealth Center tasked free/open source software (F/OSS) programmer Nathaniel Jayme and Davao-based F/OSS organization DabaweGNU, Inc. to jointly develop FFEHR. This release marks an important milestone as the project now opens its doors for public review.

    Basically just a first step towards implementing a well designed and stable EHR for our healthcare, it will definitely fuel an onslaught of interest from the so many healthcare professionals who have wanted a robust, scalable and free EHR.

    Details of this said project can be read here in FFEHR website or the DabawGNU site. A beta version for linux and windows can be downloaded here.

  • The Blog Rounds 7th ed:I "heart" the Philippines!

    “On some point, I agree these docs did something wrong. But some unscrupulous media people are just as scandalous hyping these controversies also. And to what end?”

    This was my response to a friend’s rants against physicians last night. The charade of controversies she enumerated against MDs in particular is nauseating. I couldn’t blame her, except of course when she generalizes the few scoundrels to the whole medical profession.

    The issues regarding pharmaceuticals and physicians conniving against Cheaper Medicine Bill, the PhilHealth scam, the VSMH Operating Room Scandal, and now this US Health Insurance scam. At the very least, it did nothing but put the medical profession in bad light. Worst, it may just kill this noble profession.

    No matter how hard we inch our way making good at doing ethical practice, the ripple effect is just darn too disturbed by the waves of infamy from scoundrels who don white blazers and stethoscopes.

    That’s why at times, it’s too tempting to just “pack our things up” and leave Philippines to rot on its ballyhooed corruption. But thats probably too much generalizing of a country (and the people) we loved to nitpick. Like any other profession, there are bad apples and rotten tomatoes, but this does not necessarily mean all tomatoes and apples are rotten as well.

    Why did we choose to stay here? Why do we love this place, this people so much? Why do we physicians tie our shoelaces here instead of wearing the cool and financially rewarding work abroad? Why will you endure the hardships when you can simply forget about My Philippines?

    These and more, will be the topic for the seventh edition of The Blog Rounds, a weekly compilation of the best in Philippine’s medical blogosphere. Hosted by Doc Ian on his blog So Far So Good, the theme revolves around what made us “heart” or love the Philippines. A very heartwarming theme indeed in these times of Hippocratic infamy.

    MD’s and paramedical bloggers who wish to join The Blog Rounds, please read this guidelines, submit your entries to Doc Ian here and join the lively discussions on tomorrow’s seventh edition of TBR to be hosted on Doc Ian’s blog!

  • Sixth Edition Blog Rounds: Philippine Healthcare, why is it far from the ideal?

    Philippine Healthcare: Why is it Far From Ideal?

    This 6th edition Blog Rounds’ theme attempts to put forward an analysis of a problematic( is it?)healthcare system that has long been tackled, but never successfully addressed. One of the biggest stakeholders in “the solution” to such problem, the doctors may offer some valuable insights in the final analysis of the root cause for such dying health scenario- here in our land!

    Join the sixth edition of TBR and be part of the lively discussions surrounding this issue! Doc Che will be hosting the sixth edition of TBR in her blog Merry Cherry. Her call for articles is already posted here. Please submit your entries to Doc Che before 5:00 PM April 21, 2008.

    For those unaware yet, The Blog Rounds is a weekly compilation of the best in Philippine’s medical blogosphere, written by physician bloggers (or the medically inclined bloggers) and hosted on a participating blogger’s weblog. Archives and edition schedules ( plus the host blogger) are listed here. The next edition of TBR will be up this Tuesday, April 22, 2008 7am PST.

    Physicians and medically inclined bloggers interested in joining this blog carnival, please contact me through my email kokegulper[at]yahoo[dot]com or any of the participating TBR bloggers. Guidelines and updates are posted here in my website, The Orthopedic Logbook.

  • No where to go but up!

    (I wrote this article while savoring the brutality of starting a practice and endless whining of a slow start.)

    My struggle has always been between filling up my empty stomach or satisfying my impoverished brain. To the millions of hungry Filipinos like me, this our “class struggle”-an unarmed, non-violent but similarly aggressive perspective of seeing past our choices of everyday life.

    To a proletarian who have gone to the bottom lowest of the pits, the best assurance one can get whenever you start a career or something is an old adage that says “you can go nowhere but up” or something to that effect. Like a messianic prophecy, I fanatically held on to this belief since high school days . The capitalist notion of incentive-driven success vis a vis hard work is as ironic as it is baffling to everyone in this “stomach” struggle. Yet, I survived half of my lifetime living in such altruistic ironies that neither my myopic deconstruction of choices nor the risky jumps I made could explain the extraordinary luck I had ending up being a physician.

    The dream of donning a white blazer and treating a patient is as fascinating as it is exciting. I am so entwined with that dream I forgot I have neither the financial capabilities nor the intellectual giftedness needed to attain such lofty dreams. I went into this profession simply because I wanted to prove to myself (and to my less encouraging social caste) what everyone in my bunghole has failed to do before me- don the white blazer with the least expense I can- financially and intellectually that is. Everyone think it was suicide in the making. I thought I have nothing to loose. I don’t have anything to loose anyway.


    That dream however grew into a vision, thanks to my alma mater. I practically crawled and bled to finish top of the line education for a career not everyone in my caste will experience- not even in their dreams. Fifteen years of Hippocratic studying did wizen my outlook about this noble profession. But it also shattered some idyllic notions I once have about doctors’ blissful life. More importantly, it brought my bourgeois upbringing to its knees and gave me the awakening of my comfortable life. My mission is never confined to the personal and financial self gratification kind of success. Because if it is that myopic, I could have never gotten this far.

    I have all the necessary ingredients for a successful medical practice. Ingredients that when “cooked” rightfully, would lead me into the much coveted goal in life that is termed success. Such “ingredients” are big words indeed, taught in bold letters, eaten in gastronomic amounts and digested in herculean way. It’s funny after that word found its way into the neurons of my brain, I have been deluded of a blissful life outside the academe, akin to the Renaissance Man. Little did I know about the truth that lay ahead in real medical life that is called “the Practice


    Starting an upstream professional career is never an easy thing for the not so typical surgeon wannabe like me. I neither possess the inherited practice most other surgeons nor the coffers to buy a new one. Most people believe though, that having trained in one of the best medical schools in the country prepared me for one of the most formidable foe of the real life physician practice- an empty stomach.

    Of course being out of the academe and starting your own practice has its exciting advantages. The thought of having to take control of one’s time and spend it according to what you want is exhilarating. I can spend more time with what I want most, or with my loved ones I neglected when I was still studying. Gone are the Sundays where you have to read and prepare for pre-ops instead of having to eat dinner with family. I see non emergency patients on a scheduled time I myself created. Most of all, I have time to take care of my body while taking care of patients as well. I can eat full meals in a day and exercise regularly to maintain a sound and fit body. It is ironic that while we take care of patients 24/7 in a hospital, I lost tract of my own health in the process.

    I am into the practice of my profession for just barely two months, and it’s neither the blissful stride I once dreamed nor the catastrophic frustration I’m so afraid of before. Somewhere in between these extremes is the horrible spectrum of uncertainty where my minute practice existence resides. I wish my practice was as dramatic as the scenes in ER and Grey’s Anatomy or as wacky as unnerving as House’s one liner ass kicking. Nonetheless, the uncertainty gave me ample excuse to whine and be cynical about everything I get my hands on. Blame it on inexperience surgeon wannabe that is me. Everyone says that staring a career is shitty enough to make or break your soul. My soul has undergone so many breaks it neither can feel any shattering this practice has to offer nor enough time to recover form constant battery of changing lucks past choices.

    I bet it’s easier to just look at it as the paradigms of opposites. The definitions of success (and failure) in ones’ professional practice defined by simplistic phrases like-great clinic practice, successful surgeries, acknowledged researches, magnanimous services to patients and yes, professional fees enough to buy what we need. In essence, the very opposite of such adjectives and superlatives defines failure . Of course almost everyone believes that such simple dichotomous definitions don’t exist in reality. The theory of relativity seems to apply even in the psychology of success.

    So it seems. But that, I have yet to uncover.

    (Photo credits: All photos were taken from Deviant ART, my favorite repository of artistic shots.)