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 Department of Otorhinolaryngology Head and Neck Surgery

 

Background and History of the Department

The Section of ENT has long been independent from the Department of Surgery since 1983 since the arrival of Dr. Rodolfo Dela Cruz who is originally from Roxas City.  In a year’s time, Dr. Teodoro Jardeleza came back from his training in Baylor University Hospital in the United States.  They both finished their residency training at the UP-PGH.  Dr. TJ as we fondly call him is the only diplomate in both the Philippine Board of Ophthalmology and Philippine Board of ORL-HNS.  They started their practice serving their private patients and the charity patients of the whole Panay and Guimaras Island.

In 1993, Dr. Marida Arend Arugay came to Iloilo City and she visited these two prominent Otolaryngologists of the city.  They welcomed her with a task they had wanted to do but cannot, because of their busy private practice.  This was to start a training program for future Otolaryngologists.  Together, they met with the four other Diplomates in Western Visayas based in Bacolod namely: Dr. Rodolfo Nonato, Dr. Restituto Gorosin, Dr. Jose Montilla, and Dr. Ramon Arriola.  They came up with a consortium to pool the resources (manpower and equipments) of the three major hospitals in the region: Western Visayas Medical Center, St. Paul’s Hospital in Iloilo City and Corazon Locsin Montelibano Memorial Regional Hospital in Bacolod City.

Two active members of the Philippine Board of Otolaryngology-Head and Neck Surgery encouraged them in this undertaking.  Dr. Mariano Caparas and Dr. Remigio Jarin.  The two visited Iloilo and Bacolod several times in order to check the feasibility of the consortium.  They met with the consultants and residents, discussed the proposition, laid out the plan, and worked out the strategy hoping for its approval by the PBO-HNS.  The signing of the Memorandum of Agreement among the three participating hospitals was done on August 26, 1996 at the Sarabia Manor Hotel, Iloilo City in the presence of two witnesses: Dr. Mariano Caparas and Dr. Remigio Jarin.  The signatories were: Dr. Jose Mari Fermin, the Medical Center Chief of WVMC, Iloilo City; Sr. Norma Manzano, Hospital Administrator of St. Paul’s Hospital, Iloilo City; and the representative of Corazon Locsin Montelibano Memorial Regional Hospital, Bacolod City.

In January 1997, the Department of ORL-HNS Western Visayas Consortium was given due recognition by the Philippine Board of Otorhinolaryngology Head and Neck Surgery with Dr. Marida Arend Arugay as Over-all coordinator and Dr. Rodolfo Nonato as Training Officer.  

A two year initial accreditation was granted to the consortium.  It is the first consortium of hospitals accredited by the PBO-HNS and the 3rd accredited training institution outside Manila.

Because of this new undertaking, service, training and research in the field of ENT-HNS in the region were enhanced.  Moreover, resident trainees have become interested in the field of specialty and the referral system from other specialties has been better with the bulk of patients going to Manila decreased.

The consortium has been active and updated in all activities of the PSO-HNS and it is also striving hard to maintain its accredited status and working hard to improve what it has started.

In 2001, the consortium hosted the 45th Annual Convention in Iloilo City.  It was held at the Sarabia Manor Hotel from November 30 to December 3.  It was the first time that the Annual Convention was held outside Metro Manila.  The convention was chaired by Dr. Marida Arend V. Arugay.  Proceed of the convention was used as seed money for the DULILAN (Dulonggan-Ilong-Tutunlan) Foundation Inc. which aims to help finance the needs of our service patients and fund researches of the department.

The midyear convention of 2003 was hosted by Bacolod City.  This would be the last activity of the WVMC Consortium of the National magnitude.

The year 2005 marks the beginning of a NEW Western Visayas ORL-HNS Consortium.  After 8 years, Corazon Locsin Montelibano Memorial Regional Hospital in Bacolod City finally became an independent training institution leaving only 2 hospitals, Western Visayas Medical Center and St. Paul’s Hospital in Iloilo, in the consortium.  With this separation, a visit from the PBO-HNS led by Dr. Remigio Jarin together with the PSO-HNS representative, Dr. Francisco Victoria was done to the two component Hospitals last August 6-7, 2005.  The new Western Visayas ORL-HNS Consortium was granted full accreditation status.

Vision

We envision the Department of Otorhinolaryngology-Head and Neck Surgery of Western Visayas Medical Center to be a leading unit of excellence in our specialty with holistic, patient-centered services, excellent training capabilities, and relevant research.

Mission

Our mission is to provide competent and comprehensive otorhinolaryngologic care, continuing development of excellent ORLHNS training programs characterized by the most recent knowledge and relevant technology, and initiatives in clinically useful research.

Quality Policy

To be able to support a continuing improvement of training, the Department is encouraged to establish a quality policy which considers the systems and actions supportive of the training program.

The Department shall strive to meet both local and international standards of care in the field of Otorhinolaryngology by formulating quality policies consistent with those of the Institution and within the standards set by the PBO-HNS, Department of Health, and World Health Organization.

It shall attain client satisfaction and meet client needs by:

 

1 Encouraging professional advancement and supporting continuing professional training for the Department Staff

2 Maintaining a system of quality management within the Department

3 Supporting relevant medical research

4 Providing for control measures in the delivery of health services

5 Developing and maintaining programs aimed towards quality service

6 Participating in the care and maintenance of Hospital infrastructure and Department equipment

7 Actively communicating with clients to obtain ideas and feedback for improvement

8 Working within the standards set by the Philippine Board of Otolaryngology-Head and Neck Surgery, Department of Health and World Health Organization

Services offered by the Otorhinolaryngology Head and Neck Surgery

MAJOR PROCEDURES

1. Surgery of the pharynx and oral cavity

(adenoidectomy, tonsillectomy and other lesions) 

2. Endoscopy 

Esophagoscopy & Bronchoscopy 

Direct Laryngoscopy 

3. Surgery of airway (tracheostomy or cricothyrotomy 

4. Surgery of the larynx for malignancy (total & partialfunctional 

5. Rhinologic surgery for diseases 

SMR, septoplasty 

Cleft Lip 

FESS/Polypectomy 

Antrostomy 

6. Rhinoplasty / Septorhinoplasty (augmentation. Reduction, Functional , revision) 

7. Surgery for rehabilitation of hearing

Myringotomy with tube 

Tympanoplasty 

8. Surgery for mastoid infections 

9. Surgery of congenital lip & palate defect 

10. Surgery of maxillofacial fracture (nasal bone &septum, mandible, maxilla, zygomatic bone & arch)

11. Reconstuctive Surgery for Head and Neck 

12. Surgery of thyroid tumor & diseases 

13. Surgery of major salivary glands 

14. Surgery of maxilla, mandible & paranasal sinuses for malignant tumor / benign 

15. Neck dissection (classical, modified, regional) 

16. Surgery of tongue & oral cavity of malignant tumor 

17. Surgery of benign soft tissue tumor of head and neck (hygroma, thyroglossal duct cyst, Branchial cyst,

neurogenic tumors)

 

MINOR PROCEDURES 

1. Change of tracheostomy tube

2. Removal of sutures

3. Excision Biopsy

4. FNAB

5. Flushing of Impacted Cerumen

6. NGT Insertion

7. Removal of foreign bodies ( Nose, Ears Oral cavity and oropharynx) 

 

TRAINING PROGRAM

1 At least four [4] years of residency with exposure to subspecialties and complying with number of cases required as listed.

2 The department must maintain a 2:1 ratio of bed per resident.

3 One [1] resident a year or a total of four [4] residents for the four – [4] year training program in a fully accredited institution. Any increase in number must be approved by the certifying committee of the Board.

4 The hospital must have a designated room for its conferences, office staff and library for the exclusive use of the Department of Otolaryngology-Head and Neck Surgery (Acceptable: 1 room for all the functions).

5 The department must have its own emergency and dispensary areas.

6 A resident must be able to see a total of number of 2 patients per day or a total 10 patients per week. Total annually: number of residents x 10 patients x 50 weeks (500/resident/year).

7 Any department period that can not comply with the minimum requirements of beds, patients seen in dispensary and emergency room, patients seen as charity teaching cases in the operating room in the first annual report to the certifying committee of the board will be warned and failure to make amends in the second annual report would mean automatic disqualification and would be dropped out from the list of accredited departments.

8 The chairman of the department or his designated person must submit to the board or its committee its semi-annual activities and census: dispensary, OR, conferences, number of residents and consultants (Departments on probation)

9 Departments that have passed the probationary period must submit annual report and plans.

10 At least 70% of the consultant staff should attend the weekly grand rounds

 

Activities

1 Training Programs

The Trainee shall read and be made to understand the policies and requirements of the ORL Training Program at the beginning of his/her Fellowship or Residency. He/she shall attest to this by signing a form provided by the Department

2 Hospital Activities

1 Attendance in hospital activities shall be given their due importance as provided for by the hospital’s training policies.

2 Trainees shall come on time for these activities. An infraction may be incurred for unexcused late arrival in a required activity.

3 Departmental Conferences

These are conducted within the Department based on schedule and training requirements. Trainees shall arrive at these conferences on time. The extent of participation by the Residents and Fellows shall be determined by the Department.

1 Journal Club – a presentation and discussion of selected journal articles or other ORL literature by Residents, moderated by assigned consultants and held at least once a month

2 Staff meeting – an administrative meeting of the Department staff once every two weeks

3 Morbidity/mortality review and/or Audit – a review of cases with complicated or fatal outcomes and/or discussion of selected surgical/non-surgical cases with an emphasis on clinical outcomes, held at least once a month

4 Grand rounds – a conference held once a week wherein pre-operative, post-operative, and admitted cases are presented and discussed. The presence of at least 50% of the consultants is required.

5 Research discussion – a venue whereby the Residents’ researches are discussed in their various stages with assigned consultants; held at least once a month

The Department may hold other academic activities to supplement training such as:

1. Interdepartmental conference – a meeting involving two or more departments, held as needed, to discuss the multidisciplinary management of cases or common concerns/ issues

2. Residents’ Hour – a discussion by Residents of assigned topics

 

ORGANIZATIONAL CHART