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WVMC DEPARTMENT OF OPHTHALMOLOGY

Ophthalmology is a specialty that uses medicine and surgery to treat diseases of the eye. To become a general ophthalmologist, a candidate must have completed a Doctor of Medicine degree or its equivalent, completed a post-graduate internship program, passed the physician licensure exam, and completed residency at any Philippine Board of Ophthalmology (PBO)-accredited program.

 

Brief History

The Department of Ophthalmology of Western Visayas Medical Center has an accredited Residency Training Program in Ophthalmology. The Philippine Board of Ophthalmology, the teaching and training arm of the Philippine Academy of Ophthalmology initially accredited the program in 1997 when the Eye, Ear, Nose and Throat Department was split into the Ophthalmology and ENT-HNS Departments.

In August 2013, the department’s training program was re-accredited from January 2013 – December 2015. It was placed on probation from April 20, 2016 to December 31, 2020 then regained full accreditation from January 1, 2021 to December 31, 2023.

The residency program had its beginnings in late 1979, when the Department of Eye, Ear, Nose & Throat (EENT) was divided into the Section of ENT and the Section of Ophthalmology headed by Dr. Marcita A. Gomez. The first EENT resident was Dr. Edgardo Acosta. He was followed by Dr. Casten Guanzon, Dr. Zeny Rose Zerrudo, Dr. Willy Tan, Dr. Jeremy Saquian (who moved and finished ophthalmology residency at EAMC), Dr. Mildred Fernandez, Dr. Cezar Gardose and Dr. Fe Escanilla (nee Deocades) under the EENT program.

In 1990, Dr. Cynthia Antonia V. Salcedo joined the consultant staff under the section of Ophthalmology and eventually assumed Chairmanship in 1993 when WVMC was designated as one of the base hospitals for the MRTP (Modified Residency Training Program), a tripartite venture between the Department of Health (providing trainees), Helen Keller International (providing equipment & logistical support) and the Philippine General Hospital’s Institute of Ophthalmology (providing didactics). The objective was to train and equip eye MDs for underserved regions to manage the cataract backlog. The pioneer MRTP residents, all from Region 6, were Dr. Fritz Casalan, Dr. Annie Dumdum, Dr. Ed Galon, Dr. Mario Moscoso, Dr. Jerry Reyes & Dr. Pilar Posadas. Succeeding batches had trainees coming from regions all over the Philippines rotating over a 6-month period during the program's active implementation.

Lecturers/faculty from the Institute of Ophthalmology flew in regularly from Manila for didactics and outreach activities.

The enhancement of service capabilities in terms of equipment and faculty during the MRTP period paved the way for the establishment of the formal residency training program of the Department of Ophthalmology with Dr. Jeremy Saquian assuming the position of Training Officer in 1996. Accreditation status was first granted by the PBO in 1997. Dr. Napoleon Tiongco Jr. and Dr. Mary Grace Hojilla served as the first residents under the newly-accredited Department of Ophthalmology. The latter was the pioneer resident graduate post-accreditation, who went on to become a Diplomate of the Philippine Academy of Ophthalmology.

Linkage with St. Paul's Hospital, Iloilo Doctors’ Hospital, and Panay Eye Center have been established to allow residents to observe specialty procedures (e.g. Fluorescein Angiography) and where applicable, use diagnostic and clinical equipment initially unavailable at the WVMC Department of Ophthalmology (e.g. Argon and Nd:YAG Laser, Perimetry, OCT) under supervision. In the earlier years, gaps in subspecialty clinic exposure were filled in by observerships at East Avenue Medical Center when they are in Manila to attend the Basic and Clinical Science Course. This was made possible by the generosity of the Opthalmology department of EAMC to accommodate our resident on off-lecture days.

In 2010, WVMC Department of Ophthalmology was the recipient of an equipment grant from Agencia Española de Cooperation International (AEDI) in partnership with the Sentro Oftalmologico de Jose Rizal.

At present, the WVMC Eye Center is the only government training hospital that offers an accredited Ophthalmology residency training program in the whole Region VI. Renewal of accreditation is due every three years pending evaluation for compliance to requirements.

 

VISION

To be a center of excellence for comprehensive eye care services and provide access to quality diagnostic, interventional and research facilities at par with specialty standards at affordable cost.

MISSION

To preserve and restore the sight of present and future generations in Region VI by working to provide the highest quality comprehensive eye care to our patients with affordable access to the specialty standard diagnostic and interventional equipment and facilities, by developing new knowledge and skills, and by training other healthcare providers and patients to guarantee timely intervention as well as efficient referral and support systems.

 OBJECTIVES

To provide quality and comprehensive eye care in the following areas: out-patient services, emergency services, in-patient services. 

To train and teach resident physicians:

  1. To train residents following the Philippine Board of Ophthalmology (PBO) curriculum
  2. To participate in PBO-Accredited Basic and Surgical Courses including Continuing Medical Education courses of the Philippine Academy of Ophthalmology
  3. To promote quality research studies

To increase advocacy for the Vision 2020 : the Right to Sight to reach more beneficiaries and coordinate and maximize the resources and efforts of stakeholders in the region by:

  1. Achieving and maintaining the status of Region VI as “served” region in terms of eye care
  2. Heightening awareness and screening efforts for causes of early childhood blindness/disability (Retinopathy of Prematurity/Squint)
  3. Coordinating with other government and non-government stakeholders in addressing refractive problems  

To continue to support the training of primary and secondary healthcare providers to make them more efficient in screening and managing eye care problems at their level and, when necessary, make timely and intelligent referrals for intervention at the tertiary facility as necessary.

To utilize linkages for alternative resources in establishing the first Diabetic Eye Center in the region which will serve as the premier center for the screening and management of and research for Diabetic Retinopathy.

To increase efficiency in screening and managing ocular complications of systemic disorders and drug complications arising from their treatment (e.g. Diabetic Retinopathy, Hypertension, Age-Related Macular Degeneration, Arthritis, Cancer).

 

 

LOGO and ORGANIZATIONAL CHART  

 

 

 

Services Offered and Fees

Fluorescein Angiography -- P3,500 both eyes with case rate

Fundus Photo with Printed Picture -- P800 (regular), P640 (senior)

Slitlamp with Photo, TBUT Exam -- P200 (regular), P160 (senior)

Visual Field Analyzer (Perimetry) -- P 1,700 (regular), P1,260 (senior)

Panretinal Photocoagulation Laser -- P2, 500 per eye with case rate

Laser Peripheral Iridotomy -- P2, 500 per eye with case rate

Training

Residency Training Program

Overall Educational Goals of the Program

The Core Competencies

The residency program requires its residents to obtain competencies in the 6 areas below to the level expected of a new practitioner. Toward this end, our program defines the specific knowledge, skills, and attitudes required and provides the educational experiences needed in order for our residents to demonstrate:

  • Patient Care
  • provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health.
  • communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families;
  • gather essential and accurate information about their patients;
  • make informed decisions about diagnostic and therapeutic interventions, based on patient information and preferences, up-to-date scientific evidence, and clinical judgment;
  • develop and carry out patient management plans;
  • counsel and educate patients and their families;
  • use information technology to support patient care decisions and patient education;
  • competently perform the medical and surgical procedures considered essential for the area of practice;
  • provide health care services aimed at preventing health problems or maintaining health;
  • work with health care professionals, including those from other disciplines, to provide patient-focused care.
  • demonstrate knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and apply this knowledge to patient care.
  • demonstrate an investigatory and analytic thinking approach to clinical situations.
  • know and apply the basic and clinically supportive sciences, which are appropriate to ophthalmology.
  • Medical Knowledge 
  • Practice-Based Learning and Improvement
  • investigate and evaluate their patient care practices, appraise and assimilate scientific evidence, and improve their patient care practices.
  • analyze practice experience and perform practice-based improvement activities using a systematic methodology;
  • locate, appraise, and assimilate evidence from scientific studies related to their patients health problems;
  • apply knowledge of study designs and statistical methods to the appraisal of clinical studies and other information on diagnostic and therapeutic effectiveness;
  • use information technology to manage information, access on-line medical information; and support their own education; and facilitate the learning of students and other health care professionals.
  • demonstrate communication skills that result in effective information exchange and teaming with patients, patients' families, and professional associates;
  • create and sustain a therapeutic and ethically sound relationship with patients;
  • use effective listening skills and elicit and provide information using effective non-verbal, explanatory, questioning, and writing skills; and
  • work effectively with others as a member or leader of a health care team or other professional group.
  • demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population;
  • demonstrate respect, compassion, and integrity;
  • demonstrate a responsiveness to the needs of patients and society that supersedes self-interest; accountability to patients, society, and the profession; and a commitment to excellence and on-going professional development;
  • demonstrate a commitment to ethical principles pertaining to provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices; and
  • demonstrate sensitivity and responsiveness to patients' culture, age, gender, and disabilities.
  • Interpersonal and Communication Skills
  • Professionalism 
  • Systems-Based Practice
  • demonstrate an awareness of and responsiveness to the larger context and system of healthcare and effectively call on system resources to provide care that is of optimal value;
  • understand how patient care and other professional practices affect other health care professionals, the health care organization, and the larger society, and how these system elements affect their personal ophthalmic practice;
  • know how types of medical practice and delivery systems differ from one another, including methods of controlling health care costs and allocating resources; and practice cost-effective health care and resource allocation that do not compromise quality of care;
  • advocate for high quality patient care and assist patients in dealing with system complexities; and
  • know how to partner with health care managers and health care providers to assess, coordinate, and improve health care and know how these activities can affect system performance.

  

Activities

World Glaucoma Week - 2nd week of March

Sight Saving Week - August

Medical Missions outside WVMC