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Philippine College of Chest Physicians President’s Report 2013-2014 In behalf of the Board of Directors, I would like to express my sincerest appreciation and gratitude for the trust, confidence and cooperation you have extended to us in representing and leading our College this past year. Your Board and the leadership of the College have been committed to the College’s interests. It has been my privilege to be witness to the resiliency of the human spirit, dedication and above all, the spirit of volunteerism. It is with great pleasure that I present to you, the highlights of activities of the year 2013-2014. The report is arranged according to the domains that the College has signified in the High Performance Team Strategic Planning Workshop.

I. Governance, Leadership and Communication a. Affidavit of Undertaking

i. The spirit of this document deals with the principle of confidentiality and serves as a reminder to conduct oneself responsibly as an elected or appointed officer of the PCCP. This legal document was read and signed by the members of the PCCP Board of Directors, Specialty Board, Accreditation Board, Council Heads and Chapter presidents.

The highlights of this affidavit include:

i. To protect and treat with utmost confidentiality all non-public, confidential or proprietary information relating to the association, its directors, members, and officers, whether written or oral, which have been communicated to the PCCP leadership as confidential information or which the member may have access to in the course of and in connection with the performance of my duties and responsibilities. Furthermore, any confidential information mentioned above will not be disclosed to any person even after the member’s term has ended.

ii. Undertake not to engage in any act that may be in conflict and /or acquire any personal or pecuniary interest in conflict with member’s duties and responsibilities as member of the Board.

b. PCCP Governance Manual, which includes policies, procedures and guidelines

that the leadership implements and uses as a guide in the decision making of the College, was reviewed, updated and edited through the efforts of our adviser and the founding president of this manual, Dr. Grace Ramos and the Board of Directors.

c. Collaboration and Alliances with external organizations

i. Department of Health – The Philippine National Formulary Executive Council has requested assistance from PCCP in the development of evidence-based Algorithms or Clinical Practice Guidelines for the management of Bronchial asthma, Chronic obstructive pulmonary disease and Community acquired pneumonia, specified as priority diseases in the primary healthcare units. The PCCP, through the Councils on Asthma, Lung Infection and COPD participated in the consultative meeting and formally submitted recommendations and comments on the current list and application of respiratory medicines.

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ii. Philippine Health Insurance Corporation (Philhealth) 1. PCCP supports the Philippine government in the pursuit of the

Universal Health Care Program (UHC) or Kalusugan Pangkalahatan. The UHC is of utmost importance and aims to promote quality of care for all, most especially, the underserved. It also recognizes the importance of improving the efficiency of payment for healthcare providers, which includes the hospital facility and the medical doctor.

2. PCCP assisted PhilHealth in the development of PHIC Qualifier Form for the five respiratory conditions: Pneumonia – moderate risk and high risk, Lower respiratory tract infection, Pulmonary Tuberculosis, Asthma, and Chronic Obstructive Pulmonary Disease

3. With the implementation of the new policy on ALL CASE RATES, PCCP is currently in close coordination with the Philhealth agency to enhance the list of pulmonary medical conditions and procedures for coverage.

iii. Professional Regulatory Commission - Professional Board of Medicine or PRC- PRBOM The PCCP participated in the Consensus meeting together with Joint Committees on Certification of Internal Medicine Specialties convened by the Philippine College of Physicians. The main issue was the operationalization of the E.O no. 83-2012, entitled “ Institutionalization of the Philippine Qualifications Framework,” which has to be aligned with the Competitiveness Roadmap for the Profession, the Philippine Roadmap for the Implementation of the ASEAN MRA, and the specialization provisions of the Physicians’ Act. The objective of the consultative meeting was to come up with a common stand on the nine points of concern presented by the PRBOM regarding the certification of specialists and subspecialists. The recommendations will impact on the standards of our training programs, the products of our training programs as well as our future as medical professionals and specialists/subspecialists leading up to full implementation by 2015.

iv. International Alliance - APSR PCCP bid to host an Educational Seminar of the APSR [ESAP] in August 2014. Our request was granted and this will serve as our next mid-year convention.

d. Communication

i. External – PCCP has been very active through its councils and chapters through various quad –media exposure through radio, television, print and web-based exposure

ii. Internal – We are proud of our new and improved Website, Philchest.org, re-designed and re-formatted to improve communication between the central body, chapters, councils and members. Now, more information is made known about the College activities, at a faster pace. We also have a very active social networking site on Facebook, PCCP Manila, which allows for more active participation among our members.

II. Finance a. Accounting tool for Chapters- We have encouraged flexibility in standardize

financial operations, facilitate and align the accounting processes in the central body and the chapters, the VGA Accounting System was distributed to the chapter presidents and treasurers last May 2013.

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b. PCCP is Tax-exempt – We are happy to announce that as proof that we have met the criteria as a non-stock, non-profit organization with sound financial management, transparency and accountability in the service of underprivileged Filipinos, the Bureau of Internal Revenue has given us a stamp that we are tax exempt.

III. Membership and Ethics a. Death and Disability Benefits - The Board has approved the inclusion of a list of

Critical Illnesses in the PCCP Disability Benefit. The Board has resolved to provide relevant assistance to our members through an increase in the Death and Disability Benefits amounting to P 30,000 given to Fellows of good standing, P 40,000 entitled to Life Fellows of good standing, and P 50,000 entitled to PCCP Past Presidents, approved by the Committee on Membership and the Board of Directors.

b. Assistance, medical services and stress de-briefing sessions were organized and extended to deserving areas or individual/s affected by natural or man-made calamities/disasters in Cagayan de Oro, Zamboanga City, Bohol Province, Roxas City, and Leyte Province. Availment of the membership Disability Benefit was offered to interested members who were victims of the typhoon Yolanda.

c. PCCP endorsed to the FDA, its support in upholding the Mexico City Principles, which serves as a guide for the ethical conduct and interaction between the healthcare sector and the biopharmaceutical industry to ensure that medical decisions are made in the best interests of the patients. We are in agreement that the ethical principles among doctors and the pharmaceutical industry have to be safeguarded and constantly reminded and practiced to maintain integrity in our profession. As a College, we uphold these principles and ensure that our members are constantly guided with the ever-changing landscape of the industry.

IV. Research To provide a larger pool for innovative and relevant College-initiated research, the board has resolved to increase to seven (7%) of the net income from the annual chest convention, the allocation for the PCCP Research Fund effective March 2013. The research grant provided to fellows-in-training whose papers are accepted for presentation (oral, poster) in any international convention, screened and approved by the PCCP Research Committee, was also increased.

V. Training and Medical Education a. The Algorithm for the New Application for Pulmonary Fellowship Training

Program was implemented in full. b. Memorandum of Understanding – the highlights of this MOU include:

i. The PCCP with the 13 accredited hospitals through a Memorandum of Understanding have joined efforts to conduct and undertake a proper, effective and efficient implementation of the core competency-based curriculum for adult pulmonary medicine fellowship training (2013 version) so that the accredited institutions, to the best of its capability & resources, can provide adult pulmonary medicine fellowship training that will hone and develop professional, competent, skilled, ethical and compassionate pulmonologists who will ably serve the Filipino people & the global community.

ii. The Training Committee shall formulate and update the adult pulmonary

medicine core curriculum, assist the institutions with adult pulmonary medicine fellowship training programs in implementing these programs, and provide or formulate innovative activities and programs for the improvement of training in adult pulmonary medicine and its specialized branches.

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iii. This committee will operate in synchronization with the Accreditation Committee and Specialty Board of the Society so that the training mission of the Society will be ably fulfilled.

c. Training and Accrediation Committee Collaboration i. Implementation of the Competency-Based Core Curriculum in Philippine

Adult Pulmonary Medicine Fellowship Training was linked to the review of the Accreditation Committee’s guidelines to foster a smooth transition and harmonize the training and evaluation processes within the three (3) year transition period. Consultative meetings between the training and accreditation committees were conducted to achieve an understanding of the challenges faced by both committees.

VI. Social Responsibility and Advocacy

a. The Council on Tobacco or Health and Air Pollution presented the position statement on electronic cigarettes (e-cigarettes)/ electronic nicotine delivery devices. The statement was submitted to Forum of International Respiratory Societies (FIRS) as recommended by the APSR.

b. PCCP successfully sponsored the Repertory Philippines production of “The Producers” performed on November 30, 2013 at 8 pm in Onstage, Greenbelt. The purpose of the fundraising was to raise and earmark funds for the Community Development and Health Education project expenses of the College. The management of the funds will be subject to procedural guidelines and consultation with proper authority.

VII. College Activity – a. National Strategy for COPD launched

This is a COPD Council initiated long-term project in cooperation with the Council on Diagnostics and Therapeutics, and the members of the PCCP in the different chapters, targeted to be achieved by the year 2019. This aims to create a national strategy to address the estimated high national prevalence, and under diagnosis/under treatment of COPD. This involves education of the patients, therapists, and front-line physicians, surveillance through proper spirometric screening to determine prevalence, and research.

Celeste Mae Lardizabal-Campomanes, MD, FPCCP President 2013-2014

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PHILIPPINE COLLEGE OF CHEST PHYSICIANS

Advancing the Frontiers of Pulmonary Medicine in the Philippines.

Leadership and Activities for the Year 2013-2014

March 2013 – February 2014

Executive Committee Meetings

On the first Meeting, chairs of the different Committees were appointed and the functions of each committee were reviewed. Assigned tasks to be accomplished were given. These will be discussed in the corresponding sections.

March 23, 2013 July 25, 2013 December 14, 2013 April 15, 2013 August 9, 2013 January 13, 2014 May 06, 2013 September 21, 2013 February 15, 2014 June 08, 2013 October 19, 2013 March 4, 2014 July 13, 2013 November 9, 2013

Salient Points of the Executive Board Meetings

A. Executive Board

The following is the set of Officers and Board Members of the Philippine College of Chest Physicians (PCCP) who will serve from March 2013 to February 2014:

President: CELESTE MAE L. CAMPOMANES, MD, FPCCP Vice President: CHAD REY V. CARUNGIN, MD, FPCCP Secretary: PATRICK GERARD L. MORAL, MD, FPCCP Treasurer: VINCENT M. BALANAG, JR., MD, FPCCP Board Members:

CHARLES Y. YU, MD, FPCCP JOSELITO R. CHAVEZ, MD, FPCCP LENORA C. FERNANDEZ, MD, FPCCP MALBAR G. FERRER, MD, FPCCP GREGORIO P. OCAMPO, MD, FPCCP

Immediate Past President: BENILDA B. GALVEZ, MD, FPCCP

B. Standing and Adhoc Committees

Committee Chairman Membership, Nominations, Ethics, Advocacy

Benilda Galvez, MD, FPCCP

Accreditation Board Celeste Mae Campomanes, MD, FPCCP

1973

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Committee Chairman Finance, Long Range Planning, Councils Specialty Board Representative

Chad Rey Carungin, MD, FPCCP

Protocol, Chapters Patrick Gerard Moral, MD, FPCCP HMO, Budget, Annual Convention Vincent Balanag, Jr., MD, FPCCP Training Lenora Fernandez, MD, FPCCP Public Relations, Lay Fora, Corporate Social Responsibility

Malbar Ferrer, MD, FPCCP

Constitution and By-Laws, External Affairs, Continuing Medical Education

Joselito Chavez, MD, FPCCP

Scientific and Research, Registry, International Alliance

Charles Yu, MD, FPCCP

Awards Publications

Editors-in-Chief: Philippine Journal of Chest Diseases

PCCP Newsletter

Gregorio Ocampo, MD, FPCCP Isagani Rodriguez, MD, FPCCP Jose Hesron Morfe, MD, FPCCP

MAJOR SCIENTIFIC MEETINGS

Overall Chair, 16th Midyear Convention Eileen Aniceto, MD, FPCCP Overall Chair, 33rd Annual Chest Convention Vincent Balanag, Jr., MD, FPCCP Overall Chair, 17th Midyear Convention Lenora Fernandez, MD, FPCCP Ma. Janeth Samson, MD, FPCCP

ADVISORY BOARD Teresita de Guia, MD, FPCCP Fernando Ayuyao, MD, FPCCP Rodolfo Carungin, MD, FPCCP Gracita Rigonan-Ramos, MD, FPCCP Camilo Roa Jr., MD, FPCCP Abundio Balgos, MD, FPCCP

PCCP CHAPTER PRESIDENTS 1. Central Visayas Inez Rama , MD, FPCCP 2. Central & Northern Luzon Ruel Revilla, MD, FPCCP 3. Iloilo Suset Gargalicana MD, FPCCP 4. Southern Tagalog Veyda Christine Bringas, MD, FPCCP 5. Southern Mindanao Romulo Uy, MD, FPCCP 6. Negros Joanne Apdol, MD, FPCCP 7. Northern Mindanao Eileen Aniceto, MD, FPCCP

Specialty Board in Pulmonary Medicine

The Specialty Board takes charge in certifying qualified pulmonologists as Diplomate members of the Philippine College of Chest Physicians. It shall formulate and execute policies, rules and regulations governing certification, subject to the approval of the Board of Directors of the Philippine College of Chest Physicians.

Chairman Sylvia Banal-Yang, MD, FPCCP Secretary Jesus Ambat, MD, FPCCP Members Manuel Jorge II, MD, FPCCP

Anabella Guardiario, MD, FPCCP Abner Koh, MD, FPCCP Chad Rey Carungin, MD, FPCCP

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Diplomate Certifying Examination Dates 1. Written Examination – January 12, 2014 (Sunday) 2. Oral Examination – February 2, 2014 (Sunday) Venue: Center for Education and the Arts (CETA), Glaxo SmithKline

Pasong Tamo, Makati City.

26 candidates passed the PCCP Written and Oral Examinations and were conferred the title of DIPLOMATE during the Induction Ceremonies

Pulmonary Training Program Accreditation Board

The Pulmonary Training Program Accreditation Board accredits and certifies hospitals or institutions for adult pulmonary medicine training. It shall formulate and execute policies, rules and regulations governing certification, subject to the approval of the Board of Directors of the Philippine College of Chest Physicians.

Chairman Ivan Villespin, MD, FPCCP Secretary Tito Atienza, MD, FPCCP Members

Cecil Tady, MD, FPCCP Joven Roque Gonong, MD, FPCCP Jose Edzel Tamayo, MD, FPCCP Celeste Mae Campomanes, MD, FPCCP

Four (4) hospitals were re-accredited for 3 years: Philippine Heart Center Chong Hua Hospital – Cebu City Makati Medical Center Perpetual Succour Hospital – Cebu City

One (1) new pulmonary fellowship training program was approved on a

provisional status: The Medical City

Annual evaluations of the following hospitals were made:

Chinese General Hospital and Medical Center Lung Center of the Philippines Manila Doctors Hospital St. Luke’s Medical Center UP – Philippine General Hospital University of Perpetual Help DALTA Medical Center University of Santo Tomas Hospital Veterans Memorial Medical Center

C. BOARD RESOLUTIONS

Nos. 1 – 5. The recognized signatories to PCCP bank accounts maintained at the following banking institutions shall be the President of the College, Dr. Celeste Mae Campomanes, the Vice President, Dr. Chad Rey Carungin and the Treasurer, Dr. Vincent Balanag Jr.

Metropolitan Bank & Trust Co. Citibank BPI Family Savings Bank Sunlife Asset Management Company Standard Chartered Bank

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No. 6 . The recognized signatories to PCCP Convention bank account maintained at the

Bank of the Philippine Islands shall be the President of the College, Dr. Celeste Mae Campomanes, the Overall Chairman, Dr. Vincent Balanag Jr. and the Convention Treasurer, Dr. Maria Janeth Samson.

No. 7. The recognized signatories to PCCP Council on Critical Care and PVD bank

account maintained at the Development Bank of the Philippines shall be the President of the College, Dr. Celeste Mae Campomanes, the Vice President, Dr. Chad Rey Carungin, the Treasurer, Dr. Vincent Balanag, Jr. and the Chairman of the Council on Critical Care and PVD, Dr. Teresita de Guia.

No. 8. The recognized signatories to PCCP Northern Mindanao Chapter bank account

maintained at the Bank of the Philippine Islands – CDO Branch shall be the President of the Chapter, Dr. Eileen Aniceto, the Chapter Vice President, Dr. Fausto Nariomme Tancongco Jr. and the Chapter Treasurer, Dr. Peter Ivan Gamolo.

No. 9. The recognized signatories to PCCP Central Visayas Chapter bank account

maintained at the China Banking Corporation shall be the President of the Chapter, Dr. Evan Mendoza and the Chapter Treasurer, Dr. Marie Geraldine Lim.

No. 10. The recognized signatories to PCCP Southern Tagalog Chapter bank account

maintained at the Bank of the Philippine Islands shall be the President of the Chapter, Dr. Veyda Christine Bringas and the Chapter Treasurer, Dr. Shelley Romero.

No. 11. The recognized signatories to PCCP Iloilo Chapter bank account maintained at the

Metropolitan Bank and Trust Company – Iloilo General Luna Branch shall be the President of the Chapter, Dr. Suset Gargalicana, the Chapter Vice President, Dr. Rosauro Cabana and the Chapter Treasurer, Dr. Ma. Cecilia Momville.

No. 12. The increase of research grant amounting to USD 200 each to fellows-in-training

whose paper is accepted for presentation (oral, poster) in any international convention, screened and approved by the PCCP Research Committee. It was further approved that a maximum of 3 per institution per year shall be accepted by the Committee.

No. 13. That Seven (7%) of the net income from the annual chest convention will be

allocated for the PCCP Research Fund effective March 2013.

No. 14. The implementation of Algorithm for New Application for Pulmonary Fellowship Training Program.

No. 15. The increase of Petty Cash fund by P 30,000 with Andrea Santiago as the custodian.

Total amount of petty cash fund is now P 40,000.

No. 16. The increase of Death and Disability Benefits amounting to P 30,000 given to Fellows of good standing, approved by the Committee on Membership and the Board of Directors.

No. 17. The recognized signatories to PCCP Northern and Central Luzon Chapter bank

account maintained at the Metropolitan Bank and Trust Company – Naguilian Baguio City Branch shall be the President of the Chapter, Dr. Ruel Revilla and the Chapter Treasurer, Dr. Manuel Monis.

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No. 18. The inclusion of Critical Illnesses and Critical Illnesses Requiring Surgery, identified and listed on the Manual of Procedures, in the PCCP Disability Benefit. This membership benefit shall be paid only once in a lifetime to each member of good standing.

No. 19. The creation of adhoc Council on Sleep Medicine to serve as center for collecting

and collating data on sleep medicine and its circulation seen locally for the purpose of characterizing disorders related to sleep medicine, defining problems and finding solutions, to develop criteria for diagnosis and treatment, to publish professional and lay information, to provide a pool of resource specialists for purpose of lectures, seminars and postgraduate education and to establish material registry.

It was further approved the appointment of Dr. Virginia delos Reyes as Chairman of the Council on Sleep Medicine for 2013-2016. Dr. delos Reyes’ term of office is for three years without prejudice to re-appointment.

No. 20. The Establishment of Endowment Fund amounting to P 5,181,300. The amount

shall serve as retirement fund for PCCP staff; release of fund is subject to procedural guidelines and consultation with proper authority.

No. 21. The increase of Death and Disability Benefit amounting to P 40,000 entitled to Life

Fellows of good standing, approved by the Committee on Membership and the Board of Directors.

No. 22. The increase of Death and Disability Benefit amounting to P 50,000 entitled to

PCCP Past Presidents, approved by the Committee on Membership and the Board of Directors.

D. CONVENTIONS

16th PCCP Midyear Convention Theme: The Pulmonary XFactor Chapter Host: Northern Mindanao Chapter Overall Chair: Eileen G. Aniceto, MD, FPCCP Co-Chair: Charles Y. Yu, MD, FPCCP (ExeCom) Date: July 26-27, 2013 Venue: The Grand Caprice Hotel, Cagayan de Oro City

33rd PCCP Annual Chest Convention

Theme: PULMONARY L.I.N.K.S. (Leadership In New Knowledge & Skills) Overall Chair: Vincent M. Balanag, Jr., MD, FPCCP Date: March 05, 2014 – Opening Ceremonies March 06-08, 2014 - Convention Proper Venue: SMX Convention Center, BGC, Taguig City

4th Fermin Manalo ProFiles Lecture This is a tandem lecture that will feature two speakers elaborating on different sides of an issue. This year’s topic is " BLACKBOARD vs. BOARDROOM: Comparing the Academic and the Pharmaceutical Track for the Pulmonologist".

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E. COMMITTEE REPORTS

1. Continuing Medical Education

A. PCCP Interhospital Symposia from April 2013 – February 2014:

MONTH HOST TITLE

May 15 MDH 4 PICS – 1 Perplexing Disease June 11 VMMC COPD 201: It’s NOT as Easy as Pie July 3 PHC Ménage a Trois August 30 PSH Cursed Breath September 18 CGHMC The Fountain of Youth: A Lunger’s Pluripotent Hope September 25 CHH The Riddled

October 16 UPHDMC Beyond the Horizon Lies the Secret to a New

Beginning “Water World” November 5 MMC HASTA LA VISTA I’ll be Back

November 19 SLMC The HORRORS of Breathlessness Not everything is what it seems…

December 4 LCP Cycle of Life… The Great Migration

January 28 TMC QUE HAY DEBAJO DE LA HOMOPTISIS MASIVA

(What Lies Beneath Massive Hemoptysis…)

February 6 USTH Exploring the Depths of

Interventional Pulmonology February 20 UP-PGH Rise of the Fallen

B. Debate session on pre-selected pulmonary cases that is aimed to provide an opportunity to engage and question debaters and vote on issues at hand and enables the trainees to study and research on the assigned topics prior to the scheduled session. Interaction among the fellows-in-training from the different trainings institutions is enhanced.

9th PCCP Inter-Hospital Engagement: The Pulmonary and Critical Care Debate 16th Midyear Convention, Cagayan de Oro City – July 25, 2013 Issue: Among patients presenting with both Acute Exacerbation of Bronchial Asthma and Acute Myocardial Infarction (AMI), should ß-blockers be given (or withheld) as part of the AMI protocol? 10th PCCP Inter-Hospital Engagement: The Pulmonary and Critical Care Debate 33rd Annual Chest Convention, SMX Convention Center - March 7, 2014 Issue: Among patients at high risk for community-acquired and nosocomial severe pneumonia with significant poorly controlled co-morbidities, how useful is PCT in your clinical decision regarding the patient’s antibiotics?

C. The following scientific symposia were awarded PCCP CME units:

CME ACTIVITY Date CME Units

PSSM 7th Biennial Sleep Symposium March 16-17, 2013 7 ACCP – 20th Annual Scientific Meeting April 17-19, 2013 40 USTH 11th Post Graduate Course June 2, 2013 25 USTH 4th Bronchoscopy Workshop May 3-5, 3013 50 PhilCAT 20th Annual Convention August 15-16, 2013 30 SLMC 8th CME on Tour October 4, 2013 15

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CME ACTIVITY Date CME Units

CGHMC 2nd Post Graduate Course September 12-13, 2013 15 PFLHRD- 8th Biennial Symposium September 18-20, 2013 50 MMC- 2nd Post Graduate Course August 22, 2013 20 UP-PGH 17th Mechanical Ventilator Workshop November 6-8, 2013 45 PSCCM 15th Joint Annual Convention 20 PSSM March 14-15, 2014 10 ACCP Phil Chapter ASM 2014 April 9-11, 2014 60

D. Industry-initiated scientific symposium, co-sponsored by PCCP. Ajanta

Pharma Philippines has collaborated with PCCP through the Council on Pulmonary Infection and COPD for a scientific symposium on September 3, 2014 at the Meeting Rooms 4-6, SMX Taguig. Topics presented by Dr. Celia Carlos and Dr. Isagani Rodriguez are Prevalence of Bacterial Resistance in the Philippines and A New Option in Antibacterial Management. The College collected CME Royalty fee to defray other CME projects such as workshops and training activities.

2. Scientific and Research Committee

A. Research grant were given to Fellows-in-Training whose papers were accepted for international presentation (oral, poster) in the amount of $200 each, screened by the Research Committee and approved by the PCCP Executive Board. A maximum of 3 per institution per year shall be accepted by the Committee.

B. Grant Funding Increased. Seven (7%) of the net income from the annual chest convention will be allocated for the PCCP Research Fund effective March 2013.

C. The following are the recipients of the Research Grants for 2013-2014:

Recipient International Congress/Title 1. Cristito Alea, MD

(PHC)

American Thoracic Society 2012 - Poster Presentation Correlation of Nutritional Status using Subjective Global Assessment (SGA) on Pulmonary Function Parameters in Patients with COPD at the Philippine Heart Center

2. Angelene Taleon-Parazo, MD – (PHC)

European Respiratory Society – Poster Presentation Comparison of serial rapid shallow breathing index to derail CROP index in prediction of weaning outcome in critical care patients.

3. Gener Idor, MD – (UPHDMC)

CHEST 2013 – Poster Presentation

Case Report: Pulmonary Mass: Invasive Pulmonary Aspergilloma and Pulmonary Tuberculosis in patient with Pulmonary Amyloidosis in Light Chain Kappa Type Multiple Myeloma

4. Hazel Delfin, MD (UP-PGH)

Asian Pacific Society of Respirology – Poster Presentation Critical Illness Polyneuromyopathy Presenting as Bulbar Palsy

5. Gener Idor, MD (UPHDMC)

Asian Pacific Society of Respirology – Poster Presentation Outcome of the 4Week Pulmonary Rehabiltation Program a the UPHDMC)

6. Mark Leonard Flores, MD (USTH)

Asian Pacific Society of Respirology – Poster Presentation Demographic, Clinical and Radiologic Profile of Patients Referred to Tuberculosis Diagnostic Committee (TBDC) at University of Santo Tomas Hospital, Manila, Philippines

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Recipient International Congress/Title 7. Irene Salve Joson-

Vergara, MD (USTH)

Asian Pacific Society of Respirology – Poster Presentation Non-Invasive Mechanical Ventilation (Nimv) At UST Hospital A Cross Sectional Descriptive Study and Implications Of Using The Philippine College Of Chest Physicians (PCCP) Consensus Statement On The Performance And Reporting Of Spirometry Testing

8. Marie Grace Luancing, MD (PHC)

Asian Pacific Society of Respirology – Poster Presentation Evaluation of Properties of the COPD Assessment Test (CAT) vs. SGRQ in Predicting Severity of COPD by GOLD Criteria in the Philippine Heart Center

D. Annual Research Contest – Training institutions were mandated to submit annually its completed research papers. The committee selected 15 semi-finalists for poster and oral presentations on March 05, 2014 during the PCCP’s 33rd Annual Chest Convention. The top 5 ‘Towards Achieving Totally Outstanding (TATO)’ research presenters will be awarded during the Opening Ceremonies.

The 5 Finalists and 10 Poster Presenters are as follows:

Title Institution Author 1. Finalist

Evaluating the CAP-PIRO Scoring System in the Assessment of Severity for Adult Patients with Severe Community Acquired Pneumonia Aged 19 Years Old and above Admitted at Chong Hua Hospital from JANUARY 2012 - DECEMBER 2012

CHH Yvonne Bettina E. Montejo, MD

2. Finalist Endotracheal tube cuff (ETT cuff) pressure of patients admitted at the Intensive Care Units (ICU) of the Philippine General Hospital (The PGH ETT Cuff Study)

UP-PGH Joann Kathleen B. Ginete, MD

3. Finalist Predictors of Failure Among Patients Given Non-Invasive Mechanical Ventilation (NIMV)

USTH Irene Salve D. Joson- Vergara, MD

4. Finalist Evaluation of Properties of the COPD Assessment Test (CAT) vs SGRQ in Predicting Severity of COPD by GOLD Criteria

PHC Marie Grace Luancing, M.D.

5. Finalist Clinical Outcomes of Respiratory Therapist vs Physician Driven Extubation among Post Coronary Artery Bypass Graft Surgery Patients

SLMC Mary Ann M. Santos, M.D.

6. Poster Presentation: The Association of Metabolic Syndrome and Obstructive Sleep Apnea

PHC Cristito B. Alea, MD

7. Poster Presentation: The Epidemiology of Ventilator-Associated Pneumonia Among ICU/CCU/ICCU Patients in Chong Hua Hospital A Prospective Study from August 1, 2012 to July 31, 2013

CHH Catherine O. Camiguing, MD

8. Poster Presentation: Hypoxia Inhalation Test and Predictive Equations: Predicting the Need of Oxygen Supplementation Among Filipino Patients with Chronic Obstructive Pulmonary Disease

LCP Eleanor B. Geron, MD

9. Poster Presentation: Profile of Lung Cancer in the Young at the Lung Center of the Philippines (January 2000 – December 2010)

LCP Emelie Grace J. Bautista, MD

10. Poster Presentation: Nutritional Status of Critically-ill patients admitted at the Intensive Care Units (ICUs) of the Philippine General Hospital (PGH)

UP-PGH Joann Kathlene B. Ginete, MD

11. Poster Presentation: Accuracy of Handheld Spirometry as a Comparable Diagnostic Tool to Pulmonary Function Testing

PHC Jessamine C. Dacanay, MD

12. Poster Presentation: The Effects of Gasoline-based and Liquefied Petroleum Gas-converted Taxi Units on the Lung Functions of Taxi Drivers in Cebu, Philippines

PSH Merci Angelie J. Letegio-Uy, MD

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Title Institution Author 13. Poster Presentation: The Incidence of Pneumonia among all Chronic

Obstructive Pulmonary Disease Patients Maintained on Inhaled Corticosteroids Admitted at Perpetual Succour Hospital from January 1, 2010 to December 31, 2012

PSH Merci Angelie J. Letegio-Uy, MD

14. Poster Presentation: The Use of the Mini Nutritional Assessment Short-Form (MNA-SF) as a Practical Tool for Identification of Nutritional Status among Elderly Hospitalized Patients

USTH Mark Leonard C. Flores, MD

15. Poster Presentation: Reference Values for Pulmonary Function for Healthy, Non-Smoking Adult Filipinos, A Preliminary Study in St. Luke’s Medical Center, Quezon City

SLMC Anna Ma. Rica D. Uy, MD

3. External Affairs

A. Collaboration and Partnership with government agencies

Department of Health, Philippine National Formulary - the PCCP

through Councils on Asthma, Pulmonary Infection and COPD formally submitted recommendations and comments on the current list and application of respiratory medicines.

Dr. Dina Diaz, Dr. Camilo Roa, Jr. and Dr. Joel Santiaguel represented the College as resource persons in the Employees’ Compensation Commission (ECC), which has recently amended the conditions for compensability of lung ailments and added two other lung diseases in the list of occupational and work-related diseases.

The College nominated Dr. Lalaine Mortera as member of The Stop TB

Partnership Coordinating Board, World Health Organization (WHO)

Dr. Imelda Mateo represented the College in the DOH/WHO Health in All Policies training workshop on April 10-12, 2013 at the Ascott Hotel, Makati City.

Dr. Mae Campomanes represented the PCCP in the DOH launching of

Pilipinas GO4Health Movement, June 6 2013 at the Ramadan Hotel, Binondo, Manila.

Supports the Philippine government in the pursuit of the Universal

Health Care Program – Philippine Health Insurance Corporation.

Assisted PhilHealth on the development of PHIC Qualifier Form for the 5 pulmonary conditions: Pneumonia – moderate risk and high risk, Lower respiratory tract infection, Pulmonary Tuberculosis, Asthma, Chronic Obstructive Pulmonary Disease

Supports the unified Stem Cell Therapy Position Statement led by the

Philippine College of Physicians and other professional medical organizations. Current events on the use of the said 'treatment' have brought up issues and inquiries on its effectiveness and utmost, safety in the Philippines.

August 7, 2013 ⨀ The College was ably represented by Dr. J Chavez as

a resource person in the Senate of the Philippines – Committee on Public Order and Dangerous Drugs hearing to investigate the circumstances relative to the bombing incident in Cagayan de Oro last July 26, 2013.

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The forum was presided by the committee chairman, Sen. Grace Poe. Legal counsels, Atty. Joseph Randolph Barlongay and Atty. Jesus Rafael De Castro, have assisted Dr. J Chavez in the public forum.

The PCCP was assisted by the Philippine Psychology Society in

conducting stress debriefing sessions to members and representatives from the pharma industry who were victims of the CDO bombing incident during the PCCP Midyear Convention on July 26, 2013.

Dr. V Balanag, Jr. represented the PCCP in the Universal Healthcare

Forum on October 16, 2013. The meeting was organized by DOH, PhilHealth which was held at the Fairmont Hotel in Makati City.

DOH Formulary Executive Council (FEC) has requested assistance from

PCCP on the development of evidence-based Algorithms or Clinical Practice Guidelines applicable for the management of bronchial asthma, COPD and CAP, specified as priority diseases in the primary healthcare units. Meeting was held on December 18, 2013 at the DOH where the College was ably represented by Dr. MB Siasoco, Dr. T Trinidad, Dr. RA Nolido and Dr. CM Campomanes.

The PCCP supports the Food and Drug Administration (FDA) in drafting

its guidelines to promote Ethics in the workplace. An official communication declaring the pharmaceutical industry’s assistance to the College was submitted to FDA on January 15, 2014. FDA has adopted the Mexico City Principles For Voluntary Codes of Business Ethics in the Biopharmaceutical Sector, which serves as a guide for ethical interaction between the healthcare sector and the biopharmaceutical industry to ensure that medical decisions are made in the best interests of the patients.

Dr. Lenora Fernandez represented the College in the DOH clinical

pathway meeting for non-communicable diseases last February 20, 2014, as collaborator in the development of service packages for chronic respiratory diseases like COPD and packages for smoking cessation.

Dr. CM Campomanes represented the PCCP in the PCP- Philhealth

forum for ALL CASE RATES last February 28, 2014. Issues and concerns received from the PCCP members were submitted to PhilHealth and discussed during the forum.

B. PHILIPPINE COLLEGE OF PHYSICIANS 43rd Annual Convention Theme: PCP G.E.M.S.: Great Educators in Medical Sciences Overall Chair: Priscilla Caguioa, MD, FPCP Date: May 5-8, 2013 Venue: SMX Convention Center, MOA Complex, Pasay City

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C. PHILIPPINE COALITION AGAINST TUBERCULOSIS

20th Annual Convention Theme: Accelerating TB Control – Shifting Gears and New Paradigms Date: August 16-17, 2013 Venue: Crowne Plaza Galleria, Quezon City

4. Awards

The following are the recipients of this year’s PCCP Awards:

Category Awardee Most Outstanding Fellow Dr. Manuel Jorge II Outstanding Researcher Dr. Aileen Guzman-Banzon Most Outstanding Fellow-in-Training Dr. Irene Salve Joson-Vergara

(USTH)

5. Membership

A. The following members were conferred as LIFE FELLOW during the 32nd Annual Chest Convention Dr. Ma. Encarnita Blanco-Limpin (Past President) Dr. Ivan Villespin (Chair, Pulmonary Training Program Accreditation Board)

B. Currently updating the PCCP Membership Directory 2014 for release at the

Midyear Convention on August 6-7, 2014. Members are encouraged to update contact information [clinic and hospital affiliations] and submit latest photograph.

C. PCCP Branding. The Board has continued the distribution of members’ identification that conveys “Your doctor is a Board-Certified Pulmonary Specialist”. PCCP logo and member’s name appears conspicuously in the signage.

D. The following benefit scheme for the Death and Disability/Critical Illness Benefit shall be given to members of good standing, approved by the Membership Committee and the Board of Directors:

Membership Category Amount Past President P 50,000 Life Fellow P 40,000 Fellow, Life Member P 30,000

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E. Since the year 2010, Fellows of good standing 69 years and below were already enlisted with the Philam Life Insurance Membership Benefit Package. Summary of benefits include life insurance, accidental death and dismemberment and terminal illness with a total amount of P 50,000 coverage.

SUMMARY OF BENEFITS (474 members)

Benefits For 18-64 years old For 65-69 years old

Life Insurance P 50,000 P 25,000 Personal Accidental Death &

Dismemberment P 50,000 N/A

Accidental Medical Reimbursement P 5,000 N/A Terminal Illness Benefit P 25,000 N/A

Note: Death benefit of fellows of good standing not enrolled in the Philam Life

Insurance Membership Benefit Package and 70 years & above will be upon the discretion of the Board of Directors.

F. Membership Disability Benefit was offered to interested members who were victims of the typhoon Yolanda.

G. Present composition of the College:

PCCP FELLOWS & HONORARY MEMBERS

Fellows Senior Fellows 65 Life Fellows 51 Life Members 77

Regular Fellows 418 611 Honorary Members 8

Diplomates 59 Associate Members 375 TOTAL MEMBERSHIP 1,053

6. E-Review Project

Now on its fifth year, the Executive Board has continued this project which is aimed to help PCP eligible graduates review the topics that would be given by the Specialty Board in the Diplomate Certifying Examinations. A total of 134 enrollees have registered, classified as newly graduate from training and practicing associate members. The review was offered from July – December 2013. The review program, through the valuable support of faculty from the different training institutions, has provided board eligible members a better chance of passing the certifying board exam. The continuation of this project and an increase in the number of examinees taking and actually passing the examination is a testament to its success.

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7. Corporate Social Responsibility and Advocacy

A. Community Service: Medical Mission and Patient Education Lectures

Regular conduct of medical clinics and lay fora participated by PCCP members

and fellows-in-training from the 13 accredited hospitals. This is held every 2nd and 4th Saturday of the month at the Health Service sites of German Doctors, Caloocan City and at the Jesu Christi Community in Cebu City.

April 26, 2013 - Medical Mission at Old Provincial Hospital, Calapan City in partnership with the German Doctors: No. of patients: 66 (13 pedia and 53 adults) with 16 consultants and fellows in training.

PCCP collaborated with Repertory Philippines for a fundraising musical show entitled “The Producer” performed on November 30, 2013 at 8 pm in Onstage, Greenbelt. The purpose of the fundraising is for the Communication Development and Education project expenses of the College. The BOD appointed Dr. Shirley Panganiban to manage this project.

Calamity Assistance

Assistance and medical services extended to deserving areas or individual/s struck by calamities/disasters: Zamboanga City, Bohol Province, Roxas City, Leyte Province Media Guesting

Bi-monthly since April 2013, featuring our members from the different councils (Asthma, COPD, TOHAP). This was coordinated through Dr. Jude Guiang, the Media Information Bureau Head.

DZRH (666 in the AM band) “Doc on Call” Dr. Willy Ong – May 4, 2013 radio show guesting of Dr. Gian Arandia and Dr. Johanna Ramos for World Asthma Day.

Men’s Health Magazine requested for an interview with Dr. Imee Mateo on the

issues of e-cigarettes

Guested at MedTalk, Solar News and Current Affairs on December 12, 2013 discussion on Common Diseases in Cold Season. (PCCP representatives: Dr. RA Nolido, Dr. I Guiang – Council on Pulmonary Infection

B. World TB Day Commemoration March 21, 2013 – with the theme “Stop TB: Makialam!” organized by the Philippine Coalition Against Tuberculosis held at the Bayanihan Hall, Mandaluyong City, Philippines. The activity focused on expanding the reach of TB advocacy efforts to the community through social media. The PCCP participated by developing music video entry on TB advocacy.

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C. World Asthma Day May 7, 2013. This year’s World Asthma Day coincides with the Philippine College of Physicians (PCP) Annual Convention. As most PCCP members are attending the convention, the council deemed it an opportune occasion to celebrate WAD with and promote asthma awareness to our fellow internists. The theme is "You Can Control Your Asthma ... It’s Time To ACT”. Raffle activity on asthma awareness is conducted at the PCCP booth.

D. World Hypertension Day The PCCP was represented by Dr. Patrick Gerard Moral in World Hypertension Day on May 17, 2013, with the Philippine Heart Association, Philippine Society of Hypertension, Department of Health, GT-Metro Foundation and Novartis Healthcare Philippines. Media conference was organized to increase public awareness on hypertension and its link to the effects of smoking.

E. World No Tobacco Day Celebration May 31, 2013 –Ban Tobacco Advertising Promotion and Sponsorship. Media briefing was conducted to declare the key message urging the Philippine government to immediately take steps in effectively banning all forms of tobacco advertising, promotion and sponsorship (TAPS) in order to reduce the number of tobacco users.

F. World COPD Day

Launching of National Strategy for COPD Project

November 20, 2013 – COPD Council long-term project targeted to be achieved by the year 2019 which aims to create a national strategy to address the estimated high national prevalence and under diagnosis/under treatment of COPD.

COPD Olympics: Rodeolympics

November 24, 2013 - Now on its 6th year, the activity was aimed to foster fellowship and camaraderie among COPD patients and family, doctors and respiratory therapists while increasing awareness for COPD. This year's theme is COPD Most Wanted – Hi-Ho Hingal, Away!!!

Guideline Dissemination (ongoing) Conducted guideline dissemination of GOLD 2011 using the GOLD slides with the added Local Burden Data. Participants were given the COPD Foundation Pocket Guide of GOLD 2011. The new COPD Clinical Practice Guidelines 2014 is ready for dissemination in a couple of months. This document will be published in the Compendium of Philippine Medicine. Disseminated Standards the Conduct and Reporting of PFT manuscript to the different hospitals in the Philippines for pulmonologists, internists and respiratory therapists.

Spirometry Screening (ongoing) Conducted spirometry screening and free clinics at the Out-Patient Departments from the PCCP accredited hospitals and regional chapters.

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Media Briefing November 26, 2013 - World COPD Day media briefing was conducted in several press conference meetings. The need of spirometry as an important tool to diagnose obstructive lung diseases will also be conveyed.

8. Training

A. Amendment to By-Laws on the creation of Training Com:

This committee shall formulate and update the adult pulmonary medicine core curriculum, assist the institutions with adult pulmonary medicine fellowship training programs in implementing these programs, and provide or formulate innovative activities and programs for the improvement of training in adult pulmonary medicine and its specialized branches.

This committee will operate in synchronization with the Accreditation Committee and Specialty Board of the Society so that the training mission of the Society will be ably fulfilled.

B. The PCCP with the 13 accredited hospitals have joint efforts to conduct and undertake a proper, effective and efficient implementation of the core competency-based curriculum for adult pulmonary medicine fellowship training (2013 version) so that the accredited institutions, to the best of its capability & resources, can provide adult pulmonary medicine fellowship training that will hone and develop professional, competent, skilled, ethical and compassionate pulmonologists who will ably serve the Filipino people & the global community.

C. Submitted to PCP Residency Training Program Committee the Pulmonary Core Competencies to delineate Generalist, Internist (Specialist), Pulmonologist (SubSpecialist). The committee is compiling into a manual the list of terminal competencies of the sub-specialties comprising the four categories of subjects in Internal Medicine.

D. The Philippine College of Physicians has already approved the inclusion of

spirometer in the core equipment of hospitals and institutions for PCP accreditation of Internal Medicine Residency Training Program. This is aimed to provide IM residents basic skill requirement of PFT interpretation and have the awareness of the use of spirometry in the diagnosis of lung diseases as well as in the measurement of lung wellness.

E. The PCCP received donation of Abram’s pleural biopsy needles from the

Mid/East Scientific Medical Equipment & Services Inc.; the diagnostic equipment will be awarded to the accredited institutions as part of fellows’ training activity.

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9. Constitution and By-Laws

PROVISIONS FOR CONSTITUTIONAL REFERENDUM 2014

ORIGINAL PROPOSED AMENDMENT RATIONALE for

CONSTITUTIONAL CHANGES

Article IV (MEMBERSHIP), Section 4.5

4.5 Lapse of Membership - The Membership Committee shall recommend to the Board the termination of membership

a. whose dues are in arrears for 2 consecutive years or

b. who has been absent without sufficient excuse from 3 consecutive Midyear or Annual Conventions or

c. who has failed to attend the Business Meeting for 2 consecutive years.

4.5 Lapse of Membership – The Membership Committee shall recommend to the Board the termination of membership of a member:

a. whose dues are in arrears for 2 consecutive years or

b. who has been absent without sufficient ground or reason from 3 consecutive Midyear or Annual Conventions or

c. who has failed to attend the Business Meeting for 2

consecutive years or

d. who has failed to attend / participate in at least 50% of Council or Chapter activities for 2 consecutive years as determined by the Councils or Chapters

Addition of participation in Council/ Chapter activities as requirement for membership in good standing

Article IV (MEMBERSHIP), Section 4.5

The member loses all rights and privileges, including his Fellowship status in the College after due process and notice of membership termination is served. The member may appeal to the Board for reconsideration but if no response nor appeal is made within 30 days from receipt of notice, after which, he/she waives his/her rights and he/she shall be deleted from the roster of the College and shall be stripped of the rights and privileges attached thereof.

A written notice of delinquency or lapse of membership shall be served to the concerned member. The member loses all rights and privileges, including his Fellowship status in the College after due process is observed and notice of membership termination is served. The member may appeal to the Board for reconsideration within 30 days from receipt of notice. However, if no response or appeal from the member is received by the Board within the 30 day period, the member is deemed to have waived his/her rights, shall be deleted from the roster of the College and stripped of the rights and privileges attached thereto.

Written notice of delinquency or lapse of membership shall be given before membership termination.

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ARTICLE IX (COMMITTEES) , Section 1.11 - Training Committee as a regular committee

Section 1.11 Training Committee

This committee shall formulate and update the adult pulmonary medicine core curriculum, assist the institutions with adult pulmonary medicine fellowship training programs in implementing these programs, and provide or formulate innovative activities and programs for the improvement of training in adult pulmonary medicine and its specialized branches.

The committee will operate in synchronization with the Accreditation Committee and Specialty Board of the Society so that the training mission of the Society will be ably fulfilled.

ARTICLE IX (COMMITTEES) , Section 1.12 - Creation of Grievance Committee

Section 1.12 Grievance Committee Section 1. A Grievance Committee is hereby created which shall be composed of a Chairman and

three (3) regular members. The regular members shall be appointed by the Board of Directors and shall have a fixed term of three (3) years. The Chairman shall be the incumbent Secretary who shall serve in an ex-officio and non-voting capacity.

Section 2. The Chairman of the Grievance Committee shall appoint a Secretary from among the

regular members. The Secretary shall serve in such capacity during the incumbency of the appointing Chairman.

Section 3. The Grievance Committee shall have the following powers and functions:

3.1. Receive, accept, evaluate and process complaints and grievances in writing from PCCP members, patients, paramedical and other hospital staff, HMO’s or insurance carriers, or other institutions concerning the actions and omissions of any member of PCCP;

3.2. Act on complaints and grievances or refer the same to the appropriate committee or body for appropriate action;

3.3. Conduct investigation, mediation, conciliation and/or any other alternative mode of dispute resolution on the complaints and grievances received by the Committee;

3.4. Make appropriate recommendations to the PCCP Board of Directors.

10. International Alliance

Educational Seminar of the APSR [ESAP] Hosting

Date/Venue: August 6-7, 2014, Manila Philippines Theme: State of the Art in Pulmonology: Convergence in Practice APSR Assembly: Bronchoscopy and Interventional Technique Assembly This ESAP course aims to fulfill the needs of general practitioners and pulmonologists who want to enhance their skills in handling pulmonary diseases. For the pulmonologists, the hands-on sessions on pleural-based and interventional bronchoscopy procedures will provide them the opportunity to learn these new and state-of-the-art procedures. For the general practitioners and other pulmonologists, the didactic sessions on the state-of-the-art pulmonary topics and hands-on sessions on other diagnostic & therapeutic procedures or tests will update and enhance their knowledge and skills in handling common pulmonary diseases.

PCCP representatives to APSR. Appointment of APSR Councilors (3-year term) for

2014 – 2016: Dr. Charles Yu, Dr. Sylvia Yang, Dr. Camilo Roa, Jr.

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11. Long Range Planning Committee

The LRP’s role is to track and monitor the progress of the College plans for the following:

1. Governance, Leadership and Communication – Dr. Ruel Revilla 2. Finance – Dr. Tomas Realiza 3. Membership and Ethics – Dr. Grace Ramos 4. Research – Dr. Julie Visperas 5. Training – Dr. Albert Albay 6. Social Responsibility and Advocacy – Dr. Oscar Ferdinand Feliciano

The members’ partner with the board member assigned to the specific committee for the year. This will ensure continuity of great plans and allow the infusion of creative dynamism for the coming years. Their term will last for 3 years, from September 2012- September 2015.

PHILIPPINE COLLEGE OF CHEST PHYSICIANS

Advancing the Frontiers of Pulmonary Medicine in the Philippines. 84-A Malakas St., Pinyahan, Quezon City 1100 (632) 924-9204; Fax No. (632) 924-0144

Text Link No. 0920-9605979 E-mail address: secretariat@philchest.org Website address: www.philchest.org