We believe that research should be:
Be continually done to improve quality of service, training, and governance of a department of surgery.
Be integrated into the day-to-day activities of a department of surgery and its staff, and not to be looked upon as something distinct and separate from service, training and governance and as an added burden for the staff.
Be mostly of the action research types so as to be relevant and useful in improving service, training, and governance.
Not be limited to clinical medicine but should include service, training, and governance.
To continually conduct research in order to improve the quality of service, training, and governance activities of the department of surgery.
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2001 |
2002 |
2003 |
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At least 2 completed useful research papers per year |
At least 4 completed useful research papers per year |
At least 4 completed useful research papers per year |
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At least 2 papers presented in an external scientific forum |
At least 2 papers presented in an external scientific forum |
At least 2 papers presented in an external scientific forum |
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At least 2 papers for publication |
At least 2 papers for publication |
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Annual research forum |
Annual research forum |
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Active participation of consultants |
Active participation of consultants |
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At least 6 clinical practice guidelines |
At least 6 clinical practice guidelines |
Effective leadership from chairperson down
Effective in promoting achievement of performance objectives
Effective in promoting achievement of the other strategies
Leadership by training and coaching
Leadership by example
Situational leadership – innovativeness and resourcefulness
Consultant-guided and assisted researches from chairperson down
Structured departmental research development program with clear philosophy, directions, and policies; realistic short- and long-term targets; doable strategies and research activities; regular bimonthly monitoring and updating; and continual quality improvement measures
Continuing education, training, and coaching of resident and consultant staff
Incentive- and motivation-provision for resident and consultant staff
Donor-enticement program
Attendance of residents and consultants in research training workshops within OMMC and outside (e.g. Philippine College of Surgeons) [2001-2003]
Study of “Instructions to Authors” of Philippine Journal of Surgical Specialties and Asian Surgical Association Journal with formulation of a checklist to be used to critique a written paper of a resident [2001]
Identification of research problems during regular departmental conferences – preop and postop conference, morbidity and mortality conferences, debates, case presentation and discussion, monthly performance reporting, administrative meetings, etc., resulting in action research topics on governance, service, and training [2002 – present]
Updating of research projects every 2 months [2002-present]
Holding of annual departmental research forum [August 2002, August 2003]
Use of consultants to serve as judges, critiquers, and feedbackers in the department’s annual research forum (2002 - present)
Participation in research contests inside (interdepartment) and outside OMMC (Philippine College of Surgeons and Philippine Society of General Surgeons) [2002 – present]
Participation in research fora outside OMMC (Philippine College of Surgeons’ Annual Convention Free Paper Presentation) [2002 – present]
Submission of completed research papers for publication in journals [2002 – present]
Dissemination of information derived from completed research projects to the public through print media (newspapers and health magazines) and emails [2002 – present]
Utilization of information derived from completed research projects within the department as new policies and practice guidelines [2002 – present]
Establishment and development of Multi-center Cooperative Collaborative
Action Research Study among different surgeons and surgery departments
throughout the country [2002 – present]
Use
of consultants to assist residents in preparing for oral presentation in
external fora and in preparing papers for publication [2002 – present]
Giving of incentive and motivation to the residents and consultants in the form of authorship, co-authorship, publication honor, and monetary awards.
The 2001 performance objectives of at least 2 completed useful research papers per year and at least 2 papers presented in an external scientific forum were not achieved.
The 2002 performance objectives were achieved with:
- 9 finished papers, 3 case reports, 1 clinical practice guidelines, and 5 descriptive-analytical papers
- all papers having been presented in various research forums, both internally in OMMC and externally in the Philippine Society of General Surgeons (PSGS) and Philippine College of Surgeons (PCS). All the 5 descriptive-analytical papers were semi-finalists and finalists in research contests sponsored by PSGS and PCS with two 2 papers winning prizes. One case report and one descriptive-analytic paper each won an award in the OMMC interdepartmental research contest in January, 2003.
- A research forum held in August 13, 2002.
- At least 5 consultants participating in the research activities of the department.
- 6 completed clinical practice guidelines.
- Establishment of a Multi-center Cooperative Collaborative Action Research Study.
- $1,000 research grant from North Texas Association of Philippine Physicians.
In 2003, at this writing, (June 30, 2003)
- there are 16 ongoing papers.
- the annual research forum will be in August, 2003
- MCCCARS is still ongoing.
- the research grant from NTAPP has been increased to $1,500.
- MD Consult subscription and access to Internet through prepaid cards were started in March, 2003.
Future Plans:
To sustain and institutionalize the
research development program
To establish a core group of consultants to
actively participate in the research program
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2002 |
Outcome |
2003 |
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At least 4 completed useful research papers per year |
9 papers |
About 16 ongoing papers |
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At least 2 papers presented in an external scientific forum |
9 papers |
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At least 2 papers for publication |
1 case report already published (PJSS – Jan-Mar 2003) 5 other papers accepted for publication pending revisions |
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Annual research forum |
August 13, 2003 |
August, 2003 |
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Active participation of consultants |
5 consultants |
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At least 6 clinical practice guidelines |
6 practice guidelines |
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MCCCARS |
MCCCARS |
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Research Grant of $1,000 from NTAPP |
Research Grant of $1,500 from NTAPP |
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MD Consult subscription from a donor |
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Internet prepaid cards for all residents from a donor |
2003 Ongoing Research Projects:
Prevention of surgical site infection in emergency colonic surgery with partial wound closure
Sudden cancellation of scheduled elective operations in a government tertiary hospital – a cause for concern and how to avoid
Reducing hypertension as a cause of sudden cancellation of elective operations in a government tertiary hospital
Tissue review in the prevention of unnecessary operations
Prevalence of fibrocystic changes in breast mass operations (MCCCARS)
Validation of monitoring protocol for patients with possible acute appendicitis
Incidence of normal appendectomy rate and perforation rate
Variations in the diagnostic process of surgical staff in patients with acute non-traumatic right lower quadrant abdominal pain
Role of preoperative antibiotics and wound management in the prevention of surgical site infection in patients with acute appendicitis
Pain score and pain management in post-appendectomy patients
Incidence and avoidance of retained post-traumatic hemothorax
Incidence and reduction of mortality in major abdominal vascular injuries
Profile of soft tissue infection in OMMC
Reducing morbidity and mortality rates in OMMC Surgery
Reducing infection in hand injuries
Validation of a protocol in the selective use of mesh for inguinal herniorrhaphy
Pain score and pain management in post-thyroidectomy patients
Pain score and pain management in post-modified radical mastectomy patients
Pain score and pain management in post-cholecystectomy patients
OMMC Surgery Cancer Pain Control Program
Fishbone ingestion causing surgical abdomen
Muriatic acid ingestion causing gastrointestinal tract necrosis and perforation