THE CURRENT LANDSCAPE IN PHILIPPINE MEDICAL PHILIPPINE MEDICAL TECHNOLOGY LICENSURE, CERTIFICATION CERTIFICATION AND career progression
Ronaldo E. Puno, RMT, MBA-H National President Philippine Association of Medical Technologists (PAMET)
Talking points •
Legal Framework and Milestones
• •
Structure of Licensure Examination International Certification
•
Continuing Education & Career Progression
Talking points •
Legal Framework and Milestones
• •
Structure of Licensure Examination International Certification
•
Continuing Education & Career Progression
THE LEGAL FRAMEWORK
R.A. 5527 Philippine Medical Technology Act of 1969 • Enacted on June 21, 1969 • 3 Amendments R.A. 6138 - August 31, 1970 P.D. 498 – June 28, 1974 P.D. 1534 – June 11, 1978
P.D. 498 (a) “Practice of Medical Technology” An auxiliary branch of laboratory medicine which deals with the • Examination of tissues,secretions, & excretions of the human body & body fluids • Blood banking procedures • Parasitologic, Parasitolog ic, mycologic & microbiologic techniques Histopatholog ic & cytotechnology • Histopathologic • Clinical research • Preparations & standardization of reagents • Clinical Laboratory Quality Control • Collection & preservation of specimen
which will aid the physician in the diagnosis, study and treatment of disease and in the promotion of health in general
Milestones in Philippine Medical Technology Leading to Licensure of Professionals 1945 1945 - Medical Technology was introduced by the 6 th US Army 1947 - Training of high school graduates as laboratory technicians started. No definite period, no certificate of completion issued 1954 1954 - First training syllabus was prepared with formal 6-month training period. Certificate of completion was issued. 1954-- The first Medical Technology school (PUC) with 5-year curriculum 1954 opened. 1955-- First Medical Technology graduate was produced 1955 1957 1957 - The second Medical Technology school opened (UST) 1963 - Philippine Philippi ne Association of Medical Technologists was organized. 1969 1969 - Philippine Medical Technology Act was enacted into law 1970 - Philippine Philippi ne Association of Schools of Medical Technology and Public Health was organized. The Board of Medical Technology was for created The 1st Licensure Examination was held 1971 - The first oath-taking was held. 1973 - Professional Regulation commission commission was created
Milestones in Philippine Medical Technology 1994 – The Higher Education Act was enacted into law 2000 – PRC Modernization Act was enacted into law 2006 – CHED Memorandum 14, s. 2006 was approved, shortening internship program from 1 year to 6 months 2016 – Continuing Professional Development Act lapsed into law 2017 – CHED Memorandum 13, s. 2017 was approved, reverting back to 1 year internship and introducing a new curriculum 2018 - Start of implementation of new curriculum
•
areas of Professional Practice CHED Memorandum Order 13, series of 2017
Specific professions, careers, occupations or trades that the graduates of this program may go into.
•
Licensed Medical Technologists:
Medical Technologists in Hospital
Laboratories, Clinics and Sanitarium. (incl. Phlebotomist, Histotechnician/Histotechnologist) •
Educators: Medical Technologist can be employed as faculty in colleges and universities offering Medical Technology program to teach professional subjects. (Administrator, Academician, Health Educator)
•
Diagnostic Molecular Scientists
•
Research Scientists
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Diagnostic Product Specialists
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Public Health Practitioners
•
Healthcare Leaders
Areas of Professional Practice
Allied Medical Fields Employing the Knowledge and Skills of Medical Technologists: •
Public Health/Epidemiology
• Veterinary
Laboratory Science
• Molecular
Biology/Biology
• Nuclear
Science
• Forensic
Science
• Health • Food
Administration/Management
and Industrial Microbiology
Government Regulatory Structure in Licensing Professionals
46 Professions under PRC
Medical Technology
Board of Medical Technology Composition: Chairman - Pathologist 2 Members - Medical Technologists
PROPOSED
Chairman and 2 Members be ALL Registered Medical Technologists
Minimum Requirements for Licensure Examination
Past >>>> Present >>>Future
R.A. 5527 – Section 6 Definition of Terms
CMO No. 14, s. 2006, Article 3
(d) “Minimum Required Course”
(d) “Program specifications”
• •
•
At least 4 years Including 12-month internship in accredited training laboratories
• A 4-year program • Internship program of 6 months in an accredited training laboratory
BS Medical Technology/Public • B.S. Medical Health Technology/MLS/Public Health
PAST 1969-2006
PRESENT 2006-2018
CMO No. 13, s. 2017
(d) “Program specifications”
• A 4-year program • Internship program of 12 months in an accredited training laboratory • B.S. Medical Technology/MLS/Public Health
FUTURE starting SY 2018-2019
Section17.Scope
of Examination
The examination questions shall cover the following subjects with their respective relative weights: Clinical Chemistry ...................................................... 20% Microbiology & Parasitology ...................................... 20% Hematology ............................................................... 20% Blood Banking & Serology ......................................... 20% Clinical Microscopy (Urinalysis and other body fluids) ...................................................... 10% Histopathologic Techniques, Cytotechnology, Medical Technology Laws, Related Laws and its implementing rules, and the Code of Ethics .................................... 10%
CRITERIA TO BE A REGISTERED/ LICENSED MEDICAL TECHNOLOGISTS Section 19.Rating in the Examination In order to pass the examination a candidate must : • obtain a general average of at least 75% in the written test • with no rating below fifty percent in any of the major subjects: Provided , that the candidate • has not failed in at least sixty percent of the subjects computed according to their relative weights. No further examinations, unless and until he shall have completed 12 months refresher course in an accredited laboratory if an examinee failed to pass for 3 times.
R.A. 5527 – Section 21 (a) “Issuance of Certificate of Registration”
Every applicant who has satisfactory passed the required examination shall be issued a Certificate of Registration as Medical Technologist. Provided that: • no certificate shall be issued to any successful applicant who has not attained the age of 21 • All certificates shall be signed by ALL the members of the Board, and by the PRC Commissioner
Refusal to issue Certificate. •Moral turpitude •Immoral of dishonorable conduct • Unsound mind •Incurable communicable disease Written statement shall be given to applicant Setting forth the reason for such action, to be Incorporated in the record of the Board
7-Year Data on Licensure Examination YEAR
# OF TAKERS
2011
2012
2013
2014
2015
2016
2017
2286
2669
3631
4861
6782
7722
8877
1612
2054
2917
3871
5467
6190
7199
70.52 %
76.96 %
80.34 %
79.63 %
80.61 %
80.16 %
81.09 %
#OF PASSERS AVERAGE ANNUAL PASSING RATE
78.87 % (7-year Average)
Source: PRC Board of Medical Technology
Board Performance Professional Regulations Commission National Passing Percentage for Medical Technology Licensure Examinations, Philippines, 1999-2010
YEAR
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 March 2010 TOTAL
# OF EXAMINEE S 3326 3608 3621 3280 3443 3414 3377 3239 2547 2380 2270
# OF PASSED
PERCENTAGE (%)
1703 1890 1904 1612 1641 1473 1744 1507 1311 1414 1170
51.20 52.38 52.58 49.14 47.66 43.14 51.64 46.52 51.47 59.41 51.54
873
514
58.88
34893
18353/34893=52.59%
March 2018 Licensure Examination No. of takers : 3,644 No. of passers : 2,648 National % Passing rate : 72.66%
Number of RMTs as of Dec. 2017 Plus March 2018 passers Total Number of RMTs as of March 2018
: 83,697 : 2,648 : 86,345
Note: Board exam is given twice a year
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Source: PRC Board of Medical Technology
NUMBER OF SCHOOLS OFFERING THE PROGRAM
2008 = 66 2018 = 150
Official Professional Title Conferred: Registered Medical Technologists (as mandated by law)
Medical Laboratory Technician - a licensed given to BSMT/BSMLS/BS Public Health Graduate who did not meet the criteria for RMTs but have obtained a rating of 70-74.9% in the licensure examination.
International Certification and Opportunities
International Certification and Opportunities •
ASCPi
International Certification and Opportunities Information about ASCPi • The ASCP Board of Certification examination for International Medical
Technologist, MT (ASCPi) has been approved for licensure purposes By the state of California. • Any individual already certified as an International Medical Technologist, MT(ASCPi) after June 1, 2007 will not need to retake the examination for California State licensure. • There is ASCP Task Force on Globalization in the Philippines (Advisory Board for BOC) • ASCPi is administered regularly in the Philippines
International Certification and Opportunities
Latest ASCPi Statistics
Total Certified (Phils) - 5,869 (as of 2017) Average Passing rate : 70% Applicants from Phils : 81% of total (74 countries)
Continuing education & career progression
Continuing professional development law of 2016 (R.A.10912)
“ A response to the standards in the national, regional and International labor markets, given the envisioned ASEAN Economic community”
Republic Act 10912 Lapsed into law on July 21, 2016
“Continuing Professional Development Act of 2016”
Sec 2. Declaration of Policy
It is hereby declared the policy of the State to promote and upgrade the practice of professions in the country. Towards this end, the State shall institute measures that will continuously improve the competence of the professionals in accordance with the international standards of practice.
Republic Act 10912 Lapsed into law on July 21, 2016
“Continuing Professional Development Act of 2016”
Article 3, Sec. 10. CPD Program Implementation
CPD as Mandatory Requirement in the Renewal of Professional License and Accreditation System for the Practice of Professions 31
Republic Act 10912 Lapsed into law on July 21, 2016
“Continuing Profssional Development Act of 2016”
Sec 3. Continuing Professional Development (CPD)
Refers to the inculcation of advance knowledge, skills and ethical values in a postlicensure specialization or in an inter- or multidisciplinary field of duty, for assimilation into professional practice, self-directed research and/or lifelong learning
32
Republic Act 10912 Lapsed into law on July 21, 2016
“Continuing Profssional Development Act of 2016”
Sec 5. Nature of CPD Programs
The CPD Programs consist of activities that range from structured to non-structured activities, which have learning processes and outcomes. These include, but not limited to the following: • Formal learning • Non-formal learning • Informal learning • Self-directed learning • Online learning activities 33 • Professional work experience
Republic Act 10912 Lapsed into law on July 21, 2016
Sec 12. Career Progression and Specialization
“Continuing Profssional Development Act of 2016”
concerned government agencies and industry stakeholoders shall formulate and implement a Career Progression and Specialization Program for every profession. …
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Why Do We Need to Formulate Career Progression and Specialization? • It is a provision of the law • For career growth and performance development of professionals • For better job opportunities • To upgrade skills and competencies in response to globalization and ASEAN integration
35
Specialization/”Pool of Experts” Section 12 of PRC Resolution 1032: “IRR of R.A. 10912” - Career Progression and Specialization •
Developing Professional Track for Med Techs • Formed the “Pool of Experts” • 12 Tracks are being developed by PAMET and PRC leading to Diplomate and Fellow 36 • Leveling up to level 7 or 8 of Philippine Qualifcation Framework (PQF)
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12 Specialization Tracks Being Developed • Hematology • Clinical Chemistry • Microbiology • Clinical Microscopy • Transfusion Medicine • Laboratory Management • Immunology/Serology • Parasitology • Biosafety • Phlebotomy • Histopathology 38 • Research
Collaboration on Specialization and Certification:
ASCP - formalizing the partnership of PAMET with ASCP to provide international certification and platform for specialization among Filipino Medical Technologists
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Areas of Possible Cooperation:
• • • •
International membership Student membership On-line continuing education Certificate Programs - Laboratory Management University - Leadership Institute
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Academic Track Masteral - several universities now offer Masteral in Medical Technology/Medical Laboratory Science Doctoral - a PhD major in Medical Technology is now being offered in one of the universities (UST) 41
Master of Science in Medical Technology / Medical Laboratory Science - Requires 40 units Many schools are now currently offering the program. - in-house - off-site - on-line
42
Doctor of Philosophy in Medical Technology / Medical Laboratory Science Major in: Clinical Laboratory Management Clinical Chemistry Clinical Microbiology Clinical Parasitology Clinical Immunology Molecular Diagnostics - Requires 57 units
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Key messages
The landscape for medical technology has changed significantly in recent years as a result of new technology, emerging markets, changes in the global disease burden, and increasingly complex working environment – these changes have prompted the emergence of innovative models and approaches in medical technology.
“Nowadays, Being an average is no longer enough we should always bring something extra”
You will be required to have not only a license as a medical technologist (RMT) but also a certification in a chosen field of interest(specialization) because you are expected to assume new roles and responsibilities as the field of healthcare changes globally.
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The health care community will require greater numbers of medical technologists to aid in the achievement of better health care through diversification and specialization.
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As Medical Technologists in a globalized world… Have you realized our expanding roles in the healthcare system ? Have you thought of the increasing demand for competence and credentials? Have you reassessed the need for expertise and specialization? Have you considered the competition you are facing?
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The answer lies on US!
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