The Think Global Initiative and the Asia-Pacific Region of the International Federation of Medical Students Associations (IFMSA)

and the Asian Medical Students Association-Philippines present

Think Global Asia-Pacific Workshop on Global Health in Medical Education

Towards a Transformative Medical Education for a Healthy Asia-Pacific Future

December 19-21, 2011 Alvior Hall, University of the Philippines Manila

Message from the IFMSA Regional Coordinator

Today, we medical students and future doctors face serious health challenges in the Philippines and beyond, from the rising costs of non-communicable diseases to the human toll of climate change and disasters. What is becoming more apparent is that these health issues are more social than biomedical in nature, and therefore what we learn from medical school now seems to be inadequate and even irrelevant.

Now more than ever, we need physicians and other health workers who can work within health systems that are becoming more and more complex, who can approach health issues by looking through different lenses outside health, and who are willing and capable to get out of the clinic and hospital and champion for better health and greater health equity. These are among the many qualities of a new breed of doctors who will create and sustain health in the 21st century.

A major solution, therefore, is to evaluate how medical professionals are produced, and alter whatever defects exist or supply whatever is lacking. Transforming the education of physicians is an enormous task, as it will entail challenging long-held traditions and institutions. But with the worsening state of health and the growing inequities in society, we cannot afford to be discouraged and to surrender.

We hope that this workshop, Think Global Asia-Pacific Workshop on Global Health in Medical Education, would contribute to the solution.

RAMON LORENZO LUIS R. GUINTO Regional Coordinator for the Asia-Pacific International Federation of Medical Students Associations Over-all Coordinator, Think Global Manila 2011 University of the Philippines Manila Class of 2012

Message from the AMSA-Philippines President

Mabuhay! With warmest greetings, AMSA-Philippines welcomes our delegates to the IFMSA Think Global 2011. It is about time for us to tackle global health and its social determinants, which have not been given enough attention in previous conferences in favour of more clinical topics. Yet, global health plays a big role in the way we deliver quality health care to our patients. Several medical schools do not even introduce the concept of Universal Health Care until students are at higher year levels. Hence, this short 3-day course will thus encompass all the important essence of health care and delivery, with comparison amongst the different regions. We rejoice to know that at the end of this conference, there will be new champions of global health and will join hands with us in promoting and pushing for universal health care all over the world. Lastly, enjoy your time here in Manila because we have a lot of memories to share with you!

JOANNA MARIE D. CHOA President, AMSA-Philippines 2011-2012

International Federation of Medical Students Associations

The International Federation of Medical Students' Associations (IFMSA) is a nongovernmental organization representing associations of medical students. It was founded in May 1951, and currently maintains 106 National Member Organizations from 99 countries across six continents. The mission statement of IFMSA reads, "Our mission is to offer future physicians a comprehensive introduction to global health issues. Through our programming and opportunities, we develop culturally sensitive students of medicine, intent on influencing the trans-national inequalities that shape the health of our planet." The goal of the Federation is to serve society and medical students all over the world through its member organizations by: Empowering medical students in using their knowledge and capacities for the benefit of society; Providing a forum for medical students throughout the world to discuss topics related to individual and community health, education and science and to formulate policies from such discussions; Promoting and facilitating professional and scientific exchanges as well as projects and extracurricular trainings for medical students, thereby sensitizing them to other cultures and societies and their health problems, and; Providing a link between members, medical students' associations and international organizations, and to encourage co-operation between them for the ultimate benefit of society. All activities of the IFMSA are linked to one of its six standing committees, which are: Standing Committee on Medical Education (SCOME) Standing Committee on Professional Exchange (SCOPE), which coordinates medical student international exchange Standing Committee on Research Exchange (SCORE), which coordinates international research exchange Standing Committee on Public Health (SCOPH) Standing Committee on Reproductive Health including AIDS (SCORA) Standing Committee on Human Rights and Peace (SCORP)

IFMSA Think Global Initiative

Effective global health education provides students with an understanding of the broader determinants of health and healthcare delivery. It encourages students to consider the ways in which these determinants transcend national borders, and the profound impacts of globalization on health. Think Global aims for all future healthcare professionals to have an understanding of global health and to act as advocates to improve it. The project works with students involved in the IFMSA (International Federation of Medical Students Associations), providing them with opportunities to learn about global health in the context of their clinical and extracurricular activities. As global health education is relevant to all medical students, Think Global integrates comprehensively with all aspects of the IFMSA, working closely with the Standing Committees on: Public Health; Medical Education; Human Rights and Peace; Professional Exchange; Reproductive Health including HIV/AIDS; and Research Exchange. These opportunities include, but are not limited to: global health workshops; input into other workshops and Standing Committee sessions at the IFMSA General Assembly; the IFMSA General Assembly Theme Events; and the provision of reliable global health resources and materials. Students attend a Think Global training or organize their own local events, or attend international conferences such as the World Health Summit or Rio +20 summit. Think Global works actively to include global health education within medical curricula. The project empowers students to act as advocates for global health by training them in global health issues and advocacy. It also aims to build a network of students with similar Global Health interests.

Asian Medical Students Association-Philippines

The Asian Medical Students Association Philippines (AMSA-Philippines) is a non-stock, non-profit, nongovernment association of different organizations from various medical schools all over the Philippines. It represents the Filipino medical students in two of the biggest international medical student organizations in the world: the Asian Medical Students Association-International (AMSA-International) and the International Federation of Medical Students Associations (IFMSA). Committed to the parallel goals of service and excellence, AMSA-Philippines has always provided different avenues for Filipino medical students in their pursuit to become holistic and relevant physicians of the future. The association also seeks to serve as a platform for advocacy among medical students, pushing for better health care and social justice in the Philippines. It has continuously sought to develop deepened social consciousness and a sense of active participation and contribution among its members, not only in relation to pressing health issues but also to other relevant issues affecting our society as well. AMSA-Philippiness holistic approach to health and its dynamic knowledge cultivated through education, research, and professional exchange has always been its defining core. Vision AMSA-Philippines aims to promote humanitarian ideals among medical students and seeks to contribute to the creation of responsible future physicians without political, religious, social, racial, national, sexual or any other discrimination. Objectives 1. It shall exist to empower medical students to have a greater awareness and understanding of their critical role not just as future health care providers, but also as influential leaders of society capable of inspiring change. 2. It shall promote awareness and instil a sense of responsibility among medical students about relevant social issues that affect health, medical practice, and the health care system. 3. It shall serve as a channel for professional and research exchanges with its international affiliates to further expand its members knowledge and clinical skills, and for them to be able to apply such knowledge and skills in the local setting. 4. It shall aim to develop a culture of academically competent, global-oriented, culturally-sensitive students of medicine who can serve as role models in the health profession.

Think Global Asia-Pacific Workshop on Global Health in Medical Education

Towards a Transformative Medical Education for a Healthy Asia-Pacific Future

December 19-21, 2011 Alvior Hall, University of the Philippines Manila

Hosted by the Asian Medical Students Association-Philippines Under the supervision of the Think Global Initiative and the Asia-Pacific Region of the International Federation of Medical Students Associations (IFMSA)

Background
This year, the Think Global Initiative of the International Federation of Medical Students Associations (IFMSA) is fortunate to receive substantial financial support from UNESCO that will be used to fund its projects pertaining to global health and medical education. The Initiative chose an NMO-oriented approach as a key strategy to advance the global discussion on these matters. The IFMSA Asia-Pacific Region, through the Asian Medical Students AssociationPhilippines, is fortunate to receive one of the five Think Global-UNESCO grants. The Think Global Asia-Pacific Workshop on Global Health in Medical Education hopes to realize the vision of the Initiative integrating global health in medical education. With the theme Towards a Transformative Medical Education for a Healthy Asia-Pacific Future, the workshop will provide participants a basic understanding of current and emerging global health issues and trends, with a special focus on the Asia-Pacific region. It will also look into ways on how medical education in the region can be transformed in order to produce physicians who are relevant and responsive to 21st century challenges and needs. Finally, workshop participants will explore for ways on how to advocate for substantial medical education reforms to governments, medical schools, training hospitals, and other sectors.

Objectives
The three-day Think Global workshop aims to allow the participants to: Gain a deeper understanding of global health issues and trends, with special attention to the health of Asia-Pacific populations Reflect on the state of medical education in the region and its relevance to the current global health situation Explore ways on how to reform medical education so that it is responsive to current and future global health needs and challenges especially in the region Initiate a regional dialogue regarding advocacy for transformative medical education

Themes
What is the state of global health today? What is the state of health in Asia-Pacific? What challenges are we currently facing, and are expecting to face in the future? How can global health be integrated in medical education? What existing methods need to be strengthened, and what novel ways can be developed? How can medical education be transformed in order to produce physicians who can respond to current and future health challenges of the region? How can medical education be transformed in order to solve the health workforce crisis and the gross inequities in health in the region and around the world? How can we medical students push for reforms in medical education? How should we convey our message to leaders in medical education?

Expected Outcomes
Manila Declaration on Transformative Medical Education for a Healthy Asia-Pacific Future, to be adopted, promoted, and used as basis for action by national member organizations (NMOs) of the IFMSA Asia-Pacific Region An article presenting students perspectives on transformative medical education in Asia-Pacific to be published in a reputable journal A Philippine Strategy for Transformative Medical Education to be used by the Asian Medical Students Association-Philippines for its advocacy work Workshop Report to serve as documentation of lectures and discussions and to be submitted to the IFMSA Think Global Initiative and UNESCO

Organizers
Ramon Lorenzo Luis R. Guinto, IFMSA Regional Coordinator for the Asia-Pacific and Over-all Coordinator of Think Global Manila Christy Ann Padre, Coordinator of Logistics

Program
Topic/Activity Welcome Ceremony Description Introduction to the workshop, house rules, welcome remarks from AMSA-Philippines leaders, introduction of participants A lecture on the history of the discipline of global health as well as key principles such as health for all, human rights, social determinants of health, equity, justice, etc. A lecture on the global health situation, with focus on key regional health issues and trends such as health workforce crisis, health inequities, regional burden of disease, climate change and disaster vulnerability, etc. A guided activity allowing the participants to compare each others health systems and health outcomes A lecture on the global health workforce crisis and how medical education can be transformed in order to help solve the crisis Resource Person

Foundations of Global Health

Renzo Guinto IFMSA Regional Coordinator for the Asia-Pacific and Think Global Manila Over-all Coordinator

The Global Health Situation: Focus on Asia-Pacific

Dr. Marilyn Lorenzo Former Director Institute of Health Policy and Development Studies National Institutes of Health

Comparative Global Health: An Asia-Pacific Snapshot

Renzo Guinto (facilitator)/Participants

Reforming Medical Education to Address the Health Workforce Crisis

Dr. Marilyn Lorenzo Former Director Institute of Health Policy and Development Studies National Institutes of Health

Visit to the WHO Western Pacific Regional Office

Visit to the WHO WPRO to understand the work of WHO and global health governance A lecture on the recent report published in the Lancet on transforming medical education Dr. Rodel Nodora Human Resources for Health WHO Western Pacific Regional Office Renzo Guinto (facilitator)/Participants

The Lancet Commission on Transformative Medical Education

Integrating Global Health in Medical Education: Experiences from Asia-Pacific

Participants present various approaches and methodologies to incorporate global health in medical education as employed in their respective countries

Lights, Camera, Action! Global Health in Film

Showing of films presenting various global health issues, followed by discussions

Visit to Gawad Kalinga Site/ Community Outreach

Visit to a community-based health program in order for participants to partake in community health work first-hand Dr. Ramon Paterno Research Faculty Institute of Health Policy and Development Studies National Institutes of Health Prof. Jusie Lydia Siega-Sur Dean School of Health Sciences University of the Philippines

Social Determinants of Health: A A lecture on the social determinants Philippine Perspective of health and health inequities, with the Philippines as an example

Enhancing Social Accountability in Medical Schools

A lecture on the Global Consensus on Social Accountability of Medical Schools and how its recommendations are or can be applied in Asia-Pacific medical schools A lecture on health systems, the universal health care plan in the Philippine and Asia-Pacific context, and how medical education should be transformed in order to contribute to the achievement of universal health care A lecture on how medical students can actively participate in advocacy and policy engagement for transformative medical education A panel on the role of community partnerships in transforming medical education, with the UP-San Juan, Batangas Community Health and Development Program and the UP School of Health Sciences as models

Transforming Medical Education for Universal Health Care

Dr. Ramon Paterno Research Faculty Institute of Health Policy and Development Studies National Institutes of Health

Student Advocacy and Policy Engagement for Medical Education Reforms

Dr. Ulysses Dorotheo Project Director, Southeast Asia Tobacco Control Alliance (SEATCA) Dr. Elizabeth Paterno Director University of the PhilippinesSan Juan, Batangas Community Health Development Program Prof. Jusie Lydia Siega-Sur Dean School of Health Sciences University of the Philippines

The Community as a Partner in Transformative Medical Education: Lessons from the Philippines

Interactive Workshop 1: What kind of 21st century doctor do we want to become?

Participants discuss in groups the desired qualities, knowledge, and skills of an Asia-Pacific doctor responsive to the needs of global health (followed by presentations and open discussions) Participants discuss in groups what kind of reforms should be made in medical education (followed by presentations and open discussions) Participants discuss in groups the various strategies on how to effect significant changes in medical education through advocacy and lobbying (followed by presentations and open discussions) Visit to the Philippines national hospital in order for participants to gain an understanding of the Philippine health system Workshop organizers present the synthesis and conclusions of the workshop; Unveiling of the Manila Declaration on Transformative Medical Education for a Healthy Asia-Pacific Participants state their commitments and future plans; handing of certificates of attendance and photo opportunity

Renzo Guinto (facilitator)/Participants

Interactive Workshop 2: How do we want to be trained as 21st century physicians?

Renzo Guinto (facilitator)/Participants

Interactive Workshop 3: How can we transform medical education in Asia-Pacific?

Renzo Guinto (facilitator)/Participants

Visit to the Philippine General Hospital

Workshop Synthesis and Conclusion

Commitment Ceremony

Schedule
Time Day One Monday, Dec 19 Welcome Ceremony and Foundations of Global Health The Global Health Situation: Focus on Asia-Pacific 10:00-11:00 Comparative Global Health: An Asia-Pacific Snapshot 11:00-12:00 Reforming Medical Education to Address the Health Workforce Crisis Lunch Visit to WHO WPRO 2:00-3:00 The Lancet Commission on Transformative Medical Education Integrating Global Health in Medical Education: Experiences from AsiaPacific Free Period/ Rapporteurs Meeting Dinner Global Health in Film Lunch Social Determinants of Health: A Philippine Perspective Enhancing Social Accountability in Medical Schools Transforming Medical Education for Universal Health Care Student Advocacy and Policy Engagement for Medical Education Reforms Dinner/Cultural Tour Visit to Gawad Kalinga Site/ Community Outreach Day Two Tuesday, Dec 20 Day Three Wednesday, Dec 21 The Community as a Partner in Transformative Medical Education: Lessons from the Philippines Interactive Workshop 1: What kind of 21st century doctor do we want to become? Interactive Workshop 2: How do we want to be trained as 21st century physicians? Interactive Workshop 3: How can we transform medical education in AsiaPacific? Lunch/ Rapporteurs Meeting Visit to the Philippine General Hospital Workshop Synthesis and Conclusion

8:00-9:00

9:00-10:00

12:00-1:00 1:00-2:00

3:00-4:00

4:00-5:00

Commitment Ceremony

5:00-6:00 6:00-7:00 7:00-8:00 8:00-9:00

Departure

Venue Legend: Dark Gray box Alvior Hall, UP College of Medicine, Pedro Gil St., Ermita, Manila Light Gray box WHO Western Pacific Regional Office, UN Avenue, Manila White box different venues

Guide Questions for the Interactive Workshops

Interactive Workshop 1: What kind of 21st century doctor do we want to become? 1. What kind of doctors are we producing with the current system of medical education? What kind of doctors do we want for the new century? 2. What traits and values of a 21st century doctor in Asia-Pacific are we looking for? 3. What skills should a 21st century doctor in Asia-Pacific possess? 4. What kinds of knowledge should be acquired by a 21st century doctor from his medical education? Interactive Workshop 2: How do we want to be trained as 21st century physicians? 1. What concepts and topics should be included in the medical curriculum? 2. What novel methodologies should be employed in the teaching of medical students? What existing methods need to be further strengthened and promoted? 3. What are the other pre-requisites or pre-conditions that are needed in order for transformative medical education to be achieved? What kind of environment or architecture should be put in place? 4. What extra-curricular activities and alternative methodologies should be encouraged for medical students so that they can expand their horizons and increase their relevance? Interactive Workshop 3: How can we transform medical education in Asia-Pacific? 1. What are the challenges that we should expect to face as we advocate for the transformation of medical education in Asia-Pacific? How can we overcome these challenges? 2. What strategies can we employ to move these changes forward? What should we do in order to promote awareness and build a constituency that will push for these changes? 3. Who are our potential allies in making these changes happen? How should we reach to them? 4. How can IFMSA Asia-Pacific and its national member organizations be an instrument in championing this campaign?

Think Global Asia-Pacific Workshop on Global Health in Medical Education

Towards Transformative Medical Education for a Healthy Asia-Pacific Future

December 19-21, 2011 University of the Philippines Manila Filipino Participants (20) Apichatmaetee, Our Lady of Fatima University Sinit Balilla, Vince S. University of the Philippines Manila Bonita, De La Salle Health Sciences MarianeTria L. Institute Casilang, Dalvie University of the Philippines Manila Dela Cruz, Aeron University of the Philippines Patrick Manila Dela Cruz, Our Lady of Fatima University Tiffany Kim A. Domingo, Erica Our Lady of Fatima University Tania D. Garcia, Rico University of Santo Tomas Paolo R. Kiat, Joseph University of Santo Tomas Angelo G. Kuhn, Rudolf V. University of Santo Tomas Malijan, Greco University of the Philippines Mark B. Manila Pacudan, University of Perpetual Help Reineer P. System Laguna Pamplona, De La Salle Health Sciences Hayzelle P. Institute Quezon, Anna University of the Philippines Sharmie C. Manila Salud, Vincci PamantasanngLungsodngMaynila Monique T. Salcedo, Karl University of Santo Tomas Martin Q. Sinlao, Manila Central University Annabelle M.

09275972294 09152927526 09175007617 09175437848 09266938533 09167424743 09228207022 09162699334 09175899849 09151295621 09175741902 09209079663 09165441279 09275126591 09208243563 09272895189 09166782351 09165432591 09228227803 09182953373

sinit_00@yahoo.co.uk vsbalilla@yahoo.com.ph marianetriabonita@gmail.com dalvie.dac89@gmail.com aerondlc1128@yahoo.com tiffanykimdelacruz@yahoo.com treasurer.amsaphil@gmail.com ilai_pau21@yahoo.com josephangelokiat@yahoo.com rudolfvkuhn@yahoo.com grecomalijan@gmail.com bogingya2@yahoo.com hzpamplona@gmail.com annaquezon@gmail.com vincci90@yahoo.com kmsalcedo@yahoo.com annabellesinlao01@yahoo.com

Somera, Marianne C. Trinidad, Paolo Ruperto D. Yoshihiro Kuba

Our Lady of Fatima University University of Santo Tomas

09151274170 09279750424 09189901066 09234774177 09234122286

marcsomera@gmail.com prdtrinidad@hotmail.com prdtrinidad@yahoo.com good16qb@gmail.com

Our Lady of Fatima University

Foreign Participants (3) Masriati, UniversitasMuhammadiyah +6285326401900 Fatia Yogyakarta Shah, Krishna Institute Of +919820999257 Kuldeep Medical Sciences University Adhikari, Krishna Institute Of Archit Medical Sciences University Volunteers (20) Far Eastern University (10) Contacto, Justine Faner, Ned Denebe Hernandez, Zaldy Lopez, Ruth Ngo, Laurie Lynne C. Obida, Sarah Samantha C. Paliza, Jaffy Ramos, Redmon Ramirez, TheraJanick L. Rivera, Aleli Francis

fay.fatia@gmail.com drkbshah87@gmail.com

standingcommittees.msai@gmail.com

09228985561 09055231903 09274814683 09153756501 09167892700 09278868824 09220721858 09082368868 09322707331 09263549215 09175199813

justinecontacto@gmail.com deneb_stareyes@yahoo.com zaldy@yahoo.com giant39_clock@yahoo.com ruth_lopez45230@yahoo.com laurie_majinbu@yahoo.com sgreen_328@hotmail.com jaffy.paliza@yahoo.com onlyredmon26@gmail.com thera_ramirez@yahoo.com tomatosas@yahoo.com

De La Salle Health Sciences Institute (8) Fernandez, Edna Joyce M. 09267479000 nFernando, Emily Anne 09175645743 Macalintal, Katrina Cyril M. 09175112886 Magdaong,Melayne Jewel R. 09177500308 Rosales, Carole Zaidel M. 09274669111 Siocon, Mariel Salvador,Zafril Jose Sta. Romana Yusingbo, Iami Rio Patricia A. 09273658769 09178441116 09178874262

eds.fernandez@gmail.com emily.fernando@yahoo.com trina_cyril@yahoo.com mhel_xxi@yahoo.com.ph czaidelmrosales@gmail.com carolezaidel_r@yahoo.com Mayi_siocon@yahoo.com.ph zafrilsalvador@yahoo.com rio_iami@yahoo.com

Pamantasan ng Lungsod ng Maynila (2) Pardo, Jacqueline 09162518967 Pardo, Jillianne 09163827287

jacqpardo@yahoo.com jilliannepardo@yahoo.com

Guests (3) Joanna Choa President Asian Medical Students Association-Philippines choa_jmd@hotmail.com 09228304988 MiguelDorotan Former Liaison Officer to the WHO Asian Medical Students Association-International miguel@dorotan.com; migueldorotan@gmail.com Mita Lourdes Angela Santiago Intern, Health Justice mitalafsantiago@gmail.com 09164341590

Organizers (2) Ramon Lorenzo Luis R. Guinto (RENZO) Regional Coordinator for the Asia-Pacific International Federation of Medical Students Associations (IFMSA) Over-all Coordinator, Think Global Asia-Pacific Workshop 2011 rcasiapacific@ifmsa.org; renzo.guinto@gmail.com 09186469079/09232821940 Christy Ann E. Padre Logistics Coordinator, Think Global Asia-Pacific Workshop 2011 teamed24@yahoo.com; tea.anne24@gmail.com 09162561515/09333261916

Total Participants: 48