May 23, 1982
ADMINISTRATIVE ORDER
No. 26–C series 1982
AMENDING ADMINISTRATIVE
ORDER No. 87 AND 93, s. 1980 ON POLICIES, PROCEDURES AND GUIDELINES GOVERNING
AFFILIATION AND TRAINING OF STUDENTS IN THE MINISTRY OF HEALTH HOSPITALS, RURAL
HEALTH AND OTHER HEALTH AGENCIES
The Ministry of Health
cognizant of its responsibility of improving and maintaining the quality of
life of the people and aware of its role in the development of manpower that is
responsive to health needs, has committed to offer its hospitals and community
health resources for learning and training experiences of students in Medicine,
Nursing, Midwifery, Medical Technology, Pharmacy, Public Health
Nutrition and Hospital Dietetics, Radiologic Technology, Social Work,
Occupational and Physical Therapy, Psychology and Dentistry hereby formulates
the following guideline to be observed by schools, colleges and universities
affiliated to agencies under the Ministry of Health.
1. All affiliation
and training of students in the Ministry of Health Hospitals, Rural Health
Units and such other agencies, shall be maintained and supervised by the
committee on affiliation and training of students.
2. A National
Committee on Affiliation and Training of Students (NCATS) is hereby composed of
the following:
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a. Functions of National Committee on Affiliation and
Training of Students (NCATS):
(1) Formulates policies, guidelines, rules and regulations
on affiliation and training of students
(2) Plans programs and activities pertaining to
affiliation and training of students.
(3) Implements, supervises, monitors and evaluates the
implementation of all programs and activities on affiliation and training of
students.
(4) Processes affiliation contracts for medical centers
and special hospitals designated directly under the Office of the Minister of
Health.
(5) Keep records and reports.
3. A Regional
Committee on Affiliation and Training of Students (RCATS) shall be created by
the Regional Health Director to be composed of the following:
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The
Regional Director Health Director is hereby authorized to sign contracts of
affiliation within the region.
Functions of RCATS:
a. Supervises programs and activities on affiliation and
training of students at the regional level.
b. Evaluates programs and activities on affiliation and
training of students in the region.
c. Processes affiliation contracts at the regional level.
d. Keeps records and reports.
e. Submits quarterly report to National Committee on
Affiliation and Training of Students (NCATS) on:
(1) Number and category of students of each affiliating
schools.
(2) Length of stay
(3) Amount collected during the period and manner of
distribution (payroll).
4. Filing of
contracts of affiliation shall be done in hospitals/Rural Health Units and such
other agencies where affiliation and training activities takes place. Hospitals
and Rural Health Units shall make available copies of the affiliation contact
to the schools/colleges/universities.
a. Schools/ Colleges/Universities shall accomplish four
(4) copies of the contract.
b. Contracts shall be recommended by the Chief of
Hospitals/Provincial Health Officers/City Health Officers or Heads of agency
where affiliation takes place.
c. Duly accomplished affiliation contract for hospitals
directly under the Office of the Minister shall be forwarded to the NCATS for
processing and shall be forwarded to the Minister of Health or his
representative for approval.
d. Duly accomplished affiliation contract at the regional
level shall be forwarded to the RCATS for processing and shall be forwarded to
the Regional Health Director for approval.
e. All affiliation contracts shall be filed two (2)
months before the end of every school year.
f. Committee action shall be within two (2) months after
the date of filing. Final approval shall be made once month after the committee
action.
g. All affiliation contracts shall be renewed every two
(2) years for the first six (6) years and one every three (3) years thereafter.
The Minister of Health reserved the right to cancel contracts, adjust
affiliation fees, institute measures as deemed necessary.
5. Honorarium
form Affiliation Fees:
The
affiliation fees collected from hospitals, rural health units, regional
training centers, regional training laboratories and other offices/agencies of
the Ministry of Health shall be distributed as follows:
a. 50% for Honorarium
These
shall be divided into:
40%
for honorarium
5%
for supplies and materials for student’s use
5%
for supplies and operational expenses of the committee on affiliation and
training
The
40% for honorarium shall be distributed to the staff that participate in the
training of students and shall be apportioned according to the degree of
participation. It is suggested that the following guide on the distribution
shall be followed:
Chief of Hospital – 1.8
Administrative Staff – 2.0
Training Officer and Staff – 1.4
Chief of Service concerned for such training
– 4.8
Assistance, if any – 7.0
Training staff and supervisors of the
particular service
concerned for such training – 23.0
In
case where there are no training officers or no assistants to the Chief of the
Service, the remaining amount allotted for these staff mentioned above shall be
distributed to the staff concerned for such training, upon recommendation of
the Chief of Service, taking into consideration the degree of participation.
The
5% for supplies and materials shall be used for such purpose as determined by
the Chief of the Service concerned, subject to the approval of the Chief of the
Hospital/RHUs and such other agencies concerned.
The
5% for supplies and operational expenses of the committee shall be remitted
immediately after collection to the National Committee on Affiliation and
Training of Students for hospitals and agencies in Metro Manila, and to the
Regional Committee for hospitals and agencies in their respective regional
offices. The amount shall be considered as a trust fund and shall be deposited
in government depository bank.
Disbursement
shall be subject to special budget pursuant to Section 40 of P.D. 1177.
Operational expenses for affiliation with their functions shall be taken from
the funds for supplies and operational expenses and shall follow existing
accounting and auditing rules and regulations.
b. 50% for Incentive
The
50% for incentive shall be distributed in equal shares to Nurses, Medical
Social workers, Therapist, Medical Technicians, Nursing Attendants and other
hospital personnel directly engaged in patient care; Provided that the share of
any employees may not in aggregate, exceed fifty percent of the employee salary
for the corresponding period for which the honorarium is received.
c. The Chief of the service concerned for such training
(ex. Chief Nurse for Nursing Students) shall form a committee who shall determine
the manner of distribution of honorarium and shall submit to the Chief of
hospital/rural health units (PHO) or head of the agency for approval. No
employees shall be allowed to receive a double share, meaning getting a share
from the honorarium as well as from the incentive.
6.
Medicine
7.
Nursing/Midwifery
8. Medical
Technology
a. Ministry
of Health Laboratories designated for training of Medical Technology interns in
order to obtain the necessary skills and knowledge in clinical laboratory
practice must meet the following requirements:
(1) The laboratory should be duly licensed as specified by
the law on clinical laboratories, R.A. 4688.
(2) The position of medical technologist should be
provided for each of the sections of clinical chemistry, clinical microscopy
(urinalysis and parasitology), microbiology (bacteriology), hematology, blood
banking and serology and histopathology.
(3) There should be an adequate laboratory space to
accommodate both the staff and the medical technology interns.
(4) There should be sufficient equipment and supplies
necessary depending on the volume and type of examinations as well as the
number of interns to be trained by the laboratory.
(5) Each section of the laboratory can be utilized for
training only if it can accommodate at least two (2) interns at any one time.
(6) The laboratory should have a training program for
medical technology interns.
(a) The person responsible for this program should be a
member of the specialty in laboratory medicine.
(b) The training program should be prepared in
coordination with the training officer of the hospital or health region and
submitted to the Committee on Affiliation with the contract of affiliation.
(c) The program should provide for an objective measure or
evaluation of the baseline skills and knowledge prior to allowing or utilizing
interns to handle actual specimens form patients.
(d) The program should include the (1) objective of
training, (2) method or procedures to be taught, (3) principles that go with
the methods, (4) right work attitudes and ethical values, (5) precision, (6)
objective evaluation of performance in each section, (7) time schedule and (8)
lectures, seminars and conferences and (9) methodology of training.
(7) The minimum number of examination or samples of each
section to accommodate interns are as follows:
(a) Clinical chemistry – 3,000 exam/annum
(b) Clinical Microscopy
Urinalysis
– 1,500 samples /annum
Parasitology
– 1,500 samples / annum
(c) Microbiology
Gram
staining – 800 samples /annum
Isolation
and identification of organism – 1,000 samples/annum
(d) Hematology
Peripheral
blood study to include hemoglobin, white cell count, schilling hematocrit and
red cell morphology or CBC – 1,200 samples /annum
Sedimentation
rate, platelet count, bleeding and clotting time, malarial smears and other
tests – 800 samples
(e) Blood Banking and Serology
Typing
– 900 tests/annum
Cross
matching – 600 tests /annum
Serology
VDRL – 300 tests/annum
Widal Test – 300 tests/annum
(f) Histopathology – 500 tissues/annum
Cytology
– 500 tissues/annum
(8) At least one member of the professional staff of the
laboratory to every group of interns not exceeding 10 in each section should be
provided.
(9) The staff and personnel of the laboratory will be
assisted by a laboratory instructors experienced in actual laboratory work from
the sending University or College to assist especially to monitor individual
attendance, behavior, performance of the students including guidance in
readings and application of the theoretical knowledge taken up in school to
actual practice.
(10) No more than 10
medical technology interns shall be allowed to train during the night shift in
understaffed hospitals and so certified by the director of the same, such
interns is to be assigned without the regular professional staff of the
laboratory on duty at the same time.
(11) The allotment
derived from the intern’s affiliation fee for the laboratory must be spent for
the laboratory needs utilized exclusively for training and not for payment of
furniture or appliances of the laboratory.
(12) The Director of
the Hospital is responsible for the admission of the number of interns approved
by the Committee. He should not enter into any contract of affiliation with any
college, university or school for medical technology if any of the conditions
set forth in this Administrative Order are not complied with.
(13) Priority should
be given to interns residing within the area or region of the hospital
Quarterly
reports on the affiliation fees received showing the performance of each
category or personnel and the budgetary outlay showing the proposed amount for
each personnel participating in the affiliation program must be submitted to
the Minister of Health or Regional Health Director thru the Committee on
Affiliation and Training of Students together with the narrative report on the
status and/or problems of the affiliation program.
b. All
universities, schools, colleges of Medical Technology must have met the
following requirements before applying for affiliation to any clinical
laboratory of the Ministry of Health:
(1) Approval from the Ministry of Education and Culture
and the Board of Medical Technology.
(2) Compliance with the provision of R.A. 5527 and
Presidential Decree No. 498.
These universities, schools and colleges shall:
(3) Provide laboratory instructor experienced in actual
laboratory work to monitor individual attendance, behavior and performance of
the students including guidance in readings and application of theoretical
knowledge obtained from school to actual practice and to assist the Pathologist
and professional staff in implementing the approved training program for the
duration of the training of the interns.
(4) Pay or replace damage, breakages or losses by the
medical technology interns of laboratory property, equipment and supplies.
(5) See to it that all medical technology interns before
beginning the internship in any section must have completed the theoretical aspect
of that particular section.
(6) Pay to the hospital thirty five (P35.00) pesos for
each intern each month. Payment is done within the first five days of the
month.
(7) See to it that the laboratory instructor and students observe and abide with the policies, rules
and regulations of the hospital and that discipline is maintained at all times.
(8) See to it that the student and instructor are in their
proper uniforms and provided with a laboratory gown.
c. Joint
responsibilities of affiliating universities, schools and colleges of medical
technology and the laboratories.
(1) The training program shall be prepared by the
Pathologist–in–charge of the laboratory in coordination with the training
officer of the hospital. Its implementation shall be the joint responsibility
of the Pathologist, staff and personnel of the laboratory and the laboratory
instructor of each university, school or colleges assigned to the laboratory
for the duration of the internship of their respective students.
(2) The internship schedule shall be properly apportioned
to the different sections of the laboratory services as follows:
(a)
Clinical
Chemistry – 2 ½ months
(b)
Clinical
Microscopy – 3 months
(c)
Microbiology – 2
½ months
(d)
Hematology – 2
months
(e)
Blood Banking
& Serology – 1 month
(f)
Histopathology –
1 month
(3) A monthly conference should be held to evaluate the
implementation of the program and institution of changes by the Pathologist,
laboratory instructor and staff of the laboratory and for problems that might
arise during the implementation.
(4) Maintenance of cooperation and harmonious working
relations at all times among the students and the staff of the hospital.
9.
Pharmacy
10. Public Health Nutrition and Hospital Dietetics
11. Radiologic Technology
12. Social Work
13. Psychology
14. Occupational and Physical Therapy
15. Dentistry
16. Collection and Disbursement of Affiliation Fees
a. Affiliation fees paid by the students for their
training in government hospitals/rural health units intended for honorarium or
incentive pay for staff members who participated in such training or other
personnel directly engaged in patient care shall be deposited in an authorized
government depository bank as a trust liability, and the hospitals, rural
health units concerned is authorized to withdraw the amount deposited on the
joint signatures of the authorized representative of the hospital/rural health
unit and the Commission on Audit without the need for Cash Disbursement
Ceiling. Provided that, if the amount is deposited in a savings account, the
interest shall to the general fund. Provided, further, that the quarterly
reports of income and payments of such fund shall be submitted to the Ministry
of Budget in such format and following such procedures as the Ministry of
Budget may prescribe.
17. Special Provision
Other
government owned or controlled schools or colleges shall be required to pay the
affiliation fee to the Ministry of Health hospitals and rural health units,
except the University of the Philippines. However, the University of the
Philippine shall be required to accomplish the necessary contract of
affiliation.
18. Repealing Clause
Administrative
Order Nos. 97 and 93 series 1980, and all other orders inconsistent with the
Provision of this Administrative Order are hereby repealed.
19. Effectivity
This
Administrative Order shall take effect immediately.
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