ADMINISTRATIVE ORDER
No. 87 series 1980
POLICIES, PROCEDURES AND GUIDELINES GOVERNING
AFFILIATION AND TRAINING OF STUDENTS IN THE MINISTRY OF HEALTH
HOSPITALS, RURAL HEALTH UNITS AND OTHER HEALTH AGENCIES
The Ministry of Health cognizant of its responsibility of improving and
maintaining the quality 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 Medical, Nursing, Midwifery, Medical Technology, Pharmacy, Public Health Nutrition and Hospital
Dietetics, Radiologic Technology, Social Work and Occupational Therapy, hereby
promulgates the following policies, procedures and guidelines to be observe by
schools, colleges and universities affiliated to agencies under the Ministry of
Health
1. Decentralization
All affiliation and training
of students in the Ministry of Health Hospitals, Rural Health Units and other
agencies shall be maintained by the Committee on Affiliation and Training of
Students, Administration and management of affiliation activities shall be
decentralized to the Regional Health Offices
a. A National
Committee on Affiliation and Training of Students (NCATS ) is hereby
created composed of the following:
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b. A Regional Committee of Affiliation and Training of
Students (RCATS) shall be created by the Regional Health Director to be
composed of the following:
Assistant
Regional Health Director in his absence
Chief, Medical
Service
Chief, Regional
Hospital
Chief, Regional
Training Center
Chief, Regional
Health Laboratory
Regional Training
Center
A Provincial
Health Officer
The Regional Health Director
is hereby authorized to appoint a Chairman and Executive Secretary from among
the members
c. Signing of the contracts shall be delegated to the
Regional Health Directors
2. Functions of the Committee on Affiliation and
Training of Students (CATS)
a. National Committee on Affiliation and Training of
Students (NCATS)
(1) Responsible to the Minister of Health
Planning/Programing and implementing of policies, standards and guidelines
pertaining to Affiliation and Training of Students (ATS) in the Ministry of
Health
(2) Supervision and control of ATS programs/activities
in Metro Manila and other health agencies/offices directly under the Office of
the Minister in Metro Manila and other health agencies/offices directly under
the Office of the Minister
(3) Plan, formulate, amend and recommend to the Minister
of Health, policies, standards and guidelines on ATS
(4) Process affiliation contracts and not on
communications and other matters relative to the activities/programs on ATS
(5) Keep records and reports
b. Regional Committee on Affiliation and Training of
Students (RCATS)
(1) Responsible to the Regional Health Director for the
implementation of policies, standards, guidelines on Affiliation and training
of students
(2) Supervision and control of programs/activities on
affiliation and training of students at the regional level
(3) Evaluation of programs/activities on affiliation and
training of students at regional level
(4) Plan, formulate and recommend to the Minister of
Health policies, standards and guidelines on affiliation and training of
students
(5) Process affiliation contracts and act on
communications relative to affiliation and training of students at the regional
level.
(6) Keep records and reports
(7) Submit to the
National Committee quarterly reports on:
(a) Number and category of student affiliating
(b) Length of stay of students
(c) Amount collected during the period
(d) Copy of the payroll on apportionment and
distribution of honorarium
(e) List of purchases of supplies and equipment and
other miscellaneous expenses
(f) Expenditures on funds for operational expenses of
the committee which shall be reimbursed from funds allocated for Health
Manpower Programs (HMP)
3. Procedures for filing affiliation in hospitals/rural
health units and/or other training field
a. Application forms/contracts maybe available at the
Office of the National Committee on Affiliation and Training of Students at the
Ministry of Health, and at the Regional Committee on Affiliation and Training
of Students, Regional Health Officers.
b. Accomplish four (4) copies of affiliation contract.
c. Affiliation contracts on hospitals/rural health
units shall be recommended by the Chief of Hospital and/or Provincial Health
Officers or Head of agency where affiliation takes place.
d. Affiliation contracts properly accomplished and
recommend by the chief of office concerned shall be forwarded to the Executive
Secretary of the National Committee on Affiliation and Training of Students for
Metro Manila and to the Executive Secretary of the Regional Committee on
Affiliation and Training of Students at the regional level. All contracts shall
be screened and evaluated by the Committee on ATS and shall be forwarded to the
Minister of Health for approval for Metro Manila. Signing of affiliation
contracts form the Regional Health Offices shall be delegated to the Regional
Health Directors.
e. Affiliation contracts shall be filed two (2) months
before the end of the school year.
f. Committee section shall be within the two (2) months
after the date of filing. Final approval shall be made one (1) month after the
committee action.
g. All affiliation contracts shall be renewed every two
(2) years after the first six (6) years and once every five (5) years
thereafter. The Minister of Health reserves the right to adjust affiliation
fees, cancel contracts, institute measures deems necessary
4. Apportionment and distribution of honorarium
The total affiliation fees
collected from hospitals, rural health units, regional training centers,
regional training laboratories and other offices of the Ministry of Health
shall be distributed as follows:
a. For Medicine, Nursing, Midwifery, Public Health,
Nutrition and Hospital Dietetics, Pharmacy, Social Work, Radiologic Technology
and Occupational Therapy:
60% for Honorarium
30% for Supplies and
Materials
10% for Health Manpower
Programs of the Minister of Health (HMP)
(1) In Hospitals
30% for supplies and
materials: 15% for supplies and materials as requisitioned by the service
concerned; 15% for needs as determined by the Chief of Hospitals.
60% for honorarium shall be
distributed to hospital staff and personnel who are directly participating in
affiliation and training activities. It shall be distributed as follows:
1.8% Chief of Hospital
1.2% Administrative Staff
1.2% Training Officer and Staff
55.8% will be distributed to
the service involved with the affiliation of students and shall be apportioned
according to the degree of actual participation in the teaching, supervision
and such other activities related to student learning. The chief of hospital
shall create a committee to decide on the manner of distribution and shall
report the same to the NCAT
In hospitals where there is
no training officer or training staff, the 1.2% shall be distributed to the
service concerned
(2) In the case of Regional Training Centers and Rural
Health Units, the 60% for honorarium shall be distributed to the staff and
personnel according to their degree of participation in the training of
students. They shall likewise create a committee in their respective offices to
decide the manner of distribution. The Regional Training Officer shall
recommend to the Regional Health Director the names of the personnel who shall
receive the honorarium
b. For Medical Technology
(1) Hospital Laboratory
50%
for Honorarium distributed similarly as in 4.1
40%
for supplies and materials: 30% as requisitioned by the laboratory and 10% as
determined by the Chief of Hospital
10%
for Health Manpower Programs (HMP) of the Minster of Health
(2) Regional Training Laboratory
50%
for Honorarium
1% Director, Regional Health
Office
1% Administrative Staff
1% Training Officer
0.5% Assistant Director
6.5% For
Consultants/Bacteriologist/Chemist
3% Senior Medical Technologist
27% to be apportioned among
technical staff
40% for Laboratory Supplies
10% for Health Manpower Programs of the
Minister of Health
5. Specific provisions
a. Medicine
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b. Medical Technology
(1) 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
(a) The laboratory should be duly licensed as specified
by the law on clinical laboratories, R.A. 4688
(b) 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.
(c) There should be an adequate laboratory space to
accommodate both the staff and the medical technology interns.
(d) There should be sufficient equipment and supplies
necessary depending on the volume and type of examination as well as the number
of interns to be trained by the laboratory.
(e) Each section of the laboratory can be utilized for
training only if it accommodates at least two (2) interns at any one time.
(f) The laboratory should have a training program for
medical technology interns:
· The person responsible for this program should be a
member of the specialty society in laboratory medicine.
· The training program should be prepared in
coordination with the training officer of the hospital or health region and
submit to the Committee on affiliation with the contract of affiliation.
· 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 from patients.
· The program should include the (1) objective of
training, (2) methods or procedures to be taught, (3) principles that go with
the method, (4) 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.
(g) The minimum number of examinations or samples of
each section to accommodate interns are as follows:
· Clinical Chemistry – 3000 exam/annum
· Clinical Microscopy
Urinalysis – 1500 samples/annum
Parasitology – 1500
samples/annum
· Microbiology
Gram–staining, acid fast
staining – 800 samples/annum
Isolation and identification
of organisms – 1000 samples/annum
· Hematology
Peripheral blood study to
include hemoglobin, white cell count, Schilling, hematocrit and red cell
morphology or CBC – 1200 samples/annum
Sedimentation rate, platelet
count, bleeding and clotting time, malarial smears and other tests – 800
samples/annum
· Blood Banking and Serology
Typing – 900 tests/annum
Complete cross matching –
600 tests/annum
Serology:
VDRL – 300 tests/annum
Widal test – 300 tests/annum
· Histopathology – 500 tissues/annum
Cytology – 500 tissues/annum
For each
additional intern, another half of the requirement shall be added
(h) 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.
(i) The staff and personnel of the laboratory will be
assisted by a laboratory instructor 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.
(j) No more than 10 medical technology interns should 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.
(k) 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.
(l) 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 the Administrative
Order are not complied with.
(m)
Priority should be given to interns residing within
the area or region of the hospital
Quarterly reports on the
affiliation fees received showing the percentage of each category of 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 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.
(2) All universities, schools and colleges of Medical
Technology must have the following requirements before applying for affiliation
to any clinical laboratory of the Ministry of Health:
(a) Approval from the Ministry of Education and Culture
and the Board of Medical Technology
(b) Compliance with the provisions of R.A. 5527 and
Presidential Decree No. 498
These
universities, schools and colleges shall:
(a) Provide laboratory instructor experienced in actual
laboratory work to monitor individual attendance, behavior and performance of
the students including guidance in reading 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 interns.
(b) Pay or replace damage, breakages or losses by the
medical technology interns of laboratory property, equipment and supplies.
(c) 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.
(d) Pay the hospital thirty five (P35.00) pesos for each
month. Payment is done within the first five days of the month.
(e) 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.
(f) See to it that the students and instructor are in
their proper uniforms and provided with a laboratory gown.
(3) Joint responsibilities of affiliating universities,
schools and Colleges of Medical Technology and the Laboratories
(a) The training program should be prepared by the
Pathologist–in–charge of the laboratory in coordination with the training
officer of the hospital. Its implementation shall that 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.
(b) The internship schedule shall be properly
apportioned to the different sections of the laboratory services as follows:
Clinical Chemistry – 2.5
months
Clinical Microscopy – 3
months
Microbiology – 2.5 months
Hematology – 2 months
Blood Banking and Serology –
1 month
Histopathology – 1 month
(c) 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
(d) Maintenance of cooperation and harmonious relations
at all times among the students and staff of the hospital
c. Pharmacy
d. Public Health Nutrition and Hospital Dietetics
e. Radiologic Technology
f. Social Work
g. Occupational Therapy
6. Collection and Disbursement of Affiliation Fees
a. Affiliation fees paid by students for their training
in government hospital/rural health units intended for the compensation or
allowance of staff members for the compensation or allowance of staff members
who participate in such training shall be deposited in an authorized government
depository bank as a trust liability and the hospital/rural health unit
concerned is authorized to withdraw the amount deposited on the joint
signatures of the authorized representatives 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 accrue to the general fund. Provided, further, that the quarterly reports
of income and payments of such funds shall be submitted to the Ministry of
Budget in such format and following such procedures as the Ministry of the
Budget may prescribe.
b. Each Chief of Hospital/Rural Health Unit or Chief of
Agency/Chief of Laboratory Health Unit or Chief of Agency/Chief of Laboratory
concerned shall be authorized to purchase supplies and materials out of the 30
– 40% of the affiliation fees intended for the purpose, and shall be made in
accordance with existing accounting and auditing rules and regulations. It is
therefore, understood among other things, that all collections shall be
acknowledged by official receipts and all disbursements shall be evidenced by
the necessary documents.
(1) Collection from RHU shall be thru the Regional
Health Office. A separate books of account shall be maintained by the Regional
Accounting Unit.
(2) Disbursement for RHU shall be thru the Regional
Health Office support staff subject to the following condition:
(a) Payroll for honorarium – certificate No.1 signed by Rural
Health Physician and approved by Regional Health Directors
(b) Vouchers – Certificate No. 2 by Rural Health
Physician and Certificate No. 3 by Regional Health Director
(c) For supplies – Certificate No. 1 by the Public
Health Nurse
Certificate No. 2 – Rural
Health Physician
Certificate No. 3 – Regional
Health Director
(3) The 10% affiliation fee intended for Health Manpower
Progress of the Minister of Health shall be remitted immediately after
collection to the Ministry of Health which shall be considered as a trust fund
and shall be deposited in a government depository bank. Disbursement shall be
subjected to special budget pursuant to section 48 of PD 1177. Operational
expenses of the National Committee on Affiliation and Training of Students in
connection with their function shall likewise be taken from the Health Manpower
Program funds and shall follow existing accounting and auditing rules and
regulations.
7. Repealing Clause
Administrative orders No.
162 s. 1971 and No. 6 s. 1978 and all other orders inconsistent with the
provision of this Administrative Order, are hereby repealed.
8. Effectivity
This Administrative Order is
made effective as of June 1, 1980
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