DEPARTMENT OF INTERNAL MEDICINE

TALISAY MEDICAL CENTER

Talisay City

RESIDENCY TRAINING PROGRAM

MANUAL
2018

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A. Name of Hospital

TALISAY MEDICAL CENTER

San Isidro, Talisay City
Region VIII
DOH Level III Hospital

B. Mission-Vision of the Hospital

Mission: We shall provide the highest standards of care for Physical and Rehabilitation
Medicine, Trauma and Orthopedics driven by a culture of learning, continuous
quality improvement and state-of-the-art technology for all.

Vision: Talisay Medical Center is a premiere academic medical institution centered on

excellence in Physical and Rehabilitation Medicine, Trauma and Orthopedics in
the Visayas by 2028.

Core Values: Love for God, Client-centered, Integrity, Excellence

C. Mission-Vision of the Department of Internal Medicine

Mission:

Vision:

D. Organizational Chart

TALISAY MEDICAL CENTER

ORGANIZATIONAL CHART

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DEPARTMENT OF INTERNAL MEDICINE
ORGANIZATIONAL CHART

CHAIRMAN
DUVALJOHN U. RAZA, MD, DPCP

TRAINING OFFICER
DONNY JAY E. YU, MD, FPCP

TRAINING CORE FACULTY

HEGINIO C. ABUDA, MD, DPCP
MARK ANDO, MD, FPCP
MAY ANN M. ALOTA-ANIN, MD, FPCP
CARLA C. CABRERA, MD, FPCP
MA. GLADYS DECENA, MD, FPCP
GLADYS A. BARRETA-DELA PAZ, MD, FPCP
DAISY MARIE MENDOZA-GARBO, MD, FPCP
GREGORIO JESUS CONSTANTINO E. MANGUERRA, MD, FPCP
JASMIN A. OLORVIDA, MD
ELLA R. OMOLON, MD, FPCP
DUVALJOHN U. RAZA, MD, DPCP
ERNESTO J. REPOLLO, MD
DONNY JAY E. YU, MD, FPCP

RESIDENT STAFF
EARL MARTE, MD
MARIGOLD ALBURO, MD
JERIMAE SAMSON, MD

E. List of Officers of the Hospital and the Department of Medicine

TRAINING CORE FACULTY

HEGINIO C. ABUDA, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

MARK ANDO, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

MAY ANN M. ALOTA-ANIN, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

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CARLA C. CABRERA, MD, FPCP
Internal Medicine
Clinic Address:
Hospital Affiliations:

MA. GLADYS DECENA, MD, DPCP

Internal Medicine
Clinic Address Mother and child Medical Clinic, Gun OB Lapu –Lapu City
Medical and OB Clinic, Cordova Cebu
Hospital Affiliations: Mactan Doctors Hospital

GLADYS A. BARRETA-DELA PAZ, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

DAISY MARIE MENDOZA-GARBO, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations: SWU-Medical Center

GREGORIO JESUS CONSTANTINO E. MANGUERRA, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

JASMIN A. OLORVIDA, MD
Internal Medicine
Clinic Address:
Hospital Affiliations:

ELLA R. OMOLON, MD, FPCP

Internal Medicine
Clinic Address:
Hospital Affiliations:

DUVALJOHN U. RAZA, MD, DPCP

Internal Medicine
Clinic Address:
Hospital Affiliations: SWU-Medical Center

ERNESTO J. REPOLLO, MD
Internal Medicine
Clinic Address:
Hospital Affiliations: SWU-Medical Center

DONNY JAY E. YU, MD, FPCP

Internal Medicine – Pulmonary Medicine
Clinic Address: SWU-Medical Center, Urgello St., Cebu City
Hospital Affiliations: SWU-Medical Center, UC Medical Center, Adventist Hospital, Chong
Hua Hospital

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F. History

a. Date of initial accreditation - STILL FOR APPLICATION

b. List of past chairs and training officers - NOT APPLICABLE
c. List and total number of residents
who have completed the program - NONE
d. Summary of the performance in the
PSBIM including top performers - NOT APPLICABLE
e. Status of graduates - NOT APPLICABLE
f. List of research output - NOT APPLICABLE

G. Documents related to the mandatory and standard requirements as specified by the PCP

H. Description of the Training Program for each of the following:

a. First Year
b. Second Year
c. Third Year
d. Research

I. Training Processes for each Rotation

a. Duties and responsibilities of Year Level I, II, III Residents

General:
1. In cases of special events held during office hours (free clinic, convention, quiz
bowls etc), the residents with the pre-duty and previous status shall attend said
event and the 24-hour residents on duty should automatically cover for the wards,
OPD, ER and/or ICCU.
2. In cases of RTDs or product presentations sponsored by drug pharmaceuticals, it is
required that all residents not on duty should go and attend and be updated.
3. A morning endorsement on the cases admitted on the previous 24 hours starting at
7:00am and an afternoon endorsement on morbid cases starting at 1:00pm is
required from Monday to Friday.
4. All residents (except for the ICU resident on duty) should attend the morning and
afternoon endorsements.
5. All residents should coordinate with nurses if any problem arises.
6. All residents should inform the nurses if they are unavailable to attend to patients
due to conferences, endorsements, etc.
7. For procedures done outside the hospital during office hours, the Pre-duty ward
(Level I) resident should accompany patients. If procedures are scheduled off-office
hours, the 24 hour duty ward (level I) resident is assigned to accompany patients.
The senior (Level III) resident shall cover for the ward (Level I) resident.
8. Ward procedures are prioritized over endorsements for the completion of the
requirements as mandated by the PCP.
9. All residents should write orders in the chart with proper time and date.
10. All residents must read to the nurses their orders and if possible instruct also the
patients.
11. All Residents when making chart rounds should take a look at the following:
a. Medication Chart
b. Vital Signs Monitoring chart
c. Input and Output sheet, stool chart, etc.
d. Check Phil health forms prior to discharge
12. All residents must inform the Chief Resident in cases of mortality.
13. During Saturdays and Sundays, all residents on previous status are allowed to go
home anytime as soon as they have completed all required responsibilities
(progress notes etc.).

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14. In cases of Grand Rounds and Morbidity/Mortality Conferences, all residents is
expected to come early (before 8am) and help in preparing the equipment and
physical arrangement of the room.
15. The presenter should provide the Evaluation Forms to the consultants attending the
conferences.
16. In cases of leaves, the Chief Resident should be informed ahead of time (at least 2-4
weeks before) to prevent problems in doing the schedule.
17. The PCP annual Census should be updated every month and submitted in both soft
and hard copy to the assigned consultant.

Level I:
1. Is responsible in presenting the cases for the afternoon morbid endorsement.
2. Should update the laboratory results on time on all assigned ward cases.
3. Should stay at the ward during office hours (unless there are no patients) and
should make themselves readily available.
4. It is expected for ward residents (Level I) to complete the information on the charts
(Problem Lists, Summary of laboratories, Progress notes, Final Diagnosis, Discharge
Summaries and Prescriptions).
5. During Saturdays and Sundays, ward (Level I) residents on pre-duty status should be
at the hospital by 8:00am to make their progress notes and can go home anytime as
soon as they have completed all their cases. Residents can go home at 12noon and
after they have endorse their respective wards to the Resident on duty.
6. Residents (level 1) assigned to the OPD should be at the post by 9:00 AM after the
morning endorsement. In the afternoon, they should be at their post by 2pm after
the afternoon endorsement. If not on 24 hour duty, OPD residents may go home at
10:00 PM once the OPD is closed. During Saturdays and Sundays, they may not
come to the hospital since there is no OPD during these days. Residents are
required to come during weekends. They will attend to out patient at ER. They will
leave the institution after 12 noon.
7. Residents Are expected to present a monthly Grand Rounds Case Presentation.
8. Should submit at least 1 case report (requirement for promotion)
9. Residents are required to make their own history at the ward including performing
complete physical examination.
10. Residents are required to take their own Vital signs especially on morbid patients.

Level II:
1. Is responsible in presenting the cases for the morning admission endorsement.
2. Should inform the ward (Level I) residents if there are morbid patients admitted.
3. ER or Admitting Residents should follow-up their patients condition after admission
in preparation for the morning endorsement.
4. During Saturdays and Sundays, ER (Level II) on pre-duty status are not required to
come to the hospital (weekend off). Residents are still required to come to the
hospital until 12 noon and after they have endorsed their patient to the resident on
duty.
5. Are expected to present a monthly M and M cases chosen by either the chief
resident, training officer or the Chairman.
6. A weekly subspecialty lecture is assigned to level II residents and must be presented
with moderators (specialist assigned by conference coordinator).
7. Are required to submit at least 1 research proposal (requirement for promotion).

Level III:
1. Should update the laboratory results on time on all assigned ICU cases.
2. Ward supervisors (Level III) should check the progress notes of the ward (Level I)
residents.
3. It is expected for ICU residents (Level III) to complete the information on the charts
(Problem Lists, Summary of laboratories, Progress notes, Final Diagnosis, Discharge
Summaries and Prescriptions).

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 4. Senior (Level III) residents on 24 hours duty should make personal rounds of all
morbid patients including the those in the wards.
5. During Saturdays and Sundays, ICU (Level III) residents on pre-duty status are not
required to come to the hospital (weekend off). 24-hour duty ICU residents are
required to make the progress notes for all ICU patients. Residents are still required
to come to the hospital until 12 noon.
6. Are required to submit at least 1 completed research (requirement for completion).

b. Duties and responsibilities of the Chief Resident

A. As an extension of the Chairman and Training Officer

Supervises over the 1st, 2nd and 3rd year residents.
Represents the department to official meetings with hospital management and/or
officials.
Receives and opens letters and/or any forms of communication addressed to the
department, to the Chairman &/or Training Officer.
Assign 1st year residents to regularly update daily census (yearly PCP census) for the
upcoming accreditation.

B. As a secretary of the department

Check the attendance logbook.
Bookkeeper of department files (to wit: residents’ evaluations, promotions,
endorsement letters, attendance notebooks, and/or any other important
documents).
Coordinate with the Chairman and Training Officer regarding attendance to major
conferences (ex. PCP Annual & Midyear Conferences, etc.).
Inform the Core Group of Scheduled Evaluation of residents.
Schedule subspecialty lectures by consultants at least 2 per month w/ the help of the
Conference Coordinator.
Make schedules for the following:
 Resident’s duty schedule for the month.
 Residents to rotate in the OPD, ER, and on their respective subspecialty
assignments.
 Monthly Grand Rounds and Mortality & Morbidity Conferences.
 Harrison’s Club and Consultant’s Lecture.
 Leave (e.g. vacation, emergency, sick leave, etc..).
 Free clinics assignment.

C. As a resident in training
Has only ICCU and supervisory rotation but has to make rounds on all patients.
Facilitates daily morning admission and afternoon morbidity endorsements.
Is required to present the previous months census (IM cases, Co-mgt cases and cases by
subspecialty).
Is required to present census from Radiology, Laboratory, Dialysis, ECG, etc.
Is required to present a rundown or summary of all morbidity and mortality cases

c. Teaching-Learning Activities being utilized

Daily Admitting / Bedside Rounds
Conferences: (weekly / monthly).
At least one (1) major weekly conference in each of the following format:
Grand Rounds (once a month)
Monthly Census with Mortality / Morbidity Audit (once a month)
Harrison’s Club (once a month)
Sub-specialty Conferences
Research Forum
Daily consultant to resident interactions documented either by:
SOAP in the Progress Notes
Side Notes in the Doctors’ Order Sheet

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Personal resident logbook

d. Evaluation process
Formative evaluation:
a. Clinical Reasoning Skills (Bedside / Oral – Panel or OSCE) – 4 / year
b. Case Presentation (Grand Rounds / M& M) – 2 / year
c. Psychomotor Skills – depends on the procedures
d. Attitudes – 2 / year (including self)

Summative Evaluation:
a. Clinical Reasoning Skills (Bedside / Oral – Panel or OSCE) – 4 / year
b. Case Presentation (Grand Rounds / M& M) – 2 / year
c. Psychomotor Skills – depends on the procedures
d. Attitudes – 2 / year (including self)

The minimum requirements for the summative evaluation for the written
examinations:
a. Short Quizzes – 10 / year (20-50 items /exam)
b. Long Exams – 2 / year (100 items / exam)

e. Summary of Resident’s daily schedule of Rotation and Teaching-Learning activities

Time MON TUE WED THU FRI
7:00 AM – 8:00 AM Admitting Admitting Admitting Admitting Conference
Endorsement Endorsement Endorsement Endorsement (GR/MM)
8:00 AM – 9:00 AM OPD OPD OPD OPD
9:00 AM – 10:00 AM Ward Rounds Ward Rounds Ward Rounds Ward Rounds OPD
10:00 AM – 11:00 AM ICU Rounds ICU Rounds ICU Rounds ICU Rounds Ward Rounds
11:00 AM – 12:00 NN ICU Rounds
12:00 NN – 1:00 PM LUNCH LUNCH LUNCH LUNCH LUNCH
1:00 PM – 2:00 PM Morbid Morbid Morbid Morbid Harrison’s
Endorsement Endorsement Endorsement Endorsement Club
2:00 PM – 3:00 PM OPD OPD OPD OPD OPD
3:00 PM – 4:00 PM Ward Rounds Ward Rounds Ward Rounds Ward Rounds Ward Rounds
4:00 PM – 5:00 PM ICU Rounds ICU Rounds ICU Rounds ICU Rounds ICU Rounds
5:00 PM – 10:00 PM OPD OPD OPD OPD OPD

f. Criteria, method and frequency of resident’s evaluations including minimum passing

rate
a. Clinical Reasoning Skills – 4 / year
i. Bedside Oral: Passing is 70%
ii. Panel or OSCE: Passing is 70%
b. Case Presentation – 2 / year
i. Grand Rounds: Passing is 70%
ii. M& M: Passing is 70%
c. Written exams:
i. Short Quizzes – 10 / year: Passing is 70%
ii. Long Exams – 2 / year: Passing is 70%

8. Template of Resident’s Rotation grid for the whole year

Year Level Area of Rotation Duration of Rotation
Level I OPD 4 months
General ward 6 months
Transition to Level II 1-2 months
Level II ER 4 months
OPD 2 hrs/week X 52 weeks
Subspecialty Rotation
Category I 2 months each
Category II, III, IV 1 month each
Level III ICU 5 months
OPD 2 hrs/week X 52 weeks
Supervisory 6 months

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J. Department Policies
a. Conferences
1. The conference must start on time. Residents must be at the venue before the time.
2. The entire presentation and all cases to be presented must have been edited, proof
read by the presentor and the Chief Resident.
3. The conference coordinator will assign a consultant as moderator.
4. It is a must for the resident presentor to have read and studied thoroughly his/her
case. This ensures a lively intellectual discussion of the case.
b. Consultant-Resident interaction
1. Progress notes should be discussed and signed daily by the ward consultant.
2. Residents can write interaction with subspecialty consultant on the side of the order
sheet.
c. Policies on Admission and Requirements
1. Applicants must submit to the IM Department Office an application letter, addressed
to the Medical Director through the Department Chairman with the following
documents:
Curriculum Vitae
Transcript of Records
Diploma
Board Examination Result
License to practice Medicine (PRC ID and certificate)
2 letters of recommendation from professor/mentor/immediate head
2. The application will be forwarded to the HR department for screening, examination
and interview by the MAB. After the interview, the applicant has to take a written
examination.
3. The MAB then submits their recommendation to the Medical Director for approval and
appointment.
4. Appointment will be forwarded to HR department for employment process.
d. Qualifications
1. Citizenship: Filipino or foreign citizen*
*Foreigners must have:
i. License to practice in the Philippines/ their respective countries and a
certification from PRC that he/she is allowed to train/practice medicine in the
Philippines.
ii. Letter of recommendation from their respective government.
iii. Clearance from the Department of Foreign Affairs.
2. Age: preferably 35 years and below (Qualified applicants over 35 may be
accepted on a case to case basis)
3. Must not have served in an approved residency training program for over 2 years
in another major clinical department.
4. Lateral entry applicant will follow the same application process.
5. Must be able to meet the minimum criteria set by the Civil Service Commision
e. Policies on Promotion and Retention
1. There is a pre-residency period of 7 days prior to start of proper residency training;
during this time, applicant will not yet receive any salary/ compensation.
2. The resident on probation will be either given an appointment or termination on or
before the expiration of the pre-residency period.
3. Appointments/promotions to the next level will be given upon the recommendation of
the department chairman based on the evaluation of the training core.
4. Evaluation procedure for promotion
- Each resident shall be evaluated at the end of the term.
- The department has its own evaluation committee whose compositions are the
core training faculty and medical staff.
- Promotion to the next rank shall be done on the basis of evaluation. Based on the
recommendation of the training core to the Chairman and the Training Officer, the
resident trainee’s appointment may be terminated when the contract expires or
even earlier if there is a due cause.
f. Graduation
1. Each graduating resident prior to his certification of having satisfactorily finished the
residency training shall submit a research paper and a case report.

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 g. Termination
1. Serious misconduct or willful disobedience to higher authorities.
2. Gross and habitual neglect by the resident of his/ her duties.
3. Commission of crime or offense by resident.
i. Misrepresentation of department/ hospital donations in cash or kind which is
intended for hospital/ department concerns.
ii. Unauthorized drug substitution by verbally ordering the unnecessary use of his/ her
favored drugs/ medicines.
iii. Resident giving verbal orders not authorized by AP
iv. Resident receiving material or monetary favor for his personal gain.
4. Immorality- sexual harassment and illicit love affairs.
5. Habitual tardiness- defined as tardiness for at least 5 times within 1 month
i. 1st offense- reminder
ii. 2nd offence- warning
iii. 3rd offence- suspension for at least 1 month (w/out pay)
iv. 4th offence- termination:
1. Termination will be considered if the resident:
a. Within period of 6 months, has been habitually late for 4 consecutive
months.
b. Within period of 12 months, has been habitually late for a total of 6
months.
2. Late for 3 times is equivalent to one-day absence
3. Absence without leave (AWOL)- Residents who intend to go on leave must notify
the chairman of the department before taking leave of absence by filling up the
required form. This will be forwarded for endorsement of the Training Officer
and the Medical Director. Failure to do so or going on leave even if the
application is not approved is considered AWOL and subject to the following:
a. 1st offense: warning
b. 2nd offense: suspension for at least 2 weeks
c. 3rd offense: termination
4. Make up of absences, which should be done after the evaluation period:
a. 1 day: 3 days make-up without pay
b. 1(one) 24-hour duty: 7 days without pay
5. Falsification of documents and leaves
h. Sanctions

Section I: Definition of Terms

1.1: DUE PROCESS – refers to Resident’s right to be heard and defend himself/herself before an
appropriate forum.

1.2: VERBAL REPRIMAND – refers to the verbal discussion or “pep talk” between the erring
Resident and his/her immediate head on the nature and consequence of the offense
committed. Immediate head must also use the opportunity to mentor, coach and counsel the
erring Resident.

1.3: WRITTEN REPRIMAND – refers to the warning in written form, stating the nature and the
corresponding consequence of the offense as stipulated in the Table of Discipline.

1.4: SUSPENSION – refers to the compulsory temporary leave or cessation from duty without
pay and other benefits due for the Resident. This is imposed as a penalty for significant
misdemeanor or habitual violations of this Manual.

1.5: DISMISSAL – refers to the discharge or termination for cause of the erring Resident. Such
shall be served as a maximum penalty for offenses considered serious or open.

1.6: SANCTION – refers to a penalty imposed to an erring Resident.

1.7: INFRACTION – refers to a violation committed by a Resident.

1.8: PRESCRIPTIVE PERIOD – refers to the length of time of which a penalty/sanction remains
active.

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1.9: LEAVE OF ABSENCE
1.9.1: Vacation leave – refers to leave credits given to Residents as benefit. Such must be filed
and duly approved at least 2 weeks prior to the intended date of leave.
1.9.2: Sick leave – refers to sick leave credits given to Residents as benefit. Notice must be
given to the Resident’s Chairman or Training Officer through phone or text message within
twelve hours. Upon reporting back to work, the Resident must accomplish the Application for
Leave form duly signed and approved by his/her immediate head. At the same time, he/she
must accomplish the Return to Work Certification. If the sick leave is three or more days, a
medical certificate must be attached. If the resident on sick leave is a 24h duty status, the Pre-
duty resident has to cover and go on 24 hour duty.
1.9.3 – Emergency leave – refers to leave credits given to the Resident in case of sudden death
involving the immediate members of the family. The immediate members of the family are as
follows:
Married: spouse, children and parents of the employee
Single: parents and siblings not over 18 years old

1.10: LOG-IN AND LOG-OUT – refers to Resident’s attendance through the I-Guard system.
Anyone who fails to log-in or log-out on any certain day shall be deemed as not having worked
and shall not be compensated accordingly. The same holds true for those who have logged-in
but failed to log-out or who fails to log-in but has logged-out. Letters of reconsideration or
promissory notes will not be honored. Special considerations shall be granted only on a per
need basis or as the circumstances warrant, provided that there is prior recommendation or
prior approval from Management. Log in time is 7:00am and log out time is 5:00pm. For the
OPD resident, log out time is at 10:00pm.

Section II: Categories of Infractions/Guidelines in Selecting the Penalty

LIGHT - for actions which may not be deliberate and where the Hospital does not suffer
significant losses. These may be offenses deemed to be simple violations to Hospital rules and
regulations that may result to minor damage or losses to the Hospital or to other Residents.
a. MEDIUM - for offenses that are unfavorable to the Hospital or other Resident’s interest
which result to substantial damage or losses or have a potential to create losses to the
Hospital or other Residents.
b. SERIOUS - for deliberate actions and/or where the Hospital suffers significant/serious
losses; for offenses that are willfully or intentionally committed, characterized with
malice, wrongful and/or perverse attitude.
c. OPEN - for offenses that will warrant penalty with Management’s discretion to
determine the number of days or dismissal (depending on the gravity of the offense).

Section III: Schedule of Prescribed Penalties per Category of Infractions

The following table outlines the respective penalties for each category of infractions:
Classification Light Medium Serious Open
1st offense Verbal 3 days Dismissal Penalty will be at Management’s
reprimand suspension discretion
2nd offense Written 5 days
reprimand suspension
3rd offense 3 suspension Dismissal
4th offense 5 suspension
5th offense Dismissal

The prescriptive periods of these penalties are as follows:

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 Classification Prescription
Period

Light 1 year
Medium 1 year
Serious Perpetual

Section IV: Implementing the Penalty

The implementation of a penalty shall depend on the number of current penalties per
classification the erring Resident has on record. For example, if a Resident committed an
offense that warrants “Light” Penalty; and on record had already been served the same penalty
(Light) for a separate offense, then the Resident shall be sanctioned a “Written Reprimand”,
being his second offense following the table above on the frequency of his infractions. The
number of infractions falling in the same classification determines the severity of the sanction.

Section V: Offenses and Penalties

5.1: INCOMPETENCE/WORK EFFICIENCY
5.1.1: Failure by a Resident to consistently meet the monthly productivity and quality standards
set by the Hospital. – MEDIUM
5.1.2: Failure to meet the Hospital standard requirements. – MEDIUM
5.1.3: Failure to comply with established procedures or work instructions on the Resident’s
assigned task and assignment. – MEDIUM
1.3.1: Work hours
1.3.2: Vacation leave
1.3.3: Sick leave

5.2: NEGLIGENCE
5.2.1: Commission of negligent or careless acts during work time or on Hospital property, which
result in personal injury to a co-Resident or destruction of the Hospital, or Resident’s property,
material or equipment. – OPEN
5.2.2: Losing or misplacing any medical records that cause prejudice to the Hospital. – OPEN
5.2.3: Gross and habitual neglect of duties. – SERIOUS

5.3: INSUBORDINATION
5.3.1: Refusal to perform a duty when so required by authority or to perform an assigned task
(related to his job description) or demanded by business exigencies or any defiance of authority
or any act of willful disobedience to his superior for so long as nothing immoral or dishonest is
required of the Resident. – OPEN
5.3.2: Refusal by a Resident to accept a task, shift or work assignment after having been given
full instructions, orientation or training for the job without valid or justifiable reason. – OPEN
5.3.3: Physical assault upon management personnel on-or-off-premises. – SERIOUS
5.3.4: Verbal abuse, threatening or attempting to intimidate any superior/management
personnel by any means. – SERIOUS

5.4: DISRUPTION OF WORK

5.4.1: Inciting or participating in concerted work stoppage, slow down, mass leave, sit down
strike, riot or other similar disruptive activities. – SERIOUS
5.4.2: Intentional delaying of execution of work or order that requires immediate action. –
MEDIUM
5.4.3: Abandonment of work or leaving Hospital premises during working hours without prior
permission from the Department Chairman, Training Officer or Chief Resident; loafing or
loitering; sleeping during working hours. – MEDIUM

5.5: Misbehavior/Personal Conduct

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5.5.1: Non-attendance or refusal to cooperate in any Hospital-initiated activity or group work. –
LIGHT
5.5.2: Doing unofficial and time-consuming activities during office hours, such as excessive
personal phone texting, yahoo messaging, web browsing, e-gaming/playing and other
distracting activities which jeopardize delivery of quality service/s expected of the Resident’s
job or work. - SERIOUS
5.5.3: Not following established rules/schedule for break time or work shift; altering or
exceeding the time allotted for break time. – LIGHT
5.5.4: Non-conformance with the prescribed office uniform or dress code policy. – LIGHT
5.5.5: Non-compliance with the 4S policy. – LIGHT
5.5.6: Non-wearing of company ID within the work premises. – LIGHT
5.5.7: Malingering and horse playing during office hours. – LIGHT
5.5.8: Fighting, inflicting or attempting to inflict bodily injuries inside the work premises or
during authorized functions held within or outside the work premises. – OPEN
5.5.9: Uttering words, doing acts, or making gestures to clients, guests, co-Resident’s that are
manifestly insulting or grossly disrespectful/discourteous. – SERIOUS
5.5.10: Merchandizing within the work premises during office hours. – LIGHT
5.5.11: Lending money to co-Resident’s using Hospital time. – LIGHT
5.5.12: Soliciting, collecting or accepting contributions, money or material objects for any
purpose not sanctioned by the Hospital. – SERIOUS

5.6: ATTENDANCE/TARDINESS
5.6.1: Unauthorized absence or absence without official leave (AWOL) regardless of the number
of days. – MEDIUM
5.6.2: Failure to inform his immediate head of an unplanned absence not later than 12 noon on
the day the absence is incurred. – LIGHT
5.6.3: Improper use of leave credits, such as but not limited to taking a leave without due
approval from management or immediate head. – LIGHT
5.6.4: Tardiness defined as not reporting to the work area at the beginning of the designated
work schedule. – LIGHT
5.6.5: Falsification or irregularities in the accomplishment or keeping of daily time record such
as but not limited to logging-in on the I-guard, but would leave the company premises after; or
logging-in for overtime but in reality do not do actual overtime works. – SERIOUS

5.7: ABUSE OF AUTHORITY

5.7.1: Abuse of authority to gain profit or advantage from other Residents, suppliers, clients
and others. – SERIOUS

5.8: UNAUTHORIZED ACTIVITIES

5.8.1: Holding any meeting in the work premises without getting prior approval from
Management. – SERIOUS
5.8.2: Unauthorized revealing or divulging of company trade secrets, formulas, plans of
operations, finances, salaries, inventories, and other classified confidential information. –
SERIOUS
5.8.3: Allowing other persons to use the Resident’s Hospital ID; assisting non-Residents or
unauthorized persons to enter restricted areas without permission or approval from the
Hospital. – SERIOUS
5.8.4: Obtaining or accepting money or anything of value by entering into unauthorized
arrangement with suppliers or clients. – SERIOUS
5.8.5: Unauthorized withdrawal of one’s salary, wage or commission from the cash collections
of the Hospital. – SERIOUS

5.9: DISHONESTY
5.9.1: Concealing defective work that causes prejudice to the Hospital. – SERIOUS
5.9.2: Overcharging for overtime rendered. – SERIOUS
5.9.3: Deceiving or misrepresenting with the intent to draw or attempting to draw another
Resident’s salary. – SERIOUS
5.9.4: Obtaining Hospital materials or supplies fraudulently. – SERIOUS

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5.9.5: Any act of fraud or misinterpretation against the Hospital or its employees. – SERIOUS
5.9.6: Falsifying or misrepresenting personal or other Hospital records, reports, documents or
papers. – SERIOUS
5.9.7: All forms of fraudulent acts that may cause prejudice to business operations or damage
to Hospital properties or equipment; assisting in the commission of the same; refusal to
cooperate in the investigation, having knowledge of such acts. – SERIOUS

5.10: NETWORK SECURITY

5.10.1: Unauthorized installation of wallpapers, themes, games and other accessories into
computers/email accounts. – MEDIUM
5.10.2: Abuse of network or using the network for personal and other non-work related
purposes such as but not limited to chatting with foreigners to gain monetary and other related
favors. – SERIOUS
5.10.3: Unauthorized access to prohibited sites which potentially exposed the company IT
systems and infrastructure to risk. – SERIOUS
5.10.4: Access to networks resulting to exposure of provocative or pornographic materials. –
SERIOUS
5.10.5: Unauthorized email broadcast or spamming. – LIGHT
5.10.6: Access to networks resulting in anyone or a combination of the following:
a. Breach of confidentiality – SERIOUS
b. Duplication and/or possession of corporate confidential files or data; Installing
computer virus, Trojan horse, and other damaging electronic files, physical accessories,
servers or workstations – SERIOUS
c. Alteration of files including, but not limited to, the padding or reducing of files –
SERIOUS
d. Creating unauthorized user names on the server/network – SERIOUS
e. Changing server/network rights of users – SERIOUS
f. Tampering with server/network configurations. – SERIOUS
g. Unauthorized attachment of computers, storage media/drives or any other computer
peripheral to servers, workstations or any other computers, workstations or any
network segment/cable whether remote or on site – SERIOUS
h. Consenting to, tolerating or allowing another employee to use your user number or
password gaining access to confidential files – SERIOUS
i. Negligence or carelessness of the Resident by leaving the computer unattended and
risking the network to possible security violations – SERIOUS
j. Deliberate locking out or hacking of another Resident’s user name in any server –
SERIOUS
k. Unauthorized insertion of data, photos or any graphics taken from external storage
media into the system thereby causing the speed to slow down; or refusal to implement
approved information-security related directives from Management – SERIOUS

5.11: CO-RESIDENTS
5.11.1: Provoking a fight, threatening, intimidating or coercing fellow Resident’s, the officers or
immediate members of their family within the work premises or during authorized functions
causing physical injuries or mental anguish. – SERIOUS
5.11.2: Influencing or encouraging another person to commit any act detrimental to the person
and the Hospital. – SERIOUS
5.11.3: Verbal abuse, stalking, assault within the work premises or during official functions
wherever held. – SERIOUS
5.11.4: Discriminating against a co-Resident or clients by reason of sex, age, race, creed or
religion; or forcing or harassing a co-Resident to render sexual or other related favors. –
SERIOUS
5.11.5: Uttering words, doing acts, or making gestures towards a superior/co-Resident which
are manifestly insulting abusive or grossly disrespectful. – SERIOUS

5.12: CONFLICT OF INTEREST

5.12.1: Any act causing conflict of interest between the Resident and the Hospital, such as but
not limited to the following: - SERIOUS

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 a. Accepting another employment other than his/her present job or engaging in activities
that will interfere in the performance of his/her duties and responsibilities.
b. Having financial interest or seeking to do business with a competitor-Hospital; enriching
himself/herself at the expense of the Company; gaining profit by using the Hospital
resources such as time, facilities, human resources and others.
5.12.2: Giving preferential treatment to any employee, supplier or officer prejudicial to the
interest of the Hospital, other Residents, suppliers or officers. – SERIOUS
5.12.3: Soliciting or accepting anything of value in exchange for a job promotion, work
assignment of his/her choice or other similar favors. – SERIOUS
5.12.4: Favoring or conniving with suppliers, creditors, clients or fellow Residents involving
business transactions of the Hospital for monetary gain. – SERIOUS

5.13: HOSPITAL IMAGE

5.13.1: Maligning the Hospital, its officers, products or services; any other acts of disloyalty to
the Hospital. – MEDIUM
5.13.2. Withholding, refusal or spreading information that is detrimental to the image and
reputation of the Hospital. – MEDIUM
5.13.3: Using of unapproved and unofficial logo, signages and other collaterals. – MEDIUM

5.14: HOSPITAL/RESIDENT’S PROPERTY

5.14.1: Using Hospital time, material, equipment or other property to do unauthorized or
personal work. Using, operating or possessing equipment to which the Resident has not been
assigned or to which he/she has not been authorized. – MEDIUM
5.14.2: Substituting Hospital material or equipment with another of inferior quality or of lesser
value. – OPEN
5.14.3: Stealing or misappropriating Hospital properties; stealing Hospital properties; stealing
from co-employees. – SERIOUS
5.14.4: Bringing in friends or persons not connected with the Hospital causing trouble or
damage to Company properties. – MEDIUM
5.14.5: Failure to endorse or turn-over department funds or property whether or not done
deliberately and regardless of the amount involved. – OPEN
5.14.6: Obtaining or releasing Hospital funds, property or documents fraudently, either alone or
in collusion with others. – OPEN
5.14.7: Disclosing restricted or classified Hospital information, forms, documents, or other
confidential papers to outsiders without proper authorization or clearance from Administrator.
– OPEN
5.14.8: Tampering, defacing, destroying, damaging or an attempt to damage Hospital
properties. – OPEN
5.14.9: Misuse or gross negligence in the use or handling of Hospital property; unauthorized
use/lending or bringing out of Hospital properties. – OPEN
5.14.10: Vandalism in any form, act of sabotage or intentional destruction of Hospital
properties. – OPEN
5.14.11: Unauthorized removal, defacement or tampering of stickers affixed to any and all
Hospital properties. – OPEN

5.15: HEALTH/MEDICAL
5.15.1: Creating and contributing to unsanitary conditions; violating ordinary rules of sanitation;
failure to use or improper use of sanitary facilities. – LIGHT
5.15.2: Concealing a highly contagious or communicable disease (e.g PTB, AIDS, hepatitis,
mumps and other similar disease); consciously harboring an infectious or contagious disease
that may endanger the health of fellow Residents. – OPEN
5.15.3: Smoking inside the work premises. – LIGHT
5.15.4: Submitting factitious or falsified medical results. – SERIOUS
5.15.5: Not reporting for work under a claim of sickness and is found to be false. – MEDIUM
5.15.6: Refusal to submit to Annual Physical Examination required and scheduled by the
Hospital. – MEDIUM
5.15.7: Failure to submit Doctor’s Certification when on sick leave for 3 consecutive days or
more. – LIGHT

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5.15.8: Reporting back to work without the Report to Work Form duly signed and approved by
the immediate head. – LIGHT

5.16: ILLEGAL DRUGS/FIREARMS AND ALCOHOL

5.16.1: Refusal to submit to random drug test initiated by the Hospital. – SERIOUS
5.16.2: Possession of or carrying firearms, explosives, inflammable materials and other deadly
weapons inside the work premises or during official functions. – SERIOUS
5.16.3: Drinking or bringing alcoholic beverages inside the work premises; reporting to work
under the influence of liquor, any intoxicating substance or prohibited drugs. – SERIOUS
5.16.4: Possessing, selling or using prohibited drugs. – SERIOUS

5.17: MORAL VALUES

5.17.1: Gambling, betting or taking part in any game of chance on Hospital time, premises or
property. – SERIOUS
5.17.2: Misappropriation or malversion of Department funds or property. – SERIOUS
5.17.3: Conviction of a crime or offense punishable by law with at least six (6) months and one
(1) day imprisonment. – SERIOUS
5.17.4: Conduct of grossly indecent nature or uses of profane or obscene language in
addressing another person while on duty or inside Hospital premises or property, or at Hospital
authorized functions. – OPEN
5.17.5: Any use of bribery. – SERIOUS
5.17.6: Any form of extortion. – SERIOUS
5.17.7: Unbecoming conduct violating common decency or morality within Hospital premises or
during Hospital authorized functions. This includes but is not limited to illicit relationship
between and among Co-Residents. – OPEN
5.17.8: Slander or defamation or slanderous acts; libel or libelous acts; rumor-mongering,
spreading false information; maliciously spreading information hurtful or damaging to
Residents, family members and suppliers. – OPEN
5.17.9: Any act which constitutes sexual harassment under the law including: - OPEN
5.17.10: Malicious touching or physical contact. – OPEN
5.17.11: Unwelcome, improper or unnecessary gesture of a sexual nature. – OPEN
5.17.12: Request or demands for sexual favors. - OPEN
5.17.13: Derogatory remarks to describe a person or relative to sexual orientation. – OPEN
5.17.14: Using vulgar language, use of objects or stories with bold sexual underpinning device
notice that the same is offensive to the victim. – OPEN
5.17.15: Any person who likewise directs or induces another to commit any of the aforesaid
acts or who cooperates in the commission thereof will be held liable therefore. – OPEN
5.17.16: Immoral conduct within Company premises, regardless of whether or not committed
during working time, including exhibition or distribution of pornographic literature. – OPEN

5.18: SECURITY
5.18.1: Interfering or refusing to cooperate with Hospital security guards or authorized
personnel in the performance of their duties. – MEDIUM
5.18.2: Unauthorized entry to and exit from any restricted areas designated as such by the
Hospital. – MEDIUM
5.18.3: Allowing any authorized individual to enter or loiter within Hospital premises or during
authorized Hospital functions. – SERIOUS
5.18.4: Refusal to submit to security requirements of the Hospital. – SERIOUS
5.18.5: Unauthorized use or possession of a master key or key of similar characteristics which
can open the Hospital or other Resident’s locker or desk drawer. – OPEN

5.19: SAFETY
5.19.1: Violating Hospital safety rule or regulation or Hospital safety practice i.e smoking in
specified “non-smoking areas”. – LIGHT
5.19.2: Throwing lighted cigarettes in garbage cans or containers or flammable containers. –
LIGHT

5.20: CONTIGENCIES

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5.20.1: Other violations which are not listed here but which are detrimental to the interest of
the Hospital and its Residents will be dealt with by the Administrator/Management on a case-
to-case basis. Management likewise reserves the right to impose the minimum or maximum
established penalties depending on the gravity of the offense. Due process will be observed at
all times in accordance with Law and Hospital policy.

K. Institutional support for the Training Program

a. Allowance
b. Benefits
c. Leaves
1. 3 days emergency leave
2. 3 days sick leave
3. 7 days vacation leave
4. 3 months maternity leave
d. Amenities
e. Budget for Research

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