My contact with the Philippine General Hospital (PGH) was made through the help of a Washington University anesthesiologist, Dr. Necita Roa, and one of our current orthopedic sports medicine attendings who was a former resident here and who did her chief resident international rotation at this same hospital, Dr. Lily Bogunovic. They helped coordinate my rotation there with Dr. Edward Wang, the chair of the Orthopedic department at PGH. Lily spoke very fondly of her time at PGH and given this feedback and the fact that my mother in-law is from the Panay island in the Philippines, this location strongly appealed to me when I was researching possibilities for my international rotation.
PGH is a public hospital affiliated with the University of Philippines that relies on government funding under direct control by the President of the country, President Rodrigo Duterte. This is unique because other public hospitals rely on government funding controlled by the Department of Health. It is the biggest hospital in the country and the largest training hospital with a 1,500 bed capacity, of which 1,000 beds are for indigent patients and 500 beds are for private patients. The Orthopedic department has 29 attendings, 5 sections (Adult, Trauma, Spine, Pediatrics, and Hand), and 5 services (Tumor, Ilizarov and Limb Deformity, Microvascular and Replantation Service, Sports Medicine, and Arthroplasty). Their residency program has 5 residents per year and is 4 years in length. Our internship year is replaced by a 5th year of medical school where they rotate through various specialties acting in the same fashion as interns here in the United States do and this year is when they apply to residency programs. Their department also has a fellowship in Hand and Microvascular Surgery, Ilizarov and Limb Deformity, and Tumor.
With residents and Dr. Wang
on residual clubfoot and
giant cell tumor cases.
|Distal radius fracture |
with K wire fixation.
Volar locking plates are
usually not an option due
to financial restraints.
|Standard presentation of patients |
to tumor clinic (Osteosarcoma).
Often, limb salvage is not an option due to the size of the tumor or due to the financial constraints in affording an endoprosthesis. Allograft availability is much more difficult to obtain, but this is a current priority in improving access to allografts with a national tissue bank with the Filipino government.
|3 generations of my Filipino |
family outside restaurant in San Juan.
View from our villa in El Nido (Maganda!)