The DEPARTMENT OF NEUROLOGY

Residency Training Program

Established in 2006, and gained the maximum 5 year
accreditation from the Adult Neurology Specialty Board in
2010

Initially under the Department of Medicine, with separate

set of residents and a separate training manual

In 2016, recognized as a Department already

4 year program (non-IM graduates) and 3 year program

(IM graduates)
 Faculty and Training Staff
Section Head: Dr. Jose Paciano Baltazar T. Reyes, FPNA
Training Officer: Dra. Grace Orteza, FPNA
Assistant Head for Training: Dr. Ramon Carlos Alemany, FPNA
Chief Resident: Dr. Kristoffer Flores, MBA
Consultant Interns Monitor: Dr. John Jerusalem Tiongson,
MBA, FPNA
Resident Interns Monitor: Dr. Pearl Diamante
The Faculty Roster

Core Faculty and Training Staff

23 Neurologists
9 Regulars
13 visiting
1 Neuropsycholigists
BENGZON, ALFREDO R.A.

Founding Member of the

PNA
First Vice-President of the
PNA
Past President for
Professional Schools and
Social Development,
Ateneo De Manila
University
Past Dean, ASMPH
CEO and President TMC
ORTEZA, GRACE O.
Current Training Officer
President, UP Faculty and
Alumni of the Neurosciences
Clinical Associate Professor,
UP-PGH
Member, Dementia Council
Member, Alzheimers Disease
Association of the Philippines
(ADAP)
Past Training Officer, TMC
Chair, Adult Neurology
Specialty Board (ANSB)
 ALEMANY, RAMON CARLOS
Associate Active Consultant
at Makati Medical Center
San Beda Clinical Clerkship
Coordinator for Neurology at
Makati Medical Center
Assistant Professor and
Consultant for Neurology at
De LaSalle University
College of Medicine
Assistant Training Officer,
TMC
ANLACAN, VEEDA MICHELLE

Clinical Associate Professor,

UP-PGH
Consultant, Dept of
Neurosciences, Center for
Memory and Cognition, UP-PGH
Consultant, Department of
Medicine Section of Neurology,
Cardinal Santos Medical Center
Member, Dementia Council
Member, Alzheimers Disease
Association of the Philippines
(ADAP)
Previous Training Officer, TMC
BITANGA, ESTER

Past President, PNA 1997

Vice President, PNA 1996/95
Secretary, PNA 1994
Treasurer, PNA 1993
Past Chair: Drugs and Therapeutics
Committee (PNA)
Past President-SSP
Past Deputy Director for Health
Operations, UP-PGH 2014
Retired Professor V Department of
Neurosciences (UP-PGH)
Retired Consultant, Department of
Neurosciences, UP-PGH
Member, Alzheimers Disease
Association of the Philippines (ADAP)
REYES, JOSE PACIANO
Chair, Department of Adult
Neurology, TMC
Immediate Past Chair, Adult
Neurology Specialty Board
(ANSB)
Associate Professor Department
of Pharmacology and Toxicology
UP College of Medicine
Member, Neuromuscular
Council
Member, Neurotoxicology
Council
ROXAS, ARTEMIO JR.
Neuropathology
Clinical Epidemiology
Past President, PNA
Past Editor in Chief, PNA
Immediate Past President, Stroke
Society of the Philippines
Second Vice President and Chair of
Research Committee, SSP
Associate Professor, UP College of
Medicine for the Department of
Neuroscience and Department of Clinical
Epidemiology
Chair, Stroke Council
Secretary, Brain Foundation of the
Philippines
Member, Headache council
SANIEL, EDMUNDO
Head, Neurophysiology Center,
The Medical City
Past Chair, Adult Neurology
Specialty Board (ANSB)
Past Co-Chairman, Institute for
Neurosciences, St Lukes
Medical Center
Past Chair, Neurophysiology
Unit, Institute for Neurosciences,
St Lukes Medical Center
Consultant, The Medical City
Consultant, St Lukes Medical
Center
Member, Pain Society of the
Philippines
TIONGSON, JOHN JERUSALEM

First graduate of the TMC

Neurology Residency
Training Program
Executive Officer, TMC
Section of Adult Neurology
Faculty, Ateneo School of
Medicine and Public Health
Consultant Interns Monitor,
TMC Section of Adult
Neurology
Marketing Officer,
Department of Medicine
and Section of Adult
Neurology
IPMM
Linkages with Other Training
Institutions
Quirino Memorial Medical Center (General Neurology)
Philippine Childrens Medical Center (Pediatric
Neurology)
Cardinal Santos Medical Center (Neuroradiology)
Philippine General Hospital (Neuropathology, Brain
cutting)
TMC Iloilo (Neurocritical and Community Service)
UCLA and/or New York Presbyterian (Neuropathology)
Johns Hopkins Neurocritical Care and Neuropathology

jbr2010
THE RESIDENTS
(Level IV)

Manolo Kristoffer Flores, MD, MBA

ASMPH 2013

Chief Resident
THE RESIDENTS (Level III)

Roselyn Pamatmat, M.D Ariane Olivia Valerio, M.D Cheryl Francisco, M.D
UERMMMC SLU WVSU
THE RESIDENTS
(Level II)

Mia Dantes, MD Pearl Diamante, MD Dennis Naval, MD

UP-PGH UERMMMC UERMMMC
 THE RESIDENTS
(Level I)

Dr. Princi Demaisip Central Philippine University

Dr. Nika Reyes UP-PGH
Dr. Miguela Senga West Visayas University
Dr. Dorothy Tamayo Davao Medical Center Foundation
Dr. Edenberg Quiles Our Lady of Fatima University
Dr. Jonas Ortigas, FPCP West Visayas University
TRAINING

In 2014, granted the maximum 5-year accreditation by the Adult

Neurology Specialty Board
RESEARCH
TMC- Brain Attack Team (BAT)
established in January 2007
tasked to evaluate suspected stroke patients who may be
eligible for thrombolytic therapy
composed of the attending neurology consultant,
neurology resident on duty and stroke nurse on duty
based on the National Institute of Neurological Disorders
and Stroke (NINDS) target time frames recommendations

jbr2010
Acute Stroke Response System

jbr2010
 Learning Objectives
At the end of the neurology internship
Is there a lesion?
rotation, the YL9 intern will be able to:
Obtain a neurological history and
formulate an appropriate localization
congruent differential diagnosis.
Conduct a sufficiently detailed Where is the lesion?
neurological examination to elicit
findings, to localize the disease Levelize, Lateralize,
process within the central nervous Localize
system, which allow further refinement
of the differential diagnosis

What is the lesion?

Learning Objectives
Demonstrate knowledge of the most common neurologic
diseases and their usual modes of presentation.
Stroke (Stroke Society of the Philippines Manual 6th Edition
Chapter I - V)
CNS infection (Adams Principles of Neurology 9th Edition
Chapter 32, pp 667 711 and the IDSA Guidelines)
Seizures (Adams Principles of Neurology 9th Edition Chapter
16 pp 304 339 and the new ILAE classification)
Headache (PNA Headache Council Manual, International
Headache Classification Society)
Dizziness and Loss of consciousness
Degenerative and Peripheral Nervous system disorders
Alzheimers disease and other Dementia, Parkinsonss
disease
Myasthenia Gravis, Guillain Barre Syndrome, Peripheral
Neuropathies
Learning Objectives
Formulate a diagnostic and basic therapeutic plan for the
common neurologic diseases, and recognize when a
patient needs to be referred to a neurologist.
Meet or exceed the institutional standards for professional
behaviors.
Certification by the American Stroke Association on
the National Institutes of Health Stroke Scale (NIHSS)
at
http://asa.trainingcampus.net/vas/modules/trees/wind
ex.aspx
or http://nihss english.trainingcampus.net/ uas
/modules/trees/windex.aspx before the start or on
the first day of your rotation.
Entry Competencies
Basic Neuroanatomy,
Neurophysiology,
Neuropharmacology
Techniques of Neurologic
Examination
Principles of Internal
Medicine
Knowledge of the common
Neurologic disorders,
Neurologic Emergencies and
Neurologic symptoms,
diagnostic approach and
management.
 Assigned Readings
DeMyers Technique of the Neurological Examination, 5 th
edition (MUST READ before rotation)
Stroke Society of the Philippines Guidelines for Prevention,
Treatment, Rehabilitation of Brain Attack, 5 th or 6th Ed
International Headache Society classification
New International League of Epilepsy classification
Adams Principles of Neurology, 9th Edition
Harrisons Principles of Internal Medicine 16th Edition,
Section on Neurological Diseases
Neuroanatomy Books (Brazis, Afifi, Duus, Benarroch etc.)
General guidelines - Uniform
o Wear your prescribed ASMPH interns uniform and observe good hygiene
at all times --- Wear your neck tie!

o proper attire - no jeans, no capris/shorts/ mini skirts; no wearing of

provocative clothing

o Wear closed leather shoes; no slippers, flip-flops, sneakers or rubber

shoes will be allowed

o We discourage wearing high heels, stilletos and similar foot wear

o We discourage wearing of excessive jewelry for male and female interns ;

no wearing of earrings or any piercings for male interns

o Female interns with long hair should tie their hair whenever examining
patients
General Guidelines
Pre Duty From
Mon- Friday 7:00 AM - 5:00 7:00 AM- 7:00 7:00 AM- 5:00 PM
PM AM
Saturday 7:00 AM- 12:00 7:00 AM- 7:00 7:00 AM- 12:00
NN AM NN
Sunday Off 7:00 AM- 7:00 As relieved
AM
Holidays Off 7:00 AM- 7:00 As relieved
AM

Call time: no grace period for time-in

Always sign in our white logbook (Neuro office 4th floor)

Attend endorsements (Neuro office or Neuro Conference)

General guidelines-
Attendance
Regardless of post, intern must attend all grand rounds scheduled
Mondays and/or Thursdays unless otherwise specified

The From-duty neurology intern will stay until 5:00 PM. He/she is
required to attend scheduled grand rounds regardless of duty post

From-duty interns on Sundays may go home after AM endorsements.

Pre-duty intern not required to report on Sundays/Holidays

Should the pre-duty status fall on a Sunday and another holiday, or two
or more separate holidays, the intern shall choose only one day when
he/she will not report. RIM must be informed of the decision and should
be noted on the logbook
 Daily Activities
The neurology intern shall attend the morning neurology
endorsement sessions
Observe how a neurology resident presents the history,
PE, neurologic examination and use the approach to a
neurologic disorder in discussing a case
The neurology intern must be able to answer questions
about basic neurosciences concepts during the
discussion of cases during the endorsements
The neurology intern is required to present a case
during the morning endorsements/oral case discussion
during his rotation at the Section of Neurology
 Daily Activities
The Consultant Intern Monitor, which is a member of the Core
Faculty of the Department of Medicine, shall hold an every other
week Neurology Hour, which should be attended without fail by
the neurology interns and all interns rotating under The Medical
City Department of Medicine
Small group discussions
Assigned Lectures

The Resident Interns Monitor will set a day in a week (usually on

Thursday or Friday) for case presentation and discussion by the
currently rotating interns
In an effort to facilitate fulfillment of oral evaluations
Interns who failed to present during the session should
schedule an oral presentation with a senior resident
 Daily Activities
The neurology intern shall make rounds with the service
residents and consultants, and is encouraged to actively
participate in the discussion of a case during rounds
The intern is encouraged to do history, physical exam,
and neurologic examination as supervised by the
neurology resident-in-charge , and with the consent of the
patients
He/She can choose a single newly admitted case [CASE
ASSIGNMENT], which he could follow-up everyday and
present during the morning endorsements / oral case
discussion. He can also use the same patient for the
required written case report to be submitted within 1
week after the end of the rotation
 Daily Activities
The neurology intern is required to attend all didactic
sessions and conferences of the section of Neurology.

The neurology intern is required to attend the Weekly

Neurology Grandrounds during Thursdays 6-8 PM or
the Mondays 12-2 PM WITHOUT FAIL, regardless of
post

OPD / Divine Mercy Clinic: lay forum

 Daily Activities
The neurology intern is required to go on-duty (24 hrs) every 3 days
during the rotation

The neurology intern shall perform, for the Department of Adult

Neurology, the same duties and responsibilities defined by the
PSDO, UMTO and the TMC Department of Medicine regarding ward
work and floor rotations.

During duty hours, the neurology intern is expected to stay with the
Department of Neurology and do rounds and ward/ER calls with
the Neurology residents-on-duty
 Daily Activities
Respond to Brain Attack Team calls, the neurology intern is expected
to respond together with the Neurology resident, especially during duty
hours

Assit residents and accompany patients during procedures

lumbar tap
EEG / EMG-NCV
neuroimaging studies

Stroke Education Program for our patients

Discharge summaries to be countersigned by ROD

 Requirements
At the end of the rotation, the neurology intern is required to accomplish the
ff
Present a case during the morning endorsements/oral case discussion
supervised by and to be evaluated by a senior neurology resident.
A written evaluation from the Consultant Interns Monitor
Submit at least (1) Skills AND (1) professionalism evaluation tool to
be filled up by RIC
Submit two (2) complete written case reports using the neurologic
approach to diagnosis to be evaluated by the RIM/Senior Neurology
resident (deadline: 1 week post rotation)
SUBMIT AN NIHSS CERTIFICATE (ON FIRST DAY)
Pass the written examination to be given after all the interns in a group
has finished their rotation at the Section of Neurology
 Requirements
All requirements (except for the written exam and
consultant interns monitor evaluation) shall be submitted
within one week after the end of his/her rotation from
the Section of Adult Neurology --- WITHOUT FAIL!

As per indicated under the list of sanctions from the

Department of Medicine, an intern shall incur a 1%
deduction for every day that has passed from the
deadline, from his/her final Neurology grade.
Requirements
The Resident Interns monitor shall set one final
deadline after all in the group have rotated.
If an intern fails to pass the requirements on this final
deadline:
the intern will get a grade of ZERO for each
requirement missed and
will also get a maximum of 30 points deduction
from the final grade depending on the due date
of his requirements
Requirements
As of January 24, 2015
STROKE EDUCATION PROGRAM
Stroke Education
Stroke Educational Video including Aphasia
Video
Logbook
Risk Factor Assessment Checklist
Evaluation = (20% of IM
Grade)
Written Examination - 40 %
Mentoring Evaluations
Consultant Interns Monitor - 10%
Neurology Resident - 20%
Written and Oral Report
NIHSS Certification - 10 %
Attendance and Attitude - 20 %
Total - 100%

PASSING GRADE: - 70 %
Sanctions
The Section of Adult Neurology adopts the same set of
sanctions defined by the TMC Department of Medicine
and the ASMPH

Due process will be strictly observed before giving out

sanctions, and shall be discussed by the Neurology
Consultant and Resident Interns Monitor

Sanctions for violations committed while rotating at the

Section of Adult neurology shall be carried out by the
Section of Adult Neurology.
 Makeup
The ASMPH YL9 coordinator has designated the month of April
as a period of make-ups and elective rotations
The Department of Adult Neurology allows make-up before the
month of April, provided that it has no conflict with the interns
current rotation
Inform the RIM of your make-up
Secure make-up form from UMTO Sign in our attendance
logbook bring an index card time-in and time-out
countersigned by senior resident write what you
accomplished during that time countersigned by junior resident
have make-up form signed by RIM
No index card = No sign on make up form = No Clearance
Some Reminders
Interns are NOT allowed to make or receive referrals to
or from other services including the ER. Referrals should
be from resident to resident
Service residents are responsible for getting the initial read.
It is, however, the responsibility of the intern to accompany
the resident in acquiring neuroimaging initial results from
the radio department.
You are allowed to get initial read of non-neuroimaging
procedures
Do not allow yourself to be bullied or harassed by any of
our residents. No unnecessary favors or orders from
any of our residents
Some Reminders
You are ALLOWED to accomplish patient
database form, to be signed by the service
resident
You are allowed to write entries on the chart of
patients PROVIDED that RIC or Consultant must
countersign them.
You are allowed to help your co-interns who are
on-duty. Whenever no neuro intern is on duty, their
duties are passed to the on-duty medicine interns.
Leaving loose evaluation forms and requirements
without being countersigned by a receiving
resident is highly discouraged. Submit your
requirements and evaluation forms personally to the
residents concerned.
Some Reminders
Should any intern/s have an official school/internship
activity (e.g. rotation activity, orientation, examination,
mentoring), the involved interns should inform the RIM at
least one day in advance
Interns are required to go back immediately to post
after the activities. Otherwise, he/she will be marked out
of post.
Interns who will be absent should inform also the RIM with
the corresponding reason beforehand and is required to
present a medical certificate (for medical reasons) or an
excuse letter from a parent or guardian (for non-medical
reasons) upon reporting back. Otherwise, he/she will have
an unexcused absence.
The RIM should also be informed of any physical disability,
obstetric or psychiatric condition an intern has prior to the
start of his/her rotation.
Some reminders
Submission of requirements
Submit all requirements in a short brown envelope.
Envelope must contain the ff:
Clinical Performance Evaluation Tool (graded by CIM or RIC)
Skill Evaluation Tool
Professionalism Evaluation Tool
2 Case write-ups
Take a photo of all your evaluation tools and save a copy of your
write-ups for safekeeping.
Deadline: 1 week after rotation
Let a resident countersign your envelope before submitting. The
envelope must also contain time and date of submission.
Leave your envelope in the interns box (neuro office 4 th floor).
 Sanctions
VIOLATION MAKE-UP / ACTION
Tardiness & Absences
Absences from Duty
1.Excused absence from office duty One (1) extra office or 8-hour duty
2.Unexcused absence from office duty Three (3) extra office 8-hour duties
3.Excused absence from 24 hour weekday duty One (1) extra 24-hour duty
4.Unexcused absence from 24 hour weekday duty Three (3) extra 24-hour duties
5.Excused absence from 24 hour Sunday or Holiday duty Two (2) extra 24-hour duties
6.Unexcused absence from 24 hour Sunday or Holiday duty Five (5) extra 24-hour duties
Absence from Activities
1.Unexcused from conference One (1) Special duty
2.Failure to assist in OR/DR when assigned to do so One (1) Special Duty
3.Failure to make rounds with resident/ consultant when called upon or assigned One (1) Special Duty
to do so

Tardiness
1.Tardiness in reporting for duty (office hours/24 hours duty) One (1) extra 24-hour duty
Other Disciplinary Problems
Leaving Post
1.Unauthorized leaving of post during office duty or 24 hour duty One (1) extra 24-hour duty
Clinical Duties
1.Failure or delay in accomplishing database on two occasions One (1) extra office duty
2.Performing procedures without supervision Three (3) extra 24-hour duties
3.Bringing patients records out of the hospital without permission and consent Three (3) extra 24-hour duties
of supervising resident/consultant

4.Unauthorized release of patient information Three (3) extra 24-hour duties

5.Failure to follow residents instructions pertaining to care of patient One (1) Special duty
Others
1.Not wearing prescribed uniform on three occasions One (1) extra office duty
2.Poor knowledge of cases on two occasions One (1) special duty
3.Willful opposition to or refusal to comply with decision of authorized entities (7) extra 24 hour duties
4.Falsification of documents, forging of signatures, intoxication while on duty, Suspension prior to decision on dismissal
gambling within Hospital premises

General Provisions
1.Offenses for which prescribed make-ups are at least three (3) extra duties are
considered as warnings for suspension. Recurrence of the offense shall lead to a
possible suspension prior to a decision on dismissal.

2.All violations should be reported by the Resident Monitor in the makeup slip
provided for the purpose, as noted by the Chief Resident and the Department Head,
and provided no other complaint is raised by the Intern concerned, the disciplinary
action will take its course.

3.The following conditions shall cause an incomplete grade be given:

Grossly inadequate participation during rotation. A repeat rotation
may be prescribed.
Uncompleted make-up.Make-up duties can be scheduled
Serious violation of regulations.Suspension or dismissal may be
prescribed.
Sanctions (Adjusted)
Tardiness 4 hours make up per late (1:1
even on Sundays and Holidays)
Excused Absences 1:1 make up (make-ups
on Sundays and Holidays remain 1:1)
Unexcused Absences 3:1 make up (make-
ups on Sundays and Holidays remain 3:1)
 Merits
Residents have the option to give merits to deserving interns
Each merit point is equivalent to 0.5 direct addition to the
Interns neurology final grade.
WELCOME TO
NEUROLOGY!