New Qualification Standards, Functions, Admission and Appointment Requirements for Medical Positions in DOH Health Facilities

June 30, 2016

DOH ADMINISTRATIVE ORDER NO. 2016-0032

 

I. Rationale

The increasing number of medical practitioners/experts particularly during the past two decades has correspondingly increased the number of available practitioners which the Department of Health (DOH) can tap and hire for its various offices and hospitals. Towards a more systematic hiring and utilization of these readily available resources, the DOH has instituted a Medical Human Resource Development Program consisting of a residency training program (RTP) as well as continuing medical education for government physicians.

Realizing the important role of medical positions in the health care delivery system, a more rational way of screening, hiring and placing these practitioners in services or areas where they are most needed has become very critical. In view of this and with the end-goal of ensuring quality medical care, this Order details and prescribes the revised general guidelines on qualification standards, admission and appointments as well as functions of medical positions.

II. Scope

This Order covers all medical positions for appointment in DOH health facilities such as hospitals, public health offices, and treatment and rehabilitation centers (TRCs). This Order may also be adopted by other government and LGU health facilities.

III. Definition of Terms

A. Based on Nomenclature

1. Medical Center Chief (MCC) — The highest position in level 3 and 2 hospitals and medical centers in charge of the management and administration of the health facility under the plantilla of personnel.

2. Chief of Hospital (COH) — The highest position in level 1 hospitals and TRCs in charge of the management and administration of the facility.

3. Chief Medical Professional Staff (CMPS) — Doctor of Medicine; Fellow or Diplomate of the relevant accredited specialty society who serves as the assistant to the MCC in the health facility.

4. Medical Specialist (MS) — a Doctor of Medicine; PRC-registered with a certificate as Fellow and/or Diplomate of a DOH-recognized accredited society or a physician who passed the DOH Medical Specialist Examination and given an appointment by the Secretary of Health or his/her authorized official.

5. Medical Officer (MO) — Doctor of Medicine; PRC-registered physicians undergoing RTP in teaching and training hospitals (Level 3); or working in the TRCs, public health offices and non-teaching training hospitals (Levels 1 & 2). acEHCD

6. Fellow — Diplomates who have been conferred as Fellows by their specialty society.

7. Diplomates — medical professionals who have been certified by a DOH-recognized accredited specialty society as such, after having complied with the requirements of the specialty board.

8. Head of Facility — refers to MCC or COH in Medical Centers, hospitals, TRCs and sanitaria.

B. Based on Nature of Appointment

1. Permanent appointment — An appointment issued to a physician, who underwent screening and selection process and has met all the qualification standards for the position as set forth by the DOH and duly approved by the Civil Service Commission (CSC).

2. Temporary appointment — An appointment issued to a physician who underwent screening and selection process and has met all the qualification standards for the MO III and MO IV in level 3 hospitals as defined in the Merit Promotion Plan (MPP) as set forth by the DOH and duly approved by the CSC. It can also be an appointment issued to a physician who has not met the Qualification Standard (QS) for MS position but is endorsed for appointment or renewal under temporary status by a Medical Staff Credentials Committee of the hospital.

3. Contract of Service — hiring that covers lump sum work or services where no employer-employee relationship exists.

C. Based on Work Requirement

1. Part-time — refers to the 20-hour per week minimum requirement in the hospital or health facility as prescribed by the Civil Service Rules.

2. Full-time — refers to the 40-hour per week minimum requirement in the hospital or health facility as prescribed by the Civil Rules.

D. Based on Work Designation

1. Visiting Consultant — A Doctor of Medicine and a Fellow and/or Diplomate of a DOH-recognized accredited specialty society who has an approved contract with the head of facility as consultant in a DOH hospital and renders teaching, training and research as well as consultancy services.

2. Honorary Consultant — A Doctor of Medicine and a Fellow and/or Diplomate of a DOH-recognized accredited specialty society or who has passed the DOH Medical Specialist Examination, who has retired from government service, and who has an approved contract with the head of facility as consultant in a DOH hospital and renders teaching, training and research as well as consultancy services.

3. Department Head — A Doctor of Medicine with a certificate as Fellow and/or Diplomate of the DOH-recognized accredited specialty society who has an approved appointment by the head of facility as Medical Specialist permanent, full-time or part-time. It is a position held by virtue of designation by the MCC/COH.

4. Hospital Training Officer — A Doctor of Medicine, Fellow or Diplomate of a DOH-recognized accredited specialty society, and designated by the MCC/COH.

E. Others

1. Technical/Clinical Training — pertains to any organized activity designed to enhance the practice of profession such as but not limited to Basic Life Support, Advance Cardiac Life Support, Hospital Infection Control, participation in conventions, conferences, and post-graduate courses.

IV. General Guidelines

A. All holders of Medical positions shall be eligible for service under the provisions of the Republic Act (RA) 1080.

B. Nature of appointment shall be based on facility type: MO III and MO IV positions in Level 1 and 2 hospitals are permanent; MO III and MO IV positions in Level 3 teaching and training hospitals are temporary.

C. Medical Specialist in a department with an accredited residency training program should be a Diplomate or Fellow of a DOH-recognized accredited specialty society.

D. Physicians who passed the MS examination given by the DOH or those with relevant Master's Degree may be promoted to a position in the department not accredited by any specialty society, e.g., Outpatient Department, Public Health Unit.

V. Specific Guidelines

A. Qualification Standards

 Qualification Standards for Medical Positions

Position/SG	Education	Experience	Training	Eligibility
Level 3 Hospitals
Medical	Doctor of Medicine;	At least	120 hours of	Filipino
Center	with Master's Degree	seven (7)	managerial	Citizen
Chief II	in Hospital	years of	training in the	R.A. 1080
	Administration or	experience in	last two (2)
(SG 27)	relevant field (e.g.,	managerial	years
	Public Health,	or
	Business	supervisory
	Administration)	position in a
		healthcare
		facility
		setting
Chief	Doctor of Medicine;	At least six	120 hours of	Filipino
Medical	Diplomate or Fellow	(6) years of	managerial	Citizen
Professional	of DOH recognized	experience in	training in the	R.A. 1080
Staff II	accredited specialty	managerial	last two (2)
	society	or	years
(SG 26)		supervisory
		position
		which shall
		include three
		(3) years as
		Department
		Head or
		Training
		Officer
Medical	Doctor of Medicine;	Must have	120 hours of	Filipino
Specialist	Diplomate or Fellow	five (5) years	managerial	Citizen
IV	of DOH recognized	of experience	training in the	R.A. 1080
	accredited specialty	as Medical	last two (2)
(SG 25)	society or a doctor	Specialist	years
	who passed the DOH	which shall
	Medical Specialist	include
	Examination	experience in
		planning,
		organizing,
		directing,
		coordinating
		and supervising
		various
		activities in
		the program
		management
		and practice
		of medicine
Medical	Doctor of Medicine;	Must have	120 hours of	Filipino
Specialist	Diplomate or Fellow	three (3)	technical/	Citizen
III	of DOH-recognized	years of	clinical training	R.A. 1080
	accredited specialty	experience as	in the last two
(SG 24)	society or a doctor	Medical	(2) years
	who passed the DOH	Specialist or
	Medical Specialist	its equivalent
	Examination
Medical	Doctor of Medicine;	Must have at	100 hours of	Filipino
Specialist II	Diplomate or Fellow	least three (3)	technical/	Citizen
	of DOH-recognized	years of	clinical training	R.A. 1080
(SG 23)	accredited specialty	experience	in the last two
	society or a doctor	as Medical	(2) years
	who passed the DOH	Officer or its
	Medical Specialist	equivalent
	Examination
Medical	Doctor of Medicine;	Must have	At least forty	Filipino
Officer IV	Graduate or in the	satisfactorily	(40) hours of	Citizen
	last year of a DOH	passed at	relevant	R.A. 1080
	recognized accredited	least two (2)	technical
(SG 23)	residency training	years of	training
	program	accredited
		residency
		training
		program
Medical	Doctor of Medicine	None	None Required	Filipino
Officer III		Required		Citizen
				R.A. 1080
(SG 21)
Level 1 and 2 Hospitals
Medical	Doctor of Medicine;	At least five	120 hours of	Filipino
Center	with Master's Degree	(5) years of	managerial	Citizen
Chief I	in Hospital	experience in	training in the	R.A. 1080
	Administration or	managerial	last two (2)
(SG 26)	relevant field (e.g.,	or	years
	Public Health,	supervisory
	Business	position in a
	Administration)	healthcare
		facility
		setting
Chief of	Doctor of Medicine;	At least five	120 hours of	Filipino
Hospital II	with Master's Degree	(5) years of	managerial	Citizen
	in Hospital	experience in	training in the	R.A. 1080
(SG 25)	Administration or	managerial	last two (2)
	relevant field (e.g.,	or	years
	Public Health,	supervisory
	Business	position in a
	Administration)	healthcare
		facility
		setting
Chief	Doctor of Medicine;	At least five	120 hours of	Filipino
Medical	Diplomate or Fellow	(5) years of	managerial	Citizen
Professional	of DOH-recognized	experience in	training in the	R.A. 1080
Staff I	accredited specialty	managerial	last two (2)
	society or a doctor	or	years
(SG 25)	who passed the DOH	supervisory
	Medical Specialist	position
	Examination	which shall
		include three
		(3) years as
		Department
		Head or
		Training
		Officer
Medical	Doctor of Medicine;	Must have	120 hours of	Filipino
Specialist	Graduate of a DOH-	three (3)	technical/	Citizen
III	recognized	years of	clinical training	R.A. 1080
	accredited residency	experience as	in the last two
(SG 24)	training program	Medical	(2) years
		Specialist or
		its equivalent
Medical	Doctor of Medicine;	Must have at	100 hours of	Filipino
Specialist II	Graduate of a DOH-	least three (3)	technical/	Citizen
	recognized	years of	clinical training	R.A. 1080
(SG 23)	accredited residency	experience	in the last two
	training program	as Medical	(2) years
		Officer or its
		equivalent
Medical	Doctor of Medicine	At least three	At least forty	Filipino
Officer IV		(3) years of	(40) hours of	Citizen
		clinical	relevant	R.A. 1080
(SG 23)		experience as	technical/clinical
		MO III or its	training
		equivalent
Medical	Doctor of Medicine	None	None Required	Filipino
Officer III		Required		Citizen
				R.A. 1080
(SG 21)
Treatment and Rehabilitation Centers (TRCs)
Chief of	Doctor of Medicine;	At least five	120 hours of	Filipino
Hospital III	with Master's Degree	(5) years of	managerial	Citizen
	in Hospital	experience in	training in the	R.A. 1080
(SG 26)	Administration or	managerial	last two (2)
	relevant field (e.g.,	or	years
	Public Health,	supervisory
	Business	position in a
	Administration)	healthcare
		facility
		setting
Chief of	Doctor of Medicine;	At least five	120 hours of	Filipino
Hospital II	with Master's Degree	(5) years of	managerial	Citizen
	in Hospital	experience in	training in the	R.A. 1080
(SG 25)	Administration or	managerial	last two (2)
	relevant field (e.g.,	or	years
	Public Health,	supervisory
	Business	position in a
	Administration)	healthcare
		facility
		setting
Medical	Doctor of Medicine;	Must have at	80 hours of	Filipino
Specialist I	Diplomate or Fellow	least three (3)	technical	Citizen
	DOH recognized	years of	training in the	R.A. 1080
(SG 22)	accredited specialty	experience in	last two (2)
	society or a doctor	the practice	years
	who passed the DOH	of medicine
	Medical Specialist
	Examination
Medical	Doctor of Medicine;	Must have at	40 hours of
Officer IV	Graduate of a DOH	least three (3)	technical
	recognized	years of	training
(SG 23)	Residency Training	experience in
	Program or with a	the practice
	Certificate in	of medicine
	Addiction Medicine
Medical	Doctor of Medicine	None	None Required	Filipino
Officer III		Required		Citizen
				R.A. 1080
(SG 21)
Public Health
Medical	Doctor of Medicine;	At least three	120 hours of	Filipino
Officer V	Must be a holder of	(4) years of	supervisory/	Citizen
	Masters in Public	experience in	management	R.A. 1080
(SG 25)	Health/Hospital	planning,	learning and
	Administration,	organizing,	development
	MPA or its	directing,	intervention
	equivalent	coordinating	undertaken
		and	within the last 5
		supervising	years
		various
		activities in
		public health
		management.
Medical	Doctor of Medicine;	At least three	At least forty	Filipino
Officer IV	Fellow/Diplomate of	(3) years of	(40) hours of	Citizen
	DOH recognized	experience in	relevant	R.A. 1080
(SG 23)	accredited specialty	public health	technical
	society or DOH	management	training
	Medical Specialist	or equivalent
	Exam or FETP (Field	(e.g.,
	Epidemiology	licensing,
	Training Program)	regulation
		and/or
		quarantine
		services,
		policy)
Medical	Doctor of Medicine	None	None Required	Filipino
Officer III		Required		Citizen
				R.A. 1080
(SG 21)
Rural	Doctor of Medicine	None	None Required	Filipino
Health		Required		Citizen
Physician				R.A. 1080
(SG 24)

B. Additional Qualification Standards based on Work Designation

1. For Visiting Consultants

1.1 Must be endorsed by the Department Chair, evaluated by the Hospital Medical Credentials Committee (see section V.1), and appointed by the Head of Facility;

1.2 Must be of good moral character;

1.3 May be renewed every year based on satisfactory performance.

2. For Honorary Consultants

2.1 Must be retired consultants with exemplary qualifications or contributions to the hospital;

2.2 Must be endorsed by the Department Chair, evaluated by the Hospital Medical Credentials Committee, and appointed by the head of facility;

2.3 Must be of good moral character;

2.4 May be renewed every year based on satisfactory performance. SDHTEC

3. For Department Heads

3.1 Must have rendered medical services in the field of specialty;

3.2 Must have been actively involved in training activities, continuing medical education and research;

3.3 Designated by the head of facility;

3.4 Must be of good moral character;

3.5 May have a maximum term of three (3) years which can be renewed or terminated.

4. For Hospital Training Officers

4.1 Must have rendered medical services in the field of specialty;

4.2 Must have been actively involved in training activities, continuing medical education and research;

4.3 Designated by the head of facility;

4.4 Must be of good moral character.

C. Issuance of Appointment

1. For Medical Specialist

1.1 Permanent status shall be issued to physicians who meet all the requirements for the medical specialist position as evaluated by the Hospital Medical Credentials Committee.

1.2 Temporary status for Level 3 hospitals shall be issued to graduates of DOH-recognized accredited specialty society who are not yet Fellows or Diplomates but are qualified to take their specialty board examination in the absence of qualified applicants. Temporary status may be renewed every year for a maximum period of three (3) years.

1.3 Physicians who have not met all the requirements for the position involved shall be given 3 years to acquire permanent status, otherwise their appointments shall no longer be renewed.

2. For Medical Officer IV

2.1 Permanent status shall be issued to physicians who met all the qualification requirements for the position of Level 1 and 2 hospitals, TRCs and public health offices.

2.2 Physicians who passed the Medical Specialist exam given by the DOH or those with relevant Master's Degree may be promoted to a position in the department not requiring accreditation by any specialty society (e.g., Outpatient Department, Public Health Unit).

2.3 Temporary status shall be issued to physicians who will undergo Fellowship Training Program and/or physicians who are at the last year of the residency training program for level 3 hospitals.

2.4 Temporary appointments may be given to Public Health/TRC physicians who have not met the qualification requirements of the position. This can be issued in the absence of qualified applicants.

3. For Medical Officer III

3.1 Permanent status shall be issued to Physicians who have met all the qualification requirements for the positions in Level 1 and 2 hospitals, TRCs and public health offices.

3.2 Temporary status shall be issued to Physicians who are undergoing the Residency Training Program in Level 3 hospitals.

D. Career Path

Possible career paths for Medical Positions in the government are shown in Annex A.

VI. Structural Support

1. A Hospital Medical Credentials Committee shall be created in each of the DOH hospitals (Levels 1, 2 and 3) and shall also act as the Selection and Promotions Board for Medical positions. This shall be composed of the following:

Chairman:	Chief, Medical Professional Staff
Co-Chairman:	Chief Training Officer
Members:	Department Head where the vacancy exist
	Human Resource Management Officer
	Representative — 2nd level
Secretariat:	Staff from the HR department

2. For Central Office, Regional Offices and TRCs, the existing Selection and Promotion Boards shall be responsible for the selection and evaluation of applicants for medical positions.

VII. Repealing Clause

Administrative Order No. 1 s. 1999 and all other issuances inconsistent with the provisions of this Order are hereby repealed.

VIII. Effectivity

This Order shall take effect immediately.

(SGD.) JANETTE P. LORETO-GARIN, MD, MBA-HSecretary of Health

ANNEX A

Career Path for Medical Positions in Government