CMD-117-17-02

OUR LADY OF FATIMA UNIVERSITY

FATIMA MEDICAL SCIENCE FOUNDATION, INC.
COLLEGE OF MEDICINE

CLERKSHIP MANUAL
 This Clerkship Manual outlines current policies and requirements for
fourth year medical students enrolled in the Doctor of Medicine (MD) program of
Our Lady of Fatima University (OLFU), Fatima Medical Science Foundation Inc.
(FMSFI).

Current requirements and conditions (as of August 2017) as prescribed by

concerned regulatory agencies (CHED, APMC, etc) have been adhered to.

OLFU MD student policies and procedures not mentioned in this edition

may be found in other pertinent OLFU manuals and compendiums, particularly
those generic to OLFU students in general.

All fourth year MD students are required to review and adhere to the
policies and procedures as contained in this Clerkship Manual.

The University reserves the right to withhold the release of records and
documents (including graduation credentials) of students with academic
deficiencies (including prescribed documentary requirements), pending financial
obligations, unresolved administrative or legal case (both internally or externally)
with the college and university or with any of its officials.

The University likewise reserves the right to temporarily withhold the

enrolment of any student with pending administrative, disciplinary, or legal cases
(internally or externally) with the university or any of its officials.

NOTE: All students regardless of year of entry are governed by the latest edition
of the Clerkship Manual.

2023 Edition
 TABLE OF CONTENTS
Page No.
I. Introduction 1
History of Our Lady of Fatima University 2
The University Logo 9
The College Logo 10
University Vision & Mission 11
University Core Values 12
College of Medicine Vision & Mission 13
Fatima University Hymn 14
The 10 Learning Outcomes 15
II. Year Level Description 16
III. Requirements for Entry Into the Clinical Clerkship 16
Programme
IV. Enhancement Course 16
V. Pre-requisite for Graduation 17
VI. Clinical Clerkship Rules and Regulations 18
- Rules of conduct 19
- Duties and Responsibilities 20
- Attendance 21
- Grounds for Repeat Rotation or Expulsion 23
- Grounds for > 10 Days Demerits 24
- Grounds for < 10 Days Demerits 25
- Procedures for Appeals and Other Concerns 26
VII. Department Activities 27
- Fatima University Medical Center 27
- Quezon City General Hospital 31
VIII. Clinical Forms 34
IX. Appendices 55
Organizational Set-up 58
CONFORME 59
 I. INTRODUCTION

This manual is a guide to everything a 4 th year medical student should

know about the Our Lady of Fatima University College of Medicine Clinical
Clerkship Programme. It contains a summary of important rules and
regulations followed in the school. You are therefore enjoined to be guided by
and abide by the policies and regulations presented in this manual.
 History of Our Lady of Fatima University

A HUMBLE BEGINNING. In 1967, Jose C. Olivares, a Chemistry professor-

entrepreneur and his son-in-law Dr. Vicente M. Santos, a physician, founded
Our Lady of Fatima Hospital in Valenzuela, then still a municipality of Bulacan.
The hospital immediately became the primary provider of medical and health
care services for the residents of Valenzuela.
Mr. Olivares, who was then a professor at the Ateneo de Manila University,
envisioned a dream for Fatima. He set his eyes in transforming the Our Lady
of Fatima Hospital from a general hospital to a medical complex that will be
the training ground for health care providers such as nurses and midwives.
Thus, in 1973, the Our Lady of Fatima College of Nursing was established.
And in 1976, the first batch of Nursing graduates garnered an unprecedented
100% passing average in the Nursing Board examinations.
As a result of the growth in enrollment in the mid 70’s, the College expanded
its facilities and instituted more curricular programs. In 1979, Dr. Vicente M.
Santos, together with his wife Mrs. Juliet Olivares Santos, pursued the vision
of Mr. Olivares even further by establishing the Fatima Medical Science
Foundation, Inc. - Fatima College of Medicine. Since then, Fatima College of
Medicine has made its mark in medical education by producing holistically-
empowered graduates who are consistent Medical Board topnotchers and
highly respected physicians.
In the 1990’s, a more progressive and responsive perspective was embodied
by Fatima Medical Science Foundation, Inc. and Our Lady of Fatima College.
As a response to the changing social and technological environment, the
college engaged in new academic programs particularly in technology,
maritime education, and business while at the same time fortifying and
improving its performance in the paramedical courses, which Fatima is known
for.

EARLY RECOGNITIONS. In its journey towards academic excellence, Our

Lady of Fatima College received official recognition by achieving accredited
status in its Nursing and Physical Therapy programs by the Philippine
Association of Colleges and Universities Commission on Accreditation
(PACUCOA). The Association of Christian Schools, Colleges and Universities
(ACSCU), another prestigious accrediting body, would eventually give its mark
of excellence to the Graduate School programs in MA in Nursing, MA in
Educational Management, MA in Teaching, Master’s in Public Administration,
Master’s in Business Administration, together with the undergraduate
programs in Psychology and Biology. Fatima Medical Science Foundation-
Fatima College of Medicine was also accredited by the Association of Philippine
Medical Colleges, the New York State Board of Education and the Illinois State
Board of Education. The College of Maritime Education, in turn, was ISO
certified 9002: 1994 and was included in the Commission on Higher
Education’s White List (in 1998) as a qualified provider of maritime education.
EARLY EXPANSION: QUEZON CITY. The next five years further saw a
dramatic increase in infrastructure development. Modern buildings were
established in Valenzuela City, and in 1996, OLFU made its presence known
in Fairview, Quezon City with its new campus overlooking the La Mesa
reservoir. New curricular programs were offered, namely: Education,
Tourism, Business Administration, Computer Science, Information
Technology, Nursing, Pharmacy, Medical Technology, Psychology, and
Biology. In addition, Basic Education (elementary and high school) was also
offered and housed in an imposing four-storey building. Two other school
buildings were constructed to accommodate the growing student population
at the Hilltop site, an affirmation of Fatima’s acceptance by the people of
Quezon City. In time, two more buildings were constructed along Regalado
Avenue in Quezon City which houses the Physical Therapy rehabilitation
center, the Nursing Laboratories and the Medical Technology laboratories.

BECOMING A UNIVERSITY. The transformation of the college and its

conversion to a university in December 2002 was indeed a long-awaited
fulfillment of the pioneering dream of the founders of this institution. The
installation of Dr. Vicente M. Santos, as the First University President was a
fitting tribute to a quiet and simple man whose empowering commitment and
devotion to Our Lady of Fatima College inspired and propelled the men and
women of the college to move from its humble beginning to its special niche
as a premiere educational institution. Indeed, through the years, Our Lady of
Fatima University has embraced the basic educational philosophy of
“improving man as man” and emulated the virtues of veritas et misericordia
(truth and compassion) in upholding the tradition of academic excellence.
With the death of Dr. Vicente M. Santos in 2003, Dr. Juliet O. Santos became
the second President of the University. Through her unique hands-on
leadership, she steered the University to new heights.

BECOMING DEREGULATED. Less than a year after becoming a university,

the Commission on Higher Education (CHED), recognizing the “enormous
contribution of the Our Lady of Fatima University in the growth and
prominence of tertiary education in the country and the Asia-Pacific and its
commitment through quality education, research and extension work” granted
DEREGULATED STATUS to Our Lady of Fatima University through CHED
Resolution No. 393-2003 dated October 27, 2003.
In 2008, Dr. Caroline Marian Santos Enriquez became the third University
President upon the death of Dr. Juliet Santos. She continued to build on the
work of her predecessors which resulted to more achievements and
recognitions for the University.

CONTINUOUS EXPANSION: ANTIPOLO. OLFU’s expansion continued

onwards with another campus site established in 2008 in Antipolo City, the
pilgrimage capital of the Philippines. Thus, OLFU Antipolo was launched and
just like in Quezon City, the people of Antipolo and nearby towns of Rizal
acknowledged the coming of OLFU as a major provider of quality education.
Presently the Antipolo City Campus now has expanded to four modern
buildings built in its sprawling campus overlooking the Metro Manila skyline.
COD, COE, AND IQUAME. The strong demand for nurses abroad required
strengthening the nursing curriculum by infusing the program with state-of-
the-art nursing virtual laboratories and simulators first seen in Philippine
medical education in a wide-scale mock-hospital setting. These cutting edge
technology-driven learning tools offered a wide range of patient scenarios
where students can perform an array of diverse nursing procedures. This
paved the way for OLFU’s College of Nursing to be designated by CHED as a
CENTER OF DEVELOPMENT (COD) in late 2008. With the prestige and
recognition it has accumulated through voluntary accreditation of its programs
within the framework of the Federation of Accrediting Agencies of the
Philippines, OLFU in 2008, voluntary subjected itself to CHED’s Institutional
Quality Assurance through Monitoring and Evaluation (IQuAME) resulting to,
in early 2009, being placed in CATEGORYA(t) as a mature teaching university.
In December 2015, the College of Hospitality and Institutional Management’s
Bachelor of Science in Hotel and Restaurant Management (HRM) was
designated by the CHED as a CENTER OF EXCELLENCE (COE) while the BS in
Pharmacy was declared as a COD.

BECOMING AUTONOMOUS. Cognizant of the University’s long tradition of

integrity and untarnished reputation and “in recognition of the
accomplishments, adherence to quality assurance as a higher education
provider, the Commission on Higher Education (CHED) through CEB
Resolution No. 076-2009 granted AUTONOMOUS STATUS to OLFU Valenzuela
City Campus for a period of five years from March 11, 2009 to March 30, 2014”
and in 2016, the University once again proved and maintained its valuable
contribution and commitment in providing quality tertiary education in the
country as CHED granted the institution an Autonomous Status for a period of
three years up to 2019. More recently, reaffirming OLFU’s commitment to
valuable education, the Valenzuela City Campus was granted again an
Autonomous Status along with the Quezon City Campus for a period of two
years from June 1, 2019 until May 3, 2021.

UNIVERSITY-WIDE ISO CERTIFICATION. In 2010, the Quality

Management System of four colleges, namely, Maritime Education, Dental
Medicine, Medical Laboratory Sciences and College of Hospitality and
Institutional Management were certified to the ISO 9001:2008 standard, and
in June 2012, university-wide ISO implementation was put into place to
increase customer satisfaction, improve product quality, and achieve
international quality recognition. By October 2012, OLFU was awarded the
prestigious ISO 9001:2008 Management Systems certification by the AJA
Registrars (now SOCOTEC Certification International). The ISO certification,
due to having expanded its scope, was also applied to include the Quezon City,
Antipolo City, Pampanga, and Nueva Ecija campuses. In 2018, OLFU
successfully completed the transition from ISO 9001:2008 to 9001:2015 after
the certification audit held in all its campuses. This is again an affirmation that
the quality of the University’s processes and standards are at par with
international management systems.
Thus, Our Lady of Fatima University is the first private higher education
institution in the CAMANAVA area (Caloocan-Malabon-Navotas-Valenzuela) to
have earned the distinction as an Autonomous University, recognized as a
mature Teaching institution by CHED (IQuAME Category A(t) as well as having
been ISO 9001: 2015 certified university-wide.
OLFU EXPANDS TO PAMPANGA. The accomplishments in Valenzuela City,
Quezon City, and Antipolo City have to be stretched further to the north. The
people of Pampanga were a witness to this expansion last June 2013. With
new modern buildings in place right at the heart of the City of San Fernando,
furnished with all the necessary learning resources and equipment, OLFU
Pampanga will undoubtedly become a major player in the Central Luzon
educational landscape. Relevant programs are offered in the Pampanga
campus, namely: Psychology, Criminology, Pharmacy, Medical Laboratory
Sciences, Environmental Science, Communication Arts, Education, Computer
Science Business Administration, and HRM.

OLFU: AN OBE UNIVERSITY. In compliance to the directive of the

Commission on Higher Education (CHED) to establish an OUTCOMES-BASED
EDUCATIONAL SYSTEM in all higher educational institutions (HEIs), OLFU did
a paradigm shift and became an OBE university last June 2013. Outcomes-
based education is a student-centered learning philosophy that focuses
empirically on measuring student performances, which are called outcomes.
OBE requires that students demonstrate that they have learned the required
skills and content. Thus, OBE is “building learner competencies and learning
new skills that would enable individuals to cope with the demands of a rapidly
changing workplace and a complex, interdependent world”.

EXPANSION TO CABANATUAN CAMPUS. In 2015, OLFU started to manage

and operate the Nueva Ecija Doctors’ Colleges, Inc. (NEDCI) located in
Maharlika Highway, Cabanatuan City making it the University’s fifth campus.
NEDCI is known in Cabanatuan as an institution that produces quality
healthcare professionals, especially nurses. Similar to OLFU’s legacy in the
field of BS Nursing during the program’s booming days, NEDCI shined as one
with the most number of students in the said area.

WELCOMING SENIOR HIGH SCHOOL. In 2016, OLFU welcomed its first

batch of Senior High School (SHS) students in Grade 11. The University put
in place all mechanisms for the offering of SHS as official linkages were
established with partner high schools, both private and public, which sent their
students to OLFU to study in Grade 11. OLFU’s SHS program is primarily based
on the DepEd-prescribed curriculum, but at the same time enables students
to immediately focus on the career path of their choice, through a hybridized-
curriculum.
CELEBRATING 50 YEARS. Half a century after its establishment, the
University marked its 50th Year of Foundation in 2017. The year-long
commemoration was highlighted by academic, cultural, socio-civic, and
liturgical activities to make the milestone a momentous one and as a way of
celebrating the achievements of the institution for the past 50 years.

EXPANSION TO STA. ROSA, LAGUNA. In October 2018, OLFU held the

groundbreaking of its sixth campus in the City of Sta. Rosa, Laguna in order
to extend its esteemed services in the locality and to cater to the educational
needs of the fast growing population of Sta. Rosa. In June 2019, the Laguna
Campus started to offer its initial programs such as BS Medical Laboratory
Science, BS Pharmacy, BS Psychology, BS Computer Science, and BS Tourism
Management. This expansion is OLFU’s way of showing its commitment of
providing quality and accessible education.

CANVAS LEARNING MANAGEMENT SYSTEM. In June 2019, the University

introduced Canvas, a new learning management system for faculty and
students and a powerful global learning platform used by more than 3,000
educational institutions. It is a digital avenue for education to help teachers
facilitate a modern and personalized learning approach for their students.

PHILIPPINE QUALITY AWARD. The Philippine Quality Award (PQA), the

highest level of national recognition given to organizations in the private and
public sectors that excel in quality, productivity, and business performance,
was granted to OLFU Valenzuela City, Quezon City, and Antipolo City
Campuses in 2020 in recognition of the University’s Proficiency in Quality
Management (Level II). OLFU was cited for being a role model in providing
quality education and organizational excellence.

NEW PROGRAMS AND FLEXIBLE LEARNING MODALITY. Responding to

the needs of the communities where the different OLFU campuses are
situated, several new programs were offered in 2020. These are Bachelor of
Forensic Science and BS in Radiologic Technology (Valenzuela City Campus),
BS in Civil Engineering and BS in Electronics Engineering (Quezon City
Campus), BS in Criminology, BS in Accountancy, BS in Accounting Information
System, BS in Physical Therapy, and Senior High School (Laguna Campus).
In June 2020, OLFU introduced its new battle cry “Go, FLEX!” as a way of
delivering its quality brand of education, seamlessly and safely, in response
to the challenging times posed by the threat of the pandemic. FLEX stands for
the Fatima Learning Experience which is delivered through a masterful mix of
learning modalities: online, distance, and when health conditions permit,
limited face-to-face learning.
BRINGING BACK STUDENTS SAFELY TO THE CAMPUSES THROUGH
FACE-TO-FACE LEARNING. In the midst of the pandemic, OLFU pioneered
initiatives in getting back its learners safely to the campuses and had the
foresight to look into the possibility of the resumption of limited face-to-face
classes following the different safety protocols prior to CHED’s call for physical
learning which resulted to the education sector’s acknowledgment of the
University as one of the leaders that pushed for the reopening of face-to-face
classes in the country.
On December 1, 2020, CHED Chairman Prospero De Vera III and National
Task Force Against COVID-19 Chief Implementer Secretary Carlito Galvez
visited the RISE Tower of OLFU in Valenzuela City to inspect the retrofitted
facilities for possible face-to-face instruction in January 2021. Malacañang
issued a memorandum on January 11, 2021 on the resumption of limited face-
to-face classes for medical and allied health-related programs in HEIs under
Modified General Community Quarantine and institutions in General
Community Quarantine areas with base hospitals that cater to COVID-19
patients. This is in consideration of the proposal sent by CHED to former
President Rodrigo Duterte on December 4, 2020 just a few days after its
inspection in OLFU Valenzuela City Campus.
On top of the government’s approval for the resumption of physical classes,
on January 25, 2021, the College of Medicine was specifically given the go
signal to hold limited face-to-face classes for its laboratory courses and
hospital-based internships. For this reason, the College resumed its clerkship
in March in a reduced staggered schedule with only a small cohort of students
per batch.
Aside from Medicine, the other programs were given the permit to hold limited
face-to-face classes. The other campuses of the University were also inspected
by CHED, Inter-Agency Task Force for the Management of Emerging Infectious
Diseases, and Local Government Units and were eventually allowed to hold
physical classes subject to the existing minimum public health standards,
guidelines approved by CHED, provisions of the Omnibus Guidelines on the
Implementation of Community Quarantine in the country, and other relevant
laws and regulations.

WORLD UNIVERSITY RANKINGS FOR INNOVATION (WURI). In

recognition of OLFU’s commitment to contribute to the society through
innovative and creative approaches in its educational programs and research,
the World University Rankings for Innovation (WURI) vested two distinctions
to the University in 2023. For two consecutive years, the University ranked
Top 101-200 on the Global Top Innovative Universities where it was evaluated
based on the six categories such as Industrial Application, Value-Creating,
Social Responsibility, Ethics, and Integrity, Student Mobility and Openness,
Crisis Management, and Progress during the Fourth Industrial Revolution.
Among these categories, Fatima clinched the Top 50 spot for the Fourth
Industrial Revolution rankings where a project was submitted by the
University and was rated based on the criteria of innovativeness,
implementability, and impact.
QS STARS RATING. The University has continued to be recognized
internationally as it was rated a Four Stars institution by the Quacquarelli
Symonds (QS) Stars Rating System in 2023 after completing the evaluation
through an independent data collection and analysis performance metrics.
Aside from the over-all Four-Star rating which is valid up to 2026, the
University also stood out in the eight various categories such as Employability
(Five Stars), Academic Development (Five Stars), Social Responsibility (Five
Stars), Teaching (Four Stars), Facilities (Four Stars), Inclusiveness (Four
Stars), Specialist Criteria: Medicine (Four Stars), and Internationalization
(Three Stars). The QS Stars rating system assesses universities in accordance
to various key performance indicators vis-à-vis constituted international
standards. This act of evaluating educational institutions in a larger scale
started in 2009 by the QS Intelligence Unit, a self-governing compiler of the
QS World University Rankings since 2004.

UNIVERSITY OF CHOICE. All of these achievements undeniably validated

Our Lady of Fatima University’s status as a university of choice offering
programs which have been given a mark of excellence by recognized
professional bodies and agencies both local and international.
 THE UNIVERSITY LOGO
The University logo bears identifiable images
which put into visual symbols the institutional
philosophy of Our Lady of Fatima University.

An academic shield forms the central image of

the logo and is adorned with two complementing
banners possessing the name of the University and
the Latin words “veritas et misericordia” which
stands for the two principal virtues, truth and
compassion, that the institution believes in as it
fulfills its mission of “improving man as man.”
A tall white cross divides the shield into four quadrants. The white
cross is the universal symbol for health that is the very core of existence
of the University since it started as a health institution.
The crusader’s cross reflects the forward-looking philosophy of the
men and women of the institution and their unconditional dedication to
pursue the envisioned aspirations of the founders.
The book and the laurel emphasize the fact that the University is,
first, a learning institution, the primary goal of which is to usher men
and women towards academic excellence. The University recognizes its
mission particularly those, which pertain to the academic development
of all the institutional members.

The open book instils the dynamism of life-long learning as an

essential virtue for enhancing the individual’s resistance against the
damaging effect of stagnation and mediocrity.

The four white pillars stand for the four operational pillars upon which
the existence of the University is established: Academic Excellence,
Professional Competence, Developmental Research, and Social
Compassion.
The roaring lion breathes life to the fortitude of conviction of the
dedicated men and women of the University in living a life of truth and
compassion.

The stars, which proudly stand at the base of the shield, represent the
sixteen disciplines of the sciences and humanities of Our Lady of Fatima
University. They represent the sixteen operational units at the time of
conversion of the College to a University namely: Fatima University
Medical Center, College of Medicine, College of Dentistry, Graduate
School, College of Nursing, College of Rehabilitation Medicine, College
of Arts and Sciences, College of Computer Studies, College of Hotel and
Restaurant Management, College of Maritime Education, College of
Criminology, College of Education, the BS Pharmacy program, the BS
Tourism Program, the BS Nutrition and Dietetics Program, and the Basic
Education Department.
 The College of Medicine logo is reflective of the University
logo, the College being an integral part of the Our Lady of
Fatima University.

An academic shield forms the central image of the logo

and is adorned with two complementing banners bearing
the names of the University and the College of Medicine.
At the top of the shield is 1979, the year when the College
of Medicine was established.

The shield is divided into two by a horizontal marker. The upper part has a
book, a laurel, and a crescent figure.

The book represents the academic pursuit offered in the College while the
laurel
represents academic excellence (the goal of learning).

Written inside the crescent are the words “veritas et misericordia”, which means
truth and compassion, tenets which the institution believes in as it fulfils its
mission of “improving man as man”.

The lower portion of the shield is the Aesculapius stick with a snake, the
symbol of Medicine.

The whole content of the shield, therefore, represents the basic academic and
clinical medicine which are offered in the Our Lady of Fatima University-College
of Medicine.
VISION
To improve man as man by developing individuals through a legacy of
excellent education and compassionate value formation.

MISSION
The noble dictum “improving man as man” embodies the existence of
Fatima Medical Science Foundation, Inc. and Our Lady of Fatima University
as educational institutions dedicated to the holistic formation of men and
women imbued with the necessary skills, virtues, and academic
development.

To achieve this end, the University aims to:

• Commit itself to the service of society through quality education;

• Develop the capabilities of individuals in order to maximize their
potentials;
• Nurture future professionals with the requisite academic foundation
and conventional skills so as to mold them into highly respected
leaders and members of society;
• Respond effectively to the changing needs and conditions of the
times through continuing professional education and research;
• Inculcate social awareness through community outreach programs;
• Instil and apply environmental awareness in order to protect our
national and global resources;
• Imbue a deep sense of nationalism and pride in our Filipino heritage;
and,
• Uphold the virtues of truth, justice, integrity, compassion, and faith in
God.
Through innovative learning strategies focused on strong and updated
academic foundation with enhanced industry skills experience and good work
ethics, a graduate of Our Lady of Fatima University is expected to be an
ACHIEVER.

A ASPIRES to do his best.

C Is CREDIBLE and COMPASSIONATE.

H Is HARD-WORKING and HONORABLE.

I Is an INSPIRATION to others.

E Is EFFICIENTLY ENTERPRENEURIAL & EMPLOYABLE.

V Is a VISIONARY.

E Is ETHICAL and has EXCELLENT WORK HABITS.

R Is RESPONSIBLE.
VISION
Our Lady of Fatima University-College of Medicine as a world-class medical
school producing moral, ethical, spiritually-imbued, and globally-competitive
physicians.

MISSION

A world-class medical school committed to the academic development of

students toward becoming moral, ethical, spiritually-upright and compleat
physicians whose second self satisfies the World Health Organization’s set
roles of:

➢ Health provider
➢ Researcher
➢ Health educator
➢ Health advocate, and
➢ Leader

Imbued with all these, the graduates will become licensed physicians who can:

1. Adequately deliver basic health care utilizing primary

health care concepts.
2. Competently undergo residency training in any specialty.
3. Be developed as physician teachers.
4. Reliably conduct research.
5. Dependably function as a community leader.
 O Fatima, our alma mater dear
Guide us in our path
To live our noble dreams.

O Fatima, our alma mater bless

Teach us to be brave
To rise up through the years.

REFRAIN (TWICE)
O Fatima, keep us strong and free
Glory, honor, pride
We give them back to thee.

Onward we march united

In search for what is true
Guided by Our Lady of Fatima
Obstacles we push aside
Hardships we overcome
But feet can carry us only so much
And so it will have to be our mind
That’ll carry us to the far horizon
When earth can meet with the sky
And our spirit can reach for the stars.

REPEAT REFRAIN TWICE

 OPERATIONAL DEFINITION OF THE 10 LEARNING OUTCOMES

Learning Outcomes OLFU College of Medicine

1. Demonstrate clinical competence Manage with competence and compassion

various clinical conditions, both local and
international context.

2. Communicate effectively Effectively communicate health and other

relevant issues to various types of
audiences and venues, utilizing modern
technology and various forms of media.

3. Lead and manage health care teams Demonstrate leadership qualities in

planning, organizing, implementing, an
evaluating health- related programs in the
community in line with the programs and
policies of the government.
4. Engage in research activities Actively engage in research activities following
ethical principles and responsibly utilize current
research evidences as a practitioner, educator
or researcher.
5. Collaborate within inter- professional teams Effectively and efficiently work and collaborate
with inter- professional and multidisciplinary
teams towards the improvement of health care
delivery.
6. Utilize systems-based approach to Utilizes systems-based approach in actual
healthcare delivery of care to patients, families and
communities.
Establish linkages with relevant partners in
solving general health problems.
7. Engage in continuing personal and Continuously updates oneself for personal and
professional development professional growth to ensure quality healthcare
and patient safety.

8. Adhere to ethical, professional and legal Adhere to ethical, professional, and legal
standards. standards in the practice of the medical
profession.
9. Demonstrate nationalism, internationalism Demonstrate commitment to serve and love of
and dedication to service one’s country while respecting the culture of
others.
10. Practice the principles of social accountability Practice the principles of social accountability in
the delivery of healthcare to patients, families
and communities.
 II. YEAR LEVEL COURSE DESCRIPTION

The fourthyear medical course is a one year immersion of medical

students in the ambulatory care, hospital and community for them to
analyze, assess and care for patients in these settings in order to establish
differentials, diagnosis and its management. Learning experience is also
provided for students to practice community health projects.

III. REQUIREMENTS FOR ENTRY INTO THE CLINICAL CLERKSHIP

PROGRAMME

The medical student must have:

• Satisfactorily passed all the prerequisite subjects (First to Third year)
• Attended the Clerkship General Orientation.
• Submitted requirements listed in Appendix A

IV. ENHANCEMENT COURSE

Medical clerks are required to attend the enhancement activities every

Sunday beginning the 7 th month of clinical rotations. This is to provide them
the time to imbibe the clinical experiences and correlate them with the concepts
re-iterated during the enhancement.

The total grade of the enhancement (50% from averaged post – tests and
50% from comprehensive exam) will take up 10% of their Revalida grade.
 V. PRE-REQUISITE FOR GRADUATION

To pass the fourth year, a clinical clerk should:

A. Pass and complete 12 months of clinical rotations with zero deficiencies.

Department Duration of Rotation

1. Family medicine and Community Health 2 months
2. Internal Medicine 3 months
a) Infectious Disease
b) Psychiatry
c) General Medicine

3. Surgery (including Anesthesia) 2 months

4. Pediatrics 2 months
5. Obstetrics and Gynecology 2 months
6. ENT 2 weeks
7. Ophthalmology 2 weeks

For the list of hospitals where Clinical Clerkship Rotations are held see
Appendix B.

B. Pass the Revalida Examination – both Written and Oral.

The Clinical clerk will undergo a series of written examinations covering

basic and clinical subjects. Schedule of revalida examination is usually given 2
months before the end of clerkship.

** The clerkship and Revalida grades are independent of one another. To be

promoted, the student should pass both.
 All clinical clerks rotate in the different services of Fatima
University Medical Center and its affiliate hospitals for twelve (12)
months.

Clerks must report from Monday-Saturday, and Sundays/ Holidays if

on duty. The tour of assignment is from 7 AM to 5 PM daily, except

holidays. However, affiliate hospitals and some departments may

have their own schedule and set of rules for the tour of duty.

• Permission to leave the hospital premises for any reason should

be secured from the Senior Department Resident on Duty or the
ER consultant for a maximum of one hour only.

• The curfew of 12 MN – 5 AM (Clerks are not allowed to leave

the hospital premises between 12 MN up to 5 AM).
A. Rules of conduct

1. Always wear the proper uniform:

a. Official 4th year medical student uniform with logo

b. Name plate and school ID
c. White socks
d. White leather footwear
e. Dark green scrub suits

2. Maintain a conventional and decent haircut. Men’s hair should be cut

above the tip of the collar. Wearing of make up or earrings for men is
strictly not allowed.

3. Display the ID conspicuously at all times.

4. Behave like a professional at all times. Report for duty regularly and
punctually and perform duties efficiently.

5. Loitering, creating noise, talking loudly, or using the cellular phones and
other gadgets during conferences, in the operating room, during ward
rounds, and during the performance of special procedures are strictly
not allowed.

6. Exercise care and economy in the use of hospital equipment and supplies.

7. Ready to respond and assist during emergencies.

8. Properly introduce self to patients.

9. Treat their patients and relatives of patients with courtesy,

understanding and kindness.
B. Duties and Responsibilities
The Clinical Clerk must:

1. Read and understand the Clinical Clerkship Manual.

2. Settle or update financial obligation to the accounting office not later than
four day before the start of new assignment.

3. Follow officially assigned rotation.

4. Attend the department’s orientation even if this falls on a Sunday or holiday.

5. Complete the portfolio. Contents include: Refer to page (Clerk’s Learning

Portfolio).

6. Notify the resident or any of the medical staff regarding any

deterioration in the
patient’s condition.

7. Assist during diagnostic examinations and follow-up the results.

8. Attend ward rounds done by the residents or consultants and be prepared

to answer questions regarding the case assigned to them.

9. Know other interesting cases in the wards.

10. Attend all Department and Hospital Conferences.

11. Assist in the discharge of the patients under the supervision of the
resident or consultant staff.

12. Finish responsibilities prior to signing out.

13. Be accountable for any borrowed hospital records.

14. Accomplish the Summary of Learning Experiences (SOLE) at the end of

each rotation.

15. Signing of the Learning Plan and Summary of Learning Experiences

(SOLE) must be accomplished and signed not more than two months after
the rotation. Sanction for late submission of these requirements will be
upon the discretion of the coordinator concerned.

16. Submission of complete and accomplished portfolio should be two

weeks before the date of graduation.
C. Attendance
1. The Department Chairman or the Clerkship Training Coordinator will
decide whether the Clinical Clerk absence is excused or not.

a) If the Clinical Clerk is ill, he must secure a certification from the

attending physician, countersigned by any of the following:
department’s consultant clerkship coordinator, department
chairman, clerkship training coordinators or clerkship program
head. Certificates have to be presented within twenty-four
(24) hours upon returning to post.

b) Death of immediate family members (father, mother, spouse, and

children) should be supported by a death certificate
countersigned by same as the above mentioned and must be
submitted within twenty-four (24) hours upon returning to post.

2. The total number of excused and unexcused absences, leave of

absences (LOA) and out of posts and sanctions imposed by the
Clerkship Training Office for the whole Clerkship Programme should
not exceed total of 360 hours. Beyond this, the Clinical Clerk will repeat
the entire Clerkship Programme.

3. During a one month rotation in any department, a Clinical Clerk

who accumulates 144 hours or more of excused and unexcused
absences, leave of absences (LOA) and out of posts will be subjected
to a repeat rotation.

4. During a half month rotation in any department, a Clinical Clerk who

accumulates 72 hours or more of excused and unexcused absences, leave
of absence (LOA) and out of posts will be subjected to a repeat rotation.

5. Application for leave of absence (LOA) should be filed at least seven

(7) days prior. This should be approved by the Clerkship Programme
Head. Otherwise, the absence will be deemed unofficial. The maximum
number of days for LOA is thirty (30) days for the entire Clerkship
Programme.

6. Absences without leave (AWOL) of more than 32 hours in a one

month rotation or 16 hrs in a half month rotation are equivalent to
a Repeat Rotation.
C. Attendance - continuation

7. Make-ups for late, absence and demerit must have the approval of the
Department Chairman.

8. Grades submitted to the Office of the Clerkship Programme Head are

considered final. Certifications of re-computation will not be entertained.

9. Submission of all make-up slips must be within the school year. Clearance
for accomplished deficiencies should be signed by the Resident on duty/
Chief Resident, the Department Chairman, the Clerkship Training
Coordinator for the concerned hospital, and the Clerkship Programme
Head.

10. All make-up slips must be submitted to the office of the Clerkship Programme
Head one week before the scheduled Promotion Board Meeting.

11. All candidates for graduation must have zero (0) make-up including
absences and demerits.

12. Clinical Clerk is allowed to repeat the 12-month clerkship only once. If
during the course of the repeat clerkship the clinical clerk incurs
deficiencies totalling more than 45 days again, said student will be
officially dropped from the school’s roster.
D. Grounds for Repeat Rotation or Expulsion

• 1st offence - Repeat Rotation

• 2nd offence – Same or any listed below
- Dismissal

1. Being insubordinate to superiors, including school

and hospital personnel.

2. Any deemed criminal act done within the hospital premises example
gambling, stealing using illegal drugs, drinking liquor, physical fighting,
fornicating, smoking, etc anywhere inside the hospital and anywhere during
duty hours.

3. Erroneously administering medications.

4. Administering medicine/vaccine through any route or doing any procedure

without direct supervision of the resident.

5. Prescribing medicines or assuming responsibility for the management of cases.

6. Falsifying or tampering of official logbooks or records or patients’ charts.

7. Giving false or misleading representation of documents even if with no

intent to deceive.

8. Reproducing any part of a patient’s chart either by photocopying,

videotaping or photographing.
E. Grounds for > 10 Days Demerits

1. Violation of any of the hospital’s set policies, rules and regulations.

2. Posting comments on social media about the status of patients and

their management, or unfavourable statements issued against the
administration, personnel, or facilities of the base hospital and
affiliate institutions.

3. Vandalizing or writing any impertinent or vulgar remarks anywhere in

the hospital.

4. Signing of prescriptions, laboratory requests or doctor’s orders in the

charts, unless countersigned by the resident or consultant.

5. Accepting fees or any monetary consideration from patients or their

relatives.

6. Giving comments regarding the diagnosis, treatment or prognosis of

the patient’s condition.

7. Issuing medical certificates or giving statements to the press or

other agencies concerning patients in the hospital.

8. Familiarizing with their superiors especially residents. Clinical

Clerks are strictly prohibited to stay inside the residents or interns
quarters except for official business.

9. Bringing any case record or chart outside of the nurse station,

records section or hospital premises.

10. Going out on outings or excursions with their superiors during their
entire Clinical Clerkship.
F. Grounds for < 10 Days Demerits

Violations Punishments
1. Failure to attend General Clinical 3 (8 hour) make-up
Clerkship Orientation whether excused or
unexcused absence
2. Unexcused absence on an ordinary day (8 3 (8 hour) make-up
hours)
3. Unexcused absence on 24 hour duty 3 (24 hour) make-up
4. Out of post on an ordinary day (8 hours) 3 (8-hour) make-up
5. Out of post on a 24-hour duty 3 (24 hour) make-up
6. Incomplete or not in proper uniform 2 (8-hour) make-up
7. No stethoscope or BP apparatus or 2 (8 hour) make-up
penlight
8. Failure to finish history and PE, progress 3 (8 hour) make-up for
notes, drug index and discharge summary each infraction
within 24 hours
9. Failure to comply with reports and 3 (8-hour) make-up
rotation-related activities
10. Inability to answer competency-based 3 (8-hour) make-up
questions
11. Late (1st three lates) 1 (8-hour) make-up
12. Every succeeding late after the first 3 1 (8 hour) make-up
lates
13. Late of more than 30 minutes 1 (8 hour) make-up
14. Failure to report significant changes in 3 (8 hour) make-up
the patient’s condition
15. Failure to attend department or hospital 3 (8 hour) make-up
conferences and ward rounds
16. Unofficial use of any electronic 3 (8 hour) make-up
gadgets/device not related to the
Clerkship Programme
Unprofessional behavior within the 3 (8 hour) make-up
17. hospital premises (eg. Idling and sleeping
anywhere within the hospital premises)
18. Sleeping in patient’s rooms (private or 3 (8 hour) make-up
ward), residents’ or interns’ quarters
19. Reporting to a hospital when you are not Voiding of attendance
included in the official endorsement letter
G. Procedures for Appeals and Other Concerns

1. Secure and fill up the Request/Complaint Form (RCF) from the technical staff.
2. The technical staff will forward the duly accomplished RCF to the
concerned Clerkship Training Coordinator.
3. The Clerkship Training Coordinator will investigate the report
through the chairman of the concerned department.
4. Results of the investigation and recommendations will be
forwarded to the Clerkship Programme Head.
5. Final decision and written report will be forwarded to the complainant
through the technical staff.
6. No Projects or Monetary Equivalent for Make-Ups.
7. Merits cannot be exchanged for absences.
VII. DEPARTMENT ACTIVITIES IN FATIMA UNIVERSITY MEDICAL CENTER

DEPARTMENT OF INTERNAL MEDICINE

Department Activities

Daily admission conference and endorsement 7:00-10:00 A.M.

Monday Conference 10:00-12:00 N.N.
1) Medical Grand Rounds
2) Didactic/Journal Report
3) Subspecialty Conference
4) Mortality and Morbidity
Friday Activity 10:00-12:00 N.N.
Journal Club
Lecture and Conferences with Consultants To be schedule
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY

GENERAL SCHEDULE

Report for Duty: (Mon to Fri)

Time In: 7:00 am to 7:00 pm – AM Duty

7:00pm – 7:00am – PM Duty
Conferences (must attend regardless of status)

Wednesday online- 7:00am- 9:00am

Friday face to face – 9:00am – 12:00nn

DEPARTMENT OF PEDIATRICS
Department: 1st day of Rotation: Clerk’s
Orientation 1st week- Lecture on History and PE for the clerks and Short Quiz
2nd week -Lecture on Drug Computation and Fluid Replacement and Short Quizzes

Monday- Endorsement
Rounds Tuesday- Admission Conference; Case Reports of clerks
Wednesday- Thursday-
Department Meeting; Consultant Lectures
Neonatology Hour/ Nelson’s Hour
Friday- Morbidity and Mortality; Admitting Conference
Last Day of Orientation: Exit Exam
 DEPARTMENT OF FAMILY MEDICINE AND COMMUNITY HEALTH

Departmental Activities: Monday to Saturday

Morning Activities 8:00 am to 12:00 noon

1. Ambulatory Care or Outpatient Care:
a) FUMC OLFU HOLY CROSS Primary Care Clinic
b) De Gula Primary Care Clinic
2. Conference with Consultants, Traditional Chinese Medicine
3. Community Outreach Program
4. Mother’s Class: (Health, Youth Livelihood and Women’s committee)
5. Family Home Care Visit

Afternoon Activities: 1:00 pm to 5:00pm

1. Conference /Discussion / Case Report and Audit of Cases seen in the morning
2. Evidence Based Medicine /Critical Appraisal of journals (1 therapeutic and 1
Diagnostic)
3. Family Counselling
4. Quizzes, Examination
DEPARTMENT OF OPHTHALMOLOGY

Departmental Activities:

Monday to Friday, 8am - 4 pm: OPD Clinic, FUMC

Eye Center Saturday, 8am -12 NN: FUMC Eye Center

Sunday and Holidays-OPD clinic CLOSED

DEPARTMENT OF OTOLARYNGOLOGY, HEAD AND NECK SURGERY

Departmental Activities:

Monday – Friday (ENT Department

Clinic) Orientation
Instruments recognition and
utilization Video case
discussions
Case (admitted / pre-op / post op presentation /
discussion) Lecture sessions
Actual Return Demo for Head and Neck PE and Basic
Otoscopy
Tunning Fork Testing
OR discussion
Shifting Examination
Clinical Clerical Job Description
Online Case Discussion
VII. DEPARTMENT ACTIVITIES IN QUEZON CITY GENERAL HOSPITAL

DEPARTMENT OF PEDIATRICS

Department Activities
Overview
Weekend reporting- Harrison’s Club- 1 topic per medical
clerk Conferences/ Lectures- 2x per week
Duty every 3 days-
Duty status- MICU, Medical Wards, ER
From Duty status- Completion of 50 charts for whole
rotation Preduty Status-OPD work from 8am-5pm
Individual
Weekend reporting Harrison’s Club- 1 topic per
medical clerk Quizzes after completion of each
topic
Completion of 50 charts for whole rotation at the Record Section
Exit Exam
Group
Daily endorsements of cases seen during tour of duty- from duty medical clerks.

DEPARTMENT OF INTERNAL MEDICINE

Department Activities
• Admission Conference: Mondays to Fridays 7:30-9:00am
• Weekly Reporting
o Case presentation
o CPG/Harrison’s club reporting
o 1 topic per duty group
• Lectures
o At least once per week
• Duty every 3 days
o Duty status- MICU, Medical Ward
o From status- Completion of 50 charts per clerk for the whole
rotation,
OPD for sub-specialty clinic
o Pre-duty status- OPD work from 8am-5pm
o Weekend
 DEPARTMENT OF SURGERY

Overview
Weekend Small Group Discussion- Schwartz Club- 1 topic per
medical clerk Conferences/ Lectures- once per week (Wed)
Duty every 3 days- Team
approach Duty
status- ER, OR,
Ward
From Duty status- Completion of 50 charts for whole rotation and other team
backlogs Preduty Status-OPD work from 8am-5pm
Individual
Weekend Small Group Discussion- Schwartz Club- 1 topic per
medical clerk Quizzes after completion of each topic
Completion of 50 charts for whole rotation during from
duty status Exit Exam
Team
Daily morning endorsements of patients admitted and operated on during
tour of duty Daily afternoon endorsements of Surgical Ward patients

DEPARTMENT OF OBSTETRICS & GYNECOLOGY

The Junior Interns/ Clinical clerks will be rotating for 2 weeks as decided by the School
Administration and Faculty Board. During their rotation at the Quezon City General
Hospital and Medical Center, they will be assigned to 3 posts namely:
Duty Post: (7:30 AM- 7:30 AM)
12 hours rotation in the Delivery Room/ Labor
Room Complex 12 hours rotation in the Obstetrics
and Gynecology Ward From Duty Post (7:30-5 PM)
Completion of Admitting/Clinical Histories, Discharge Summary, Medical Abstract and
Progress Notes of patients admitted during their 24 hour duty
Completion of Charts (previously admitted patients) at the Medical Records
Section OPD Post (7:30-5PM)
8 hours of Doctor-Patient Interaction at the Outpatient Department
 DEPARTMENT OF FAMILY MEDICINE

Overview:

Daily endorsements and chart

rounds Orientation Course
Lecture-1st week Conferences/
Lectures- 2x per week Duty every
3 days-
Duty status – OPD work from 8am-5pm,then ER post til 8am the
following day From Duty Status- OPD work from 8am-5pm
Pre-duty Status- OPD work from 8am-5pm

Individual
Chart rounds- 1 topic/ medical clerk- (using acetate and Overhead
Projector) Quizzes after completion of each chart round topic
Medical Clerk’s own Family Genogram and APGAR
Orientation Course
Exam Exit Exam

Group
Daily endorsements of cases seen during tour of duty- from duty medical clerks
Critical Journal Analysis- a chosen journal among those submitted will be
appraised
Family Case Presentation- a patient chosen who is enrolled in the Family Wellness
Program Case Series Conference- cases from different departments will also be discussed
 VIII. CLINICAL FORMS

1. CLINICAL CLERKS GENERAL INFORMATION SHEET

CMD-063-12-02

OUR LADY OF FATIMA UNIVERSITY

120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
CLINICAL CLERKS GENERAL INFORMATION SHEET

I have read and understood the preceding Guidelines and Regulations for
Clinical Clerks of Fatima University Medical Center and College of Medicine and the
other affiliate hospitals, and HEREBY AGREE TO ABIDE BY THEM.

Printed Name Signature

Date of General Orientation Date of Submission

Personal Data:

2X 2

LATEST
PICTURE

Student No.
Name:
Home Address:

Permanent mailing address:

Dorm Address:
Birthday and Year: Telephone number:
Cellular Phone: Nationality:
Civil Status: Email address:
Father’s name: Occupation:
Mother’s name Occupation:
Person to contact in case of emergency:
Address and Contact Number:
 OUR LADY OF FATIMA UNIVERISITY
COLLEGE OF MEDICINE
CLERKSHIP GRADING SHEET

HOSPITAL DEPARTMENT
FINAL GRADES FOR THE MONTH OF IN THE YEAR
NAME MAKE-UP

ABSENCES LATES OUT DEMERITS MERITS LEAVE OF TOTAL GRADES

(3LATES: OF ABESENCES IN
8 HRS) POST DAYS
EXCUSED UNEXCUSED
(1:1) (1:3)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

(For more than 15 clerks, please attach another sheet) cc: OLFU, QCGH,NCMH,SLH,JRRMMC,TMC,NCH,VMMC,QMMC, NCH,
EAMC,BMC, TRAINING OFFICE, Department of Origin)

PREPARED BY: NOTED BY:

CLINICAL CLERKS MONITOR TRAINING OFFICER

CHIEF RESIDENT DEPARTMENT HEAD

 OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
CLINICAL CLERKS MAKE-UP SLIP FORM

Student No:
Clinical Clerk is hereby required to make-
up His/ her in from
(# of make-up) (Department/ Hospital) (Period of
Rotation) He / She is authorized to make-up for this.

Rebecca W. Deduyo,
MD Chief of Clinics

This is to certify that had completed his / her

Hours duty / days in on
(# of make-up) (Department/ Hospital) (Date)

Date Completed: (Must be submitted within 1 week after completion of the

Make-up in the Department)
1. 2. 3. 4.
Resident on Duty/ Chairman Clerkship Training Noted:
Chief Resident Coordinator Caroline Santos, MD
Clerkship Programme
Head

Date signed Date signed Date signed Date signed

Date:

Make-up Slip Received by:

Clerkship Office
4. CLERK’S LEARNING PORTFOLIO

CLERK’S LEARNING PORTFOLIO

Cover Page: Picture of Clerk (2x2) + Curriculum Vitae

TABLE OF CONTENTS

I. Clerkship Curriculum*
II. Summary of 1 year rotations*
III. Rotations (1 month or 15 days)*
a) Learning Plan*
b) Census of Patients*
c) Evaluation by trainers*
d) Evaluation of rotation/ or monthly hospital evaluation sheet*
IV. Oral Case Presentations (Power point form)
- Maximum of 6 slides per page
V. Written Case Reports
- (When applicable)
VI. Evidence Based Medicine (EBM reports)*
- (When applicable)
VII. Community Oriented Primary Care (FMCH only)
- written report
VIII. Research (where applicable)
- Protocols
- Proposals
- Final Paper
IX. Summary of Learning Experiences (SOLE)*
X. CME (Certificates of Attendance)
- Symposiums
- Workshops
XI. Awards (photocopy/ picture)
XII. Incident Reports (clerk use official hospital form)*
APPENDICES:

Photo Documentation and personal Insights (Free Form)

*-Provided by clerkship program

5. CLERK’S LEARNING PLAN

CMD-109-17-01
6. CLINICAL CLERKSHIP SUMMARY OF LEARNING EXPERIENCES
(SOLE) - Written Requirements
CMD-108-17-00
OUR LADY OF FATIMA UNIVERSITY
COLLEGE OF MEDICINE

CLINICAL CLERKSHIP
SUMMARY OF LEARNING EXPERIENCES

STUDENT NO: HOSPITAL AND DEPARTMENT:

NAME OF CLINICAL CLERK: MONTH OF ROTATION:

I. Written Requirements

No. Name Date Diagnosis Physician

of Seen/

History/ PE

Drug Index
Patient Admitted In-
In-Patient

Discharge
Summary
Progress
Abstract
Charge &

protocol
Clinical

Death
Notes
OPD

Signature

(For more than 10 patients please attach another sheet)

(SOLE) - Skills / Related Learning Experience

OUR LADY OF FATIMA UNIVERSITY CMD-108-17-00

COLLEGE OF MEDICINE

CLINICAL CLERKSHIP
SUMMARY OF LEARNING EXPERIENCES

STUDENT NO: _________HOSPITAL AND DEPARTMENT:_______

NAME OF CLINICAL CLERK: MONTH OF ROTATION:

II. Skills / Related Learning Experience

Physician
In-Charge
Name of
No. Procedure Observed Performed &
Patient
Signature

(For more than 10 patients please attach another sheet)

(SOLE) - Other Requirements

OUR LADY OF FATIMA UNIVERSITY CMD-108-17-00

COLLEGE OF MEDICINE

CLINICAL CLERKSHIP
SUMMARY OF LEARNING EXPERIENCES

STUDENT NO: HOSPITAL AND DEPARTMENT: NAME OF CLINICAL

CLERK: MONTH OF ROTATION:

III. Other Requirements

E.g. (Oral Report, Journal Presentation, Family Case, Committee Activities)
No. Date Activity Physician
In-Charge &
Signature

(For more than 10 patients please attach another sheet)

7. CENSUS OF PATIENTS SEEN DURING ROTATION

CMD-115-17-00
 OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
CLINICAL CLERKSHIP
INDIVIDUAL SUMMARY OF ROTATION

DATE: STUDENT NO:

NAME OF CLINICAL CLERK: SCHOOL YEAR:

Date of Department / Total no. of Date Date

Rotation Hospital make-up Completed Submitted

Total no. of
make-ups =
 OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
CLINICAL CLERKSHIP
MONTHLY HOSPITAL
EVALUATION SHEET
STUDENT NO.
NAME OF CLINICAL CLERK:
HOSPITAL AND DEPARTMENT:
MONTH OF ROTATION:

Please take time and carefully consider each item below. Tick the box that
appropriately answers these items.

YES NO
1 Did the medical institution provide you with adequate
. number of Materials/Patients?
2 Did the medical institution deal with a variety of
. cases?
3 Was there adequate balance of highly specialized
. care and primary care?
4 Did the medical institution optimally use whatever
. current diagnostic support/equipment were
available?
5 Did the department staff encourage active
. participation in evaluating and managing their
patients?
6 Did the department regularly conduct didactic
. lectures/ teaching rounds that added to your
academic growth?
7 Did the department regularly hold
. Conferences/Learning activities?
8 Were you given adequate time to examine/learn from
. the patient?
9 Did the department staff show fairness and equality
. in their treatment of clinical clerks?
10 Did this rotation add to your medical learning?
.
Comments/Recommendations/Suggestions:
 OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
REQUEST / COMPLAINT FORMS FOR CLINICALCLERKS
CONTROL NO.
STUDENT NO. DATE:
NAME OF CLINICAL CLERK:_____________________
SIGNATURE:

AREA / DEPARTMENT CONCERNED:

REASON:

RECOMMENDATION:
 OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
REPEAT CLERKSHIP FORM

Student No:
Name of Clinical Clerk:
Period Covered:
Recommendation: Repeat Clerkship for the following reasons:
Noted by:

Edwin M. Fortuno, M.D. Caroline R. Santos, M.D.

FUMC Clerkship Program Head
Training Coordinator

Arnel Herrera, M.D. Reynaldo A. Olazo, M.D.

NCH, AMOSUP Dean
Training Coordinator

Emma Miranda, M.D.

TMC,ARMMC & VMMC Training Coordinator

Joseph Jao, M.D.

JRRMMC & SLH
Training Coordinator

Roderick John Crisostomo, M.D.

EAMC, DJNRMH & BMC
Training Coordinator

Harold Iturralde, M.D.

NCMH,FUMC-ANTIPOLO
Training Coordinator

Ronwaldo San Diego, M.D.

QCGH Training Coordinator

Marie Ruth Echavez, M.D.

VMC Training Coordinator
12.CLINICAL CLERKSHIP EXIT EVALUATION

CMD-069-12-02
OUR LADY OF FATIMA UNIVERSITY
120 McArthur Highway, Marulas, Valenzuela City

COLLEGE OF MEDICINE
CLINICAL CLERKSHIP EXIT EVALUATION
STUDENT NO.
NAME OF CLINICAL CLERK:
PERIOD COVERED :

Please take time and carefully consider each item below. Kindly check the appropriately answers
in these items.

I. Evaluation of the Clinical Clerkship YES NO

Programme in general
1. Were you provided a variety of cases?
2. Were you given enough patients during the
entire rotation?
3. Were enough didactic lectures through
teaching rounds and conferences provided?
4. Were you given the proper guidance and
supervision?
5. Did the Clinical Clerkship Programme provide
you with enough knowledge and skills to help
you become a competent physician (health
provider, researcher, health educator, health
advocate, and leader) in the future?
II. Evaluation of the Clerkship Training
Coordinators
1. Provided the proper orientation at the start of
the Programme
2. Was approachable and available for
consultations
3. Implemented the rules of the Programme
III. Evaluation of the Clerkship Programme
Head
1. Was approachable and available for
consultations
2. Explained clearly the basis for action or
decision made regarding concern/appeals
3. Implemented the rules of the Programme

Comments/ Recommendations/ Suggestions:

 CMD-098-13-02

OUR LADY OF FATIMA UNIVERSITY

120 McArthur Highway, Marulas, Valenzuela City
COLLEGE OF MEDICINE

CLINICAL CLERKSHIP EVALUATION TOOL

DATE: STUDENT NO:
NAME OF CLINICAL CLERK: SCHOOL YEAR:

Please tick how well instruction in the following basic science subjects prepared you
for clerkship rotations:
Basic Science Poor Fair Good Excellent
Disciplines

Biochemistry
Genetics
(Topic under
Biochemistry)
Gross Anatomy
Immunology
Microbiology
Pathology
Pharmacology
Physiology
Behavioral Science
(FMCH 1)
As a graduate of Our Lady of Fatima University’s College of Medicine, we would like to know
based on your perception, the adequacy of instruction you received in the following areas:

Basic Science Discipline Inadequate Appropriate Excessive

Diagnosis of Disease

Management of Disease

Health Maintenance

Disease Prevention

Health Determinants

While you were in your 4th year Medicine level, were your clinical skills directly observed in the
following clinical rotations?

Rotation History Physical

Examination

Yes No Yes No

Family
Medicine

Internal
Medicine

Obstetrics -
Gynecology

Pediatrics

Surgery

Psychiatry
(NCMH)
While you were in your 4th year Medical level, did you receive sufficient feedback from the
departments where you had your clinical rotations?

Rotation Sufficient Feedback

Received

Yes No

Family Medicine

Internal Medicine

Obstetrics -Gynecology

Pediatrics

Surgery

Psychiatry (NCMH)
 CMD-127-19-00

OUR LADY OF FATIMA UNIVERSITY

120 McArthur Highway, Marulas, Valenzuela City
TALLY SHEET FOR SKILLS SEEN DURING CLERKSHIP

STUDENT NO: NAME OF CLINICAL CLERK:

CMD-128-19-00
 IX. APPENDICES

APPENDIX A

ADDITIONAL REQUIREMENTS FOR ENTRY INTO THE CLINICAL CLERKSHIP

PROGRAMME
o Completely filled up General Information Sheet
o Proof of enrolment to 4th year
o Proof of Mandatory Immunizations:
• Hepatitis B – 3 doses
• Hepatitis A
• Tdap
• Pneumococcal
• Annual Flu vaccine
▪ For newly immunized: administered by licensed physicians connected
with Fatima University Medical Center
▪ For previously immunized: printed on paper with letter head
administered by licensed physicians with clearly printed Professional
Regulation Commission (PRC) license number
o Student Informed Consent Form
o Proof of Philhealth for Local Students
o Proof of Insurance for Foreign Students
o Proof of Covid-19 Vaccination

APPENDIX B

LIST OF HOSPITALS WHERE CLINICAL CLERKSHIP IS HELD

1. Fatima University Medical Center

2. Jose Reyes Memorial Medical Center
3. National Center for Mental Health
4. Quezon City General Hospital Medical Center
5. San Lazaro Hospital
6. Tondo Medical Center
7. Veterans Memorial Medical Center
8. Valenzuela Medical Center
9. Bulacan Medical Center
10. National Children’s Hospital
11. East Avenue Medical Center
12. Dr. Jose N Rodriguez Memorial Medical Center
13. FUMC- Antipolo
14. AMOSUP- Seamen’s Hospital
15. Amang Rodriguez Memorial Medical Center
 CLINICAL CLERKSHIP PROGRAMME MEMBERS

Reynaldo A. Olazo, MD Rebecca W. Deduyo, MD

Dean Chief of Clinics
College of Medicine

Caroline R. Santos, MD Jose Arnel G. Manalili, MD

Clerkship Program Head Associate Dean

Arnel V. Herrera, MD
Clerkship Program- Assistant Head
AMOSUP- Seamen’s Hospital Coordinator
National Children’s Hospital Coordinator

CLERKSHIP TRAINING COORDINATORS:

EDWIN M. FORTUNO, MD
Fatima University Medical Center

EMMA C. MIRANDA, MD
Tondo Medical Center
Veterans Memorial Medical Center
Amang Rodriguez Memorial Medical Center

JOSEPH A. JAO, MD
Jose R. Reyes Memorial
Hospital San Lazaro Hospital

RODERICK JOHN T. CRISOSTOMO, MD

East Avenue Medical Center
Dr. Jose N Rodriguez Memorial Hospital
Bulacan Medical Center

HAROLD ITURRALDE, MD
National Center for Mental Health
FUMC- Antipolo

RONWALDO SAN DIEGO, MD

Quezon City General Hospital

MARIE RUTH ECHAVEZ, MD

Valenzuela Medical Center
CONSULTATION HOURS OF CLERKSHIP TRAINING COORDINATORS

DR. CAROLINE R. SANTOS -By Appointment

DR. EDWIN M. FORTUNO - Monday & Friday

– 10:00 am to 1:00 pm

DR. JOSEPH A. JAO -Tuesday

– 8:00 am to 10:00 am

DR. ARNEL V. HERRERA -Wednesday & Thursday

Wednesday- 11:00 am to 1:00 pm
Thursday- 4 :00 pm

DR. EMMA C. MIRANDA -Tuesday & Saturday

-10:00 am to 1:00 pm

DR. RODERICK JOHN T. CRISOSTOMO -Monday & Wednesday

-11::00 am to 1:00 pm

DR. HAROLD P. ITURRALDE -Wednesday

-3:00 pm to 5:00 pm

DR. RONWALDO D.C. SAN DIEGO - Wednesday

-3:00 pm to 5:00 pm

DR. MARIE RUTH A. ECHAVEZ - Monday & Thursday

-11::00 am to 1:00 pm
 X. ORGANIZATIONAL SET UP

CMD-083-12-03

A. CLINICAL CLERKSHIP PROGRAMME ORGANIZATIONAL CHART

Dean

Associate Dean

Assistant to the
Dean

Clerkship Programme Head

Assistant Head

Clerkship Training Coordinators

Technical Staff

Base Hospitals Affiliate Hospitals

Clinical Clerks
This personal data shall be held under strict confidentiality
and shall be used only for this declared purpose.

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