Republic of the Philippines

Department of Health
OFFICE OF THE SECRETARY

July 5, 2022

DEPARTMENT MEMORANDUM
No. 2022-_()287

-
TO : DIRECTORS OF CENTERS FOR HEALTH DEVELOPMENT,
EXCEPT FOR METRO MANILA, AND MINISTER OF HEALTH
BANGSAMOROQ AUTONOMOUS REGION IN MUSLIM
MINDANAO, AND MEDICAL CENTER CHIEFS OF DOH
TEACHING AND TRAINING HOSPITALS

ATTENTION : TRAINING SPECIALISTS

SUBJECT : Memorandum of Agreement (MOA) and Terms of Reference (TOR)

for the Post-Residency Deployment Program (PRDP) Implementation
under the National Health Workforce Support System (NHWSS)

Pursuant to the Administrative Order No. 2021-0068, "Guidelines on the Deployment

Graduate Physicians of Residency Training Program (RTP) under the Department of Health
of
Teaching and Training, and Specialty Hospitals under the National Health Workforce Support
System," the Department of Health (DOH) has implemented the Post-Residency Deployment
Program (PRDP) with the intention to provide the country with adequate, competent, and
compassionate medical practitioners to address the inequitable distribution of specialized
medical care particularly in the unserved and underserved areas in the country.

Relative to this, the DOH Centers for Health Development (CHDs) shall enter into a
Memorandum of Agreement (MOA) with the Local Government Unit (LGU) for the
implementation of the program. Meanwhile, the Terms of Reference (TOR) between the DOH
Teaching and Training and Specialty Hospital, RTP Graduate Physician, and Recipient Hospital
will serve as guide to fulfill the roles and responsibilities of the parties involved.

For dissemination and compliance.

By Authority of the Secretary of Health:

KENNETH G. RON LO, MD, MPHM, CESO

Assistant Secretary of Health
III
Health Policy and Systems Development Team

jnde/edmd/hhrdb/22-180

Building 1, San Lazaro Compound, Rizal Avenue, Sta. Cruz, 1003 Manila e Trunk Line 651-7800 local 1113, 1108, 1135
Direct Line: 711-9502; 711-9503 Fax: 743-1829e URL: http:/Avww.doh.gov.ph; e-mail: ftduque@doh.gov.ph
 MEMORANDUM OF AGREEMENT
POST-RESIDENCY DEPLOYMENT PROGRAM (PRDP)

KNOW ALL BY THESE PRESENTS:

MEN

This AGREEMENT is entered into by and among:

The DEPARTMENT OF HEALTH (DOH) Center For Health

Development a government agency created and existing under the laws of the Republic of
the Philippines, with its principal office located at San Lazaro Compound Sta. Cruz, Manila
herein represented by , in his capacity as the Director IV of
DOH- Center for Health Development, and herein referred to as the “DOH”;

AND

The PROVINCIAL GOVERNMENT of Philippines, a local

government unit (LGU) duly created and existing under the laws of the Republic of the
Philippines, including all hospitals under its jurisdiction, herein represented by its Governor
, with principal address at Capitol Compound, City of San Fernando, and
(CHD)

hereinafter referred to as the “LGU”;

IV

WITNESSETH
Director

WHEREAS, Republic Act No. 7160, otherwise known as the Local Government
Code (LGC) of 1991, states that the functions and responsibilities for the delivery of basic
health services and other related facilities have been transferred from the DOH to the LGU;

WHEREAS, EO No. 102 mandates the Department of Health to provide assistance to

local government units in effectively implementing programs, projects and services for the
provision of health care services to every Filipino;

WHEREAS Republic Act No. 11223, otherwise known as the Universal Health Care
Act of 2019, states that the DOH shall deploy health workforce under the National Health
Workforce Support System to augment human resource needs in
public health systems;

WHEREAS, the LGU is in dire need of a Medical Specialist who will provide
specialty healthcare and augment the medical human resource requirement in the area;

WHEREAS, the provisions stated in this instrument shall extend to all hospitals
within the jurisdiction of the LGU;

WHEREAS, to
ensure availability of skilled health professionals who can deliver
quality health care services in priority poor and underserved areas, the DOH shall deploy
of
physicians who finished the Residency Training Program (RTP) in DOH Teaching and
Training Hospital as human resource complement in government hospitals in priority
Province
underserved areas;

WHEREAS, the DOH will deploy RTP graduate physicians to LGUs where the need
exists and as part of the requirements of the residency training program pursuant to
Govemor, Administrative Order No. 2021-0068 and Department Memorandum No. 2021-0548.
HON.

NOW, THEREFORE, for and in consideration of the foregoing premises, by mutual

consent, the parties do hereby enter into this covenant with the terms and conditions hereof
under stipulated:

SECTION I. The Department of Health (DOH) through the Center for Health
Development (CHD) shall:
1. Assess, validate and consolidate the requests of government hospitals for medical
specialists in accordance with the existing criteria and guidelines;

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 Facilitate the deployment of RTP graduate physicians to identified priority hospitals
in the region in coordination with the Professional Education, Training and Research
Office (PETRO) and Health Human Resource Development Bureau;
Conduct social preparation to LGUs and recipient hospitals including orientation on
the Post-Residency Deployment Program (PRDP) and processing of the
Memorandum of Agreement prior to deployment;
Conduct pre-deployment orientation of RTP graduate physicians in coordination
with the recipient hospitals;
Accompany and endorse the RTP graduate physicians to LGUs through the
Provincial DOH Offices;
Facilitate the processing of appointments for deployed RTP graduate physicians
within the region;
(CHD)
Process the monthly salaries and benefits of the RTP graduate physicians upon
submission of the signed daily time records (DTR);
IV
Designate a point person for PRDP within the CHD to document, validate, address,
and provide feedback on all issues/concerns related to deployment;
Director

Maintain database of priority hospitals, its corresponding need for health human
resources, and deployed RTP graduate physicians under PRDP;
10. Coordinate with the LGUs and hospitals and provide technical assistance as
necessary for the implementation and monitoring of the PRDP;
11. Conduct regular consultations with the deployed RTP graduate physicians, base and
recipient hospitals;
12. Ensure the safety of deployed RTP graduate physicians;
13. Issue endorsement letter and Regional Personnel Order of the RTP graduate
physicians that will be deployed to the identified hospital of the Province; and
14. Ensure that the stakeholders of the PRDP, particularly the DOH Teaching and
Training Hospital (Base Hospital) and the RTP graduate physicians sign the Terms of
Reference which shall set forth their respective rights and obligations pursuant
hereto.

SECTION
1.
II. Local Government Unit shall:
The Recipient Hospitals through its Chief of Hospital under the management of the
LGU
shall sign the Terms of Reference indicating the herein responsibility relative
to the implementation of the PRDP prior to the deployment of RTP graduate
of physicians;
Conduct necessary orientation of deployed RTP graduate physicians prior to the
Province
assumption of duty;
Provide modest board and lodging (i.e shared or solo house with kitchen, bedroom,
dining room, and bathroom, food provision or monetary equivalent) for deployed
RTP graduate physicians outside the hospital premises. Alternative arrangements
Govermor,
would be in the dormitory of the hospital provided that the deployed RTP graduate
HON. physicians have protected off-duties.
Provide the RTP graduate physicians with Philhealth share equal to that of the hired
full time physicians of the hospital;
Ensure the occupational health safety and security of deployed RTP graduate
physicians;
Supervise, evaluate and monitor the performance and attendance of the deployed
RTP graduate physicians. The Chief of Hospital will sign the monthly DTR as the
immediate supervisor;
Support and collaborate with the RTP graduate physicians for endeavors that will
improve the services of the hospital, upgrade the capabilities of its personnel and
establish training programs and activities for its personnel.
Support the Health Facilities Enhancement Program of the DOH to upgrade the
physical conditions and services of the hospitals under its managementas necessary.

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 SECTION III. ALL PARTIES FURTHER AGREES THAT:
1. This Agreement shall not be amended or modified without the consent of the
contracting parties;
2. This Agreement shall take effect immediately upon signing hereof and shall remain in
force and in effect for a period of three (3) years with annual periodic review, if
warranted, until revoked, modified, or amended accordingly; and
The deployed RTP graduate physicians shall be pulled out from his/her area of
assignment should the Local Government Unit fail to comply with the provisions
stipulated or where there is grave threat to his/her personal safety.
The Administrative Order No. 2021-0068 shall apply suppletorily to this Agreement.
Any undertaking that will and may involve the processing and disclosure of personal
information or sensitive personal information shall be governed by the Data Privacy
Act of 2021, its Implementing Rules and Regulations (IRR) and other issuances by
the National Privacy Commission (NPC).”
The parties shall not disclose any information or documents that are identified as
confidential and obtained from the other Party during the course of this Agreement
and the program, except as may be required in carrying out the Agreement and with
the written consent of the providing Party.

In view of the foregoing covenants, the parties hereto mutually bind themselves the
full responsibility and accountability to the stipulated conditions contained herein.

IN WITNESS WHEREOPF, the parties have hereunto signed this Agreement in the
Province/Municipality of ; , this day of

HON.
Director TV (CHD) Governor, Province of

Signed in the presence of:

Development Management Officer V Sangguniang Panlalawigan on Health

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 ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES

S.S

Before me, personally appeared the following with their corresponding Government
ID:

Name
Government ID
Date of Issue

Name
Government ID
Date of Issue

known to me to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same is their free and voluntary act and deed and that
of the
entities they represent.

This instrument consists of five (5) pages, including the page on which this
acknowledgment
thereof and
is written, and is signed by the parties and the witnesses on each and every
sealed with my notarial seal.
page

IN WITNESS WHEREOF, I have hereunto set my hand this

day of ; ,in , Philippines.

NOTARY PUBLIC

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 TERMS OF REFERENCE
FOR THE POST RESIDENCY DEPLOYMENT PROGRAM
(PRDP)

The Post Residency Deployment Program (PRDP) is

one of the Department of Health's (DOH)
strategies aimed at achieving the overall goal of Republic Act (RA) 11223, also known as
the Universal
Health Care (UHC) Act. The program's goal is to promote equal distribution of physicians, with a
particular emphasis on priority poor and underserved areas. To ensure the success of its implementation,
the Department Memorandum No. 2021-0548 and Administrative Order No. 2021-0068 were issued on
December 28 and 31, 2021, respectively, and cover all RTP graduate physicians who entered as medical
residents and those who had their lateral entry from July 26, 2015 onwards in DOH Teaching and
Training Hospitals and Specialty Hospitals with accredited RTPs based on the evaluation of critical
needs by the Department of Health.

.MD
Following the Memorandum of Agreement herein attached entered into between the
DEPARTMENT OF HEALTH (DOH)- Center For Health Development (CHD)/
{ Ministry of Health-Bangsangmoro Autonomous Region of Muslim Mindanao (MOH-BARMM)
Physician
and the Local Government of the Province of following the implementation of the
Post Residency Deployment Program (PRDP), this Terms of Reference is being executed by the
Graduate
following stakeholders who agree and commit to the following duties, functions, and responsibilities:

RTP
I. DOH Teaching and Training Hospital (Base Hospital)

a. Conduct orientation seminars on the deployment of Residency Training Program (RTP) graduate
physicians for newly accepted residents of DOH Teaching and Training Hospital, Specialty
Hospitals, and Regional Teaching and Training Hospitals including the signing of contracts.
b. Through Professional Education, Training, and Research Office (PETRO), shall submit the
Name
deployment plan of RTP graduate physicians to HHRDB at least 6 months prior to planned
deployment. It shall include the details on the preference on the area of deployment (region and
of
Chief

Printed

Hospital
province only), and the number required months of service;
Utilize the unfilled items of the hospital for the Medical Officer III/ IV items of RTP graduate
Center

Over
c.
Medical
Base
physicians during deployment. for the provision of salaries and benefits of the deployed RTP
Signature
graduate physician (if applicable);
d. Coordinate with CHDs/MOH-BARMM on the results of matching of RTP graduate physicians;
e. Issue a provisional Certificate of Completion of RTP for purposes of allowing the RTP graduate
physician to take the specialty board exam while on deployment as applicable;
f. Coordinate closely with the recipient hospitals and CHDs for the monitoring and evaluation of the
deployed RTP graduate physicians;
Facilitate referrals of the deployed RTP graduate physicians;
Name

g.
Printed
Hospital
Hospital
h. Attend Program Implementation Review/ Consultative Meetings conducted by DOH-HHRDB and
CHD.
of
i. Process the monthly salaries of the RTP graduate physicians upon submission of the signed DTR
Over

Recipient

Chicf

whose item are under the base hospital;

j. Release terminal pay of the RTP graduate physicians upon completion of return service whose
Signature

items are under the base hospital.

k. Submit to HHRDB the list are
of RTP graduate physicians who due for issuance of the final DOH
Certificate of Completion of Residency Training. Prerequisites for the issuance of such include
Certificate of Completion of Return Service issued by the recipient hospital; and
Clearance from hospital liabilities/obligations issued by the base and recipient hospital;

Il. RTP Graduate Physician

a. Fulfill the duties and functions of a Medical Officer IV, serving the designated hospital for at least
40 hours per week from to , or as stipulated in the Contract of
Residency Training.
b. Manage problematic cases in the ward, emergency room, and intensive care units and facilitate
referral to higher facilities, as necessary, in relation to his/her field of specialty;
c. Conduct seminars, lectures, and lay-fora for patients;
 Formulate and implement activities that will improve the services of the recipient hospital and
upgrade the capabilities of its personnel, in collaboration with the Hospital Administration.
Provide technical assistance in the establishment or upgrading of the residency training program in
the designated hospital;
Attend consultation and program review activities as facilitated by the DOH for the improvement
of PRDP;
Participate in conferences, research projects, and other activities in the hospital;
»MD ) aa
mp Submit daily time records, leave applications, and requests for Compensatory Time Offset,
Individual Performance Commitment and Reviews (IPCRs), and other administrative
documents/reports for purposes of compensation, program monitoring, and evaluation based on the
( prescribed schedule as required by the recipient hospital, base hospital, CHD, and HHRDB;
Physician

Be accountable for his/her actions as a licensed physician and public employee;

Participate in national/regional/provincial health emergency response as directed by DOH as
Graduate

necessary: and,
RTP
Perform other related functions as may be assigned by the DOH.

Tl. Recipient Hospital

The Chief of Hospital or his/her designated representative will

in of
Name

Chief
Adhere to the provisions of the Memorandum of Agreement relation to the conduct the Post
Printed Residency Deployment program;
The Recipient Hospital through its Chief of Hospital shali sign a Terms of Reference indicating
Hospital

Center

.
Over

Base
the herein responsibility relative to the implementation of the PRDP prior to the deployment of
RTP
graduate physicians;
Medical

Signature

Conduct necessary orientation of deployed RTP graduate physicians;

. Provide modest board and lodging (i.eshared or solo house with kitchen, bedroom, dining room,
and bathroom, food provision or monetary equivalent) for deployed RTP graduate physicians
outside the hospital premises. Alternative arrangements would be in the dormitory of the hospital
provided that the deployed RTP graduate physicians have protected off-duties.
Name Provide the RTP graduate physicians with Phil Health share equal to that of the hired full-time
physicians of the hospital;
Ensure safety and security of the deployed RTP graduate physicians;
Printed Hospital
Hospital

Over
of g. Allow the deployed RTP graduate physicians to take the required specialty board exams and
attend Learning and Development Interventions provided by DOH, continuing professional
Revipicot

Chief

Signature
development, and specialty conferences. Transportation and allowances may also be provided as
applicable;
. Allow the RTP graduate physicians to avail of earned leave credits and other mandatory leaves
including earned Compensatory Time Offset;
Supervise, evaluate and monitor the performance and attendance of the deployed RTP graduate
physicians. The Chief of Hospital will sign the monthly DTR as the immediate supervisor;
Support and collaborate with the RTP graduate physicians for endeavors that will improve the
services of the hospital, upgrade the capabilities of its personnel and establish training programs
and activities for its personnel.
. Ensure that the RTP graduate physicians will be assigned tasks and evaluate patients that
conform with his/her field of specialty.
Issue a Certificate of Completion of RTP graduate physicians and clearance from any hospital
liabilities at the end of the deployment period. Jt shall include the actual start and end of
deployment to the recipient hospital;
m. Endeavor to retain the deployed RTP graduate physicians by providing employment and other
incentive mechanisms;
. Devise a mechanism to establish a residency training program initially for the major specialty
programs: and
. Ensure to provide a safe and conducive workplace environment to the PRDP physicians with due
consideration of the CEDAW provisions for gender sensitivity and responsiveness.
 IN WITNESS WHEREOF, the parties have hereunto signed this Agreement in the
of , this day of ; .

ee
CONFORME:

MD
RTP Graduate Physician (Specialty)

Signature Over Printed Name Signature Over Printed Name

Medical Center Chief Chief of Hospital
Base Hospital Recipient Hospital

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES

SS

Before me, personally appeared the following with their corresponding Government ID:

Name
Government ID
Date of Issue

Name
Government ID
Date of Issue

Name
Government ID
Date of Issue

known to me to be the same persons who executed the foregoing instrument, and they
acknowledged to me that the same
represent.
is
their free and voluntary act and deed and thatof the entities they

This instrument consists of three (3) pages, including the page on which this acknowledgment is
written, and is signed by the parties on each and every page thereof and sealed with my notarial seal.

IN WITNESS WHEREOF, I have hereunto set my hand this day of

, , in , Philippines.

NOTARY PUBLIC

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