Republic of the Philippines

DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

COURSE/TRAINING DESIGN

Title of HRD Activity: Emergency Medical Technician – Basic Training

REQUIREMENT

I. Rationale
In 2009, the Center for Research on the Epidemiology of Disasters identified the United States, China,
and the Philippines as among the top countries prone to natural hazards. Furthermore, the Philippines
is rank third based on the number of deaths due to hydrological and meteorological disasters. Relative
to this, the DOH through the HEMS has long started and still continuously laboring on enhancing pre
hospital capability by initially enrolling Hospital Emergency Response Team members to the
Emergency Medical Technician’s Basic and Training of Trainers’ Courses conducted by the
Operations Smile - Rescue 911 Paramedics from Norfolk, Virginia. For eight years (starting 1994), a
total of 152 EMT- Basic Responders and 45 EMT Trainers graduated from this course. These trained
personnel are distributed in the different regions and DOH hospitals throughout the country assuming
primary role as emergency response team members. Potential trained personnel were even
developed into trainers thorough the Training of Trainers (TOT) course.
Considering the increasing incidence of mass casualties, HEMS facilitated the issuance of
Administrative Order 155 s. 2004 titled “Implementing Guidelines for Managing Mass Casualty
Incidents during Emergencies and Disasters” as legal basis. This provides that all hospitals shall
develop and organize a response team that can be dispatched in the event of Mass Casualty Incident.
In order to capacitate further these personnel with vital responsibilities, a provision on the area of
capability building of the said AO specifies that all response teams shall have additional training on
Emergency Medical Technicians’ Course and Mass Casualty Management.

To fast track the creation of pool of trainers, HEMS includes in its yearly training agenda the conduct
of EMT Instructors’ Training Course. Similarly, a National Course Coordinator and Zonal Course
Coordinators were designated in order to facilitate the organization of training of all targets.
Considering that past experiences showed that a number of trained personnel either resigned from
government service or were transferred in other assignments within the hospitals, training targets has
considerably remained high. In this context, HEMS evaluated the distribution of graduates and
planned training batches to evenly augment the decreasing number of trained staff, develop
capacities among potential trainers, and become self sufficient in producing EMR- Basic Instructors
within the ranks.

II. Objectives
a. General
This EMR-Basic Instructors Training Course aims to increase the number of competent and qualified
DOH EMR-Basic Instructors to teach and mold future EMT responders to meet increasing demands of
answering calls during emergencies and disaster.

Likewise, pursuing this training will finally fulfill the vision of HEMS to deploy sufficient committed EMT
Zonal Core Trainers who can facilitate in completing/covering training targets; lead the conduct of
skills updating and enhancement; and organize and or compose the response teams within the zone
of assignments.

b. Specific
At the end of the course, the participants will be able to:
A. Teaching Strategies: six (6) topics on teaching strategies
 understand the data in this module;
 apply information to exercises in this training;
 appreciate the importance of this course; and

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

 articulate knowledge and skills without committing any critical errors.

B. Administrative Management: three (3) topics on administrative aspect
 analyze information provided in the modules lecture;
 apply data learned from the lecture; and
 value the importance of this module
C. Skills Training: five (5) Standard Skills Station
 review and standardize the skills
 practice to enhance EMT skills capability
D. Teaching Practice and Demonstration
 apply skills in lecturing one (1) compulsory topic – Patient Assessment and one (1) topic of
their choice; and
 critique teaching demonstration of co-participants
 execute improved teaching/demonstration skills based on solicited comments and
recommendations

III. Contents
The EMT- TOT Course is composed of the following modules:
A. Introduction to EMR-B Instructors’ Training and the Instructors’ Roles and Responsibilities
1. Background of DOH-EMR-B ITC
2. Professional Attributes and Skills of EMR Instructor
3. Roles and Responsibilities of an EMR Instructor during EMR Training
B. EMR-B Instructors’ Ethics and Legal Issues
1. Definition of Terms
2. List Moral Theories
3. Ethical Issues in Teaching
C. The Learning Environment
1. Definition of Terms
2. Elements/Factors Affecting Learning
3. Strategies of Classroom Arrangement
4. Work Station Arrangement
D. Domains of Learning
1. Definition of Terms
2. Major areas of Domains of Learning
3. Significance of Domains of Learning
E. Major Groups of the Domains of Learning
1. Definition of Terms
2. Major areas of Domains of Learning
 Cognitive (Thinking): Deals with didactic information
 Affective (Feeling): Deals with attitudes, beliefs, behaviors, emotions and how much value
an individual places on something
 Psychomotor ( Doing ): Deals with skills, actions and manual manipulation
3. Significance of Domains of Learning
F. Knowledge on the Student Learning Style
1. Different types of Student Learning Styles
2. Description of the Different Student Learning Styles
G. The Teaching-Thinking Styles
1. Definition of Terms
2. Teaching Strategies
3. Matching Activities in Relation to Student Learning Preference
H. Goals and Objectives Setting in Session Planning
1. Definition of Terms
 Goal: Characteristics of Goal
 Objective: Characteristics of Objectives & Parts of Objectives
 Performance Agreement

I. Session Plan

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

1. Definition of Terms
2. Factors that Affect Session Planning
3. Components of Session Plan
4. Steps in the Development of Session Plan
J.Presentation Skills
a.Preparing the Presentation
b.Organizing the Presentation
c.Presentation Style
d.Powerful Oral Presentation
e.Enhancing the Presentation
f. Handling Hostile Audiences
K. Teaching Aids
1. Importance of Visual Aids
2. Types of Presentation Aids
3. Development of Presentation Aids
4. Presentation Tips

III. Methodology
The following adult learning strategies will be employed for this combined technical-skills
training:
 Interactive Lectures
 Review of supplemental reading materials
 Simulations
 Feedback and evaluation sessions
 Demonstrations with return demonstrations
 Role Playing
 Exercises
 Skill Practice
 Experience-sharing

IV. Operational Details

Venue TBD
Date TBD

Category of Participants Member of the response team, Nurses &

Doctors
Total Pax: Male: TBD Female: TBD
Facilitators: Dr. Panfilo Jorge M. Tremedal III
Mr. Parc Roberto C. Abejuela
Mr. Ibrahem Ampa
Dr. Joseh Orquio
Dr. David Mendoza
Mr. Jasper Kent M. Ola
Mr. Ariel Leonero
Mr. Guillermo N. Oboy Jr.
Mr. Eric Mundo
Mr. Edelbert Dacera
Mr. Ruben Gaoaen
Dr. Ramil Bagaoisan
Dr. Klaire Minoza
Mr. Roel Nonot
Mr. Marlon Mondoy
Ms. Karen Hijosa
Proposed Budget Php 1,751,683.50

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

Meals & Accommodation Facilatator: Php 390,150.00 (17 days)

Participants: Php 945,500.00 (14 days)
Supplies and Materials Php 289,891.50
TEVs Php 18,142.00
Honorarium Php 105,000.00
Transportation / Gasoline Php 3,000.00
Expenses
Fund Source

V. Evaluation
A. Evaluation of Participant’s Performance (Grading System)
a) Attitude 10%
b) Skills 50%
c) Knowledge 40%
Grand Total 100%

B. Evaluation is done through a process evaluation which will describe how the training was
managed using a day to day evaluation tool. Post evaluation is conducted to identify
lessons learned during its conduct and linking the results for the improvement of the next
training to be conducted. This is done through a post training evaluation meeting.

VI. Course Requirements/Expected Output

For the DOH Physician and Medical Staff: Candidate for participation must satisfy all of the
following:
 Permanent Status (if Resident Physician – preferably on their 1st. year of training)
 Willing to sign an agreement to serve the hospital/office for at least 1 year
 At least 21 – 45 years old
 Have BLS/SFA training for the past six (6) months
 Medical Certificate from sending agency
 Signed Waiver
 Should be endorsed by Chief of Hospital or HEMS Coordinator
For Medical/Clinical Responders from the Community: Candidate for participation must satisfy all
of the following:
 Should be a member of the response team of the community/rescue groups
 Willing to sign an agreement to serve the community for at least 2 years
 At least 21 – 50 years old
 Have BLS/SFA training for the past six (6) months
 Medical Certificate from any MHO/District Hospital
 Signed Waiver
 Should be endorsed by Local Chief Executive
The training course aims to graduate competent and qualified instructors nationwide who can be
tapped in cascading EMT-Basic training.

VII. Window Schedule

Lecturer/In-
Date Time Activities/ Topics charge
Day 01 Arrival of Facilitators
8:00-12:00 Leveling of Instructors Secretariat

1:00-5:00
PM Leveling of Instructors Facilitators
Tasking

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

Day 02 8:00-12:00 Lecture Peer review

Lecture Peer review
1:00-8:00
PM Skills Enhancement
Day 03 8:00-12:00 Skills Enhancement
Day 04
Arrival of Participants
Sunday to the Venue
Room Assignments
2:00- Introduction of Dr. Panfilo Jorge
4:00PM Instructors M. Tremedal
Parc Abejuela
Course Orientation Ibrahem Ampa
- Intoduction of
Participants
- Leveling of Participants Expectations
- Formulation of
Ground Rules
- Reminder of House
Rules
- Assigning of
Groupings
- Assigning of Training Equipments
per Group
4:00-6:00 - Leveling of Participants (Group
P.M. Expectations Dynamics) Parc Abejuela
6:00-7:00 Capsule of Life
6:00-7:00 DINNER
7:00 EMT Demo Plenary
5:30-6:00 Morning Exercise
Monday 6:30-7:30 BREAKFAST
History of EMR in the
Day 1 8:00-9:00 Philippines
9:00-10:00 Well-being of an EMR (WORKING BREAK)
10:00- Medical, Legal and
11:00 Ethical Issues
11:00-
12:00 Human Body
1. Topographic
Anatomy
2. Skeletal System
3. Musculo-skeletal
System
4. Respiratory
System
5. Circulatory
System
6. Nervous System
12:00-1:00 LUNCH
7. Integumentary
1:00-1:30 System
8. Endocrine and Digestive System
9. Urinary and
Genital System
Baseline Vital Signs/ SAMPLE
1:30-2:30 HISTORY

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

2:30-3:30 Airway
3:30-4:30 Kinematics of Trauma WORKING BREAK
4:30-5:30 Lifting/ Moving Patient
Election of Class
5:30-6:30 Officers
6:30-7:30 DINNER
7:30-8:30 Group PIE
8:30 Instructors PIE Course Director
Review of Questionnaires for the First Academic
Long Exam Committee

Tuesday 5:30-6:00 Morning Exercise Team B

Day 2 6:30-7:30 BREAKFAST
Trauma Patient
8:00-12:00 Assessment
12:00-1:00 LUNCH
Medical Patient
1:00-3:15 Assessment
3:15-3:30 BREAK
3:30-4:30 Communication and Documentations
4:30-6:30 SKILLS Facilitators
- Airway
- KED/ SHORT
BOARD
- Bandaging
- Trauma Patient
Assessment
- Medical Patient
Assessment
Group PIE Facilitators
6:30-7:00 DINNER
7:30-8:30 Instructors' PIE Facilitators
6:30-7:30 BREAKFAST
Wednesday 8:00-9:00 FIRST LONG EXAM Team C
Head and Spine
Day 3 9:00-9:45 Injuries
9:45-10:30 Bleeding
10:30-
10:45 BREAK
10:45-
11:30 Shock
11:30-
12:15 Soft Tissue Injuries
12:15-1:00 LUNCH
Musculoskeletal
1:00-2:00 Injuries
2:00-3:00 Chest Injuries
3:00-3:15 BREAK
3:15-6:15 SKILLS Facilitators
- Airway
- KED/ SHORT
BOARD
- Bandaging
- Trauma Patient
Assessment
- Medical Patient

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

Assessment
Group PIE
6:15-7:15 DINNER
7:15-7:45 Instructors' PIE
Review of Second Exam
7:45-8:45 Questionnaire

Thursday 5:30-6:00 Morning Exercise Team D

Day 4 6:30-7:00 BREAKFAST
8:00-8:45 Abdomen and Genital
8:45-9:15 Eye Injuries
Neurologic
9:15-10:00 Emergencies
10:00-
10:15 BREAK
10:15- Face and Throat
11:00 Injuries
11:00- OB-Gyne
12:00 Emergencies
12:00-1:00 LUNCH
1:00-2:00 Medical Pharmacology
2:00-3:00 Diabetic Emergencies
3:00-3:15 BREAK
3:15-6:15 SKILLS Facilitators
- Airway
- KED/ SHORT
BOARD
- Bandaging
- Trauma Patient
Assessment
- Medical Patient
Assessment
Group PIE
6:30-7:30 DINNER
7:30-8:00 Instructors' PIE

Friday 6:30-7:30 BREAKFAST

SECOND LONG
Day 5 8:00-9:00 EXAM Team E
Substance Abuse and Poisoning/Allergic
9:00-10:00 Reactions/Envenomations
10:00-
10:15 BREAK
10:15- Environmental
11:00 Emergencies
11:00-
11:45 Geriatric Emergencies
11:45- Behavioral
12:15 Emergencies
12:15-1:00 LUNCH
1:00-5:00 SKILLS Facilitators
- Airway
- Short Board/ KED/
Long Board
- Bandaging
- Trauma Patient

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

Assessment
- Medical Patient
Assessment
PRE-BENCHMARKING EXERCISES( 5
stations/10 min.)
5:00-5:30 Group PIE
5:30-6:30 DINNER
Review of Third Exam Instructors'
6:30 Questionnaire PIE
7:00-9:00

Saturday 5:30-6:00 Morning Exercise Team A

BREAKF
Day 6 6:30-7:30 AST
8:00-12:00 Pediatric Assessment
- Pediatric
Emergencies
- Pediatric Trauma
Assessment
12:00-1:00 LUNCH
1:00-6:00 SKILLS Facilitators
- Airway
- Short Board/ KED/
Long Board
- Bandaging
- Trauma Patient
Assessment
- Medical Patient
Assessment
Group PIE
6:30-7:30 DINNER
Academic
7:30-8:00 Instructors' PIE Committee
SOCIALS/
FELLOWSHIP
TOUR REST DAY
On or Arrival of
Sunday before Participants
Day 7 6:00 PM

6:30-7:30 BREAKFAST
Monday 8:00-9:00 Third Long Exam
Day 8 9:00-10:00 Ambulance Operations
10:00-
10:15 BREAK
10:15-
11:15 Gaining Access
11:15-
12:15 CSID
12:15-1:00 LUNCH
1:00-6:00 SKILLS Facilitators
- Airway
- Short Board/ KED/
Long Board
- Trauma Patient
Assessment

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

- Medical Patient
Assessment
6:00-6:30 DINNER
6:30-7:30 Group PIE
6:30-7:30 Instructors' PIE
7:30-8:00 Review of Final Exam Questioners

5:30-6:00 Morning Exercise

Tuesday 6:30-7:30 BREAKFAST
Day 9 8:00-9:00 WMD Dr. Noli Quirino
9:00-12:00 ICS Dr. Noli Quirino
12:00-1:00 LUNCH
Table Top Exercise on
1:00-5:00 MCI Facilitators
Group PIE
6:30-7:30 DINNER
Academic
7:30-8:00 Instructors' PIE Review Committee

Wednesday 6:30-7:30 BREAKFAST

FINAL WRITTEN
Day 10 8:00-10:00 EXAM
10:00-
10:15 BREAK
10:15- SKILLS ( possible
12:15 individual grading ) Facilitators
- Airway
- Short Board
- KED
- Bandaging
- Trauma Patient
Assessment
- Medical Patient
Assessment
12:15-1:00 LUNCH Facilitators
SKILLS ( possible
individual grading )
1:00-3:00 - Airway
- Short Board
- KED
- Bandaging
- Trauma Patient
Assessment
- Medical Patient
Assessment
Skills Benchmarking using MCI
3:00-6:00 scenrio ( 1 )
Group PIE
6:30-7:30 DINNER
7:30-8:30 Instructors' PIE
5:30-6:00 Morning Exercise
Thursday 6:30-7:30 BREAKFAST
Skills Benchmarking ( Classroom )/Skills
Day 11 8:00-12:00 Benchmarking using MCI scenario ( 2 )
12:00-1:00 LUNCH
1:00-5:00 FINAL PRACTICALS

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O
 Republic of the Philippines
DEPARTMENT OF HEALTH
REGIONAL OFFICE X
J. V. Seriña Street, Carmen, Cagayan de Oro City
PABX (088) 8587123, (08822) 726476 / 727400 / 8587132 / 8582035/ 8584000 / 8585088

by GROUP
Groups PIE
6:30-7:30 DINNER
Instructors' PIE/Deliberation/
7:30-8:00 Remediation
Star of Life
8:00-9:00 Investiture

Friday 5:30-6:00 Morning Exercise

Day 12 6:30-7:30 BREAKFAST
8:00-12:00 MCI Final
12:00-1:00 LUNCH
Inventory of Training Equipments per
1:00-2:00 Group
Instructors' PIE/Deliberation/
2:00-6:00 Remediation
6:00-7:00 DINNER
7:00-10:00 Socials/ Fellowship

6:00-7:00 BREAKFAST
Saturday 8:00-12:00 Closing Ceremony
Departure of
Day 13 1:00 Participants
2:00 Instructors' PIE
6:00-7:00 DINNER

Prepared by:

DAVID A. MENDOZA, MD, PHSAE

RESDRU Coordinator

Noted by:

MILLORINA L. OSORIO, RN, MN

Training Specialist III – HRDU Head

DOH-CHDNM-MSSD-QMOP-01-FORM 11 REV. O