PATRICIO P. PALMES, M.D.

, FPCP, FPCC, FPSE, FPSVM

March 13, 2023
Chairperson

AGNES M. VILLAFLOR, M.D., FPCP, FPSN

Training Officer
ATTY. ROBERTO P. VILLANUEVA, M.D.
TOMASITO SY., M.D., FPCP, FPCCP
Chair, Unified Research Ethics Review Committee
HELMAR SOLDEVILLA, M.D., FPCP, FPRA
Assistant Training Officers West Visayas State University, Luna St., La Paz, Iloilo City

DIVISIONS BY SUBSPECIALTY

PATRICIO P. PALMES, M.D., FPCP, FPCC, FPSE, FPSVM Dear Dr. Villanueva,
Head, Section of Cardiology
& Peripheral Vascular Disease

MARCELINO FELISARTA, M.D., FPCP, FPCC
Head, Section of Invasive Cardiology
MARIE GRACE DAWN ISIDRO, M.D., FPCP, FPCCP
Head, Section of Pulmonology
IKE T. MINERVA, MD, FPCP, FPSG, FPSDE
Head, Section of Gastroenterology
AGNES JEAN VILLAFLOR, M.D., FPCP, FPSN
Head, Section of Nephrology
We are currently Medical Residents from our University Hospital. We
are submitting herewith our application for an initial ethics review as a
requirement for Graduation entitled “Risk Factors Associated with
Hospital Acquired Pneumonia (HAP) Admitted in a Tertiary Hospital: A
Prospective Unmatched Case-Control Study”. Attached are the
following documents for your reference of and review

JOEL ADVINCULA, MD, FPNA 1. Form 2.1 Application for Review

Head, Section of Neurology
ALDA TULIO, M.D., FPCP, FPSHBT
Head, Section of Hematology
JANDRE JOMAR A. ALIPAT, M.D., FPCP, FPSMO
Head, Section of Oncology
MARY ANN JEAN PATRIMONIO, M.D., FPCP, FPSAI
Head, Section of Allergology
ARETHA LIWAG, MD, FPCP, FPSEM
Head, Section of Endocrinology
LINA AMSUA, M.D., FPCP, FPSMID
Head, Section of Infectious Disease
2. Form 2.2 Protocol Summary Sheet
3. Form 2.3 Protocol Evaluation
4. Form 2.4 Informed Consent/Assent Evaluation
5. Technical Review Approval Form
6. Full Research Proposal
7. Informed Consent in English and Hiligaynon
8. Study Tool
9. Curriculum Vitae of Principal Investigator and Co-
Investigators
10. GANTT Chart
11. Study Proposal Budget

MA. NIDA FERRER, M.D., FPRA
Head, Section of Rheumatology
GRACE FERNANDEZ, M.D., FPCP
Head, Section of Geriatrics
If you have further questions, you may reach us at
09209461200/09500183121 or through our email at
palacios.stepha@gmail.com

EMILY JARDELEZA, M.D., FPCP, FPSNM

Head, Section of Nuclear Medicine
Thank you very much and we are hoping for your favorable response.
AILEEN ADELA MONTERO, MD, FPDS
Head, Section of Dermatology

Department of Internal Medicine

E. Lopez Street, Jaro Iloilo City
Tel: (33) 320 2431 Loc 205
Email: uh_im@yahoo.com
PATRICIO P. PALMES, M.D., FPCP, FPCC, FPSE, FPSVM
Truly yours;
Chairperson

AGNES M. VILLAFLOR, M.D., FPCP, FPSN Stephanie Palacios Ella Gallego

Training Officer Medical Officer IV Medical Officer III

TOMASITO SY., M.D., FPCP, FPCCP

HELMAR SOLDEVILLA, M.D., FPCP, FPRA
Assistant Training Officers
Noted by
DIVISIONS BY SUBSPECIALTY Marie Grace Dawn Tindog-Isidro MD, FPCP, FPCCP
PATRICIO P. PALMES, M.D., FPCP, FPCC, FPSE, FPSVM Co-Author/Adviser
Head, Section of Cardiology
& Peripheral Vascular Disease
Tomasito Sy MD, FPCP, FPCCP
MARCELINO FELISARTA, M.D., FPCP, FPCC Co-Author/Adviser
Head, Section of Invasive Cardiology

MARIE GRACE DAWN ISIDRO, M.D., FPCP, FPCCP Patricio Palmes MD,FPCP,FPCC,FPCE,FPSVM
Head, Section of Pulmonology Co-Author/Adviser
IKE T. MINERVA, MD, FPCP, FPSG, FPSDE
Head, Section of Gastroenterology

AGNES JEAN VILLAFLOR, M.D., FPCP, FPSN

Head, Section of Nephrology

JOEL ADVINCULA, MD, FPNA

Head, Section of Neurology

ALDA TULIO, M.D., FPCP, FPSHBT

Head, Section of Hematology

JANDRE JOMAR A. ALIPAT, M.D., FPCP, FPSMO

Head, Section of Oncology

MARY ANN JEAN PATRIMONIO, M.D., FPCP, FPSAI

Head, Section of Allergology

ARETHA LIWAG, MD, FPCP, FPSEM

Head, Section of Endocrinology

LINA AMSUA, M.D., FPCP, FPSMID

Head, Section of Infectious Disease

MA. NIDA FERRER, M.D., FPRA

Head, Section of Rheumatology

GRACE FERNANDEZ, M.D., FPCP

Head, Section of Geriatrics

EMILY JARDELEZA, M.D., FPCP, FPSNM

Head, Section of Nuclear Medicine

AILEEN ADELA MONTERO, MD, FPDS

Head, Section of Dermatology

Department of Internal Medicine

E. Lopez Street, Jaro Iloilo City
Tel: (33) 320 2431 Loc 205
Email: uh_im@yahoo.com