April 27, 2024

1400H - 1500H
Via Zoom

Empowerment
objective - for laypeople
USEFULNESS OF to have an essential
TELEMEDICAL understanding on the
CONSULTATION USEFULNESS OF
AND ROUND TELEMEDICAL
CONSULTATION AND
ROUND
as part of their health
management.
 April 27, 2024
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.

objective - for laypeople Sign in your name, FB

USEFULNESS OF to have an essential account, or email address in
understanding on the the Chat Box! Include names
TELEMEDICAL of companions attending.
CONSULTATION USEFULNESS OF
AND ROUND TELEMEDICAL Use the Chat Box to ask
CONSULTATION AND questions and make
comments while the PEP TALK
ROUND is on.
as part of their health
management. There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
USEFULNESS OF to have an essential
TELEMEDICAL understanding on the Pls. type in your
CONSULTATION USEFULNESS OF feedback in the chat
AND ROUND TELEMEDICAL box during the open
CONSULTATION AND forum and before we
ROUND adjourn!
as part of their health
management. Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START PEP TALK
to have an essential PROPER IN 2
USEFULNESS OF MINUTES!
TELEMEDICAL understanding on the
CONSULTATION USEFULNESS OF
TELEMEDICAL Pls. turn on your
AND ROUND video!
CONSULTATION AND
ROUND Show your face!
as part of their health
management.
 ROJoson PEP Talk
Empowerment
objective - for laypeople
I have a Patient
USEFULNESS OF to have an essential
Empowerment
TELEMEDICAL understanding on the
Program in which I
CONSULTATION USEFULNESS OF
like to empower the
AND ROUND TELEMEDICAL
lay people or
CONSULTATION AND
patients to take
ROUND
control in the
as part of their health
management of
management.
their health.
I started the PEP Talk
on May 15, 2021
during the COVID19
Pandemic. There are
3 courses in the PEP
Talk. I completed the
Core Course on
October 9, 2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses.
This may take 3 years or
longer depending on our
enthusiasm, discipline
and perseverance.
We are now on our 3rd
year!
 My PEP TALK today is
Empowerment entitled:
objective - for laypeople USEFULNESS OF
USEFULNESS OF to have an essential TELEMEDICAL
TELEMEDICAL understanding on the CONSULTATION AND
CONSULTATION USEFULNESS OF ROUND
AND ROUND TELEMEDICAL
CONSULTATION AND
ROUND
as part of their health
management.
 Contents Disclaimer:
USEFULNESS OF • What is a telemedical consultation?
TELEMEDICAL • What is a telemedical round? ROJoson PEP Talk
CONSULTATION • What is current history of telemedical contains ROJoson’s
AND ROUND consultations and telemedical rounds in the Thoughts,
Philippines and as being promoted by Perceptions,
ROJoson? Opinions and
• What are the usefulness of a telemedical Recommendations
consultation and round? (TPORs) culled from
• What are limitations of a telemedical experiences of
consultation and round? ROJoson and other
• What are ROJoson’s advice on Telemedical professionals.
Consultations?
 • What is a telemedical consultation?
USEFULNESS OF
TELEMEDICAL
CONSULTATION
AND ROUND
 • What is a telemedical consultation?
USEFULNESS OF
TELEMEDICAL Telemedical Consultation is NOT a face-to-face medical consultation
CONSULTATION where the physician directly sees and touches a patient to evaluate
AND ROUND his /her medical concern, then to make a clinical diagnosis and then
recommendations for treatment.

In Telemedical Consultation, interactions between the physician and

patient for purposes of medical evaluation and medical
recommendations are made through information technology such as
telephone, email, Facebook Messenger, Viber, Zoom and other online
apps with no face-to-face interaction.
 • What is a telemedical consultation?
USEFULNESS OF
TELEMEDICAL Telemedical Consultation is NOT a face-to-face medical consultation
CONSULTATION where the physician directly sees and touches a patient to evaluate
AND ROUND his /her medical concern, then to make a clinical diagnosis and then
recommendations for treatment.
 • What is a telemedical consultation?
USEFULNESS OF
TELEMEDICAL In Telemedical Consultation, interactions between the physician and
CONSULTATION patient for purposes of medical evaluation and medical
AND ROUND recommendations are made through information technology such as
telephone, email, Facebook Messenger, Viber, Zoom and other online
apps with no face-to-face interaction.
 • What is a telemedical consultation?
USEFULNESS OF
TELEMEDICAL In Telemedical Consultation, interactions between the physician and
CONSULTATION patient for purposes of medical evaluation and medical
AND ROUND recommendations are made through information technology such as
telephone, email, Facebook Messenger, Viber, Zoom and other online
apps with no face-to-face interaction.
 • What is a telemedical round?
USEFULNESS OF
TELEMEDICAL
CONSULTATION
AND ROUND
 • What is a telemedical round?
USEFULNESS OF Medical round is a visit by a physician on a hospital patient for a health
TELEMEDICAL management purpose. Physician making a medical round usually goes to
CONSULTATION the room of a patient confined in a hospital to assess patient’s progress;
AND ROUND to discuss the diagnosis; to discuss further plans of management; to
instruct patients on self-care at home; etc. Thus, the conventional
meaning of medical round entails a visit to the hospital by the physician
and a face-to-face interaction with a patient.

Telemedical round is the same as medical round except there is NO

hospital visit and NO face-to-face interaction between the physician and
patient. Interactions are done through information technology such as
telephone, email, Facebook Messenger, Viber, Zoom and other online
apps.
 • What is a telemedical round?
USEFULNESS OF Typical Medical Round – Medical Round with
TELEMEDICAL Face-to-face Interactions with Patient
CONSULTATION
AND ROUND
 • What is a telemedical round?
USEFULNESS OF Typical Medical Round – Medical Round with
TELEMEDICAL Face-to-face Interactions with Patient
CONSULTATION
AND ROUND
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL Telemedical round is the same as medical round except there is NO
CONSULTATION hospital visit and NO face-to-face interaction between the physician and
AND ROUND patient. Interactions are done through information technology such as
telephone, email, Facebook Messenger, Viber, Zoom and other online
apps.
 • What is current history of telemedical
USEFULNESS OF consultations and telemedical rounds in the
TELEMEDICAL Philippines and as being promoted by
CONSULTATION ROJoson?
AND ROUND
 • What is current history of telemedical consultations and telemedical
USEFULNESS OF rounds in the Philippines and as being promoted by ROJoson?
TELEMEDICAL
CONSULTATION Services for telemedical consultation have been present even before the
AND ROUND COVID19 Pandemic in 2020. However, they were not widely used as they
are not yet popular. So, are the telemedical rounds.

Telemedical consulations and rounds were forced to become popular

during the COVID19 Pandemic because of safety issues of face-to-face
medical consultations and rounds and the limitation of movements of
physicians and patients.

Telemedical consultations and rounds have become one of the NEW

NORMALS during and after the COVID19 pandemic.
 • What are the usefulness and limitations of a
USEFULNESS OF telemedical consultation?
TELEMEDICAL
CONSULTATION
AND ROUND
 • What are the usefulness and limitations of a If there is medical
USEFULNESS OF telemedical consultation? concern, go for
TELEMEDICAL TELEMEDICAL
CONSULTATION CONSULTATION first.
AND ROUND Wait for the advice of
the physician in the
telemedical
consultation on what
to do next,
particularly on
whether there is a
need to go to a
hospital or not.
 TELEMEDICAL CONSULTATION after COVID19 PANDEMIC
Filipino Patients with a Health Concern

With NO Medical NOT SURE of Medical With Medical Emergency

Emergency Emergency
Quick Consult
If there is medical TELEMEDICAL CONSULTATION FIRST
concern, go for
TELEMEDICAL Home Clinic / Outside Hospital Hospital
CONSULTATION first. Management Setting Management Management
Wait for the advice of
the physician in the Only when needed Only when needed
telemedical
consultation on what
to do next, particularly
on whether there is a
need to go to a
hospital or not.

Total Heath
Care
Expense LOWEST HIGHER HIGHEST
 • What are the usefulness and limitations of a If there is medical
USEFULNESS OF telemedical consultation? concern, go for
TELEMEDICAL TELEMEDICAL
CONSULTATION CONSULTATION
AND ROUND first.
Wait for the advice
of the physician in
the telemedical
consultation on
what to do next,
particularly on
whether there is a
need to go to a
hospital or not.
 What were the usefulness of telemedical consultations and
USEFULNESS OF rounds during the COVID19 pandemic?
TELEMEDICAL
CONSULTATION • Efficacy – 99% if done properly (in terms of achievement of
AND ROUND the intended objectives of a medical consultation and round)
• Risk – 0% COVID19 exposure risk because consultation is
done through digital means (video medical consultation – not
face-to-face consultation)
• Safe – safer because of 0% COVID19 exposure risk
• Cost – lesser expense in the long run and overall – no travel
expense; no pre-face-to-face consultation COVID19 screening
test expense; no PPE-use expense; etc.
• Availability – readily available
 What are the usefulness of telemedical consultations and
USEFULNESS OF rounds after the COVID19 pandemic?
TELEMEDICAL
CONSULTATION • CONVENIENCE – on the part of the patient and the physician
AND ROUND in arranging a medical consultation - NO hassle of physical
travels – distance and traffic and expense; physician and
patient can be far apart, even world apart
• CONVENIENCE in terms of TIME of medical consultation –
there is a mutually agreed time by both physician and patient
– booked appointment or pre-arranged date and time.
• AVAILABILITY – telemedical consultation more readily
available nowadays compared to pre-COVID19 era
 What are the usefulness of telemedical consultations and
USEFULNESS OF rounds after the COVID19 pandemic?
TELEMEDICAL
CONSULTATION • EFFICACY OF CONSULTATIONS AND ROUNDS – 99% if done
AND ROUND properly (in terms of achievement of the intended objectives
of a medical consultations and rounds)
• COST – lesser expense in the long run and overall – especially
on no travel expense and patients being guided when to go
to emergency room and to hospital (quite expensive
nowadays)
 • What is current history of telemedical consultations and telemedical
USEFULNESS OF rounds in the Philippines and as being promoted by ROJoson?
TELEMEDICAL
CONSULTATION With the telemedicine becoming a vogue during the COVID19 pandemic
AND ROUND (starting 2020), I and other physicians have used telemedical
consultations and telemedical rounds.

I started using telemedical consultations and telemedical rounds starting

March 17, 2020.

I am still using them up to now on top of the face-to-face medical

consultations and medical rounds that I resumed in May 2022.
 • What is current history of telemedical consultations and telemedical
USEFULNESS OF rounds in the Philippines and as being promoted by ROJoson?
TELEMEDICAL
CONSULTATION Scope of ROJoson Telemedicine (Basic Steps)
AND ROUND ROJoson Telemedical Consultation approximates the standard ROJoson's
face-to-face medical consultation with patients in ROJoson Medical Clinic.
• Greeting; getting to know the patient (personal data);
• Elicitation of concern or reason for consultation;
• Gathering of data to be used in arriving to a primary clinical diagnosis:
• symptom data; data on previous and past medical treatment;
• sign data - inspection (looking at the patient's body and pointed
area/s of concern with still and video pictures) and physician-
guided patient-self-palpation of areas of concern];
 • What is current history of telemedical consultations and telemedical
USEFULNESS OF rounds in the Philippines and as being promoted by ROJoson?
TELEMEDICAL
CONSULTATION Scope of ROJoson Telemedicine (Basic Steps)
AND ROUND ROJoson Telemedical Consultation approximates the standard ROJoson's
face-to-face medical consultation with patients in ROJoson Medical Clinic.
• ROJoson doing medical recording in a stationary which contains
primary clinical diagnosis; explanations; recommendations; discussion
with shared decision-making and informed consent on treatment plan.
A scanned medical record will be given to the patient.
• Patient shall acknowledge understanding and receipt of the medical
record.
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL
CONSULTATION In May 2022, after I resumed inpatient surgical
AND ROUND operations, I have been doing mostly telemedical
rounds up to discharge time. I would do physical
visit to the hospital to make rounds only when
needed. I have surgical residents doing rounds in
the hospital. They would report to me on the
status of the patients.
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL
CONSULTATION The day after the operation, with prior
AND ROUND arrangement with patients or their relatives, we
would do video chat through any of these
platforms, Viber, Facebook messenger, or Zoom
(whichever is accessible and easier to utilize).
Through the video chat, I can do the usual things
that I do in a physical medical round, except
palpation of the patient’s body. If there is a need
to do a palpation, I would ask the assistance of a
surgical resident who is on duty in the hospital.
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL
CONSULTATION Here is a picture of a patient under telemedical
AND ROUND round, a day after a major operation. She was
happy with the telemedical round. She had a
picture taken with me with her caregiver. She
would be discharged one to two days postop
without me having to do a physical medical
round.
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL
CONSULTATION By the way, after she is discharged, if there is any
AND ROUND concern related to her operation, she is welcome
to contact me anytime for a video chat. This
video chat can be labelled as telemedical
consultation and also as a telemedical round as
there is monitoring of the patient’s progress
being done as in a medical round. The only
difference here is that the monitoring is done this
time outside the hospital (at home).
 • What is a telemedical round?
USEFULNESS OF ROJoson Telemedical Round
TELEMEDICAL
CONSULTATION I foresee that telemedical rounds will eventually
AND ROUND be defined as monitoring and following-up the
progress of patients’ conditions at a distance
(teleround), not only with the patient being
confined in the hospital. The patients can be at
any place outside a hospital as long as the main
objectives of a conventional medical rounds are
being accomplished, essentially following-up
patients’ progress.
 • What are the LIMITATIONS of a telemedical Despite the
USEFULNESS OF consultation and round? limitations, the
TELEMEDICAL accuracy of diagnosis
CONSULTATION • NO DIRECT PALPATION of body parts of the on telemedical
AND ROUND patient if needed to be done consultations and
• NO DIRECT AUSCULTATION of the patient If rounds can still
needed to be done approximate that of a
face-to-face medical
Innovations that can be done: consultations and
Physician can ask and teach patients and relatives rounds as long as the
to do some maneuvers in physical examination physicians do some
(of course under video-guidance of the adjustments and
physicians). innovations.
 • What are the LIMITATIONS of a telemedical consultation and
USEFULNESS OF round?
TELEMEDICAL NOTE: THIS IS NOT A LIMITATION.
CONSULTATION
AND ROUND Telemedical consultations and rounds that approximate the
processes and procedures of a face-to-face medical consultation
and round and with physicians being conscientious in achieving
utmost accuracy and offering adequate explanation usually TAKE
LONGER - usually double the time or longer, thus, MORE TEDIOUS.

A lot of patients tend to appreciate this, especially the explanations

which are usually abbreviated during face-to-face interactions.
 • What are ROJoson’s advice on Telemedical Consultations?
USEFULNESS OF
TELEMEDICAL Nowdays, all physicians must have two modes of services for
CONSULTATION medical consultations – one, face-to-face and the other,
AND ROUND telemedical.

This gives the patients the opportunity and the leeway to choose
which mode of medical consultations will be convenient and
advantageous for them based on the circumstances they are in.
 • What are ROJoson’s advice on Telemedical Consultations?
USEFULNESS OF
TELEMEDICAL There are indications for each of the two modes of medical
CONSULTATION consultations.
AND ROUND
In NON-emergency situations:

Essentially, if face-to-face consultation is possible based on the

distance and expense and there is a need for the physicians to
touch a patient’s body in physical examination for more accurate
diagnosis, then go for FACE-TO-FACE MEDICAL CONSULTATION.
 T
• What are ROJoson’s advice on Telemedical Consultation?
USEFULNESS OF
TELEMEDICAL There are indications for each of the two modes of medical
CONSULTATION consultations.
AND ROUND
In NON-emergency situations:

Essentially, if face-to-face consultation is not possible or difficult

based on the distance and expense and other factors like a bed-
ridden patient and physicians may forego touching a patient’s body
in physical examination for more accurate diagnosis, then one may
opt for TELEMEDICAL CONSULTATION.
 • What are ROJoson’s advice on Telemedical Consultations?
USEFULNESS OF
TELEMEDICAL There are indications for each of the two modes of medical consultations.
CONSULTATION
AND ROUND In EMERGENCY situations:

If one has access to a physician who does telemedical consultation, get a

quick TELEMEDICAL CONSULTATION first and then follow the advice of
the physician – whether need to bring patient to an emergency room,
where and when to go and what first-aid to do, etc. Rushing to an
emergency room may not be needed after a telemedical consult.
However, the decision is based on the discretion of the relatives of the
patient.
 • What are ROJoson’s advice on Telemedical Consultations?
USEFULNESS OF
TELEMEDICAL There are indications for each of the two modes of medical consultations.
CONSULTATION
AND ROUND In situations where EMERGENCY IS UNCERTAIN:

If one has access to a physician who does telemedical consultation, get a

quick TELEMEDICAL CONSULTATION first and then follow the advice of
the physician – whether need to bring patient to an emergency room or
not (such as bring to clinic or stay home). Rushing to an emergency room
may not be needed after a telemedical consult. However, the decision is
based on the discretion of the relatives of the patient.
 Contents
Summary
USEFULNESS OF • What is a telemedical consultation?
TELEMEDICAL • What is a telemedical round? Take Away
CONSULTATION • What is current history of telemedical
AND ROUND consultations and telemedical rounds in the
Philippines and as being promoted by
ROJoson?
• What are the usefulness of a telemedical
consultation and round?
• What are limitations of a telemedical
consultation and round?
• What are ROJoson’s advice on Telemedical
Consultations?
 Be always in touch with reliable medical
Take Away in
USEFULNESS OF information on USEFULNESS OF TELEMEDICAL
TELEMEDICAL CONSULTATION AND ROUND. relation to
CONSULTATION Patient
AND ROUND Knowledge is power; it gives power. Empowerment
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on the
USEFULNESS OF TELEMEDICAL
CONSULTATION AND ROUND as part of
your health management.
 This ends my PEP
Empowerment TALK today on:
objective - for laypeople
USEFULNESS OF to have an essential USEFULNESS OF
TELEMEDICAL understanding on the TELEMEDICAL
CONSULTATION USEFULNESS OF CONSULTATION AND
AND ROUND TELEMEDICAL ROUND
CONSULTATION AND
ROUND
as part of their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
USEFULNESS OF to have an essential
TELEMEDICAL understanding on the Pls. type in your
CONSULTATION USEFULNESS OF feedback in the chat
AND ROUND TELEMEDICAL box during the open
CONSULTATION AND forum and before we
ROUND adjourn!
as part of their health
management. Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START Q&A AND
to have an essential INTERACTIONS!
USEFULNESS OF
TELEMEDICAL understanding on the
USEFULNESS OF Pls. turn on your
CONSULTATION video!
AND ROUND TELEMEDICAL
CONSULTATION AND Show your face!
ROUND
as part of their health
management.