ROJOSON’s Lectures and Teaching Activities – 2017 (Registry as of December 31, 2017)

ROJOSON’s Lectures –Talks – 2017

Target: 12

Total:  15  (more if teleconferences and online coachings are itemized)

  Date Title Participants Place
1 January 26, 2017 Coaching on Hospital Administration – Dr. Rafael S. Tumbokon Memorial Hospital – Aklan Department Heads Kalibo, Aklan
2 February 4, 2017 Systematic Approach to Hospital Operations: The Unique Framework Applicable To Every Department UP-CPH MHA 202


3 February 8, 2017 Preceptorial on Physical Examination of the Thyroid UPCM LU 3 UPCM
4 February 11, 2017 Value-based Health Care Services in National Health Care Indonesian Hospital Directors Yogyakarta, Indonesia
5 February 15 – 16, 2017 Coaching on Hospital Administration – Salubris Medical Center Salubris Medical Center Staff Solano, Nueva Vizcaya
6 February 17, 2017 External Audit – Zamboanga City Medical Center Neonatal Death Management System Zamboanga City Medical Center Neonatal Death Management System Online
7 February 18, 2017 Organization and Management of the Emergency Department of a Hospital UP-CPH MHA 202


8 March 4, 2017 Organization and Management of the Department of Surgery of a Hospital UP-CPH MHA 202


9 March 13, 2017 Patient Safety Management Unilab Sharing Program –  Hospital Directors from Indonesia UNILAB
10 September 26, 2017 Preceptorial in Head and Neck GS1 Clinic UPCM LU 5 UPCM
11 September 29, 2017 Preceptorial on Physical Examination of the Head and Neck UPCM LU 3 UPCM
12 October 24, 2017 Systems Thinking Framework in Overall Hospital Management UP-CPH MHA UP-CPH
13 October 26, 2017 Management of Emergency Room UP-CPH MHA UP-CPH
14 November 2, 2017 Hospital Accreditation UP-CPH MHA UP-CPH
15 2017 – whole year Online coaching of staff of Salubris Medical Center Salubris Medical Center Staff Salubris Medical Center

Will maintain target at 12 per year for 2018.  Will try to keep the number at no more than 15.

Will slow down.  Will focus on my educational memoir before age 70.


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Clutter Management of ROJoson’s Photo Slides – How I did it

I seriously got into taking pictures or photos using slide films, mainly Ektachrome, starting 1976 when I started my general surgery residency training program in the Philippine General Hospital.

I was mainly influenced by my late mentor, Dr. George Eufemio, who had a vast collection of photo slides which he would use for lectures, teaching, research and other documentary purposes.  See samples of Dr. George Eufemio’s slides.  Notice he would put notes on the frame of the slides to tell what the slides were all about.  (I also did the same, and further, I cataloqued them.)

I bought several Pentax cameras using my hard-earned training stipend (about P700 per month).  I took photo slides during my entire 5 years of surgical training program.  In all rotations in the different surgical subspecialties, like Head and Neck, Breast, Colorectal, Hepatobiliary, Plastic, Pediatric, Urology, Neurosurgery, Thoracovascular Surgery, I took pictures of interesting, unusual cases and cases for lectures and research purposes. I also made word slides initially using Kodalith (black and white) for my lectures.  All in all, my estimate is that I had a collection of about 10,000 slides.

After residency, I continued to take pictures of interesting and unusual cases and those that I need for teaching and research.  I was doing this when I was consultant at the Philippine General Hospital, Manila Doctors Hospital, Medical Center Manila, and Ospital ng Maynila Medical Center.

I probably stopped using pictures circa 2006 when digital cameras were already in vogue.  I just relied on the digital cameras of my residents for the pictures.  In 2011, my sister gave me a digital camera and I resumed my picture taking of medical cases.  Up to the present, I am still taking pictures using compact cameras and not cellphone cameras which started circa 2008.

All in all, when I was doing my clutter management, trying to digitalize all my analogue slides, my estimate is that I had a collection of about 20,000.

I decided not to digitalize all the 20,000 analogue slides as I would be consuming a lot of time probably 2 months or more.  I decided on selective digitalization, those which I had sentimental values and those which I think are significant for my educational memoirs. I know for a fact that Dr. George Eufemio after retirement was also trying to make his collection of his slides as memoirs – trying to preserve all and categorized them. However, he did not complete his plans as his collection was able huge.

My justifications for not digitalizing all, aside from the time constraint, are one, there are already plenty of medical pictures in the Internet that one can see and use.  Second, I do not think, anybody, including my son, who will be training to be a surgeon in the future, will spend time going through all the 20,000 slides.  Thus, I decided to be selective, getting representative pictures (for example, representative pictures of the pectoralis major myocutaneous flaps that I had been doing before; representative pictures of the cases that we were seeing the emergency room of PGH – dart wounds, harpoons, etc.; representative pictures of other flaps; representative pictures of breast and thyroid pathologies; etc.).  I did not digitalize all the 20,000 slides.  I digitalized only those which are of sentimental values to me.

With this experience in clutter management of photo slides, especially medical ones, here are my thoughts, perceptions, opinions and recommendations:

  1. After taking pictures, this time, digital already, as soon as possible, select which ones to discard which ones to keep.  If you don’t do this, your pictures will pile up to the point it will be hard to manage or to do clutter management.  Discard blurred pictures, triplicates (just duplicates at the minimum), and pictures which do not have clear message content.  Keep those which you think are important – create your own criteria – example, for lecture, for research, unusual cases, etc.
  2. Label and categorize them into folders.
  3. If possible, make a slide show or presentation.  Post them in Slideshare or Google Photos or even Facebook.  Decide on the privacy setting.  Keep a digital back-up in your computer or external hard drive.
  4. Make your pictures useful.  Use them to teach.  Share your pictures to the public or to interested people.  Recommendation: at least once in the lifetime of the pictures.

Clutter Management of ROJoson’s Photo Slides


I had my old analogue slides in plastic jackets and suture boxes.


My estimate: 20,000 old analogue slides.

After selective digitalization, I discarded them.


Sorting and categorization (classification) of yesteryears (dated back to 1976) – using suture boxes.


Sorting and categorization (classification) of yesteryears (dated back to 1976) – using plastic jackets.







How I labelled and cataloqued my slides of yesteryears (with data – name, age, sex, date, tag, number, etc.)


Samples of Dr. George Eufemio’s slides of yesteryears.


About 20,000 slides of yesteryears discarded.

Goodbye!   Fond memories.  Memories of my experiences as a surgical resident and as a consultant.  Will miss you!





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ROJoson Medical Clinic Patient Contact Information – Continual Refinement

In the data sheet form that I ask patient to fill-up in my clinic, I include fields on contact information (landline number, cellphone number, and email address of patients and cellphone number of relatives).


Today, I will refine the strategies in my getting the contact numbers of my patients and relatives when I foresee that I may have to contact them right away.  A common situation is when patients are scheduled for admission and operation.  I may need to contact them right away if there is a need to change schedule.  Another situation is when patients are being closely follow-up by me.  I may need to contact them to check their status.

Starting January 7, 2018, before discharge from my clinic or from the hospital, I will ask for their cellphone numbers (patient and a guardian) by making them SMS or text me and my secretary their numbers and names.  So, what will appear in my cellphone log (also in my secretary’s cellphone log) will be a number that contains the name of the patient and of course the cellphone number and  another number that contains the name of guardian, his patient, and the cellphone number.

This way, I and my secretary will find it easy to contact them when we need to do.

Trigger for this continual refinement:

I have to change a schedule of admission and operation for a patient originally scheduled on January 9, 2018 (Black Nazarene or Quiapo Day).  I realize the need to do the change only on a weekend (Saturday evening).  Her records were in the clinic.  I did not have her cell number.  I decided to call up my classmate, Isa Ortega, who referred patient to me, for assistance.  Fortunately, Isa had the contact number of the patient.  On Sunday,  I was able to call up the patient and advised her on the change of schedule of admission and operation.  A little hassle which can be avoided by my new strategy. 

Additional strategy: for those with Facebook account, to tell them to keep in touch with me in Facebook.  However, this is not as quick as using cellphone communication.

Case in point:

December 19, 2017, a patient was scheduled for breast cancer operation.  She was supposed to check into the hospital on December 18, 2017.  At 5 pm on December 18, 2017, no news from her.  I tried the cellphone number of her relative given to me before.  I did not have her new cellphone number as she just arrived from Vietnam.  No answer.  She had to admitted on December 18, 2017 because December 19, 2017 was my last day of operation (I was leaving for abroad on December 22, 2017).  She had Facebook account.  I private messaged her at 6 pm.  Fortunately, at 7 pm, she responded through FB messenger.  She thought all the while she would check in and have the operation on December 19, 2017.  I said no. She had to check in the day before (December 18, 2017).  With this information, she right away packed her stuff and went to the hospital and checked-in at 10 pm.  The operation went on as scheduled.


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For those who want to be my friends in FB after my 5000 quota

December 24, 2017

As of December 24, 2017, I have a total of 5,227 friends in both my FB timeline (Reynaldo O Joson) and FB group (Reynaldo O Joson 2).

My primary FB Timeline is Reynaldo O Joson.

I reached my quota of 5000 in May 27, 2017 / June 12, 2017. I created a FB group (Reynaldo O Joson 2) in May 20, 2017 to accommodate those who want to be my FB friends after the 5000 quota.

I have been constantly cleaning up my FB timeline (Reynaldo O Joson) and constantly adding new friends to my FB group (Reynaldo O Joson 2).

For those who want to be my friends in FB after my 5,000 quota, pls. submit requests to Reynaldo O Joson 2.

Those who are already my friends in Reynaldo O Joson need not submit requests anymore.

Reynaldo O Joson 2 is an extension of Reynaldo O Joson (1).

Thank you!

Reynaldo O Joson

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ROJoson Medical Clinic Notices in Facebook – 2018 Continual Refinement

Will continue to post ROJoson Medical Clinic notices on clinic schedule and changes in schedule in Facebook.

I think I started posting ROJoson Medical Clinic notices in Facebook in 2013.  Here is the evidentiary record.  I have been doing this since then.




Continual Refinements for 2018:

  • Post at least 2 weeks before any decided changes.
  • Repost at least every week.
  • Post in FB Timelines; ROJoson Medical Clinic; ROJoson Breast Wellness Clinic; ROJoson Thyroid Wellness Clinic; Reynaldo O Joson 2; Reynaldo O Joson Page.
  • Place a tag (ROJOSON MEDICAL CLINIC NOTICE) for easy retrieval.
  • May post notices of NO clinics (if known) months in advance for the benefit of those patients from the provinces and abroad who will be availing of discounted air-fares.

Benefits for patients:

They know my clinic schedule.

They know changes in my clinic schedule.

They can plan their visits to my clinic.

They will be saved from unnecessary trips to Manila and to my clinic if I am not around.



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Writing an “educational” memoir before age 70

Writing an “educational” memoir before age 70

December 8, 2017 – January 31, 2019:  That’s one year and less than 2 months to go before I reach 70 years old, my first life cut-off.

Resolution: Finish writing my memoir before January 31, 2019.

Memoir is defined as follows (gotten from the Net):

  • written record of a person’s knowledge of events or of a person’s own experiences
  • story of life
  • an account of one’s personal life and experiences
  • records of events written by a person having intimate knowledge of them and based on personal observation
  • autobiography – an account of a person’s life written by that person
  • a collection of memories that an individual writes about moments or events, both public or private, that took place in the subject’s life

I will operationally define “memoir” as digitalizing and archiving in the Net all my past writings (from 1982 to 2017 or even 2018) on medical education, surgical education, hospital administration education, and public health educationwhen I say my resolution is to “finish writing my memoir before January 31, 2019.”  In a way, by doing the above, it will be an online collection of my memories of yesteryears on my educational writings.  It will be an online “educational” memoir. In a sense, it is an online autobiography as it will be written by me.  In a sense, it is an online story of my life as a teacher and educator.

It will be different from the conventional format of a memoir (usually structured, formally written and contained in a single book) in that I will just retrieve all my past educational writings from 1982 to 2017 or 2018 (both in hard and soft copies), digitalize them (the hard copies), and post them in the Net in my various blogsites (not in a single blogsite; not in a single book).

Most important indicator that I have accomplished my resolution: at least all hard copies of my past educational writings have been digitalized and archived in the Net.  The soft copies of my past educational writings have practically all been archived in the Net since 1989.

This will be my focus starting today, December  8, 2017, up to January 31, 2019: that’s one year and less than 2 months to go before I reach 70 years old, my first life cut-off.

I may decline consultancy works and other distractive activities next year (2018) so that I can accomplish my resolution.  I will resume consultancy works after this, in 2019 (that is, if I get to live past 70 years old).

Wish me luck that I will be able to accomplish this resolution of “Finish writing my memoir before January 31, 2019″ by January 30, 2019.


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Writing before Retiring – ROJoson – November 3, 2007


Writing Before Retiring


November 3, 2007

Intended Readers / Audience: Anybody

Today is November 3, 2007; 10:00 pm.

I am in Anilao, Batangas.

I have decided to start a writing project whose goal is to share my experiences and my insights in at least three fields, which correspond to the three master degrees that I obtained after graduating from medical school in 1974, namely hospital administration (master in hospital administration obtained in 1991); medical education (master in health profession education obtained in 1993); and general surgery (master of science in general surgery obtained in 1997).

I am now 58 years old going 59 in January 31, 2008. I have only 6 years to go starting 2008 before the Philippine government’s mandatory retirement age of 65.   I am currently a part-time permanent employee of two government hospitals, namely: Philippine General Hospital and Ospital ng Maynila Medical Center.  In 6 years time, whether I like it or not, I have to get off from these two hospitals.  I am using age 65 as a reference standard for the retirement age.

A few months back, I told myself as well as some of my acquaintances that if I have to write and share experiences on these three fields, it should be before my official retirement age, while I am still somehow active in practice.  My thinking is that for one to be credible in giving “currently useful” advices, particularly in the fields where the information and knowledge are never considered absolute, permanent, and static and where new information and knowledge are being added at a fast pace, he / she must still be actively practicing and up to date.  If I start writing after my retirement age, I will feel insecure in what I will advice because during this time, even if I want to, I may not be able to catch up with the fast pace of knowledge evolution.  Just as people tend to be attracted to “current” publications, I feel writing now, 6 years before I retire, while I am still somehow active in practice and can still monitor changes in the information mill, will make me get more attention from my intended readers and audience.    I like to assume and hope that the perception of my targeted readers will be that at this time, I, as the author, have accumulated enough experiences and insight to share and that whatever I share will be “current”.  Just as books need to be edited at planned intervals to maintain “currency” and attractiveness, my writings 6 years before my retirement will have a greater chance of being currently relevant and, therefore, more readership.

If my goal is to share experiences and my insights, my writing project can come in two forms.  One form is writing a book.  Another form is writing a journal or log.  I have written books and manuals before.  I find the task taxing and take a long time to complete.  I have experience with web log (blog) and journals or logs published in websites and shared through emails.  Since my writing will be in three fields, not just one; since I will be juggling from one field to another in a short time interval (say daily, biweekly, weekly, once every 2 weeks, or every month being the longest interval); since in writing a book, one has to focus on one field for at least a year or so, which I cannot do at present, as I am still practicing the three fields every day and simultaneously ;  I have decided to start with the writing of journals or logs.  I intend to  disseminate my logs through emails (as this is most active and easiest way of sharing) to my present students, former students, colleagues, and anybody interested in my experiences and insights in the fields of hospital administration, medical education, and general surgery.   Six years, I believe, is a good lead time, long enough for me to write everything (at least 65 advices per field) that I have to write, before I retire at age 65.

Although I have decided to write logs starting November 4, 2007, I will keep open the option to write books.  I may do this before my age 65 if I have time.  I will most likely be compiling or consolidating the logs into a book after my retirement.

In terms of priority for my logs, I will start with hospital administration, then general surgery, and then medical education.

Thus, the first log that I will make will be on hospital administration.



Writing Before Retiring 

Key Point / Advice (November 3, 2007):

If you have to write to share your experience and insights as part of your planned legacy (contribution to the knowledge or learning resources in your field), do it before you retire (say 6 years before you retire).  Chances are whatever you write will be currently useful, therefore, more attractive and have greater readership, the ultimate impact you want for your time and efforts.   




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