PHILIPPINE COLLEGE OF CHEST PHYSICIANS

11 Councils Report 2021

1. Bronchial Asthma

The Bronchial Asthma Council headed by the Chairman Josephine Blanco - Ramos,
MD, FPCCP and with 146 Members,

Zoom Meeting
June 16, 2021 Zoom Meeting
July 13, 2021 Zoom Meeting
November 3, 2021 Zoom Meeting
December 2, 2021 Zoom Meeting
Projects and Activities:
ADVOCACY

The PCCP commemorates the World Asthma Day on May 5, 2021 in the midst of the
COVID - 19 pandemic. The session on Uncovering Asthma Misconceptions . Tackles the most
common myths on asthma featuring resource speakers from the PCCP asthma council. This
presentation is a great opportunity to educate and correct common misconceptions on asthma
especially for the lay. Recorded lecture available at You -Tube channel: PCCP Manila.

Collaborator as content expert with Council on Diagnostics and Therapeutics on Breathe

Freely, website featuring usage of different inhalers available. It promotes respiratory wellness
through patient education. This platform champions videos on proper use of respiratory gadgets
such as MDI, DPI, nebulizers and intranasal spray. This is to help patients properly administer their
medicine to ensure its efficacy. Visit: https://www.breathefreely.ph/
Asthma Council endorsement of
Reliever Reliance Test (RRT) in
Asthma Care Hub.

The Council hopes to continuously improve on the dissemination of the recommended

therapeutic management of Asthma among our Health Care Professionals, likewise, improve THE
health seeking behavior of persons with asthma and, finally, provide better control of their asthma.

Tri Media conferences on asthma which were also featured in the social media
EDUCATION/TRAINING

1. Dissemination of 2019 PCRDMA - PCCP Members - PCP/PAFP - PCOM/PASCM/PAPP/PSAAI -

PHIC/OSHC DOLE - Watsons Go to PCCP MyChannel: https://ph-medevents.com/pccp/
Inclusion of PCRADM Excerpts in Philippine Compendium of Medicine (Medicom Pacific)
2. Philippine College of Physicians Wet clinics and teaching workshops August 2020

Empowering the Pharmacists of Watsons Philippines to Provide Asthma Patient Education

Hosted pulmonary grand rounds on the Updates in the Management of Asthma on October 5, 2020
RESEARCH

1.ARIA –Research on Allergic Rhinitis - Establish a screening score system for Pediatric patients
with Allergic Rhinitis who will have Adult Asthma.

2. PhilHealth Statements for the Diagnosis and Management of Asthma among Adults

CME Webinars

Asthma Wednesdays: Scientific Exchange among Experts

The Future Plans

• Update 2019 PCRDMA
• Updates on some chapters
• Highlight the changes from 2019, the guidelines that must be reiterated
• Evaluation of the dissemination of the 2019 Report
• Design for template for powerpoint slides, zoom background, promats, tshirts, etc. for AC
events/ ctivities
FUTURE ACTIVITIES

• ASTHMA REALITIES
• Patient-Doctor Disconnect
• Societal Misconceptions
• Treatment Approaches
• Access to Speciliasts
• Over-looking Symptoms
• National Policies

Josephine Blanco - Ramos, MD, FPCCP

Chairman

2. Critical Care Medicine and Pulmonary Vascular Disorders

1. Council meetings

a. April 20, 2021 by zoom

b. July 22, 2021 by zoom
c. November 20, 2021 by zoom
2. VTE awareness program every February

3. Lecture: August 2, 2021- 5:00 pm

Topic: VTE Prophylaxis in Covid-19 Patients: An Update
Speaker: Dr. Julie Christie Visperas
Moderator: Dr.Shirley Jane Panganiban

4. Lecture: August 21, 2021- 3:00 pm

Topic: Usapang Hingal: Ano, Bakit at Paano?
Speaker: Dr. Omohaire Dilangalen
Moderator: Dr. Jerome Santos
5. Participation to the PCCP annual convention 2022
a. Convention symposium 1
Speakers: Drs. Bigornia, De Roxas and Del Poso
b. Plenary symposium 6
Speaker: Prof. Luciano Gattinoni

On Going Projects

1. Creation of committees for Clinical practice guidelines:

a. Withholding and Withdrawal of Ventilatory Support
b. Respiratory Management of Critically ill
c. Anticoagulation
2. Developing Infographics
3. Development of website for PH/ VTE registry thru the kind support from J
and J

Attendees lecture with J& J.

3. Lecture 1 and Lecture 2: May 12, 2021 and November 17, 2021, 7PM
Topic: RePHorming PAH Conversations
Speakers: Dr. Ivan Villespin, Dr. Maria Paz Mateo, Dr. Julie Christie
Visperas

• RED Pulmo: Reinventing Everyday Pulmonology’, first virtual convention

from March 2 – 5, 2021. Participation on CS 2 & CS 10

Plus Participation to the PCCP

annual convention 2022

1. Creation of committees for Clinical practice guidelines:

a. Withholding and Withdrawal of Ventilatory Suppor
b. Respiratory and Ventilatory Management of Critically ill
 c. Anticoagulation
2. Developing Infographics

3. Creation of the PH registry (PH electronic data base) website with Web
developer and Sponsor J and J
First meeting: October 22, 2021at 6 pm.
2nd meeting: January 25, 2022 at 2 pm.

Members:
1.Maria Paz Mateo
2.Karen Anne Bispo
Additional Member:
3. Christopher Cortes
Web Developer: Ms. Leah Doctolero
J&J: Ms. Lara Ladines

The Future Plans

1. EBM workshop with Dr. Dans

2. Publication of CPG on
a. Withholding and Withdrawal of Ventilatory Support
b. Respiratory Management of Critically ill
c. Anticoagulation

Ma. Paz B. Mateo, MD, MHA, FPCP, FPCCP, FPSCCM

Chairman
3. COPD & Pulmonary Rehabilitation

Activities for 2021

• August 2021 (Lung Month)

• Infographics - COPD and COVID vaccine

• COPD webinar – Targeting Quality of Life in COPD

Patients (from Inhaler to Physical Activity)

• Launching and dissemination of hard copies of COPD

Educational Booklets
• November 2021 World COPD Day - COPD Olympics 2021

• Summary of Consensus Statements on the Diagnosis

and Management of COPD in the Philippines

• Dissemination of the consensus statements

• Collaborator as content expert on Breathe Freely Network,

advocacy website featuring educational videos for COPD patients

On going activities – Research

• The Philippine COPD Profile and Survival Study (CPASS)

• Principal study investigator: Dr. Tim Trinidad
• Co-principal investigator: Dr. Roland Panaligan
• On going follow – up of participants (1,939 or 93% of the
target 2,075)
• Quarterly Investigator’s Meeting (IM)
PCCP BOLD II: A Follow-up Study in a Rural
Setting in the Philippines
PCCP BOLD II: A Follow-up Study in a Rural
Setting in the Philippines

• Principal Investigator: Dr. Stefanni Nonna Paraguas

• on-going data management and analysis

Future Plans
• Dissemination of consensus statements on the Diagnosis & Management of
COPD in the Philippines

• Pulmonary Rehabilitation Workshop

• Statement/ Guideline on Pulmonary Telerehabilitation

• Completion of BOLD II Study

Bernice Ong-Dela Cruz, MD, FPCCP

Chairman

4. Control on Tobacco and Air Pollution

A. 2021 Activities:

1. January 12, 2021 : PCP Health Forum, “ Hard Habits to Break this 2021”

Talk on Smoking Cessation

2. World No Tobacco Day Activities:
a)Forum on Ill -effects of Smoking

b) Participation in the forum led by Advocacy Committee

c) Tiktok Challenge :
Winners: 1st Place Philippine Heart Center
2nd Place De La Salle
3rd Place Lung Center of the Philippines

d) Tweetchat
3. JUNE: No Smoking Month
a) Photo Contest to demonstrate the ill effects of smoking

b) Guesting at “Saturday Night Live”

4. Lung Month – August 2021
a) Brief Tobacco Intervention Seminar and Intensive Counselling

b) Participation in the North West Luzon Chapter Talk on Vape

5) Position Statements were drafted on Vape and Ash Fall
6) Drafting of the Clinical Practice Guidelines on Smoking
Cessation, in collaboration with Philippine General Hospital
7) CCTAP has been actively participating in the activities to Junk the anti-
health and anti-youth Vape Bill.
B. Ongoing Projects:
1) Revision of the Clinical Practice Guideline on Smoking Cessation
C. Future Plans:
1) Conduct research on smoking cessation
2) Roll out / Dissemination of the Clinical Practice Guidelines
3) Continue to conduct Brief Tobacco Intervention and Intensive Counselling
seminars

Glynna A. Ong - Cabrera, MD, FPCCP

Chairman
5 Diagnostics and Therapeutics
The pandemic is still on-going and we saw the challenges last 2021 due to the
delta surge. It was still an exceptional year for the council as we try to be effective in
delivering our regular activities while striking a balance between our own safety,
clinical responsibilities as well as our commitment to education and training. The
annual Spirometry Quality and Interpretation Workshop was still on hold. The logistics
of holding a face-to-face training involving a potential aerosol-generating procedure
was indeed difficult. Other platforms were made available such as the skills session
of the American College of Chest Physicians Philippine Delegation convention. We
were given an opportunity to reach out to learners and review the science of
spirometry.

The annual Spirometry Quality and Interpretation Workshop was still on hold.
The logistics of holding a face-to-face training involving a potential aerosol-
generating procedure was indeed difficult. Other platforms were made available such
as the skills session of the American College of Chest Physicians Philippine
Delegation convention. We were given an opportunity to reach out to learners and
review the science of spirometry.

The INHALE workshop for 2021 as a plenary was also on-hold. The yearly skills
workshop for inhaler gadgets and techniques may have some challenges but we were
able to stage one micro-session with PCCP-accredited training institutions at Cebu
(Chong Hua Hospital and Perpetual Succor Hospital). It was held last June 19, 2021
when the province was relatively low in COVID cases.
 The Council members will continuously strive to make our presence relevant
to the current needs of the college and its stakeholders. As such, 2 statements were
released by the council to guide healthcare workers in relation to aerosol generating
procedures and inhalational interventions during this time of the pandemic.

The strength of the College is on its members with the council as its work
force. The Council on Diagnostics and Therapeutics will be steadfast on its efforts in
relation to pulmonary education, training as well as advocacy.

On behalf of the Council on Diagnostics and Therapeutics,

Roland M. Panaligan, MD, LLM, FPCCP

Chairman
6. Interventional Pulmonology

The Council has grown to 35 members. The council has maintained its
membership in the World Association of Bronchology and Interventional
Pulmonology (WABIP) and in the Asia Pacific Interventional Pulmonology Association
(APIPA). The members of the council are also members of the WABIP We conducted
the PCCP Pulmonary Grandrounds on Hemoptysis at the start of the year 2021, in
coordination with the PCCP Committee on Training. The council has formulated the
Protocol for the Performance of Pulmonary Procedures during the COVID 19
Pandemic. This document is an interim guideline in the performance of
bronchoscopy in the emergency, urgent and elective situations and the requirements
for negative COVID swab RT PCR, proper personal protective equipment and proper
setting. It also outlines the performance of thoracentesis during this pandemic.

The 11th Bronchoscopy Workshop was held virtually last June 23 to June 25,
spearheaded by the members of the council, in cooperation with WABIP, and APIPA.
Foreign speakers led by Prof. Bing Lam of HongKong graced the occasion. The
workshop featured the sharing of procedural cases by the different training
institutions. We held several meetings during the year trying to standardize the
practice of bronchoscopy as well as aid the accreditation committee in the training
of bronchoscopy. The council recently submitted to the PCCP Board an official
Bronchoscopy Report Form that will be used in all training institutions, to standardize
reporting and facilitate interhospital referrals. This has been approved and now being
used in our training institutions. In addition, the council is now finalizing the core

competencies required in bronchoscopy training as well as the intended learning

outcome of elective bronchoscopy rotation in our training institutions. This will also
include a standardize assessment of bronchoscopy skills. Meanwhile, we continue to
complete the consensus statement on pulmonary procedures that was stalled by the
pandemic.

Julius Caesar J. Dalupang, MD, FPCCP

Chairman
7. Lung Infection

The pandemic has continued to affect the entire country. Vaccination rate or
coverage is still much to be desired as some sectors of the society are still undecided
if they will be receiving their Covid vaccines. The council put out a document “ The
Philippine College of Chest Physicians Position paper on Covid Vaccination “
The Council on Lung Infections held its annual symposium entitled
inFACTivity: Lung Infection Summit 2022. This is a scientific activity featuring local
and international experts with updates on the current diagnosis and management of
respiratory infections. Attendees which were more than 300 , were colleagues in
Internal Medicine, Infectious Diseases and Pulmonary Medicine. This was virtual
affair held last February 11-12, 2022 (9am to 1pm) with the following course outline:
Day 1 Feb 11, 2022
9:30am -10:30am 1/ Finetuning Pneumonia Management — Dr Charles Dela Cruz
(Yale School of Medicine)
addressing gaps from guideline to practice
Objectives :
To discuss the optimal duration of antibiotic treatment of pneumonia
To discuss the role of new diagnostics/biomarkers in improving treatment outcomes
To discuss the best practice in the management of difficult to treat pneumonia
Moderator Dr Melvin Pasay, Lung Infection Council PCCP

1030am -1130am 2/ Learnings from the Pandemic IDS x Critical Care x Pulmo Ethicist
—
Dr Charmian Hufano ( St Lukes Medical Center)
Dr Ruth Divinagracia St Lukes Medical Center)
Dr Patrick Moral (UST)
Moderator : Dr Gwen Dy-Agra , Lung Infection Council PCCP
130am to 1230pm *Industry-sponsored Lunch symposium
Glimpse of alternative options in an era of antibiotic resistance
Speaker : Rico Paolo Garcia, MD
Sponsor : UAP
Day 2 Feb 12, 2022
9:30am to 10:30am 1/ Breezing Thru Bronchiectasis – Dr Camilo Roa (UP-
PGH)
Objectives:
To discuss Bronchiectasis as a distinct Chronic Disease/Syndrome — workup
and management
Moderator Dr Tina Maranon, Lung Infection Council PCCP

10:30am to 11:30am 2/ How to Treat Non Tuberculous Mycobacterium-related

Pulmonary Disease — Dr. Charles Daley (National Jewish Health)
Objectives :
To discuss the following:
a. Significance of NTM in bronchiectasis
b. Latest diagnostic criteria for NTM
c. How molecular diagnostics can facilitate early diagnosis of NTM
d. Who are the NTM patients that needs to be treated
Moderator Dr Edwin Villasanta, Lung Infection Council PCCP

11:30am to 12:30pm *Industry-sponsored Lunch symposium

Title : Acute exacerbations of chronic obstructive pulmonary disease: disease

management
Speaker : Tomas Realiza, MD
Sponsor : GSK

Rodolfo S. Pagcatipunan, MD, FPCCP

Chairman
8. Sleep Medicine Council

The Sleep Medicine Council headed by the Chairman Rodolfo V. Dizon, MD,
FPCCP and with 112 Members, The project/activities are participated PCCP Annual
Convention on March 1-4, 2022 and World Sleep Day online lay forum, the On-going
projects Ka – OSA online and OSA Information Sheet/Comics.

The Future Plans of the council are Polysomnography Workshop for

FITs and Positive Airway Pressure Workshop for FITs, OSA CPG

Rodolfo V. Dizon, MD, FPCCP

Chairman

9. Occupational & Interstitial Lung Disease

Dina Diaz, MD, FPCCP
Chairman
10. TB Council

The TB Council is composed of (Jerald please state total number) members.

For a more activity participation of the members, we decided this year the creation
of sub-committees where one can actively be involved. The following are the
committees of the Council: Advocacy, CME, Guidelines/Statements, Research,
Special Projects, External Affairs and International linkages.

Similar to last year’s condition, the COVID-19 pandemic lingered in our midst
and therefore was not able to hold the annual face to face gathering to celebrate the
annual March 24 World TB Day (WTBD). Despite the circumstances, the council
members participated in the virtual WTBD celebration organized by the Philippine
Coalition Against Tuberculosis (PhilCAT) as well as continued with our TB advocacies
through social medial:

1. Radio guesting by Dr. Ronnie Morfe in Health Chat Sonshine Radio

2. A lay forum webinar on TB and TIK-KOCH’s Challenge sponsored by VRP
Medical Center and organized by Dr. Lerma Malabag-Arandia
3. Awareness video on TB by the Southern Tagalog Chapter through the
Council’s member Dr. Lakan Florenio Beratio II
4. The Medical City had a lay forum on TB by Dr. Hermo Masangkay
5. TB lecture by Dr. Malbar Ferrer at St. Paul’s Hospital, Iloilo
6. Radio guesting of Dr. Glenford Refre via the Kalibo Cable TV Network and
GMA-Kalibo Barangay RU 92.9 FM for a talk on TB

Other guesting for the year included Dr. Julie Visperas’ lecture for the lay,
“Usapang TB” via Facebook Live last April 24, 2021.

PCCP organized a session on “How to Conduct Registries as a Research” last

May 20, 2021 and Dr. Carla Emille Barbon attended the event to represent the
Council.

For the Lung Month Celebration, the TB Council through PCCP’s representative
in the PhilCAT Board organized a session in PhilCAT’s webinar series entitled “Tools
and Practices for Patient Centered Care During the COVID-19 Pandemic” held last
August 18, 2021. Dr. Jubert Benedicto guested in CNN’s show regarding
tuberculosis on the same day.
 Dr. Jennifer Ann-Wi represented the TB Council last November 5, 2021 as
speaker in the TB session of the “State of the Art Pulmonology: Disease Updates and
Philippine Response, a 2 day webinar organized by PCCP with other international
speakers from the membership of APSR, ATS and ERS.

The sub-committee on external affairs had a meeting last September 2021

with Innovations for Community Health, an NGO which has various Kalinga Health
Hubs that links private providers to public sector goods for TB. A partnership with
the PCCP is being planned in order for PCCP members to have access to quality and
affordable diagnostics and treatment for TB patients. The MOA with the organization
has been recommended by the Council for approval of the PCCP Board. We were
likewise invited to attend a research forum organized by Innovations for Community
Health last November 24, 2021 and was attended by one of our council members,
Dr. Jennifer San Luis.

The major activity for the year via the advocacy sub-committee is the drafting
of IEC materials on the basics on TB intended for our TB patients and lay people at
large. It is currently in its final draft and due for release 1st quarter of 2022.

Elizabeth V. Cadena, MD, FPCCP

Chairman

11. Lung Malignancy Council

Respectfully submitting the annual report for the Lung Malignancy Council for the year 2021. Annual
Report 2021

(1) Participation in the review and approval of the Clinical Practice Guideline for the Diagnosis and
Management of Lung Carcinoma

(2) Participation in the Lung Cancer Awareness month. - Developed of videos for lung cancer awareness
uploaded in PCCP and DOH websites

Respectfully,

Guia Elena Imelda R. Ladrera, M.D. Chairman Lung Malignancy Council