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Abstract

Methodology: This study was done through review of randomly selected 59 outpatient records from January 2012 to December
2013 of TB patients seen by all third year residents from Internal Medicine and Family Medicine in UP-PGH. Outcome
variables were the number of residents-in-training following the selected ISTC core standards: Standards for: Diagnosis (2, 3);
Treatment (8, 10 and 13); HIV Infection and other Co-morbid Conditions (14); and Public Health and Prevention (21).
Results: Standards 2 (at least 2 sputum specimens), 17 (thorough assessment of co-morbidities), and 8 (use of 1st line
treatment regimen) were noted with higher number of residents adhering with 88.1% (52/59), 76.3% (45/59) and 64.4% (38/59)
respectively. Standard 14 (HIV testing among TB patients) was only documented in 15.2% (9/59) residents.
Conclusion: Standards 2, 17, and 8 were the most adhered ISTC guideline while standard 14 was least adhered to. Reinforcements
are needed to provide updates to scale up TB management of residents-in-training based on international standard through
regular continuing medical educations (CMEs), forums and/or seminars and feedbacks. Mechanisms and infrastructures
should be in place to facilitate ad-herence to the ISTC.

Biography

Aileen F. Zagala, MD, FPCP is a recent graduate fellow from the Section of Pulmonary Medicine of the University of the Philippines-Philippines General Hospital.
She had her pre-medicine at De La Salle University-Taft, Manila (2000-2003) with BS Biology degree. She took her medicine at University of Santo Tomas- Faculty
of Medicine and Surgery (2003-2007). She had her internship at Chinese General Hospital (2007-2008). She finished her residency in Internal Medicine at Makati
Medical Center and went to University of the Philippines-Philippines General Hospital for Adult Pulmonology.