 Welcome to the Stop COVID-Dets webinar series brought to you by the University of the Philippines. The Stop COVID-Dets shorts make it easier for you to go to the presentations that you are interested in. I'm Dr. Raymond Sarmiento, Director of the National Telehealth Center. And I'm Dr. Susy Pineda Mercado, Adjunct Faculty of the National Telehealth Center. Together, let's stop COVID-Dets. Thank you, thank you for inviting me to be a panelist in this session on Limited Face-to-Face School, Ligtasba. Let me start by introducing UP2U. We've been talking about UP all the time but UP actually consists eight constituent universities across the country and there are 21 campuses across the country too. And we have more than 54,000 students and UP Manila is the Health Sciences Center of the University of the Philippines system. You can see in the right side that under UP Manila are actually we have degree granting units and we have non-degree granting units and for the degree granting units we have a list and everything in red is actually practically a frontliner and you can see that among the non-degree granting units of UP Manila will be our PGH and the National Institutes of Health. So let me talk about Limited Face-to-Face now. I really am looking at my degree granting units now and everything in red actually needs a certification from CHED to be allowed to do the Limited Face-to-Face. Now, when you talk about UP Manila, there are several levels of safety we're talking about. We're talking about safety to the health workers first, safety to the patients and the general public and then safety to the non-PGH and non-NIH employees and that will mean the faculty, the students and the staff. We're practically in one compound. So from Pedro Hill to Padre Fawra, that's UP Manila. So every time there is something that's happening in PGH we must be aware because we may be affected. Now, I'd like to show this algorithm because one thing I've learned actually in the past almost two years now is that having a visual algorithm for our people on what to do is very crucial. So if I can just walk you through this algorithm. So here is a poster that we actually have in the internet and distributed. There's a question what to do if you think you have COVID-19 and you can see there's a question whether you have symptoms or high risk and there's already an advice, isolate. The third is to report your symptoms to BES. So let me introduce the BES. BES is actually an app developed by Raymond, our host. We're in through the cell phone or the computer. You're able to actually list down your symptoms and what will happen now is that it's going to go to a supervisor level as to whether what kind of symptoms you have. So the BES has been very useful for us here in UP Manila and then eventually the advice is to contact a focal person and next slide I'm going to talk more about the focal person and the last will be to contact actually the University Health Service or our hotline number. So having a visual algorithm actually is very helpful for the general population because they know what to do. They don't have to look for it. Just save this sheet of paper. Now I show this list, this table actually. We have a table with names but basically what we've done is that we do have an overall nurse coordinator for COVID concerns. I'm not talking about PGH, I'm talking about the rest of the UP Manila community and we noted that every college has admin staff, faculty and students so we actually put in a person in charge which means if you have the symptoms then you have a person to talk to and every day the Chancellor and the Vice Chancellor for Administration actually inform if there is a positive case and if I have a Dean who is symptomatic I'm also aware because they answered the best. So this system has been very useful for us in Administration and I felt that the anxiety has actually toned down. Now moving on now to the guidelines. If you notice this is dated August 2020 but you really wanted to open already in August 2020 we've been preparing for this but as you can see here now if you look at my list on the left so far we have five who have given have been given approval College of Pharmacy and SHS Palolete are now in the line of being hopefully accredited very soon. If I may just mention that the School of Health Sciences has four campuses one in Palolete, Coronadal, South Cotabato Baler Aurora and we just opened Tarlac Tarlac so let's take a look na on what has happened. Of course just like anybody else we had to meet with the mayor and the LGU approval. Of course we had to go through a process of being visited by a team from CHED and here we received our award on July 14 of this year. We were quite excited about it because for a year we've been waiting for this time that we be allowed to start the limited face-to-face. Now so these are the colleges have been to offer the face-to-face college of medicine college of nursing college of dentistry college of public health and college of medical profession so each of these colleges were visited by a team from CHED and a team of experts from different universities. Now instead of presenting every college I've actually grouped them because there are some general policies and guidelines that's actually shared by all and as you can see that as early as July of 2021 we've been finalized and vetted by administration at UPI system and at the same time it has been revised many times to make sure that it is appropriate for all of the colleges. So of course number one is still the vaccination there's a very, very big push and I just cited a few that have been significant to the success of the vaccination. College of medicine right now has about 99% vaccinated of allied medical professions has about 100% and then for the college of nursing for incoming third year it's also 100% and for dentistry about 95%. So in other words when you say vaccination now we have many partners anywhere from PGH, LGUs as a matter of fact medicine partner with Santa Ana hospital to bring in their interns and medical students and very recently we had the bacuna bus from the Philippine Red Cross. So let me just walk you a few things that have been done by all of the colleges I will only show you a few pictures so we had to actually insult a lot of the electric plants and we had to put all the signages you can see here but you know whereas in the past you didn't really matter where you passed but we've got all of these arrows we've got lines for exit and the entrance and then in every college now you will have this temperature measurement as well as the alcohol at the beginning actually in front of every room you also have this every room so you cannot just enter a room now without having gone through the precautionary measures. So we've been able to we started looking at the spaces and then over there no people yet but the thing is you can see here that this is a cafeteria that's supposed to be open anytime now and then we also have outdoor eating spaces that we've started to identify again with the precautions of spacing and physical distance and so on. We do have the isolation room so this is so we have four students with the capacity of four students two at the college of nursing and two at the college of public health to service all the students or staff or faculty who may actually turn out to be symptomatic during a class. So let's just walk through some of the colleges and see how you know how they look like so this is a college of allied medical professions for physical therapy occupational therapy and speech therapy and as you can see at the beginning they had a lot of they practiced and a lot of simulated patients actually but they actually started already the face to face and you can see the distancing even with the parent and the buyer that have been put in place. So whereas in the past this would be full of students and patients now they have been scheduled depending on how it will be allowed in the room despite the fact that we have many students many patients now they have to line up because they have to follow the schedule of the you know the cyclic the cyclical shift of four days and the 10 days rest and as you can see here again they actually use the app of best because every student must know if she is symptomatic must not go to the office and if ever she is symptomatic then the teacher will actually know and then they know how to start the tracing in that particular class. Going to dentistry which I was sharing with the group in the most expensive college we just for the retrofitting of the classes and I'm not even finished yet we have spent 19 million just for the HVAC of the clinical rooms you can see here that there are no barriers here in this laboratory the students have come in here when they were actual patients they were using actually the mannequins here as you can see here now it's the same whereas before this was you know next to each other you've got the physical barrier and there are a lot of visuals actually all over the place to remind the students on what to do in the case when they're seeing patients and the other thing is that we've got a lot of mobile acrylic barriers every classroom actually has S2 and to make sure that we provide additional protection now this is the memorandum that we're following specifically for dentistry requiring that the students, the faculty and staff would have the tests done three to five days prior to the start of classes now going to nursing same as the college of allied medical professions they do the four days face-to-face and the ten days of quarantine the second thing is that we have smaller classes now very limited and timed and with the regular self-monitor reporting even during at the time of they have the class one thing that's interesting here is that after every application activity they have a debriefing so well not face-to-face but still virtual but the important thing is that they get to see what's happening to the faculty also and to the students now for medicine now of the many activities of medicine I will only highlight two actually and that will be for anatomy and internship for every level there are specific set of activities but let me start with anatomy so for anatomy whereas in the past you have a room full of students and the cadavers lined up you can see here that now they are also scheduled they already had their face-to-face a projection for medicine and you can see that the Dean Dean Charlotte Chong actually at the beginning of the pandemic bought virtual digital dissection stations so they have to think fast because we could not stop producing the doctors and this became very handy at the beginning of the pandemic so life went on at the college of medicine moving on to internship they started the skills workshop on open air they following all the protocols before they went to the clinic but right now we already have interns rotating in PGH and as a matter of fact if I just list some of the things all the interns are actually vaccinated with one person people give a waiver there are clinical rotations they participate already in non-COVID areas again they use the app to make sure they don't have the symptoms they have the symptoms they have to consult and they have to follow the protocols and as you can see that if everybody become positive that administration takes care of helping them I show this picture of Dean Chong Dean of the college of medicine actually showing her teaching an intern during the rotation at ORL so this is what the students are missing the real opportunity to be able to see the patients not only in the wards but also at the operating room now in the last for the college of public health in addition to all the things that I mentioned the college of public health was actually designated by CHED to establish the public health experts group and as a matter of fact they assist other state universities and colleges on the proper guidelines and in preparing them for the face to face so they actually have been training evaluators nationwide and they also participate in visiting the schools so in summary there are things that are common to all of the colleges and there are things that are peculiar to a particular college so what's coming up while college of pharmacy is about to open they're ready and we've just made an appeal and the school for health sciences is being visited by CHED right now and the South Coronadal and Baler have actually applied already for their possible accreditation does this mean that we're ready we do have challenges so let me mention some of the challenges major challenges because I have a lot of minor challenges first challenge is the safety during travel to the campus whether you like it or not we don't have enough beds for them we don't have we cannot accommodate we cannot do a bubble for them so even if I keep this campus safe then I still have the problem of their safety coming to school and the third bullet is something that we really have to consider once we start the face to face we have to establish the protocol we know that when a patient becomes positive we have an isolation room but what about the other students who are exposed so we're just now finalizing the protocol because we do have a guideline now we're in a student then the whole class is to be managed not just the student who turned out to be positive so let me answer the question ligtas na ba sa UP Manila now people say that because we have PGH then we should have the fear but to be honest because PGH is within the campus they have actually come up a lot of guidelines that we have been able to to actually use in the setting the academic setting and since everybody is careful then now we're no longer scared that we're actually within the same campus breathing the same air as the Philippine General Hospital so with that I want to thank again TVUP for considering the face to face limited face to face as one of its topics today Maraming salamat We hope that you learned as much as we did from that excellent presentation We also hope that you will join us every Friday from 12 noon to 2pm Manila time on Zoom, Facebook, or YouTube So stay safe stay connected and see you online