Breaking the hiatus

It’s been a while since I was able to write anything on my blog. But for the past weeks, I’ve been very happy balancing my teaching with real world experience, both in the field and in engaging with health policy researchers and decision makers.

For instance, thanks to my friends in a health policy consulting firm, we are helping public health program managers develop integrative policies. In another project I’m doing, I am mentoring colleagues who are developing their skill in health policy and systems research in government health agencies. In yet another project with foreign colleagues, we are aiming to identify points for improvement in health financing in Asean. On top of these is my work with #HealthXPh and mentoring our community medicine rotators in an urban poor community in the south of Manila.

There has been so much to learn from my interactions from various collaborators, both within the country and internationally, that I have been very enthusiastic to bring the learnings back to home turf, in the college where I work. Melding these lessons with my own experiences in public health strengthens my drive even more. I feel a certain sense of responsibility to share these things to my students. I have to show that in aiming to serve the poor and marginalized, the way to go is to be ready to accept different views, insights and changes.

But, expectedly, change will be unacceptable at the start, just like the evoked feeling of unusual pasalubong that relatives bring home from a foreign country. Sometimes, the seeming initial rejection is enough to frustrate, even leading one to move on and look for more appreciative venues.

Nonetheless, this isn’t enough reason to give up.

Though I will agree that it takes skill and practice to pitch one’s ideas, change and progress have to be embraced. Change is never easy. Like how stressed aquarium fishes tend to get after the water gets changed, it’s understandable if one’s efforts towards increasing awareness and building self-reliance seem to backfire at the start.

This brings me to why I try to adjust the way I teach: the world isn’t getting kinder.

Five Filipino doctors, three in public health and two in clinical specialty fields, were killed within the past six months. These deaths may be due to a variety of reasons, but as someone who shared in their career paths at one point of my life, I feel that these deaths are a manifestation of how our health system is enmeshed with politics, governance, business and other seemingly unrelated pursuits, and how future doctors have to be well-equipped. Meanwhile, an increasing number of colleagues have been victims of doctor shaming, where doctors exercising their ordinary care and diligence are being berated on social media for various reasons.

We need doctors who will not rest on their laurels.

I believe that getting ready to practice in a world afflicted with these things requires a balance of versatility, proactivity and discipline. Those traits may well be cultivated in good class attendance, in diligently solving a biostatistics problem, or recognizing the merits of producing a creative work. Meanwhile, the lack thereof may well be demonstrated in cases in which health professionals would fail to provide the prescribed intervention to destitute patients, by not making do with limited resources, or doing something to address the lack. This is the kind of situation I would like to prevent, since lives hang in the balance.

Despite the odds, I am optimistic. I know it may be difficult for my students, but I hope this gets to them: we are in this together. I share in the difficulty, since learning how to be an effective mentor is difficult as well. Nevertheless, for the sake of our changing world and the patients we serve, the journey has to be trod. The good news though is we can moderate the pace of the journey.

But not too slow. The world and our patients anxiously await.

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