August 11, 1994

Romeo Gutierrez, M.D
Chairman
Department of Surgery
UPCM-PGH

     Through: Arturo de la Pena
              Chairman, Residency Committee
              Department of Surgery
              UPCM-PGH

Dear Dr. Gutierrez:

     I  am  proposing the revival of the Clinical  Fellowship  in 
Surgical Oncology of our Department of Surgery.

     The  Fellowship  was approved by the administration  of  the 
U.P.  College  of Medicine and Philippine General  Hospital  late 
l985  and  was started in 1986.  Dr. Adriano  Laudico,  then  the 
chief  of the Section of Head and Neck, Breast, Soft Tissue,  and 
Esophageal  Surgery, was the Fellowship Coordinator.   The  first 
and  only fellow of the program was Dr. Adelfo Tuazon, a  faculty 
from the Far Eastern University Hospital.

     Yesterday,  August 10, 1994, during our GS I staff  meeting, 
when we were formulating our strategies on how to achieve our  GS 
I   vision-mission-goal,  we  decided  to  revive  the   Clinical 
Fellowship on Surgical Oncology.

     GS   I  is  by  and  large  a  surgical  oncology   service.  
Practically all of its patients (99%) have tumors, of the breast, 
head and neck, soft tissue, and esophagus.  

     With  the  formation of the Philippine Society  of  Surgical 
Oncologists and with the formal recognition of surgical  oncology 
as  a  specialty  in medicine, a  training  program  in  surgical 
oncology  in  the Philippines will now be  in  demand.   Although 
nobody  knows the exact reasons why the fellowship stopped  after 
one  year of existence, we surmise that it was not yet the  right 
time.   We  are  confident that now is the  time  to  pursue  the 
program.
     The   Clinical  Fellowship  on  Surgical  Oncology   was   a 
brainchild of GS I.   It was designed by Dr. Laudico who was then 
the  GS  I  section chief and who is now  the  president  of  the 
Philippine Society of Surgical Oncologists.  GS I wants to revive 
it.  Thus, this letter, seeking a formal approval to proceed with 
our plan.

     We plan to use the same program as formulated by Dr. Laudico 
with  some revisions on the weekly schedule of  activities.  (See 
attached program)

     Once  given  the  go-signal to revive it,  we  will  do  the 
following  almost synchronously in preparation for a  January  1, 
1995 start:

          1. Announcement  of  the  fellowship  for   interested 
             applicants
          2. Look for a fellowship funding
          3. Make an effective and efficient instructional design 
             based  on  the  program formulated  by  Dr.  Laudico 
             keeping  in mind  the  objectives of the  fellowship 
             and sustainance of the program.
          4. Decide on the Fellowship Coordinator.
          5. Recruit faculty.

     Hoping for a favorable reply, I remain

                             Sincerely yours,

                             Reynaldo O. Joson, MD, MHA, MHPEd
                             Chief, GS I Division