Title
Amendments to The Medical Act of 1959
Law
Republic Act No. 4224
Decision Date
Jun 19, 1965
Republic Act No. 4224 amends the Medical Act of 1959 in the Philippines, establishing the Board of Medical Education and the Board of Medical Examiners, outlining their functions and responsibilities, and setting requirements for medical education and practice.
A

Compensation and Travel Expenses

  • Chairman, members, and secretary entitled to 25 pesos per diem per meeting
  • Maximum four meetings per month qualify for per diem
  • Traveling expenses covered for official duties
  • Government salaried officials excluded from per diem

Functions of the Board of Medical Education

  • Set minimum admission requirements for medical colleges
  • Prescribe minimum physical facilities including hospitals, labs, equipment
  • Determine minimum teaching personnel qualifications and student-teacher ratios
  • Recommend minimum curricula
  • Regulate preparatory course student numbers
  • Register medical students and collect a 5 peso fee for Board funds
  • Approve hospitals for clinical training
  • Enforce rules for these functions

Minimum Required Courses and Curriculum

  • Admission requires bachelor’s degree or equivalent spanning specified subjects with units (e.g., English 18 units, Chemistry 21 units, Humanities 12 units)
  • Medical course is at least five years including eleven months rotating internship
  • Subjects include Anatomy, Physiology, Biochemistry, Pharmacology, Microbiology, Surgery, Obstetrics, Preventive Medicine, Legal Medicine, and Medical Ethics

Admission Requirements for Medical Colleges

  • Must not have conviction involving moral turpitude
  • Must present bachelor's degree, certificate of eligibility from Board, two certificates of good moral character from former Liberal Arts professors, and birth certificate
  • Colleges may impose additional entrance requirements
  • Definition of "College of Medicine" includes various medical schools offering the Doctor of Medicine degree
  • Colleges must keep detailed records and publish an annual catalog with academic and faculty information

Qualifications for Board Examinations

  • Filipino citizen or foreigner with reciprocity confirmation
  • Good moral character
  • Sound mind
  • No conviction involving moral turpitude
  • Holder of Doctor of Medicine degree from government-recognized medical school

Acts Constituting the Practice of Medicine

  • Examining, diagnosing, treating, operating, or prescribing remedies for human conditions for compensation or otherwise
  • Offering or advertising medical services by any communication means
  • Falsely using the title M.D.

Exemptions from Practice Restrictions

  • Medical students under supervised training without professional fee
  • Registered dentists practicing dentistry exclusively
  • Registered masseurs/physiotherapists applying massage on physician's order or for physical development
  • Registered optometrists working mechanically with lenses and spectacles
  • Gratuitous emergency service providers
  • Persons administering household remedies under pharmacy classification
  • Clinical psychologists or mental hygienists under physician supervision
  • Prosthetists fitting artificial limbs under physician supervision

Limited Practice Without Registration Certificates

  • Foreign physicians called for consultation with Board approval
  • Commissioned U.S. Armed Forces medical officers serving only armed forces personnel
  • Exchange professors in medicine with Board approval
  • Medical students completing four years, graduate medicine, or registered nurses given temporary authorization during epidemics or emergencies

Board of Medical Examiners Composition and Duties

  • Six members appointed by President from a list by Philippine Medical Association
  • Chairman elected among members
  • Members assigned examination subjects
  • Examination papers handled by Civil Service Commissioner
  • Grades deliberated after exam grading; publication of passers' names without scores

Qualifications for Board Members

  • Natural-born Filipino citizen
  • Registered physician with at least 10 years practice
  • Good moral character certified by Philippine Medical Association
  • No faculty or financial interest in medical schools during appointment

Tenure and Compensation of Board Members

  • Three-year term without immediate reappointment
  • Staggered initial terms: 1, 2, and 3 years
  • Compensation: 10 pesos per candidate examined for registration, and 5 pesos per preliminary/final examinee
  • Annual compensation cap of 18,000 pesos
  • Removal by President on recommendation for neglect, incompetency, or misconduct

Secretary of the Board

  • Also Secretary of Boards of Examiners
  • Keeps records, examination papers, minutes
  • Maintains detailed registry of registered physicians
  • Dispatches examination questions and ratings confidentially to medical schools
  • Handles complaints and proceedings

Examination Dates

  • Twice yearly, six months apart
  • Held in Manila or suburbs with minimum 10 days' notice

Fees

  • Complete physician examination: 75 pesos
  • Preliminary or final examination: 40 pesos
  • Registration: 20 pesos
  • Fees fund Board operations; no other fees allowed

Issuance and Refusal of Certificates of Registration

  • Signed by Commissioner of Civil Service and Board members
  • Denied for convictions involving moral turpitude, immoral or dishonorable conduct after investigation, or unsound mind

Examination Scope and Passing Requirements

  • Preliminary subjects: Anatomy, Physiology, Biochemistry, Microbiology, Parasitology
  • Final subjects: Pharmacology, Pathology, Medicine, Obstetrics and Gynecology, Pediatrics, Surgery, Preventive Medicine, Legal Medicine, Ethics
  • Complete examination covers all subjects
  • Uniform questions, answers in English, anonymous exam papers
  • Passing requires general average of 75% and no subject below 50%
  • Third failure mandates one-year refresher course before retake
  • Preliminary pass exempts subjects from final exam; failure requires completion of medical study and internship before retake

Administrative Investigations

  • Board may administer oaths, study medical practice conditions, maintain professional ethics
  • Can subpoena witnesses
  • Promulgates necessary rules with Civil Service approval
  • Investigations require minimum two Board members and legal officer; failure invalidates proceedings
  • May reprimand, suspend, revoke registration after due process

Rights of Respondent Physicians

  • Right to counsel and self-representation
  • Speedy and public hearing
  • Right to confront and cross-examine witnesses
  • All constitutional and procedural rights provided in Rules of Court

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