A nationwide system however, is not yet available. Lukes Medical Center, Ospital ng Makati, San Juan de Dios Hospital and Manila Central University Hospital have United State-style EDs The most common EMS system set-up is the local or community-based pre-hospital care system. Presently, there are 32 residents in training Among all the hospitals in the Philippines, only Makati Medical Center, St. Lukes Medical Center and Ospital ng Makati. Only three institutions in the Philippines have accredited residency training programs, these are the Makati Medical Center, St. Presently, there are no fellowships available The PBEM accredits emergency medicine residency training programs which take 3 years to complete, excluding an extra year for chief residency. The core content of the training program is comprehensive and based on the core content of the American College of Emergency Physicians. The board also sets guidelines and standards for emergency practice. Its board (Philippine Board of Emergency Medicine) has already certified 23 diplomates in emergency medicine by way of oral and written examination. Emergency medicine became a new specialty in the Philippines in 1991.
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