MCCCARS  - A 2003 Report


Reynaldo O. Joson, MD, MHA, MHPEd, MS Surg



For the year 2003, there were three multi-center cooperative and collaborative action research studies completed, namely:


  1. A Quality Study on Fibrocystic Breast Changes Operations (Ospital ng Maynila Medical Center, Manila Doctors Hospital, and Philippine General Hospital)
  2.  A Survey on Mammography Utilization in the Philippines with Focus on Certain Quality Parameters (Manila Doctors Hospital, Victor Potenciano Memorial Hospital, and Philippine General Hospital)
  3.  A Quality Study on Mammography-guided Needle Localization Biopsy of Non-palpable Breast Lesions (Manila Doctors Hospital, Philippine General Hospital, and Cardinal Santos Memorial Hospital)


In 2002, two multi-center cooperative and collaborative action research studies were completed, namely:


  1. Reducing the discrepancy of clinical and pathological tumor and nodal evaluation in patients with breast cancer (Published in PJSS, July-September, 2003)
  2. Is a recumbent plain abdominal x-ray (without an upright film) sufficient in the evaluation of patients with acute intestinal obstruction?


Thus, there is now a total of 5 MCCCARS.


There is a now a total of about 70 surgeons who are subscribed to the e-group of MCCCARS.


The main observation this year is that the cooperative and collaborative multi-centers came from the Metro Manila.  No centers in the Luzon, the Visayas, and Mindanao participated this year in MCCCARS, unlike in 2002.


Hopefully, in 2004, more centers will participate.


The Department of Surgery of Ospital ng Maynila Medical Center (OMMC), which is the prime mover of MCCCARS, has produced 21 action research papers in 2003. These papers will be disseminated to the other members of the MCCCARS to encourage them to conduct similar studies so as to produce multi-center cooperative and collaborative action research studies.


For more information and how to join, email

For details of MCCCARS and the completed papers, visit

For research papers of OMMC Surgery  from 2002 to 2003, visit