Fundraising Newsletter Sesquicentennial Anniversary Simulation & Research Center

No Time to Waste

In the hospital, every second counts, and every decision made in those seconds may result to someone’s respite, or immediate demise.

It takes mental fortitude and acuity to provide lifesaving, critical care. In a matter of moments, a misdiagnosis, or treatment done in haste and uncertainty can cost one more than “simple learning”.

It’s easy to say that the best way to learn is through experience, but it should not come with a cost, especially when it interferes with a patient’s safety and well-being. Not only that, even the fear among students to cause undue stress or harm greatly affect one’s ability to learn.

This is especially detrimental in basic, yet essential procedures wherein it is only mastered through repetitive experience and training.  Even in highly specialized fields like, anesthesiology and critical care, it is only through experience where you can develop the level of fastidiousness in noticing miniscule changes throughout an operation or stay of a critical care patient.

Dr. Larry King has been long aware of what Thomasian medical education is, for even before graduating as part of Class ’90, he was a medical technology graduate from UST. This had certainly given him an edge in medical school as it was not to be his first time stepping into the hospital.  Some procedures his classmates were just trying to learn, he was already capable and licensed to do. Although, even with his prior knowledge and experience, there was still a gap he experienced as a clerk.


So how can we bridge theoretical learning and clinical skills?

Dr. King, a sought-after anesthesiologist and critical care medicine practitioner, still remembers the time he and his groupmate first stepped in the hospital as clerks in their newly minted clerk uniforms, confidently armed with three years’ worth of theories and concepts. However, this confidence soon waivered when his groupmate was asked to “exchange position, back-to-back”, she simply just stared (in terror) while assisting one of the top obstetricians in the country. The whole class broke into laughter when she was reaching for the retractor while pushing her back against the OB. Dr. King still remembers how his groupmate felt like the most stupid clerk then.

“This would not have happened if we already had the simulation laboratory back then”, Dr. King remarked.

Dr. Larry King is well-respected in the field of critical care, his practice of anesthesiology does not simply confine him in the operating room. A loyal Thomasian doctor, he took up his internship and residency in UST Hospital. Soon after his fellowship in Surgical Intensive Care at Singapore General Hospital, Dr. King held key positions in several hospitals and organizations. He is currently part of the Board of Examiners in the Philippine Board of Anesthesiology. Dr. King has also spearheaded several new programs in UST-FMS, which includes the establishment of the Learning-Enhanced Accelerated Program for Medicine (LeapMed). A program that is focused on basic human sciences than any existing premedical courses and highly competitive as it  allows students at a little over two years to be formally admitted to the Doctor of Medicine program.

Aside from this, Dr. King has been a key figure in UST-FMS Life Support Training Center (LSTC), he was the coordinator for the Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) from 2010 to 2012. He was later appointed as the International Training Center Coordinator, and almost simultaneously appointed by the American Heart Association as the Regional Faculty in the Asia-Pacific Region.

AHA Heartsaver First Aid Course at the Embassy of the Kingdom of the Netherland (2018)
(Credit to UST-FMS Life Support Training Center)

For the last few years, the UST-FMS LSTC has been lauded by the AHA for its achievements, leading several trainings in the Asia-Pacific Region. The Center has also received personal acknowledgement from Mr. Robert Wales, the international program development manager of AHA, and subsequently receiving a special award for the Center’s role in disseminating these life-saving lessons. This is credited to simulation learning used in all its courses. As early as 2009, the Center’s proven track record has allowed its expansion from providing BLS to its recent addition, Airway Management Course- which then FMS Dean, Dr. Jesus Valencia, sought to expand the success of this Center to bigger and wider scale.

3rd Year Medical Students of UST AHA BLS PROVIDER'S COURSE (2018)
(Credit to UST-FMS Life Support Training Center)


With his expertise, Dr. King has led this initiative by visiting top medical schools, including the National University of Singapore, as early as 2017. The Sts. Cosmas and Damian Simulation and Research Center has undergone several changes, as consultations he did to other medical schools have resulted to an improved and at pace technological advancements. In addition to leading the Simulation Laboratory project, Dr. King also has an active role in the fundraising committee.

Of the seven floors of the St. Cosmas and Damian Simulation Laboratory and Research Center, three floors have been dedicated solely for simulation learning. There are model intensive care units, wards, clinics, and operating theater that is designed not only to mimic but simulate what truly happens in each setting. Each of these specialized rooms are equipped with state-of-the-art low, medium, and high-fidelity manikins; not only will these manikins be able to simulate several scenarios, but difficulty level may also be adjusted to a student’s capability. There will also be cameras that allow recording and active monitoring from the control room allowing students and teachers to have an in-depth review of improvements can be made even after simulation. A one-way mirror allows the additional learners to watch ongoing procedures, thus increasing awareness by simply observing.


One may argue that nothing beats clinical experiences with real patients, however, this is not meant to replace that, it is simply to supplement, bridge a student’s knowledge to clinical skills.

As the celebration of the sesquicentennial of the Faculty of Medicine and Surgery continues, preparations must be done to expand horizons in preparation for the next 150 years-- there is no time to waste.

Fundraising Newsletter Sesquicentennial Anniversary Simulation & Research Center

Thomasians: Pioneers Then, Pioneers Now

It is easy for one to draw inspiration from stories we have heard or read. We often dress up as characters, mostly heroes and heroines from books, movies, and even people around us. Sometimes, it is through introduction to these people where we find our answer to the question, “What do you want to be when you grow up?”, “I want to be a fire fighter!”, “I want to be an astronaut”, “I want to be a doctor!”. However, these answers change as we grow older. A number of us do not grow up to be what we initially wanted as kids—although, some of us are truly set from the beginning.

This was not the case with Dr. Charles C. Cuaso, one of the first interventional pediatric cardiologists in the country and a proud Thomasian Doctor of Class ’71.

When asked if he always knew that he wanted to be doctor, Dr. Cuaso was forthright in saying, “there was no specific time or event, it was gradual”. He only had one relative from his mother side who was a doctor, and he was the first one from his father’s side to pursue it. So when he expressed his intention to take up medicine, there was hesitation from his father.

This initial disapproval did not stop him from enrolling in UST. From his pre-medicine course to medical school, Dr. Cuaso chose UST-FMS and eventually graduated Cum Laude Meritissimus in 1971. He was equally forthcoming on how he decided on his specialty, he simply said, “I was enamored by an article”. He was always fascinated with the heart, especially its abnormality, more so, among children than adults. It was around his first or second year in medical school when he chanced upon an article written by Dr. William Rashkind, who was widely considered as the Father of Interventional Cardiology, who at that time, was studying non-surgical options for treating heart defects, and then had recently published an article about balloon atrial septostomy (BAS). This procedure, putting a hole in the heart, enamored Dr. Cuaso and inspired him to pursue further education in the States. He had his residency in State University of New York (SUNY) Upstate Medical University in Syracuse, then he went to Children’s Hospital of Philadelphia for his fellowship because this was where Dr. Rashkind was based, and was later invited as a staff in the same hospital.

How often do we meet our heroes in real life? What are the chances that we are able to work with them? From seeing him in pages, to collaborating with him in developing techniques for non-surgical treatment options. Dr. Cuaso was fortunate enough to being credited alongside Dr. Rashkind on the official Children’s Hospital of Philadelphia website. He worked side by side with Dr. Rashkind in developing the transcatheter closure of PDA that appeared in an article in 1979, wherein they performed the procedure on the smallest infant then that weighed only 3.5 kilograms- a ground-breaking procedure at the time.

One might say that Dr. Cuaso is a man of his words. As a promise to his father, Dr. Cuaso returned to the country and taught in his Alma Mater. He was an assistant professor for over three decades teaching pediatric cardiology. Curiously enough, he could have easily focused on his practice, so when asked why he decided to teach, he said “I live by the adage, ‘see one, do one, teach one’.” Not only does he find joy in teaching and interacting with students, for him, the greatest reward is to see his students be inspired by him, and, hopefully also surpass him.

As forthcoming as Dr. Cuaso comes, his humility will not escape you. For him, in the end, it will always be about the patients, thus, titles and fame never concerned him. His greatest achievement, and was said matter-of-factly, “I performed the first Patent Ductus Arteriosus (PDA) closure in the Philippines”. This was at the time when surgery was the only widely accepted treatment option of PDA in the country. However, he was dismayed that he had to perform this procedure in another private hospital as UST then was unequipped to handle such.

So when asked why he went back to UST, he responded that UST has that moral environment which for him was very important, especially among its faculty. Similarly, this was the reason why he joined Anargyroi: FMS Foundation, Inc. (AFI).  What attracted him the most was the support it had for the faculty members, as he was one before. For him, he is grateful of what UST-FMS has provided him, and the achievements it has had for the last 150 years; however, he acknowledges that relying alone on past achievement or laurels is not enough to retain its prestige as the top medical school in the country and to remain competitive in a global landscape.

This is why Dr. Charles Cuaso fervently believes in the establishment of the Sts. Cosmas and Damian Simulation and Research Center, a 7-floor edifice, which will allow both the faculty and students to have the environment and support they need to excel, and hopefully, establish “the firsts” in the country and in the region—as it always had in the past. “Reactive and Proactive”, is how Dr. Cuaso describes the creation of this Center. Reactive as it fulfills the current needs, as well as the gaps uncovered in virtual/hybrid learning. Proactive, because having this state-of-the-art building equipped with high-fidelity Manikins will simulate different and difficult scenarios.

Fundraising Committee Weekly Tuesday Meetings with Consultant Mayan Quebral.

Thus, not only has he been a strong and generous sponsor of AFI, he has also reluctantly accepted to head the Fundraising Committee of this noble project. As daunting as this task may be, Dr. Cuaso has maintained that the best way to give back to his Alma Mater, was to assure its continuance of its legacy. What could be better than establishing its cornerstone for another 150 years? Many have already reached out on how they can contribute, and so far, a gracious few have already delivered.

There is still a long way to go in realizing this ambitious project, and FMS is counting on its alumni.

A show of love and loyalty for one’s Alma Mater can ensure a long and lasting legacy.