Step 1 of 5 20% The PBO is committed to protecting your privacy and ensuring that your personal information is handled in compliance with applicable data protection laws. The information you provide will be used solely for the purposes related to your application, examination process, and communications with you regarding the ITE. Your data will not be shared with any third parties without your consent, except as required by law or for the necessary conduct of the examination. By clicking "I agree" below, you acknowledge that you have read, understood, and consent to the collection and use of your data as outlined above.* I agree to the privacy policy. Email* Name* First Middle Last Mobile Number*Mailing Address Street Address City Province / Region ZIP / Postal Code Medical Education (School Graduated from)* Year of Graduation* Class Rank* Issue Date of Medical Degree*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Post Graduate Internship Training Hospital* Awards and Citations During Post Graduate Internship Training* Add RemovePhysician Board Licensure Examination Date Taken If none, leave blank.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Physician Board Licensure Examination Rate If none, leave blank. What is your status of application for Orthopedic Residency? (Choose one)* Undergoing/Ongoing Pre-residency already Applying/Choosing a Training program Your Answer: Undergoing/Ongoing Pre-residency alreadyInstitution where you are undergoing Pre residency? (Please choose one.)*BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERBATANGAS MEDICAL CENTER (PROVISIONAL)BICOL MEDICAL CENTER (PROVISIONAL)CHONG HUA HOSPITALCORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITALCAGAYAN VALLEY MEDICAL CENTERDE LA SALLE UNIVERSITY MEDICAL CENTERDR. JOSE N. RODRIGUEZ MEMORIAL HOSPITAL & SANITARIUM (PROVISIONAL)DAVAO REGIONAL MEDICAL CENTER (PROVISIONAL)EAST AVENUE MEDICAL CENTEREASTERN VISAYAS MEDICAL CENTER (PROVISIONAL)GOV. CELESTINO GALLARES MEMORIAL MEDICAL CENTERILOCOS TRAINING & REGIONAL MEDICAL CENTERJOSE B. LINGAD MEMORIAL GENERAL HOSPITALJOSE R. REYES MEMORIAL MEDICAL CENTERMAKATI MEDICAL CENTERMARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER (PROVISIONAL)NORTHERN MINDANAO MEDICAL CENTERQUIRINO MEMORIAL MEDICAL CENTER (PROVISIONAL)PHILIPPINE ORTHOPEDIC CENTERREGION 1 MEDICAL CENTER (PROVISIONAL)SOUTHERN PHILIPPINES MEDICAL CENTERST. LUKE'S MEDICAL CENTER - Institute of Orthopedics and Sports MedicineTHE MEDICAL CITYUNIVERSITY OF CEBU MEDICAL CENTER (PROVISIONAL)UP-PHILIPPINE GENERAL HOSPITALUNIVERSITY OF SANTO TOMAS HOSPITALVETERANS MEMORIAL MEDICAL CENTER - Dept of Orthopaedic SurgeryV Luna Medical Center, AFP Health Service CommandVICENTE SOTTO MEMORIAL MEDICAL CENTER - Orthopedic and Traumatology<span jsslot="" class="vRMGwf oJeWuf">WESTERN VISAYAS MEDICAL CENTER</span>WEST VISAYAS STATE UNIVERSITY MEDICAL CENTER (PROVISIONAL)Second option for Orthopedic Residency Training?*BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERBATANGAS MEDICAL CENTER (PROVISIONAL)BICOL MEDICAL CENTER (PROVISIONAL)CHONG HUA HOSPITALCORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITALCAGAYAN VALLEY MEDICAL CENTERDE LA SALLE UNIVERSITY MEDICAL CENTERDR. JOSE N. RODRIGUEZ MEMORIAL HOSPITAL & SANITARIUM (PROVISIONAL)DAVAO REGIONAL MEDICAL CENTER (PROVISIONAL)EAST AVENUE MEDICAL CENTEREASTERN VISAYAS MEDICAL CENTER (PROVISIONAL)GOV. CELESTINO GALLARES MEMORIAL MEDICAL CENTERILOCOS TRAINING & REGIONAL MEDICAL CENTERJOSE B. LINGAD MEMORIAL GENERAL HOSPITALJOSE R. REYES MEMORIAL MEDICAL CENTERMAKATI MEDICAL CENTERMARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER (PROVISIONAL)NORTHERN MINDANAO MEDICAL CENTERQUIRINO MEMORIAL MEDICAL CENTER (PROVISIONAL)PHILIPPINE ORTHOPEDIC CENTERREGION 1 MEDICAL CENTER (PROVISIONAL)SOUTHERN PHILIPPINES MEDICAL CENTERST. LUKE'S MEDICAL CENTER - Institute of Orthopedics and Sports MedicineTHE MEDICAL CITYUNIVERSITY OF CEBU MEDICAL CENTER (PROVISIONAL)UP-PHILIPPINE GENERAL HOSPITALUNIVERSITY OF SANTO TOMAS HOSPITALVETERANS MEMORIAL MEDICAL CENTER - Dept of Orthopaedic SurgeryV Luna Medical Center, AFP Health Service CommandVICENTE SOTTO MEMORIAL MEDICAL CENTER - Orthopedic and Traumatology<span jsslot="" class="vRMGwf oJeWuf">WESTERN VISAYAS MEDICAL CENTER</span>WEST VISAYAS STATE UNIVERSITY MEDICAL CENTER (PROVISIONAL) Your Answer: Applying/Choosing a Training programWhat is your preferred Training Program?*BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERBATANGAS MEDICAL CENTER (PROVISIONAL)BICOL MEDICAL CENTER (PROVISIONAL)CHONG HUA HOSPITALCORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITALCAGAYAN VALLEY MEDICAL CENTERDE LA SALLE UNIVERSITY MEDICAL CENTERDR. JOSE N. RODRIGUEZ MEMORIAL HOSPITAL & SANITARIUM (PROVISIONAL)DAVAO REGIONAL MEDICAL CENTER (PROVISIONAL)EAST AVENUE MEDICAL CENTEREASTERN VISAYAS MEDICAL CENTER (PROVISIONAL)GOV. CELESTINO GALLARES MEMORIAL MEDICAL CENTERILOCOS TRAINING & REGIONAL MEDICAL CENTERJOSE B. LINGAD MEMORIAL GENERAL HOSPITALJOSE R. REYES MEMORIAL MEDICAL CENTERMAKATI MEDICAL CENTERMARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER (PROVISIONAL)NORTHERN MINDANAO MEDICAL CENTERQUIRINO MEMORIAL MEDICAL CENTER (PROVISIONAL)PHILIPPINE ORTHOPEDIC CENTERREGION 1 MEDICAL CENTER (PROVISIONAL)SOUTHERN PHILIPPINES MEDICAL CENTERST. LUKE'S MEDICAL CENTER - Institute of Orthopedics and Sports MedicineTHE MEDICAL CITYUNIVERSITY OF CEBU MEDICAL CENTER (PROVISIONAL)UP-PHILIPPINE GENERAL HOSPITALUNIVERSITY OF SANTO TOMAS HOSPITALVETERANS MEMORIAL MEDICAL CENTER - Dept of Orthopaedic SurgeryV Luna Medical Center, AFP Health Service CommandVICENTE SOTTO MEMORIAL MEDICAL CENTER - Orthopedic and Traumatology<span jsslot="" class="vRMGwf oJeWuf">WESTERN VISAYAS MEDICAL CENTER</span>WEST VISAYAS STATE UNIVERSITY MEDICAL CENTER (PROVISIONAL)What is your second preferred Training Program?*BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERBATANGAS MEDICAL CENTER (PROVISIONAL)BICOL MEDICAL CENTER (PROVISIONAL)CHONG HUA HOSPITALCORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITALCAGAYAN VALLEY MEDICAL CENTERDE LA SALLE UNIVERSITY MEDICAL CENTERDR. JOSE N. RODRIGUEZ MEMORIAL HOSPITAL & SANITARIUM (PROVISIONAL)DAVAO REGIONAL MEDICAL CENTER (PROVISIONAL)EAST AVENUE MEDICAL CENTEREASTERN VISAYAS MEDICAL CENTER (PROVISIONAL)GOV. CELESTINO GALLARES MEMORIAL MEDICAL CENTERILOCOS TRAINING & REGIONAL MEDICAL CENTERJOSE B. LINGAD MEMORIAL GENERAL HOSPITALJOSE R. REYES MEMORIAL MEDICAL CENTERMAKATI MEDICAL CENTERMARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER (PROVISIONAL)NORTHERN MINDANAO MEDICAL CENTERQUIRINO MEMORIAL MEDICAL CENTER (PROVISIONAL)PHILIPPINE ORTHOPEDIC CENTERREGION 1 MEDICAL CENTER (PROVISIONAL)SOUTHERN PHILIPPINES MEDICAL CENTERST. LUKE'S MEDICAL CENTER - Institute of Orthopedics and Sports MedicineTHE MEDICAL CITYUNIVERSITY OF CEBU MEDICAL CENTER (PROVISIONAL)UP-PHILIPPINE GENERAL HOSPITALUNIVERSITY OF SANTO TOMAS HOSPITALVETERANS MEMORIAL MEDICAL CENTER - Dept of Orthopaedic SurgeryV Luna Medical Center, AFP Health Service CommandVICENTE SOTTO MEMORIAL MEDICAL CENTER - Orthopedic and Traumatology<span jsslot="" class="vRMGwf oJeWuf">WESTERN VISAYAS MEDICAL CENTER</span>WEST VISAYAS STATE UNIVERSITY MEDICAL CENTER (PROVISIONAL)What is your third preferred Training Program?*BAGUIO GENERAL HOSPITAL AND MEDICAL CENTERBATANGAS MEDICAL CENTER (PROVISIONAL)BICOL MEDICAL CENTER (PROVISIONAL)CHONG HUA HOSPITALCORAZON LOCSIN MONTELIBANO MEMORIAL REGIONAL HOSPITALCAGAYAN VALLEY MEDICAL CENTERDE LA SALLE UNIVERSITY MEDICAL CENTERDR. JOSE N. RODRIGUEZ MEMORIAL HOSPITAL & SANITARIUM (PROVISIONAL)DAVAO REGIONAL MEDICAL CENTER (PROVISIONAL)EAST AVENUE MEDICAL CENTEREASTERN VISAYAS MEDICAL CENTER (PROVISIONAL)GOV. CELESTINO GALLARES MEMORIAL MEDICAL CENTERILOCOS TRAINING & REGIONAL MEDICAL CENTERJOSE B. LINGAD MEMORIAL GENERAL HOSPITALJOSE R. REYES MEMORIAL MEDICAL CENTERMAKATI MEDICAL CENTERMARIANO MARCOS MEMORIAL HOSPITAL AND MEDICAL CENTER (PROVISIONAL)NORTHERN MINDANAO MEDICAL CENTERQUIRINO MEMORIAL MEDICAL CENTER (PROVISIONAL)PHILIPPINE ORTHOPEDIC CENTERREGION 1 MEDICAL CENTER (PROVISIONAL)SOUTHERN PHILIPPINES MEDICAL CENTERST. LUKE'S MEDICAL CENTER - Institute of Orthopedics and Sports MedicineTHE MEDICAL CITYUNIVERSITY OF CEBU MEDICAL CENTER (PROVISIONAL)UP-PHILIPPINE GENERAL HOSPITALUNIVERSITY OF SANTO TOMAS HOSPITALVETERANS MEMORIAL MEDICAL CENTER - Dept of Orthopaedic SurgeryV Luna Medical Center, AFP Health Service CommandVICENTE SOTTO MEMORIAL MEDICAL CENTER - Orthopedic and Traumatology<span jsslot="" class="vRMGwf oJeWuf">WESTERN VISAYAS MEDICAL CENTER</span>WEST VISAYAS STATE UNIVERSITY MEDICAL CENTER (PROVISIONAL) The Philippine Board of Orthopaedics (PBO) through the National Orthopaedic Residency Assistance Program (NORAP) will be conducting a research study with the general objective of determining the predictability of the National Orthopaedic Aptitude (NOA) Examination results with the performance of residents during the orthopedic residency training. I am Henry P. Tupas, MD, MHA FPOA, current trustee and head of the NORAP Committee of the PBO, and principal investigator for this study. I am respectfully inviting you to participate in this endeavor. The study is entitled, "ASSESSING THE UTILITY OF THE NATIONAL ORTHOPAEDIC APTITUDE (NOA) EXAMINATION AS PREDICTOR OF THE PERFORMANCE OF RESIDENTS DURING ORTHOPAEDIC RESIDENCY TRAINING". My fellow investigators in this study includes Harem P. Deiparine, MD, FPOA (V. Sotto Medical Center, Cebu City), Arnaldo S. Favila, MD, FPOA (Adventist Hospital – Palawan, Puerto Princesa City), Isagani E. Garin, MD, FPOA (Baguio General Hospital & Medical Center, Baguio City), Leonardo T. Khu, MD, FPOA (Northern Mindanao Medical Center, Cagayan de Oro City) and, Reynaldo V. Lopez, MD, FPOA (Angeles University Foundation Medical Center, Angeles City). We would like to disclose that all investigators are not associated with any company related to the study that may cause any conflict of interest. This Informed Consent will give you the information why this study is being conducted and why you are being invited to participate. It will also describe what you will need to do to participate and any known risks, inconveniences or discomforts that you may encounter while participating. If you decide to participate you will be asked to sign this Informed Consent form and it will be a record of your voluntary agreement to participate. The decision to participate in the study is yours. It is important to read all the information below for your better understanding. INFORMED CONSENTI have read this Informed Consent form or had this form read to me about the purpose of the research study and its possible risks and benefits. I have been able to ask questions about the study and have had my questions answered. I understand that my participation is voluntary and I can refuse to participate in this research study anytime, even after signing this form, and it will not affect my status as orthopedic resident in training or my future career as a practicing orthopedic surgeon once I completed my orthopedic residency training.Thus, I give my consent to the use of the data I provided for the use by the Philippine Board of Orthopaedics for purpose of this research study I agree voluntarily to participate in this research study:* YES NO CommentsThis field is for validation purposes and should be left unchanged.