DOCUMENT # 05 PRE-SURVEY QUESTIONNAIRE STANDARD B5: CLINICAL, ACADEMIC AND SCHOLARLY CONTENT OF THE PROGRAM "The clinical, academic and scholarly content of the program must be appropriate for university postgraduate education and adequately prepare residents to fulfill all of the CanMEDS Roles of the specialist. The quality of scholarship in the program will, in part, be demonstrated by a spirit of enquiry during clinical discussions, at the bedside, in clinics or in the community, and in seminars, rounds, and conferences. Scholarship implies an in-depth understanding of basic mechanisms of normal and abnormal states and the application of current knowledge to practice." Program University Date of Review (month/year) The following attachments must be included with this questionnaire. Electronic or web link access is acceptable. Appendix ‘H’ Formal academic curriculum (for past 2 years or longer) Appendix ‘I’ Other educational activities (for past 2 years or longer) Appendix ‘J’ Resident publications (for past 6 years) Attach, as Appendix ‘H’ (electronic or web link access), the curriculum for either the past two years OR one entire cycle length of the curriculum, whichever is longer. (For purposes of this document, a curriculum must include at minimum the schedule of activities and topics.) NOTES: This should cover the academic half day series of activities, ideally mapped to CanMEDS roles (Contact the PGME office for sample maps). It should not simply be a list of topics – it should be the actual rounds announcements or schedule that was put into effect over the last two years. This is all about ‘evidence’ that the sessions occurred as planned. The PGME office has detailed outlines of the CanMEDS topics taught and assessed in PGCorEd (i.e. which is mandatory UofT PGME Tip Sheet and Annotated PSQ, March 2012 1 for all PGY1 & 2 residents). Attach, as Appendix ‘I’ (electronic or web link access), the other educational activities, including topics, that the residents are required to attend, for either the past two years OR one entire cycle length of the activity, whichever is longer. Indicate which are mandatory – e.g. residents have protected time to attend. NOTES: Include here other activities such as journal clubs, workshop series, simulation sessions, M and M rounds, etc. that are centrally organized by the program. You should not try to attach schedules for every rotation’s intrinsic rounds or any site-specific events that occur when residents happen to be there, UNLESS THEY ARE A CRITICAL AND UNIQUE CURRICULAR ELEMENT that the residents must have (examples to include: If the ONLY place residents get QA teaching is on rotation XX with supervisor YY, then this should be included as a mandatory ‘other’ educational activity). If there are site-specific ‘noon rounds’ that adhere to a similar schedule across the city and this is the main source of core content, this should be included. (Example of what not to include: If a site has their own rounds at the end of the day that are internally generated with ad hoc content that the residents sometimes attend, do not include this). 1. Academic Program a) How is the formal curriculum delivered? Academic half-day Academic full day Other (explain) X PARTIAL ANSWER…. In addition to the academic half day, for PGY1 & 2s the academic program is taught through the web based PGCorEd modules. PGCorEd is an educational initiative of the Postgraduate Medical Education (PGME) Office at the University of Toronto. PGCorEd is comprised of a series of self-directed, web-based learning modules for residency training programs via the University of Toronto’s Learning Portal. PGCorEd modules are mandatory academic activities for 1st and 2nd year Postgraduate Medicine Residents (PGY1/PGY2). 8 modules are currently required Communication Basics© Communication Essentials© End of Life Care© Patient Safety© Resident as Collaborator© Resident as Learner and Teacher© Resident as Manager© Resident as Professional © UofT PGME Tip Sheet and Annotated PSQ, March 2012 2 PGCorEd modules focus on generic foundational competencies linked to the CanMEDS roles, in particular, the CanMEDS intrinsic roles. Participation is mandatory and tracked in the learning system (i.e. current, real time progress) as well through twice-yearly reports, which are prepared and are located in the residents’ online evaluation profile (i.e. POWER). b) How frequently are the sessions? Weekly Bi weekly Monthly Other (explain) c) How are residents ensured of protected time to attend mandatory academic sessions? NOTES: Make sure that there is a clear statement of WHO covers the residents while away, WHAT mechanisms are in place to prevent them from competing call arrangements, etc. The work cannot simply be left for the residents to attend to when they return. d) How do residents based away from the university participate in the academic program? NOTES: Examples – travel back, videoconference, use website to disseminate information, provide alternative teaching when residents are back, have curriculum repeat 2-3x over the residency so they get everything at some point, etc. e) If external resident experiences, such as postgraduate office courses, simulation, leadership courses, committee membership, Provincial College courses, CMPA courses, etc., are used to teach core competencies, how is attendance and learning monitored and assessed? NOTES: This applies only if you use external sources as the sole means to cover MANDATORY Goals and Objectives (e.g. if you say the residents only learn ‘Manager’ skills by going to an MD Management session). Include HOW you monitor/ensure residents actually attend, how you get feedback or carry out an evaluation to ensure they learned what they are supposed to learn. 2. CanMEDS Specific Teaching a) Outline in the following table what mechanisms are in place to teach core knowledge and skills for each of the CanMEDS competencies. Indicate for each method whether the teaching is specialty-specific (ss) or generic (g). For clinical activities, include special experiences focussed on the role and an outline of the nature of teaching (e.g. one-on-one all day vs. one hour case rounds every morning). Include courses sponsored by the Postgraduate Office. NOTES: When completing this, clearly separate the teaching done during the context of caring for patients (role modelling by staff, observation and comment on interviews/ physical exams or written notes, observing interprofessional activities, etc). UofT PGME Tip Sheet and Annotated PSQ, March 2012 3 There should be some form of formal teaching for most of the CanMEDS roles in ADDITION to the clinical setting teaching. These may include Journal club, M&M rounds, Quality assurance activities, workshops, simulations, conferences, retreats, on-line learning, academic half-day, etc. PGCorEd goes in here as well as a (g) – generic teaching resource. The PGME office has detailed outlines of the CanMEDS topics taught and assessed in PGCorEd (i.e. which is mandatory for all PGY1 & 2 residents). CanMEDS Competency Communicator written communication oral communication other specialty specific Communicator goals - refer to OTR/STR) Collaborator participate effectively and appropriately in an interprofessional healthcare team effectively manage conflict other specialty specific Collaborator goals - refer to OTR/STR Manager management, administration and leadership management of practice allocation of health care resources QA/QI activities other specialty specific Manager goals - refer to OTR/STR Health Advocate advocate for the health of communities they serve teaching of diversity other specialty specific Health Advocate goals -refer to OTR/STR Scholar teaching of other residents, medical students, patients, families, the public and other health professionals critical appraisal, biostatistics relevant to the interpretation of the medical literature, and apply this appropriately to practice decisions self-assessment and selfdirected life-long learning Teaching in the Clinical Setting UofT PGME Tip Sheet and Annotated PSQ, March 2012 Teaching in the Non-clinical Setting 4 CanMEDS Competency conduct scholarly project, participate in research other specialty specific Scholar goals - refer to OTR/STR Professional professional conduct and ethical behaviours specialty-specific biomedical ethics set priorities and manage time to balance patient care, practice requirements, outside activities, & personal life, deal with medical errors/adverse advents medical legal issues other specialty specific Professional goals - refer to OTR/STR Teaching in the Clinical Setting 3. Scholarly Activities a) Is research or other scholarly activity mandatory? If yes, i) YES Teaching in the Non-clinical Setting NO What time is provided to allow residents to participate in research? NOTES: Both block rotations and longitudinal experiences. ii) What support is available to residents to support their research? NOTES: Time, money, infrastructure, mentorship Attach, as Appendix ‘J’ (electronic or web link access), a list of peer-reviewed publications, including abstracts done by residents in the program over the last six years. This list should only include work done while the resident was in the program. Underline the name of the resident. b) What opportunities are given to residents to travel to outside conferences? PARTIAL ANSWER…. Protected paid conference leave is an integral part of the resident agreement (i.e. paid professional education days). NOTES Usually the minimum expectation is that they have time to go. Funding, planning support, mentorship, etc. are also desirable to describe if available. UofT PGME Tip Sheet and Annotated PSQ, March 2012 5 c) List the national and international professional societies in which residents participate. UofT PGME Tip Sheet and Annotated PSQ, March 2012 6 UofT PGME Tip Sheet and Annotated PSQ, March 2012 7