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PART II - 2008
THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA
PART II
PRE-SURVEY QUESTIONNAIRE
GENERAL SURGERY
University:
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:
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IV. RESOURCES
Standard B.4
"There must be sufficient resources including teaching faculty, the number and variety of patients, physical and technical resources, as well as the
supporting facilities and services necessary to provide the opportunity for all residents in the program to achieve the educational objectives and
receive full training as defined by the specialty training requirements in the specialty or subspecialty."
Where the resources to provide "full training" are not available at the sponsoring university, several different types of inter-university affiliations may be
negotiated, as stated in the grey book "General Information Concerning Accreditation of Residency Programs." It should be noted that the exchange of
residents between two fully accredited programs does not require an inter-university affiliation.
1. Teaching Faculty
List by teaching site the members of the teaching faculty who have a major role in this program, including members from other departments. In indicating a
subspecialty, use as a criterion whether he or she is considered by colleagues as a subspecialist and functions academically and professionally as one.
Teaching Site
Name
University Rank
Specialty
Qualifications
What percentage of faculty listed above (#2.) have been practising in the specialty/subspecialty:
< 15 years
%
> 25 years
%
Subspecialty
(If any)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
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2.
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Gastrointestinal Surgery
Hospital
Estimated Number of GI
Surgical Teaching Patients Per
Year
Admissions
Operations
Number of
CTUs Providing
Major GI
Experience
GI Facilities*
Function
Laboratory
Medical
GI Consult
Service
TOTAL
* Where indicated, answer "Yes" or "No"
a)
Does the university have an accredited residency program in medical gastroenterology?
YES
b)
NO
Name the hospitals, if any, in which surgical services combine with a medical gastroenterology service to provide:
A combined medical-surgical CTU
Combined conferences
a)
Is a full range of endoscopy available to CTUs providing major experience in GI surgery?
YES
d)
NO
Are residents ordinarily trained to perform upper and lower gastroentestine endoscopies?
YES
NO
e)
Further comments concerning gastrointestinal surgery.
3.
Surgical Oncology
Hospital
Estimated Number of
Surgical Oncology Patients
Per Year
Admissions
TOTAL
Operations
Number of CTUs
Providing Major
Oncology Experience
Oncology Facilities*
Tumour
Clinic
Combined
Tumour
Conference
Chemotherapy
Service
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* Where indicated, answer "Yes" or "No"
a)
Describe the arrangements for the surgical care of neoplastic disease of the head and neck. What percentage of
residents receive this training?
b)
What percentage of residents spend a period associated with an interdisciplinary oncology group?
c)
Further comments concerning surgical oncology.
4.
Surgical Endocrinology
Hospital
Estimated Number of
Patients Per Year with
Surgical Endocrine
Disorders
Admissions
Operations
Number of
CTUs Providing
Major
Endocrine
Experience
Endocrine Facilities*
Consult
Service
Special
Clinic
Special
Lab.
TOTAL
* Where indicated, answer "Yes" or "No"
Further comments concerning surgical endocrinology. Clarify the relationship between the general surgical services
mentioned above and those concerned with surgical oncology, gastrointestinal, and head and neck surgery.
5.
Trauma
Hospital
Estimated Number of Trauma
Patients Per Year on General
Surgical CTUs
Admissions
Operations
Number of
CTUs
Providing
Major Trauma
Experience
Trauma Facilities*
Major
Trauma
Centre
Separate
Trauma
Unit
TOTAL
* Where indicated, answer "Yes" or "No"
a)
Is a surgical faculty member appointed to supervise the trauma component of the residency program?
Surgical ICU
for Major
Trauma
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YES
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NO
If yes, give name, faculty and hospital appointments:
b)
Describe the team and organization responsible for the care of multiple injuries. Indicate the hospital(s) involved, the
general plan of management from initial care to definitive treatment, and the role played by the general surgical
residents in this process.
c)
In the CTUs admitting trauma, estimate the percentages of accidental injuries and trauma due to violence.
d)
Describe the rotational plan that provides all residents with the necessary experience in the care of injuries to the
trunk and viscera, soft tissues and vessels, such as would normally be admitted on general surgical services.
e)
What percentage of residents rotate through other specialty CTUs in order to gain broader training in trauma?
f)
Do residents participate in regularly scheduled interdisciplinary trauma conferences?
YES
NO
In which hospital(s)?
g)
Comment on opportunities available to residents to gain experience in follow-up care and rehabilitation of injured
patients.
h)
Further comments concerning trauma.
6.
Thoracic Surgery (Non-cardiac)
a)
Indicate the hospitals with general surgical CTUs that provide a significant experience in thoracic surgery. Give the
number of thoracic surgical operations per year in each hospital.
b)
Describe arrangements for training in thoracic surgery.
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7.
Vascular Surgery
a)
Indicate the hospitals with general surgical CTUs that provide a significant experience in vascular surgery. Give the
number of vascular surgical operations per year in each hospital.
b)
Describe the arrangements for training in vascular surgery.
8.
Pediatric Surgery
a)
Describe the facilities available to provide experience in pediatric surgery for general surgical residents.
b)
What percentage of residents obtain experience in pediatric surgery?
9.
Consultations
Describe the arrangements for residents to gain primary experience in handling consultations.
10. Intensive Care
Describe the facilities and resources available for training in intensive care.
11. Emergency Care
Describe the resources available and the arrangements for the training of residents in the emergency aspects of the
specialty.
12. Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in ambulatory care.
13. Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall residency program, with particular reference to the
relationship between such resources and the number of residents dependent upon them. Include consideration of the
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following questions:
Are the significant areas where the workload of the teachers (clinical care, undergraduate teaching, etc.)
is such as to affect adversely the continuous supervision and instruction of residents in general surgery?
What is the average number of beds (or range) available in the program?
Are the numbers of patients available in the overall program sufficient to provide for residents on
rotation from other services (e.g., from orthopedics or other surgical residency programs) without
adverse effects upon the training of residents in general surgery?