Anesthesia Questionnaire short version

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RESOURCES (B4)
1
2012
PRE-SURVEY QUESTIONNAIRE
STANDARD B4: RESOURCES
"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 Royal College specialty training
requirements."
Program
Pediatric Infectious Diseases
University
Date of Review (month/year)
Sites Participating in this Program:
Where the resources to provide "full training" are not available at the sponsoring university, several
different types of interuniversity affiliations may be negotiated. It should be noted that the exchange of
residents between two fully accredited programs does not require an interuniversity affiliation.
Coordination of Adult and Pediatric Subspecialty Programs
a)
Is this university accredited for:
Adult Infectious Diseases
Pediatric Infectious Diseases
b)
If the university is accredited for both programs, describe the extent to which the two programs are
integrated in the following areas:
1)
Program administration
2)
Academic program
3)
Clinical program
4)
Technical and/or laboratory skills
RESOURCES (B4)
2
2012
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 have been practising in the subspecialty:
< 15 years
%
> 25 years
%
Subspecialty
(If any)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
RESOURCES (B4)
2.
3
2012
General Infectious Diseases
Give the approximate number of new patients seen in consultation in the last full year for each of the
following diagnostic groups (include patients seen on other services, as well as the infectious disease
service):
Diagnostic Groups
Number
Acute and chronic, community acquired infections
Infections in critically ill
PICU
NICU
Tuberculosis
Other mycobacterial infections
Non-dermatophytic fungal infections
Nosocomial infections
Infectious hepatitis
acute
chronic
HIV infection
Outpatient
In-patient
Infections in the non-HIV immune-compromised host:
Congenital Immune Deficiency Syndromes
Solid organ transplant
Hematopoietic Stem Cell Transplant (HSCT)
Hem/Onc
Other
Parasitic infections
Fever of unknown origin
Returned traveller or immigrant/refugee with infection
syndrome
TOTAL
Give the approximate breakdown (total, not site/hospital specific) of new in-patient and outpatient
consultations and follow-up visits seen by the infectious diseases service for the last full year.
In-patient
consultations
In-patient
follow-ups
Outpatient
consultations
Outpatient
follow-ups
Approximately what proportion of new consultations is seen in the Emergency Department? _______
Approximately what proportion of new consultations is seen in Pediatric Intensive Care? ______
RESOURCES (B4)
4
2012
Approximately what proportion of new consultations is seen in Neonatal Intensive Care? _
_
Please use the comment box below to identify any content areas where you believe resources are
insufficient and to clarify any other issues related to this section of the questionnaire.
COMMENTS:
a) Describe the resources available and the arrangements for training in sexually transmitted infections
and parasitology.
Check [√] all the components listed below that are available for your residents in pediatric Infectious
Diseases and form part of their experience in sexually transmitted infections and parasitology/tropical
diseases.
Component
Sexually Transmitted
Infections
[√]
Parasitology/Tropical
Diseases
[√]
Number:
Number:
Outpatient clinic experience:
ID clinic
STD clinic
ED
Clinic experience is:
Mandatory
Elective
Clinic experience is available:
Within our program
External to our program
Laboratory experience is available:
Within our program
External to our program
Laboratory experience is unavailable
Laboratory experience is:
Mandatory
Elective
Part of Core Curriculum
Number of curriculum sessions
COMMENTS:
b)
Outline the relationships of the program to Medical Microbiology.
Check [√] all the components listed below that describe your relationship with Medical Microbiology.
-
The laboratory director or designate sits on the ID Residency Program Committee
-
There are ID Division members who are qualified in Medical Microbiology
-
There are regularly scheduled formal plate rounds
; frequency: ______
; number: _____
RESOURCES (B4)
5
-
There is an on-site clinical microbiology laboratory
-
The following teaching sessions are shared by the ID and Medical Microbiology residents:
o
o
o
o
2012
Core curriculum/academic half day
Journal Club
Case Rounds
QA/M&M Rounds
COMMENTS:
c)
Describe the organization of the program to permit opportunities to acquire training in hospital
infection prevention and control and epidemiology.
Check [√] all the components listed below that are available for your residents in pediatric Infectious
Diseases and form part of their experience in hospital infection prevention and control and
epidemiology.
-
Participating in hospital associated infection surveillance with the infection control professional
o
-
Attending Infection Prevention and Control Department meetings:
o
o
-
Only during the rotation
Throughout the residency program
Attending Antimicrobial Agents Committee (or equivalent) meetings:
o
o
-
Only during the rotation
Throughout the residency program
Attending Infection Prevention and Control Committee meetings:
o
o
-
Adult infection prevention and control exposure during the rotation
Only during the rotation
Throughout the residency program
Outbreak investigation experience:
o
o
Actual outbreak
Table top/simulated exercise
-
Policy development
-
Quality assurance project
-
Financial support to attend an infection prevention and control training or epidemiology course
COMMENTS:
RESOURCES (B4)
3.
6
2012
Consultations
Describe the experience in terms of in-patient and outpatient consultations, both new referrals and return
visits, for training of residents in pediatric Infectious Diseases focusing on the resident’s specific role in the
consultation and follow-up process, including ensuring graded responsibility.
COMMENTS:
4.
Adult Infectious Diseases
List the hospitals providing training in this component of the program, and give the number of beds
available for teaching of residents rotating through adult Infectious Diseases.
Hospital
# Teaching Beds
Supervisors
Check [√] all the components listed below that are available for your residents in pediatric Infectious
Diseases and form part of their experience in adult Infectious Diseases.
-
In-patient consultation on the following types of patients:
o
o
o
o
o
o
o
-
HIV
Solid organ transplantation
HSCT
ICU
ED
Common acute and chronic community acquired infections (e.g. endocarditis, meningitis,
osteomyelitis)
Nosocomial, including postoperative, infections
Outpatient consultation on the following types of patients:
o
o
o
HIV
Immigrants and travellers
Acute and chronic community acquired infections
COMMENTS:
5.
Intensive Care
Describe the facilities and resources available for training in intensive care.
ICU Type
Medical
Surgical
Neurosurgical
Cardiovascular Surgery
Number of beds and/or cots
RESOURCES (B4)
7
2012
NICU
Other (specify)
COMMENTS:
6.
Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in ambulatory
care.
Check [√] all the components listed below that are available for your residents in pediatric Infectious
Diseases and form part of their experience in ambulatory infectious diseases.
Clinic Type
General ID
HIV
Immune-compromised host
(non-HIV)
Travellers/Tropical diseases
IV therapy
Tuberculosis
Other (specify)
√
Number of Clinics/Week
Comments
Specify the nature of the resident’s ambulatory exposure:
Longitudinal resident
clinic:
Attends already scheduled
clinics:
< 6 months in duration
6-12 months in duration
>12 months in duration
COMMENTS:
7.
Laboratory Facilities
List the clinical microbiology laboratories that provide training for residents and fellows in diagnostic
microbiology.
Laboratory Type
Bacteriology
Virology
Mycology
Mycobacterology
Parasitology
Immunology
Molecular
Public Health Laboratory
Hospital/laboratory
Supervisor (qualifications)
RESOURCES (B4)
8
2012
Other (specify)
Mention any other special laboratory facilities, such as research institutes or university departments not
affiliated with hospitals.
COMMENTS:
8.
Information Resources
a) Do residents have free 24/7 access to on-line libraries, journals and other educational resources?
Yes
No
Partially
If “No” or “Partially”, please explain.
b) Do residents have adequate space to carry out their daily work? Yes
No
c) Are technical resources required for patient care duties located in the work setting? Yes
No
d) Do facilities allow resident skills to be observed and do they allow for confidential discussions?
Yes
No
9.
Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall program, with particular reference to the
relationship between such resources and the number of residents dependent upon them. Include
consideration of the following questions:
Are there significant areas where the workload of the teachers (clinical care, undergraduate
teaching, etc.) is such to affect adversely the continuous supervision and instruction of
residents in pediatric Infectious Diseases?
Is the number of patients available for teaching sufficient to provide for the training of
residents rotating from other residency programs and services, without adverse effects on
the training of residents in pediatric Infectious Diseases?
Are the diagnostic and basic science facilities available to the program sufficient to provide
adequate teaching and experience for residents in pediatric Infectious Diseases in addition
to other residents sharing the same facilities?
Revised October 2011
Editorial revisions - February 2012
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