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