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
Maternal-Fetal Medicine
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.
RESOURCES (B4)
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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)
RESOUCES (B4)
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2012
2.
Clinical Teaching Units in Maternal-Fetal Medicine
a)
For each of the following areas, describe the facility and clinical activities available to the resident.
Also, describe the role and the supervision of the resident in this area
i.
Ambulatory clinics
ii. Labour and delivery
iii. Antepartum and Postpartum
b)
Obstetrical Data
Statistics for most recent 12-month period – Dates:
NAME OF INSTITUTION
Total Obstetric Beds
Number of Antenatal Beds
Number of Antenatal Admissions
Number of Deliveries
33-36 weeks
Number of Preterm Deliveries
by Gestational Age:
28-32 weeks
<28 weeks
1500-2500 gms
Number of Low Birth Weight
Deliveries:
1001-1499 gms
<1000 gms
Number of Multiple Births
Total Number of Cesarean Sections
Number of Classical Cesarean Sections
Number of Repeat Cesarean Sections
Number of Deliveries Supervised by MFM Staff
Number of Deliveries Supervised by ObGyn Staff
Number of Deliveries Supervised by
GP/Midwifery
Number of Maternal Transfers into Unit
Number of Admissions to Level III NICU
RESOUCES (B4)
4
Does the institution use non-acute antenatal beds such as hostels?
2012
Yes
No
If so, elaborate.
3.
Fetal Diagnostic and Therapeutic Procedures (including IMAGING)
a)
Describe the facilities available for advanced fetal imaging (e.g. fetal ultrasound, fetal echocardiogram,
fetal MRI).
b)
Describe the training and supervision in diagnostic obstetrical ultrasound imaging.
c)
Describe the training and supervision in invasive, diagnostic and therapeutic procedures.
4.
Neonatology
a)
Outline the resources available in regard to newborn nurseries, neonatal intensive care units, and
other facilities concerned with the care of the newborn.
b)
Describe the exposure to and teaching of Neonatal-Perinatal Medicine to the Maternal-Fetal Medicine
residents.
c)
Is there an accredited residency program in Neonatal-Perinatal Medicine?
Yes
No
RESOURCES (B4)
d)
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2012
Diagnostic and Therapeutic Procedures (Provide a separate sheet for each participating hospital.)
NAME OF INSTITUTION:
Procedure
Dating and viability (abdominal or endovaginal)
Biometry
Anatomy Survey
Biophysical Profile
Ultrasound Imaging
Fetal and Maternal Doppler Studies
Endovaginal Ultrasound for Obstetrical
Indications
Multiples including Chorionicity
Fetal Echocardiography
Invasive Diagnostic and
Therapeutic Procedures
Mid-trimester Genetic Amniocentesis
Late Amniocentesis (e.g. Genetic, Lung
Maturity, Isoimunization)
Amnioreduction
Chorion Villous Biopsy *
Cordocentesis (PUBS) *
Intrauterine Transfusion *
Classical Cesarean Section
External Cephalic Version
Obstetrical Procedures
*Optional Technical Skills
Prophylactic Cerclage
Emergency Cerclage
Number of
Procedures
Per Year
Approximate Number of
Procedures Performed by a
Resident During Two-Year
Program
RESOURCES (B4)
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2012
Describe to what extent the residents are exposed to and/or participate in other less common MFM
invasive procedures such as fetal reduction, fetal shunting procedures, laser ablation, cord ligation
and/or ablation, amnioinfusion.
5.
Supporting Clinical Services
Describe the exposure to and teaching of residents in the following supporting clinical services:
a) Medical and laboratory genetics
b) Adult medical and surgical specialties
c) Adult Intensive Care Unit
d) Pediatric medical and surgical specialties
e) Pathology
f)
6.
Anesthesiology
External Programs
Describe any programs not attached to the teaching hospitals that provide opportunities for CLINICAL
experience on either a mandatory or elective basis.
7.
Consultations
a) What is the maternal-fetal medicine resident's involvement with patients of general
obstetrician/gynecologists and family physicians/midwives?
b) Does the program ensure that the residents see a variety of maternal disease, pregnancy
complications and fetal problems?
RESOURCES (B4)
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2012
c) Does the resident normally write/dictate the consultation report?
Yes
No
How is this skill taught?
MFM Consultation Statistics
(Average Number of Consultations by the MFM Service for most recent 12-month period – Dates:)
Name of Institution
Intrapartum
Ambulatory
Antenatal In-patient
8.
Regional Program (extramural)
Describe the resident's involvement in the extramural component of the regional perinatal program
including all relevant aspects of clinical care, education, communication and administration.
9.
Describe the facilities and resources available to conduct an investigative project in Maternal-Fetal
Medicine.
10. 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
11. Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall clinical 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 as to affect adversely the continuous supervision and instruction of
residents in Maternal-Fetal Medicine?
RESOURCES (B4)
8
Are the number of patients available, particularly in obstetrics, sufficient to provide for the
training from other programs such as the residency program in Obstetrics and Gynecology,
without adverse effects on the training of residents in Maternal-Fetal Medicine, and viceversa?
Detail the clinical responsibility of Maternal-Fetal Medicine residents in high risk obstetric
patient care, relative to the responsibilities of the chief resident on the obstetric service.
Editorial revisions - February 2012
2012