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 Nuclear 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) 1. 2 2012 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 Subspecialty (If any) What percentage of faculty listed above (#2.) have been practising in the specialty/subspecialty: < 15 years % > 25 years % Nature of Interaction with Resident (e.g. clinical, teaching, research) RESOURCES (B4) 2. 3 2012 Nuclear Medicine Procedures Provide a breakdown of the number of patients who have the following procedures performed in each participating institution. Include numbers of pediatric patients separately. Statistics for most recent 12-month period – Dates: SITE ► Adrenal Biliary Bone densitometry Bone marrow Bone, regional or whole body Brain perfusion Cisternogram, CSF leak Cystogram Esophageal motility Gallium Gastric emptying Gastroesophageal reflux Gastrointestinal mucosa (Meckel’s) Gastrointestinal bleeding Iodine, whole body Left-to-right shunt study Liver & spleen Liver, RBC Lung Lymphoscintigraphy MIBG MUGA (ventriculogram) First pass RVEF Myocardial perfusion, Tc-99m agents Exercise (as number of studies or % of MPI) Persantine Stress Dobutamine Stress Myocardial perfusion, Thallium Octreotide scan Parathyroid scans Pulmonary aspiration Renal, diuretic Renal, DMSA Renal, DTPA or MAG3 Renal, transplant Salivary gland scan Sentinel lymph node, breast (with or without imaging) Pediatric RESOURCES (B4) 4 SITE ► 2012 Pediatric Sentinel lymph node, melanoma (with or without imaging) Sentinel lymph node, other Thyroid uptake White Blood Cell PET Oncology Neurology Other: Other studies: NON-IMAGING SITE ► Pediatric Carbon-14 urea breath test GFR determination Platelet survival RBC & Plasma Volume RBC survival ± sequestration Schilling Test Thyroid uptake Other: RADIONUCLIDE THERAPY SITE ► Bone metastases treatment I-131 Treatment, hyperthyroidism I-131Treatment, thyroid cancer Radionuclide Synovectomy Pediatric RESOURCES (B4) 5 SITE ► 2012 Pediatric Other: 3. Special Areas of Training Outline the arrangements for the training of residents in the following clinical or Nuclear Medicine subjects of particular significance to the specialty. Include a description of the level of participation of the residents in the activities of the service (e.g., Resident participates on Cardiology consult service equivalent to Internal Medicine resident. Sees new consults from emergency room and wards. About 3 new consults per day, takes call, etc.) If this information has been included in the general description of the program’s content, please indicate. Add any other particular areas which may be included or emphasized in your program. a) PET b) Cross-sectional imaging, specifically CT training c) Cardiology d) Endocrinology e) Bone densitometry f) In vivo non-imaging with reference to the table in Section 2 g) Pediatric Nuclear Medicine h) Radionuclide therapy i) Community Nuclear Medicine. If residents routinely spend time in this area, please include the site name, the name of the supervisor, the length of the rotation, and a brief description of the training. RESOURCES (B4) 4. 6 2012 Basic Science Training a) Describe training in radiopharmacy. Include teaching of regulatory aspects of radiopharmacy in your description. b) Describe the exposure of residents to practical physics techniques, non-imaging techniques and instrumentation, including dose calibrators, scintillation counting, well counters, radiation safety monitoring and contamination detection, and other techniques. Please mention if the residents get practical experience with these devices and procedures. Are residents involved in evaluation of equipment and acceptance testing? If exposure to any of these is not available during training, how is this experience provided? c) If applicable, provide a description of any non-clinical laboratories or departments in which the resident spends time or which provide teaching to residents. 5. Physical Facilities for Teaching Describe the resources and facilities available for teaching (e.g., space for resident consultation areas, seminar rooms, and teaching files.) A separate description is required for each participating institution. 6. Equipment Provide by site, numbers of the following pieces of equipment used in the program. Add any other significant equipment which provides clinical exposure for the residents. SITE ► Age of Equipment SPECT/CT Triple Head Camera Dual Head Camera Single Head Camera PET PET/CT Bone densitometry units Other: < 10 yr > 10 yr < 10 yr > 10 yr < 10 yr > 10 yr < 10 yr > 10 yr RESOURCES (B4) 7. 7 2012 Other Imaging and Related Modalities Outline the arrangements for providing training in diagnostic radiology, CT, MR, and ultrasonography. If this has been included in the description of the program’s content, please indicate. 8. Radiation Safety and Radiation Protection Outline the teaching of radiobiology and the practical and theoretical aspects of radiation protection and radiation safety, including radiation safety regulations. 9. Consultations Describe the arrangements for residents to gain primary experience in handling consultations. 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 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 Nuclear Medicine? Are the numbers 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 Nuclear Medicine? Are the diagnostic and basic science facilities available to the program sufficient to provide adequate teaching and experience for residents in Nuclear Medicine in addition to other residents sharing the same facilities? RESOURCES (B4) Editorial revisions - February 2012 8 2012