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
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
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