STRUCTURE AND ORGANIZATION OF THE PROGRAM (B3)
2012
PRE-SURVEY QUESTIONNAIRE
STANDARD B3: STRUCTURE AND ORGANIZATION OF THE PROGRAM
"There must be an organized program of rotations and other educational experiences, both
mandatory and elective, designed to provide each resident with the opportunity to fulfil the
educational requirements and achieve competence in the specialty or subspecialty."
Program
University
Date of Review (month/year)
The following attachment must be included with this questionnaire. Electronic or weblink access is
acceptable.
 Appendix ‘G’ Interuniversity affiliation agreement(s), if required
1.
Sites Participating in this Program
a)
List the major educational sites used for residency education.
Name of Site
Name of the Coordinator at this Site
2.
Content and Sequence of Training
a)
Complete the following schematic diagram showing the usual content and sequence of training.
Include all years from first entry to the program. If using abbreviations, include a key beneath the
table.
Program
Year
Content and Sequence of Rotations
Months or 4-Week Blocks
1
2
3
4
5
6
7
First
1
8
9
10
11
12
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STRUCTURE AND ORGANIZATION OF THE PROGRAM (B3)
2012
Second
Third
Fourth
Fifth
Sixth
b)
Complete the following tables summarizing the training content for residents in this program. The
listing should include mandatory and selective components as well as any other special requirements
as outlined in the Specialty Training Requirements. For content that is a longitudinal experience,
indicate the equivalent amount of training time.
i)
Mandatory Content of Training
Description
ii)
Duration
Sites in which this training may be taken
Duration
Sites in which this training may be taken
Elective Content of Training
Description
c)
Which of the above experiences (mandatory or elective) are designated as specific community-based
environments?
3.
Interuniversity Affiliations
a)
Does the program require any mandatory interuniversity affiliations?
YES
NO
If yes, attach, as Appendix ‘G’ (electronic or weblink access), a copy of the current interuniversity
affiliation agreement(s).
4.
Increasing Professional Responsibility
a)
Describe how the program ensures that all residents are provided with increasing professional
responsibility.
5.
Supervision of Residents
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STRUCTURE AND ORGANIZATION OF THE PROGRAM (B3)
2012
a)
Describe how the program ensures that all residents are provided appropriate graded supervision.
6.
Environment for Teaching and Learning
a)
How are residents made aware of the postgraduate policy regarding intimidation and harassment?
b)
Describe how the program promotes a collegial learning environment for both residents and faculty.
7.
Residents
a)
List all residents enrolled in this program at the time of the survey.
For accreditation purposes: “residents” - trainees enrolled in a Royal College program,
even if previously certified in another Royal College specialty. Includes Visa trainees if
they are doing the same training as the Canadian trainees. “Fellows” - senior trainees
who are not in a Royal College program. Does not refer to subspecialty trainees in an
accredited Royal College program.
Residency
Level
Name of Resident
b)
Medical School and Year of
Graduation
Indicate by site the distribution of residents and fellows in this program at the time of the survey.
Name of Site
PGY1
PGY2
PGY3
PGY4
PGY5
or
above
Clinical
Fellows
Research
Fellows
Total
TOTALS
c)
How does the program avoid competition for learning resources between residents and fellows?
d)
Which specialties regularly send residents to this program’s home discipline clinical rotations?
e)
List all residents from other programs who will be training in this program at the time of the
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STRUCTURE AND ORGANIZATION OF THE PROGRAM (B3)
2012
survey.
Name of Resident
f)
Home Program and PGY Level
Site at time of survey
What is the average number of “off-service” residents in this program per month?
4
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