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 Colorectal Surgery 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) 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) ANORECTAL PROCEDURES Incision and drainage of abscess Excision of thrombosed hemorrhoids Rubber band ligation Hemorrhoidectomy Treatment of anal fistula Repair of rectovaginal fistula Anal sphincterotomy Anoplasty Anal sphincter reconstruction Treatment of pilonidal disease Treatment of hidradenitis suppurativa Treatment of condylomata accuminata Local excision of anal neoplasm Transanal excision rectal neoplasm Perineal repair of rectal prolapse Dilatation of stricture TOTAL ANORECTAL PROCEDURES ENDOSCOPIC PROCEDURES Colonoscopy with biopsy and polypectomy Endoscopic balloon dilatation of stenosis Reduction of sigmoid volvulus Anoscopy Proctosigmoidoscopy, rigid and flexible TOTAL ENDOSCOPIC PROCEDURES 3 2012 Number of Operative Procedures Hospital In-patient Ambulatory RESOURCES (B4) ABDOMINAL PROCEDURES Ileocecal resection Right hemicolectomy Left hemicolectomy Sigmoid colectomy Proctocolectomy with ileostomy Pelvic pouch procedures Colectomy with ileorectal anastomosis Subtotal colectomy with ileostomy Anterior resection Hartmann procedure Reversal of Hartmann Abdominoperineal resection Small bowel resection Small bowel stricturoplasty Coloanal anastomosis Ileostomy construction Closure of ileostomy Colostomy (closure, construction) Relocation of stoma Parastomal hernia repair Abdominal repair of rectal prolapse Entero-enterostomy TOTAL ABDOMINAL PROCEDURES MISCELLANEOUS PROCEDURES Pelvic exenteration Entero/colocutaneous fistula Entero/colovaginal fistula Entero/colovesical fistula 4 2012 Open Laparoscopic RESOURCES (B4) 5 2012 TOTAL MISCELLANEOUS PROCEDURES 2. Associated Specialties Describe the integration of the Colorectal Surgery program with: a) Gastroenterology b) Oncology (medical/radiation) 3. Describe Residents' Experience in: a) physiological assessment of the anorectum (e.g., anal manometry, defecography, EMG ...) b) histopathology and gross pathology c) intensive care d) colorectal emergencies e) radiology f) enterostomal therapy 4. External Programs Describe any programs not attached to the teaching hospitals that provide opportunities for clinical experience on either a mandatory or elective basis. RESOURCES (B4) 5. 6 2012 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 6. 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 the 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 Colorectal Surgery? What is the average number of beds (or range) on CTUs within the program? Are the numbers of patients available in the overall program sufficient to provide for residents on rotation from other services without adverse effects upon the training of residents in Colorectal Surgery? Editorial revisions - February 2012 SC-September 2012