Coordination of Adult and Pediatric Subspecialty

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RESOURCES (B4)
1
2014
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
Adult Respirology
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.
Coordination of Adult and Pediatric Subspecialty Programs
a)
Is this university accredited for:
Adult Respirology
Pediatric Respirology
b)
If the university is accredited for both programs, describe the extent to which the two programs are
integrated in the following areas:
1)
Program administration
2)
Academic program
3)
Clinical program
4)
Technical and/or laboratory skills
RESOURCES (B4)
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2014
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)
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2014
2.
Clinical Respirology
a)
Describe the experience that the resident has in managing patients with airborne/droplet infectious
lung diseases such as tuberculosis and influenza.
b)
Describe the arrangements within the program for training in the collaborative care of patients
undergoing thoracic or other associated surgical procedures.
c)
Describe the arrangements for the instruction of residents in the epidemiology, investigation and
management of occupational and environmental lung disease.
d)
Outline the role of the residents in the care of neoplastic diseases of the chest, including the
arrangements for instruction in the principles of radiotherapy, chemotherapy and immunotherapy.
Indicate if residents participate in an inter-disciplinary oncology service.
e)
Indicate the arrangements for providing experience and instruction in the management of acute and
chronic respiratory failure including the use of oxygen therapy and non-invasive ventilation.
f)
Average number of the following procedures performed per resident
over the two (2) year training period
Thoracentesis
Intubation
Bronchoscopy
Transbronchial
Chest tube
biopsies
insertions
g)
Estimate the number of nocturnal polysomnographic studies in which the residents have participated
in the interpretation of during their two (2) month rotation in sleep medicine.
3.
Consultations
Describe the arrangements for residents to gain primary experience in handling consultations.
4.
Intensive Care
Describe the facilities and resources available for training in intensive care.
5.
Emergency Care
RESOURCES (B4)
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Describe the resources available and the arrangements for the training of residents in the emergency
aspects of the specialty.
6.
Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in
ambulatory care.
7.
Pulmonary Function Laboratories
List the total number of the following tests performed each year, at your academic centres. Indicate
the approximate percentage of these tests that the residents are responsible for interpreting.
Prodecure
Spirometry
Lung volumes
Methacholine challenge
CPET
Assessment of respiratory muscle
8.
Number #
Percentage (%)
Pathology and Microbiology
Indicate the institutions in the program that provide training in pathology under the supervision of a
pathologist with special expertise in lung pathology. Describe the arrangements for participation of
residents in supervised studies and comment on the volume and variety of pathological material
available for study. Provide similar information, with respect to training in microbiology, including
virology, mycology and mycobacteriology.
9.
Radiology
Describe the arrangements for instruction in diagnostic radiology as applied to respirology.
10. Respiratory Therapy Services
Comment on the adequacy of respiratory therapy services in the participating hospitals.
11. Rehabilitation Services
Describe the exposure of the resident to pulmonary rehabilitation services.
12. Other Supporting Services
Identify other departments, divisions or services that provide training for residents on either a
RESOURCES (B4)
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2014
mandatory or elective basis. Include special institutes, clinics, or university departments not attached
to teaching hospitals. For a listing of fields suitable for elective training see the Objectives of Training
and Specialty Training Requirements in Adult Respirology (General Objectives.)
13. Information/Space 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
Partially
If “No” or “Partially”, please explain.
c) Are technical resources required for patient care duties located in the work setting?
Yes
No
Partially
If “No” or “Partially”, please explain.
d) Do facilities allow resident skills to be observed?
Yes
No
Partially
If “No” or “Partially”, please explain.
e) Do facilities allow for confidential feedback/discussions?
Yes
No
Partially
If “No” or “Partially”, please explain.
14. 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 adult Respirology?
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 adult Respirology?
Are the diagnostic and basic science facilities available to the program sufficient to provide
adequate teaching for residents in adult Respirology in addition to other residents sharing
the same facilities?
RESOURCES (B4)
Revised June 2010
Editorial revisions - February 2012; November 2012
Revised – April 2014
6
2014
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