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) 2 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) 3 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) 4 2014 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) 5 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