RESOURCES (B4)
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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
Plastic 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.
Describe how Surgical Foundations functions in this program.
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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
Subspecialty
(If any)
What percentage of faculty listed above have been practising in the specialty/subspecialty:
< 15 years
%
> 25 years
%
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
RESOURCES (B4)
2.
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Clinical Plastic and Reconstructive Surgery
Describe the facilities or opportunities for clinical experience in Plastic Surgery available to residents.
3.
Resident Surgical Log
Provide a sample of the resident surgical log data which demonstrates that your program provides an
adequate breadth and depth of the operative experience made available to residents.
4.
Pediatric Plastic Surgery
Describe the facilities available for teaching in the management of infants and children, and how these
facilities are used for training in this aspect of the program. Outline the organization of the teaching
service(s). Describe the relationship with Pediatrics, Pediatric General Surgery, Orthopedics, and Urology.
5.
Maxillofacial Reconstructive Surgery
Outline the experience available to residents in the various aspects of complicated maxillofacial
reconstruction of congenital and post-traumatic defects with particular reference to bony osteotomies,
bone grafts, and soft tissue surgery of the facial region.
6.
Hand Surgery
Describe the facilities available for training in hand surgery. Comment on the relationship with Orthopedic
Surgery, and the degree of liaison with a Rheumatology service or unit.
7.
Traumatic and Reparative Surgery
Indicate the hospitals involved and the organization for the reception and care of major and multiple
injuries, with special reference to the role played by residents in providing initial and definitive care of
patients with maxillofacial injuries, major soft tissue wounds, and other forms of trauma involving Plastic
Surgery.
8.
Reconstructive Surgery of the Trunk
Describe the experience available in relation to the reconstruction of trunk defects such as pressure sores,
contour problems and soft tissue and bony deficits. Identify the teaching units of the program that are
engaged in the shifting of myocutaneous flaps and bony transfers in dealing with such problems.
9.
Aesthetic Surgery
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Describe the experience available in the various aspects of aesthetic procedures and list the aesthetic
procedures undertaken in the program and available for the training of residents.
10. Burns
Outline the facilities for the management of burns in both adults and children. Describe the
responsibilities of residents in the care of burn patients in the early phase of resuscitation, as well as in
definitive surgical management.
11. Microvascular Surgery (Microsurgery)
Describe the facilities available for training in microsurgery. Comment on the volume and variety of work
done using microsurgical techniques.
12. Benign and Malignant Tumour Surgery
Describe the participation of residents in the investigation and treatment of patients with neoplastic
lesions of the skin and soft tissues, and of major malignancies of the head and neck. Comment on the
nature of the liaison with other services such as General Surgery, Otolaryngology, and dental surgery, in
the management of reconstructive surgery of the head and neck. Indicate the arrangements for
instruction of residents in the role of radiotherapy, chemotherapy, and immunotherapy.
13. Rehabilitation Services
Comment on the adequacy of the rehabilitation services associated with the program, including allied
non-medical professional staff who make significant contributions to the program, specifically
psychologists, physiotherapists, social workers and occupational therapists.
14. Supporting Surgical Services
Describe the coordinating arrangements within the faculty (or department of surgery) that ensure
adequate and relevant experience in clinical surgery other than plastic surgery for residents proceeding to
full training in plastic surgery. The relevant surgical services on which well-designed rotations may be
valuable include: General Surgery, Orthopedic Surgery, Neurosurgery, Otolaryngology, Vascular Surgery,
and Urology. In addition, outline the dental services available to the program, including dental laboratory
facilities. Describe also the arrangements for instruction in surgical nutrition, whether enteral or
parenteral.
15. Other Supporting Services
Describe any additional services which provide training to residents in Plastic Surgery such as
Rheumatology, particularly in relation to the management of rheumatic disease of the hand, and
pathology. Diagnostic services that should be available include a full range of facilities for Diagnostic
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2012
Radiology, electromyography, nerve conduction studies, radioisotopic diagnosis, scanning, and
ultrasonography. It is also desirable that residents have access to an amputation service, prosthetic and
orthotic services, and a bio-engineering department or unit.
16. Consultations
Describe the arrangements for residents to gain primary experience in handling consultations.
17. Intensive Care
Describe the facilities and resources available for training in intensive care.
18. Emergency Care
Describe the resources available and the arrangements for the training of residents in the Emergency
Department.
19. Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in ambulatory
care.
20. 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
21. 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 there significant areas where the workload of teachers (clinical care, undergraduate
teaching, etc.) is such as to affect adversely the continuous supervision and instruction of
residents in Plastic Surgery?
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What is the average number of beds (or range) available to the program?
Do all senior residents have an opportunity to be in charge of a clinical teaching service?
Are the numbers of patients available for teaching sufficient to provide for residents from
General Surgery, Neurosurgery, or other services, without adverse effects upon the
training of residents in Plastic Surgery?
Are the diagnostic and basic science facilities sufficient to provide adequate teaching and
experience for residents in Plastic Surgery in addition to other residents sharing the same
facilities?
Editorial revisions - February 2012
2012