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 Geriatric Psychiatry 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) 1. 2 2012 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 subspecialty: < 15 years % > 25 years % Percentage of professional time dedicated to Geriatric Psychiatry Nature of Interaction with Resident (e.g. clinical, teaching, research) RESOURCES (B4) 3 2012 2. Clinical Training a) Please enter approximate numbers for each of the major areas of clinical training identified: (Statistics for most recent 12-month period – Dates: ) IN-PATIENT Hospital or Service Psychiatry In-patient Beds Dedicated to Geriatric Patients Consults to General Hospital Inpatients per Month AMBULATORY CARE Consults to Specialty Hospital Inpatients per Month Other Consults New Outpatient Assessment s per Month Day Hospital (# patients enrolled) OUTREACH Other Long Term Care Visits per Month Other Visits to Patient’s Place of Residence per Month TOTAL b) Describe the arrangements for providing outreach services within the program. Please outline the organization of these services, including the composition of multidisciplinary teams. What proportion of visits occur in rural areas? c) Describe the organization of consultation services and the resident experience providing consultations, including those to long term care and other community settings d) Please describe any geriatric psychiatry specialized services not listed above that are regularly involved in resident training. e) Describe the role in the residency program of each of the following services, toward the development of expertise with the medical problems commonly co-morbid with psychiatric presentations in older adults? i) Geriatric Medicine ii) Neurology / Movement Disorders Clinics iii) Stroke Prevention Clinics iv) Palliative Care RESOURCES (B4) 4 2012 v) Neuroimaging vi) Medical care in long term care homes vii) Other 3. Psychotherapy Name the institutions providing experience in psychotherapy. Are therapies specific to the elderly being utilized? Comment on the adequacy of resources in staff and patients in relation to the number of residents. Describe the method of supervision of training. 4. Electroconvulsive Therapy (ECT) Name the institutions providing experience in electroconvulsive therapy. Describe the resources available in terms of patients, facilities and staff, including any other relevant explanatory comments. How many treatments are performed each month? What percentage of those doing supervising ECT for trainees are geriatric psychiatrists? 5. Community Resources List and describe how residents will liaise with community programs such as respite programs, community day programs, resources such as the Alzheimer Society. 6. Emergency Care Describe the resources available and the arrangements for the training of residents in the Emergency Department or other urgent care services in Geriatric Psychiatry. Are there resources dedicated specifically to geriatric patients? RESOURCES (B4) 7. 5 2012 Interprofessional Collaboration Comment on the adequacy and distribution of the allied professional staff who make significant contributions to the program, specifically psychologists, psychiatric nurses, social workers and occupational therapists. What are the opportunities for residents to work with these individuals? Are resources available for neuropsychological testing? 8. Shared or Collaborative Models of Care Please describe opportunities for residents to work in shared or collaborative care models with family physicians, other specialists or other specialized services. Please describe the extent and anticipated duration of the resident’s experience. 9. Please describe any other special units or services that provide opportunities for training on a mandatory or elective basis. Include special institutes or clinics not affiliated with hospitals. 10. 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 c) Are technical resources required for patient care duties located in the work setting? Yes d) No No Do facilities allow resident skills to be observed and do they allow for confidential discussions? Yes No 11. Summary of Adequacy of Resources Comment on the adequacy of the resources in the overall program. In particular, comment as to whether the facilities are sufficient to provide adequate teaching and experience for residents in this program in addition to other residents sharing the same facilities. Editorial revisions - February 2012