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THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA
PART II
PRE-SURVEY QUESTIONNAIRE
ADULT RESPIROLOGY
University:
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:
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IV. RESOURCES
Standard B.4
"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
specialty training requirements in the specialty or subspecialty."
Where the resources to provide "full training" are not available at the sponsoring university, several different types of
inter-university affiliations may be negotiated, as stated in the grey book "General Information Concerning
Accreditation of Residency Programs." It should be noted that the exchange of residents between two fully
accredited programs does not require an inter-university affiliation.
Coordination of Adult and Pediatric Subspecialty Programs
a)
Is this university accredited for (check one only):
adult respirology only
pediatric respirology only
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
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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 (#2.) have been practising in the subspecialty:
< 15 years
%
> 25 years
%
Subspecialty
(If any)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
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Clinical Respirology
Hospital
In-Patients
Hospital Admissions Per Year
General
Chest
Disease
Acute
Respiratory
Failure
Tumors
Out-Patients
Respirology
Consults
Per Week
New
Referrals
Return
Visits
TOTAL
a)
Describe any other special facilities or opportunities for clinical experience in adult respirology available to
residents.
b)
Describe the arrangements within the program for training in the collaborative care of patients undergoing thoracic or
other associated surgical procedures.
c)
Outline the arrangements for liaison with a clinical immunology service and immunological laboratories to ensure
that all residents understand the immunological mechanisms, and the concepts and methods of immunology, as they
apply to respiratory diseases.
d)
Describe the arrangements for the instruction of residents in the epidemiology, investigation and management of
occupational and environmental lung disease.
e)
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.
f)
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.
g)
Provide statistics, preferably in tabular form, indicating the types and numbers of bronchoscopy examinations and
transbronchial biopsies performed in each of the participating hospitals. Comment on the experience of residents and
the method of supervision and evaluation of competence.
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h)
Describe the technical experience available to residents in developing their skills in thoracentesis, intubation, and
other necessary procedures.
i)
Describe the clinical experience available to residents in the evaluation and management of sleep disordered
breathing. Indicate numbers of nocturnal polysomnographic studies and daytime nap tests performed in each
participating hospital.
3.
Pediatric Respirology
List the hospitals providing training in this component of the program. Include the number of beds available for
teaching of residents in respirology and comment on the availability of experience with out-patients.
4.
Consultations
Describe the arrangements for residents to gain primary experience in handling consultations.
5.
Intensive Care
Describe the facilities and resources available for training in intensive care.
6.
Emergency Care
Describe the resources available and the arrangements for the training of residents in the emergency aspects of the
specialty.
7.
Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in ambulatory care.
8.
Pulmonary Function Laboratories
List or tabulate the type of measurements available, and the number performed each year, for each participating
hospital (use separate sheet if necessary.) Describe the arrangements for residents to gain experience in the
performance and interpretation of tests of pulmonary function.
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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 and mycology.
10. Radiology
Describe the arrangements for instruction in diagnostic radiology as applied to respirology. Indicate the extent to
which residents assume responsibility for the technical performance of diagnostic studies.
11. Respiratory Therapy Services
Comment on the adequacy of inhalation therapy services in the participating hospitals and describe the adequacy of
Respiratory Therapy services for instruction to the residents.
12. 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. Describe the measures taken to ensure that experience in the broad field
of rehabilitation is integrated into the residency program.
13. Other Diagnostic Facilities
Indicate the laboratories or other facilities available to residents for instruction in the techniques of serological and
immunological investigation, cardiac catheterization, radioisotopic diagnosis, scanning, and ultrasonography.
14. Other Supporting Services
Identify other departments, divisions or services that provide training for residents on either a 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 “Objectives of Training and Specialty Training Requirements in Adult
Respirology” (General Objectives.)
15. 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
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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?