RESOURCES (B4)
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2013
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
Pediatric Cardiology
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 Cardiology
Pediatric Cardiology
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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2013
IV. RESOURCES
Standard B4
"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."
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.
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)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
a) What percentage of faculty listed above have been practising in the subspecialty:
< 15 years
%
> 25 years
%
b) Did the program director or a representative attend at least one meeting of the Specialty Committee for Cardiology in each of the last
2 academic years? Yes_____ No_____
If No, please explain
RESOURCES (B4)
2.
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2013
General Cardiology
TABLE I
Clinical Resources
(Statistics for the most recent 12-month period)
(Dates: )
Admissions and Consultations
Hospital
Total Number
of Patients
Percentages of Cases
Neonatal
1-12 mos
>1 yr
Describe the organization of the general cardiology ward (e.g. clinical teaching unit), including the usual
arrangements for staff supervision and the policy with regard to the graduated increase in responsibility of
residents.
3.
Cardiovascular Investigation
a)
Cardiac Catheterization
TABLE II
(Statistics for the most recent 12-month period)
(Dates: )
Cardiovascular Investigation Units
Patient Age
Number of
Patients
Investigated
Heart Catheterizations
Diagnostic
Intervention
- Infants
- 30 days to 1 yr
- > 1 yr
TOTAL
Describe the arrangements for residents to gain experience in the performance and interpretation of
catheter studies.
b)
Echocardiography
TABLE III
(Statistics for the most recent 12-month period)
(Dates: )
RESOURCES (B4)
Hospital
4
2013
Percentage of Cases
Total
Transthoracic
TEE *
Stress
Fetal
* Transoesophageal Echocardiography
Describe the arrangements for training in the indications, performance and interpretation of TTE and TEE.
Describe the arrangements for residents to gain knowledge regarding the indications and limitations of
Stress Echo and interpretation of Fetal Echo.
c)
Other Diagnostic Imaging Modalities
TABLE IV
(Statistics for the most recent 12-month period)
(Dates: )
Hospital
d)
Total Number
Percentages
CT
MR
Other
Electrocardiography
TABLE V
(Statistics for the most recent 12-month period)
(Dates: )
Number of Cases
Hospital
ECG
Ambulatory ECG
Exercise ECG
Describe the arrangements for training in the indications, performance and interpretation of such studies.
e)
Electrophysiology-Investigation
TABLE VI
(Statistics for the most recent 12-month period)
(Dates: )
RESOURCES (B4)
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2013
Number of Cases
Hospital
Invasive
Diagnostic
Electrophysiology
Interventional
Electrophysiology
Pacemaker Implants
Standard
ICD *
* Implantable Cardio-Defibrillator
Describe the arrangements for training in the indications and interpretation of each of these studies.
4.
Cardiac Surgery
a)
What is the training for residents in case selection, monitoring, and collaborative care of patients
undergoing cardiac surgery?
Comment on the arrangements for involvement in early postoperative cardiac care and later followup.
b)
List the numbers of operations in the past year in the following categories:
TABLE VII
AGE
0-30
Days
Closed
Shunts
PDA
Coarctation
PA banding
Other:
TOTAL
Open
VSD repair
Semilunar
valvotomy
Tetralogy repair
TGA repair
1-12
Mos
>12 Mos
RESOURCES (B4)
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2013
2° ASD
1° ASD
AV septal defect
Complex conduit
repair
Bidirectional Glenn
Fontan type repair
Valve replacement
Norwood
Other
TOTAL
5.
ICU
TABLE VIII
Availability of Intensive Care Units
Yes
Number of
Beds
No
Neonatal
Pediatric
Cardiothoracic surgery
General surgical
Comment on the adequacy of the intensive care units within the program from the viewpoint of bed
capacity, equipment, and staffing. Indicate the role played by residents and the level of responsibility
assumed in decisions as to diagnosis and treatment in surgical, non-surgical and neonatal care.
6.
Adult Cardiology
a)
Describe the facilities available for teaching in the cardiology of adults and how these facilities are
used for training. Outline the organization of the teaching service(s). Describe the relationship with
adult cardiovascular surgery. Indicate the extent to which the resources of the adult component of
the program are used for the training of residents primarily concerned with Pediatric Cardiology.
b)
Describe the provision of services and teaching in adult congenital heart disease.
7.
Pathology
RESOURCES (B4)
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a)
Describe the facilities and outline the arrangements for teaching in pathology and other areas of
laboratory medicine important to the study of pediatric cardiovascular disease.
b)
Autopsy statistics
2013
TABLE IX
(Statistics for the most recent 12-month period)
(Dates: )
Number of deaths related to Pediatric Cardiology
Number of autopsies
8.
Diagnostic Imaging
Describe the arrangements for instruction in diagnostic imaging as applied to Pediatric Cardiology.
9.
Multidisciplinary Services
Comment on the adequacy of the multidisciplinary services associated with the program, specifically
the availability of dieticians, physiotherapists, social workers, and occupational therapists.
10. Associated Clinical Services
In addition to general pediatrics and cardiovascular surgery, describe the role of other departments,
divisions or services, such as Respirology, Clinical Immunology and Allergy, Nuclear Medicine, and
Medical Genetics, that provide training for residents on either an elective or mandatory basis.
11. Consultations
Describe the arrangements for residents to gain primary experience in handling consultations
including emergency consultations.
12. Emergency Care
Describe the resources available and the arrangements for the training of residents in the Emergency
Department.
13. Ambulatory Care
Describe the resources available and the arrangements made for the training of residents in
ambulatory care. Specify ambulatory training in general pediatric cardiology care, and pacemaker
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2013
patient care.
14. 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.
15. 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 Pediatric Cardiology?
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
Pediatrics or other services, without adverse effects upon the training of residents in
Pediatric Cardiology?
RESOURCES (B4)
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Are the diagnostic and basic science facilities sufficient to provide adequate teaching and
experience for residents in Pediatric Cardiology in addition to other residents sharing the
same facilities?
Revised – SC – October 2012
2013