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 General Surgical Oncology 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) 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 practicing in the subspecialty: < 15 years % > 25 years % Subspecialty (If any) Nature of Interaction with Resident (e.g. clinical, teaching, research) RESOURCES (B4) 2. 3 2014 General Resources in General Surgical Oncology TABLE I General Surgical Oncology Data (Statistics for the Last Complete Year) NAME OF INSTITUTION Total General Surgical Oncology Clinic Visits Total Surgical Beds Total General Surgical Oncology Beds Number General Surgical Oncology Surgical Admissions Number General Surgical Oncology Non-Surgical Admissions Number Clinic Consultations Number Hospital Consultations RESOURCES (B4) a) 4 2014 SURGICAL PROCEDURES SURGERY Number Head and Neck Cancers Number Thyroid Cancer Number Breast Cancer Total mastectomy Partial mastectomy Number Esophageal Cancer Number Gastric Cancer Number Pancreatic Cancer Number Bile Duct Cancer Number Hepatomas Number Metastatic Hepatic Cancers Hepatectomies - partial Hepatectomies - wedge resection Number Colon Cancers Number Rectal Cancers Number Gastrointestinal Procedures Number Gynecologic Procedures Gastrostomy Colostomy Enterostomy Oophorectomy Other Cystectomy Number Urologic Procedures Ileal conduit Other Number Skin Cancers, especially Melanomas Number Soft Tissue Sarcomas Oncologic Reconstructions (Plastic Surgery) NAME OF INSTITUTION RESOURCES (B4) b) 5 2014 DIAGNOSTIC PROCEDURES NAME OF INSTITUTION DIAGNOSTIC PROCEDURES Number Endoscopies a) Stomach b) Colorectal c) Pancreatobiliary (ERCP) 3. Clinical Instruction and Facilities for General Surgical Oncology Describe the facilities available for the evaluate and management of General Surgical Oncology problems and the role and experience of the individual resident in this area. 4. Associated Specialties a) Radiotherapy i) Is there an accredited residency program in Radiation Oncology? YES NO ii) Outline the resources in regard to radiotherapy equipment, simulators, dosimetry, etc. and other facilities concerned with radiation. Describe the organization for teaching of residents and the availability of teachers, particularly radiation oncologists b) Medical Oncology i) Is there an accredited residency program in Medical Oncology? YES NO ii) Outline the resources available in Medical Oncology (i.e., out-patient treatment facilities, investigation facilities, research facilities, Medical Oncology residency program, etc.) c) Describe the integration of the above programs with the 2-year program in General Surgical Oncology. 5. Special Clinics List any special clinics available to the residents, (i.e., endoscopy, chemotherapy, etc.) RESOURCES (B4) Special Clinics 6. 6 Description of Patients 2014 Number of Sessions Resident Participation Observer Active Regional Program (Extramural) Describe the resident's involvement in the extramural component of the regional General Surgical Oncology program including all relevant aspects of clinical care, education, communication and administration. 7. External Programs Describe any programs not attached to the teaching hospitals that provide opportunities for CLINICAL experience on either a mandatory or elective basis. 8. Supporting Clinical Services Identify other departments, divisions and services that provide training for residents in General Surgical Oncology. Describe the objectives and the arrangements for training of residents in these supporting services (e.g., Medical Oncology, Radiation Oncology, I.C.U., I.C.S., biostatistics, epidemiology, Pathology, etc.) 9. Consultations a) What is the general surgical oncology resident's involvement with patients of general surgeons and family physicians? b) How do you ensure that the residents see a variety of patients? c) Does the resident normally write the consultation report? 10. Medical and Surgical Intensive Care Training Does the resident have access to and participate in the patient management of acutely ill patients in the adult ICU and/or SICU? YES NO 11. Information/Space Resources RESOURCES (B4) 7 2014 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. 12. 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 the teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in General Surgical Oncology? Are the number of oncology patients available sufficient to provide for the oncology training from other programs, such as the residency program in General Surgery, without adverse effects on the training of residents in General Surgical Oncology, and vice-versa? Detail the clinical responsibility provided to General Surgical Oncology residents patient care relative to those responsibilities provided to the chief resident on the surgical service in your training institution. Editorial revisions - February 2012; November 2012 Revised – Specialty Committee – October 2014