UROLOGY 1 PART II - 2008 THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA PART II PRE-SURVEY QUESTIONNAIRE UROLOGY University: Name of Program Director: Date of Review: Sites Participating in this Program: Program Website / URL: UROLOGY 2 PART II - 2008 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. 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 specialty/subspecialty: < 15 years % > 25 years % Subspecialty (If any) Nature of Interaction with Resident (e.g. clinical, teaching, research) UROLOGY 2. 3 PART II - 2008 Clinical Urology (Adult) SURGICAL ACTIVITY (Statistics for Last Full Year – Provide Dates) Procedure Hospital (Number of Procedures) Endoscopic Surgery TUR Prostate TUR Bladder Tumor Ureteroscopic Procedures Percutaneous Renal Procedures Laparoscopic Procedures Open Surgery Nephrectomy - Tumor Cystectomy - with a) ileal conduit b) continent diversion Radical Prostatectomy Renal Transplants Surgery for Female Stress Incontinence Scrotal Surgery – Hydrocele, Vasectomy, etc. Pediatric Procedures Orchiopexy Pyeloplasty Adult Procedures Multichannel Urodynamics Lithotripsy - ESWL Laser for Urological Surgery 3. Ambulatory Care Facilities Describe the resources available and the arrangements made for the training of residents in ambulatory care facilities. How is the ambulatory experience incorporated into your program? 4. Emergency Care Describe the resources available and the arrangements for the training of residents in the emergency department. 5. Urological Oncology Describe the participation of residents in the investigation of patients with primary or secondary neoplastic disease involving the genito-urinary system, and their degree of responsibility for decisions regarding therapy. Indicate the arrangements for instruction in the role of radiotherapy, chemotherapy, hormonal and immunotherapy. UROLOGY 6. 4 PART II - 2008 Pediatric Urology 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, and plastic surgery. Include statistics concerning admissions and operations in the components of pediatric urology, including the correction of congenital defects, trauma, and renal transplantation. 7. Trauma 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 involvement of the genito-urinary system. 8. Renal Transplantation Describe the organization of the renal transplantation service. Outline the role of the residents and the arrangements for teaching. Comment on the relationship with the nephrology service, and with general and vascular surgery. 9. Paraplegic Care Describe the facilities available and the arrangements for training in the acute and long-term care of paraplegic patients and others suffering from neurogenic disorders. 10. Pathology List the instructions that provide training in surgical pathology with emphasis on urological pathology. Describe the arrangements for the participation of residents in supervised studies in surgical pathology. Indicate the number of autopsies per year that are available for study by residents in urology. 11. Radiology a) Describe the arrangements for instruction in diagnostic radiology as applied to urology including instruction in radiation safety. a) Describe the arrangements for instruction in interventional radiological procedures as applied to urology, with specific reference to instruction in percutaneous nephrostomy. UROLOGY 5 PART II - 2008 12. Consultations Indicate the institutions that provide the major sources for consultations on in- patients on other services, such as medicine, neurology, and other branches of surgery including trauma. Describe the arrangements for residents to gain primary experience in handling consultations. 13. Intensive Care Describe the facilities and resources available for training in intensive care. 14. 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 urology? 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 urology? Are the diagnostic and basic science facilities sufficient to provide adequate teaching and experience for residents in urology in addition to other residents sharing the same facilities?