Coordination of Adult and Pediatric Subspecialty

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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 Pediatric Neurology

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 (check one only):

Adult Neurology only

Pediatric Neurology 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

RESOURCES (B4)

1.

Teaching Faculty

Teaching Site Name University Rank

2

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.

Specialty

Qualifications

Subspecialty

(If any)

2014

Nature of Interaction with Resident

(e.g. clinical, teaching, research)

What percentage of faculty listed above have been practising in the specialty/subspecialty:

< 15 years

> 25 years

%

%

RESOURCES (B4)

2.

Clinical Services Specific to Neurology a) In-Patient Direct Care and Consultations

3 2014

Describe the arrangements for residents to gain primary experience in the direct care of neurology inpatients and in providing neurology consultations. Indicate for each in-patient service the proportion of patients under direct care and those seen in consultation, the average complement of residents and clinical clerks and the average number of new in-patients seen per resident per day. Indicate the approximate proportion of consultations from pediatrics, NICU, neurosurgery, psychiatry and oncology. List the five most common neurological diagnoses of patients assessed by neurology. b) Ambulatory Care

List the resources available and describe the arrangements for the training of residents in ambulatory neurology. Indicate the total number and type of half-day clinics attended on average by each

Neurology resident, including general, urgent and specific subspecialty neurology clinics. Describe the arrangements, if any, to allow continuity of outpatient experience, e.g., longitudinal clinics. c) Emergency Care

List the resources available and describe the arrangements for the training of residents in the assessment and management of patients with urgent neurological problems in the emergency department and other hospital departments.

Indicate the number of patients per year assessed by neurology in the emergency department. d) Adult Neurology

List the hospitals providing adult neurology training and indicate the number of beds available for teaching of pediatric neurology residents. If there is no Neurology CTU, clarify whether there are patients controlled by the service, and whether adequate consultant experience is available and wellcontrolled. Indicate the availability of out-patient facilities and how these are used in the training of residents. e) Intensive Care

Describe the facilities and resources available for training in intensive care and the management of critically ill patients presenting neurological problems. f) Community Learning Experiences

Describe the facilities and resources available for training in community neurology. g) List any other groups of neurological patients of importance to the program.

RESOURCES (B4)

3. Supporting Services and Facilities a)

4 2014

Name(s) of Institution(s)

Number of

Procedures Per Year

ELECTRODIAGNOSTIC

Electromyography

Nerve conduction studies

Electroencephalography

Evoked potentials

DIAGNOSTIC IMAGING

CT Brain/Spine

CT Angiography

MR Brain/Spine

MR Angiography

Brain SPECT/PET

Transcranial Ultrasound

Interventional Neuroradiology

OTHER:

Describe the arrangements for the instruction of residents in the indications for and interpretation of the above-mentioned diagnostic procedures and recordings. b) Neuropathology

List the institutions in the program that provide training in neuropathology, and give the names(s) and qualifications of the physician(s) in charge. Indicate the number of necropsies per year in which examination of the nervous system is done. Describe the arrangements for the participation of residents in supervised studies in neuropathology and comment on the volume and variety of pathological material available for study.

RESOURCES (B4) 5 2014 c) Describe the role of the neurosurgery and psychiatry services in the Neurology residency program and indicate the proportion of residents rotating through them. d) Describe the arrangements for residents to gain clinical experience in neuro-ophthalmology.

4. 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.

5. 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:

What is the average number of beds (or range) available in 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 Neurology?

RESOURCES (B4) 6 2014

Are the diagnostic and basic science facilities noted above sufficient to provide adequate teaching and experience for residents in pediatric Neurology in addition to other residents sharing the same facilities?

Revised – January 2011

Editorial revisions - February 2012; November 2012

Revised June 2014

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