ADULT GASTROENTEROLOGY 1 PART II - 2008 THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA PART II PRE-SURVEY QUESTIONNAIRE ADULT GASTROENTEROLOGY University: Name of Program Director: Date of Review: Sites Participating in this Program: Program Website / URL: ADULT GASTROENTEROLOGY 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. Coordination of Adult and Pediatric Subspecialty Programs a) Is this university accredited for (check one only): adult gastroenterology only pediatric gastroenterology 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 ADULT GASTROENTEROLOGY 3 PART II - 2008 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) ADULT GASTROENTEROLOGY 2. 4 PART II - 2008 Clinical Gastroenterology TABLE I Clinical teaching resources within this program by subgroups of patients Hospital Approximate Number of Admissions Per Year for Each Group of Patients Upper G.I. Lower G.I. Biliary Pancreatic Hepatic Other Total Number In-patient Consultations Per Week TOTAL a) Indicate the extent to which patients recorded in Table I are supplemented for teaching purposes by consultations on other services. In addition, describe how these resources are used to ensure that each resident obtains an appropriate range and volume of experience in all areas of clinical gastroenterology. TABLE II (Statistics for Last Full Year) Hospital Technical Procedures Out-Patients Endoscopic Examinations Upper G.I. ERCP Sigmoid o-scopies Colonoscopies Polypectomies Variceal Sclerotherapy Liver Biopsies New Referrals Return Visits TOTAL b) Describe the organization of the clinical teaching units and the policy of the program with regard to the provision of graduated increase of responsibility for the investigation and management of patients. c) Outline the liaison with the general surgical service whereby residents obtain an understanding of the principles of surgery as applied to digestive diseases. Describe any joint arrangements, such as a combined medical-surgical CTU, combined clinics or conferences, and indicate whether residents in adult gastroenterology participate in collaborative care of patients undergoing surgical procedures. d) Comment on the participation of residents in decisions regarding therapy of neoplasms of the gastrointestinal tract. Indicate the arrangements for instruction in the role of radiotherapy, chemotherapy and immunotherapy. ADULT GASTROENTEROLOGY 3. 5 PART II - 2008 Pediatric Gastroenterology List the hospitals providing training in this component of the program. Include the number of beds available for teaching of residents in pediatric gastroenterology, and comment on the availability of experience with out-patients. List other components of the program, such as lectures, journal clubs, etc. 4. Consultations Indicate the institutions that provide the major sources for consultations on other services. Describe the arrangements for residents to gain primary experience in handling consultations including emergency 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 Facilities Describe the resources available and the arrangements made for the training of residents in ambulatory care. 8. Nutrition Service Describe the facilities for training in the field of nutritional support for patients with digestive diseases. Indicate the degree of responsibility assumed by residents in the actual handling of patients under treatment by enteral or parenteral alimentation. 9. Gastrointestinal Function Laboratories List or tabulate the type of studies available, and the number performed each year, for each participating hospital (use separate sheet if necessary). Indicate the degree of participation of the residents in the actual performance of the clinical and laboratory aspects of the tests. 10. Pathology and Microbiology ADULT GASTROENTEROLOGY 6 PART II - 2008 Indicate the institutions in the program that provide training in the interpretation of biopsy and other gastrointestinal material under the supervision of pathologists with special interests and expertise. 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, mycology, and parisitology. 11. Radiology Describe the arrangements for instruction in diagnostic radiology as applied to gastroenterology. Indicate the extent to which residents participate in the technical performance of diagnostic studies. 12. Other Diagnostic Services Indicate the laboratories or other facilities available for instruction in the techniques of biochemical, hematological, and immunological investigation, radioisotopic diagnosis, scanning, and ultrasonography. 13. Other Supporting Services Identify other departments, divisions or services that provide training for residents and fellows on either a mandatory or elective basis. Include opportunities for clinical or laboratory training, such as special institutes, clinics, or university departments not attached to teaching hospitals. 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 teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in adult gastroenterology? Are the numbers of patients available for teaching sufficient to provide for residents from other services, without adverse effects upon the training of residents in adult gastroenterology? Are the diagnostic and basic science facilities sufficient to provide adequate teaching and experience for residents in adult gastroenterology in addition to other residents sharing the same facilities?