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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
Adult 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
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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)
What percentage of faculty listed above have been practising in the specialty/subspecialty:
< 15 years
%
> 25 years
%
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
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2. Clinical Services Specific to Neurology
a)
In-Patient Direct Care
Describe the arrangements for residents to gain primary experience in the direct care of neurology inpatients, including patients with acute stroke. Indicate for each Neurology CTU the average daily
patient census, the average complement of residents and clinical clerks and the average patient load
per resident. List the five most common neurological diagnoses of patients discharged from the CTU.
Indicate whether residents also see in-patient consultations while caring for patients on the CTU.
b)
In-Patient Consultations
Describe the arrangements for residents to gain primary experience in handling neurology
consultations. Indicate for each consultation service the average complement of residents and clinical
clerks, the average number of consultations per day and the approximate proportion of consultations
from medicine, neurosurgery, psychiatry, obstetrics and gynecology, and oncology. List the five most
common neurological diagnoses of patients seen in consultation.
c)
Ambulatory Care
List the resources available and describe the arrangements for the training of residents in ambulatory
neurology. Indicate the approximate 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.
d)
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. Indicate the number of patients per year receiving tPA and
describe the involvement of residents in the management of acute stroke.
e)
Pediatric Neurology
List the hospitals providing pediatric neurology training and indicate the number of beds available for
teaching of adult Neurology residents. If there are no designated beds, 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.
f)
Intensive Care
Describe the facilities and resources available for training in intensive care and the management of
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critically ill patients presenting neurological problems.
g)
Community Learning Experiences
Describe the facilities and resources available for training in community neurology.
h)
List any other groups of neurological patients of importance to the program.
3.
Supporting Services and Facilities
a)
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
Carotid 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.
RESOURCES (B4)
b)
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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.
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 and
neuro-otology.
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?
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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
internal medicine, or other services, without adverse effects upon the training of residents
in Neurology?
Are the diagnostic and basic science facilities noted above sufficient to provide adequate
teaching and experience for residents in adult Neurology in addition to other residents
sharing the same facilities?
Revised January 2011
Editorial revisions - February 2012; November 2012
Revised June 2014
2014