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PART II - 2008
THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA
PART II
PRE-SURVEY QUESTIONNAIRE
PSYCHIATRY
University:
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:
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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
Subspecialty
(If any)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
What percentage of faculty listed above (#2.) have been practising in the specialty/subspecialty:
2.
< 15 years
%
> 25 years
%
a) General Psychiatry
IN-PATIENT STATISTICS FOR:
Hospital
Approximate Number of Admissions Per Year
Psychiatry
Consultations
Approximate
Number of
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Schizophrenia &
Psychoses
TOTAL
Mood
Disorders
Substance
Use
Disorders
Anxiety
Somatoform
Personality
Disorders
PART II - 2008
Mental
Retardation
Children’s
Disorders
Organic
Mental
Disorders
Other
from Other
Hospital
Services Per
Week
Emerg. Dept.
Cases Seen
by Psychiatry
Per Week
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OUT-PATIENT STATISTICS FOR:
Hospital or
Clinic or
Service
Approximate Number of Out-patients
(Provide either new patients or patient census)
Schizophrenia
and Psychoses
TOTAL
Mood
Disorders
Substance
Use
Disorders
Anxiety
Somatoform
Personality
Disorders
Mental
Retardation
Total Patient
Visits
Children’s
Disorders
Organic
Mental
Disorders
Other
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b)
Indicate the institutions that provide the major sources of requests for consultations on in-patients on other clinical
services. Describe the arrangements for residents to gain primary experience in handling consultations, methods of
teaching and supervision of such cases and methods to ensure the adequacy of the experience in consultation
psychiatry over the period of residency.
c)
Describe the role of the departments of medicine and pediatrics in the residency program for psychiatrists. What
percentage of residents rotate through internal medicine and/or pediatrics?
d)
Describe the relationship of the program with the neurological service as it concerns the training of residents. What
percentage of residents rotate through neurology?
3.
Child and Adolescent Psychiatry
List the institutions providing training in this component of the program. Describe the organization of clinical
teaching units, day centres, day-care placements, and other facilities used in the training of psychiatric residents. If
there are no standard CTUs or designated beds, clarify whether there are patients controlled by the service under the
direction of the head of the unit, and whether adequate consultant experience is available and well-controlled.
4.
Geriatric Psychiatry
Indicate the institutions that provide the major teaching on psychiatric conditions in the elderly population. Describe
the arrangements for residents to gain primary experience in handling such cases, the methods of providing
supervision and teaching of those cases, and ways to ensure an adequate exposure to this area in the course of the
residency training. Indicate, as well, the balance between hospital and community-based clinical and teaching
experience.
5.
Long-Term Care
Indicate the institutions that provide the major exposure to the long-term care and rehabilitation of the major mental
illnesses, particularly schizophernia and affective disorders. Describe the involvement of residents in the treatment
and rehabilitation of those patients, the variety of cases available and the method of supervision and evaluation of the
adequacy of the training. Indicate, as well, the balance between hospital and community-based clinical and teaching
experience.
6.
Psychotherapy
Name the institutions providing experience in psychotherapy. Comment on the adequacy of resources in staff and
patients in relation to the number of residents. Describe the method of supervision of training in the therapy of adults
and children, both long- and short-term. Summarize the total experience of residents in this mode of treatment,
including crisis intervention, behavioural and cognitive therapies.
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7.
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Biological Therapy
Name the institutions providing experience in psychopharmacology and other biological therapies, including
electroconvulsive therapy. Describe the resources available in terms of patients, facilities and staff, including any
other relevant explanatory comments.
8.
Forensic Psychiatry
Describe the community and correctional facilities available for experience in forensic psychiatry, indicating how
these are used for training.
9.
Community Psychiatry
List and comment on the facilities available for residents in the community at large. In particular, deal with the
methods of training in providing consultations in the schools and family clinics. Describe the facilities providing
opportunities for the long-term active treatment of emotional and behavioral problems, and the care of the
chronically handicapped, and how these are used for the training of residents.
10. Emergency Care
Describe the resources available and the arrangements for the training of residents in the emergency department.
11. Ambulatory Care Facilities
Describe the resources available and the arrangements for the training of residents in ambulatory care facilities.
12. Non-medical Supporting Staff
Comment on the adequacy and distribution of the allied non-medical professional staff who make significant
contributions to the program, specifically psychologists, psychiatric nurses, social workers and occupational
therapists. If the training of residents is being adversely affected by deficiencies in these areas, indicate so.
13. Other Supporting Services
Identify other departments, divisions and services that provide training for residents in psychiatry. Such services
might include the medical and surgical specialties, obstetrics and gynecology, neuropathology, radiology, clinical
pharmacology, nuclear medicine, physical medicine and rehabilitation, genetics, and electroencephalography.
Record relevant data, and describe any regular assignments or liaisons of residents or fellows to such services.
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In addition, describe any other special units or services that provide opportunities for training on a mandatory or
elective basis. Include special institutes or clinics not affiliated with 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 the teachers (clinical care, undergraduate teaching,
etc.) is such as to affect adversely the continuous supervision and instruction of residents in psychiatry?
Do all senior residents have an opportunity to be responsible for the operation of a clinical teaching service under
appropriate staff supervision?
Are the numbers of patients available for teaching sufficient to provide for the training of residents
rotating from internal medicine, family medicine, pediatrics, neurology and other services, without
adverse effects on the training of residents in psychiatry?
Are the diagnostic and basic science facilities available to the program sufficient to provide adequate
teaching and experience for residents in psychiatry, in addition to other residents sharing the same
facilities?