Coordination of Adult and Pediatric Subspecialty

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RESOURCES (B4)
1
2012
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 Endocrinology and Metabolism
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:
Adult Endocrinology and Metabolism
Pediatric Endocrinology and Metabolism
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)
2
2012
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 have been practising in the subspecialty:
< 15 years
%
> 25 years
%
Subspecialty
(If any)
Nature of Interaction with
Resident
(e.g. clinical, teaching, research)
RESOURCES (B4)
2.
3
2012
Overview of Endocrinology and Metabolism Facilities
Institutions *
In-patient
Facilities
Outpatient
Facilities
Laboratory
Facilities
a.
Adult Endocrinology/Metabolism
b.
Adolescent Endocrinology/Metabolism
c.
Pediatric Endocrinology/Metabolism
d.
Endocrinology/Reproduction
e.
Endocrine Investigation Unit
a.
Endocrine-Metabolic Test Unit
b.
Diabetes Day Care/Education
Facilities
ADULT
PEDIATRIC
ADULT
PEDIATRIC
c.
Adult Endocrine Clinic
d.
Adolescent Endocrine Clinic
e.
Pediatric Endocrine Clinic
f.
Reproductive Endocrine/Gynecology Clinic
g.
Ophthalmology Clinic
h.
Other Special Clinics **
a.
Clinical Endocrine Laboratory
b.
Karyotyping
Nuclear Medicine
a.
Diagnostic Imaging
Other Services
Ultrasonography
CT Scanning
NMR
b.
Surgical/Neurosurgical
c.
Therapeutic Nutrition
d. Genetic Counselling
*
Answer "yes" or "no"
** e.g., lipid, stone, bone, diabetes, neuroendocrine, etc.
RESOURCES (B4)
3.
4
2012
General Pediatric and Adolescent Endocrinology and Metabolism
IN-PATIENTS
Number of
Endocrine
Teaching
Staff
Hospital
Number of
Endocrine
Teaching
Beds
Number of Clinical
Teaching Services
Endo/Met
Gen.
Med. *
General Endo
Admis.
Per
Year
Consults
Per Year
Diabetes
Admis.
Per
Year
Consults
Per Year
TOTAL
* Where endocrine patients are admitted
OUTPATIENTS
General Endo
Hospital
New Referrals
Per Year
Return Visits Per
Year
Diabetes
New Referrals
Per Year
Return Visits
Per Year
TOTAL
a)
Explain any variations in the standard pattern of Clinical Teaching Services. In particular, if there are
not designated beds, clarify whether there are pediatric patients controlled by the service under the
direction of the head of the endocrine/metabolic teaching unit or faculty member on service. To what
extent do residents in the Internal Medicine stream of the Endocrinology and Metabolism program
participate?
b)
Describe the arrangements for residents to gain primary experience in handling pediatric
consultations. To what extent do residents in the Internal Medicine stream of the Endocrinology and
Metabolism program participate?
c)
Describe the facilities and arrangements for resident experience in pediatric ambulatory care,
including details of the supervision and teaching. Clarify whether this is in a clinic setting or private
office. For both describe resident contribution (i.e., does he/she see patient first, write consultation
letter, follow-up arrangements for resident to see patient again and review results of testing?) and
supervision by attending staff. Do residents in the Internal Medicine stream of the Endocrinology and
Metabolism program participate, and to what extent?
d)
What facilities exist for pediatric intensive care and emergency care, and what would be the role, if
any, for residents in Endocrinology and Metabolism?
e)
Describe any other special facilities or opportunities for clinical or technical experience in Pediatric
RESOURCES (B4)
5
2012
Endocrinology and Metabolism available to residents or fellows. Where this involves patients on other
specialty services quantitate as much as possible. For example, outline any interaction with
Neurosurgery, or Obstetrics and Gynecology, including numbers of staff and patient population.
There may be other specialty areas in your institution where there is interdisciplinary communication.
Include details.
4.
Clinical Laboratory Facilities
List the clinical laboratory facilities that provide training for residents and fellows in the program, and
provide the names and qualifications of the persons responsible for the supervision of residents.
Include any special laboratory facilities, such as research institutes not affiliated with hospitals.
Indicate the departments of Nuclear Medicine and Pathology that provide instruction in the
interpretation of endocrine-metabolic material and outline the manner in which residents will obtain
this information.
5.
Information 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
c) Are technical resources required for patient care duties located in the work setting? Yes
No
d) Do facilities allow resident skills to be observed and do they allow for confidential discussions?
Yes
No
6.
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, research,
undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and
instruction of residents in Pediatric Endocrinology and Metabolism?
Are the numbers and variety of patients available for teaching in each of the areas of
Pediatric Endocrinology and Metabolism sufficient to provide for the training of residents
rotating from other residency programs and services, without adverse effects upon the
training of residents in Pediatric Endocrinology and Metabolism?
Are the diagnostic and basic science facilities available to the program sufficient to provide
adequate teaching and experience for residents in Endocrinology and Metabolism in
addition to other residents sharing the same facilities?
RESOURCES (B4)
6
Is there a satisfactory working relationship with Nuclear Medicine, Radiology,
Neuroradiology, Obstetrics and Gynecology, Neurosurgery and Ophthalmology? Is there a
direct involvement in areas such as thyroid biopsy, immunoassays, cytogenetics, etc.
For residents in the pediatric stream of the Endocrinology and Metabolism program, how
much exposure is there to adult endocrinology in terms of clinics per week attended or
months spent in rotation.
Editorial revisions - February 2012
2012
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