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 Nephrology
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 Nephrology
Pediatric Nephrology
b)
If the university is accredited for both programs, describe the extent to which the two programs are
integrated in the following areas:
i)
Program administration
ii) Academic program
iii) Clinical program
iv) Technical and/or laboratory skills
RESOURCES (B4)
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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)
3
2012
Provide quantitative data documenting the volume and variety of patients available for teaching in each of
the clinical areas listed below. Complete one table for each training site used for Nephrology resident
education. Briefly (2-3 sentences) describe how these resources are used for Nephrology resident
teaching.
2. Inpatient
(Statistics for most recent 12-month period – Dates: )
SITE ►
Admissions to Nephrology
Visits in day hospital
Inpatient consults
Note : It is recognized that not all training programs have an inpatient Nephrology service.
Briefly describe (2-3 sentences) how these resources are used for residency training.
Briefly describe (2-3 sentences) the resident’s involvement in the initial assessment and management of
emergencies involving renal disorders.
3. Ambulatory
(Statistics for most recent 12-month period – Dates: )
SITE ►
Outpatient new consult visits
Outpatient follow-up clinic visits
Briefly describe (2-3 sentences) how these resources are used for residency training.
What is the resident’s experience in providing continuity of patient care?
4. Transplant
(Statistics for most recent 12-month period – Dates: )
SITE ►
Transplants performed
Recipient assessments for transplant
Prevalent transplant patients followed
Briefly describe (2-3 sentences) how these resources are used for residency training.
5. Dialytic Therapies
(Statistics for most recent 12-month period – Dates: )
RESOURCES (B4)
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2012
SITE ►
Number/
Yr
Number of
treatment
days/yr
Number/
Yr
Number of
treatment
days/yr
Number/
Yr
Number of
treatment
days/yr
Acute dialysis (includes all
modalities:CRRT, HD, PD,
SLED etc.)
New PD patients
Total PD patients
New Chronic HD Patients
Total HD patients




CRRT = continuous renal replacement therapies such as chronic veno-venous hemodiafiltration
HD = hemodialysis
PD = peritoneal dialysis
SLED = slow low efficiency dialysis
Briefly describe (2-3 sentences) how these resources are used for residency training.
6. Intensive Care Unit
Complete the following set of questions for each training site that has an ICU (describe NICU and PICU in
separate sections).
SITE ►
Does the Nephrology service see patients (consults
etc.) in this ICU?
Does the Nephrology service prescribe RRT in this
ICU?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Briefly describe (2-3 sentences) how these resources are used for residency training.
7. Pathology
Please include all renal biopsy specimens that are reviewed by the pathologists in your facility (i.e
including those referred in from other locations).
(Statistics for most recent 12-month period – Dates: )
SITE ►
Native kidney biopsies
Transplant kidney biopsies
Briefly describe (2-3 sentences) the residents’ exposure to the interpretation of renal biopsies.
8. Other
RESOURCES (B4)
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2012
List and briefly describe other resources used for regularly available electives (eg. community electives,
adult Nephrology electives, specialty outpatient clinics such as stone, vascular access clinics etc.).
9. Supporting Services
Is there a microscope and centrifuge readily available for resident use in the performance of urinalysis?
Yes
No
Is there an immunology laboratory supporting the investigation and management of renal disorders and
transplantation?
Yes
No
Is there a General Surgery service?
Yes
No
Is there a Urology service?
Yes
No
10.Evaluation and Monitoring of Resource Limitations
What are the clinical areas in which resources may be limited for resident training?
How does the program monitor and ensure that residents have adequate exposure to these clinical areas?
(e.g. system of regular review, procedure logs, portfolios etc.)
11. 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
12.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 pediatric Nephrology?
RESOURCES (B4)
6
Are the numbers of patients available for teaching sufficient to provide for the training of
residents rotating from other residency programs and services, without adverse effects on
the training of residents in pediatric Nephrology?
Are the diagnostic and basic science facilities available to the program sufficient to provide
adequate teaching and experience for residents in pediatric Nephrology in addition to other
residents sharing the same facilities?
Editorial revisions - February 2012
2012