RESOURCES (B4) 1 2012
"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
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.
Describe how Surgical Foundations functions in this program.

RESOURCES (B4) 2
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 Subspecialty
(If any)
2012
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
Specialty
Qualifications
What percentage of faculty listed above have been practicing in the specialty/subspecialty:
< 15 years %
> 25 years %

RESOURCES (B4)
2.1 Surgical Experience
3
Please list total procedures attended by residents.
TABLE I
(Statistics for the most recent 12-month period – Dates: )
Total
Number
Number of Residents
Head and Neck
Thyroidectomy
Neck dissection
Laryngectomy
Major flap reconstruction
Oral mandibular/maxillary resection
Salivary gland surgery
Rigid endoscopy of upper aerodigestive tract
Pediatric Otolaryngology
Pediatric rigid endoscopy
Head and neck procedures
Tracheotomy (Pediatric)
Airway surgery (Pediatric)
Facial Plastic and Reconstructive
Surgery
Rhinoplasty (with or without septoplasty)
Local flap for reconstruction
Cervicofacial cosmetic surgery
Facial trauma and/or reconstructive surgery
2012

RESOURCES (B4) 4
Rhinology
Uni/Bilateral Endoscopic sinus surgery
(Pediatric and Adult)
Septoplasty
External sinus procedures
Surgical management of epistaxis
Endoscopic management of sinonasal tumours
Laryngology
Rigid Laryngoscopy (with or without microscope)
Laser procedure on airway
Laryngeal framework surgery
Airway reconstruction
Otology
Tympanomastoidectomy (Pediatric and
Adult)
Ossiculoplasty
Tympanoplasty
Neurotology
Stapedotomy
Resection CPA tumour
Surgical procedure for vestibular disorder
(labyrinthectomy, nerve section)
Office procedure for vestibular disorder
(intra-tympanic injections)
General Otolaryngology
Bilateral Myringotomy and tube
Adenoidectomy
Tonsillectomy
Adult tracheotomy
Benign neck surgery not otherwise included
TOTAL
2012

RESOURCES (B4) 5
2.2 Consultation Services
Describe the arrangements for residents to gain primary experience in handling consultations in outpatient ambulatory clinics and inpatients. Provide an estimate number of adult and pediatric consultations annually in the ambulatory setting.
2012
Describe the resources available and the arrangements for the training of residents in the emergency department.
Describe the resources available and the arrangements made for the training of residents in ambulatory care facilities to ensure continuity of care.
3. Teaching Services
Describe the arrangements in place for residents to keep a validated record of all operative procedures in which he or she has participated.
Describe procedures in place to ensure appropriately increasing surgical responsibility.
3.1 Head and Neck Surgery
Describe the participation of residents in the management of patients with neoplastic diseases involving the structures of the head and neck that are relevant to Otolaryngology in a collaborative, multidisciplinary environment.
Describe the arrangements for training residents in head and neck surgery and regional facial reconstruction. Include sites where training occurs, and at which stage of training residents rotate at these sites. Indicate the degree of responsibility of residents for decisions regarding therapy.
Outline the arrangements for instruction in the role of radiotherapy and chemotherapy in patients with head and neck neoplasms.
3.2 Pediatric Otolaryngology

RESOURCES (B4) 6 2012
Outline the organization of the teaching service(s) available for training residents in the management of neonates, infants and children, and how the facilities are used for training in this aspect of the program. The availability and utilization of out-patient facilities may be described under this heading.
3.3 Facial Plastic and Reconstructive Surgery
Outline the organization of the teaching service(s) available for training residents in aesthetic and reconstructive surgery of the head, face and neck.
Indicate the hospitals involved in and the organization for the reception and care of minor and major facial injuries, with special reference to the role played by Otolaryngology - Head and Neck Surgery residents in providing initial and definitive care of patients with injuries to the head, face and neck relevant to Otolaryngology - Head and Neck Surgery as part of the primary management and/or an interdisciplinary team.
3.4 Rhinology
Describe the teaching service available for training residents in rhinology.
Describe the training facilities available and/or arrangements made for teaching skills in endoscopic sinus surgery outside of the operating room.
3.5 Laryngology
Describe the teaching service available for training residents in laryngology. Include other investigative techniques or laboratories available (e.g., voice or nasal air flow laboratories) and the availability of supporting services (speech language pathology).
3.6 Otology
Describe the teaching service available for training residents in otology.
List the laboratories and services that provide training in audiology testing including number and qualifications of audiologists.
Describe the training facilities available and/or arrangements made for teaching microsurgical skills in temporal bone surgery outside of the operating room.

RESOURCES (B4)
3.7 Neurotology
7 2012
Describe the teaching service available for training residents in neurotology.
List the laboratories and services that provide training in advanced audiology and vestibular testing, if different from above for otology.
Describe arrangements for training in management of profound hearing loss including cochlear implantation.
3.8 General Otolaryngology-Head and Neck Surgery
Describe the teaching service available for training residents in general otolaryngology. Include any provision for community-based rotations.
4. Supporting Services
4.1 Other Specialities
Comment on the arrangements within the faculty that ensure adequate and relevant experience in surgery specialties other than Otolaryngology - Head and Neck Surgery for residents.
Describe the teaching experience for the following:
 initial trauma management (such as Emergency Medicine, General Surgery, Trauma Team, Oral and Maxillofacial Surgery or Plastic Surgery)
 Critical Care Medicine
 Neurosurgery
 Plastic Surgery and/or Facial Reconstructive surgery
 General Surgery
 Anesthesia
4.2 Diagnostic Imaging Service
Describe the arrangements made to provide instruction in interpretation of all current and widely available diagnostic imaging techniques applicable to Otolaryngology - Head and Neck Surgery.

RESOURCES (B4) 8
4.3 Pathology Service
Describe the opportunities and resources for the study of biopsies and other material relevant to
Otolaryngology under the direction of a qualified pathologist.
2012
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 of the overall clinical program, with particular reference to the relationship between the numbers of patients available for teaching and the number of residents dependent upon them. Indicate whether there are significant areas where the work load of teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in Otolaryngology - Head and Neck Surgery.
Revised November 2011
Editorial revisions - February 2012