1
RESOURCES (B4)
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
Urology
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.
2
RESOURCES (B4)
1.
2012
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)
RESOURCES (B4)
2.
3
2012
Surgical Activity
SURGICAL ACTIVITY
(Statistics for the most recent 12 month period - Dates:
)
Hospital
(Number of Procedures)
Procedure
Endoscopic Surgery
TUR Prostate (any variation)
TUR Bladder Tumour
Ureteroscopic Lithotripsy
Percutaneous Renal Procedures
TUI Posterior Urethral Valves
Open Surgery
Scrotal Hydrocele
Partial Nephrectomy for Cancer
Radical Cystectomy
Surgery for Female Stress
Incontinence
Orchiopexy for Inguinal Testicle
Uretero-neocystostomy
Laparoscopic Surgery
Laparoscopic Nephrectomy
***FOR ALL OPEN ENDED QUESTIONS, PLEASE KEEP ANSWER WITHIN 3 LINES***
3.
Ambulatory Care Facilities
Describe the resources available and the arrangements made for the training of residents in
ambulatory care facilities by answering the following questions:
a. Are all out patient clinics supervised? YES
NO
If no, please explain.
b. List subspecialty outpatient clinics that are available for residents to attend.
c. How is the ambulatory experience incorporated into the resident’s schedule to ensure adequate
attendance?
d. Are there ambulatory care facilities that can provide the following intervention/investigations?
If yes, which Hospitals.
INTERVENTION/INVESTIGATIONS
Procedures done under local anesthetic
(ex: vasectomy)
Bladder instillations
Transrectal US
Cystoscopy
HOSPITAL
YES
NO
YES
YES
YES
NO
NO
NO
RESOURCES (B4)
Ureteroscopy
ESWL
4.
4
2012
YES
YES
NO
NO
Emergency Care
a. Is a rotation in the Emergency Department (ED) mandatory OR offered as an elective OR neither?
b. Describe how the consults from the ED are managed, specifically describing resident supervision
and training.
c. List common interventions performed in the ER by senior residents without direct attending
supervision.
5.
Urological Oncology
a. Indicate the arrangements for instruction in the role of radiotherapy.
b. Indicate the arrangements for instruction in the role of chemotherapy (including intravesical).
c. Indicate the arrangements for instruction in the role of hormonal therapy.
d. Indicate the arrangements for instruction in the role of immunotherapy (including intravesical).
e. Indicate the role of the resident in diagnosing and managing urological malignancies.
f. Indicate the role of the resident in managing urological complications of non-genitourinary
malignancies.
6.
Pediatric Urology
a. Indicate the arrangements for instruction in pediatric Urology.
b. How many months of residency does a resident typically spend on a pediatric Urology rotation?
RESOURCES (B4)
5
2012
c. At the site of this rotation, how many OR days/week are dedicated to pediatric Urology?
d. At the site of this rotation, are the following services available for consultation?
-Pediatric General Surgery
-Pediatrics
7.
YES
YES
NO
NO
Trauma
a. Indicate the hospitals involved and the organization for the reception and care of major and
multiple injuries.
b. Describe the role of Urology residents in the initial management of multi-organ trauma in the ER.
c. Describe the role of Urology residents in the supportive care of the critically injured patient.
8.
Renal Transplantation
a. Is a rotation in renal transplant mandatory OR offered as an elective OR neither?
b. Is a rotation in transplant nephrology mandatory OR offered as an elective OR neither?
c. Indicate the hospitals involved with renal transplantation.
What percent of renal transplantations are performed by Urologists?
%
d. What is the role of the Urology resident in renal transplantation surgery?
e. What is the role of the Urology resident in cadaveric and live donor nephrectomies?
9.
Paraplegic Care
a. Is there a spinal injury/rehabilitation facility that provides acute and long-term management of
paraplegic patients?
RESOURCES (B4)
6
2012
b. Describe the Urology resident involvement in the management of acute spinal cord injuries.
c. Describe the Urology resident involvement in the long-term management of neurogenic bladder
dysfunction.
10. Pathology
a. Is a rotation in uro-pathology mandatory OR offered as an elective OR neither?
b. Outline the arrangements for teaching regarding uro-pathology.
11. Diagnostic Imaging/Interventional Radiology
a. Is a rotation in urological diagnostic imaging mandatory OR offered as an elective OR neither?
b. Outline the arrangements for teaching regarding urological diagnostic imaging.
c. Are Nuclear Medicine Services available?
d. Describe the arrangements for instruction in interventional radiological procedures as applied to
urology, with specific reference to instruction in percutaneous nephrostomy.
12. Consultations
a. Indicate the institutions that provide the major sources for consultations on in-patients on other
services.
b. Describe how residents obtain graded responsibility in handling emergent consultations.
c. Describe how residents obtain graded responsibility in handling elective consultations.
RESOURCES (B4)
7
2012
13. Intensive Care
a. Is a rotation in the intensive care mandatory OR offered as an elective OR neither?
b. Does this rotation include the care of major and multi-organ trauma?
c. Indicate the level of supervised responsibility the Urology resident has when Urology patients are
admitted to the ICU.
14. Other Laboratory Facilities
a. Are there facilities in biochemistry and microbiology?
15. Liason with Other Specialties
a. Is there opportunity for residents to liaise with the following teaching services:








Endocrinology
General Surgery
Gynecology
Internal Medicine
Nephrology
Pediatric Surgery
Plastic Surgery
Vascular Surgery
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
16. Community-Based Learning Experiences
a. Describe or list the opportunities residents have to community-based learning.
17. 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
18. Summary of Adequacy of Resources
RESOURCES (B4)
8
2012
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 Urology?
What is the average number of beds (or range) available to the program?
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
General Surgery, Neurosurgery, or other services, without adverse effects upon the
training of residents in Urology?
Are the diagnostic and basic science facilities sufficient to provide adequate teaching and
experience for residents in Urology in addition to other residents sharing the same
facilities?
Revised 2010
Editorial revisions - February 2012