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CARDIAC SURGERY
PART II
PRE-SURVEY QUESTIONNAIRE
CARDIAC SURGERY
University:
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:
Describe how Surgical Foundations functions in this program.
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CARDIAC SURGERY
PART II - 2012
IV. RESOURCES
Standard B4
"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."
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.
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 specialty:
< 15 years
%
> 25 years
%
Subspecialty
(If any)
Nature of Interaction with Resident
(e.g. clinical, teaching, research)
CARDIAC SURGERY
2012
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2.
Adult Cardiac Surgery
a)
Procedures with cardiopulmonary bypass (CPB)
TABLE I
(Number of Operative Procedures for the most recent 12-month period – Dates: )
Hospital
Total CPB
Cases
CABG
Valves
repair/replacement
Other LVA
+ VSD
Thoracic Aorta
Transplants
TOTAL
b)
Procedures without cardiopulmonary bypass
TABLE II
(Number of Operative Procedures for the most recent 12-month period – Dates: )
Hospital
Total
Thoracic
Aorta
CABG
Other
Pacemakers/Devices
New Implants
Battery or
Lead
Replacement
TOTAL
3.
Congenital Cardiac Surgery
TABLE III
(Number of Operative Procedures for the most recent 12-month period – Dates: )
Hospital
Neonatal Repairs *
Open with CPB
TOTAL
*
Neonatal <6 months
** Pediatric 6 months - 18 years
*** Adult
>18 years
Closed without
CPB
Pediatric Repairs **
Open with
CPB
Closed
without CPB
Adult Congenital Repairs
***
Open with
CPB
Closed
without
CPB
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CARDIAC SURGERY
PART II - 2012
4.
Thoracic Surgery
a)
Is there an accredited residency program in Thoracic Surgery?
YES
NO
b)
Is there a dedicated thoracic surgery service?
YES
NO
c)
Describe the areas of overlap for residents in Cardiac Surgery and residents or fellows in Thoracic
Surgery.
How does the program monitor these interactions or avoid competition?
5.
Vascular Surgery
a)
Is there a accredited residency program in Vascular Surgery?
YES
NO
b)
Is there a dedicated vascular surgery service?
YES
NO
c)
Describe the areas of overlap for residents in Cardiac Surgery and residents or fellows in Vascular
Surgery.
How does the program monitor these interactions or avoid competition?
6.
Adult Cardiology
a)
Is there an accredited residency program in adult Cardiology?
b)
Describe the relationship with the adult cardiology service including the rotations available for Cardiac
Surgery residents. Outline the resources including facilities, equipment, tests, patient numbers,
available for residents in Cardiac Surgery to gain this experience.
c)
Catheterization Laboratory
YES
NO
Elective Content of Training
Description
Duration
Hospitals or Other Institutions in which this
Training May be Taken
CARDIAC SURGERY
d)
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Non-invasive Cardiology
Hospital
Echocardiograms
In-patient
e)
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Intraoperative
Echocardiograms
Other Non-invasive
Tests - Nuclear,
Exercise, etc.
Catherizations
Outpatient
Diagnostic
PCI
Adult Congenital Cardiology Clinic
i)
Is there an adult congenital cardiology clinic?
YES
NO
ii) Describe the involvement of the Cardiac Surgery residents in the adult congenital cardiology clinic.
7.
Pediatric Cardiology
a)
Is there an accredited residency program in pediatric Cardiology?
b)
Number of dedicated pediatric Cardiologists:
YES
NO
Number of residents:
c)
Describe the arrangements for residents to gain experience in congenital cardiology catheterization
laboratory, interventional procedures, echo, nuclear and imaging studies.
d)
Describe the neonatal and pediatric intensive care unit facilities. Describe the exposure of residents
to these facilities.
8.
Trauma and Emergency Care
Indicate the hospitals involved and the organization for the reception and care of major and multiple
injuries, with special reference to the role played by residents in the program in providing initial and
definitive care to patients with trauma injuries. Describe the trauma care.
9.
Intensive Care
a)
Describe the organization of the ICU facilities for cardiac surgery patients. Include the level of
involvement and responsibilities of the Cardiac Surgery residents during their adult cardiac surgical
rotations. Will they have an elective rotation? At what level will they function?
b)
Describe the training the residents have in non-cardiac critical care.
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PART II - 2012
10. Ambulatory Care Facilities
Describe the resources available and the arrangements made for the training of residents in
ambulatory care during their senior rotations in the Cardiac Surgery program.
11. Consultations
Describe the arrangements for residents to gain primary experience in handling consultations during
their rotations in pediatric and adult Cardiac Surgery.
12. 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
13. 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 Cardiac Surgery?
What is the average number of beds (or range) available to the residency program?
What is the usual number of clerks and residents assigned to Cardiac Surgery at any one
time?
Are the numbers of patients available for teaching in the overall program sufficient to
provide for residents from General Surgery or other services without adverse effects upon
the training of residents in Cardiac Surgery?
CARDIAC SURGERY
Revised July 2011
Editorial revisions - February 2012
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PART II - 2012