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EMERGENCY MEDICINE PART II - 2012 2002

PART II

PRE-SURVEY QUESTIONNAIRE

EMERGENCY MEDICINE

University:
Name of Program Director:
Date of Review:
Sites Participating in this Program:
Program Website / URL:

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EMERGENCY MEDICINE 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 / Subspecialty
(If any) / Nature of Interaction with Resident (e.g. clinical, teaching, research)

What percentage of faculty listed above have been practising in the specialty/subspecialty:

< 15 years %

> 25 years %

EMERGENCY MEDICINE 10 PART II - 2012

NAME OF HOSPITAL:

Questions 2-10 of the pre-survey questionnaire are to be completed for each of the hospitals participating in the program. Please indicate the name of the hospital at the top of each page.

2. Hospital Departmental Status

Does the Emergency Department have full hospital departmental status? YES NO

3. Physical Facilities for Emergency Medicine

Describe the physical layout of the Emergency Department itself, with particular attention to the breakdown of its treatment spaces (i.e., the number of treatment spaces for emergent/urgent patients, the number for ambulatory patients, administrative activities, research activities, educational activities, resident staff etc.).

Is the Emergency Department physical layout adequate to meet patient care and educational needs?

YES NO

Total Number of patient assessment locations:

The following four entries should add up to the number entered in total locations, above:

Number of resuscitation beds
Are any of these dedicated for trauma assessment YES NO
Number of monitored (non-resuscitation) beds
Number of non-monitored assessment beds
Number of other patient assessment locations (chairs, etc)
Of the above total, number of dedicated psychiatric assessment locations
Of the above total, number of dedicated pediatric assessment locations
Of the above total, number of dedicated specialized patient care (Gyne, ENT/Eye, etc) locations

Facilities for hazmat patients /decontamination:

Describe ED facilities for patients having suffered a sexual assault or intimate partner violence.

NAME OF HOSPITAL:

Total administrative, research and educational area (Sq. Ft.):

Number of admin offices (include # of physicians utilizing office space):

Number of research offices / space dedicated for research program:

Is there a facility dedicated to the exclusive use of Emergency Medicine residents? YES NO

If yes, provide office area (Sq. Ft.) and describe facilities available.

If no, describe what facilities are available for residents to carry out clinical and non-clinical work, including storage of belongings and access to information resources.

Number and size of classroom other dedicated teaching space(s) under departmental control:

Describe the facilities available in the department to support education (information technology, teleconference ability, image projection, etc).


NAME OF HOSPITAL:

4. Statistics on Departmental Volume and Patient Population

Based on the most recent statistics, report:

a. Emergency Department Annual Volume
b. Percentage of patients who are the responsibility of the emergency staff and available for the teaching program / %
c. Estimate the patient population by providing a percentage breakdown in the following fashion: / Medical / %
Surgical (non-trauma) / %
Surgical (trauma) / %
Psychiatric / %
Pediatric / %
Obstetrics/Gynecology / %
d. Overall admission rate (%) / %
e. Breakdown total annual volume by percentage into: / CTAS 1 (Resuscitation) / %
CTAS 2 (Emergent) / %
CTAS 3 (Urgent) / %
CTAS 4 (Less Urgent) / %
CTAS 5 (Non-Urgent) / %

Provide commentary on how ED patient flow and throughput impacts education on this site.

5. Working Arrangements

On the chart below, describe the physician working arrangements in the emergency department over a 24-hour period.

Number of On-Site Attending Staff
(include qualifications and geographic assignment / responsibility and if Attending Staff are physically present the entire shift [i.e. major area, ambulatory area, entire department]) / Housestaff
Number / Level
Day Shift
Evening Shift
Night Shift


NAME OF HOSPITAL:

6. Resident Supervision

Does the emergency department follow specific policies for supervision of residents? YES NO

If so, from where does it originate (i.e departmental, hospital, university or regulatory authority policy)?

For each of the following levels of training, describe how resident supervision is carried out in the Emergency Department.

PGY1 Offservice Resident:

PGY1 Emergency Medicine Resident:

PGY2 Emergency Medicine Resident:

PGY3 Emergency Medicine Resident:

PGY4 Emergency Medicine Resident:

PGY5 Emergency Medicine Resident:

Other:

7. Responsibilities of the Chief Resident

Describe the additional responsibilities of the chief resident.


NAME OF HOSPITAL:

8. Trauma

Is this hospital a designated trauma centre? YES NO (If no, go to question 9)

a.  What is the definition of a major trauma patient at your location?

b.  How many patients that are designated as a major trauma patients are treated in the Emergency Department per year?

c.  Is there an in-house trauma team on call in the hospital? YES NO

Is there an out-of-hospital trauma team on call? YES NO

If yes to either, how long, on average, is the emergency physician in charge of major trauma patients prior to trauma team leader arrival? ____ minutes.

Do attending EP’s serve as TTL’s? YES NO

What component of TTL coverage is provided by EPs?

If yes, describe any unique roles these individuals have in trauma education in the program.

What are the criteria to activate trauma team?

What ongoing role do the EM attendings and EM residents on EM rotations have once the trauma team arrives?

While on an EM rotation:

What role do residents have in the initial resuscitation of trauma patients?

Who provides supervision? EP TTL Both Neither (explain)

What opportunities exist for residents to lead a trauma resuscitation?

Who provides supervision? EP TTL Both Neither (explain)

d. Do residents complete a formal trauma rotation(s) in this hospital? YES NO

Is an emergency medicine faculty member appointed to supervise the trauma component of the residency program? YES NO

e.  List all other clinical experiences in this hospital in which residents encounter trauma patients and briefly describe their role in trauma care (eg. Provide ICU post op care, provide orthopedic assessment, etc).

9. The Emergency Department as a Base Hospital

a.  Does the Emergency Department act as a base hospital for pre-hospital care? YES NO

b.  If yes, are residents actively involved in base hospital EMS activities for:

Land YES NO

Air YES NO

c.  If applicable, describe the role of the senior resident in this pre-hospital care system.


NAME OF HOSPITAL:

10. Skills

When the following procedures are performed in the Emergency Department, indicate whether they would be done by the emergency resident/staffperson or by the consulting resident/staffperson.

Procedures / Performed By
Emergency Resident/Staff / Consulting Resident/Staff
Endotracheal intubation
Needle/tube thoracostomy
Cricothyrotomy
Abdominal paracentesis
Insertion central lines
Arterial puncture
Pericardiocentesis
Cardioversion
Minor plastic repairs
Casting of undisplaced fractures
Reduction of uncomplicated fractures
Reduction of dislocations
Arthrocentesis
Nasal packing (ant & post)
Procedural sedation
ED Ultrasound

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 resources of the overall residency program in Emergency Medicine, with particular reference to the relationship between the number of patients available for teaching and the number of residents dependent upon them. Indicate whether there are significant areas where the workload of teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in Emergency Medicine.

Editorial revisions - February 2012