THORACIC SURGERY 2 2007

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 / Thoracic Surgery
University
Date of Review (month/year)
Sites Participating in this Program:

RESOURCES (B4) 3 2014

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 practicing in the subspecialty:

< 15 years %

> 25 years %

RESOURCES (B4) 3 2014

2. Clinical Thoracic Surgery

TABLE I

(Statistics for the most recent 12-month period – Dates: )

Hospital / Number of Admissions / Endoscopy / Lung Surgery / Foregut Surgery / Airway Surgery / Mediastinum (1) / Trauma / Total
Bronchos-copy
Esoph / EBUS / Therapeutic
Endoscopy / Flex
EGD / Mediastinoscopy / Anatomic Resections / Others (Wedge) / Resections / Benign Surgeries non-resectional / ChestWall / Pleura(2)
Flex / Rigid / MIS / Open / MIS / Open / MIS / Open / Tracheos-tomy / Resection
TOTAL

EBUS: endobronchial ultrasound

EGD: esophagogastroduodenoscopy

TABLE II

(Statistics for the most recent 12-month period – Dates: )

Example of Resident Log for last 12 month period / Endoscopy / Lung Surgery / Foregut Surgery / Airway Surgery / Mediastinum (1) / ChestWall / Pleura
(2) / Trauma / Total
Bronchos-copy
Esoph / EBUS / Therapeutic
Endoscopy / Flex EGD / Media-stinoscopy / Anatomic Resections / Others
(Wedge) / Resections / Benign Surgeries non-resectional
Flex / Rigid / MIS / Open / MIS / Open / MIS / Open / Tracheos-
tomy / Resection
TOTAL

(1) Surgery for mediastinal tumors or cysts. (2) Surgery for pneumothoraces, empyemas or pleural tumors.

MIS: Minimally Invasive Surgery

THORACIC SURGERY 6 2014

a)  Does the hospital(s) provide adequate facilities for pulmonary function studies, esophageal physiological studies, and medical imaging. Describe the mechanisms available for residents to learn pulmonary function, esophageal studies and interpretation of imaging studies.

3. Oncology

a)  Are there multidisciplinary clinics for assessment of patients with thoracic malignancies?

Yes No Frequency

b)  Are there multidisciplinary rounds for the participation of residents in decisions regarding therapy, and the arrangements for instruction in the role of radiotherapy and chemotherapy? Yes No

Frequency

Location

Comment on the opportunities to gain experience in the management of patients on an ambulatory basis.

4. Cardiac Surgery

Outline the resources available for the training of Thoracic Surgery residents in Cardiac Surgery.

5. Trauma

Indicate the hospital(s) 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 chest injuries.

6. Consultations

Describe the arrangements for residents to gain primary experience in handling consultations.

7. Intensive Care

Describe the role of the thoracic surgery resident in the management of intensive care patients.

8. Emergency Care

Describe the resources available and the arrangements for the training of residents in the emergency aspects of the specialty.

9. Ambulatory Care

Describe the resources available and the arrangements made for the training of residents in ambulatory care.

10. Supporting Services and Facilities

Describe the resources and facilities that provide training in Anesthesiology, Gastroenterology, Pathology, and Radiology.

11. Information/Space 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 Partially If “No” or “Partially”, please explain.

c)  Are technical resources required for patient care duties located in the work setting?

Yes No Partially If “No” or “Partially”, please explain.

d)  Do facilities allow resident skills to be observed?

Yes No Partially If “No” or “Partially”, please explain.

e)  Do facilities allow for confidential feedback/discussions?

Yes No Partially If “No” or “Partially”, please explain.

12. Summary of Adequacy of Resources

Comment on the adequacy of the resources in the overall 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 Thoracic Surgery?

What is the average number of beds (or range) available to the program?

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 Thoracic Surgery?

Editorial revisions - February 2012; November 2012

Revised – SC – February 2014