ADMINISTRATIVE STRUCTURE (B1)12012

PRE-SURVEY QUESTIONNAIRE

STANDARD B1: ADMINISTRATIVE STRUCTURE

There must be an appropriate administrative structure for each residency program.

Program / Palliative Medicine
University
Date of Review (month/year)

The following attachments must be included with this questionnaire. Electronic or weblink access is acceptable.

Appendix ‘A’ Agendas - Residency Program Committee Meetings (for past 2 years)

Appendix ‘B’ Program policy on resident safety

Appendix ‘C’ Research grants of faculty (for past 12 months)

Appendix ‘D’ Publication record of faculty (for past 12 months)

  1. Program Director

a)Provide the specialty qualifications of the program director:

Name of specialty:

Royal College

OR

CFPC

b)Describe the resources (time and support) available to the program director to manage the program.

c)Are these resources sufficient? YES NO

If no, please explain

2.Residency Program Committee

Attach, as Appendix ‘A’ (electronic or weblink access),copies of the agendas of the Residency Program Committee meetings for the last two years.

a)Committee membership (underline the name of the Chair of the committee.)

Name / Major Site Affiliation / University Appointment / College Affiliation

b)How is it assured that the Committee has some members holding certification from each of the sponsoring Colleges?

c)Resident members

How are residents elected to the Committee?

d)Describe how the Residency Program Committee functions OR provide a copy of the Terms of Reference for the Committee (include name of attachment on page 1).

e)Describe how the Residency Program Committee communicates with members of the Residency Program Committee, the department or division, and residents.

3.ResidentSelection

a)Describe how residents are selected into the program.

4.Resident Assessment

a)Describe how decisions about resident evaluation and promotion are made.

b)Describe how residents in difficulty are detected.

c)Describe how remediation and/or probation periods are organized.

d)Describe how the program informs residents of the appeals process.

e)How many resident appeals have been undertaken since the last Royal College/CFPC survey? _____

f)How and by whom is the Final In-Training Evaluation Report (FITER) completed?

5.Career Planning and Counselling

a)Describe how ongoing career planning and counselling is ensured for all residents.

b)Describe how counselling for stress or personal problems is provided to residents.

c)Describe how residents are made aware of support services and how to access them.

6.Resident Safety

Attach, as Appendix ‘B’ (electronic or weblink access),the program policy on resident safety related to travel, patient encounters and educational activities.

7.Ongoing Review of the Program

a)How often does the Residency Program Committee review:

Overall program ______

Individual rotations______

Formal curriculum______

Resources and facilities ______

b)Provide at least one example of how the information obtained in these reviews is used to improve the program.

c)Describe the role of residents in these reviews.

d)Teacher evaluation and feedback

i)Describe how the Residency Program Committee ensures that teachers are evaluated and provided with regular feedback.

ii)How is information gathered on feedback for teachers?

- paper form

- electronic form

- group discussion

- individual resident interview

- other, please describe

iii)How is resident input kept confidential or anonymous?

iv)Describe how this information is fed back to the teachers.

8.Research Environment

Attach, as Appendix ‘C’ (electronic or weblink access), the research support in the form of operating grants for your department/division during the past 12 months. Include the annual dollar amounts and the source of research funds.

Attach, as Appendix ‘D’ (electronic or weblink access), the peer-reviewed publications of faculty members in your department/division during the past 12 months.

a)Who is the faculty member responsible for facilitating the involvement of residents in research?

b)Describe the mechanism for this person to receive input from and give feedback to the Residency Program Committee.