Anesthesia Questionnaire short version



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PART II

PRE-SURVEY QUESTIONNAIRE

PLASTIC 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.

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 |Nature of Interaction with Resident (e.g. clinical, teaching,|

| | | | |(If any) |research) |

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

< 15 years %

> 25 years %

2. Clinical Plastic and Reconstructive Surgery

Describe the facilities or opportunities for clinical experience in Plastic Surgery available to residents.

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3. Resident Surgical Log

Provide a sample of the resident surgical log data which demonstrates that your program provides an adequate breadth and depth of the operative experience made available to residents.

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4. Pediatric Plastic Surgery

Describe the facilities available for teaching in the management of infants and children, and how these facilities are used for training in this aspect of the program. Outline the organization of the teaching service(s). Describe the relationship with Pediatrics, Pediatric General Surgery, Orthopedics, and Urology.

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5. Maxillofacial Reconstructive Surgery

Outline the experience available to residents in the various aspects of complicated maxillofacial reconstruction of congenital and post-traumatic defects with particular reference to bony osteotomies, bone grafts, and soft tissue surgery of the facial region.

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6. Hand Surgery

Describe the facilities available for training in hand surgery. Comment on the relationship with Orthopedic Surgery, and the degree of liaison with a Rheumatology service or unit.

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7. Traumatic and Reparative Surgery

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 providing initial and definitive care of patients with maxillofacial injuries, major soft tissue wounds, and other forms of trauma involving Plastic Surgery.

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8. Reconstructive Surgery of the Trunk

Describe the experience available in relation to the reconstruction of trunk defects such as pressure sores, contour problems and soft tissue and bony deficits. Identify the teaching units of the program that are engaged in the shifting of myocutaneous flaps and bony transfers in dealing with such problems.

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9. Aesthetic Surgery

Describe the experience available in the various aspects of aesthetic procedures and list the aesthetic procedures undertaken in the program and available for the training of residents.

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10. Burns

Outline the facilities for the management of burns in both adults and children. Describe the responsibilities of residents in the care of burn patients in the early phase of resuscitation, as well as in definitive surgical management.

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11. Microvascular Surgery (Microsurgery)

Describe the facilities available for training in microsurgery. Comment on the volume and variety of work done using microsurgical techniques.

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12. Benign and Malignant Tumour Surgery

Describe the participation of residents in the investigation and treatment of patients with neoplastic lesions of the skin and soft tissues, and of major malignancies of the head and neck. Comment on the nature of the liaison with other services such as General Surgery, Otolaryngology, and dental surgery, in the management of reconstructive surgery of the head and neck. Indicate the arrangements for instruction of residents in the role of radiotherapy, chemotherapy, and immunotherapy.

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13. Rehabilitation Services

Comment on the adequacy of the rehabilitation services associated with the program, including allied non-medical professional staff who make significant contributions to the program, specifically psychologists, physiotherapists, social workers and occupational therapists.

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14. Supporting Surgical Services

Describe the coordinating arrangements within the faculty (or department of surgery) that ensure adequate and relevant experience in clinical surgery other than plastic surgery for residents proceeding to full training in plastic surgery. The relevant surgical services on which well-designed rotations may be valuable include: General Surgery, Orthopedic Surgery, Neurosurgery, Otolaryngology, Vascular Surgery, and Urology. In addition, outline the dental services available to the program, including dental laboratory facilities. Describe also the arrangements for instruction in surgical nutrition, whether enteral or parenteral.

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15. Other Supporting Services

Describe any additional services which provide training to residents in Plastic Surgery such as Rheumatology, particularly in relation to the management of rheumatic disease of the hand, and pathology. Diagnostic services that should be available include a full range of facilities for Diagnostic Radiology, electromyography, nerve conduction studies, radioisotopic diagnosis, scanning, and ultrasonography. It is also desirable that residents have access to an amputation service, prosthetic and orthotic services, and a bio-engineering department or unit.

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16. Consultations

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

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17. Intensive Care

Describe the facilities and resources available for training in intensive care.

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18. Emergency Care

Describe the resources available and the arrangements for the training of residents in the Emergency Department.

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19. Ambulatory Care

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

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20. 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.

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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

21. 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 teachers (clinical care, undergraduate teaching, etc.) is such as to affect adversely the continuous supervision and instruction of residents in Plastic Surgery?

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

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Do all senior residents have an opportunity to be in charge of a clinical teaching service?

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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 Plastic Surgery?

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Are the diagnostic and basic science facilities sufficient to provide adequate teaching and experience for residents in Plastic Surgery in addition to other residents sharing the same facilities?

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Editorial revisions - February 2012

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