Internal Medicine

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Internal Medicine

  1. 1. INTERNAL MEDICINE 1 PART II - 2008 THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA PART II PRE-SURVEY QUESTIONNAIRE INTERNAL MEDICINE University: Name of Program Director: Date of Review: Sites Participating in this Program: Program Website / URL: I. ADMINISTRATIVE STRUCTURE Standard B.1 "There must be an appropriate administrative structure for each residency program." 1. Provide a narrative description of the 4th year of residency training as specified in the Specialty Training Requirements. i) If there is further training in General Internal Medicine, what rotations are available? Indicate if the rotations are compulsory or optional. ii) If the year of clinical residency is completed in any of the subspecialties listed in 1.b of the Specialty Training Requirements, describe how the evaluation process is done. iii) If the training is completed in other areas such as health care delivery, clinical epidemiology, or any other areas mentioned in 2.c of the Specialty Training Requirements, describe the relationship between these components and the Internal Medicine residency program. How are the residents informed of these training
  2. 2. INTERNAL MEDICINE 2 2007 opportunities? 2. Is there a subcommittee responsible for the fourth year of general internal medicine? Yes No i) Describe how this Committee functions and the relationship between this committee and the Internal Medicine Residency Program Committee. ii) Name of person responsible for the fourth year of internal medicine. 3. How are residents selected to enter the fourth year of the program? 4. Describe the evaluation process for the PGY4 residents if they are in the internal medicine program 5. How and by whom is the core in-training evaluation report (CITER) completed for submission to the College?
  3. 3. INTERNAL MEDICINE 3 PART II - 2008 IV. RESOURCES Standard B.4 "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 specialty training requirements in the specialty or subspecialty." Where the resources to provide "full training" are not available at the sponsoring university, several different types of inter-university affiliations may be negotiated, as stated in the grey book "General Information Concerning Accreditation of Residency Programs." It should be noted that the exchange of residents between two fully accredited programs does not require an inter-university 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 Subspecialty Nature of Interaction with Resident Qualifications (If any) (e.g. clinical, teaching, research) What percentage of faculty listed above (#2.) have been practising in the specialty/subspecialty: < 15 years % > 25 years % 2. General Internal Medicine (excluding subspecialty services) Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Return Teaching Teaching CTUs Per Year Per Week Referrals Visits Staff Beds
  4. 4. INTERNAL MEDICINE 4 PART II - 2008 TOTAL a) Identify the hospitals and CTUs which provide the greater part of the training in general internal medicine. What is the average number of beds (or range) on CTUs admitting general medical patients at each site? In relation to this average, what is the usual number of clerks and residents assigned to a CTU at any one time at each site? What is the usual number of clinical teachers assigned to a general medical CTU? Is there a CTU director with the authority to enforce operating regulations? What proportion of their training time do residents spend on in-patient GIM CTUs, clinics and community rotations? How many months in the full three years of training are normally spent on CTUs admitting primarily general medical patients? What percentage of senior residents (PGY3 or PGY4) have an opportunity to be in charge of a general medical CTU? b) Comment further on the resources for clinical training in general internal medicine, with particular reference to the relationship between such resources and the number of residents dependent upon them. In particular, these comments should deal with the following questions:
  5. 5. INTERNAL MEDICINE 5 PART II - 2008 i) Does the program provide opportunities for the residents to gain community experience? If yes, please describe. Include sites used, resources at that site and the ratio of residents to patients and to faculty at each site. ii) Describe the resources available for ambulatory care training. ii) Describe the resources available for obstetrical medicine training. iii) Describe the availability of pre-operative assessment clinics which residents may attend. 3. Subspecialties of Medicine Each of the following tables of teaching resources should include a description on the specialty or subspecialty services are used for the training of residents in Internal Medicine. If there are not designated beds or formal CTUs, clarify whether there are patients controlled by the service under the direction of the head of the teaching unit, and whether adequate consultant experience is available and well-controlled. Indicate whether certain services are used on an elective basis only. Provide the information requested under each of the following headings: a) Cardiology Is there an accredited residency program in Cardiology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks
  6. 6. INTERNAL MEDICINE 6 PART II - 2008 TOTAL Comment on structure, function and resident evaluation: Describe the Cardiology teaching program for Internal Medicine residents.
  7. 7. INTERNAL MEDICINE 7 PART II - 2008 Coronary Care Rotation Hospital In-Patients Number of Number of Admissions Consults Per Teaching Teaching Per 4 weeks 4 Weeks Staff Beds TOTAL Cardiology In-patient Rotations Hospital In-Patients Number of Number of Admissions Consults Per Teaching Teaching Per 4 weeks 4 Weeks Staff Beds TOTAL Cardiology Ambulatory Care Rotations Hospital Out-patients Number of New Referrals per Follow-up visits Teaching Staff 4 weeks per 4 weeks TOTAL b) Clinical Immunology (including Allergy) Is there an accredited residency program in Clinical Immunology and Allergy? YES NO
  8. 8. INTERNAL MEDICINE 8 PART II - 2008 Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL
  9. 9. INTERNAL MEDICINE 9 PART II - 2008 Comment on structure, function and resident evaluation: Describe the Clinical Immunology and Allergy teaching program for Internal Medicine residents. c) Endocrinology and Metabolism Is there an accredited residency program in Endocrinology and Metabolism? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Endocrinology and Metabolism teaching program for Internal Medicine residents. d) Gastroenterology Is there an accredited residency program in Gastroenterology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks
  10. 10. INTERNAL MEDICINE 10 PART II - 2008 TOTAL Comment on structure, function and resident evaluation: Describe the Gastroenterology teaching program for Internal Medicine residents. e) Hematology Is there an accredited residency program in Hematology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Hematology teaching program for Internal Medicine residents. f) Infectious Diseases Is there an accredited residency program in Infectious Diseases? YES NO
  11. 11. INTERNAL MEDICINE 11 PART II - 2008 Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Infectious Diseases teaching program for Internal Medicine residents.
  12. 12. INTERNAL MEDICINE 12 PART II - 2008 g) Medical Genetics Is there an accredited residency program in Medical Genetics? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Medical Genetics teaching program for Internal Medicine residents. h) Medical Oncology Is there an accredited residency program in Medical Oncology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation:
  13. 13. INTERNAL MEDICINE 13 PART II - 2008 Describe the Medical Oncology teaching program for Internal Medicine residents.
  14. 14. INTERNAL MEDICINE 14 PART II - 2008 i) Nephrology Is there an accredited residency program in Nephrology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Nephrology teaching program for Internal Medicine residents. j) Neurology Is there an accredited residency program in Neurology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation:
  15. 15. INTERNAL MEDICINE 15 PART II - 2008 Describe the Neurology teaching program for Internal Medicine residents.
  16. 16. INTERNAL MEDICINE 16 PART II - 2008 k) Respirology Is there an accredited residency program in Respirology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation: Describe the Respirology teaching program for Internal Medicine residents. l) Rheumatology Is there an accredited residency program in Rheumatology? YES NO Hospital In-Patients Out-Patients Number of Number of Number of Admissions Consults New Follow-up Teaching Teaching CTUs Per 4 Per 4 Referrals Visits Per 4 Staff Beds Weeks Weeks Per 4 Weeks Weeks TOTAL Comment on structure, function and resident evaluation:
  17. 17. INTERNAL MEDICINE 17 PART II - 2008 Describe the Rheumatology teaching program for Internal Medicine residents. 4. Critical Care Medicine Is there an accredited residency program in Critical Care Medicine? YES NO Describe the facilities and resources available for training in the critical care unit. 5. Emergency Care Describe the resources available and the arrangements for the training of residents in the emergency aspects of the specialty. 6. Ambulatory Care Describe the resources available and the arrangements made for the training of residents in ambulatory care. 7. Other Supporting Services Other departments, divisions or services that provide training for residents in internal medicine should be identified. Such services might include clinical pharmacology, geriatrics, nuclear medicine, oncology, pediatrics and psychiatry. Record relevant data for each of these areas that contribute significantly to the overall residency program in internal medicine. Essential information may include the name and hospital of the head of the service, the statistics concerning the in- and out-patients available for teaching, and any other explanatory comments. 8. Summary of Adequacy of Resources Comment on the adequacy of the resources of the overall clinical program, that is, the combination of general medical and subspecialty units that together provide training for internists. Include consideration of the following questions: Where training in "general internal medicine" is provided by rotations on subspecialty units, are the resources adequate to ensure that residents are given appropriate responsibility for patient care and do not act solely as assistants to senior subspecialty residents and staff consultants?
  18. 18. INTERNAL MEDICINE 18 PART II - 2008 Are the overall clinical facilities sufficient to provide for residents from other dependent programs, such as anesthesiology and laboratory medicine, without adverse effects upon the training of residents in internal medicine?

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