Anesthesia Questionnaire Short Version

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Anesthesia Questionnaire Short Version

ADULT RHEUMATOLOGY 1 PART II - 2012

PART II

PRE-SURVEY QUESTIONNAIRE

ADULT RHEUMATOLOGY

University:

Name of Program Director:

Date of Review:

Sites Participating in this Program:

Program Website / URL:

Coordination of Adult and Pediatric Subspecialty Programs a) Is this university accredited for:

Adult Rheumatology

Pediatric Rheumatology b) If the university is accredited for both programs, describe the extent to which the two programs are integrated in the following areas:

1) Program administration

2) Academic program

3) Clinical program

4) Technical and/or laboratory skills ADULT RHEUMATOLOGY 2 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 Subspecialty Nature of Interaction with Resident Qualifications (If any) (e.g. clinical, teaching, research)

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

< 15 years %

> 25 years %

NAME OF INSTITUTION:

Questions on the following four pages should be completed for each institution participating in the program; the remainder of the questionnaire is to be completed for the program as a whole.

2. Adult Clinical Rheumatology (Last available yearly statistics) ADULT RHEUMATOLOGY 3 PART II - 2012 a) Adult Rheumatology Outpatients

Number

i) New Visits

ii) Return Visits

iii) TOTAL

iv) If available, new visits analyzed by Rheumatoid arthritis/ Primary main diagnostic groups: Inflammatory Arthritis (estimated percentages) Seronegative Spondyloarthropathies

Crystalline arthropathy

Degenerative arthritis

Systemic lupus erythematosus

Scleroderma

Inflammatory Myopathies

Other Connective Tissue Diseases

Vasculitis

Juvenile arthritis in adults

Chronic Pain syndromes

Regional musculoskeletal disorders

Osteoporosis

Septic Arthritis

Infection related arthropathies

Other (describe any other major groupings):

TOTAL ADULT RHEUMATOLOGY 4 PART II - 2012

v) Comments:

NAME OF INSTITUTION: b) Adult Rheumatology In-Patients

Number

i) Number of in-patients (in-patient Admitted for primary rheumatologic unit and consultations) analyzed by diagnosis main diagnostic groups . inflammatory arthritis (% of total admissions) . Connective tissue disease

. Vasculitis

. Crystal arthropathies

. Other

Admitted for non-rheumatologic diagnosis but requiring a rheumatologic consultation  Inflammatory arthritis

 Connective tissue disease

 Vasculitis

 Crystal Arthropathies

 Other

TOTAL

ii) Number of dedicated rheumatology in-patient beds (if zero (0) please comment on the exposure of rheumatology residents to patients admitted with acute multi-system rheumatologic disease)

iii) Comments: ADULT RHEUMATOLOGY 5 PART II - 2012 ADULT RHEUMATOLOGY 6 PART II - 2012

NAME OF INSTITUTION:

3. Pediatric Clinical Rheumatology (Last available yearly statistics) a) Pediatric Rheumatology In-Patients

Number

i) Number of Juvenile (TOTAL) discharges analyzed rheumatoid by main diagnostic arthritis a) Systemic groups b) Pauciarticular c) Polyarticular d) Rheumatoid factor positive polyarticular Juvenile psoriatic arthritis Spondyloarthropathies Systemic lupus (TOTAL) erythematosis a) Neonatal lupus Dermatomyositis Scleroderma Systemic vasculitis Infectious arthritis

Reactive arthritis Heritable and metabolic diseases of connective tissue Reflex sympathetic dystrophy Childhood fibrositis Other (describe any other major grouping you have been attending on: e.g., hip dysplasia, hemophilic arthropathy, etc.):

TOTAL ii) Average length of stay in days ADULT RHEUMATOLOGY 7 PART II - 2012

iii) Number of beds available iv) Number of in-patient consultations

v) Comments: ADULT RHEUMATOLOGY 8 PART II - 2012

NAME OF INSTITUTION: b) Pediatric Rheumatology Outpatients

Number

i) New visits ii) Return visits

iii) TOTAL iv) If available, new Juvenile (TOTAL) visits analyzed by rheumatoid a) Systemic main diagnostic arthritis groups: b) Pauciarticular

c) Polyarticular

d) Rheumatoid factor positive polyarticular

Juvenile psoriatic arthritis Spondyloarthropathies

Systemic lupus (TOTAL) erythematosis a) Neonatal lupus Dermatomyositis Scleroderma Systemic vasculitis Infectious arthritis

Reactive arthritis

Heritable and metabolic diseases of connective tissue

Reflex sympathetic dystrophy Childhood fibrositis ADULT RHEUMATOLOGY 9 PART II - 2012

Other (describe any other major grouping you have been attending on: e.g. hip dysplasia, hemophilic arthropathy, etc.):

TOTAL

v) Comments:

4. Clinical Rheumatology Program a) Describe the opportunities for clinical experience in adult rheumatology. Include any other special facilities or opportunities for clinical training available to residents and fellows.

b) Describe the rotation through adult rheumatology of general medicine and/or pediatric residents, and residents in other specialties.

5. Pediatric Rheumatology

Describe the facilities for teaching in the diagnosis and management of rheumatic diseases in children.

6. Consultations

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

7. Laboratory and Diagnostic Facilities a) List the diagnostic facilities and laboratories that provide support for the residency program. Include special laboratory facilities (e.g., research institutes), as appropriate. Discuss how residents become familiar with synovial fluid analysis. ADULT RHEUMATOLOGY 10 PART II - 2012 b) Describe the diagnostic immunology laboratory facilities, and what access residents have to it.

8. Pathology

Describe the Department of Pathology, which provides service in examination and interpretation of relevant tissue biopsies. Is there an immunopathology service?

9. Diagnostic Imaging

Describe the diagnostic imaging department(s), (i.e., radiology, nuclear magnetic resonance, nuclear medicine) and their relation to the Rheumatology residency program.

10. Surgical Services a) Number of patients with musculoskeletal conditions or rheumatic diseases undergoing surgery that are available to residents for experience in collaborative care.

b) Outline the arrangements for consultation and follow-up with surgical services involved in the correction of locomotor disabilities related to rheumatic diseases, with particular reference to orthopedic surgery and plastic surgery (if appropriate.)

c) Are there common rounds, clinics, or seminars with orthopedic surgery, and plastic surgery (if appropriate)?

11. Rehabilitation Services

Comment on the adequacy of rehabilitation services associated with the program, including allied health professionals, physiotherapists, occupational therapists, social workers, psychologists, orthotists, etc., and physicians (e.g., physiatrists) who contribute significantly.

12. Ambulatory Care ADULT RHEUMATOLOGY 11 PART II - 2012

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

13. 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

14. Summary of Adequacy of Resources

Comment on: a) The adequacy of resources in the residency program.

b) The workload of faculty relative to the needs of the program.

c) Adequacy of patient numbers and case-mix relative to the needs of the residency program in adult Rheumatology, and to the needs of other residents rotating through Rheumatology.

d) Adequacy of available clinical, diagnostic, research facilities for the needs of all residents rotating through adult Rheumatology.

Revised - 2011 Editorial revisions - February 2012

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