Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016

Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016

UGME CLINICAL FACILITIES AND RESOURCES CHECKLIST Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of Professional Services: __________________________________________ MCGILL UNIVERSITY HEALTH CENTRE Site Rating Resource Resource does not Resource is in poor Resource is in good exist condition or is condition & access is inadequate adequate for the number of students Clinical teaching Glen Site space Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Scrubs Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Internet / computer Glen Site access Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Medical library Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Study space Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Lockers Glen Site 2 students/locker or Montreal General Hospital secure storage space Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital On‐call rooms Glen Site clean, well‐ Montreal General Hospital maintained, lockable, Allan Memorial Institute 1 person only Lachine Hospital Montreal Neurological Hospital Lounge space Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Security Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Cafeteria/meals Glen Site Montreal General Hospital Allan Memorial Institute Lachine Hospital Montreal Neurological Hospital Comments: Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 UGME CLINICAL FACILITIES AND RESOURCES CHECKLIST Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of Professional Services/Director of Education: _________________________________ SHRINERS HOSPITAL Rating Resource is in good Resource Resource is in poor condition & access is Resource does not exist condition or is inadequate adequate for the number of students Clinical teaching space Scrubs Internet / computer access Medical library Study space Lockers 2 students/locker or secure storage space On‐call rooms clean, well‐maintained, lockable, 1 person only Lounge space Security Cafeteria/meals Comments: Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 UGME CLINICAL FACILITIES AND RESOURCES CHECKLIST Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of Professional Services: _________________________________ CIUSSS DU CENTRE‐OUEST‐DE‐L’ÎLE‐DE‐MONTREAL Rating Resource is in good Resource is in poor Resource Site Resource does not condition & access is condition or is exist adequate for the inadequate number of students Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Clinical teaching Côte‐Des‐Neiges space CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Scrubs Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre Internet / CSSS de la Montagne/CLSC computer access Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Medical library Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Study space Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre Lockers CSSS de la Montagne/CLSC 2 students/locker Côte‐Des‐Neiges or secure storage CSSS de la Montagne/CLSC space Métro CSSS de la Montagne/CLSC de Parc‐Extension On‐call rooms Jewish General Hospital clean, well‐ Queen Elizabeth Health Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 maintained, Centre lockable, 1 person CSSS de la Montagne/CLSC only Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Lounge space Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Security Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Jewish General Hospital Queen Elizabeth Health Centre CSSS de la Montagne/CLSC Cafeteria/meals Côte‐Des‐Neiges CSSS de la Montagne/CLSC Métro CSSS de la Montagne/CLSC de Parc‐Extension Comments : Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 UGME CLINICAL FACILITIES AND RESOURCES CHECKLIST Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of Professional Services: _________________________________ CIUSSS DU‐CENTRE‐SUD‐DE‐L’ÎLE‐DE‐MONTREAL Rating Resource is in good Resource is in poor Resource Site condition & access is Resource does not exist condition or is adequate for the number inadequate of students CSSS Jeanne Clinical teaching space Mance/CLSC Saint‐ Louis‐du‐Parc CSSS Jeanne Scrubs Mance/CLSC Saint‐ Louis‐du‐Parc Internet / computer CSSS Jeanne access Mance/CLSC Saint‐ Louis‐du‐Parc CSSS Jeanne Medical library Mance/CLSC Saint‐ Louis‐du‐Parc CSSS Jeanne Study space Mance/CLSC Saint‐ Louis‐du‐Parc Lockers CSSS Jeanne 2 students/locker or Mance/CLSC Saint‐ secure storage space Louis‐du‐Parc On‐call rooms CSSS Jeanne clean, well‐maintained, Mance/CLSC Saint‐ lockable, 1 person only Louis‐du‐Parc CSSS Jeanne Lounge space Mance/CLSC Saint‐ Louis‐du‐Parc CSSS Jeanne Security Mance/CLSC Saint‐ Louis‐du‐Parc CSSS Jeanne Cafeteria/meals Mance/CLSC Saint‐ Louis‐du‐Parc Comments : Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 UGME CLINICAL FACILITIES AND RESOURCES CHECKLIST Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of Professional Services/Director of Education: _________________________________ CIUSSS DE L’OUEST‐DE‐L’ÎLE‐DE‐MONTREAL Rating Resource is in good Resource is in poor Resource Site condition & access is Resource does not exist condition or is adequate for the number inadequate of students Douglas Institute St. Mary's Hospital Clinical teaching space LaSalle Hospital Lakeshore Hospital Douglas Institute St. Mary's Hospital Scrubs LaSalle Hospital Lakeshore Hospital Douglas Institute Internet / computer St. Mary's Hospital access LaSalle Hospital Lakeshore Hospital Douglas Institute St. Mary's Hospital Medical library LaSalle Hospital Lakeshore Hospital Douglas Institute St. Mary's Hospital Study space LaSalle Hospital Lakeshore Hospital Douglas Institute Lockers St. Mary's Hospital 2 students/locker or LaSalle Hospital secure storage space Lakeshore Hospital Douglas Institute On‐call rooms St. Mary's Hospital clean, well‐maintained, LaSalle Hospital lockable, 1 person only Lakeshore Hospital Douglas Institute St. Mary's Hospital Lounge space LaSalle Hospital Lakeshore Hospital Douglas Institute St. Mary's Hospital Security LaSalle Hospital Lakeshore Hospital Douglas Institute St. Mary's Hospital Cafeteria/meals LaSalle Hospital Lakeshore Hospital Comments : Accepted by DPS Committee: January 18, 2016. Updated: April 25, 2016. Approved by MDCM Program Committee: April 29, 2016 UGME Clinical Facilities and Resources Checklist Inspection completed by (name) _________________________________ on (date) _________________________________. Signature of the Director of DERUR: _________________________________ CISSS de l’Outaouais Site Rating Resource Resource does Resource is in poor Resource is in good not exist condition or is condition & access is inadequate adequate for the number of students Clinical teaching space Hôpital de Hull Hôpital de Gatineau and UMF de Gatineau UMF de Gatineau Hôpital de Pierre‐Janet Hôpital de Buckingham Hôpital de Maniwaki Hôpital du Pontiac, Shawville Hôpital Memorial de Wakefield CHSLD Foyer du Bonheur CHSLD La Pietà Scrubs Hôpital de Hull Hôpital de Gatineau UMF de Gatineau Hôpital de Pierre‐Janet Hôpital de Buckingham Hôpital de Maniwaki Hôpital du Pontiac, Shawville Hôpital Memorial de Wakefield CHSLD Foyer du Bonheur CHSLD La Pietà Hôpital de Hull Internet / computer Hôpital de Gatineau access UMF de Gatineau Hôpital de Pierre‐Janet Hôpital de Buckingham Hôpital de Maniwaki Hôpital du Pontiac, Shawville Hôpital Memorial de Wakefield CHSLD Foyer du Bonheur CHSLD La Pietà Medical library Hôpital de Hull Hôpital de Gatineau UMF de Gatineau Hôpital de Pierre‐Janet Hôpital de Buckingham Hôpital de Maniwaki Hôpital du Pontiac, Shawville Hôpital Memorial de Wakefield CHSLD Foyer du Bonheur CHSLD La Pietà Study

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