2012

THE ROYAL COLLEGE OF PHYSICIANS AND SURGEONS OF CANADA

AND

LE COLLÈGE DES MÉDECINS DU QUÉBEC

PRE-SURVEY QUESTIONNAIRE FORSURGICAL FOUNDATIONS

•This questionnaire is to provide the Royal College with a complete description of the program.

•The completed questionnaire must be signed by the director of the Surgical Foundations program and submitted to the office of the Associate Dean for Postgraduate Medical Education for transmission to the College.

University:
Date of Survey:
Name of Director of Surgical Foundations:
Date of Appointment of Director of Surgical Foundations:
University and Site Appointments of Director:
Department responsible for Surgical Foundations:
Specialties involved in Surgical Foundations:

1.Administrative Structure of Surgical Foundations:

  1. Describe the relationship of Surgical Foundations with dependent surgery residency programs including the division of responsibilities for residents in surgical programs.
  1. Supporting Committee
  1. Committee membership (underline the name of the Chair of the committee).

Name / Program Affiliation

ii.Resident Representatives

Name

/ Residency Level / Program Affiliation
  1. Describe the structure of the Supporting Committee. Include terms of reference and indicate frequency of meetings. (Copies of the minutes of meetings must be available at the time of the survey for review by the surveyors.)
  1. What is the involvement of the resident(s) in the Committee?
  1. How are residents selected to the Committee?
  1. Describe the process for evaluation of the program includingany recent changes and future directions.
  1. Objectives
  1. Describe the process for development and review of objectives for Surgical Foundations rotations. Who is responsible for the objectives?
  1. Organization of Surgical Foundations program
  1. Describe the method of assigning residents to Surgical Foundations rotations.
  1. Describe the supporting surgical skills program including simulation lab / animal labs etc.
  1. Describe the content of the didactic program including critical appraisal skills, research methodology, ethics, communication, advocacy, managerial skills.
  1. Describe how the didactic program is delivered.
  1. Resources
  1. Provide a brief description of the availability of faculty and the clinical resources used in Surgical Foundations including comments on adequacy of resources in critical care and emergency which are usually common rotations for Surgical Foundations residents.
  1. Describe the availability of simulation / animal facilities to aid surgical instruction.
  1. Content of Program
  1. Provide a brief description as to how the objectives of Surgical Foundations are achieved including preparation for Principles of Surgery examination and results of residents on POS examination (if available).
  1. Evaluations
  1. Who is responsible for the resident evaluations - home program or Surgical Foundations program?
  1. Describe the methods of evaluation used primarily for the Surgical Foundations program (do not reiterate home surgical program evaluation procedures).
  1. Summary

a.Summarize the strengths and weaknesses of the Surgical Foundations program.

Date / Signature of the Director ofSurgical Foundations

1