Department of Anesthesia Resident Handbook · Department of Anesthesia . Resident Handbook ....
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Department of Anesthesia Resident Handbook 2016-2017
Transcript of Department of Anesthesia Resident Handbook · Department of Anesthesia . Resident Handbook ....
Department of Anesthesia
Resident Handbook
2016-2017
McGILL DEPARTMENT OF ANESTHESIA
RESIDENCY TRAINING PROGRAM TABLE OF CONTENTS
1. INTRODUCTION
2. PRACTICAL MATTERS I :
Leaves Electives Schedules
3. PRACTICAL MATTERS II :
Sources of Help and Information
Websites, Chief Resident, Program Director
Resident Coordinators, Professional Help
4. RESEARCH
5. EVALUATION
Evaluation of Resident Performance Evaluation of Rotations and Faculty
6. GOVERNANCE OF THE PROGRAM
7. GOALS AND OBJECTIVES/ TRAINING REQUIREMENTS
I. INTRODUCTION The purpose of this handbook is to provide basic information about the McGill Department of Anesthesia Residency Program. It provides invaluable information for your R1 year as well as for further years of training. Graded Responsibility Throughout your training you will develop increasing levels of knowledge, clinical skills and expertise. The McGill Program is committed to your development as a competent anesthesiology consultant at the end of residency. In this regard, the McGill Anesthesia Program follows graded level of responsibility as outlined in the following table.
ASA I ASA II ASA III
ASA IV
ASA V
TECHNIQUE NOT MASTERED
PGY 1 C C C C C C PGY 2:0-6 C-I C-I C C C C PGY 2:6-12
E E C-I C C C
PGY 3 E E I C-I C C PGY 4 E E E C-I C C PGY 5 E E E E C C
C = close supervision I = induction / emergence / significant event E = supervision for evaluation only
Please refer to the “Guidelines for Graded Responsibility in Anesthesiology Rotations” for more complete information : https://www.mcgill.ca/anesthesia/residency-program-1/resident-supervision/graded-responsibility The R1 year The R1 year is a clinical base year that provides experience in various areas of medicine. This serves as a background for anesthesia training, and also helps preparation for the LMCC Part II Exam (that most residents take in the fall of the R2 year). The R1 year is composed of: • Two periods of pediatrics (PICU and NICU) • Three periods of medicine (ICU, CCU, Emergency) • One period of surgery (ENT) • One period of obstetrics • Four periods of anesthesia • One elective period, which may be surgical or medical, but not anesthesia • One period (period 12) for the McGill Epidemiology and Biostatistics Course, as well as an
Introduction to Research. You have no clinical responsibilities during this period .
R2 to R5 years The equivalent of a junior-level year of adult anesthesia, rotating through the three major McGill teaching hospitals (the Royal Victoria, Montreal General, and Jewish General) and including exposure to obstetrical anesthesia, spinal and epidural techniques, outpatient anesthesia, trauma, transplants, acute pain and diverse general anesthetic techniques for a wide variety of general surgical procedures. The equivalent of a year of internal medicine, emphasizing those areas of particular relevance to anesthetic practice, i.e., cardiology (three periods), respirology (three periods), and ICU (three periods). The equivalent of two years in subspecialty anesthesia rotations, i.e., neuroanesthesia (Montreal Neurological Institute), pediatric anesthesia (Montreal Children’s Hospital), cardiothoracic anesthesia (including introductory training in transesophageal echocardiography), chronic pain, thoracic anesthesia, regional anesthesia, and advanced airway techniques. Residents must also complete a mandatory three- period anesthesia rotation in a community hospital setting such as in Hull or Valleyfield, Quebec. There is the possibility to do rotations in research and electives geared towards individual learning goals. Finally, there is dedicated time in the last year for preparation towards the final Royal College Specialty exams. Academic and Social Activities Throughout the year there are departmental/resident activities, both academic and social in nature. It is highly recommended that you attend as many of these as possible. Some academic activities are mandatory. Your attendance at these functions helps you to meet other residents and faculty, and begin to really feel a part of the department. These activities include: 1. Summer Welcome Party/BBQ
This party is given by the Program Director and the residents to welcome you to the Program and it is a great opportunity for you to meet other residents. This year the event will take place on Saturday, August 13th. More details to follow.
2. Resident Seminars
These begin in the fall, and are weekly sessions on Wednesday afternoons that cover the main subject areas of anesthesia. Residents receive the schedules and any references for these sessions. Attendance at these sessions is mandatory as this is protected teaching time.
3. Journal Club
Journal Club occurs approximately once a month in the late afternoon at the Postgraduate Students’ Society, Thomson House. Each R4 is responsible for the presentation of one Journal Club. Food and beverages are provided at Journal Club. Attendance is mandatory for all residents. R5 residents must attend up to period 7 of the academic year.
4. CME Program
Throughout the year there is a program of visiting professors. These professors are asked to give one of the resident seminars. In addition, the program includes a lecture for both faculty and residents. As ambassadors of our Program, you are expected to be present and participate at both presentations. Two of these CME events are memorial dinners, one in the fall to start the academic year (the Wesley Bourne Memorial Lecture/Dinner) and one at the end of the year (the Harold Griffith Memorial Lecture/Dinner). These functions are supported by the Department (i.e. are free for you) and they are generally good both academically and in a social sense. This year’s Wesley Bourne Lecture/Dinner is scheduled for Wednesday, September 21, 2016, so please mark your calendars. You will be sent all information about the CME series, and you should try to attend.
5. The Philip R. Bromage Anesthesia Research Day
This is an annual event which takes place at the end of May. It provides an opportunity for residents, fellows, and postgraduate students associated with the Department to present their academic work. Presentations can involve research, quality improvement, case reports, literature reviews, or educational projects. All residents are expected to present at least once during their residency, and most choose to do this during the R2 or R4 years. Attendance is mandatory for R1 to R5 residents.
6. The John Westwood Sandison Residents’ Education Day
This is an annual event that was begun in 2002 and is a day devoted to professional and ethical issues relevant to anesthesia. It is usually held in November.
7. Anesthesia Refresher Course (LUCAS)
For the first time, McGill University and the University of Ottawa will hold a Joint Refresher Course, the Lower & Upper Canada Anesthesia Symposium (LUCAS), sponsored by the Departments of Anesthesia of McGill, Ottawa and Queen’s universities. The dates for the course are February 3 & 4, 2017 and it will take place in Ottawa. There will be a resident section and resident attendance will be sponsored, so please mark your calendars.
8. AAQ Meetings (Association des Anesthésiologistes du Québec)
To access their conference fund allotment, which is $1000.00 over the five years of residency, residents are required to attend one AAQ meeting. The registration fee for the attendance at this first AAQ meeting is paid by the Department. There is also an allowance for accommodation. If the meeting is held in Sherbrooke, the allowance is $100.00, if the meeting is in Quebec City, the allowance is $200.00. There is no accommodation stipend for AAQ meetings held in Montreal. Residents are asked to provide an original paid invoice from their hotel stay and a portion of this is reimbursed along with the registration fee. Expenses for attendance at additional AAQ meetings may be claimed through a resident’s allotted conference funds, if so desired. The upcoming AAQ meetings will be held October 1, 2016, in Orford and April 7-8, 2017, in Quebec City.
9. Anesthesia Resident/Faculty Retreat This is an annual event which began in 2012. All residents, faculty and fellows are invited to participate in team-building and other recreational activities. This year’s Retreat will be held in May 2017. More details to come.
10. Post Graduate Medical Education Core Courses
The Faculty of Medicine, Postgraduate Medical Education office, organizes a series of seminars (lectures and workshops) for residents and clinical fellows on selected topics such as the CanMEDS roles (medical expert, communicator, collaborator, leader, health care advocate, scholar, and professional) and other related medical topics. These courses are faculty-wide educational initiatives for residents and fellows. All residents are expected to do the Resident as Teacher online course. All R2 residents must attend the Professionalism Seminar. Residents are highly encouraged to attend each of the CanMEDS roles seminars/workshops at least once during residency. The list of courses can be found through the link below:
http://www.mcgill.ca/pgme/current-trainees/additional-courses/core-competency-workshops
II. PRACTICAL MATTERS I: LEAVES, ELECTIVES, SCHEDULES The McGill Anesthesia Program honors the FMRQ/MSSS contract. Issues of how to interpret certain parts of the contract are often discussed at the Residency Program Committee, which includes resident representation. When an issue is unclear, the Chief Resident contacts the FMRQ to clarify its position. Contract: http://www.fmrq.qc.ca/files/documents/e2/17/2013-03-19-fmrq-guide-interpretation-de-l-entente-2010-2015-va-finale-modifi-e.pdf 1. LEAVES There are several types of leaves: a) vacation b) conference leave c) sick days d) personal days e) study leave f) leaves of absence and compassionate leaves g) Christmas/New Year stat days – details will be sent out to all residents in August Residents in their R5 year participate in an examination preparation program entitled “Making a Mark”, which usually takes place in Toronto each February. Though residents are asked to complete a request for leave form to document their absence to attend the course, the two days required are not deducted from their annual allotment (i.e., conference, vacation, etc). Should a resident wish to take leave in addition to the days required for the course, these must be accounted for with vacation days from their bank. The Anesthesia Residency Program has a single form to document these leaves – please find it at the end of this section. This must be forwarded to the Program Director’s Office by fax at 843-1488, by e-mail or by internal mail. a) Vacation What the contract says: Residents are entitled to 20 days of vacation per year by the contract, with an option to carry forward a maximum of 10 days to the next year. In general, you must be careful about two things when booking vacation:
i. McGill Promotion Guidelines state that if you are absent more than 25% of a rotation it may be considered incomplete. This may be an issue if you take too much vacation on a short rotation.
ii. Ease of booking vacation and advance warning for the service where you are going to take
vacation varies with the rotation, with arrangements on anesthesia rotations being more flexible than off-service rotations.
Anesthesia Rotations: Vacation is relatively easy to book on anesthesia rotations. This is because anesthesia rotations, in general, do not rely solely on residents for service coverage. Some anesthesia sites, because of their organization, may have restrictions on how many residents are allowed away at one time. If you know your plans in advance, it is always good to book vacation early because if there are restrictions on the number away, vacations will be granted on a first come, first served basis. Requests are not written in stone, so if your plans change it is usually possible to cancel your vacation time. Coordinators appreciate as much advance warning as possible if you are planning vacation. In general, the minimum amount of time for booking vacation is before the call schedule is made for the period of time in which the vacation is included. Please note that this is not stipulated in the contract but is based on courtesy for those making the call schedule and what is common practice in our specialty. Off –service rotations : This is more problematic. Many of these services are based on resident service for their function, and therefore total manpower on the service is an issue. Some services (e.g. ICU, CCU), may actually refuse vacation based on a section of the contract that states vacations can be refused if the quality of patient care is threatened. You have a right to vacation based on the contract, but in order to help services dealing with major manpower issues, it is best to book all vacation well in advance. Some services (e.g. internal medicine) prefer if you book vacation at the beginning of the year, although this is not required by the contract. How to do it: Fill the form, send it to Donna MacFarlane by e-mail. She will forward it to the department and request approval. b) Conference Leave What the contract says: Residents are entitled to 10 days per year to attend medical/scientific conferences, with an option to carry forward a maximum of 5 days to the next year. Rotations must be notified 30 days in advance. All residents are provided with $1000.00 of conference funding over their 5 years of residency. If you submit an abstract to a conference and are presenting, the department will try to offer some financial support to attend the conference. Issues around taking conference time and people to contact for arrangements are similar to those concerning vacation time (see above). Although the contract stipulates 30 days notice, most coordinators feel that (like vacation time), the minimum time for requests is prior to the creation of the call schedule for the period including the conference time. Again, this is based on courtesy for those making call schedules and organizing manpower. What to do: Fill the form, including the name and dates of the conference. Generally one day is included at either end of the conference for travel time. . Fill the form, send it to Donna MacFarlane by e-mail. She will forward it to the department and request approval.
c) Sick days What the contract says: Each resident is entitled to 9.6 sick days per year. Residents are financially compensated for sick days that are not taken. N.B. The Faculty of Medicine stipulates all sick leaves greater than 10 working days must be reported to them with a copy of a medical certificate. d) Personal Days What the contract says: The resident may use up to 3 sick days for personal reasons. The rotation must be notified at least 24 hours in advance. e) Study Leave What the contract says: Each year, the establishment shall grant the resident leave with pay for seven (7) working days to prepare for a mandatory exam or exams leading to a diploma, license or certificate, provided this exam or these exams are held within two (2) years. Unused study days may be carried from one academic year to the next. f) Leaves of Absence and Compassionate Leaves What the contract says: Residents are entitled to leaves in the event of their marriage, death in the family, and birth of a child. Please see the contract for details. Leaves of absence for other reasons can be authorized by the Faculty of Medicine for up to 12 months. ALL LEAVES MUST BE DISCUSSED WITH THE PROGRAM DIRECTOR.
2. ELECTIVES In the R1 year there is one elective period. The choice of electives for R1’s is relatively flexible, but they must be clinical and they should NOT be anesthesia. Electives must be arranged by you. You must complete the elective rotation form (below) and send it to the Program Director’s Office by e-mail to [email protected]. N.B. WHEN ARRANGING ELECTIVES, PLEASE MAKE SURE THAT YOU KNOW WHAT THE CALL REQUIREMENTS ARE, AND ALSO, IF YOU ARE PLANNING VACATION OR A CONFERENCE LEAVE, THAT THE SUPERVISOR IS AWARE. This “defensive driving” policy helps prevent problems at a later date. A list of common/possible electives follows. Other electives are possible, but please check with the Program Director’s office in order to make sure that the elective is appropriate for the R1 base clinical year. Some electives are limited in the number of residents that can be accommodated, so it is better to arrange elective periods early. If possible, talk to some of the other residents in the program to see what they think are good ones. In the province of Quebec, the system for out-of-province electives is complex. Please refer to the Faculty of Medicine Post Graduate Medical Education web-site: http://www.medicine.mcgill.ca/postgrad/ - Resident Information site - Electives for Quebec trainees for detailed information. Medical subspecialty electives Most medical subspecialties are appropriate for electives in the R1 year. Common choices are cardiology, pulmonology, nephrology, and endocrinology. These electives are usually done at the Royal Victoria Hospital, the Montreal General Hospital, or the Jewish General Hospital. To arrange electives in medical subspecialties, you must contact the resident coordinator FOR THE SUBSPECIALTY at the particular hospital site. Donna MacFarlane in the Program Director’s office can help you find the person that you need. Radiology This is a common R1 elective, both for its usefulness (reading chest Xrays, trauma films, CT’s, etc.), and also because it is not too demanding. The usual sites for this elective are the Jewish General Hospital and the Royal Victoria Hospital. Palliative Care Emergency Medicine Cardiology Consult Cardiology Echo ICU Infectious Diseases Internal Medicine Consults ICU Consults Allergy/Immunology Endocrinology ENT Family Medicine
Hematology Consult Hematology Blood Bank Nephrology PICU Respiratory Medicine Sports Medicine Tropical Diseases Rheumatology Gastronenterology Interventional Radiology (Senior) Neuro ICU
Department of Anesthesia
ELECTIVE ROTATION FORM
N. B.: This form should not be used for research rotations. Please fax to the McGill office at 843-1488 or e-mail to [email protected]
RESIDENT: ELECTIVE ROTATION:
DATE:
HOSPITAL SITE: ROTATION OBJECTIVES:
SUPERVISOR:
3. SCHEDULES The master schedule is made by the Program Director in the spring of each year, taking into account resident requests, training requirements, and constraints of the rotations for optimizing the learning experience. ALL “NON-STANDARD” ROTATIONS (I.E. ROTATIONS AT UNUSUAL SITES OR OF UNUSUAL CONTENT) MUST BE DISCUSSED WITH THE PROGRAM DIRECTOR. After the Program Director has approved the rotation, the resident is responsible for arranging the rotation and forwarding a completed elective form to the Program Director’s Office. To change a rotation after the schedule is made: Rotation schedules are an agreement amongst the resident, the Program Director, and the supervising resident co-ordinator(s). We highly discourage change of rotations as it affects many other residents, but if it must be done, please follow these guidelines. Any change must include the agreement of the resident, the Program Director, and the supervising resident co-ordinator(s). Getting agreement for these changes is the responsibility of the person desiring the change. To change a rotation, a resident must: 1. Get the OK of the Program Director 2. Get the agreement of the supervising co-ordinator at the new rotation 3. Get the agreement of the supervising co-ordinator at the original rotation 4. Submit the change of rotation form to the Program Director’s office (this form is available
from the office of the Program Director). Master schedules will not be revised until this form is submitted.
Rotation changes should be made at least two periods in advance unless there are extenuating circumstances.
III. PRACTICAL MATTERS II: SOURCES OF HELP AND INFORMATION Most communication from the Program Director’s office is by e-mail and the web. ALL RESIDENTS MUST HAVE E-MAIL. A personal computer is not essential, as e-mail and the web-site will be accessible from computers in the hospital departments. A McGill e-mail address ([email protected]) has been assigned to you and this is the address we will use to correspond with all residents. Websites General information about McGill and the Department of Anesthesia is available on the web-sites at http://www.mcgill.ca/ and http://www.mcgill.ca/anesthesia/. The Faculty of Medicine’s Post Graduate Medical Education site: http://www.medicine.mcgill.ca/postgrad/ is very informative and there are also links to useful web-sites such as the Collège des médedins du Québec and the Royal College of Physicians and Surgeons of Canada, amongst others. Chief Resident The Chief Resident for 2016-2017 is Dr. Ning Nan Wang. She can be reached by e-mail at: [email protected]. There are two other resident representatives on the Residency Program Committee who are active in resident affairs. Program Director The Program Director’s office is in the McGill Department of Anesthesia at the Royal Victoria Hospital, MUHC Glen Site, 1001 Décarie Boulevard, Montreal, H4A 3J1, Room C05.2760. Donna MacFarlane is in the office five days a week, from 8:30 a.m. to 4:30 p.m. Phone number: (514) 934-1934, local 35342 Email: [email protected] Fax: (514) 843-1488 N.B. The office is closed on Fridays during July and August.
Resident Co-ordinators The following is a list of hospital department Resident Co-ordinators and Administrative Assistants, their phone numbers, faxes and e-mail addresses. Dr. Shawn Hoffman, Resident Co-ordinator, Department of Anesthesia, Jewish General Hospital Phone: (514) 340-8222, local 5701, Fax: (514) 340-8108, E-mail:[email protected] Administrative Assistant: Ms. Yiota Tsioutsias Dr. Albert Moore, Resident Co-ordinator, Department of Anesthesia, Royal Victoria Hospital Phone: (514) 934-1934, local 34880, Fax: (514) 843-1723, E-mail: [email protected] Administrative Assistant: Ms. Lizette Costa Dr. Angelina Guzzo, Resident Co-ordinator, Department of Anesthesia, Montreal General Hosp. Phone: (514) 934-1934, local 43261, Fax: (514) 934-8249, E-mail: [email protected] Administrative Assistants: Ms. Marisa Sorgente and Ms. Lyne Bourassa Dr. Justin Létourneau, Resident Co-ordinator, Department of Neuro-anaesthesia, Montreal Neurological Hospital Phone: (514) 398-1917, Fax: (514) 398-1352, E-mail: [email protected] Dr. Catherine Paquet, Resident Co-ordinator, Department of Anesthesia, Montreal Children’s Hospital Phone: (514) 934-1934, local 22464, Fax: (514) 412-4341, E-mail: [email protected] Administrative Assistant: Ms. Roula Cacolyris Dr. Scott Nordstrom, Resident Co-ordinator, Department of Anesthesia, CSSSG de Hull Phone: (819) 966-6033, Fax: (819) 595-6323, E-mail: [email protected] Dr. Muray Yazer, Resident Co-ordinator, Department of Anesthesia, St. Mary’s Hospital Phone: (514) 345-3511, ext. 3219 E-mail: [email protected]
Professional Help There is an anonymous Help Line for residents who are looking for information resources. This line can deal with all types of issues – legal, career counselling, emotional, financial. A resident can phone anonymously with a request for help, and the help-line will refer the resident on to the appropriate expert. There have been residents in the McGill program who have used this service and found it very helpful. Here are the coordinates for the Quebec Physicians’ Health Program: Telephone: (514) 397-0888; Fax: (514) 397-0654; E-mail: [email protected] Website: http://www.pamq.org/ The McGill Faculty of Medicine WELL Office (Wellness Enhanced Lifelong Learning) is an excellent source of information on resident wellness and support: http://www.mcgill.ca/medsra/. Please see the following links for: “Code of Conduct: Faculty of Medicine” : https://www.mcgill.ca/thewelloffice/files/thewelloffice/code_of_conduct_may2013.pdf McGill University “Policy on Harassment, Sexual Harassment and Discrimination Prohibited by Law”: https://secureweb.mcgill.ca/secretariat/files/secretariat/policy_on_harassment_sexual_harassment_and_discrimination_prohibited_by_law_2014.pdf The Program Director is also available to help residents sort out any issues and can help find appropriate resources to provide help and support.
IV. RESEARCH In the R1 year, residents take the McGill University Epidemiology and Biostatistics course. They tour some of the research labs, and meet with the McGill Anesthesia Chairman, Dr. Thomas Schricker, and the Director of Resident Research and Chair of the McGill Anesthesia Research Committee, Dr. Gilles Plourde for an introduction to research to identify research opportunities and mentors. The McGill Program expects that residents participate, and ideally complete a research project. A block of three months with flexible scheduling will be allocated to carry out a research project with the understanding that some work would have to be done before and after the block. The time devoted by individual residents to research, therefore, varies widely. Research rotations are not part of the R1 clinical base year. More time is available for research for those residents who want to develop their research skills, and who are in good academic standing with their clinical rotations. There would be flexibility to allow residents interested in further research training to undertake a Master’s Degree. At the end of the R1 year residents are expected to know the research project they would like to work on. The resident then, with the help of the supervisor, is responsible for filling out the Resident Research form and faxing/e-mailing it to the Program Director’s office. Time allotted to research during the R2 and R3 years should be dedicated to obtaining REB approval (if required) and the execution of the project. The project (development, hypothesis, methodology and/or results) should be presented by the R4 year, at the annual Philip R. Bromage Anesthesia Research Day, usually held in May, and this will serve to fulfill this component of the McGill Residency Program of presenting at least once at Anesthesia Research Day. Drs. Plourde and Schricker can provide suggestions for projects, or, if you have your own ideas, can help you get connected with a suitable mentor ([email protected] and [email protected]). There is a resident research coordinator at each of the major sites: residents are encouraged to reach out to them. Royal Victoria Hospital Dr. Roupen Hatzakorzian [email protected] Montreal General Hospital Dr. Gabriele Baldini [email protected] Jewish General Hospital Dr. Michael Tessler [email protected] Montreal Children’s Hospital Dr. Gianluca Bertolizio [email protected] Montreal Neurological Institute Dr. Gilles Plourde [email protected] Anesthesia Research Unit Dr. Terence Coderre [email protected] It is the resident’s responsibility to arrange their research time. This is done with the Research Director’s help. Decisions about the type of project and the non-clinical time required are made jointly by the resident, the Research Director, the project supervisor and the Program Director.
AN IMPORTANT FACTOR FOR RESEARCH ROTATIONS IS EARLY PLANNING. Projects need time for development, especially time for ethics committee approval. This part of the project is usually done prior to the research period(s) so that non-clinical time can be used for actually doing the project.
Department of Anesthesia
RESEARCH ROTATION
Please complete and send this form to the Program Director’s office at least six weeks prior to the requested rotation.
Resident (name & level): Faculty Supervisor: Dates of Rotation:
Project: (e.g., title, basic type of methodology, projected completion date)
Objectives for this rotation:
Signatures Resident: Faculty Supervisor:
V. EVALUATION SYSTEM 1. Introduction The evaluation system has two main parts: a) The evaluation of resident progress, which includes clinical evaluations, as well as oral and
written examinations. b) The evaluation of the Program and faculty by residents. These evaluations provide essential
data which is used to improve the Program. 2. Evaluation of Resident Performance Our Program uses One45, the web-based medical rotation evaluation system. Your username and password for your One45 dossier is the same as those for your McGill e-mail address. The web address for One45 is : https://mymres.mcgill.ca/. If you have any difficulty with the system, you can contact the McGill Faculty of Medicine One45 team at: [email protected] Promotion from one year to the next will be decided by the Residency Program Competency Committee, which is comprised of a subset of the Residency Program Committee and meets on a regular basis. Daily Evaluation Cards Our Program also uses daily intraoperative evaluations. It is the responsibility of the resident to give the daily cards to their staff in the morning, and to ensure that they are given to the site coordinator. End-of-Rotation Evaluation Residents’ clinical performance is evaluated at the end of each rotation. It is your responsibility to organize with your supervisor at mid-point and at the end of the rotation for a face-to-face meeting. There is a specialty-specific ITER for anesthesia rotations (Enclosure A) and a standard form for in-training evaluation for McGill residents for off-service rotations (Enclosure B). At the end of each rotation, the evaluation should be reviewed with the resident by the resident co-ordinator of the rotation. Six-Month Evaluation Review Twice a year (January and July), the rotation evaluations of the previous six months and the results of any in-training examinations are reviewed. An example of what is discussed is attached (Enclosure C). The Program Director meets all residents individually at least once a year to review their progress. There is an appeal process for those residents who feel that their evaluation process has been unfair. This process is outlined in the McGill University Faculty of Medicine Evaluation and Promotion Guidelines, a copy of which is sent to every resident by e-mail at the beginning of the academic year. This document is also available on the Faculty of Medicine Postgraduate Medical Education website: http://www.mcgill.ca/pgme/files/pgme/evaluation_and_promotion_2015.pdf
Exams There are several in-training examinations to assess resident knowledge: a) Residents in the R2 and R4 year of residency write a multiple choice examination of
anesthesia knowledge (the Metrics Anesthesia Knowledge Test). R2 residents take the exam in December, R4 residents in June. This examination is indexed to an American cohort, so residents can see how their performance compares to other residents.
b) Oral examinations are given twice-yearly. In December/January to the R2, 3, 4, 5 residents,
in June/July to the R1, 2, 3, 4, residents. Residents are graded on a Pass, Fail, and Borderline basis. Feedback is given to the residents at the end of the oral. Efforts are made to simulate the examination format of the certification exams during these orals.
Logbook Residents are required to log procedures they encounter using the internet-based logbook. This serves two main purposes – to compare McGill resident experience to that of other Canadian universities and to help in credentials assessment. You will be given a username and password to access the National Anesthesiology Resident Logbook. Web-site: https://www.residentlogbook.com/ End-of-Training Evaluation Two important evaluations are completed near the end of your residency: a) Final In-Training Evaluation Report (FITER)
This is an evaluation of resident performance that is completed (usually) in the last six months of residency. Satisfactory FITERs are a pre-requisite for admission to the certification examinations. Residents must sign these documents before they are sent to the RCPS. For an example of the form, please see the link below: http://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mdax/~edisp/tztest3rcpsced001004.pdf
b) Confidential Verification of Postgraduate Training Report
This is completed at the end of residency through the One45 on-line evaluation system and enters the permanent academic record at the Faculty of Medicine. It is used to respond to all requests to the Faculty for information on former residents who are applying for jobs. This information (of course) is not released unless there is a release of information form signed by the former resident included with the employer’s request. This form (Enclosure D) is also reviewed and approved by the Competency Committee, and is viewed by the resident in their One45 dossier.
3. Evaluation of Rotations and Faculty After each anesthesia rotation, you will be asked to complete an evaluation of the rotation (Enclosure E) and to rate individual teaching staff (Enclosure F) through the One45 on-line evaluation system. After non-anesthesia rotations, you will be asked to complete rotation evaluations only, using the forms provided on-line by the pertinent department. Evaluations of rotations and staff by residents are essential because it is the only way to gather data on which to base improvements in the program. The responsibility is yours.
VI. GOVERNANCE OF THE PROGRAM Major decisions about the organization and implementation of the program are made by the Residency Program Committee (RPC) of the Department of Anesthesia. This Committee is chaired by the Program Director. It is composed of the resident co-ordinators from all major hospital sites, faculty members with expertise in Simulation, Research, Curriculum Development, Oral Examination, and three resident representatives. The resident representatives are elected annually by the residents. One is a senior, who is elected in April, and who is the Chief Resident. The second representative, the Assistant Chief Resident, is a junior, and the third resident representative is a member at large. They are elected in June. This Committee meets monthly throughout the academic year. Residents are encouraged to use their representatives to bring issues to the Committee, e.g. suggestions for program improvements. The Program Director: • Oversees the educational program, making sure that it complies with RCPS, CMQ, and
McGill guidelines • Is available to residents with problems or questions about the program • Oversees the evaluation and promotion system for residents • Carries out decisions about the program made by RPC • Represents the program at the Faculty Postgraduate Education Committee and national meetings. • Makes day-to-day decisions about the running of the program. This includes the yearly
rotation schedule. The program is also overseen by the McGill Postgraduate Associate Dean’s Office. The Program Director regularly attends the Faculty Postgraduate Education Committee, where McGill Program Directors meet to discuss common issues. The FMRQ is also represented on this committee. The actual implementation of the program on a daily basis is the responsibility of the Program Director and the administrative staff of the McGill Department of Anesthesia. The Residency Program Coordinator, Donna MacFarlane, can provide essential help and information about how things are done. She can be reached at the McGill Department of Anesthesia from 8:30 a.m. to 4:30 p.m. (telephone: 934-1934, local 35342, e-mail: [email protected], fax: 843-1488).
VII. GOALS AND OBJECTIVES/ ROYAL COLLEGE TRAINING REQUIREMENTS As an anesthesia resident collaborating with different specialties, you represent us as an ambassador during all of your rotations. Moreover, all rotations are very important and you have to make the most of all of them. In order to do so, you should refer to the goals and objectives prior to undertaking a rotation. At the beginning of a rotation, you should ensure that your supervisor states the goals and objectives of the rotation. This section includes two very important documents:
The Objectives of Training in the Specialty of Anesthesiology and the Specialty Training Requirements in Anesthesiology from the Royal College of Physicians and Surgeons of Canada (RCPS).
http://www.royalcollege.ca/rc/faces/oracle/webcenter/portalapp/pages/viewDocument.jspx?document_id=TZTEST3RCPSCED000880&_afrLoop=6955351750684266&_afrWindowMode=0&_afrWindowId=1d6r8z9gvw_1#!%40%40%3F_afrWindowId%3 http://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mdaw/~edisp/tztest3rcpsced000605.pdf
This document outlines the requirements for all residents in anesthesia training programs in Canada. These requirements must be successfully completed in order to take the RCPS certification examinations. An important new element of the RCPS guidelines is the section on the requirements for fulfilling the various specialist roles (e.g. professional, communicator, etc).
The Goals and Objectives of the McGill Anesthesia Program
These are the specific requirements for training in the McGill Anesthesia Program. The Goals and Objectives are posted on our web-site and all updates will be posted there.
http://www.mcgill.ca/anesthesia/residency-program-1/goals-and-objectives
