RESOURCES (B4) 1 2012
STANDARD B4: RESOURCES
"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
Program Pediatric Hematology/Oncology
Date of Review (month/year)
Sites Participating in this Program:
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.
RESOURCES (B4) 2 2012
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 %
RESOURCES (B4) 3 2012
2. Describe the availability to the program, stating the numbers where appropriate, of the following
categories of patients with hematologic-oncologic disorders:
Oncology New Patients/Year
Lymphoma Hodgkin’s, Non Hodgkin’s, PTLD
Solid Tumors Exclude brain and spinal cord tumors
Brain/Spinal Cord Tumors
Non-malignant Hematology Patient visits/year
Bone Marrow Failure
Cytopenias Anemia, thrombocytopenia,
Hemoglobin Abnormalities Thalassemia, sickle cell
Stem Cell Transplantation Patients SCT/year
3. Involvement in clinical trial groups
a) List all multi-institutional clinical trials groups of which your institution is a member:
Organization Number of open protocols Percentage of eligible
Stem cell transplantation
b) How are residents involved in these clinical trial groups?
4. a) What is the frequency of the tumor board meetings?
b) Who attends these meetings?
c) What is the involvement of the residents?
d) Who chairs the meeting?
RESOURCES (B4) 4 2012
5. What are the facilities and resources available for the care and assessement of outpatients?
6. What are the facilities and resources available for the care and assessment of in-patients?
7. What mechanism does the program have for ensuring transition and long-term follow-up of patients?
8. a) Describe the diagnostic services of hematopathology, histopathology, immunology, cytogenetics
and molecular biology available to the program.
b) Describe the role of the pediatric pathologists and hematopathologists in the program.
c) Describe the transfusion medicine services available to the program.
9. What facilities are available for diagnostic imaging of children and adolescents?
10.Describe the availability of radiologists with specific expertise in diagnostic imaging and interventional
radiology in children and adolescents.
11.Describe the facilities for radiation therapy and the availability of a radiation oncologist familiar with
the treatment of children and adolescents.
RESOURCES (B4) 5 2012
12. Describe the availability of surgeons with expertise in the treatment of children and adolescents.
Available or not If available If not available, please
Pediatric General Surgery Yes No On-Site Off-Site
Neurosurgery Yes No On-Site Off-Site
Urology Yes No On-Site Off-Site
Ophthalmology Yes No On-Site Off-Site
Otolaryngology Yes No On-Site Off-Site
Plastic Surgery Yes No On-Site Off-Site
Gynecologic Surgery Yes No On-Site Off-Site
Cardiac Surgery Yes No On-Site Off-Site
Orthopedic Surgery Yes No On-Site Off-Site
Solid organ transplant Yes No On-Site Off-Site
13.Availability of Clinical Services
Clinical Services Available or not If available : If not available, please
Adolescent Medicine Yes No On-Site Off-Site
Pediatric Emergency Medicine Yes No On-Site Off-Site
Pediatric Endocrinology Yes No On-Site Off-Site
Pediatric Infectious Diseases Yes No On-Site Off-Site
Pediatric Intensive Care Yes No On-Site Off-Site
Pediatric Cardiology Yes No On-Site Off-Site
Pediatric Gastroenterology Yes No On-Site Off-Site
Pediatric Pulmonology Yes No On-Site Off-Site
Pediatric Nephrology Yes No On-Site Off-Site
Pediatric Neurology Yes No On-Site Off-Site
Pediatric Immunology Yes No On-Site Off-Site
Pediatric Rheumatology Yes No On-Site Off-Site
RESOURCES (B4) 6 2012
Pediatric Psychiatry Yes No On-Site Off-Site
Pediatric Palliative care Yes No On-Site Off-Site
Pediatric Rehabilitative Medicine Yes No On-Site Off-Site
14.Describe the facilities for stem cell transplantation in children and adolescents.
15.Describe the availability of a pharmacy capable of accurate and well-monitored preparation and
dispensing of antineoplastic agents and investigational agents to in-patients and outpatients.
16.What mechanism does the program have to ensure that residents have appropriate liaison with nurses,
nurse practitioners, clinical pharmacists, occupational therapists, physiotherapists, social workers,
psychologists, child life workers and nutritionists who specialize in pediatric hematology/oncology?
8. 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?
17.Summary of Adequacy of Resources
Comment on the adequacy of the resources in the overall program, with particular reference to the
relationship between such resources and the number of residents dependent upon them. Include
consideration of the following questions:
Are there significant areas where the workload of the teachers (clinical care, undergraduate teaching,
etc.) is such as to affect adversely the continuous supervision and instruction of residents in Pediatric
Are the numbers of patients available for teaching sufficient to provide for the training of residents
rotating from other residency programs and services, without adverse effects on the training of
residents in Pediatric Hematology/Oncology?
RESOURCES (B4) 7 2012
Are the diagnostic and basic science facilities available to the program sufficient to provide adequate
teaching and experience for residents in Pediatric Hematology/Oncology in addition to other residents
sharing the same facilities?
Editorial revisions - February 2012