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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 .
https://www.mcgill.ca/anesthesia/residency-program-1/resident-supervision/graded-responsibilityhttps://www.mcgill.ca/anesthesia/residency-program-1/resident-supervision/graded-responsibility
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 Childrens 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 years 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 Queens 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 Anesthsiologistes du Qubec)
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 residents
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 years 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
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 Directors 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.
http://www.fmrq.qc.ca/files/documents/e2/17/2013-03-19-fmrq-guide-interpretation-de-l-entente-2010-2015-va-finale-modifi-e.pdfhttp://www.fmrq.qc.ca/files/documents/e2/17/2013-03-19-fmrq-guide-interpretation-de-l-entente-2010-2015-va-finale-modifi-e.pdf
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 R1s 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 Directors 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 Directors 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 Directors
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, CTs,
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
mailto:[email protected]://www.medicine.mcgill.ca/postgrad/
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:
mailto:[email protected]
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 Directors 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 Directors 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 Directors 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 Medicines 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 Collge des mdedins du Qubec 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 Directors office is in the McGill Department of Anesthesia at the Royal Victoria
Hospital, MUHC Glen Site, 1001 Dcarie 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.
http://www.mcgill.ca/http://www.mcgill.ca/anesthesia/http://www.medicine.mcgill.ca/postgrad/mailto:[email protected]
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 Ltourneau, 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 Childrens
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. Marys Hospital
Phone: (514) 345-3511, ext. 3219
E-mail: [email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[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_harassmen
t_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.
mailto:[email protected]://www.pamq.org/http://www.mcgill.ca/medsra/https://www.mcgill.ca/thewelloffice/files/thewelloffice/code_of_conduct_may2013.pdfhttps://secureweb.mcgill.ca/secretariat/files/secretariat/policy_on_harassment_sexual_harassment_and_discrimination_prohibited_by_law_2014.pdfhttps://secureweb.mcgill.ca/secretariat/files/secretariat/policy_on_harassment_sexual_harassment_and_discrimination_prohibited_by_law_2014.pdf
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
Masters 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 Directors 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
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 Childrens 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 residents responsibility to arrange their research time. This is done with the Research
Directors 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.
mailto:[email protected]:[email protected]:[email protected]
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 Directors 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/promotions_june2016.pdf
https://mymres.mcgill.ca/mailto:[email protected]://www.mcgill.ca/pgme/files/pgme/promotions_june2016.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/tztest
3rcpsced001004.pdf
https://www.residentlogbook.com/http://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mdax/~edisp/tztest3rcpsced001004.pdfhttp://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 employers 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 Deans 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).
mailto:[email protected]
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?docu
ment_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/tztest3rcp
sced000605.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
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%3http://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%3http://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%3http://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mdaw/~edisp/tztest3rcpsced000605.pdfhttp://www.royalcollege.ca/cs/groups/public/documents/document/y2vk/mdaw/~edisp/tztest3rcpsced000605.pdfhttp://www.mcgill.ca/anesthesia/residency-program-1/goals-and-objectives
Binder Cover 2014-2015Department of Anesthesia2016-2017
table of contents 2016-2017McGILL DEPARTMENT OF ANESTHESIARESIDENCY TRAINING PROGRAMTABLE OF CONTENTS1. INTRODUCTIONLeaves :Electives :Schedules :Sources of Help and InformationWebsites, Chief Resident, Program DirectorResident Coordinators, Professional Help
5. EVALUATION
December 2016 R1 ORIENTATION HANDBOOK 2016-2017ELECTIVE ROTATION FORM.pdfELECTIVE ROTATION FORM
ELECTIVE ROTATION FORM.pdfELECTIVE ROTATION FORM
Research Rotation Form.pdfRESEARCH ROTATIONResident:Faculty Supervisor: