Im. J Radrarwn Onrolog~~ Bml Phys Vol. Pnnted I” the U S.A All nghts reserved.

t .Xl

0360-3016192 $5.00 Copyright C 1992 Per&mm Press Ltd

24. p. 86 I

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SPECIFIC REQUIREMENTS FOR THE ACCREDITATION OF RESIDENCY PROGRAMS IN CANADA B. J. CUMMINGS, M.B., CH.B., FRCPC, FRCR, FRACR Dept. of Radiation Oncology, The Princess Margaret Hospital, 500 Sherbourne St., Toronto, Ontario M4X 1K9, Canada obtain clinical competence and technical proficiency in Radiation Oncology. There must be responsibility for inpatient care under the direction of radiation oncologists, as well as participation in out-patient ambulatory care and experience in inter-disciplinary consultation processes. It is considered that at least 1000 new cancer patients (exclusive of non-melanoma skin cancers) must be seen in consultation by the radiation oncologists in the center each year to provide the experience necessary for the trainees. A clinical staff of at least five radiation oncologists is required, and the majority of the clinical staff participating in the residency program must hold Royal College certification in Radiation Oncology. The program must provide graded responsibility for the residents as they progress through their training. There are specific requirements concerning the types and variety of equipment which must be available, and the supporting facilities and services such as clinical physics, mould room and access to operating rooms, and detailing other essential clinical services. As part of the educational program, residents are expected to develop teaching skills through participation in post-graduate and under-graduate training programs. Residents must become familiar with the principles of the design and evaluation of research protocols, and are expected to participate actively in research studies wherever practical.

The specific requirements and guidelines for the accreditation of residency programs in Radiation Oncology are established by the Royal College of Physicians and Surgeons of Canada (RCPSC) ( l), after consultation with the Specialty Committee. All specialty training programs in a university are reviewed on site at least every 5 years by a team of physician surveyors acting on behalf of RCPSC. However, the survey team does not contain a representative of every specialty, so that a residency training program in Radiation Oncology is not necessarily reviewed by a radiation oncologist. The Specialty Committee reviews presurvey documentation provided by the center Training Program Director and can indicate areas of possible weakness to which particular attention should be paid by the survey team. The Specialty Committee also reviews and comments on the report and recommendations of the survey team before a final evaluation is assigned by RCPSC. Currently there are 12 RCPSC approved training programs in Radiation Oncology in Canada. The following items are taken from the detailed requirements established by RCPSC (l), and have been chosen to highlight comparisons with other countries. A university wishing to have a program in Radiation Oncology accredited must also sponsor an accredited training program in Internal Medicine. Other programs in important related specialties such as General Surgery etc. are desirable but are not required (in practice, all Radiation Oncology programs are in universities which have training programs in important related specialties). The training program must provide adequate opportunities to

REFERENCES I.Royal College of Physicians and Surgeons of Canada. Specific requirements and guidelines for accreditation of residency programs

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in radiation

oncology:

1990.

Specific requirements for the accreditation of residency programs in Canada.

Im. J Radrarwn Onrolog~~ Bml Phys Vol. Pnnted I” the U S.A All nghts reserved. t .Xl 0360-3016192 $5.00 Copyright C 1992 Per&mm Press Ltd 24. p. 86...
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