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Organization
of the Resident Training Program
The University of Toronto
Faculty of Medicine is comprised of a number
of departments, one of which is the Department
of Surgery. The Department of Surgery includes
a number of Divisions, one of which is the
Division of Neurosurgery. The neurosurgical
staff members each hold a joint University/Hospital
appointment, i.e., the appointment to the
active staff is made following agreement
of the R.S. McLaughlin Professor of the
Department of Surgery (Professor R. Reznick),
the Hospital, and the Chairman of the Division
of Neurosurgery.
The Gallie Program is an
integrated postgraduate training program
in the various disciplines of surgery. All
University of Toronto neurosurgical residents
are members of the Gallie Program. The office
of the Director of the Gallie Program is
situated in the Banting Institute (100 College
Street, Toronto) and Dr. John Bohnen (416 978-5575)
directs the implementation of the Gallie
Program at the various hospitals. At each
teaching hospital, the Surgeon-in-Chief
carries the final responsibility for the
excellence of surgical care, and at each
teaching hospital the Division Head of Neurosurgery
directs that hospital's neurosurgical unit.
Thus, at any one time, a neurosurgical resident
is a member of the Department of Surgery
Gallie Program, a member of the University
of Toronto Division of Neurosurgery, and
a member of a neurosurgical unit at a particular
hospital. Each of these rankings conveys
both privileges and responsibilities.
The McLaughlin Professor
of Surgery receives advice from both the
Chairmen of each Surgical Subspecialty (for
Neurosurgery - Dr. J.T. Rutka) and from
the Surgeons-in-Chief of the individual
hospitals. The Chairman of Neurosurgery
receives advice from the Neurosurgery Heads
of Division of each individual hospital.
This group meets once a month during the
academic year.
The quality of the residency
training program is always an item which
receives the utmost attention at meetings
of all these groups.
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Assignments
of Residents to U. of T. Teaching Hospitals
Each hospital neurosurgical
service providing neurosurgical residency
training will fulfill the current R.C.P.S.
requirements and will attempt to have a
minimum complement of two or more neurosurgical
trainees (at different levels of their training),
plus additional resident(s) who may be neurosurgical
trainees or trainees from another specialty.
The responsibilities of the senior neurosurgical
resident will be designated by the Head
of Neurosurgery at each hospital. These
responsibilities will always include the
education of the junior residents.
The
Residency Program Committee (RPC)
To assist the Program Director,
Dr. Chris Wallace, in the planning, organization
and supervision of the Training Program
in Neurosurgery, a Residency Training Program
(RPC) Committee has been organized. This
committee is comprised of neurosurgical
staff representatives from each teaching
hospital, and resident representatives who
are elected annually to the RPC by their
peers. The RPC meets monthly during the
academic year to discuss issues that are
germane to the Training Program. Responsibilities
of the Program Director in conjunction with
the RPC include: The development and operation
of a Training Program that meets the general
standards of accreditation as set forth
by the Royal College of Physicians and Surgeons
of Canada; the selection of prospective
candidates for admission to the Training
Program; the maintenance of an appeal mechanism
for residents; the creation of a forum to
discuss career planning and resident counseling;
an ongoing review of the Training Program
to ensure that the quality of the educational
experience is maintained.
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Introduction
