Essential areas and parameters used in assessment of GSI:

AREAS                                                  PARAMETERS

SERVICE  -------------------------------->   QUALITY PATIENT CARE

TRAINING --------------------> EFFECTIVE, EFFICIENT, HUMANE STAFF
 STAFF
 TRAINING PROGRAM

RESEARCH ---------------------------->  IMPROVEMENT OF PROFESSION

ADMINISTRATION ------------------> MAXIMUM PARTICIPATION OF STAFF

Indicators and Judgement on SERVICE:

          Indicators                         Judgement
                                     
Medicolegal suits in the history             Acceptable/negative
 of GSI (Yes or No)             

Formal complaints in the past 5 years        Acceptable/negative
 (Yes or No)

Informal complaints                          Acceptable/negative
 during the past 5 years based on
 GSI staff experience and awareness
 regardless of reasons (significant or not)

Informal complaints against consultant       Acceptable/negative
 (Yes or no)
Informal complaints against fellows          Acceptable/negative
 (Yes or no)
Informal complaints against residents        Acceptable/negative
 (Yes or no)
Informal complaints against nurses           Acceptable/negative
 (Yes or no)
Average waiting time before patients are
 Seen by staff in the
  Outpatient department (__ hours)           Acceptable/negative
  Emergency room  (__ hours)                 Acceptable/negative

 Admitted to PGH
  Elective (__ months)                       Acceptable/negative
  Emergency (__ days)                        Acceptable/negative

Indicators and Judgement on SERVICE:

 Scheduled for operation
  Elective (__ weeks)                        Acceptable/negative
  Emergency (__ day)                         Acceptable/negative

 Scheduled for outpatient operation          Acceptable/negative
  (__ months)                                 
     
Average number of outpatient visits          Acceptable/negative
 before treatment is decided upon     
 (__ visits)                             

Average waiting time for results of
 Outpatient laboratory (__ weeks)            Acceptable/negative
 Histopathology  (__ weeks)                  Acceptable/negative

Average duration of
 Outpatient consultation (__ hour)           Acceptable/negative
 Postop hospital stay
  Mastectomy (__ days)                       Acceptable/negative
  Thyroidectomy (__ days)                    Acceptable/negative
  Appendectomy (__ days)                     Acceptable/negative

Morbidity rate for the past 3 years
 Overall (  %)                               Acceptable/negative
 Specific disease
     Breast              (  %)               Acceptable/negative
     Thyroid             (  %)               Acceptable/negative
     Head and neck       (  %)               Acceptable/negative
     Soft tissue         (  %)               Acceptable/negative
     Esophagus           (  %)               Acceptable/negative

Mortality rate for the past 3 years
 Overall (  %)                               Acceptable/negative
 Specific disease
     Breast              (  %)               Acceptable/negative
     Thyroid             (  %)               Acceptable/negative
     Head and neck       (  %)               Acceptable/negative
     Soft tissue         (  %)               Acceptable/negative
     Esophagus           (  %)               Acceptable/negative

Patient records 
 often lost/misplaced                        Acceptable/negative

Others

Indicators and Judgements on TRAINING:

          Indicators                         Judgement

STAFF
Based on intrastaff evaluation,
 as to effective, efficient, and humane
 staff,

  Consultant staff - satisfactory or not     Acceptable/negative
  Fellows - satisfactory or not              Acceptable/negative
  Residents - satisfactory or not            Acceptable/negative
  Nurses - satisfactory or not               Acceptable/negative
  Secretary-clerk - satisfactory or not      Acceptable/negative

TRAINING PROGRAM
Consultant staff development program         Acceptable/negative
 (Yes or no)
Fellow/resident staff development program    Acceptable/negative
 (Satisfactory or not)            
Nursing staff development program            Acceptable/negative
 (Yes or no)
Supervision by consultant                    Acceptable/negative
 (Adequate or not)

Others

Indicators and Judgements on RESEARCH:

          Indicators                         Judgement
     
Amount of research activities on
 Breast             - adequate or not        Acceptable/negative
 Thyroid            - adequate or not        Acceptable/negative
 Head and Neck      - adequate or not        Acceptable/negative            
 Soft Tissue        - adequate or not        Acceptable/negative
 Esophagus          - adequate or not        Acceptable/negative

Research training program                    Acceptable/negative
 for residents (satisfactory or not)

Research paper presentation
 Consultant         - adequate or not        Acceptable/negative
 Fellows/residents  - adequate or not        Acceptable/negative

Research paper publication
 Consultant         - adequate or not        Acceptable/negative
 Fellows/residents  - adequate or not        Acceptable/negative

Indicators and Judgements on RESEARCH:

Quality of papers - good or poor or ?        Acceptable/negative

International publication - adequate or not  Acceptable/negative
Original papers           - adequate or not  Acceptable/negative

Indicators and Judgements on ADMINISTRATION:

          Indicators                         Judgements

Organizational chart (Yes or no).            Positive/negative

Well-defined roles and functions.            Acceptable/negative
 (Yes or no)

Manual of operating procedures.              Positive/negative
 (Yes or no)

Record system (adequate or not)              Acceptable/negative

No. of active consultants                    Acceptable/negative

Others