health log book - bhutan medical and health · pdf file1 name: id card no. mbbs done from...
TRANSCRIPT
LOG BOOK FOR MEDICAL INTERNS
Bhutan Medical and Health CouncilMinistry of Health
Royal Government of Bhutan
iii
Table of Content
Log Book ............................................................................................. 1
Assessment by the supervisor............................................................. 2
General Medicine ............................................................................. 3-5
General Surgery ............................................................................... 6-8
Gynaecology and Obstetrics ...........................................................9-11
Paediatrics .................................................................................... 12-14
Orthopaedics ................................................................................ 15-17
Psychiatry ..................................................................................... 18-19
Dermatology ................................................................................. 20-21
Ophthalmology ............................................................................. 22-23
Otorhinolaryngology (ENT) ........................................................... 24-25
Anaesthesiology ........................................................................... 26-27
Radiodiagnosis and imaging ........................................................ 28-29
Forensic Medicine ........................................................................ 30-31
Community Medicine .................................................................... 32-34
Transfusion Medicine ................................................................... 35-36
Emergency Department................................................................ 37-38
1
Name: ID card No.
MBBS done from
Internship Period From: To:
Log Book
a. This log book sets out the minimal requirement in clinical skills and procedures in each discipline, which the intern needs to acquire and perform.
b. The concerned department head may decide on minimum number of procedures and activities to be carried out;
c. This log book shall be maintained by the Intern during their rotational posting;
d. The Intern shall record all the procedures observed, assisted or performed in the log book and get countersigned by the supervisor on a daily basis;
e. The head of department shall sign on the log book after completion of the attachment in that particular department.
Assessment by the supervisor
The intern shall be guided by the supervisor in each department and final assessment shall be done at the completion on the training on the core competencies:
a. Knowledge: Knowledge on clinical management of patients in terms of history taking, clinical examination, appropriate investigations, treatment options, recent advances, preventive and promotive aspects, and their limitations;
b. Aptitude: Professionalism, empathy, compassion
c. Behaviour: Behaviour with patients colleagues, nursing staff, and other health workers, team work:
d. Communication: Communicate with the patients and relatives
2
e. Professional Skills: Competency on performing medical and surgical procedures.
f. Punctuality/ Responsibility: Coming on time, follow up of cases.
Assessment shall be done with the score of 1-5 as given in the table below:
Score Grade
1 Unsatisfactory
2 Satisfactory
3 Good
4 Very Good
5 Excellent
Any intern who scores a total of only 12 points or less in each department shall not be eligible for registration with the council.
3
Gen
eral
Med
icin
e
Dep
artm
ent:
Gen
eral
Med
icin
e
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Pro
ced
ure
Targ
etA
chie
vem
ent
Rem
arks
Sig
nat
ure
of
imm
edia
te
sup
ervi
sor
Ob
serv
edA
ssis
ted
Per
form
edO
bse
rved
Ass
iste
dP
erfo
rmed
Dia
gn
ost
ic
Lum
bar
punc
ture
32
3
Ple
ural
asp
iratio
n3
25
Abd
omin
al
Par
acen
tesi
s3
25
Ure
thra
l C
athe
teriz
atio
n2
25
Bon
e m
arro
w
aspi
ratio
n5
50
Per
icar
dioc
ente
sis
32
0
SC
V a
cces
s ca
ther
izat
ion
33
0
4
Pro
ced
ure
Targ
etA
chie
vem
ent
Rem
arks
Sig
nat
ure
of
imm
edia
te
sup
ervi
sor
Ob
serv
edA
ssis
ted
Per
form
edO
bse
rved
Ass
iste
dP
erfo
rmed
IJV
acc
ess
cath
eriz
atio
n3
30
Fem
oral
vei
n ac
cess
ca
ther
izat
ion
33
1
Nas
ogas
tric
tube
pl
acem
ent(
NG
T)
55
10
Oxy
gen
ther
apy
33
10
Use
of P
ulse
O
xym
eter
33
10
Pla
ce A
mbu
bag
/Fac
e m
ask
33
10
Bas
ic E
CG
in
terp
reta
tion
515
Cas
e P
rese
ntat
ion
(Ind
oor)
2 p
er
wee
k
5
Case presentation
Date Topic SupervisorSignature of immediate
supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :......................................
6
Gen
eral
Su
rger
y
Dep
artm
ent:
Gen
eral
Su
rger
y
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Cen
tral
line
inse
rtio
n1
13
Inci
sion
and
dra
inag
e of
ab
sces
s3
310
Urin
ary
cath
eter
izat
ion
33
10
Sup
ra p
ubic
Cys
tost
omy
11
3
Exc
isio
n of
sup
erfic
ial
mas
s / L
ump
35
10
Che
st T
ube
Inse
rtio
n3
35
Ven
esec
tion
To o
bser
ve
Dig
ital r
ecta
l exa
min
atio
n an
d P
roct
osco
py3
510
Hae
mor
rhoi
ds b
andi
ng3
510
7
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Maj
or S
urgi
cal P
roce
dure
s5
100
Cas
e pr
esen
tatio
n 1
per
wee
k
Upp
er a
nd L
ower
GI
End
osco
pyTo
Obs
erve
Oth
ers
8
Case presentation
Date Topic SupervisorSignature of immedi-
ate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :......................................
9
Gyn
aeco
log
y an
d O
bst
etri
cs
Dep
artm
ent:
Gyn
aeco
log
y an
d o
bst
etri
cs
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
perfo
rmed
Rem
arks
Nor
mal
Del
iver
ies
510
30
Ass
iste
d de
liver
ies
35
5
Dila
tion
and
cure
ttage
55
15
Par
togr
aph
use
55
15
Act
ive
man
agem
ent o
f th
ird s
tage
of l
abou
r10
1020
Imm
edia
te n
eona
tal
resu
scita
tion
55
10
Am
niot
omy
55
10
Rep
air
of p
erin
eal t
ears
33
5
Eva
cuat
ion
and
Cur
etta
ge5
520
10
Proc
edur
eTa
rget
Achi
evem
ent
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
perfo
rmed
Rem
arks
MR
PW
hen
case
is
pres
ent
Any
no
PP
H M
anag
emen
t W
hen
case
is
pres
ent
Any
no.
Cae
sare
an s
ectio
n 5
30-
TAH
35
-
VH
22
-
Lapa
rosc
opy
33
-
Hys
tero
scop
y 2
3
Gyn
e ca
se p
rese
ntat
ion
--
5
Obs
cas
e pr
esen
tatti
on-
-8
11
Case presentation
Date Topic SupervisorSignature of
immediate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
12
Pae
dia
tric
s
Dep
artm
ent:
Pae
dia
tric
s
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
perfo
rmed
Rem
arks
Neo
nata
l res
usci
tatio
n20
2020
New
born
exa
m20
2020
Exc
hang
e tr
ansf
usio
n1
10
IV in
sert
ion
1010
40
Hee
l stic
k pu
nctu
re10
1010
OG
inse
rtio
n10
1010
UV
C in
sert
ion
11
1
Lum
ber
punc
ture
22
0
Intu
batio
n3
33
PP
V5
55
NG
inse
rtio
n3
33
Ure
thra
l cat
heriz
atio
n2
22
Ple
ural
Tap
12
1
13
Proc
edur
eTa
rget
Achi
evem
ent
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
perfo
rmed
Rem
arks
Asc
itic
tap
12
1
Bon
e m
arro
w a
spira
tion
11
Ped
iatr
ic in
patie
nt c
ase
man
agem
ent
15
Neo
nate
inpa
tient
cas
e m
anag
emen
t25
Out
patie
nt c
ase
man
agem
ent
25
Pae
diat
ric c
ase
pres
enta
tion
I cas
e pe
r w
eek
14
Case presentation
Date Topic SupervisorSignature of immedi-
ate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
15
Ort
ho
pae
dic
s
Dep
artm
ent:
Ort
ho
pae
dic
s
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Irrig
atio
n an
d de
brid
emen
t of s
impl
e la
cera
tions
and
ope
n
frac
ture
wou
nds
22
8
Clo
sed
redu
ctio
n of
si
mpl
e fr
actu
res
23
5
Clo
sed
Red
uctio
n of
co
mm
on d
islo
catio
ns2
35
Tra
ctio
n te
chni
ques
- S
kin
trac
tion
- S
kele
tal t
ract
ion
1 ea
ch1
each
3
Pla
ster
app
licat
ion
tech
niqu
e2
48
16
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Spl
intin
g te
chni
que
(upp
er a
nd lo
wer
lim
b)2
(eac
h)3(
each
)5(
each
)
Join
t asp
iratio
ns1
23
Maj
or o
rtho
paed
ic
surg
erie
s5
100
Cas
ting
of u
pper
and
lo
wer
lim
b in
jurie
s2(
each
)3(
each
)5(
each
)
Exc
isio
n of
in g
row
ing
toe
nail
11
3
Inci
sion
and
dra
inag
e of
ab
sces
s1
13
Cas
e pr
esen
tatio
n (w
ard)
2 pe
r w
eek
17
Case presentation
Date Topic SupervisorSignature of immedi-
ate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
18
Psy
chia
try
Dep
artm
ent:
Psy
chia
try
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of i
mm
edi-
ate s
uper
visor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Cas
e pr
esen
tatio
n (W
ard)
1 du
r-in
g ea
ch
roun
d
Cas
e w
ork
up
(OP
D)
5
19
Case presentation
Date Topic SupervisorSignature of immediate
supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
20
Der
mat
olo
gy
Dep
artm
ent:
Der
mat
olo
gy
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Man
agem
ent
of
emer
-ge
ncy
and
com
mon
der
-m
atol
ogic
pat
ient
s2
Man
agem
ent o
f ST
D2
Cas
e pr
esen
tatio
n1
21
Case presentation
Date Topic SupervisorSignature of imme-
diate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
22
Op
hth
alm
olo
gy
Dep
artm
ent:
Op
hth
alm
olo
gy
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Ocu
lar
band
agin
g;2
33
Lids
rep
air;
1
12
Syr
ingi
ng fo
r F
B
11
2
Flu
ores
cein
st
aini
ng
of
corn
ea;
22
5
Vis
ion
test
ing;
23
5
Dire
ct o
phth
alm
osco
py1
13
Maj
or O
phth
alm
ic s
urge
ry3
Cas
e pr
esen
tatio
n2
23
Case presentation
Date Topic SupervisorSignature of imme-
diate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................
24
Oto
rhin
ola
ryn
go
log
y (E
NT
)
Dep
artm
ent:
Oto
rhin
ola
ryn
go
log
y (E
NT
)
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Man
agem
ent o
f epi
stax
is1
12
Aur
al s
yrin
ging
12
Ear
toile
ting
12
Em
erge
ncy
airw
ay2
2
Rem
oval
of
the
fore
ign
bodi
es fr
om th
e no
se1
12
Rem
oval
of
the
fore
ign
bodi
es fr
om th
e ea
r1
12
Maj
or E
NT
pro
cedu
res
11
Cas
e pr
esen
tatio
n Tw
o ca
ses
each
of E
ar, N
ose,
Hea
d an
d N
eck
25
Case presentation
Date Topic SupervisorSignature of
immediate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................
26
An
aest
hes
iolo
gy
Dep
artm
ent:
An
aest
hes
iolo
gy
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Pre
-ana
esth
etic
che
ck u
p1
11
Mon
itor
patie
nts
unde
r G
A1
11
intu
batio
n,1
11
Spi
nal a
naes
thes
ia1
1
Ner
ve b
lock
1
11
CP
R1
11
Mai
nten
ance
of
anae
sthe
tic r
ecor
ds1
Cas
e pr
esen
tatio
n1
27
Case presentation
Date Topic SupervisorSignature of
immediate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :......................................
28
Rad
iod
iag
no
sis
and
imag
ing
Dep
artm
ent:
Rad
iod
iag
no
sis
and
imag
ing
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Inte
rpre
tatio
n of
P
lain
X-r
ays
11
5
Inte
rpre
tatio
n of
US
G
findi
ngs
12
5
Cas
e pr
esen
tatio
n1
29
Case presentation
Date Topic SupervisorSignature of
immediate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................
30
Fo
ren
sic
Med
icin
e
Dep
artm
ent:
Fo
ren
sic
Med
icin
e
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
For
ensi
c ex
amin
atio
ns
11
1
For
ensi
c re
port
s w
ritin
g1
11
Cas
e pr
esen
tatio
n1
31
Case presentation
Date Topic SupervisorSignature of
immediate supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :...........................................
32
Co
mm
un
ity
Med
icin
e
Dep
artm
ent:
Co
mm
un
ity
med
icin
e
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Chi
ld Im
mun
izat
ion
53
AE
FI
De
pe
nd
ing
upon
cas
e
Ant
e-na
tal c
heck
Up
13
5
Pos
t Nat
al C
heck
Up
12
3
Dia
gnos
is
of
Pre
gnan
cy
Com
plic
atio
ns
12
3
Fill
up
Mot
her
and
child
he
alth
han
d bo
ok2
25
Cop
per
T In
sert
ion
25
10
Dis
pens
ing
of
OC
P/
Con
dom
s1
25
33
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Inje
ctin
g D
MP
A
33
Vas
ecto
my
11
Hea
lth E
duca
tion
12
2
Cou
nsel
ling
for
HIV
12
2
case
pre
sent
atio
n I c
ase
per
wee
k
34
Case presentation
Date Topic SupervisorSignature of immediate
supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................
35
Tran
sfu
sio
n M
edic
ine
Dep
artm
ent:
Tran
sfu
sio
n M
edic
ine
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Blo
od d
onor
scr
eeni
ng5
55
Blo
od d
onor
def
erra
l5
55
Blo
od c
olle
ctio
n
proc
edur
e2
22
Man
agem
ent o
f don
or
adve
rse
reac
tion
33
3
Pos
t don
atio
n co
unse
lling
33
3
Pre
-tra
nsfu
sion
che
cks
33
3
Clin
ical
tran
sfus
ion
P
roce
ss (
bed
side
)3
33
36
Case presentation
Date Topic SupervisorSignature of immediate
supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................
37
Em
erg
ency
Dep
artm
ent
Dep
artm
ent:
Em
erg
ency
Dep
artm
ent
Per
iod
of
po
stin
g
Fro
m:
To:
Nam
e o
f su
per
viso
r
Proc
edur
eTa
rget
Achi
evem
ent
Rem
arks
Sign
atur
e of
imm
ediat
e su
perv
isor
Obse
rved
Assis
ted
Perfo
rmed
Obse
rved
Assis
ted
Perfo
rmed
Man
agem
ent o
f med
ical
, su
rgic
al, o
rtho
paed
ic a
nd
othe
r em
erge
ncy
case
s 5
515
Cas
e pr
esen
tatio
n2
per
wee
k
38
Case presentation
Date Topic SupervisorSignature of immediate
supervisor
Assessment by the supervisor:
Core Competency Score Remarks
Knowledge
Aptitude
Behaviour
Communication
Professional Skills
Punctuality/responsibility
Total
(Signature of Head of Department) Date :..........................................