residents log book - aubmc · fractures . 63/139 5. osteoporosis . 64/139 6. back pain/cervical...

AMERICAN UNIVERSITY OF BEIRUT - MEDICAL CENTER

DEPARTMENT OF FAMILY MEDICINE

RESIDENTS LOG BOOK

Name of Resident: _______________________ Training Years: ______

2/139

Table of Content

1. Personal Data .............................................................................................................................................. 3

2. Rotations Schedule ..................................................................................................................................... 4

3. Care Takers Seen in the Family Medicine Setting ..................................................................................... 5

4. Rotations outside Family Medicine Department .......................................................................................98

5. Procedural skills for the family physician ...............................................................................................119

6. Journal Club Articles Presented: .............................................................................................................128

7. Core Content Topics Presented ...............................................................................................................129

8. Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc…) ..................................130

Updated: September 2014

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Family Medicine Program

1. Personal Data

� First (PGY1) � Second (PGY2) � Third (PGY3) � Fourth (PGY4)

Resident Name: _____________________________

Date of Birth: - - / - - / - - - - Gender: €€€€ Male €€€€ Female

Nationality: _____________

Marital Status: �� Single �� Married

No. of children: _______

Address: _______________________________________________________________

Telephone #: __________

E-mail: _______________

Place of Graduation: _____________________________________________________

Date of Joining AUB training program: - - / - - / - - - -

4/139

2. Rotations Schedule

Block#

&

Duration

Rotation

Name

PGY 1 PGY 2 PGY 3 PGY 4

Block

Block

Block

Block

Block

Block

Block

Block

Block

Block

Block

Block

Block

Block

5/139

3. Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age

Health Care Maintenance (Promotion, Prevention, Immunization)

7/139

Health Care Education/counseling

9/139

Care Takers Seen in the Family Medicine Setting

Health Issue/ Gender/ Age

Constitutional

1. Fatigue

10/139

2. Weight loss

11/139

3. Fever(list infectious and non infectious diagnosis)

12/139



Cardiovascular

1. Hypertension

13/139

2 Ischemic Heart Disease

14/139

3. Heart Failure

15/139

4.Valvular Heart

Disease

16/139

5. Peripheral vascular

Disease/Phlebitis

17/139

6. Arrythmias

18/139

7. Others

19/139



Respiratory

1. Asthma

20/139

2. C O P D

21/139

3. U R T I

22/139

4.Lower Respiratory

Infection

23/139

5. Chronic cough

24/139

6.Others

25/139



Gastrointestinal

1. Functional dyspepsia

26/139

2. Irritable Bowel Syndrome

27/139

3. Peptic ulcer disease

28/139

4. Gastritis

29/139

5. GERD

30/139

6. Inflammatory Bowel Disease

31/139

7. Constipation

32/139

8. Diarrhea

33/139

9. Gastroentritis

34/139

10. GI tumors

35/139

11. Liver/gallbladder

Disease

36/139

12. Others

37/139



Gynecology / Obstetrics

1.Contraceptive guidance

38/139

2. Vaginitis/cervicitis/PID

39/139

3. Irregular menses

40/139

4. Menopause/sx/postmenauposal bleed

41/139

5.Prenatal Care/Deliveriy/ postnatal care

42/139

6. Breast Disease

43/139

7. Others

44/139



Hematological

1.Anemia

45/139

2. Coagulation defect

46/139

3. Thalassemia /

sickle cell disease

47/139

4. ITP/TTP

48/139

5. Others

49/139



Endocrine

1. Diabetes

50/139

2.Thyroid Diseases

51/139

3.Lipid metabolism Disorder

52/139

4. Obesity

53/139

5. others

54/139



Genitourinary

1. U T I

55/139

2. Prostate Diseases

56/139

3. S T D’S

57/139

4. Nephrolithiasis

58/139

5.others

59/139



Musculoskeletal

1.Arthritis (other than back)

60/139

2. knee pathology

61/139

3. Sprains / Strains

62/139

4. Fractures

63/139

5. Osteoporosis

64/139

6. Back pain/cervical spine syndromes

65/139

7.Fibromyalgia

66/139

8.Polymyalgia rheumatica

67/139

9. Other

68/139



Dermatologic

1. Dermatitis (contact, eczema, seborrheic)

69/139

2. Skin Infections(Bacterial & Fungal)

70/139

3. viral skin rash

71/139

4.Urticaria

72/139

4. Lacerations / Burns /Skin Ulcers

73/139

5.Skin Cancer

74/139

6.Pruritis/others

75/139



Opthalmologic

1. Red Eye/eyelid infections

76/139

2.Visual Disturbance

77/139

3. Refractive errors

78/139

4. Others

79/139



Ear / Nose / Throat

1. Ear Problems

80/139

2.Sinus Problems

81/139

3. Nasal problems

82/139

4. Others

83/139

Neurological

1. Headache



84/139

2. Dizziness

85/139

3.Vertigo

86/139

4.. Dementia

87/139

5.Parkinson’s Disease

88/139

6. Epilepsy

89/139

7. Stroke / TIA

90/139

7. Other

91/139



Psychiatry/ Behavioral

1. Mood disorders

92/139

2.Anxiety disorders

93/139

3. Substance Abuse

94/139

4.Family Dynamic Problems

95/139

5. Psychotic features

96/139

6. Behavior/Personality Disorder

97/139

7. Others

98/139

4. Rotations outside Family Medicine Department

4.1 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

99/139

4.2 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

100/139

4.3 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

101/139

4.4 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

102/139

4.5 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

103/139

4.6 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

104/139

4.7 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

105/139

4.8 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

106/139

4.9 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

107/139

4.10 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

108/139

4.11 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

109/139

4.12 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

110/139

4.13 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

111/139

4.14 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

112/139

4.15 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

113/139

4.16 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

114/139

4.17 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

115/139

4.18 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

116/139

4.19 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

117/139

4.20 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

118/139

4.21 Rotation: _______________________________ From / / To / /

Health Issue(s)

# of cases seen

119/139

5. Procedural skills for the family physician

There are a number of minor procedures with which all family medicine residents should be familiar and competent indicated as core (c). You need to do the procedure three times by yourself without guidance under supervision before you can do it independently. It is obligatory to log your procedures in My Evaluation. Failure to do this means that you can not perform a procedure independently. Core procedures(c)

Urinalysis - dipstick and microscopic (C) Stool for occult blood (C)

Taking swabs - throat, cervix, urethra, abscess(C) Taking blood (C) Skin scraping for fungus(C) Visual acuity, colour vision (C) Injections - intradermal, subcutaneous, intramuscular (C) Management of hyposensitizing injections Wood’s Light examination (C) ECG(C) Simple Spirometry (C) Abscess incision and drainage (C)

Laceration repair; suture and gluing(C) Skin biopsy; shave, punch and excisional(C) Release subungual hematoma(C) Drainage acute paronychia Partial toenail removal(C) Infiltration of local anesthetic(C) Digital block in finger or toe(C) Instillation of Fluorescein(C) Removal of Cerumen(C) Nasogastric tube insertion(C) Insertion of Intrauterine Device(C) Placement of transurethral catheter(C) Pap smear (C) Splinting of injured extremities(C) Application of sling – upper extremity (C) Oral airway insertion(C) Bag and Mask ventilation(C) Endotracheal intubation(C) Cardiac defibrillation(C) Cardioversion Peripheral intravenous line; adult and child(C) Peripheral venous access; infant

Anterior nasal packing(C)

120/139

There are many other procedures which are less frequently performed in practice and require more advanced training. All of these procedures are within the realm of family medicine practice but may be less commonly performed by some family physicians. You will have the opportunity to become familiar with these procedures during your training but you may not become fully competent in all of them. Advanced Skills Integumentary Procedures:

• Wound debridement(C)

• Insertion of sutures; simple, mattress and subcuticular(C)

• Excision of dermal lesions eg. Papilloma, nevus or cyst

• Cryotherapy of skin lesions(C)

• Electrocautery of skin lesions

• Removal of foreign body eg. Fish hook, splinter, or glass

• Pare skin callus Eye Procedures:

• Removal of corneal or conjunctival foreign body

• Application of eye patch

Ear Procedures:

• Removal of foreign body

Nose and Throat Procedures:

• Removal of Foreign Body

• Freeing of tongue tie

Gastrointestinal Procedures:

• Incise and drain thrombosed external hemorrhoid

• Gastric Lavage

Genitourinary Procedures:

• Aspirate of hydrocele • Aspirate breast cyst

• Circumcision

• Diaphragm fitting and insertion

• Endometrial aspiration biopsy

121/139

Obstetrical Procedures:

• Normal vaginal delivery

• Episiotomy and repair

• Artificial rupture of membranes

Musculoskeletal Procedures:

• Reduction of dislocated finger

• Reduce dislocated radial head (Pulled elbow)

• Reduce dislocated shoulder

• Application of forearm cast

• Application of Scaphoid cast

• Application of ulnar gutter splint

• Application of below-knee cast

• Aspiration and injection knee joint(C)

• Aspiration and injection shoulder joint(C)

• Injection of Lateral Epicondyle, (Tennis elbow)/trigger finger/carpal tunnel(C)

• Aspiration and injection of bursae; eg. patellar, sub-acromial

It is recommended that you keep a record of procedures and clinical experiences such as obstetrical deliveries, resuscitations, etc. that you participate in and discuss this with your family medicine preceptor at the time of your evaluation.

122/139

PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN

Date Procedure Rotation Your Role Supervisor

See list IM, Surg, FM, ED etc.

observed, assisted, done

yourself

123/139





yourself

124/139





yourself

125/139





yourself

126/139





yourself

127/139





yourself

128/139

6. Journal Club Articles Presented:

Title Journal Issue Date

129/139

7. Core Content Topics Presented

Topic Date

130/139

8. Record of the Attended Teaching Sessions (Conferences / Grand Rounds

etc…)

Date Division Session Title Speaker

131/139

Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc…)

Date Division Session Title Speaker

132/139

Overall evaluation of the rotations

Date of evaluation:

On a Likert scale from 1 to 5, indicate your choice. One is the least favorable. NA=not

applicable.

1.Family Medicine: 1.a. FMPC:

-Patient’s load: 1 2 3 4 5

-Variety of cases: 1 2 3 4 5

-Beneficial supervision by preceptors: 1 2 3 4 5

-Continuity of care & patient’s follow up: 1 2 3 4 5

-Teaching value: 1 2 3 4 5

-Overall organization of clinics sessions & patient’s services: 1 2 3 4 5

-Comments & suggestions for improvement:

____________________________________________________________

____________________________________________________________

1.b. Tahaddi’s clinic: -Patient’s load: 1 2 3 4 5







____________________________________________________________

____________________________________________________________

1.c. Badaro’s clinic: -Patient’s load: 1 2 3 4 5







____________________________________________________________

____________________________________________________________

133/139

1.d. FGC: -Patient’s load: 1 2 3 4 5






____________________________________________________________

____________________________________________________________

1.e. Family Medicine in-patients team: -Patient’s load: 1 2 3 4 5


-Team work (Faculty, residents & students) 1 2 3 4 5



-Overall organization of rotation: 1 2 3 4 5


____________________________________________________________

____________________________________________________________

2. Internal Medicine: 2.a. Internal Medicine in-patients team: -Patient’s load: 1 2 3 4 5






-Overlap of FM continuity clinic time with rotation requirements Y N


____________________________________________________________

____________________________________________________________

134/139

2.b. ER medicine rotation: -Patient’s load: 1 2 3 4 5







____________________________________________________________

____________________________________________________________

2.c. Cardiology rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5

-Mention names of faculty members with whom shadowing is most beneficial:

____________________________________________________________

-Teaching value of OPD sessions: 1 2 3 4 5

-Teaching value of rounds and consultations on floors 1 2 3 4 5





____________________________________________________________

____________________________________________________________

2.d. Pulmonary rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5


____________________________________________________________







____________________________________________________________

____________________________________________________________

135/139

2.e. Endocrinology rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..







____________________________________________________________

____________________________________________________________

2.f. ID rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..







____________________________________________________________

____________________________________________________________

2.g. Neurology rotation:

-Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..







____________________________________________________________

____________________________________________________________

136/139

2.h. Rheumatology rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..







____________________________________________________________

____________________________________________________________

2.j. GI rotation: -Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..







____________________________________________________________

____________________________________________________________

3. Pediatrics: 3.a. ER pediatrics -Patient’s load: 1 2 3 4 5







____________________________________________________________

____________________________________________________________

137/139

3.b. Pediatrics floor rotation / Makassed General Hospital -Patient’s load: 1 2 3 4 5







____________________________________________________________

____________________________________________________________

3.c. OPD pediatrics -Patient’s load: 1 2 3 4 5








____________________________________________________________

____________________________________________________________

4.Surgery 4.a. Minor surgery / Military hospital -Patient’s load: 1 2 3 4 5





____________________________________________________________

____________________________________________________________

138/139

4.b. Surgery clinics- AUB-MC -Teaching value of shadowing in private clinics: 1 2 3 4 5


…………………………………………………………………………………………..






____________________________________________________________

____________________________________________________________

5. Ob-GYN 5.a. Delivery suite-AUB-MC:

-Patient’s load: 1 2 3 4 5








____________________________________________________________

____________________________________________________________

5.b. Delivery suite-RHUH: -Patient’s load: 1 2 3 4 5








____________________________________________________________

____________________________________________________________

139/139

5.c. OPD-AUB-MC: -Patient’s load: 1 2 3 4 5








____________________________________________________________

____________________________________________________________

residents log book - aubmc · fractures . 63/139 5. osteoporosis . 64/139 6. back pain/cervical...

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