NAME OF RESIDENT _______________________________

RESIDENCY PROGRAM ______MENDERO MEDICAL CENTER____

YEARS OF RESIDENCY
___________________________________

Summary of Procedures accomplished during the full

residency training
Minimum
Nos
Required Year Year Year Year Year Total
CHILDREN 1 2 3 4 5
EINCS Essential Intrapartum 25
and/or Newborn care and
Screening
Well baby check up 50
Well child check up 50
Well adolescent check 50
Vaccination 100
PPD test evaluation 20
Removal of foreign body : eye, ear, 5
nose, throat
Ear irrigation 10
Pediatric Chest PA interpretation 20
ECG Interpretation 5
Others not listed

Total of cases seen during the

year

Minimum
Nos
Required Year Year Year Year Year Total
ADULTS AND ELDERLY 1 2 3 4 5
Periodic Health Exam Package 50
Comprehensive geriatric 50
assessment ( elderly)
Mini mental status exam 50
Comprehensive ophthalmological 20
exam : Visual acuity testing, EOM
testing fundoscopy
Otoscopy 100
Clinical Breast exam 50
X-ray interpretation 100
ECG interpretation 100
Pap smear / Visual Acetic Acid 30
Comprehensive foot exam for DM 100
patients
Digital rectal examination and 50
prostate examination
Foreign body removal: ear/ nose/ 20
throat etc
Dix hallpike test and Epley 30
maneuver
NGT insertion 15
Foley catheter insertion 15
Cardio-pulmonary resuscitation 10
with endotracheal intubation
Use of Peak Flow Meter 50
Tuning fork test 15
Electrocautery: warts, etc. 5
Gastric lavage 5
Insulin therapy demonstration 15
Demo of Use of MDI / rotahaler/ 20
asthma devices
Others not listed

Total of cases seen during the

year : adult + elderly

Minimum
Nos
WOMEN’S REPRODUCTIVE Required Year Year Year Year Year Total
HEALTH 1 2 3 4 5
Pre natal check up 100
Normal vaginal delivery with labor 25
watch and partograph making
Family planning counseling 100
Family planning procedures : IUD optiona
insertion/ BTL l
Episiotomy and episiorrhapy 5
Others not listed

Minimum
Nos
Required Year Year Year Year Year Total
SURGICAL SKILLS 1 2 3 4 5
Circumcision 20
Excision of mass/ cysts 25
Incision and drainage of abscess 15
Repair of laceration and suture 25
removal
 Wound Debridement 20
Nail surgery 5
Others not listed

COMMUNICATION SKILLS Minimum

Nos
(with accompanying clinical Required Year Year Year Year Year Total
abstract and description of 1 2 3 4 5
intervention)
CEA, patient centered interviewing 100
or other psychoeducational forms
of intervention
Motivational counseling to change 50
behavior
Family meeting 50
Disclosure of bad news 30
Primary care Counseling : 5
Rogerian, intentional, Gestalt, BST
Mother’s class or public health 20
lectures
Meeting with community 5
stakeholders : facilitation skills
Case presentation [ clinical/ family] 5
FICA Spiritual History Tool 5
Others not listed

FAMILY AND COMMUNITY MED Minimum

Nos
WRITTEN REPORTS Required Year Year Year Year Year Total
Include titles or pertinent data 1 2 3 4 5
Research 1
EBM reports 3
QA report 1
Family Health Care Records 15/20
[minimum 5 per year level]
COPC Project report 1
Advocacy Report 1
Others not listed

Certified accurate by Residency Training Officer

Noted by Chairperson of the Department

A. Tally Sheets of Patients Seen

NAME OF RESIDENT :______________________ YEAR entered residency ____

Total Cases seen ________

CHILDREN’S AND ADOLESCENTS ‘ DISEASES : 0 – 19 YEARS OLD

Total cases listed = 76

Tally cases listed on your logbook annually. If the diagnosis is not on this list, add at the end and get the
ICD 10 code. Keep this in your Learning Portfolio.

Total
CASES ENCOUNTERED/ Year 1 2 3 4 5
NEURO = 5

Migrainous headaches (G43.9) / Tension

headaches (G 44.2)
Febrile Convulsion (R56) Fainting or
Syncope (R 55)
Epilepsy or recurrent seizures [G40]
Sleep disorders [G47] Insomnia [G47.0]
Insomnia due to medical condition
(G47.01)
Concussion- (S06.0)
Ophtha – ENT = 15

External diseases of the eye- Blepharitis

(H02.0) Hordeolum (H00.0) Chalazion
(H00.1)
Conjunctivitis (H10.) Acute atopic
conjunctivitis (H10.1) Acute conjunctivitis
(H10.3) Blepharoconjunctivitis (H10.5)
Error of refraction and accommodation
(H52) Strabismus (H50.9)
Visual disturbances (H53) Amblyopia
(H53.0) Color vision deficiency (H53.5)
Otitis externa (H60.0) Otitis externa
infective (H60.3) Otitis externa non
infective (H60.5)
Impacted cerumen (H61.2) Otomycosis
(B36.9)
Acute Serous otitis media (H65.0) Chronic
serous otitis media (H65.2) Chronic
mucoid OM (H65.3)
Acute Suppurative Otitis media (H66.0)
Chronic suppurative OM (H66.3)
Foreign body, Ears (T16) Foreign bodies,
Nose (T17.1) Foreign body Throat –
(T18.0)
Diseases of the oral cavity - Stomatitis
(K12) Recurrent oral aphthae (K12.0)
Diseases of salivary gland (K11)
Cheilitis and cheilosis / Diseases of the lip
and oral mucosa(K13.0) Diseases of the
tongue (K14)
Rhinitis (J31.0) / Sinusitis (J32.9)
Upper Respiratory Infection
Pharyngitis(JO 2.9) Laryngitis
(J04.0)/Tonsillitis (JO3.9) Acute
nasopharyngitis (J00)
Diphtheria (A36) Acute Obstructive
laryngitis/ Croup (J05.0) Acute Epiglottitis
(J05.1)
Parotitis (Mumps) with complications
(B26.8) Without complications (B26.9)
SKIN DISEASES = 8

Skin Infestations :Pediculosis (B85)/

Scabies (B86)
Skin infections - Bacterial : Furuncles and
Carbuncles (L02) Cellulitis (L03)
Skin infections – viral: warts (B07)
Skin infections – Fungal :Pityriasis capitis
(dandruff) (B5)
Seborrheic Dermatitis (L21)
Atopic dermatitis (L20)
Miliaria rubra (L74)
Pruritus ani (L29)
CARDIAC – 2

Congenital Heart Disease (Q24.9)

Rheumatic heart disease (109.9)
PULMO = 4

Bronchial asthma (J45.9)

Acute bronchitis (J20.9)/ Acute
bronchiolitis (J21)
Pneumonia bacterial [J15]
Bronchopneumonia (J18)
Primary tuberculosis infection [A15.7]
GASTRIC = 6

Food Allergy (T78.1)/ Food poisoning

(A05) Lactose intolerance (E73)
Functional dyspepsia [K30]
Gastroesophageal reflux disease (GERD)
(K21.9) Gastritis (K29.7)
Acute gastroenteritis (A09) Rota-Virus
(AD8-4)
Parasitic diarrheas = Amebiasis- (A06.9)
Giardia Lambia (A07-1)
Dysentery – Like Diarrheas = Shigellosis
(A03.0) Salmonelliosis (A02.0)
Functional Constipation (K59.0)
GENITO-URINARY = 4

Urinary tract infection [ Cystitis –

(N30.9)] Asymptomatic bacteriuria
(N39.9)
Acute Pyelonephritis (N10)
Acute Glomerulonephritis (N04)
Sexually transmitted diseases =
Chlamydial Infections-(A74.9) Gonococcal
Infections (A54.9) Syphillis (A50)
Trichomonas vaginalis (B51) Vaginal
candidosis (A59)
MUSCULOSKELETAL = 6

Myalgia [M79.1] Pain in limb [M79.6]

Fibromyalgia [M79.7]
Cramps/ spasm [R25.2] Torticollis
(M43.6)
Sprains (T14.3) / Superficial injuries [S40/
S50/ S60/ S70/ S80/ S90]
Scoliosis, uncomplicated (M41)
Rheumatic fever (I00)
Pyogenic arthritis [M00] Postinfective and
reactive arthropathies [M02]
SYSTEMIC INFECTIONS = 7
Parasitic Diseases – (Q89.4) Ascariasis –
(B77.9) Hookworms Intestation – (B76.9)
Trichuriasis- (B79) Enterobiasis- (B80)
Trichinosis (B79) Enterobius
Vermicularis (B80) Taeniasis (B68)
Endemic diseases: Schistosomiasis –
(B65.9) Filariasis (B74)
Mosquito Borne = Dengue Fever (A90)
Malaria (B54)
Viral Exanthem - Measles (B05)
Rubella (B06) Exanthem subitum (B08.2)
Erythema infectiosum (B08.3)
Typhoid Fever (A01)
Hepatitis A (B15) / Hepatitis B
Rabies (A82) Leptospirosis (A27)
EMERGENCIES = 6
Burns <10% (T31)
Anaphylactic shock unspecific [ T78.2]
Angioneurotic edema [T78.3]
Food allergy : shellfish [T78.02] fish
[T78.03] vegetables [T78.04] nuts and
seeds [T78.05] milk and dairy products
[t78.07]
Accidental Poisoning = Salicylate (T39) /
Alkalis and acid (T54.2)/ INH (T37.1)
Acute appendicitis (K35)
Unspecified multiple injuries [T07]
Fracture [S40/ S52/ S72/ S82/ S92]
TOXICOLOGY = 3

Mental and behavioural disorders due to

multiple drug use and use of other
psychoactive substances F19 acute
intoxication (F 19.0) Harmful use (F19. 1)
Dependence syndrome (F19.2)
Withdrawal state (F19.3)
Substance Abuse = Alcohol (F10.1)
Tobacco use/ Secondhand Smoke (T65.2)
Opioid use (F11)
MENTAL HEALTH and BEHAVIORAL DISORDERS = 6

Emotional disorders with onset specific to

childhood [F93] Separation Anxiety
Disorder (F93.0) Social anxiety (F93.2)
Sibling rivalry (F93.3)
Enuresis, nonorganic (F98)
Habit disorders- tics (F95)/ trichotillomania
(F63.3)/ Stuttering (F98.5)/
Feeding disorders of infancy and
childhood (F98.2) Pica of infancy and
childhood (F98.3)
Disorders of activity and attention ADHD
(f90.0) , Down Syndrome (Q90.1)
Autism (F84)
Child Abuse - (T74.9)

MALNUTRITION = 4
Vitamin Deficiency : Vitamin A Deficiency
(E50)/ Beriberi (E51.1)/ Niacin Deficiency
(E52)/ Riboflavin Deficiency (E53)/
Vitamin C Deficiency (E54)/ Vitamin D
Deficiency (E55.9)
Goiter (E 01) Non toxic goiter (E04)
Thyrotoxicosis with diffuse goiter (E05)
Protein Calorie malnutrition of mild and
moderate degree [ E44] Marasmus [ E41]
Kwashiorkor (E40)
Childhood Obesity (E66)
NOT LISTED

LIST OF ADULT DISEASES : 20 – 59 YEARS OLD

Total Cases listed = 116

Tally cases listed on your logbook annually. If the diagnosis is not on this list, add at the end and get the
ICD 10 code. Keep this in your Learning Portfolio.

TOTAL
CASES ENCOUNTERED/ YEAR 1 2 3 4 5
NEURO = 9

Headaches ; Migrainous headaches

(G43)/ Non migrainous headaches (G44)
Seizure disorders (R56)
Infectious diseases of the CNS = Common
bacterial meningitis (G00) Encephalitis
CVA / Transient ischemic attacks (G45)
Dementia in Alzheimer early onset
(G30.0) Vascular dementia (F01) Multi
infarct dementia (F01.1) Unspecified
(F03)
Polyneuropathy : Guillain Barre (G61.0)
Drug induced (G62.0) Alcohol (G62.1)
Due to disease (G63) DM polyneuropathy
(G63.2) Nutrition deficiency (G63.4)
Sleep disorders = Insomnia (G47)
Nerve root disorders: Trigeminal neuralgia
(G50.0) Bell’s palsy (G51.0) Cervical root
disorders (G54.2) Phantom limb syndrome
(G54.7) Carpal tunnel (G56.0) Morton
metatarsalgia (G57.6)
Postconcussional Syndrome (F07.2)
OPHTHALMOLOGY/ Eye care = 7

Conjunctivitis (H10.) Acute atopic

conjunctivitis (H10.1) Acute conjunctivitis
(H10.3) Blepharoconjunctivitis (H10.5)
External diseases of the Eye - Blepharitis
(H01)/ Hordeolum (H00) / Chalazion
(H00.1)
Dacryoadenitis [H04.0] Dry eye syndrome
[H04.12] Dacryocystitis acute [H04.32]
chronic [H04.41]
Error of refraction (H52) Presbyopia
[ H52.4] Visual disturbances (H53) )
Color vision deficiency (H53.5)
Age related cataract [H25 ] Other cataract
[H26]
Hypertensive retinopathy [ H35.03]
Diabetic retinopathy [ E08.31] Unspecific
macular degeneration [ H35.30]
Glaucoma [H 40]
OTORHINOLARYNGOLOGY - Ear,
Nose, Oral cavity, Neck = 9
Otitis externa (H60.0) Otitis externa
infective (H60.3) Otitis externa non
infective (H60.5)
Acute Serous otitis media (H65.0) Chronic
serous otitis media (H65.2) Chronic
mucoid OM (H65.3) Acute Suppurative
Otitis media (H66.0) Chronic suppurative
OM (H66.3)
Impacted cerumen (H61.2) Otomycosis
(B36.9)
Chronic rhinitis (J31) Chronic sinusitis
(J32) Nasal polyp (J33)
Allergic rhinitis (J30.4) AR Perennial
(J30.3) AR Seasonal (J30.2) Vasomotor
rhinitis (J30.0)
URTI = Acute tonsillitis (J03) / Acute
nasopharyngitis (J00) / Pharyngitis (JO2) /
Acute laryngitis (J14)
Diseases of the oral cavity - Stomatitis
(K12) Recurrent oral aphthae (K12.0)
Diseases of salivary gland (K11)
Benign paroxysmal vertigo (H81.1)
Meniere’s Disease (H81.0) Vestibular
neuronitis (H81.2)
Presbycusis (H91.1) Conductive hearing
loss (H90) Noise induced hearing loss
(H83.3)
SKIN DISEASES = 12

Cellulitis (L03) Impetigo (L01) Cutaneous

abscess , Carbuncle and furuncle (L02)
Varicella zoster/ Herpes zoster (B02)
Dermatophytosis (B35) Barbae (B35.0)
Unguium (B35.1) Hand (B35.2) Pedis
(B35.3) Corporis (B35.4) Pityriasis
versicolor (B36)
Pyoderma / Erythrasma (L08)
Atopic dermatitis (L20) Seborrheic
dermatitis (L21)
Allergic contact dermatitis (L23) metals
(L23.0) adhesives (L23.1) Chemical
products (L23.5)
Irritant contact dermatitis (L24) detergent
(L24.0) solvent (L24.2) cosmetics (L24.3)
Plants (L24.7)
Psoriasis (L40)
Paronychia / Candidiasis of nail (B37.2)
Sunburn (L55)
Acne (L70)
Scabies (B86)

CARDIAC = 6
Hypertension (I10)
Ischemic heart disease (I20)
Cardiomyopathy (I42) Alcohol (I42.6)
Driugs etc (I42.7)
Heart failure Class I, II (I50)
Paroxysmal tachycardia [I47]
Supraventricular tachycardia [I47.1] Atrial
fibrillation and flutter [ I48 ] Cardiac
arrhythmia unspecified [ I49.9 ]
Phlebitis and thrombophlebitis (I80) DVT
(I80.2)
Varicose veins (I 83) Venous
 insufficiency , chronic (I87.2)

PULMO = 6
Bronchial asthma (J45)
Acute bronchitis (J20)
Pneumonia (J18) Bacterial pneumonia
[J15 ] Viral pneumonia [ J12 ]
Pneumoconiosis unspecified [ J64 ]
Respiratory conditions due to inhalation of
chemicals, gases, fumes and vapors [ J68
] Pneumoconiosis due to asbestos and
other mineral fibers [J61 ]
Pleural effusion, not elsewhere classified
[J90 ] Pneumothorax and air leak [J93 ]
Other pleural conditions [ J95 ]

LIST OF DISEASES of the ELDERLY : 60 years old and above

Total Cases listed = 82

Tally cases listed on your logbook annually. If the diagnosis is not on this list, add at the end and get the
ICD 10 code. Keep this in your Learning Portfolio.
 TOTAL
CASES ENCOUNTERED/ YEAR 1 2 3 4 5

NEURO = 8
Stroke (I64)
Dementia in Alzheimer’s disease (F00)
Transient Cerebral Ischemic attack
(G45.9)
Encephalopathy (G93.4) Anoxic brain
damage (G93.1) Alcohol encephalopathy
(G93.2) Toxic enceph (G92) Post
radiation (G93.8)
Meningitis (G00) Encephalitis, myelitis,
encephalomyelitis (G05)
Parkinson’s disease (G20) Secondary
parkinsonism (G21) Drug induced
parkinsonism ( G21.1) Vascular
parkinsonism (G21.4)
Polyneuropathy : Guillain Barre (G61.0)
Drug induced (G62.0) Alcohol (G62.1)
Due to disease (G63) DM polyneuropathy
(G63.2) Nutrition deficiency (G63.4)
Senility (G31.1)

Ophtha – ENT = 11
Dacryoadenitis (H04)
Conjunctivitis (H10.) Acute atopic
conjunctivitis (H10.1) Acute conjunctivitis
(H10.3) Blepharoconjunctivitis (H10.5)
External diseases of the Eye - Blepharitis
(H01)/ Hordeolum (H00) / Chalazion
(H00.1)
Error of refraction (H52)
Glaucoma
Impacted cerumen (H61.2)
Chronic rhinitis (J31) Chronic sinusitis
(J32) Nasal polyp (J33)
Allergic rhinitis (J30.4) AR Perennial
(J30.3) AR Seasonal (J30.2) Vasomotor
rhinitis (J30.0)
URTI = Acute tonsillitis (J03) / Acute
nasopharyngitis (J00) / Pharyngitis (JO2) /
Acute laryngitis (J14)
Benign paroxysmal vertigo (H81.1)
Meniere’s Disease (H81.0) Vestibular
neuronitis (H81.2)
Presbycusis (H91.1) Conductive hearing
loss (H90) Noise induced hearing loss
(H83.3)

SKIN DISEASES = 12
Cellulitis (L03) Impetigo (L01) Cutaneous
abscess , Carbuncle and furuncle (L02)
Seborrheic keratosis [L82] Corns and
callosities [L84] Other epidermal
thickening [L85]
Dermatophytosis (B35) Barbae (B35.0)
Unguium (B35.1) Hand (B35.2) Pedis
(B35.3) Corporis (B35.4)
Pyoderma / Erythrasma (L08) Pityriasis
versicolor (B36)
Atopic dermatitis (L20) Seborrheic
dermatitis (L21)
Allergic contact dermatitis (L23) metals
(L23.0) adhesives (L23.1) Chemical
products (L23.5)
Irritant contact dermatitis (L24) detergent
(L24.0) solvent (L24.2) cosmetics (L24.3)
Plants (L24.7)
Psoriasis (L40)
Paronychia / Candidiasis of nail (B37.2)
Decubitus ulcers (L89)
Insect bites, Urticaria (L50)
Alopecia areata (L63)

CARDIAC = 6
Hypertension (I10)
Angina pectoris ( I20)
Atherosclerotic heart disease (I25.1)
Congestive Heart Failure (I50) I & II
Phlebitis and thrombophlebitis (I80) DVT
(I80.2)
Varicose veins (I 83) Venous
insufficiency , chronic (I87.2)

PULMO = 3
Chronic Obstructive Pulmonary Disease
(J44)
Community Acquired Pneumonia
Lung/ bronchus cancer [C34]

GASTRO-INTESTINAL = 6
Gastroesophageal reflux disease (GERD)
(K21)
Dyspepsia (K30)
Constipation, functional (K59) Functional
Diarrhea (K59.1) Irritable bowel syndrome
(K58)
Non infective gastroenteritis and colitis
(K52) Diverticulitis (K57)
Cholecystitis ( K81) acute (K81.0)
chronic (K81.1) Cholelithiasis (K80)
Acute Pancreatitis (K85)
Alcoholic liver disease (K70) Toxic liver
disease (K71) Non alcoholic
steatohepatitis (K75.8)
GENITO-URINARY = 6
Acute Pyelonephritis (N10)
Vaginitis, Atrophic (N95.2)
Benign prostatic hypertrophy (N40)
Acute urethritis non specific (N34. 1)
Urethritis and urethral syndrome [N34 ]
Urolithiasis Calculous of kidney and ureter
[ N20 ] Calculus of lower urinary tract
[ N21 ]
Hypertensive Chronic kidney disease [I12]
Sexual dysfunction (F52)

NUTRITION = 5
Nutritional anemia, unspecified (D53.9)
Iron deficiency anemia (D50)
Nutritional deficiency not specified (E
63.9)
Malabsorption due to intolerance (K90.4)
Lactose intolerance (E73)
Micronutirient deficiency: Vitamin and
mineral deficiency
Hyperuricemia, asymptomatic (E79.0)

MUSCULOSKELETAL = 6
Osteoarthritis (M13.9)
Rheumatoid arthritis (M05) uncomplicated
Gouty Arthritis (M10)
Osteoporosis (M81)
Falls, unspecified (W19)
Musculoskeletal strain (M61)

ENDOCRINE/ METABOLIC = 4
Diabetes Mellitus II (E11)
Obesity (E66)
DNTG/NNTG (E02-04)
Hyperlipidemia, unspecified (E87.5)
Hypercholesterolemia (E78.5)

SYSTEMIC INFECTIONS = 4
Influenza (J11) Influenza like Illness
[J11.1] Viral agents as cause of disease
[B97.89]
UTI (N30)
Tuberculosis (J18)
Viral hepatitis A (B15) Viral hepatitis B
((B16)

EMERGENCIES = 8
Burns < 10% (T31)
Fall (W19)
Incontinence, stress (N39.3)
Pain (R52.9)
Mixed disorder of acid-base balance
(E87.4) Acidosis (E87.2) Alkalosis
(E87.3) Electrolyte imbalance :
Hypokalemia (E87.5)Hyperkalemia
(E87.5) Fluid overload (E87.7)
Unspecified multiple injuries [T07]
Fracture [S40/ S52/ S72/ S82/ S92]
Acute abdomen (R10)
Adverse drug reaction

MENTAL HEALTH = 3
Anxiety Disorders (F41.1)
Depression (F32)
Adult and child abuse , neglect and other
maltreatment [T74]
NOT LISTED Please look for ICD 10
code