Intern Logbook Final

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INTERN LOGBOOK

1. Personal Details of Intern

 Name ………………...………………………………………………………………..
 Date commencement (DD/MM/YY) …………………………………………………..
 RMDC Provisional License No.…………………………………………………………
 Internship Center ……………………………………………………………………….
 Department: ……………………………………………………………………………..

2. Requirements for the rotation ( See Annex)


3. Portfolio

Date Patient procedure Observed/assisted Done under Done Remarks Supervisor


ID (a) supervision independently (p) (outcome) observation
Annex: Requirements for the rotation
1. SURGERY ROTATION PROCEDURE
Basic requirements for an intern in the Department of Surgery
Generally, an intern should:

i. Be able to clerk, investigate and present patients during ward rounds.


ii. Be able to adequately prepare patients undergoing various surgical procedures
iii. Be able to follow up patients after surgery till discharge and be able to write a proper discharge summary
iv. Participate in daily ward rounds; attend theatres, Surgical Out Patient Clinics (SOPC).
v. Must attend weekly departmental CMEs.
In addition to the above, at the end of the rotation one is expected to have participated in the following
procedures

General
surgery
No of
PROCEDURE cases No of cases Assisted SUPERVISORS
required

1 Surgical toilet 10(p)

2 Suturing of wounds 10(p)

3 Incision and drainage of abscess 10(p)

4 Insertion of chest tubes 5(p)

5 Removal of stitches 10(p)

6 Appendicectomy 2(a)

7 Repair of inguinal hernias 5(a)

8 Exploratory laparotomies 5(a)

9 Incision biopsy 5(p)

10 Excision of lumps 5(p)

12 Haemorrhoidectomy 5(a)

13 Assist in gut anastomosis 2(a)

14 Colostomy fashioning 2(a)


15 Closure of colostomies 2(a)

17 Male urethral catheterization 10(p)

18 Suprapubic catheterization 5(p)

19 Hydrocelectomy 2(a)

21 Circumcision 10(p)

24 Epistaxis management 3(a)

26 Performance of abdominal US 10(p)

27 Observation of postmortem 1(a)

28 Expertise medical legal 10p

Optinal Procedures in General surgery

PROCEDUREs No of cases supervisor


1 proctoscopy

2 Tracheostomy

3 Skin graft

4 Endotracheal
intubation
5 Thyroidectomy

7
Orthopedic Surgery and Trauma (DONE AS THE PRIMARY)
PROCEDURE NUMBER OF NUMBER OF REMARKS BY
CASES REQUIRED CASES DONE SUPERVISOR
1 Splinting of lower limb fractures (10)p

2 Splinting of upper limb fractures (10)p

3 Application of plaster of Paris( POP) upper (10)p


Limb

4 Application of plaster of Paris( POP) lower (10)p


Limb
Closed reduction
5 3(p)
6 Skin traction

Optinal procedure in Orthopedic


PROCEDURE NUMBER OF CASES REMARKS BY
REQUIRED THE
SUPERVISOR
1 Any paediatric surgical procedure

2 Transtibial traction
3 ORIF
4
5 OREF
6

9
1. OBSTETRICS AND GYNAECOLOGY
OBJECTIVES:
The medical officer intern rotating in the Department of Obstetrics and Gynaecology is required to fill in
the log book as part of the requirement for successfully completing the rotation.

Basic requirements for an intern in the Department of Obstetrics and Gynaecology


Generally an intern should:

i. Be able to clerk, investigate and present patients during ward rounds.


ii. Be able to adequately prepare patients undergoing various surgical procedures
iii. Be able to follow up patients after surgery till discharge and be able to write a proper discharge
summary
iv. Be able to present patients during the ward rounds and also attend theatres
v. Must attend weekly departmental CMEs. Should be assigned a topic presentation once per month
In addition to the above, at the end of the rotation one is expected to have participated in the following
procedures

A. OBSTETRICS
It is expected to monitor labour by use of a partogram
SUPERVISORS
NO. PROCEDURE NUMBER OF NUMBER COMMENTS
CASES OF
REQUIRED CASES
DONE
1. Normal delivery 20p
2. Episiotomy / Repair 10(p)
Examination under
3. Anaesthesia for 5(a)
PPH – 3
Delivery by Caeserian
4. Section 30p
Delivery of patient by
5. Vacuum 3(p)
Extraction
Be able to clerk,
7. investigate and 5(p)
manage patient with
Pre-eclampsia – 3
Eclampsia – 2 during
admission
Pregnant patient with HIV
8.
Obstetric ultrasound 10p
9. GBV 3P
GYNECOLOGY

NO. PROCEDURE NUMBER NUMBE SUPERVIS


OF CASES R OF ORS
REQUIRE CASES COMMEN
D DONE TS
Suction Curettage (MVA)
1 5P
Marsupialization for Bartholinis abscess
2 3p
Laparotomy for ectopic pregnancy
3 5p
3a
4 Ovarian cystectomy
5 Laparotomy for ectopic pregnancy 5p

6 Ovarian Cystectomy 3a

Delivery of multiple pregnancies 2p


7
Ballon tamponade for PPH 2p
8
Postmortem care/Autopsy 2p
9

ASSISTED IN THE FOLLOWING PROCEDURES


SUPERVIS
ORS
COMMEN
NO. PROCEDURE NUMBER OF NUMBER TS
CASES OF
REQUIRED CASES
DONE
1. Tubal surgery 5(a)
2. Exploratory laparotomy 5(a)
4. Total abdominal hysterectomy 5(a)
5. Vaginal hysterectomy 3(a)
6. Myomectomy 5(a)
Observe a postmortem 1(a)
7.
2. PAEDIATRICS
OBJECTIVES:
The medical officer intern rotating in the Department of Paediatrics is required to fill in the log book as
part of the requirement for successfully completing the rotation.

Basic requirements for an intern in the Department of Paediatrics


Generally an intern should:

vi. Be able to clerk, investigate and present patients during ward rounds.
vii. Be able to adequately prepare patients undergoing various surgical procedures
recommaned
viii. Must attend weekly departmental CMEs.

ix. An intern should have a topic for presentation once monthly

x. Approach to a critical ill child ( malaria, respiratory distress, malnutrition , convulsions


dehydration and shock.HF)
In addition to the above, at the end of the rotation one is expected to have participated in the following
procedures
Procedure Number of cases observation Supervision
requied

1 Lumbar Punctures 10p

2 IV Cannulation 50p

3 NG Tube insertion 20p

4 Urinary 5p
catheterization

5 Topics 3p -
presentations
-

6 Pleural taps 2p

7 Blood transfusion 10p

8 Ascitic taps 2p

9 Intraosseous 3p
insertion

10 Pediatric 3p
Ressuscitation

11 Malaria severe 10P

12 shock 2P

13 Dehydration 10P

14 Pneumonia 5P

15 Bronchiolitis 5P

16 Asthma 5P

17 Croup 2P

18 meningitis 5P

19 malnutrition 5P

20 HF 2P
Neonatology
Procedures Number of observation Supervision
and cases cases
management reqired
1 NGT 10p
2 LP 2P
3 IV canulation 15P
4 intraosseous 2p
5 phototherapy 5p
6 KMC initiation 10p
7 Feeding and Iv 20p
fluid mgt of new
born
8 New born 5p
rescitation
9 Management of 5p
neonatal sepsis
10 Hypoglycemia 5P
11 Convulsion 5P
12 Anemia 5P
13 Birth Asphyxia 5P
14 RDS in new born 5P
15 CPAP 10P
16 OUT PATIENT 50
CONSULTATION

3. INTERNAL MEDICINE
OBJECTIVES:
The medical officer intern rotating in the Department of Internal Medicine is required to fill in the log
book as part of the requirement for successfully completing the rotation.

PROCEDUREAND Number of cases


CASES required

1 LP 5p

2 Pleural tap 2p

3 Ascitic Taps 5p

4 Diabetic foot care 3p

5 Observe a post- 4p
mortem

6 Rescicitation (5p) 5p

7 IV cannulation 20 20p

8 NGT 5p

9 Urinary catheter 10p

10 DKA 3p

11 AKI 2p

12 HF P

13 Nephrotic sd 2

14 Severe malaria 5p

15 OPD Consultation 50
Intern evaluation form

CRITERIA NOTES
A Knowledge

Theoretical 1 2 3 4 5

Practical 1 2 3 4 5

B Clinical skills

History taking 1 2 3 4 5

Record keeping 1 2 3 4 5

Procedural skills 1 2 3 4 5

Clinical decision making 1 2 3 4 5

Patient Management 1 2 3 4 5

C Communication

Interpersonal 1 2 3 4 5
communication &
Presentation skills

D Professional attitude

Respect/Respectful, ethical, 1 2 3 4 5
compassionate and empathic

E Relationships

With management authorities, 1 2 3 4 5


peers and patients

F Ability to give feedback 1 2 3 4 5

Personal attitude

Behavior, punctuality, 1 2 3 4 5
initiative and creativity

Sub total

Grand total

Instructions: Circle the corresponding rate

1. Poor
2. Fair
3. Good
4. Very good
5. Excellent

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