Medicine.docx · Web viewPerformance lumbar puncture Measurement of CSF pressure Preparation and...
Transcript of Medicine.docx · Web viewPerformance lumbar puncture Measurement of CSF pressure Preparation and...
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Royal Medical Services
Professional Training Division
Logbook for Internal Medicine Residents
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Explanatory Notes
This is an important document. The logbook is an integral part of basic internal medicine training and it will provide a record of your medical experience and your academic and educational activities. It will be part of your assessment as you move through basic internal medicine training and it will be required for the final year of residency and Board examination.
This logbook is intended to be a record of all procedures you perform or participate in as part of your internal medicine training.
Training Posts Held
On this page you are required to list, in chronological order, the posts which you have held during residency program at the completion of each post, the trainer or consultant to whom you have been attached must sign to indicate that you have satisfactorily completed the post. When you apply to sit the final assessment, the trainer or consultant with whom you are attached will verify that the log book is complete and authenticated.
Educational and Academic Activities
You must record the fact that you have sat for and succeeded the basic board examination. A copy of the Jordan Medical Council Primary board certificate should be included with your logbook. On this sheet, records of attendance at other training courses, meetings, and lectures should be recorded. It is not intended that you record educational activities within the unit to which you are
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attached. Publications and other personal contributions should be included as well as any involvement in research projects.
The logbook is divided into numbered segments, corresponding to the training posts held. Details of your record of Emergency cases log ,Followup cases log and all procedures you perform or participate should be completed for each of these posts.
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P e r s o n a l d et ail s:
Full Name in Arabic:
Full name in English:
National number:
Start date of your residency program:
Your signature:
Head of the Department:
Signature & Stamp: Date:
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Training Posts Held
PostNumbe
r
Hospital ResidencyYear
StartDate
FinishDate
Consultant Consultant signature
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
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17th
18th
19th
20th
This form should only be signed by the consultant or trainer at the end of the post, provided that the trainee has finished the period of the training satisfactorily.
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Educational and Academic Activities
Mandatory Certificate (s):
Jordan Medical Council First Part Board Examination Certificate:
Date of Issuing the Certificate:
Certificate Number:
Other Courses:
Course Date Location Course Director
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Patients· Case Log
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Emergency cases
Cardiovascular systemCase description Minimum No. of cases
Left sided heart failure 5
Acute chest pain 10
Arrhythmias 5
Hypertensive emergencies 10
Syncope 5
ShockCardiogenic 5Hypovolemic 5Septic and acute systemic
inflammatory response 2
Respiratory systemCase description Minimum No. of cases
Status asthmaticus 5
Acute respiratory failure 10
Hemoptysis 2
ARDS 1
Pulmonary embolism 2
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GITCase description Minimum No. of cases
Upper GIT bleeding 30
Lower GIT bleeding 10
Hepatic encephalopathy 20
Acute & fulminant hepatitis 1-3
Acute abdomen 5
KidneyCase description Minimum No. of cases
Acute renal failure &CRF 10
Electrolytes and acid base imbalance 15
Renal colic 10
Acute pyelonephritis 5
Hemolytic uremic syndrome 1
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Neurology
Case description Minimum No. of cases
Convulsions and epilepsy 5
Disturbed level of consciousness 5
TIA & Stroke 10
Ascending paralysis 1
Acute paraplegias 1
Subarachnoid hemorrhage 1
Meningitis 2
Encephalitis 2
EndocrineCase description Minimum No. of cases
Thyrotoxic crisis 1
Myxedema coma 1
Suprarenal emergencies 1
Diabetic emergenciesDKA 20Hypoglycaemia 5Diabetic foot 10Hyperosmolar 4
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Autoimmune diseasesCase description Minimum No. of cases
SLE emergencies 2
Antiphospholipid syndrome 2
BloodCase description Minimum No. of cases
Haemolytic crisis (jaundice) 3
Haemorrhagic diseases 5
OthersCase description Minimum No. of cases
Jaundice of Pregnancy 1
Hyperthermia 1
Anaphylaxis 1
Angioneurotic edema 2
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Patients’ case Log
Number Trainer’sClinicalC
onditionObserved
Managed Under
Supervisio
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Managed
Independ-
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signature
& date
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16Patients’ case
LogNumber Trainer’sC
linicalCondition
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17Patients’ case
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Non Emergency Medical cases LogAnd follow up of emergency cases
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System based medical conditions
Cardiac casesCase description Minimum No. of cases
CHF 10
Valvular heart disease 10
Ischemic heart disease 15
Cardiomyopathy 3
Hypertension 20
Arrythmias; AF & others 10
Infective endocarditis 2
Rheumatic fever 3
Respiratory casesCase description Minimum No. of cases
COPDs 30
Upper respiratory infection 20
Lower respiratory infection 10
Suppurative lung disease 3
Pleural effusion 5
Pneumothorax 1
Obstructive sleep apnea 5
Interstitial lung disease 2
Mediastinal syndrome 1
Tumors of lung & pleura 2
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Neurology casesCase description Minimum No. of cases
TIA 10
Vascular stroke 20
Paraplegia 5
Cranial nerves 5
Ataxias 2
Extrapyramidal syndromes 4
Peripheral neuritis & radiculopathy 5
Myasthenia (1ry and 2ry) 1
Brain tumors 2
Degenerative brain diseases 5
Language disorders 5
Headache 10
Migraine 5
Encephalitis, Meningitis and brain abscess 1
Increased intracranial tension 2
Myopathies & other muscles diseases 1
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Endocrinal and metabolic disordersCase description Minimum No. of cases
DM 50Type1, 2, uncontrolled,, Gestational & complicated
Pituitary failure & hypopituitarism 2
Diseases of suprarenal 3
Thyroid diseases 10
Gonadal disorders 1
NutritionCase description Minimum No. of cases
Cachexia 3
Metabolic syndrome& obesity 20
Vitamin deficiencies 10
Bone diseasesCase description Minimum No. of cases
Osteomalacia 1
Osteoporosis 5
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HematologyCase description Minimum No. of cases
Anemias 20
Leukemias 4
Purpura 5
DVT 5
Multiple myeloma 1
Paraproteinemia 1
NephrologyCase description Minimum No. of cases
Glomerulonephritis 5
Nephrotic syndrome 5
Urinary tract infection 5
ESRD 5
InfectionsCase description Minimum No. of cases
Salmonellosis 10
Hepatitis 10
Brucellosis 2
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GIT and hepatologyCase description Minimum No. of cases
Functional GIT problems 30
Chronic diarrhea 5
Jaundice 10
Diseases related to travelling to endemic areasCase description Minimum No. of cases
Malaria 2
Avian flu 0-1
Others 1
OthersCase description Minimum No. of cases
Skin manifestations of medical diseases 20
Occupational diseases 2
Psychiatric disorders in general practice 5
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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Patients’ followup logPatient name ID Provisional
diagnosisFinal diagnosis
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Patients’ followup logManagement O A P Trainer signature and
date
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10
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Procedures' Log
Level of trainees participation in different procedures1. Observation of the procedure O2. Assistance in the procedure A3. Performance of the Procedure (supervised) Ps4. Performance of the procedure (independent) P
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During the whole duration of the training course , the candidate should acquire all the skills in the different disciplines
You are expected to record all your activities in the log book , which should be signed by your supervisor .
The basic skills include :
First and s econd ye a r Complete history and physical examination
Recording and interprtetation ECG
Management of cardiopulmonary arrest
Interprtetation ofchest x ray
Interprtetation of abdominal film
Performance lumbar puncture
Measurement of CSF pressure
Preparation and examination of blood films cytology and different parasites
Recognition and practice of the techniques and blood grouping and cross matching and blood transfusion
Interprtetation of abdominal ultrasound
Interprtetation of joints and back x ray.
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Third and f ourth year Interpretation of echo cardiogram
Analysis of pulmonary function tests
Interpretation of CT ,MRI chest
Performance of pleural aspiration
Performance of liver biopsy
Abdominal CT and abdominal MRI
Performance of peritoneal dialysis
Interprtetation of EEG
Performance of aspiration and biopsy of bone marrow
Observing closely starting a patient on haemodialysis
Observing closely starting a patient on renal biopsies
Upper GI endoscopy
Lower GI endoscopy
Interpretation of joints and back CT , MRI
Performance of arthrocenthesis and joint injection
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75Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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76Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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77Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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78Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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79Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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80Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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81Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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82Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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83Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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84Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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85Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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86Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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87Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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88Procedure Log
Number Trainer’sCase diagnosis Procedure name O A P
signature
& date
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AcademicActivities
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Journal club titles
Topic DateTrainer’sSignature
Approach to a patient with bronchial asthmaThe evidence based approach for com- pelling indications of hypotensive drugs in the management of hypertensionAcute diarrheaDegenerative diseases of CNS Radiculopathy & peripheral neuropathy Approach to a patient with syncope Approach to patients with convulsions Stroke in young patientsProlonged fever of unknown originMetabolic syndromes Myelodysplastic syndrome. Polymyalgia and temporal arteritisRecent insights on the management of connective tissue diseasesSkin manifestations of medical diseasesHypercoagulable stateOsteoporosis
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Journal Clubs and scientific meetings
Title of the Club/Meeting DateTrainer’s
Signature
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Journal Clubs and scientific meetings
Title of the Club/Meeting DateTrainer’s
Signature
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94Required lectures
Title Date Supervisor signature
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95Required lectures
Title Date Supervisor signature
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96Required lectures
Title Date Supervisor signature
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Required Seminars
Title DateTrainer’sSignature
Anticoagulants, antiplatelet, and thrombolytic therapy
Antibiotics and chemotherapeutics
Anti inflammatory and immunosuppressive
drugsGeneralized & unilateral Edema
Approach to a patient with polyuria Approach to a patient
with GIT bleeding Approach to a young patient with stroke
Physiology of normal coagulation & Hypercoagulable state.Approach to a patient with
polyarthritisApproach to a patient with loss of
weightFalls in the
elderlyFatigue Headache
and migraine Vertigo
Prolonged fever of unknown origin
Indications, precautions and interpretation of different types of imaging
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Summative evaluation:
5: excellent 4: very good 3: good 2: poor 1: unacceptable
Clinical and technical skills 5 4 3 2 1
Problem identification
Patient management
Emergency treatment
Procedure skills
Descriptive evaluation :
Personal and professional maturity 5 4 3 2 1
Punctuality
Emotional and professional maturity
Relationship with other medical personnel
Appling ethical principls in patient care
Communication skills
Descriptive evaluation :
5 4 3 2 1
Overall performance
Descriptive evaluation :
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Recommended to sit for exam: Yes No
If No why:
The resident eligibility for exam should include:
1. Overall evaluation should not be less than 3
2. Lack of any documented misconduct or unethical behavior
Supervisor name and signature
Program director signature
Chief of department name and signature
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