POSTGRADUATE YEAR 1 LOGBOOK

Transcription

1 POSTGRADUATE YEAR 1 LOGBOOK Name: I/C or P/P No. :

2 How to use this logbook This logbook is for you to record your learning experience throughout the year. You will be required to review your logbook with your supervisor every month. Hence, it is your responsibility to keep your logbook current and ready for review. Instructions on filling in the logbook Logging of training activities for each posting Posting Period & Training Programme: Please record the period of posting, discussions with your supervisors and induction programme attended. Learning sessions: Please record sessions organised by your department/hospital which you have attended. Training Log: The logbook is pre-populated with the list of core conditions for each posting which you must complete. You may also record other conditions seen for your own learning reference. Your supervisor will choose any case(s) from this list of logged conditions for discussion during the monthly assessment. Reflective Log: You are encouraged to reflect on any aspect of your training and record your experience and learning points every month into this section. Logging of attendance at compulsory learning activities/courses Compulsory Learning Activities:

3 Institutions will organise sessions pertaining to systems-based practice, practice-based learning and improvement, patient safety and cost effectiveness. You must attend them and record attendance into this section. BCLS: You are required to successfully complete the BCLS course and record attendance into this section. Logging of core procedures performed Common core procedures: The logbook is pre-populated with the list of core procedures which you must complete. Documenting supervision for the procedures done is optional. You may also record other procedures done for your own learning reference. Your supervisor will choose any case(s) from this list of logged procedures for discussion during the monthly assessment. Common core procedures in Paediatric Medicine: The logbook is pre-populated with the list of core procedures for paediatric medicine which you are required to record and document supervision. You may also record other procedures done for your own learning reference. Your supervisor will choose any case(s) from this list of logged procedures for discussion during the monthly assessment.

4 Name (Please print name and underline surname) Date of Graduation Place of Graduation First HO Posting Second HO Posting Third HO Posting Hospital/Specialty Period PERSONAL INFORMATION Fourth HO Posting (if on 3-monthly rotation)

5 Contents Each Posting consist of: Posting Period & Training Programme Training Log Reflective Log 01 Medicine Posting 11 General Surgery Posting 19 Orthopaedic Surgery Posting 27 Obstetrics & Gynaecology Posting 35 Paediatrics Posting 44 Additional Approved Specialty Posting 51 Re-posting 67 List of Compulsory Learning Activities and Courses 68 Common List of Core Procedures 71 List of Core Procedures (Paediatric Medicine)

6 MEDICAL POSTING POSTING PERIOD : to HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review Name of Supervisor Date of Discussion MEDICAL POSTING End-of-Posting Review Additional Meetings: TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 1

7 Learning Sessions Type Grand Ward Round Details of Sessions Medical Mortality Round Morbidity Round X-Ray Round Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 2

8 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points Abdominal pain Altered mental state including management of: Alcohol-intoxicated patients Change in mentation Seizures Meningitis Encephalitis Atrial fibrillation and other dysrhythmias Change in bowel habits Chest pain including acute management of acute coronary syndromes Drug allergy, overdose and poisoning Dyspnoea and cough including management of: Acute pulmonary oedema Pneumonia 3

9 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points Pneumothorax Acute respiratory distress including management of: Chronic Bronchitis Asthma COPD Electrolyte disturbances (e.g. hyponatraemia, hyperkalaemia, hypokalaemia) including management of: Acute renal failure Chronic renal failure Uncontrolled diabetes (includes DKA & hypoglycaemia) Falls in elderly Fever Gastrointestinal bleeding 4

10 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points Headache & giddiness Hypertension including severe hypertension Joint pain Liver failure/jaundice Loss of appetite and weight and nutrition Loss of consciousness (syncope and fits) Lower limb swelling Nausea/vomiting and diarrhoea Pain management Weakness, numbness and stroke *Use only patients initials or last four digits and alphabet of patients NRIC 5

11 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 6

12 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 7

13 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 8

14 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 9

15 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 10

16 GENERAL SURGERY POSTING POSTING PERIOD : to HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: Name of Supervisor Date of Discussion GENERAL SURGERY POSTING TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 11

17 Learning Sessions Type Grand Ward Round Mortality Round Details of Sessions General Surgery Morbidity Round X-Ray Round Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 12

18 List of Core Conditions Diagnosis/Condition Acute abdomen including management of acute appendicitis Date *Patient ID Learning Points Acute limb ischaemia Acute urinary retention Change in bowel habits Common cancers Gastrointestinal bleed Hernias Intestinal obstruction Intra-abdominal sepsis including management of cholangitis and pancreatitis Trauma patient survey including management of head injury *Use only patients initials or last four digits and alphabet of patients NRIC 13

19 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 14

20 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 15

21 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 16

22 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 17

23 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 18

24 ORTHOPAEDIC SURGERY POSTING POSTING PERIOD : HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: to Name of Supervisor Date of Discussion ORTHOPAEDIC SURGERY POSTING TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 19

25 Learning Sessions Type Grand Ward Round Mortality Round Details of Sessions Orthopaedic Surgery Morbidity Round X-Ray Round Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 20

26 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points Acute compartment syndrome Avascular necrosis Backache Degenerative conditions of the spine Joint dislocations Musculoskeletal sepsis including management of: Septic arthritis Osteomyelitis Osteoarthritis Osteoporosis Spinal trauma including management of: Acute cord compression Chronic cord compression Trauma fractures (open and closed) and soft tissue injuries *Use only patients initials or last four digits and alphabet of patients NRIC 21

27 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 22

28 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 23

29 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 24

30 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 25

31 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 26

32 OBSTETRICS & GYNAECOLOGY POSTING POSTING PERIOD : HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: to Name of Supervisor Date of Discussion OBSTETRICS & GYNAECOLOGY POSTING TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 27

33 Learning Sessions Type Grand Ward Round Mortality Round Morbidity Round X-Ray Round Details of Sessions OBSTETRICS & GYNAECOLOGY Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 28

34 List of Core Conditions Diagnosis/Condition Abnormal uterine/vaginal bleeding including management of menorrhagia Acute abdomen in gynaecology including management of ectopic pregnancy Basic antenatal care and early pregnancy problems including management of: Date *Patient ID Learning Points Pregnancy of unknown location Miscarriages Hyperemesis gravidarum Chronic pelvic pain Contraception and infertility Dysmenorrhoea Evaluation of abnormal pap smears including cervical cancer Gestational diabetes Hypertension in pregnancy 29

35 List of Core Conditions Diagnosis/Condition Indications for caesarean section and management of postoperative complications Normal and abnormal gynaecological vaginal examination Normal labour and delivery of newborns including basic resuscitation of newborns, episiotomy repair and associated problems Date *Patient ID Learning Points Sexually transmitted diseases Trophoblastic disease *Use only patients initials or last four digits and alphabet of patients NRIC List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 30

36 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 31

37 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 32

38 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 33

39 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 34

40 PAEDIATRIC MEDICINE POSTING POSTING PERIOD : to HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: Name of Supervisor Date of Discussion PAEDIATRIC MEDICINE POSTING TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 35

41 Learning Sessions Type Grand Ward Round Mortality Round Morbidity Round X-Ray Round Details of Sessions PAEDIATRIC MEDICINE Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 36

42 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points Acute gastroenteritis Acute respiratory distress including management of: Asthma Bronchitis Croup Allergic rhinitis Constipation Convulsions (febrile seizures, epilepsy) Dehydration and electrolyte disturbances Developmental delay Eczema Failure to thrive Feeding and nutrition in childhood Hyperbilirubinaemia Iron deficiency anaemia 37

43 List of Core Conditions Diagnosis/Condition Management of persistently crying baby Date *Patient ID Learning Points Meningitis Neonatal jaundice Neonatal pyrexia/sepsis Non-accidental injury Obesity Severe allergic reactions (anaphylaxis, Stevens- Johnson syndrome) Urinary tract infection Fever with/without rash Common childhood infections e.g. Otitis media, URTI, pneumonia, IMS, measles, varicella *Use only patients initials or last four digits and alphabet of patients NRIC 38

44 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 39

45 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 40

46 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 41

47 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 42

48 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 43

49 ADDITIONAL APPROVED SPECIALTY POSTING POSTING : POSTING PERIOD : HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: to Name of Supervisor Date of Discussion ADDITIONAL APPROVED SPECIALTY POSTING TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 44

50 Learning Sessions Type Grand Ward Round Mortality Round Morbidity Round X-Ray Round Clinico-pathological Conference Details of Sessions ADDITIONAL APPROVED SPECIALTY Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Teaching of Other Health Professionals Others (please specify): 45

51 List of conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 46

52 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 47

53 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 48

54 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 49

55 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 50

56 MEDICINE / GEN. SURGERY / ORTHO SURGERY / PAEDS / O&G / REPOSTING POSTING PERIOD : to HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation Initial Discussion Name of Supervisor Date of Discussion REPOSTING 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 51

57 Learning Sessions Type Grand Ward Round Mortality Round Morbidity Round X-Ray Round Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Details of Sessions MEDICINE / GEN. SURGERY / ORTHO SURGERY / PAEDS / O&G Teaching of Other Health Professionals Others (please specify): 52

58 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points *Use only patients initials or last four digits and alphabet of patients NRIC 53

59 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 54

60 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 55

61 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 56

62 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 57

63 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 58

64 MEDICINE / GEN. SURGERY / ORTHO SURGERY / PAEDS / O&G / REPOSTING POSTING PERIOD : HOSPITAL * : AH / CGH / KKWCH / KTPH / NUH / SGH / TTSH * Please circle where appropriate Summary of scheduled discussions / review on training with Supervisor(s): * Please indicate NA (not applicable) if on 3 monthly rotation to Name of Supervisor Date of Discussion REPOSTING Initial Discussion 1 st Month Review 2 nd Month Review 3 rd Month Review End-of-Posting Review Additional Meetings: TRAINING PROGRAMME Induction Programme (Department or Institution Level) Please provide outline and duration: 59

65 Learning Sessions Type Grand Ward Round Mortality Round Morbidity Round X-Ray Round Clinico-pathological Conference Journal Club Dept Teaching Sessions Dept Research Activities Involvement in SIP Details of Sessions MEDICINE / GEN. SURGERY / ORTHO SURGERY / PAEDS / O&G Teaching of Other Health Professionals Others (please specify): 60

66 List of Core Conditions Diagnosis/Condition Date *Patient ID Learning Points *Use only patients initials or last four digits and alphabet of patients NRIC 61

67 List of other conditions clerked Diagnosis/Condition Date *Patient ID Learning Points 62

68 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 63

69 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 64

70 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 65

71 Reflection of learning in the past 1 month (You may include any aspect of your training in the past 1 month - from patients cared for, procedures done, and any other experience which you feel has added to your learning journey) Month/Year: 66

72 Compulsory Learning Activities No. Learning Activities Details Date Attended 1. Patient safety Optional Learning Activities No. Learning Activities Details Date Attended 1. Systems-based practice 2. Practice-based learning and improvement 3. Cost effectiveness Compulsory Courses No. Course Date Attended 1. BCLS (File certificates of attendance separately as evidence of attendance) Optional Courses No. Course Date Attended 1. ACLS 67

73 Common List of Core Procedures Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) Administer nebulisation Alcohol-based hand rub ^Arterial blood gas Aseptic technique Blood cultures Blood transfusion check list Handling sharps Hand washing ^Insulin management, including glucose monitoring Intra-muscular administration of medication 68

74 Common List of Core Procedures Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) Parenteral administration of medication Removal of surgical drains/chest tubes Removal of urinary catheter Subcutaneous administration of medication ^Sutures, tying of knots and securing of lines Urinary catheterisation Venepuncture and the insertion and removal of IV plugs and lines *Use only patients initials or last four digits and alphabet of patients NRIC ^Not applicable in Paediatric Medicine posting 69

75 List of other common procedures Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) 70

76 List of Core Procedures (Paediatric Medicine) Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) Assessing vaccination records and ordering vaccines Bag and mask a child (Real patient/simulation) Bedside glucose monitoring and responding appropriately to patient s blood glucose Blood pressure measurement Capillary/finger prick for blood investigation Developmental assessment Heel prick for serum bilirubin MDI administration of medications/use of 71

77 List of Core Procedures (Paediatric Medicine) spacer devices Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) Measuring and plotting growth (height, weight, OFC) Ordering appropriate oxygen therapy Paediatric prescribing *Use only patients initials or last four digits and alphabet of patients NRIC 72

78 List of other common procedures (Paediatric Medicine) Procedure/Skill Date done *Patient ID/Indication for procedure Supervised by/date (Optional) 73