UNIVERSITY OF NAIROBI SURGERY LOG BOOK

Transcription

1 UNIVERSITY OF NAIROBI COLLEGE OF HEALTH SCIENCES DEPARTMENT OF SURGERY PO Box 19676, NAIROBI KENYA. SURGERY LOG BOOK MMED NEUROSURGERY NAME: REGISTRATION NO:

2 EXPLANATORY NOTES: The logbook is intended to record your basic surgical training with particular reference to your operative experience and academic development. 1. USE THE LOG BOOK DURING POSTGRADUATE YEAR 1 & 2. SUCCESSFUL COMPLETION OF THE LOG BOOK IS REQUIRED BEFORE SITTING FOR THE PRINCIPLES OF SURGERY EXAMINATION. 2. Record all surgical operations in which you have been personally involved during your training. 3. The operation records should include all relevant info mation i.e. the date of the operation, the patients hospital number and age, the nature of the procedure and an indication of whether it was performed without supervision [NS] or under superv by a qualified surgeon [S] or if you acted as first assistant by a qualified surgeon [A] 4. Significant post-operative complications are to be recorded. 5. Consolidated Experience: At the time of submission for the Principles of Surgery Examination an overall consolidation sheet reflecting the candidate s total experience to date must be compiled. It should be signed by the Head of Division. 6. The Registrar s Evaluation sheet should be completed by the Consultant in charge at the end of each rotation. 7. Give a detailed Case Summary of all Major Operations done Unsupervised and Supervised 8. It is your responsibility to ensure the Log Book is in order so as to be eligible to sit for the Principles of Surgery Examination. 9. Neurosurgery trauma experience will be gained during PG yr 1 casualty cover, Fridays- Sundays, as indicated on duty rota.

3 OPERATION RECORD DATES: From To Status: NS = performed unsupervised. S = supervised. A = assisting. DATE HOSPITAL NO. AGE OPERATION DONE ST COMPLICATION CONSULTANT/SIGN

4 OPERATIVE CASE SUMMARY. CASE NO: Date: Hospital No: Age: Sex: Status: (tick) NS = performed unsupervised: S = supervised: A = a sisting Pre-operative case summary: Operative Details: Histopathology: Complications if any: Follow up report (including autopsy where applicable): Confirmed: Supervising Consultant Date: Verified: Head of Division Date:

5 CONSOLIDATION SHEET. DATES: From To Status: NS = performed unsupervised: S = supervised: A = assisting MMED NEUROSURGERY SCHEDULE OF ESSENTIAL OPERATIVE COMPETENCIES FOR PG Yr 1 and 2 in General Surgery, Or dic Surgery/Trauma, Surgical Critical Care, Neurosurgery Number in bracket = minimum number of cases ORTHOPAEDIC SURGERY (3 MONTHS/ PG Yr 2) Manipulative reduction of fractures and dislocations (10-perform) Application of splints and plaster casts (10-perform) Skeletal traction and external fixation (10-perform) Internal fixation of common fractures (10-perform and/or assist) Common amputations (5-perform/assist) Management of injuries to, and infections of, the hand (5-perform/assist) Sequestrectomy (10-perform/assist) GENERAL SURGERY/TRAUMA (6 Months/ PG Yr 2) Peritoneal aspiration and drainage (5) Draining abscesses (20) Standard surgical approaches Laparotomy- elective/emergency(splenectomy etc) (50) Removal of simple cutaneous and subcutaneous swellings (20) Appendicectomy/elective emergency (20) Strangulated hernia (5) Bowel resection and anastomosis (10) Catheterisation (20) Supra pubic cystostomy (5) Assist/do Prostatectomy (10) Assist/do thyroidectomy (5) Chest tube insertion (10) NEUROSURGERY/TRAUMA (3 MONTHS/PGYr 1) Craniotomy for extradural (20) and subdural haematoma (5) Craniotomy for penetrating head injury (10) Craniotomy for depressed skull fracture (10) Surgery for chronic subdural haematoma (burr holes-15, craniotomy-5) SURGICAL CRITICAL CARE (ICU, 3 Month/PGYr 2) Resuscitation of severely ill and injured ATLS Plan intravenous fluids Propose appropriate initial ventilator settings Insert central venous lines (10), pulmonary artery catheters and arterial catheters Insert intracranial pressure monitoring devices (ventricu lostomy) (5). Tracheal intubations, oral and nasal (10) Tracheostomy (10) NS S A TOTAL

6 Confirmed: Supervising Consultant: Date: Verified: Head of Division: Date:

7 REGISTRAR EVALUATION FORM Registrar Year of Training Period of Evaluation ASSESSMENT 1 (Poor) 2 ( Below Average) 3 (Average) 4 (Above Average) A. ABILITY/PATIENT CARE i. Surgical Knowledge 5 ii. Problem Evaluation and Judgement 5 iii. Technical Skills 5 B. PERFORMANCE i. Punctuality 5 ii. Initiative 5 iii. Responsibilty 5 iv. Verbal presentation 5 C. ACADEMIC PERFORMANCE i. Enthusiasm 5 ii. Attendance at Meetings 5 iii. Interest in Meetings 5 D. PERSONAL i. Appearance 5 ii. Emotional maturity 5 iii. Patient Rapport and Empathy 5 iv. Relationship with colleagues and nursing 5 staff TOTAL 5 (Excellent) Score Remarks by Supervising Consultant Signature