AMERICAN UNIVERSITY OF BEIRUT - MEDICAL CENTER DEPARTMENT OF FAMILY MEDICINE RESIDENTS LOG BOOK

Transcription

1 AMERICAN UNIVERSITY OF BEIRUT - MEDICAL CENTER DEPARTMENT OF FAMILY MEDICINE RESIDENTS LOG BOOK Name of Resident: Training Years:

2 Table of Content 1. Personal Data Rotations Schedule Care Takers Seen in the Family Medicine Setting Rotations outside Family Medicine Department Procedural skills for the family physician Journal Club Articles Presented: Core Content Topics Presented Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc ) Updated: September /139

3 Family Medicine Program 1. Personal Data First (PGY1) Second (PGY2) Third (PGY3) Fourth (PGY4) Resident Name: Date of Birth: - - / - - / Gender: Male Female Nationality: Marital Status: Single Married No. of children: Address: Telephone #: Place of Graduation: Date of Joining AUB training program: - - / - - / /139

4 2. Rotations Schedule Block# & Duration Block Rotation Name PGY 1 PGY 2 PGY 3 PGY 4 Block Block Block Block Block Block Block Block Block Block Block Block Block 4/139

5 3. Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Health Care Maintenance (Promotion, Prevention, Immunization) 5/139

6 6/139

7 Health Care Education/counseling 7/139

8 8/139

9 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Constitutional 1. Fatigue 9/139

10 2. Weight loss 10/139

11 3. Fever(list infectious and non infectious diagnosis) 11/139

12 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Cardiovascular 1. Hypertension 12/139

13 2 Ischemic Heart Disease 13/139

14 3. Heart Failure 14/139

15 4.Valvular Heart Disease 15/139

16 5. Peripheral vascular Disease/Phlebitis 16/139

17 6. Arrythmias 17/139

18 7. Others 18/139

19 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Respiratory 1. Asthma 19/139

20 2. C O P D 20/139

21 3. U R T I 21/139

22 4.Lower Respiratory Infection 22/139

23 5. Chronic cough 23/139

24 6.Others 24/139

25 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Gastrointestinal 1. Functional dyspepsia 25/139

26 2. Irritable Bowel Syndrome 26/139

27 3. Peptic ulcer disease 27/139

28 4. Gastritis 28/139

29 5. GERD 29/139

30 6. Inflammatory Bowel Disease 30/139

31 7. Constipation 31/139

32 8. Diarrhea 32/139

33 9. Gastroentritis 33/139

34 10. GI tumors 34/139

35 11. Liver/gallbladder Disease 35/139

36 12. Others 36/139

37 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Gynecology / Obstetrics 1.Contraceptive guidance 37/139

38 2. Vaginitis/cervicitis/PID 38/139

39 3. Irregular menses 39/139

40 4. Menopause/sx/postmenauposal bleed 40/139

41 5.Prenatal Care/Deliveriy/ postnatal care 41/139

42 6. Breast Disease 42/139

43 7. Others 43/139

44 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Hematological 1.Anemia 44/139

45 2. Coagulation defect 45/139

46 3. Thalassemia / sickle cell disease 46/139

47 4. ITP/TTP 47/139

48 5. Others 48/139

49 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Endocrine 1. Diabetes 49/139

50 2.Thyroid Diseases 50/139

51 3.Lipid metabolism Disorder 51/139

52 4. Obesity 52/139

53 5. others 53/139

54 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Genitourinary 1. U T I 54/139

55 2. Prostate Diseases 55/139

56 3. S T D S 56/139

57 4. Nephrolithiasis 57/139

58 5.others 58/139

59 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Musculoskeletal 1.Arthritis (other than back) 59/139

60 2. knee pathology 60/139

61 3. Sprains / Strains 61/139

62 4. Fractures 62/139

63 5. Osteoporosis 63/139

64 6. Back pain/cervical spine syndromes 64/139

65 7.Fibromyalgia 65/139

66 8.Polymyalgia rheumatica 66/139

67 9. Other 67/139

68 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Dermatologic 1. Dermatitis (contact, eczema, seborrheic) 68/139

69 2. Skin Infections(Bacterial & Fungal) 69/139

70 3. viral skin rash 70/139

71 4.Urticaria 71/139

72 4. Lacerations / Burns /Skin Ulcers 72/139

73 5.Skin Cancer 73/139

74 6.Pruritis/others 74/139

75 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Opthalmologic 1. Red Eye/eyelid infections 75/139

76 2.Visual Disturbance 76/139

77 3. Refractive errors 77/139

78 4. Others 78/139

79 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Ear / Nose / Throat 1. Ear Problems 79/139

80 2.Sinus Problems 80/139

81 3. Nasal problems 81/139

82 4. Others 82/139

83 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Neurological 1. Headache 83/139

84 2. Dizziness 84/139

85 3.Vertigo 85/139

86 4.. Dementia 86/139

87 5.Parkinson s Disease 87/139

88 6. Epilepsy 88/139

89 7. Stroke / TIA 89/139

90 7. Other 90/139

91 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Psychiatry/ Behavioral 1. Mood disorders 91/139

92 2.Anxiety disorders 92/139

93 3. Substance Abuse 93/139

94 4.Family Dynamic Problems 94/139

95 5. Psychotic features 95/139

96 6. Behavior/Personality Disorder 96/139

97 7. Others 97/139

98 4. Rotations outside Family Medicine Department 4.1 Rotation: From / / To / / Health Issue(s) # of cases seen 98/139

99 4.2 Rotation: From / / To / / Health Issue(s) # of cases seen 99/139

100 4.3 Rotation: From / / To / / Health Issue(s) # of cases seen 100/139

101 4.4 Rotation: From / / To / / Health Issue(s) # of cases seen 101/139

102 4.5 Rotation: From / / To / / Health Issue(s) # of cases seen 102/139

103 4.6 Rotation: From / / To / / Health Issue(s) # of cases seen 103/139

104 4.7 Rotation: From / / To / / Health Issue(s) # of cases seen 104/139

105 4.8 Rotation: From / / To / / Health Issue(s) # of cases seen 105/139

106 4.9 Rotation: From / / To / / Health Issue(s) # of cases seen 106/139

107 4.10 Rotation: From / / To / / Health Issue(s) # of cases seen 107/139

108 4.11 Rotation: From / / To / / Health Issue(s) # of cases seen 108/139

109 4.12 Rotation: From / / To / / Health Issue(s) # of cases seen 109/139

110 4.13 Rotation: From / / To / / Health Issue(s) # of cases seen 110/139

111 4.14 Rotation: From / / To / / Health Issue(s) # of cases seen 111/139

112 4.15 Rotation: From / / To / / Health Issue(s) # of cases seen 112/139

113 4.16 Rotation: From / / To / / Health Issue(s) # of cases seen 113/139

114 4.17 Rotation: From / / To / / Health Issue(s) # of cases seen 114/139

115 4.18 Rotation: From / / To / / Health Issue(s) # of cases seen 115/139

116 4.19 Rotation: From / / To / / Health Issue(s) # of cases seen 116/139

117 4.20 Rotation: From / / To / / Health Issue(s) # of cases seen 117/139

118 4.21 Rotation: From / / To / / Health Issue(s) # of cases seen 118/139

119 5. Procedural skills for the family physician There are a number of minor procedures with which all family medicine residents should be familiar and competent indicated as core (c). You need to do the procedure three times by yourself without guidance under supervision before you can do it independently. It is obligatory to log your procedures in My Evaluation. Failure to do this means that you can not perform a procedure independently. Core procedures(c) Urinalysis - dipstick and microscopic (C) Stool for occult blood (C) Taking swabs - throat, cervix, urethra, abscess(c) Taking blood (C) Skin scraping for fungus(c) Visual acuity, colour vision (C) Injections - intradermal, subcutaneous, intramuscular (C) Management of hyposensitizing injections Wood s Light examination (C) ECG(C) Simple Spirometry (C) Abscess incision and drainage (C) Laceration repair; suture and gluing(c) Skin biopsy; shave, punch and excisional(c) Release subungual hematoma(c) Drainage acute paronychia Partial toenail removal(c) Infiltration of local anesthetic(c) Digital block in finger or toe(c) Instillation of Fluorescein(C) Removal of Cerumen(C) Nasogastric tube insertion(c) Insertion of Intrauterine Device(C) Placement of transurethral catheter(c) Pap smear (C) Splinting of injured extremities(c) Application of sling upper extremity (C) Oral airway insertion(c) Bag and Mask ventilation(c) Endotracheal intubation(c) Cardiac defibrillation(c) Cardioversion Peripheral intravenous line; adult and child(c) Peripheral venous access; infant Anterior nasal packing(c) 119/139

120 There are many other procedures which are less frequently performed in practice and require more advanced training. All of these procedures are within the realm of family medicine practice but may be less commonly performed by some family physicians. You will have the opportunity to become familiar with these procedures during your training but you may not become fully competent in all of them. Advanced Skills Integumentary Procedures: Wound debridement(c) Insertion of sutures; simple, mattress and subcuticular(c) Excision of dermal lesions eg. Papilloma, nevus or cyst Cryotherapy of skin lesions(c) Electrocautery of skin lesions Removal of foreign body eg. Fish hook, splinter, or glass Pare skin callus Eye Procedures: Removal of corneal or conjunctival foreign body Application of eye patch Ear Procedures: Removal of foreign body Nose and Throat Procedures: Removal of Foreign Body Freeing of tongue tie Gastrointestinal Procedures: Incise and drain thrombosed external hemorrhoid Gastric Lavage Genitourinary Procedures: Aspirate of hydrocele Aspirate breast cyst Circumcision Diaphragm fitting and insertion Endometrial aspiration biopsy 120/139

121 Obstetrical Procedures: Normal vaginal delivery Episiotomy and repair Artificial rupture of membranes Musculoskeletal Procedures: Reduction of dislocated finger Reduce dislocated radial head (Pulled elbow) Reduce dislocated shoulder Application of forearm cast Application of Scaphoid cast Application of ulnar gutter splint Application of below-knee cast Aspiration and injection knee joint(c) Aspiration and injection shoulder joint(c) Injection of Lateral Epicondyle, (Tennis elbow)/trigger finger/carpal tunnel(c) Aspiration and injection of bursae; eg. patellar, sub-acromial It is recommended that you keep a record of procedures and clinical experiences such as obstetrical deliveries, resuscitations, etc. that you participate in and discuss this with your family medicine preceptor at the time of your evaluation. 121/139

122 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 122/139

123 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 123/139

124 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 124/139

125 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 125/139

126 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 126/139

127 PROCEDURAL SKILLS FOR THE FAMILY PHYSICIAN Date Procedure Rotation Your Role Supervisor See list IM, Surg, FM, ED etc. observed, assisted, done yourself 127/139

128 6. Journal Club Articles Presented: Title Journal Issue Date 128/139

129 Topic 7. Core Content Topics Presented Date 129/139

130 8. Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc ) Date Division Session Title Speaker 130/139

131 Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc ) Date Division Session Title Speaker 131/139

132 Overall evaluation of the rotations Date of evaluation: On a Likert scale from 1 to 5, indicate your choice. One is the least favorable. NA=not applicable. 1.Family Medicine: 1.a. FMPC: -Patient s load: Variety of cases: Beneficial supervision by preceptors: Continuity of care & patient s follow up: Teaching value: Overall organization of clinics sessions & patient s services: Comments & suggestions for improvement: 1.b. Tahaddi s clinic: -Patient s load: Variety of cases: Beneficial supervision by preceptors: Continuity of care & patient s follow up: Teaching value: Overall organization of clinics sessions & patient s services: Comments & suggestions for improvement: 1.c. Badaro s clinic: -Patient s load: Variety of cases: Beneficial supervision by preceptors: Continuity of care & patient s follow up: Teaching value: Overall organization of clinics sessions & patient s services: Comments & suggestions for improvement: 132/139

133 1.d. FGC: -Patient s load: Variety of cases: Continuity of care & patient s follow up: Teaching value: Overall organization of clinics sessions & patient s services: Comments & suggestions for improvement: 1.e. Family Medicine in-patients team: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Comments & suggestions for improvement: 2. Internal Medicine: 2.a. Internal Medicine in-patients team: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 133/139

134 2.b. ER medicine rotation: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 2.c. Cardiology rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial: -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 2.d. Pulmonary rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial: -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 134/139

135 2.e. Endocrinology rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 2.f. ID rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 2.g. Neurology rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 135/139

136 2.h. Rheumatology rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 2.j. GI rotation: -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Teaching value of rounds and consultations on floors Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 3. Pediatrics: 3.a. ER pediatrics -Patient s load: Variety of cases: Team work (Faculty, residents & students) Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 136/139

137 3.b. Pediatrics floor rotation / Makassed General Hospital -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Comments & suggestions for improvement: 3.c. OPD pediatrics -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 4.Surgery 4.a. Minor surgery / Military hospital -Patient s load: Variety of cases: Teaching value: Beneficial supervision by preceptors: Comments & suggestions for improvement: 137/139

138 4.b. Surgery clinics- AUB-MC -Teaching value of shadowing in private clinics: Mention names of faculty members with whom shadowing is most beneficial:.. -Teaching value of OPD sessions: Variety of cases: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 5. Ob-GYN 5.a. Delivery suite-aub-mc: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 5.b. Delivery suite-rhuh: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 138/139

139 5.c. OPD-AUB-MC: -Patient s load: Variety of cases: Team work (Faculty, residents & students) Continuity of care & patient s follow up: Teaching value: Overall organization of rotation: Overlap of FM continuity clinic time with rotation requirements Y N -Comments & suggestions for improvement: 139/139