Professional Documents
Culture Documents
S U R G E R Y
For
MASTER IN SURGERY
MS RESIDENCY PROGRAMME
DEPARTMENT OF SURGERY
BANGABANDHU SHEIKH MUJIB MEDICAL UNIVERSITY
SHAHBAG, DHAKA, BANGLADESH.
MASTER IN SURGERY 1
Published By:
Department of Surgery
Bangabandhu Sheikh Mujib Medical University
Shahbagh, Dhaka-1000.
Printed by
MASTER IN SURGERY 2
PHOTO
MASTER IN SURGERY 3
ENDORSEMENT:
MASTER IN SURGERY 4
PARTICULARS OF THE TRAINEE:
Name : ..
Fathers Name : ..
Date of Birth : ..
Address
Permanent :
...
For Correspondence :
MBBS (institute) :
Internship : From. to ..
Name of Hospital :
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Training Detail / Block Detail:
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
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Training Detail / Block Detail:
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
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:
Training Detail / Block Detail:
Duration
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
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Training Detail / Block Detail:
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
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Training Detail / Block Detail:
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
MASTER IN SURGERY 10
Explanatory Notes
This Log Book is intended to help both trainees and trainers keeping them aware of their responsibility.
This will be a record of all Clinical, Practical, Academic and Research Activities of the trainee with particular reference to different
procedure (operations) performed.
This Log Book has been designed to record level of achievement or competence in addition to the service.
Maintenance of Log Book throughout the training period will reflect the overall interest and aptitude of the trainee.
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1. Instructions for the trainee:
Please read this Log Book carefully. It is an outline of the syllabus for trainees.
This Log Book has to be maintained by all trainees preparing for MS General Surgery.
Trainees are advised to make the entries of the activities on the same day. All entries must be signed by supervisor on the same
day and countersigned by the head of the unit as soon as possible.
The Log Book is a day to day record of the clinical, practical and the academic work done by the trainee.
Its purpose is to follow the progress of the candidate and assess the achievement and the deficiencies so that they can be
redressed.
The trainer should ascertain that the entries in the logbook are made immediately after the activities and they are authenticated
by signature of the trainer himself.
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Aims & Objectives of the post graduate training programme:
The aim of the post graduate training programme is to produce a surgeon who shall
2. Teach and train students and junior doctors in medical college and other institutions.
4. Develop knowledge, skills and attitude (Competence) in areas of interest in different surgical specialties.
5. Organize and work effectively as a member of medical team at different levels, in the events of natural disaster and national
need.
a. Receive and assess the patients with surgical problems prevalent in the country by
Eliciting pertinent history
Performing correct physical examination
Making a working diagnosis
Determining the type of care ambulatory/inpatient or otherwise.
Starting life saving emergency care including CPR.
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Starting emergency care.
Requesting appropriate investigation and interpretation of their result.
Perform immediate necessary surgical procedures competently.
Identify promptly the complications and deal with safety.
Maintain record of patients systematically.
Seek help from other colleagues where needed.
Treat patients and their relatives with respect and empathy.
b. Plant scientific research and publish findings.
c. Search the medical information and utilize it.
d. Organize team work and appreciate the role of team members.
e. Make effective communication with patients, their relatives, colleagues and other health professionals.
f. Advice for prevention of diseases and promotion of heath in the community.
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TRAINING PROGRAMME
Phase - A
1. General Surgery 01 year
Orthopedic Surgery/Casualty Surgery
2. Urology
Neuro Surgery
Burn & Plastic Surgery
Pediatric Surgery
Cardiac & Vascular Surgery
Thoracic Surgery
Radiology 01 year
Nuclear Medicine
ICU
Medical Oncology & Radiation
Pathology
Internal Medicine
Phase B
General Surgery
Hepatobiliary Pancreatic Surgery
Colorectal Surgery 03 years
Endocrine Surgery
Minimal Access Surgery
Onco Surgery
NB:
1. During the training a candidate is to achieve competence (operative-major/minor, procedure) as mentioned in the logbook.
2. The logbook should be submitted to the University at the time of submission of application for appearing the examination.
3. Preferably the sub-specialty training should be done at least after one year of General Surgery training.
4. Candidate to be evaluated on log book.
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MODE OF ACHIEVEMENT OF THE OBJECTIVE:
The objective of the training may be achieved through different modes. As for example
2. Clinical responsibility
Active involvement in patient management by taking graded responsibilities in
Indoor patient management
Attending outpatient department and follow up clinics
Emergency duties
3. Participations in Practical procedures or surgical procedures, post operative care and subsequent follow up.
5. Research Activities
Writing thesis
Monthly Audit of the unit
Any publication
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The experience and competencies, achieved through these activities will be varied and can be leveled as
1. Observer status
2. Assistant status
4. Performed under indirect supervision (the supervisor in readily available in called for)
5. Performed independently.
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At the end of the training, the trainee shall be able to perform the following procedures with the given level of competence
Sl. No. Patient management 1st Year 2nd Year 3rd Year 4th Year 5th Year Total
1 Eliciting patient history 5 5 5 5 5 25
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B
Sl. Surgical knowledge & application 1st Year 2nd Year 3rd Year 4th Year 5th Year Minimum
No. of the following Number
Per-operative preparation for various
1 10 10 10 10 10 30
surgical procedures (listed below)
2 Aseptic techniques 10 10 10 10 10 30
Positioning of patient on operation table 4 5 5 5 5
for:
1. Laparotomy 50
2. Perineal surgery 30
3
3. Thoracotomy 05
4. Surgical procedures on back 05
5. Renal surgery 10
6. Head & neck surgery 10
Common surgical instruments and
4 3 5 5 5 5 10
appliance including endoscopes.
5 Suture materials 10 10 10 10 10 45
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C
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Minimum
Sl. No. Procedure 1st Year 2nd Year 3rd Year 4th Year
Number
16 Biopsy of lymph node 4 5 5 5 10
17 Biopsy of skin lesions, subcutaneous swellings 3 4 5 5 10
18 Excision of soft tissue tumours and cysts 3 4 10 15 20
19 Split skin graft 5 5 5 5 10
20 Tracheostomy 4 5 5 5 05
21 Opening and closure of abdomen 3 4 15 20 40
22 Proctoscopy and interpretation of findings 3 5 10 15 20
23 Gastroduodenoscopy 1 2 5 10 10
24 Colonoscopy 1 2 5 10 10
25 ERCP 1 2 2 2 5
26 Proctosigmoidoscopy 2 3 10 15 10
27 Liver biopsy 1 2 3 5 2
28 Percutaneous needle aspiration under US/CT guidance 2 2 5 5 10
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D
Minimum
Sl. No. Abdominal Operation 1st Year 2nd Year 3rd Year 4th Year
Number
1 Hernia repair 3 5 10 20 30
4 Appendicectomy 3 10 10 15 20
5 Cholecystectomy/Choledocholithomy 3 10 10 15 20
6 Oesophagectomy 2 2 3 5 5
8 Laparoscopic surgery 2 5 10 10 15
9 Laparotomy/exploration of abdomen 3 4 10 15 20
11 Liver procedure 2 1 2 4 3
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E
Minimum
Sl. No. Orthopedic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Closed treatment of common fractures 3, 4 5 5 5 5
2 Open reduction, plating, nailing, wiring 2, 3 4 5 5 5
3 External fixation 2 5 5 5 2
4 Operative treatment of deformities 2, 3 3, 4 5 5 2
5 Operations on tendons (repair & lengthening) 5 5 5
6 Nerve repair 3 4 5 5 5
7 Amputation 3 4 5 5 10
8 Sequestrectomy 3 4 5 5 5
9 Bone biopsy 3 4 5 5 5
10 Prosthesis/implants 2 5 3
11 Management of compound fractures 3 4 5 5
Minimum
Sl. No. Head & Neck Surgery and other area 1st Year 2nd Year 3rd Year 4th Year
Number
1 Burr hole for cerebral decompression 1 2 3 4 5
Intracranial operation & operation for spinal
2 1 2 2 2 2
decompression
3 Operations on thyroid, salivary gland & jaw 3 4 5 5 10
4 Vascular surgery 3 4 5 5 10
5 Breast Surgery 3 5 10 10 20
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G
Minimum
Sl. No. Thoracic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Lobectomy 1 1 3 4 2
2 Pneumonectomy 1 1 3 4 2
3 Operations for esophageal carcinoma 1 1 3 3 2
4 Decortication 1 1 3 4 2
Minimum
Sl. No. Paediatric Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Cleft lip 1 2 3 4 5
2 Cleft palate 1 2 3 4 5
3 Rectal & umbilical polyp 1 2 3 4 5
4 Imperforate anus 1 2 3 4 5
5 Congenital malformation of abdominal viscera 1 2 3 4 5
6 Hypospadias 1 2 3 4 5
7 Epispadias 1 2 3 4 5
8 Umbilical & inguinal hernia 1 2 3 4 5
9 Hydrocele 1 2 3 4 5
10 Colostomy 1 2 3 4 5
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I
Minimum
Sl. No. Thoracic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Suprapubic Cystostomy 2 3 5 5 5
2 Prostatectomy 1 2, 3 4 5 5
3 Cystolithotomy 1 3 4 5 5
4 Uretheral dilatation 1 4 5 5 5
5 Operations on kidney & ureter 1 3 4 5 5
6 Treatment of bladder & uretheral injuries 1 2 3 5 5
7 TURP/TURBT 1 2 3 5 5
8 Endoscopic Urology 1 1 2 5 2
9 Transvesical and retropubic prostatectomy 1 1 1 5 2
10 Percutaneous nephrolithotomy 1 1 2 5 5
11 ESWL 1 1 1 5 2
Minimum
Sl. No. Plastic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Skin grafting 1 2 4 5 5
2 Burn care 1 2 4 5 5
3 Myocutaneous flaps 1 2 2 3 5
4 Cleft lip 1 2 2 3 5
5 Cleft palate 1 2 2 4 5
6 Repair of deformities 1 2 3 4 5
7 Cosmetic Surgery 1 2 2 4 5
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K
Minimum
Sl. No. Intensive Care 1st Year 2nd Year 3rd Year 4th Year
Number
1 Use of ventilators 5 5 5
2 Cardiopulmonary resuscitation (CPR) 3 4 5 5 5
3 Intubation 2 3 5 5 5
4 CVP lines 2 4 5 5 5
5 Knowledge of monitoring instruments 3 4 5 5 5
6 Care of unconscious patients 1 2 2 5 5
7 ICU complications management 1 2 2 5 5
Minimum
Sl. No. Anaesthesia 1st Year 2nd Year 3rd Year 4th Year
Number
1 Local anaesthesia 5 10 10 10 30
2 Regional anaesthesia 5 5 5 5 10
3 Lumbar puncture and spinal anaesthesia 3 4 5 5 5
4 Epidural block 2 3 4 5 5
5 General anaesthesia 0 3 4 4 10
6 Mangement of pain 3 4 5 5 10
7 Assessing for fitness to undergo surgery 4 10 10 15 30
8 Post operative management & monitoring 10 15 20 25 50
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Block:
Duration:
Trainer:
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic examination
Disposal of wastes
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BASIC SURGICAL SKILLS
Block:
Duration:
Trainer:
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic examination
Disposal of wastes
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BASIC SURGICAL SKILLS
Block:
Duration:
Trainer:
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic examination
Disposal of wastes
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BASIC SURGICAL SKILLS
Block: Duration: Trainer:
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BASIC SURGICAL SKILLS
Block:
Duration:
Trainer:
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic examination
Disposal of wastes
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BASIC SURGICAL SKILLS
Block:
Duration:
Trainer:
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic examination
Celine Placement
Upper GI Procedure
Colonoscopy
ERCP
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CLINICAL PERFORMANCE FORM A
Case Record / Case Presentation
Note : Only Satisfactory performance will be recorded
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CLINICAL PERFORMANCE FORM A
Case Record / Case Presentation
Note : Only Satisfactory performance will be recorded
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CLINICAL PERFORMANCE FORM A
Case Record / Case Presentation
Note : Only Satisfactory performance will be recorded
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CLINICAL PERFORMANCE FORM A
Case Record / Case Presentation
Note : Only Satisfactory performance will be recorded
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CLINICAL PERFORMANCE FORM Aa
Preoperative Evaluation
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES
Elective Procedures
Note : Only Satisfactory performance will be recorded FORM C
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
FORM C
MASTER IN SURGERY 71
PRACTICAL PROCEDURES / SURGICAL PROCEDURES
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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FORM D
PRACTICAL PROCEDURES / SURGICAL PROCEDURES
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Note : Only Satisfactory performance will be recorded
Level of
Date Name & Age Procedure Complications Signature
Participation
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ACADEMIC ACTIVITIES FORM E
C 1 Teaching Activities
Note : Only Satisfactory performance will be recorded
Number of
Date Student of Group Level of Participation Signature
Student
Minimum 30 sessions
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ACADEMIC ACTIVITIES FORM E
C 1 Teaching Activities
Note : Only Satisfactory performance will be recorded
Number of
Date Student of Group Level of Participation Signature
Student
Minimum 30 sessions
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ACADEMIC ACTIVITIES FORM E
C 1 Teaching Activities
Note : Only Satisfactory performance will be recorded
Number of
Date Student of Group Level of Participation Signature
Student
Minimum 30 sessions
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ACADEMIC ACTIVITIES FORM E
C 1 Teaching Activities
Note : Only Satisfactory performance will be recorded
Number of
Date Student of Group Level of Participation Signature
Student
Minimum 30 sessions
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ACADEMIC ACTIVITIES FORM F
C 2 Participation in academic programmes
(Seminars, Workshops, Journal Club, etc.)
Note : Only Satisfactory performance will be recorded
Level of
Date Student of Group Topic Signature
Participation
Minimum 15 sessions
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ACADEMIC ACTIVITIES FORM F
C 2 Participation in academic programmes
(Seminars, Workshops, Journal Club, etc.)
Note : Only Satisfactory performance will be recorded
Level of
Date Student of Group Topic Signature
Participation
Minimum 15 sessions
MASTER IN SURGERY 95
RESEARCH ACTIVITIES: FORM G
Dissertation
Title : ..
.
.
Guide : ..
.
Co guide :
Title : ..
Journal .
Title : ..
Journal .
MASTER IN SURGERY 96
COMPILATION SHEET PHASE A FORM H
Venous Access
Nasogastric Intubation
Wound Dressings
Proctoscopic Examination
Disposal Of Wastes
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COMPILATION SHEET
COMPILATION SHEET PHASE A FORM H
Preoperative Evaluation
MASTER IN SURGERY 98
COMPILATION SHEET
LECTURES ATTENDED PHASE A FORM I
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
MASTER IN SURGERY 99
O MPILATION SHEET
LECTURES ATTENDED PHASE A FORM I
Block....
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block..
Supervisor .
Sl Signature of
Date Topic Lecture
No. Supervisors
Block......
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor .
Sl Signature of
Date Topic Lecture
No. Supervisors
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
I certify that the information contained in the LOGBOOK (Daily Training Record is a true and accurate record of my training
experiences.
Trainees signatureDate:.
Dr. .
Name:
Discipline:
Date:
I certify that the information contained in the LOGBOOK (Daily Training Record is a true and accurate record of my training
experiences.
Trainees signatureDate:.
Dr. .
Name:
Discipline:
Date: