Clinical Experience Log
Clinical Experience Log
Clinical Experience Log
CLINICAL EXPERIENCE LOG - ORAL SURGERY, ORAL PATHOLOGY & ORAL MEDICINE
Patients Name Supervisors name Type of Cases : : : Registration Number Date patient first seen Date case completed : : :
Clinical Competency
Management History: Present complaint Medical Dental Examination: General Extra-oral Intra-oral Diagnosis & treatment plan Differential Definitive Treatment plan Admission Investigation(s) Non Invasive Invasive Radiograph Informed consent Treatment(s)
Date
Patient clerking
Inpatient management
Log-OSOMOP
Clinical Competency
Management Investigation(s) Non Invasive Invasive Treatment(s) Prescription Follow up Emergency treatment
Date
Outpatient management
Referral Basic life support On call cases Parenteral: IM / IV PCA Oral medication: Sedation Analgesic Local Anesthesia: Infiltration Topical Assurance Others (specify):
Log-OSOMOP
Surgical Removal of: Retained root(s) Impacted tooth Toilet & suturing Incision and drainage Infected /dry socket Others
*Please tick () where applicable
Clinical Competency
Date
Referral system / follow up / rehabilitation Early detection and prevention of oral pre-cancer and oral cancer Others (please specify)
: :
OE-OSOMOP
Grading
Average Good Outstanding
1. 2. 3.
Skill in gathering clinical information (including emergency cases) Competence to diagnose & Formulate treatment plan Implementing treatment
COMMUNICATION SKILL
Below Average
Grading
Average Good Outstanding
1.
2.
3.
PROFESSIONALISM
Below Average
Grading
Average Good Outstanding
1. 2. 3.
OE-OSOMOP
C) PROFESSIONALISM ...
: : :