THE INTERN LOG BOOK

Faculty of Medicine - Jazan University

 Prepared By

Dr.Abdelkhalig Elhilu - MRCSEd

Assistant Professor of Surgery

Internship Supervisor

Faculty of Medicine- Jazan University

1st edition

2014 1435 H

The Intern Log Book- Faculty of Medicine-Jazan Page 1

Acknowledgements:

I am greatly indebted to Dr.Ali Swaid the vice dean for clinical affairs whose vision is ingrained in this work, for
his encouragement, continuous support and positive feedback. I am also grateful to the members of the vice deanship for
clinical affairs for the positive feedback that I have received during the preparation of this work, namely Dr.Nader
Wahba, Dr.Abu Obaida Yassin and Dr.Azza Noor. I would also like to thank the different members in the departments
of general surgery, internal medicine, obstetrics& gynaecology and paediatrics for their great contribution in setting the
targets of different skills and competencies in this log book.

Many thanks are extended to the vice deanship for quality affairs, the vice deanship for academic affairs and the
medical education department for their meticulous review of this log book and their constructive remarks.

Last but not least special thanks and gratitude are extended to the Faculty Board headed by Dr.Hussein Ageely the
Dean of the faculty for their unlimited support and encouragement.

Dr.Abdelkhalig Elhilu MRCSEd

Assistant professor of Surgery

Internship Supervisor

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 Photo

Name : ............................................................................................................

National ID: ..

University: .

Sponsor: ..

Year of Graduation:

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Contents

Introduction -------------------------------------------------------------------------------------------------------------------------------------------------------- 5

How to use the log book ----------------------------------------------------------------------------------------------------------------------------------------- 6

General surgery --------------------------------------------------------------------------------------------------------------------------------------------------- 7

Internal medicine ------------------------------------------------------------------------------------------------------------------------------------------------ 11

Obstetrics & Gynaecology ------------------------------------------------------------------------------------------------------------------------------------- 15

Paediatrics -------------------------------------------------------------------------------------------------------------------------------------------------------- 19

Elective (1) ------------------------------------------------------------------------------------------------------------------------------------------------------- 25

Elective (2) ------------------------------------------------------------------------------------------------------------------------------------------------------- 27

Elective (3) ------------------------------------------------------------------------------------------------------------------------------------------------------- 31

Elective (4) ------------------------------------------------------------------------------------------------------------------------------------------------------- 35

Case report/ Research ------------------------------------------------------------------------------------------------------------------------------------------- 39

Contact information --------------------------------------------------------------------------------------------------------------------------------------------- 40

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Introduction:

In Saudi Arabia internship consists of a supervised twelve months of clinical rotations in different departments. It is
formulated in such a way as to ensure the utmost benefit that will help the young doctor in his future career. However to
achieve the maximum benefit the young doctor should be sincere, devoted, keen to learn and assume the right attitude.

A log book is not a new idea; it is a means to achieve objective assessment of performance by the supervisor allowing
him to give fair evaluation of the intern at the end of the rotation. It also allows the intern to look critically into his
performance and give him a chance to compare himself with his colleagues.

This log book is designed to meet the general goals of internship and to fulfil the educational objectives set in the
intern roadmap which comply with the guidelines of the National Commission for Academic Accreditation &
Assessment (NCAAA). The targets for different skills, competencies and procedures were set by the respective
departments in a comprehensive way.

Success is always achieved by hard work and dedication and leniency has no place in medical practice, so try to get
the maximum benefit from your internship year to make an outstanding career in the future.

Internship unit

Vice deanship for clinical affairs

September 2014

Dhu Alqada 1435 AH

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How to use the log book

Write your name and other requested information in the appropriate place.
Fill all the requested fields at the start of each rotation.
Register any activity immediately after its conclusion.
Get the supervisors assessment and signature immediately.
The target number of presentations is the minimum requested.
Keep all case presentations records and attach it with your log book in the appropriate section.
Get the supervisors signature for all procedures that you have done or participated in.
The target number of procedures is the minimum requested.
At least half the target number of academic activities should be presentations.
Add any procedure which is not included in the appropriate section.
Attach a copy of the certificate of attendance of any academic activity that you have attended.
Give your log book to the supervisor at the end of your rotation to help him write his report.
Collect your log book from your supervisor after he finishes his report.
Keep your log book tidy and clean throughout the internship year.
Log books should be presented to internship unit along with evaluations at the end of internship year.

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GENERAL SURGERY

Hospital

Department General Surgery

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
5
6
7
8
Total number of stars
Rating %
Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor
Nasogastric tube insertion. 2 2 3
Urethral catheterization. 1 1 5
Venipuncture (cannula insertion) 2 2 15
Wound suturing. 2 2 15
Venesection (venous cut down). 1 1 0
Application of cervical collar. 1 1 10
Insertion of oropharyngeal airway. 2 0 5
Central venous line insertion. 2 2 0
Abscess drainage 2 2 5
Wound care and dressing. 2 2 24
Excision of superficial lumps. 2 2 5
Wedge excision of ingrowing toe nail. 2 2 2
Chest tube insertion. 2 2 2
Proctoscopy. 2 0 2
Closure of abdominal incisions 2 3 5
Removal of sutures 2 2 10
Removal of drains 2 2 5
Appendectomy. 2 5 0
Inguinal hernia repair 2 2 0
Lap cholecystectomy 5 3 0
Major surgery 5 3 0
Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on calls/month plus 1 Theatre/week
Week On call duties Theatre sessions Signature of direct supervisor
Done Not done Done Not done
1
2
3
4
5
6
7
8
9
10
Total achievement
Rating %

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Academic Activities: Target: (1) activity/month
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
5
6
7
8
Total number of activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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INTERNAL MEDICINE

Hospital

Department Internal Medicine

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target: (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
5
6
7
8
Total number of stars
Rating %
Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor
Blood pressure measurement 5 0 5
Measurement of body temperature 5 0 5
Nasogastric tube insertion. 3 3 3
Intravenous canulation. 5 5 5
Administration of IV fluids &drugs 5 5 10
Intramuscular injection 5 5 5
Venous blood sampling. 5 5 5
Arterial blood sampling. 3 2 2
Pulse oximetry 5 0 5
Lumbar puncture. 3 2 0
Abdominal paracentesis 3 2 1
Thoracocentesis. 3 2 1
Bone marrow aspiration. 1 0 0
Pericardiocentesis. 1 0 0
Urethral catheterization. 3 3 2
Electrocardiogram (ECG). 3 3 3
Administer Oxygen therapy 5 5 5
Administer nebulizer treatment 5 5 5
Blood sugar (glucometer) 5 4 3
Use defibrillator 3 3 3

Total
Rating %

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On call duties : Target: 6-10 on call /month
Week On call duties Signature of direct supervisor
Done Not done
1
2
3
4
5
6
7
8
9
10
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
5
6
7
8
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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OBSTETRICS & GYNAECOLOGY

Hospital

Department Obstetrics & Gynaecology

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target: (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
5
6
7
8
Total number of stars
Rating %
Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor
Normal delivery. 5 5 10
Vaccum assisted delivery. 2 2 0
Forceps assisted delivery 2 2 0
Amniotomy. 5 0 5
Episiotomy 4 0 5
Suturing of episiotomy &perineal tears 4 4 5
Colposcopy. 2 2 2
Partography 2 2 10
Fetal scalp electrodes 2 2 0
Fetal scalp sampling 2 2 0
Cardiotocography. 4 4 20
Obstetric ultrasound 4 4 4
Pap smear 4 4 5
IUCD insertion 2 2 0
Dilatation and curettage 4 4 2
Evacuation and curettage 4 4 2
Diagnostic laparoscopy 4 4 0
Caesarean section 5 5 0
Major pelvic surgery 4 4 0
Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on call/month plus 1 Theatre/week
Week On call duties Theatre sessions Signature of direct supervisor
Done Not done Done Not done
1
2
3
4
5
6
7
8
9
10
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
5
6
7
8
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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PAEDIATRICS

Hospital

Department Paediatrics

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
5
6
7
8
Total number of stars
Rating %
Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor
Nasogastric tube insertion. 3 2 1
Oro-gastric tube insertion. 3 2 1
Urethral catheterization. 3 1 0
Intravenous cannulation. 3 1 5
Venous blood sampling. 3 1 5
Arterial blood sampling. 3 5 0
Intramuscular injections. 3 2 2
Calculation of fluid requirement. 2 2 10
Lumbar puncture. 1 0 0
Bone marrow aspiration. 1 0 0
Neonatal resuscitation after delivery. 2 5 0
Endotracheal intubation. 2 0 0
Choking child management 1 0 0
Anthropometric measurement 2 2 10
Umbilical artery catheterization 1 2 0
Umbilical vein catheterization 1 2 0
Intra-osseous cannulation 1 0 0
Blood pressure measurement 2 2 10
Total
Rating %

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On call duties : Target: 6-10 on call /month
Week On call duties Signature of direct supervisor
Done Not done
1
2
3
4
5
6
7
8
9
10
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
5
6
7
8
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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ELECTIVE ( 1 )

Hospital

Department

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
Total number of stars
Rating %

Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor

Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on call/month plus 1 Theatre/week (if applicable)

Week On call duties Theatre sessions Signature of direct supervisor

Done Not done Done Not done
1
2
3
4
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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ELECTIVE ( 2 )

Hospital

Department

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
Total number of stars
Rating %

Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor

Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on call /month plus 1 Theatre/week (if applicable)

Week On call duties Theatre sessions Signature of direct supervisor

Done Not done Done Not done
1
2
3
4
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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ELECTIVE ( 3 )

Hospital

Department

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
Total number of stars
Rating %

Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor

Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on call /month plus 1 Theatre/week (if applicable)

Week On call duties Theatre sessions Signature of direct supervisor

Done Not done Done Not done
1
2
3
4
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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ELECTIVE ( 4 )

Hospital

Department

Name of supervisor

Period of training From /.../... To ..//..

Case Presentations: Target (2) cases/month.

Week
Diagnosis History Examination Management plan
* ** *** **** ***** * ** *** **** ***** * ** *** **** *****
1
2
3
4
Total number of stars
Rating %

Key: * =Poor, ** =Fair, *** =Good, **** =Very good, ***** =Excellent

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Procedures & Skills:

Procedure Observed Assisted Performed Signature of direct

Target achievement Target achievement Target achievement supervisor

Total
Rating %

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On call duties and theatre sessions: Target: 6-10 on call /month plus 1 Theatre/week (if applicable)

Week On call duties Theatre sessions Signature of direct supervisor

Done Not done Done Not done
1
2
3
4
Total achievement
Rating %

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Academic Activities: Target (1) activity/month.
Week Topic Lecture Seminar Symposium/conference
Attended Presented Attended Presented Attended Presented
1
2
3
4
Total number activities
Rating %

Supervisors Signature: --------------------------------------------------------------------------------------------------------------------------------------

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Case Report or research activity:

Target: (1) case report or research/ internship year

Title of case report/research Publication Place of report

Accepted Not accepted

Attach a copy.

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Contact information

Mail: P.O. Box 114 - Jazan

Tel/Fax: (+966) 173182884
Email: [email protected]
Vice dean for clinical affairs email: [email protected]
Internship supervisor email: [email protected]

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