Microbiology Manual
Microbiology Manual
Microbiology Manual
MICROBIOLOGY
Logbook
For MBBS Phase II
A Model, based on National Medical Commission, India’s
Competency Based Medical Education (CBME) Curriculum
1
Rajmata Shrimati Devendra Kumari Singhdeo
Govt. Medical College Ambikapur,
Dist - Surguja (C.G.)
Department of Microbiology
Logbook
For
PHASE II MBBS STUDENTS
Batch: 2019-20
As per,
Student Name
Permanent address:
Email ID (optional):
DEPARTMENT OF MICROBIOLOGY
Logbook Certificate
This is to certify that the candidate
Mr/ Ms
logbook for II year MBBS course in the subject of Microbiology during the
period from
Signature of Faculty:
Principal/Dean of the
College: Place:
Date:
Introduction
logbook provides the platform for such documentation and thus forms an
throughout the Microbiology course. The students can use this book to record
Formats are suggested for tabulation of Unit wise, Block-wise and Final IA
This document shall be helpful for the students and the faculty to enable
Acknowledgements
1. Members of Curriculum Committee for Microbiology (UG), Rajiv Gandhi
University of Health Sciences, Bengaluru, Karnataka
2. Logbook Committee Members, Department of Pharmacology, J.N. Medical College,
KLE University, Belagavi, Karnataka
3. Dr. Rupal Patel, Professor of Microbiology, Pramukhswami Medical College,
Bhaikaka University, Karamsad, Gujarat
4. Dr. Chirag Modi, Professor of Microbiology, Pramukhswami Medical College,
Bhaikaka University, Karamsad, Gujarat
Contents
Table Record of, Page
No
I Overall Internal Assessment (IA) Performance
X Attendance
XI Participation in Conferences/CME/Workshops
XIII Awards/Achievements/Recognitions
Annexures
--- AETCOM
SGT
Others Others
Total Total
B Internal Assessment (IA): Internal Assessment (IA):
Theory Practicals
I II III I II III
P1 P2
Total Total
Grand Total Grand Total
(A+B) (A+B)
Table. III: Performance in Internal Assessment/Term-
end Tests (Theory)
Total 70
Table. V: Overall Performance in Self-Directed
Learning (SDL) Sessions
2
3
TOTAL
(*As per NMC curriculum, total of ten hours are earmarked for SDL sessions, in this regard,
five SDL sessions of two hours durations may be conducted over the course)
V. A: Performance in Self-Directed Learning (SDL) Session-1
Date: Time:
Venue:
Topic:
Faculty Facilitator:
Learning Objectives:
Reflections:
Feedback:
Date: Time:
Venue:
Topic:
Faculty Facilitator:
Learning Objectives:
Reflections:
Feedback:
Date: Time:
Venue:
Topic:
Faculty Facilitator:
Learning Objectives:
Reflections:
Feedback:
Date: Time:
Venue:
Topic:
Faculty Facilitator:
Learning Objectives:
Reflections:
Feedback:
Date: Time:
Venue:
Topic:
Faculty Facilitator:
Learning Objectives:
Reflections:
Feedback:
I Competency: MI 1.2; Perform and identify the different causative agents of Infectious diseases
by Gram Stain
1 Activity: Perform Gram stain from given clinical specimen/ fixed smear, focus under microscope,
record your observations and interpret
2 Activity: Perform Gram stain from given fixed smear from broth of a flagged blood culture bottle,
focus under microscope, record your observations and interpret
3 Activity: Perform Gram stain from given clinical specimen from breast abscess/ fixed smear from
colony isolated from the specimen. Focus it under microscope, record your observations and
interpret
4 Activity: Perform Gram stain from given CSF specimen/ fixed smear from colony isolated from
CSF. Focus it under microscope, record your observations and interpret
5 Competency: MI 6.2
Identify the common etiologic agents of upper respiratory tract infections (Gram Stain)
Activity: Perform the Gram stain from given smear prepared from throat swab collected from a
case of URTI. Focus it under microscope, record your observations and interpret
II Competency: MI 1.2; Perform and identify the different causative agents of Infectious diseases
by Zeihl-Neelsen Stain
1 Activity: Perform ZN stain from clinical specimen / fixed smear. Focus it under microscope,
record your observations and interpret
Sl. Completion *Rating/ Faculty Decision Faculty sign Student sign
No Date (Below expectations =B (Completed = C, & Date (For receiving Feedback)
Meets expectations =M Repeat=R,
Exceeds expectation=E)
Remedial = Re)
2 Activity: A heat-fixed smear of mesenteric lymph node aspirate/ colony obtained from lymph node
aspirate is provided. Perform ZN stain, focus it under microscope, record your observations and
interpret
3 Activity: A heat-fixed smear of cervical lymph node aspirate/ colony obtained from lymph node
aspirate is provided. Perform ZN stain, focus it under microscope, record your observations and
interpret
4 Activity: A heat-fixed smear of vertebral biopsy/ colony obtained from biopsy is provided.
Perform ZN stain, focus it under microscope, record your observations and interpret
Competency: MI 6.3
Identify the common etiologic agents of lower respiratory tract infections (Acid fast stain)
5 Activity: Perform ZN stain on heat-fixed smear of sputum specimen. Focus it under microscope,
record your observations and interpret
2 Activity: Perform Normal Saline and Iodine mount for Stool sample collected from a person with
diarrhea. Screen for parasitic elements, record your observations and interpret.
Sl. Completion *Rating/ Faculty Decision Faculty sign Student sign
No Date (Below expectations =B (Completed = C, & Date (For receiving Feedback)
Meets expectations =M Repeat=R,
Exceeds expectation=E)
Remedial = Re)
3 Activity: Perform Normal Saline and Iodine mount for Stool sample collected from a patient with
dysentery. Screen for parasitic elements, record your observations and interpret.
4 Activity: Perform Normal Saline and Iodine mount for Stool sample collected from an apparently
healthy person. Screen for parasitic elements, record your observations and interpret.
5 Activity: Perform Normal Saline and Iodine mount for Stool sample of a person with anemia
provided. Screen for parasitic elements, record your observations and interpret.
2 Activity: Perform steps of hand hygiene with soap and water or alcohol-based hand rub as
appropriate during blood spill management
3 Activity: Perform steps of hand hygiene with soap and water or alcohol-based hand rub as
appropriate during providing care to a Covid-19 patient
IV Competency: M8.7
Demonstrate Infection control practices and use of Personal Protective Equipment (PPE)
1 Activity: Choose and Perform donning and doffing of PPE for phlebotomy
Sl. Completion *Rating/ Faculty Decision Faculty sign Student sign
No Date (Below expectations =B (Completed = C, & Date (For receiving Feedback)
Meets expectations =M Repeat=R,
Exceeds expectation=E)
Remedial = Re)
2 Activity: Choose and Perform donning and doffing of PPE as appropriate for blood spill
management
3 Activity: Choose and Perform donning and doffing of PPE as appropriate for providing care to a
Covid-19 patient
1 Competency No:
Name & Number of Activity:
2 Competency No:
Name & Number of times of Activity:
3 Competency No:
Name & Number of times of Activity:
4 Competency No:
Name & Number of times of Activity:
5 Competency No:
Name & Number of times of Activity:
6 Competency No:
Name & Number of times of Activity:
7 Competency No:
Name & Number of times of Activity:
8 Competency No:
Name & Number of times of Activity:
9 Competency No:
Name & Number of times of Activity:
10 Competency No:
Name & Number of times of Activity:
24/
*Rating Rubric: Below expectations (B) (Score – 1, 2, 2.5),
Meets expectations (M) (Score – 3, 3.5),
Exceeds expectation (E) (Score – 4, 4.5, 5)
Table VI-B: Remedial activity for Certifiable skills
*Rating Faculty
(Below
expectations =B Decision
Completion (Complete d =
S.No. Meets Feedback with faculty sign Student Sign
Date expectations =M C, Not
Exceeds Completed =
expectation=E) NC)
1 Competency: Number of times of Activity:
Remedial action taken:
25/
*Rating Rubric: Below expectations (B) (Score – 1, 2, 2.5),
Meets expectations (M) (Score – 3, 3.5),
Exceeds expectation (E) (Score – 4, 4.5, 5)
Table VII: Acquisition of Desirable
skills Formative Assessment
(Practicals)
26/
S.No. Completion Topic Competency No. *Rating Faculty Student
Date (B/M/E) Sign Sign
27/
34
S.No. Completion Topic Competency No. *Rating Faculty Student
Date (B/M/E) Sign Sign
Faculty Student
*Rating Decision
Sl. Completion (Below expectations =B Feedback with faculty sign
Date (Completed = C, sign
No Meets expectations =M
Not Completed
(For receiving
Exceeds expectation=E)
= NC) Feedback)
1 Competency: MI 8.11
Demonstrate respect for patient samples sent to the laboratory for performance of laboratory
tests in the detection of microbial agents causing Infectious diseases
Activity: Observe the student handling (dummy) clinical samples during practical sessions.
Participation of a student in the case discussion held to help them identify the situations or ways
of respecting a clinical sample.
2 Competency: MI 8.14
Demonstrate confidentiality pertaining to patient identity in laboratory results
Activity: Identify the situations and events, which breach confidentiality of patient’s
identity in laboratory result.
3 Competency:
Activity:
36
Table IX: Performance in Small Group Teaching Activities
Sl. Date Topic *Rating Teachers Student
No. (B/M/E) Sign Sign
2
3
6
7
10
11
12
13
14
15
Total
*Rating Rubric: Below expectations (B) (Score – 1, 2,
2.5), Meets expectations (M) (Score –
3, 3.5), Exceeds expectation (E)
(Score – 4, 4.5, 5)
30/
37
Table X: Record of Attendance
BLOCK-I
BLOCK-II
2 Practicals
3 Small Group
Teachings
(SGT)
4 Self Directed
Learning (SDL)
5 AETCOM
module
6 Pandemic
module
Overall Attendance
31/
38
BLOCK-III
2 Practicals
3 Small Group
Teachings (SGT)
4 Self Directed
Learning (SDL)
5 AETCOM
module
6 Pandemic
module
Overall Attendance
Overall Attendance
2 II
3 III
Total
Note: Attendance requirements are 75% in theory and 80% in practical for eligibility to appear for the
University examinations in that subject. 75% attendance in Professional Development Programme
(AETCOM Module) is required for eligibility to appear for final examination in each professional year.
32/
39
Table XI: Participation in Conferences, CME, Workshops
Faculty Feedback/Remarks:
33/
40
Table XII: Participation in Extracurricular activities
Faculty Feedback/Remarks:
34/
41
ANNEXURES
35/
42
ANNEXURE-1: Guide for the conduct of End-block
Internal Assessment Tests
As per the New Curriculum document, there are VIII Units /systems
under which the competencies are distributed. However, here it is suggested to
conduct VII Unit tests on completion of topics from each unit/system. The
reason being, in the present ‘system wise’ teaching approach in microbiology,
one would have covered the topics under unit VII (zoonotic infections &
miscellaneous) in any one of the units (I-VII) /body systems.
Written tests in the form of Multiple Choice Questions (MCQ), short and
long answer questions can be used for assessment of cognitive skills.
37/
44
ANNEXURE-3: Illustrative example for logbook entry
of Self Directed Learning activity
Date: Time:
Venue:
Presenting Group:
Facilitator:
Topic Title: Opportunistic infections
Competency addressed: MI
8.2 Learning Objectives:
Define and enlist common opportunistic pathogens with clinical conditions that predispose to
acquiring infection by these pathogens.
Explain pathogenesis, laboratory diagnosis and prevention of common opportunistic infections
Task:
Explain the pathogenesis and laboratory diagnosis of these infections.
To study the impact of these infections on patients outcome.
To suggest preventive measures for development of these infections.
45
Steps for Self Directed Domain Duration Method Media
Learning Activity
Session-1: Cognitive 30 min Brain storming and LCD
Introduction of topic Interactive lecture
Setting Learning Goals
Planning to find resources &
Group Disassemble
The scores have to be entered in the logbook after each SDL session.
The students would also receive timely & constructive Feedback by the faculty.
40/
47
ANNEXURE-4: Illustrative example for logbook entry
of Certifiable competencies
**Rubric-2
Score obtained Rating Certification Faculty Decision
1, 2, 2.5 Below expectations (B) NO REMEDIAL/REPEAT
Activity
3, 3.5 Meets expectations (M) YES -------
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48
4A. Guidelines for logbook entry of
Repeat/Remedial activity
As per the NMC Curriculum document, it is expected that, the student has to perform
‘at’ or ‘above’ the level of expectancy on all the Certifiable skills for the predetermined
number of times. If the student’s performance is below the level of expectancy, the activity is
Repeated Twice and, if the student still fails to perform as expected, then a Remedial
teaching-learning session is conducted and documented in the table designed for the purpose
with description of the remedial action taken. This is in order to ensure that the student
becomes competent in predetermined certifiable competencies.
CERTIFICATION NO YES
The logbook entry as to whether the student has performed ‘at’ or ‘above’ the expected
level of competency and the need to Repeat or undergo Remedial activities needs to be
made.
The students would also receive timely & constructive Feedback by the faculty. 42/ 49
ANNEXURE-5: Illustrative example for logbook entry
of Desirable competencies
1. Competency identified:
MI3.7: Describe the epidemiology, the etio-pathogenesis and discuss the viral markers in
the evolution of viral hepatitis. Discuss the modalities in the diagnosis and prevention of
viral hepatitis
MI3.8: Choose the appropriate laboratory test in the diagnosis of viral hepatitis with
emphasis on viral markers
2. Name of activity
The students should be able to describe laboratory diagnosis of viruses causing hepatitis,
suggest appropriate sample and laboratory diagnostic test for a given case of viral
hepatitis, interpret the laboratory diagnostic test results of viral hepatitis and suggest
appropriate measures to prevent viral hepatitis
3. Components of activity:
6. Documentation of activity,
50
ANNEXURE-6: Illustrative example for logook entry of
AETCOM competencies
1. Competency identified:
MI 8.11 Demonstrate respect for patient samples sent to the laboratory for performance of
laboratory tests in the detection of microbial agents causing Infectious diseases
2. Name of activity
In a given situation/case scenario, identify the events that show disrespect to the clinical
sample and suggest ways to rectify them ( situations highlighting inappropriate container/
site/ sample/ amount, label, incomplete or wrong information in request form, time of
transportation, storage condition, quality of test performance, test result etc) .
3. Components of activity:
Correctly identify the events that show disrespect to the clinical sample and suggests ways to
rectify them in a given situation/case scenario
d. Below expectations (B)- Student fails to identify any situation or event that shows
disrespect to clinical sample
e. Meets expectations (M)- Student identifies most of the situation or event that
shows disrespect to clinical sample and shows ways to correct them
f. Exceeds expectations (E)- Student identifies all of the situation or event that
shows disrespect to clinical sample and shows ways to correct them and also
suggests some more ways that can show disrespect and ways to rectify them.
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5. Numerical scoring for activity: Marks out of 5 for each activity
Documentation of reflections and learning summary required in the practical record book/
logbook or portfolio and obtain feedback from the faculty.
.
Repeat session if not able to identify the situations/ event in given scenario first time.
Remedial session, if student is not able to meet expectation after repeat session as well.
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ANNEXURE-7: Illustrative example for logbook entry of
Small Group Teaching
Date: Time:
Venue:
Topic Title: Sexually transmitted infections
Competency addressed: MI 7.2 Describe the etio-pathogenesis and discuss the laboratory
diagnosis of sexually transmitted infections. Recommend preventive measures
Learning Objectives:
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Session Planned:
Session A-60 minutes (for interpretational skills)
Sr No Activity Time
1 Introductory session 5 min
2 Paper case scenario for discussion to identify 15 min
the most appropriate microbiological
investigation in the case
3 Provide report of investigations for students 15 mins
to interpret the findings in group
4 Groups share findings with wrap up of key 25 mins
learning by facilitator
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Rate Communication skills of the student using rating scale adapted from Kalamazoo
consensus statement
Sr. No Criterion Score
1 Builds relationship
2 Opens the discussion
3 Gathers information
4 Understands the patient’s perspective
5 Shares information
6 Manages flow
7 Overall rating
Rating:
1-3: Below Expectation
4-6:Meets Expectations
6-10:Exceeds Expectations
Documentation of reflections and learning summary in the practical record book/ logbook
and obtain feedback from the faculty.
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