LOGBOOK

FOR
PHASE – A
MS RESIDENCY PROGRAMME

DEPARTMENT OF OBSTETRICS & GYNAECOLOGY

BANGABANDHU SHEIKH MUJIB MEDICAL UNIVERSITY
SHAHBAG, DHAKA.

MS Obs & Gynae residency 1

 INDEX
Contents Page no.
Personal details of the candidate 03
Profile of the teachers/supervisors 04
General information 05
Objective of the training program 06
Objectives of the Residency Course 07

Clinical Rotations
Section A: Case records (POMR) 13
Section B: Procedures 27
Section C: OPD consultation 48
Section D: Placement in specialized diagnostic set – up 79
Section E: Emergency Encounter 83
Section F: Journal clubs 90
Section G: Case presentation in clinical meeting, grand & ward round 97
Section H: Presentations in seminars, symposium/workshop, conferences 104
Section I: Lectures attended 111
Section J: Interpretations of lab data and investigation reports 118
Section K: Leave record 125
Section L: Summary Record: PAY1 126
Section M: Summary Record: PAY2 127
Section N: Summary Record: Phase A completion 128
Section O : Certification 129

MS Obs & Gynae residency 2

PERSONAL DETAILS OF THE RESIDENTS
Name of the resident:
Stamp Size
University Registration No: Photo
BMDC Registration No:
Date of entry in the program:
Session:
Date of Birth:
Father's Name:
Mother's name:
Address for communication:

Permanent address:
Telephone No.
E-mail:
Natonality:
National ID No:
Passport No. (For foreign student)

MS Obs & Gynae residency 3

PROFILE OF THE TEACHERS/SUPERVISORS

Name Designation Discipline Specimen Signature Specimen Initial

MS Obs & Gynae residency 4

GENERAL INFORMATION
1. The log book (Daily Training Record) is a day to day record of the clinical and academic works done by the
resident
2. The log book will be a pre – requisite for appearing in the phase I summative examination
3. This log book has to be maintained by all the residents throughout the period of training
4. The resident will obtain the log book from the course – coordinator of the parent discipline immediately after
joining
5. The resident will make the required entries in the logbook on the same day of the event and get it signed by
the supervisor
6. It is the responsibility of the resident to keep the logbook safe and secured
7. Entries in the log book will be block-wise

MS Obs & Gynae residency 5

OBJECTIVES OF THE RESIDENCY COURSE
OVERALL OBJECTIVES:
The aim of the course is to develop human resources in the field of surgery who shall
1. Provide optimum health care to the Obs & Gynae patients need surgical care.
2. Teach and train undergraduate medical students and junior doctors in Obs & Gynae in medical college and
other Institutions.
3. Carry out and guide research to improve the practice of the art and science of Obs & Gynae.
4. Develop his/her knowledge, skill and attitude on his/her areas of interest and become specialists in allied

specialities.
SPECIFIC OBJECTIVES
After qualifying final MS, the candidate should be able to function as a junior specialist in Obs & Gynae.
So at the end of MS course candidate shall
1. have through knowledge of theoretical aspects of Obs & Gynae including recent advances and basic science as
applicable to Obs & Gynae.
2. be able to assess the patients seeking Obs & Gynae treatment by obtaining patient's history, eliciting physical
findings, formulating provisional diagnosis, deciding whether patient needs hospitalization or not.
3. manage the patients - by recognizing appropriate investigations; when required perform specified procedures
independently and competently; deal with the complications effectively and promptly.

MS Obs & Gynae residency 6

 4. be aware of one's professional limitations and be able to refer to appropriate centers/specialist when required.
5. develop one's knowledge skills and attitudes in his/her areas of interest and become specialists in allied
specialities.
6. be able to carry out research and publish the findings, move over, he/she shall be able to critically evaluate
recent medical literature and update his knowledge. Also exhibit awareness of surgical audit.
7. to know the ethics and medico-legal aspects related to the practice of Obs & Gynae.
8. acquire necessary skills of teaching and training his junior colleagues and medical students.

OBJECTIVE OF THE TRAINING PROGRAM:

The aim of the training program in phase A of the residency program is to guide the students to acquire broad based
knowledge on [Obs & Gynae] before entering the final part (part B). In this context it is expected that the students
will be able to (i) acquire knowledge [of common obstetrics & gynae conditions, emergencies & rehabilitations]. (ii)
acquire skills [diagnostic, clinical and decision making] and (iii) develop attitude [caring, learning & ethical]. The
components of the objectives are as follows: The resident should
• acquire sufficient theoretical knowledge (the ''core'' knowledge defined in the syllabus)
• be able to take full history and be competent in performing a full physical examination
• formulate a clinical diagnosis
• decide whether the patient requires ambulatory care or hospitalization or referral to other health professionals

MS Obs & Gynae residency 7

 • become competent in interpreting and evaluate the presenting symptoms and physical signs
• be able to interpret and evaluate the laboratory reports
• plan investigations and interpret them
• decide and implement suitable treatment
• maintain follow up of patients
• maintain records of patients
• present the patient's clinical data in both detailed and salient form highlighting the problem (s)
• competent and confident enough to handle common emergencies and common chronic conditions including
rehabilitation
• develop skill of good precribing
• establish appropriate doctor – patient relationship
• be able to maintain the ethical and professional standard
• be able to advise the community on promoting health and preventing illness
• well conversant with commonly prescribed drugs
Resident should develop sufficient expertise in performing the enlisted procedures:
1. Hand wash
2. Gown and gloves wearing
3. Positioning, painting and drapping of the patient

MS Obs & Gynae residency 8

 4. Trolly preparation
5. Nasogastric tube placement
6. Urethral Catheterization
7. Cannula insertion
8. Fingerstic blood sugar testing

9. Various routes of drug administration

10. Chemotherapy
11. Collection, storage and transportation of pathological specimen with accompanying notes
12. Cardiotocography
13. Safe blood transfusion
14. Blood glucose monitoring
15. Opening and closing of the abdomen during surgery
16. Minor surgical procedures like
D&C
Polypectomy
Marsupialization
Episiotomy repair
Manual removal of placenta

MS Obs & Gynae residency 9

 Tubectomy
Norplant insertion and removal
17. Abdominal Ultrasonography & transvaginal ultrasonography
18. Venepuncture

• be able to interpret the following lab data and investigation reports

1. ECG
2. X-ray
3. CT scans
4. MRI
5. Haemoglobin electrophoresis
6. Electrolyte reports
7. Automated hematological analysis
8. Ultrasonography
9. CTG
10. Partograph
11. HSG
12. Hormone Assay

MS Obs & Gynae residency 10

The objectives of the training may be achieved through different modes like
1. Ward duties
2. Emergency duties
3. OPD duties
4. Academic sessions: Journal club, clinical meeting, Grand round, Case presentation session,
Morbidity/ mortality review meeting/ medical audit
5. Seminars, conferences, workshops
6. Lectures
7. Bed side teaching
8. Tutorials
9. Small group discussion

MS Obs & Gynae residency 11

EXAMPLE OF ROTATIONS FOR THE RESIDENTS OF MS IN OBS & GYANE
Total duration: 24 months
• Last 3 months of the phase A will be allotted for Assessment
• The remaining 21 months will be divided into 7 Blocks as follows
BLOCK SPECIALITY DURATION (MONTHS)
1 General Obs & Gynae 3 months
Anaesthesia 1 month
2 General Urology 1 month
Female Urology 1 month
Neonatology 1 month
3 Endocrionology 1 month
Dermatology 1 month
4 General surgery 3 months
Radiation & Medical Oncology 1 month
5 Radiology & Imaging 1 month
Family Planning 1 month
6. General Obs & Gynae 3 months
7. General Obs & Gynae 3 months

MS Obs & Gynae residency 12

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.
8.
9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 13

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 14

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 15

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 16

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 17

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 18

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 19

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 20

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 21

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 22

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 23

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 24

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 25

SECTION A: CASE RECORDS (POMR) OF THE PATIENTS MANAGED BY THE RESIDENT
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Date of admission with Diagnosis Grading Signature of
(age & sex) hospital Reg. No. Ward Supervisors
& Bed No.
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Grading: Excellent:4, good:3, satisfactory:2, unsatisfactory:1

MS Obs & Gynae residency 26

SECTION B: PROCEDURES
Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 27

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 28

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 29

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 30

SECTION B: PROCEDURES
Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 31

SECTION B: PROCEDURES
Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 32

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 33

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 34

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 35

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 36

SECTION B: PROCEDURES
Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 37

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 38

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 39

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 40

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 41

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 42

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 43

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 44

SECTION B: PROCEDURES
Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 45

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 46

SECTION B: PROCEDURES

Block..................................................................................
Supervisor...........................................................................

Sl. Date Name of patient Diagnosis / Indications Procedure Performance of Signature of

No. (age & sex) performed the candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Key for performance of the candidates:

Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 47

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 48

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 49

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 50

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 51

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 52

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 53

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 54

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 55

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 56

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 57

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 58

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 59

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 60

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 61

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 62

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 63

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 64

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 65

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 66

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 67

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 68

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 69

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 70

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 71

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 72

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 73

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 74

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 75

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 76

SECTION C: OPD CONSULTATION
Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 77

SECTION C: OPD CONSULTATION

Block..................................................................................
Supervisor...........................................................................

Date Consultation Problem / diagnosis No Signature of Supervisors

1st

FU

1st

FU

1st

FU

MS Obs & Gynae residency 78

SECTION D: PLACEMENT IN SPECIALIZED DIAGNOSTIC SET UP
Ultrasonography.................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Reg. No. Diagnosis Performance of Signature of
candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Key for performance of the candidates:
Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 79

SECTION D: PLACEMENT IN SPECIALIZED DIAGNOSTIC SET UP
Cardiotocography.................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Reg. No. Diagnosis Performance of Signature of
candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Key for performance of the candidates:
Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 80

SECTION D: PLACEMENT IN SPECIALIZED DIAGNOSTIC SET UP
Pap smear................................................................
Supervisor...............................................................

Sl. No. Date Name of patient Reg. No. Diagnosis Performance of Signature of
candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Key for performance of the candidates:
Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 81

SECTION D: PLACEMENT IN SPECIALIZED DIAGNOSTIC SET UP
VIA / Colposcopy.................................................................
Supervisor...........................................................................

Sl. No. Date Name of patient Reg. No. Diagnosis Performance of Signature of
candidate Supervisors
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Key for performance of the candidates:
Observer status – 0
Assistant status – A
Performance under supervision – Ps
Performed independently – PI

MS Obs & Gynae residency 82

SECTION E: EMERGENCY ENCOUNTED

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 83

SECTION E: EMERGENCY ENCOUNTED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 84

SECTION E: EMERGENCY ENCOUNTED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 85

SECTION E: EMERGENCY ENCOUNTED

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 86

SECTION E: EMERGENCY ENCOUNTED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 87

SECTION E: EMERGENCY ENCOUNTED

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 88

SECTION E: EMERGENCY ENCOUNTED

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Outcome Signature of
ward, Bed, PIN Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

MS Obs & Gynae residency 89

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 90

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 91

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 92

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 93

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 94

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 95

SECTION F: JOURNAL CLUBS
Block..................................................................................
Supervisor...........................................................................

Sl. Date Topic / article Source / Re-source Performance level Signature of

No. person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 96

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 97

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 98

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 99

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 100

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 101

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 102

SECTION G: CASE PRESENTATION IN CLLINICAL MEETING, GRAND & WARD ROUND

Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Name of the patients (age & sex), Problem / Diagnosis Level of Signature of
ward, Bed, PIN performance Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 103

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 104

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 105

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 106

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 107

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 108

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 109

SECTION H: PRESENTATION / ATTENDANCE IN SEMINARS, SYMPOSIUM / WORKSHOPS,
CONFERENCES.
Block..................................................................................
Supervisor...........................................................................
Sl. No. Date Topic / article Source / Re-source Performance level Signature of
person Supervisors
1.

2.

3.

4.

5.

6.

7.

8.

9.

Key for performance of the candidates:

Attended – A
Presented himself – PH

MS Obs & Gynae residency 110

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 111

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 112

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 113

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 114

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 115

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 116

SECTION I: LECTURES ATTENDED
Block..................................................................................
Supervisor...........................................................................

Sl. No. Date Topic Lecture Signature

MS Obs & Gynae residency 117

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 118

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 119

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 120

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 121

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 122

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 123

SECTION J: INTERPRETATION OF LAB DATA AND INVESTIGATION REPORTS
Block..................................................................................
Supervisor...........................................................................

Sl. No. Items Abnormality Interpretation Signature of

supervisors

MS Obs & Gynae residency 124

SECTION K: LEAVE RECORD

Duration From To Reason Signature of

upervisors

MS Obs & Gynae residency 125

SECTION L: SUMMARY RECORDS: PAY 1

Events Performed Signature of the

Block 1 Block 2 Block 3 Block 4 Total year – manager 1
A) Case records (POMR)

B) Procedures

C) OPD consultation

D) Specialized diagnostic
set up

E) Emergency encounted

F) Journal Clubs

G) Case presentation in
cllinical meeting, grand &
ward round
H) Presentation/ attendance
in seminars, symposium /
workshop, conferences
I) Lectures attended

J) Data Interpretations

MS Obs & Gynae residency 126

SECTION M: SUMMARY RECORDS: PAY 2

Events Performed Signature of the

Block 1 Block 2 Block 3 Block 4 Total year – manager 2
A) Case records (POMR)

B) Procedures

C) OPD consultation

D) Specialized diagnostic
set up

E) Emergency encounted

F) Journal Clubs

G) Case presentation in
cllinical meeting, grand &
ward round
H) Presentation/ attendance
in seminars, symposium /
workshop, conferences
I) Lectures attended

MS Obs & Gynae residency 127

 J) Data Interpretations

SECTION N: SUMMARY RECORDS: PHASE A COMPLETION

Events Performed Signature of the

PAY 1 PAY 2 Total Course coordinator
A) Case records
(POMR)

B) Procedures

C) OPD consultation

D) Specialized
diagnostic set up

E) Emergency
encounted

F) Journal Clubs

G) Case presentation in
cllinical meeting, grand
& ward round
H) Presentation/
attendance in seminars,
symposium / workshop,
conferences

MS Obs & Gynae residency 128

 I) Lectures attended

J) Data Interpretations

SECTION O: CERTIFICATE OF ACCURACY

I certify that the information contained in the LOGBOOK (Daily Training Record) is a true and accurate record of my training
expriences.

Trainee's signature......................................................................................... Date...............................................................................

Section P: CERTIFICATION of satisfactory completion of the logbook

I, to the best of my knowledge, certify that

Dr. ...........................................................................................................................................................................................................

has satisfactory completed this logbook as required by the university.

....................................................................
Signaure of the Course coordinator

Name:

Discipline:

Date:

MS Obs & Gynae residency 129

MS Obs & Gynae residency 130