Obgy Logbook
Obgy Logbook
Obgy Logbook
Page 53 of 89
Index
S. n o Topic Page number
1. Biodata of candidate 3
2. Log book certificate 4
3. Instructions 5
4. Record of attendance 6
5. Record of internal assessment 7
6. List of competencies- clinical skills 8
7. List of competencies- psychomotor 10
skills
8. List of competencies- AETCOM 14
skills
9. LOG Book record of clinical skills 16
10. LOG Book record of psychomotor 17
skills
11. LOG Book record of AETCOM 19
skills
12. AETCOM module reflection 21
13. Paps smear 23
14. Discharge summary 24-33
Page 54 of 89
BIODATA OF THE CANDIDATE
Date of birth:
Father’s / Guardian’s name:
Mother’s name:
Blood group:
Permanent Address: Temporary Address:
……………………………… ……………………………
………………………………. …………………………… .
Student’s contact no:
Father’s/ Guardian’s contact no:
Student’s Email id:
Father’s/ Guardian’ s Email id:
Page 55 of 89
LOG BOOK CERTIFICATE
Date: ___/___/______
Place: _____________
Page 56 of 89
Instructions
The undergraduate medical education program is designed with a goal to create an “Indian Medical Graduate” (IMG) p ossessing requisite
knowledge, skills, attitudes, values and responsiveness, so that she or he may function appropriately and effectively as a physician of first
contact of the community while being globally relevant.
This Logbook gives an opportunity to achieve goals pertaining to skill learning in Obstetrics and Gynecology, so that IMG becomes capable to
provide respectful maternity and Gynecology care to the society.
1) Logbook is a record of the academic / co-curricular activities of the designated student, who would be responsible for maintaining his/her
logbook.
2) The student is responsible for getting the entries in the logbook verified by the Faculty in charge regularly. Certifications for competencies to
be taken on same day.
3)Refer to university course content for skill to ensure which competencies to be covered in which phase
4) Entries in the logbook will reflect the activities undertaken in the department & have to be scrutinized by the, teacher in c harge of session,
Head of the concerned unit and department.
5) The logbook is a record of various activities by the student like:
- Overall participation & performance
- Attendance
- Participation in sessions
- Record of completion of pre-determined activities.
- Acquisition of selected competencies
Page 57 of 89
6) The logbook is the record of work done by the candidate in that department / specialty and should be verified by the college before
submitting the application of the students for the University examination.
Record of Attendance
Phase Duration Posting from Posting to date Attended days/out of Signature of Unit In
of posting date days charge
Phase II 4 weeks
Phase III 4 weeks
Phase IV 12 weeks
......................................
Signature of Head of theDepartment
Page 58 of 89
Records of Internal Assessments
Remedial if any
Page 59 of 89
......................................
Signature of Head of theDepartment
Name of Activity
Competency # addressed
OG5.1 Describe, discuss and identify pre-existing medical disorders and discuss their management; discuss evidence-based intrapartum
care
OG5.2 Determine maternal high risk factors and verify immunization status
Describe, discuss and demonstrate the clinical features of pregnancy, derive and discuss its differential diagnosis, elaborate the
OG6.1 principles underlying and interpret pregnancy tests.
Elicit, document and present history in a OBGY patient including obstetric and menstrual history, last menstrual period,
OG8.2 comorbid conditions and past medical history
Describe, demonstrate, document and perform a general,systemic and abdominal examination includingobstetrical
OG8.3 examinations and clinical monitoring of maternal and fetal well-being.
Page 60 of 89
Describe and demonstrate pelvic assessment in a model
OG8.5
Obtain a logical sequence of history, and perform a humane and thorough clinical examination, excluding internal examinations
OG35.1 (perrectal and per-vaginal)
OG35.3 Recognize situations, which call for urgent or early treatment at secondary and tertiary centres and make a prompt referral of
such patients after giving first aid or emergency treatment.
Plan and institute a line of treatment, which is need based, cost effective and appropriate for common conditions taking into
OG36.1 consideration (a) Patient (b) Disease (c) Socio-economic status (d) Institution/ Governmental guidelines.
OG38.4 Assess the need for and issue proper medical certificates to patients for various purposes
Page 61 of 89
PSYCHOMOTOR / PERFORMANCE SKILLS:
Skills can be assessed by objective structured clinical assessment with checklist, Global Rating Scale,
Simulated patients as per the institutional preference.
Colleges are instructed prepare modules for skill training as per NMC guidelines.
Module 5 Skill Training.
I – independent certification
D - demonstration
LIST OF COMPETENCIES
Name of Activity
Competency # addressed
Describe the steps and observe/ assist in the performance of an MTP evacuation
OG9.2
Page 62 of 89
Observe/ assist in the performance of an artificial rupture of membranes
OG13.3
OG15.2 Observe and assist in the performance of an episiotomy and demonstrate the correct suturing technique of an
episiotomy in a simulated environment. Observe/Assist in operative obstetrics cases – including - CS, Forceps,
vacuum extraction, and breech delivery
OG18.2 Demonstrate the steps of neonatal resuscitation in a simulated environment
Enumerate the indications for, describe the steps in and insert and remove an intrauterine device in a
OG19.4 simulated environment
Describe and demonstrate the screening for cervical cancer in a simulated environment
OG33.3
OG34.4 Operative Gynaecology : Understand and describe the technique and complications: Dilatation & Curettage
(D&C); EA-ECC, cervical biopsy; abdominal hysterectomy; myomectomy; surgery for ovarian tumours; staging
laparotomy; vaginal hysterectomy including pelvic floor repair; Fothergill’s operation, Laparoscopy;
hysteroscopy; management of postoperative complications
OG35.7 Obtain informed consent for any examination / procedure
Page 63 of 89
OG35.9 Write a proper discharge summary with all relevant information
OG35.10. Write a proper referral note to secondary or tertiary centres or to other physicians with all necessary details
OG35.11 Demonstrate the correct use of appropriate universal precautions for self-protection against HIV and hepatitis
OG35.13 Demonstrate the correct technique to perform artificial rupture of membranes in a simulated / supervised
environment
OG35.14 Demonstrate the correct technique to perform and suture episiotomies in a simulated/ supervised
environment
OG35.15 Demonstrate the correct technique to insert and remove an IUD in a simulated/ supervised environment
OG35.16 Diagnose and provide emergency management of antepartum and postpartum hemorrhage in a simulated /
guided environment
OG35.17 Demonstrate the correct technique of urinary catheterisation in a simulated/ supervised environment
OG36.3 Demonstrate the correct technique of punch biopsy of uterus in a simulated/ supervised environment
Page 64 of 89
OG37.4 Observe and assist in the performance of Dilatation & Curettage (D&C)
OG37.5 Observe and assist in the performance of Endometrial aspiration - endocervical curettage (EA-ECC)
OG37.6 Observe and assist in the performance of outlet forceps application of vacuum and breech delivery
OG37.7 Observe and assist in the performance of MTP in the first trimester and evacuation in incomplete abortion
Page 65 of 89
AETCOM SKILLS
Counselling for Investigation, Treatment, Prognosis, Blood donation, Organ Donation, Breaking Bad news. All
types of consent. Medicolegal aspects and Ethics, Empathy and professionalism as per the Phase of the MBBS.
Include cases of Allied branches also.
Competency to be assessed during Clinical postings and /or small group discussions.
LIST OF COMPETENCIES
Name of Activity
Competency addressed
OG8.6 Assess and counsel a patient in a simulated environment regarding appropriate nutrition in pregnancy
OG17.2 Counsel in a simulated environment, care of the breast, importance and the technique of breast feeding
Page 66 of 89
OG20.2 In a simulated environment administer informed consent to a person wishing to undergo Medical Termination of Pregnancy
OG35.4 Demonstrate interpersonal and communication skills befitting a physician in order to discuss illness and its outcome with
patient and family
Page 67 of 89
Log book record of clinical skills
Sr. no. P Competenc Name Site Date Attemp Rating Decision of Initial Feedbac Method of
h y# of Ward, complete t at faculty of k assessmen
as addressed Activit skill lab, d activity Below (B)expectations facult received t and Score
e y opd , First Complete y Initial of
casualty (F) Meets (M)expectations d (C) Learner
, Repeat Repeat (R)
(R) Exceeds (E)
Remedial expectation Remedial (Re)
(Re) s
OR
Numerical Score
1.
OG5.1
2. OG5.2
3.
OG6.1
4.
OG8.2
5.
OG8.3
6.
OG8.4
7.
OG8.5
8.
OG35.1
9.
OG35.2
10. OG35.3
11.
OG35.5
12.
OG36.1
Page 68 of 89
13. OG36.2
14. OG38.4
Psychomotor skills
Sr. Pha Competenc Name Site Date Attemp Rating Decision of Initial Feedbac Method of
no. se y# of Ward, complete t at faculty of k assessmen
addressed Activit skill lab, d activity Below (B)expectations facult received t and Score
y opd , First Complete y Initial of
casualty (F) Meets (M)expectations d (C) Learner
, Repeat Repeat (R)
(R) Exceeds (E)
Remedial expectation Remedial (Re)
(Re) s
OR
Numerical Score
1.
OG9.2
2.
OG13.3
3.
OG13.4
4.
OG13.5
5. OG15.2
6. OG18.2
7.
OG19.3
8.
OG19.4
9.
OG33.3
Page 69 of 89
10. OG34.4
11. OG35.7
12. OG35.8
13. OG35.9
14. OG35.10.
15. OG35.11
16. OG35.12
17. OG35.13
18. OG35.14
19. OG35.15
20. OG35.16
21. OG35.17
22. OG36.3
23. OG37.1
24. OG37.2
25. OG37.3
26. OG37.4
27. OG37.5
28. OG37.6
29. OG37.7
Page 70 of 89
30. OG38.1
31. OG38.2
32. OG38.3
AetCom skills
Sr. Pha Competenc Name Site Date Attemp Rating Decision of Initial Feedbac Method of
no. se y# of Ward, complete t at faculty of k assessmen
addressed Activit skill lab, d activity Below (B)expectations facult received t and Score
y opd , First Complete y Initial of
casualty (F) Meets (M)expectations d (C) Learner
, Repeat Repeat (R)
(R) Exceeds (E)
Remedial expectation Remedial (Re)
(Re) s
OR
Numerical Score
1. OG8.6
2.
OG13.4
3.
OG17.2
4.
OG19.2
5.
OG20.2
6. OG35.4
Page 71 of 89
7. OG35.6
8.
OG35.11
Page 72 of 89
REFLECTION ON AETCOM MODULE For PHASE IV
Signature of Teacher-in-charge
Page 73 of 89
REFLECTION ON AETCOM MODULE
Signature of Teacher-in-charge
Page 74 of 89
PAP smear obtaining and filling form for same.
(2 cases so 2 similar repetitions)
Signature of teacher:
Date:
Page 75 of 89
Discharge summary(as per institutional format)
1. Vaginal delivery
Signature of teacher:Date:
Page 76 of 89
Discharge summary
2. Caesarean section
Page 77 of 89
Discharge summary
3. Hysterectomy abdominal
Page 78 of 89
Discharge summary
4. Hysterectomy vaginal
Page 79 of 89
Discharge summary
5. MTP
Signature of teacher:
Date:
Page 80 of 89
Discharge summary
6. Tubal ligation
Signature of teacher:
Date
Page 81 of 89
Referral note for a higher centre for obstetric patient
(this format to be typed in journal)
Signature of teacher:
Date:
Page 82 of 89
Medical certificate(for obstetric or gynaecological condition)
Signature of teacher:
Date:
Page 83 of 89
Self-Directed Learning, Seminars, Tutorials, Projects, Quizzes, extracurricular
activities
Page 84 of 89
Reflection (minimum200words) – 1 Date
:
TOPIC:
Page 85 of 89
Reflection (minimum 200 words) – 2
Date :
TOPIC:
Page 86 of 89
Page 87 of 89
ANNEXURE 1:
Page 88 of 89
ANNEXURE 2:
AetCom skills can be assessed by use of Kalamazoo consensus.
Criteria
Builds relationship
Opens the discussion
Gathers information
Understands the patient’s
perspective
Communication skills rating scale adapted
Shares information
from Kalamazoo consensus statement.
Manages flow
Overall rating
Signature of teacher Rating 3 - Poor, 4 -6
Satisfactory, 6 -10 Superior
Page 89 of 89