RoyalMedicalServices
ProfessionalTrainingDivision
LogbookforInternalMedicineResidents
ExplanatoryNotes
Thisisanimportantdocument.Thelogbookisanintegralpartofbasicinternal medicine training andit willprovidearecordofyourmedicalexperience andyour academicandeducationalactivities.Itwillbepartofyourassessmentasyou movethrough basic internalmedicinetrainingand it willberequired forthefinal year of residencyandBoardexamination.
Thislogbookisintendedtobearecord ofallproceduresyou performor participateinas partof your internal medicinetraining.
TrainingPosts Held
On thispage you are required tolist, in chronological order, the posts which you haveheldduringresidencyprogram atthecompletionofeachpost,thetraineror consultant towhom you have been attachedmust sign toindicate that youhave satisfactorilycompletedthepost.When you applytositthe finalassessment,the trainer orconsultant withwhomyou areattachedwillverifythatthe logbookis completeand authenticated.
Educational and AcademicActivities
You mustrecord thefactthatyouhavesat forand succeededthebasicboard examination. A copy of the Jordan Medical Council Primary board certificate should beincludedwithyourlogbook.Onthissheet,recordsofattendanceat other trainingcourses, meetings,andlectures shouldberecorded.Itisnot intendedthatyourecordeducationalactivitieswithintheunittowhichyouare
attached.Publicationsandotherpersonalcontributionsshouldbeincludedas well as anyinvolvementinresearchprojects.
The logbookisdivided intonumbered segments,correspondingtothetraining postsheld.Detailsofyourrecord ofEmergencycaseslog,Followup caseslogand allproceduresyou performorparticipate should becompleted foreach ofthese posts.
Personaldetails:
Full NameinArabic: Full nameinEnglish: National number:
Start dateof yourresidency program:
Your signature:
Headof theDepartment:
SignatureStamp:
Date:
TrainingPostsHeld
PostNumbe r / Hospital / Residency
Year / Start
Date / Finish
Date / Consultant / Consultan
tsignature
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
Thisformshouldonlybesigned by theconsultantor trainer atthe endofthepost,provided thatthe traineehasfinished the period ofthetraining satisfactorily.
EducationalandAcademicActivities
MandatoryCertificate (s):
JordanMedical Council First PartBoardExaminationCertificate: Dateof Issuing theCertificate:
CertificateNumber:
Other Courses:
Course / Date / Location / CourseDirector9
Patients·CaseLog
10
11
Emergencycases
Cardiovascularsystem
Case descriptionMinimumNo. ofcases
Leftsided heartfailure5
Acute chestpain10
Arrhythmias5
Hypertensive emergencies10
Syncope5
Shock
Cardiogenic5
Hypovolemic5
Septicandacutesystemic
inflammatoryresponse2
Respiratorysystem
Case descriptionMinimumNo. ofcases
Status asthmaticus5
Acuterespiratoryfailure10
Hemoptysis2
ARDS1
Pulmonaryembolism2
12
GIT
Case descriptionMinimumNo. ofcases
UpperGITbleeding30
LowerGITbleeding10
Hepatic encephalopathy20
Acute &fulminanthepatitis1-3
Acuteabdomen5
Kidney
Case descriptionMinimumNo. ofcases
Acuterenalfailure &CRF10
Electrolytesand acidbaseimbalance15
Renalcolic10
Acute pyelonephritis5
Hemolytic uremic syndrome1
13
Neurology
Case descriptionMinimumNo. ofcases
Convulsions andepilepsy5
Disturbedlevelofconsciousness5
TIAStroke10
Ascendingparalysis1
Acute paraplegias1
Subarachnoid hemorrhage1
Meningitis2
Encephalitis2
Endocrine
Case descriptionMinimumNo. ofcases
Thyrotoxiccrisis1
Myxedemacoma1
Suprarenalemergencies1
Diabeticemergencies
DKA20
Hypoglycaemia5
Diabeticfoot10
Hyperosmolar4
14
Autoimmune diseases
Case descriptionMinimumNo. ofcases
SLE emergencies2
Antiphospholipidsyndrome2
Blood
Case descriptionMinimumNo. ofcases
Haemolytic crisis (jaundice)3
Haemorrhagic diseases5
Others
Case descriptionMinimumNo. ofcases
Jaundiceof Pregnancy1
Hyperthermia1
Anaphylaxis1
Angioneuroticedema2
15
Patients’ case Log
NumberTrainer’s
Clinical
Condition
Observed
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
16
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
17
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
18
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
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date date
19
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
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date date
20
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
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date date
21
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
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date
date
date date
22
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
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date
date
date date
23
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
24
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
25
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
26
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
27
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
28
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
29
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
30
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
31
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
32
Patients’ case Log
NumberTrainer’s
Clinical
ConditionObserved
Managed Under Supervision
Managed Independ- ently
signature
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date
date date
33
Non EmergencyMedicalcasesLog
And followup ofemergencycases
34
Systembasedmedicalconditions
Cardiac cases
Case descriptionMinimumNo. ofcases
CHF10
Valvularheartdisease10
Ischemic heartdisease15
Cardiomyopathy3
Hypertension20
Arrythmias;AF &others10
Infective endocarditis2
Rheumatic fever3
Respiratorycases
Case descriptionMinimumNo. ofcases
COPDs30
Upperrespiratoryinfection20
Lowerrespiratoryinfection10
Suppurative lungdisease3
Pleuraleffusion5
Pneumothorax1
Obstructive sleep apnea5
Interstitiallungdisease2
Mediastinalsyndrome1
Tumors of lungpleura2
35
Neurologycases
Case descriptionMinimumNo. ofcases
TIA10
Vascularstroke20
Paraplegia5
Cranialnerves5
Ataxias2
Extrapyramidalsyndromes4
Peripheralneuritis &radiculopathy5
Myasthenia(1ryand2ry)1
Braintumors2
Degenerative brain diseases5
Language disorders5
Headache10
Migraine5
Encephalitis,Meningitis and brain abscess1
Increased intracranial tension2
Myopathiesothermuscles diseases1
36
Endocrinalandmetabolic disorders
Case descriptionMinimumNo. ofcases
DM50
Type1,2,uncontrolled,,Gestationalcomplicated
Pituitaryfailure &hypopituitarism2
Diseases ofsuprarenal3
Thyroid diseases10
Gonadaldisorders1
Nutrition
Case descriptionMinimumNo. ofcases
Cachexia3
Metabolicsyndrome&obesity20
Vitamin deficiencies10
Bone diseases
Case descriptionMinimumNo. ofcases
Osteomalacia1
Osteoporosis5
37
Hematology
Case descriptionMinimumNo. ofcases
Anemias20
Leukemias4
Purpura5
DVT5
Multiple myeloma1
Paraproteinemia1
Nephrology
Case descriptionMinimumNo. ofcases
Glomerulonephritis5
Nephroticsyndrome5
Urinarytractinfection5
ESRD5
Infections
Case descriptionMinimumNo. ofcases
Salmonellosis10
Hepatitis10
Brucellosis2
38
GITandhepatology
Case descriptionMinimumNo. ofcases
FunctionalGITproblems30
Chronic diarrhea5
Jaundice10
Diseasesrelated totravellingtoendemicareas
Case descriptionMinimumNo. ofcases
Malaria2
Avian flu0-1
Others1
Others
Case descriptionMinimumNo. ofcases
Skin manifestations ofmedicaldiseases20
Occupational diseases2
Psychiatric disorders in generalpractice5
39
40
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
41
Patients’followuplog
ManagementO
AP Trainersignatureand date
42
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
43
Patients’followuplog
ManagementO
AP Trainersignatureand date
44
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
45
Patients’followuplog
ManagementO
AP Trainersignatureand date
46
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
47
Patients’followuplog
ManagementO
AP Trainersignatureand date
48
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
49
Patients’followuplog
ManagementO
AP Trainersignatureand date
50
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
51
Patients’followuplog
ManagementO
AP Trainersignatureand date
52
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
53
Patients’followuplog
ManagementO
AP Trainersignatureand date
54
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
55
Patients’followuplog
ManagementO
AP Trainersignatureand date
56
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
57
Patients’followuplog
ManagementO
AP Trainersignatureand date
58
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
59
Patients’followuplog
ManagementO
AP Trainersignatureand date
60
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
61
Patients’followuplog
ManagementO
AP Trainersignatureand date
62
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
63
Patients’followuplog
ManagementO
AP Trainersignatureand date
64
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
65
Patients’followuplog
ManagementO
AP Trainersignatureand date
66
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
67
Patients’followuplog
ManagementO
AP Trainersignatureand date
68
Patients’followuplog
PatientnameIDProvisional diagnosis
Finaldiagnosis
69
Patients’followuplog
ManagementO
AP Trainersignatureand date
10
71
Procedures'Log
Leveloftraineesparticipation in differentprocedures
1. Observation of the procedureO
2. Assistancein the procedureA
3. Performance oftheProcedure(supervised)Ps
4. Performance oftheprocedure (independent)P
72
73
During the wholedurationofthe trainingcourse ,the candidateshouldacquireall theskillsinthedifferentdisciplines
Youareexpectedtorecordallyour activitiesinthelogbook,whichshouldbe signedbyyour supervisor .
The basic skillsinclude :
Firstandsecondyear
Complete historyandphysicalexamination
RecordingandinterprtetationECG
Management of cardiopulmonaryarrest
Interprtetationofchestx ray
Interprtetationof abdominal film
Performancelumbar puncture
Measurementof CSFpressure
Preparationandexaminationof bloodfilmscytologyanddifferentparasites
Recognitionandpractice ofthe techniquesandbloodgroupingandcross matchingandbloodtransfusion
Interprtetationof abdominalultrasound
Interprtetationof jointsandbackxray.
74
Thirdandfourthyear
Interpretationof echocardiogram
Analysisof pulmonaryfunctiontests
Interpretationof CT,MRI chest
Performanceof pleuralaspiration
Performanceof liver biopsy
AbdominalCTandabdominalMRI
Performanceof peritonealdialysis
Interprtetationof EEG
Performanceof aspirationandbiopsyof bone marrow
Observingcloselystartingapatientonhaemodialysis
Observingcloselystartingapatientonrenalbiopsies
Upper GI endoscopy
Lower GI endoscopy
Interpretation of jointsandbackCT,MRI
Performanceof arthrocenthesisandjointinjection
75
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
76
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
77
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
78
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
79
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
80
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
81
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
82
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
83
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
84
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
85
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
86
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
87
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
88
ProcedureLog
NumberTrainer’s
CasediagnosisProcedurename
OAP
signature
date
89
Academic
Activities
90
91
Journalclubtitles
TopicDateTrainer’s
Signature
Approach toa patient with bronchial asthma
Theevidencebased approach for com- pellingindications of hypotensivedrugs inthemanagement of hypertension
Acutediarrhea
Degenerativediseases of CNS Radiculopathy & peripheral neuropathy Approach toa patient with syncope Approach to patients with convulsions Strokeinyoung patients
Prolonged fever of unknown origin
Metabolic syndromes Myelodysplastic syndrome. Polymyalgia and temporalarteritis
Recent insights on themanagement of connectivetissuediseases
Skinmanifestations of medical diseases
Hypercoagulablestate
Osteoporosis
92
JournalClubsandscientificmeetings
Titleof theClub/MeetingDateTrainer’s
Signature
93
JournalClubsandscientificmeetings
Titleof theClub/MeetingDateTrainer’s
Signature
94
Requiredlectures
TitleDateSupervisor signature
95
Requiredlectures
TitleDateSupervisor signature
96
Requiredlectures
TitleDateSupervisor signature
97
Required Seminars
TitleDateTrainer’s
Signature
Anticoagulants, antiplatelet, and thrombolytic therapy
Antibiotics and chemotherapeutics
Anti inflammatory and immunosuppressivedrugs
Generalized & unilateral Edema Approach to apatient with polyuria Approach to apatient with GITbleeding Approach to ayoung patient with stroke Physiologyof normal coagulationHypercoagulablestate.
Approach to apatient with polyarthritis
Approach to apatient with loss ofweight
Falls in the elderly
Fatigue Headacheand migraine Vertigo
Prolonged fever of unknown origin
Indications, precautions and interpretation of different types of imaging
Summativeevaluation:
5: excellent4:verygood3:good2:poor1: unacceptable
Clinicaland technicalskills / 5 / 4 / 3 / 2 / 1Problemidentification
Patientmanagement
Emergencytreatment
Procedure skills
Descriptive evaluation :
Personaland professionalmaturity / 5 / 4 / 3 / 2 / 1
Punctuality
Emotionaland professionalmaturity
Relationshipwith othermedicalpersonnel
Appling ethicalprinciplsinpatient care
Communication skills
Descriptive evaluation :
5 / 4 / 3 / 2 / 1
Overallperformance
Descriptive evaluation :
Recommended to sitforexam: / Yes / No
If Nowhy:
The residenteligibilityfor exam should include:
1. Overallevaluation shouldnotbeless than3
2. Lackof anydocumentedmisconductor unethical behavior
Supervisornameand signature
Program directorsignature
Chief of departmentnameand signature