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

Post
Numbe 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 / CourseDirector

9

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

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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

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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

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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

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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

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

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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 / 1
Problemidentification
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