Student Name (Block Capitals):______

Gastrointestinal Module Logbook 2012

GastrointestinalModule

Semester 5.1

Student Name (Block Capitals):______

Student Number: ______

Photo:

GIT Module Logbook

Confidentiality

Any breach of confidence in a clinical case is taken extremely seriously by the medical school and the persons involved may be liable for disciplinary action. The student is referred to the Code of Conduct as outlined in the 5.1 Handbook.

You must sign this prior to commencing the module

I have read and understood the University Code of Conduct and will abide by this.

______

Signature Date

Surgical Ward Rounds Attended

Date Signature of Tutor

1 ______

2 ______

Medical Ward Rounds Attended

Date Signature of Tutor

1 ______

2 ______

Surgical Clinics Attended

Date Signature of Tutor

1 ______

2 ______

Medical Clinics Attended

Date Signature of Tutor

1 ______

2 ______

Hepatology / Haemachromatosis Clinic Attended

Date Signature of Tutor

1 ______

Surgical Clinic – Patients Clerked and Presented

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Medical Clinic – Patients Clerked and Presented

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

ERCP Session – Procedures Observed

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Surgical Emergency Admissions Clerked and Presented

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Medical Emergency Admissions Clerked and Presented

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Gastrointestinal Surgeries Observed

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

3______

Endoscopies Observed

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Patients clerked for Gastrointestional Surgery

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Ultrasound Cases Attended

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Barium Studies Observed

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

2 ______

Surgical Journal Club Attended

DateSignature of Tutor

______

Gastroenterology Journal Club Attended

DateSignature of Tutor

______

Gastroenterology / Radiology Conference, if attended

DateSignature of Tutor

______

Gastroenterology / Histopathology Conference Attended

DateSignature of Tutor

______

GI Cancer MDM Attended

DateSignature of Tutor

______

Medical Case Conference Attended

DateSignature of Tutor

______

______

Surgical Case Conference Attended

DateSignature of Tutor

______

______

Data Interpretation

FBC – Comment on significance

Patient's initials and identifierDateSignature of Tutor

2 ______

Indices / Value / Range
HB
WCC
Plts
Hct
MCV
MCH
Neutrophil count
Differential of Interest

Explain Significance of Result in the context of patient’s clinical status

______

Data Interpretation

FBC – Comment on significance

Patient's initials and identifierDateSignature of Tutor

2 ______

Indices / Value / Range
HB
WCC
Plts
Hct
MCV
MCH
Neutrophil count
Differential of Interest

Explain Significance of Result in the context of patient’s clinical status

______

Data Interpretation

U&E (Biochemistry) – Comment on significance

Patient's initials and identifierDateSignature of Tutor

1 ______

Indices / Value / Range
Urea
Creatinine
Potassium
Sodium
Chloride
Others (Calcium, Cardiac Enzymes etc)

Explain Significance of Result in the context of patient’s clinical status

______

U&E (Biochemistry) – Comment on significance

Patient's initials and identifierDateSignature of Tutor

1 ______

Indices / Value / Range
Urea
Creatinine
Potassium
Sodium
Chloride
Others (Calcium, Cardiac Enzymes etc)

Explain Significance of Result in the context of patient’s clinical status

______

Data Interpretation

Coagulation Profile – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Indices / Value / Range
PT
aPPT
INR

Explain Significance of Result in the context of patient’s clinical status

______

Coagulation Profile – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

2 ______

Indices / Value / Range
PT
aPPT
INR

Explain Significance of Result in the context of patient’s clinical status

______

______

Data Interpretation

Specialised Gastrointestinal Investigation– Comment on significance

(maybe laboratory or radiological investigation)

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Investigation / Value / Range

What other investigations would you carry out on this patient and what findings might these expect to yield? ______

______

______

______

______

______

Specialised Gastrointestinal Investigation – Comment on significance

(maybe laboratory or radiological investigation)

Patient's name and identifier (last 4 digits of board number)DateSignature of Tutor

2 ______

Investigation / Value / Range

What other investigations would you carry out on this patient and what findings might these expect to yield? ______

______

______

______

______

______

______

Data Interpretation

Radiology – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Plain abdominal X-Ray

Reason for X-Ray -______

______

Describe Findings ______

Significance of Result ______

______

______

Data Interpretation

Radiology – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

2 ______

Plain abdominal X-Ray

Reason for X-Ray -______

______

Describe Findings ______Significance of Result ______

______

______

Data Interpretation

Radiology – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Ultrasound of the abdomen

Reason for ultrasound -______

______

Describe Findings ______Significance of Result ______

______

______

Data Interpretation

Radiology – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

CT scan of the abdomen

Reason for CT -______

______

Describe Findings ______Significance of Result ______

______

______

Data Interpretation

Radiology – Comment on significance

Patient's identifier (last 4 digits of board number)DateSignature of Tutor

1 ______

Upper GI Barium study (Barium swallow / follow-through / enema)

Reason for Barium study -______

______

Describe Findings ______Significance of Result ______

______

______

Gastrointestinal Surgery Attachment

Note to tutor: this evaluation form should be completed at the end of the 2 weeks with the surgical team. During this did the student:

Introduce him/herself, and was polite

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Offered to help out (did ECGs, flow sheets, carry charts, admissions)

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Stayed around for the day unless they had tutorials (8.30 – 5pm)

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Expressed an interest, got involved and asked questions

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Know the inpatients, was aware of their status and management plan

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Attended clinic and was generally helpful

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Signature of Tutor: ______Date: ______

Gastroenterology Medical Attachment

Note to tutor: this evaluation form should be completed at the end of the 2 weeks with the medical team. During this did the student:

Introduce him/herself, and was polite

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Offered to help out (did ECGs, flow sheets, carry charts, admissions)

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Stayed around for the day unless they had tutorials (8.30 – 5pm)

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Expressed an interest, got involved and asked questions

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Know the inpatients, was aware of their status and management plan

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Attended clinic and was generally helpful

Agree  Agree Somewhat  Unsure  Disagree  Disagree strongly 

Signature of Tutor: ______Date: ______

Tutorials

Surgical Core TopicsDateSignature of Tutor

Oesophageal & gastric carcinoma ______

GORD, Barrett’s oesophagus, hiatus hernia ______

GI bleeding ______

Intestinal obstruction ______

Diverticular disease ______

Abdominal hernias ______

Medical Core TopicsDateSignature of Tutor

Inflammatory bowel disease ______

Peptic ulcer disease ______

Cirrhosis, liver failure ______

Malabsorption syndromes ______

Medical jaundice ______

Small Group / Bedside Tutorials

TopicDateSignature of Tutor

______

______

______

______

For tutor use only

Logbook >70% complete < 70% complete 

Tutorials>70% complete < 70% complete 

Remedial action required Yes No 

If yes, head of module informed 

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