UNIVERSITY RESIDENCY PROGRAM -2020

LOG BOOK FOR DIAGNOSTIC RADIOLOGY

RAWALPINDI MEDICAL UNIVERSITY RAWALPINDI

“Wherever the art of Medicine is loved, there is also a love of Humanity.”

― Hippocrates

1|Page
 PREFACE
The horizons of Medical Education are widening & there has been a steady rise of global interest in Post Graduate Medical Education, an
increased awareness of the necessity for experience in education skills for all healthcare professionals and the need for some formal recognition of
postgraduate training in Diagnostic Radiology.
We are seeing a rise in the uptake of places on postgraduate courses in medical education, more frequent issues of medical education journals and
the further development of e-journals and other new online resources. There is therefore a need to provide active support in Post Graduate
Medical Education for a larger, national group of colleagues in all specialties and at all stages of their personal professional development. If we
were to formulate a statement of intent to explain the purpose of this log book, we might simply say that our aim is to help clinical colleagues to
teach and to help students to learn in a better and advanced way. This book is a state of the art log book with representation of all activities of the
MD Diagnostic Radiology program at RMU.A summary of the curriculum is incorporated in the logbook for convenience of supervisors and
residents. MD curriculum is based on six Core Competencies of ACGME (Accreditation Council for Graduate Medical Education) including
Patient Care, Medical Knowledge, System Based Practice, Practice Based Learning, Professionalism, Interpersonal and Communication
Skills. A perfect monitoring system of a training program including monitoring of teaching and learning strategies, assessment and Research
Activities cannot be denied so we at RMU have incorporated evaluation by Quality Assurance Cell and its comments in the logbook in addition
to evaluation by University Training Monitoring Cell (URTMC). Reflection of the supervisor in each and every section of the logbook has been
made sure to ensure transparency in the training program. The mission of Rawalpindi Medical University is to improve the health of the
communities and we serve through education, biomedical research and health care. As an integral part of this mission, importance of research
culture and establishment of a comprehensive research structure and research curriculum for the residents has been formulated and a separate
journal for research publications of residents is available.
Prof. Muhammad Umar
(Sitara-e-Imtiaz)
(MBBS, MCPS, FCPS, FACG,
FRCP (Lon), FRCP (Glasg), AGAF)
Vice Chancellor
Rawalpindi Medical University
& Allied Hospitals
2|Page
 ENROLMENT DETAILS

Program of Admission

Session

Registration / Training Number

Name of Candidate

Father’s Name

Date of Birth / / CNIC No.

Present Address

Permanent Address

E-mail Address

Cell Phone

Date of Start of Training

Date of Completion of Training

Name of Supervisor

Designation of Supervisor

Qualification of Supervisor

Title of department / Unit

3|Page
INTRODUCTION
It is a structured book in which certain types of educational activities and patient related information is recorded, usually by hand.
Logbooks are used all over the world from undergraduate to postgraduate training, in human, veterinary and dental medicine,
nursing schools and pharmacy, either in paper or electronic format .

Logbooks provide a clear setting of learning objectives and give trainees and clinical teachers a quick overview of the requirements of
training and an idea of the learning progress. Logbooks are especially useful if different sites are involved in the training to set a
(minimum) standard of training. Logbooks assist supervisors and trainees to see at one glance which learning objectives have not yet
been accomplished and to set a learning plan. The analysis of logbooks can reveal weak points of training and can evaluate whether
trainees have fulfilled the minimum requirements of training.

Logbooks facilitate communication between the trainee and clinical teacher. Logbooks help to structure and standardize learning in
clinical settings. In contrast to portfolios, which focus on students’ documentation and self-reflection of their learning activities,
logbooks set clear learning objectives and help to structure the learning process in clinical settings and to ease communication
between trainee and clinical teacher. To implement logbooks in clinical training successfully, logbooks have to be an integrated part
of the curriculum and the daily routine on the ward. Continuous measures of quality management are necessary.

Reference

Brauns KS,Narciss E, Schneyinck C, Böhme K, Brüstle P, Holzmann UM, etal. Twelve tips for successfully implementing
logbooks in clinical training. Med Teach. 2016 Jun 2; 38(6): 564–569.

4|Page
 MINIMUM LOG BOOK ENTERIES PER MONTH IN GENERAL

(This minimum number is being provided for uniformity of the training and convenience for monitoring of the resident’s performance by
Quality Assurance Cell & University Research Training & Monitoring Cell of RMU but resident is encouraged to show performance above
this minimum required number)

SR.N ENTRY Minimum cases /Time duration

O
01 Ultrasounds 50 per 3 month

02 Radiographs 125 per 3 month

03 CT scans 25 per 3 month

04 MRI 25 per 3 month

05 Florouscopy 15 per 3 month

06 Emergency cases 10 per 3 month

07 Mammography 10 per 3 month

08 Interventions 10 per 3 month

Percutaneous Nephrostomy (PCN)
Aspiration, Drainage procedures and Biopsies
PTC / ERCP (flurocoverage),
T-Tube Cholangiogram
09 Case presentations 1 per 3 month
10 CPC 1 per 12 month
11 Journal CLUB 1 per 12 month

5|Page
MISSION STATEMENT

The mission of Diagnostic Radiology Residency Program of Rawalpindi Medical University is:

1. To impart evidence based medical education.

2. To provide best possible patient care and to inculcate the values of mutual respect and ethical practice of radiology.
3. To equip junior colleagues with the knowledge and skills of ultrasound, doppler, radiography, floruoscopy, mammography, MRI, CT
reporting.
4. To passionately teach our junior colleagues and students as we have been taught by those who preceded us.
5. To provide exemplary medical care, treating all patients who come before us with uncompromising dedication and skill.
6. To treat our colleagues and hospital staff with kindness, respect, generosity of spirit, and patience.
7. To foster the excellence and well-being of our residency program by generously offering our time, talent, and energy on its behalf.
8. To support and contribute to the research mission of our medical center, nation, and the world by pursuing new knowledge.
9. To promote the translation of the latest scientific knowledge to the bedside to improve our understanding of disease pathogenesis and
ensure that all patients receive the most scientifically appropriate and up to date care.
10. To promote social justice by advocating for equitable health care, without regard to race, gender, sexual orientation, social status, or
ability to pay.

6|Page
CLINICAL COMPETENCIES FOR 1ST, 2ND, 3RD AND 4TH YEAR MD

TRAINEES IN RADIOLOGY

CLINICAL COMPETENCIES\SKILL\PROCEDURE

The clinical competencies, a specialist must have, are varied and complex. A complete list of the skills necessary for trainees and
trainers is given below. The level of competence to be achieved each year is specified according to the key, as follows:
1. Observer status
2. Assistant status
3. Performed under supervision
4. Performed under indirect supervision
5. Performed independently

Note: Levels 4 and 5 for practical purposes are almost synonymous

7|Page
 First Year
PROCEDURES 3 Months 6Months 9Months 12 Months Total Cases 1st Year
Level Cases Level Cases Level Cases Level Cases

Ultrasound

Ultrasound of abdomen and pelvis 1,2 50 1,2 50 2,3 50 2,3 50 200

Ultrasound of Obstetrics and Gyneacology 1,2 5 1,2 5 2,3 10 2,3 10 30
Doppler ultrasound 1,2 5 1,2 5 1,2 5 1,2 5 20
Ultrasound of small parts including cranial 1,2 10 1,2 10 3,4 15 2,3 15 50

Intervention

Percutaneous Nephrostomy (PCN) 1,2 2 1,2 2 1,2 3 1,2 3 10

Aspiration, Drainage procedures and Biopsies 1,2 5 1,2 5 1,2 5 1,2 5 20
PTC / ERCP (flurocoverage), T-Tube 1,2
Cholangiogram 1,2 5 1,2 5 5 1,2 5 20
Angiography /DSA 1,2 10 1,2 10 1,2 15 1,2 15 50

Other Procedures

Radiograph reporting bone trauma, chest etc 1,2 125 1,2 125 2,3 125 2,3 125 500
CT scan reporting 1,2 25 1,2 25 1,2 25 2,3 25 100
MRI 1,2 25 1,2 25 1,2 25 2,3 25 100
Mammography 1,2 10 1,2 10 1,2 15 2,3 15 50
Venography / Venous Doppler 1,2 5 1,2 5 1,2 5 2,3 5 20
Myelography / CT /MR 1,2 5 1,2 5 1,2 5 2,3 5 20
Dacrocystography 1,2 1 1,2 - 1,2 1 2,3 - 2

8|Page
 PROCEDURES First Year
3 Months 9 Months 9 Months 12 Months Total Cases 1st Year
Level Cases Level Cases Level Cases Level Cases

GI Contrast Studies

Barium Swallow 1 3 1,2 3 2,3 4 2,3 5 15

Barium Meal 1 3 1,2 3 2,3 4 2,3 5 15

Barium Enema 1 3 1,2 3 2,3 4 2,3 5 15

Barium small bowel enema and Barium follow through

1,2 3 1,2 3 2,3 4 2,3 5 15

Sinogram and Fistulogram 1 3 1,2 3 2,3 4 2,3 5 15

Sialography 1 1 1,2 1 2,3 1 2,3 2 5

Contrast Studies of Genitourinary Tract

I.V.U and CTU & MRU 1 10 1,2 10 2,3 15 2,3 15 50

Nephrostogram 1 2 1,2 2 2,3 3 2,3 3 10

Retrograde Urethrogram 1 2 1,2 3 2,3 5 2,3 5 15

Micturating Cystourethrogram and Cystography 1 5 1,2 5 2,3 5 2,3 5 20

Antegrade Urography 1 1 1,2 1 2,3 1 2,3 2 5

Hysterosalpingography and hysterosonography 1 3 1,2 3 2,3 4 2,3 5 15

9|Page
 Second Year
PROCEDURES 15 Months 18 Months 21 Months 24 Months Total Cases 2nd
Level Cases Level Cases Level Cases Level Cases Year

Ultrasound

Ultrasound of abdomen and pelvis 2,3 50 2,3 50 3,4 50 4 50 200

Ultrasound of Obstetrics and Gyneacology 2,3 5 2,3 5 3,4 10 4 10 30
Doppler ultrasound 2,3 5 2,3 5 3.4 5 4 5 20

Ultrasound of small parts including cranial 2,3 10 2,3 10 3,4 15 4 15 50

Intervention

Percutaneous Nephrostomy (PCN) 1,2 1 2.3 1 2,3 1 2,3 2 5

Aspiration, Drainage procedures and Biopsies 2,3 5 2,3 5 2,3 5 2,3 10 25

PTC / ERCP (flurocoverage), T-Tube

Cholangiogram 1,2 2 2,3 2 2,3 3 2,3 3 10

Angiography /DSA 1,2 10 1,2 10 1,2 15 2,3 15 50

Other Procedures

Radiograph reporting bone trauma, chest etc 2,3 125 2,3 125 2,3 125 3,4 125 500
CT scan reporting 2,3 25 2,3 25 2,3 25 2,3 25 100
MRI 2,3 25 2,3 25 2,3 25 2,3 25 100
Mammography 2,3 10 2,3 10 2,3 15 3,4 15 50
Venography / Venous Doppler 2,3 5 2,3 5 2,3 5 3,4 5 20
Myelography / CT /MR 2,3 2 2,3 3 2,3 5 3,4 5 15
Dacrocystography 2,3 - 2,3 - 2,3 - 3,4 - 1

10 | P a g e
 Second Year
PROCEDURES 15 Months 18 Months 21 Months 24 Months Total Cases 2nd
Year
Level Cases Level Cases Level Cases Level Cases

GI Contrast Studies

Barium Swallow 2,3 3 2,3 3 2,3 4 2,3 5 15

Barium Meal 2,3 3 2,3 3 2,3 4 2,3 5 15

Barium Enema 2,3 3 2,3 3 2,3 4 2,3 5 15

Barium small bowel enema and Barium follow through

2,3 3 2,3 3 2,3 4 2,3 5 15

Sinogram and Fistulogram 2,3 3 2,3 3 2,3 4 2,3 5 15

Sialography 2,3 1 2,3 1 2,3 1 2,3 2 5

Contrast Studies of Genitourinary Tract

I.V.U and CTU & MRU 2,3 10 2,3 10 2,3 15 2,3 15 50

Nephrostogram 2,3 2 2,3 2 2,3 3 2,3 3 10

Retrograde Urethrogram 2,3 5 2,3 5 2,3 5 2,3 5 20

Micturating Cystourethrogram and Cystography 2,3 5 2,3 5 2,3 5 2,3 5 20

Antegrade Urography 2,3 1 2,3 1 2,3 1 2,3 2 5

Hysterosalpingography and hysterosonography 2,3 3 2,3 3 2,3 4 2,3 5 15

11 | P a g e
 Third Year
PROCEDURES 27 Months 30 Months 33 Months 36 Months Total Cases 3rd
Level Cases Level Cases Level Cases Level Cases Year

Ultrasound

Ultrasound of abdomen and pelvis 4 50 4 50 4 50 4 50 200

Ultrasound of Obstetrics and Gyneacology 3 5 3 5 3 10 3 10 30
Doppler ultrasound 3/4 5 3/4 5 3/4 5 3/4 5 20
Ultrasound of small parts including cranial 3/4 10 3/4 10 3/4 15 3/4 15 50

Intervention

Percutaneous Nephrostomy (PCN) 3/4 2 3/4 2 3/4 3 3/4 3 10

Aspiration, Drainage procedures and Biopsies 3/4 5 3/4 5 3/4 5 3/4 5 20
PTC / ERCP (flurocoverage), T-Tube
Cholangiogram 3/4 5 3/4 5 3/4 5 3/4 5 20
Angiography /DSA 3/4 10 3/4 10 3/4 15 3/4 15 50

Other Procedures

Radiograph reporting bone trauma, chest etc 3/4 125 3/4 125 4 125 4 125 500
CT scan reporting 3/4 25 3/4 25 3/4 25 3/4 25 100
MRI 2/3 25 2/3 25 3/4 25 3/4 25 100
Mammography 3/4 10 3/4 10 3/4 15 3/4 15 50
Venography / Venous Doppler 3/4 5 3/4 5 3/4 5 3/4 5 20
Myelography / CT /MR 3/4 5 3/4 5 3/4 5 4 5 20
Dacrocystography 3/4 1 3/4 - 3/4 1 3/4 - 2

12 | P a g e
 Third Year
PROCEDURES 27 Months 30 Months 33 Months 36 Months Total Cases 3rd
Year
Level Cases Level Cases Level Cases Level Cases

GI Contrast Studies

Barium Swallow 4 3 4 3 4 4 4 5 15

Barium Meal 4 3 4 3 4 4 4 5 15

Barium Enema 4 3 4 3 4 4 4 5 15

Barium small bowel enema and Barium follow through

3/4 3 3/4 3 3/4 4 3/4 5 15

Sinogram and Fistulogram 4 3 4 3 4 4 4 5 15

Sialography 3/4 1 4 1 4 1 4 2 5

Contrast Studies of Genitourinary Tract

I.V.U and CTU & MRU 3/4 10 3/4 10 3/4 15 3/4 15 50

Nephrostogram 3/4 2 3/4 2 3/4 3 3/4 3 10

Retrograde Urethrogram 3/4 2 3/4 3 3/4 5 3/4 5 15

Micturating Cystourethrogram and Cystography 3/4 5 3/4 5 3/4 5 3/4 5 20

Antegrade Urography 3/4 1 3/4 1 3/4 1 3/4 2 5

Hysterosalpingography and hysterosonography 3/4 3 3/4 3 3/4 4 3/4 5 15

13 | P a g e
 Fourth Year
PROCEDURES 39 Months 42 Months 45 Months 48 Months Total Cases 4th
Level Cases Level Cases Level Cases Level Cases Year

Ultrasound

Ultrasound of abdomen and pelvis 4 50 4 50 4 50 4 50 200

Ultrasound of Obstetrics and Gyneacology 4 5 4 5 4 10 4 10 30
Doppler ultrasound 4 5 4 5 4 5 4 5 20

Ultrasound of small parts including cranial 4 10 4 10 4 15 4 15 50

Intervention

Percutaneous Nephrostomy (PCN) 3/4 1 3/4 1 3/4 1 3/4 2 5

Aspiration, Drainage procedures and Biopsies 3/4 5 3/4 5 3/4 5 3/4 10 25

PTC / ERCP (flurocoverage), T-Tube

Cholangiogram 3/4 2 3/4 2 4 3 4 3 10

Angiography /DSA 4 10 4 10 4 15 4 15 50

Other Procedures

Radiograph reporting bone trauma, chest etc 4 125 4 125 4 125 4 125 500
CT scan reporting 4 25 4 25 4 25 4 25 100
MRI 3/4 25 3/4 25 3/4 25 3/4 25 100
Mammography 4 10 4 10 4 15 4 15 50
Venography / Venous Doppler 4 5 4 5 4 5 4 5 20
Myelography / CT /MR 4 2 4 3 4 5 4 5 15
Dacrocystography 3/4 - 3/4 - 3/4 - 3/4 - 1

14 | P a g e
 Fourth Year
PROCEDURES 39 Months 42 Months 45 Months 48 Months Total Cases 4th Year
Level Cases Level Cases Level Cases Level Cases

GI Contrast Studies

Barium Swallow 4 3 4 3 4 4 4 5 15

Barium Meal 4 3 4 3 4 4 4 5 15

Barium Enema 4 3 4 3 4 4 4 5 15

Barium small bowel enema and Barium follow through

4 3 4 3 4 4 4 5 15

Sinogram and Fistulogram 4 3 4 3 4 4 4 5 15

Sialography 4 1 4 1 4 1 4 2 5

Contrast Studies of Genitourinary Tract

I.V.U and CTU & MRU 3/4 10 3/4 10 3/4 15 3/4 15 50

Nephrostogram 3/4 2 3/4 2 3/4 3 3/4 3 10

Retrograde Urethrogram 3/4 5 3/4 5 3/4 5 3/4 5 20

Micturating Cystourethrogram and Cystography 3/4 5 3/4 5 3/4 5 3/4 5 20

Antegrade Urography 3/4 1 3/4 1 3/4 1 3/4 2 5

Hysterosalpingography and hysterosonography 3/4 3 3/4 3 3/4 4 3/4 5 15

15 | P a g e
Section-1
PROCEDURES PERFORMED

SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S

PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

16 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

17 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

18 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

19 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

20 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

21 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

22 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

23 | P a g e
R# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

24 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

25 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

26 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

27 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

28 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

29 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

30 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

31 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

32 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

33 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

34 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

35 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

36 | P a g e
SR# DATE NAME OF BRIEF DESCRIPTION SUPERVISOR’S SUPERVISOR’S
PATIENT, PROCEDURE AND DIAGNOSIS REMARKS SIGNATURE
AGE, SEX & PERFORMED (Name/Stamp)
ADMISSION
NO.

37 | P a g e
Section-2
TOPIC PRESENTATION/SEMINAR
SR# DATE NAME OF THE TOPIC & BRIEF DETAILS OF THE ASPECTS SUPERVISO SUPERVISO
COVERED R’S R’S
REMARKS SIGNATURE
(Name/Stamp)

38 | P a g e
SR# DATE NAME OF THE TOPIC & BRIEF DETAILS OF THE ASPECTS COVERED SUPERVISO SUPERVISO
R’S R’S
REMARKS SIGNATURE
(Name/Stamp)

39 | P a g e
Section-3
JOURNAL CLUB
SR# DATE TITLE OF THE ARTICLE NAME OF JOURNAL DATE OF SUPERVISOR’ SUPERVISO
PUBLICA S REMARKS R’S
TION SIGNATURE
(Name/Stamp)

40 | P a g e
SR# DATE TITLE OF THE ARTICLE NAME OF JOURNAL DATE OF SUPERVISO SUPERVISO
PUBLICATI R’S R’S
ON REMARKS SIGNATURE
(Name/Stamp)

41 | P a g e
 EMERGENCY CASES

SR# DATE REG # OF PROCEDURES BRIEF SUPERVISO SUPERVISO

THE PERFORMED DESCRIPTION//HISTORY, R’S R’S
PATIENT DIAGNOSIS REMARKS SIGNATURE
(Name/Stamp)

42 | P a g e
SR# DATE REG # OF PROCEDURES BRIEF SUPERVISO SUPERVISO
THE PERFORMED DESCRIPTION//HISTOR R’S R’S
PATIENT Y, DIAGNOSIS REMARKS SIGNATURE
(Name/Stamp)

43 | P a g e
Section-4
INTERVENTIONAL PROCEDURES
OBSERVED (O)/ASSISTED (A)/ PERFORMED UNDER SUPERVISION (PUS)/PERFORMED INDEPENDENTLY (PI)
SR.# DATE REG NO. NAME OF (O)/(A)/(PUS) DETAIL OF PLACE OF SUPERVISO SUPERVISO
OF PROCEDU / (PI) PROCEDURE PROCEDU R’S R’S
PATIE RE RE REMARKS SIGNATURE
NT (Name/Stamp)

44 | P a g e
SR.# DATE REG NO. NAME OF (O)/(A)/(PUS) DETAIL OF PROCEDURE PLACE OF SUPERVISO SUPERVISO
OF PROCEDU / (PI) PROCEDU R’S R’S
PATIENT RE RE REMARKS SIGNATURE
(Name/Stamp)

45 | P a g e
SR.# DATE REG NO. NAME OF (O)/(A)/(PUS) DETAIL OF PROCEDURE PLACE OF SUPERVISO SUPERVISO
OF PROCEDU / (PI) PROCEDU R’S R’S
PATIENT RE RE REMARKS SIGNATURE
(Name/Stamp)

46 | P a g e
SR.# DATE REG NO. NAME OF (O)/(A)/(PUS) DETAIL OF PROCEDURE PLACE OF SUPERVISO SUPERVISO
OF PROCEDU / (PI) PROCEDU R’S R’S
PATIENT RE RE REMARKS SIGNATURE
(Name/Stamp)

47 | P a g e
SR.# DATE REG NO. NAME OF (O)/(A)/(PUS) DETAIL OF PROCEDURE PLACE OF SUPERVISO SUPERVISO
OF PROCEDU / (PI) PROCEDU R’S R’S
PATIENT RE RE REMARKS SIGNATURE
(Name/Stamp)

48 | P a g e
SECTION-5
CLINICOPATHOLOGICAL CONFERENCE (CPC)

(50% attendance of CPC is mandatory for the resident every year)

SR# DATE BRIEF DESCRIPTION OF THE TOPIC/CASE DISCUSSED SUPERVISO

R’S
SIGNATURE
(Name/Stamp)

49 | P a g e
SR# DATE BRIEF DESCRIPTION OF THE TOPIC/CASE DISCUSSED SUPERVISO
R’S
SIGNATURE
(Name/Stamp)

50 | P a g e
SECTION-6
PUBLICATIONS

SNO. NAME OF TYPE OF NAME DATE OF PAG SUPERVISO SUPERVISO

PUBLICATI PUBLICATION OF PUBLICATI E R’S R’S
ON ORIGINAL JOURA ON NO. REMARKS SIGNATURE
ARTICLE NL (Name/Stamp)
/EDITORIAL/CASE REPORT
ETC

51 | P a g e