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JOINT COMMITTEE ON SPECIALIST TRAINING

Log Book

For

Basic Specialty Training

in

General Surgery

Trainee’s Name : ____________________________________________

Commencement Date of Training : _______________________________

Copyright © Joint Committee on Specialist Training

The information in this logbook is correct at time of publication.

The JCST Secretariat reserves the right to make alterations without prior notice.

November 2007


CONTENTS

General instructions to Trainees Page 4 - 7

SECTION 1

Personal details

Weekly Timetable

Membership and activities in professional organisations

Awards and Prizes

Scholarships Awarded

Overseas attachment

Research Projects

List of Courses, Seminars and Conferences attended

Teaching Experience

Papers published

SECTION 2

Record of Operations

Endoscopy Records

Additional Special Experience

Summary of Operative Experience

Supervisor’s Comments

SECTION 3

Leave Records

SECTION 4

Certification


GENERAL INSTRUCTIONS TO TRAINEES

The purpose of this Log Book is:

i) to help the Trainee record his training in brief detail so that experience can be recorded and deficiencies identified and remedied.

ii) to help Mentors/Supervisors assess overall training and provide the extra experience for trainees in the areas where it is most needed.

The Timing of the Log Book :

Entries into the Log Books should be made from the beginning of the trainee's appointment as

a trainee in a recognised posting (any queries concerning recognition should be referred to the JCST Secretariat).

Trainees should consult the Secretariat on current regulations.

If the Trainee is in doubt about the acceptability of his Log Book, he should seek advice from

the Secretariat as soon as possible.

Trainees are strongly advised to carry their Log Books with them at all times and to fill it in on a

regular basis. This will avoid much retrospective record hunting. Trainees should discuss the

progress of the Log Book with their Mentors/Supervisors at least every month and a summary of experience must be signed every six months by the Head of Department. This regular

assessment allows deficiencies in either experience gained or experience available to be

remedied early in the posting.

Confidentiality

Trainees must not identify patients by name. Cases should be recorded by hospital number

and/or patients' initials.

Supervision of Training

A formal monthly review of the trainee’s progress is highly recommended.

The aim of such a review is to ensure that the trainee is exposed to and is taught all aspects of

the specialty available in any department.

Deficiencies in training both theoretical and practical should be recognised and appropriate

steps taken to overcome them. If it is possible it should be stated and reason given. Any apparent deficiencies in training which have been dealt with outside the Log Book ‘year’ should

be noted by yourself so that the information is available to the Secretariat.


General layout of the Log Book

SECTION 1

This section requires details similar to those of a curriculum vitae.

SECTION 2

a) This section is to record cases seen. This may be a helpful guide to trainee’s reading to

consolidate clinical experience.

b) A record of endoscopic procedures must be kept.

c) This section also contains summary sheets for the trainee to transfer information from the case records and in conjunction with the supervisor, assess whether the goals for

the attachment are fulfilled. Effort can be made to correct any shortfall.

SECTION 3

A record of leave taken for every 6 months posting has to be completed and certified.

SECTION 4

This section requires certification by the Head of Department or Mentor every 6 months on the

Trainee’s training as one done to his satisfaction.

OTHER NOTES :

A diskette containing the logbook layout is attached. Trainees are encouraged to enter their data using this. They may print or photocopy any extra pages which they require and insert

into their logbook.


Record of Operations (Section 2)

For each posting trainees are required to maintain a record of operations in which they have

been personally involved. The type of operation should be specific (eg mastectomy,

cholecystectomy, etc). Trainees must also record their endoscopic procedures for each

posting.

Please use the following code for the extent of your participation and also indicate with an ‘EM

or EL’ if it is an emergency or elective case :

Code Extent of participation

P : Primary Surgeon operating with assistance of Supervisor

A : Assistant Surgeon

Post-operative complications and outcome must be recorded. Examples are:

Outcome

satisfactory delayed discharge

reoperation

death

Complications

haemorrhage

major haematoma

wound infection

anastomotic leakage intestinal obstruction

arterial thrombosis

systemic - cardiac - pulmonary

- cerebral

- renal - liver


Summary of Operative Experience (Section 2)

Trainees should summarise their operations/procedures under the following main systems/procedures:

Code Systems/Procedures

01 Head and Neck ( +Thyroid/Parotid, Neurosurgery)

02 Breast

03 Cardiothoracic

04 Gastrointestinal (+ abdominal and back)

05 Hepatobiliary

06 Transplantation

07 Lymphatic

08 Vascular

09 Urogenital

10 Plastic/Skin/Cosmetic

11 Appendages

12 Endoscopic procedures - 12 (a) Upper GI

12 (b) Colonoscopy/Sigmoidoscopy


SECTION 1

PERSONAL DETAILS

Family Name (Surname): _________________ Forenames: ____________________

Sex: Male/Female (circle) Date of Birth: ____________________

Date and Place of Graduation (Specify University): _______________________________

Postgraduate Qualifications (with dates): _________________________________

__________________________________

___________________________________ APPOINTMENTS:

From To Department Hospital(s) Supervisor

Pre-Registration (internship)

Subsequent Appointments (as an MO)

From To Department Hospital(s) Supervisor


SUMMARY OF WEEKLY TIMETABLE

( To be completed for every 6 months posting )

Period of Training : From : _____________________ To : ___________________

WEEKLY TIMETABLE A.M. P.M.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Summary of Weekly Activities

Clinical Duties

a) No. of outpatient sessions/week : ___________________________________

b) No. of operating sessions/week : ___________________________________

c) No. of emergency/duty call sessions/week : ___________________________________

d) Half or full day off duty/week : ___________________________________

No. of formal departmental educational activities/week :

a) lectures ___________________________________________________

b) morbidity/mortality rounds ________________________________________

c) journal club meetings _____________________________________________

d) audit meetings __________________________________________

e) research meetings _________________________________________

f) others ___________________________________________


MEMBERSHIP AND ACTIVITIES IN PROFESSIONAL ORGANISATIONS

Year Post Held Organisation Achievements


SCHOLARSHIP, AWARDS AND PRIZES

Date/Duration

of Award

Title of Award/

Awarding Body

Purpose/Aim


OVERSEAS ATTACHMENT (including HMDP)

Duration Department/Institution/Country Purpose


RESEARCH PROJECTS

Date of Commencement : ___________________________________________________

Title/Aim of Research : ______________________________________________________

________________________________________________________________________

________________________________________________________________________

Co-worker (if any) : ____________________________________________________

Date of Completion : __________________________________________________

Conclusion & Remarks (List any resulting publications or presentations)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

(Attach an abstract of published papers)


LIST OF COURSES, SEMINARS & CONFERENCES ATTENDED

Date/Venue Details

(State conference title and papers presented by trainee)


SUMMARY OF TEACHING EXPERIENCE

Undergraduates, interns, residents, nurses, allied health professionals, consumer groups and

organisations.

Year of Training

(Y1, Y2 or Y3(for

non-GS AST applicants))

Summary

(type of audience, topics, duration, etc)


PAPERS PUBLISHED

Author(s)

Title

Journal (Reference)


SECTION 2

RECORD OF OPERATIONS

Hospital : _______________________________

Department : _______________________________ (From ________ to _______)

Date

Patient’s

Initial/NRIC

Diagnosis &

Indication for Operation

Operation

Surgeon/

Assistant (P or A)

Emergency

(EM) Elective

(El)

Outcome &

Complications

Certified by : ________________________________________

Supervisor’s Signature : _______________________________ Date : _________

Name & Designation : __________________________________


ENDOSCOPY RECORD

Department/Hospital :

Dates : From To

Procedure

Each procedure to be recorded by an X in the appropriate box

Total

Upper G.I. Endoscopy

Flexible Sigmoidoscopy

Colonoscopy

Bronchoscopy (rigid)

Bronchoscopy (Flexible)

Cystoscopy

Arthroscopy

Diagnostic Laparoscopy

Thoracoscopy

Certified by : _____________________________________

Supervisor’s Signature : ____________________________ Date : ___________

Name & Designation : _______________________________


ADDITIONAL EXPERIENCE AND/OR FURTHER CASES OF SPECIAL INTEREST

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________


SUMMARY OF OPERATIVE EXPERIENCE

(to be completed every 6 months)

Hospital : __________________________________________________________________

Department : ___________________________ From : __________ To : __________

Endoscopy & operations (arrange in different

systems using code – see pages 6 & 7 )

As Surgeon

As Assistant

Certified by : ___________________________________________________________

Head of Department’s or Mentor’s Signature : ________________ Date:________

Name : _______________________________________________________________


SUPERVISOR’S COMMENTS ON TRAINEE AND HIS TRAINING EXPERIENCE

( To be completed for every 6 months posting)

Period of Training : From : ____________________ To : ____________________

(Please 4)

Good Satisfactory Inadequate

Other Remarks :

(Communications/Attitude/Responsibility/Teamwork/Organisational skills etc)

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Signature : _______________________________________ Date : ______________

Name & Designation of Supervisor : ________________________________________

Overall Operating Experience

No. of Operations

Technical & Management Skills


SECTION 3

LEAVE RECORDS

Type & No. of Days Leave

Posting Period Medical Leave Study Leave Other Leave

1. From:____/____/____ To:____/____/____ ___________ __________ __________

2. From:____/____/____ To:____/____/____ ___________ __________ __________

3. From:____/____/____ To:____/____/____ ___________ __________ __________

4. From:____/____/____ To:____/____/____ ___________ __________ __________

5. From:____/____/____ To:____/____/____ ___________ __________ __________

6. From:____/____/____ To:____/____/____ ___________ __________ __________

7. From:____/____/____ To:____/____/____ ___________ __________ __________

8. From:____/____/____ To:____/____/____ ___________ __________ __________

Certified by:

Signature: _______________________________ Date: ________________________

Name: __________________________________ Designation: _____________________


SECTION 4

CERTIFICATION

( to be completed for every 6 months posting )

This is to certify that

Name:___________________________________________________________________

NRIC/PP No.:_____________________________________________________________

has completed the period of posting from __________________ to _______________

in an approved training post.

________________________________________ _________________________

Signature Date

Head of Department or Mentor

________________________________________

Official Stamp

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