83
Ministry of Higher Education & Scientific Research The Republic of Iraq The Iraqi Board for medical specializations Scientific Council of Otolaryngology Annual Log Book

The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

  • Upload
    vothuy

  • View
    214

  • Download
    0

Embed Size (px)

Citation preview

Page 1: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

Ministry of Higher Education & Scientific Research

The Republic of Iraq

The Iraqi Board for medical specializations

Scientific Council of Otolaryngology

Annual Log Book

Page 2: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

1

Ministry of Higher Education & Scientific Research

The Republic of Iraq

Scientific Council of Otolaryngology

The Iraqi Board for medical specializations

:

Name of Trainee

Name of Training Center :

Page 3: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

2

Contents of the logbook

Table of Contents Page Personal data about the trainee

Hospitals and training centers

General instructions for applicant of using the logbook

General instructions for the doctor who supervises the training to use the logbook

Training requirements

Record of the first year of training

Record of the second - fifth years of training

The operations required by a primary surgeon

The operations required as an assistant

The Periodic scientific activities

The Summary of operations undertaken by the trainee

Annual and sick leave

Vacations

The supervisor notes on the training

Page 4: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

3

Personal data of the trainee

Name

Gender

Place & date of birth

Graduation year University:

Name of training center

Phone number

Email address

Date of registration in the scientific

council of otolaryngology

The date of success of the primary

examination

The date of success in the written final

examination

Page 5: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

4

Beginning in the second year Hospitals and training centers

Name of training center Training period

Specialty Signature of the training

supervisor

Page 6: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

5

General instructions for the applicant

1-The purpose of the logbook is to provide evidence to the Scientific Council of ENT specialization

that the trainee has received sufficient training to submit the final written examination or to obtain the

certificate of the Iraqi Council of Medical Specialties. The logbook is the record in which you will

record all the training you have done during the training period from cases, operations or practical

activities.

2- Read the instructions before filling any part of the logbook - the training record where each page is

written more clearly, if you find any difficulty you should consult the training supervisor in your

hospital

3- You must fill in the logbook for the entire duration of the training and fill in this logbook must be on

a daily basis.

4- The trainee must carry the training logbook with him/her continuously during work.

5- The trainee must write the periods of absence or leave.

6- Record all scientific activities that you participate in, such as lectures, conferences, journal club ,

seminars or research (Research Projects)

7- The trainee must send the training logbook at the end of the training period each year.

Page 7: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

6

Instructions of the teachers supervisor training or counselors :

1. The training supervisor is required to approve the training work in the logbook daily.

2. Requests the head of the department to approve training of the trainee annually.

3. Before the end of the training period three months, the head of the department sends his report to the

scientific council as stated in the training register and thus gives approval for the final written

examination.

4. The supervisor responsible for the training must sign and date the commencement of training on

this logbook.

Conditions of obtaining the certificate of the Iraqi Council for the specialty of

the otolaryngology

The program of the Iraqi Council for the specialization of ENT consists of five years of training:

.ear, nose and throatare 4 years the general surgery and is year st1The

astic surgery, 2 months 6 months general surgery and 2 months pl : )R1( training year stThe 1

neurosurgery and 2 months Maxillofacial surgery.

the training years of the Ear, Nose and Throat is divided into two periods:

(Junior Residency - R2 & R3) for the first two years

(Senior Residency - R4 & R5) advanced years

An exam is recommended at the end of each year by the training supervisor at each center.

Page 8: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

7

Annual Evaluation:

The annual assessment is completed through an exam conducted at the end of the training year and the

documents of scientific and practical activities (surgical operations) accompanied by an evaluation

letter from the supervisor of training at the center.

The trainee must perform the minimum required operations as a first year surgeon, 220 cases during

the entire training period. He should also perform operations as an assistant according to the

possibilities of the training center under the supervision of the training supervisor.

The trainee must meet the required conditions for training in outpatient and emergency under the

supervision of the supervisor of the training.

Page 9: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

8

Annual scientific and practical activity required to be met

Activity

Number

Name and signature of supervisor of surgical,

training and educational work

- Case Presentation 5

- Journal Club 5

- Morbidity and Mortality 5

- Grand Rounds 10

- Out-patient Clinic Once /week

(Minimum)

- On Call Duties Once /week

(Minimum)

Page 10: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

9

Training courses to be implemented during the training period

Course

Date

Place

supervisor signature on the course

Temporal Bone Dissection

FESS

Head and Neck Courses

(Optional)

Page 11: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

10

Active Participation in the research work in the department to be published

or accepted for publication during the training period

Research Name Year of

Research Published in

The signature of the supervisor

Page 12: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

11

The training required in the audiology department during the

training period

The test Cases Number The place The signature of supervisor

Audiometry

10

Tympanometry 10

Vestibular Investigation 10

Page 13: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

12

The operations required by the applicant during the training period

The minimum number of operations performed by first year surgeon

according to the schedule below. 1. Adenoidectomy 50

2. Tonsillectomy 50

3. Myringotomy + /- Grommet 50

4. Septoplasty 15

5. Nasal endoscopic surgery ( Nasal Polypectomy, Anterior FESS) 15

6. Tympanoplasty I 5

7. Cortical Mastoidectomy 5

8. Microlaryngoscopy 5

9. Oesophageoscopy 5

10. Tracheostomy 5

11. Nasal Bone Repair (trauma) 5

12. Bronchoscopy 5

13. Neck Surgery 5

Page 14: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

13

The operations initiated by the applicant as first year surgeon according

to the year of training

I OPERATIONS

Adeno-tonsillectomy

II

Myringotomy Tracheostomy

Nasal Bone repair Septoplasty / Submucous resection

III Microlaryngoscopy Bronchoscopy - Tymponoplasty I

Esophageoscopy

IV Anterior FESS Cortical Mastoidectomy

V Larynx & Neck and Ear Surgery

Page 15: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

14

.the applicant during the training period perations required byThe o The operations in which he participated as an assistant according to the possibilities

of the training program

1-Mastoid Surgery 2-Stapes Surgery 3-Tympanoplasty and Ossiculoplasty 4-Cochlear Implant Surgery 5-Inner Ear Surgery 6-Lateral Rhinotomy 7-Maxillectomy 8-Trephine Operation 9-DCR 10-Snoring Procedures 11-Rhinoplasty 12-Laryngectomy 13-Neck Dissection 14-Salivary Glands Surgery 15-Thyroid Surgery 16-Others

Page 16: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

15

Outpatient services required to be completed during the training period

Outpatient Services Otology

Service

Name of the supervisor of

outpatient services

signature

Ear Endoscopy

Ear Microscopy

Suction Clearance

ear Packing

Page 17: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

16

Outpatient Services Rhinology

Service

Name of supervisor of clinical

work For outpatients

Signature

Flexible N/P

Rigid Nasopharyngeal

Endoscopy

Cautery

Anterior Nasal Pack

Posterior Nasal Pack

Page 18: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

17

Out Patient Services Head and Neck Services

Service

Name of the supervisor of

clinical work For outpatients

Signature

Indirect (mirror)

Laryngoscopy

Flexible

Rhinopharyngolaryngoscopy

Rigid (Hopkins)

Laryngoscopy

Neck Examination

Page 19: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

18

Out Patient Services

Phoniatrics Service (Optional)

Service

Name of the supervisor of the

clinical work of outpatients

Signature

Page 20: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

19

Emergency services to be provided by the trainee during training

Diagnosis

Condition

Name and signature of supervisor of the

emergency services

Airway

Obstruction

Acute epiglottitis

Acute

Laryngotracheobronchitis

Laryngeal trauma

Vocal Cord Paralysis

Page 21: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

20

Ear, Nose and Throat Emergency

Diagnosis

Conditions

Name and signature of the supervisor of nasal

emergency

Abscess

Peritonsillar

Retropharyngeal

Parapharyngeal

Ludwing’s Angina

Bezold’s

Retroauricular

Septal

Bleeding

Epistaxis

Hemoptysis

Hematemesis

Ear Bleeding

Page 22: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

21

Ear, Nose and Throat Emergency

Diagnosis Condition

Name and signature of emergency

supervisor

Facial Trauma

Facial Lacerations

Fracture Nose

Fracture Facial Bones

PO Complications

Adenoid Bleeding

Tonsil Bleeding

Pain

Migraine

Neuralgias

Acute Functional

Loss

Sudden Hearing Loss

Facial Palsy

Aphonia

Dizziness

Anosmia

Page 23: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

22

The training in the first year

General surgery –Plastic surgery-Maxillofacial surgery

Neurosurgery

Page 24: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

23

First year / training periods

Date

Department

Hospital

The name and signature of

the supervisor

Page 25: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

24

2 – 5 years : Training periods

Date

Department

Hospital

The name and signature of

the supervisor

Page 26: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

25

The Operations required to be undertaken

by primary surgeon

Page 27: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

26

The operations done by the trainee

Type of operation : Adenoidectomy / Tonsillectomy

Date

Patient name /case sheet

number

Operation Name and signature of the

supervisor of the surgical

work

Page 28: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

27

Date

Patient name /case sheet

number

Operation Name and signature of the

supervisor of the surgical

work

Page 29: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

28

Date

Patient name /case sheet

number

Operation Name and signature of the

supervisor of the surgical

work

Page 30: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

29

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 31: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

30

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 32: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

31

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 33: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

32

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 34: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

33

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 35: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

34

The operations undertaken by the trainee Type of surgery: Septoplasty / SMR

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 36: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

35

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 37: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

36

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 38: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

37

The surgical operations undertaken by the trainee

Type of operation: Turbinate Sub-Mucous Diathermy (SMD)

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 39: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

38

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 40: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

39

The operations undertaken by the trainee

Type of surgery: Myrinogotomy +/- Grommet

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 41: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

40

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 42: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

41

Date Patient name /case sheet number

Operation

Name and signature of the

supervisor of the surgical

work

Page 43: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

42

Date Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 44: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

43

Date

Patient name /case sheet

number

Operation

Name and signature of

the supervisor of the

surgical work

Page 45: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

44

Date

Patient name /case sheet number

Operation

Name and signature of the

supervisor of the surgical

work

Page 46: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

45

Date

Patient name /case sheet number

Operation

Name and signature of the

supervisor of the surgical

work

Page 47: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

46

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 48: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

47

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 49: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

48

The surgical operations undertaken by the trainee Type of operation : FESS (Anterior)

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 50: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

49

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 51: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

50

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 52: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

51

The surgical operations undertaken by the trainee Type of operation: Cortical Mastoidectomy

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 53: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

52

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 54: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

53

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 55: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

54

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 56: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

55

The surgical operations undertaken by the trainee

Type of operation : Tracheostomy

Date

Patient name /case sheet

number

Operation Name and signature

of the supervisor of

the surgical work

Page 57: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

56

The surgical operations undertaken by the trainee Type of operation :Nasal bone repair

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 58: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

57

The surgical operations undertaken by the trainee

Type of surgery : Hypopharyngoscopy / Oesophageoscopy

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 59: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

58

The surgical operations undertaken by the trainee Type of operation : Bronchoscopy

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 60: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

59

The surgical operations undertaken by the trainee

Type of operation :Neck Surgery

Date

Patient name /case sheet

number

Operation Name and signature of

the supervisor of the

surgical work

Page 61: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

60

The operations undertaken by the trainee - as an assistant

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 62: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

61

The operations undertaken by the trainee - as an assistant

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 63: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

62

The operations undertaken by the trainee - as an assistant

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 64: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

63

The operations undertaken by the trainee - as an assistant

Date

Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 65: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

64

The operations undertaken by the trainee - as an assistant

Date Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 66: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

65

The operations undertaken by the trainee - as an assistant

Date Patient name /case sheet

number

Operation

Name and signature of the

supervisor of the surgical

work

Page 67: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

66

Periodic scientific activities

(Lectures - scientific seminars - clinical grounds - morbidity / mortality seminars)

Date Details Place

Page 68: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

67

Periodic scientific activities

(Lectures - scientific seminars - clinical grounds - morbidity / mortality seminars)

Date Details Place

Page 69: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

68

Periodic scientific activities

(Lectures - scientific seminars - clinical grounds - morbidity / mortality seminars)

Date Details Place

Page 70: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

69

Periodic scientific activities

(Lectures - scientific seminars - clinical grounds - morbidity / mortality seminars)

Date Details Place

Page 71: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

70

The scientific and practical activity required during the 5 years training period

Case Presentation

Date Case sheet

number Details

Name and signature of the

supervisor of scientific and

practical activity

Page 72: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

71

The scientific and practical activity required during the 5 years training period

Case Presentation

Date Case sheet

number Details

Name and signature of the

supervisor of scientific and practical

activity

Page 73: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

72

The scientific and practical activity required during the 5 years training period

Journal Club

Date Case sheet

number Details

Name and signature of the

supervisor of scientific and

practical activity

Page 74: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

73

The scientific and practical activity required during the 5 years training period

Morbidity and Mortality

Date Case sheet

number Details

Name and signature of the supervisor

of scientific and practical activity

Page 75: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

74

The scientific and practical activity required during the 5 years training period

Grand Rounds

Date Case sheet

number Details

Name and signature of the supervisor

of scientific and practical activity

Page 76: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

75

The scientific and practical activity required during the 5 years training period

Grand Rounds

Date

Case sheet

number Details

Name and signature of the supervisor

of scientific and practical activity

Page 77: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

76

Summary of the training A summary of the operations you have done during the training with the signature of

the trainer and the training supervisor

It should be filled in the fifth year of training

Operation During the year Total

number

Supervisor

Signature II III IV V

Page 78: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

77

Operation

During the year Total

number

Supervisor

Signature II III IV V

Page 79: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

78

Operation

During the year Total

number

Supervisor

Signature II III IV V

Page 80: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

79

Operation

During the year Total

number

Supervisor

Signature II III IV V

Page 81: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

80

Operation

During the year Total

number

Supervisor

Signature II III IV V

Page 82: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

81

Final Assessment ( to be completed by the training committee)

Criterion Score Maximum (%)

Log Book

Fulfillment

60

Cases / Topics

Presented

10

Scientific

Presentation

Participation

10

Meetings

attendance

10

Dissection courses

10

Page 83: The Republic of Iraq Ministry of Higher Education ... Log Book of Scientific Council of... · Abscess Peritonsillar Retropharyngeal Parapharyngeal Ludwing’s Angina Bezold’s Retroauricular

82

The End