MD log book - Assiut University · of Cardiothoracic Surgery Log Book ... comprehensive but will...

Medical Doctorate (M.D.) Degree of Cardiothoracic Surgery Log

Book

"كراســـــــة األنشـــــــــطة "

قلب جراحة ال الالزمة لحصول المتدرب على درجة الدكتوراه في والصدر

M.D. Degree in Cardiothoracic Surgery Log Book

٢

Cardiothoracic Surgery Department Faculty of Medicine طبـة الـكلی

Contents

NO SUBJECT PAGE

1 Personal data 3 2 Instructions to the use of logbook 4 3 Program aims and structure 6 4 First part: (Essential Courses)

Course 1 Medical statistics and computer

Course 2 Research methods

Course 3 Medical reports and medical ethics

7

5 Second part: (Specialized Courses) Course 4 Cardiothoracic surgery

• Unit (Module )1 Thoracic Diseases

• Unit (Module )2 Acquired Heart Disease

• Unit (Module )3 Congenital Heart Disease

• Unit (Module )4 Thoracic Trauma

• Unit (Module )5 Extracorporeal Bypass

• Unit (Module )6 Minor Procedures

• Unit (Module )7 Applied Surgical Cardiothoracic Anatomy

• Unit (Module )8 Applied Surgical Cardiothoracic Pathology

17

6 Other Scientific Activities 74 7 Third part: (MD Degree Thesis pathway) 81 8 Declaration: 82


٣


Personal photo

Name……………………………………. Date of birth…………………………….. Address……………………………………………………………………………………….. Place of work……………………………………………………………………………… Telephones……………………………………Mobile phone(s)…………………………….. E mail…………………………………………

Name of hospital Period of work Hospital director signature

Academic Information MBBCh…………/……/……… ………………..University Grade ….……… MSc… ………………..University Grade ….……… Grade of General Surgery course on graduation ……………………….. Others…………/……/……… ………………..University …………/……/……… ………………..University


٤


Aim of the activities book

To provide one source of evidence for the assessment committee that you attained

the desired level of competency required to gain the award.

In this book you will document all clinical, academic and other experiences and skills

you attained during your training.

Instructions to the use of logbook For each module / course / rotation

You should fill the following sections:-

Clinical case log-1 1- You will first find list with all required cases in the concerned module and

the minimum number of cases you must get exposed to and level of

participation you should achieve for each type of cases.

2- You should record all clinical cases in the module and each case should be

signed by you trainer.

Clinical case presentation log-2

Record the cases related to the module that you have presented in a seminar of the activity.

operations log/ Procedures -3 1- You will find a list for required procedure, diagnostic – therapeutic operations and level of desired performance you should achieve at the end of training.

2- You will find empty tables to write down the procedure, you level of participation and date and signature of supervisor.


٥


Post operative care log-4

1 - You will find a list for required post operative care and level of desired performance you should achieve at the end of training.

2- You will find empty tables to write down the post operative care, you level of participation and date and signature of supervisor.

attendance proof/ Rotation -4 You should have evidence of achievement the required training hours within each module.

For the whole program fill the following sections.

1- Academic activities

A- Document all academic activities e.g. lecture, journal clubs, workshops, conference, services attended. This documentation should include the level of participation " attendance, preparation, presentation,……………"

2- Academic achievements

A- Document all outcomes you achieved in the field of:- - Audit participation - Research "clinical trial" participation. - Evidence- based medicine "generation of guidelines" protocols - ………………………………………….. 3- Formative assessment log This document all types of formative assessment attended e.g.:- - Mini clinical examination - Quizzes


٦


Program aims 1/1 To enable candidates master high level of clinical skills, bedside care skills, in addition to update medical knowledge as well as surgical experience and competence in the area of Thoracic Diseases, Congenital Heart Disease, Acquired Heart Disease, Thoracic Trauma and enabling the candidates of making appropriate referrals to a sub-specialist 1/2 Provide candidate with fundamental knowledge and skills of Extracorporeal Bypass as regards; mastering dealing with Extracorporeal circuits , equipments, and training skills of different techniques. 1/3 To enable candidates to perform high standard scientific medical research and how to proceed with publication in indexed medical journals. 1/4 To enable candidates to describe the basic ethical and medicolegal principles relevant to cardiothoracic surgery 1/5 To enable candidates to have professional careers as a consultant in Egypt but recognized abroad. 1/6To enable candidates to continue self learning in subspecialties. 1/7 To enable candidates to master different research methodology and do their own.

Program Structure A. Program Time Table Duration of program up to 4 years divided into

o Part 1 Program-related essential courses - Medical statistics and computer - Research methods - Medical reports and medical ethics Students are allowed to sit the exams of these courses after 6 months from applying to the M D degree.

o Part 2 Minimum 2 years

Program –related academic and specialized science courses and ILOs o Students are not allowed to sit the exams of these courses before 2 years from passing the examination

of the first part. o Part 3

Thesis and at least one published research from the thesis For the M D thesis; discussion and acceptance of the MD thesis is not allowed accept after passing 2nd part exams, not before 24 months from registering the M D thesis.

Students have to pass the final written exams to be eligible to sit the oral and clinical exams. If the student fails to pass the clinical and oral exams for 4 times, he has to repeat the final written exam again. Final written exams degrees and the case solving are all added together.


٧


First Part Essential Courses Course 1 Medical statistics and computer

Course 2 Research methods

Course 3 Medical reports and medical ethics


٨


Requirements

- Total hors 80 (40 hour for lecture and 40 hours for training)

- Minimal rate of attendance 75% of lectures and training


٩


Medical statistics and computer

Lectures

Signature Topic Attendance Date


١٠


Medical statistics and computer

Practical skills



١١


Requirements

- Total hours 48 (30 hour for lecture and 18 hours for training)

- Minimal rate of attendance 75% of lectures and training


١٢


Research methods Course

Lectures



١٣


Research methods Practical skills



١٤


Requirements

- Total hours 12( 8 hour for lecture and 4 for training )

- Minimal rate of attendance75% of lectures and training


١٥


Medical reports and medical ethics Course Lectures



١٦


Medical reports and medical ethics Practical skills



١٧


Second Part:

Specialized Courses

Course 4 Cardiothoracic surgery: • Unit (Module )1 Thoracic Diseases

• Unit (Module )2 Acquired Heart Disease

• Unit (Module )3 Congenital Heart Disease

• Unit (Module )4 Thoracic Trauma

• Unit (Module )5 Extracorporeal Bypass

• Unit (Module )6 Minor Procedures

• Unit (Module )7 Applied Surgical Cardiothoracic Anatomy

• Unit (Module )8 Applied Surgical Cardiothoracic Pathology

The Cardiothoracic Board believes that trainees should be adequately supervised for all operative procedures and this logbook recognises three levels of operative assistance: A. Operation or component skill performed BY TRAINEE without the surgeon in charge actually assisting with that operation or part of the procedure. (The surgeon will decide the appropriate oversight for that patient and trainee and may be in the operating room). The operative procedure or skill in question may be only part of the main procedure (e.g. cannulation for bypass or radial artery harvest). B. Trainee Assisted, by senior member e.g. Fellow or surgeon, to perform a particular procedure.

C. Trainee is the First assistant for the procedure. Do not record procedures or operations where you are the 2nd assistant. This operative list is comprehensive but will not include every conceivable cardiac procedure. Procedures not listed will be entered in the “OTHER” category.


١٨


Rotation / attendance proof األماكن التى تدرب بھا

توقیع مدیر المستشفى توقیع رئیس القسم أسم المستشفى التى تدرب بھا


١٩


A - Clinical case log

Requirements - Number of hours :1075 lecture :100 practical :975.

- Minimal rate of attendance75% of training and lectures

- Practice with clinical cases for at least one year in the department, including

interpretation of their different radiologic patterns (in chest X-ray, CT, MRI ,……) and

related laboratory investigation.

- Two MCQ examinations at the second and third years.


٢٠


Thoracic surgery Cases: MAJOR PROCEDURES Number of cases 1. Lobectomy 10 2. Pneumonectomy 5 3. Sleeve resection 4. Decortication 5 5. Mediastinal tumor 5 6. Other Thoracic Major, ie Pleurectomy or Chest Wall 5 9. Oesophageal resection 3 10. Other oesophageal procedures 2 OTHER THORACIC 5. Mediastinoscopy 6 6. Bronchoscopy -Rigid 25 7. Oesophagoscopy -Rigid 10 8. Other Thoracic Minor 30


٢١


Module of Thoracic Surgery Record of cases" multiple pages"

Signature of supervisor **

Location ( unit)

Level of participation

* Diagnosis of case Date Hospital

number

* Levels of participation: A- Operation or component skill performed BY TRAINEE without the surgeon in charge actually assisting with that operation or part of the procedure. B- Trainee Assisted, by senior member C- Trainee is the First assistant for the procedure ** At least lecturer


٢٢



Location ( unit)



number

* Level of participation A- Operation or component skill performed BY TRAINEE without the surgeon in charge actually assisting with that operation or part of the procedure. B- Trainee Assisted, by senior member C- Trainee is the First assistant for the procedure ** At least lecturer


٢٣



Location ( unit)



number



٢٤



Location ( unit)



number



٢٥



Location ( unit)



number



٢٦


* Name:

* Period of training From:

To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills

Demonstrate the competency of continuous evaluation of different types of care provision to patients in the different area of his field.

Appraise scientific

evidence.

Continuously improve patient care based on constant self-evaluation and life-long learning.

Participate in clinical audit and research projects.


٢٧


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills

Practice skills of evidence-based Medicine (EBM).

Educate and evaluate students, residents and other health professionals.

Design logbooks. Design clinical guidelines and

standard protocols of management.

Appraise evidence from scientific studies related to the patients’ health problems.

Apply knowledge of study designs and statistical methods to the appraisal of clinical studies.

Use information technology to manage information, access on- line medical information; for the important topics.

Master interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals, including:-

• Present a case. • Write a consultation

note. • Inform patients of a

diagnosis and therapeutic plan Completing and maintaining comprehensive.

• Timely and legible medical records.

• Teamwork skills.


٢٨


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not

judge (0) General skills

Create and sustain a therapeutic and ethically sound relationship with patients.

Elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills.

Work effectively with others as a member or leader of a health care team or other professional group.

Demonstrate respect, compassion, and integrity; a responsiveness to the needs of patients and society.

Demonstrate a commitment to ethical principles including provision or withholding of clinical care, confidentiality of patient information, informed consent, and business practices.

Demonstrate sensitivity and responsiveness to patients’ culture, age, gender, and disabilities.

Work effectively in health care delivery settings and systems related to specialty including good administrative and time management.

Practice cost-effective healthcare and resource allocation that does not compromise quality of care.


٢٩


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not


Advocate for quality patient care and assist patients in dealing with system complexities.

Design, monitor and evaluate specification of under and post graduate courses and programs.

Act as a chair man for scientific meetings including time management


٣٠


Rotation / attendance proof

األماكن التى تدرب بھا توقیع مدیر المستشفى توقیع رئیس القسم أسم المستشفى التى تدرب بھا





interpretation of their different radiologic patterns ( in Echocardiography ,CT, MRI )

and related laboratory investigation.

- Two MCQ examinations at the second, and third years.


٣١


Acquired cardiac surgery Cases: COMPONENT PROCEDURES: (only one per patient) Number of cases

1. Saphenous vein harvest 20 2. Radial artery harvest 5 3. Median sternotomy 25 4. Internal mammary artery harvest 10 5. Cannulation for bypass 25 6. Aorto-coronary anastomosis 15

7. Other proximal anastomosis, e.g. T graft. 9. Distal coronary anastomosis 10 10. Sternal closure 25 11. Re-Do sternotomy 5

CORONARY BYPASS SURGERY Off Pump coronary bypass. (No. of patients) All coronary bypass surgery. (No. of patients) 20

AORTIC VALVE SURGERY 1. Aortic Valve Replacement 10 Mechanical prosthesis 10 Stented bioprosthesis Stentless valve Homograft *2. Aortic Valve Repair

AORTIC SURGERY 1. Ascending aorta (supracoronary) ** 2. Aortic valve plus supracoronary aorta 3. Bental/Cabrol/Valve Sparing Root* 4. Aortic arch replacement 5. Descending aorta procedure 6. Thoraco abdominal repair 7. Aortic Dissection: TypeA TypeB 8. Co-arctation repair 5

MITRAL VALVE SURGERY 1. Mitral Valve Repair 5 2. Mitral Valve Replacement 15 Mechanical prosthesis


٣٢


Bioprosthesis OTHER VALVE SURGERY

1. Tricuspid Valve Procedure 5 2. Double Valve Procedure 5 3. Triple Valve Procedure 5

OTHER MAJOR CARDIAC OPERATIONS 1. Infarct VSD/ rupture 2. Cardiac Tumors Myxoma Other 3. Pulmonary embolectomy 4. Surgery for atrial fibrillation 5. Miscellaneous major procedures


٣٣


Module of Acquired Cardiac Surgery

Record of cases" multiple pages" Signature of supervisor **

Location ( unit)



number

* Levels of participation: A- Operation or component skill performed BY TRAINEE without the surgeon in charge actually assisting with that operation or part of the procedure. B- Trainee Assisted, by senior member C- Trainee is the First assistant for the procedure ** At least lecturer


٣٤



Location ( unit)



number



٣٥



Location ( unit)



number



٣٦



Location ( unit)



number



٣٧



Location ( unit)



number



٣٨



Location ( unit)



number



٣٩


* Name:


To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills


Appraise scientific

evidence.




٤٠


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills















٤١


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not











٤٢


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not






٤٣








interpretation of their different radiologic patterns ( in Echocardiography ,CT, MRI )




٤٤


Cases of congenital heart diseases:

PAEDIATRIC Number of cases Cases without cardiopulmonary bypass 15 Cases with cardiopulmonary bypass 20


٤٥



Location ( unit)



number



٤٦



Location ( unit)



number



٤٧



Location ( unit)



number



٤٨


* Name:


To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills


Appraise scientific

evidence.




٤٩


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills















٥٠


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not











٥١


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not






٥٢





Requirements - Number of hours 410 hours - lecture 30 hours - practical 380 hours.



interpretation of their different radiologic patterns ( in chest X-ray ,CT, MRI,….. ) and

related laboratory investigation.



٥٣


Module of Thoracic Trauma procedures’ log book

List of requirements

Number Case 30 cases 5 cases 10 cases 5 cases 5 cases 5 cases

1 - Emergency thoractomy 2 - Repair of traumatic diaphragmatic hernia 3 - Repair of lung tears. 4 - Emergency lobectomy, pneumonectomy. 5 - Repair of bronchial, tracheal, esophageal tears. 6 - Repair of cardiac tears.


٥٤



Location ( unit)



number



٥٥



Location ( unit)



number



٥٦



Location ( unit)



number



٥٧



Location ( unit)



number



٥٨



Location ( unit)



number



٥٩



Location ( unit)



number



٦٠



Location ( unit)



number



٦١


* Name:


To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills


Appraise scientific

evidence.




٦٢


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills















٦٣


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not











٦٤


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not






٦٥



األماكن التى تدرب بھاتشفى التى تدرب بھاأسم المس توقیع مدیر المستشفى توقیع رئیس القسم


Requirements - Minimal rate of attendance75% of training and lectures


interpretation of their different radiologic patterns ( in Echocardiography ,CT, MRI,…. )




٦٦


Module of Extracorporeal Bypass and Circulatory Support List of requirements

Number Case 30 cases 15 cases 5 cases

1 – Adult Cardiopulmonary bypass 2 – Congenital Cardiopulmonary bypass 3 – Intra-aortic Balloon 3 – Extracorporeal Membrane Oxygenation


٦٧



Location ( unit)



number



٦٨



Location ( unit)



number



٦٩


* Name:


To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills


Appraise scientific

evidence.




٧٠


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills















٧١


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not











٧٢


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not






٧٣





Requirements - Minimal rate of attendance75% of training and lectures


interpretation of their different radiologic patterns ( in Chest X-ray, Echocardiography

,CT, MRI,… ) and related laboratory investigation.



٧٤


Module of Minor Procedures List of requirements

Number Case 25 cases 10 cases 30 cases

1. Bronchoscopy 2. Esophagoscopy 3. Thoracostomy tubes 4. Others


٧٥



Location ( unit)



number



٧٦



Location ( unit)

Level of competency* Procedure Date Hospital

number

* Level of competency

A- Independent performance B- Performance under supervision C- Observed ** At least lecturer


٧٧



Location ( unit)


number




٧٨



Location ( unit)


number




٧٩



Location ( unit)


number




٨٠



Location ( unit)


number




٨١



Location ( unit)


number




٨٢



Location ( unit)


number




٨٣



Location ( unit)


number




٨٤



Location ( unit)


number


A- Independent performance B- Performance under supervision C- Observed

**At least lecturer


٨٥


" Signature of supervisor **

Location ( unit)


number




٨٦



Location ( unit)


number




٨٧



Location ( unit)


number




٨٨



Location ( unit)


number

* Level of competency A- Independent performance

B- Performance under supervision C- Observed

** At least lecturer


٨٩


* Name:


To:

* Site:

*Rotation

strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills


Appraise scientific

evidence.




٩٠


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could

not

judge

(0)

General skills















٩١


strongly

agree

(7)

(6)

(5) )(4

(3) ) (2

strongly

disagree(1)

could not











٩٢


strongly

agree

(7)

(6)

(5) ) (4

(3) ) (2

strongly

disagree(1)

could not






٩٣


Requirements

- Attendance of at least 30 hour

- Minimal rate of attendance 60% of lectures

Lectures schedule and ILOs § Chest wall.

§ Pleurae

§ Tracheobroncheal tree and Lungs

§ Mediastinum

§ Pericardium

§ Heart

§ Great Vessels in the Thorax

§ Diaphragm

§ Esophagus

§ Thoracic inlet.


٩٤


Applied Surgical Anatomy Course Lecture



٩٥


Requirements

- Attendance of at least 30 hour

- Minimal rate of attendance 60% of lectures

Principles of General Pathology of: Principles of General Pathology of:

- Cell Injury, Cell Death - Acute and Chronic Inflammation. - Tissue Repair: Regeneration, Healing, and Fibrosis - Immunity & hypersensitivity. - Bacterial infection. - Disturbance of growth - Pathology of tumors

Pathologic Details of: A. Respiratory system Pathology. B. Heart, cardiac valves, and coronary arteries. C. The great Vessels D. The chest wall and pleural Cavity. E. Mediastinal pathology


٩٦


Applied Surgical Pathology Course Lectures



٩٧


Module of Rotation / attendance proof "multiple pages"

األماكن التى تدرب بھاأسم المستشفى التى

تدرب بھا توقیع مدیر المستشفى توقیع رئیس القسم


٩٨


أسم المستشفى التى تدرب بھا

ر المستشفىتوقیع مدی توقیع رئیس القسم


٩٩


Total Academic activates for the program

Lecture, journal club, seminar, conference, workshop s Requirement-

1- Lectures = minimum 75% attendance = minimum 3 presentation = minimum 3 organization

2- Seminars / journal = minimum 80%

3- Conference = minimum 5

4- Workshops = minimum 2 Signature of supervisor Date Your role ** Activity

** Your role:- A- Attendance

B- Organization C- Presentation


١٠٠


Signature of supervisor Date Your role ** Activity




١٠١


Cardiothoracic Surgery Program: 2- Academic achievements" multiple pages"





١٠٢






١٠٣


Cardiothoracic Surgery Program

Formative assessment





١٠٤






١٠٥


MCQ Assessments

- One MCQ examination at the second half of the second year and another one in the third year in Cardiothoracic Surgery

Signature of Head of the department

grade * Date

*Degree A- Excellent B- Very good C- Good D- Pass


١٠٦


الرسائل العلمیة

عنوان الرسالة :عربـــــــــــــــــــــــــــــــــي

:انجلـــــــــــــــــــــــــــــیزي

: ــــون المشرفــــــــــــــــ١-............................................... ٢-................................................. ٣................................................. ٤-..................................................

................... / / :تاریخ القیـــد لدرجـــة : .........................................تاریخ التسجیل الموضوع

: ............................................المتابعة الدوریـــــــــــــة

ما تم انجازه التاریخ

البحثمن بروتوكول توقیع المشرفین المتبقي


١٠٧


Declaration Course Structure Mirror Responsible

(Course ) Coordinator Name:

Signature Date

First Part (essential courses) Course 1 Course 2 Course 3 Second Part (specialized courses): Course 4: Cardiothoracic surgery Unit (Module ) 1 Unit (Module ) 2 Unit (Module ) 3 Unit (Module ) 4 Unit (Module ) 5 Unit (Module ) 6 Unit (Module ) 7: Applied Surgical Cardiothoracic Anatomy

Unit (Module ) 8: Applied Surgical Cardiothoracic Pathology

- MD Degree Thesis Acceptance Date:

- Fulfillment of required contact hours prior to final examination

MD Degree Principle Coordinator: Date approved by CTS Department Council:

یعتمد ، رئیس القسم

/ د.أ

Date post:	11-Aug-2018
Category:	Documents
Upload:	truongkiet
View:	213 times
Download:	0 times

MD log book - Assiut University · of Cardiothoracic Surgery Log Book ... comprehensive but will...

Documents