Introduction

This student log-book is intended to be an aid to you and your Tutor to feedback on
your learning process by keeping track of your clinical exposure. We do require
a quota of at least 3 patients of different diagnoses to be seen and presented
to your Tutor or Instructor or any clinician of the Department during the 9-
week clerkship. The presentation should be signed in the logbook by the
Tutor/Instructor/clinician whom the case was presented. This is a rather
modest requirement; our impression has been that students in the past have been
able to see two cases per week. Although the current module examination format
does not require long-case presentation, it is imperative to have the ability to
synthesize the clinical information in a long case with diagnostic formulation for
discussion with your Tutor or clinical Instructor.

You are encouraged to widen their exposure to various psychiatric conditions by

attending ward rounds, outpatient sessions and seeing psychiatric inpatients in Tai
Po Hospital, Shatin Hospital and Kwai Chung Hospital and Castle Peak Hospital.
Patients are our most valuable resource for learning and we should make full use of each clinical
interview. You are thus expected to independently take a full psychiatric history and
perform mental state examination to elicit particular signs or symptoms in 3 cases in
a format seen in the case notes. In addition, you are encouraged to practice as
much OSCE-type, short- examination as possible as this is going to be the task for
both the module examination and the Professional Examination at the end of the
year.

The most common psychiatric conditions that you would come across during your
9-week clerkship are as follows:
1. Schizophrenia/ schizoaffective disorder/other psychotic disorders
2. Bipolar Affective Disorder
3. Major Depressive Disorder
4. Alcohol and substance-related mental disorder
5. Generalized Anxiety Disorder
6. Panic Disorder
7. Agoraphobia and other specific phobias
8. Adjustment disorder
9. Eating Disorder
10. Somatization disorder and other somatoform disorder
11. Obsessive-compulsive disorder
12. Dementia
13. “Organic” mental disorder (Psychiatric conditions associated with medical
conditions)
*14. Emotional and conduct disorder in childhood and adolescence
*15. Attention-deficit Hyperactivity Disorder
*16. Pervasive or specific developmental disorder in childhood
Items 1-4 present more frequently to inpatient settings while items 5-11 usually
present to outpatient setting. The sign of “*” indicates conditions that you may
only come across in your elective module and they are optional for your clinical
exposure.

Record of clinical skill learning (Log book)

Please enter the details of patients you have seen in the Table below. To facilitate
selection of patients for interview, you can solicit assistance from your Tutors or
Instructors or any Medical officers/residents for obtaining a list of suitable patients
during the clerkship.

Note: we do not expect you to go through each case in all formats of tutorial listed below. All
examinations and presentations must be endorsed by your Tutor or Instructor or a psychiatrist of
the Department. Examining/presenting 3 long cases is the minimum requirement for proceeding
to the module examination.

Patient’s particulars Diagnosis OSCE Long-case Signature of

(hospital/ward/clinic/ presentation presentation Tutor/Instructor
name/age/sex) /Clinician
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

**You are fully responsible for the confidentiality of information kept in the log book.