LOGBOOK

For

FINAL YEAR MEDICAL STUDENTS

THE DEPARTMENT OF SURGERY

College of Medicine
UNIVERSITY OF MALAWI

Queen Elizabeth Central Hospital

2019-20 Academic Year

NAME: ____________________________________
 LOGBOOK
NAME:
STUDENT NO:
PERIOD COVERED:

Procedures and logbook

A list of procedures to undertake in the department is attached. Please ask a doctor or clinical
officer (not a nurse) to countersign each procedure when you have successfully carried it out or
observed it (in case of chest drains and suprapubic catheters).

Your logbook must be signed weekly by your ward consultant.

Your log book (to include your short cases and CBDs with the mark recorded in this log book,
clinics record, on-call log, procedure list) must be put inside the year coordinators pigeon-hole
in the annex by 5pm, the last Tuesday of your attachment.

You may not have the opportunity to perform all of these procedures, but take every
opportunity to watch, assist or do practical procedures while you are attached to Surgery. You
must have performed/observed two thirds of these listed procedures to pass surgery.

Procedure Date PATIENT SUPERVISOR Signature

1
IV Cannula insertion
2
IV Cannula insertion
3
IV Cannula insertion
4
IV Cannula insertion
5
IV Cannula insertion
6
IV Cannula insertion
7
Urinary catheterisation
8
Urinary catheterisation
9
Urinary catheterisation
10
Urinary catheterisation
11
Urinary catheterisation
12
Urinary catheterisation
13 Suprapubic catheter insertion
14 Suprapubic catheter insertion
15 Suprapubic catheter insertion
16
Chest drain
17
Chest drain
 Procedure Date PATIENT SUPERVISOR Signature
18
Plaster of Paris
19
Plaster of Paris
20
Plaster of Paris
21
Suturing of lacerations
under LA
22
Suturing of lacerations
under LA
23
Suturing of lacerations
under LA
24
Nasogastric tube insertion
25
Nasogastric tube insertion
NAME:...........................................................................................................
DETAILS OF ASSESSMENT TO BE SIGNED BY YOUR CONSULTANT or SENIOR
REGISTRAR

1 Theatre Attendance
Week 1 2 3 4 5 6 7 Day
case
theatre
Date

sign

2 Ward rounds

Week 1 2 3 4 5 6 7

Date

sign

3 OPD Attendance (to be signed before leaving clinic)

Week 1 2 3 4 5 6 7

Date

sign

4 Fracture Clinic Attendance (Wednesday/Friday 1pm) (2 required)

Week wed fri wed fri

Date
Sign
NAME.............................................................................................................................

5 Continous Assessment- Professional Performance

Weeks 1-2 3-4 5-6 7

Date
Pass/Fail
Consultant
Signature

6 Short Case Presentations (0815 every day)

(2 to be marked and signed)
Case 1 Case 2
Date
Self assessment

Consultant assessment
Pass/Fail

Consultant
Signature

7 Case Based Discussions (1 per 2week block)

WEEKS 1-2 3-4 5-6 7

DATE
TOPIC
MARK/20
CONSULTANT
SIGNATURE
 MBBS Year 5
WARD ALLOCATIONS

Week 5A 5B / Ortho Paed

Burns Surgery
1-2 A B C D
3-4 B C D A
5-6 C D A B
7-8 D A B C

Group Students
A 1,5,9,13,17,21,25
B 2,6,10,14,18,22,26
C 3,7,11,15,19,23
D 4,8,12,16,20,24
SHORT CASE TIMETABLE
Consultants for Year 5 08H15 Presentations
(2 presenters each time)

Date Month Consultant/Senior Registrar

Week 1
Monday 26 August ------------
Tuesday 27 August Itaye
Wednesday 28 August Thomson/Serva
Thursday 29 August Kapalamula
Friday 30 August Araujo

Week 2
Monday 2 September Pangea
Tuesday 3 September Pangea
Wednesday 4 September Pangea
Thursday 5 September Pangea
Friday 6 September Araujo

Week 3
Monday 9 September Mkandawire
Tuesday 10 September Chalulu
Wednesday 11 September Serva
Thursday 12 September Mwafulirwa (W)
Friday 13 September Noah

Week 4
Monday 16 September Serva
Tuesday 17 September Noah
Wednesday 18 September Mapurisa
Thursday 19 September Bates
Friday 20 September Kaomba

Week 5
Monday 23 September Itaye
Tuesday 24 September Serva
Wednesday 25 September R Nyirenda
Thursday 26 September Kapalamula
Friday 27 September Mwafuirwa (W)

Week 6
Monday 30 September T Chokotho
Tuesday 1 October Serva
Wednesday 2 October Kaomba
Thursday 3 October Kapalamula
Friday 4 October Mwafulirwa (K)

Week 7
Monday 7 October Bates
Tuesday 8 October Chaziya
Wednesday 9 October Mkochi
Thursday 10 October T Chokotho
Friday 11 October Chalulu
Tutorial Feedback form
Please rate the quality and relevance of each session from 1-5 and give your comments
(1 = not useful/poor; 2=limited use; 3=average; 4=good; 5=excellent)

TUTORIAL LECTURER'S Quality of Relevance Comments

NAME content
Assessment and Dr Thomson
Resuscitation

Chest, abdo and pelvic

trauma

Spinal injuries Prof

Mkandawire
Hip Examination

Principles of fractures

Head injury

Skin and Wounds

Surgical Infections

Bone and Joint infections

Peripheral Neuro Exam

Knee Examination

Head and Neck

infections

Vascular and spleen

Orthopaedic tumours

Surgical Oncology Dr Masamba

Examination of a limb

Shoulder examination

Head and Neck tumours

Skin Tumour

Bleeding and transfusion Dr Mbaya

Respiratory failure and Dr Namboya

support
Shock Dr
Kapalamula

Pain and pain

management

Fluids and renal support

Examination of the groin

Colorectal and perianal

conditions

Hernias

Hepatobiliary and
pancreas

Oesophagus and Dr Araujo

stomach

Urology 1 infections and

stones

Breast disease

Upper GI haemorrhage

Endocrine surgery and Dr Araujo

thyroid

Urology 2 obstruction +
tumours

General paediatric Dr Thomson

Surgery 1

GI Paeds Dr Thomson
Surgery/Hydrocephalus
and spina bifida

Intestinal atresia top to

bottom

Hand examination
Dr L Chokotho
General Paediatric Dr Thomson
surgery 2
Burns
Dr T Chokotho
Surgical Ethics

SURGICAL SKILLS:
Empyema and chest
drains

Basic surgical
techniques (plastering)

Basic surgical
techniques
(catheterisation)

Basic surgical
techniques
(suturing/gowning)

Basic surgical
techniques (Suturing)
NAME.......................................................................................................................
On-call allocation

Wk Wee 2,15,8,22 1,9,16,23 3,10, 4,11,18,24 5,12, 6,13, 7,14,21

beginnin k 17,24 19,26 20
g
1 Tues Mon Wed Thurs Fri Sat Sun
2 Mon Wed Thurs Fri Sat Sun Tues
3 Wed Thurs Fri Sat Sun Tues Mon
4 Thurs Fri Sat Sun Tues Mon Wed
5 Fri Sat Sun Tues Mon Wed Thurs
6 Sat Sun Tues Mon Wed Thurs Fri
7 Sun Tues Mon Wed Thurs Fri Sat
8

INSTRUCTIONS FOR ON CALL STUDENTS

1. Students on call will be expected to be in hospital till 10pm clerking and

admitting patients. You will work closely with on-call team comprising the intern
and registrar. Weekends are 8am-10pm.
2. You should notify the intern or registrar on call of your whereabouts at all times.
3. You will be expected to be on the wards except when you are attending formal
teaching or have gone to your hostel for normal meal breaks.
4. You will be expected to be proactive in finding out what is happening on the
wards and in theatres. Use your initiative to be involved in ward procedures and
where possible theatre cases.
5. The on-call registrar will sign your log book to endorse that you have attended
on call duties and have clerked patients.

Case presentation allocation

Student on call previous night will present short case in the morning.
SURGERY Students August 2019

Registration
Group 3 number Last Name First Name
1 201350042144 CHILONGOZI OMEGA
2 201450042763 CHIMHANDA TARIRO
3 201350042155 CHIRWA VERA
4 201250041992 KASAMIRA JAMIE
5 201250041919 KHAKI ALLAN
6 201250041995 KULUMBASI HENRY
7 201450042821 KUNYARIMWE CLARA
8 201350042233 MENYERE EDSON
9 201450042705 MFUNE CHALO
10 201450042849 MHANGO THOKOZIRE
11 201450042848 MHANGO JONATHAN
12 201450042900 MKOKA MADALITSO
13 201350042244 MKWEU ROBERT
14 201450042860 MKWINA PRECIOUS
15 201450042863 MOYA THANDIZO
16 201250042009 MPINDENI BLESSINGS
17 201250042010 MSAMANYADA DANIEL
18 201450042867 MSOSA FLORENCE
19 201350042264 MUNTHALI ZENGANI
20 201550043195 MUSVOSVI OWEN
21 201450042881 MWALE ZOE
22 201450042885 MWENDA PEMBA
23 201350042275 NAMALIMA TAKONDWA
24 201450042888 NAMASIKU VHINTHENGA
25 201350042307 PHIRI PRISCILLA
26 201350042304 PHIRI DOREEN
Tutorial timetable block 1 NAME………..………………………………………
Week: (beginning) 1 (26th Aug) 2 (2nd Sept ) 3 (9th Sept) 4 (16th Sept) 5 (23rd Sept) 6 (30th Sept) 7 (7th Oct) 8 (14thOct)
Theme Trauma Infection Neoplasia Critical care Abdomen General/ Urology Paediatric Revision

Monday Assessment of Pangea See timetable Bleeding & transfusion Vascular & Breast part 1 General (1330-
1600 trauma below M’baya Spleen Chalulu Paediatric 1530
surgical Thomson (at Dr Hayton/Kasumba Surgery 1 Paeds
annexe 1200) (Malaulo) Thomson surgery
clinic)
Tuesday 1300 Chest, abdo & Pangea See timetable Neuroimaging Surgical ethics Urology 1 General
pelvic trauma below infections & Paediatric
Bates Phiri Noah stones Surgery 2
Chalulu Thomson
Tuesday Community Community Community Community health Community health Community health Community
afternoon health health health health
Wed 1400 Spinal injuries Pangea See timetable Hand Orthopaedic
Mkandawire below examination tumours
T Chokotho V Mkochi

Wed 1500 Principles of Pangea See timetable Upper GI Hernias Online Quiz
surgical annexe Fractures Bates below haemorrhage Thomson +
Borgstein Noordeen (ICT
Syrold+ W Mwafulirwa building TBC)
Wednesday Groin exam W Pangea See timetable Shock Colo-rectal & Breast part 2 Intestinal
1600 Mwafulirwa below Perianal Atresias Top to
surgical Dr Kapalamula conditions Itaye Bottom
annexe Hayton Borgstein
Thursday 1600 1500 Surgical Pangea (HIV/ (HIV/ Pharmacology) (HIV/ Pharmacology) (HIV/ (HIV/ Written
Oncology 1600 (HIV/ Pharmacology) Pharmacology) Pharmacology) exam
Masamba Pharmacology) 0930
1600 (HIV/
Pharmacology)
Friday SAMS Fluids and renal Head Injury OSCE
1300 support Leonard 0900
surgical Dr Malema/ Dr surgical
annexe Macuvele (Anaes) annexe
Friday Surgical SAMS Pain and Oesophagus Urology 2 Hydrocephalus
1400 Infections pain management & stomach obstruction & & MMC
surgical Borgstein tumours (surgical skills
annexe Dr Malema/ Dr Araujo Chalulu lab)
Macuvele (Anaes) Thomson
Friday Skin and wounds Bone & joint SAMS Respiratory failure & Endocrine Paeds GI
1500 T Chokotho infections support Surgery & thyroid
Lubega Namboya (Anaes) Araujo Thomson
Friday Head & neck SAMS Burns Hepatobiliary &
1600 tumours Head & neck pancreas
infections T Chokotho
Noah Mulwafu Noah
No make up classes 2-4pm Monday (Paeds Clinic) and 2-4pm Thursday (Ortho clinic)

Week 3
Day 1 (9th September)
0730 Handover meeting
0815 Induction
0900 Wards/Clinic

1130 Periph neuro exam Sithembile Chimaliro

1230-1300 Lunch
1300 Hip exam V Mkochi
1400 Knee exam V Mkochi
1500 Shoulder exam K Mwafulirwa
1600 Limb exam K Mwafulirwa

Day 2 (10th September)

0730 Handover meeting

0815 Case presentations x2
0900 Wards/Theatre

11-1330 Chest drains and empyema Syrold Chimatiro, L Kaomba, T Itaye, L Serva / Catheters Leonard, M Mahala, W Mwafulirwa
(2 groups)
1330 Lunch

1400 Community health

Day 3 (11th September)

1200 Feedback E Thomson

1300 Skin Tumours T Chokotho
1400-1700 Suturing and Gowning W Mwafulirwa, R Nyirenda, Syrold Chimatiro, Patrick Mapemba, Thokozani Chikondi, P Chisala, L
Serva (2-4 groups)