GMCA 5TH YEAR ORTHOPAEDIC

SURGERY

STUDENT LOGBOOK

DATE OF SUBMISSION
STUDENT NAME
ACADEMIC NUMBER
 ATTENDANCE LOG
NAME OF STUDENT: ACADEMIC No.

S.No. DATE TIME ACTIVITY SIGNATURE OF

ATTENDING FACULTY
1 BEDSIDE TEACHING 1
2 BEDSIDE TEACHING 2
3 OPD POSTING 1
4 OPD POSTING 2
5 OR POSTING 1
6 OR POSTING 2
7 POLYCLINIC POSTING 1
8 POLYCLINIC POSTING 2
9 INTERACTIVE SEMINAR SESSION
10 ORTHOPEDIC RADIOLOGY SESSION
11 ORTHOPEDIC IMPLANTS SESSION
12 END OF ROTATION EVALUATION
OPD = OUTPATIENT DEPARTMENT; OR = OPERATING ROOM; ER = EMERGENCY ROOM

Faculty Signature -------------------------------------------- --------------------------------------------- ------------------------------------------ ----------------------------------------

Name of Faculty -------------------------------------------- --------------------------------------------- ------------------------------------------ ----------------------------------------

 DAILY LOG: DAY 1
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
1

2
 Further details about procedures (optional)

DAILY LOG: DAY 2

DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 3
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 4
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
 Further details about procedures (optional)

DAILY LOG: DAY 5

DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 6
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 7
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
 Further details about procedures (optional)

DAILY LOG: DAY 8

DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 9
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
Further details about procedures (optional)
 DAILY LOG: DAY 10
DATE
S. TIME LIST OF PROCEDURES/PATIENTS SEEN/DONE NAME OF SUPERVISING FACULTY
No.
 Further details about procedures (optional)

SURGICAL PROCEDURE DETAILS

Procedure
Date
Indication for
Surgery
Type of
Anaesthesia
Relevant 1.
Surgical Steps 2.
3.
 4.
5.
6.
7.
8.
9.
10.
Post-operative
Instructions

Medication/
Implant
Details
Any other
details
SURGICAL PROCEDURE DETAILS
Procedure
Date
Indication for
Surgery
Type of
Anaesthesia
Relevant 1.
Surgical Steps 2.
3.
 4.
5.
6.
7.
8.
9.
10.
Post-operative
Instructions

Medication/
Implant
Details
Any other
details
SURGICAL PROCEDURE DETAILS
Procedure
Date
Indication for
Surgery
Type of
Anaesthesia
Relevant 1.
Surgical Steps 2.
3.
 4.
5.
6.
7.
8.
9.
10.
Post-operative
Instructions

Medication/
Implant
Details
Any other
details
SURGICAL PROCEDURE DETAILS
Procedure
Date
Indication for
Surgery
Type of
Anaesthesia
Relevant 1.
Surgical Steps 2.
3.
 4.
5.
6.
7.
8.
9.
10.
Post-operative
Instructions

Medication/
Implant
Details
Any other
details
CASE PRESENTATION
(Please refer to the relevant details in your model file)

INSERT
YOUR

INTERACTIVE SEMINAR PRESENTATION

INSERT