1
Egyptian Fellowship Board
Anesthesia & Surgical ICU
logbook
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CONTENTS………………….
Instruction for the use of logbook…………………..……………………………... 7
Operative logbook ……………………………...….………………………………. 11
Guidelines for the use of Operative Logbook…….………………………………. 12
Obstetric logbook ……………………………...….………………………………. 75
Guidelines for the use of Obstetric Logbook…….………………………………. 76
ICU logbook………………………………..………..……………………………… 91
Guidelines for the use of ICU Logbook…………...………………………………. 92
Pain management logbook………………….……………………………………… 105
Guidelines for the use of Pain management Logbook……………………………. 106
Academic activities ………………………………………………..……………….. 119
Lectures ……………………………………………………………………………. 120
Journal Clubs and clinical meetings ……………………………………………... 126
Workshops and conferences ………………………………………………………. 130
Rotation table ………………………………………………………………………. 131
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وب ردتايسلس ب ردس و فشارس و تسيفشتسملا
فشس وب ردا فشس وب ردا
يفشتسس فابس وب ردا (ميفس ل لااس و فشار)
يفشتسس فابس وب ردا (ميفس ل لااس و فشار)
ىايشسمياشس وب ردا ىايشسمياشس وب ردا
فشس وب ردا فشس وب ردا
يفشتسس فابس وب ردا (ميفس ل لااس و فشار)
يفشتسس فابس وب ردا (ميفس ل لااس و فشار)
ىايشسمياشس وب ردا ىايشسمياشس وب ردا
ةفشخسمةرتص
مفشس:
: ياشامس وبتراس
وينف نسسس:
شششسيبىت س د لوصس وبلنصسس:
: شششس و لتدفنس
: شششس وبابفقس
: ويبافس لوا بللتسس
و ةر سسس:
ياشامس وايفقسماود اوصس وبرباصسس:
متالايسمةرتصسصخس وب فشت
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Aim of the logbook
The purpose of the logbook is to provide one source of evidence for the oral and Jaw surgery scientific
council that you have attained the desired level of competency required for licensure. It is the place where
you are going to document experiences and operations you performed during your training.
The logbook is divided into several sections. These instructions will help you completing those sections
correctly.
Personnel information
Please fill in all your personnel information required . This will help the Egyptian Fellowship Administra-
tors to process your logbook during scientific council evaluation yearly and finally before sitting for the
final exam. Your personnel photo should be attached to the logbook and you should sign the personnel
information page.
Operative Logbook
The first section of the logbook deals with your operative experiences. This section should be filled through
the first 3 years of training. One hundred operation each year. Operative experiences must be diverse and
cover all areas of the curriculum and corresponds accurately to the stage of training. In this section you
need to fill in the following data: Patients’ information, the specialty and type of operation, the type of an-
esthesia used and any performed procedures. Please notice that detailed guidelines on how to fill this
part are available at page 12-13.
Obstetric logbook
The second section of your logbook deals with your obstetric operative and procedural experiences. This
section should be filled through the 1st 3 years of training. Twenty obstetric operations every year. The ex-
periences must be diverse and cover all the obstetric anesthesia curriculum and corresponds accurately to
the stage of training. In the section you need to fill in the following data: Pateints; information, the type of
operation and obstetric co-morbidity, the type of anesthesia and drug used and report summary on any
complications or critical incidents. Please notice that detailed guidelines on how to fill this part are
available at page 76-77.
ICU Logbook
The third section of the logbook deals with your ICU experiences. This section should be filled through the
fourth year of training. The experiences must be diverse and cover all the ICU curriculum and corresponds
accurately to the stage of training. In this section you need to fill in the following data: Patient’s infor-
mation, summary of clinical condition and diagnosis, airway and inotrope management, any performed pro-
cedures and summary of the overall case management including the type of nutrition provided. You also
need to mention the patient outcome. Please notice that detailed guidelines on how to fill this part are avail-
able at page 92-93.
Pain management logbook
The fourth section of the logbook deals with the pain management experiences. This section should be
filled though all the training period. The experiences must be diverse and cover all the pain management
curriculum and corresponds accurately to the stage of training. In this section you need to fill in the follow-
ing data: Patient’s information, the duration and site of pain, the type of pain session provided, the types of
drugs and blocks used for pain management and any other medications. Please notice that detailed guide-
lines on how to fill this part are available at page 106-107.
Instructions for the use of logbook
8
Academic activities
Academic activities that must be documented in the logbook are lectures, journal clubs, morbidity and mor-
tality conferences, and workshops or other conferences attended.
Workshops and conferences tables are the place where you will record your CME activities whether inside
or outside the training center. Any attended
activity must be signed by the workshop or conference organizer/coordinator
Annual summary table
At the end of each training year, you are requested to provide documented summary of all operative activi-
ties you participated in as assistant or first surgeon. The tables are present in the last page of each year log
and should be signed by your trainer and educational supervisor \
Assessment of logbook activities
1. Your trainer will assess your logbook weekly for completion and provide feedback
2. Your educational supervisor will assess your logbook monthly or every two months, provide verbal or
written feedback and counter sign important activities
3. The examination committee of the council will revise your logbook:
A) Annually before your progress from one year of training to another
B) At the end of training before the final exam
To be noted that unsatisfactory completion of the logbook would lead to delay of training progression.
Unsatisfactory logbook at the end of training will prevent you from entering the final exam
Important Notice:
It is your responsibility to maintain accurate and completed logbook and to regularly update your records.
Shall you meet any difficulty; you must contact your trainer or your specialty administrator at the Egyptian
Fellowship Board.
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Operative Logbook
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Please use the following instruction to fill the Operative logbook
1. Age should be written in years 2. ASA ( Anesthesia Score of American Association): Write the score from I - V 3. Priority:
4. Specialty & Type of operation: Write the speciality and the type of operation (e.g. ENT, Tonsillectomy)
5. Anesthesia used: 6. Procedures: mention below a guideline of the types of procedures that could be needed dur-
ing operations
Guidelines to Use Operative Logbook
Elective Expedited
Urgent Immediate lifesaving
GA mask Peri-bulbar
GA LMA IPPV GA LMA SV
GA ETT IPPV GA ETT SV
Subarachnoid (spinal) Epidural thorathic
Combined spinal-Epidural (CSE) Caudal block
Epidural block Cervical plexus deep block
Cervical plexus superficial block Brachial inter-scapular block
Cervical plexus combined block Brachial infra-scapular block
Brachial super-scapular block Hand block
Brachial maxillary block Sciatic block
Femoral block Illio-inguinal block
Lumbar plexus block Ankle block
Popliteal block Retro-bulbar block
Penile block Subtenon block
Fiber optic intubation Fiber optic awake
CP bypass Arterial line
CVP insertion Chest drain
PA catheter Gaseous induction
Double luminal tube Injector ventilator
Hypotension Nasal intubation
Inter-osseous injection Percutenous tracheotomy
RSI TCI
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Patient Name
HN Date Age ASA Priority Specialty & type of Operation
Anesthesia used
Mostafa Ali 723 11/11/
82 25y III Urgent
Surgery (Exploratotion ,
stab) GA ETT SV
7. Trainee Role
O: Observer
A: assistant
P: perform the procedure whether under supervision or independently
8. Supervisor Signature &Date: Please don’t forget write the date of the Operation.
You can find below an example showing you how can you fill the following tables
Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
Fiber optic intubation, CVP insertion
PLEASE USE A CLEAR HAND WRITIGN
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
21
Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
22
Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
23
Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
24
Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
25
Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
HN Priority Specialty & type of Operation
Date Anesthesia used Age ASA
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Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
40
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
41
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
42
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
43
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
44
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
45
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
46
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
47
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
48
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
49
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
50
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
51
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
52
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
53
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
60
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
61
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
62
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
63
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
64
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
65
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
66
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
67
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
68
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
69
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
70
Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
71
Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Patient Name
Summary of patient clinical condition
Airway Inotropes HN Date
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Nutrition Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
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Obstetrics Logbook
76
Please use the following instruction to fill the obstetrics logbook
1. Age should be written in years 2. Type of operation: Write the type of operation 3. A: Obstetric Risk: These are examples of obstetr ic r isks
B: Co-Morbidity: These are examples of associated maternal comorbidities
4. Procedures: In the Procedure column please write the type of anesthesia and the drug used.
A: Type of aneshesia: e.g.
4. B: Drugs used: e.g.
5. Critical incidence and complications A: Critical incidence: e.g.
B: Complications: e.g.
6. Procedures: Trainee role: - O: Observer - A: Assistant - P: Perform the procedure whether under supervision or independently.
7. Supervisor Signature &Date: Please don’t forget to write the date of your signature.
Guidelines to Use Obstetrics Logbook
PIH/PET
Eclampsia
Twins
Breech
PIH/PET severe
Coagulation problems
Cholestasis
Malposition
Asthma/COPD
Diabetes
Other medical diseases
Valvular heart disease
Sickle cell anemia
Epidural insertion
Spinal insertion
Re-site epidural
Regional block + GA
Central line
CSE insertion
Epidural top up
GA/ETT/LMA
Epidural blood patch
Arterial line
Bupivacaine
Bupivacaine + Diamorphine
Bupivacaine + Fentanyl
Lignocaine
Difficult intubation
Difficult insertion
Unilateral/Missed segment
Pain or paresthesia on insertion
Regurgitation and aspiration
Failed
Dural puncture
Hemorrhage
Sever hypotension
Pain during regional
Drug errors
High block
Hypertension
Equipment failure
Awareness
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You can find below an example showing you how can you fill the following tables
Patient Name
HN Date Age Obstetric risk and
co-morbidity Type of
Operation
Nada Amer 352 11/11/
08 35y
Twins Eclampsia Diabetes
CS
Procedures Critical Incidence
& complication
Trainee role
Supervisor Signature
0 A P
Spinal Insertion Bupivacaine + Fentanyl
You should write the incidence or compli-cation and how you managed them
0
PLEASE USE A CLEAR HAND WRITING
78
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
79
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
80
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
81
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
82
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
83
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
84
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
85
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
86
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
87
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
88
Patient Name
Age Obstetric risk &
co-morbidity Type of operation or
intervention HN Date
89
Type of anesthesia and drug used
Critical incidence or complication
Trainee role
Supervisor Signature
& date O A P
90
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ICU Logbook
92
Please use the following instruction to fill the ICU logbook 1- Airway: wr ite the type of used airway
2– Write the type of inotrope used:
3– Procedures: wr ite the type of procedure done for your patient: e.g.
4- Outcome: Write possible outcome of your patient:
5- Management: Summarize patient management plan including the type of nutr ition provided. 6– Trainee role - O: Observer - A: Assistant - P: Perform the procedure whether under supervision or independently.
7- Supervisor Signature &Date: Please don’t forget to write the date of your supervisor’s signature.
Guidelines to Use ICU Logbook
Adrenaline
Dobutamine
Milrinone
Adrenaline + Dopamine
Noradrenaline + Dobutamine
Noradrenaline
Dopamine
Adernaline + Noradrenaline
Dobutamine + Dopamine
CVP line
PA catheter
Intercostal drain
Lung biopsy
Brainstem test
Echocardiography
Arterial line
Hemofiltration
Bronchoscopy
ICP monitor
Trans-venous spacing
IA counter pulsation
Normal function
Out of hospital transfer
Died on ward
Discharged to ward
Restricted activity
Died on unit
Died at home
Discharged home on stable condition
Self ventilation
Nasal intubation
Mini tracheostomy
CPAP
Jet ventilation
Oral intubation
Percutaneous tracheostomy
LMA
NIPPV
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You can find below an example showing you how can you fill the following tables
Patient Name & Age
HN Date Summary of patient clinical condition
Airway Inotropes
Mustafa Ali Age: 65 years
223 11/11/
08
Congestive heart failure unresponsive to ward
measures and admitted to the ICU for inotropes
Oral intubation
Noradrenaline Dopamine
Management plan summary Procedures
Trainee role
Supervisor Signature
Outcome
0 A P
Write here summary of the treatment provided to the patient
during ICU stay CVP line
Your trainer must sign clearly
Discharged stable to
ward
PLEASE USE A CLEAR HAND WRITING
94
Patient Name & Age
Summary of patient clinical condition
Airway Inotropes HN Date
95
Management plan summary
Outcome
Trainee role
Supervisor Signature
Procedures
0 A P
96
Patient Name & Age
Summary of patient clinical condition
Airway Inotropes HN Date
97
Management plan summary
Outcome
Trainee role
Supervisor Signature
Procedures
0 A P
98
Patient Name & Age
Summary of patient clinical condition
Airway Inotropes HN Date
99
Management plan summary
Outcome
Trainee role
Supervisor Signature
Procedures
0 A P
100
Patient Name & Age
Summary of patient clinical condition
Airway Inotropes HN Date
101
Management plan summary
Outcome
Trainee role
Supervisor Signature
Procedures
0 A P
102
Patient Name & Age
Summary of patient clinical condition
Airway Inotropes HN Date
103
Management plan summary
Outcome
Trainee role
Supervisor Signature
Procedures
0 A P
104
105
Pain Management Logbook
106
Please use the following instruction to fill the Pain management logbook
1. Duration of pain: For how much time does your patent suffer from his pain?
2. Type of session: Write the type of session used for your patient:
3. Pain site: mention the site of pain your patient suffer ing from : 4. Block type & drug used:
A- Block type: Write the type of block used for your patient :
B - Drugs: mention the drug used for your patient
Guidelines to Use Pain managment Logbook
3- 6 months 6- 12 months
1- 5 years > 5 years
Pain intervention Acute pain round
Cancer pain round Others ( mention it)
Head Neck
Upper limp Lower limp
Shoulder Chest
Spine Total body
Cervical epidural Lumbar epidural
Caudal epidural Stellate ganglion block
Lumbar sympathectomy Coeliac plexus block
Cervical facet joint Thoracic facet joint
Lumbar facet joint Intra-articular injection
Trigger point
Antidepressant Anticonvulsant
107
Patient Name
HN Date Duration of
pain Type of session Pain site
Mostafa Ali 2331 11/11/02 6- 12 months Cancer pain management Chest
5. Other treatment: please mention any other treatment sued for your patient
6. Trainee Role
O: Observer
A: assistant
P: perform the procedure whether under supervision or independently
7. Supervisor Signature &Date: Please don’t forget write the date of the Operation.
You can find below an example showing you how can you fill the following tables
NSAID Paracetamol
Opioid Ketamine
Capsaicine cream Ligocaine cream
IV Ketamine infusion IV ligocaine infusion
Others ( mention)
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
Cervical epidural Antidepressant
Paracetamol tablet 4 times daily
PLEASE USE A CLEAR HAND WRITING
108
Patient Name
Duration of pain
Type of session Pain site Date HN
109
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
110
Patient Name
Duration of pain
Type of session Pain site Date HN
111
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
112
Patient Name
Duration of pain
Type of session Pain site Date HN
113
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
114
Patient Name
Duration of pain
Type of session Pain site Date HN
115
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
116
Patient Name
Duration of pain
Type of session Pain site Date HN
117
Block type &Drug used
Other Treatment
Trainee role Supervisor
Signature 0 A P
118
119
Academic Activities
120
Lecture Title Date Lecturer
121
Lecture Title Date Lecturer
122
Lecture Title Date Lecturer
123
Lecture Title Date Lecturer
124
Lecture Title Date Lecturer
125
Lecture Title Date Lecturer
126
Journal Club Title Date Trainer’s signature
127
Journal Club Title Date Trainer’s signature
128
Journal Club Title Date Trainer’s signature
129
Journal Club Title Date Trainer’s signature
130
Other courses and workshops attended
Course Name Date Location Supervisor’s signa-
ture
131
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