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AMERICAN UNIVERSITY OF BEIRUT - MEDICAL CENTERDEPARTMENT OF FAMILY MEDICINERESIDENTS LOG BOOKName of Resident:Training Years:
Table of Content1. Personal Data . 32. Rotations Schedule . 43. Care Takers Seen in the Family Medicine Setting . 54. Rotations outside Family Medicine Department .985. Procedural skills for the family physician .1196. Journal Club Articles Presented: .1287. Core Content Topics Presented .1298. Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc ) .130Updated: September 20142/139
Family Medicine Program1. Personal DataFirst (PGY1)Second (PGY2)Third (PGY3)Fourth (PGY4)Resident Name:Date of Birth: - - / - - / - - - -Gender: Male FemaleNationality:Marital Status:SingleMarriedNo. of children:Address:Telephone #:E-mail:Place of Graduation:Date of Joining AUB training program: - - / - - / - - - -3/139
2. Rotations ScheduleBlock#&DurationRotationPGY 1PGY BlockBlockBlockBlockBlock4/139PGY 3PGY 4
3. Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeHealth Care Maintenance (Promotion, Prevention, Immunization)5/139
6/139
Health Care Education/counseling7/139
8/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeConstitutional1. Fatigue9/139
2. Weight loss10/139
3.Fever(list infectious and non infectious diagnosis)11/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeCardiovascular1. Hypertension12/139
2 Ischemic Heart Disease13/139
3. Heart Failure14/139
4.Valvular HeartDisease15/139
5. Peripheral vascularDisease/Phlebitis16/139
6. Arrythmias17/139
7. Others18/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeRespiratory1. Asthma19/139
2. C O P D20/139
3. U R T I21/139
4.Lower RespiratoryInfection22/139
5. Chronic cough23/139
6.Others24/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeGastrointestinal1. Functional dyspepsia25/139
2. Irritable Bowel Syndrome26/139
3. Peptic ulcer disease27/139
4.Gastritis28/139
5.GERD29/139
6. Inflammatory Bowel Disease30/139
7. Constipation31/139
8. Diarrhea32/139
9. Gastroentritis33/139
10. GI tumors34/139
11. Liver/gallbladderDisease35/139
12. Others36/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeGynecology / Obstetrics1.Contraceptive guidance37/139
2. Vaginitis/cervicitis/PID38/139
3. Irregular menses39/139
4. Menopause/sx/postmenauposal bleed40/139
5.Prenatal Care/Deliveriy/ postnatal care41/139
6. Breast Disease42/139
7. Others43/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeHematological1.Anemia44/139
2. Coagulation defect45/139
3. Thalassemia /sickle cell disease46/139
4. ITP/TTP47/139
5. Others48/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeEndocrine1. Diabetes49/139
2.Thyroid Diseases50/139
3.Lipid metabolism Disorder51/139
4. Obesity52/139
5. others53/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeGenitourinary1. U T I54/139
2. Prostate Diseases55/139
3. S T D’S56/139
4. Nephrolithiasis57/139
5.others58/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeMusculoskeletal1.Arthritis (other than back)59/139
2. knee pathology60/139
3. Sprains / Strains61/139
4. Fractures62/139
5. Osteoporosis63/139
6. Back pain/cervical spine syndromes64/139
7.Fibromyalgia65/139
8.Polymyalgia rheumatica66/139
9. Other67/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeDermatologic1. Dermatitis (contact, eczema, seborrheic)68/139
2. Skin Infections(Bacterial & Fungal)69/139
3. viral skin rash70/139
4.Urticaria71/139
4. Lacerations / Burns /Skin Ulcers72/139
5.Skin Cancer73/139
6.Pruritis/others74/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeOpthalmologic1. Red Eye/eyelid infections75/139
2.Visual Disturbance76/139
3. Refractive errors77/139
4. Others78/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeEar / Nose / Throat1. Ear Problems79/139
2.Sinus Problems80/139
3. Nasal problems81/139
4. Others82/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgeNeurological1. Headache83/139
2. Dizziness84/139
3.Vertigo85/139
4. Dementia86/139
5.Parkinson’s Disease87/139
6. Epilepsy88/139
7. Stroke / TIA89/139
7. Other90/139
Care Takers Seen in the Family Medicine SettingHealth Issue/ Gender/ AgePsychiatry/ Behavioral1. Mood disorders91/139
2.Anxiety disorders92/139
3. Substance Abuse93/139
4.Family Dynamic Problems94/139
5. Psychotic features95/139
6. Behavior/Personality Disorder96/139
7. Others97/139
4. Rotations outside Family Medicine Department4.1 Rotation:Health Issue(s)98/139From//To//# of cases seen
4.2 Rotation:Health Issue(s)99/139From//To//# of cases seen
4.3 Rotation:Health Issue(s)100/139From//To//# of cases seen
4.4 Rotation:Health Issue(s)101/139From//To//# of cases seen
4.5 Rotation:Health Issue(s)102/139From//To//# of cases seen
4.6 Rotation:Health Issue(s)103/139From//To//# of cases seen
4.7 Rotation:Health Issue(s)104/139From//To//# of cases seen
4.8 Rotation:Health Issue(s)105/139From//To//# of cases seen
4.9 Rotation:Health Issue(s)106/139From//To//# of cases seen
4.10 Rotation:Health Issue(s)107/139From//To//# of cases seen
4.11 Rotation:Health Issue(s)108/139From//To//# of cases seen
4.12 Rotation:Health Issue(s)109/139From//To//# of cases seen
4.13 Rotation:Health Issue(s)110/139From//To//# of cases seen
4.14 Rotation:Health Issue(s)111/139From//To//# of cases seen
4.15 Rotation:Health Issue(s)112/139From//To//# of cases seen
4.16 Rotation:Health Issue(s)113/139From//To//# of cases seen
4.17 Rotation:Health Issue(s)114/139From//To//# of cases seen
4.18 Rotation:Health Issue(s)115/139From//To//# of cases seen
4.19 Rotation:Health Issue(s)116/139From//To//# of cases seen
4.20 Rotation:Health Issue(s)117/139From//To//# of cases seen
4.21 Rotation:Health Issue(s)118/139From//To//# of cases seen
5. Procedural skills for the family physicianThere are a number of minor procedures with which all family medicineresidents should be familiar and competent indicated as core (c). You needto do the procedure three times by yourself without guidance undersupervision before you can do it independently. It is obligatory to log yourprocedures in My Evaluation. Failure to do this means that you can notperform a procedure independently.Core procedures(c)Urinalysis - dipstick and microscopic (C)Stool for occult blood (C)Taking swabs - throat, cervix, urethra, abscess(C)Taking blood (C)Skin scraping for fungus(C)Visual acuity, colour vision (C)Injections - intradermal, subcutaneous, intramuscular (C)Management of hyposensitizing injectionsWood’s Light examination (C)ECG(C)Simple Spirometry (C)Abscess incision and drainage (C)Laceration repair; suture and gluing(C)Skin biopsy; shave, punch and excisional(C)Release subungual hematoma(C)Drainage acute paronychiaPartial toenail removal(C)Infiltration of local anesthetic(C)Digital block in finger or toe(C)Instillation of Fluorescein(C)Removal of Cerumen(C)Nasogastric tube insertion(C)Insertion of Intrauterine Device(C)Placement of transurethral catheter(C)Pap smear (C)Splinting of injured extremities(C)Application of sling – upper extremity (C)Oral airway insertion(C)Bag and Mask ventilation(C)Endotracheal intubation(C)Cardiac defibrillation(C)CardioversionPeripheral intravenous line; adult and child(C)Peripheral venous access; infantAnterior nasal packing(C)119/139
There are many other procedures which are less frequently performed inpractice and require more advanced training. All of these procedures arewithin the realm of family medicine practice but may be less commonlyperformed by some family physicians. You will have the opportunity tobecome familiar with these procedures during your training but you may notbecome fully competent in all of them.Advanced SkillsIntegumentary Procedures: Wound debridement(C) Insertion of sutures; simple, mattress and subcuticular(C) Excision of dermal lesions eg. Papilloma, nevus or cyst Cryotherapy of skin lesions(C) Electrocautery of skin lesions Removal of foreign body eg. Fish hook, splinter, or glass Pare skin callusEye Procedures: Removal of corneal or conjunctival foreign body Application of eye patchEar Procedures: Removal of foreign bodyNose and Throat Procedures: Removal of Foreign Body Freeing of tongue tieGastrointestinal Procedures: Incise and drain thrombosed external hemorrhoid Gastric LavageGenitourinary Procedures: Aspirate of hydrocele Aspirate breast cyst Circumcision Diaphragm fitting and insertion Endometrial aspiration biopsy120/139
Obstetrical Procedures: Normal vaginal delivery Episiotomy and repair Artificial rupture of membranesMusculoskeletal Procedures: Reduction of dislocated finger Reduce dislocated radial head (Pulled elbow) Reduce dislocated shoulder Application of forearm cast Application of Scaphoid cast Application of ulnar gutter splint Application of below-knee cast Aspiration and injection knee joint(C) Aspiration and injection shoulder joint(C) Injection of Lateral Epicondyle, (Tennis elbow)/trigger finger/carpaltunnel(C) Aspiration and injection of bursae; eg. patellar, sub-acromialIt is recommended that you keep a record of procedures and clinical experiencessuch as obstetrical deliveries, resuscitations, etc. that you participate in anddiscuss this with your family medicine preceptor at the time of your evaluation.121/139
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself122/139Supervisor
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself123/139Supervisor
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself124/139Supervisor
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself125/139Supervisor
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself126/139Supervisor
PROCEDURAL SKILLS FOR THE FAMILY PHYSICIANDateProcedureRotationYour RoleSee listIM, Surg, FM,ED etc.observed,assisted, doneyourself127/139Supervisor
6. Journal Club Articles Presented:TitleJournal128/139IssueDate
7. Core Content Topics PresentedTopicDate129/139
8. Record of the Attended Teaching Sessions (Conferences / Grand Roundsetc )DateDivisionSession Title130/139Speaker
Record of the Attended Teaching Sessions (Conferences / Grand Rounds etc )DateDivisionSession Title131/139Speaker
Overall evaluation of the rotationsDate of evaluation:On a Likert scale from 1 to 5, indicate your choice. One is the least favorable. NA notapplicable.1.Family Medicine:1.a. FMPC:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Beneficial supervision by preceptors:1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of clinics sessions & patient’s services: 1 2 3 4 5-Comments & suggestions for improvement:1.b. Tahaddi’s clinic:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Beneficial supervision by preceptors:1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of clinics sessions & patient’s services: 1 2 3 4 5-Comments & suggestions for improvement:1.c. Badaro’s clinic:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Beneficial supervision by preceptors:1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of clinics sessions & patient’s services: 1 2 3 4 5-Comments & suggestions for improvement:132/139
1.d. FGC:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of clinics sessions & patient’s services: 1 2 3 4 5-Comments & suggestions for improvement:1.e. Family Medicine in-patients team:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Comments & suggestions for improvement:2. Internal Medicine:2.a. Internal Medicine in-patients team:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:133/139
2.b. ER medicine rotation:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:2.c. Cardiology rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial:-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:2.d. Pulmonary rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial:-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:134/139
2.e. Endocrinology rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:2.f. ID rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:2.g. Neurology rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:135/139
2.h. Rheumatology rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:2.j. GI rotation:-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Teaching value of rounds and consultations on floors1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:3. Pediatrics:3.a. ER pediatrics-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:136/139
3.b. Pediatrics floor rotation / Makassed General Hospital-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Comments & suggestions for improvement:3.c. OPD pediatrics-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:4.Surgery4.a. Minor surgery / Military hospital-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Teaching value:1 2 3 4 5-Beneficial supervision by preceptors:1 2 3 4 5-Comments & suggestions for improvement:137/139
4.b. Surgery clinics- AUB-MC-Teaching value of shadowing in private clinics:1 2 3 4 5-Mention names of faculty members with whom shadowing is most beneficial: .-Teaching value of OPD sessions:1 2 3 4 5-Variety of cases:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:5. Ob-GYN5.a. Delivery suite-AUB-MC:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:5.b. Delivery suite-RHUH:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:138/139
5.c. OPD-AUB-MC:-Patient’s load:1 2 3 4 5-Variety of cases:1 2 3 4 5-Team work (Faculty, residents & students)1 2 3 4 5-Continuity of care & patient’s follow up:1 2 3 4 5-Teaching value:1 2 3 4 5-Overall organization of rotation:1 2 3 4 5-Overlap of FM continuity clinic time with rotation requirements Y N-Comments & suggestions for improvement:139/139
sickle cell disease . 47/139 4. ITP/TTP . 48/139 5. Others . 49/139 Care Takers Seen in the Family Medicine Setting Health Issue/ Gender/ Age Endocrine 1. Diabetes . . splinter, or glass Pare skin callus Eye Procedures: Removal of corneal or conjunctival foreign body Application of eye patch Ear Procedures: Removal of foreign body
