Practical Logbook


I got my hands on HUKM’s 5th year medical students logbook for surgical posting. Have a look:

Must-do procedures

  1. Venofix (10 patients)
  2. Insertion and removal of nasogastric tube (6 patients)
  3. Insertion of urinary catheter (3 patients)
  4. Removal of urinary catheter (3 patients)
  5. Wound dressing (3 patients)
  6. Suture To Open (3 patients)
  7. Blood taking (5 patients)
  8. Per rectal examination and proctoscopy (10 patients)
  9. Intravenous drip (3 patients)
  10. Blood taking for culture and sensitivity (3 patients)

Must-see procedures

  1. Arterial blood gas (3 patients)
  2. Insertion of central line (3 patients)
  3. Insertion of chest tube (3 patients)
  4. Removal of chest tube (3 patients)
  5. Insertion of ravine enema (3 patients)
  6. Insertion of suprapubic catheter (2 patients)
  7. Trucut biopsy (2 patients)
  8. Fine needle aspiration (3 patients)
  9. Banding of hemorrhoid (3 patients)
  10. Taking informed consent (3 patients)
  11. Oesophageogastroduodenoscopy (3 patients)
  12. Colonoscopy (3 patients)
  13. Endoscopic retrograde cholangiopancreatography (3 patients)

Others

  1. On-call duties (5 times)
  2. Case presentations in clinic (5 patients)
  3. Case presentations in ward (10 patients)
  4. Teaching (10 patients)

Operations

  1. Operation theaters – recommended to assist as the 2nd assistant (5 operations)
  2. Daycare (sutures, biopsy) – 5 patients

Those are the ones for surgical posting for final years in HUKM. For every procedure done or seen or presented, a med student will get signature from the supervising doctor and marks will be given accordingly (1-5 or 1-10).  By the end of the 2 months surgical posting, a med student should have obtained 126 signatures! And these med students travel here and there for medical presentations, last I heard is conducted in Brunei for the 3rd years!

Meanwhile, this one is for NNSMA’s 4th year surgical posting practical (I translated from the logbook published by the practical department):

  1. Working in the ward
  2. Patient examination
  3. On call in the surgical ward
  4. Providing medical assistance to patients during on-call duty
  5. Plaster of Paris
  6. Distinguishing blood groups
  7. Transfusion of blood and blood products
  8. Injections: IM, IV, SC
  9. Blood taking
  10. Paracentesis for ascites
  11. Pleural tap
  12. Gastric lavage
  13. Enema
  14. Urinary catheterization
  15. Injections of anesthetics and narcotics
  16. Assisting in operations
  17. Doing operation him/herself (????)
  18. Work in the lab; making laboratory analysis
  19. Radiological investigation on patients
  20. External heart massage, artificial ventilation
  21. Sewing and removing sutures
  22. Per rectal examinations
  23. Applying bandages
  24. Participating in endoscopy and ultrasound
  25. Pus drainage
  26. Fracture management

All is fine, whether NNSMA’s or HUKM’s. It seems NNSMA’s is more advanced because they’re doing stuffs not even HUKM med students are required to do. But how about supervision? Does anyone in 4th year NNSMA ever completed all the 26 abovementioned stuffs required by the academy? Let me rephrase, have you even done 5 of them? If you do, congratulations!

I bet most of us simply go back when the doctors tell us to go back because we have no reason to stay. Now now, don’t we have a lot of catching up to do, whether it’s HUKM’s or NNSMA’s?

Let’s strive to be good doctors, shall we?

P/S: I would also like to obtain the logbooks for other postings such as medical, pediatric, O&G, Orthopedics for medical students from any university. Kindly, please share. Sharing is caring, thanks🙂


5 thoughts on “Practical Logbook

  1. sto=suture 2 open..in usm, we got 12 on call within 6 weeks surgery posting, 50-60 short cases to examine, and the others are quite similar to hukm students..

  2. for practical stuff like POP, suture, remove ligatures, injections, doing ‘small’ operation by urself (or under MA observation/help), applying bandages, pus drainage or fracture management; i wud suggest doing ur practical in small district hospital.. trust me, u really can do all this stuff! (coz i did! :D). big hospitals have strict rules n oversea students cant even touch the patient (in some hospital rules) n dont follow the doctors.. they’re pretty busy clerking the patients mostly so yeah ask the MAs to teach u, n befriend them.. hehe. they will gladly teach u.. but then again, u hv to ASK instead of waiting for them to offer u to do all diz kinds of procedures..

    other things like below u may do it but only once or twice during ur cycle.. so yeah, not enuf to prepare us for the HOship… hehe. but then again, we can always learn to do all that during HOship.. what the point of HOship without being tortured by those senior doctors rite?😛

    1. Working in the ward – int med
    2. Patient examination – int med
    6. Distinguishing blood groups – surgery
    10. Paracentesis for ascites – surgery
    11. Pleural tap – TB
    12. Gastric lavage – surgery
    13. Enema – surgery
    14. Urinary catheterization – uro, surgery
    15. Injections of anesthetics and narcotics – emergency medicine with pichugin
    16. Assisting in operations – avdonin always allow his students to assist..
    19. Radiological investigation on patients – TB, paed surgery, radio,onco cycle
    20. External heart massage, artificial ventilation – pichugin
    22. Per rectal examinations – paed surgery, uro

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