1

LT. BRKM GOVT. MEDICAL COLLEGE, DIMRAPAL, JAGDALPUR,

BASTAR, CHHATTISGARH

LOGBOOK FOR SURGERY

1
2

PREFACE
Medicine is learned by the bedside and not in the classroom- William Osler

Clinical posting is the mainstay of medical education. It is the rehearsal of your life as a
doctor. In clinical posting You will learn to put into practice the knowledge you gained in
classroom, books and online resources.

We often use the phrase " Art and science of medicine". When one had learnt the science of
medicine to a degree that it becomes a part of your life it becomes Art of Medicine i.e.

1.In Cognitive Domain- Apply, Evaluate, Analyze, Create.

2.In Affective Domain - Responding And Internalization
3.In Psychomotor Domain.- Naturalization: Naturally And Automatically Performing
Actions.
In addition, this logbook will be a substantial basis of both formative and summative
assessment.

All Faculty
Department of General Surgery
LBRKM Medical College Jagdalpur

2
3

BASIC PROFORMA OF THE STUDENT

Name of the Student :

Date of Birth :

Father’s Name : Mobile No :

Mother’s Name : Mobile No :

Address :

Mobile No of Student :

Email id of Student :

Email id of Mother/Father :

Signature of Student : ……………………..

3
 Self Maintained Attendance Record

S.N Date Time Competency * Topic** Location# Facilitator Remark

.

4
*
long case /SHORT CASE/SDL etc.
**Goiter/Hernia etc.
#MS1/FS1 etc.

Self Maintained Attendance Record

S.N Date Time Competency * Topic** Location# Facilitator Remark

.

5
6
*
long case /SHORT CASE/SDL etc.
**Goiter/Hernia etc.
#MS1/FS1 etc.

Self Maintained Attendance Record

S.N Date Time Competency * Topic** Location# Facilitator Remark

.

7
*
long case /SHORT CASE/SDL etc.
**Goiter/Hernia etc.
#MS1/FS1 etc.

Self Maintained Attendance Record

S.N Date Time Competency * Topic** Location# Facilitator Remark

.

8
9
*
long case /SHORT CASE/SDL etc.
**Goiter/Hernia etc.
#MS1/FS1 etc.

Self Maintained Attendance Record

S.N Date Time Competency * Topic** Location# Facilitator Remark

.

10
*
long case /SHORT CASE/SDL etc.
**Goiter/Hernia etc.
#MS1/FS1 etc.

Instruction Regarding the use of this logbook

11
Do not use rough copy. It corrupts your personality. If a patient comes to you gasping you
can’t first treat him roughly and later fairly. We don’t get second chance. Write in this
logbook only from very beginning of your clinical posting.
Have you been to sea? How long you enjoyed the view? Five ? Ten ? minutes. And
discovery channel we watch for hours. The different sea creatures going about their daily
routines of hunting hiding camouflaging. What is the difference between us and discovery
photographer?
Firstly he dives. Secondly he has recording equipment with him. This 629 bedded hospital
is hiding a treasure of clinical findings only you have to dive into the history taking and
examination. This logbook is your recording equipment.

The purpose of maintaining a record of practical work is to ensure that the student has been
instructed in the specified competencies and to record whether or not he/she has performed
the procedure satisfactorily. This record
provides useful information to concerned authorities regarding the practical experience
provided during the period of training. Completion of this record is essential before
appearing for the examination. The purpose of keeping the record is fulfilled only if entries
are made regularly and with care.
Learnings and Reflections: At the end of each session the learner (you) have to record
your experience in following format-
a) What happened? (What did I learn from this experience)
b) So what? (What are the applications of this learning)
c) What next? (What knowledge or skills do I need handle this?)

The concerned facilitator/teacher should sign after each session. Logbook has been
organized on the basis of the requisite competencies required by the medical students.
Individual institutions may add additional skills / procedure demonstrated, if any. The
student is responsible for getting the logbook completed and signed by the concerned
authorities.
The log book should be submitted to the department before practical examination .

12
 Index
LOGBOOK FOR GENERAL SURGERY

CONTENT Page No.

1. Basic Proforma of student 2

2. Self Maintained Attendance Record 3
3. Instruction Regarding the use of this logbook 8

4. LOGBOOK CERTIFICATE 13

5. SCHEME OF EXAMINATION 14
6. Learning objectives 17
7. ILP - INDIVIDUAL LEARNING PLAN 18
8. LIST OF LONG AND SHORT CASES TO 19
COVER IN CLINICAL POSTING
9. HISTORY TAKING AND EXAMINATION 20
10. HISTORY AND EXAMINATION OF 23
SWELLING

11. HISTORY AND EXAMINATION OF 24

ULCER

12. HISTORY OF PAIN, VOMITING 25

13. Examination of scrotal swelling, hydrocele 26

13
14. EXAMINATION OF INGUINAL HERNIA 27
15. THYROID 28

16 EXAMINATION OF BREAST LUMP 29

17.Long Cases 31

18.Electives 107

19. SHORT CASE 125

20. SMALL GROUP LEARNING: 153

OPERATIONS

21 SMALL GROUP LEARNING: IMAGING 179

STUDIES
22. SMALL GROUP LEARNING: 205
INSTRUMENTS

23. SMALL GROUP LEARNING: SPECIMEN 221

24. SMALL GROUP LEARNING: SNAPP 247

MODULE
25. SMALL GROUP LEARNING: 259
SYMPOSIUM
26. SMALL GROUP LEARNING: QUIZZ 265

27. SKILL TRAINING 271

28. Self Directed Learning 285
I. Third Professional Part -1
II. Third Professional Part -2

14
(b) Clinical cases to be examined by students 309
28.AETCOM 313
29. Final Summary 338
30 Logbook Table 346

LT. BRKM GOVT. MEDICAL COLLEGE. DIMRAPAL, JAGDALPUR, BASTAR,

CHHATTISGARH

LOGBOOK CERTIFICATE

This is to certify that the candidate Mr./ Ms.

………………………………………………………, Roll No. ………………., admitted in
the

15
year …………. has satisfactorily completed / has not completed all assignments
/requirements mentioned in this logbook for Final year MBBBS course in the subject of
Surgery from
………………… to………… . She / He is / is not eligible to appear for the summative
(University) assessment as on the date given below.
Signature of Faculty
Name and Designation

Countersigned by
Professor and Head
Department of General Surgery

Date:__/__/____
Place:_________

SCHEME OF EXAMINATION

Internal assessment –

Total marks 40 (Theory 20 marks. Practical 20 marks)- 50% combined theory and practical
(Not less than 40% in each) for eligibility for university examinations.

(a) Theory :20 marks :-

1. To assess the internal marks, there shall be no less than three internal assessments in
each pre/para clinical subject and no less than two examinations in each clinical subject
in professional years.

16
 2. When subject are taught in more than one phase, the internal assessment must be done in
each phase and must contribute proportionately to final assessment.
3. The final internal assessment in a board clinical specialties (e.g. surgery and allied
specialties etc.)shall comprise of mark from all the constituent specialties. The
proportion of the marks for each constituent specialty shall determined by the time of
instruction allotted to each.
4. The session examination preceding the university examination may be similar to pattern
of university examination. The total marks obtained be reduce to out of 20 and sent to
university.
(b) Practical :20 marks :-

To assess the internal marks in practical, there will be two terminal practical examination.
Average marks of two terminal practical examination and mark obtained including record be
calculated and reduce to out of 20 and sent to university.

University examinations-
1. Theory-
There shall be each paper of 100 marks (section-A50 narks and section-b 50marks).
The Question paper pattern for each section as follows:-

Question Question type No. of Marks in Total

serial No. Question each Marks
Question

1. Long answer Question 01 15 15

(Structured essays)

2. Short Answers Question 05 05 25

3. • Objective Type Question 10 1 10

[(a)true/false
(b)fill up the blanks
(c)Assertion and reason
(d)One word answer
(e) MCQI

50 marks

17
Note :- One short notes (05Marks) in section B of paper should be based on AETCOM
Module

2. Practical – Total marks 100

Practical / clinical – 80 marks and viva voce 20 marks

1. In subject of General Medicine, General Surgery and Obstetrics and Gynecology

marks in practical examination-200
(Practical / clinical -160 marks and viva voce 40 marks)

Criteria for Passing in the subject :-

1. Mandatory 50% marks separately in theory and practical (practical viva).
In subject that have two papers, the learner must secure at least 40% marks in each of the
paper with minimum 50% of marks in aggregate (both paper together) to pass in the said
subject.
2. A learner shall not be entitled to graduate later than ten (10) years of his/her joining the
first MBBS course.
3. No more than four attempts shall be allowed for a candidate to pass the first professional
examination. Total period for successful completion of first professional course shall not
exceed four (4) years. Partial attendance of examination (either theory or practical) in any
subject shall be counted as an attempt.
4. Passing in the first professional is compulsory before proceeding to second MBBS training.
It is to inform all the students that unless the students pass successfully in the first MBBS
examination they will not be promoted to second MBBS. Moreover, if a candidate has
failed to pass in the supplementary examination he/she will have to repeat the first MBBS
course curriculum and appear for the University examination of first MBBS with the new
batch.
5. A learner, who fails in the second professional examination, shall not be allowed to appear
in third professional part I examination unless she/he passes all subjects of second
professional examination.
6. Passing in third professional (part 1) examination Is not compulsory before starting part II
training, however passing of third professional (part1) is compulsory for being eligible for
third professional (part 1) is compulsory for being eligible for third professional (part II )
examination.

Eligibility to appear for professional (University) examinations

(a) Attendance
1. Attendance requirements are 75% in theory and 80% in practical /clinical for
eligibility to appear for the examinations in that subject. In subjects that are
taught in more than one phase-the learner must have 75% attendance in theory

18
 and 80% in practical in each phase of instruction in that subject.
2. If an examination comprises more than one subject (for e.g., General Surgery
and allied branches). The candidate must have 75% attendance in each subject
and 80% attendance in clinical posting.
3. Learning who do not have at least 75% attendance in the electives will not be
eligible for the Third Professional-part II examination.
4. 75% attendance in professional development program (AETCOM Module) is
required for eligibility to appear for final examination in each professional
year.
5. 75% attendance in the electives and submission of log book maintained during
elective is required for eligibility to appear in the final MBBS examination.

(b) Internal Assessment:

Learners must secure at least 50% marks of the total marks (combined in
theory and practical / clinical; not less than 40% marks in theory and practical
separately) assigned for internal assessment in a particular subject in order to
be eligible for appearing at the final university examination of that subject.

Signature of student Signature of parents

Student Detail Parent Detail
Name: Name:
Roll No.: Mobile No.:
UID: Email ID…….

19
 LEARNING OBJECTIVES

Learning objectives
What is your diagnosis ?
This question will haunt you all through your professional life starting from
clinical posting till your retirement and aim of your life is to make a diagnosis in
each and every patient you come across.

At the end of finishing this log book the learner will be able to
a) Make diagnosis,
b) Order and interpret special investigations
c) Identify and describe common instruments.
d) Describe indications, steps and complications of common surgical
operations.

Main job of doctor is to make diagnosis.

We make diagnosis by taking history and examination.
This diagnosis is known as clinical or provisional diagnosis.
After this we order special investigations to confirm or refute our clinical
diagnosis
After the investigations we arrived at final diagnosis.

20
 INDIVIDUL LEARNING PLAN

Everyone must have his/her own ILP

ILP - INDIVIDUAL LEARNING PLAN.

If you go with the flow you shall miss to acquire few competencies for example
when a case of Goiter was discussed in clinical posting you were absent. Hence
you must hunt for the diagnoses that you have missed.
How -
2. Consult list of long and SHORT CASEs to be learnt.
3. Go to ward find a suitable case.
4. Take history conduct examination
5. At 11:00 a.m. contact the teacher.
6. Tick the case in the list.
7. Next day choose another case.
8. Next day Hunt for a diagnosis from the list that has not been covered.
9. Allot yourself a bed in each department
10.Every day for 5 minutes visit that bed.
11.Follow the patients in that bed every day.
12.Maintain a record book.

21
 LIST OF LONG AND SHORT CASES TO COVER
IN CLINICAL POSTING

Case Date Date Date Remark

discussed discussed discussed
Breast lump

Hydrocele

Hernia

Ulcers

Fistula

Parotid swelling

Thyroid

Abdominal lump

Burn

Submandibular
swelling

BPH

Ca.Oral cavity.

Varicose veins.

Cleft lip

Hydrocephalus

22
Squamous cell
carcinoma

Gangrene

Hemorrhoid

HISTORY TAKING AND EXAMINATION

The art of history taking and examination are the essential skills of a medical
graduate.
We can make diagnosis in approximately 50% of cases by history alone. After
examination we can diagnose 20% more cases. Special investigations add only
10% to the diagnosis.

1. Various diagnoses will be popping up in your mind as soon as you

encounter a patient. Ignore these popups. Make diagnosis after thorough
history taking and examination.

2. Start at the start- See the patient first and the papers ( referral letter, past
prescriptions, results of special investigations etc.) next. If you see anybody
else's diagnosis your mind will twist the findings to suit that diagnosis. Of
are looking at the clouds and imagine seeing a car you will see it. Beware of
this pitfall Make your own clinical diagnosis before looking at papers.

23
3. Undertake history taking and examination consecutively and separately i.e.
Don't examine while taking history and don't talk while examining neither
to the patient not among yourselves. Concentrate on the task at hand.

24
 Fundamental of History Taking and Examination
History Taking:
Listen to the patient. He is telling you the diagnosis. -Osler
Complaints -
● Chief/ Presenting complaint - The complaint that brought the patient to hospital.
● Other complaints - Record in chronological order.
History of present illness -
1. Must start with "The patient was apparently alright …… back.
2. Elaborate upon the complaints.
3. History of trauma.
4. Fever.
5. Functioning of affected organ system. e.g. In abdominal pain ask about vomiting, motions,
micturition, fever, anorexia, previous attacks.
Past History-
1. Ask about comorbidities - Hypertension, diabetes mellitus, Koch's, Bronchial asthma,
myocardial infarction, HIV,
2. Previous operation
3. Similar complaints.
Family History-
● Taken in 3 tiers -
a. Parents
b. Siblings and spouse
c. Children
About each member ask -
● Alive or dead?
● If dead died of what.
● If alive
○ is he suffering from same complaints?
○ What other comorbidities he/ she has.
Personal History
● Diet, sleep and addictions.
Review of other systems-
● Ask in short about CNS, CVS, Respiratory, GIT, Genitourinary.

Physical Examination
Certainly local examination is most important in surgery but we must proceed in following sequence-
1. General examination
2. Systemic examination
3. Local examination
Every examination must start with taking pulse.
Local examination:
Compare with other healthy side

25
Include regional lymph nodes and vice versa i.e. If there is a swelling in lymph node area examine its
drainage area.
There are only two lesions in surgery-
1. Swelling
2. Ulcer
3. Ulceroproliferative growth
Diagnosis of swelling is made by finding out its level – Whether it is in skin subcutaneous, muscle
tendon, bone, intra peritoneal or retroperitoneal.
Diagnosis of ulcer lies in its edge- five famous types of edges.

Clinical reasoning.
It is astonishing with how little reading a doctor can practice medicine, but it
is not astonishing how badly he may do it.-William Osler
Thinking is the greatest gift of god to us Homo Sapiens. Don’t live at spinal level doling out prescription
after prescriptions on the basis of complaints only. Living at cerebral level gives us great intellectual
satisfaction. Clinical reasoning – making a diagnosis and formulating management is a big enjoyment.
Do you watch Crime Patrol ?. How exciting it is? A dead body is lying on floor. The inspector is trying
to pin the killer by looking minutely for clues. Same for us . A patient came to us gasping for breath.
What is killing him? How to save him? Solving these riddles is a very rewarding experience. But we
have to exercise our brains to achieve this.

A mathematical method of diagnosis. After you have finished history taking and examination a
diagnosis must have come to your mind. Now correlate this diagnosis with your findings in following
way- Review every point of history of examination one by one . Ask yourself is this in favor of the
diagnosis I made or it is against or not related. For example Age. Suppose your patient is 70 years of age
and your diagnosis is Acute Appendicits. Obviously diagnosis is at odds with patient’s age.

If that particular point is in favor of diagnosis mark it with a star *

If it is against the diagnosis put a hashmark #

Some findings may be strongly in favor of the diagnosis – put double stars. Continue In this way till you
have finished whole writeup of history and examination. Now count your stars and hashes. If stars
outnumber the hashes your diagnosis is correct. If Hashes are more than the stars- Your diagnosis is
wrong , consider alternative diagnosis. If hashes and stars are equal- Make two differentials.

We shall now undertake special investigations to confirm or refute our diagnosis.

26
 HISTORY AND EXAMINATION OF SWELLING
History
1. Duration
2. Mode of onset
3. History of trauma
4. Other symptoms
5. Progress
6. Exact site
7. Fever
8. Presence of other lumps
9. Secondary changes
10. Impairment of function
11. Recurrence of the swelling
12. Loss of body weight
Examination
Inspection
1. Site
2. Color
3. Shape
4. Size
5. Edge
6. Number
7. Pulsation
8. Peristalsis
9. Movement with respiration
10. Impulse on coughing
11. Movement with deglutition
12. Movement with protrusion of tongue
13. Skin over swelling
14. Any pressure effects
Palpation
1. Local temperature
2. Tenderness
3. Size shape extent
4. Surface
5. Consistency
6. Fluctuation
7. Thrill
8. Translucency
9. Impulse on coughing
10. Reducibility
11. Compressibility

27
 12. Pulsatility
13. Fixity, mobility
14. Relations to surrounding structures
0. Percussion
0. Auscultation
0. Measurements movements pressure effects

HISTORY AND EXAMINATION OF ULCER

History
1. Mode off onset
2. Duration
3. Pain
4. Discharge
5. Associated diseases
Inspection
1. Size and shape
2. Number
3. Position
4. Edge
5. floor
6. Discharge
7. Surrounding area
8. Whole limb
Palpation
1. Tenderness
2. Edge and margin
3. Base
4. Depth
5. Bleeding
6. Realation with deeper structures
7. Surrounding skin
Regional lymph nodes
Vascular insufficiency
Nerve lesion

28
 HISTORY OF PAIN
1. Site
2. Duration
3. Mode of Onset
4. Severity
5. Progression
6. Character /nature
7. Shift/radiation
8. Special time of occurrence
9. Periodicity
10.Aggravating factors
11.Relieving factors.
12.Associated symptoms

HISTORY OF VOMITING
1. Frequency
2. Time of day
3. Taste
4. Color bilious/ bloody?
5. Quantity
6. Smell
7. Projectile?

29
 Examination of scrotal swelling, hydrocele
History
●
Inspection
1. Shape
2. Skin over swelling
3. Rugosities.
4. Impulse on coughing

Palpation
1. Local temperature
2. Tenderness
3. Extent
4. Size
5. Shape
6. Surface
7. Margin
8. Consistency
9. Get above the swelling
10.Testis is separately palpable
11.Fluctuation
12.Transillumination
13.Reducibility
14.Impulse on coughing

DD
1. Vaginal hydrocele
2. Inguinal hernia,
3. Testicular tumor,
4. Varicocele
5. Epididymal cyst

30
 EXAMINATION OF INGUINAL HERNIA
Inspection
Patient in standing position

1. Site position
Femoral-below and lateral to pubic tubercle Inguinal-above and medial to pubic
tubercle
2. Size
3. Shape pyriform indirect hernia round direct hernia, retort Femoral.
4. Extent
5. Surface
6. Skin over the swelling
7. Visible peristalsis
8. Cough impulse
9. Draining lymph nodes
10. Penis
11. Urethral meatus
12. Opposite scrotum

Palpation
1. Local Temperature
2. Tenderness
3. Site
4. Size
5. Shape
6. Extent
7. Surface
8. Skin over
9. Consistency
10. Reducibility
11. Get above the swelling
12. Cough impulse
13. Invagination test

31
14. Ring occlusion test
15. Zieman's technique 3 fingers test
16. Can you palpate the testis separately.
17. Traction test for encysted hydrocele of the cord.
18. Transillumination.
DD
Saphena varix
Femoral aneurysm
Cold tuberculous abscess
Inguinal lymph node
These are differentials of groin swellings but they are not differentials of
Inguinoscrotal
of scrotal swelling.

THYROID

Aim of history taking and clinical examination of goiter is to find answer to 5

questions.

1. The patient is euthyroid, hypothyroid or hyperthyroid?

2. Whether this is a thyroid swelling?
3. Is it diffuse or solitary nodule ?
4. If solitary nodule is it left or right?
5. It is benign or malignant?

32
 EXAMINATION OF BREAST LUMP
Inspection
Position of patient- 1. Sitting with arms at her sides. 2. Raise both arms. 3. Bend
forward at hips. 4. Supine
Inspection
1. Compare with other breast.
2. Size difference
3. Level of nipples/ recent retraction/discharge/crusting
4. Visible vessels.
5. Visible lump
6. Redness.
7. Peau d'orange
8. Skin retraction / dimpling
9. Cancer en cuirasse

Palpation
1. Patient sitting then lying down.
2. Use flat of hand>flat of fingers>pinch.
3. Don’t miss areola
4. Patient points to lump.
5. Palpate other breast first.
6. Examiner should slide palpating hand rather than lift.
7. Vertical strip in sitting and spokes of wheel in lying down position.
8. Don’t attempt to milk unless c/o nipple discharge.
Palpation proper
1. First point in palpation – local temperature
2. Second is tenderness.
3. Consistency 1. Soft/Firm/hard 2. Uniform/ Variable
4. Mobility 5. Fixity to muscles 1. Pectoralis Major 2. Serratus anterior

33
 How to palpate
For screening use flat of palm. If there is a lump palpate with flat of fingers
Lymph nodes 1. Axilla 2. Supraclavicular.
Axillary Lymph Nodes Axillary Lymph nodes Groups : • Anterior -Pectoral •
Posterior-Subscapular • Lateral- Brachial • Medial - central • Apical • Infraclavicular •
Supraclavicular
Palpation :Axillary Lymph nodes 1.From in front,examiner’s opposite hand- • Anterior
-Pectoral • Medial - central • Apical • Infraclavicular 2.From in front,examiner’s same
hand- • Lateral- Brachial 2.From behind,examiner’s same hand- • Posterior-Subscapular
• Supraclavicular
Infraclavicular ln. Deltopectoral groove
Palpation :Axillary Lymph nodes • Number • Size • Consistency • Matted or not • Fixity
Palpation :Axillary Lymph nodes Suspicious for mets- • Hard • Fixed • >1cm.

Fluctuation • Three finger method – for breast cyst.

Documentation • Abnormalities found should be recorded accurately • Use a

diagram • Using nipple as center of clock record- – O’clock position – Distance from
nipple – Depth from skin – Shape and size – Color – Consistency – Fixity.

34
 Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

35
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

36
Treatment Plan

Follow up

Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

37
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing, lymphadenopathy, oedema feet .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….

38
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

39
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing, lymphadenopathy, oedema feet .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

40
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

41
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing lymphadenopathy oedema feet .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

42
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

43
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

44
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

45
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet .
Systemic Examination:-
CNS-
CVS-

46
 Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

47
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet .

48
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

49
Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-

50
 GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of

51
 Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

52
Review of Other Systems:-
CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………

53
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

54
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

55
Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

56
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

57
Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

58
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….

59
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

60
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

61
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

62
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

63
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

64
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet.
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

65
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

66
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-

67
 Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

68
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .

69
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

70
Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-

71
 GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of

72
 Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

73
Review of Other Systems:-
CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………

74
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

75
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

76
Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

77
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

78
Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

79
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….

80
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

81
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

82
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

83
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

84
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
Long Case
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

85
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

86
Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

87
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-

88
 Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

89
History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .

90
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

91
History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-

92
 Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:

93
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

Personal History:-

Review of Other Systems:-

94
 CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :

95
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

96
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

Follow up

97
 ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

Family History:-

98
Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

Treatment Plan

99
Follow up
ELECTIVES
Facilitator…………………………………….Date……………………
PATIENT NAME S/O :
AGE Sex
WARD/BED/NO: Date of
Admission:
Address Occupation

Complaints:-

History of Present illness:-

History of past illnesses:-

100
Family History:-

Personal History:-

Review of Other Systems:-

CNS-
CVS-
Respiratory System-
GIT-
Genitourinary-
General Examination-P BP Respiration Pallor Icterus
Clubbing Lymphadenopathy Oedema feet. .
Systemic Examination:-
CNS-
CVS-
Respiratory System-
Per abdomen-

Local Examination:-

Diagnosis: Clinical………………………………………
Final…….
Comorbidities…….
Special Investigations

101
Treatment Plan

Follow up
SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

102
 Signature of
facilitator

103
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

104
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

105
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

106
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

107
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

108
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

109
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

110
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

111
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

112
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

113
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

114
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

115
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

116
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

117
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

118
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

119
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

120
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

121
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

122
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

123
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

124
 SHORT CASE
Facilitator ……………………………………………Date……………...
Name. Age M/F

Complaints…

Local Examination…

Diagnosis…

Special Investigations…

Managements...

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

125
SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

126
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

127
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

128
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

129
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………
Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

130
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

131
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

132
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

133
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

134
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

135
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

136
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

137
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

138
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

139
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

140
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

141
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

142
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

143
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

144
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

145
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

146
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

147
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

148
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date…………

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

149
 SMALL GROUP LEARNING: OPERATIONS
Name of facilitator……………………………………………..Date………….

Indications

Anesthesia

Position of patient

Incision

Steps of operation

Complications…

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

150
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

151
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

152
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

153
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

154
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

155
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

156
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

157
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

158
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

159
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

160
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

161
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

162
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

163
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

164
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

165
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

166
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

167
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

168
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

169
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

170
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

171
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

172
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

173
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

174
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

175
SMALL GROUP LEARNING: IMAGING STUDIES

Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features
Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

176
 SMALL GROUP LEARNING: INSTRUMENTS

S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of

177
 facilitator

178
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

179
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

180
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

181
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

182
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

183
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

184
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

185
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

186
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

187
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

188
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

189
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

190
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

191
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

192
 SMALL GROUP LEARNING: INSTRUMENTS
S. No. Name of instrument: Diagram

Identify Features:

Indications of use:

Contraindications:

S. No. Name of the instrument: Diagram

Identifying Features

Indications of use:

Contraindications:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

193
 SMALL GROUP LEARNING: SPECIMEN
Name of
facilitator…………………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

194
 SMALL GROUP LEARNING: SPECIMEN
Name of
facilitator…………………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

195
 SMALL GROUP LEARNING: SPECIMEN
Name of
facilitator…………………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

196
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

197
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

198
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

199
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

200
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date…………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

201
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

202
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

203
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

204
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date…………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

205
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

206
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

207
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

208
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date…………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

209
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

210
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

211
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

212
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

213
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

214
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

215
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

216
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

217
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

218
 SMALL GROUP LEARNING: SPECIMEN
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

219
SMALL GROUP LEARNING: SNAPP MODULE

Summarize briefly the history and findings

Narrow the differential to two or three relevant possibilities
Analyze the differential comparing and contrasting the possibilities
Probe the preceptor by asking questions about uncertainties, difficulties, or alternative
approaches

Plan management for the patient’s medical issues

Select a case-related issue for self-directed learning

220
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

221
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

222
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date…………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

223
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

224
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

225
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

226
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

227
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

228
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

229
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date………….

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

230
 SMALL GROUP LEARNING: SNAPP MODULE
Name of facilitator……………………………………………..Date…………

Description

Diagnosis

Clinical Features

Complaints

Findings

Management…..

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

231
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date…………

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

232
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date…………

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

233
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date…………….

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

234
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date…………….

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

235
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date………….

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

236
 SMALL GROUP LEARNING: SYMPOSIUM
Name of facilitator……………………………………………..Date…………….

Topic :

Deliberation:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

237
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date………….

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

238
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date…………….

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

239
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date…………

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

240
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date………….

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

241
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date…………

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

242
 SMALL GROUP LEARNING: QUIZZ
Name of facilitator……………………………………………..Date………….

QUESTION:

DISCUSSION:

ANSWER:

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of facilitator

243
 DEPARTMENT OF GENERAL SURGERY
GOVT MEDICAL COLLEGE, DIMRAPAL,
JAGDALPUR

SKILL TRAINING

Seron Topic
o.
● Basic suturing (I)
● Basic wound care (I)
● Basic bandaging (I)
● Incision an drainage of superficial abscess (I)
● Early management of trauma (I) and trauma life support (D)

I = INDEPENDENTLY PERFORMED PATIENT /MANNEQUINS

O = OBSERVED IN PATIENT OR ON SIMULATION
D = DEMONSTRATION ON PATIENT AND PERFORMANCE UNDER
SUPERVISION IN PATIENT

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

244
245
 MODULE FOR BASIC WOUND CARE

Relevant competencies:
● SU1-describe various type of surgical wound and factor affecting wound healing
● SU2-etiopathology of wound healing and management of various wounds

Objectives:

By completion of this module students will be able to take care of wound in simulated
environment/patent

Method:

“DOAP” session (Demonstrate, Observe, Assist, Perform)

Background Knowledge:

● SU 5.1-describe normal wound healing and factors affecting it

● SU5.2-elicit/document and present a history in patient presenting with wound
● SU 5.3-differentiate the various type of wound, plan and observe management
● SU 5.4-discuss medico-legal aspect of wound

Knowledge about basic method of healing:

● Healing by primary intention

● Healing by secondary intention
● Healing by delayed primary intention

Advantages and disadvantages of them and knowing about various anti-septic

solution preparation and their indicated uses in various wounds.

Equipment’s:

● Sterile gloves
● Cotton gauze/pad
● Bandages
● Adhesive tapes
● Anti-septic solution/preparation

246
 STEPS FOR BASIC WOUNDCARE

Index Steps Performed correct= Remarks

no correct=

Explain the patient/relative regarding need of

1. the procedure and record it

● Better to perform dressing in a

2. isolated procedure room
● Get comfortable position with
adequate light and exposure of part

3. ● Decide that wound is going to heal

either by primary intention or by
secondary intention
● If by primary intention-then follow
module of suturing a wound

4. Wear well-fitting surgical gloves after

rubbing hands with an anti-antiseptic
solution containing at least 70% ethyl
alcohol

With the help of appropriate solution, clean

5. the wound and its surrounding

Drape and isolate the wound part

6.
● Clean the wound with appropriate
7. solution for clean/stitch wound
● Use spirit for untidy/infected wound
● Use antiseptic solution like providon
iodine, cerimide, chlorhexidine for
slough in wound-eusol/H2O2

Apply appropriate anti septic solution and

8. gauze piece to be kept on it

Put extra gauze or cotton pad

9.
Apply bandage (follow the guidelines give in
10. bandage module)/adhesive skin application

247
 Give necessary instruction for wound care
11. and follow up

Skill assessment
OSCE type of station/patient, where observer/demonstrator/instructor can observe the student
with a checklist

Certificate

This is to certify that student attends and satisfactory completed required competency as per
NMC guidelines.

Signature of observer

248
 MODULE FOR BASIC BANDAGES

Relevant competencies:
● SU1-describe various type of surgical wounds and factors affecting wound healing
● SU2-etiopathology of wound healing and management of various wounds
● SU3-describe various methods of bandaging of wound in different parts

Objective:
By completion of this module students will be able to take care of wound in simulated
environment/patient and will be able to apply bandages over the wound.

Method:
“DOAP” session (Demonstrate, Observe, Assist, Perform)

Background knowledge:

● SU 5.1-describe normal wound healing and factors affecting it

● SU 5.2-elicit/document and present a history in patient presenting with wound
● SU 5.3-differentiate the various type of wound, plan and observe management
● SU 5.4-discuss medico-legal aspect of wound
● SU 5.5-correct/scientific method for application of bandages

Equipment:
• Sterile gloves
• Cotton gauze/pad
• Bandages-plain cotton/elastic bandages
• Adhesive tapes

249
 STEPS FOR BASIC BANDAGING

Index Steps Performed Remarks

correct= No
correct=

1. Explain the patients/relative regarding

need of the procedure and record it

2. ● Better to perform dressing in a

isolated procedure room
● Get comfortable position with adequate light and
exposure of part

3. Follow the module of basic wound care and complete the

dressing procedure

4. Elevate the limb to be bandaged so that veins get

collapsed to prevent distal edema

5. Select the bandage and apply over the bandage

6. Methodology
● From medical to lateral turning
● From distal to proximal
● Half of current bandage turn should be covered
with next turn
● It should not be too tight or too loose

7. Cover the wound at least 5 cm of the wound edge

8. Apply adhesive tape at the end

Skill assessment
OSCE type of station/patient, where observer/demonstrator/instructor can observe the student
with a checklist

Certificate
This is to certify that student attended and satisfactorily completed required competency as per
NMC guidelines.

250
 Signature of observer

251
 MODULE FOR SUTURING
Relevant competencies:
● SU14.3-describe various types of surgical wound closure and anastomosis (sutures,
knots and needles)
● SU14.4-demonstrate he techniques of asepsis and suturing in a simulated environment
Regulations on graduate medical education, Part-11 2019-Table 11-certifiable procedural
skills: general surgery: Best suturing

Objective:
By completion of this module students will be able to suture a wound b simple suture in a
simulated environment

Method:
"DOAP session (Demonstrate, Observe, Assist, Perform)

Background knowledge:

● SUS.1-describe normal wound healing and factors affecting it

● SU 5.2-elicit/document and present a history in patient presenting with wound
● SU5.3-differentiate the various types of wound, plan and observe Management
● SU 5.4-discuss medico-legal aspect of wound
Knowledge about different suture materials, advantages, disadvantages, selection appropriate
suture material
Wound cleaning and administration of local anesthesia

Equipments:

● Sterile gloves
● Cotton gauze pa
● Appropriate suture material like nylon/silk 2-0 with a traumatic reverse Curving needle
● Tooth forceps Needle holder
● Scissors
● Suturing task training models/part mannequins

252
 STEPS FOR SUTURING

Index Steps Performed Remarks

correct= No
correct=

1. Explain the patient/relative regarding need of

the procedure and record it

2. Clean he wound and surroundings with

appropriate anti-septic solution and maintain
asespsis during procedure were well fitted
surgical gloves

3. Local and general anesthesia is

given/tested/confirmed

4. Hold the toothed forceps with non-dominant

hand to grasp the skin edges debride the edge if
necessary

5. Hold a needle holder in dominant hand partially

inserting the thumb and ring finger into the
loops of the handle

6. Needle grasped at its center or 50-60% back

from pointed end

7. The needle grasped at 1-2 mm from the tip of

needle holder

8. Placement of the 1st suture is begun b grasping

the skin edge, slightly everything and needle
entering wound perpendicular from outside-in
1.5 cm. from the edge of wound

The needle is re-grasped with forceps after

9. being driven through the full thickness of the
skin from outside-in.

253
 10. Same technique is followed on the other skin
edge exactly opposite to previous bite from
inside out.

The suture material is drawn through the skin

11. leaving 2-3 cm protruding from the skin surface

Index Steps Performed Remarks

correct= No
correct=

12. The long strand is wrapped

holder to form loop for throw
around needle

13. The short strand is grasped and pulled through

the loop to form a square knot, just tight enough
to approximate the edges

14. The second throw of the square knot is initiated

with the long strand wrapped around the needle
holder.

15. Hold the short end with the needle holder and
pull the strand out to make a knot and tightened
securely over the first knot.

16. The suture material is cut with scissor 1 2 cm

away from the knot.

17. The procedure is repeated 1.5 cm away

18. Wound is cleaned. local antibiotic

ointment/cream is applied and proper dressing
is given.

19. Patient is explained about post-operative care

Skill assessment

254
 OSCE type of station/patient, where observer/demonstrator/instructor can observe the
student with a checklist

Certificate

This is to certify that student attended and satisfactorily completed required competency
as per NMC guidelines.

Signature of Observer

255
 MODULE FOR INCISION AND DRAINAGE OF SUPERFICIAL
ABSCESS

● Describe the material and methods used for incision and drainage of superficial abscess
(sutures, knots, needles, antiseptic materials, instruments).
● Demonstrate the technique of incision and drainage of superficial abscess in a simulated
environment.
● Regulations on graduate medical education, part 11, 2019 Certifiable Procedural Skills
General Surgery Incision and Drainage of Superficial Abscess

Objectives:
By the completion of this module, the students will be able to do incision and drainage of
superficial abscess in a simulated environment
● Suggested Teaching Learning Method: DOAP sessions

Background Knowledge:

● Describe the causes and pathogenesis of Abscess formation.

● Elicit, document and present a history in a patient presenting with abscess
● Differentiate the various types of Abscess, plan and observe management of Abscess
● Discuss the medico legal aspect of Abscess

Knowledge About incision and drainage, advantages, disadvantages, techniques, precautions

Abscess site cleaning and administration of local anesthesia.

EQUIPMENTINSTRUMENTS/OTHER REQUIREMENTS:
Dressing materials, Antiseptic solutions, instruments
Instruments: Stab Knife(no-11)

256
 STEPS FOR INCISION AND DRAINAGE OF SUPERFICIAL ABSCESS

Index Steps Performed correct= Remarks

No correct=

1. Explain to patients and relatives

regarding the need of procedure and
record informed and written consent.

2. Clean the abscess site and surroundings

with appropriate antiseptic solution and
maintain asepsis during procedure.
Wear well-fitting surgical gloves.

3. Local or general anesthesia is given/

tested/confirmed

4. Hold the skin knife in the dominant

hand and mark the incision to drain the
abscess

5. Make the incision over the skin margin

with the stab knife no 11 on the most
dependent part of abscess.

6. Drain the pus from the abscess cavity

and send pus for culture and sensitivity

7. Remove septa inside the abscess cavity

with blunt dissection using your finger.

8. Achieve proper hemostasis.

9. Wounds is cleaned, local antibiotic

ointment cream is applied and proper
dressing is given

10. Patient is explained about postoperative

care.

Skill Assessment:

OSCE type stations, where observer or their group members can observe with a check list.

Certificate
This is to certify that student attended and satisfactorily completed required competency as per
NMC guidelines.

257
 Signature of Observer

MODULE FOR EARLY MANAGEMENT OF TRAUMA AND TRAUMA LIFE

SUPPORT

● Describe the steps for early management of trauma and trauma life support.
● Demonstrate the technique of early management of trauma and trauma life support.
● Regulations on graduate medical education, part 11, 2019: Certifiable Procedural Skills:
General Surgery: Early Management of Trauma and Fiume Life Support

OBJECTIVES

By the completion of this module, the students will be able to learn and perform early
management of trauma and trauma life support in a simulated environment.
● Suggested Teaching Learning Method: DOAP sessions

BACKGROUND KNOWLEDGE

● Describe the ATLS (Advanced Trauma Life Support) Guidelines for early management
of trauma
● Elicit, document and present a history in a patient presenting with Trauma
● Differentiate the various types of Trauma, plan and observe management of Trauma
● Discuss the medico legal aspect of Trauma.

Knowledge About early management of trauma and trauma life support, advantages,
disadvantages, precautions
Trauma site cleaning with antiseptic solution & suturing where necessary

EQUIPMENT INSTRUMENTS OTHER REQUIREMENTS:

Wide bore IV cannulas, Ryle's tube, Foley's catheter. Dressing materials, Antiseptic
solutions. instruments for suturing

258
 Steps for early management of trauma and trauma life support: can be used as checklist

Index Steps Performed correct= Remarks

No correct=

1. Assess the patient coming with trauma, take

vitals of the patient, secure two large bore
intravenous cannulas first

2. Check for cervical spine stability

3. Assess the airway, open the airway by chin lift

and jaw thrust. The aim is to clear the airway by
suctioning and passing endotracheal tube if
airway obstruction is present

4. Assess the breathing and ventilation of the

patient to look for subcutaneous emphysema,
tracheal deviation. The aim is to identify airway
obstruction tension pneumothorax, hemothorax
open pneumothorax, flail chest, cardiac
tamponade, any penetrating injuries.

5. Assess the circulation and bleeding control. Start

crystalloid solutions. look for any External
bleeding and control with direct pressure.

6. Disability and neurological assessment is made

by alert, verbal stimuli response, painful stimuli
response, or unresponsive. The aim is to
establish the level of consciousness using the
Glasgow coma scale

7. Patients should be completely undressed and

covered with warm blankets to avoid
hypothermia. (Exposure and environmental
control)

8. The secondary survey is head to toe

evaluation of trauma patients including
complete history and physical examination
including reassessment of vital signs.

9. The tertiary survey includes careful and

complete examination followed by serial
assessments help to recognize missed
injuries and related problems, allowing
definitive care management

259
Skill Assessment:

OSCE type stations, where observer or their group members can observe with a check list

Certificate

This is to certify that student attended and satisfactorily completed required competency as
per NMC guidelines.

Signature of Observe

260
 SELF DIRECTED LEARNING.

On treadmill of life we have to run very fast in order to remain where we are

One important role of ‘Indian Medical Graduate” is “Lifelong learner committed to continuous
improvement if skill and knowledge. “Hence we must learn how to learn.

Broadly learning can be divided into Passive and Active learning. Passive learning is teacher giving a
lecture. This is good for children only. Active learning is when learner asks a question and
teacher/facilitator, book ,journal or internet supplies the answer. The adults learn by active learning only.
A lifelong learner has to learn without the facility of classroom. Thus, the need for “Self Directed
Learning.”

Ignoramus – “I do not know”. First step of knowing is realization of what we don’t know.

Medical reversals happen when new research shows that current practice is harmful. We must be on
lookout that we are not practicing what has been proved incorrect. SDL is the only way.

Self-Directed learning is a "process in which individuals take initiative, with or without the
help of others, in diagnosing their own learning needs, formulating goals, identifying human
and material resources for learning, choosing and implementing appropriate learning strategies
and evaluating learning outcomes."
In Self-Directed learning sessions the students shall try to find answers to the questions posed
by sifting through books journals and internet.
The following is a list of topics suggested for SDL. The list by no means is exhaustive the
facilitators and students may add or delete topics as they see fit.

261
 SDL TOPICS
THIRD PROFESSIONAL PART-1

1. Types of shock
2. Management of hypovolemic shock
3. Blood Transfusion reactions
4. Different Abdominal Incisions 4Management of cold abscess
5. Management of a patient with burns

THIRD PROFESSIONAL PART-2

1. What is distributive shock
2. CPR
3. Patient complaining of Gas for 5 years D/D
4. Management of ureteric colic.
5. Dressing how to dress stitched wounds and open wounds
6. Rationale of using pantoprazole in every prescriptions
7. Indications of antibiotics.
8. Indications of Vasopressors.
9. Are Trypsin, Chymotrypsin anti-inflammatory?
10. Indications of Betadine, Sumag,
11. Prescription of burn
12. Antibiotics in burn.
13. What is “medical reversals””
14. What is “data mining”
15. Antibiotic stewardship program.
16. Early Goal Directed Therapy in shock
17. Differential Diagnosis and management of nipple discharge
18. What is evidence based medicine.
19. Surviving sepsis campaign
20. ERAS in colorectal surgery.
21. Blood transfusion prescription.

262
 SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of

263
 facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

Signature of learner

Remarks of facilitator

264
 Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

Signature of learner

Remarks of facilitator

265
 Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

Signature of learner

266
Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

Signature of learner

267
Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

268
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

269
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

270
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

271
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

272
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

Learnings and Reflections:

273
Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

274
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

275
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

276
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

277
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

278
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

279
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

280
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

281
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

282
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

283
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

284
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

285
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

286
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

287
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

SELF DIRECTED LEARNING

Topic…………………………………… date…….

Name of facilitator………

288
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

AETCOM
ATTITUDE,ETHICS&COMMUNICATION
Aim of medical profession is to cure sometimes, relieve often and
comfort always.
We should never shout at the patient. Even when we are admonishing him it should be done
with false anger.

“Indian Medical Graduate” (IMG) not only possesses requisite knowledge and skills but attitudes,
values and responsiveness also so as to be able to function appropriately, ethically and effectively in
her/his roles as clinician, leader and member of the health care team and system, communicator, lifelong
learner and as a professional.

AETCOM competencies of the role of IMG-

1.3.3Communicator with patients, families, colleagues and community-

3.3.1Demonstrate ability to communicate adequately, sensitively, effectively and respectfully

with patients in a language that the patient understands and in a manner that will improve patient
satisfaction and health care outcomes.

3.3.2 Demonstrate ability to establish professional relationships with patients and

families that are positive, understanding, humane, ethical, empathetic, and AETCOM
competencies for IMG 14 trustworthy.

3.3.3 Demonstrate ability to communicate with patients in a manner respectful of

patient’s preferences, values, prior experience, beliefs, confidentiality and privacy. 3.3.4

289
 Demonstrate ability to communicate with patients, colleagues and families in a manner that
encourages participation and shared decision-making.

3.5. Professional who is committed to excellence, is ethical, responsive and accountable to patients,
community and the profession

3.5.1 Practice selflessness, integrity, responsibility, accountability and respect.

3.5.2 Respect and maintain professional boundaries between patients, colleagues and society.
3.5.3 Demonstrate ability to recognize and manage ethical and professional conflicts.

3.5.4 Abide by prescribed ethical and legal codes of conduct and practice.

3.5.5 Demonstrate a commitment to the growth of the medical profession as a whole.

Next few pages are suggested sessions for AETCOM. The may add more as per their choice.

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify, discuss and defend medico-legal, socio-cultural, professional and

ethical issues as it pertains to the physician - patient relationship (including

fiduciary duty)

Level KH

290
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify and discuss physician’s role and responsibility to society and the

community that she/ he serves

Level KH

Learnings and Reflections:

Signature of learner

291
Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Administer informed consent and appropriately address patient queries to a

patient undergoing a surgical procedure in a simulated environment

Level SH

292
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Administer informed consent and appropriately address patient queries to a

patient undergoing a surgical procedure in a simulated environment

Level SH

293
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify, discuss and defend, medico-legal, socio-cultural and ethical issues as

they pertain to consent for surgical procedures

Level KH

294
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Demonstrate ability to communicate to patients in a patient, respectful, nonthreatening,

non-judgmental and empathetic manner

Level SH

295
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Demonstrate an understanding of the implications and the appropriate procedure

and response to be followed in the event of medical errors

Level SH

296
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Demonstrate ability to communicate to patients in a patient, respectful, nonthreatening,

non-judgmental and empathetic manner

Level SH

297
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..
Communication with a patient in a respectful, non-judgmental & empathic manner.
Level SH

298
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Elicitation of relevant history of a disease. Level SH

299
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Explain the patient & relatives for need of particular procedure, its common complications/
possible problems if that procedure is not done.
Level SH

300
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Counseling of the patient & relatives for obtaining informed consent of a procedure. Explain
general condition of a patient to relatives.
Level SH

301
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Counsel the family of a patient for blood donation. Counseling of patient & relatives on taking
preventive measures for various diseases.
Level SH

302
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Communicate diagnostic and therapeutic options to patient and family in a

simulated environment

Level SH

303
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify, discuss and defend medico-legal, socioeconomic and ethical issues as

it pertains to abortion / Medical Termination of Pregnancy and reproductive

rights

Level KH

304
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify and discuss medico-legal, socio-economic and ethical issues as it pertains

to organ donation

Level KH

305
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Demonstrate empathy in patient encounters

Level SH

306
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Communicate care options to patient and family with a terminal illness in a

simulated environment

Level SH

307
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator
Small Group Learning AETCOM

Date ……
Name of facilitator……..

Communicate care options to patient and family with a terminal illness in a

simulated environment

Level SH

308
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify conflicts of interest in patient care and professional relationships and

describe the correct response to these conflicts

Level SH

309
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Demonstrate empathy to patient and family with a terminal illness in a simulated

environment.

Level SH

310
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify, discuss and defend medico-legal, socio-cultural, professional and

ethical issues pertaining to medical negligence

Level KH

311
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

Small Group Learning AETCOM

Date ……
Name of facilitator……..

Identify, discuss and defend medico-legal, socio-cultural, professional and

ethical issues pertaining to malpractice

Level KH

312
Learnings and Reflections:

Signature of learner

Remarks of facilitator

Signature of
facilitator

KALAMAZOO ESSENTIAL ELEMENTS

COMMUNICATION CHECKLIST

Build a Relationship

313
Greets and shows interests in patients as a person uses words that show care and
concern throughout the interview uses tone, pace, eye contact, and posture that
shows care and concern.

Open the Discussion

Allows patient to complete opening statement without interruption Asks "Is there anything else?" to
elicit a full set of concerns Explain and/or negotiates an agenda for the visit

Gather Information
Begins with patient's story using open-ended questions("Tell me about...")clarifies details as necessary
with more specific "yes/no" questions Summarizes and gives patient opportunity to correct or add
information Transition effectively to additional questions.

Understands the patient’s perspective

Asks about life events, circumstances, other people that might affect health
Elicits patient’s beliefs, concern, and expectations about illness and treatment
Responds explicitly to patient statement about ideas, feelings, and values

Share information

Explain using words that are easy for patient to understand

Provide closure
Asks whether the patient has questions, concerns, or other issues
Acknowledges patient and closes the interview

314
 Final Summary
Sr. No. Section Date Overall Assessment Signature of the
(dd/mm/yy) (Complete/incomplete faculty-in
) charge/HOD
(with date)

Competence

SHORT CASE

Long case

315
 Final Summary

Sr. No. Section Date Overall Assessment Signature of the

(dd/mm/yy) (Complete/incomplete faculty in
) charge/HOD
(with date)

Instrument

Simulation Based Teaching

Attitude, Ethics and Communication (AETCOM)

316
 Final Summary
Sr. No. Section Date Overall Assessment Signature of the
(dd/mm/yy) (Complete/incomplete faculty in
) charge/HOD
(with date)

Integration

317
 LOGBOOK TABLE
Sr. Competency Maximum No. of Any Rating Final Feedback Feedback
No number and number of attempts remedial 1.Scope for decision of conveyed received
. description attempts taken by training further faculty by faculty by
of the allowed the needed? improvement C-complet (yes/no) learning
activity for the learner (yes/no)if 2. satisfactory ed N-not signature (yes/no)
activity (with yes then (All attempts completed of faculty signature
date of state the at the activity (with of learner
each reasons must be rated date) (with
attempt) (s) separately) date)

1.

2.

3.

318
4.

5.

319