Radiodiagnosis Logbook at Maharashtra University of Health Sciences

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK LOG BOOK (POST GRADUATE) FACULTY MEDICAL DEPARTMENT Radiodiagnosis M.D. / D. M.R.D.

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK LOG BOOK (POST GRADUATE DIPLOMA) M.D / D. M. R. D. Name of the P. G. Student: Name of the P. G.Guide: Name of the College:

Department of Radiology Certificate This is to certify that Dr. is registered as a post graduate student at ---------------------------------------- for M.D /D.M.R.D. All the entries in the Logbook have been checked and authenticated. Signature Signature Post graduateTeacher Head of Department Name: Date: Date:

INDEX SN Topic Page. No. 1. General Information 1 2. Clinical Posting 2 3. Procedures 3 4. Presentations 9 Case Presentations Sessions Seminars Journal Club Meetings Inter- hospital Clinical Meetings Inter- Departmental Meetings Other Meetings 5. Teaching Sessions Conducted Workshop, Seminars, Conference and Guest Lecturers Attended 6. 7. Scientific Papers Presented at Conferences Awards, Prizes and Certificates of Appreciation Obtained. 8. 10. Publications in the Books & Scientific Journals` 12. Record of Internal Assessment 13. Assessment of Performance 14. Summary 15. Instructions for the Residents Medical Officers

GENERAL INFORMATION Name: Date of Birth: Address (Permanent): Address (Temporary): Tel. No.: E-mail ID: Date of joining the course: Registered for: Registration Number: Post Graduate Teacher: Under Graduate and Post Graduate Qualification College& University Distinction & Prizes Degree/Diploma Year of Passing Attempt Student s Signature

CLINICAL POSTING Signature of unit In- charge Period POSTING From TO 1stYear 1stmonth 2ndmonth 3rdmonth 4thmonth 5thmonth 6thmonth 7thmonth 8thmonth 9thmonth 10thmonth 11thmonth 12thmonth 2ndyear 1stmonth 2ndmonth 3rdmonth 4thmonth 5thmonth 6thmonth 7thmonth 8thmonth 9thmonth 10thmonth 11thmonth 12thmonth

3rd Year 1stmonth 2ndmonth 3rdmonth 4thmonth 5thmonth 6thmonth 7thmonth 8thmonth 9thmonth 10thmonth 11thmonth 12thmonth 4thyear 1stmonth 2ndmonth 3rdmonth 4thmonth 5thmonth 6thmonth 7thmonth 8thmonth 9thmonth 10thmonth 11thmonth 12thmonth

SUMMARY POSTING DURATION (IN MONTH) SN POSTING 1. URORADIOLOGY 2. GASTROINTESTINAL RADIOLOGY 3. GENERAL RADIOLOGY 4 ORTHOPAEDIC RADIOLOGY 5. VASCULAR & INTERVENTIONAL RADIOLOGY 6. NEURORADIOLOGY & INTERVENTION 7. ULTRA SONOGRAPHY 8. COMPUTED TOMOGRAPHY 9. MRI 10. EMERGENCY MEDICL SERVICES

URORADIOLOGY Signature Prof / Assoc. Prof /Lecturer SN GU DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

GASTROINTESTINAL RADIOLOGY Signature Prof / Assoc. Prof /Lecturer SN GIR DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

GENERAL RADIOLOGY Signature Prof / Assoc. Prof /Lecturer SR.NO Rad.No. DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

VASCULAR & INTERVENTIONAL RADIOLOGY Signature Prof / Assoc. Prof /Lecturer SN VIR DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

NEURORADIOLOGY & INTERVENTION Signature Prof / Assoc. Prof /Lecturer SN INR DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

ULTRASONOGRAPHY SIGNATURE PROF / ASSOC. PROF /LECTURER NAME OF PATIENT SN DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

COMPUTED TOMOGRAPHY SIGNATURE PROF / ASSOC. PROF /LECTURER NAME OF PATIENT SN DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

MRI SIGNATURE PROF / ASSOC. PROF /LECTURER NAME OF PATIENT SN DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

EMERGENCY MEDICAL SERVICES SIGNATURE PROF / ASSOC. PROF /LECTURER NAME OF PATIENT SN DATE PROCEDURE O/A/P/S 0=Observed A- Assisted P-Performed S- Supervised

(A) Case PresentationSessions Signature Prof / assoc. Prof /lecturer SN Date Case Title Case Presentation: Logical order in presentation Positive & Negative points Interpretation of Radiologic findings Diagnosis / Treatment / Path logical correlation Evaluation of case presentation: Ability to react to questioning Ability to defend diagnosis Ability to justify diagnosis Confidence

(B) SeminarsAttended Signature Prof / assoc. Prof / Lecturer SN Date Topic

(C) Journal ClubMeetings Signature Prof / assoc. Prof / Lecturer SN Date Topic Journal Clubs : Articles presented / choice of article relevance - Content - Presentation (cogency) - Discussion / review of cross reference - Overall impression of articles: Strong Vs. Weak points -

(D) Presentation at the Inter- Hospital & Inter Departmental Clinical Meetings Signature Prof / assoc. Prof / Lecturer SN Date Title of the Case Presented

(E) Presentation at other Meetings Signature Prof / assoc. Prof / Lecturer SN Date Topic

TEACHING SESSIONS CONDUCTED Signature Prof / Assoc. Prof / Lecturer * Student Category SN Date Title / Topic

*Student Category: UG / PG / Nurse / OT-PT student / Any other (Please specify) WORKSHOPS / SEMINARS / CONFERENCES / GUEST LECTURERS ATTENDED Signature Prof / Assoc. Prof / Lecturer Workshop / Seminar / Conference / Lecturer SN Date

SCIENTIFIC PAPERS PRESENTED AT CONFERENCES Signature Prof / assoc. Prof / Lecturer SN Date Title of the paper Conference

AWARDS, PRIZES AND CERTIFICATES OF APPRECIATION Signature Prof / assoc. Prof / Lecturer SN Date Prize / Certificate PUBLICATION IN BOOK & SCIENTIFIC JOURNALS:

RESIDENT EVALUATION Name of Resident Below competence (BC) Competent (C) Above competence (AC) BC CAC Patient care (Residents should provide compassionate, appropriate, and effective patient care) 1. Develop a clinical plan and proper technique based on readiologic findings and clinical Information. Medical Knowledge (Residents should be knowledgeable, scholarly, and committed to lifetime learning) 2. Recognize and describe relevant radio logic findings. 3. Synthesize readiologic and clinical information and form as impression 4. Utilize information technology to investigate clinical questions and for for continuous self learning Interpersonal / communication skills (Residents should communicate and teach effectively) 5. Show sensitivity to and communicate effectively with clinical colleagues and health care team 6. Appropriately obtain informed consent 7. Recognize, appropriately communicate, and documents in the patient record urgent or unexpected readiologic findings 8. Produce readiologic reports that are accurate, concise, and grammatically correct 9. Effectively teach residents, medical students and other health care professional Practice based learning and improvement (Residents should investigate and evaluate Patient care practices, and appraises and assimilate scientific evidence in order to improve their practices ) 10. Participate in QI (Quality improvement) / QA (Quality assurance) activities 11. Recognize and correct personal errors

Professionalism (Residents should be altruistic and accountable, and adhere to principles of medical ethics by respecting and protecting patients best interests ) 12. Demonstrate a responsible work ethic with regard to conference attendance and work assignments 13. Demonstrate acceptable personal demeanor and hygiene Overall performance : (AC) Comments : (An overall impression of below competence (BC) or above competence requires narrative comments) Signature /s Date