MS Surgery Log Book

LOG BOOK
S U R G E R Y
For
MASTER IN SURGERY
MS RESIDENCY PROGRAMME
DEPARTMENT OF SURGERY
BANGABANDHU SHEIKH MUJIB MEDICAL UNIVERSITY
SHAHBAG, DHAKA, BANGLADESH.
MASTER IN SURGERY 1
Published By:
Department of Surgery
Bangabandhu Sheikh Mujib Medical University
Shahbagh, Dhaka-1000.
First Edition : Jan 2011
Second Edition: Jan 2012
Printed by
Department of Surgery, BSMMU
MASTER IN SURGERY 2
PHOTO
Name of the Candidate (in block letter) : ...
Year of entry in to the course : ...
MASTER IN SURGERY 3
ENDORSEMENT:
All the entries made in this book by Dr. having registration

number are correct.
Course Manager Course Coordinator Course Director

Department of Surgery Department of Surgery Department of Surgery
MASTER IN SURGERY 4
PARTICULARS OF THE TRAINEE:
Name : ..
Fathers Name : ..
Mothers Name : .....
Date of Birth : ..
Address
Permanent :
...
For Correspondence :
MBBS (institute) :
Year of Passing University Registration No...
Internship : From. to ..
Name of Hospital :
BMDC Registration No.:..
Year of entry in to MS General Surgery (Residency Programme) Course: ..
MASTER IN SURGERY 5
Training Detail / Block Detail:
Duration :
Name of the Department :
Unit :
Unit Head :
Designation :
Number of Bed : No. of trainees of the unit :
Signature of the Unit Head:
Duration :
Unit :
Unit Head :
Designation :
MASTER IN SURGERY 6
Duration :
Unit :
Unit Head :
Designation :
Duration :
Unit :
Unit Head :
Designation :
MASTER IN SURGERY 7
:
Duration
Unit :
Unit Head :
Designation :
Duration :
Unit :
Unit Head :
Designation :
MASTER IN SURGERY 8
Duration :
Unit :
Unit Head :
Designation :
Duration :
Unit :
Unit Head :
Designation :
MASTER IN SURGERY 9
Duration :
Unit :
Unit Head :
Designation :
Duration :
Unit :
Unit Head :
Designation :
MASTER IN SURGERY 10
Explanatory Notes
This Log Book is intended to help both trainees and trainers keeping them aware of their responsibility.
This will be a record of all Clinical, Practical, Academic and Research Activities of the trainee with particular reference to different
procedure (operations) performed.
This Log Book has been designed to record level of achievement or competence in addition to the service.
Maintenance of Log Book throughout the training period will reflect the overall interest and aptitude of the trainee.
1. Instructions for the trainee:
Please read this Log Book carefully. It is an outline of the syllabus for trainees.
This Log Book has to be maintained by all trainees preparing for MS General Surgery.
Trainees are advised to make the entries of the activities on the same day. All entries must be signed by supervisor on the same
day and countersigned by the head of the unit as soon as possible.
Trainees will remain responsible for care of his/her log book.
2. Guideline for trainers:
The Log Book is a day to day record of the clinical, practical and the academic work done by the trainee.
Its purpose is to follow the progress of the candidate and assess the achievement and the deficiencies so that they can be
redressed.
The trainer should ascertain that the entries in the logbook are made immediately after the activities and they are authenticated
by signature of the trainer himself.
Aims & Objectives of the post graduate training programme:
The aim of the post graduate training programme is to produce a surgeon who shall
1. Provide optimum care to the patients needing surgical service.
2. Teach and train students and junior doctors in medical college and other institutions.
3. Carry out and guide research in surgical science and education
4. Develop knowledge, skills and attitude (Competence) in areas of interest in different surgical specialties.
5. Organize and work effectively as a member of medical team at different levels, in the events of natural disaster and national
need.
6. Develop and maintain ethical and moral values.
7. Develop respect for national needs and expectations.
At the end of the training a candidate shall be able to:
a. Receive and assess the patients with surgical problems prevalent in the country by
Eliciting pertinent history
Performing correct physical examination
Making a working diagnosis
Determining the type of care ambulatory/inpatient or otherwise.
Starting life saving emergency care including CPR.
Starting emergency care.
Requesting appropriate investigation and interpretation of their result.
Perform immediate necessary surgical procedures competently.
Identify promptly the complications and deal with safety.
Maintain record of patients systematically.
Seek help from other colleagues where needed.
Treat patients and their relatives with respect and empathy.
b. Plant scientific research and publish findings.
c. Search the medical information and utilize it.
d. Organize team work and appreciate the role of team members.
e. Make effective communication with patients, their relatives, colleagues and other health professionals.
f. Advice for prevention of diseases and promotion of heath in the community.
TRAINING PROGRAMME
(A) The total training programme is of five years duration
Phase - A
1. General Surgery 01 year
Orthopedic Surgery/Casualty Surgery
2. Urology
Neuro Surgery
Burn & Plastic Surgery
Pediatric Surgery
Cardiac & Vascular Surgery
Thoracic Surgery
Radiology 01 year
Nuclear Medicine
ICU
Medical Oncology & Radiation
Pathology
Internal Medicine
Phase B
General Surgery
Hepatobiliary Pancreatic Surgery
Colorectal Surgery 03 years
Endocrine Surgery
Minimal Access Surgery
Onco Surgery
NB:
1. During the training a candidate is to achieve competence (operative-major/minor, procedure) as mentioned in the logbook.
2. The logbook should be submitted to the University at the time of submission of application for appearing the examination.
3. Preferably the sub-specialty training should be done at least after one year of General Surgery training.
4. Candidate to be evaluated on log book.
MODE OF ACHIEVEMENT OF THE OBJECTIVE:
The objective of the training may be achieved through different modes. As for example
1. Self Learning of basic principles of Surgery.
2. Clinical responsibility
Active involvement in patient management by taking graded responsibilities in
Indoor patient management
Attending outpatient department and follow up clinics
Emergency duties
3. Participations in Practical procedures or surgical procedures, post operative care and subsequent follow up.
4. Academic Activities e.g.

Participation in teaching learning process
Presentation (Cases or papers) in clinical meeting, seminars, journal club etc.
Participation at clinical meeting and CME conferences
Participation in different skill courses and workshops
5. Research Activities
Writing thesis
Monthly Audit of the unit
Any publication
The experience and competencies, achieved through these activities will be varied and can be leveled as
1. Observer status
2. Assistant status
3. Performed under direct supervision
4. Performed under indirect supervision (the supervisor in readily available in called for)
5. Performed independently.
At the end of the training, the trainee shall be able to perform the following procedures with the given level of competence
Sl. No. Patient management 1st Year 2nd Year 3rd Year 4th Year 5th Year Total
1 Eliciting patient history 5 5 5 5 5 25
2 Performing physical examination 5 5 5 5 5 25
3 Ordering appropriate investigations 5 5 5 5 5 25
4 Interpreting the results of investigation 5 5 5 5 5 25
5 Assessing fitness & preparation for surgery 5 5 5 5 5 25
6 Deciding & preparation for surgery 5 5 5 5 5 25
7 Post operative management & monitoring 5 5 5 5 5 25

Presentation skills: 1 long case & 2 short
8 12 12 12 12 12 60
cases/per block
B
Sl. Surgical knowledge & application 1st Year 2nd Year 3rd Year 4th Year 5th Year Minimum
No. of the following Number
Per-operative preparation for various
1 10 10 10 10 10 30
surgical procedures (listed below)
2 Aseptic techniques 10 10 10 10 10 30
Positioning of patient on operation table 4 5 5 5 5
for:
1. Laparotomy 50
2. Perineal surgery 30
3
3. Thoracotomy 05
4. Surgical procedures on back 05
5. Renal surgery 10
6. Head & neck surgery 10
Common surgical instruments and
4 3 5 5 5 5 10
appliance including endoscopes.
5 Suture materials 10 10 10 10 10 45
6 Stapling devices and techniques 1 2 3 3 4 05
C
Surgical knowledge & application Minimum

Sl. No. 1st Year 2nd Year 3rd Year 4th Year
of the following Number
1 Airway maintenance and intubation 3 5 10 10 20
2 IPPR and other methods of artificial respiration 4 5 5 5 5
3 Closed cardiac massage 5 5 5 5 5
4 Controlling haemorrhage 5 5 5 5 5
Debridement & wound closure 4 5 10 15 30
5 (excluding repair of special tissues)
Application of splints, P.O.P casts, skin traction 4 5 5 5 10
Incision & drainage of abscess (excluding deep seated
6 5 5 10 15 30
abscess in peritoneum and other serous cavities)
7 Uretheral catheterization using soft & hard catheters 5 5 10 15 30
8 Uretheral dilation 3 4 5 5 10
9 Suprapubic puncture 3 4 5 5 5
10 Meatotomy 3 4 5 5 5
11 Circumcision 5 5 5 5 10
12 Lumber puncture 5 5 5 5 5
13 Placement of CVP line 3 5 5 5 5
14 Venesection 5 5 5 5 10
15 Intercostal drainage 3 4 5 5 10
Minimum
Sl. No. Procedure 1st Year 2nd Year 3rd Year 4th Year
Number
16 Biopsy of lymph node 4 5 5 5 10
17 Biopsy of skin lesions, subcutaneous swellings 3 4 5 5 10
18 Excision of soft tissue tumours and cysts 3 4 10 15 20
19 Split skin graft 5 5 5 5 10
20 Tracheostomy 4 5 5 5 05
21 Opening and closure of abdomen 3 4 15 20 40
22 Proctoscopy and interpretation of findings 3 5 10 15 20
23 Gastroduodenoscopy 1 2 5 10 10
24 Colonoscopy 1 2 5 10 10
25 ERCP 1 2 2 2 5
26 Proctosigmoidoscopy 2 3 10 15 10
27 Liver biopsy 1 2 3 5 2
28 Percutaneous needle aspiration under US/CT guidance 2 2 5 5 10
D
Minimum
Sl. No. Abdominal Operation 1st Year 2nd Year 3rd Year 4th Year
Number
1 Hernia repair 3 5 10 20 30
2 Operation on scrotum & testes 3 5 10 10 20
3 Hemorrhoids, fissures, fistulae 3 10 10 15 30
4 Appendicectomy 3 10 10 15 20
5 Cholecystectomy/Choledocholithomy 3 10 10 15 20
6 Oesophagectomy 2 2 3 5 5
7 Intestinal/colonic resection & anastomosis 3 5 10 10 15
8 Laparoscopic surgery 2 5 10 10 15
9 Laparotomy/exploration of abdomen 3 4 10 15 20
10 Colostomy & Ileostomy 2 3 5 10 10
11 Liver procedure 2 1 2 4 3
E
Minimum
Sl. No. Orthopedic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Closed treatment of common fractures 3, 4 5 5 5 5
2 Open reduction, plating, nailing, wiring 2, 3 4 5 5 5
3 External fixation 2 5 5 5 2
4 Operative treatment of deformities 2, 3 3, 4 5 5 2
5 Operations on tendons (repair & lengthening) 5 5 5
6 Nerve repair 3 4 5 5 5
7 Amputation 3 4 5 5 10
8 Sequestrectomy 3 4 5 5 5
9 Bone biopsy 3 4 5 5 5
10 Prosthesis/implants 2 5 3
11 Management of compound fractures 3 4 5 5
Minimum
Sl. No. Head & Neck Surgery and other area 1st Year 2nd Year 3rd Year 4th Year
Number
1 Burr hole for cerebral decompression 1 2 3 4 5
Intracranial operation & operation for spinal
2 1 2 2 2 2
decompression
3 Operations on thyroid, salivary gland & jaw 3 4 5 5 10
4 Vascular surgery 3 4 5 5 10
5 Breast Surgery 3 5 10 10 20
G
Minimum
Sl. No. Thoracic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Lobectomy 1 1 3 4 2
2 Pneumonectomy 1 1 3 4 2
3 Operations for esophageal carcinoma 1 1 3 3 2
4 Decortication 1 1 3 4 2
Minimum
Sl. No. Paediatric Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Cleft lip 1 2 3 4 5
2 Cleft palate 1 2 3 4 5
3 Rectal & umbilical polyp 1 2 3 4 5
4 Imperforate anus 1 2 3 4 5
5 Congenital malformation of abdominal viscera 1 2 3 4 5
6 Hypospadias 1 2 3 4 5
7 Epispadias 1 2 3 4 5
8 Umbilical & inguinal hernia 1 2 3 4 5
9 Hydrocele 1 2 3 4 5
10 Colostomy 1 2 3 4 5
I
Minimum
Sl. No. Thoracic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Suprapubic Cystostomy 2 3 5 5 5
2 Prostatectomy 1 2, 3 4 5 5
3 Cystolithotomy 1 3 4 5 5
4 Uretheral dilatation 1 4 5 5 5
5 Operations on kidney & ureter 1 3 4 5 5
6 Treatment of bladder & uretheral injuries 1 2 3 5 5
7 TURP/TURBT 1 2 3 5 5
8 Endoscopic Urology 1 1 2 5 2
9 Transvesical and retropubic prostatectomy 1 1 1 5 2
10 Percutaneous nephrolithotomy 1 1 2 5 5
11 ESWL 1 1 1 5 2
Minimum
Sl. No. Plastic Surgery 1st Year 2nd Year 3rd Year 4th Year
Number
1 Skin grafting 1 2 4 5 5
2 Burn care 1 2 4 5 5
3 Myocutaneous flaps 1 2 2 3 5
4 Cleft lip 1 2 2 3 5
5 Cleft palate 1 2 2 4 5
6 Repair of deformities 1 2 3 4 5
7 Cosmetic Surgery 1 2 2 4 5
K
Minimum
Sl. No. Intensive Care 1st Year 2nd Year 3rd Year 4th Year
Number
1 Use of ventilators 5 5 5
2 Cardiopulmonary resuscitation (CPR) 3 4 5 5 5
3 Intubation 2 3 5 5 5
4 CVP lines 2 4 5 5 5
5 Knowledge of monitoring instruments 3 4 5 5 5
6 Care of unconscious patients 1 2 2 5 5
7 ICU complications management 1 2 2 5 5
Minimum
Sl. No. Anaesthesia 1st Year 2nd Year 3rd Year 4th Year
Number
1 Local anaesthesia 5 10 10 10 30
2 Regional anaesthesia 5 5 5 5 10
3 Lumbar puncture and spinal anaesthesia 3 4 5 5 5
4 Epidural block 2 3 4 5 5
5 General anaesthesia 0 3 4 4 10
6 Mangement of pain 3 4 5 5 10
7 Assessing for fitness to undergo surgery 4 10 10 15 30
8 Post operative management & monitoring 10 15 20 25 50
BASIC SURGICAL SKILLS
Block:
Duration:
Trainer:
Procedure to be Performed Number Remarks by the Supervisor
Venous Access
Nasogastric Intubation
Indwelling Urinary bladder catheterization
Wound Dressings
Proctoscopic examination
Operation theatre Rituals (Changing dresses, wearing

gowns, Gloves, Masks & Caps, maintenance of aseptic
techniques)
Organization of Instruments Trolleys
Disposal of wastes
Sending tissues for histopahotlogical examination (10)
Block:
Duration:
Trainer:
Venous Access
Wound Dressings

techniques)
Disposal of wastes
Block:
Duration:
Trainer:
Venous Access
Wound Dressings

techniques)
Disposal of wastes
Block: Duration: Trainer:
Venous Access (10)
Nasogastric Intubation (10)
Indwelling Urinary bladder catheterization (10)
Wound Dressings (10)
Proctoscopic examination (10)
Operation theatre Rituals (Changing dresses, hand wash,

wearing gowns, Gloves, Masks & Caps, maintenance of
aseptic techniques) (20)
Organization of Instruments Trolleys (20)

CU Line Placement (2)
Operation Note writing (5)
Discharge Samary (5)
Referal Note writing (5)
Endo trachid in tubation
Tracje pf form
Local areas thyria
Block:
Duration:
Trainer:
Venous Access
Wound Dressings

techniques)
Disposal of wastes
Block:
Duration:
Trainer:
Venous Access
Wound Dressings

techniques)
Celine Placement
Upper GI Procedure
Colonoscopy
ERCP
CLINICAL PERFORMANCE FORM A
Case Record / Case Presentation
Note : Only Satisfactory performance will be recorded
Date Name & Age Reg. No Diagnosis Remarks
Minimum presentation Long Case 20

Minimum presentation Short Case 40 Signature of Supervisor






CLINICAL PERFORMANCE FORM Aa
Preoperative Evaluation
Ward/ Type of
Date Name & Age Reg. No F/UF* Measures Remarks
Bed Anaesthesia
*F Fit for Anaesthesia, UF Unfit for Anaesthesia.
Minimum evaluation 10 in each block

Signature of Supervisor
Ward/ Type of
Bed Anaesthesia

Ward/ Type of
Bed Anaesthesia

Ward/ Type of
Bed Anaesthesia

Ward/ Type of
Bed Anaesthesia

Ward/ Type of
Bed Anaesthesia

CLINICAL PERFORMANCE FORM Ab
Interpretation of Hematological and Biochemical Report
Ward/
Date Name & Age Reg. No Report Interpretation Remarks
Bed
Minimum Interpretation 05 of each in every block

Ward/
Bed

Ward/
Bed

Ward/
Bed

Ward/
Bed

Ward/
Bed

CLINICAL PERFORMANCE FORM Ac
Interpretation and Recording of Radiological and Imaging studies
Date Name & Age Reg. No Ward/ Bed Report Interpretation Remarks
Minimum Interpretation 05 in every block






CLINICAL PERFORMANCE FORM B
Attendance at OPD / Emergency / Follow-up Clinics
Date Name & Age Remarks Date Place of Duty Remarks
Minimum Attendance 75 days







PRACTICAL PROCEDURES / SURGICAL PROCEDURES
Elective Procedures
Note : Only Satisfactory performance will be recorded FORM C
Level of
Date Name & Age Procedure Complications Signature
Participation
Major Cases 60, Minor Cases - 120
PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM C
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
FORM C
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
Elective Procedures
Level of
Participation
PRACTICAL PROCEDURES / SURGICAL PROCEDURES FORM D
Emergency Procedures
Level of
Participation
Minimum (all categories 120 Cases)
Level of
Participation
Level of
Participation
Level of
Participation
Level of
Participation
Level of
Participation
Level of
Participation
Level of
Participation
FORM D
Level of
Participation
Level of
Participation
ACADEMIC ACTIVITIES FORM E
C 1 Teaching Activities
Number of
Date Student of Group Level of Participation Signature
Student
Minimum 30 sessions
Number of
Student
Minimum 30 sessions
Number of
Student
Minimum 30 sessions
Number of
Student
Minimum 30 sessions
ACADEMIC ACTIVITIES FORM F
C 2 Participation in academic programmes
(Seminars, Workshops, Journal Club, etc.)
Level of
Date Student of Group Topic Signature
Participation
Minimum 15 sessions
ACADEMIC ACTIVITIES FORM F
C 2 Participation in academic programmes
(Seminars, Workshops, Journal Club, etc.)
Level of
Date Student of Group Topic Signature
Participation
Minimum 15 sessions
RESEARCH ACTIVITIES: FORM G
Dissertation
Title : ..
.
.
Guide : ..
.
Co guide :
Publication (If any)

Title : ..
Journal .
Title : ..
Journal .
Title : ..
Journal .
COMPILATION SHEET PHASE A FORM H
Venous Access
Indwelling Urinary Bladder Catheterization
Wound Dressings
Proctoscopic Examination
Operation Theatre Rituals (Changing Dresses, Wearing

Gowns, Gloves, Masks & Caps, Maintenance Of Aseptic
Techniques)
Organization Of Instruments Trolleys
Disposal Of Wastes
Sending Tissues For Histopahotlogical Examination (10)
Signature of Course Co-ordinator
COMPILATION SHEET
COMPILATION SHEET PHASE A FORM H
Number Remarks by supervisor
Interpretation Of Hematological And Biochemical Report
Interpretation And Recording Of Radiological And Imaging Studies

Practical Procedures / Surgical Procedures
Elective Procedures
Practical Procedures / Surgical Procedures
Academic Activities
Academic Activities
C 2 Participation In Academic Programmes
Research Activities
Signature of Course Co-ordinator
COMPILATION SHEET
LECTURES ATTENDED PHASE A FORM I
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors
O MPILATION SHEET
Block....
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block..
Supervisor .
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block......
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor .
Sl Signature of
Date Topic Lecture
No. Supervisors

COMPILATION SHEET
Block...
Supervisor ..
Sl Signature of
Date Topic Lecture
No. Supervisors

CERTIFICATE OF ACCURACY PHASE A FORM J
I certify that the information contained in the LOGBOOK (Daily Training Record is a true and accurate record of my training
experiences.
Trainees signatureDate:.
FORM K: CERTIFICATION of Satisfactory completion of the logbook
I, to the best of my knowledge, certify that
Dr. .
Has satisfactory completed this logbook as required by the university.
Signature of the Course Coordinator
Name:
Discipline:
Date:

CERTIFICATE OF ACCURACY PHASE B FORM J
I certify that the information contained in the LOGBOOK (Daily Training Record is a true and accurate record of my training
experiences.
Trainees signatureDate:.
FORM K: CERTIFICATION of Satisfactory completion of the logbook
I, to the best of my knowledge, certify that
Dr. .
Has satisfactory completed this logbook as required by the university.
Signature of the Course Coordinator
Name:
Discipline:
Date:


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LOG BOOK

First Edition : Jan 2011

Second Edition: Jan 2012

Department of Surgery, BSMMU

Name of the Candidate (in block letter) : ...

Year of entry in to the course : ...

All the entries made in this book by Dr. having registration

Course Manager Course Coordinator Course Director

Mothers Name : .....

Year of Passing University Registration No...

BMDC Registration No.:..

Year of entry in to MS General Surgery (Residency Programme) Course: ..

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Signature of the Unit Head:

Trainees will remain responsible for care of his/her log book.

2. Guideline for trainers:

1. Provide optimum care to the patients needing surgical service.

3. Carry out and guide research in surgical science and education

6. Develop and maintain ethical and moral values.

7. Develop respect for national needs and expectations.

At the end of the training a candidate shall be able to:

(A) The total training programme is of five years duration

1. Self Learning of basic principles of Surgery.

4. Academic Activities e.g.

3. Performed under direct supervision

2 Performing physical examination 5 5 5 5 5 25

3 Ordering appropriate investigations 5 5 5 5 5 25

4 Interpreting the results of investigation 5 5 5 5 5 25

5 Assessing fitness & preparation for surgery 5 5 5 5 5 25

6 Deciding & preparation for surgery 5 5 5 5 5 25

7 Post operative management & monitoring 5 5 5 5 5 25

6 Stapling devices and techniques 1 2 3 3 4 05

Surgical knowledge & application Minimum

2 Operation on scrotum & testes 3 5 10 10 20

3 Hemorrhoids, fissures, fistulae 3 10 10 15 30

7 Intestinal/colonic resection & anastomosis 3 5 10 10 15

10 Colostomy & Ileostomy 2 3 5 10 10

BASIC SURGICAL SKILLS

Procedure to be Performed Number Remarks by the Supervisor

Indwelling Urinary bladder catheterization

Operation theatre Rituals (Changing dresses, wearing

Organization of Instruments Trolleys

Sending tissues for histopahotlogical examination (10)

Procedure to be Performed Number Remarks by the Supervisor

Indwelling Urinary bladder catheterization

Operation theatre Rituals (Changing dresses, wearing

Organization of Instruments Trolleys

Sending tissues for histopahotlogical examination (10)

Procedure to be Performed Number Remarks by the Supervisor

Indwelling Urinary bladder catheterization

Operation theatre Rituals (Changing dresses, wearing

Organization of Instruments Trolleys

Sending tissues for histopahotlogical examination (10)

Procedure to be Performed Number Remarks by the Supervisor