dental logbook 2.3.2008§نشطة... · 2012-06-06 · including gingivitis 20 20 200 Hard tissue...

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Family Dentistry logbook

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اسم المستشفى اسم المستشفى

توقيع مدير المستشفى

(بعد انتھاء التدريب) (بعد انتھاء التدريب) توقيع مدير المستشفى

خاتم شعار خاتم شعار المستشفى المستشفى

اسم المستشفى اسم المستشفى

توقيع مدير المستشفى

(بعد انتھاء التدريب) (بعد انتھاء التدريب) توقيع مدير المستشفى

خاتم شعار خاتم شعار المستشفى المستشفى

المستشفيات و مراكز التدريب التي تدرب بھا

بيانات شخصية عن المتدرب

االسم −

تاريخ الميالد −

العنوان −

رقم ترخيص مزاولة المھنة −

رقم التليفون −

رقم المحمول −

البريد اإللكتروني −

التخصص −

تاريخ القبول بالزمالة المصرية −

صورة شخصية

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CONTENTS...

Instructions for the use of the logbook ………………………….……….7 Patients’ Case log………………………………………………….………9

Required cases …………………………………….……………….….11 Soft tissue diseases including gingivitis …………………………..…..12 Hard tissue diseases ……………………….…………………….……..20 Pulp diseases ………………………………….……………………….28 Infections ……………….……………………….………………….….33 Pain …………………….…………………………….………….….....35 Bleeding …………………………………………………..…..……….41 Swellings and tumors …………………………………………..……...44 Ulcers ……………………………………………………………..…...46 White lesions …………………………….…………………….……....49

Procedures log…………………………………...…...…...………………..51 Pediatric dentistry and orthodontics ………..………………………….53 Oral medicine & periodontology ………………..…………………….57 Oral surgery ………………………………………….………………..65 Preventive dentistry…………….. ……………………….…………....89 Endodontics ………………………………………………….……….97 Traumatic injuries to teeth ……………………………………….…..103 Operative dentistry ………..………………………………………….105

Academic activities ………………..…………………………………….115 Lectures………………………………………………………………116

Journal clubs & seminars ………………...…………………………..118 Courses ……………………………..………………………………...119

Rotation proof………………………………………...………………….120

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Instructions for the use of logbook

Aim of the logbook The purpose of the logbook is to provide one source of evidence for the spe-cialty scientific council that you attained the desired level of competency re-quired for licensure. It is the place where you are going to document experi-ences and skills you gained during your training. The logbook is divided into several sections. These instructions will help you completing those sections correctly.

Personnel information Please fill in all your personnel information required. This will help the Egyp-tian Fellowship Administrators to process your logbook during scientific coun-cil evaluation yearly and finally before sitting for the final exam. Your person-nel photo should be attached to the logbook and you should sign the personnel information page

Dental cases log 1. You will find lists with all required cases in the curriculum. Your level of

participation in each case will be determined by your trainer 2. Patient name is not required. You need to mention the case provisional or

final diagnosis 3. For each case write the date of the interview 4. Make a check mark at the appropriate column indicating your level of par-

ticipation in case management (observer, supervised management of the case or independent management of the case)

5. Each case should be counter signed by your trainer. His signature is the proof of your actual participation

Procedures’ log 1. The logbook contains tables for required procedures during different stages

of training and the level of desired performance at each stage. 2. You will also find empty tables to write down the procedures, your level of

participation and the date. 3. Your trainer should countersign each procedure to document the event

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Academic activities 1. Academic activities that must be documented are journal clubs, and work-

shops or conferences attended. 2. You might find a list of required journal clubs in your specialty. Some scien-

tific councils prefer that you and your trainer determine the scientific content of the journal club based on your learning needs. In that situation you will find empty tables, where you will record the topic and date of the journal club and it should be signed by trainer/supervisor.

3. Workshops and conferences tables are the place where you will record your CME activities whether inside or outside the training center. Any attended activity must be signed by the workshop or conference organizer/coordinator

Rotation Proof Your scientific council has determined specific rotations in subspecialties

that you must go through during the training period (see your curriculum for details). After you finish each rotation sign its block by the Hospital/training center manager and stamp officially.

Assessment of logbook activities 1. Your trainer will assess your logbook weekly for completion and provide

feedback 2. Your educational supervisor will assess your logbook monthly or every two

months, provide verbal or written feedback and counter sign important ac-tivities

3. The examination committee of the scientific council will revise your log-book:

A) Annually before you progress from one year of training to another B) At the end of training before the final exam

To be noted that unsatisfactory completion of the logbook would lead to delay of training progression. Unsatisfactory logbook at the end of training will prevent you from entering the final exam Important Notice: It is your responsibility to maintain accurate and completed logbook and to regu-larly update your records. Shall you meet any difficulty; you must contact your trainer or your specialty administrator at the Egyptian Fellowship Board.

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Patients’ case log

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11

Required dentistry cases

Diagnosis of dental conditions

Minimum Number of Cases

Observed Supervised Independent management

Soft tissue diseases including gingivitis

20 20 200

Hard tissue diseases 20 20 200

Pulp disease 20 20 60

Infections 10 10 10

Pain 50 50 100

Bleeding 10 10 30

Swellings & tumors 15 15 50

Ulcers 10 10 10

White lesions 5 5 5

12

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

13

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

14

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

15

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

16

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

17

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

18

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

19

Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

20

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

21

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

22

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

23

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

24

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

25

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

26

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

27

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

28

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

29

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

30

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

31

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

32

Pulp disease Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

33

Infections

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

34

Infections

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

35

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

36

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

37

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

38

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

39

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

40

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

41

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

42

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

43

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

44

Swellings and tumors

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

45

Swellings and tumors

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

46

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

47

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

48

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

49

White lesions

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

50

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Procedures log

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Pediatric dentistry & orthodontics

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Treatment of deep caries in deciduous teeth  

3  7

Pulpotomy or partial pulpectomy 3 7

Space maintainer 5 5

Appliances for abnormal habits 2 3

54

Pediatric dentistry and orthodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

55

Pediatric dentistry and orthodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

56

57

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Gingivectomy 3 6

Scaling and root planning 2 43

Subgingival curettage 2 28

Periodontal surgery 5 10

Treatment of oral lesions 5 5 50

Oral medicine and periodontology

58

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

59

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

60

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

61

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

62

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

63

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

64

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

65

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Local anesthesia of differ-ent types

10 20 270

Tooth extraction 10 20 270

Removal of the remaining roots

10 65

Surgical extraction of soft tissue impacted teeth

2 13

Complicated impaction 15

Alveolar surgery 2 13

Interpretation of radiologi-

cal imaging:

− Panorama

− Lateral and lateral

oblique view

− Peri-apical

− CT

15

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35

15

20

Oral Surgery

66

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

67

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

68

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

69

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

70

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

71

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

72

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

73

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

74

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

75

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

76

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

77

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

78

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

79

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

80

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

81

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

82

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

83

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

84

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

85

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

86

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

87

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

88

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

89

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Sealants application on in-cipient caries

1 29

Composite restoration in anterior teeth

 1

 29

ART 1 29

fluoride application 1 29

Preventive Dentistry

90

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

91

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

92

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

93

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

94

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

95

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

96

97

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Anterior teeth pulpectomy 2 28

Premolar pulpectomy 2 13

Molar pulpectomy 2 13

Re-enforce root canal 15

Endodontics

98

Endodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

99

Endodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

100

Endodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

101

Endodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

102

103

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Emergency treatment of trauma-tized teeth 1 8

Traumatic injuries to teeth

Traumatic injuries to teeth

Procedure

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

104

105

Procedure Minimum Number of Procedures

Observed Supervised Independent performance

Amalgam restoration 3 42

Class III composite restorations 3 42

Cervical composite restorations 3 42

Class IV composite restorations 1 14

Posterior composite restorations 3 42

Indirect esthetic restorations 3 12

Restoration of badly broken teeth 2 13

Operative Dentistry

106

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

107

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

108

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

109

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

110

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

111

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

112

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

113

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

114

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

115

Academic activities log

116

Lectures

Lecture Title Date Location Tutor’s

signature

117

Lectures

Lecture Title Date Location Tutor’s

signature

118

Journal club titles / seminars

Title Trainer’s signature & date

119

Courses and workshops

Course Title Date Location Coordinator

signature

120

Rotation Proof during the program

Program

Rotation m

ap

Hospital m

anager signature after the end of rotation and the signature must be stam

ped.

Year of training

Rotation 1

Rotation 2

Rotation 3

First Year

Hospital m

anager signature

Second Year

Hospital m

anager signature

Third Year

Hospital m

anager signature