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1 Family Dentistry logbook

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Page 1: dental logbook 2.3.2008§نشطة... · 2012-06-06 · including gingivitis 20 20 200 Hard tissue diseases 20 20 200 Pulp disease 20 20 60 ... Interpretation of radiologi-cal imaging:

1

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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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

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Soft tissue diseases including gingivitis Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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20

Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Hard tissue diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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30

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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31

Pulp diseases Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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32

Pulp disease Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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33

Infections

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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Infections

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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35

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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36

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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37

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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38

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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39

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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40

Pain

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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41

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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42

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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43

Bleeding

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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44

Swellings and tumors

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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45

Swellings and tumors

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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46

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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47

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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48

Ulcers

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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49

White lesions

Number Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Diagnosis

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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

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54

Pediatric dentistry and orthodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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Pediatric dentistry and orthodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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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

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58

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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59

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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60

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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61

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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62

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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63

Oral medicine and periodontology

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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64

Oral medicine and periodontology

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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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

6

35

15

20

Oral Surgery

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66

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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67

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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68

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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69

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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70

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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71

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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72

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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73

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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74

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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75

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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76

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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77

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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78

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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79

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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80

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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81

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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82

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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83

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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84

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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85

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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86

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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87

Oral Surgery

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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88

Oral Surgery

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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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

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90

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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91

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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92

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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93

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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94

Preventive Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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95

Preventive Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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96

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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

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98

Endodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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99

Endodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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100

Endodontics

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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101

Endodontics

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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102

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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

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104

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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

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106

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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107

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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108

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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109

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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110

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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111

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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112

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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113

Operative Dentistry

Number

Trainer’s signature Observed

Performed Under

Supervi-sion

Performed Independ-

ently

Procedure

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114

Operative Dentistry

Number

Trainer’s signature Observed

Managed Under

Supervi-sion

Managed Independ-

ently

Procedure

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115

Academic activities log

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116

Lectures

Lecture Title Date Location Tutor’s

signature

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117

Lectures

Lecture Title Date Location Tutor’s

signature

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118

Journal club titles / seminars

Title Trainer’s signature & date

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119

Courses and workshops

Course Title Date Location Coordinator

signature

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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