LOG BOOK

DEPARTMENT OF OBSTETRIC AND

GYNAECOLOGY

Faculty of Medicine
Maranatha Christian University
Bandung

1
 Trainee Identity

Name

Address

Rotatio
n date

Chief of Department,

(.....................................)

2
 Introduction

To achieve competency as primary service physician in

accordance with the competency standard set by Indonesian Medical
Council, a gradual and continuous learning is required.
To determine the level of student achievement and ensure the
achievement of the required competencies then it is made a Log Book
(Activity Book) as a guide to the Obstetric and Gynaecology
Rotation. This book is structured on the blueprint of the Department
curriculum, ensuring that everything listed in the curriculum can be
implemented.
This book is a written proof that describes the students activity in
all learning activities in the clinic and expected to encourage and
guide students to learn actively. All recording activities should be
known and approved by the clinical counselor. If the student
performance is not satisfactory then the clinical counselor should
provide feedback in writing and altogether the students determine the
learning plan to correct the inadequacy.

Bandung, June 25th 2018

Chairman and Secretary of Professional Doctor’s Degree Program
Faculty of Medicine - Maranatha Christian University

3
 INTRODUCTION TO THE BASIC LOG BOOK

The main purpose of the log book is to help you monitor your
own competence, to recognise gaps and address them. Its
second purpose is to describe the minimum competence level
expected of you at the end of the study in obstetrics and/or
gynaecology.
Each module has specific targets. Every target has an expected
competence level that you must achieve. The level of competence
ranges from observation to independent practice. The following list
specifies what is meant by each level.
Level O Observes Observes the clinical activity performed by a
Clinical Supervisor
Level A Assists Assists a Clinical Supervisor perform the
clinical activity
Level I Independent Performs the entire activity with indirect
supervision of a Clinical Supervisor

Please note that Level O (observes) and Level A (assists)

include the presentation of basic and clinical knowledge,
exhibition of clinical reasoning and identification of relevant
principles associated with the target activity.
Each module commences on a separate page. The pages contain
numbered training targets for the modules. Many of the targets
do not require an assessment of every competence level and
these are indicated by shaded boxes. Trainees can choose
whether or not to tick the shaded boxes as they progress. Certain
competence targets do not require the trainee to be level I
(independent). These are identified by black boxes. Tick off
competence levels as you achieve them. Each module when
completed has to be signed off by the educational supervisor and
trainee.

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 MODULE I. Delivery Room

Date : .................................

Target Achieved Competency Signature

Date of Clinical
Supervisor
O A I
I. Labor

1. Supervise normal labor

4. Vacuum extraction

6. Forceps extraction

II. Monitoring of labor

1. First stage of labor

2. Second stage of labor

3. Third stage of labor

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 4. Prolonged labor

III. Minor Surgical

Procedure

1. Curettage

2. Cyst extirpation
* Put ”√” on targets that has been achieved

Date Name Diagnosis Clinical Supervisor

6
 MODULE II. Maternity Wards

Date : ...........................................

Competency Signature
Target Achieved * Date of Clinical
O A I Supervisor
I. Postpartum basic
physical examination:
1. Breast examination
2. Uterus involution
3. Evaluating for an
episiotomy wound
4. Evaluating for post
operation wound
II. Pathological
Postpartum Diagnosis
1. Haemorrhage
Postpartum
2. Puerperal infection
3. Urinary tract
disfunction
4. Lactation
abnormalities
- Retracted
nipple/inverted
nipple
- Sore nipple
- Breast swelling
- Mastitis

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 5. Anemia
III. Postpartum care
1. Caring for an
episiotomy wound
2. Caring for post
operation wound
3. Breast care
IV. Education
1. Contraception
counseling
2. Lactation

* Put ”√” on targets that has been achieved

Date Name Diagnosis Clinical Supervisor

8
 MODULE III. Outpatient clinic

Date : ........................................

Competency Signature of
Target Achieved * Date
O A I Clinical
Supervisor
I. Obstetric
1. Diagnosing early
pregnancy
2. Determining gestational
age
3. Leopold examination

4. Examining the growth of

fetus
5. Diagnosing Gemelli
6. Early detection for
preterm labor
7. Determining
hypertension in
pregnancy
8. Gravidogram

9. External version

10. Detecting high risk

factor of pregnancy

9
11. Interpretating:
 Laboratoty test
 USG
 CTG
II. Gynaecology
1. Performing
gynaecological
examination
2. Discussing
gynaecological cases

3. Basic examination
of infertility

4. Menopause
5. Menstruation
abnormalities
* Put ”√” on targets that has been achieved

Date Name Diagnosis Clinical Supervisor

10
 MODULE IV. Emergency Room (ER)

Date : ......................................

Competency* Signature
Target Achieved
Date of
O A I Clinical
Supervisor
1. Normal labor
2. Curretage
3. Vacuum extraction
4. Forceps extraction
5. Sectio caesarea
6. Laparatomy
7. Manual Placenta
8. Antepartum
haemorrhage
9. Premature rupture
of membranes
* Put ”√” on targets that has been achieved

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Date Name Diagnosis Clinical Supervisor

12
 MODULE V. Operating Theatre (OR)

Date : .................................

Signature
Competency of Clinical
Target Achieved Date Supervisor
O A I
III. Preparation before
procedure

1. Preparing operating
room and the patient
2. Understand the steps in
surgical hand
scrubbing and
surgical hand rubbing

3. Understand how to
correctly use a sterile
surgical gown and
sterile gloves

4. Preparing the surgical

”time out”

IV. Observation during

procedure

1. Understand the step of

the procedure

2. Surgical Suture

13
 IV. Minor Surgical
Procedure

1. Curretage
* Put ”√” on targets which have been achieved

Date Name Diagnosis Clinical Supervisor

14
 1. Mini Lecture

No. Topic Date Clinical Signature

Supervisor
1
2
3
4
5
6
7
8

Signature to confirm completion of modules

Name of Clinical Signature of Clinical Date
Supervisor Supervisor

Name of Trainee Signature of Trainee Date

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