Board in General Surgery Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons

Board in General Surgery Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons SUMMARY OF ...
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Board in General Surgery Royal Australasian College of Surgeons, General Surgeons Australia & New Zealand Association of General Surgeons

SUMMARY OF OPERATIVE & NON-OPERATIVE TRAINING EXPERIENCE

The required information must be provided and returned to the REGIONAL OFFICE within 2 weeks of completing the term. Failure to comply with this may result in the non-accreditation of the training period towards Surgical Education and Training in General Surgery. Name of Trainee Training Program

RACS I.D # General Surgery If you are from another specialty*, please note the specialty name here: -------------------------------------------------------------------------------*Remember to return your form to your own Specialty Training Board, and not General Surgery regional staff.

SET Level

1

2

Year of Training

1

2

3 3

4

5

4

5

6

Probationary Term?

Yes / No

Term

Jan – Jul

Jul – Jan

Year:

Region (please circle)

WA

SA

NT

VIC

QLD

NZ

HK

TAS

ACT

NSW

Hospital for this term: Principle Teaching Hospital/Rotation: Name of Unit Consultant Names

Name of Supervisor Number of days absent

(recreation / sick / study / exam / CPD / parenting / other):

Signature of Trainee

The information I have provided is a complete and accurate record of my operative and selected non-operative experience for this training period.

*Must be signed to validate logbook Signature of Supervisor

*Must be signed to validate logbook

Sign:

Date:

To the best of my knowledge the information recorded below, is a complete and accurate record of the Trainee’s clinical training experience in this training period. Sign: Research Requirement satisfied during this rotation?*

Date: Yes/No

*trainee must attach documentation to verify the completion of this requirement

2 SUMMARY OF OPERATIVE & NON-OPERATIVE TRAINING EXPERIENCE Please note – 1. It is the responsibility of the Trainee to maintain an accurate and complete record of information required to submit this logbook. 2. All recorded information for the purposes of the logbook must be de-identified and comply with the relevant jurisdictional privacy laws. 3. The logbook summary, together with the minimum logbook data, must be reviewed by the Trainee’s Supervisor(s) at the completion of each 6-month rotation, to verify the recorded information. 4. The required information for the logbook summary must be submitted to the College’s Regioanl Office within 2 weeks of completing a 6-month term. Failure to comply with this requirement may result in the non-accreditation of the training period towards Specialist General Surgical Training. 5. If a Trainee performs a major proportion or significant component of a procedure (e.g. major part of the dissection, an anastomosis) the Trainee is permitted to be recorded as being the primary operator for the procedure. If in doubt consult Surgical Supervisor. 6. The proportion of major procedures undertaken as the primary operator by the Trainee (i.e. S1, S2 or S3) will depend on the Trainee’s operative experience and the observed skill level. The minimum operative training as primary operator for major procedures in each 6 months of training is a follows. 1st six months 20%

5th six months 50%

2nd six months 25%

6th six months 50%

3rd six months 30%

7th six months 60%

4th six months 40%

8th six months 60%

7. Surgical Education and Training in the Specialty of General Surgery provides the opportunity for a Trainee to acquire a range of clinical and operative skills, which over time will allow the Trainee to perform as a competent surgeon. The Trainee is required to become proficient in a number of distinct but essential operative skills, such that the Trainee will be able to undertake a surgical procedure as a sum of these skills rather than necessarily being credentialed as being competent for every possible surgical procedure or variations thereof. FAILURE TO SUBMIT SIGNED FORMS WITHIN 2 WEEKS OF THE CONCLUSION OF THE TRAINING ROTATION MAY RESULT IN THE ROTATION NOT BEING ACCREDITED TOWARDS THE SURGICAL EDUCATION AND TRAINING IN GENERAL SURGERY PROGRAM NT Trainees - please send forms to the Regional Office responsible for the hospital position in which you completed this rotation.

REGIONAL OFFICES OF THE ROYAL AUSTRALASIAN COLLEGE OF SURGEONS NSW & ACT Trainees send forms to: General Surgeons Australia NSW Regional Office 177A Albion Street SURRY HILLS NSW 2010 Phone: + 61 2 8353 7415 Fax: + 61 2 8354 0094 Email: [email protected]

QLD Trainees send forms to: General Surgeons Australia QLD Regional Office 50 Water Street SPRING HILL QLD 4004 Phone: + 61 7 3835 8600 Fax: + 61 7 3832 5001 Email: [email protected]

SA Trainees send forms to: General Surgeons Australia SA Regional Office 51-54 Palmer Place NORTH ADELAIDE SA 5006 Phone: + 61 8 8239 0822 Fax: + 61 8 8239 2395 Email: [email protected]

VIC & TAS Trainees send forms to: General Surgeons Australia Vic Regional Office 250 – 290 Spring Street EAST MELBOURNE VIC 3000 Phone: + 61 3 9249 1142 Fax: + 61 3 9249 1257 Email: [email protected]

WA Trainees send forms to: General Surgeons Australia SA Regional Office 51-54 Palmer Place NORTH ADELAIDE SA 5006 Phone: +61 8 8239 0822 Fax: + 61 8 8239 2395 Email: [email protected]

NZ Trainees send forms to: New Zealand Regional Office Elliot House 43 Kent Terrace WELLINGTON SOUTH NZ Phone: + 64 4 385 8247 Fax: + 64 4 385 8873 Email:[email protected]

Board in General Surgery Logbook 2009 Version 1

3 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

ABDOMINAL Major ventral hernia repair Inguinal Hernia (laporoscopic) Small bowel resection Adhesiolysis Drainage abdominal abscess Splenectomy (not for trauma) Exploratory / diagnostic laparotomy Other abdominal – specify BREAST Breast reconstruction Modified radical mastectomy Simple mastectomy Subcutaneous mastectomy Wide excision / quadrantectomy Axillary dissection Axillary lymph node sampling Other breast – specify COLORECTAL Anal sphincter repair A-P resection (abdominal) A-P resection (perineal) Anterior resection Colonic bypass Hartmann’s procedure Reversal of Hartmann’s Right hemicolectomy

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

4 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

Partial colectomy Procto-colectomy Total colectomy Defunctioning colostomy / ileostomy Revision of colostomy / ileostomy Rectal prolapse abdominal repair Rectal prolapse perineal repair On-table colonic lavage Trans-anal tumour resection Laparoscopic assisted colectomy Laparoscopic colostomy / ileostomy Laparoscopic rectal prolapse repair Other colorectal – specify ENDOCRINE Adrenalectomy – open Adrenalectomy – laproscopic Parathyroidectomy Thyroidectomy – total Thyroidectomy – subtotal Thyroidectomy – lobectomy Oophorectomy Other endocrine – specify HEAD & NECK Salivary gland excision Tracheostomy Neck dissection Other head & neck – specify

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

5 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

HEPATO-PANCREATO-BILIARY Open cholecystectomy +/cholangiogram Open bile duct explorartion Laparoscopic chole +/cholangiogram Laparoscopic bile duct exploration Choledocho-jejunostomy Choledocho-duodenostomy Other biliary – specify Major hepatic resection Hepatico-jejunostomy Other liver – specify Pancreatico-duodenectomy Operation for pancreatic pseudocyst Other pancreatic – specify OESOPHAGO-GASTRIC Pharyngeal pouch surgery Open anti-reflux operation Laparoscopic anti-reflux operation Large hiatal hernia repair Oesophagectomy Myotomy – specify Other oesophageal –specify Bariatric surgery Gastro-enterostomy Partial gastrectomy – Bilroth I Partial gastrectomy – Bilroth II Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

6 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

Total gastrectomy Vagotomy +/- drainage procedure Under-run gastro-duodenal bleeding vessel Oversew gastro-duodenal ulcer perforation Other gastric – specify TRANSPLANT Multi organ Donor Kidney only BD donor Kidney Transplant Laparoscopic Kidney Donation Open Donor Nephrectomy Liver Transplant Pancreas Transplant Access Surgery for Haemo-Dialysis Access Surgery for Peritoneal Dialysis TRAUMA Laparotomy – specify Thoractomy – specify Burr holes Craniectomy / craniotomy Major wound debridement / repair Fasciotomy Major limb amputation Tracheostomy Tendon repair Nerve repair Vascular repair Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

7 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

Repair fractures – specify Other trauma – specify VASCULAR Major limb amputation Axillo-femoral bypass Aorto-iliac reconstruction Aorto-femoral bypass Ilio-femoral bypass Femoro-femoral bypass Femoro-distal bypass graft Other bypass – specify Carotid endarterectomy Endarterectomy (other than carotid) Aortic aneurysm repair – elective Aortic aneurysm repair – leaking / rupture Embolectomy / thrombectomy Angioplasty Endovascular stent insertion Visceral revascularisation Major venous reconstruction First rib resection Subclavian artery surgery Thoracoscopic sympathectomy Other vascular – specify Non-General Surgery Categories CARDIOTHORACIC Lung operation

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

8 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

Coronary artery grafting Cardiac valve replacement Thoractomy / thoracoscopy (not for trauma) Heart-lung transplatation Other cardiothoracic – specify GYNAECOLOGICAL Hysterectomy Salpingo-oophorectomy Excision ectopic pregnancy Caesarean section Other gynaecological – specify NEUROSURGICAL Laminectomy Tumour resection – specify Other neurosurgical – specify ORTHOPAEDIC Major orthopaedic – specify PAEDIATRIC Abdominal – specify Herniotomy Orchidopexy Urological (not circumcision) – specify Other paediatric – specify PLASTIC Abdominoplasty Micro-vascular anastomosis Myo-cutaneous flap

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

9 MAJOR OPERATIVE PROCEDURES

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Major soft tissue debridement (not trauma) Soft tissue tumour resection Lymph node dissection (not for breast) Other plastic – specify UROLOGICAL Bladder cystectomy Endoscopic resection bladder tumour Nephrectomy Orchidectomy Ureteric operation – specify Other urological – specify

MAJOR NON-OPERATIVE IN-PATIENT CASES GASTRO-INTESTINAL Acute pancreatitis – mild Acute pancreatitis – severe Chronic pancreatitis Acute cholecystitis (non-operative management) Gastro-intestinal obstruction Colonic pseudo-obstruction Intestinal fistula Acute gastro-intestinal bleed (upper and rectal) Intra-abdominal inflammation +/- sepsis Intestinal ischaemia / infarction Sigmoidoscopic decompression of volvulus SOFT TISSUE

Board in General Surgery Logbook 2009 Version 1

TOTAL

10 MAJOR NON-OPERATIVE IN-PATIENT CASES GASTRO-INTESTINAL Wound complications (sepsis, dehiscence, necrosis) Soft tissue infection Chronic limb ulcer Critical limb ischaemia TRAUMA Burn injuries Bony +/- soft tissue +/- internal organ injuries Trauma Resuscitations and in-patient trauma care

Board in General Surgery Logbook 2009 Version 1

TOTAL

11 Record Nature of Cases – Minor and Intermediate Procedures Minor and Intermediate Procedures Groups 3 & 4

BREAST Breast biopsy Excision following needle localisation Subareolar excision of ducts Drainage of breast abscess Other – specify SUBTOTAL - BREAST GASTROINTESTINAL Diagnostic laparoscopy Appendicectomy (open or laparoscopic) Haemorrhoidectomy Perianal abscess/fistula in ano Other anal operations Banding/injection of haemorrhoids SUBTOTAL GASTROINTESTINAL HEAD AND NECK Minor SUBTOTAL - HEAD AND NECK HERNIA Femoral hernia Inguinal hernia (open) Umbilical, paraumbilical, epigastric hernia Other – specify SUBTOTAL - HERNIA LYMPHATIC Lymph node biopsy

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

12 Record Nature of Cases – Minor and Intermediate Procedures Minor and Intermediate Procedures Groups 3 & 4

Other – specify SUBTOTAL - LYMPHATIC SKIN & APPENDAGE Abscess drainage Ingrowing toenail Minor amputation Minor plastic Pilonidal sinus Simple excision Skin graft Wound exploration Other SUBTOTAL - SKIN & APPENDAGE UROLOGY Circumcision Exploration of testis Hydrocoele/cyst Vasectomy Testicular fixation for torsion Varicocoele Other SUBTOTAL - UROLOGY VASCULAR Digital Amputations Varicose veins Wound debridement SUBTOTAL - VASCULAR

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

13 ENDOSCOPIC PROCEDURES Surgeon Mentor Scrubbed

ENDOSCOPIC – DIAGNOSTIC Oesophagoscopy +/- biopsies Gastroscopy +/- biopsies Panendoscopy +/- biopsies Endoscopic ultrasound ERCP +/- biopsies Other – specify ENDOSCOPY – THERAPEUTIC ERCP + sphincterotomy ERCP + stent insertion Oesophageal dilatation Oesophageal stent insertion Endoscopic removal of foreign body Endoscopic variceal therapy Endoscopic haemostasis for acute bleeding Endoscopic removal of / ablation of lesion Endoscopic gastrostomy / jejunostomy Other – specify SUBTOTAL – ENDOSCOPY COLONOSCOPY – DIAGNOSTIC Colonoscopy +/- biopsies Colonoscopic polypectomy Flexible sigmoidoscopy +/biopsies Endo-anal ultrasound Other – specify COLONOSCOPY – THERAPEUTIC

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

14 ENDOSCOPIC PROCEDURES Surgeon Mentor Scrubbed

Colonoscopic dilatation Colonoscopic stent insertion Colonoscopic removal of foreign body Colonoscopic removal of / ablation of lesion Other – specify SUBTOTAL – COLONOSCOPY

ENDOSCOPY – OTHER Bronchoscopy Laryngoscopy Cystoscopy Sinus endoscopy Other – specify SUBTOTAL – OTHER

Board in General Surgery Logbook 2009 Version 1

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

15 SUMMARY Surgeon 1: Name: ……………………………………………..

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon 2: Name: …………………………………………… Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon 3: Name: …………………………………………… Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon 4: Name: …………………………………………… Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Board in General Surgery Logbook 2009 Version 1

16 Surgeon 5: Name: ……………………………………………

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon – Others: Other Surgeons/Fellows/Senior Registrars. Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon – Others: Other Surgeons/Fellows/Senior Registrars. Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon – Others: Other Surgeons/Fellows/Senior Registrars. Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

Surgeon – Others: Other Surgeons/Fellows/Senior Registrars. Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy Board in General Surgery Logbook 2009 Version 1

17 Surgeon – Others: Other Surgeons/Fellows/Senior Registrars.

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Assisting Surgeon Mentor

Assisting Senior Registrar

TOTAL

Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

SUMMARY TOTALS

OPERATIVE

Surgeon Mentor Scrubbed

Surgeon Mentor in Theatre

Surgeon Mentor Available

Major (groups 1 and 2) Minor (groups 3 and 4) Endoscopy (Upper GI) Colonoscopy

MAJOR NON-OPERATIVE (Number of Cases)

TOTALS

Gastro-intestinal (incl. pancreatic, biliary, gastro-intestinal, colonic) Soft tissue Trauma TOTAL Non-operative Cases

The required information must be provided and returned to the REGIONAL OFFICE within 2 weeks o

The required information must be provided and returned to the REGIONAL OFFICE within 2 weeks of completing the term. Failure to comply with this may result in non-accreditation of the training period towards the SET in General Surgery Training Program.

Board in General Surgery Logbook 2009 Version 1

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