T H E R O YA L A U S T R A L I A N A N D NEW ZEALAND COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS

FRANZCOG TRAINING LOGBOOK 2014

Da i l y Tra i ni ng Re co r d fo r Co r e and A dva nce d Tra ining

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

FRANZCOG TRAINING PROGRAM LOGBOOK 2014
D ail y Tra i n i n g Re co r d f or Cor e a n d A dva n ce d Tra ining

RANZCOG College House 254 - 260 Albert St East Melbourne VIC 3002 tel +61 3 9417 1699 fax +61 3 9419 0672 web: www.ranzcog.edu.au

Initial contact: Ms Kathryn Hertrick Training Services Co-ordinator Training Services Department tel +61 3 9412 2936 fax +61 3 9419 7817 email training@ranzcog.edu.au

Published by RANZCOG Publications The Royal Australian and New Zealand College of Obstetricians and Gynaecologists 254-260 Albert Street, East Melbourne, Victoria 3002, Australia. ISSN 1443-4415

RANZCOG 2014 This work is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without written permission from The Royal Australian and New Zealand College of Obstetricians and Gynaecologists. Requests and enquiries concerning reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street, East Melbourne, Victoria 3002, Australia. This material is available on the RANZCOG website http://www.ranzcog.edu.au

PERSONAL DETAILS
Name:

Address:

Telephone:

TRAINING DETAILS
Training site:

Training year:

Calendar year:

Period of training covered by this Logbook:

/

/20

to

/

/20

4

TABLE OF CONTENTS
Personal Details Training Details Function Essential Information on Using this Logbook Instructions Important note Abbreviations Used/Accepted in MRANZCOG Examinations Certificate of Accuracy Certificate of Satisfactory Completion of this Logbook (MRANZCOG/FRANZCOG) Basic Surgical Skills Training Neonatal Resuscitation Training Gynaecology – Endometrial inspection, sampling and hysteroscopic surgery Gynaecology – Laparoscopic surgery Gynaecology – Open abdominal gynaecological surgery Gynaecology – Vaginal surgery, uterovaginal prolapse & urinary incontinence Gynaecology – Cervix & dysplasia Gynaecology – Miscellaneous general gynaecology-for Trainees who have commenced training after 1 December Obstetrics Obstetrics - Neonatology Gynaecology Clinic (Sessions) Antenatal Clinic (Sessions) Supervised Ultrasound Scanning (hours) Ultrasound (Procedures) Meetings / Presentations Research Activities
4 4 6 6 7 7 8 9 9 10 11 12 13 14 15 16

17

18 19 20 21 21 22 23 24

5

FUNCTION
The Logbook (Daily Training Record) has been designed to enable trainees to record the necessary aspects of their training experience during Core and Advanced training in the FRANZCOG Training Program. The Logbook has been designed with these training situations in mind and should enable all trainees to record daily the experience relevant to the training undertaken during the year. The record of experience has the following functions: 1. 2. It provides trainees with a personal record of all procedural and other training experiences, which are requirements for satisfactory completion of the relevant training program. It provides trainees with the basis for completing the Six-monthly Clinical Training Summary of training experience which are an essential requirement for assessment and subsequent credit of training. The Six-monthly Clinical Training Summary is part of the sixmonthly summative assessment report form. The Six-monthly Clinical Training Summary will be used by the Training Supervisor/ Program Coordinator and the relevant Regional/New Zealand Training and Accreditation Committee to monitor the trainee’s experience to ensure that it is appropriate for the level of training. These summaries are also used to plan further training with the Training Supervisor/ Program Coordinator. The information will also be used by the College to monitor the experience provided for trainees by the hospital.

3.

4.

ESSENTIAL INFORMATION ON USING THIS LOGBOOK
• The College does not issue a hard copy version of this Logbook. Trainees should download from the College website the relevant pages as required. THE TRAINEE IS RESPONSIBLE FOR MAINTAINING UP TO DATE LOGBOOK PAGES AT ALL TIMES. Each completed page of the logbook should be checked and signed off by the relevant Training Supervisor using the signature box on each page. NOTE: The College no longer requires Training Supervisors to check the entire Logbook every 3 months. Following approval of their Membership or Fellowship applications by the RANZCOG Board, trainees will be required to submit hard copy versions of all Logbook pages for each relevant year of training. These hard copy versions should only be submitted when requested by the College.

•

•

6

INSTRUCTIONS
1. 2. Record training experience on a daily basis Record clinical training experience All trainees undertaking clinical training are required to record the procedural experiences relevant to their training program. A list of abbreviations of procedures used and accepted in the MRANZCOG examinations has been included in the Logbook. Trainees should use this list as a guide to the appropriate abbreviations to be used in this Logbook. 3. IMPORTANT: The trainee’s role as primary operator vs assist. The logbook pages relating to surgical procedures ask the trainee to indicate if they are primary operator (whether supervised or unsupervised) or assisting. The College recognises that in theatre the trainee may oscillate between the role of primary operator and assist. If the trainee is actively participating in the procedure and doing the bulk of the work, then they can be regarded as the primary operator. At the end of each six-monthly period: Transfer the data from the relevant training period from your logbook to the Clinical Training Summary (CTS), which forms part of the six-monthly Summative Assessment report. The clinical training must be tallied and the number of procedures in specific categories recorded against the relevant headings for the type of training being completed.

4.

IMPORTANT NOTE
Please contact the Training Services Department at College House if you have any questions about completing the Logbook. Contact details are on the title page of this book.

7

ABBREVIATIONS USED/ACCEPTED IN MRANZCOG EXAMINATIONS
AFP APH ARM BP FHR CIN CTG CSU DandC ECG ECV EUA FBC FBE FSH GTT Hb hCG IUCD LFTs LH LMP LNMP LUSCS LSCS MSU NAD PPH PR PV RBC TAH VDRL UandEs WBC Alphafetoprotein Antepartum haemorrhage Artificial rupture of membranes Blood pressure Fetal heart rate Cervical intraepithelial neoplasia Cardiotocograph Catheter specimen of urine Dilation and curettage Electrocardiograph(y) External cephalic version Examination under anaesthesia Full blood count Full blood examination Follicle stimulating hormone Glucose tolerance test Haemoglobin Human Chorionic Gonadotrophin Intrauterine contraceptive device Liver function tests Lutenising hormone Last menstrual period Last normal menstrual period Lower uterine segment Caesarean section Lower segment caesarean section Midstream specimen of urine Nothing abnormal detected Post-partum haemorrhage Per rectum Per vaginam Red blood cells Total abdominal hysterectomy Venereal disease reference laboratory test Urea and electrolyte White blood cells

8

CERTIFICATE OF ACCURACY
(TO BE SIGNED BY TRAINEE)
Logbook (Daily Training Record) I certify that the information contained in the Logbook (Daily Training Record) is a true and accurate record of my training experiences. Trainee’s signature: ........................................................................Date: ...................

CERTIFICATE OF SATISFACTORY COMPLETION OF THIS LOGBOOK (MRANZCOG/FRANZCOG)
(TO BE SIGNED BY RELEVANT TA COMMITTEE CHAIR)
I certify that: Name: ...................................................................................................................... has satisfactorily completed this Logbook as required under the RANZCOG regulations. Signature: .....................................................................................Date: ................... Chair, Regional/NZ Training Accreditation Committee of (insert state/region) .................................... When this and all other relevant Logbooks are presented for assessment, if assessed as satisfactory, the Chair will sign the ‘Certificate of Satisfactory Completion of Training’ in the Training Assessment Record (TAR).

9

1ST YEAR OF CORE TIME IN TRAINING*- BASIC SURGICAL SKILLS TRAINING IMPORTANT INSTRUCTIONS
PLEASE NOTE: THIS PAGE WILL BE SENT DIRECTLY TO THE WORKSHOP CONVENOR BY TRAINING SERVICES. YOU DO NOT NEED TO BRING IT TO THE WORKSHOP.
1. This page must be signed off by the RANZCOG Fellow who is running the compulsory Basic Surgical Skills (BSS) workshop you must attend as part of your first year of Core time in training. It will be signed off at the end of the workshop. 2. This page is documentary evidence that you have attended the BSS workshop. You must take the signed page with you when you leave the workshop and retain it for your records. 3. When you meet with your Training Supervisor to discuss your final 6-monthly assessment report for your first year of Core time in training, you must show them a copy of this page, so they can sign off on the BSS requirement on your Master Sheet (which lists your assessment requirements and their due dates). 4. A copy of the Master Sheet, with the BSS requirement signed off, must be sent in to your local RANZCOG Regional Office at the time you send in your final 6-monthly report for Year 1 of Core time in training. A copy of this logbook page (signed by the workshop convenor) must be attached to the Master Sheet. 5. If all of the above is not done, you will be regarded as not having met a core assessment requirement for your first year and your 6-monthly report will automatically be rated Not Satisfactory, and the training period will not be credited * Time in training is the aggregate of all time in the relevant component of the FRANZCOG Training Program. This includes standard leave but not time taken as approved extended leave of absence or approved research leave as part of the ‘Academic Stream’. Approved fractional training time (i.e. Full-Time Equivalent training undertaken on a part-time basis) will be considered pro rata. Time in training applies ONLY to trainees commencing training from December 2013.

Name:

Hospital:

Sate/Region:

Date/s of training: The following section is to be signed by the workshop facilitator. I certify that the above trainee has attended the Basic Surgical Skills training workshop. Workshop facilitator (signature): ......................................................................................................................

Workshop facilitator (print name): ................................................................................... Date: .......................... 10

1ST YEAR OF CORE TIME IN TRAINING*- NEONATAL RESUSCITATION TRAINING IMPORTANT INSTRUCTIONS
1. There is no formal neonatal resuscitation (NR) training module or workshop. Trainees are expected to receive NR training in the course of their in-hospital training in their first year of Core time in training. This page must be signed off by your Training Supervisor or other RANZCOG Fellow responsible for providing your NR training. 2. This page is documentary evidence that you have completed the NR requirement. Keep it in your Training Assessment Record (TAR). 3. When you meet with your Training Supervisor to discuss your final 6-monthly assessment for your first year of Core time in training, you must show them a copy of this page, so they can sign off on the NR requirement on your Master Sheet. 4. A copy of the Master sheet, with the NR requirement signed off, must be sent in to your local RANZCOG Regional Office at the time you send in your final 6-monthly report for Year 1 of Core time in training. A copy of this logbook page must be attached to the Master Sheet copy. 5. If all of the above is not done, you will be regarded as not having met a core assessment requirement for your first year of Core time in training and your 6-monthly report will automatically be rated Not Satisfactory. * Time in training is the aggregate of all time in the relevant component of the FRANZCOG Training Program. This includes standard leave but not time taken as approved extended leave of absence or approved research leave as part of the ‘Academic Stream’. Approved fractional training time (i.e. Full-Time Equivalent training undertaken on a part-time basis) will be considered pro rata. Time in training applies ONLY to trainees commencing training from December 2013.

Name:

Hospital:

Sate/Region:

Date/s of training: The following section is to be signed by the Training Supervisor. I certify that the above trainee has satisfactorily completed the Neonatal Resuscitation training requirement. Training facilitator (signature): ......................................................................................... Training facilitator (print name): ........................................................................................ Date: ............................................................................................................................ 11

Assist

Supervised

Unsupervised

Endometrial inspection, sampling and hysteroscopic surgery, including: • Diagnostic hysteroscopy, dilatation and curettage (D&C) • Suction D&C for retained products of conception • Endometrial ablation

For Trainees who commenced training after 1 December 2013, also includes: Endometrial sampling, outpatient IUCD insertion/removal Hysteroscopic resection of polyps or small submucous fibroids Hysteroscopic management of uterine abnormalities (eg, septa)

Teaching by trainee

12

GYNAECOLOGY

Endometrial inspection, sampling and hysteroscopic surgery

Date

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor
(Training Supervisor should check/sign off each completed page)

GYNAECOLOGY

Laparoscopic surgery

Date Assist

Supervised

Unsupervised

Laparoscopic Surgery - AGES Skill Levels: • Level 4 Signature of Trg. Supervisor • Level 1 - Diagnostic Laparoscopy o Laparoscopically-assisted vaginal hysterectomy (LAVH) • Level 2 – Simple Operative Laparoscopy o Excision of AFS III endometriosis o Tubal ligation • Level 5 – Advanced Laparoscopy Level 1 + 2 o Simple cyst aspiration o Total Laparoscopic Hysterectomy (TLH) (Training Supervisor should check/sign off each suggested o Simple adhesiolysis o Laparoscopic Burch completed page) minimum 20 o Ablation of APS I-II endometriosis o Laparoscopic Myomectomy • Level 3 – Operative Laparoscopy - suggested minimum 20 • Level 6 o Ovarian cystectomy (normal anatomy) o Laparoscopic Pelvic Floor Repair o Oophorectomy (normal anatomy) o Excisional of APS IV endometriosis o Salpingotomy/salpingectomy for treatment of ectopic pregnancy o Oophorectomy of Residual Ovary (distorted anatomy) o Laparoscopic lymph node dissection (pelvic and para-aortic) o Radical hysterectomy

Teaching by trainee

MRN/NHI

Procedure

Indication

Outcome Complications Comments

13

Assist

Supervised

Unsupervised

Open abdominal gynaecological surgery, includes:

• Basic Laparotomy (eg, oophorectomy, salpingo-oophorectomy, ovarian
(Training Supervisor should check/sign off each completed page)

cystectomy)- suggested minimum 20

• Intermediate Laparotomy (e, hysterectomy, myomectomy, hysterotomy)-

suggested minimum 20

• Advanced Laparotomy (eg, pelvic sidewall dissection)

Teaching by trainee

14

GYNAECOLOGY

Open abdominal gynaecological surgery

Date

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor

GYNAECOLOGY

Vaginal surgery, uterovaginal prolapse & urinary incontinence

Date Assist

Supervised

Unsupervised

Vaginal surgery, uterovaginal prolapse & urinary incontinence, includes:

• Simple Vaginal Surgery (eg, vaginal repair – anterior, posterior & perineum) - suggested
(Training Supervisor should check/sign off each completed page)

minimum 20

• Advanced Vaginal Surgery (eg, vaginal hysterectomy & repair) - suggested minimum 20

• Tensionless vaginal tape procedures, including cystoscopy - suggested minimum 20

For Trainees who commenced training after 1 December 2013, also includes: - Colposuspension - Sacrospinous colpopexy - Mesh-based prolapse procedures

Teaching by trainee

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor

15

Assist

Supervised

Unsupervised

Cervix & dysplasia, includes:

• Colposcopy, cervix and CIN management - suggested minimum 100
(Training Supervisor should check/sign off each completed page)

• Cone biopsy

• Minor perineal surgery (eg, Bartholins cyst or abscess, marsupialisation, excision

vulval cyst, diagnostic vulval biopsy)

Teaching by trainee

16

GYNAECOLOGY

Cervix & dysplasia

Date

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor

GYNAECOLOGY

Miscellaneous general gynaecology - compulsory for Trainees who have commenced training after 1 December

Date Assist

Supervised

Unsupervised

Oncology, includes:

• Omental Biopsy

• Vulval Biopsy (diagnostic)

Teaching by trainee

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor
(Training Supervisor should check/sign off each completed page)

17

Assist

Supervised

Unsupervised

Obstetrics, includes:

• Normal Vaginal Delivery (NVD) - suggested minimum 20 • Complex manipulative vaginal delivery (eg, multiple pregnancy, shoulder dystocia, breech, podalic version) - suggested minimum 20 • Operative Vaginal Delivery, low-outlet vacuum delivery - suggested minimum 50 • Operative Vaginal Delivery, low/outlet forceps delivery - suggested minimum 50 • Operative Vaginal Delivery, mid-cavity or rotational instrumental delivery - suggested minimum 20 • Basic Caesarean Section (eg, LSCS, repeat LSCS) - suggested minimum 165 • Intermediate Caesarean Section (eg, fully dilated) - suggested minimum 20 • Advanced Caesarean Section (eg, placenta praevia, placenta accreta, classical, visceral/vascular trauma, failed instrumental delivery) - suggested minimum 15 • Repair of third and fourth degree tears - suggested minimum 10 • Manual removal of placenta (MROP) • Examination under anaesthetic (EUA) – management of PPH ≥ 1000mL

For Trainees who commenced training after 1 December 2013, also includes: • Intrapartum procedures (including fetal scalp blood sampling) • Administration of local anaesthesia, including pudendal block • Chorionic Villous Sampling/Amniocentesis • External Cephalic Version

Teaching by trainee

18

OBSTETRICS

Date

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor
(Training Supervisor should check/sign off each completed page)

OBSTETRICS

Neonatology

Date Assist

Supervised

Unsupervised

Neonatology, includes:

•

Neonatal Resuscitation (NR)

Teaching by trainee

MRN/NHI

Procedure

Indication

Outcome Complications Comments

Signature of Trg. Supervisor
(Training Supervisor should check/sign off each completed page)

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GYNAECOLOGY CLINIC (SESSIONS) - MINIMUM 100 CLINICS REQUIRED
Month Type of Clinic

Total Clinic Sessions

Subspecialty

General

January February March April May June July August September October November December Total

20

Other

ANTENATAL CLINIC (SESSIONS) MINIMUM 100 CLINICS REQUIRED Month
January February March April May June July August September October November December Total

SUPERVISED ULTRASOUND SCANNING (HOURS) Month
January February March April May June July August September October November December Total

Sessions

Sessions

21

ULTRASOUND (PROCEDURES)
TIME REQUIRED: The procedures (and minimum numbers) listed below are what the College considers necessary to attain basic competency in ultrasound by the end of the first 2 years of training. These procedures will require a minimum of 18 x 8-hour days ie approximately 150 hours or 4 weeks of clinical training and experience. IMPORTANT NOTE: Trainees who complete College approved external ultrasound courses can count the indicated number of hours from each course. The currently approved courses are: Ultrasound Workshop: Introduction to Ultrasound (RANZCOG, various locations-8 hours); Introduction to Ultrasound in Obstetrics (Australian Institute of Ultrasound QLD-30 hours); Fast Track O&G Workshop (Australian Institute of Ultrasound, QLD-30 hours); Introductory Ultrasound for Pregnancy (Ultrasound Training Solutions, Melbourne-30 hours); Basic Skills in O&G Ultrasound (RPA Hospital, Sydney-10 hours); Basic or Intermediate Ultrasound Workshop (O&G Dept, Auckland City Hospital, NZ-16 hours per course).

Name of Procedure

Procedures Observed

Min. Required

Procedures Performed (under supervision)

Min. Required

Trans-vaginal first trimester early pregnancy Trans-abdominal first trimester dating Second/third trimester biometry Determine presentation Determine placental site

5

25

5

25

5

25

5

25

5

25

Measure AFI

5

25

IMPORTANT NOTES:
The procedures listed in the Procedures Performed column can be done in the labour ward, in an early pregnancy clinic or in the ultrasound department, as long as the procedures are appropriately supervised. Supervision of ultrasound training should be provided by a trained sonographer or other suitably qualified practitioner.

22

MEETINGS / PRESENTATIONS

Date

Venue

Topic

23

RESEARCH ACTIVITIES

Date

Hours

Research work

24