The logbook is the record of your activities and the progress that you have made during your one year of pre-registration internship.

The guidelines for you and your supervisors are to assist you in achieving comprehensive clinical experience to become a competent and caring doctor.

The Committee on Internship (CIC) expects you to undergo this period of practical training successfully; based on educational objectives laid down by the Medical Faculties of The University of Hong Kong and The Chinese University of Hong Kong.

It is well recognised that your first rotation may appear to be heavy on clerical and routine clinical duties. However, it is anticipated that as you progress through your rotations and gain experience and confidence, your clinical and practical responsibilities will increase.

Please make sure that you have entered the information regarding your activities as neatly and legibly as possible. It is anticipated that your supervisors will formally discuss your progress and provide guidance (at least once a month) during your rotation.

You are expected to log your work every day. At the end of each rotation, click the "Submit" button to submit your logbook to your supervisor(s) for assessment.


Medical Intern Logbook


Guidelines

A. Responsibilities of Interns

1.     Communication Tasks

  • Good working relationship with other staff
  • Nurses
  • Senior doctors
  • Other departments e.g. diagnostic department, anaesthesiology etc.
  • Communication with patients and their relatives.
  • At discretion of senior doctors – breaking bad news.
  • Gain informed consent for frequently undertaken procedures.
  • Case presentation on designated ward rounds.
  • Performing effective “hand-over”.
  • In consultation with seniors – making referral to coroner and gaining consent for post-mortem.


2.     Clinical Tasks

  • Good history taking and physical examination.
  • To institute the management of common clinical problems in both elective and emergency situations.
  • To recognise the complications/ deterioration in patient’s condition and ask for help from the appropriate senior.
  • To attend ward rounds and out-patients and present the cases as per senior’s discretion.
  • To report adverse drug reactions.


3.     Clerical Tasks

  • Learn to write good and legible
  • Admission notes
  • Patient progress notes
  • Investigation forms
  • Blood transfusion forms
  • Discharge summary
  • Notes of seniors’ instructions
  • Be proficient in use of Clinical Management System (CMS)
 

4.     Practical Tasks

  • I.V. infusion
  • Blood collection
  • Blood transfusion
  • C.P.R.
  • Urethral catheterization
  • Assisted, supervised or delegated procedures as per seniors’ discretion

Medical Rotation

  • CVP insertion
  • Intubation + ventilator setting
  • Abdominal tapping
  • Bone marrow aspiration
  • Pleural tapping + biopsy
  • Lumbar puncture
  • Chest drain insertion and removal

Surgical Rotation

  • Simple suturing
  • Excision of lumps and bumps
  • Proctoscopy and sigmoidoscopy
  • Incision and drainage
  • Direct laryngoscopy
  • Chest drain insertion and removal

Paediatric Rotation

  • Lumbar puncture
  • Neonatal drip setting & blood collection
  • Urethral catheterization
  • Peripheral blood smear (microscopy)

Obstetrics & Gynaecology Rotation

  • Normal/ instrumental delivery
  • Episiotomy and suturing

Orthopaedics Rotation

  • Closed reduction of Colles’ fracture + POP
  • Closed reduction of dislocation (shoulder, elbow)
  • Wedge excision of in-growing toe-nail
  • Incision and drainage
  • Simple suturing


(September 2017)