Contents



-2563741967451Logbook for Ultrasound module 500Logbook for Ultrasound module 5-566475703193Ultrasound in Early Pregnancy Complications00Ultrasound in Early Pregnancy ComplicationscentercenterContentsDeclartion3Guidance for TRAINEES4Guidance for trainers / preceptors5Acquisition of practical skills at the clinical placements5Example of image anonymity6record of attendance7logbook8record of supervisor’s formal meetingFirst meeting-----------------------------------------------------------------------------------------------------42Second meeting-------------------------------------------------------------------------------------------------43Third meeting---------------------------------------------------------------------------------------------------44Fourth and Final meeting------------------------------------------------------------------------------------45Trainee’s assessment of intermediate ultrasound module in normal fetal anatomy46 DeclarationThis statement must be completed and signed after completion of the log bookI confirm that the images contained in my ultrasound log book are images which inclusively were:made only by myself (exceptionally, images of rare and unique cases obtained from sessions with trainer may be included and the reason for doing so MUST be clearly stated)either directly or indirectly supervisedmade during the period of my ultrasound training for the intermediate scan modulespecifically for the purposes of the module for which this log book is submitted, anddiscussed with my ultrasound trainer/ supervisor before or after inclusionI confirm that I have complied with the GMC standards for honesty?and integrity (Domain 4) about my work experience in completing the log book. Good Medical Practice (2013).Name: ………………………………….Signed: ………………………………Date: …………………………………....GMC number: ………………………….Guidance for traineesWelcome to the Intermediate Ultrasound of early pregnancy complications. The logbook is an important part of your practical training.You should go through it very carefully, read the background information, learning outcomes and skills that you must attain. You should also sit with your trainer at the beginning of the your intermediate ultrasound training and regularly thereafter in order to set learning objectives and targets for skills acquisition for the forthcoming few months as well as review progress of the previous period. Your trainer should be able to discuss with you practical issues and scanning tips. It is anticipated that in the initial phase, you will be doing most of the scans under direct supervision and when you have acquired sufficient skills, you will be able to undertake them with your trainer in a neighboring office or within the clinic.The logbook should be completed with attention to detail and inclusion of a variety of cases and images of good standard covering a number of early pregnancy complications as outlined in the respective sections of the curriculum. If any issues arise during training please speak to your supervisor or Local Ultrasound Educational Supervisor (LUES). If you have issues that cannot be resolved locally then you should contact your Deanery Ultrasound Coordinator. Beyond that you can contact your Head of School and finally the Ultrasound Officer at the RCOG. During completion of the logbook you should adopt a “problem-based approach”, integrating theoretical knowledge with ultrasound appearance and where appropriate be able to advise patients on findings. As trainees you should develop a consistent and systematic approach towards a full gynaecological assessment. It is important to note that the logbook is intended to be a record of your competence rather than experience. The levels of competence are:Level 1The trainee demonstrates detailed knowledge & understanding and is aware of common complications/ issues relating to the competence/ clinical skill/ situation.Level 2The trainee is capable of performing the task or managing the clinical problem but with senior support.Level 3 The trainee can manage the majority of cases with no direct supervision or assistance while having the insight to recognise that senior support will be needed in certain complex cases/ complications.The ultrasound images included in the logbook should be accompanied by critical evaluation of the image quality and where it could have been improved, a brief summary of clinical details and management. The images should demonstrate aspects of the ultrasound scan which are pertinent to the clinical case. You should review suitable images with your trainer prior to attaching them to the logbook. This provides an opportunity for you to discuss the management options and the appropriateness of the selected option in the case. In one section we ask you to attach “Near-perfect” images of a particular feature. This section should be completed near the end of ultrasound module as it will demonstrate your skills immediately before the assessment. Images should be acquired by yourself except rarely where you have witnessed a very unusual case during scanning with your trainer.Your trainer has a responsibility to ensure that the logbook is completed to an acceptable standard, that all sections are signed and that it demonstrates that you have experienced a varied case-mix during your practical training and are competent to be entered in the end-of-year practical assessments.All patient related information i.e. name and hospital number must be concealed or removed from the images used by you while completing the logbook. The hospital name and date of the assessment however should be retained to ensure that the images are valid. The image shown on page 6 of the logbook is an example of what form a correct image should take. The logbook will be reviewed by your Local Ultrasound Educational Supervisor (LUES). Once your LUES is satisfied then the logbook should be submitted to the Deanery Ultrasound Coordinator (DUC). If you have satisfactorily logged competence progression and completed all associated assessments in your ePortfolio in addition to the logbook your DUC will sign off the intermediate ultrasound module completion form. Please note that competence progression and all associated assessments have to be completed through the ePortfolio.Ultrasound is a practical skill which takes time to develop and finesse to a high standard. It is expected that to achieve a high level of competency in this module you will need to scan 1-2 sessions per week for about a year. This module is recommended if you want to undertake the ATSM in acute gynaecology and early pregnancy. You can complete the ultrasound module either before or parallel to ATSM training, depending on your individual needs.You can complete this ultrasound module either before or parallel to subspecialty training, depending on your individual needs.?If you wish to complete the training in parallel, you will need to discuss this and gain approval in advance from your Subspecialty Training Programme Supervisor and Deanery Ultrasound Coordinator.Guidance for trainers/preceptors (Job description for Local ultrasound educational supervisor) Thank you for agreeing to be a trainer for the Intermediate Ultrasound of early pregnancy complications. A trainee is scheduled to attend your ultrasound scan sessions to acquire essential skills in early pregnancy complication ultrasound. The trainee will need to sit with you at the earliest opportunity to go through the learning outcomes outlined in the logbook and the skills which the trainee must acquire. These skills are varied and encompass machine-related skills, image acquisition and demonstration of appropriate patient-related skills. You should also sit with your trainee at the beginning of the module and regularly thereafter in order to set learning objectives and targets for skills acquisition for the forthcoming few months as well as review progress of the previous period. Acquisition of practical skills at the clinical placementSupervised practical training with the trainer aims to achieve the skills specified in the logbook.The following factors need to be taken into considerationPre-existing experience in gynaecological ultrasound.Availability of training opportunities for both trainers and trainees.Practical training would include at least 60 directly supervised scans. It is likely that many of the available training sessions would fall within special interest sessions of a consultant gynaecologist or the early pregnancy assessment unit. A variety of early pregnancy complications may be encountered and the number of women seen may not be consistent as with a stand-alone ultrasound list. In other cases it may be possible for the trainee to be supervised by a radiologist or a sonographer. In such circumstances, it is the trainer’s duty to ensure that the relevant professional is suited for the task and is familiar with the training programme requirements. For this reason it is suggested that a set number of sessions, or cases per session, may not be appropriate and that the trainee should log the sessions and number of cases encountered to demonstrate the case-mix and that the minimum number of supervised scans should be achieved to demonstrate acquisition of the skills.Example of image anonymity Patient’s name & number concealedHospital and Date of Scan retained324929537465008718559144000left38862000Record of attendanceDateNumber of scansDirectly SupervisedIndirect supervisionUse additional sheet(s) if necessaryLogbookImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement planImage 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description1840230-17526000and critical evaluation:Date of assessmentIndicationManagement plan183959521272500Image descriptionand critical evaluation:Date of assessmentIndicationManagement planRecord of Supervisor’s Formal Meeting with TraineeFirst meetingCommentsInitial learning targets at start of training and till the next meetingLearning targets achieved over previous period (Outline strengths and achievements and areas of concern from previous study phase)Log book progress and reviewN/A for first meetingTargets for next periodStudent’s signature and dateTrainer’s signature and dateRecord of Supervisor’s Formal Meeting with TraineeSecond meeting 4 monthsCommentsLearning targets for the next periodLearning targets achieved over previous periodLog book progress and reviewTargets for next periodStudent’s signature and dateTrainer’s signature and dateRecord of Supervisor’s Formal Meeting with TraineeThird meeting 8 monthsCommentsLearning targets for the next periodLearning targets achieved over previous periodLog book progress and reviewTargets for next periodStudent’s signature and dateTrainer’s signature and dateRecord of Supervisor’s Formal Meeting with TraineeFourth and final meeting 12 monthsCommentsLearning targets at start of trainingLearning targets achieved over previous periodLog book progress and reviewTargets for next periodStudent’s signature and dateTrainer’s signature and dateTrainee’s assessment of intermediate ultrasound module in Early Pregnancy complicationsTo be completed by the trainee and returned to the Deanery Ultrasound Coordinator1.Has this training programme given you adequate skills to fulfil the learning outcome outlined in your scheme of study?YES FORMCHECKBOX NO FORMCHECKBOX Feedback on your LUES /Training Centre: 2.How confident are you at identifying early pregnancy complications?Confident FORMCHECKBOX Fairly confident FORMCHECKBOX Not confident FORMCHECKBOX Comments:3.How confident are you at correlating ultrasound findings with the clinical presentation?Confident FORMCHECKBOX Fairly confident FORMCHECKBOX Not confident FORMCHECKBOX Comments:4.How confident are you at establishing a diagnosis and formulating a plan of action?Confident FORMCHECKBOX Fairly confident FORMCHECKBOX Not confident FORMCHECKBOX Comments:5.How confident are you at communicating your findings to the patient and colleagues?Confident FORMCHECKBOX Fairly confident FORMCHECKBOX Not confident FORMCHECKBOX Comments: ................
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