Questionnaire - EBGH
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European Section & Board
of
Gastroenterology & Hepatology
SPECIALITY TRAINING
LOG BOOK
Companion to
THE BLUE BOOK
THE EBGH TRAINING PROGRAMME 2012
European Section & Board
of
Gastroenterology & Hepatology
LOG BOOK
For the purpose of the
Trainee’s documentation of Clinical Competencies achieved during training
|First Name: |
|Family Name: |
|Working address: |Private Address: |
|Hospital: |Street: |
|Street: |Town: |
|Town and Postcode: |Postcode: |
|Country: |Country |
|Phone: |Phone: |
|Email: |Email: |
|Date of Birth: |
|Place and Country of Birth: |
|Country of Citizenship: |
| | |
|Signature of the TRAINEE: |Date: |
| | | | | |
|SUMMARY OF TRAINING |Year 1 |Year 2 |Year 3 |Year 4 |
|Number of months with clinical responsibility for inpatients | | | | |
| |…./12 |…./12 |…./12 |…./12 |
|Average daily number of inpatients during these months | | | | |
|Number of months with clinical responsibility for outpatients |…./12 |…./12 |…./12 |…./12 |
|Average weekly number of outpatients: New Patients | | | | |
|Average weekly number of outpatients: Review Patients | | | | |
|Number of months with clinical responsibility for assessment and admission of patients with | | | | |
|Emergency or Urgent General Internal Medicine or Hepatogastroenterology medical problems |…./12 |…./12 |…./12 |…./12 |
|Average number of days during these months on Emergency Duty | | | | |
|Average number of admissions per day while on Emergency Duty | | | | |
|Proportion of admissions which were Hepatogastroenterology | % | % | % | % |
|Teaching/Learning Activities (average monthly number): | | | | |
| Gastroenterology/Hepatology Case Presentations | | | | |
| Gastroenterology/Hepatology Journal Clubs | | | | |
|Multidisciplinary Meetings: (average monthly number): | | | | |
| Surgery | | | | |
| Radiology | | | | |
| Histopathology | | | | |
| Liaison Psychiatry | | | | |
| General Internal Medicine ‘Grand Round’ Case Conferences | | | | |
|External Courses/Study Leave: | | | | |
| Yearly number of CME Credits obtained attending GI/Hepatology Courses | | | | |
| Number of meetings attended (at home/abroad) | | | | |
COMMON PRESENTATIONS COMPETENCIES ACQUIRED APPROPRIATE TO THE STAGE/YEAR OF TRAINING
AS AGREED BY TRAINEE AND CLINICAL/EDUCATIONAL SUPERVISOR
| | | | | |
| |Year 1 |Year 2 |Year 3 |Year 4 |
| | | | | |
|Acute Abdominal Pain | | | | |
|Chronic (Including Functional) Abdominal Pain | | | | |
|Dyspepsia | | | | |
|Nausea & Vomiting | | | | |
|Dysphagia, Heartburn, Reflux and Chest Pain | | | | |
|Acute Diarrhoea | | | | |
|Chronic Diarrhoea | | | | |
|Constipation | | | | |
|Upper GI Bleeding | | | | |
|Lower GI Bleeding | | | | |
|Jaundice and Abnormal LFTs | | | | |
|Acute Liver Failure | | | | |
|Anorexia and Weight Loss | | | | |
|Ascites | | | | |
|GI Obstruction & Ileus | | | | |
GASTROENTEROLOGY & HEPATOLOGY
CONDITIONS AND DISEASES
COMPETENCIES ACQUIRED
| | | | | |
| |Year 1 |Year 2 |Year 3 |Year 4 |
|Functional Disorders: |
| Irritable Bowel Syndrome | | | | |
| Functional Dyspepsia | | | | |
| Functional Abdominal Pain | | | | |
| Others …. | | | | |
|Motility Disorders: |
| Oesophageal | | | | |
| Gastric | | | | |
| Small Intestine | | | | |
| Large Intestine | | | | |
| Others …. | | | | |
|Oral Disorders | | | | |
|Oesophageal Disorders: |
| GERD | | | | |
| Barrett’s Esophagus | | | | |
| Carcinoma | | | | |
| Others …. | | | | |
|Stomach and Duodenum: |
| Gastric Ulcer | | | | |
| Duodenal Ulcer | | | | |
| Gastritis/Gastropathies | | | | |
| Gastric Cancer | | | | |
| Others …. | | | | |
|Pancreatic Disorders: |
| Acute Pancreatitis | | | | |
| Chronic Pancreatitis | | | | |
| Pancreatic Tumours | | | | |
| Others …. | | | | |
|Biliary Tract Disorders: |
| Cholelithiasis/Cholecystitis | | | | |
| Choledocholithasis/Cholangitis | | | | |
| Sclerosing Cholangitis | | | | |
| Biliary & Ampullary Tumours | | | | |
| Others …. | | | | |
GASTROENTEROLOGY & HEPATOLOGY
CONDITIONS AND DISEASES
COMPETENCIES ACQUIRED
| |Year 1 |Year 2 |Year 3 |Year 4 |
|Liver: |
| Acute/Fulminant Hepatitis | | | | |
| Paracetamol Overdose (+ Scoring System) | | | | |
| Fatty Liver | | | | |
| Drug-Induced Liver Disease | | | | |
| Alcoholic Hepatitis (Scoring Systems) | | | | |
| Pregnancy Related Jaundice | | | | |
| Acute Viral Hepatitis | | | | |
| Chronic Viral Hepatitis | | | | |
| Cirrhosis | | | | |
| Variceal Bleeding | | | | |
| Liver Failure | | | | |
| Intrahepatic Cholestasis | | | | |
| Infiltrative Liver Disease | | | | |
| Metabolic Liver Disease | | | | |
| Hepatic Venous Obstruction | | | | |
| Liver Abscess | | | | |
| Alcohol Related Lİver Diseases | | | | |
| Nutrition in Liver Disease | | | | |
| Referral for Transplant Assessment | | | | |
| Primary Liver Tumours | | | | |
| Secondary Liver Tumours | | | | |
| Others …. | | | | |
|Small Intestine: |
| Global Malnutrition | | | | |
| Nutrient Malabsorption | | | | |
| Coeliac Disease | | | | |
| Small Bowel Bacterial Overgrowth | | | | |
| Gastroenteritis | | | | |
| Parasite and Worm Infections | | | | |
| Others …. | | | | |
|Large Intestine: |
| Diverticular Disease | | | | |
| Clostridium Difficile Colitis | | | | |
| Ischaemia | | | | |
| Colorectal Polyps | | | | |
| Colorectal Cancer | | | | |
| Ano-Rectal Disease | | | | |
| Others …. | | | | |
GASTROENTEROLOGY & HEPATOLOGY
CONDITIONS AND DISEASES
COMPETENCIES ACQUIRED
| | | | | |
| |Year 1 |Year 2 |Year 3 |Year 4 |
|Inflammatory Bowel Disease: |
| Diagnosis of Inflammatory Bowel Disease | | | | |
| Assessment of Extent | | | | |
| Assessment of Severity | | | | |
| Local Complications | | | | |
| Systemic Complications | | | | |
| Acute & Fulminant Colitis | | | | |
| First Line Therapeutics | | | | |
| Second Line Therapeutics | | | | |
| Third Line Therapeutics | | | | |
| Nutrition in IBD | | | | |
| Surgical Referral | | | | |
| Patient Communication | | | | |
| Others …. | | | | |
|Radiation and Chemotherapy Induced Enteropathies: |
| Radiation Enteritis | | | | |
| Radiation Colitis | | | | |
| Chemotherapy Induced Damage | | | | |
| Neutropaenic Patients | | | | |
| Others …. | | | | |
|Anorectal Disease: |
| Haemorrhoids | | | | |
| Fissures | | | | |
| Abscesses | | | | |
| Fistulae | | | | |
| Solitary Rectal Ulcer | | | | |
| Tumours | | | | |
| Others …. | | | | |
|Systemic Diseases, Genetic Diseases, Multiple Organ Diseases and the Elderly: |
| GI Diseases in the Elderly | | | | |
| Genetic Diseases | | | | |
| Multisystem Disease involving GI Tract & Liver | | | | |
| Others …. | | | | |
GASTROENTEROLOGY & HEPATOLOGY
CONDITIONS AND DISEASES
COMPETENCIES ACQUIRED
| | | | | |
| |Year 1 |Year 2 |Year 3 |Year 4 |
|Nutrition: |
| Body Composition | | | | |
| Calorie Requirements | | | | |
| Nutrient Requirements | | | | |
| Enteral Feeding | | | | |
| Parenteral Feeding | | | | |
| Peri-operative Nutrition | | | | |
| Others …. | | | | |
|Endoscopy: |
| Generic Knowledge & Skills | | | | |
| Indications & Appropriateness | | | | |
| Informed Consent | | | | |
| Assessment of Patient Comfort & Safety | | | | |
| Safe Sedation Administration | | | | |
| Communication with Patient and Referring Doctor Post Procedure | | | | |
| Patient Aftercare | | | | |
| Endoscope Design, Function & Capabilities | | | | |
| Use and Complications of Diathermy | | | | |
| Endoscopy Unit Design & Management | | | | |
| Endoscope Decontamination | | | | |
| Quality Measures of Outcome | | | | |
|ENDOSCOPY PROCEDURAL SKILLS |
|(Including recognising endoscopic abnormalities and their severity scores) |
|Upper GI Endoscopy: |
| Diagnostic OGD with Biopsy ± Staining | | | | |
| Therapeutic OGD | | | | |
| Variceal Ligation / ± Injection | | | | |
| Injection Techniques | | | | |
| Clip Insertion | | | | |
| Oesophageal Dilatation | | | | |
| PEG Insertion ± Retrieval | | | | |
|Lower GI Endoscopy: |
| Proctoscopy/Rectoscopy | | | | |
| Diagnostic Left Colonoscopy with Biopsy ± Staining | | | | |
| Total Colonoscopy with Biopsy ± Staining | | | | |
GASTROENTEROLOGY & HEPATOLOGY
CONDITIONS AND DISEASES
COMPETENCIES ACQUIRED
| | | | | |
| |Year 1 |Year 2 |Year 3 |Year 4 |
|Therapeutic Lower GI Procedures: |
| Snare Polypectomy | | | | |
| Haemostasis Techniques | | | | |
| Balloon Dilation of Stenosis | | | | |
|ULTRASOUND |
|‘Hands-on’ Experience and Competence: |
| Upper Abdomen Ultrasound | | | | |
| Biliary Tract Ultrasound | | | | |
| Lower Abdomen Ultrasound | | | | |
|Ultrasound Review of Patient Images with Ultrasonographer: |
| Upper Abdomen Ultrasound | | | | |
| Biliary Tract Ultrasound | | | | |
| Lower Abdomen Ultrasound | | | | |
|LIVER BIOPSY |
| With Personal ‘hands-on’ Ultrasonography | | | | |
| With Ultrasonographer | | | | |
Competencies define the core competencies with respect to knowledge ,skill and attitudes in GI training .
Competencies can be scored as follows:
a.As percentage expectation of achieving the competencies:
Year 1, 30% ; year 2 ,50%; year , 70%; year 4, 100%.
b. A verbal description,
Year 1 , acting at a level requiring supervision with some independent procedures , some unsupervised patient contacts, Year 2 , at least half of procedures unsupervised and at least half of patient contacts unsupervised , year 3 , three quarters of procedures independent, three quarters of patient contacts unsupervised.Year 4 working at the level of an independent specialist.
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