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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