Log Book Summary _ Urol - CSHK

[Pages:3]

The College of Surgeons of Hong Kong

UROLOGY BOARD

Log Book Summary

(Remarks: Programme Directors of respective Specialty Boards will conduct random check of the trainee’s Logbook Summary and Logbook Summary Report against the operation data from the Hospital Authority. The College reserves to take appropriate action should any untrue reporting of data was found.)

FROM / / TO / /

(dd / mm / yyyy)

| |Surgeon |Surgeon |Surgeon Mentor | |

|Major Procedures |Mentor Scrubbed |Mentor in Theatre|Available |Assist Surgery|

|RENAL / URETERAL | | | | |

|Nephrectomy - partial | | | | |

|Nephrectomy - total | | | | |

|Nephrectomy - radical | | | | |

|Nephrectomy - laparoscopic | | | | |

|Nephroureterectomy | | | | |

|Nephrolithotomy | | | | |

|Ureterolithotomy - open | | | | |

|Ureterolithotomy - laparoscopic | | | | |

|Others (specify) | | | | |

| | | | | |

|BLADDER | | | | |

|Transurethral resection of bladder tumour (TURBT) | | | | |

|Cystectomy - partial | | | | |

|Cystectomy - total | | | | |

|Ileal conduit diversion | | | | |

|Substitution cystoplasty | | | | |

|Cystolithotomy - open | | | | |

|Others (specify) | | | | |

| | | | | |

|PROSTATIC | | | | |

|Transurethral resection of prostate (TURP) | | | | |

|Transurethral bladder neck incision (TUBNI) | | | | |

|Prostatectomy - retropubic | | | | |

|Prostatectomy - radical | | | | |

|Prostatectomy - open (specify) | | | | |

|Prostatectomy - others (specify) | | | | |

|Others (specify) | | | | |

| | | | | |

|ENDOSCOPIC / INTERVENTIONAL | | | | |

|Percutaneous nephrostomy (PCN) | | | | |

|Percutaneous nephrolithotripsy (PCNL) | | | | |

|Percutaneous endopyelotomy | | | | |

|Ureterorenoscopy (URS) | | | | |

|Ureterorenoscopic lithotripsy (URSL) | | | | |

|Ureterorenoscopic pyelotomy | | | | |

|Ureterorenoscopic procedure - others (specify) | | | | |

|Endoscopic cystolithotripsy | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

| |Surgeon |Surgeon |Surgeon Mentor | |

|Major Procedures |Mentor Scrubbed |Mentor in Theatre|Available |Assist Surgery|

|NEUROUROLOGY / RECONSTRUCTIVE | | | | |

|Pyeloplasty | | | | |

|Ureteroplasty | | | | |

|Trans-ureteroureterostomy | | | | |

|Ureteral reimplantation | | | | |

|Augmentation cystoplasty | | | | |

|Substitution cystoplasty | | | | |

|Endoscopic urethrotomy | | | | |

|Urethroplasty | | | | |

|Repair of urinary fistulae | | | | |

|Colposuspension | | | | |

|Artificial urinary sphincter implant (AUS) | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

|PAEDIATRIC UROLOGY | | | | |

|Pyeloplasty | | | | |

|Nephrectomy - partial | | | | |

|Nephrectomy - total | | | | |

|Ureteral reimplantation | | | | |

|Cystoplasty | | | | |

|Hypospadias repair | | | | |

|Orchidopexy | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

|ACCESS / TRANSPLANT | | | | |

|Insertion of Tenckhoff catheter | | | | |

|Insertion of venous dialysis catheter | | | | |

|Arterio-venous fistula | | | | |

|Cadaveric donor nephrectomy | | | | |

|Living-related donor nephrectomy | | | | |

|Cadaveric renal transplant | | | | |

|Living-related renal transplant | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

|GENITAL / ANDROLOGY / INFERTILITY | | | | |

|Orchiectomy - benign | | | | |

|Orchiectomy - malignant | | | | |

|Partial penectomy | | | | |

|Total penectomy | | | | |

|Penile prosthesis implant | | | | |

|Varicocele ligation - open | | | | |

|Varicocele ligation - laparoscopic | | | | |

|Vaso-vasostomy | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

| |Surgeon |Surgeon |Surgeon Mentor | |

|Intermediate / Minor Procedures |Mentor Scrubbed |Mentor in Theatre|Available |Assist Surgery|

|Circumcision | | | | |

|Vasectomy | | | | |

|Exploration of testis | | | | |

|Testicular fixation for torsion | | | | |

|Hydrocele/Cyst | | | | |

|Others (specify) | | | | |

| | | | | |

| | | | | |

| |Mentor Supervising |Mentor Available |Assist Procedure |

|Investigative Procedures | | | |

|Rigid urethrocystoscopy | | | |

|Flexible urethrocystoscopy | | | |

|Urodynamic study | | | |

|Transrectal ultrasonography | | | |

|Others (specify) | | | |

| | | | |

| | | | |

I declare that the information in this logbook summary report is true and correct.

Signature (Trainee): ______________________________

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download