SUBSPECIALITY TRAINING
PAEDIATRIC RESPIRATORY MEDICINE
LOG BOOK
(MINISTRY OF HEALTH MALAYSIA)
Candidate’s Name:-____________________________________________
MMC number:________________________________________________
Paediatric Respiratory Sub-Speciality number:_______________________
Period of training: from________________ to_______________________
Supervisor’s name______________________________________________
Institution:____________________________________________________
CASE RECORDING OF MANAGEMENT OF
DIFFICULT RESPIRATORY CASES
1. CONGENITAL LUNG MALFORMATION
A minimum of 10 cases.
(Pulmonary sequestration, Cystic lung malformation, Pulmonary agenesis, Pulmonary hypoplasia,
diaphragmatic paralysis, diaphragmatic eventration etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
2. DIFFICULT UPPER AIRWAY PROBLEMS
A minimum of 20 cases.
(Cranio-facial abnormalities, choanal atresia, cyst, cleft, malacic airway, stenosis etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
3. CHRONIC LUNG DISEASE WITH OR WITHOUT PULMONARY HYPERTENSION
A minimum of 30 cases.
(Broncho-pulmonary dysplasia, CLD of infancy, Reflux associated respiratory diseases, bronchiolitis
obliterans, BOOP, alveolitis and interstitial lung disease etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
Diagnosis
Outcome
4. SUPPURATIVE LUNG DISEASE AND COMPLICATED PNEUMONIA
A minimum of 20 cases.
(Bronchiectasis, cystic fibrosis, empyema, lung abscess etc)
No.
Date
Name
IC
Age
5. DIFFICULT ASTHMA AND OTHER WHEEZING DISORDERS
A minimum of 30 cases.
(Difficult to treat asthma, status asthmaticus, brittle asthma, recurrent wheezing or persistent
wheezing disorder etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
6. CARDIOVASCULAR RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Hear failure with recurrent pneumonia, bronchial compression from enlarged heart, vascular ring,
tracheobronchial malacic airway pre or post corrective surgery, acquired VCP(vocal cord palsy) or
diaphragmatic paralysis and etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
7. NEUROMUSCULOSKELETAL AND CNS RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Scoliosis, Kyphosis, Myasthenia gravis, Duchene Muscular Dystrophy, Spinal Muscular Atrophy etc)
No.
Date
Name
IC
Age
Diagnosis
Outcome
8. PAEDIATRIC SLEEP DISORDERS
A minimum of 20 cases.
(Sleep disordered breathing, obstructive sleep apnoea, hypersomnolence, narcolepsy, Periodic leg
movement syndrome, poor sleep hygiene etc)
No.
Date
Name
IC
Age
Diagnosis
9. ACUTE AND CHRONIC CHEST INFECTION (INCLUDING TUBERCULOSIS)
A minimum of 30 cases.
Outcome
No.
Date
Name
IC
Age
Diagnosis
Outcome
Diagnosis
Outcome
10. IMMUNODEFICIENCY RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Underlying primary or secondary immunodeficiency states)
No.
Date
Name
IC
Age
11. RARE DISEASES
A minimum of 5 cases
(Idiophatic Pulmonary Haemosiderosis, Sarcoidosis, Primary Pulmonary Hypertension, Histiocytosis,)
No.
Date
Name
IC
Age
Diagnosis
Outcome
CASE RECORDING OF RESPIRATORY RELATED
INVESTIGATIONS AND PROCEDURES
O = Observe
A = Assist
For each procedure the trainees need to start with
observation, assist followed by perform and report.
The number required observing and assisting before
performing and report will be decided by the trainer.
P = Perform
R= Report
1. PEAK EXPIRATORY FLOW RATE (perform 10)
No.
Date
Name
IC
Age
Diagnosis
Level of
competency
(O/A/P)
Diagnosis
Level of
competency
(O/A/P/R)
2. PULMONARY FUNCTION TESTS (Minimum to report 20)
No.
Date
Name
IC
Age
3. pH OESOPHAGEAL MONITORING + IMPEDENCE (Minimum to report 10 /optional)
No.
Date
Name
IC
Age
Diagnosis
Level of
competency
(O/A/P/R)
Diagnosis
Level of
competency
(O/A/P/R)
4. TRENDING PULSE OXYMETRY (Minimum to report 20)
No.
Date
Name
IC
Age
5. OVERNIGHT POLYSOMNOGRAPHY (Minimum to report 20)
No.
Date
Name
IC
Age
Diagnosis
Level of
competency
(O/A/P/R)
Age
Diagnosis
Level of
competency
(O/A/P)
6. FLEXIBLE BRONCHOSCOPY (Minimum to perform 20)
No.
Date
Name
IC
7. NON-INVASIVE POSITIVE PRESSURE VENTILATION (Manage minimum 10 cases - inpatient)
No.
Date
Name
IC
Age
Diagnosis
Level of
competency
(O/A/P)
8.
HOME NON-INVASIVE AND INVASIVE VENTILATION PROGRAMME (Manage minimum 10
cases)
No.
Date
Name
9.
HOME OXYGEN THERAPY PROGRAMME (Manage minimum 10 cases)
No.
Date
10.
TRACHEOSTOMY CARE (Manage minimum 10 cases)
No.
Date
Name
Name
IC
IC
IC
Age
Age
Age
Diagnosis
Level of
competency
(A/P)
Diagnosis
Level of
competency
(A/P)
Diagnosis
Level of
competency
(A/P)
11.
HOME VISIT (Minimum 3 visits)
No.
Date
12.
ALLERGY TESTING (Minimum 5 cases)
Name
IC
Age
Diagnosis
Level of
competency
(P)
(Observe how to do skin prick test and interpret IgE and RAST test)
No.
Date
Name
12.
OTHER PROCEDURES
IC
Age
Diagnosis
Level of
competency
(A/P)
(Observe how to do sweat test and perform 6 minute walk test, chest tube drainage,
methacholine/exercise challenge test)
No.
Date
Name
Prepared on 190513
IC
Age
Diagnosis
Level of
competency
(O/A/P/R)