Normal Fetal
Logbook
for Ultrasound
Anatomy
module 3
RCOG US module Fetal Anatomy
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Contents
1. DECLARTION ----------------------------------------------------------------------------------------------------- 3
2. GUIDANCE FOR TRAINEES ------------------------------------------------------------------------------------ 4
3. GUIDANCE FOR TRAINERS / PRECEPTORS --------------------------------------------------------------- 5
4. ACQUISITION OF PRACTICAL SKILLS AT THE CLINICAL PLACEMENTS ----------------------------- 5
5. EXAMPLE OF IMAGE ANONYMITY ------------------------------------------------------------------------- 6
6. RECORD OF ATTENDANCE ------------------------------------------------------------------------------------ 7
7. LOGBOOK --------------------------------------------------------------------------------------------------------- 8
8. RECORD OF SUPERVISOR’S FORMAL MEETING ---------------------------------------------------------First meeting-----------------------------------------------------------------------------------------------------42
Second meeting-------------------------------------------------------------------------------------------------43
Third meeting---------------------------------------------------------------------------------------------------44
Fourth and Final meeting------------------------------------------------------------------------------------45
9. TRAINEE’S ASSESSMENT OF INTERMEDIATE ULTRASOUND MODULE IN NORMAL FETAL
ANATOMY -------------------------------------------------------------------------------------------------------46
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Declaration
This statement must be completed and signed after completion of the log book
I 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 supervised
 made during the period of my ultrasound training for the intermediate scan module
 specifically for the purposes of the module for which this log book is submitted, and
 discussed with my ultrasound trainer/ supervisor before or after inclusion
I 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: ………………………….
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Guidance for trainees
Welcome to the Intermediate Ultrasound of Normal Fetal Anatomy. 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 fetal and maternal conditions 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 aconsistent and systematic approach towards a full
obstetric 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 1 The trainee demonstrates detailed knowledge & understanding and is aware of common
complications/ issues relating to the competence/ clinical skill/ situation.
Level 2 The 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
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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 a mandatory prerequisite for the ATSM in Fetal Medicine.
Guidance for trainers/preceptors (Job description for Local
ultrasound educational supervisor)
Thank you for agreeing to be a trainer for the Intermediate ultrasound module of normal fetal
anatomy. A trainee is scheduled to attend your ultrasound scan sessions to acquire essential skills in
obstetric 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 placement
Supervised practical training with the trainer aims to achieve the skills specified in the logbook.
The following factors need to be taken into consideration
1.
Pre-existing experience in obstetric ultrasound.
2.
Availability of training opportunities for both trainers and trainees.
Practical training would include at least 100 directly supervised scans.
It is likely that many of the available training sessions would fall within the fetal medicine unit or special
interest sessions of a consultant obstetrician. A variety of fetal and obstetric problems may be
encountered and the number of women seen may not be consistent as with a stand-aloneultrasound
list. In other cases it may be possible for the trainee to attend dedicated fetal screening sessions (fetal
anomaly scans) and 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.
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Example of image anonymity
Patient’s name & number concealed
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Hospital and Date of Scan retained
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Record of attendance
Date
Number of scans
Directly Supervised
Indirect supervision
Use additional sheet(s) if necessary
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Logbook
Image description
and critical evaluation:
Date of assessment
Indication
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Image description
and critical evaluation:
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and critical evaluation:
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Image description
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Image description
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Image description
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Record of Supervisor’s Formal Meeting with Trainee
First meeting
Comments
Initial learning targets at start
of training and till the next
meeting
Learning targets achieved
over previous period (Outline
strengths and achievements
and areas of concern from
previous study phase)
Log book progress and review
N/A for first meeting
Targets for next period
Student’s signature and date
Trainer’s signature and date
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Record of Supervisor’s Formal Meeting with Trainee
Second meeting 4 months
Comments
Learning targets for the next
period
Learning targets achieved
over previous period
Log book progress and review
Targets for next period
Student’s signature and date
Trainer’s signature and date
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Record of Supervisor’s Formal Meeting with Trainee
Third meeting 8 months
Comments
Learning targets for the next
period
Learning targets achieved
over previous period
Log book progress and review
Targets for next period
Student’s signature and date
Trainer’s signature and date
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Record of Supervisor’s Formal Meeting with Trainee
Fourth and final meeting 12 months
Comments
Learning targets at start of
training
Learning targets achieved
over previous period
Log book progress and review
Targets for next period
Student’s signature and date
Trainer’s signature and date
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Trainee’s assessment of intermediate ultrasound module – Normal
Fetal Anatomy
To be completed by the trainee and returned to the Deanery Ultrasound Coordinator
1.
Has this training programme given you adequate skills to fulfil the learning outcome outlined in your
scheme of study?
YES
NO
Feedback on your LUES/Training Centre:
2.
How confident are you at identifying normal fetal anatomy?
Confident
Fairly confident
Not confident
Comments:
3.
How confident are you at correlating ultrasound findings with the clinical presentation?
Confident
Fairly confident
Not confident
Comments:
4.
How confident are you at establishing a diagnosis and formulating a plan of action?
Confident
Fairly confident
Not confident
Comments:
5.
How confident are you at communicating your findings to the patient and colleagues?
Confident
Fairly confident
Not confident
Comments:
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