ICM logbook summary
Please use a CROSS (X) for each question and complete this form in BLOCK CAPITALS and BLACK ink.
Trainee’s surname
Trainee’s forename(s)
GMC Number
GMC NUMBER MUST BE COMPLETED
Hospital placement:
Duration of placement:
Total beds:
Level of training:
Unit speciality:
Level 2:
Core
General
Level 3:
Mixed 2/3:
Step 1
Step 2
Step 3
Cardiac
Neuro
Paeds
Total unit admissions during placement:
Data can be obtained from ICNARC database
Adult case-mix data
GI/
urology
Total
Vascular
Ortho/
plastics
ENT/
Max-fax
Neuro
Obs/
Gynae
Cardiac/
thoracic
Other
Elective
surgical
admissions
Emergency
surgical
admissions
Total
Cardiovascular
Respiratory
Gastro
Neuro
Endocrine
Haem/Onc
Other
Medical
admissions
Paediatric case-mix data
1 – 5 years
< 1 year
(Supervision)
Medical
presentations
Surgical
presentations
Trauma
Procedures –
Intubation
CVC insertion
Arterial access
Other
Total
Direct
Local
Distant
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Direct
Local
6 – 15 years
Distant
Direct
Local
Distant
Event
Direct supervision
Local/Distant supervision
Teaching
Ward review - accept
Ward review - decline
Resuscitation/stabilisation
Unsuccessful resuscitation
Trauma team participation
Admission process
Major
involvement
in
management
Led ward round
Discussion with relatives
End of life care/donation
Intra-hospital transfer
Inter-hospital transfer
Follow-up clinic
Procedure
Direct
supervision
Airway & Lungs
Emergency intubation
Percutaneous tracheostomy
Bronchoscopy
Chest drain - seldinger
Chest drain – blunt dissection
Lung ultrasound
Arterial cannulation
Cardiovascular
Central venous access – IJ
Central venous access – SC
Central venous access – Femoral
Pulmonary artery catheter
Non-invasive CO monitoring
CNS
Abdomen
Echocardiogram
Ascitic drain/tap
Sengstaken tube placement
Abdominal ultrasound/FAST
Lumbar puncture
Brainstem death testing
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Local/Distant
supervision
Teaching
The aim of this table is to record evidence of the fulfilment of the multiple learning domains identified in the 2012 curriculum. It
may be thought of as analogous to the “minor involvement” section of the previously available ICM logbook. It is suggested that
brief details of the cases, the learning gained, and the relevant numbered curriculum sub-domains are identified. It is expected
that there will be several cases identified in each major domain. Please expand the table as needed.
Domain
Case details and learning points
1. Resuscitation and
management of the acutely
ill patient
2. Diagnosis, assessment,
investigation, monitoring
and data interpretation
3. Disease management
4. Therapeutic
interventions/organ support
5. Practical procedures
6. Perioperative care
7. Comfort and recovery
8. End of life care
9. Paediatric care
10. Transport
11. Patient safety/health
systems management
12. Professionalism
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CCT
competency
references
Dates
Guidance notes:
This ICM logbook summary has been locally compiled from an original produced by the Faculty of Intensive Care Medicine. It
has been produced to try to achieve consistency in the way logbook material is presented at ARCPs, and to record evidence to
fulfil the multiple sub-domains contained in the 2012 ICM CCT curriculum.
Definitions of supervision:
-Direct = supervisor present at point of care
-Local = immediately available within the hospital, but not present at point of care
-Distant = available for advice by telephone; not resident
Raw individual patient data may be collected in any way that is convenient. The faculty does not currently issue a logbook that
is suitable for this purpose, but paper records, a spreadsheet, or one of many commercially available apps may fulfil this
requirement. The logbook summary illustrates which data fields should be collected.
It is suggested that cases should not be double counted under admission, major or minor involvement sections. Clearly, it may
be relevant to enter such cases within the procedural sections, including transfers.
Clarification on sections:
-Admission = involved in the admission process, including elective cases
-Major involvement = significant contribution to the delivery of care for a patient
-Minor involvement = some learning points gained, from presence at handovers or business ward rounds despite little
active/significant contribution to care delivery.
It is expected that by _______ all ICM CCT trainees will be presenting logbook summaries using this format. One should be
completed for each ICM post.
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