European Section & Board
of
Gastroenterology & Hepatology
SPECIALITY TRAINING
LOG BOOK
Companion to
THE BLUE BOOK
THE EBGH TRAINING PROGRAMME 2012
www.eubogh.org
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:
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SUMMARY OF TRAINING
Year 1
Year 2
Year 3
Year 4
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Number of months with clinical responsibility for inpatients
Average daily number of inpatients during these months
Number of months with clinical responsibility for outpatients
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
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)
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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
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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 ….
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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
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Others ….
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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 ….
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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
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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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