1. FACULTY – MEDICAL DEPARTMENT LOG BOOK Radiodiagnosis M.D. / D. M.R.D.
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
LOG BOOK
(POST GRADUATE)
FACULTY – MEDICAL
DEPARTMENT
Radiodiagnosis
M.D. / D. M.R.D.

2. LOG BOOK (POST GRADUATE DIPLOMA)
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK
LOG BOOK
(POST GRADUATE DIPLOMA)
M.D / D. M. R. D.
Name of the P. G. Student:
Name of the P. G. Guide:
Name of the College :

3. Department of Radiology
Certificate
This is to certify that Dr.
is registered as a post –graduate student at for M.D /D.M.R.D. All the entries in the Logbook have been checked and authenticated.
Signature
Signature
Post –graduate Teacher
Head of Department
Name:
Date:
Date:

4. INDEX SN Topic Page. No. 1. General Information 1 2. Clinical Posting3.
Procedures 3 4.
Presentations 9
Case Presentations Sessions
Seminars
Journal Club Meetings
Inter- hospital Clinical Meetings
Inter- Departmental Meetings
Other Meetings 5.
Teaching Sessions Conducted 6.
Workshop, Seminars, Conference and Guest Lecturers Attended 7.
Scientific Papers Presented at Conferences 8.
Awards, Prizes and Certificates of Appreciation Obtained.
10.
Publications in the Books & Scientific Journals`
12.
Record of Internal Assessment
13.
Assessment of Performance
14.
Summary
15.
Instructions for the Residents Medical Officers

5. GENERAL INFORMATION Under –Graduate and Post Graduate Qualification
Name:
Date of Birth: Address (Permanent):
Address (Temporary):
Tel. No.:
ID:
Date of joining the course: Registered for: Registration Number: Post –Graduate Teacher:
Under –Graduate and Post Graduate Qualification
Degree/Diploma
College & University
Year of Passing
Attempt
Distinction & Prizes
Student’s Signature

6. Signature of unit In- charge
CLINICAL POSTING
Period
POSTING
Signature of unit In- charge
From TO
1st Year
1st month
2nd month
3rd month
4th month
5th month
6th month
7th month
8th month
9th month
10th month
11th month
12th month
2nd year

7. 3rd Year
1st month
2nd month
3rd month
4th month
5th month
6th month
7th month
8th month
9th month
10th month
11th month
12th month
4th year

8. SUMMARY POSTING SN POSTING DURATION (IN MONTH) 1. URORADIOLOGY 2.
GASTROINTESTINAL RADIOLOGY 3.
GENERAL RADIOLOGY 4
ORTHOPAEDIC RADIOLOGY 5.
VASCULAR & INTERVENTIONAL RADIOLOGY 6.
NEURORADIOLOGY & INTERVENTION 7.
ULTRA SONOGRAPHY 8.
COMPUTED TOMOGRAPHY 9.
MRI
10.
EMERGENCY MEDICL SERVICES

9. Signature Prof / Assoc. Prof
URORADIOLOGY SN GU
DATE
PROCEDURE
O/A/P/S
Signature Prof / Assoc. Prof
/Lecturer
0=Observed
A- Assisted
P-Performed
S- Supervised

10. Signature Prof / Assoc. Prof
GASTROINTESTINAL RADIOLOGY SN
GIR
DATE
PROCEDURE
O/A/P/S
Signature Prof / Assoc. Prof
/Lecturer
0=Observed
A- Assisted
P-Performed
S- Supervised

11. Signature Prof / Assoc. Prof
GENERAL RADIOLOGY
SR.NO
Rad.No.
DATE
PROCEDURE
O/A/P/S
Signature Prof / Assoc. Prof
/Lecturer
0=Observed
A- Assisted
P-Performed
S- Supervised

12. Signature Prof / Assoc. Prof
VASCULAR & INTERVENTIONAL RADIOLOGY SN
VIR
DATE
PROCEDURE
O/A/P/S
Signature Prof / Assoc. Prof
/Lecturer
0=Observed
A- Assisted
P-Performed
S- Supervised

13. Signature Prof / Assoc. Prof
NEURORADIOLOGY & INTERVENTION SN
INR
DATE
PROCEDURE
O/A/P/S
Signature Prof / Assoc. Prof
/Lecturer
0=Observed
A- Assisted
P-Performed
S- Supervised

14. SIGNATURE PROF / ASSOC. PROF
ULTRASONOGRAPHY SN
NAME OF PATIENT
DATE
PROCEDURE
O/A/P/S
SIGNATURE PROF / ASSOC. PROF
/LECTURER
0=Observed
A- Assisted
P-Performed
S- Supervised

15. SIGNATURE PROF / ASSOC. PROF
COMPUTED TOMOGRAPHY SN
NAME OF PATIENT
DATE
PROCEDURE
O/A/P/S
SIGNATURE PROF / ASSOC. PROF
/LECTURER
0=Observed
A- Assisted
P-Performed
S- Supervised

16. SIGNATURE PROF / ASSOC. PROF
MRI SN
NAME OF PATIENT
DATE
PROCEDURE
O/A/P/S
SIGNATURE PROF / ASSOC. PROF
/LECTURER
0=Observed
A- Assisted
P-Performed
S- Supervised

17. SIGNATURE PROF / ASSOC. PROF
EMERGENCY MEDICAL SERVICES SN
NAME OF PATIENT
DATE
PROCEDURE
O/A/P/S
SIGNATURE PROF / ASSOC. PROF
/LECTURER
0=Observed
A- Assisted
P-Performed
S- Supervised

18. Signature Prof / assoc. Prof
(A) Case Presentation Sessions SN
Date
Case Title
Signature Prof / assoc. Prof
/lecturer
Case Presentation:
Logical order in presentation
Positive & Negative points
Interpretation of Radiologic findings
Diagnosis / Treatment / Path logical correlation
Evaluation of case presentation:
Ability to react to questioning
Ability to defend diagnosis
Ability to justify diagnosis
Confidence

19. Signature Prof / assoc. Prof / Lecturer
(B) Seminars Attended SN
Date
Topic
Signature Prof / assoc. Prof / Lecturer

20. Signature Prof / assoc. Prof / Lecturer
(C) Journal Club Meetings SN
Date
Topic
Signature Prof / assoc. Prof / Lecturer
Journal Clubs : -
Articles presented / choice of article – relevance -
Content -
Presentation (cogency) -
Discussion / review of cross reference -
Overall impression of articles: Strong Vs. Weak points

21. Signature Prof / assoc. Prof / Lecturer
(D) Presentation at the Inter- Hospital & Inter – Departmental Clinical Meetings SN
Date
Title of the Case Presented
Signature Prof / assoc. Prof / Lecturer

22. Signature Prof / assoc. Prof / Lecturer
(E) Presentation at other Meetings SN
Date
Topic
Signature Prof / assoc. Prof / Lecturer

23. Signature Prof / Assoc. Prof / Lecturer
TEACHING SESSIONS CONDUCTED SN
Date
* Student Category
Title / Topic
Signature Prof / Assoc. Prof / Lecturer

24. Signature Prof / Assoc. Prof / Lecturer
*Student Category: UG / PG / Nurse / OT-PT student / Any other (Please specify)
WORKSHOPS / SEMINARS / CONFERENCES / GUEST LECTURERS ATTENDED SN
Date
Workshop / Seminar / Conference / Lecturer
Signature Prof / Assoc. Prof / Lecturer

25. SCIENTIFIC PAPERS PRESENTED AT CONFERENCESSN
Date
Title of the paper
Conference
Signature Prof / assoc.
Prof / Lecturer

26. CERTIFICATES OF APPRECIATION Signature Prof / assoc. Prof / Lecturer
AWARDS, PRIZES
AND
CERTIFICATES OF APPRECIATION SN
Date
Prize / Certificate
Signature Prof / assoc. Prof / Lecturer
PUBLICATION IN BOOK & SCIENTIFIC JOURNALS:

27. Below competence (BC) Competent (C) Above competence (AC) BC C AC
RESIDENT EVALUATION
Name of Resident
Below competence (BC) Competent (C) Above competence (AC)
BC C AC
Patient care (Residents should provide compassionate, appropriate, and effective patient care)
Develop a clinical plan and proper technique based on readiologic findings and clinical
Information.
Medical Knowledge (Residents should be knowledgeable, scholarly, and committed to lifetime learning)
Recognize and describe relevant radio logic findings.
Synthesize readiologic and clinical information and form as impression
Utilize information technology to investigate clinical questions and for for continuous self – learning
Interpersonal / communication skills (Residents should communicate and teach effectively)
Show sensitivity to and communicate effectively with clinical colleagues and health care team
Appropriately obtain informed consent
Recognize, appropriately communicate, and documents in the patient record urgent or unexpected readiologic findings
Produce readiologic reports that are accurate, concise, and grammatically correct
Effectively teach residents, medical students and other health care professional
Practice – based learning and improvement (Residents should investigate and evaluate Patient care practices, and appraises and assimilate scientific evidence in order to improve their practices )
Participate in QI (Quality improvement) / QA (Quality assurance) activities
Recognize and correct personal errors

28. Professionalism (Residents should be altruistic and accountable, and adhere to principles of medical ethics by respecting and protecting patients best interests )
Demonstrate a responsible work ethic with regard to conference attendance and work assignments
Demonstrate acceptable personal demeanor and hygiene
Overall performance :
Comments : (An overall impression of below competence (BC) or above competence requires narrative comments)
(AC)
Signature /s Date