INTERNSHIP RECORD BOOK

Transcription

1 Dr. NTR UNIVERSITY OF HEALTH SCIENCES VIJAYAWADA INTERNSHIP RECORD BOOK Name.. Period From.. To... 1

2 B I O D A T A Passport size Photo Name Date of Birth Sex Date of Joining in MBBS Registration Number : : : : : Date of Completion of MBBS : Internship Period : : Permanent Address : Present Address: Signature of the candidate 2

3 POSTINGS OF THE INTERNEE Orders. Dt: of the Superintendent, Hospital,. Name of Posting From To Period 1 Community Medicine 2 months 2 Medicine including 15 days of Psychiatry 3 Surgery including 15 days Anaesthesia 4 Obst. & Gynaec including Family Welfare Planning 2 months 2 months 2 months 5 Paediatrics 1 month 6 Orthopaedics including PMR 1 month 7 ENT 15 days 8 Ophthalmology 15 days 9 Casualty 15 days 10 Elective(name) 15 days 3

4 GUIDELINES: 1. Provisional registration with AP State Medical Council is compulsory for starting the internship training. 2. The internee must first report to the Head of the Department concerned and after receiving the unit postings from the HOD, the internee must report to the Unit Head. 3. Wearing of white coat (Apron) is compulsory during duty hours. 4. The skills to be learnt during posting are as prescribed by the Medical Council of India. 5. The interns have no authority to sign a death certificate or a medicolegal document. 6. The booklet provides proforma(s) in various specialities which indicate knowledge and skills to be acquired while undergoing that specific posting. 7. The record of performance should be verified by the Head of the Units, countersigned by the Head of the Department, immediately after the completion of the posting. 8. For Elective posting, indicate the dept. in the space provided. 9. Responsibility of safe custody of the booklet rests on the Intern. 10. All interns must obtain AHA certified BLS training certificate from State ITC Academic Coordinator, Guntur Medical College, Guntur during the period of their internship after undergoing training as per the schedule. 11. On completion of all postings (the total period of one year), the booklet is to be returned to the Academic Incharge / Coordinator, Internship Training Programme of the Institution for issue of the completion certificates. 12. During the period of Internship of one year, an intern may be allowed upto a maximum of 12 (Twelve only) days leave provided that he / she completes atleast 80% of prescribed period of training for each department. 13. The interns should reside in the hospital premises and be available to attend to call duty even after the days duty is done. 14. Interns will be given extension of posting for the period of their absence if they avail more than the prescribed days of leave. Completion certificate will be issued only on submission of this Record book. 4

5 DEPARTMENT OF COMMUNITY MEDICINE 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Relationship and communication with patients / attendants 7. Research aptitude Training in Community Medicine: Particulars 1 Rapport with community a) Community b) Staff 2 Medical Care (. of patients examined) 3. of special clinics attended/held (if applicable) a) AN clinics b) PN clinics c) Immunization clinics d) Anganwadi clinics e) School Health clinics f) Child Home clinics g) Any other (specify) 4. of deliveries conducted 5 Communicable Disease a) TB cases seen b) Malaria cases seen c) Diarrhoeal disease d) Others (specify) Rural Health Centre Urban Health Centre. --- (0 to 5). (0 to 5) 5

6 6 Family Planning a) Motivation for Tubectomy/Vasectomy (give numbers) b) Motivation for OC/IUD/CC (If applicable) 7 Record keeping Family visits (give numbers) 9 Seminar Presentations (number) 10 Health Education / IEC sessions attended / presented a) School b) Community 11 Any other (specify) Procedures: 1. of Vasectomies done 2. of Tubectomies done 3. of IUDS inserted 4. of slides examined a) TB b) Malaria (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Community Medicine Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp 6

7 DEPARTMENT OF MEDICINE ( includes one week posting in ICU) 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Medical Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round 7

8 Training in Routine Procedures: Particulars Recommended. 1 I.V.Injection 30 2 Setting up of I.V. Drip 10 3 Blood Transfusion with its 04 Management 4 Passing of Ryle s Tube (Stomach Tube) Clinical Lab Training: 1 Sputum Examination for AFB 10 2 Estimation of Hb, TLC, DLC, 30 ESR 3 Complete Urine Examination 30 4 Stool examination for parasitic ova/cyst 5 CSF Smear examination Training in Special Procedures: 1 Open Methods (Cut Down) 04 2 Stomach Wash 3 Nebulisation 30 4 Cardiac monitoring 5 Revealing bad news to relatives 04 6 Lumbar puncture and examination of CSF 7 Pleural Aspiration 8 Abdominal paracentesis 04 9 Bone Marrow Aspiration (assisted) 10 Liver Biopsy (assisted) 11 Installation of Airway tube 12 Oxygen administration 10 Approx. Performed (0-5) 8

9 Training in Emergency Procedures and Treatment 1 Assisting in external Cardiac 04 massage 2 Management of : i) A case having convulsions 04 ii) A case in coma 04 3 Acute myocardial infarction 10 4 Diabetic coma 04 5 Poisoning 04 6 Hyperpyrexia 04 7 Status asthmaticus (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Medicine Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 9

10 DEPARTMENT OF PSYCHIATRY (15 days included in Medicine posting of 60 days) 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Psychiatry Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Diagnosis and management of common Psychiatric disorders: Particulars Recommended. 1 Depression 2 Anxiety neurosis, PTSD 3 Schizophrenia 4 Psychological reaction Approx. Performed (0-5) 10

11 5 Mental retardation 6 Autistic spectrum disorders 7 Eating disorders 8 Substance abuse/alcoholic addiction (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Psychiatry Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 11

12 DEPARTMENT OF SURGERY 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Surgery Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Particulars Recommended. 1 Incision and draining of abscess 10 2 Suturing of superficial wounds 10 3 Excision of small cysts, nodules 10 4 Circumcision and reduction of paraphimosis Approx. Performed (0-5) 12

13 5 Vasectomy 6 Manage anal fissure 7 Injections for piles 8 Administration of nerve blocks 15 9 Dressing of wounds and burns Biopsy of surface tumors Training of Surgical Emergency Procedures: Particulars 1 Resuscitate a critically injured patient / severe bums patient 2 Control surface bleeding and management of surface wounds 3 Manage patients of chest, abdomen and head/spine injury 4 Institute first line management of acute abdomen 5 Management of peripheral circulatory failure Training in Operating Room Techniques Recommended. 1 Major surgeries assisted Approx. Performed (0-5) (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Surgery Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 13

14 DEPARTMENT OF ANAESTHESIA 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Relationship and communication with patients / attendants 7. Research aptitude Training in Routine Procedures: Recommended Particulars. 1 Pre-anaesthetic check up and medications 2 Venepuncture and iv drip 3 Larynogoscopy and Endotracheal intubation 4 Spinal anaesthesia 5 Simple nerve blocks 6 Monitor patients under GA Approx. Performed (0-5) 14

15 Emergency Procedure (Under supervision) Particulars 1 Cardio Pulmonary / Brain Resuscitation (CPBR) 2 Manage problems associated with emergency anaesthesia Recommended. Approx. Performed (0-5) 3 BLS training 01 (at ITC of Dr. NTR UHS) (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Anaesthesia Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 15

16 DEPARTMENT OF OBSTETRICS, GYNAECOLOGY & FAMILY PLANNING 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Wards: a) Number of OPD cases seen : b) Number of review OP cases seen: c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round: Training in Routine Procedures (Obstetrics): Antenatal /Postnatal ward Gynaecology ward Recommended Particulars. 1 Diagnosis of early pregnancy 10 2 Provision of antenatal care 20 Approx. Performed (0-5) 16

17 3 Diagnosis of Pathology of Pregnancy a) Abortions b) Hyperemesis c) Post partum Psychosis d) Anemia complicating pregnancy e) Heart Disease complicating pregnancy 4 Diagnosis of High risk pregnancy a) Multiple pregnancies b) Abnormal presentations c) IUGR d) Hydramnios 5 Antenatal pelvic assessment 6 Induction of labour and amniotomy 01 under supervision 7 Management of normal labour 20 8 Management of PPH 9 Management of pential tear 10 Doing episiotomies and suturing them under supervision 11 Advice regarding lactation Training in Routine Procedures (Gynaecology & Family Planning): Particulars 1 Per speculum, per vaginal examination 17 Recommended. 2 Medicolegal examination 10 Approx. Performed (0-5) 3 Tubectomy under supervision 4 Pudendal block 5 Cervical biopsies 6 Dilatation and Curettage 7 Endometrial biopsy 8 Endometrial biopsy 9 Endometrial aspiration Pap smear Intra uterine contraceptive devices Posting of Interns in FP through PSM insertion 12 Cervical punch biopsy

18 13 Urethral Cathetrisation 14 Suture removal for post operative cases Emergency Procedudres 1 Emergency Management of A.P.H 01 2 Management of P.P.H 01 3 Management of eclampsia if 01 available 4 Diagnosis of Ectopic pregrancy 01 Assistance in Surgical Procedure 1 Assisting in breech deliveries 01 2 Evacuation under Supervision 3 Assisting in caesarean section and 5+5 hysterectomies 4 Vacuum aspiration of M.R Posting of interns in EP through PSM 5 Assisting at forceps and vacuum extraction 6 D & C 7 MTP (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Obstetrics & Gynaecology including Family Welfare Planning Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 18

19 DEPARTMENT OF PAEDIATRICS 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Paediatric Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Recommended Particulars. 1 Thoracocentesis 2 Ascitic Tap 3 Lumbar Puncture 08 4 Stemal Puncture (assisted) 5 Liver Biopsy (assisted) 03 6 Periteneal dialysis (observed) 7 Assessment of Nutritional 10 deficiencies Approx. Performed (0-5) 19

20 8 I.V.Fluids Administation 10 9 Intravenous Injections, infusions 10 Blood Transfusion with its Management 11 Passing nasogastric tube & feeding 12 Laboratory Investigation Blood TLC DLC 10 Hb RBC Urine Stool 10 CSF 13 Taking blood Samples for 10 investigation 14 Tuberculin Testing 15 Preparation of diet charts a) Malnutrition b) Kidney failure Training in Emergency Procedures and treatment Recommended Particulars. 1 Resuscitation at Birth 2 Care of Children receiving intensive care 3 Acute meningitis 4 Febrile Convulsions Must do in Neonatology 1 Screening of newborn babies with risk factors 2 Monitoring of special equipment a) Ventilators b) Pulse oximeters 3 Blood from femoral vein Blood from umbilical vein Approx. Performed (0-5) 20

21 4 Breast feeding counseling 5 Detection of congenital anomalies Observations: 1 Neonatal resuscitation 2 Phototherapy 3 Exchange transfusion 01 4 Preterm care (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Paediatrics Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 21

22 DEPARTMENT OF ORTHOPAEDICS 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Orthopaedic Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Particulars 1 Diagnosis and management of Upper Ext. Fracture 2 Diagnosis and management of Lower Ext. Fracture Recommended. 3 Dislocations 4 Osteomyelitis 01 5 Poliomyelitis 01 6 Congenital Deformities (CTEV) 01 Approx. Performed (0-5) 22

23 7 Dislocation of Hip, Shoulder 01 8 Application of POP Slabs 9 Application of skeletal traction 10 Application of skin traction 11 Splintage of limb Fracture 12 Emergency care of Multiple Injury patient 13 Precaution in transport and bed care in spinal injury patients 14 Intra articular injections 15 Advice and rehabilitation of victims of a) Poliomyelitis b) Cerebral Palsy c) Amputees d) Leprosy Training in operating room techniques Particulars 1 Observed/assisted internal fixation of long bones Recommended Application of external fixation 01 Approx. Performed (0-5) 3 Seqestrectomy 01 4 Drainage of acute osteomyelitis 01 (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Orthopaedics Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 23

24 DEPARTMENT OF E.N.T 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in ENT Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Particulars 1 Skill in use of a) Head mirror b) Otoscope c) Indirect laryngoscope Recommended. 2 Syringing 3 Antral washout 4 F.B.Removal from nose & ear 5 Nasal Packing for epistaxis 6 LN Biopsy 01 7 Tracheostomy 01 Approx. Performed (0-5) 24

25 Investigative Procedures carried out / assisted Particulars Recommended. 1 Acute tonsillitis & Pharyngitis 2 Conic Tonsillitis Approx. Performed (0-5) 3 Acute & Chronic Laryngeal Conditions 4 Deviated Nasal Septum 01 5 Nasal Polyp 01 6 ASOM 01 7 CSOM 01 8 Pre & Post operative Management 01 of Patients 9 Endoscopy Advice on rehabilitation of patients with deafness / loss of speech (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the E.N.T Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 25

26 DEPARTMENT OF OPHTHALMOLOGY 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in Ophthalmic Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Particulars 1 Management of common ophthalmic problems: a) Allergic Conjunctivitis b) Trauma c) Sudden loss of vision 2 Basics of Refraction and correction of refractive errors 3 Fundus examination (Direct ophthalmoscopy) 4 Diagnosis and Management of Acute Conjunctivitis Recommended. 04 Approx. Performed (0-5) 26

27 5 Diagnosis and management of Dacrocystitis 6 Diagnosis and management of Cataract Trachoma, Glaucoma 7 Diagnosis and management of iridocyclitis Investigative Procedures carried out / assisted Particulars 04 Recommended. Approx. Performed (0-5) 1 Tonometry 10 2 Syringing 10 3 Subconjuctival Injection, under supervision 4 Ocular bandaging 10 5 Removal of concreations 01 6 Epilation and Electroysis 01 7 Corneal Foreign body removal 01 8 Cauterization of corneal ulcers 01 9 Chalazion removal Entropion Correction Suturing Conjuctival Tears 01 Operative Procedures assisted 1 Glaucoma Surgery 2 Enucleations of eye in cadaver 01 3 Cataract surgery 4 Lids repair 01 (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Ophthalmology Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 27

28 CASUALTY 1. Period of Posting: From To 2.. of days absent with leave without leave 3. Attendance: a) Regular / Irregular b) Punctuality Yes / 4. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 6. Choice of select essential drugs for common disease conditions 7. Skill in management of emergencies 8. Relationship and communication with patients / attendants 9. Research aptitude Training in Routine Procedures: Recommended Particulars. Regular 1 Venesection 10 2 Tracheostomy 01 3 Endotracheal intabation 4 Urethral Cathetrisation Male 5 Urethral Cathetrisation Female 6 Medicolegal documentation under supervision 7 Documentation of Death Emergencies 1 Resuscitation of critically injured 2 Resuscitation of burns Approx. Performed (0-5) 3 Control of bleeding and management of surface wounds 4 First line management of acute abdomen 5 First line management status asthmaticus 01 28

29 6 First line management of status 01 epilepticus 7 First line management of hyperpyrexia 8 Management of peripheral circulatory failure 9 Management of anaphylactic shock 10 Management of acute pulmonary ocdema 11 Management of Drowning Management of poisoning (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Casualty Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Casualty Medical Officer with Stamp 29

30 ELECTIVE POSTINGS (any one as per choice 15 days). Subject From To Period 1 Dermatology and Sexually Transmitted Diseases 2 Psychiatry 3 Tuberculosis and Respiratory Diseases 4 Radio-Diagnosis 5 Forensic Medicine and Toxicology 6 Blood Bank and Transfusion Department 30

31 DEPARTMENT OF DERMATOLOGY AND SEXUALLY TRANSMITTED DISEASES 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in OPD: a) New OPD cases seen : b) Review OPD cases seen : Training in Routine Procedures: Particulars Recommended. Approx. Performed (0-5) 1 Diagnosis of common disorders a) Allergic/Atopic conditions b) Infections c) Neoplastic conditions d) Sexually transmitted Diseases 31

32 2 Skill in Lab tests a) Scraping for fungus b) Slit skin smears for leprosy c) AFB staining d) Gram s staining of urethral discharge e) Wood s lamp examination f) Skin biopsy 3 Emergency management a) Severe generalized urticaria 01 b) Severe cutaneous drug 01 eruption (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Department of DVL from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 32

33 DEPARTMENT OF PSYCHIATRY See in Page.10 (The number of days of elective posting in Psychiatry may be added to the compulsory posting, and grades may be awarded.) 33

34 DEPARTMENT OF TUBERCULOSIS AND RESPIRATORY DISEASES 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 7. Choice of select essential drugs for common disease conditions 8. Skill in management of emergencies 9. Relationship and communication with patients / attendants 10. Research aptitude Training in TB Wards: a) Number of OPD cases seen : b) Number of review OP cases seen : c) Approx. number of case records written : d) Approx. number of ward rounds attended and cases presented on the round Training in Routine Procedures: Particulars Recommen ded. Approx. Performed (0-5) 1 Diagnosis of a) Acute lobar pneumonia b) Acute Bronchopneumonia c) Chronic bronchitis d) Lung abscess e) Pulmonary tuberculosis f) Pneumo thorax g) Bronchogenic Carcinoma 34

35 2 Investigative procedures & Interpretation a) Chest x-ray b) Sputum for AFB c) Lung function tests d) Blood gas anomalies 3 Procedures done under supervision a) Laryngoscopy b) Pleual aspirations c) Laryngeal intubation d) Preumothorax drainage e) Respiratory Physiotherapy (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: CERTIFICATE Certified that Dr. worked in the Tuberculosis and Respiratory Diseases Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 35

36 DEPARTMENT OF RADIO-DIAGNOSIS 1. Unit of Posting 2. Period of Posting: From To 3.. of days absent with leave without leave 4. Attendance: a) Regular / Irregular b) Punctuality Yes / 5. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score 0-5 Training in Routine Procedures: Particulars 1 Identify and diagnose, interpret radiologically a) Acute abdomen b) Head injuries c) Fractures d) Dislocations e) Injuries to vital organs f) Tumors / Abscess / Cavities / Cysts g) Pregnancy: rmal / Abnormal 2 Knowledge regarding basic hazards & precautions in Radio diagnostic practice 3 Assist / Observe a) IVP b) Myelogram c) CT / MRI d) Ultrasonogram Recommen ded Approx. Performed (0-5) (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: 36

37 CERTIFICATE Certified that Dr. worked in the Radio-Diagnosis Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 37

38 DEPARTMENT OF FORENSIC MEDICINE AND TOXICOLOGY (The intern is posted to casualty department while attached to Forensic Medicine) 1. Period of Posting: From To 2.. of days absent with leave without leave 3. Attendance: a) Regular / Irregular b) Punctuality Yes / 4. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Capacity to diagnose common clinical conditions 6. Choice of select essential drugs for common disease conditions 7. Skill in management of emergencies 8. Relationship and communication with patients / attendants 9. Research aptitude Training in Routine Procedures: Recommen Approx. Particulars ded. Performed (0-5) 1 Identification of a medicolegal case in the hospital 2 Learn medicolegal responsibility of a basic medical doctor 3 Management of poisoning 4 Management of sexual assault 5 Medicolegal documentation 6 Medicolegal postmortem procedure (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: 38

39 CERTIFICATE Certified that Dr. worked in the Forensic Medicine and Toxicology Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 39

40 DEPARTMENT OF BLOOD BANK AND TRANSFUSION 1. Period of Posting: From To 2.. of days absent with leave without leave 3. Attendance: a) Regular / Irregular b) Punctuality Yes / 4. Capacity to work in a team (Behaviour with colleagues, nursing staff and relationship with paramedical) Score Relationship and communication with patients / attendants 6. Research aptitude Training in Routine Procedures: Particulars Recommen ded. 1 Medical examination of blood donors 10 2 Collection of blood 10 3 Testing for grouping and cross match Observations: 4 Observation of screening tests for blood sterility 5 Components separation 6 First line Management of transfusion reactions 7 Participation in Blood donation camps 01 Approx. Performed (0-5) (Poor 0; Fair 1; Below average 2; Average 3; above average 4; excellent 5) Date: 40

41 CERTIFICATE Certified that Dr. worked in the Blood Bank and Transfusion Department from to and completed the posting. His/Her comprehensive attribute score is (0 to 10). Signature of the Head of Unit with Stamp Signature of the Head of Dept. with Stamp 41

42 NO DUES CERTIFICATE Department 1 Community Medicine 2 General Medicine 3 Psychiatry 4 General Surgery 5 Anaesthesia 6 Obst. & Gynaecology including Family Welfare Planning 7 Paediatrics 8 Orthopaedics including PMR 9 ENT 10 Ophthalmology 11 Casualty 12 Elective Subject 13 Library 14 Treasurer 15 Treasurer Students Aid Fund 16 Warden Boys Hostel (Internees) 17 Warden Girls Hostel (Internees) 18 Account Branch 19 Sports Head of Unit Signature of Head of Department 42

43 CASUAL LEAVE RECORD Interns are entitled to a maximum of 12 days leave throughout the year. t more than 6 days leave will be permitted in a posting of two months. t more than 4 days leave will be permitted in a posting of one month. t more than 2 days leave will be permitted in a posting of 15 days. Fill in date, sign and indicate department with the signature of Head of Unit. Name of the Department Leave taken with date. of days signature of Head of Unit Signature of Head of Department 1 Community Medicine 2 General Medicine 3 Psychiatry 4 General Surgery 5 Anaesthesia 6 Obst. & Gynaecology including Family Welfare Planning 7 Paediatrics 8 Orthopaedics including PMR 9 ENT 10 Ophthalmology 11 Casualty 12 Elective Subject 43

44 INTERNSHIP COMPLETION CERTIFICATE Name Period: From To Eligibility for receiving completion certificate: (If NO, Reason to be given) YES / NO Signature Incharge of Internship Programme 44