Name of the Institute
OTORHINOLARYNGOLOGY
LOGBOOK
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Competency – based medical education (CBME) involves the attainment of
observable abilities by the students in a time-dependent, learner-centered manner.
The emphasis is on outcomes that are relevant to the daily practice of medicine
rather than facts. The student gets opportunity to learn at his/her own pace, the
ultimate aim being the successful attainment of competencies by all students
irrespective of when they do that. Assessment are aligned to these competencies;
therefore, the tools differ drastically from the traditional curriculum. While written
assessment of cognitive components constitute the bulk of traditional curricular
assessment
Competency-based curriculum strives to employ more of workplace-based
assessment including direct observation and daily logs.
Sayings of the great:
“I will prepare and someday my chance will come.”
Sir Abraham Lincoln
“Strength does not come from physical capacity, it comes from an indomitable will.”
2
Mahatma Gandhi
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CONTENTS
Sr. No. Subject Page no.
1 LOGBOOK CERTIFICATE 04
2 BIODATA OF THE CANDIDATE 05
3 GENERAL INSTRUCTIONS 06
4 RECORDS OF EXAMINATIONS AND INTERNAL ASSESSMENT 08
SELF DIRECTED LEARNING / TUTORIALS / SEMINARS / EXTRA 09
5 CURRICULAR ACTIVITIES
6 CLINICAL SKILLS – LIST OF COMPETENCIES 12
7 PSYCHOMOTOR SKILLS – LIST OF COMPETENCIES 14
8 COMMUNICATION SKILLS – AETCOM 15
9 PHASE II 16
10 PHASE III/I 18
12 REFLECTION ON AETCOM MODULE 21
13 ANNEXURES 23
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LOGBOOK CERTIFICATE
This is to certify that this logbook is the bonafide record of Mr. / Ms. ................................................................................... Roll
No…………………..Admission Year ……….………, of the Department of Otorhinolaryngology (ENT) at
………………………….………….Medical College.
The logbook is as per the guidelines of Competency Based Undergraduate Medical Education Curriculum, Graduate Medical
Regulation 2019.
He / She has satisfactorily attended/ completed all assignments mentioned in this logbook as per the guidelines prescribed by National
Medical Commission.
Head of Department of Otorhinolaryngology
Signature with Date
4
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BIODATA OF THE CANDIDATE
Name of the student:
Name of the course: MBBS
PHOTO
Date of birth:
Father’s / Guardian’s name:
Mother’s name:
Blood group:
Permanent Address: Temporary Address:
……………………………… ……………………………
………………………………. …………………………….
Student’s contact no:
Father’s/ Guardian’s contact no:
Student’s Email id:
Father’s/ Guardian’s Email id:
Candidates Signature: ……………………... Date: .................
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GENERAL INSTRUCTIONS
1) The logbook is a record of the academic / non-academic activities of the student. Each Medical student is responsible for
maintaining their logbook.
2) This logbook is prepared as per the guidelines of NMC for implementation of Competency Based Curriculum for 3rd
Professional MBBS students in the subject of Otorhinolaryngology.
3) Students are instructed to keep their logbook entries up to date. It is the responsibility of the student to enter their activity in
respective pages & get them duly signed by the supervising faculty.
4) Entries in the logbook will be in accordance with activities done in the department & have to be scrutinized by the Head of the
department.
5) The logbook assessment will be based on multiple factors like
• Overall presentation
• Active participation in the sessions Quality of write up of
reflections.
• Timely completions
• Attendance
6) The logbook shall be kept as record work of the candidate for the department & be submitted to department as a bonafide
record of the candidate before appearing for the University examination.
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NOTE:
1. A clear record of all components that add to the internal assessment marks needs to be maintained by the institution and
retained by them for at least 2 years after passing of the examination. Institutions may be asked to provide these details
by the University as and when required.
The contents in the logbook are suggested guidelines. The institutions can make necessary changes as per the needs.
ATTENDANCE
Attendance requirements are 75% in theory and 80% in practical/clinical for eligibility to appear for the examination in that subject.
In subjects that are taught in more than one phase- the learner must have 75% attendance in theory and 80% in practical in each
phase of instruction in that subject
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Records of Examinations and Internal Assessment
Practical (Exam 1
and 2 – 5 marks
each for journal and
Signature
Sr. logbook, Prelim Feedback Signature
Exam No. Date Theory Date of
No. exam-10 marks provided of teacher
student
each for journal and
logbook)
Exam no.1- *Phase II (end
1 _ /40+10
of 1st clinical postings)
Exam no.2- Phase III/I
2 /50 /40+10
(end of 2nd clinical postings)
3 Preliminary Examination /100 /80+20
4 Total /150 /150
5 Conversion /30 /30
Final Internal Assessment
6 Marks (to be /30 /30
submitted to
University)
*The practical examination conducted in phase II will be college level examination and
marks of the same will not be included in the internal assessment.
......................................
Signature of Head of the Department
8
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Self-Directed Learning, Seminars, Tutorials, Projects, Quizzes, extracurricular activities
Sr. Self- directed learning (Seminars, Date Phase II Phase III/I Signature of Teacher
No. Tutorials, Projects, Quizzes,
Extracurricular activities)
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Date :
Reflection (minimum 200 words) – 1
TOPIC:
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Reflection (minimum 200 words) – 2 Date :
TOPIC:
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LOGBOOK : LIST OF COMPETENCIES
Clinical skills can be assessed by case presentation, case-based discussion, objective structured clinical assessment the
checklist, MiniCex, as per the institutional preference.
Name of Activity
Competency # addressed
Topic: Clinical Skills
EN2.1 Elicit document and present an appropriate history in a patient presenting with an ENT complaint
EN2.2 Demonstrate the correct use of a headlamp and head mirror in the examination of the ear, nose
and throat
EN2.4 Demonstrate the correct technique of performing and interpreting tuning fork tests
EN2.5 Demonstrate the correct technique of examination of the nose & paranasal sinuses including the
use of nasal speculum
EN2.6 Demonstrate the correct technique of examining the throat including the use of a tongue
depressor
EN2.7 Demonstrate the correct technique of examination of neck including elicitation of laryngeal crepitus
EN2.8 Demonstrate the correct technique to perform and interpret pure tone audiogram & impedance
audiogram
EN2.12 Counsel and administer informed consent to patients and their families in a simulated environment
Topic: Management of diseases of ear, nose & throat
EN4.1 Elicit document and present a correct history, demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of Otalgia
EN4.3 Elicit document and present a correct history, demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of ASOM
EN4.4 Demonstrate the correct technique to hold visualize and assess the mobility of the tympanic
membrane and its mobility and interpret and diagrammatically represent the findings
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Elicit document and present a correct history demonstrate and describe the clinical features,
EN4.7 choose the correct investigations and describe the principles of management of mucosal type of
CSOM
Elicit document and present a correct history, demonstrate and describe the clinical features,
EN4.8 choose the correct investigations and describe the principles of management of squamosal type
of CSOM
EN4.9 Demonstrate the correct technique for syringing wax from the ear in a simulated environment
EN4.22 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of Nasal
Obstruction
Elicit document and present a correct history demonstrate and describe the clinical features,
EN4.26
choose the correct investigations and describe the principles of management of Adenoid
EN4.27 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of Allergic Rhinitis
EN4.30 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of Epistaxis
EN4.37
Describe the clinical features, investigations and principles of management of Ludwig’s angina
EN4.39 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of Chronic
Tonsillitis
EN4.42 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of hoarseness of
voice
EN4.49 Elicit document and present a correct history demonstrate and describe the clinical features,
choose the correct investigations and describe the principles of management of foreign bodies
in the air & food passages
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LOGBOOK PSYCHOMOTOR / PERFORMANCE SKILLS:
Skills can be assessed by objective structured clinical assessment with checklist, Global Rating Scale, Simulated patients as
per the institutional preference.
Colleges are instructed prepare modules for skill training as per NMC guidelines.
Module 5 Skill Training.
I - Otoscopy
D – Anterior nasal packing
LIST OF COMPETENCIES
Competency # addressed Name of Activity
Demonstrate the correct technique of examination of the ear including
EN2.3
Otoscopy
Identify, resuscitate and manage ENT emergencies in a simulated
EN2.13 environment (including tracheostomy, anterior nasal packing, removal of foreign bodies
in ear, nose, throat and upper respiratory tract)
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LOGBOOK FOR AETCOM SKILLS
Counselling for Investigation, Treatment, Prognosis, Blood donation, Organ Donation, Breaking Bad news. All types of consent.
Medicolegal aspects and Ethics, Empathy and professionalism as per the Phase of the MBBS. Include cases of Allied branches
also.
Competency to be assessed during Clinical postings and /or small group discussions.
LIST OF COMPETENCIES FOR AETCOM
Competencies addressed
The student should be able to Level
1. Identify, discuss and defend medico-legal, socio-cultural, professional and ethical KH
issues as it pertains to the physician – patient relationship (including fiduciary duty)
2. Identify and discuss physician’s role and responsibility to society and the community KH
that she/he serves
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PHASE II-clinical (minimum two assessments)
Sr. Competency # Name of Activity Site Date Attempt Rating Decision of faculty Initial Feedback Method of
No. addressed Ward, skill completed at of received assessme
lab, opd , activity Below (B) Completed faculty Initial of nt and
casualty, First (F) expectations (C) Repeat Learner Score
Repeat (R)
(R) Meets (M)
Remedial (Re) expectations Remedial (Re)
Exceeds
(E)
expectatio
ns
OR
Numerical Score
1.
2.
3.
4.
5.
6.
16
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PHASE II-Psychomotor
Sr. Competency # Name of Activity Site Date Attempt at Rating Decision of faculty Initial Feedback Method of
No. addressed Ward, skill lab, completed activity of received assessment and
opd , casualty, First (F) Below (B) expectations Completed faculty Initial of Score
Repeat (R) (C) Repeat Learner
Remedial (Re) Meets (M) expectations (R)
Exceeds (E) Remedial (Re)
expectation
s
OR
Numerical Score
1.
2.
17
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PHASE III Part I -clinical (Minimum two assessments)
Sr. No. Competency # Name of Activity Site Date Attempt at Rating Decision of faculty Initial Feedback
addressed Ward, skill lab, completed activity of received
opd , casualty, First (F) Below (B) expectations Completed faculty Initial of
Repeat (R) (C) Repeat Learner Method of
Remedial (Re) Meets (M) expectations (R) assessment
and Score
Exceeds Remedial (Re)
(E)
expectatio
ns
OR
Numerical Score
1.
2.
3.
4.
5.
6.
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PHASE III Part I-Psychomotor skill
Sr. Competency # Name of Activity Site Date Attempt at Rating Decision of faculty Initial Feedback
No. addressed Ward, skill lab, completed activity of received
opd , casualty, First (F) Below (B) Completed faculty Initial of
Repeat (R) expectations (C) Repeat Learner Method of
Remedial (Re) (R) assessment
Meets (M) and Score
expectations Remedial (Re)
Exceeds
(E)
expectatio
ns
OR
Numerical Score
1.
2.
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PHASE III Part I - AETCOM
Sr. Competency Name of Activity Site Date Attempt at Rating Decision of faculty Initial Feedback Method of
No. # addressed Ward, skill completed activity of received assessme
lab, opd , First (F) Below (B) Completed faculty Initial of nt and
casualty, Repeat (R) expectations (C) Repeat Learner Score
Remedial (Re) (R)
Meets (M)
expectations Remedial (Re)
Exceeds
(E)
expectatio
ns
OR
Numerical Score
1.
2.
3.
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REFLECTION ON AETCOM MODULE For PHASE III/Is
Module 2.1 – History taking
Competency addressed Level
Elicit document and present an appropriate history in a patient SH
presenting with an ENT complaint
Reflection (minimum 200 words) -1 Date:
Signature of Teacher-in-charge
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REFLECTION ON AETCOM MODULE
Module 2.12 – Counseling and administering informed consent
Competency addressed Level
Counsel and administer informed consent to patients and their families SH
in a simulated environment
Reflection (minimum 200 words)-2 Date:
Signature of Teacher-in-charge
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ANNEXURE 1:
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ANNEXURE 2:
AetCom skills can be assessed by use of Kalamazoo consensus.
Criteria
Builds relationship
Opens the discussion
Gathers information
Understands the patient’s
perspective
Communication skills rating scale adapted
Shares information
from Kalamazoo consensus statement.
Manages flow
Overall rating
Signature of teacher
Rating 1-3 - Poor, 4 -6 Satisfactory, 6 -10 Superior
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