National ministry of health

sudan

House-offecer assessment
logbook
Name :…………………………..

University :…………………
Date of graduation :………………..

Starting date :…………………..

Hospital :………………………….
Training unit :…………………………
Consultant name :…………………………
Education supervisor :…………………….
Duration: from……………………to……………....

Address:……………………….
Telephone number :……………………………….
Email : ………………………………….
The house-offecers may not commence duties until
the following criteria are met :
A) Completed administration procedure with
hospital and given written permission to start
work
B) Presence with a formal ID
C) Receiving a formal introduction to work &
pamphlets by :
1.administration :
*showing hospital map and layout
* administration structures and head of
sections
*safety procedures
2.consultant or deputy
*any protocols and guidelines
*written time table of duties and
responsibilities .
*formal handover supervised by a senior
member of medical staff
*date and time to meet supvision consultant if
not already done
*date and time to meet educational supervisor
for hospital .
*Set training objectives with supervisor
Note :

Have you been vaccinated

against
1.hepatitis B 2.TB ?

If you have not , contact the

hospital administration for that.

It's a must before you

commence your house man
ship .
Guide line to house-offecer
A- Purpose :
This logbook is meant to :
*provide an evidence of the quality and
content of the training received during
internship period .
*to assist consultant in a fair and proper
evaluation of the house officer during the
shift period .
*to document daily work regarding
activities in departments and the related
departments .

B- How to use :
This logbook should remain with house-
offecer and it's his/her responsibility to
ensure that all sections are completely filled
 and signed by the appropriate person and
countersigned by the consultant

C- Final assessment report :

The final assessment report will be filled by
consultant in charge of your training and
your education supervisor based on the
competences and skills documented in this
logbook and the professional attitude &
knowledge parameters .

D- House-offecer feedback :
There is also section to be filled by the
trainee to voice his opinion about the quality
of training received in each shift and form
should be filled immediately after finishing
the rotation and submitted to hospital
administration .
Where to submit the document :
The assessment report will be submitted to
the consultant who will submit to the hospital
administration .
The intern feedback to be submitted to the
hospital administration .
The house-offecer logbook should be
submitted to the national ministry of health

Job description of the house-offecer

Dear doctor , welcome to the start of your
professional career , please always remember
that your professional practice must always
guided and based on the finest ethical &
professional starting emphasizing values
team approach , modesty and continuing
professional development
During your different rotation you are
expected to :
1.do a competent initial assessment of
potions including an informative history
,competent clinical examination and
identifying problem to be addressed .

2.disscuss with registrar / medical officer the

plan of management and arrange for follow
up using the specified flow sheets .
3.Present case in clinical rounds .
4.documented in the patients record regular
follow up visits including clinical check up
review of implements ( nursing , nutrition &
medication )
5. execute tasks assigned to you by seniors .
6.offer initial emergency managements
For emergency and critical cases and ask for
help .
7. contribute in solving patents non medical
problems
8.recognize the job description of the other
health team member and positively interact
with and support them .
9.contribute to until teaching activities &
promote yourself professionally .
10. follow the stander safety measures.

Limitation on authority :
The patents care is primarily the
responsibility of your consultant while this
may be delegated to you to varying degrees .
You must always be aware of your limitations
except in exceptional circumstances all major
Clinical decisions .
Must have clear confirmation of the consultant it
is imperative that when in doubt you seek
opinion of your seniors.
*Your are not allowed to issue
a death certificate .

*You are not allowed to fill

( form 8 ) , but you must assess
the patent and immediate
emergency treatment .

Generally skills / competencies

*during the internship the house officer must
be signed as competent by an authorized
Supervisor or provide evidence of attending a
recognized formal teaching sessions .
The consultant must countersigned all
competencies .
Skills Supervisor Position Assessment date
/competence name tools
Professional
ethics
Bedside manner
/communication
skills
Talking prober
history
Clinical skills
Basic clinical
skills
Working in
team
Confirm of
death
Basic life
support
Offering
management of
emergency and
critical patent .
Giving oxygen
Effective suction
Using ambo bag
Fixing iv line
Introduction of
N/G tube
Urethral
catheterization
Subcutaneous
injection
I/M & I/V
injection
Lumber
puncture
Blood
transfusion
procedure and
complication
Obtaining and
informed
consent
 Competences and skills in surgery
Skills / competency Assessment tool Signature
Understanding of
indications of surgery
Different surgical
examination
Management of acute
abdomen
Offering pre &
postoperative care
Postoperative
complication and
management
Use of various
instruments
Suturing wounds
Draining of abscess
Chest tube under water
seal
Haemorrhoidectomy and
acute anal condition
Hernia repair
Appendectomy
Obtain informed consent
Simple fracture
stabilization
Venesection
 Competences and skills in obs & gynae
Skills / competency Assessment tool Signature
Taking history
Clinical examination
Antenatal visit
including booking
Diagnose and
mange normal
labour
Suture episiotomy
Understanding
danger sign to
mother and baby
Attend delivery of
multiple
pregnancies
Attend ,assess &
perform caesarean
section under
observation
Attend forceps
ventous & breech
delivery
Mange obstetric
emergencies :to
EMOC standards
,APH,PPH,eclampsia
& pre-eclampsia
Understand
deferential
diagnosis and
management of
common conditions
Evacuation of
remain content
Management of
pregnancy diseases
Management of
pregnancy with
heart disease
Offering pre &
postoperative
management
Draining of vulvae
abscess
Attend and assess
gynaecological
surgery
Advice and counsel
on family planning
Obtained informed
consent
Venesection
 Competences and skills in Paediatric
Skills / competency Assessment tool Signature
Consider and sympathetic
approach to child &
family and use of good
communication skills
Taking history
Clinical examination
Neonatal examination
Growth & developmental
assessment using
anthropometric tools and
charts
Assess puberty
Ability to recognize sick &
life threatening
presentations
Assess and initiate
management of new-
born with asphyxia ,RDS ,
&other life threatening
presentations
Management of common
diseases
Initiate plan for common
emergency problems
 Interpret routine Blood
tests & CXRS
Basic paediatric life
support(face mask
ventilation , cardiac
compression & neonatal
resuscitation
Basic airway management
manoeuvre
Management of
convulsion
Urinary catheter
N/G & oro-gastric tube
Use of phototherapy
Umbilical catheterization
(under observe )
Itraosseous line
Abdominal paracentesis
and pleural tap (asses &
don )
Liver & lymph node
biopsy
Bone marrow aspiration
 Other procedure & competence
Skills / Assessment Signature
competency tool
A- Done by
house
officer
…………………
………………..
…………………
………………..
B- assesse in
doing
…………………..
…………………..
…………………..
…………………..
C- observe
........................
……………………..
…………………….
…………………….
Assessment tools :
1) case base dissection :
which we think can be easily done during the
clinical grand rounds or during the medical duties
however we think this should not be the sole
assessment tool and the house officer should be
monitored (could be informal ) to assess his/her
capability to address various and diverse
presentations

2) mini clinical examinations :

in which the house officer is asked to perform
clinical examination of the systems
and to be able to recognize abnormality
again we think this should also be done a number
of occasion to assesse the capability of house
officer
*we should be looking at how much does the
house officer know and reverse !
*observation : usually done for procedure and can
be quite objective having a procedures check list
 Trainees evaluation of the shit
View expressed here are confidential and will not
be revealed to your trainers you may choose not to
write your name .
Trainer name :…………………………………………..
Hospital :…………………………………………
Specialty :…………………………………………….
Date of commencement :…………………
Unite composition :……………………..
Number of registrar :……………………..
Number of house officer :……………………
Training site
Inpatient:
Number of beds ……………..
Number of beds under your care ………………
Emergency unit :
Frequnce :-
Every 2 week
Weekly
More ( specify )………………………….
Number of patents per day ……………….
Number of beds ………………

Unit activities : ( check )

*Emergency admission yes no
*Consultant evening round yes no
*Consultant on call pack up yes no
*Vacancy adequate yes no
*Number of patent per day adequate
Yes no
*Emergency equipment
Available not available
*Drugs & support
Available not available
*Back up unit ( check the available ) :
Blood bank
Labrotaries
Radiology
*Referred clinic
Regular not regular
Useful not useful

*Is the Consultant

Available not available
*Number of patent per session ……………
Inpatient
*Constant round/week
ones more
*Registrar round /week
ones more
*Death and discharge session
Done not done
*Seminars / discussion group
Done not done
*teaching session
Useful not useful