LOG BOOK edited APRIL 2021

9.6 COLORECTAL ATTACHMENT ASSESSMENT REPORT

TRAINEE’S NAME:
DATE (duration) :
PLACEMENT :

AREA EXCELLENT GOOD FAIR POOR CONSULTANT’S
SIGNATURE
ATTENDANCE
COMMITMENT (discipline & dedicated)
INTEGRITY (performed task with
intellectual honesty)
ORGANIZATION AND LEADERSHIPS
SKILLS

Consultant’s Comment:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Consultant’s Signature:

___________________

Date:

Urogynae Subspeciality Training
Obstetrical and Gynaecological Service
Ministry of Health, Malaysia

50

9.7 OVERSEA TRAINING ASSESSMENT REPORT

TRAINEE’S NAME:
DATE (duration) :
PLACEMENT :

AREA EXCELLENT GOOD FAIR POOR CONSULTANT’S
SIGNATURE
ATTITUDE
COMMITMENT (discipline & dedicated)
INTEGRITY (performed task with
intellectual honesty)
OVERALL PERSPECTIVE (work quality
& clinical skills)

Consultant’s Comment:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Consultant’s Signature:

___________________

Date:

Urogynae Subspeciality Training
Obstetrical and Gynaecological Service
Ministry of Health, Malaysia

51

10. EXIT REQUIREMENT

CRITERIA YES NO
Date: 52
1. COMPLETED LOGBOOK

2. ATTENDED 1 INTERNATIONAL OR 2 NATIONAL UROGYNAECOLOGY CONFERENCE

3. COMPLETED 2 UROGYNAECOGY PUBLICATIONS IN INDEXED JOURNAL

4. SUPERVISOR’S REPORT (OF EXCELLENT AND/ OR GOOD PERFORMANCE)

5. PASS EXIT ASSESSMENT: WRITTEN EXAM / VIVA / OSCE / SURGICAL SKILL
OBSERVATION (WILL DECIDED BY COMMITTEE)

ELIGIBLE FOR NSR SUBSPECIALITY REGISTRATION IN UROGYNAECOLOGY

Signature:

____________________________________
Urogynaecology Subcommittee Chairman

11. ACKNOWLEDGEMENT

The Ministry of Health would like to acknowledge the contribution of its practicing clinicians in the preparation of
this document.

This current logbook was edited in APRIL 2021 by:
Dr. Hateeza Zakaria (Urogynaecology Fellow)

Dato’ Dr. Aruku Naidu Apana (Chairman of Urogynaecology Subcommittee)

Urogynae Subspeciality Training
Obstetrical and Gynaecological Service
Ministry of Health, Malaysia

53