function of the daily training record - ranzcog€¦ · web viewa minimum of 2,000 scans per year...

Certification inObstetrical and Gynaecological Ultrasound

(COGU)Daily Training Record

COGU – DTR

IMPORTANT Trainees are required to submit site specific clinical training summaries with their six monthly Training Assessment Record (TAR) and are therefore advised to keep separate log books for each training site.

Full Name

Address

MobileEmail

Training Supervisor

Training Unit/s

Year Training Commenced

Year of Training 1 2 3 Semester 1 2

Six -month Period_______________________ to ______________________

Full time Part time FTE ______ Hours per week _____

IMPORTANT

You must maintain an updated copy of your DTR at all times – it is an essential record of your training and assessment experiences for each year of the three years of training

Program Directors, Training Supervisors or the Chair of the COGU Subspecialty Committee may ask to see your DTR at any time. An updated copy should always be available

If your contact details change, please notify the College as soon as possibleFor all training documentation enquiries, please contact Subspecialties Services at College House

ContactSuzi TaleskaTraining Coordinator - SubspecialtiesTel +61 3 9412 2941Email [email protected]

COGU DTR (Daily Training Record) of 16 COGU3 - 27

mailto:[email protected]

Published by RANZCOGThe Royal Australian and New Zealand College of Obstetricians and Gynaecologists254-260 Albert Street, East Melbourne, Victoria 3002, Australia.

© RANZCOG 2016

This work is subject to copyright under the laws of Australia and, through international treaties, other countries. Apart from any use as permitted by law, no part may be copied, adapted, reproduced or stored in a retrieval system or made available to the public by any means or process without written permission from The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). Requests and enquiries concerning reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street, East Melbourne, Victoria 3002, Australia.

This material is available on the RANZCOG website: www.ranzcog.edu.au


http://www.ranzcog.edu.au/

CONTENTS

Function of Daily Training Record ................................................................................................ 4

A new DTR every year .................................................................................................................. 4

Printed and Electronic Version ....................................................................................................... 5

Instructions for completing the DTR ............................................................................................... 6-7

Abbreviations used in the COGU Training Program ........................................................................ 8

Daily Training Program

Scans and Procedures .......................................................................................................... 9

Anomalies Observed ............................................................................................................ 10

Obstetric Fetal Anomalies Observed ................................................................................... 11

Gynaecology – Interesting Cases ......................................................................................... 12

Other Scans ......................................................................................................................... 13

Research Project Progress ................................................................................................... 14

Components of the COGU Training Program ....................................................................... 14-15

Certificate of Accuracy .................................................................................................................... 16

Certificate of Satisfactory Completion of the DTR .......................................................................... 16

Record of Discussion and Assessment by the Training Supervisor every three months ....................................................................................................................... 16


Function of the Daily Training Record

The Daily Training Record (DTR) has been designed to enable trainees to record the necessary aspects of their training experience during one year of the prospectively approved COGU Subspecialty Training Program.

The record of experience has the following functions:

1. It provides trainees with a personal record of all procedural and other training experiences which are requirements for satisfactory completion of the COGU Subspecialty Training Program. This information will also be used by the College to monitor the experience provided for trainees by the hospital.

2. It provides trainees with the basis for completing the six-monthly Clinical Training Summaries and the Six-monthly Summative Assessment Report of training experience which is an essential requirement for assessment and subsequent credit for the training undertaken. The six-monthly Clinical Training Summaries and Six-monthly Summative Assessment Report are located in the Training Assessment Record (TAR).

3. The six-monthly Clinical Training Summaries and Six-monthly Summative Assessment Report will be used by the Training Supervisor, Program Director and the COGU Subspecialty Committee to monitor the trainee’s experience and to ensure that it is appropriate for the level of training. The Summaries and Report are also used to plan further training with the Training Supervisor and/or Program Director.

4. The information will also be used by the College to monitor the experience provided for trainees by the hospital.

IMPORTANT

Trainees must submit their DTR for signature and notation by their Training Supervisor every three (3) months

A New DTR Every Year

Trainees must use a new DTR for each year of training and is for use by registered trainees. Trainees will not be issued with a new DTR at the start of each year of training; trainees will need to print a copy of the DTR from the College website. Alternatively, trainees can use an electronic version of the DTR (see page 5).


Printed and Electronic Versions

Trainees may choose to print the DTR from the College website and complete a hard copy, or use the DTR electronically. If the DTR has been maintained electronically, then a print-out must be produced for the Training Supervisor to review and sign every three months. Trainees must retain a copy of signed print outs.

In addition:o Annotations used in an electronic DTR must be fully explained in an accompanying legendo Trainees must regularly back up any electronically maintained DTR. o Claims for recognition of training will not be recognised where data cannot be produced.

If trainees choose to set up their own electronic version of the DTR, the following requirements must be met: Electronic DTRs must be in a spreadsheet program, such as Excel

The electronic version must indicate the relevant training period (including training year), the name of the Training Supervisor, location and type of training. Training periods should be kept separate from each other

The headings contained in the printed DTR must be duplicated in the electronic version and must be shown on any print-out

The Certificate of Accuracy, Certificate of Satisfactory Completion of the DTR, and Record of Discussion and Assessment by Training Supervisor must be incorporated

Every three months, trainees must submit a print-out of the relevant data for signature and notation by the Training Supervisor

All procedures must be listed in print-outs and signed off by the relevant consultants, as per the printed DTR

Complete print-outs for the entire period of training must be kept and presented to the Chair of the COGU Subspecialty Committee when required for assessment purposes

The confidentiality of all patients must be protected

All guidelines detailed in the printed DTR apply equally to electronically maintained DTRs

Trainees must regularly back-up any electronically maintained DTR. Claims for recognition of training will not be recognised where data cannot be produced

The guidelines detailed in the printed College DTR apply to an electronically maintained DTR and records


Instructions

1. Record Training Experience on a Daily BasisTrainees are advised to carry the DTR with them at all times and fill it in on a daily basis. This will avoid much retrospective record hunting.

2. Record Clinical Training ExperienceTrainees are required to record the procedural experiences relevant to the COGU Training Program. A list of abbreviation ofprocedures usually completed by trainees has been included in the DTR. The list of abbreviations is based on the training requirements described in the COGU Handbook, but should not be regarded as conclusive. Trainees may record other procedures in the DTR that do not appear on the list.

3. Recording All Relevant Training ExperiencesThe DTR provides a facility for the following training activities to be recorded

-Scans and Procedures COGU Trainees are expected To Personally Complete –

A minimum of 300 procedures over 3 years fulltime training including at leasto 100 amniocentesiso 100 CVSo 100 tubal assessments / other gynaecological procedures

A minimum of 2,000 scans per year in Year 1 and 2 fulltime training including at leasto mid-trimester scans per yearo 500 gynaecological scans per year

A minimum of 300 12 week / NT scans over 3 years fulltime training A minimum of 20 neonatal head scans over 3 years fulltime training A minimum of 50 upper abdominal scans over 3 years fulltime training

It is expected that the number of scans and procedures performed are pro-rata of the time fraction for part time trainees.

Scans and procedures must be documented in the DTR and signed by the Training Supervisor.

AnomaliesAnomalies observed in ultrasound cases, including obstetric fetal anomalies, must be documented in the DTR, detailing findings or diagnosis, and involvement, follow-up and other relevant comments. These must be signed by the Training Supervisor.

Gyneacological CasesInteresting gynaecological cases should also be documented in the DTR.

Other ScansScans other than those listed above may also be documented in the DTR.

ResearchThe Training Assessment Record includes assessment pages specifically for the assessment of trainees’ research progress at six-monthly intervals. It will be important for trainees undertaking research to keep records of daily activities in the project so that the six-monthly assessment report can be submitted by both the trainee and the Training Supervisor.

Ultrasound Lecture CourseAttendance at an ultrasound lecture course in Year 1 must be documented in the Daily Training Record and signed by the Training Supervisor.Human Genetics CourseAttendance at an approved human genetics course, or equivalent, must be documented in the Daily Training Record and signed by the Training Supervisor.


Grief Counselling CourseMust be of 1-2 days duration, and should be documented in the Daily Training Record and signed by the Training Supervisor.

Biostatistics CourseCompletion of a biostatistics course (20 hours minimum) should be documented in the Daily Training Record and signed by the Training Supervisor

Genetics LaboratoryCOGU trainees must attend a minimum of one day in a genetics laboratory. Attendance must be documented in the Daily Training Record and signed by the Training Supervisor.

Genetic Counselling ClinicsCOGU trainees must attend a minimum of 20 genetic counselling clinics, of which at least 15 must be pre-natal clinics. Attendance must be documented in the Daily Training Record and signed by the Training Supervisor.

Clinical MeetingsWeekly attendance at clinical meetings involving high-risk pregnancy / perinatal mortality, clinical management and fetal abnormality must be documented in the Daily Training Record and signed by the Training Supervisor.

Subspecialty Clinical MeetingsAttendance at a minimum of 25 clinical meetings in the area of one or more of the gynaecological subspecialties must be documented in the Daily Training Record and signed by the Training Supervisor.

Attendance at Meetings / Scientific Presentations MadeAll trainees will attend educational meetings arranged as part of the COGU Training Program at the hospital. COGU trainees will also attend conferences or meetings outside the training site, and make scientific presentations, all of which must be recorded in the DTR.

4. At the end of each Six-Month Training PeriodAs all RANZCOG training is assessed every six months, it will be necessary for trainees to transfer the information from the DTR into the relevant section of the Training Assessment Record.

The clinical training must be tallied and the number of procedures in specific categories recorded against the relevant headings. The Training Assessment Record also includes provision to record the other aspects of training completed within the six months.

The Training Assessment Record is the collection of training documents that will be forwarded to the Training Supervisor / Program Director for assessment of the six-month training period.

IMPORTANT

Trainees must retain all their DTRs. Do not send any DTRs to College House unless specifically instructed to do so.

Please contact the Subspecialties Services staff at College House if you have any questions about completing the DTR. Contact details are on the title page of the DTR


Abbreviations used in the COGU Training Program

Ab Abortion FSH Follicle stimulating hormone PI Pulsatility indexAC Abdominal circumference FT Full term PM Post-mortem examination

ADPKD Autosomal dominant polycystic kidney disease PMB Post-menopausal bleeding

AFI Amniotic fluid index GA General anaesthesia POD Pouch of DouglasAFP Alphafetoprotein GDM Gestational diabetes PP Placenta praeviaAMA Advanced maternal age GTT Glucose tolerance test PPH Post-partum haemorrhageAMNIO Amniocentesis PR Per rectumANC Antenatal clinic Hb Haemoglobin PS Pulmonary stenosisAPH Antepartum haemorrhage HC Head circumference PSV Peak systolic velocityARM Artificial rupture of membranes HCG Human chorionic gonadotrophin PUO Pyrexia of unknown origin

ARPKD Autosomal recessive polycystic kidney disease HDN Haemolytic disease of the

newborn PV Per vaginum

AS Aortic stenosis H MOLE Hydatidiform moleA / V Anteverted (uterus) HVS High vaginal swab RBC Red blood cells

AVSD Atrioventricular septal defect RDS Respiratory distress syndrome of newborn

IDDM Insulin dependent diabetes mellitus RI Resistance index

BP Blood pressure IH Intrapartum haemorrhage RPOC Retained products of conception

BPD Biparietal diameter IMB Intermenstrual bleeding RSO Right salpingoophorectomyBr / ext Breech with extended legs IUCD Intrauterine contraceptive device R / V Retroverted (uterus)Br / flx Breech with flexed legs IUGR Intrauterine growth retardation RVOT Right ventricular outflow tractBSO Bilateral salpingoophorectomy IUT Intrauterine transfusion

SB StillbirthCDH Congenital diaphragmatic hernia LH Luteinising hormone S /D ratio systolic / diastolic ratioCHD Congenital heart disease LMP Last menstrual period SDRATIO Systolic/diastolic ratio

CPAP Continuous passive airways pressure L / S Lecithin/sphingomyelin ratio SHBG Sex hormone binding globulin

CRL Crown rump length LSCS Lower segment caesarian section STD Sexually transmitted diseaseCVS Chorionic villus sampling LSO Left salpingoophorectomy SY Syphilis

LVOT Left ventricular outflow tractD&C Dilation and curettage TOP Termination of pregnancyDIE Deep infiltrating endometriosis MCA Middle cerebral artery TP TransperinealDTA Deep transverse arrest MCDK Multicystic dysplastic kidney TR Tricuspid regurgitationDV Ductus venosus MRP Manual removal of placenta TV TransvaginalDVT Deep vein thrombosis MSU Midstream specimen of urine

UA Umbilical arteryECV External cephalic version NAD Nothing abnormal detected Ut A Uterine arteryEDC Expected date of confinement NB Nasal bone UTI Urinary tract infection

EFW Estimated fetal weight NIDDM Non insulin dependent diabetes mellitus

ERPOC Evacuation of retained products of conception NIPD Non invasive prenatal diagnosis Vag hyst Vaginal hysterectomy

EUA Examination under anaesthesia NIPT Non invasive prenatal testing VSD Ventricular septal defectNND Neonatal death

FBS Fetal blood sampling N / S Normal size WBC White blood cellsFD Fully dilated NT Nuchal translucencyFDIU Fetal death in utero NTD Neural tube defectFHH Fetal heart heard NVD Normal vaginal deliveryFHNH Fetal heart not heardFISH Flurescence in situ hybridisation PCB Postcoital bleedingFL Femur length PCO Polycystic ovariesFMF Fetal movements felt PCOS Polycystic ovarian syndromeFMNF Fetal movements not felt PCR Polymerase chain reaction

F / del Forceps delivery PET Pre-eclampsia (pre-eclamptic toxaemia)

Trainees may use well established widely used abbreviations when listing diagnoses (e.g. .AVSD), including syndromes (e.g. VACTRYL) and cytogenetic terminology (e.g. FGF2alpha) and biochemical terminology (e.g. PAPP- A)


IMPORTANTTrainees are required to submit site specific clinical training summaries with their six-monthly Training Assessment Record (TAR) and are therefore advised to keep separate log books for each training site.

TRAINING SITE __________________________________________________________________________

DAILY TRAINING RECORD

SCANS AND PROCEDURES(List individually; please photocopy additional sheets as required)

OPERATOR (please indicate with a tick)

Date Ur No. Assisted Performed Supervised

Performed Independently

Supervise or TeachOther Staff



TRAINING SITE __________________________________________________________________________

DAILY TRAINING RECORDANOMALIES OBSERVED

(List individually; please photocopy additional sheets as required)Date and

Initials Findings or Diagnosis Involvement / Follow-Up /Other Comments

Scanned PatientYes / No



TRAINING SITE __________________________________________________________________________

DAILY TRAINING RECORDOBSTETRIC FETAL ANOMALIES OBSERVED

(List individually; please photocopy additional sheets as required)

Date and Initials Findings or Diagnosis Involvement / Follow-Up /

Other CommentsScanned Patient

Yes / No



TRAINING SITE __________________________________________________________________________

DAILY TRAINING RECORDGYNAECOLOGY – INTERESTING CASES

(List individually; please photocopy additional sheets as required)Date and





TRAINING SITE __________________________________________________________________________

DAILY TRAINING RECORDOTHER SCANS

(List individually. Please photocopy additional sheets as required)Date and




RESEARCH PROJECT PROGRESS

Date Record of Research Activities

COMPONENTS OF THE COGU TRAINING PROGRAM RECORD

Training Component Title ofCourse / Meeting Venue Date / S Supervisor’s signature

Ultrasound Lecture Course

Human Genetics Course

Grief Counselling Course

BiostatisticsCourse

GeneticsLaboratory

Hours spent in ante-natal clinic __________________ Hours spent in a gynaecology clinic ______________

GENETIC COUNSELLING CLINICS ATTENDED (including pre-natal clinics)

Date Venue Topic


CLINICAL MEETINGS ATTENDED (high-risk pregnancy/perinatal mortality, clinical management, fetal abnormality, etc)

Date Venue Topic

SUBSPECIALTY CLINICAL MEETINGS ATTENDED (gynaecological oncology, urogynaecology, reproductive endocrinology and infertility)

Date Venue Topic

EDUCATIONAL MEETINGS ATTENDED RELATED TO OBSTETRICAL AND GYNAECOLOGICAL ULTRASOUND

Date Venue Topic

SCIENTIFIC PRESENTATIONS MADE

Date Venue Topic


CERTIFICATE OF ACCURACY

DAILY TRAINING RECORD

I certify that the information contained in the Daily Training Record (DTR) is a true and accurate record of my training experiences.

Trainee signature .......................................................... Date .......................................................

CERTIFICATE OF SATISFACTORY COMPLETION OF THE DAILY TRAINING RECORD

(COGU SUBSPECIALTY TRAINING PROGRAM)

This is to certify that

Name .......................................................................................................................................................…

has satisfactorily completed this Daily Training Record as required under the RANZCOG regulations.

Signature ................................................................ Date ................................................................. (Chair, COGU Subspecialty Committee)

When this and all other relevant Daily Training Records are presented for assessment, if assessed as satisfactory, the Chair will sign the Certificate of Satisfactory Completion of Training in the Training Assessment Record.

RECORD OF DISCUSSION AND ASSESSMENT BY TRAINING SUPERVISOR EVERY THREE MONTHS

It is essential that Training Supervisors review the trainee’s training experience and progress as recorded in the Daily Training Record every three months. Training Supervisors are required to provide feedback to the trainees about their strengths and areas for improvement at the mid-semester formative assessment.

The following section is to be signed by the Training Supervisor.

I certify that I have reviewed the training recorded in this Daily Training Record on

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................


function of the daily training record - ranzcog€¦ · web viewa minimum of 2,000 scans per year...

Documents