Intern Logs

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The following logs can also be found on the AOA website.

AMERICAN OSTEOPATHIC ASSOCIATION

Intern Logs

 

Intern’s Name (print or type)

 

 

 

Date

Service Rotation

 

 

 

Location

Intern’s Signature

 

 

 

Date

DME’s Signature

 

 

 

Date

Rotation Director’s Signature

 

Date

 Intern Log Requirements

At the end of each service, each intern is required to present to the Director of Medical Education (DME), a log of activity performed during that service.  Logs should be maintained daily.  They must be signed by the intern and rotation coordinator to verify accuracy of numbers presented.  Logs are submitted to the DME on request and shall be reviewed on a monthly basis.  Logs will be available for review and chart audit during intern program inspections.  Logs are not only a requirement of the training institution and the AOA, but should be accurately maintained for requesting future privileges as well as potential requirements of hospitals or liability insurance carriers to verify areas and levels of training.  While DMEs are to maintain logs for three years, it is recommended that interns maintain copies of logs for their personal records.  (Copies are not kept by the AOA).

 

Logs will consist of the following:

1.                    Name of service and dates.

2.                    Case participation (by medical record number and diagnosis), history and physical examinations performed, level of participation, record of osteopathic manipulative treatment.

3.                    Surgery attended (by case number, operation, and level of participation).

4.                    Special procedures (such as endotracheal intubations, cutdowns, liver biopsies, cardiac resuscitations, lumber punctures, and thoracentesis).

5.                    Lectures, clinical pathological conferences, and clinical conferences attended and presented.

6.                    Reading performed (list books, journal, title of article or scope of reading).

7.                    Autopsies attended.

8.                    Obstetrical assists (by case number and type of delivery).

 

The Council on Postdoctoral Training (COPT) officially endorsed use of the attached logs for all approved intern training, starting in Summer, 1988.  The original draft of these logs was developed by DMEs in the State of Michigan and endorsed by the Association of Osteopathic Directors and Medical Educators (AODME).  Please send suggestions for revision to the Division of Postdoctoral Training, American Osteopathic Association, 142 East Ontario Street, Chicago, IL 60611.


 

 

 


Intern Log – Case Participation

Name:                                           Date:         /          /         Rotation:

                                                                                                        Location:                                                                                         

 

Medical

Record #

Date

Admitted

 Diagnosis

*Level of

Participation

 

H & P

Attending

Physician

 

OMT

1

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

13

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

*Level of Participation (1) Observed, (2) Assisted, (3) Managed Under Supervision


 

 


Intern Log – Special Procedures

Name:                                           Date:         /          /         Rotation:

                                                                                                      Location:                                                                                         

 

Medical

Record #

 

Date

 

Diagnosis

 

Procedure

*Level of

Participation

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

 

 

 

 

 

7

 

 

 

 

 

8

 

 

 

 

 

9

 

 

 

 

 

10

 

 

 

 

 

11

 

 

 

 

 

12

 

 

 

 

 

13

 

 

 

 

 

14

 

 

 

 

 

15

 

 

 

 

 

16

 

 

 

 

 

17

 

 

 

 

 

18

 

 

 

 

 

19

 

 

 

 

 

20

 

 

 

 

 

21

 

 

 

 

 

22

 

 

 

 

 

23

 

 

 

 

 

*Level of Participation (1) Observed, (2) Assisted, (3) Managed Under Supervision


 

 


Intern Log – Educational Programs

(Meetings, CPC’s Workshops, Grand Rounds, Morning Reports)

Name:                                           Date:         /          /         Rotation:

                                                                                             Location:                                                                                          

 

 

Date

 

Title/Topic

 

Lecturer

*Level of

Participation

 

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

 

 

 

 

 

7

 

 

 

 

 

8

 

 

 

 

 

9

 

 

 

 

 

10

 

 

 

 

 

11

 

 

 

 

 

12

 

 

 

 

 

13

 

 

 

 

 

14

 

 

 

 

 

15

 

 

 

 

 

16

 

 

 

 

 

17

 

 

 

 

 

18

 

 

 

 

 

19

 

 

 

 

 

20

 

 

 

 

 

21

 

 

 

 

 

22

 

 

 

 

 

23

 

 

 

 

 

*Level of Participation (1) Observed, (2) Assisted, (3) Managed Under Supervision


 

 

Intern Log – Autopsies Attended

Name:                                           Date:         /          /         Rotation:

                                                                                             Location:                                                                                         

 

Medical

Record #

Date

Attended

 

Admitting Diagnosis

 

Final Diagnosis

1

 

 

 

 

2

 

 

 

 

3

 

 

 

 

4

 

 

 

 

5

 

 

 

 

6

 

 

 

 

7

 

 

 

 

8

 

 

 

 

9

 

 

 

 

10

 

 

 

 

11

 

 

 

 

12

 

 

 

 

13

 

 

 

 

14

 

 

 

 

15

 

 

 

 

16

 

 

 

 

17

 

 

 

 

18

 

 

 

 

19

 

 

 

 

20

 

 

 

 

21

 

 

 

 

22

 

 

 

 

23

 

 

 

 

24

 

 

 

 


 

 


Intern Log – Reading Program

Name:                                           

 

 

Date

Journal/Text

Topic/Subject

1

 

 

 

2

 

 

 

3

 

 

 

4

 

 

 

5

 

 

 

6

 

 

 

7

 

 

 

8

 

 

 

9

 

 

 

10

 

 

 

11

 

 

 

12

 

 

 

13

 

 

 

14

 

 

 

15

 

 

 

16

 

 

 

17

 

 

 

18

 

 

 

19

 

 

 

20

 

 

 

21

 

 

 

22

 

 

 

23

 

 

 

24

 

 

 

25

 

 

 

 


Intern Log – Surgery

Name:                                           Date:         /          /         Rotation:

                                                                                             Location:                                                                                          

 

Medical

Record #

Date

 

Admit. Diagnosis

Surgical

Procedure

*Level of

Participation

Final

Diagnosis

In/Out

Patient

1

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

10

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

13

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

15

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

*Level of Participation (1) Observed, (2) Assisted, (3) Managed Under Supervision


 

 


Intern Log – Ambulatory Rotations

Name:                                           Date:         /          /         Rotation:

                                                                                             Location:  

 

Date

Medical

Record #

Seen

Before?

Diagnosis

Procedure(s)

1

 

 

 

 

 

2

 

 

 

 

 

3

 

 

 

 

 

4

 

 

 

 

 

5

 

 

 

 

 

6

 

 

 

 

 

7

 

 

 

 

 

8

 

 

 

 

 

9

 

 

 

 

 

10

 

 

 

 

 

11

 

 

 

 

 

12

 

 

 

 

 

13

 

 

 

 

 

14

 

 

 

 

 

15

 

 

 

 

 

16

 

 

 

 

 

17

 

 

 

 

 

18

 

 

 

 

 

19

 

 

 

 

 

20

 

 

 

 

 

21

 

 

 

 

 

22

 

 

 

 

 

23