ELECTIVE LOG BOOK 37 to 40.docx

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 NAME OF STUDENT:
 UNIVERSITY ROLL NO. :
 ADMISSION BATCH:
LATE BALIRAM KASHYAP MEMORIAL, GOVT. MEDICAL
COLLEGE DIMRAPAL, JAGDALPUR (C.G.)
DEPARTMENT OF ANAESTHESIOLOGY
AND CRITICAL CARE
LOG BOOK
ELECTIVE

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 NAME OF STUDENT:
 UNIVERSITY ROLL NO. :
 ADMISSION BATCH:
 FATHER’S NAME:
 MOTHER’S NAME:
 MOBILE NO.:
 ADDRESS:
 DURATION OF ELECTIVE:
 DATE OF JOINING :
 DATE OF COMPLITION:
SIGNATURE OF STUDENT………………………

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ELECTIVE
LOGBOOK CERTIFICATE
This is to certify that the candidate Mr/ Ms………………………………………
Roll No. ………………., admitted in the year ……………….. in the
Late Baliram Kashyap Memorial Govt. Medical College, Dimrapal, Jagdalpur
(C.G.) satisfactorily completed / has not completed Elective Block-2, titled
………………………………………………………………………………………
in Department Of Anaesthesiology and Critical Care during the period
from…………… to……………….
Place:
Date:
HOD
Department of Anaesthesiology
Late Shri B.R.K.M. Govt
Medical College Dimrapal,
Jagdalpur (C.G.)

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Module
Block 2
Duration 4 weeks
Focus of electives Clinical specialties or
community clinics (rural or urban)
Nature of learning Supervised
Experiential
Immersive
Self-directed
Regular clinical postings Will not be offered
Attendance Mandatorily 75% attendance is required as
prerequisite to be allowed to take Part 2 summative
examination
Assessment Formative
Record of activities in log book and portfolio to
be submitted as prerequisite to be allowed to take
Part 2 summative exam
Out of institution experience -
Out of city or state experience -

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ELECTIVE
Name of Block Block 2
Duration From: 27/03/2023 To 26/04/2023 (28 Day’s)
Name of Elective Modified Mallampatti Test and Thyromental Distance
as a predictor of difficult laryngoscopy.
Location of hospital Lab or research facility Lt. B.R.K.M Medical College Dimrapal, Jagdalpur
Name of internal preceptor(s) (1) Dr. G. PRATAP RAO
(2) Dr. SUCHISMITA NAIK
Name of external preceptor (if applicable)
Learning objectives of elective 1. To learn about the anatomy of airway.
2. To learn about the instruments of intubation ,
laryngoscopy, including ventilation
mask,oropharyngeal airway, endotracheal
tubes,stylet,bougie etc.
3. To learn about the airway assessment by
parameter like Mouth opening, Thyromental
distance and Modified mallampatti test.
4. To learn about the procedure of intubation
and analyse the difficulty as predicted or not.
5. To know about Difficult Intubation grading
by Cormack and Lehane Score
6. To learn about the interpretation of collected
data
7. To analyse data by SPSS
Number of students that can be accommodated
in this elective
04
Prerequisites for elective Universal precaution to be taken
Measuring scale,Torch , written informed consent,
weighing machine
Learning resources for student Departmental handbook provided:
1. Essentials of Anaesthesiology Critical Care
and Resuscitation for medical students by
Mukul Chandra Kapoor
2. Morgan and Mikhail’s Clinical
anaesthesiology
3. A Primer of Research, Publication and
Presentation by S. Grover and S. Ameen
Audio- Visual Record, Small Group Discussion
Seminar, case presentation

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List of activities of student participation 1. Work daily with supervising anaesthetist for
Pre Anaesthetic Check up and Airway
assessment in surgical cases planned for
general anaesthesia.
2. Participate in Departmental educational
activity such as seminar case presentation
Portfolio entries required 1. Documentation of worked up cases
2. Documentation of presentation done
Log book entry required Completion of posting signed by preceptor with a
Assessment Formative:
 Attendance
 Day-to-day participation in departmental
activity
 Performance of assigned tasks and
Other comments

7
Block 2 Write activity completed today
Facilitator………………………………… Date:…………………………

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Portfolio Entry Of Elective Block 2

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Name of Block Summary of Block 2
Name of Elective Modified Mallampatti Test and Thyromental Distance as a predictor of difficult
laryngoscopy
Describe your experience of Block 2 based on reflection
What happened:
So what:
What next:

38
ATTENDENCE SHEET
NAME OF STUDENT : ………………………………………………………………………………………….
ROLL NO : …………………………………………………………………………………………………………..
DAY WEEK 1 WEEK 2 WEEK 3 WEEK 4 SIGN OF FACULTY
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY

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Assessment
No. Name of Competency Observed/ Assisted/
Performed
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Name of facilitator………………………. date……………………

ELECTIVE LOG BOOK 37 to 40.docx

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