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Ug LogBook

UG Log Book Data
LOG BOOK of

Shri Ram Murti Smarak

Institute Of Medical Sciences Bareilly

DEPARTMENT OF

LOG-BOOK

Phase :

Registration No:

Roll No:

MBBS(Phase-I)

Competencies/Procedures that require Certification

Procedure List
S.No Competency.No Competency Name Level K/KH/SH/P Teaching-Learning Methods Assessment Methods Number Reuired to Certify

LOGBOOK CERTIFICATE

This is to cerify that the candidate Mr/Ms ........................................................................................................................ Registration No...................................................... Admitted in the year..................................... at the Shri Ram Murti Smarak Institute Of Medical Sciences,Bareilly has satisfactorily completted/has not completed all assignments/requirement in this logbook for first year MBBS course in the subject of Biochemistry during the period from...................................to .....................She/He is/is not eligible to appear for the summative(University)assessment as on the date given below.



Signature of Faculty

DEPARTMENT OF

Name: ..............................................

Desi: ................................................



Place: ..............................................

Date: .................................................

Countersigned by

HOD

Principal/Dean

INDEX

Sr.No Description of course GO TO TAB
1 Practicals(Student Lab.)/Practicals
2 Certifiable Skills
3 Practicals(Student Lab.)/Practicals
4 Certifiable Skills
5 Practicals(Student Lab.)/Practicals
6 Certifiable Skills
7 Practicals(Student Lab.)/Practicals
8 Certifiable Skills

Practicals(Student Lab.)/Practicals

Practicals(Student Lab.)/Practicals List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Certification Skills

Certification Skills List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Vertical Integration



Vertical Integration List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended (Yes/No) Name of Faculty Department Submission of Reflection (Yes/No) Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Early Clinical Exposure

Early Clinical Exposure List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended Submission of assignment(Yes/No) Submission of Reflection(Yes/No) Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Seminar

Seminar List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended (Yes/No) Presented Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Visit to Clinical Department

Visit to Clinical Department
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended Submission of reflections Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Self Directed Learning

Self Directed Learning List
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner

Reflection on Self-directed Learning

Final Summary List
S.No Date Topic What Happened So What What Next Status Verified Date Verified By Feedback received/Initial of learner

Final Summary

Final Summary List
S.No Description From Date To Date Attendance Percentage Summary Status Status
Name: Roll No:
Practicals(Student Lab.)/Practicals
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Certificate Skills
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Vertical Integration
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended (Yes/No) Name of Faculty Department Submission of Reflection (Yes/No) Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Early Clinical Exposure
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended Submission of assignment(Yes/No) Submission of Reflection(Yes/No) Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Seminars
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended (Yes/No) Presented Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Clinical Visit Departments
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attended Submission of reflections Initial of faculty Verified Date Verified By Feedback received/Initial of learner
Self Directed Learning
S.No Competency Addressed Name of Activity Date Completed(dd/mm/yy) Attempt at Activity First or only(F)Repeat(R)Remedial(Re) Rating Below(B)expectations Meets(M)expectations Exceeds(E)Expectations Decision of faculty Completed(C)Repeat(R)Remedial(Re) Initial of faculty Verified Date Verified By Feedback received/Initial of learner
S.No Date Topic What Happened So What What Next Status Verified Date Verified By Feedback received/Initial of learner