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SPECIALITIES
CLINICAL LOGBOOK
ORAL DIAGNOSIS
ORAL RADIOLOGY
ORAL SURGERY
PAEDIATRIC DENTISTRY
ORTHODONTICS
ISBN 9781370620371
PUBLISHER: SMASHWORDS
SPECIALITIES CLINICAL LOGBOOK
September 2016
ACKNOWLEDGEMENTS
I am most grateful to Datuk Prof. Dr. Rohani Ramli and Prof. Frederick
Charles Smales for trusting me and giving this chance to create
Specialities Clinical Logbook for Undergraduate Dental Students. Both of
them have always been a driving force and a source of inspiration.
I express my gratitude to Prof. Margaret Comfort, for her support in
this project. She has done given her valuable opinion and advice.
I would like to thank all my colleagues who have given feedback on the
criteria for each specialty and have also used the book to assess the
Dental undergraduate students.
PERSONAL DETAILS
Name:
University No.:
Academic year:
Intake date:
Contact number:
TABLE OF CONTENTS
PERSONAL DETAILS ................................................................................................................ 5
FUNCTION ............................................................................................................................. 8
INSTRUCTIONS....................................................................................................................... 9
ASSESSMENT CRITERIA FOR CLINICAL SESSIONS ................................................................... 11
ASSESSMENT CRITERIA FOR OVERALL ASSESSMENT ............................................................. 12
ORAL DIAGNOSIS & RADIOLOGY .......................................................................................... 14
ORAL DIAGNOSIS ..................................................................................................................................... 23
ORAL RADIOLOGY.................................................................................................................................... 24
ORTHODONTICS .................................................................................................................. 61
ORTHODONTICS REMOVABLE APPLIANCE .............................................................................................. 71
FUNCTION
This Clinical Logbook is to enable students to record the necessary aspects of their clinical
experience during Years 3-5 of the BDS course.
The Logbook has been designed with these learning situations in mind and should enable all
students to record daily the experience relevant to the work undertaken during the year.
The record of experience has the following functions:
1. It provides students with a personal record of all procedural and other learning
experiences, which are requirements for satisfactory completion of the clinical training
program.
2. It provides students with the basis for completing Clinical Experience Logs at the end of
a module, which are an essential requirement for assessment and subsequent credit.
3. The information will also be used by the clinical staff to monitor the clinical experience
provided for students in the various clinics.
INSTRUCTIONS
1. Fill in your personal details on the first page of your logbook at the beginning of the
academic year and attach a passport-sized photograph.
2. Polyclinic Logbooks are to be kept in an assigned storage area in the Polyclinic and must not
be removed from the clinic under any circumstances. Specialty Logbooks are to be kept in
the Oral Surgery Clinic and may be taken out for use in other clinics but must be returned
promptly at the end of the clinic.
3. When each new patient is assigned to you by your clinical teacher, enter their details in the
patient log (Fig.1) and you must obtain a staff signature. Your clinical teacher will use the
column Note to record details of any patient transfers.
S.No
1.
Reg.No.
123456
Patient Name
Kumar a/l
Sivanes
Contact number
012-3456789
Date
assigned
Staff
sign.
Note
25.7.2011
Date
28.07.2011
Registration Number
123456
Sex
Age
28
Fig.2 - Procedure Sheet
Male
Female
5. At the end of each session, fill in the Session Log (Fig.3) to record details of the procedure(s)
undertaken and insert the page number of each Procedure Sheet used as a cross reference.
The Session Log must be graded and signed by your Clinical Teacher before you leave the
clinic
S.No
Date
Reg.No
Procedure
Pg.No
Grade
Staff sign.
1.
21.07.2011
123456
Oral diagnosis
33
good
6. At the end of each module, complete the Clinical Log Summary (Fig. 3) by filling in the
number of procedures done throughout the module and the number of grades obtained for
each procedure. Then record your overall experience by adding the module totals to the
number of procedures done earlier in the course. Logbooks must then be submitted for
review and assessment.
S.No
1
2
3
Procedure
Oral diagnosis
Extra Oral Radiographs
Intra Oral Radiographs
2
4
5
2
1
Overall
Total
4
14
11
25.7.2011
Approved leave
10
Good
Fair
Poor
A satisfactory
performance
achieved with or
without some staff
guidance; worked
mostly in an efficient,
safe, careful and
responsible manner.
An adequate
performance
achieved but with
minor deficiencies
requiring some staff
guidance; worked
frequently in an
efficient, safe, careful
and responsible
manner.
Unsatisfactory
performance with
obvious deficiencies
requiring some staff
intervention; worked
occasionally in an
efficient safe, careful
and responsible
manner.
Good
Displays a
satisfactory level of
knowledge of the
procedure and can
apply this
knowledge
satisfactorily to
most aspects of
clinical situation .
Fair
Displays an
adequate level of
knowledge of the
procedure and can
apply this
knowledge
satisfactorily to
some aspects of the
clinical situation.
Poor
Displays an
inadequate level of
knowledge of the
procedure and is
unable to apply
much knowledge to
the clinical
situation.
3. Professionalism*
Very good
Good
Acts in a
Acts in a
professional
professional
manner all the time. manner most of the
time.
Fair
Acts in a
professional
manner frequently.
Poor
Acts in a
professional
manner
occasionally.
An above average
performance achieved
without staff
guidance; worked
throughout in an
efficient, safe, careful
and responsible
manner.
2. Knowledge
Very good
Displays a deep
level of knowledge
of the procedure
and can easily apply
this knowledge to
all aspects of clinical
situation .
*Includes appearance, demeanour, attitude to patients and staff and compliance with clinic
protocols.
11
Patient management
& professional conduct
75 100%
Outstanding professional
attitude, patient management
skills and personal
organisation.
Unsatisfactory professional
attitude. Weak
communication skills and
organisation.
Outstanding
70%
Excellent
65%
Honours level
60%
Good
55%
Satisfactory
50%
A pass
standard
45%
Marginal fail
40%
Clear fail
35%
Bad fail
0 - 30%
Very poor
12
Satisfactory professional
attitude, communication skills
and personal organisation.
13
ORAL
DIAGNOSIS &
RADIOLOGY
ATTENDANCE LOG
CLINICAL EXPERIENCE LOG
OVERALL ASSESSMENT
SESSION LOG
ORAL DIAGNOSIS
ORAL RADIOLOGY
14
15
Date
Reason
16
Signature of staff
Procedure
Oral Diagnosis
Extra oral radiographs
Intra oral radiographs
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
17
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Date
Procedure
Oral Diagnosis
Extra oral radiographs
Intra oral radiographs
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
19
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
20
Date
Date
Hosp.
No.
Procedure
21
Pg. No.
Grade
Staff
Sign.
Date
Hosp.
No.
Procedure
22
Pg. No.
Grade
Staff
Sign.
Patient Name
Date
Registration Number
Age
Sex
Male
ORAL DIAGNOSIS
Poor
Fair
Good
V.Good
Medical history
Dental history
Head & Neck examination
Oral mucosal tissue examination
Intra oral assessment
Dental charting
Investigations
Diagnosis
Assessment of Oral health status
Preventive advice
Patient review & personal care
Knowledge
Professionalism
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
23
Not
applicable
Female
Patient Name
Date
Registration Number
Age
Sex
Male
Female
Radiograph type
ORAL RADIOLOGY
Poor
Fair
Good
V.Good
Not
applicable
Technique
Interpretation
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male
Radiograph type
ORAL RADIOLOGY
Poor
Fair
Good
V.Good
Technique
Interpretation
Knowledge
Professionalism
Overall grade
Signature of staff
Date
24
Not
applicable
Female
ORAL
SURGERY
ATTENDANCE LOG
CLINICAL EXPERIENCE LOG
OVERALL ASSESSMENT
SESSION LOG
EXODONTIA
MINOR ORAL SURGERY
25
26
ORAL SURGERY
Date
Reason
27
Signature of staff
Procedure
Exodontia
Minor Oral Surgery
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
28
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Date
Procedure
Exodontia
Minor Oral Surgery
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
30
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Date
S.No
Date
Hosp.
No.
Procedure
Patient Name
Pg. No.
Grade
Date
32
Staff
Sign.
Registration Number
Age
Sex
Male
Tooth number
First time
Five to nine
EXODONTIA
Poor
Fair
Good
V.Good
Not
applicable
Medical history
Local anesthesia administration
Extraction
Suturing
Post operative instructions
Knowledge
Professionalism
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
Patient Name
Date
33
Female
Registration Number
Age
Sex
Male
Tooth number
Once
Fair
Good
V.Good
Medical history
Local anesthesia administration
Mucoperiosteal flap
Bone removal
Tooth division and removal
Suturing
Post operative instructions
Knowledge
Professionalism
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
34
Not
applicable
Female
PAEDIATRIC
DENTISTRY
ATTENDANCE LOG
CLINICAL EXPERIENCE LOG
OVERALL ASSESSMENT
SESSION LOG
COMPOSITE RESTORATION
MI GIC RESTORATION
GIC RESTORATION
SILVER AMALGAM RESTORATION
SCALING
PUPL CAPPING
PULPECTOMY/APEXIFICATION
PULPOTOMY/ APEXOGENESIS
EXODONTIA
TOPICAL FLUORIDE APPLICATION
FISSURE SEALANT
35
36
Date
Reason
37
Signature of staff
Procedure
Composite restoration
MI GIC restoration
GIC restoration
Silver amalgam restoration
Scaling
Pupl capping
Pulpectomy/apexification
Pulpotomy/ apexogenesis
Exodontia
Topical fluoride application
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
38
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Date
ORTHODONTICS
Procedure
Composite restoration
MI GIC restoration
GIC restoration
Silver amalgam restoration
Scaling
Pupl capping
Pulpectomy/apexification
Pulpotomy/ apexogenesis
Exodontia
Topical fluoride application
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
40
V.Good
ORTHODONTICS
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
41
Date
ORTHODONTICS
Procedure
Composite restoration
MI GIC restoration
GIC restoration
Silver amalgam restoration
Scaling
Pupl capping
Pulpectomy/apexification
Pulpotomy/ apexogenesis
Exodontia
Topical fluoride application
Fissure sealant
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
42
V.Good
ORTHODONTICS
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
43
Date
ORTHODONTICS
Date
Hosp.
No.
Procedure
44
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
45
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
46
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
47
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
48
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
49
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Five to nine
COMPOSITE RESTORATION
Poor
Fair
Good
V.Good
Intermediate
Difficult
Signature of staff
Date
50
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Five to nine
MI GIC RESTORATION
Poor
Fair
Good
V.Good
Caries excavation
Isolation
Base / Liner
Filling
Finishing
Knowledge
Professionalism
Behavioral management
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
51
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Five to nine
GIC RESTORATION
Poor
Fair
Good
V.Good
Intermediate
Difficult
Signature of staff
Date
52
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
First time
Once
Five to nine
Fair
Good
V.Good
Intermediate
Difficult
Signature of staff
Date
53
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
First time
Five to nine
SCALING
Poor
Fair
Good
V.Good
Intermediate
Difficult
Signature of staff
Date
54
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration
Female
First time
Five to nine
PULP CAPPING
Poor
Fair
Good
V.Good
Intermediate
Difficult
Signature of staff
Date
55
Not applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration
Female
First time
Five to nine
PULPECTOMY / APEXIFICATION
Poor
Fair
Good
V.Good
Diagnosis
Local anesthesia administration
Rubber dam application
Access opening
Pulp removal
Working length
Cleaning and shaping
Intra canal medicament/Obturation
Lining
Filling / temporary filling
Patient education
Knowledge
Professionalism
Behavioral management
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
56
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of restoration
Female
First time
Five to nine
PULPOTOMY / APEXOGENESIS
Poor
Fair
Good
V.Good
Diagnosis
Local anesthesia administration
Rubber dam application
Access opening
Pulp removal
Pulp treatment
Liner
Filling/ temporary filling
Patient education
Knowledge
Professionalism
Behavioral management
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
57
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Tooth number
Type of cavity
Female
First time
Five to nine
EXODONTIA
Poor
Fair
Good
V.Good
Medical history
Local anesthesia administration
Extraction
Suturing
Post operative instructions
Knowledge
Professionalism
Behavioral management
Overall grade
Overall difficulty of case
Simple
Intermediate
Difficult
Signature of staff
Date
58
Not
applicable
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female
Fair
Good
V.Good
Not
applicable
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male
Fair
Good
V.Good
Signature of staff
Date
59
Not
applicable
Female
ORTHODONTICS
Patient Name
Registration Number
Date
Tooth number
Age
Sex
Male
Female
FISSURE SEALANT
Poor
Fair
Good
V.Good
Not
applicable
Signature of staff
Date
Patient Name
Registration Number
Date
Tooth number
Age
Sex
Male
FISSURE SEALANT
Poor
Fair
Good
V.Good
Signature of staff
Date
60
Not
applicable
Female
ORTHODONTICS
ORTHODONTICS
ATTENDANCE LOG
CLINICAL EXPERIENCE LOG
OVERALL ASSESSMENT
SESSION LOG
PRE CLINICAL EXERCISES
ORTHODONTICS DIAGNOSIS
ORHTODONTICS REMOVABLE APPLIANCE
61
ORTHODONTICS
62
ORTHODONTICS
Date
Reason
63
Signature of staff
Procedure
Preclinical exercises
Diagnosis
Removable appliance
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
64
V.Good
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
Date
ORTHODONTICS
Procedure
Preclinical exercises
Diagnosis
Removable appliance
Total
Poor
GRADES OBTAINED
Fair
Good
Verified by staff
66
V.Good
ORTHODONTICS
Overall grade
Grading criteria
75-100%
65%
55%
45%
35%
Outstanding
Honours level
Satisfactory
Marginal fail
Bad fail
70%
60%
50%
40%
0-30%
Excellent
Good
A pass standard
Clear fail
Very poor
67
Date
ORTHODONTICS
Procedure
Date
68
Grade
Staff
Sign.
ORTHODONTICS
Date
Hosp.
No.
Procedure
69
Pg. No.
Grade
Staff
Sign.
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female
ORTHODONTIC DIAGNOSIS
Poor
Fair
Good
V.Good
Not
applicable
Case history
Examination
Model analysis
Cephalometric analysis
Diagnosis
Treatment planning
Knowledge
Professionalism
Overall grade
Signature of staff
Date
Patient Name
Date
Registration Number
Age
Sex
Male
ORTHODONTIC DIAGNOSIS
Poor
Fair
Good
V.Good
Case history
Examination
Model analysis
Cephalometric analysis
Diagnosis
Treatment planning
Knowledge
Professionalism
Overall grade
Signature of staff
Date
70
Not
applicable
Female
ORTHODONTICS
Patient Name
Date
Registration Number
Age
Sex
Male
Female
Fair
Good
V.Good
Not
applicable
Date
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Case history
Diagnosis
Treatment planning
Impression
Fabrication of appliance
Wire bending
Acrylization
Insertion of appliance
Activation of appliance
Follow up
Patient education
Knowledge
Professionalism
Sign.
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
_______
Overall grade
_______
Intermediate
Difficult
Signature of staff
Date
71