2. Why
Documentation and archieving
Reviewing the effectivness of training
Recording the wired cases
Matter of education through case-based approach
3. How ….
Criteria of good documentation
Objective data…not subjective
Honesty in writing.
Continuity
Postoperative follow up
Good classification of the surgery undertaken
Ability to find the procedure without delay
Commentary ( on the procedure which was read
prior to procedure ) other than descriptive.
5. 1. Program based
The European Neurosurgical Electronic
Logbook of Operations
6. 1. Program based…cont.
Electronic version of this logbook that helps the trainee to
record all operations in an easy and fast way.
Runs under any version of Microsoft Windows
The EANS published a detailed list of operations with
minimum and optimum figures for each entry that a
trainee must meet at the end of his training
It is not depended on any external programs
7. Continue
The application is designed to support multiple languages
for all text messages and the list of diagnoses
For security reasons all data entered is encrypted
To allow multiple users to access their data on one
single computer, the application supports an
unlimited number of accounts that can be accessed by
one installation of the program
8. Installation of the application is as
straightforward as installing other
standard applications
Both lists mentioned can be printed
9. Role of the trainee during the operation
This value can either be “T” , “TS”, “C” or “A”:
T=Trainee: The trainee has done the operation.
The supervising consultant must not have made
a decision/practical manoeuvre significantly
affecting the execution of the operation.
TS=Trainee (+Consultant Supervising): The
trainee has done the operation but the
supervising consultant has made a significant
decision/practical manoeuvre during the
operation.
10. C=Component: The trainee has performed
component parts during the operation under
supervision of a senior surgeon: Positioning,
operative approach, closure, drainage, draping,
instructions for postoperative care.
A=Assistant: The trainee is the principal
assistant during the operation.
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26. 2.Formal written
The eldest way to record
Depends on ability of recorder to fullfil all fields
Obligate us to read prior to write
Nothing not important, keep your mind with the
seniors and register every data
27. 2.Formal written
Not comfortable
All data around us recorded by new technologies
Return to previous cases is not so easy
29. 2.Formal written ..cont.
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30. 3.Web-based
Few sites were constructed for such mission
The data is stored in place other than my computer
Revision and recording need internet access
The available site is not free
Well organized data and fields, no place for blurred
subjects and specific.
31. continue
The web facilitate revision with trainer
Accredited from well known organisation.
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42. 4.Media
Advantages :
Audio recording represents one of the old method
to record
Video and photos capturing are new quit
methods to save pt. pictures and operative steps
43. 4.Media
Disadvantages :
Continuity not always possible
Needs tool ( high cam zooming )
Needs someone to capture them
Microscopic recording is the best
44. 4.Media
Example : method 1 folder of pics and sound file