Log-OSOMOP

CLINICAL EXPERIENCE LOG - ORAL SURGERY, ORAL PATHOLOGY & ORAL MEDICINE
Patients Name Supervisors name Type of Cases : : : Registration Number Date patient first seen Date case completed : : :

*Please tick () where applicable

Clinical Competency

Management History: Present complaint Medical Dental Examination: General Extra-oral Intra-oral Diagnosis & treatment plan Differential Definitive Treatment plan Admission Investigation(s) Non Invasive Invasive Radiograph Informed consent Treatment(s)

*Observe (O) / Assist (A) / Conduct (C)

Date

Notes (in brief)

Patient clerking

Inpatient management

Medication(s) Discharge& follow up

*Please tick () where applicable

Log-OSOMOP

Clinical Competency

Management Investigation(s) Non Invasive Invasive Treatment(s) Prescription Follow up Emergency treatment

*Observe (O) / Assist (A) / Conduct (C) O A C

Date

Notes (in brief)

Outpatient management

Management of medical & dental emergencies

Pain & anxiety control

Referral Basic life support On call cases Parenteral: IM / IV PCA Oral medication: Sedation Analgesic Local Anesthesia: Infiltration Topical Assurance Others (specify):

Minor oral surgery (Dento alveolar surgery and others)

Exodontia: Tooth/Retained roots

Log-OSOMOP
Surgical Removal of: Retained root(s) Impacted tooth Toilet & suturing Incision and drainage Infected /dry socket Others
*Please tick () where applicable

Clinical Competency

Management Hard tissue injuries

*Observe (O) / Assist (A) / Conduct (C) O A C

Date

Notes (in brief)

Management of maxillofacial trauma

Soft tissue injuries Hard tissue pathology

Management of soft and hard tissue pathology (if applicable)

Soft tissue pathology Combine clinics Surgical Management

Management of oral oncology (optional)

Referral system / follow up / rehabilitation Early detection and prevention of oral pre-cancer and oral cancer Others (please specify)

Name of FYDO Supervisors signature

: :

OE-OSOMOP

OVERALL EVALUATION OF PERFORMANCE

A CLINICAL CASE PRESENTATION
Below Average

Grading
Average Good Outstanding

1. 2. 3.

Skill in gathering clinical information (including emergency cases) Competence to diagnose & Formulate treatment plan Implementing treatment

COMMUNICATION SKILL
Below Average

Grading
Average Good Outstanding

1.

Effective doctor-patient communication skill

2.

Communicate effectively with other professionals

3.

Ability to address conflict

PROFESSIONALISM
Below Average

Grading
Average Good Outstanding

1. 2. 3.

Integrity Value Accountability Clinical competency

OE-OSOMOP

Overall comments (if any): A) CLINICAL CASE PRESENTATION B) COMMUNICATION ..

C) PROFESSIONALISM ...

Supervisors signature Name of Supervisor Date

: : :

Official Stamp of Supervisor :