SUBSPECIALITY TRAINING
PAEDIATRIC RESPIRATORY MEDICINE
LOG BOOK
(MINISTRY OF HEALTH MALAYSIA)
Candidate’s Name:-______
MMC number:______
Paediatric Respiratory Sub-Speciality number:______
Period of training: from______to______
Supervisor’s name______
Institution:______
CASE RECORDING OFMANAGEMENT OF
DIFFICULTRESPIRATORY CASES
1. CONGENITAL LUNG MALFORMATION
A minimum of 10 cases.
(Pulmonary sequestration, Cystic lung malformation, Pulmonary agenesis, Pulmonary hypoplasia, diaphragmatic paralysis, diaphragmatic eventration etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome2. DIFFICULT UPPER AIRWAY PROBLEMS
A minimum of 20 cases.
(Cranio-facial abnormalities, choanalatresia, cyst, cleft, malacic airway, stenosis etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome3. CHRONIC LUNG DISEASE WITH OR WITHOUT PULMONARY HYPERTENSION
A minimum of 30 cases.
(Broncho-pulmonary dysplasia, CLD of infancy, Reflux associated respiratory diseases, bronchiolitisobliterans, BOOP, alveolitis and interstitial lung disease etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome4. SUPPURATIVE LUNG DISEASE AND COMPLICATED PNEUMONIA
A minimum of 20 cases.
(Bronchiectasis, cystic fibrosis, empyema, lung abscess etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome5. DIFFICULT ASTHMA AND OTHER WHEEZING DISORDERS
A minimum of 30 cases.
(Difficult to treat asthma, status asthmaticus, brittle asthma, recurrent wheezing or persistent wheezing disorder etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome6. CARDIOVASCULAR RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Hear failure with recurrent pneumonia, bronchial compression from enlarged heart, vascular ring, tracheobronchialmalacic airway pre or post corrective surgery, acquired VCP(vocal cord palsy) or diaphragmatic paralysis and etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome7. NEUROMUSCULOSKELETAL AND CNS RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Scoliosis, Kyphosis, Myasthenia gravis, Duchene Muscular Dystrophy, Spinal Muscular Atrophy etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome8. PAEDIATRIC SLEEP DISORDERS
A minimum of 20 cases.
(Sleep disordered breathing, obstructive sleep apnoea, hypersomnolence, narcolepsy, Periodic leg movement syndrome, poor sleep hygiene etc)
No. / Date / Name / IC / Age / Diagnosis / Outcome9. ACUTE AND CHRONIC CHEST INFECTION (INCLUDING TUBERCULOSIS)
A minimum of 30 cases.
No. / Date / Name / IC / Age / Diagnosis / Outcome10. IMMUNODEFICIENCY RELATED RESPIRATORY DISEASES
A minimum of 10 cases.
(Underlying primary or secondary immunodeficiency states)
No. / Date / Name / IC / Age / Diagnosis / Outcome11. RARE DISEASES
A minimum of 5 cases
(Idiophatic Pulmonary Haemosiderosis, Sarcoidosis, Primary Pulmonary Hypertension, Histiocytosis,)
No. / Date / Name / IC / Age / Diagnosis / OutcomeCASE RECORDING OF RESPIRATORY RELATED
INVESTIGATIONS AND PROCEDURES
O = Observe
A = Assist
P = Perform
R= Report
1. PEAK EXPIRATORY FLOW RATE (perform 10)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P)
2. PULMONARY FUNCTION TESTS (Minimum to report 20)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P/R)
3. pH OESOPHAGEAL MONITORING+ IMPEDENCE (Minimum to report 10 /optional)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P/R)
4. TRENDING PULSE OXYMETRY (Minimum to report 20)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P/R)
5. OVERNIGHT POLYSOMNOGRAPHY (Minimum to report20)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P/R)
6. FLEXIBLE BRONCHOSCOPY (Minimum to perform 20)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P)
7. NON-INVASIVE POSITIVE PRESSURE VENTILATION (Manage minimum 10 cases - inpatient)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P)
8.HOME NON-INVASIVE AND INVASIVE VENTILATION PROGRAMME(Manage minimum10 cases)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(A/P)
9.HOME OXYGEN THERAPY PROGRAMME (Manage minimum 10 cases)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(A/P)
10.TRACHEOSTOMY CARE (Manage minimum 10 cases)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(A/P)
11.HOME VISIT (Minimum 3 visits)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(P)
12.ALLERGY TESTING (Minimum 5 cases)
(Observe how to do skin prick test and interpret IgE and RAST test)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(A/P)
12.OTHER PROCEDURES
(Observe how to do sweat test and perform 6 minute walk test, chest tube drainage, methacholine/exercise challenge test)
No. / Date / Name / IC / Age / Diagnosis / Level of competency(O/A/P/R)
Prepared on 190513