UNDERGRADUATE

LOGBOOK

Name .......................................................................................................
..

Year of Admission .................................. Batch Roll No.

..............................

Reg. No. (Univ)

...........................................................................................
 DEPARTMENT OF
PEDIATRICS
SMT. KASHIBAI NAVALE MEDICAL COLLEGE
AND GENERAL HOSPITAL, PUNE.
 SMT. KASHIBAI NAVALE MEDICAL
COLLEGE
AND GENERAL HOSPITAL, PUNE.
DEPARTMENT OF PEDIATRICS
UNDERGRADUATE LOGBOOK

Student’s
Photograph

Name…………………………………………………………………

Year of Admission…………………………………………………...

Batch Roll No…………………… Reg. No. (Univ)………………..

Permanent Address…………………………………………………..

Local Address………………………………………………………..

E-mail ID………………………Mobile Number……………………

This document includes the minimum basic requirements as per extant

competencies/curriculum/regulations on Graduate Medical Education, 2018.

The user departments are free to add other competencies/skills/activities for documentation to
improve the pedagogic utility of this logbook. An electronic version will make
documentation and retrieval much easy.

All competencies listed are copyright of MCI/NMC.

1
 LOGBOOK CERTIFICATE

This is to certify that the student Mr/Ms …………………….……………….

admitted at ………………………………………………………….….......

in the year………......, Batch Roll No..........................................and

University Reg. No…………………. has satisfactorily completed / has not

completed all assignments /requirements mentioned in this logbook for final

year MBBS course in the subject of Pediatrics.

The student is/is not eligible to appear for the summative (University)

assessment.

Signature of Faculty Signature and Seal

Name and Designation HOD of Pediatric Department

Signature and Seal

Dean of the College
SKNMC &GH, Pune

2
GENERAL INSTRUCTIONS
1. This logbook is a record of academic and other activities of the student in
the Department of Pediatrics.
2. Entries in the logbook reflect the activities undertaken by the student and
certified by the faculty.
3. The student would be responsible for maintaining his/her logbook
regularly.
4. The student is responsible for getting the logbook entries verified by
concerned faculty regularly.
5. The logbook should be verified by the Head of Department before
forwarding the application of the student for the University Examination.
6. The reflections should demonstrate the learning that has taken place.
Don’t simply repeat the activities performed. Emphasize the learning
experience, what you learnt and how it is going to be useful in future. At
times, mistakes also provide great learning opportunities. Reflections
provide a useful opportunity to document and assess learning for many
competencies where there is no formal assessment. A deliberate effort
should be made to teach the students to write academically useful
reflections. Similarly, the teachers should acquire the skills for assessing
reflections.
7. Colleges may consider using an electronic version of this logbook to
facilitate documentation and retrieval of the work, if required.

Clinical Posting
Rotation Phase Duration From To Faculty
(Weeks) Signature
1st Phase II
2nd Phase III
Part I
3rd Phase III
Part II

3
 INDEX
S. No. Contents Page No
I. Clinical Case Presentations
II. Competencies
A. Requiring Certification
B. Requiring Documentation
III. Skill Learning Sessions
A. Certifiable Procedural Skills
B. Other Skills
IV. Affective Competencies Requiring Documentation
V. Clinic/ Field Visits
VI. Participation in Departmental Activities
VII. Self-Directed Learning (SDL) Sessions
VIII. Integrated Learning Sessions

Glossary*
Attempt at Competency
F: First or only
R: Repeat
Re: Remedial

Rating**
B: Below expectations
M: Meets expectation
E: Exceeds Expectation

Decision of Faculty
C: Completed
R: Repeat
Re: Remedial

*The terms used are expanded in NMC Logbook available at

https://www.nmc.org.in/MCIRest/open/getDocument?path=/Documents/Public/Portal/LatestNews
/Logbook%20Guidelines_17.01.2020.pdf. This may also be referred to in case any clarification is
required. Sufficient flexibility has been provided to the colleges in designing the logbook, as
long as the basic guidelines are adhered to.
**A numerical score can also be used

4
 I. CLINICAL CASE PRESENTATIONS

Summary of Clinical Case Presentations*

(*Departments may create/continue with a case record book for documentation of cases)

Phase II:

S. Date Patient Name & Diagnosis Case Teacher’s

No. ID Presented/ Signature
Attended
Write P/A

5
 Phase III (Part I):

S. Date Patient Name & Diagnosis Case Teacher’s

No. ID Presented/ Signature
Attended
Write P/A

6
S. Date Patient Name & ID Diagnosis Case Teacher’s
No. Presented/ Signature
Attended
Write P/A

7
 Phase III (Part II):

S. Date Patient Name & ID Diagnosis Case Teacher’s

No. Presented/ Signature
Attended
Write P/A

8
S. Date Patient Name & ID Diagnosis Case Teacher’s
No. Presented/ Signature
Attended
Write P/A

9
REFLECTIONS: CLINICAL CASE PRESENTATION
(Students should preferably reflect on cases which they themselves have presented)

S. Patient Name Age/Sex UHID No

No
Diagnosis:

Student Presenter Date

What happened?

So what?

What next?

Faculty signature Date

10
REFLECTIONS: CLINICAL CASE PRESENTATION

S. Patient Name Age/Sex UHID No

No
Diagnosis:

Student Presenter Date

What happened?

So what?

What next?

Faculty signature Date

11
REFLECTIONS: CLINICAL CASE PRESENTATION

S. Patient Name Age/Sex UHID No

No
Diagnosis:

Student Presenter Date

What happened?

So what?

What next?

Faculty signature Date

12
REFLECTIONS: CLINICAL CASE PRESENTATION

S. No Patient Name Age/Sex UHID No

Diagnosis:

Student Presenter Date

What happened?

So what?

What next?

Faculty signature Date

13
REFLECTIONS: CLINICAL CASE PRESENTATION

S. Patient Name Age/Sex UHID No

No
Diagnosis:

Student Presenter Date

What happened?

So what?

What next?

Faculty signature Date

14
Name…………………………………………………………………

Year of Admission…………………………………………………...

Batch Roll No…………………… Reg. No. (Univ)………………..

II. COMPETENCIES

A. COMPETENCIES REQUIRING CERTIFICATION*

Summary of Certifiable competencies

Number Competency Details Number Date Reference

required to completed Page no.
Certify P
PE 1.4 Perform anthropometric measurements, 3
document in growth charts and interpret
PE 1.7 Perform developmental assessment and 3
interpret
PE 7.5 Observe the correct technique of breast 3
feeding and distinguish right from wrong
techniques
PE 11.5 Calculate BMI, document in BMI chart and 3
interpret
PE 19.6 Assess patient for fitness for immunization 5
and prescribe an age-appropriate
immunization schedule
PE 24.15 Perform NG tube insertion in a manikin 2
PE 24.16 Perform IV cannulation in a model 2
PE 24.17 Perform interosseous insertion model 2
PE 27.15 Assess airway and breathing: recognize signs 3
of severe respiratory distress. Check for
cyanosis, severe chest indrawing, grunting

15
PE 27.16 Assess airway and breathing. Demonstrate the 3
method of positioning of an infant & child to
open airway in a simulated environment
PE 27.17 Assess airway and breathing: administer 3
oxygen using correct technique and
appropriate flow rate
PE 27.18 Assess airway and breathing: perform assisted 3
ventilation by bag and mask in a simulated
environment
PE 27.19 Check for signs of shock i.e. pulse, blood 3
pressure, CRT
PE 27.20 Secure an IV access in a simulated 3
environment
PE 27.21 Choose the type of fluid and calculate the fluid 3
requirement in shock
PE 27.22 Assess level of consciousness & provide 3
emergency treatment to a child with
convulsions/coma
Position an unconscious child
Position a child with suspected trauma
Administer IV/per rectal Diazepam for a
convulsing child in a simulated environment
PE 27.23 Assess for signs of severe dehydration 3
PE 27.28 Provide BLS for children in manikin 3
PE 33.6 Perform and interpret urine dip stick for sugar 3
PE 33.11 Identify deviations in growth and plan 2
appropriate referral
PE 34.6 Identify a BCG scar 3
PE 34.7 Interpret a Mantoux test 3
PE 34.11 Perform AFB staining 3

Student’s Signature Signature of Faculty

Name and Designation

*This page can be kept as a perforated sheet, which can be torn and put in student file after
completion.

16
PE1.4 Perform anthropometric measurements, document in growth charts
and interpret
Minimum number required to certify-3*

Initial Feedback
Attempt at Decision of
Date Rating of Received
Competency Faculty
Completed (B/M/E) ** Faculty Initial of Learner
(F/R/Re) (C/R/Re)
& Date with Date

*Additional rows have been provided to document repeat or remediation, as the case may be.
**A numerical value may be used.

Only performance is to be documented here. Other details like steps (if required) can be
documented in the student record book.

PE1.7 Perform developmental assessment and interpret

Minimum number required to certify-3

Initial Feedback
Attempt at Decision of
Date Rating of Received
Competency Faculty
Completed (B/M/E) ** Faculty Initial of Learner
(F/R/Re) (C/R/Re)
& Date with Date

17
PE7.5 Observe the correct technique of breast feeding and distinguish right
from wrong techniques
Minimum number required to certify-3

Initial Feedback
Attempt at Decision of
Date Rating of Received
Competency Faculty
Completed (B/M/E) ** Faculty Initial of Learner
(F/R/Re) (C/R/Re)
& Date with Date

PE11.5 Calculate BMI, document in BMI chart and interpret

Minimum number required to certify-3

Initial Feedback
Attempt at Decision of
Date Rating of Received
Competency Faculty
Completed (B/M/E) ** Faculty Initial of Learner
(F/R/Re) (C/R/Re)
& Date with Date

18
PE19.6 Assess patient for fitness for immunization and prescribe an age-appropriate
immunization schedule
Minimum number required to certify- 5

Initial Feedback
Attempt at Decision of
Date Rating of Received
Competency Faculty
Completed (B/M/E) ** Faculty Initial of Learner
(F/R/Re) (C/R/Re)
& Date with Date

PE24.15 Perform NG tube insertion in a manikin

Minimum number required to certify-2

Feedback
Attempt at Decision of Initial of
Date Rating Received
Competency Faculty Faculty
Completed (B/M/E) ** Initial of Learner
(F/R/Re) (C/R/Re) & Date
with Date

19
PE24.16 Perform IV cannulation in a model

Minimum number required to certify-2

Feedback
Attempt at Decision of Initial of
Date Rating Received
Competency Faculty Faculty
Completed (B/M/E) ** Initial of Learner
(F/R/Re) (C/R/Re) & Date
with Date

PE24.17 Perform interosseous insertion in a model

Minimum number required to certify-2

Feedback
Attempt at Decision of Initial of
Date Rating Received
Competency Faculty Faculty
Completed (B/M/E) ** Initial of Learner
(F/R/Re) (C/R/Re) & Date
with Date

20
PE27.15 Assess airway and breathing: recognize signs of severe respiratory distress.
Check for cyanosis, severe chest indrawing, grunting
Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

PE27.16 Assess airway and breathing. Demonstrate the method of positioning of an

infant & child to open airway in a simulated environment
Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

21
PE27.17 Assess airway and breathing: administer oxygen using correct technique
and appropriate flow rate
Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

PE27.18 Assess airway and breathing: perform assisted ventilation by Bag and
mask in a simulated environment
Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

22
PE27.19 Check for signs of shock i.e., Pulse, Blood Pressure, CRT

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

PE27.20 Secure an IV access in a simulated environment

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

23
PF27.21 Choose the type of fluid and calculate the fluid requirement in shock

Minimum number required to certify- 3

Decision Feedback
Attempt at Rating Initial of
Date of Received
Competency (B/M/E) Faculty
Completed Faculty Initial of Learner
(F/R/Re) ** & Date
(C/R/Re) with Date

PE27.22 Assess level of consciousness & provide emergency treatment to a child with
convulsions/ coma

- Position an unconscious child

- Position a child with suspected trauma
- Administer IV/per rectal Diazepam for a convulsing child in a simulated
environment
Minimum number required to certify- 3
Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

24
PE27.23 Assess for signs of severe dehydration

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

PE27.28 Provide BLS for children in manikin

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

25
PE33.6 Perform and interpret urine dip stick for sugar

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

PE33.11 Identify deviations in growth and plan appropriate referral

Minimum number required to certify- 2

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

26
PE34.6 Identify a BCG scar

Minimum number required to certify- 3

Decision Feedback
Attempt at Rating Initial of
Date of Received
Competency (B/M/E) Faculty
Completed Faculty Initial of Learner
(F/R/Re) ** & Date
(C/R/Re) with Date

PE34.7 Interpret a Mantoux test

Minimum number required to certify- 3

Feedback
Attempt at Rating Decision Initial of
Date Received
Competency (B/M/E) of Faculty Faculty
Completed Initial of Learner
(F/R/Re) ** (C/R/Re) & Date
with Date

27
PE34.11 Perform AFB staining

Minimum number required to certify- 3

Initial Feedback
Attempt at Rating Decision of
Date of Received
Competency (B/M/E) Faculty
Completed Faculty Initial of Learner
(F/R/Re) ** (C/R/Re)
& Date with Date

28
REFLECTIONS: COMPETENCIES REQUIRING CERTIFICATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

29
REFLECTIONS: COMPETENCIES REQUIRING CERTIFICATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

30
REFLECTIONS: COMPETENCIES REQUIRING CERTIFICATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

31
REFLECTIONS: COMPETENCIES REQUIRING CERTIFICATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

32
REFLECTIONS: COMPETENCIES REQUIRING CERTIFICATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

33
 B. COMPETENCIES REQUIRING DOCUMENTATION*
*These can be integrated with the case presentations/ demonstrations/ seminars or may be
undertaken as standalone activities.

Summary of Competencies requiring Documentation:

S. Competency Competency Detail Date Faculty

No No. Completed Signature

1. PE 9.7 Plan an appropriate diet in health and

disease
2. PE 10.4 Identify children with under nutrition as per
IMNCI criteria and plan
3. PE 11.3 Assessment of a child with obesity with
regard to eliciting history including physical
activity, charting and dietary recall.
4. PE 12.3 Identify the clinical features of dietary
deficiency / excess of Vitamin A
5. PE 12.4 Diagnose patients with Vitamin A
deficiency, classify and plan management.
6. PE 12.8 Identify the clinical features of dietary
deficiency of Vitamin D
7. PE 12.9 Assess patients with Vitamin D deficiency,
diagnose, classify and plan management
8. PE 12.17 Identify the clinical features of Vitamin B
complex deficiency
9. PE 12.18 Diagnose patients with Vitamin B complex
deficiency and plan management
10. PE 12.21 Identify the clinical features of Vitamin C
deficiency
11. PE 13.3 Identify the clinical features of dietary
deficiency of Iron and make a diagnosis
12. PE 16.2 Assess children < 2 months using IMNCI
guidelines
13. PE 16.3 Assess children > 2 to 5 years using IMNCI
guidelines and Stratify Risk.

34
14. PE 18.4 Provide intra-natal care and conduct a
normal delivery in a simulated environment.
15. PE 18.5 Provide intra-natal care and observe the
conduct of a normal delivery
16. PE 19.13 Demonstrate the correct administration of
different vaccines in a mannequin
17. PE 20.6 Explain the follow up care for neonates
including breast feeding, temperature
maintenance, immunization, importance of
growth monitoring and red flags
18. PE20.18 Identify and stratify risk in a sick neonate
using IMNCI guidelines
19. PE 21.9 Identify external markers for kidney disease,
like failing to thrive, hypertension, pallor,
ichthyoses, anasarca
20. PE 21.10 Analyse symptom and interpret the physical
findings and arrive at an appropriate
provisional/differential diagnosis
21. PE 21.12 Interpret report of Plain X Ray of KUB
22. PE 21.13 Enumerate the indications for and interpret
the written report of ultrasonogram of KUB
23. PE 21.14 Recognize common surgical conditions of
the abdomen and genitourinary system and
enumerate the indications for referral
including acute and subacute intestinal
obstruction, appendicitis, pancreatitis,
perforation, intussusception, phimosis,
undescended testis, chordee, hypospadias,
torsion testis, hernia hydrocele, vulval
synechiae.
24. PE 21.15 Discuss and enumerate the referral criteria
for children with genitourinary disorder
25. PE 23.11 Develop a treatment plan and prescribe
appropriate drugs including fluids in cardiac
diseases, anti-failure drugs, and inotropic
agents.
26. PE23.12 Interpret a chest X ray and recognize
cardiomegaly

35
27. PE23.13 Choose and Interpret blood reports in
cardiac illness
28. PE 23.14 Interpret Pediatric ECG
29. PE 23.15 Use the ECHO reports in management of
cases
30. PE 24.11 Apply the IMNCI guidelines in risk
stratification of children with diarrheal
dehydration and refer.
31. PE 24.12 Perform and interpret stool examination
including hanging drop
32. PE 24.13 Interpret RFT and electrolyte report
33. PE 26.10 Demonstrate the technique of liver biopsy &
perform liver biopsy in a simulated
environment
34. PE 27.10 Observe the various methods of
administering oxygen
35. PE 27.31 Assess child for signs of abuse
36. PE 28.15 Stratify risk in children with stridor using
IMNCI guidelines
37. PE 28.16 Interpret blood tests relevant to upper
respiratory problems
38. PE 29.15 Perform and interpret peripheral smear
39. PE 29.17 Demonstrate performance of bone marrow
aspiration in manikin
40. PE 30.20 Interpret and explain the findings in a CSF
analysis.
41. PE 30.21 Enumerate the indication and discuss the
limitations of EEG, CT, MRI
42. PE 30.22 Interpret the reports of EEG, CT, MRI
43. PE 31.11 Observe administration of nebulization
44. PE 32.2 Identify the clinical features of Down’s
Syndrome
45. PE 32.3 Interpret normal karyotype & recognize
Trisomy 21

36
46. PE 32.7 Identify the clinical features of Turner
Syndrome
47. PE 32.8 Interpret normal karyotype and recognize
the Turner karyotype
48. PE 32.12 Identify the clinical features of Klinefelter
Syndrome
49. PE 32.13 Interpret normal karyotype and recognize
the Klinefelter karyotype
50. PE 33.10 Recognize precocious and delayed puberty
and refer
51. PE 34.9 Interpret blood tests in the context of
laboratory evidence for tuberculosis

37
REFLECTIONS: COMPETENCIES REQUIRING DOCUMENTATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

38
REFLECTIONS: COMPETENCIES REQUIRING DOCUMENTATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

39
 III. SKILL LEARNING SESSIONS

A. CERTIFIABLE PROCEDURAL SKILLS

Neonatal resuscitation (D)*

Date Attempt at Rating Decision of Initial of Feedback

Completed Competency (B/M/E) ** Faculty Faculty & Received
(F/R/Re) (C/R/Re) Date Initial of Learner
with Date

Setting up Pediatric IV infusion and calculating drip rate (I)**

Date Attempt at Rating Decision of Initial of Feedback

Completed Competency (B/M/E) ** Faculty Faculty & Received
(F/R/Re) (C/R/Re) Date Initial of Learner
with Date

40
Setting up Pediatric interosseous line (O)***

Date Attempt at Rating Decision of Initial of Feedback

Completed Competency (B/M/E) ** Faculty Faculty & Received
(F/R/Re) (C/R/Re) Date Initial of Learner
with Date

*D: Demonstration on patients or simulations and performance under supervision in

patients

**I: Independently performed on patients

***O: Observed in patients or on simulations

41
REFLECTIONS: NEONATAL RESUSCITATION

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

42
REFLECTIONS: SETTING UP PEDIATRIC IV INFUSION AND
CALCULATING DRIP RATE

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

43
REFLECTIONS: SETTING UP PEDIATRIC INTEROSSEOUS LINE

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

44
 B. OTHER SKILLS*

S. No Competency Competency Detail Date Faculty Feedback

No. Completed Signature Received
Initial of
Learner
with Date

*Departments can decide on including other skills taught.

45
REFLECTIONS: OTHER SKILLS

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

46
 IV. AFFECTIVE COMPETENCIES
REQUIRING DOCUMENTATION
Summary of Affective Competencies:

S. Competency Competency Detail Date Integration Faculty

No No. Completed Signature
1. PE 2.3 Counselling a parent with
failing to thrive child
2. PE 3.4 Counsel a parent of a
child with developmental
delay
3. PE 6.8 Respecting patient
privacy and maintaining
confidentiality while
dealing with adolescents.
4. PE 7.8 Educate mothers on
antenatal breast care and
prepare mothers for
lactation.
5. PE 7.9 Educate and counsel
mothers for best practices
in breast feeding.
6. PE 7.10 Respects patient privacy
7. PE 7.11 Participate in Breast
Feeding Week celebration

8. PE 8.5 Counsel and educate

mothers on the best
practices in
complementary feeding.
9. PE 10.5 Counsel parents of
children with SAM and
MAM.
10. PE 19.7 Educate and counsel a
patient for immunization.
11. PE 19.8 Demonstrate willingness
to participate in the
national and subnational
immunization days

47
12. PE 20.5 Counsel /educate mothers
on the care of neonates.
13. PE 21.16 Counsel / educate a
patient for referral
appropriately
14. PE 22.2 Counsel a patient with
chronic illness
15. PE 23.18 Demonstrate empathy
while dealing with
children with cardiac
diseases in every patient
encounter.
16. PE 26.13 Counsel and educate
patients and their family
appropriately on liver
diseases
17. PE 27.32 Counsel parents of
dangerously ill /
terminally ill child to
break bad news
18. PE 27.33 Obtain informed consent

19. PE 27.34 Willing to be a part of the

ER team
20. PE 27.35 Attends to emergency
calls promptly
21. PE 29.19 Counsel and educate
patients about prevention
and treatment of anemia.
22. PE 32.5 Counsel parents regarding
1. Present child
2. Risk in next
pregnancy
(Down’s Syndrome)
23. PE 32.10 Counsel parents regarding
1. Present child
2. Risk in next
pregnancy
(Turner Syndrome)

48
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

49
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

50
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

51
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

52
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

53
V. CLINIC/FIELD VISITS

Summary of Clinic/Field Visits:

Visit to… Number Competency Date Reference

Completed Page No.

Child PE 3.7 Visit a Child Developmental Unit and

Developmental Unit observe its functioning
Topic: Developmental Delay &
Cerebral palsy
Child Guidance PE 4.6 Visit to the Child Guidance Clinic
Clinic Topic: Scholastic backwardness,
Learning Disabilities, Autism,
ADHD
PE 5.11 Visit to Child Guidance Clinic and
observe functioning
Topic: Common Problems related to
Behaviour
Adolescent Clinic PE 6.11 Visit to the Adolescent Clinic

Rural Health PE 18.8 Observe the implementation of the

Center program by visiting the Rural Health
Centre
Immunization PE 19.10 Observe the handling and storing of
Clinic vaccines

PE 19.11 Document immunization in an

immunization record

PE 19.12 Observe the administration of UIP

vaccines

PE 19.14 Practice infection control measures

and appropriate handling of the
sharps

54
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

55
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

56
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

57
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

58
REFLECTIONS: AFFECTIVE COMPETENCIES

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

59
VI. PARTICIPATION IN DEPARTMENTAL ACTIVITIES
Summary of Departmental Activities*:

Activity Details/Competency Date Faculty

Addressed: Signature

Participation in celebration and IEC

activities like Breastfeeding Week,
National Newborn Week, World
Immunization Week, World Tuberculosis
Day, World Health Day, World Asthma
Day, World Thalassemia Day*
Participation in IAP/ Other Quiz

Participation in ICMR STS/ Other

Research Projects
Research paper presented/ submitted/
published
Participation in Seminars/Conferences &
Role

Other Activities

Pediatric Specialties

*This is only an illustrative list and departments can include actual events.

60
REFLECTIONS: PARTICIPATION IN DEPARTMENTAL ACTIVITIES

S. Departmental Activity: Date:

No

Details/Competency Addressed:

What happened?

So what?

What next?

Faculty signature Date:

61
REFLECTIONS: PARTICIPATION IN DEPARTMENTAL ACTIVITIES

S. Departmental Activity: Date:

No

Details/Competency Addressed:

What happened?

So what?

What next?

Faculty signature Date:

62
 VII. SELF-DIRECTED LEARNING

Phase III (Part I)

Self-Directed Learning

Topic:

Objectives:

Task:

Methodology:

63
REFLECTIONS: SELF-DIRECTED LEARNING

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

64
 Phase III (Part II)

Self-Directed Learning

Topic:

Objectives:

Task:

Methodology:

65
REFLECTIONS: SELF-DIRECTED LEARNING

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

66
VIII. INTEGRATED LEARNING SESSIONS

Summary of Integrated Learning Sessions:

S. Competency Topic Departments Date

No. No. Involved

67
REFLECTIONS: INTEGRATED LEARNING SESSIONS
Phase II

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

68
REFLECTIONS: INTEGRATED LEARNING SESSIONS
Phase III (Part I)

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

69
REFLECTIONS: INTEGRATED LEARNING SESSIONS
Phase III (Part II)

S. Competency No: Date:

No

Competency Detail:

What happened?

So what?

What next?

Faculty signature Date:

70
NOTES

71
NOTES

72
NOTES

73
NOTES

74
NOTES

75
NOTES

76