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(CREI)Daily Training Record

CREI – DTR

Full Name

Address

MobileEmail

Training Supervisor

Training Unit/s

Year Training Commenced

Year of Training 1 □ 2 □ 3 □ Semester 1 □ 2 □

Six -month Period_______________________ to ______________________

Full time □ Part time □ FTE ______ Hours per week _____

IMPORTANT

You must maintain an updated copy of your DTR at all times – it is an essential record of your training and assessment experiences for each year of the three years of training

Program Directors, Training Supervisors or the Chair of the CREI Subspecialty Committee may ask to see your DTR at any time. An updated copy should always be available

If your contact details change, please notify the College as soon as possibleFor all training documentation enquiries, please contact Subspecialties Services at College House

Contact

Kate GilliamSenior Training Coordinator - SubspecialtiesTel +61 3 9412 2959Email [email protected]

CREI DTR (Daily Training Record) Page 1 of 16 CREI 4 - 22

mailto:[email protected]

Published by RANZCOGThe Royal Australian and New Zealand College of Obstetricians and Gynaecologists254-260 Albert Street, East Melbourne, Victoria 3002, Australia.

© RANZCOG 2016

This work is subject to copyright under the laws of Australia and, through international treaties, other countries. Apart from any use as permitted by law, no part may be copied, adapted, reproduced or stored in a retrieval system or made available to the public by any means or process without written permission from The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG). Requests and enquiries concerning reproduction should be directed to the Chief Executive Officer, RANZCOG, 254-260 Albert Street, East Melbourne, Victoria 3002, Australia.

This material is available on the RANZCOG website: www.ranzcog.edu.au

CONTENTS


http://www.ranzcog.edu.au/

Function of Daily Training Record ................................................................................................... 4

A new DTR every year ..................................................................................................................... 4

Printed and Electronic Versions ...................................................................................................... 5

Instructions on completing the DTR ............................................................................................... 6

Abbreviations used in the CREI Training Program ........................................................................... 8-9

Daily Training Log for CREI Procedures

Female Reproductive Medicine............................................................................................... 10

Female Reproductive Surgery................................................................................................. 11-12

Male Reproductive Medicine.................................................................................................. 13-15

Certificate o Accuracy ..................................................................................................................... 16

Certificate of Satisfactory Completion of the DTR .......................................................................... 16

Record of Discussion and Assessment by the Training Supervisor every three months ...................................................................................................................... 16

Function of the Daily Training Record

The Daily Training Record (DTR) has been designed to enable trainees to record the necessary aspects of their training experience during one year of the prospectively approved CREI Subspecialty Training Program.

The record of experience has the following functions:


1. It provides trainees with a personal record of all procedural and other training experiences which are requirements for satisfactory completion of the CREI Subspecialty Training Program. This information will also be used by the College to monitor the experience provided for trainees by the hospital.

2. It provides trainees with the basis for completing the six-monthly Clinical Training Summaries and the Six-monthly Summative Assessment Report of training experience which is an essential requirement for assessment and subsequent credit for the training undertaken. The six-monthly Clinical Training Summaries and Six-monthly Summative Assessment Report are located in the Training Assessment Record (TAR).

3. The six-monthly Clinical Training Summaries and Six-monthly Summative Assessment Report will be used by the Training Supervisor, Program Director and the CREI Subspecialty Committee to monitor the trainee’s experience and to ensure that it is appropriate for the level of training. The Summaries and Report are also used to plan further training with the Training Supervisor and/or Program Director.

4. The information will also be used by the College to monitor the experience provided for trainees by the hospital.

IMPORTANT

Trainees must submit their DTR for signature and notation by their Training Supervisor every three (3) months

A New DTR Every Year

Trainees must use a new DTR for each year of training and is for use by registered trainees. Trainees will not be issued with a new DTR at the start of each year of training; trainees will need to print a copy of the DTR from the College website. Alternatively, trainees can use an electronic version of the DTR (see page 5).


Printed and Electronic Versions

Trainees may choose to print the DTR from the College website and complete a hard copy, or use the DTR electronically. If the DTR has been maintained electronically, then a print-out must be produced for the Training Supervisor to review and sign every three months. Trainees must retain a copy of signed print outs.

In addition:o Annotations used in an electronic DTR must be fully explained in an accompanying legendo Trainees must regularly back up any electronically maintained DTR. o Claims for recognition of training will not be recognised where data cannot be produced.

If trainees choose to set up their own electronic version of the DTR, the following requirements must be met: Electronic DTRs must be in a spreadsheet program, such as Excel

The electronic version must indicate the relevant training period (including training year), the name of the Training Supervisor, location and type of training. Training periods should be kept separate from each other

The headings contained in the printed DTR must be duplicated in the electronic version and must be shown on any print-out

The Certificate of Accuracy, Certificate of Satisfactory Completion of the DTR, and Record of Discussion and Assessment by Training Supervisor must be incorporated

Every three months, trainees must submit a print-out of the relevant data for signature and notation by the Training Supervisor

All procedures must be listed in print-outs and signed off by the relevant consultants, as per the printed DTR

Complete print-outs for the entire period of training must be kept and presented to the Chair of the CREI Subspecialty Committee when required for assessment purposes

The confidentiality of all patients must be protected

All guidelines detailed in the printed DTR apply equally to electronically maintained DTRs

Trainees must regularly back-up any electronically maintained DTR. Claims for recognition of training will not be recognised where data cannot be produced

The guidelines detailed in the printed College DTR apply to an electronically maintained DTR and records


Instructions

1. Record Training Experience on a Daily BasisTrainees are advised to carry the DTR with them at all times and fill it in on a daily basis. This will avoid much retrospective record hunting.

2. Record Clinical Training ExperienceTrainees are required to record the procedural experiences relevant to the CREI Training Program. A list of abbreviation of procedures usually completed by trainees has been included in the DTR. The list of abbreviations is based on the training requirements described in the CREI Handbook, but should not be regarded as conclusive. Trainees may record other procedures in the DTR that do not appear on the list.

3. Recording All Relevant Training Experiences The DTR provides a facility for the following training activities to be recorded

Cases and Procedures CREI trainees must personally manage and / or perform the following over the three year training period -

Female reproductive medicine cases

Female reproductive surgery

Andrology

Male reproductive surgery

Assisted conception procedures

Imaging procedures

Laboratory skills

For each procedure trainees must record in their DTR, whether they assisted, performed with supervision or performed independently. Performed independently assumes the trainee can confidently and competently manage and / or perform that procedure as the primary operator. Procedures must be documented in the DTR and signed by the Training Supervisor.

By the end of the three year training period trainees are expected to be competent to independently and confidently perform specified procedures as the primary operator.

For each specified procedure trainees must be assessed and signed off by a certified RANZCOG CREI Subspecialist – either the Training Supervisor or an appointed consultant who works with the trainee.

The CREI Procedural Skills Assessment Summary can be found on the website. Trainees are encouraged to spread the assessment of these procedures throughout their three year program.

ResearchThe Training Assessment Record (TAR) includes assessment pages specifically for the assessment of trainees’ research progress at six-monthly intervals. It will be important for trainees undertaking research to keep records of weekly/monthly activities in the project so that the six-monthly assessment report can be submitted by both the trainee and the Training Supervisor.

Biostatistics CourseCREI trainees are required to complete a university-based, examinable biostatistics course as part of their training programme. Evidence of completion must be submitted to the College on the official form downloaded from the College website.


4. At the end of each Six-Month Training PeriodAs all RANZCOG training is assessed every six months, it will be necessary for trainees to transfer the information from the DTR into the relevant section of the Training Assessment Record.

The clinical training must be tallied and the number of procedures in specific categories recorded against the relevant headings. The Training Assessment Record also includes provision to record the other aspects of training completed within the six months.

The Training Assessment Record is the collection of training documents that will be forwarded to the Training Supervisor / Program Director for assessment of the six-month training period.

IMPORTANTTrainees must retain all their DTRs. Do not send any DTRs to College House unless specifically instructed to do so.

Please contact the Subspecialties Services staff at College House if you have any questions about completing the DTR. Contact details are on the title page of the DTR


ABBREVIATIONS USED IN THE CREI TRAINING PROGRAM

Female Reproductive Medicine Assisted ConceptionOI - C Ovulation induction with clomiphene LAP - OPU Laparoscopic egg pick-upOI - FSH Ovulation induction with follicle stimulating hormone LAP - GIFT Laparoscopic Gamete Intrafallopian Transfer

OI - GnRH Ovulation induction with pulsatile GnRH LAP - ZIFT Laparoscopic zygote (or pre-embryo) intrafallopian transfer

OS - OC Ovarian suppression with oral contraceptives or other steroid combinations

TV - OPU Transvaginal egg pick-up

OS - GnRHA Ovarian suppression with GnRH agonists or antagonists

TV - GIFT Transvaginal gamete intrafallopian transfer

HRT Hormone replacement therapy TV - ZIFT Transvaginal zygote (or pre-embryo) intrafallopian transfer

AAT Anti-androgen therapy UET Uterine embryo transferGEC General endocrinology cases Imaging

PAG Puberty/adolescent gynaecology LAP Diagnostic Laparoscopy (+/- minor intervention)

FPC Family Planning (contraceptive) cases HYST Diagnostic HysteroscopyNEC Neuro-endocrinology cases FAL Falloposcopy

Female Reproductive Surgery SAL SalpingoscopyTMS Tubal micro-surgery HSG HysterosalpingogramTR Tubal reversal (microsurgical anastomosis) US Diagnostic UltrasoundBAS Benign adnexal surgery (ovarian cystectomies etc) UFT Ultrasound follicle trackingMM Myomectomy (laparotomy) CT CT scan (interpretation with radiologist)MP Metroplasty (laparotomy) MRI MRI scan (interpretation with radiologist)HABL Hysteroscopic endometrial ablation Laboratory SkillsHPP Hysteroscopic Polypectomy IA Immuno-assayHMM Hysteroscopic Myomectomy SA Semen analysisHAD Hysteroscopic division of adhesions SP Sperm preparation proceduresHMP Hysteroscopic matroplasty (septoplasty) IVF In-vitro fertilisation proceduresLAH Laparoscopic assisted hysterectomy IVF - FERT IVF fertilisation checksLAS Laparoscopic excision adnexal tissue ICSI Intracytoplasmic sperm injection proceduresLEE Laparoscopic excision extensive endometriosis CYRO Embryo freezing proceduresTAH / BSO Total abdominal Hysterectomy/bilateral salpingo-

oopherectomyPCR Polymerase chain reaction procedures

Andrology And Male Reproductive Surgery FISH Fluorescent in-situ hybridisation proceduresMFC Male factor (male infertility) cases TEM Transmission electron microscopy

examinationsDAC Diagnostic andrology cases (infertility) SEM Scanning electron microscopy examinationsDUC Diagnostic Urology casesMHRT Male Hormone replacement therapyVR Vasectomy reversalMESA Microsurgical epidiymal sperm aspirationTESE Testicular sperm or spermatid extractionTB Testicular biopsy


ADDITIONAL ABBREVIATIONSThis blank table is provided for trainees to note additional abbreviations used in the DTR


DAILY TRAINING LOG FOR CREI PROCEDURES

CREI CLINICAL TRAINING SUMMARY WEEK 1 WEEK 2 WEEK 3 WEEK 4 WEEK 5 MONTHLY

A S I SO A S I S

O A S I SO A S I SO A S I S

OCA CS CI CS

O

FEMALE REPRODUCTIVE MEDICINE

Ovulation induction with clomiphene

Ovulation induction with FSH

Ovulation induction with pulsatile GnRHOvulation suppression with oral contraceptivesor other steroid combinationsOvulation suppression with GnRH agonists or antagonists

Hormone replacement therapy

Anti androgen therapy

General endocrinology cases

Puberty / adolescent gynaecology

Family Planning (contraceptive cases)

Neuro-endocrinology casesA = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative




A S I SO A S I S


OCA CS CI CS

O

FEMALE REPRODUCTIVE SURGERY

DIAGNOSTICLaparoscopy +/- dye studies

Hysteroscopy under GA

‘Office’ hysteroscopy (no GA)ADNEXAL SURGERY

Laparoscopic salpingostomy for ectopic

Laparoscopic salpingectomy

Laparoscopic salpingo-oophorectomy

Laparoscopic surgery for adnexal torsion

Laparospopic salpingolysis

Laparospopic neosalpingostomy

Laparospopic Ovarian Cystectomy for Dermoid

a) <5cm

b) 5 - 8cm

c) >8cm

Laparoscopic Ovarian Cystectomy for Endometriomaa) <5cm

b) 5-10cm

Laparoscopic Ovarian Cystectomy for Cyst

a) <5cm

b) 5-10cm

c) >8cm

Laparoscopic tubal reanastomosis

Open tubal reanastomosis

Laparoscopic ovarian drillingA = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative




A S I SO A S I S


OCA CS CI CS

O UTERINE SURGERYHysteroscopic polypectomy

Hysteroscopic adhesiolysis

Hysteroscopic division of uterine septum

Hysteroscopic myomectomy

Laparoscopic myomectomy

Open myomectomy ENDOMETRIOSIS SURGERYLaparoscopic Resection of Endometriosis

a) Peritoneal only

b) Ureterolysis

c) Ureteric catheterisation

d) Rectal shaving

e) Rectovaginal excision

f) Rectal excision with reanastomosis

g) Resection endometrioma

h) Proceed to open surgeryVIRGINAL SURGERY

Resection of vaginal septum

Neovaginoplasty (specify)A = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative




A S I SO A S I S


OCA CS CI CS

O ANDROLOGY

Male factor (male infertility) cases

Diagnostic andrology cases (non-infertility)

Diagnostic urology cases

Male hormone replacement therapy

MALE REPRODUCTIVE MEDICINE

PESA

TESA

Open testicular biopsy

Reversal of vasectomy

Electroejaculation

Microsurgical sperm recovery

ART

Transvaginal oocyte collection

Transabdominal oocyte collection

Transcervical embryo transfer

Laparoscopic zygote tubal transfer

IMAGING

Falloposcopy/salpingoscopy

Hysterosalpingogram

Ultrasound follicle tracking

Diagnostic ultrasound

CT scan (interpretation with radiologist)

MRI scan (interpretation with radiologist)A = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative




A S ISO A S I SO A S I SO A S I

SO A S I

SO

CA CS CI CSO

LABORATORY SKILLSSessions in an immuno-assay laboratory

Semen analysis

Sperm preparation procedures

IVF procedures

IVF fertilisation checks

ICSI procedures

Embryo freezing procedures

Polymerase chain reaction procedures

Fluorescent in-situ hybridisation procedures

Trasmission electron microscopy examinations

Scanning electron microscopy examinationsMICROSURGERY

Microsurgical cases performed by a CREI trainingcentre approved microsurgeon (min 10 over three-year training period)Anastomosis / performance alternate anastomosisto count as one case when supervised by a CREIaccredited training centre approved microsurgeon(one over three-year training period)Microsurgical cases overall(min 10 over three-year training period)Involvement in a CREI Committee approvedlaboratory / animal research project supervisedby a CREI training centre approved microsugeon(counts for a max of 5 cases overall)Documented microsurgical cases supervisedby a CREI training centre approved microsurgeonduring FRANZCOG? training(to count up to a max of 5 cases)

A = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative




A S I SO A S I S


OCA CS CI CS

OADDITIONAL EXPERIENCE

A = Assisted / S = Supervised / I = Independent / SO = Supervised Others / C = Cumulative


CERTIFICATE OF ACCURACY

DAILY TRAINING RECORD

I certify that the information contained in the Daily Training Record (DTR) is a true and accurate record of my training experiences.

Trainee signature .......................................................... Date .......................................................

CERTIFICATE OF SATISFACTORY COMPLETION OF THE DAILY TRAINING RECORD

(CREI SUBSPECIALTY TRAINING PROGRAM)

This is to certify that

Name .......................................................................................................................................................…

has satisfactorily completed this Daily Training Record as required under the RANZCOG regulations.

Signature ................................................................ Date ................................................................. (Chair, CREI Subspecialty Committee)

When this and all other relevant Daily Training Records are presented for assessment, if assessed as satisfactory, the Chair will sign the Certificate of Satisfactory Completion of Training in the Training Assessment Record.

RECORD OF DISCUSSION AND ASSESSMENT BY TRAINING SUPERVISOR EVERY THREE MONTHS

It is essential that Training Supervisors review the trainee’s training experience and progress as recorded in the Daily Training Record every three months. Training Supervisors are required to provide feedback to the trainees about their strengths and areas for improvement at the mid-semester formative assessment.

The following section is to be signed by the Training Supervisor.

I certify that I have reviewed the training recorded in this Daily Training Record on

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................

Signature ................................................................ Date .................................................................


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Function of the Daily Training Record - RANZCOG - Home · Web viewIn-vitro fertilisation procedures LAH Laparoscopic assisted hysterectomy IVF - FERT IVF fertilisation checks LAS