Surgical Logbook Template For Dha Guide
This article provides a guide on the required components, verification standards, and a recommended template to ensure your application meets DHA's strict licensing criteria.
| Procedure Category | Procedure Name | Number of Cases (Lead Surgeon) | Number of Cases (Assistant) | Total Cases | |---|---|---|---|---| | General Surgery | Laparoscopic Cholecystectomy | 45 | 8 | 53 | | General Surgery | Open Appendectomy | 32 | 5 | 37 | | Orthopedic Surgery | Total Knee Replacement | 28 | 10 | 38 | | Orthopedic Surgery | Arthroscopic ACL Repair | 41 | 9 | 50 | | ... | ... | ... | ... | ... | | | | XXX | XXX | XXX |
This tabular layout is highly recommended for its clean presentation and ease of reading. Date (DD/MM/YYYY) Patient ID/Reg No. Age / Gender Procedure Performed Role in Surgery (O / A / PA / I) Complications (If Any) Supervisor Signature / Initials 15/01/2025 Acute Cholecystitis Laparoscopic Cholecystectomy Dr. J. Smith 18/01/2025 Acute Appendicitis Open Appendectomy Wound infection Dr. J. Smith 22/01/2025 Inguinal Hernia Lichtenstein Hernioplasty Dr. A. Khan surgical logbook template for dha
For logbooks submitted as part of initial licensure or privileging, the DHA may require from the Chief of Surgery or Medical Director of the primary facility where cases were performed – typically via a cover letter or stamp on the summary page.
: The specific day the surgery was performed. This article provides a guide on the required
: The logbook must be typed ; handwritten logs are strictly not accepted for official licensing.
: Use a Medical Record Number (MRN) or initials along with age and sex to maintain HIPAA/privacy compliance. Diagnosis : Both pre-operative and post-operative diagnoses. | | | | XXX | XXX |
A surgical logbook is a critical document for medical professionals seeking licensing or career progression under the Dubai Health Authority (DHA). It serves as official evidence of your clinical experience, technical skills, and surgical exposure.
Role defined as: Observed (O), Assisted (A), Performed under Supervision (S), or Performed Independently (P). Any intraoperative or immediate postoperative issues. Outcome/Notes Brief note on results or learning outcomes. Role Definitions (Four-Point Scale)