for Family Medicine (MInTFM)

Logbook - Hospital Posts – PSYCHIATRY

Years 1 and 2
INTRODUCTION
FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1&2 – MINTFM

Skills Logbook – Psychiatry

Each trainee will have a Skills Logbook accessible via the programme LMS and in PDF
form. A list of core skills and exposures, specific to each hospital rotation, have been
identified.

Through the course of the training programme, you must acquire competence in
each of these areas and attainment of competence must be verified by your
trainer/clinical supervisor.

It is strongly recommended that these logs are reviewed by your clinical supervisor
* and discussed with you, the trainee. It is recognized that it may not be possible for
you to get full exposure to all the listed skills and procedures through your hospital
post(s). Any deficit in respect of clinical exposure can be noted and mitigated
through experience gained in your years in the KK.

The Skills Logbook can be accessed via the Programme LMS or may be retained in PDF
form. If logged online your trainer can access the Logbooks of all trainees within their
clinical area. Additionally, your trainer can request that you use a paper version of the
logbook.

*Clinical supervisor is the Head of Department, or any other specialist/consultant designated by

the HOD to be your supervisor
In order to be marked as “clinically competent” in each area the trainee must:

● Satisfy 75% attendance requirements in respect of each hospital rotation

● Self-Directed Learning Plan
● Complete a Hospital Post-Self-Assessment Form
● Complete 2 (or 1) Case-Based Discussions (CBD)
● Complete 1 Direct Observational Procedure (DOPs)
● Have a satisfactory Trainers report, marking you as “clinically competent”.

Dear Hospital Supervisor, NB Please advise the MInTFM educational supervisor at LEAST
ONE MONTH BEFORE THE END at the latest if there are any concerns about being able to
sign a trainee of at the end of the rotation.
 Self-Directed Learning Plan (SDLP)

(Detailed explanation about SDLP is in Appendix 1)

Self-Directed Learning Plan (SDLP) Template

SELF DIRECTED LEARNING PLAN – PSYCHIATRY

PLEASE ENSURE THAT YOU REVIEW THIS WITH YOUR HOSPITAL SUPERVISOR BOTH AT THE START
AND END OF THE ROTATION

Educational How was this How am I going Outcome and

Need identified? to meet this Further Reflection
need?
1

** Signature is not necessary if completed in the online format **

Signed: Trainee _________________________________

Supervisor _________________________________

Date:
Clinically Based Discussions (CBD)
List of Topics
CBD can be based on any area of Psychiatry.
Included in this is some of the curricular learning outcomes from MInTFM online curriculum, listed
below.
A MInTFM trainee should be able to diagnose and manage the following conditions:

NO CASE BASED DISCUSSION (CBD)

1. Acute confusional state and delirium
2. Acute psychotic disorder
3. Common mental health issues and psychiatric emergencies
4. Anxiety disorder/ panic disorder
5. Adjustment disorder
6. Personality disorder
7. Obsessive compulsive disorder
8. Phobic disorder
9. Mixed anxiety and depression
10. Depression
11. Post- traumatic stress disorder
12. Bereavement and pathological grieve
13. Schizophrenia
14. Bipolar disorder
15. Behavior disorders
16. Self- harm and suicidal ideation
17. Substance misuse/alcohol dependence/ any form of addiction
18. Psychosomatic disorder
19. Child/adolescent with suspected/diagnosed psychotic disorder
20. Cardiovascular disease risks in psychiatric patients
21. Psychiatric co-morbidity in people with physical health problems
22. Abnormal child behavior patterns
23. Psycho sexual problem
24. Post natal depression/ puerperal psychosis
25. Insomnia
26. Eating disorder
27. Dissociative disorder
28. Dementia
29. Insomnia
30. Psychological therapies such cognitive behavioral therapy, mindfulness, counselling,
psychodynamic, psychosexual and family therapy
31. Drugs therapy in psychiatry
32. Child protection concerns
Case Based Discussion – Template

This assessment will directly test your competence in respect of knowledge and clinical
decision- making through a structured discussion of a case, scenario or case series. There
is a structured format that must be adhered to by clinical supervisors and trainers for the
completion of this assessment. This format is accessible via the LMS or in PDF form which
must be used to record each assessment.

You as the trainee choose a case in which you have had significant clinical input from
the suggested list of clinical areas. In order to complete the assessment, you will present
the case in a standardised format and outline your clinical reasoning. The clinical record
will be the basis of the assessment. The assessment focuses on your clinical competence
in terms of history taking and examination, rationale for ordering investigations,
appropriateness of management and follow-up, etc.

You are required to successfully complete two CBD assessments for each 3 month
hospital rotation (1 for each 1 month hospital rotation). If you do not adequately
complete these assessments, the trainer/clinical supervisor will provide you with
feedback and repeat the process.

Finally, you will be required to select one CBD for clinical case presentation from each
hospital rotation for group discussion at day release. This assessment modality will not
be marked as complete till this has occurred
 Case Based Discussion 1 Rubric Clinical

Clinical Area for Discussion:

Please provide a brief summary of the Case for discussion:

Criteria Rating Trainer

Comments
Not yet Competent Proficiency Not
Competent Demonstrated Applicable

Data gathering and

interpretation
Making Diagnoses
and
Decisions
Clinical Management
Maintains an ethical
approach
to practice
Managing Complexity
Follow-up and
ongoing
management plan
Working with
Colleagues and
other team members
Professionalism
Overall Clinical
Judgement

** Signature is not necessary if completed in the online format **

Signed: Trainee _________________________________

Supervisor _________________________________

Date:

To be able to view CBD in Canvas (preferred format):

1. Log in to Canvas (https://learn.iheed.org/login/canvas)

2. Select the course you are enrolled
3. You are now in your enrolled course, select the three lines on the top-left of your screen.
4. Click on the Assignments tab
Scroll down to find CBD Assignment and select the CBD 1 to fill-up and submit this on Canvas
 Case Based Discussion 2 Rubric Clinical

Clinical Area for Discussion:

Please provide a brief summary of the Case for discussion:

Criteria Rating Trainer

Comments
Not yet Competent Proficiency Not
Competent Demonstrated Applicable

Data gathering and

interpretation
Making Diagnoses
and
Decisions
Clinical Management
Maintains an ethical
approach
to practice
Managing Complexity
Follow-up and
ongoing
management plan
Working with
Colleagues and
other team members
Professionalism
Overall Clinical
Judgement

** Signature is not necessary if completed in the online format **

Signed: Trainee _________________________________

Supervisor _________________________________

Date:

To be able to view CBD in Canvas (preferred format):

1. Log in to Canvas (https://learn.iheed.org/login/canvas)

2. Select the course you are enrolled
3. You are now in your enrolled course, select the three lines on the top-left of your screen.
4. Click on the Assignments tab
5. Scroll down to find CBD Assignment and select the CBD 2 to fill-up and submit this on Canvas
 Directly Observed Procedures (DOP)

These can include the below or other learning outcomes from the MInTFM curriculum:

NO DIRECTLY OBSERVED PROCEDURES (DOP)

1. Mental state assessment
2. Assesment of cognition – use of MMSE/Clock Drawing Test/GDS
3. Assesssment of competence
4. Risk assessment in relation to suicide risk
5. Communication with patients, relatives and guardians
6. Appropriate counselling skills

Direct Observation of Procedural Skills – Template

This assessment will directly assess your competence in performing a procedure. There is a structured
format that must be adhered to by clinical supervisors and trainers for the completion of this
assessment. This format is accessible via the LMS or in PDF form which must be used to record each
assessment.

As part of this process, you may be assessed performing the task under varying degrees of supervision
and guidance, which will be noted as part of the assessment.

In total you are required to successfully complete 1 DOPS assessment for each 3-month hospital post. If
you do not adequately complete this assessment, you will be provided with objective feedback and
repeat the process.
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM
DOPS Rubric

Trainee Name:

Rotation:

Supervisor Name:

Procedure to be assessed:

Please provide a brief summary of the procedure and your experience performing it:

Criteria Rating Trainer

Comments
Not yet Competent Proficiency Not
Competent Demonstrated Applicable
Demonstrates
understanding of
indications,
relevant
anatomy,
technique of
procedure
Obtains informed
consent
Demonstrates
appropriate
preparation pre-
procedure
Appropriate
analgesia or
safe sedation

Technical ability
Aseptic technique
(if appropriate)

Seeks help where

appropriate
Post procedure
management

Communication
skills
Consideration of
patient/professio
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM
nalism

Overall ability to
perform
procedure

Evaluation and Feedback – Supervisor/Trainer

If the procedure resulted in a “not yet competent” outcome, please indicate one of the following:

I had to take over the procedure

I had to talk the trainee through
the procedure

I had to prompt the trainee

throughout the procedure

Easier than Usual Average Harder than Usual

The difficulty of the
Procedure
Number of Times
this procedure has
been performed by
the trainee prior to
this occasion
Time Taken to
Complete DOPS
Time Taken to Give
Feedback
Suggestions for
Development
Agreed Actions

Evaluation – Trainee

Self-Reflection - What did you

learn from this assessment
experience

Passing Standard
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM

The assessment will be cumulatively marked as Complete or Incomplete.

If marked Incomplete the assessment must be repeated until the required minimum level of
competence has been achieved

** Signature is not necessary if completed in the online format **

Signed: Trainee _________________________________

Supervisor _________________________________

Date:

To be able to view DOP in Canvas:

1. Log in to Canvas (https://learn.iheed.org/login/canvas)
2. Select the course you are enrolled
3. You are now in your enrolled course, select the three lines on the top-left of your screen.
4. Click on the Assignments tab
5. Scroll down to find DOP Assignment and select the DOP to fill-up and submit this on Canvas
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM
Trainer Report –- Hospital Posts

Each trainer will be expected to complete an overarching trainer report at the end of each rotation
for each trainee under their direction and supervision. This will be templated and accessible via the
programme LMS or in PDF.

You will be able to view and review this report at the end of each rotation. It can be used as a learning
tool to direct further skills and knowledge development as you progress through training.

Trainer Report – Template

Trainee Name:

Rotation:

Trainer Name:

Please provide your views on the following specific topics in relation to this trainee:

Level of Application of Medical Knowledge

Clinical Judgement/Patient Management/

Medical Care

Responsibility/ Self-Assessment

Interpersonal Skills/ Communication

Skills/ Psychological Development/
Ethical
Behaviour
Procedural Skills

Professional Attitudes and Behaviour

Record Keeping/ Patient Management/

Reports

Work Based Assessments

Please comment on any strengths that

the trainee displays in regard to the
above
topic areas:
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM
Please comment on any areas for
development that the trainee displays
in regard to the above topic areas and
what measures have been
implemented to
improve the identified area:
Are you satisfied with the overall
performance of the trainee during
the period covered by this report?

** Signature is not necessary if completed in the online format **

I_________________________ (Trainee Name) __________________(Identification Card Number

) certify that the above information is a true record of the training/experience gained in this
hospital post:

Signed by Applicant

SIGNATURE:

DESIGNATION:

DATE:

I ____________________(Trainer Name ), _________________________( Identification Card

Number ) confirm that they have successfully completed the above postings.

I hereby declare that the trainee has successfully completed the posting with a minimum of 75%
attendance (minimum of 15 weeks out of a 20-week attachment).

SIGNATURE:

DESIGNATION:

DATE:
 FORMATIVE ASSESSMENTS AND REVIEW PROCESS – YEAR 1 – MINT-FM

This form will not be accepted

Without a Hospital Stamp

To be able to view Trainer Report in Canvas (preferred format):

1. Log in to Canvas (https://learn.iheed.org/login/canvas)
2. Select the course you are enrolled
3. You are now in your enrolled course, select the three lines on the top-left of your screen.
4. Click on the Assignments tab
5. Scroll down to find Trainer Report and select your respective Trainer Report (O&G, Paeds etc) to
fill-up and submit this on Canvas