GOVERNMENT MEDICAL COLLEGE AND HOSPITAL

NAGPUR

MBBS ELECTIVE POSTINGS LOGBOOK

NAME OF STUDENT:
ROLL NO:
MBBS ADMISSION BATCH:
DURATION OF POSTING:
CONTACT NUMBER:

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 GENERAL INSTRUCTIONS

o The logbook is a record of the academic / co-curricular activities of the designated

student, who would be responsible for maintaining his/her logbook.

o The student is responsible for getting the entries in the logbook verified by the faculty
in charge regularly.

o Entries in the logbook will reflect the activities undertaken in the department & have
to be scrutinized by the Head of the concerned department.

o The logbook is a record of various activities by the student like:

 Overall participation & performance

 Attendance
 Participation in sessions
 Record of completion of pre-determined activities.
 Acquisition of selected competencies

 The logbook is the record of work done by the candidate in that department / specialty
and should be verified by the college before submitting the application of the students
for the University examination.

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 Name: __________________________ PHOTOGRAPH

 Roll No: _________________________

Attendance Satisfactory
Sl No Elective Name of Elective Department Percentage Completion Signature
(Yes/No) of Faculty

1. Block 1

Head of the Department

Attendance Satisfactory
Sl No Elective Name of Elective Department Percentage Completion Signature
(Yes/No) of Faculty

2. Block 2

Head of the Department

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 BLOCK 1
NAME OF ELECTIVE:
DEPARTMENT:
POSTING PERIOD:

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 CERTIFICATE

This is to certify that Ms./Mr. _______________

Roll No. MBBS Admission Batch has satisfactorily
completed / has not completed the electives posting in
in the department of as
per the curriculum proposed from period _______ ___to ______________. His/ Her
performance was found to be satisfactory.

Signature of Faculty (Internal Preceptor) Head of the Department

Name and Designation

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 Details of Activities Performed

Decision of
Mode of learning Faculty
Sl No Date Activity (Project/ presentation/ (Completed Signature of the
demonstration/ case /Repeat/ teacher
presentation/ any other) Remedial)

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 Details of Activities Performed

Decision of
Mode of learning Faculty
Sl No Date Activity (Project/ presentation/ (Completed Signature of the
demonstration/ case /Repeat/ teacher
presentation/ any other) Remedial)

ATTENDANCE RECORD

Name of Elective Duration Of Posting No of Days Present Attendance

( in Days) Percentage (%)

Signature of Internal Preceptor

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 FEEDBACK

 Briefly describe how did you prepare for the sessions or activities.

 Details about your learning experience in terms of gain or enrichment to your

course.

 Any kind of improvisations required or suggestions.

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 BLOCK 2
NAME OF ELECTIVE:
DEPARTMENT:
POSTING PERIOD:

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 CERTIFICATE

This is to certify that Ms./Mr. _______________

Roll No. MBBS Admission Batch has satisfactorily
completed / has not completed the electives posting in
in the department of as
per the curriculum proposed from period _______ ___to ______________.
His/ Her performance was found to be satisfactory.

Signature of Faculty (Internal Preceptor) Head of the Department

Name and Designation

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 Details of Activities Performed

Decision of
Mode of learning Faculty
Sl No Date Activity (Project/ presentation/ (Completed Signature of the
demonstration/ case /Repeat/ teacher
presentation/ any other) Remedial)

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 Details of Activities Performed

Decision of
Mode of learning Faculty
Sl No Date Activity (Project/ presentation/ (Completed Signature of the
demonstration/ case /Repeat/ teacher
presentation/ any other) Remedial)

ATTENDANCE RECORD

Name of Elective Duration Of Posting No of Days Present Attendance

( in Days) Percentage (%)

Signature of Internal Preceptor

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 FEEDBACK

 Briefly describe how did you prepare for the sessions or activities.

 Details about your learning experience in terms of gain or enrichment to your

course.

 Any kind of improvisations required or suggestions.

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