‫اﻟﻤﺠﻠﺲ اﻟﻌﺮﺑﻲ ﻟﻼﺧﺘﺼﺎﺻﺎت اﻟﺼﺤﯿﺔ‬

The Arab Board of Health Specializations

‫اﻟﻤﺠﻠﺲ اﻟﻌﻠﻤﻲ ﻟﺘﺨﺼﺺ ﺟﺮاﺣﺔ اﻟﻔﻢ واﻟﻮﺟﮫ واﻟﻔﻜﯿﻦ‬

Scientific Council of Oral and Maxillofacial Surgery

‫اﻟﺴﺠﻞ اﻟﻌﻠﻤﻲ ﻟﻠﺘﺪرﯾﺐ واﻷﻧﺸﻄﺔ اﻟﺴﺮﯾﺮﯾﺔ‬

Log Book on Clinical Training and Activities
 1-Trainee Information Data

Name: ……………………..

DOB: ….. / …. / …..

Nationality: ……………………

Arab Board Training Number: ……………….

Address:………………

E-mail Address: ……………….

Telephone No: ……………….

Training Center information

Training Center (hospital) Title: ……………….

Training Center Address: ………………

Duration of training: From ….. /…./ ….. to …. / …. /

….Name of Program director: …………………

Contents of the logbook

A- Introduction.

B- Guide to use your logbook.

C- Surgical procedures required in oral and maxillofacial surgery.

D- Out-patient clinic sessions.

E- Rotation schedule.

F- Scientific activities and training courses.

 A- Introduction

Dear Trainee Candidate,

You are welcome to join the training program of the Arab Board of Health Specializations in
the field Oral and Maxillofacial Surgery.

The program is a five-year training and education in oral and maxillofacial surgery
With 14 months rotation program in General medicine, General surgery, Anesthesia
including intensive Care, ENT, Plastic and reconstructive surgery Orthopedic, in year 2of
training and one month neurosurgery in year 4 and Emergency medicine in final year.
Year one will be exclusively in oral surgery, year two rotation in clinical medical subjects then
the following three years (year 3, year 4 and year5) training in the full scope of maxillofacial
surgery.

During the whole training period, you have to dedicate time for the outpatient clinic, inpatient
ward, operating room and emergency department. In addition to those clinical settings, you
need to participate in the scientific activities such as grand round, morbidity and mortality
meeting, journal club, clinical audit and case presentation.

Upon completion all the requirements of the training and educational program, you can
guarantee a successful, knowledgeable, skillful, efficient and safe oral and maxillofacial
surgeon.

Best Wishes and all the success for your future carrier

Oral and Maxillofacial Surgery Scientific Council / Training Committee

 B - Guide to use the Logbook
This logbook has been created to help you fulfill the clinical training requirements during
your 5years training program of the Arab Board of Health Specializations in oral and
Maxillofacial Surgery. For this reason, members of the training committee have designed a
Logbook for each year of the five-year program to document and register details of each case
seen and treated in your training center
Your logbook has to be completed and approved by the training committee in order to be
promotedto the next year of training.
The activities included in this logbook and required to be documented and approved are:
outpatient clinic, surgical procedures, scientific activities, training courses, and rotation
schedule in various medical and surgical departments as required.

How to Fill out your logbook

All cells in each table should be filled out with the relevant data.
Outpatient clinic: You have to attend and participate at least one outpatient clinic session a
week. For every session you attend and participate in, you will document the date, patient
name, diagnosis, investigations and treatment plan, in an emergency cases also record the
procedure, at the end of each clinic the consultant or specialist in charge have to sign and
approve this.
Surgical Procedures: you need to document every procedure you participated in, filling out a
raw for every patient operated upon beginning by the date of the procedure, hospital admission
number of the patient, diagnosis, procedure performed, level of contribution according to the
Three -Point Scale*, then mark the procedure, and finally the name of the consultant or the
specialist in charge. By the end of each year, you have to document the number of cases
according to each level of contribution for every procedure.
Scientific Activities: You are required to participate in one scientific activity weekly. For
every scientific activity you will document the date of the session, the event (Grand round –
Morbidity & Mortality meeting – case presentation – lectures – Journal club – Audit
……etc), the topic discussed in the session, your role in such an activity (attendee, presenter,
moderator,), and the name and signature of the trainer.
Rotation in Medical and Surgical Specialties: The last section of the logbook is the rotation
schedule, where you will document the specialty of all your rotations during the second year
of training and one month in year 4 and year 5.
The documentation includes the hospital title where you spend your rotation, start and end
date, and the name and signature of the specialist and or Consultant in charge
Evaluation of the Logbook:
Your Logbook will be evaluated on monthly basis by your trainer.
The educational supervisor (program director) will evaluate your logbook every six months.
The training committee of the Arab Board will evaluate your logbook yearly and at the end of
training with supporting letter from the educational supervisor (program director).

Please use the three -point scale according to your level of contribution below in any
surgicalprocedure required in the logbook in the speciality and the Rotational program in
various medical and surgical subjects

Three-point scale (level of contribution):

O Observer
Assistant
A
Operator (First Surgeon)
Op
 C- Surgical procedures required in training
A- Minor Oral Surgery

20 Cases of surgical
extractions30 Cases of
impacted teeth
30 Cases Minor oral surgery procedures, including
Biopsy cyst enuclation, excision of soft tissue lesions such as papilloma fibroma and
fibroepithelial polyps.
5 Cases of apicectomy
5 Cases Closure of the Oro antral fistula
4 Cases Pre-prosthetic surgery on the upper and lower jaws
20 Cases dental implants, including ridge augmentation, bone grafting and sinus
lift.20 Cases of Dento-alveolar fractures

B- Cranio-Maxillofacial
Trauma1- Facial Bone
trauma
20 Cases of facial bone fractures as 1st
assistant15 Cases as First surgeon
Which includes:

Mandibular fractures closed and open reduction and

fixationCondylar fractures
Maxillary Lefort fractures I II, and III
Zygomatic bone fractures Closed and
openBlow out orbital bone fractures
Fronto Naso Ethmoid orbital fractures

2- Facial Soft tissue injuries: 30 cases of which 15 as first assistant and 15 cases as a
Surgeon.

C- Odontogenic /Non odontogenic maxillofacial infections

Cases of Oral and Maxillofacial soft and bone Infections including

Ludwig’sFacial spaces infection Medical and Surgical Management
15 Cases of which 5 cases as first surgeon and 10 cases as assistant.

D- Orthognathic surgery

8 cases with Fully documented: pre operative, clinical photographic and Cephalometric
analysis with surgery planning and preparation, with complete intra and post operative
radiographs with follow up in addition to critical appraisal in each case.
Attend 1 case as first surgeon and 7 cases as first assistant.

Procedures:
Lefort1 Osteotomy
Sagital split Osteotomy of
mandibleGenioplasty
Segmental
osteotomy
Distraction
osteogenesis
 E- Odontogenic and non-odontogenic tumour of jaws

10 cases, Minimum 2 cases as first surgeon.

F- Temporomandibular Joint (TMJ)Surgery

TMJ Arthrocentesis 3 cases

TMJ ankylosis 5 cases one as a surgeon and TMJ pathology 2 cases.

G- Jaw Reconstructions

Mandibular and Maxillary bone reconstructions 5 cases, 2 cases as first surgeon

H- Cleft Lip and Palate

Cleft lip and palate 15 cases which 5 cases of them as first surgeon
Secondary Alveolar Bone grafting of cleft 6 Cases of which 3 cases as a first surgeon and
including bone Harvesting (iliac bone graft, calvaria, chin …)

Full documentations of cases including patients details and file number with pre- and Intra-
operative radiographs, CT, CBCT of cases and follow up results with Critical appraisal at the
endof each case sheet to be part of the clinical portfolio and log book
To be approved and signed by the consultant in charge of training with date

I- Salivary gland Surgery

4 Cases Superficial parotidectomy surgery as first assistant and one as surgeon under
supervision.
4 Cases Submandibular Salivary gland
adenectomy2 Cases of minor salivary gland
tumours
10 cases of other salivary gland disorders (Ranula, mucocele, sialolithiasis…)

J- Head and Neck oncology

5 Cases Tumours excision in oro-facial region (Hard and soft tissues) with local flaps
reconstruction.
4 cases Neck dissection first assistant
2 cases Reconstructions either distant or Free Flaps first assistant.

Note: For every patient, a brief case sheet with full pre-, intra-, and post-
operativephotograph and relevant investigations
Treatment protocol and complications, if any, with critical appraisal Note by the
supervisor with signature
The educational supervisor ( program director ) will evaluate your logbook every 6 months
 D-Oral & Maxillofacial surgery procedures

Contribution
Serial NO
Consultant /

Level of
Patient
Date Diagnosis Procedures Spercialist Name
Name
& Signature

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Year one: The following requirement must be finished in year one of training and
recorded in your logbook

1- Dentoalveolar surgery
2- Suturing techniques of wounds in the head and neck region
3- Different types of local anesthesia techniques (infiltration versus
block)4-Incision and drainage of an abscess, extra or in-traoral
5-Surgical and non-Surgical teeth
extraction6-Surgical removal of
impacted teeth
7- Management of post-extraction bleeding and complications, including dry sockets, sharp
bonyedges,
8- Pre-prosthetics surgery. Diagnosis and surgical management
9- Oro-antral fistula diagnosis and surgical management with different
techniques10-Intraoral cyst enucleation
11- Peri-apical surgery
12- Odontogenic infection management
13- Intraoral biopsy procedures, including needle aspiration, incisional biopsy, and
excisional 14-Closed reduction of facial bone fractures using arch-bar intermaxillary
fixation and IMF Fixscrews.
15-Closed reduction of TMJ dislocation.

Note: Preparation for Part 1 Examination: At the end of the first year the candidates
mustsit the primary Board examination
Serial NO
D- OUT-PATIENT CLINIC SESSIONS

Patient Consultant
Diagnosis Investigation Treatment
name Signature

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
 E-Rotation Schedule
(Year 2 and one month in year 4 and 5)
1- General
MedicineDuration of training: 3 months
Name of medical Consultant in charge:
Date from -------------------- To----------------------------:
All cases seen during this period of training must be recorded as follows:
1-Consultant /specialist in charge
2- Serial no
3- Name of Patient
4- Hospital Number Investigations
6- Diagnosis
7- Treatment plan
8- Summary of each case
9- approval and signature of consultant /specialist in charge.
Trainee duties and training in Medicine:
a) Full-time commitment to the rotation
b) First on-call duties
c) Recording admission history and performing physical examination, participating in
thediagnosis and comprehensive management of the patients.
d) Participating in daily ward rounds, outpatients’ consultation clinics and attending
seminars inthe department of medicine.
One Month medical oncology which includes (chemo/radio) + dermatology
Training evaluation and supervision are accomplished by the assigned program director
ofthe Arab board of Medicine .
General medicine Duration of training 3 months
From …………………………To……………………….

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1
2
3
4
5
6
7
8
9
10

Trainer Name & Signature:

 2-General Surgery
Goals and Objectives:
a) Observe and experience in pre-operative evaluation of the surgery patient with emphasis on:1-
fluid and electrolyte balance
2- cardiovascular function
3- pulmonary care
4- surgical principles of different types of wound care5-Observe assist in the techniques in the
followings:
a-insertion chest tube.b-central line
c-urinary catheter
Trainee duties and training:
1- Full-time commitment to the department of general surgery during this period with sharing the
responsibilities with surgical staff
2- Performs medical history, and carries out physical examination in both routine general surgery
cases.
3- Learn with the resident surgeon perioperative and post management of patients.4-Attending as
an assistant in surgery performed with surgical staff.

Training evaluation and supervision is accomplished by the general surgery programdirector

of the Arab board.
General Surgery Duration of training 3 months
From …………………………. To……………………………

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

7
8

10

Trainer Name & Signature:

 3- Anaesthesia including intensive care (ICU): 2
months

Goals and objectives:

a-Full responsibility as an anesthesia resident including receiving training in:1-pre-anesthesia
patients’ assessment
2- intubation and extubation techniques, and drug administration
3-Life parameters monitoring devices and equipment, resuscitative procedures, andpostoperative
assessment and management
b) Anesthesia emergencies through cardiopulmonary resuscitation (CPR), airway maintenance1-
Review basic pulmonary and cardiovascular physiology in dynamic situations
2- Drugs used in intravenous sedation
3- Learn standard induction and intubation techniques, with use of fibro-optics in cases of
Temporomandibular joint ankylosis.
Trainees’ duties and training:

1- Shares on-call duties on a regular basis with the other anesthesia residents2-Intran-operative
management of patient under general anesthetics
3-Be able to interpreting chest x-ray, electrocardiogram (ECG) for anesthesia purposes.

Certificate by Arab board Anaesthesia department at the end of the two months training
Anesthesia including intensive care Duration of training 2 months
From ……………………to……………………

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 4-Otolaryngology, Head and neck surgery

Goals and Objectives:

a) Diagnosis and surgical treatment of benign and malignant lesions of the head and neck,
paranasal sinuses, and neck dissections.
b) observe ,assist and learn how to do fiber optic nasopharyngeal and hypopharyngealexamination
c) Observe and Perform elective and emergency tracheostomies and its care.
d) involve in management of Emergency casesResident duties and training:

Full-time commitment to the rotation including first on call duties with ENT staff in charge.

Training evaluation and supervision is accomplished by Certificate of ENT and Head and Neckby
Arab board in charge.

Otolaryngology, Head and Neck Surgery Duration of training 1 month

From ……………………to……………………

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 5-Plastic and Reconstructive Surgery
Goals and objectives:
a) Management of soft tissue injuries of the face.
b) Provide management of wound care and wound healing of head and neck area.
c) diagnosis and treatment of congenital lesions of the lips, palate, and nasal area
e) Involve in assessment and in re-anastomosis techniques
f) Assist and develop skills in management of extremity injury and microsurgical techniques
g) Observe ,assist and Perform cosmetic and aesthetic surgery procedures in the maxillofacial
region, rhinoplasty, blepharoplasty, face lifting genioplasty, lipectomy, otoplasty, osmotic
surgery, skin grafts ,free flaps and scar managements

Resident duties and training:

a) Full-time commitment to the rotation.
b) Take first on-call duties with the full responsibilities under care of plastic surgery resident,
directly .

Training supervision and evaluation of end rotation is accomplished by the programdirector

of the Arab board in plastic and reconstructive surgery.
Plastic and reconstructive surgery Duration of training 2 months

From ……………………to……………………

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 6-Orthopedic surgery

Goals and objectives:

1- Perform a focused emergency physical examination of orthopedic cases received inemergency

department with the residents of orthopedics
2- Learn how to Diagnose and treat various fractured cases
4- Observe and assist in Managemint of surgical and non-surgical various orthopedic cases
including arthroscopy
6- Help and Perform and interpret radiographs, CT scan and MRI of orthopedic and jointdisorders

The trainee duties and training program:

1- Full-time commitment to the rotation with orthopedic resident
2- follow up the cases operated with the orthopedic resident

Certificate of Orthopedic completion of taring in the rotating hospital by the Arab board member
of Orthopedic surgery in charge of the training.

Orthopedic surgery Duration of training 1

monthFrom ..….……To…………..

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 7- Neurosurgery - one month - in year 4

Goals and objectives:

a) learn how to do a neurological examination
b) Involve in assessment and management of acute neurology injuries including head injury
c) Learn how to read and interpret cervical spine fluid measurements, CT scan, MRI,
andangiography and diagnose intra-cranial lesions
Resident duties and training:
a) Be first on-call and functions with a junior neurosurgery resident
c) Observe and learn principles of treatment of intracranial hemorrhage (subarachnoid, epidural,
subdural)
Training supervision and evaluation of end rotation is accomplished by the program director
ofArab board Specialty Certificate of Neurosurgery at the rotating hospital.
Neurosurgery Duration of Training 1 month

From ……………..TO…………………..

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 8-Emergency Medicine

Goals and objectives:

1- Perform a focused emergency physical examination 2- Diagnose and treat medical and surgical
emergencies
4- Observe and assist in Management of acutely ill patients
5-Help and Perforum and interpret laboratory data and electrocardiograms with medical residentin
charge.

The trainee duties and training program:

1- Full-time commitment to the rotation with medical resident
2- Management of medical complications, including acute asthma cases and diabeticketoacidosis.

Certificate of Emergency Medicine in the rotating hospital by the Arab board member in chargeof
the training.

Emergency medicine 1 month - year 5

From :………….To:……………

Date Trainer
Serial Specialty Hospital
Name & Signature
From To
1

10

Trainer Name & Signature:

 F-Scientific activities and training courses

During your training program various scientific activities must be summarized under this
sectionto be included with requirements after approval by your consultants in charge of
training and academic supervisor (program director).