Template For Dha | Surgical Logbook

| Date | Hosp. Name | Patient ID | Age/Sex | Diagnosis | Procedure Performed | Role (Prim/Assist) | Urgency (Elec/Emer) | Complications (Y/N) | Remarks | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | 12/10/23 | Mediclinic City | 123456 | 45/M | Cholelithiasis | Laparoscopic Cholecystectomy | Primary Surgeon | Elective | N | Discharged next day | | 14/10/23 | American Hospital | 789012 | 60/F | Rt. Inguinal Hernia | Lichtenstein Repair | Supervisor | Elective | N | Teaching case | | 15/10/23 | Rashid Hospital | 345678 | 30/M | Appendicitis | Laparoscopic Appendectomy | Primary Surgeon | Emergency | N | Perforated appendix |

: Logbooks containing cases that do not align with the specific specialty title being applied for. surgical logbook template for dha

Only typed logbooks are accepted; handwritten versions will be rejected. | Date | Hosp

You performed the majority of the procedure. A (Assistant): You assisted another lead surgeon. Only typed logbooks are accepted; handwritten versions will