MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

LOGBOOK – CUM – PORTFOLIO

ELECTIVE DOCUMENTATION BASED ON

Relevant extract from Regulations on Graduate Medical Education, Regulations on Graduate Medical Education
(GMER) (Amendment), 2019, part - II for MBBS course starting from academic year 2019-20 onwards
and
MCI. Module 6: Electives for the Undergraduate Medical Education Training Program, 2020: p 1-30. Curriculum
Implementation Support Program

1
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

MBBS COMPETENCY BASED UNDERGRADUATE

CURRICULUM FOR THE INDIAN MEDICAL GRADUATE

LOGBOOK – CUM – PORTFOLIO

ELECTIVE
(affix tick mark)

 BLOCK 1 w
 BLOCK 2
BASIC SCIENCE CLINICAL SCIENCES

2024
K a s t u r b a M e d i c al C o l l e g e – M a n i p al
Ma n ip a l A ca d em y of High e r E d u ca t ion

2
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

ELECTIVE
LOGBOOK – CUM – PORTFOLIO

contents

PART A | ELECTIVE OVERVIEW

A. INSTRUCTIONS
B. ATTENDANCE
C. ELIGIBILITY
D. ASSESSMENT

PART B | PERSONAL DETAILS

A. NAME OF THE STUDENT

B. REGISTRATION NO.

PART C | ELECTIVE DETAILS

A. NAME OF THE BLOCK

B. ELECTIVE TITLE
C. LOCATION | DEPARTMENT, CENTRE, LAB, INSTITUTE
D. ELECTIVE PERIOD
E. NAME OF PRECEPTOR (S)
F. LEARNING OBJECTIVES OF THE ELECTIVES
G. PRE-REQUISITES FOR THE ELECTIVES
H. LEARNING RESOURCES
I. LIST OF ACTIVITIES

PART D | PORTFOLIO ENTRIES

A. DAILY LOG OF ACTIVITIES

B. SELF REFLECTION ON LEARNING
C. FEEDBACK BY PRECEPTOR (S)

PART E | ASSESSMENT

A. PRECEPTOR EVALUATION REPORT

3
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

PART A | ELECTIVE OVERVIEW

A. INSTRUCTIONS
▪ An elective is a learning experience created in the curriculum to provide an opportunity for
the learner to explore, discover and experience areas or streams interest in the profession.

▪ Objectives of the elective is to provide the learner with opportunities:

o For diverse learning experiences
o To do research/community projects that will stimulate enquiry, self-directed,
experiential learning and lateral thinking.

▪ Two weeks each are designated for Block 1 – Basic Science Electives and Block 2 –
Clinical Sciences Elective rotations after completion of the examination at end of the third
MBBS Part I and before commencement of third MBBS Part II.

▪ It is MANDATORY for learners to do an elective.

▪ The elective time SHOULD NOT BE used to make up for missed clinical postings, shortage
of attendance or other purposes.

▪ Block 1 Basic Science Elective shall be done in a pre-selected pre/para clinical

department/s, centre of excellence, or other basic sciences laboratory or under a
researcher in an ongoing research project for half day (02.00pm – 05.00pm). During the
Block 1 Basic Science Elective, regular clinical postings SHALL continue.

▪ Block 2 Clinical Science Elective shall be done in Clinical departments; Specialities,

Super specialities, ICUs, Blood Bank, Casualty, Supervised learning in Rural / Urban
Community Clinics for Full day (09.00am – 05.00pm).

▪ Institutions will pre-determine the number and nature of electives, names of the
supervisors, and the number of learners in each elective based on the local conditions,
available resources, and faculty.

▪ At KMC, Manipal have adopted the mechanism for allocation of electives based on students
PY I and PY II MERIT BASED PREFERENCES.

▪ Further Reading:
o https://libguides.cam.ac.uk/reflectivepracticetoolkit/reflectivewriting
o Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Med Teach. 2009
Aug;31(8):685-95. doi: 10.1080/01421590903050374. PMID: 19811204.

4
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

B. ATTENDANCE

Attendance of NOT LESS THAN 75% and successful completion of items that require
elective portfolio/logbook entry and their submission is a requirement for the student to
become eligible to take the final MBBS summative examination.

C. ELIGIBILITY
To appear final MBBS Exam; the student MUST;

• Obtain 75% Attendance.

• Submit elective learning experience Logbook - cum – portfolio by the end of the
respective elective period.
o Note: A separate Logbook - cum – portfolio has to be maintained by the student for the Block 1
Basic Science Elective and Block 2 Clinical Science Elective
• Complete successfully elective learning objectives during the posting signed by
preceptor with a “meets expectation ‘(M)’ grade”.

D. ASSESSMENT
Assessment will be FORMATIVE and recorded in PRECEPTOR EVALUATION REPORT

Format enclosed at the end of this document as per the Medical Council of India, Module 6: Electives for Undergraduate
Medical Education Program, 2020 p 1-30 and GMER, 2019).

Assessment elements could include documentation of experiences, observations, reflections

and presentations by the student. This may be entered appropriately to the portfolio or as an
annexure to the logbook to document the student participation. The preceptor should verify
and attest with signature the portfolio entries by the student to ensure successful completion
of the work undertaken. Examples for portfolio entries are listed below;

- Lab notes
- Patient counselling sessions done
- Participation in grand rounds
- SDL documentation
- Presentation
- Day-to-day participation in departmental activity
- Performance of assigned tasks
- Presentation of worked up case in department
- Seminars
- Case records
- Submission of assignments
- Reflection on learnings
- Preparation of abstracts / Summary for research posters
- Design and participation in patient education programs etc.

5
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

PART B | PERSONAL DETAILS

(TO BE FILLED BY STUDENT)

A. NAME OF THE STUDENT

N
A
A A M
K ER IT I R Al

B. REGISTRATION NO.

0 0 0 0 0 0 0 0 0 0
200101015

PART C | ELECTIVE DETAILS

(TO BE FILLED BY STU DENT IN CONSULTATION W ITH PRECEPTO R)

A. NAME OF THE BLOCK

BLOCK-2 LCLINICAL SCIENCES)

B. ELECTIVE TITLE
NECK ONCOSURGERY
HEAD AND

C. LOCATION
Department/Centre/Lab/
Research/Institution/Clinic
DEPT. OF OTORHINOLOGY CUNIT-II), KMLMANIPAL

D. ELECTIVE PERIOD
15th soen-27th
January January away

6
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

E. NAME OF THE PRECEPTOR (S)

N A M E Dr. K 1 NJ
A L M A JUMPAR

F. LEARNING OBJECTIVES OF THE ELECTIVES

Participate in clinical and surgical care of patients, which includes

a. Outpatient clinical work - Initial assessment, methods of biopsy and diagnosis of
oncology patients
b. Case discussion
c. Ward rounds
d. Attending Tumour Board Discussions - Treatment planning for oncology patients
made along with Medical Oncologists, Radiation Oncologists, Surgical Oncologists,
Radiologists, Pathologists and Palliative Medicine Specialists
e. Assisting in oncology surgical procedures in the Operation Theatre
f. Post operative care
g. Observing and assisting in emergency head and neck cases

G. PRE-REQUISITES FOR THE ELECTIVES

1. Must have received necessary immunisations.

2. Basic Life Support Training

H. LEARNING RESOURCES

1. Textbook of Otorhinolaryngology - Head and Neck Surgery by Suresh Pillai and Kailesh

Pujary.

2. Textbook of Ear, Nose, Throat and Head-Neck Surgery by P. Hazarika et al.

3. Clinical and Operative Methods in ENT and Head & Neck Surgery by P. Hazarika et al.

4. AJCC Cancer Staging Manual 8th edition.

5. Cummings Otolaryngology - Head and neck Surgery.

7
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

I. LIST OF ACTIVITIES

1. Observe Out Patient Clinical work.

2. Attend ward rounds daily.

3. Observe post operative patient care.

4. Observe and assist OT Cases of head and neck oncology

5. Observe various procedures in the OPD

6. Attend at least 2 tumour board discussions.

7. Participate in teaching sessions of the department

8. Participate in patient education and multidisciplinary team meetings

9. Participate in research activities of the team

10. Present a seminar during the posting

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

…………….…………….…………….…………….…………….…………….…………….………

8
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

PART D | PORTFOLIO ENTRIES

(TO BE FILLED BY STU DENT)

A.
I. CASES SEEN IN OPD AND WARD

DATE PATIENT NAME HOSPITAL FACULTY

DIAGNOSIS
(DD/MM/YY) NUMBER SIGNATURE

I
stenosis
Govindswamy
Tracheal
161iky 3765539

1611/24 Kavitha 3678050 post-op thyroidectomy

1611124 Venkatesh
Hypopharynx ca

coliky shivakumas 3848064 Aypopharynx

le (post op assermel

1711124 sunithe 03860482 Thyroid swelling

I/2y cord
17 Raghunath 03582399 Le vocal

1=1, 12y post decannulisation

Ginga 03823308

171/n 03860485
Neck
swelling
-

suspected puberty
pooja goitre

dange
left MRAD-V
swelling
neck
1711124 Shashidhara 03855409

rhinitis
Arichertones 3651982
Rt. ear, nose block,
allergic
Iliky It
with block

ilily Repeated (Act rhinosimacitie

Ramdas prash 2544805 hearing
Anshike boitve-post
Multimodular
17:1 03863596 op

Mache 384920942
1zilan Henei thwoidectomy -

postop

·z)r bishan 282

3682858
Adenoids (Hypertrophic
12/112y Ashe 3683878
Thyroidswelling
Krishnakuinev
1711124 3771483 BPPV

Jamai
171,124 3860399 Adenoid Hypertrophy
1711127 Jyothi 03762297Burning unsation over torque

171112 sandhya 3860378

US4-TRADS3 (likely benigh)
03568281
171 124 Meuryuhwar carcinomed tonque

9
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

II. MINOR PROCEDURES WITNESSED IN OPD/ WARD

DATE PATIENT NAME HOSPITAL FACULTY

PROCEDURE
(DD/MM/YY) NUMBER SIGNATURE

I
Secretions from track tube
aspiration
16 loilay Govindswamy 3765539
ofLT (vachial resection)
↓ Removal tube

openare
Rice
Krishnamurthy
16101124 3860278
Biopsy (11) -

45

1710114 (a Retromoler
trigone Recurrance
Rayu 03341699 -

DS

171011 21 Vamadevarappe 02656875 VDS: vocal cords mobile

171a124 Leelavathi 03852778

Post-op total
Myroidectomy surve

removal

(postlaser excision of tumor)

18/011au venkatva o 0366763/
VDs

Post salvage neck dissection

isloilay Sanjeeva 03779977

suture removal VDS
+

I&D curvetage for supraclavicular suprasternal

19101lau Smitha 03855608
Swelling VDS.

Late
19101y Jayanthi 03849523 post up total myvoidectomy vps (colloid
goitvel
P-wall
19101ky Shivani ritual 05068502 throatpain:VDS granular
I vocal cord
restricted

complaintdysphagic
ivos
19101/24 Jalaja 03861309

in throat-
19101124 shavada
03861259 sticky
sensation

19101/2y Paramshappa 03855704 still sensation in throat

19/01/zy vijayou
0356636/ throat pain

19101ky Judashiva Naik 3719842 Postintubation. Dysphagia

Neck paint swelling

lake sumanyale 3861494

3688236 BOT ULCER-VDS-

1910112y vayakumas

Next
swelling usy->
thyromegaly
19101ky MAHEC
ADIBA 3739930
vis:

Fluk of supraglotic T3NOMO UDS

19101124 3695694
Nagaray that

1910, 124 Fluk of T3NOMO

Geota
Naik 2625893 supragetic
VDS

by rphone post treatment-> E5

19701124 Aarars
3684078
shows

/10 tylenoid granulomatvoice

change

10
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

III. TUMOUR BOARD CASES DISCUSSED

DATE PATIENT NAME FACULTY

DIAGNOSIS TUMOUR BOARD PLAN
(DD/MM/YY) & HOSPITAL NO SIGNATURE

I
Anaplastic a
myroid studor Tracheostomy +
Thyrold Blopsy
+ BRAF
testing
+

17101ky SUNNAMMA
distantmetastasis
I

to
lungs Palliative
management
TIRADS3 Hurtle all
neoplasia
17101124 LEELAVATH Adviced follow
No up
extralhyroid extension, no nodes

1710 124
sca recursance in buccal mucosa MRI ( Asked to be done)
CHANDRAG A4A
A retromolar
trigone + 1/10 KD
Surgical Resection

ULCEROPROLIEERATIVEm ay present
KRISHNAMURTHY 4S

17101y atf l o o r ofm o u t h VDS Surgical Blopsy

we
Posto p
glossectory (R)+(R) Neck Repeato rS CA N for METS.
17101124. MAN JUNATI Lung
dissection level? Through in N

Up mass on 1
pynform fossa, PLANTO DO SURGICAL EXCISION I
19101124 IONNAMM A
postcricoid suspicious
+

lung no due SEGMENTAL MADIBULECTOMY

come with yth, cancer lower

-
Alveolus

22/0112y CHANDRA SHEKHAR

ist
oropharynx - & tongue - 4th now
gastric
SEUMENTAL MANDIBULECTORY

pullup

a loilay S ANJEEV KALAL

ploklo ca
tongue-posthemiglos RT
+

CONSIDER FOR ERT FOLLOWED

BYOMCT
NOW IN mets ->
done
MRND

ploko
22/01/24 4ERAD
ulp growth on
epignottic AEF:
+

DODET SCAN-council for

surgery
Biopsy showed Adenocarcino
- ma

Plo/clo & BM ca 4TzN,Mx post Tr

+extendedsalvage
Sx plan
-

22/011eu BASAVARA JAPPA

-
wit to

Now
->cymph Node mets
involving skin

IV. SURGERIES WITNESSED/ ASSISTED IN OT

PATIENT NAME WITNESSED/

DATE FACULTY
& HOSPITAL SURGERY DONE ASSISTED
(DD/MM/YY) SIGNATURE
NO
CHETAN((tyr)

I
1611124 Tracheostomy WITNESSED

15 1112 7 Venkateshe
Hypopheryngeal WITNESSED
Brophy
+
(HA)

151112y Kavitha WITNESSED

Blue
thyroidectomy
181114

2211ky
shivakenav

A
sho Naik
Total
Larynghomy &

Hereithyroidectomy frozen
Gastric pullup

section
witnesses

WITNESSED
a
2211124 Dishan shovi
WITNESSED
Adncoidectomy+ B12myringotomy
2211 lay ANIL RAO WITNESSED
Tracheostomy under n

insertion
islily Samrat
31
myringotomy Grommet
+
WITNESSED

islike Rashmika
adenoidectomy Bl
+

bringtomy. WITNESSES
D

11
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

(include diagrams, workbook images as annexures in this document)

1:COR6]
Day
…………….…………….…………….…………….…………….…………….…………….……………….

①Hypopharyngoscopy Bopsy under GA

…………….…………….…………….…………….…………….…………….…………….………………. +

& Total
thyroidectomy (HRADS4Bethesda pappilary carcinome)
…………….…………….…………….…………….…………….…………….…………….……………….
6

…………….…………….…………….…………….…………….…………….…………….……………….

Tracheostomy:
…………….…………….…………….…………….…………….…………….…………….……………….
CHETAN IFYM=10 cardiac arrest-
diagnosis ofi c o n

…………….…………….…………….…………….…………….…………….…………….……………….
Cityportropic obstructive(

cardiomyopathy
…………….…………….…………….…………….…………….…………….…………….……………….
intubation
Indication for
tracheostomy - to
we e k
off
…………….…………….…………….…………….…………….…………….…………….……………….

…………….…………….…………….…………….…………….…………….…………….……………….
Anaestheria
woal
injection
->

marking given along incision -

…………….…………….…………….…………….…………….…………….…………….……………….
Retract muscle.
strap
…………….…………….…………….…………….…………….…………….…………….……………….
the or tube
Delayed
…………….…………….…………….…………….…………….…………….…………….……………….
shivaluma K/0
Hypopharynx
-> -> a

…………….…………….…………….…………….…………….…………….…………….……………….
invision made -

sub-platysmal Hap
raised
…………….…………….…………….…………….…………….…………….…………….……………….
Xut. Fill transverse

…………….…………….…………….…………….…………….…………….…………….……………….
till
superiorly
cervical versch.

fors
regular
…………….…………….…………….…………….…………….…………….…………….……………….
-> flap is fixed
the with

…………….…………….…………….…………….…………….…………….…………….……………….
lamps, band rubber

- Over the chim

.
…………….…………….…………….…………….…………….…………….…………….……………….
:
/
....
...
-.....
…………….…………….…………….…………….…………….…………….…………….……………….

…………….…………….…………….…………….…………….…………….…………….……………….

12
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

B. SELF REFLECTION ON LEARNING (Not more than 150 words)

(What: Describe the situation and what occurred | So What: Analyze its implications. | Now What: Consider possible next steps based on learning insights.)

through. are learned the importance of

The meticulous
………….…………….…………….…………….…………….…………….…………….……………
elective

data collection cornerstone evidence-based

….………….…………….…………….…………….…………….…………….…………….………..
as for
practice.
a

five recognized the

value of comprehensive data which allows
……….…………….…………….…………….…………….…………….…………….………………

healthcare professionals to make informed decision,

……………….…………….…………….…………….…………….…………….…………….……… tailoring
treatment

patient
to individual needs.
…….……………….…………….…………….…………….…………….…………….………………
Moreover, que also self
reflected appreciation to multidisciplinary
…………….……………….…………….…………….…………….…………….…………….……… an

collaboration the humour board meetings where various

profusionals
through
…….…………….……………….…………….…………….…………….…………….………………
thier in
expertise contribute holistic and to
pool approach
…………….…………….……………….…………….…………….…………….…………….………
a

with this collaborative decision

wards patient
to the
making
c a re
…….…………….…………….……………….…………….…………….…………….………………

…………….…………….…………….……………….…………….…………….…………….………

…….…………….…………….…………….……………….…………….…………….………………

…………….…………….…………….…………….……………….…………….…………….………

…….…………….…………….…………….…………….……………….…………….………………

…………….…………….…………….…………….…………….……………….…………….………

…….…………….…………….…………….…………….…………….……………………………….

…….…………….…………….…………….……………….…………….…………….………………

…………….…………….…………….…………….……………….…………….…………….………

…….…………….…………….…………….…………….……………….…………….………………

…………….…………….…………….…………….…………….……………….…………….………

…….…………….…………….…………….…………….…………….……………………………….

13
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

C. FEEDBACK BY PRECEPTOR (S)

a
Hardworking, disciplined
attentive
………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….……

………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….…….

………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….……

………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….…….

………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….……

………….…………….…………….……………………….…………….…………….…………….….………

…….…………….……………………….…………….…………….…………….…………….…………….…

………….……………………….…………….…………….…………….…………….…………….………….

……………………….…………….…………….…………….……………….…………….…………….…….

14
MBBS CBME | Electives – 2024 Kasturba Medical College - Manipal

PART E | ASSESSMENT
(TO BE FILLED BY PRECEPTOR AND SUBMITTED TO DEPARTM ENT OFFICE )

A. PRECEPTOR EVALUATION REPORT

Portfolios Entries Grade*

Verification of candidate requisite portfolio entries M

Day to day participation in departmental activity M

Performance of assigned tasks / objectives M

Presentation of worked up case in Department (minimum 4) M

Participation in grand rounds/lab side bench work M

Seminars/Journal Presentations M

Case records/Lab notes M

Submission of assignments and test

M

Self-Reflection on learnings M

Preparation of abstract for research posters M

Design and participation in patient education programmes M

* Wherever applicable affix “meets expectation ‘(M)’ grade to denote satisfactory completion of posting
Attendance
Obtained mandatory 75% Attendance as prerequisite to be allowed to take part 2 - NO 
summative examination YES 

Other comment/s (If any)

NAME OF PERCEPTOR: SIGNATURE and SEAL WITH DATE:

Hanger21182Y
-

15