Dha — Surgical Logbook Template For

Below is a guide to creating a compliant template, including mandatory fields, formatting tips, and a downloadable template structure.

: Every logbook must be signed and stamped by the Head of Department or an authorized supervisor at the training institution. Essential Data Points surgical logbook template for dha

This is the core of the logbook.

Date of Surgery Patient ID/MRN Age/Gender Pre-op Diagnosis (ICD-10) Procedure Name CPT Code Laterality Surgeon Role Emergency Status Anesthesia Type Complexity Grade Complications Converted? Hospital Name 15/01/2024 MRN-8821 58/F K40.90 - Inguinal Hernia Laparoscopic Inguinal Hernia Repair with Mesh 49650 Left Primary Surgeon Elective General Intermediate None No Rashid Hospital, Dubai 22/01/2024 MRN-9912 34/M K35.80 - Acute Appendicitis Laparoscopic Appendectomy 44970 Bilateral Primary Surgeon Emergency General Intermediate Post-op fever (resolved) No Mediclinic City Hospital 05/02/2024 MRN-1278 72/M K63.5 - Colon Diverticulitis Laparoscopic Left Colectomy 44207 Left Primary Surgeon (Supervised) Elective General Major None No King's College Hospital Below is a guide to creating a compliant

For surgeons practicing in Dubai, maintaining a professional portfolio is not just a recommendation—it is a regulatory mandate. The Dubai Health Authority (DHA) requires practitioners to demonstrate Continuous Professional Development (CPD) and active clinical practice. Date of Surgery Patient ID/MRN Age/Gender Pre-op Diagnosis

Full Name: DHA License No. (if any): Specialty: (e.g., General Surgery, Orthopedics, OBS/GYN) Training Level / Privilege sought: (e.g., Resident, Specialist, Consultant) Logbook period: From _____ To _____