MINISTRY OF SCIENCE AND HIGHER EDUCATION OF THE RUSSIAN FEDERATION KABARDINO-BALKARIAN STATE UNIVERSITY UNIVERSITY NAMED AFTER. KH. M. BERBEKOV". Faculty _____________________________ Department ________________________________ Practice diary __________________________________ student of ____ direction _________________________ Surname and First Name Place of internship Date of internship from...... till...... 20__year Internship supervisor Name First name Nalchik 2023 Faculty __________________________________ Department _______________________________ APPROVED: APPROVED: Head of Practice Head of Department organisation __________________ _________________ ______________ (full name, signature) (full name, signature) __________________________________ _ ___________________________ «_________» __________________20___г. «_________» __________________20___г. P.P. individual task for internship _______________________ (type of practice) student(s) _________ ______________________________________________________ (course) (full name) in their field of study/specialty: ______________________________________________ Job topic _____________________________________________________ _____________________________________________________________ (type of work) _____________________________________________________________ Organisation (enterprise)___________________________________________________ Date of internship __________________________________ Date of assignment __________________________________________ Internship supervisor from the department ____________________________________________ (full name, position) Chief physician Characteristics Head of the internship Trainee performs the duties of an assistant general surgeon for 2 weeks, working day - 6 hours. Reducing the duration of the practice is not allowed. The programme and reporting documents are handed over to the trainee. All work of the student must be recorded in the diary, which you have to sign every day. At the end of the internship you should issue a brief description of the student's work, sign his/her personal diary, report, report card and put your stamp. After all the cycles, the student is given a final characteristic with the stamp of the medical institution. The student gets safety briefing, which is recorded in the register of practice manager and responsible from Medical and Preventive Institutions. Head of Department ______________ Clinical Internship in SURGERY The practical training in surgery lasts 10 working days. On the basis of the clinical hospitals (in the surgical departments). Requirements for students: - To be in the workplace from 9.00 to 15.00; - Attend morning doctor's conferences; - Conduct daily rounds under the supervision of ward physician and complete histories; - Describe the admissions to the supervised wards; - Assist in routine and emergency operations; All work carried out is registered by the student in detail in the internship diary and signed by the head of the department. At the end of the internship, each student receives a final evaluation from their supervisors. The listed requirements concern all students of KBGU, irrespective of place of practice. To pass the internship in surgery, a score of 61 points is required: - Reception of patients in the emergency department - 15 points - diary formatting - 15 points - Attendance - 5 points - Skills - 10 points - Attendance - 25 points The list of practical skills in CPR should be mastered by the student I. Skills which the student should know about: 1. Examination of rectum in a proctologic patient 2. Knowledge of indications and contraindications for endoscopic examination in patients with diseases of esophagus, stomach, 12 p.c., colon and rectum. 5. Techniques for performing pleural puncture and pleural drainage according to Bülow. 6. First aid for chemical burns of the oesophagus. II. Skills that the student must be able to perform: 7. General examination of the surgical patient 8. Preparation of the patient for X-ray, endoscopic and ultrasound examination of the digestive organs. 9. Examination of the respiratory system in the surgical patient 10. Examination of the cardiovascular system in the surgical patient. 11. Technique and indications for indirect heart massage 12. Technique and indications for mouth-to-mouth, mouth-to-nose, AMBU bag; installation of airway. 13. Examination of lymph nodes in a surgical patient 14. Examination of the abdomen in the surgical patient 15. Determination of the presence of free gas, levels, Cloibert bowls, arches on the abdominal- Xray. 16. Determination of symptoms of Rovzing, Voskresensky, BartomierMichelson, Sitkowski, Obraztsov, Razdolsky in acute appendicitis. 17. Definition of symptoms of Ortner, Lepene, Murphy, Kehr, Georgievsky-Mussy in cholelithiasis. 18. Definition of symptoms of Voskresensky, Kullen, Kerthe, GrayTurner, Gore in acute pancreatitis. 3. Collect instruments and material for venesection, technique of its performance 19. Gastric probing and lavage technique 4. 20. Select instrumentation and medication for reinfusion of blood from the abdomen Be able to determine intra-abdominal pressure and interpret its value 21. Select instrumentation, material and medication for pustular dissection. 22. Methods of performing Oberst-Lukasiewicz conduction anaesthesia, paranephral blockade, ligamentum cirundum blockade, local anaesthesia for dissection of pustules. 23. Methods for detecting tension pneumothorax and transfer of tension pneumothorax to open pneumothorax. 24. Techniques for stopping external bleeding (tamponade, finger clamping, tourniquet, clamping, suturing the vessel in the wound, along the length, imposition of a temporary vascular shunt). 25. Aspiration of contents from the upper respiratory tract III. Skills to be mastered by the student: 26. Examine the complaints of the surgical patient 27. Studying the medical history of the surgical patient 28. Study of life history, its significance in diagnosis. 29. Determination of blood group according to ABO system 30. Study of patients on individual compatibility according to blood group, Rh-factor, biological compatibility 31. Prepare blood transfusion system 32. Select instrumentation for removal of sutures 33. Indications and technique for bladder catheterization 34. Indications and technique of purgative, siphonic, hypertonic enemas. 35. I/V, I/M, S/C injection. 36. Elastic bandaging of the lower extremities. Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________ Diary Date Contents of work completed Student’s signature_____________________ Signature of the supervisor__________________