Medicine Log book (paper printed version) with sample cases and proper ethical logbook sharing protocol

1st page 

Dedication :

To our patients and students locally as well as globally 

2nd page :

2a)

Foreword:

Log Book is a tool toward daily student reflective logging of their learning experiences and sharing them with peer learners for further feedback driven learning. 

It was recognized by William Osler in his writings and to quote, 

"Carry a small note-book, and never ask a new patient a question without note-book and pencil in hand . . . Begin early to make a three-fold category – clear cases, doubtful cases and

mistakes and learn to play the game fair, no self-deception, no shrinking from the truth; mercy and consideration for the

other man, but none for yourself, upon whom you have to keep an incessant watch. It is only by getting your cases

grouped in this way that you can make any real progress in your postcollegiate education; only in this way you gain

wisdom with experience. (Ref below) 

More than 100 years later, the log book has been considerably tech enhanced in it's ability to derive global inputs in a weblogged format and the weblog has become so popular that it is now fondly known as "blog" for short. 

This book published by the institution and our department  is a guide toward making a good log book write up using selected guidance logs from our past illustrious students to enable newbies in their medicine  learning journey. We hope this will be useful. 

References:

Osler, W. (1904) Aequanimitas with Other Addresses to Medical Students, Nurses and Practitioners of Medicine. Philadelphia, PA: The

Blakiston Company.

Osler, W. (1928) The Student Life and Other Essays. London: Constable

2b)

Student statement :

"This is a paper based  log book (with a corresponding E log version online) to discuss our patients de-identified health data, shared after taking his/her/guardian’s signed informed consent (check out the multilingual informed consent form template in the subsequent pages ahead). Here we discuss our individual patient’s problems through series of inputs from available local and global online community of learners and teachers with an aim to solve these patient’s clinical problems with collective current best evidence based inputs. This log book also reflects my patient-centered learning portfolio, also available as an online learning portfolio and your valuable peer review  inputs will enable me to learn further as to help our patients better. 

3rd page :

Global patient privacy and confidentiality policies 

Global policies are based on global data protection laws and common laws of confidentiality. Most of the write up here is quoted and borrowed from BMJ's stance published here: https://www.bmj.com/about-bmj/resources-authors/forms-policies-and-checklists/patient-confidentiality

• Any report/article that contains personal medical information about an identifiable living individual requires the patient's explicit consent before it can be shared open access publicly. We will need the patient to sign a consent form, which requires the patient to have read the article. The consent form is available in multiple languages and the author must ensure that the form is in a language that the patient understands.

• If consent cannot be obtained because the patient cannot be traced, then publication/logging toward sharing will be possible only if the information can be sufficiently anonymised. Anonymisation means that neither the patient nor anyone else could identify the patient. A consequence of any anonymisation is likely to be the loss of information/evidence. If this happens we will include the following note at the end of the paper: "Detail has been removed from this case description/these case descriptions to ensure anonymity. The authors/loggers are satisfied that the information shared here backs up the case the authors are making." Such anonymisation might, at an extreme, involve making the authors of the article anonymous.

• If the patient is dead, global data protection laws may not apply, but the authors should seek permission from a relative (as a matter of courtesy and medical ethics). If the relatives are not contactable the author/logger needs to balance the worthwhileness of the case, the likelihood of identification, and the likelihood of causing offence if identified, in making a decision on whether we should publish without a relative’s consent. 

• Children- Parents or guardians can consent on their behalf but children aged between 7 and 18 must also sign the consent form in addition to the parent or guardian. For younger children, even if parents consent, authors should consider whether the child, when older, might regret publication of his or her identifiable details.

• Patients who lack capacity - If the patient lacks the mental capacity to make a decision about publication then usually no one can give consent on behalf of the patient. Even if someone has this power, by means, for example of a health and welfare power of attorney, it has to be exercised in the best interests of the patient

Page 4:

Log Book authors need to download the template for the signed informed consent form available in multiple languages here:

 http://medicinedepartment.blogspot.com/2020/05/informed-patient-consent-and.html?m=1

Page 5:

Sample logbooks of other students with 

Long and short cases involving different anatomical locations and systems 

Page n

Competency driven assessment and testing of the student logbook author (linked below) :

https://medicinedepartment.blogspot.com/2021/08/page-n-competency-driven-assessment-and.html?m=1