Procedure Logs
Halstead and Case Logs
Halstead was a famous surgeon who was born in NYC (in 1852) and went to Columbia Medical School, graduating in 1877 and spent some of his career at MS West (at the time Roosevelt from about 1880 to1888)! He became the first Chief of Surgery at Johns Hopkins, when it opened in 1889 and amongst his accomplishments, started the first surgical residency program. He apparently formulated the idea for wearing gloves during surgery. He wrote that "The operating room is a laboratory of the highest order." One should consider your case log and accompanying notes as your lab notebook.
The ACGME Program Requirements state that:
Residents must complete a procedure log that documents:
1) the resident’s participation in therapies involving oral administration of I-131 must include the date, diagnosis, and dose of each I-131 therapy;
This is described in detail on the ABR site.
2) the interpretation/multireading of at least 240 mammograms within a six-month period during their last two years of the residency program (This is the MQSA requirement, for ACGME you have to read 300 studies)
3) supervised experience in interventional procedures; This includes image-guided biopsies, drainage procedures, angioplasty, embolization and infusion procedures, and other percutaneous interventional procedures.
4) the performance, interpretation, and complications of vascular, interventional, and invasive procedures (anything more involved than starting an IV) e.g. update your spreadsheet once a week
We ask that you include fluoro time in your log as well. This log should be updated daily. It can be in the form of a HIPAA compliant spreadsheet. You are expected to review this log at your semiannual meeting with the program director.
The requirements are specified on the ACGME website:
https://www.acgme.org/Portals/0/PFAssets/ProgramResources/DR_Case_Log_Categories.pdf?