Surgical Logbook Template For Dha -
Surgical Logbook Template — DHA (Deep Guide)
Purpose
- Document surgical experience for Dubai Health Authority (DHA) credentialing, training, and audit.
- Track case volume, competencies, complications, and supervision level.
S (Supervised): Performed while being scrubbed or unscrubbed by a trainer.
Section 6: Verification and Attestation
The final page of the logbook must contain a self-attestation statement signed and dated by the surgeon. Recommended wording: surgical logbook template for dha
: A brief note on the success of the procedure or any issues encountered. Summary of Cases DHA evaluators often look for a summary table Surgical Logbook Template — DHA (Deep Guide) Purpose
Final Checklist Before Upload
Before you click "Submit" on your DHA licensing portal, run this checklist: S (Supervised) : Performed while being scrubbed or
Then add countersignature from your current Medical Director or Head of Department (with stamp).
Date | Patient MRN | Age | Gender | Pre-op Diagnosis | Procedure Name | CPT Code | Side | Surgeon Role | Complexity | Anesthesia | Approach | Emergency | Outcome (Complications) | Facility Name | HOD Signature (verified)
- Primary Surgeon (P): You performed the surgery.
- First Assistant (A): You assisted the primary.
- Supervisor/Teacher (S): You supervised a trainee.
- Observer (O): (Generally does not count toward volume for licensure).
