Surgical Logbook Template For Dha ((new))
The official medical name of the surgery (utilizing CPT or ICD-10-PCS terminology is highly recommended).
You can copy this structure directly into an Excel sheet.
A standard DHA-compliant logbook should include these primary columns: surgical logbook template for dha
Below is a clean, structural layout that you can replicate in Microsoft Excel or Google Sheets. This format mirrors the structured data layout preferred by international medical evaluators and the DHA. Logbook Header Info [Your Full Name] Specialty: [e.g., General Surgery, Orthopedics, OBGYN] Reporting Period: From [DD/MM/YYYY] to [DD/MM/YYYY] Institution/Hospital Name: [Hospital Name, City, Country] Table Structure Patient ID Procedure Performed Role (S / A / SU) Complications Supervisor Sign & Stamp 12/01/2025 Acute Appendicitis Laparoscopic Appendectomy [Signature/Stamp] 14/01/2025 Cholelithiasis Laparoscopic Cholecystectomy [Signature/Stamp] 15/01/2025 Inguinal Hernia Open Lichenstein Hernia Repair Minor seroma [Signature/Stamp] 18/01/2025 Osteoarthritis Knee Total Knee Arthroplasty [Signature/Stamp] Best Practices for Logbook Compilation Maintain a Digital Master File
For a Dubai Health Authority (DHA) surgical logbook, you typically need to document each procedure with specific fields to verify your clinical competency and experience. While the DHA may provide official PDF forms during the application process on the DHA Sheryan portal, you can use the following text structure to organize your records. The official medical name of the surgery (utilizing
Chronicling your experience sequentially.
| Requirement | Specification | |---|---| | | All surgical cases performed within the last 2 to 3 years (typically 2 years for most specialties) | | Format | Typed only ; handwritten logbooks are not accepted | | Verification | Signed and stamped by the Head of Department or Medical Director on official hospital letterhead | | Language | English or Arabic; if originally in another language, must be translated by an official translator | | Source | Must originate from the hospital(s) where surgeries were performed, not from a private clinic | | Content | Must include surgeon’s full name, procedure names, case counts, dates, patient outcomes, and complications | This format mirrors the structured data layout preferred
05/03/2025 | MRN-4421 | 58 | F | Cholelithiasis with cholecystitis | Laparoscopic cholecystectomy | 47562 | N/A | Primary Surgeon | Intermediate | General | Laparoscopic | Elective | Uneventful | Al Zahra Hospital Dubai | Verified






