Resident / trainee
		
Supervisor

	1st  year	2nd year	3rd year	4th year	5th year	6th year	Cumulative	Min. number	

SURGERY CASE LOG   
Please refer to Minimal Surgical Case Number Recommendations, www.ecvs.org.
Specify number of procedures as primary surgeon (Prim.) / assistant surgeon (Ass.):
Total      		Prim.								100	
                		Ass.								200	
Abdominal 	AB	Prim.								24	
                  		Ass.								28	
Fracture fix	 FF	Prim.								2	
                    		Ass.								3	
Wounds, recon   WR	Prim. 								12	
                    		Ass.  								13	
Tendon 	TE	Prim.								5	
			Ass.								4	
Ang limb def 	AD	Prim.								1	
			Ass.								2	
Surg of foot 	FT	Prim.           								4	
			Ass.								4	
Urogenital	UG	Prim.								9	
                     		Ass.								11	
Ophthalmic 	OP	Prim.								 	
			Ass.								2	
Upper resp  	UR	Prim.								8	
			Ass.								17	
Arthroscopic 	AR	Prim.								4	
			Ass.								11	
Others                 OO    Prim.									
			Ass.									

Specify number of procedures Supervised (Sup)/non-Supervised (NonSup)
Total	Sup		120	
	NonSup			

LAMENESS INVESTIGATION LOG
	Prim.									20	
	Ass.								30	

ACTIVITY LOG
Weeks total								156	
Weeks supervised clinics								94	
Weeks other rotations 
(Research, manuscript, other  
rotations related to program)									
Weeks anaesthesia								2	
Weeks diagnostic imaging								2	
Weeks pathology								2	
Weeks internal medicine								2	

PRESENTATION LOG**
Specify number of conferences / seminars:
Attended									
Presented								5	
**Only presentations that comply with the requirements laid out in the Training Brochure (Element 12) can be counted towards the minimum number of 5 seminar presentations

PUBLICATIONS                    list status (P/A/S and date), name Journal, title of publication and author list
1st authored major publication			
2nd authored or case report
			
Status: P = Published  A = Accepted for publication  S = Submitted    

COMMENTS

	

SIGNATURES  We confirm the accuracy of this log summary
Resident/trainee	Supervisor /s	

August 2007
Rev Feb 2010