Surgical Logbook Template For Dha !exclusive! -

Here’s a structured Surgical Logbook Template designed to meet the documentation requirements of the Dubai Health Authority (DHA) for surgeons, trainees, and dental specialists.

Key Features Required for DHA Compliance The DHA expects a surgical logbook to show:

Case variety (mapped to DHA specialty categories) Progressive responsibility (for residents/fellows) Complexity levels (e.g., minimal, moderate, major, complex) Supervision status (direct, indirect, or unsupervised) Outcomes and complications

Recommended Template Structure 1. Header – Practitioner Information Full Name: DHA License No. (if any): Specialty: (e.g., General Surgery, Orthopedics, OBS/GYN) Training Level / Privilege sought: (e.g., Resident, Specialist, Consultant) Logbook period: From _____ To _____ surgical logbook template for dha

2. Core Table Format (One Row per Procedure) | Date | Patient ID (anonymous) | Procedure Name (with laterality/side) | Category (DHA mapping)* | Complexity Level | Role of Surgeon** | Supervision Status*** | Intra-op Complications | Post-op Complications (30 days) | Outcome | |------|----------------------|----------------------------------------|------------------------|------------------|--------------------|------------------------|------------------------|--------------------------------|----------| | 12-Jan-2026 | 345AB | Laparoscopic cholecystectomy | HPB / General | Moderate | Surgeon (primary) | Indirect supervision | None | None | Discharged well | | 15-Jan-2026 | 789CD | Excision of skin lesion – back (2cm) | Skin/Soft tissue | Minimal | Assistant | Direct supervision | None | Wound infection (managed oral abx) | Resolved |

*DHA categories: General Surgery, Orthopedics, Urology, Neurosurgery, Plastics, OBS/GYN, Ophthalmology, ENT, Vascular, Pediatric Surgery, Dental Surgery, etc. **Role: Primary surgeon, Co-surgeon, Teaching assistant, First assistant, Observer ***Supervision: Direct (in OR), Indirect (available in hospital), Unsupervised (privileged)

3. Complexity Classification (DHA-aligned) | Complexity | Examples | |------------|----------| | Minimal | Excision of small benign lesion, circumcision, basic incision & drainage | | Moderate | Appendectomy, hernia repair, closed fracture reduction, cataract extraction | | Major | Laparoscopic cholecystectomy, TURP, knee arthroscopy, cesarean section | | Complex | Whipple, liver resection, craniotomy, major vascular, re-operative surgery | 4. Required Summary Statistics (Auto-calculated in Excel) Here’s a structured Surgical Logbook Template designed to

Total cases Breakdown by DHA category (e.g., 30% General, 25% Ortho) Breakdown by complexity (Minimal/Moderate/Major/Complex) Role distribution (Primary vs Assistant) Supervision status distribution (Direct / Indirect / Unsupervised) Complication rate (intraop + postop, with type) Signed supervisor attestation (for training logbooks)

5. Supervisor Attestation Page (Critical for DHA) I confirm that the above _____ cases were performed by the above-named practitioner under my supervision / within the stated privileges, and the record is accurate. Supervisor Name: DHA License No.: Signature: Date:

Additional DHA-Specific Features

Procedures mapped to DHA Scope of Practice – Use the DHA-defined “Surgical Privileges” list for your specialty. Emergency vs Elective – Add an extra column if applying for on-call privileges. Pediatric cases – Flag cases in patients <14 years if not a pediatric surgeon. Minimum case numbers – For DHA licensing/privileging, include a separate tab showing you meet required thresholds (e.g., 50–100 cases over 2 years depending on specialty).

Format Recommendation