LOG BOOK

PROGRAM STUDI OBSTETRI DAN GINEKOLOGI

FAKULTAS KEDOKTERAN UNIVERSITAS
SRIWIJAYA RSUP DR MOHAMMAD HOESIN
PALEMBANG
 BUKU LOG

Program Pendidikan Obstetri dan Ginekologi

Kolegium Obstetri dan Ginekologi Indonesia

 KATA PENGANTAR

Buku Log memuat data pengalaman dan pencapaian objektif pendidikan peserta. Kelengkapan
pencapaian target merupakan bukti untuk penilaian sebagai syarat sebelum ujian.
Penggunaan buku log bagi peserta PPDS Obstetri dan Ginekologi bertujuan untuk mencatat pencapaian
objektif pendidikan dan memantau kekurangan dalam pencapaian target dan bagaimana dapat
mencapainya.
Penggunaan :

Peserta membuat tanda (V) pada kotak tersedia sesuai kebutuhannya. No. Rekam medik/register pasien
perlu dicantumkan pada tiap target yang dicapai. Hal ini penting bila diperlukan dalam diskusi.Berilah tanda
setelah peserta menguasai objektif pendidikan sesuai kompetensi beri tanda yang dilengkapi dengan
tanggal setiap kali peserta mencapai kompetensi sesuai objektif pendidikan yang dimaksud. Hanya
konsulen yangdiperkenankan untuk memberikan tanda tangan pada buku log dan diwajibkan memberikan
tanda tangannya serta menuliskan nama lengkap pada kolom tanda tangan setiap kali peserta dinyatakan
menguasai kompetensi sesuai objektif pendidikan.

Tutor akademik wajib memberikan tanda tangan setelah seluruh kompetensi yang diharapkan pada satu
modul tercapai
Pengarahan :

Proses pengarahan ini bertujuan untuk peserta mengenal klinik termasuk prosedur standar, demikian pula
koordinator dan konsulen/supervisor dapat mengenal tingkat kemampuan peserta.
Acara ini dilaksanakan setiap saat peserta masuk ruangan dan penugasan baru yaitu dalam 1 minggu
pertama. Dalam acara tersebut buatlah jadual kerja yang disepakati agar dapat tercapai objektif yang
dimaksud.

Wassalam,

Kolegium

1
PERSONAL DETAILS

Nama

Alamat

Telepon
HP

Date of commence :

Signature :

2
ACADEMIC TUTORS

T1

Nama
Nama

T2

Nama
Nama

T3

Nama
Nama

T4

Nama
Nama
 Certificate of Accuracy

I certify that information contained in the logbook is a true and accurate record of
my training experience

Trainee’s signature ......................................... Date ...........................................................

Certificate of satisfactory completion of this log book

(Department of Obstetrics & Gynecology Faculty of Medicine University of

Indonesia) I certify that,

Name ..................................................................................................................................

has satisfactorily completed this loogbook as required under the

Indonesian College of Obstetrics and Gynecology regulation

Training coordinator signature ......................................... Date .........................................

4
 1 2 3 4 5 6 7 8 9 10 11 12

Phylosophy
, Statistic and Evidence Biology molecular Biomedic Optimal
ethic, and computer based laboratory services
law medicine

Genetica
Medical Methodology Pharmacology Clinical
adm physiology

Public Health
T1 VK I Obstetric outpatients Obstetric physiology Medical VK II USG Obstetric Center Obstetric Obstetric
inpatients Record pathology pathology outpatients
inpatients 1 inpatients 2
II
Sem
I-II
Satellite Satellite Hospital Satellite
T2 VK III ER Hospital 1 Pre Op ICU Emergency Gestosis Post Op Gynecology 1 2 Hospital 3 PKBRS
Operating
Theater
Sem
III-IV
Satellite Satellite Pathologica
T3 Hospital 4 Oncology Oncology Hospital 5 Social Gynecology l Perinatology Fetomaternal OR Endocrine Urogyn
inpatient outpatient obstetric II anatomy

Sem
V-VI

T4 Obstetric Emergency room Gyn Outpatients Obstetric Gynecology inpatients OR

inpatients outpatients

Chief
Record of discussion and assessment by training supervisor every 3 months

It is essential that Training Supervisors review the trainee’s training experiences and progress
as recorded in the Logbook every three months. Training Supervisors are required to
provide feedback to the trainees about their strengths and areas for improvement at the mid-
semester formative assessment.

The following section is to be signed by the Training Supervisor.

I certify that I have reviewed the training recorded in this Logbook on:

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

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Date:......................................................... Signed: ............................................................

Date: .........................................................Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: .........................................................Signed: ............................................................

Date: ......................................................... Signed: ............................................................

Date: ......................................................... Signed: ............................................................

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Date: ......................................................... Signed: ............................................................

 CAPAIAN KOMPETENSI PPDS BERDASARKAN DIAGNOSIS

No Daftar Masalah Kompetensi Jumlah Jumlah Kasus Dicapai

SpOG Kasus
Minimal
OBSTETRI
1 Kehamilan 4B 200
2 Masalah ringan pada kehamilan 4B 50
(nyeri punggung, striae
gravidarum, emesis, epistaksis,
dll)

3 Keguguran 4B 40
4 Hamil dengan riwayat keguguran 3A 3
berulang
5 Mola hidatidosa 4A 3
6 Kehamilan ektopik 4B 10
7 Hiperemesis gravidarum 4B 10

8 Hipertensi dalam kehamilan 4B 20

9 Preeklamsia 4B 20
10 Preeklamsia dengan gejala berat 3B 10
(HELLP, edem paru, gagal ginjal,
dll)

11 Eklamsia 3B 5
12 Kehamilan dengan riwayat 4B 20
seksio sesarea

13 Plasenta previa 4B 10
14 Plasenta previa dengan 3B 3
kecurigaan akreta

15 Solusio 4A 3
plasenta/placental
abruption
16 Vasa previa 2 0
17 Ruptur uteri 4A 3
18 Atonia uteri 4B 5
19 Inversio uteri 3B 1
20 Prolaps tali pusat 3B 1
21 Sisa / retensio plasenta 4B 5

22 Ruptur perineum derajat I-II 4B 50

23 Ruptur perineum derajat III-IV 4B 5
24 Robekan serviks 4B 5
25 Distosia 4B 30
26 Persalinan preterm 4B 30
27 Kehamilan postterm 4B 5
28 Ketuban pecah sebelum 4B 10
persalinan (PROM)

29 Ketuban pecah pada kehamilan 4B 5

preterm (PPROM)

30 Gawat janin/fetal distress 4B 5

31 Pertumbuhan janin terhambat 3B 3

32 Janin kecil untuk masa 4A 5

kehamilan/small for
gestational age

33 Hidrops fetalis 3A 2
34 Kematian janin intrauterin 4B 10

35 Kehamilan multipel 4B 10
36 Kelainan kongenital mayor yang 4A 1
letal (anensefalus)

37 Edema paru akut 4A 1

38 Sepsis 4A 1
39 Trauma 4A 1
40 Kolaps maternal 4A 1
41 Obesitas 4A 5
42 Gagal jantung akut 4A 1
43 Penyakit jantung pada 4A 1
kehamilan
44 Asma bronkiale 4A 1
 45 Tuberkulosis 4A 3
46 Pneumonia 4A 1
47 Emboli air ketuban 2 0
48 Infeksi saluran kemih 4B 20
49 Penyakit ginjal 4A 1
50 Penyakit hati 4A 1
51 Ikterus dalam kehamilan 4A 1
52 Anemia 4A 20
53 Kelainan darah 4A 3
54 Diabetes 4A 5
55 Hipotiroidisme 4A 1
56 Hipertiroidisme 4A 1
57 Lupus eritematosus sistemik 4A 1

58 Sindroma antifosfolipid 4A 1

59 Epilepsi 4A 1
60 Gangguan kejiwaan pada 4A 1
kehamilan
61 Keganasan dalam kehamilan 4A 1

62 Varicella 4A 1
63 TORCH 4A 2
64 Dengue 4A 2
65 Malaria 4A 2
66 HIV/AIDS 4B 5
67 Vaginitis pada kehamilan 4B 10

68 Sexual Transmitted Disease 4A 1

69 Nifas 4B 50
70 Infeksi dan demam nifas 4B 5

71 Masalah menyusui 4B 5
72 Gangguan kejiwaan pasca salin 4A 1
GINEKOLOGI
Infeksi Ginekologi
73 Kondiloma akuminatum 4A 3
 74 Vaginitis 4B 10
75 Servisitis 4B 10
76 Penyakit radang panggul 4A 3

77 Kista dan abses Bartholin 4A 3

Kelainan Jinak Ginekologi

Miometrium
78 Mioma uteri tanpa penyulit 4B 5

79 Mioma uteri dengan penyulit 3A 3

infertilitas
80 Mioma uteri dengan penyulit 4A 3
lainnya (perlekatan, distorsi
anatomi, uterus miomatosus,
mioma serviks, dll)

81 Adenomiosis 4A 3
82 Adenomiosis dengan penyulit 3A 3
infertilitas
Endometrium
83 Polip endometrium 4A 3
84 Hiperplasia endometrium tanpa 4A 3
infertilitas

85 Hiperplasia endometrium 3A 3
dengan infertilitas

86 Endometritis 3A 1
Ovarium
87 Tumor jinak ovarium 4B 10
88 Kista ovarium terpuntir 4A 1

89 Endometriosis tanpa keluhan 4A 3

infertilitas
90 Endometriosis dengan keluhan 3A 3
infertilitas
Gangguan Haid
91 Dismenore tanpa infertilitas 4B 5

92 Dismenore dengan infertilitas 3A 3

93 Sindroma pramenstruasi 4A 3

94 Perdarahan uterus abnormal 4B 5

95 Amenore primer 3A 3
96 Amenore sekunder
- WHO kelas I 3A 1
- WHO kelas II 4A 3
- WHO kelas III 3A 1
- WHO kelas IV 3A 3
Endokrinologi Reproduksi dan Infertilitas
97 Sindroma ovarium polikistik 4A 5

98 Infertilitas (usia<35 tahun, 4A 3

durasi<36 bulan)

99 Infertilitas dengan penyulit 3A 3

100 Pubertas prekoks 2 1

101 Menopause 4A 3
102 Disorders of Sexual 2 1
Development (DSD)
103 Keguguran berulang 3A 3
Uroginekologi
104 Overactive bladder 4A 3
105 Inkontinensia urin tipe stres 3A 3

106 Retensio urin ginekologi 3A 3

107 Retensio urin akut postpartum 4A 5

108 Inkontinensia alvi 3A 1

109 Prolaps organ panggul stadium I 4A 3
110 Prolaps organ panggul stadium 3A 3
II-IV
111 Fistula genitalia 3A 1
112 Ruptur perineum total lama 3A 1

113 Kista Gartner 2 1

114 Kista Duktus Skene 2 0
115 Adhesi labia 2 0
116 Disfungsi seksual 3A 1
117 Ginekologi estetik 2 0
118 Himen imperforata 4A 1
119 Kelainan anatomi uterus 2 1

120 Septum vagina 3A 1

Onkologi Ginekologi
121 Lesi prakanker serviks 4A 3

122 Karsinoma serviks 3A 3

123 Kecurigaan karsinoma vulva 2 1
(berdasarkan diagnosis klinis)

124 Kecurigaan karsinoma vagina 2 1

(berdasarkan diagnosis klinis)

125 Karsinoma endometrium 3A 3

126 Sarkoma uteri 2 0

127 Kecurigaan karsinoma ovarium 3A 3

128 Penyakit trofoblas maligna 4A 2

low- risk
129 Penyakit trofoblas maligna 3B 1
high- risk
 CAPAIAN KOMPETENSI PPDS BERDASARKAN KETERAMPILAN KLINIK

Daftar Keterampilan Kompetensi Jumlah Jumlah Kasus Dicapai

No SpOG Kasus
Minimal
OBSTETRI
1 Asuhan antenatal dan 4A 200
prakonsepsi
2 Partograf 4B 200
3 Kardiotokografi 4B 50
4 Induksi dan augmentasi 4B 30
persalinan

5 Asuhan persalinan 4B 200

(management of labor)

6 Persalinan pervaginam 4B 150

pada presentasi kepala

7 Persalinan pervaginam 4A 3
pada presentasi bokong

8 Persalinan pervaginam 4A 3
pada kehamilan ganda

9 Ekstraksi vakum 4B 5
10 Ekstraksi forseps 4A 5
11 Persalinan pervaginam 4A 3
pada bekas seksio sesaria

12 Versi ekstraksi pada 4A 1

gemelli
13 Persalinan dengan 4A 1
distosia bahu

14 Penjahitan ruptur 4B 20
perineum derajat I-II
15 Penjahitan ruptur 4A 3
perineum derajat III-IV

16 Penjahitan robekan 4A 3
serviks
17 Pemasangan tamponade 4A 3
kateter intrauterin pada
kasus atonia

18 Kompresi bimanual 4A 3
interna
19 Manual plasenta 4A 3
20 Embriotomi 1 -
21 Pemasangan AKDR pasca 4B 20
persalinan

22 Kuretase tajam pada 4B 20

abortus
23 Kuretase postpartum 4A 3

24 Kuret hisap 4A 1
25 Resusitasi neonatus 4B 10

26 Seksio sesaria tanpa 4B 200

komplikasi
27 Seksio sesaria pada PK II 4B 10

28 Seksio sesaria dengan 4B 40

bekas SC 1x

29 Seksio sesaria dengan 4B 10

bekas SC≥ 2x

30 Seksio sesaria pada usia 4A 1

kehamilan < 28 minggu
(histerotomi)

31 Seksio sesaria pada 4B 10

plasenta previa
32 Seksio sesaria pada 2 1
kecurigaan plasenta
akreta
33 Histerektomi obstetri 4A 1

34 Histerorafi pada ruptur 4A 1

uteri
35 B-Lynch 4B 5
36 Ligasi arteri uterina 4A 1
asendens
37 Ligasi arteri hipogastrika 2 0
pada seksio sesaria

38 Laparotomi pada 4B 5
kehamilan ektopik
terganggu
KONTRASEPSI
39 Konseling kontrasepsi 4B 20
pria
40 Konseling kontrasepsi 4B 20
wanita

41 Konseling kontrasepsi 4B 5
bermasalah

42 Pemasangan dan 4B 5
pelepasan AKDR interval

43 Pemasangan dan 4A 3
pelepasan implan
44 Tubektomi interval 4A 3

45 Tubektomi pasca 4A 3
persalinan pervaginam

ULTRASONOGRAFI
46 Ultrasonografi obstetri 4B 30
dasar trimester I

47 Ultrasonografi obstetri 4B 100

dasar trimester II-III
 - Biometri &
penilaian usia kehamilan

- Presentasi dan
jumlah janin
- Letak plasenta dan
kedalaman invasi
plasenta

- Penilaian cairan
amnion
- Penapisan kelainan
kongenital mayor

48 USG ginekologi dasar 4B 30

49 Penilaian keganasan 3 10
dengan USG

50 Saline 2 2
infusion
sonography
GINEKOLOGI
51 Dilatasi dan kuretase 4B 20

52 Histerektomi per 4B 10
abdominam
53 Salpingo-ooforektomi 4B 10

54 Kistektomi 4B 5
55 Miomektomi 4B 5
56 Reseksi adenomiosis 2 2

57 Laparoskopi diagnostik 4A 1

58 Laparoskopi 2 0
salpingektomi
59 Laparoskopi kistektomi 2 0

60 Laparoskopi oklusi tuba 2 0

61 Histeroskopi diagnostik 2 0
62 Histeroskopi operatif 2 0

63 Pengambilan sitologi 4B 20
serviks
64 Biopsi lesi serviks 4B 10
65 Biopsi lesi vulva/vagina 2 0

66 Kolposkopi 4A 5
67 LEEP 4A 1
68 Konisasi 4A 1
69 Krioterapi serviks 4A 3
70 Pungsi asites 3 1
(parasentesis)
71 Kemoterapi pada PTM 4A 1
low risk
72 Radioterapi pada 1 2
keganasan
73 Terapi paliatif nyeri pada 4A 10
keganasan

74 Terapi paliatif nutrisi 4A 10

pada keganasan

75 Total vaginal 3 1
hysterectomy kasus non
prolaps
76 Total vaginal 2 1
hysterectomy kasus
prolaps
77 Kolporafi anterior 2 1
78 Kolpoperineorafi 2 1
79 Pemeriksaan POP-Q 4A 3

80 Pemasangan pesarium 4A 3

81 Sistoskopi 2 0
82 Eksisi himen 4A 1
83 Eksisi septum vagina 2 1

84 Himenoplasti 2 0
85 Labioplasti 2 0
86 Repair ruptur perineum 2 0
total lama

87 Neovagina 2 0
88 Inseminasi intrauterine 2 0

89 Teknik reproduksi 2 0
berbantu
90 Destruksi lesi kondiloma 4A 1

91 Menangani kasus potensi 3 3

medikolegal

92 Membuat visum kasus 3 1

obstetri ginekologi

93 Melakukan audit 4A 3
ACADEMIC TASKS
T1
2nd Semester Journal Reading I

Title

Supervisor
Signature
Date of Presentation
Hopital

3rd Semester Literature Review 1

Title

Supervisor
Signature
Date of Presentation
Hopital

T2
4th Semester Journal Reading I

Title

Supervisor
Signature
Date of Presentation
Hopital
4th Semester Case Presentation

Title

Supervisor
Signature
Date of Presentation
Hopital
5th Semester Proposal Thesis

Title

Supervisor
Signature
Date of Presentation
Hopital
 T3
6th Semester Literature Review II

Title

Supervisor
Signature
Date of Presentation
Hopital
7th Semester Joint Conference Case Presentation

Title

Supervisor
Signature
Date of Presentation
Hopital

T4
8th Semester Maternal death case concference

Title
Supervisor
Signature
Date of Presentation
Hopital
8th Semester Final Case Presentation

Title

Supervisor
Signature
Date of Presentation
Hopital
8th Semester Thesis

Title

Supervisor
Signature
Date of Presentation
Hopital
 COMPETENCY TASK

T1
Obstetri
Supervisor

Signature

Date of presentation

Hospital

Gynecology examination
Supervisor

Signature

Date of presentation

Hospital

Forceps and vacuum extraction

Supervisor

Signature

Date of presentation

Hospital

Breech delivery
Supervisor

Signature

Date of presentation

Hospital

C-section on model
Supervisor

Signature

Date of presentation

Hospital
 SURGERY COMPETENCY TASK

T2
1st C-section
Diagnosis

Supervisor

Signature

Date of presentation

Hospital

2nd C-section
Diagnosis

Supervisor

Signature

Date of presentation

Hospital

3rd C-section
Diagnosis

Supervisor

Signature

Date of presentation

Hospital

1st Tubal ligation

Diagnosis

Supervisor

Signature

Date of presentation

Hospital
 T2
2nd Tubal ligation
Diagnosis

Supervisor

Signature

Date of presentation

Hospital

1st Laparotomy Salphingooophorectomy

Diagnosis

Supervisor

Signature

Date of presentation

Hospital

2nd Laparotomy Salphingooophorectomy

Diagnosis

Supervisor

Signature

Date of presentation

Hospital

3rd Laparotomy Salphingooophorectomy

Diagnosis

Supervisor

Signature

Date of presentation

Hospital
 T3
1st Total Abdominal Hysterectomy
Diagnosis

Supervisor

Signature

Date of presentation

Hospital

2nd Total Abdominal Hysterectomy

Diagnosis

Supervisor

Signature

Date of presentation

Hospital

3nd Total Abdominal Hysterectomy

Diagnosis

Supervisor

Signature

Date of presentation

Hospital

Myomectomy
Diagnosis

Supervisor

Signature

Date of presentation

Hospital
 T3
Total Vaginal Hysterectomy Diagnosis

Supervisor Signature
Date of presentation

Hospital
 SURGERY COMPETENCY EXAMINATION

T2
C-section Diagnosis

Supervisor Signature
Date of presentation

Hospital

T3
Total Abdominal Hysterectomy Diagnosis

Supervisor Signature
Date of presentation

Hospital
RESEARCH ACTIVITIES
T1
RESEARCH PROPOSAL TITLE

SUPERVISOR

Date of presentation Signature

T4 THESIS TITLE

SUPERVISOR

Date of presentation Signature

SCIENTIFIC ACTIVITIES

Date Please specify, Title Lecturer

(Lecture / Symposium /
Course /
Workshop / Annual meeting)
SCIENTIFIC ACTIVITIES

Date Please specify, Title Lecturer

(Lecture / Symposium /
Course /
Workshop / Annual meeting)
SCIENTIFIC ACTIVITIES

Date Please specify, Title Lecturer

(Lecture / Symposium /
Course /
Workshop / Annual meeting)