The European Neurosurgical Log-Book (UEMS/EANS)
In the European Training Charter (1), Chapter 6, l.B.1, the use of a log-book for neurosurgery is specified as mandatory: “The candidate neurosurgeon should keep an authorized log-book of operative experience”. Chapter 5.3 formulates the requirements for
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VIII The European Neurosurgical Log-Book (UEMSfEANS) H.-J. Reulen Department ofNeurosurgery , Klinikum Großhadem, Ludwig-Maximilian s-University, Munich, Germany
In the European Training Charter (I), Chapter 6, I.B.I, the use of a log-book for neurosurgery is specified as mandatory: "The candidate neurosurgeon should keep an authorized log-book of operative experience". Chapter 5.3 formulates the requirements for trainees: " The trainee should keep his/her personal log-book or equivalent up-to-date according to national rules and EC directives as well as considering UEMS/European Board recommendations." Written documentation of the operative procedures done by a resident and attested by the signature of the supervising trainer/programme chairman is presently required in more or less all European countries. A compilation in tabular form of all surgical procedures is also called for in the national board examination and the formal recognition as a specialist, respectively. However , the many European Neurosurgical Societies, as a consequence of their different historical background and development, employ a variety of systems and categories of procedures . With growing consciousness for a uniform European Resident Training Programme of high standard, it became necessary to develop a modern edition of a Neuro surgical Log-book to allow for documentation of the broad variety of surgical procedures of today's neurosurgery with its various subspecialties. The present Neurosurgical Log-Book was developed in 1997/98 by the Residency Advisory Committee of the EANS (later JRAAC), based on the longterm experience of our colleagues in the UK, the USA, and other national societies where such a system for documentation of surgical procedures is used regularly. Experienced individuals from many national societies have contributed to the new European log-book with their proposals and advice. The Log-Book has been approved by the Administration Council of the
EANS (June 1998)and by the Section ofNeurosurgery of the UEMS as the official European Log-Book in Neurosurgery. In this European Log-book procedures have been included that are of relevance in a modern neurosurgical training programme. The log-book really represents the common European suggestion for a core education in our specialty. Thus trainees during their 6 years of training should be adequately exposed to the respective diseases and operative procedures, and they should demonstrate that they have acquired the necessary competency called for. If a training site cannot offer exposure in one or more fields of our specialty, they must seek collaboration with another training site so that residents will also receive that missing part. In future two or even three training sites will have to organise one common training programme. This will require a certain degree of flexibility, but some countries have already demonstrated that it is possible.
Explanations how to use the Log-Bock The Neurosurgical Log-Book written in English is intended to be arecord of all operations the
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