Surgical Logbook Template For Dha !full! Jun 2026

| Field | Description | | :--- | :--- | | | DD/MM/YYYY | | Patient Identifier | MRN (Medical Record Number) or a unique code (no patient names due to confidentiality) | | Patient Age & Gender | e.g., 45 / M | | Pre-op Diagnosis | ICD-10 code or clear description | | Procedure Name | Exact CPT or descriptive term (e.g., Laparoscopic Cholecystectomy) | | Procedure Code | CPT or DHA-approved coding (optional but recommended) | | Side (if applicable) | Left / Right / Bilateral | | Surgeon Role | Primary Surgeon / First Assist / Second Assist / Supervisor | | Complexity Level | Minor / Intermediate / Major / Major+ (used for privileging) | | Anesthesia Type | General / Regional / Local / Sedation | | Approach | Open / Laparoscopic / Robotic / Endoscopic | | Emergency Status | Elective / Emergency | | Outcome | Uneventful / Complications (specify) / Mortality (within 30 days) | | Hospital/Facility Name | Where procedure was performed |

Unlike general CVs or simple procedure counts, a DHA-compliant logbook provides a detailed, chronological account of every surgical case, including the surgeon’s role, patient outcomes, complications, and verification by senior medical leadership. Crucially, the logbook is not merely a training tool—it is a mandatory licensing requirement for all surgical and allied specialties applying for DHA authorization. surgical logbook template for dha

If you are a European surgeon, note that while you may have a UEMS logbook, it must still be adapted to the specific two-year, signed format demanded by the DHA. Submit your documents to the DHA Sheryan portal here. Find detailed General Surgery licensing steps here . | Field | Description | | :--- |

Entries should be listed chronologically. Surgical Logbook Template (Recommended Structure) Submit your documents to the DHA Sheryan portal here

The base varies slightly depending on your title: