Surgical Logbook Template For Dha

For surgeons applying for a license through the Dubai Health Authority (DHA)

For Dubai Health Authority (DHA) licensing, a surgical logbook is a mandatory document for surgical specialties, covering at least the last 2 to 3 years of clinical cases. DHA portal Essential Requirements for DHA Logbooks surgical logbook template for dha

Best Practices for DHA Compliance

1. Log Immediately

Do not rely on memory. Enter your data immediately after the surgery or at the end of the day. Inaccurate logs can be flagged during hospital audits. For surgeons applying for a license through the

by the Medical Director or Head of Department at the facility where the surgeries were performed. Must be in English or Arabic . Official translations are required for other languages. Verification Note: Case ID / Serial No

• Case ID / Serial No.
• Date of surgery (DD/MM/YYYY)
• Patient initials / Unique hospital MRN (avoid full identifiers if keeping log for portability)
• Age / Sex
• Procedure performed (standardized terminology; include primary procedure)
• ICD-10 / CPT code (if available)
• Diagnosis / Indication
• Elective / Emergency
• ASA grade
• Surgical approach / Technique (open / laparoscopic / endoscopic / robotic / percutaneous)
• Level of involvement / Role — choose one:
  1. Licensure & Renewal: Verifies that you are actively performing the procedures you are licensed for.
  2. Privileging: Hospitals and facilities use it to grant specific clinical privileges (e.g., allowing a General Surgeon to perform Bariatric surgery).
  3. CPD Audit: Provides evidence of learning and skill maintenance during random audits.

  P (Primary Surgeon): You performed the majority of the procedure. A (Assistant): You assisted another lead surgeon.