Learning objectives in logbooks as indicators of problems in teaching hospitals

Logbooks are used to grade, document, and establish the structure of clinical clerkships, but a logbook can also be used as an instrument to maintain uniform teaching between medical universities and teaching hospitals. In this study, logbooks of 109 students were collected and learning objectives (n = 141) were analyzed upon the achieved skill levels. Analyses revealed differences in teaching between university and a single teaching hospital. In this teaching hospital students missed more learning objectives and had lower amounts of upgrades onto a higher skill level than demanded by the logbook. As we have shown, logbooks can even be used as an aide to maintain uniform teaching in medical universities and teaching hospitals