The Management(procedure) field contains 34 options ranging from Epidural-Caudal to Spinal Cord Stimulator to Radiofrequency lesioning. The breadth of that single dropdown is a precise map of what the Faculty of Pain Medicine expects a trainee to demonstrate competency in by the end of their fellowship. Every case you log against one of those procedure options is evidence toward a different competency domain. Every case you fail to log is competency evidence that no longer exists.
This logbook was built explicitly to mirror the official FPM Logbook V1.0 field structure and dropdown values — specifically to enable CSV export from Memento with direct paste-in to the FPM spreadsheet without column mapping or reformatting. That integration decision is the difference between a logbook that requires double-entry and one that does not.
Where the Clinical Picture Lives
Pain category, pain type, pain source, and pain site form the diagnostic classification system for each case entry.
Pain category — Acute, Chronic, Cancer, Other — is the broadest filter. Pain type adds the mechanistic layer: Neuropathic, Nociceptive Somatic, Nociceptive Visceral, Mixed, CRPS. Pain source narrows to the system of origin: Musculoskeletal, Neurological, Post Herpetic Neuralgia, Trigeminal Neuralgia, Phantom Limb, Post Surgical/Trauma, Cardio-Respiratory, Metastatic. Pain site places it anatomically: Lumbar Region, Lumbar and Lower Limb/Hip, Neck and Upper Limb/Shoulder, Multiple Sites.
A trainee who has logged 200 cases filtered by Pain Type = CRPS will discover immediately whether they have seen enough CRPS to demonstrate competency — or whether they need to actively seek out appropriate cases in the next six months before their ARCP. That pattern visibility requires the data to be structured at this level of granularity. A free-text diagnosis field does not produce it.
Pain duration — Less than 6 months, 6 to 12 months, 1 to 5 years, More than 5 years — is not just demographic context. The chronicity distribution of your clinical exposure matters. A trainee whose case mix is predominantly acute cases has a different competency profile from one who has spent most of their time in a chronic pain clinic. The FPM assessment process is interested in both.
Management Documentation and the CSV Export Workflow
Two outpatient management fields are provided — Management(outpatient)1 and Management(outpatient)2 — both with identical multichoice options covering pharmacological management from NSAIDs through Strong Opioids, interventional approaches like TENS and Systemic LAs, and multidisciplinary options including Psychology, Physiotherapy, Pain Management Programme, and Referral to Other Specialist.
Having two management fields handles the reality that most pain clinic consultations result in combination management plans. The patient with CRPS-type neuropathic leg pain following lumbar disc surgery might leave with a Lumbar Sympathectomy listed for the procedure, Anticonvulsant plus Weak Opioid Analgesic in management field 1, and Physiotherapy plus Psychology in management field 2. Three different management categories, captured in three structured fields, queryable separately.
The Comments field — both the dropdown version (Cryotherapy, Radiofrequency, Drug Dose Increased, Drug Dose Decreased) and the free-text version — handles the nuance that the management fields cannot. A case where the drug dose changed direction mid-consultation, or where a procedure was deferred pending imaging, goes into Comments with the specific clinical reasoning.
Getting the Data Into the FPM System
The synchronization workflow is documented in the original template description: export CSV from Memento, copy the CSV contents, paste into the FPM official logbook starting from the Date column (not the Patient ID column), then sort by date in Excel to restore chronological order.
The field naming in this template exactly mirrors the FPM official column structure. When you paste into the FPM spreadsheet, the data lands in the right columns without manual mapping. That alignment is not cosmetic — it is the entire point of using this template rather than a generic clinical log. The 20 minutes you would spend reformatting a generic CSV into FPM format, multiplied by the number of times you do this over a fellowship, is the time this template eliminates.
Supervision level — Immediate, Local, Distant, Supervising/Teaching, Solo — tells the FPM assessor not just what you did, but what your level of autonomous practice was when you did it. A Facet Joint Lumbar under Solo supervision means something categorically different from the same procedure under Immediate supervision.