log entry monitoring

Log entry MONITORING

REVISION and

UPDATE

I love e-portfolio learning log

Learning cycle

Rough guide to reflection

Stuff happens We reflect

Changes in:

• Knowledge• Skills

• Attitudes

Stuff happens differently

Gibbs Reflective Cycle

Events Learning Feelings

all tutorials, all half day release sessions, all out of hours sessions, each time look something up between patients. nuggets of learning

What sort of stuff should be reflect on?

Self-awareness

Insight, and curiosity,

willingness to change practice

demonstrating openness and honesty about performance along with some consideration of own feelings;

A good reflective log entry will show:

Evidence of critical thinking and analysis, describing own thought processes;

Evidence of learning, appropriately describing what needs to be learned, why and how.

Continued:

Concise, note book not text book Quality more than quantity reflective practice A plan of action is stated Learning needs expressed in SMART form Linked to PDP The chosen curriculum linkage is correct

A good log entry :

ISCE

How to assess a log entry?

Information provided

Critical Analysis

Self Awareness

Evaluation/ Evidence for Learning

ICSE –tool for assessing log entries

Example of a learning log entry

Task Read the reflection

Underline where the writer has included reactions or feelings

circle examples where the writer has analysed or evaluated the experience

Is there a SMART learning need highlighted?

See example of descriptive entry Then look at the same log entry with added

reflection.

Reflection in action

Learning objectives andPDP

PDP is dynamic not static – all learning needs should be entered from the learning log as they go

GPR enters curriculum coverage which allows the teacher and learner to see the holes

Principles

Learning objectives should be SMART ◦ Specific ◦ Measurable ◦ Achievable ◦ Relevant ◦ Time framed

Ie: no waffle or blah. Short succinct sentences

Learning log

Use the learning log entry to write some SMART learning objectives.

Task

RCGP Bradford VTS website KSS Deanery www.pennine-gp-training.co.uk www.gp-training.net

Good resources

Thank you

What were the circumstances of the conversation? (who,

when, where)

With GP partner at end of surgery

Learning log

Why were you having this conversation?

Uncertain of value of d-dimer as an isolated investigation in a patient with calf pain

Learning log

What did you learn?

That there is a protocol for DVT assessment in CumbriaThat d-dimer has good sensitivity but poor specificity which makes it dangerous to use as a solitary investigation

Learning log

What will you do differently in future?

Identify guideline and add to my memory stickRefer ?DVT to nurse practitioner at DGH

Learning log

What further learning needs did you identify?

 Investigate sensitivity and specificity of commonly used testsMy investigation rate and how this compares with others in the practice

Learning log

How and when will you address these?

Discussion with lab staff this weekARUP website this weekInvestigation audit this month and present to trainer

Learning log

…then the GPR adds the learning needs to the PDP.

The GPR doesn‘t need to validate it with the GP partner, but will validate it with the trainer by discussing what  was found out about sensitivity and specificity and showing your trainer the investigation audit.

Learning log

Look at the learning log entries and sort them into order of merit

Describe why you have chosen your first choice

Suggest how one of the less good entries could be improved

Task