e-portfolio pdp and learning log dr richard de ferrars dr andrew cochrane 27 th september 2013

E-portfolio

PDP and Learning Log

Dr Richard de Ferrars

Dr Andrew Cochrane

27th September 2013

Aims for the Session

Use this as a checklist if you missed the session and are running through this by yourself

1. E-portfolio mayhem – apology & tips (quick)

2. Assessments – reminder & get started please (quick)

3. PDP – how to get a few items up & running (medium)

4. Learning log – understand “4 categories”

(important)

• Look at some examples

• Be able to start writing some basic entries

• Aim for “2 per week”, with some catch-up

Reminder - CommunicationEmail is the principal means

of communication

VTS website:

www.frimleyvts.org

Capital Offences:

Failing to check emails weekly / daily / hourly

Failing to notify me/ Tracey/ KSS of a change in email address

E-portfolio Mayhem

• Learn ways around limitations• Big problem with time-outs• Suggest write in Word and then

cut & paste - Less time in the portfolio so less

likely to time-out

- Can re-do easily if does get lost

We all have complaints about the upgraded e-portfolio…






4. Learning log – understand “4 categories” (important)• Look at some examples• Be able to start writing some basic entries• Keep at “2 per week”, some catch-up

Assessments - ContextMRCGP Overview

• Applied Knowledge Test– 200 question MCQ, Pearson VUE centres– Often taken at the end of ST2, but limited to 4 attempts– Preparation ‘seminar’ autumn (start) of ST2 year

• Clinical Skills Assessment– 13 station simulated surgery at RCGP exam centre– Always taken in ST3 (cost about £1500)

• Workplace-Based Assessment– Continuous over the three years– Steps up several gears in ST3– Recorded in your e-portfolio.

Assessments - Summary• All must be in e-portfolio (say no to paper)

– Generate a ticket-code– Assessor enters ticket-code & own details– Assessor email address for random validation

• How Many & When?6 mini-CEX - 3 before January review 3 after January review6 CBD - 3 before January review 3 after January

review 2 MSF - 1 before January review 1 after January

review 3 CSR - post 1 before January review

- posts 2/3 after January review DOPS - as appropriate PSQ - ST1 or ST2 GP Post.

Assessments - Review Cycle

Month 6 ES Review

Month 11 ES Review

(ARCP report)

1-2d Study Leave 1-2d Study Leave1-2d Study Leave

Contact ESContact ES Contact ES

Post 1 Post 2 Post 3

CbD CbD

Mini-CEX Mini-CEX

DOPS

MSF

CSR

CbD

Mini-CEX

CbD

Mini-CEX

DOPS

MSF (PSQ) CSR

CbD CbD

Mini-CEX Mini-CEX

CSR

DOPS

Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul






4. Learning log – understand “4 categories” (important)• Look at some examples• Be able to start writing some basic entries• Keep at “2 per week”, some catch-up

What’s Your PDP Like?

“A PDP is a document that reflects your current direction of travel and may be modified in the light of developments during the year. It is not the sum total of the education for the year but a series of milestones that reflect your journey towards work as an independent GP”


“The greatest work of fiction since vows of fidelity

were included in the French marriage service.”


• How can your PDP evolve from a “Baldrick creation” into something “fit for RCGP”?

• Probably an impossible task

but…

Don’t set yourself upto fail.

E-Portfolio PDP – Why?KSS - Make your mind up…

– Longer-term goals?– Short-term “to-do” list?

(based on cases seen)

Started just “longer-term”

Then swung to just short-term

Now they want a bit of both

Aim for 6-8 entries per post:3-4 Long-term

3-4 Short-term

E-Portfolio PDP – Why?Long-term• Write these close to start of post• 3-4 aims for the post

Short-term• Write these as you see & learn• Usually can come from learning log• Demonstrate “learning from work”

Simple example:

I saw an interesting patient with ‘xyz’ that I did

not know much about so I went and read ‘abc’

and did learning module ‘def’.

PDP – Longer Term Goals

STATE THE OBVIOUS

People rack their brains to come up with things that ‘sound good’

Don’t.....

Why not list what you know you are going to be doing?

Start of post (CS meeting), 2-3 post-specific goals into PDP.

PDP – Longer Term Goals (Where to look for ideas)

The Condensed Curriculum Guide

Useful Guide

RCGP Website/ bookshop

GP Curriculum Map (handbook)

Summary of each Curriculum chapter

- where could it be covered?

- mapped to InnovAIT and e-modules

GP Specialty Training Handbook/ Curriculum

KSS GP website, trainee’s section

Post-specific, more detailed

The Curriculum in Hospital & General Practice (handbook)

Simple guide of what to aim to cover in

each hospital post

Creating a “Good PDP Entry”

The standard layout for e-portfolio PDP entry:1. Learning Objective

2. Action Plan

3. How will you know achieved?

4. What was the outcome?

In pairs (2 minutes):Think about your current post(s)

Try and come up with one good idea to put in a PDP

Jot down something under 1-2-3.

Creating a “Good PDP Entry”

SMART Specific

I will learn all about Cardiology in this job GP Curriculum - I should be able to understand & utilise 12-lead ECG

Measurable (outcome) I will feel more confident when I next look at an ECG I will write up a case where I used new ECG skills

Attainable I will look at every possible ECG in the next 4 months I will complete at least 1 on-line ECG interpretation module

Relevant I have found an interesting 2-day “Angiography Update” course GP Curriculum - I should be able to understand & utilise 12-lead ECG..

Time-bound..

What is a “Good PDP Entry”?

The standard layout for e-portfolio PDP entry:1. Learning Objective Specific Relevant

2. Action Plan Attainable Time-bound

3. How will you know achieved? Measurable

4. What was the outcome? Reflection

Have a quick look back at your entryHow SMART was it?

Spend 1 minute re-jigging to make it SMART.

E-Portfolio PDP

• Longer-term goalsUsing the curriculum to set

objectives for the post

• Shorter-term “To-Do list”Using the learning log to export

“tasks” to your PDP

Brings us to the learning log....






4. Learning log – understand “4 categories”

(important)

• Look at some examples

• Be able to start writing some basic entries

• Aim for “2 per week”, with some catch-up

E-portfolio & Learning Logs

Does your ES know what they are talking about?


We are your friendly sat nav


The usual response (ST & Trainer) to the mention of the learning log....

E-portfolio & Learning LogsIn an ideal world:

You regularly create “gems of creative writing”

Your ES reads them within minutes and gives you wonderfully useful feedback

In reality:

You get a stream of abusive emails from your ES demanding more entries

You write a handful every few weeks and your ES ignores them

You release a huge batch 48 hours before your ES review and your ES has a hissy-fit.

Using Your Learning Log

Points to consider:

• Why bother? Who looks at it?

• How many log entries should I make?

• Categories (types) of log entries

• I can’t do reflection – how can I write good entries?

Why Bother – Who Looks?• You should:

– Useful place to store “nuggets”– Ongoing record of educational activity

• Your Trainer/ ES– Point of contact in hospital posts– Feedback & ideas for reading etc.– Used extensively for WPBA 6-month reviews

• Deanery/ RCGP– Always looked at during end-of-year ARCPs

How Many Entries?

TWO APPROPRIATE & SHARED entries per week

• 90-100 per year• 80-90 by June (ARCP dates)• Paged view (25 per page) makes counting simple

Not “shared”? - only you can view it- does not exist for ES/ Deanery

Categories of Log EntriesHow should Trainees use the learning log?

1. Simple list of useful information from teaching:CURB scoringCauses of amenorrhoea

2. Recording of a “required event”Leave taken Child protectionOOH session GMC SurveyAudit project Leadership

3. Genuine educational activityTutorials, VTS sessionsInteresting cases, followed by reading up

4. “Domains of competence” eventWritten from a competency, not a clinical, perspective



Fine to do this but….- do not share- do not expect ES comment if shared


2. Recording of a “required event”Statement of leave taken Child protectionGMC Survey OOH sessionAudit project Leadership project

Mandatory requirements:ST1/2/3 Statement of leave taken every 4 months

ST1/2/3 Level 2 Child Protection annually

ST1/2/3 Annual GMC Survey

ST1/2 GP 1.5 OOH session per month in GP Post

ST3 Audit project, leadership project

“Course/ Certificate” entry if no other obvious choice

Must be shared but may or may not get a comment.


3. Genuine educational activity

Teaching sessions

Interesting cases, followed by reading up

Mainstay of the “2 per week” section

One could be record of teaching

One should be a clinical case

Possibly linked to PDP for further educational activity

Must be shared

Many should attract ES comment.


4. “Domains of competence” event (2 per month)

Written from competency perspective, not clinical perspective

Domains of Competence?– More in December (preparing for ES Review)– Marking template for WPBA

Collection of the communication skills, attitudes, behaviours, & awareness that RCGP expects to find in competent GPs

Arranged into 12 headings (Domains)


4. “Domains of competence” event (2 per month)

Written from competency perspective, not clinical perspective

By the final ES review, you must have plenty of evidence that you are “competent for licensing”

- part will be from assessments

- part will be from log entries

Log entries about the non-clinical perspective of problems

Must share

Most should attract ES comment.



2. Recording of a “required event”Leave taken Child protectionOOH session GMC SurveyAudit project Leadership

3. Genuine educational activityTutorials, VTS sessionsInteresting cases, followed by reading up

4. “Domains of competence” eventWritten from a competency, not a clinical, perspective

E-Portfolio Learning Log

Standard layout for “Clinical Encounter” entry:

1. What happened?2. What (if anything) happened subsequently?

3. What did you learn?4. What will you do differently in the future?

5. What further learning needs did you identify?6. How and when will you address these?

3 minutes: Recent clinical encounter that revealed a learning need.(Category three entry)Make some brief notes under these headings

How To Create Useful Entries

1. Writing reflective entries2. Exporting into PDP

What do you understand by reflection?

What is Reflective Practice?

Reflection is not ‘clever magic’

Reflection is‘thinking for a purpose’

Terry Borton:1) What happened?

2) So what?

3) What next?

Donald Schön:

Reflection-in-action (thinking on your feet)

Reflection-on-action (thinking later - what happened?)

What is Reflective Practice?

Writing a reflective log entry simply means that, after the event,

you have thought about it.Borton’s “So What” and “What Next?”

Schön’s Reflection-on-action (thinking later - what happened?)

Reflection is not ‘clever magic’

Reflection is‘thinking for a purpose’

E-Portfolio Learning LogIt is OK to leave boxes blank, especially boxes 2 and 4




Complete steps 5 & 6, can “export to PDP” option (after shared)

What further learning needs did you identify? = Learning Objective How and when will you address these? = Action plan

What?

So What?

What Next?

I Can’t Do Reflection…

Reflective writing:

Don’t overcomplicate

Do not need 5-page essays

Simply think about what happened

Teaching session – Why was it

useful?

Some complex, long, in-depth entries

are needed

Category 4 entries, 1-2 per month


Standard layout for learning log “Clinical Encounter” entry:

– What happened?– What (if anything) happened subsequently?– What did you learn?

– What will you do differently in the future?– What further learning needs did you identify?– How and when will you address these?

EASY

HARD


• Start in the bottom half 4. What will you do differently in the future?

5. What further learning needs did you identify?

6. How and when will you address these?

• Top half - brief background info• Should have a “PDP-able” and

“share-able” entry

• Only completed the top half?– Sounds like a “Category 1” entry– Don’t share.

Oh yes you can…

Learning Log – Messages So Far…Standard layout for learning log “Clinical Encounter” entry:




• Think about completing the “bottom half” first

• Can you get 1-2 per month into your PDP?

• You can then export from the log to your PDP

• In pairs, look back at your entry.

Using Your Learning Log

Look at some example entries

1. Simple list of useful information

2. Record of a required event

3. Genuine educational activity

4. Complex “domains of competence event”

• What type of entry (1-4)?

- would you “share” this entry?

• Top vs. bottom half split?

• Would the bottom half work well in a PDP?

What type of entry (1-4)?

Top vs. Bottom split?

Would it work in a PDP?

Category 1 entryDo not shareRude ES comments




Category 3 entry (Learning event)Not very inspiringTop half onlyNo good for PDPMaking up numbers? Could shareRisk rude ES comments




Category 3 entry (Learning event)More interestingGood top vs. bottomGood for PDPBetter use of box 5/6

ShareUseful ES comments




Category 4 entry (D of C event) Useful for ES reviewVery interesting

PDP irrelevant

ShareES praise!




Category 2 entryShareNo ES comments




Category 3 entry (Learning event)More interestingGood top vs. bottomGood for PDPBetter use of box 5/6

ShareUseful ES comments




Category 1 entryDo not shareRude ES comments

E-Portfolio

To-do List - September

• Start coming to the Friday lunchtime

meetings at FPH wherever possible

• Make sure that you start using your e-

portfolio learning log

• Make sure that you start getting

assessments recorded

To-do List - October

• Ensure you get your GP attachment sorted

Look at log entries with your ES

• Make sure you start using your e-portfolio learning log

(2 entries per week)

• Transfer relevant log entries into your PDP

• Make sure that you start getting assessments recorded

(2 CbD and 2 mini-CEX per post)

• First LFG meeting is November:– ST1 year rep James Thambyrajah

– We review all e-portfolios & progress.

The End

e-portfolio pdp and learning log dr richard de ferrars dr andrew cochrane 27 th september 2013

Documents

review dops

review6 cbd

es review month

started pleasequickpdp

categories importantlook

examplesbe able

mediumlearning log

es review arcp report1