the training log
DESCRIPTION
The Training Log. Experienced Trainers’ Course 2005. Information gathering. Takes place all day Takes place in different contexts Comes from multiple sources Can be subtle feelings which we must record. WHO ? HOW ?. Registrar Trainer Should it be shared document - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/1.jpg)
The Training Log
Experienced Trainers’ Course
2005
![Page 2: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/2.jpg)
Information gathering
• Takes place all day
• Takes place in different contexts
• Comes from multiple sources
• Can be subtle feelings which we must record
![Page 3: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/3.jpg)
WHO ? HOW ?
• Registrar
• Trainer
• Should it be shared document
• Contributions from other team members
• Written or electronic
• NOT in your head !!
![Page 4: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/4.jpg)
GROUP WORK
• BLOCKS
![Page 5: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/5.jpg)
Blocks to recording
• Time
• Last task on the pile
• Too complex and cumbersome
• Not accessible
• What use is it anyway?
• Fear of writing it down
• Not knowing what to put in
![Page 6: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/6.jpg)
Reflective diary- tips
• Must be handy
• Try to write in it most days
• Relections/actions/what am I recording?
• About GPR
• About me
• About the learning environment
• Write down ANY thoughts
![Page 7: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/7.jpg)
Why keep a log?Immediate needs
• To aid and record reflection
• To record learning needs perceived by learner
• To record learning needs perceived by Trainer
• To record negotiated curriculum plans/timetable
![Page 8: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/8.jpg)
Why keep a log? Medium term needs
• To see progress
• To help order your thoughts
• Continued recording of learning needs and curriculum planning
• To share with registrar and show model
• Reassurance
![Page 9: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/9.jpg)
Why keep a log? Long term
• To aid completion of the structured trainer’s report
• Evidence of good or bad performance
• As future teaching resource
• For future reference construction
![Page 10: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/10.jpg)
What are we looking for?
• Expectations at different stages of training
• What is normal development?
• Without a knowledge of normal development impossible to assess accurately
• Normal milestones
![Page 11: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/11.jpg)
Stages of development
• Unconscious incompetence
• Conscious incompetence
• Conscious competence
• Unconscious competence
![Page 12: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/12.jpg)
Group exercise
• Working out the milestones
• What is a normal registrar behaviour
• First few weeks
• At 3/12
• At 6/12
• At 9/12
• At 12/12
![Page 13: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/13.jpg)
6 weeks(1)
• Good time keeping• Enthusiasm• Observe presentation/dress• Lacking in confidence• Worried about learning agenda• Identifying own learning needs topic based• Express some areas of expertise• Share background information• Curiosity
![Page 14: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/14.jpg)
6 weeks(2)
• Needs 30minutes to assess patients• Struggles with consultation task list• Struggles with computer• Hospital-style clinical skills• Makes complex diagnoses• Orders many or no investigations• Huge Dr’s agenda• Surprise at family dynamics• PEPS a bit daunting
![Page 15: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/15.jpg)
6 weeks(3)
• Variable team skills• Observe ability to cope with change• Keen attendance at practice meetings• Social skills at getting on with team• Early feedback from accompanying PHCT• Very keen to sit in• Finds constructing simple management plans
difficult• “I’ll never be able to do this” is normal
![Page 16: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/16.jpg)
At 6/52 priority objectivesGroup Work
PATIENT CARE
• Should feel safe
• Emergency care adequate
• Basic prescribing
• Wants to do own surgeries
• Should be asking
• May be dr centred
![Page 17: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/17.jpg)
At 6/52 Priority ObjectivesGroup Work
COMMUNICATION
• Knows who/how to contact when
• Knows referral systems including OOH
• Will ask for help
• Can talk and listen to patients
• History taking hospital style
![Page 18: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/18.jpg)
At 6/52 Priority ObjectivesGroup Work
ORGANISATION• Can use computer• Knows team/telephone/ alarm• Starting to plan year
PROFESSIONAL VALUES• Punctual• Respect• Probity• Dress code• Confidentiality
![Page 19: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/19.jpg)
At 6/52 Priority ObjectivesGroup Work
PERSONAL/PROFESSIONAL GROWTH
• Ownership of learning contract
• Started Log for PDP
• Still at the FEED ME stage
![Page 20: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/20.jpg)
At 3 months
• Enthusiasm• Chinks beginning to show through• 20minute consultations• Identifying more complex learning needs• Will do PEPS and share results• Comfortable with computer• Able to grasp family dynamics and is curious• Still follows up simple problems• First video
![Page 21: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/21.jpg)
At 3 months (2)
• Struggling with time management• Integrating into team• Still likes to sit in • Has ideas re audit project• Beginning to change consultation style• Able to use open questions• Realising that they have knowledge• Should have dealt with some difficult issues• Keen to take on tricky problems• Will do visits alone
![Page 22: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/22.jpg)
At 3 months (3)
• Responds to feedback in constructive way
• Attitudes and beliefs beginning to show
• Prepares well for tutorials
• Starting to challenge Trainer
• Plans to sit summative assessment mcq
• Can write a good referral letter
![Page 23: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/23.jpg)
At 3/12 Priority ObjectivesGroup work
PATIENT CARE
• Consulting 20min
• Some videos
• Safe in emergencies
• Basics of chronic disease
• Minor ailments understood
• Own home visits
![Page 24: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/24.jpg)
At 3/12 Priority ObjectivesGroup Work
ORGANISATION
• Punctual
• Recording accurately
• Attends VTS
• Keeping log
• Dr,s bag organised has own equipment
• Knows about the formulARY
![Page 25: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/25.jpg)
At 3/12 Priority ObjectivesGroup Work
COMMUNICATION
• Use of computer – notes and presenting
• Video skills
• Record keeping adequate
• Seeking out the team
![Page 26: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/26.jpg)
AT 3/12 Priority ObjectivesGroup Work
PROFESSIONAL VALUES
• Has professional image
• Asking for help comfortably
• Values team work
• Participating in medical meetings
![Page 27: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/27.jpg)
AT 3/12 Priority ObjectivesGroup Work
PERSONAL/PROFESSIONAL GROWTH
• Helping to run the team
• Reading
![Page 28: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/28.jpg)
At 6 months
• Taking responsibility and initiative• Has completed first audit cycle project• Shows inititiave in day to day work• Shows initiative in Learning• More challenging• Comfortable with video• Worry about mrcgp/video• Has built up own “list”
![Page 29: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/29.jpg)
At 6 months
• Management plans more realistic• 15 minute appointments• Does not follow up simple problems• Integrating well into team• Team will go to him for help• Does on call sessions• Will cover for absent partners willingly• Able to deal with basic admin
![Page 30: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/30.jpg)
At 6/12-priority objectives group work
PATIENT CARE• Good management of emergencies• Preventative medicine skills present• Chronic disease management skills
present• Computer literate• Knows own role in team and contributes• Using video
![Page 31: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/31.jpg)
At 6/12 Priority ObjectivesGroup work
COMMUNICATION
• 10 minute consultations
ORGANISATION
• Computer literate
• Audit completed
• MRCGP planned
![Page 32: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/32.jpg)
At 6/12 Priority ObjectivesGroup Work
PROFESSIONAL VALUES• On time• Clean/not smelly• Respect for peers• Respect for patientsPERSONAL/PROFESSIONAL GROWTH• Developing good Log/PDP• Summative Assessment/MRCGP
![Page 33: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/33.jpg)
At 9 months
• 10 minute appointments• Managing complex organisational tasks• Time management good• Want to look at wider issues• Formulating own learning plans and thinking
about PDP• Beginning to think more about the future• Showing an interest in finance
/management/employment options• Increased interest in medical politics
![Page 34: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/34.jpg)
9 months (2)
• 2nd audit cycle commenced• Looking for new projects• Master of technology and presentation• Challenging the norm• Would I like this dr as a partner?• Real dr on show – expresses opinions• Ethical dilemmas discussed regularly with insight• Planning future education
![Page 35: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/35.jpg)
At 9/12 Priority ObjectivesGroup work
PATIENT CARE
• Independent management
• Pro-active
• Involved in patient groups
• Involved in preventive care
• Audit cycle completed
![Page 36: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/36.jpg)
At 9/12 Priority ObjectivesGroup work
COMMUNICATION
• Teamwork functioning
• Consulting skills developed at practitioner level
![Page 37: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/37.jpg)
At 9/12 Priority ObjectivesGroup Work
ORGANISATION
• Chair meetings
• Management – Understand finance and Tax
• Involved in Staff recruitment
• Involved in Appraisals
• An interest in the running of the PCT
![Page 38: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/38.jpg)
AT 9/12 Priority ObjectivesGroup Work
PROFESSIONAL VALUES
• ?least developed
• Involved in Clinical Governance
![Page 39: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/39.jpg)
At 9/12 Priority ObjectivesGroup Work
PERSONAL/PROFESSIONAL GROWTH
• Independent self-directed learners
• Have produced log
• Working on PDP
![Page 40: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/40.jpg)
At 12 months
• Do you feel safe to let them go?
• Independent practitioner
• Robust PDP
• Excitement
• Enthusiasm for the job
![Page 41: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/41.jpg)
What to record?
• Much easier when you know what to look for and expect
• Use check lists? or is this too rigid
• Must be personalised
• There are some broad headings
• KEEP IT SIMPLE AND ACHIEVABLE FOR YOU
![Page 42: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/42.jpg)
Section 1
• Timetables/Rotas.
• Practice and Day-Release timetable
• Important dates for GP Registrars
• Reading list/website addresses
![Page 43: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/43.jpg)
Section 2
• Learning needs – an evolving list
• Syllabus and Curriculum plans
![Page 44: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/44.jpg)
Section 3
• Diary – include feedback/learning points
• PUNs DENs
• Weekly – To-do list
![Page 45: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/45.jpg)
Section 4
• Tutorials – List and feedback sheets
• Surgery debrief
• Problem cases Analysis
• Significant Event Analysis
![Page 46: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/46.jpg)
Section 5 Feedback• Staff feedback – formal and informal• Videos• Belbin team styles• Honey & Mumford learning styles• Manchester rating scales• Wolverhampton grid• Kiddy Ring interview• SWOT analysis/exit questionnaire• Referral analysis and feedback• Self assessment questionnaire• Joint surgeries• PEPs• MEQs• Pigeon-hole audits
![Page 47: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/47.jpg)
Section 6
• Audit/project
• MCQ
• MRCGP information
• Working Towards an MSc/CATS PointsFlow chart
• What to do with VTR1/2 etc at end of year
![Page 48: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/48.jpg)
Section 7
• CV
• Contract
• Exams
• Certificates
• Feedback from previous jobs
![Page 49: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/49.jpg)
Section 8
• Structured GP Trainer’s Report
• Out of Hours Information
• Out of Hours Training Workbook
![Page 50: The Training Log](https://reader035.vdocuments.us/reader035/viewer/2022062217/56812b3e550346895d8f54b3/html5/thumbnails/50.jpg)
Banbury Training Log
If you would like a copy of this please send
Me your address with a cheque made out to
Horton Postgraduate Centre for £10.Please
Also email me your request in case of
Problems.
My email [email protected]
Telephone: 01295 229314