Take your ePortfolio seriously. It is just as important as your AKT and CSA in completing your training. You need to maintain an adequate number and standard of learning log and PDP entries throughout your training, as well as completing the work place based assessments.
The E-portfolio is your responsibility, not that of your GP trainer or Educational Supervisor.
Non WBPA MINIMUM criteria to be achieved prior to the end of the ST year
ST1
96 quality log entries and 12 SMART PDP entries.
Reflections on post held. 2 presentations, 6 x SEA
ST2
112 additional quality log entries and an additional 18 SMART PDP entries.
Reflections on post held, 4 presentations, 12 x SEA
ST3
144 additional quality log entries and an additional 18 SMART PDP entries.
reflections on post held, 6 presentations, 18 x SEA, 1 x 2 cycle audit.
WBPA criteria
CBD
COT
PSQ
mini CEX
MSF
Help! - It's all dreadfully confusing and I don't know where to start or if I'm doing it correctly?
A common feeling!
Use the downloads on the right to make matters clear and give you help and reassurance. Use the nMRCGP download as your reference, but have a look at the wonderful Yorkshire and Humberside Deanery document 'E-portfolio tips' to explain how it all works and how to make entries. Check your E-portfolio from the perspective of your educational supervisor and the Regional Board using the 'workbook', and if you don't understand SMART then read the 'SMART criteria' download.
Case Based Discussion (CbD)
CbD is a structured interview designed to explore professional judgement exercised in clinical cases selected by the Registrar.
You are responsible for selecting cases, requesting a CbD and ensuring it is entered on your Eportfolio. a balance of cases should be chosen inclding children, mental health, cancer/palliative care and older adults in a variety if settings i.e. surgery, home visits, out-of-hours contacts.
In ST1 and ST2 the Registrar selects two cases and tells their Trainer/supervisor one week beforehand. In ST3 the Registrar will select four cases of which the trianer will select two. The Rigistrar needs to identify the competencies that they feel each case demonsttrates. Discussion should be based on the actula case, not hypothetical events and questions should elict evidence of cmpetence and not be at est of knowledge. two to four competencies should be aimed for. Each discussion should take about 30 minutes, including the discussion, feedback and recording it in the Eportfolio.
A minimum of six CbDs should be carried out in each ST1 and ST2 - three before each six month review - and a minimum of twelve in ST3 - six before eacvh six month review. these requirements are the same for both primary and secondary care placements and whether full time or part time tarining. More CbDs can be carried out if required to fill any gaps in evidence of competency.
The Consultation Observation Tool (COT)
This is designed to be used by trainers as an evidence collecting tool to support the more holistic judgements made about registrars at their reviews.
Observation will be of either a video recorded consultation or by sitting in on a consultation. a discussion of the consultation will take place with feedback to the Registrar, which is recorded in the Eportfolio. more evidence can be obtained from the more complex consultations.
If videoing consultations make sure that you are aware of the RCGP ethical guidelines regarding recording consultations,. Do inform reception that you are videoing and they will help you with obtaining patient consent. Our patients are used to being videoed and you may be more nervous than they are.
Consultations should be across a range of problems and should include at least one case from children, older adults and mental health.
Multi-Source Feedback (MSF)
This provides a sample of opinions from colleagues on your clinical performance and professional behaviour.
In primary care you select five clinicians, doctors, practice nurses and five non-clinicians. You give each respondent an instruction letter - most of our staff are quite used to doing them - with your name and GMC number and they complete a short questionnaire with two free text entry boxes for the clinicians and one for the non-clinicians.
On the closing date - you need to watch that enough of us have responded - send a ploite reminder if not, otherwise you end up having to do it all all over again - looks silly and we start getting fedup! - the results are sent to the Educational Supervisor who authorises themto appear in your ePortfolio where they become visible to your trianer. Results show the free text comments and a breakdown of csores, with information on the mean, median and range of scores which can be compared with your peers. There then follows a feedback session with your trainer and enters the conversation in the Eportflio.
Two cycles must be complets in ST1 and two cycles in ST3.
The Patient Satisfaction Questionaire (PSQ)
to be completed
The PSQ gives feedback to you from your patients. It's a measure of the patients's opinion of your consultation technique.
You need to liase with the resceptionists because they will give out the questioniares and letters of explanation to consecutive pateients. Patients complete the questionnaire after their consultation and give it back to the receptionist. This continues until you have 40 completed forms. It may take several days.
The results are entered into your ePortfolio, and once analysed are sent to your Trainer, who acn authorise the results to be transmitted to your ePotfolio. as with MSFthe results are anonymous and include mean median and range for each question with comparisons with your peers. a discussion with your Trainer follows and this is recorded together with any action points in the professional conversation log of your ePortfolio.
The PSQ should be done once during months 31 to 34 (ST3), but if you spend more than 12 months in general Practice it will also need to be done during your ST1 or ST2 attachment in practice.
Clinical and Educational Supervisors' Reports
The Clinical Supervisor's Report (CSR)
The ePortfolio has a section for the clinical supervisor to write a short structured report on you at the end of each hospital post. This covers
The Educational Supervisor's Report
Twice within every six months you have to take part in an educational supervision meeting. It is your responsibility to make sure that this meeting takes place at the correct time.
Copyright © May 2012 Madeley Practice, Staffordshire, UK
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