How do we prove that you can train Developing your training portfolio

1
How do we prove that you can train?Developing
your training portfolio
Dr Jane Mamelok RCGP WPBA Clinical
Lead Associate Director North Western Deanery
2
Begin at the Beginning...
Specialty training is a learning journey.
3
The Learning Journey

• Starts before medical school and finishes when
  he/she stops practising
• The GP curriculum concentrates on the training
  from beginning of speciality training (post FY2)
  to certification as independent practitioners.
• The journey takes them through their home
  territory of GP together with content on
  specialities relevant to UK primary care.

4
Training for General Practice in the UK

• Competent

• Novice

• Expert

Summative Assessment/MRCGP CCT nMRCGP
5
Curriculum statements

• The GP curriculum is composed of a set of 31
  statements organised in 14 groups
  www.rcgp.org.uk/gpcurriculum
• The first Core Statement Being a General
  Practitioner describes the holistic competencies
  required for UK general practice.
• Others explore topics and describe the knowledge,
  skills attitudes to demonstrate competence in
  these specific contexts.

6
The domains of the GP Curriculum

• Primary care management
• Person centred care
• Specific problem solving skills
• A comprehensive approach
• Community orientation
• A holistic approach

7
The six domains are applied in three contexts

• Contextual using the context of the person, the
  family, the community and their culture.
• Attitudinal based on the doctors professional
  capabilities, values and ethics.
• Scientific adopting a critical and research
  based approach to practice and maintaining this
  through learning and quality improvement.

8
The new MRCGP Tripos

• Workplace based assessment (WPBA)
• Machine marked test of applied knowledge (AKT)
• Clinical Skills Assessment (CSA)

9
Workplace Based Assessment

• The evaluation of a doctors progress over time,
  in their performance in those areas of
  professional practice best tested in the
  workplace
• FORMATIVE
• Summative judgment made by panels informed by
  evidence from WPBA

10
Psychomotor skills
11
Millers Pyramid
12
RELATIONSHIP
DIAGNOSTICS
Professionalism
MANAGEMENT
13
What do we expect from trainers?

• Understanding of educational and assessment
  theory to enable curriculum delivery
• To be able to support guide trainees through
  their training programme.
• To understand and differentiate between clinical
  and educational supervision and deliver both.
• To make dependable judgements of performance
  based evidence and observed professional
  behaviours.
• Therefore they have to understand the principles
  of portfolio assessment and know how to assess
  the evidence contained within it.
• To give formative feedback to enable trainees to
  progress to competence for independent practice.

14
Training standards

• GP trainers are recruited following targeted
  training against set criteria.
• Basic trainers course, modular, demonstrate
  competence in teaching assessment methods.
• Trainers must hold MRCGP and most have
  Certificate in Medical Education.

15
(No Transcript)
16
(No Transcript)
17

• 2. TRAINER AS A TEACHER

18

• 3. EDUCATIONAL PROGRAM

19

• 4. LEARNING ENVIRONMENT

20
Recruitment reapproval

• Trainers are recruited against these criteria.
• For re-approval they are peer assessed and must
  demonstrate continuing competence, providing
  evidence in their training portfolio.

21
What is a portfolio?

• The vision
• The portfolio is a framework containing evidence
  of learning outcomes over time.
• The evidence is supplemented by the portfolio
  builders reflections on their learning and can
  be used to provide feedback to the learner.

22
So what makes a good portfolio?

• Balance
• Reflection
• Insight, using the analytical potential of the
  portfolio to define learning needs and change
  professional behaviours.
• Demonstrate that progression from novice to
  expert through the learning journey.
• Sets the seeds for lifelong learning CPD.

23
What evidence goes in the trainers portfolio ?

• Examples of educational interventions
• Peer reviewed critical appraisal of a
  teaching/assessment.
• Tutorials and assessment videos assessed by
  senior educators against an agreed framework.
• Updates and advanced trainers courses evidence of
  reflection and learning.

24
What evidence goes in the portfolio ?

• Virtual learning centre (VLC).
• all trainers do ED module on VLC before
  involvement in recruitment.
• Assessments calibrated and benchmarked using VLC.
• Working on training resources available as web
  resource.
• Outcome data.

25
How do we quality assure training?

• RCGP has a Quality Management and Standards
  Directorate.
• The panel wish to commend the RCGP submission on
  selection, support and monitoring of GP
  Trainers. PMETB Formal Review of GP Specialty
  Training (October 2009)

26
External Advisor Judgements

• Educational Supervisors Report

27
(No Transcript)
28
(No Transcript)
29
www.nesc.nhs.uk
30
External Advisor Judgements
31
In conclusion

• How do we know we can train?

32

• Begin at the beginning, the king said gravely,
  and go on till you come to the end then stop.
• Lewis Carroll
• Alice in Wonderland