The e-portfolio - how it will work and how it will improve training

James Barrett

JRCPTB Clinical lead for e-portfolio

Where are we up to?

• Foundation in many deaneries – All in Aug 2008

• CMT across the UK – now

• Acute specialty ST3s in Mersey– August 2008 target to have something for ST3

Review of Geriatric Medicine ST3 e portfolio usage

• SpR pilots outside Mersey– Evidence that it has been opened and GMC No entered

• SpR pilots inside Mersey– 1 pre CCT used it for ACATs, MSF and other WPBA to complete

PYA requirements particularly for GIM– 2 junior SpRs never really started and have now withdrawn– No existing SpRs want to transfer across

• 8 Mersey ST3s– 4 continued from Mersey CMT ST2 pilot– 4 from outside

Appraisals in e portfolio

• Ed sup on system for 7

• Completed for 6 – other 2 probably not

• Have not reviewed quality

PDP

• 2 have well written PDPs

• 5 have put something into PDP for this year

• 1 continuer has not updated PDP since commencing ST3

WPBA

• 2 have recorded lots of assessments across the full range Mini CEX, CbD, ACAT, DOPS

• 2 have one or two assessments

• 4 have no assessments entered

Shared reflection

• 2 have already reflected a lot

• 1 has entered 1 reflection in the first 4 months

• 3 have not entered any reflection since CMT

• 2 have no reflection

Record of competence

• No entries since ST3 began

Why do we have e portfolio

• Brings curriculum to life

• To record appraisals, PDP, WPBA, enter reflection, record progress versus curriculum, link evidence to record of competence

• Explicit recording of evidence to support award of CCT

• Allows portfolio to be easily reviewed

Acute Care Assessment Tool (ACAT)

Multisource Feedback

Choice of Raters

• Allied Health professionals e.g. Radiographers, Physiotherapists

• Experienced nursing staff

• Other doctors

• Secretarial and clerical staff

• Current Clinical Supervisor

Multisource Feedback

• Trainee chooses ‘raters’• Majority of raters consultants, SpRs,

experienced nurses and healthcare professionals

• 20 forms to be sent out, with a minimum of 12 returns

• Trainee will not usually see the individual responses

• Trainee must complete a ‘self assessment’

Programme Director overview

• Can view trainees e portfolio

• Monitor

• Advise

Programme Director overview

• Can view trainees e portfolio

• Monitor

• Advise

• Supervisor report

• Perform ARCP

• Record outcome of ARCP

How will it improve training?

• It wont if it is not used and integrated into routine practice.

• It needs to be championed and used as a tool to assist in improving training.

How will it improve training?

• Linked to curricula.

• Helps to identify the gaps to be filled by future training.

• Encourages reflection.

• Encourages supervisor feedback and interaction with trainee.

• Easy access and safe storage of vital proof of assessments.

Programme Director overview

• Can view trainees e portfolio

• Monitor

• Advise