revision and update. stuff happens we reflect changes in: knowledge skills attitudes stuff happens...
TRANSCRIPT
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Log entry MONITORING
REVISION and
UPDATE
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I love e-portfolio learning log
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Learning cycle
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Rough guide to reflection
Stuff happens We reflect
Changes in:
• Knowledge• Skills
• Attitudes
Stuff happens differently
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Gibbs Reflective Cycle
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Events Learning Feelings
all tutorials, all half day release sessions, all out of hours sessions, each time look something up between patients. nuggets of learning
What sort of stuff should be reflect on?
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Self-awareness
Insight, and curiosity,
willingness to change practice
demonstrating openness and honesty about performance along with some consideration of own feelings;
A good reflective log entry will show:
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Evidence of critical thinking and analysis, describing own thought processes;
Evidence of learning, appropriately describing what needs to be learned, why and how.
Continued:
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Concise, note book not text book Quality more than quantity reflective practice A plan of action is stated Learning needs expressed in SMART form Linked to PDP The chosen curriculum linkage is correct
A good log entry :
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ISCE
How to assess a log entry?
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Information provided
Critical Analysis
Self Awareness
Evaluation/ Evidence for Learning
ICSE –tool for assessing log entries
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Example of a learning log entry
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Task Read the reflection
Underline where the writer has included reactions or feelings
circle examples where the writer has analysed or evaluated the experience
Is there a SMART learning need highlighted?
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See example of descriptive entry Then look at the same log entry with added
reflection.
Reflection in action
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Learning objectives andPDP
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PDP is dynamic not static – all learning needs should be entered from the learning log as they go
GPR enters curriculum coverage which allows the teacher and learner to see the holes
Principles
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Learning objectives should be SMART ◦ Specific ◦ Measurable ◦ Achievable ◦ Relevant ◦ Time framed
Ie: no waffle or blah. Short succinct sentences
Learning log
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Use the learning log entry to write some SMART learning objectives.
Task
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RCGP Bradford VTS website KSS Deanery www.pennine-gp-training.co.uk www.gp-training.net
Good resources
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Thank you
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What were the circumstances of the conversation? (who,
when, where)
With GP partner at end of surgery
Learning log
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Why were you having this conversation?
Uncertain of value of d-dimer as an isolated investigation in a patient with calf pain
Learning log
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What did you learn?
That there is a protocol for DVT assessment in CumbriaThat d-dimer has good sensitivity but poor specificity which makes it dangerous to use as a solitary investigation
Learning log
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What will you do differently in future?
Identify guideline and add to my memory stickRefer ?DVT to nurse practitioner at DGH
Learning log
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What further learning needs did you identify?
Investigate sensitivity and specificity of commonly used testsMy investigation rate and how this compares with others in the practice
Learning log
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How and when will you address these?
Discussion with lab staff this weekARUP website this weekInvestigation audit this month and present to trainer
Learning log
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…then the GPR adds the learning needs to the PDP.
The GPR doesn‘t need to validate it with the GP partner, but will validate it with the trainer by discussing what was found out about sensitivity and specificity and showing your trainer the investigation audit.
Learning log
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Look at the learning log entries and sort them into order of merit
Describe why you have chosen your first choice
Suggest how one of the less good entries could be improved
Task