General Practice

Introduction to the eportfolio and the MRCGP

HEKSS 2015Dr Susan BodgenerAssociate Dean for Assessment , HEKSS

General Practice

• You MUST register with the RCGP in order to obtain an eportfolio

• Without an eportfolio you will not be able to comply with the requirements of learning and assessment for your membership exam

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Registration

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MRCGP – A competency based examination

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• There are 12 competencies which you need to demonstrate to a competent level by the end of your training

• A competency is the possession and development of knowledge, skills, attitude and experience for one to be able to effectively perform their role

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MRCGP

The 12 competencies are demonstrated through the eportfolio via:

• Workplace based assessments• Completing the learning requirements within

the eportfolio• College led assessments• Having demonstrated Out of Hours

Competencies and• Completed your CPR, and child safe guarding

to level 3 4

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1.Workplace based assessments WPBA

• Case Based Discussions – CbD

• Consultation exercises – miniCEX

• Multisource feedbacks – MSF

• Patient Satisfaction questionnaires – PSQ

• Clinical Examinatio and Procedural Skills CEPS

• Clinical Supervisor reviews - CSR

• Educational Supervisor reviews - ESR5

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2.Learning requirementswithin the eportfolio

• To record your learning and reflect on your learning within the learning log

• To develop a Personal Development Plan

• Upload your selection centre mark for your ES (correlates with CSA marks)

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3.College led assessments

• Clinical Skills assessment - CSA

• Applied Knowledge test (AKT)- MCQ

• It is recommended these are taken in your final year of training (but a lot of trainees do AKT in ST2 which is a good idea)

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Workplace based assessments -MINIMUM requirement in ST1 -1

• 6 CbD - 2 per 4 month training post• 6miniCEX -2 per 4 month training post• 2 MSF – Each MSF must have at a minimum of 5

replies from clinical staff– so ask more than 5 people to complete this for you each time and you should get 5 back!

• An MSF needs to be completed each time over a 6 week time frame or it wont count – keep an eye on how many people have replied

• (LTFT trainees- assessments are pro-rata, so the same number will be done over the whole training period)

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How to complete assessments

• Refer to the college guide on the eportfolio

• This will involve you downloading forms and ticket codes for your assessors to complete each assessment– sounds complicated but isnt too difficult

• It is your responsibility to ensure the assessments are complete not for your supervisor to chase you!

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Learning log requirements within the eportfolio -1

• The learning log contains your record of your experiences, thoughts feelings and reflections

• Includes clinical encounters, professional conversations, teaching etc

• Used as additional evidence to support your understanding of the GP curriculum and to demonstrate your competency progression

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Learning log requirements –CEPS 2

• Clinical Examination and Procedural Skills

• To include in learning log

• At the end of each training year your supervisor has to comment on your ability to examine and perform procedural skills

• Must include intimate examinations, these can also be observed and completed as an assessment

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Minimum requirement for the learning log - 3

• One significant event analysis per 4mnth post• Pre-placement planning meeting with your

supervisor• Reflection on key learning points from each

4mnth post• Active involvement in audit during training and

you own audit /project during ST3 year• Attendance record at teaching

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Minimum requirement for learning log 4

• Must include safeguarding children to level 3• For this to be updated annually• Found RCGP / BMJ website – elearning module

• Must complete GMC survey annually and log this as complete

• CPR certificate in date• In ST3 –document evidence of your leadership

-see learning log guide for further information on the log

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PDP

• RCGP guidance: a minimum of one PDP item for every six month period of review.

• In ST1 and ST2 aim to generate a PDP for each placement following a review of the learning objectives and discussion with your Clinical Supervisor.

• In a four month placement it is unlikely you will cover all the possible learning outcomes so:

– Prioritize based on your previous experience (lack of experience), your personal interests and your awareness of your future role as a GP

– Make them SMART Specific Measurable, Attainable Realistic and Time sensitive

– Consider also the unique opportunities your placement may offer you and learning opportunities that might be difficult to access once the placement is complete.

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PDP

•Tick off the PDP entries when learning achieved

•Your PDP is looked at by the faculty at 6mnths into each year and by the GP School at the end of each training year

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Educational Supervisor (ES) reviews (2 per year)

• Before every ES review you MUST complete a self assessment, (rating and comments) of each of the 12 competency areas documented in your eportfolio

• Your ES will then with you present, make his/her ratings and comments on each competency area

• Your curriculum coverage, skills log, PDP and learning log are also commented on by your ES in the review

• A judgement is then made on your competency progression (the aim is to show progression throughout the 3y scheme)

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Annual Review of Competency Progression – Information only

• Annually, following the submission of your Educational Supervisors review your eportfolio is looked at by the Deanery.

• If your assessments, reviews, learning logs, PDP are all satisfactory you are automatically moved to the next year of training or signed off at the end of ST3

• If your eportfolio is found to be unsatisfactory you will be expected to come to the Deanery and this may affect your training progression

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Annual Requirements – form R

• You will have already completed form R prior to joing the training scheme

• Prior to every ARCP you have to resubmit part B of the form R, declaring any untoward events, complaints, days of absence.

• You must refer to trainee guidance for completion of form R – part B on the KSS HEE website.

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In conclusion

• Enjoy your training programme

• Remember to keep your eportfolio up to date, to complete your assessments and reviews on time.

• Your chances of getting your nMRCGP exam are then hugely increased

• Good Luck

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