Reflection in Appraisal- Making it Work For You

Maguire Trainer – Ian Smith

Housekeeping

Agenda

• Welcome, expectations and objectives

• What is reflection?

• The stages for focussed reflection

• Advantages and disadvantages of directed reflection

• Communication and your appraisal

• Preparing to be appraised

• Practical examples

Objectives

By the end of today’s programme, delegate will be able to:

• Reflect on the appraisal and revalidation requirements

• Name the 7 stages of a focussed reflection process

• Know how to reflect

• Communicate your reflection

• Develop an action plan

Delegate Gain

This programme is designed to help participants to manage

their collected evidence in a professional and efficient

manner.

This will enable delegates to keep the right evidence for

reflection within their appraisals and revalidation, ensuring

their careers are enhanced and allow for progression.

CLCF- Clinical Leadership Competency Framework

Building your Evidence

What kind of evidence should you be looking to collect?

How much of it do you need?

How do you keep it and present it

Discuss, reflect and then open forum

How to Maintain your Portfolio • Be decisive

• Be focussed

• Keep up to date

• Know what the organisation wants

• Keep abreast of what appraisers want

• Think of new ways to keep and present evidence

• Keep at it and find something weekly to add to the portfolio and discipline yourself!

Appraisal for Doctors

• Doctors must demonstrate that they meet the principles and values in Good Medical Practice

• The GMP Framework for appraisal and revalidation will form the basis of a standard approach for appraisal

• Supporting information for Appraisal and Revalidation outlines the information needed to bring to the appraisal

General Medical Council

Good Medical Practice Good medical practice attributes

Knowledge,

Skills and

Performance

Safety and

Quality

Communication

Partnership &

Teamwork

Maintaining

Trust

Maintain your

professional

performance

Put into effect

systems to protect

patients and

improve care

Communicative

effectively

Show respect for

patients

Apply knowledge

and experience to

practice

Respond to risks to

safety

Work constructively

with colleagues

Treat patients and

colleagues fairly

and with

discrimination

Keep clear,

accurate and

legible records

Protect patients,

colleagues from

any risk posed by

your health

Establish and

maintain

partnerships with

patients

Act with honesty

and integrity

Supporting information for Appraisal and Revalidation

• General information – context about what you do in your work ( current scope )

• Keeping up to date – the quality of your professional work

• Review of your practice – evaluating the quality of your professional work

• Feedback on your practice – how others perceive the quality of your professional work

Six Types of Supporting

Information Evidence of:

1. Feedback from colleagues

2. Feedback from patients (where applicable)

3. Review of complaints and compliments

4. Quality improvement activity – e.g. clinical audit, review of clinical outcomes

5. Review of significant events

6. CPD

Evidence of Competence

Exercise: Each group take a Domain (GMP Framework) or Heading and identify specific and relevant examples of evidence at your place of work to demonstrate competence. Question? Will you be appraised on each part of the GMPF at every appraisal?

Areas of Responsibility

You may have identified:

• Clinical work; Management responsibilities

• Teaching and training; Supervising and Assessing others – ( WPBA’s)

• Audit; Research

• Clinical Governance

• Projects; Presentations

• Others......... ?

Summary of Appraisal Discussion

1. Good Medical Care

2. Maintaining good medical practice

3. Working relationships with colleagues

4. Relations with patients

5. Teaching and training

6. Probity

7. Health

8. Other roles (management, research, external duties)

9. Review of PDP and Objectives from previous appraisal

Questions?

• How many pieces of reflection do you need?

• What do I need to reflect on?

• How will you present it to your appraiser?

• How in - depth does it need to be?

What is Reflection?

• Reflective practice is now seen as an integral part of continuing professional development and lifelong learning in healthcare

• Reflective practice should be based on a purposive, defined, finite and structured approach to learning

• Reflective practice is "the capacity to reflect on action so as to engage in a process of continuous learning

• Reflective practice can be an important tool in practice-based professional learning settings where individuals learning from their own professional experiences

Thinking-lateral or logical?

Team thinking

Reflective Practice - A Process

• Define experience, learning, issue etc.

• Research or reflect and think about the experience

• Determine pros and cons/strengths or weaknesses of process, system etc.

• Design and lay down process

• Determine action points/way forward

• Evaluate at first possible opportunity

• Monitor progress and re-evaluate

Let’s Get Practical

• Learning event ( Workshop, seminar, presentation )

• Good medical practice

• Journal learning

• Third party information

• Significant event

Where can you find the services and who?

• Some example web sites:

• www.nhseportfolios.org

• www.rcgp.org.uk/revalidation_eportfolio_home.aspx

• www.eportfolios.ac.uk

• www.eportfolio.org

• www.jisc.ac.uk

• Re-introduce Learning Outcomes

• Don’t forget your action plan

Good luck going forward!

Thank you

Ian Smith

Summary

CPD

Today’s half day programme is worth 3 CPD points