Becoming a GP

Aims of this morning Encourage reflective learning Develop greater understanding of the curriculum and competency framework Value the importance of quality entries in your ePF Help you to achieve MRCGP and be a better GP.

Reflection The process of reflection is a positive active process that reviews, analyses and evaluates experiences, draws on theoretical concepts or previous learning and so provides an action plan for future experiences (Kemmis 1985)

And….. Reflection is a personal process that enables the practitioner to assess understand and learn through their experiences. This results in some change for the individual in their perspective of a situation or creates new learning for them.

Why is reflection important Because effective learning wont happen unless you reflect.

Types of reflection Thinking on your feet = reflection-in- action Retrospective thinking = reflection-on- action

Gibbs Reflective Cycle

Why is this important The outcome of reflection is learning You need to learn to pass your CSA and AKT You need to provide evidence in your ePF to demonstrate learning A large part of the ePF is the learning log and your own ratings of competency

But….. I don’t like writing things down…. I do it all in my head…

Reflective Writing: role and functions To maximise the effectiveness of experiential learning To maximise the effectiveness of experiential learning To evaluate one’s practice or a learning activity To evaluate one’s practice or a learning activity To promote critical thinking To promote critical thinking To facilitate the integration of theory with practice To facilitate the integration of theory with practice To generate theory To generate theory To demonstrate that learning has taken place To demonstrate that learning has taken place

Reflective writing: description and feelings What were the significant background factors to this experience? Describe the experience Describe the experience – Sequence of events – Actions – Observations What essential factors contributed to the experience? What essential factors contributed to the experience? What were you thinking or feeling at the time? What were you thinking or feeling at the time?

Reflective Writing: evaluation What went well; what went badly? What went well; what went badly? Could I have dealt better with the situation? Could I have dealt better with the situation? What other choices did I have? What other choices did I have? What would have been the consequences of What would have been the consequences of acting on these other choices?

Reflective Writing: analysis What were the consequences of my actions? What were the consequences of my actions? How do I feel about the experience? How do I feel about the experience? What factors influenced my decision and actions? What factors influenced my decision and actions? What knowledge influenced my decision and actions? What knowledge influenced my decision and actions?

Reflective Writing: new perspectives and integration What have I learnt from this experience? What have I learnt from this experience? How has this experience affected my thinking? How has this experience affected my thinking? How does what has been learnt by the experience relate to theories and concepts already held? How does what has been learnt by the experience relate to theories and concepts already held? What research is indicated and what relevance may this have? What research is indicated and what relevance may this have?

Reflective Writing: action plan How should I change my practice? How should I change my practice? Behaviour Behaviour Standards StandardsProcedures Should I suggest changes in policy? Should I suggest changes in policy? What constraints may exist? What constraints may exist? Review changes and their effects!

Examples of descriptive and reflective writing

Reflective writing Think back over last week to an event that you were directly involved in. Think back over last week to an event that you were directly involved in. Write a reflection on your experiences Write a reflection on your experiences Remember Gibbs reflective cycle Remember Gibbs reflective cycle

Gibbs Reflective Cycle

What do you do with your reflection? 1.Write it in your ePF in your learning log 2.File it- is it a clinical encounter, significant event………? 3.Share it 4.Link it to the curriculum 5.Ask your CS to read it, link it to the competency framework and comment on it

What do you do with your reflection? 1.Write in in your ePF in your learning log 2.File it- is it a clinical encounter, significant event………? 3.Share it 4.Link it to the curriculum 5.Ask your CS to read it, link it to the competency framework and comment on it

What do you do with your reflection? 1.Write in in your ePF in your learning log 2.File it- is it a clinical encounter, significant event………? 3.Share it 4.Link it to the curriculum 5.Ask your CS to read it, link it to the competency framework and comment on it

The RCGP - GP Curriculum Statements The Core Curriculum Statement 1 Being a General Practitioner Being a General PractitionerBeing a General Practitioner

The RCGP - GP Curriculum Statements The Contextual Statements 2.01 The GP Consultation in Practice The GP Consultation in PracticeThe GP Consultation in Practice 2.02 Patient Safety and Quality of Care Patient Safety and Quality of CarePatient Safety and Quality of Care 2.03 The GP in the Wider Professional Environment The GP in the Wider Professional EnvironmentThe GP in the Wider Professional Environment 2.04 Enhancing Professional Knowledge Enhancing Professional KnowledgeEnhancing Professional Knowledge

The RCGP - GP Curriculum Statements The Clinical Examples 3.01 Healthy People: Healthy People:Healthy People: 3.02 Genetics in Primary Care Genetics in Primary CareGenetics in Primary Care 3.03 Care of Acutely Ill People Care of Acutely Ill PeopleCare of Acutely Ill People 3.04 Care of Children and Young People Care of Children and Young PeopleCare of Children and Young People 3.05 Care of Older Adults Care of Older AdultsCare of Older AdultsEtc….

What do you do with your reflection? 1.Write in in your ePF in your learning log 2.File it- is it a clinical encounter, significant event………? 3.Share it 4.Link it to the curriculum 5.Ask your CS to read it, link it to the competency framework and comment on it

The Competency Framework

The competency framework

What do you do with your reflection? 1.Write in in your ePF in your learning log 2.File it- is it a clinical encounter, significant event………? 3.Share it 4.Link it to the curriculum 5.Ask your CS to read it, link it to the competency framework and comment on it

End of post reflection A reflective entry in your learning log and Completion of your own ratings of competency