1. The e-portfolio
And other such bother

2. The basics Check details and jobs dates esp if LTFT
Make sure you have signed declarations and the ESR
Any problems you can address via the website or direct to the RCGP via your own e-portfolio
Our local expert is Dr Matt Smith
Omar for all enquiries that are relevant locally eg posts ESR CSR breaks

3. Its quality not quantity
Minimum assessments (cbds etc) are minimum and may put a few more
ESR can insist on more
Curriculum coverage needs to be balanced and would like to see double figures in all of them by the end of ST3

4. Process The mug (you) makes the entry daily/weekly
Checked by GP trainer (or clinical supervisor ).
ESR reviews
ST1s: September, December, February and May ST2s: September, December and May ST3s: December and May
Every 6 months .If out of post esr makes an out of post review

5. professional competencies
How many ?
What are they?

6. 13 professional competencies
Communication and consultation skills Practising holistically Data gathering and interpretation Making a diagnosis/decisions Clinical management Managing medical complexity Organisation, information management & leadership

7. Working with colleagues and in teams
Community orientation
Maintaining performance, learning and teaching
Maintaining an ethical approach
Fitness to practise
CEPS

8. Mini-cex/cot/ cbd mapping

9. What forms and other pieces of work does the esr need?

10. Forms to be uploaded in advance of ESR reviews
CBD mapping COT/minicex mapping
(NOE workbook)
HDR attendances
Make sure you have a post reflection
Make sure you have self assessed your own competencies well in advance of the ESR meeting
Any complaints against you need to be logged in form R

11. It is your responsibility to get this done
Make appointments fitting in with your ESR`s schedule
They should not be chasing you up
I want to see two “competents” in each box in the ST3 year at least for each competency in the NOE workbook

12. What to do when?

13. What to do when? COT or mini-CEX CBD MSF PSQ CEPS CSR ST1 3+3 1+1
COT or mini-CEX
CBD
MSF
PSQ
CEPS
CSR
ST1
3+3
1+1
5 clinical
1 if in GP post
Yes 2
(CSR in every attachment)
ST2
Nil
1 if in GP post and not done previously
(CSR in every attachment incl GP)
ST3
6+6 incl one audio COT
6+6
5 non-clinical 1

14. The PDP 3 or 4 entries per job Should be SMART
Lets look at some of yours and get feedback

15. SMART(IES) S pecific M easurable A cheivable R elevant T ime limited
I mpact
E motions
S uccesful

16. PDP Arrange yourselves in posts group
Lets create some PDPs specific to the 6 month ahead

17. Features of a good log entry

18. The log entry Make it something worthwhile to you
Need 3 quality entries per week 2 in hospital posts.
Aim to give general overview with specific areas relevant to you (see pearls document)
Recording feelings is good

19. The Log entry
Make it easy for the trainer and educational supervisor to link to competency (spoon feeding is good)
Use your natural style its not an English exam!
Can link these into PDPs

20. Significant event analysis
3 SEAs in every six month post.
Recorded in form R
Need to have your own significant personal involvement in the mishap whether your fault
or you raised and dealt with an issue eg colleague systems or procedures .

21. Features of a good learning log entry for significant event
What happened?
Clarity of expression of salient features of the significant event
What issues are raised by this significant event?
Demonstrates relevance of the event to the working practices of the individual and the team.
As well as reflection, and appreciation of both personal and procedural aspects of the event.
What was done well or otherwise and what could be done differently in future?
Reflective description in terms of knowledge, skills and feelings

22. Reflective writing Gibbs cycle Visit scenario
Think through thoughts feelings prejudices attitudes values beliefs
What do you know and what you need to learn
How did your knowledge translate into action
What needs to change /actions required
Self aware
Honest and open
Can you link a behavior to a competency

24. What further (personal) learning needs did you identify?
Demonstrates ability to express learning needs that are specific, measurable and achievable, and relate to the reflection on the significant event
How and when will you address these?
Realistic and definite plans described

25. Reflection on posts
This is to be filed rather illogically in the section titled courses/seminars though makes sense if its in the professional conversations
It is read and we look at these to get feedback on posts every 12 months
Please also fill in the NOE signpost in the relevant section
Survey monkey for GP posts sent out only few weeks ago

26. OOH 1 session of OOH per month of GP HUB sessions
Need to be recorded and an attachment filled in by the supervising GP
Need to write up a cases showing aspects of learning
Checked by the educational supervisor and then the ARCP panel at completion
Start early don’t leave to the end of ST3

27. In it you record your time out of training TOOT do not leave this blank it will be bounced by the college.
Here you record serious untowards incidents and official complaints coming through the complaints systems and reflect in your portfolio in SEA section
IE BLANK IS BETTER

28. How would you get a CEP?

29. CEPS
CEPS are basic but need assessing by ST4 or above except for smears (nurse)
There are 5 mandatory CEPs breast, female genital, male genital, prostate and rectal.
Additional portfolio log entries relating to confirmed physical exam findings are useful
No Minimum number

30. Joint surgeries /COTS
or examination observation by a senior
or practice eg presenting the CSA examination next week
Or in CSR report
OR clinic letter with signs confirmed by scan or consultant letter

31. QI Needs to be a completed cycle
Deanery suggests this be in the first 6 month post and only one required in the 3 years but can be asked to do more in your jobs eg hospital or GP
Will be looked at in the end of the year as well but ST1s will need to get cracking!

32. Form R Compulsory for ARCP yearly and ongoing revalidation.
Attach as a single document not multiple attachments
Use the right form (example) April 2017 version

33. Form R the right one

34. ARCP In preparation for the ARPC yearly
Have they logged enough good quality entries. Are they of significant breadth and depth (multiple entries in ALL of the domains e.g. SEAs, audit/project, clinical encounters etc)?
Have they been mapped to the curriculum (on average 2 or more per log entry) and is the mapping valid?
Is there good curriculum coverage?
Have they completed the minimum numbers of workplace based assessments (CBDs, COTS etc)

35. arcp Enough CEPs and OOH sessions? Are they using their PDP?
What does the ES report say (clear statements by the ES are very helpful)?
What does the CSR reveal (especially if they were from a GP Trainer)?
What do the MSFs say about the Registrar?

36. ARCP
What does the PSQ reveal about their practice (NB MSF was found to be a more important discriminator)?
Have they completed  their NOE workbook
Have they uploaded their form R
Have they uploaded the receipt of GMC survey completion
OOHs, CPR/AED and Safeguarding signed off
QI project completed?
Till the final grand finale mostly at the end of 3 years

37. What do you need before an ARCP panel

38. Completed CSR
ESR
Form R end ST year
NOE workbook
CBDs minicex
Self assessment of competencies

39. Revalidation
If revalidation falls in ST period don`t worry as long as your portfolio is ok and you are engaging in it and you are passing your ARCP your responsible officer will automatically revalidate you