1. What do we want to learn…. ….and how do we do it?
Learning
What do we want to learn….
….and how do we do it?

2. Think about what you’re going to have to learn on the GP Training Scheme

3. Bradford VTS aims Knowledge of clinical medicine
Understanding of health care for populations
Broad understanding of medical ethics
Evidence based medicine
Preventive medicine
Patient centred medicine
Use time effectively
Good communication skills
Organise an efficient and caring practice
Work effectively in teams
Audit own performance
Able to adapt to change
Plan continuing professional development
Balance demands of work and personal life
Tolerate uncertainty
Value diversity

4. MRCGP: 17 domains Knowledge: factual, evolving, evidence base
Evaluating and using knowledge: critical appraisal, application of knowledge
Problem solving: general, specific
Personal care for patients
Communication: written, spoken
Practice context: practice issues, regulatory framework
Broader context: medicopolitical/legal/social, cultural/ethnic
Values/attitudes: ethics, commitment to maintaining standards, self awareness

5. Think about how you learned something

6. Experiential learning
Experience
Test implications
of concepts
in new situation
Observe and
reflect
Make abstract concepts
and generalisations

7. The reflective practitioner
The professional practitioner reflects on their knowledge whilst engaging in activity. This enables them to adapt to the potentially unique context or problem with which they are faced (Schon, 1983)
Professional education should provide people with the opportunity to reflect on their practice and identify the theories embedded in their routine work (Coles, 1994)

8. Constructivism (3 C’s)
Construction - you build your knowledge on what you know already
Context - important both in learning and in applying it
Collaboration - work together and explore each other’s perspectives: “knowledge” varies across contexts and cultures

9. Adult learning Learning what’s important to you
Applicable in the real world
Learner, not teacher, is responsible
Learning is self directed
Learning is continuous, adapts to new situations

10. Think about feedback

11. Definition of feedback
Information about performance or behaviour which leads to action to affirm or develop performance or behaviour - i e
To affirm what you do well
To help you develop in areas you do less well

12. Useful feedback
Is well timed (enough time, full attention, calm, prepared)
Involves mutual goodwill
Is balanced
Is specific
Is descriptive
Can lead to change (if change required)

13. Receiving feedback May need to ask Listen carefully
Ask for clarification, examples, alternatives
Give it time to sink in
Think about your relationship with the giver
Don’t let small criticisms devastate you
Don’t be defensive

14. Giving feedback GP trainers value feedback Be balanced Be specific
Make suggestions for change
Don’t wait till you’re about to leave

15. Think about learning from each other

16. Learning from each other
Feedback
Facilitating reflection
Sharing knowledge
Sharing resources
Teaching skills
Different perspectives

17. Some learning tools
Problem case analysis - things you know you don’t know
Random case analysis - issues you haven’t identified
Critical incident analysis - learning from mistakes and near misses
PUNs - patient unmet needs
DENs - doctor’s educational needs

18. Summary There’s a lot to learn ‘Knowledge’ is only part of it
Even ‘knowledge’ isn’t straightforward
There are many ways to learn
Most of your learning will be from yourselves, each other and your patients, not your teachers
Understanding learning helps you do it more effectively

19. Recording educational experience - why?
As evidence of learning (for Trainer’s report etc, and for appraisal)
To enhance learning
To plan future learning
To reflect

20. Recording educational experience - how?
Log book with tick boxes
Reflective diary
Critical incidents
Cases with learning points
Electronic diary
exchange with trainer

21. Whatever method you choose
Record it somehow
and choose something
(or several things)
which works for YOU