Becoming a GP
Post on 22-Feb-2016
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Becoming a GP
Aims of this morningEncourage reflective learningDevelop greater understanding of the curriculum and competency frameworkValue 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 reflectionThinking on your feet = reflection-in-action
Retrospective thinking = reflection-on-action
Gibbs Reflective Cycle
Why is this importantThe outcome of reflection is learningYou need to learn to pass your CSA and AKTYou 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 evaluate one’s practice or a learning activity
• To promote critical thinking
• To facilitate the integration of theory with practice
• To generate theory
• To demonstrate that learning has taken place
Reflective writing: description and feelings
What were the significant background factors to this experience?
• Describe the experience
– Sequence of events
– Actions
– Observations
• What essential factors contributed to the experience?
• What were you thinking or feeling at the time?
Reflective Writing: evaluation
• What went well; what went badly?
• Could I have dealt better with the situation?
• What other choices did I have?
• What would have been the consequences of
acting on these other choices?
Reflective Writing: analysis
• What were the consequences of my actions?
• How do I feel about the experience?
• What factors 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?
• How has this experience affected my thinking?
• 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?
Reflective Writing: action plan
• How should I change my practice?
Behaviour
Standards
Procedures
• Should I suggest changes in policy?
• 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.
• Write a reflection on your experiences• Remember Gibbs reflective cycle
Gibbs Reflective Cycle
What do you do with your reflection?
1. Write it in your ePF in your learning log2. File it- is it a clinical encounter, significant
event………?3. Share it4. Link it to the curriculum5. 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 log2. File it- is it a clinical encounter, significant
event………?3. Share it4. Link it to the curriculum5. 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 log2. File it- is it a clinical encounter, significant
event………?3. Share it4. Link it to the curriculum5. 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
The RCGP - GP Curriculum Statements
The Contextual Statements
2.01 The GP Consultation in Practice2.02 Patient Safety and Quality of Care2.03 The GP in the Wider Professional Environment2.04 Enhancing Professional Knowledge
The RCGP - GP Curriculum Statements
The Clinical Examples
3.01 Healthy People: 3.02 Genetics in Primary Care3.03 Care of Acutely Ill People3.04 Care of Children and Young People3.05 Care of Older Adults
Etc….
What do you do with your reflection?
1. Write in in your ePF in your learning log2. File it- is it a clinical encounter, significant
event………?3. Share it4. Link it to the curriculum5. Ask your CS to read it, link it to the competency
framework and comment on it
The Competency Framework
The competency framework
Competency Framework
Communication skills
Holistic careData
Gathering
Making a diagnosis
Clinical management
Medical complexity
Prirmary care adminWorking in
teamsCommunity orientationMaintaining
PerformanceMedical ethicsFitness to practice
What do you do with your reflection?
1. Write in in your ePF in your learning log2. File it- is it a clinical encounter, significant
event………?3. Share it4. Link it to the curriculum5. 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 logandCompletion of your own ratings of competency
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