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