1. Individualized Learning Plans
Dan Fisher, MD
Kathryn Bachman, DO
Stephanie Nader, MSW

2. Disclosures
We have no disclosures to report

3. Objectives Understand why ILP’s are important
Describe how Individualized Learning Plans can be utilized to personalize resident education
Develop “SMART” goals and strategies for achieving individualized educational objectives
Begin the process of implementing ILPs in your own programs

4. ILP: Why?

5. ILP: Why? Training life-long learners
Adult learning – moving beyond didactics
“Practice related learning” “Reflective practice”1
“In the practice-learning environment, a physician will begin an educational activity not by entering a conference room but by reflecting on his or her practice performance.”2
Translating the CCC data into action
1. Donald Schon. Educating the Reflective Practitioner. Jossey-Bass Publishers, 1987
2. Barnes BE. Creating the practice-learning environment:using information technology to support a new model of CME. Acad Med. 1999; 73:

6. ILP: Evidence and Experience
“Individualized Education Plans” (IEP) in K12
“Learning contracts” in Nursing Education literature
“Individualized Learning Plans” required of all Pediatric residents since 2006
No published Family Medicine experiences with ILP

7. ILP – now everyone is on a performance improvement plan
“Gifted adults can best exercise their talents and maximize their potential when they receive an individualized educational approach that focuses on providing intellectual challenges with permission to explore interest areas.”4
4. DA Seehusen, WF Miser. Teaching the Outstanding Medical Learner. Fam Med 2006;38(10):731-5.

8. “The basic elements of an ILP are:
Reflection on long-term career goals and self-assessment of areas of strength and weakness
2) Goal generation
3) Development of plans/strategies to achieve the goal
4) Assessment of progress on goal
5) Based on assessment, revising goal/plan or generating a new goal”3
3. ST Li, AE Burke. Individualized Learning Plans: Basics and Beyond. ACADEMIC PEDIATRICS 2010;10:289–292

9. SMART Goals
Specific
Measurable
Achievable
Results-Focused
Time-Bound

10. Sample ILP: SMART Goal Section

11. Examples of Possible SMART Goals
Improve In Training Exam Scores
Improve Efficiency in Clinic
Improve CGCAHPS Scores
Improve Quality and Timeliness of Documentation
Improve Leadership Skills
Improve Comfort as a Back – Up 
Improve Professional Conduct

12. Create Your Own SMART Goal!

13. ILP’s at our program Career Goal (track/path) DiSC Profile
In Training Exam Score
Use of evaluation generated by CCC
Optional Timeline Section
Feedback style identified by resident

14. ILP’s at our Program Frequency: Every 6 months vs Every year
Paper vs Electronic (both)
Introducing ILP: Who & When

15. Faculty Survey Results
4 Respondents
Strongly Disagree (1) to Strongly Agree (10) 1 2 3 4 5 6 7 8 9 10
I am very comfortable at facilitating a trainee’s ILP
Physician self-reflection fosters better patient care.
It is important to do ILPs on a regular basis.
I am confident that the time it takes me to facilitate a trainee’s ILP is worth it to the trainee.                                     

16. Resident Survey Results
11 Respondents
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am confident in my ability to follow-through with a learning plan I develop. 1 2 7
ILPs are worth the time and effort spent on them. 6 3
I am willing to invest the time and energy necessary to develop and implement an effective ILP to improve my performance.
ILPs help me align my learning goals with my learning needs 4
ILPs help me hold myself accountable for achieving my learning goals. 5
ILPs help others (advisors, program director) hold me accountable for achieving my learning goals.
My learning goals are constantly changing.

17. Resident Experience Challenges of creating an ILP
Benefits of creating an ILP
How it has had an impact on self-directed learning

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