1. The e-portfolio - how it will work and how it will improve training James Barrett JRCPTB Clinical lead for e-portfolio

2. Where are we up to? Foundation in many deaneries –All in Aug 2008 CMT across the UK – now Acute specialty ST3s in Mersey –August 2008 target to have something for ST3

3. Review of Geriatric Medicine ST3 e portfolio usage SpR pilots outside Mersey –Evidence that it has been opened and GMC No entered SpR pilots inside Mersey –1 pre CCT used it for ACATs, MSF and other WPBA to complete PYA requirements particularly for GIM –2 junior SpRs never really started and have now withdrawn –No existing SpRs want to transfer across 8 Mersey ST3s –4 continued from Mersey CMT ST2 pilot –4 from outside

4. Appraisals in e portfolio Ed sup on system for 7 Completed for 6 – other 2 probably not Have not reviewed quality

5. PDP 2 have well written PDPs 5 have put something into PDP for this year 1 continuer has not updated PDP since commencing ST3

6. WPBA 2 have recorded lots of assessments across the full range Mini CEX, CbD, ACAT, DOPS 2 have one or two assessments 4 have no assessments entered

7. Shared reflection 2 have already reflected a lot 1 has entered 1 reflection in the first 4 months 3 have not entered any reflection since CMT 2 have no reflection

8. Record of competence No entries since ST3 began

9. Why do we have e portfolio Brings curriculum to life To record appraisals, PDP, WPBA, enter reflection, record progress versus curriculum, link evidence to record of competence Explicit recording of evidence to support award of CCT Allows portfolio to be easily reviewed

22. Acute Care Assessment Tool (ACAT)

24. Multisource Feedback

26. Choice of Raters Allied Health professionals e.g. Radiographers, Physiotherapists Experienced nursing staff Other doctors Secretarial and clerical staff Current Clinical Supervisor

27. Multisource Feedback Trainee chooses ‘raters’ Majority of raters consultants, SpRs, experienced nurses and healthcare professionals 20 forms to be sent out, with a minimum of 12 returns Trainee will not usually see the individual responses Trainee must complete a ‘self assessment’

34. Programme Director overview Can view trainees e portfolio Monitor Advise

36. Programme Director overview Can view trainees e portfolio Monitor Advise Supervisor report Perform ARCP Record outcome of ARCP

37. How will it improve training? It wont if it is not used and integrated into routine practice. It needs to be championed and used as a tool to assist in improving training.

38. How will it improve training? Linked to curricula. Helps to identify the gaps to be filled by future training. Encourages reflection. Encourages supervisor feedback and interaction with trainee. Easy access and safe storage of vital proof of assessments.

39. Programme Director overview Can view trainees e portfolio Monitor Advise