ePortfolios: Documenting Life Long Learning of Professionals to Reflect Practice Excellence. Watson M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. ePortfolios: Documenting
Life Long Learning of
Professionals
Dr Mike Watson
NHS Education for Scotland

2. Career structure for doctors in UK
Undergraduate Postgraduate Career
development

3. Medical Posts and Placements
Undergraduate Postgraduate Career
Student Foundation (2years) development
5 years Specialty (3-8 years) Specialist or GP

4. Life Long Pathway
Career
Undergraduate Postgraduate
Development
Seamless transition and information transfer

5. Life Long Pathway
E-portfolio
A mechanism for structured recording of
learning outcomes. A personal record of:
1.Learning activity
2.Learning progression – reflection
3.Progress through assessment
4.Organised demonstration of outcomes

6. E-portfolio - Life Long Record
An individual’s own record providing for selective access,
to demonstrate evidence of Fitness to Practice:
• University – interaction with faculty
• Deanery – monitor trainee progression
• Royal Colleges - application of multiple curricula
• General Medical Council – achieve mandatory
requirements
• Employer – safe to practice

7. E-portfolio & Foundation Programme
• Initial Scottish pilot – now 14300 trainees in UK
• Single curriculum in portfolio linked to:
• Assessment
• Reflection
• Multi-source feedback
• etc

8. Linking contents
• Link a curriculum competency to evidence
items
• Assessments

10. educational log
submitted events – FY1 & 2
Submitted "events"
6000
5000
4000
FY1
count
3000 FY2
2000
1000
0
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event type

11. Multi –source feedback – tools and usage
Multi-source feedback submitted Aug 08 - Jun 09 (10 months)
FY1 and FY2 (n = 12,707)*
106,510
120,000
100,000
80,000 54,924
60,000
40,000 17,007
20,000
0
MSF (Scot) miniPAT TAB

12. E-portfolio & Specialty medical Programmes
• 27 different curricula - Core and Specialist
• Assessments completed
• Faculty monitoring
• Multi-source feedback (360)

13. Assessments submitted to ePortfolio for Physician trainees
(UK)
August 2008 – July 2009 (n = 6183 trainees)
60000 59897
50000
40000
30000
22896 24284
20310
20000
15213
10000
0
miniCEX ACAT CbD DOPS MSF

14. Assessor Consultant/GP SPR Nurse Other*
18000
16000
14000
12000
10000
8000
6000
4000
2000
0
miniCEX DOPS ACAT CbD
* Other includes SHO, SAS and unspecified

15. Multisource Feedback
Assessors (Physician trainees SPR, 11108
2008/09)
Consultant/GP,
10207
Nurse, 12327
Other, 10512
SHO, 12043
AHP, 1950
Secretary, 1750

16. General Practitioner Appraisal in Scotland
• Structured presentation of information at
interview – 4727 GPs, 170 appraisers
• Map against GMC requirements – Good
Medical Practice
• Learning needs assessment
• Inform a 5 year revalidation cycle

18. Appraisees’ Learning Needs

19. Supporting revalidation Year 1 Year 2 Year 3 Year 4 Year 5
1.1 Maintain your professional performance
1.2 Apply knowledge and experience to practice
1.3 Keep clear, accurate and legible records
2.1 Put into effect systems to protect patients and improve care
2.2 Respond to risks safety
2.3 Protect patients and colleagues from any risk posed by your
health
3.1 Communicate effectively
3.2 Work Constructively with colleagues and delegate effectively
3.3 Establish and maintain partnerships with patients
4.1 Show respect for patients
4.2 Treat patients and colleagues fairly and without discrimination
4.3 Act with honesty and integrity

20. The challenge for UK Medicine
• Portfolios must be fit for purpose
• Variety developed/in development
• Interoperability/data transfer requirements
• Security issues

21. Conclusion
• Individual’s own record
• Critical record of life long learning
• Meet requirements of regulators
• Unique research base