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SESSION FACULTY DR. CRAIG CAMPBELLDR. JAMIE MEUSER

OCTOBER 29, 2015

HOW CAN EPORTFOLIOS CONTRIBUTE TO THE REVALIDATION EFFORTS AND SUPPORT

THE CONTINUING COMPETENCE OF THE PROFESSION?

CONFLICT OF INTEREST DECLARATION

Craig CampbellI am a full-time Director with the Royal College of Physicians and Surgeons of Canada

I have no relationships with commercial interests to disclose

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CONFLICT OF INTEREST DECLARATION

Jamie MeuserI am a full-time Executive Director with the College of Family Physicians of Canada

I have no relationships with commercial interests to disclose

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OBJECTIVES FOR THIS SESSION

To enable participants to:

•Describe the types and purposes of portfolios used to support CPD of physicians.

•Discuss which aspects of physician ePortfolios contribute to the goals and intent of revalidation.

•Discuss elements of implementation that will be important determinants of successful utilization.

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WHAT IS AN E-PORTFOLIO? An ePortfolio is:

“a purposeful aggregation of digital items – ideas, evidence, reflections, feedback which ‘presents’ a selected audience with a person’s learning and/or ability” Sutherland et al 2007

A TAXONOMY OF PORTFOLIO TYPES

Assessment portfolios – demonstrate achievement of curricular objectives, support feedback and assessment of specific achievements. In CPD – achievements include knowledge, skills, performance, practice improvements, health outcomes

Showcase portfolios – select, collect and display one’s best work. A record of personal development and achievement that is dynamic over time. A ‘virtual’ CV.

A TAXONOMY OF PORTFOLIO TYPES (CONTINUED)

Development portfolios – plan and keep track of one’s own learning activities & personal development plans

Reflective portfolios – reflect on experiences, activities, critical incidents to ‘make sense’ of one’s work

Van Tartwijk, Driessen 2004

Key issue: Which portfolio types are applicable to supporting physicians to demonstrate

their continuing competence?

EPORTFOLIO FUNCTIONALITY

1. Capturing (recording) or storing evidence-Activities, outcomes, professional achievements, practice improvements.

2. Reflection: including “in action” and “on action”

3. Giving & receiving feedback: formative and summative

EPORTFOLIO FUNCTIONALITY (CONTINUED)

4. Planning & setting goals: personal or organizational

5. Fostering collaboration – within and across teams, communities

6. Presenting (reporting) evidence to a specific audience

Key issue: Which of these functions would be most useful to supporting achievement and/or demonstration of continuing competence from your perspective?

THE EVOLUTION OF EPORTFOLIOS

From technological tools to… track participation of learning activities or experiences, to… personal learning spaces oLearner controls what to store, retrieve, displayoSupports recording, reflection, peer review and action-planning.oProvides evidence for professional standards; appraisal; and career advancement – over time

Key issue: Does this transition enhance or detract from the applicability of ePortfolios to supporting

continuing competence of physicians?

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WHAT ARE THE ADVANTAGES TO THE DEVELOPMENT OF WEB-BASED EPORTFOLIOS?

Web-based portfolios are able to:

1.Meet the needs of an individual learner, program or system

o Flexibleo Adaptable

2. Integrate with/across various IT platformso Support data exchangeo Access learning resources / scientific databaseso Access assessment tools or assessment data

WEB-BASED PORTFOLIOS ADVANTAGES

3. Promote critical reflection on experiences to enable learning, professional development and ‘progression of competence’ towards expertise:oOver timeoRegardless of context, specialty or scope of

practice! oAcross all dimensions of practice

4. Support real-time feedback on achievement from peers, supervisors, mentorso Individual competencesoPerformance / EPAs

HOW CAN EPORTFOLIOS SUPPORT LEARNING?

1. Tools to create plans and set goals: o Address identified needso Achieve specific goals o Track progression of competencies

2. Templates to capture records and store evidenceo Personal and professional development.o Learning activities and experiences.o Achievements and practice improvements.

EPORTFOLIOS AS SUPPORTS FOR LEARNING

3. Tools to support reflection / reflective practice: o “in action” or “in the moment” o “on action”: lessons from experiences o “for action”: for translation or application in the

future

4. Capacity to promote communities of practiceoWithin and across teams, oOn-line communities

HOW CAN EPORTFOLIOS SUPPORT ASSESSMENT?

1.Assessment for continuous improvement (formative) o Integration of educational support, coaching or

mentoring strategieso Making ‘sense’ of data through giving & receiving of

feedback o Development of action plans

2.Assessment against external measures (summative)o Performance measuresoMilestones / EPAsoOthers?

E-PORTFOLIOS FOR REVALIDATION

The ability to:1.Document professional learning and its impact

on practice

What learning activities were completed? What questions were pursued? What assessments of competence / performance were

completed and with what outcomes? What actions or improvements were initiated? What elements of practice were improved? What health outcomes were achieved?

E-PORTFOLIOS FOR REVALIDATION

The ability to:

2.Align learning activities with:

Personal learning plans or goalsCompetencies for practiceScope of practice elements

Autonomy Accountability

E-PORTFOLIOS FOR REVALIDATION

The ability to:3.Demonstrate the achievement of

Important education outcomes: Competence and performance improvement Practice enhancements

Meaningful clinical outcomes: Health outcomes of patients Improvements to the health system

DISCUSSION QUESTIONS

1. Which Portfolio types are applicable to supporting physicians to demonstrate their continuing competence?

2. Which ePortfolio functions would be most useful to supporting achievement and/or demonstration of continuing competence?

3. Does the transition to ‘personal learning spaces’ enhance or detract from the applicability of ePortfolios to supporting continuing competence of physicians?

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