PORTFOLIO OF COMPETENCE IN RESIDENCY

Dr. Tareq MorshedResident, Phase A Cardiovascular & Thoracic SurgeryBSMMU

Am I ready to practise my discipline? Am I progressing toward the desired

direction? What are the key requirements for

practising medicine in today’s context?

REFLECTIVE PRACTICE What is reflective practice?

What did I do well? What didn’t I do well? How can I improve?

Reflective practice is the corner stone of practising medicine

Portfolio is one of the effective methods of encouraging reflective practice.

WHAT IS A PORTFOLIO?

A purposeful collection of papers and other forms of evidence to demonstrate that learning has taken place, annotated with the student’s reflections on what has been learned in terms of the learning outcomes.

[Davis MH, Friedman Ben David M, Harden RM, Howie P, Ker J, McGhee C, Pippard MJ. & Snadden D. (2001). Portfolio assessment in medical students’ final examinations. Medical Teacher 23: 357-366.]

What is portfolio in Residency?

A portfolio is a collection of selected resident works packaged and organized for easy review and evaluation. This will provide a framework for presenting it as evidence of progress in achievement of the Competencies of every graduating resident.

Portfolio Log book

A collection of evidence for learning

+Reflection upon

evidence &learning

=?A collection of evidence

of learning

They are different!

OBJECTIVES OF PORTFOLIO

Achievement & Development of Competencies

Clinical knowledge Technical Skill Managerial skill Communication skill Collaboration Professionalism Health Advocacy Being a Scholar

WHAT IS COMPETENCE? A cluster of related abilities,

commitments, knowledge and skills that enable a person (or an organization) to act effectively in a job or situation.

CLINICAL SKILLSClinical skill is defined as any discrete and observable act within the overall process of patient care based upon knowledge.

Who is a manager?

COLLABORATOR Working with another person or group in

order to achieve or do something of common goal.

Commitment to high standards of professional conduct, demonstrating altruism, compassion, honesty and integrity. Following the principles of ethics and confidentiality and consider religious, ethnic, gender, educational and other differences in interacting with patients and other members of the health care team.

HEALTH ADVOCACY

Health advocacy encompasses direct service to the individual or family as well as activities that promote health and access to health care in communities and the larger public.

CRITERIA OF A DOCTOR AS A SCHOLAR(THE GMC’S TOMORROW’S DOCTORS)

1. Will be able to Apply medical practice, biomedical scientific principles, method and knowledge relating to: anatomy, biochemistry, cell biology, genetics, immunology, microbiology, molecular biology, nutrition, pathology, pharmacology and physiology.

  2. Apply psychological principles, meth

od and knowledge to medical practice.

3. Apply social science principles, method and knowledge to medical practice.

4. Apply medical practice the principles, method and knowledge of population health and the improvement of health and health care.

5. Apply scientific method and approaches to medical research.

COMPONENTS OF A PORTFOLIO

(1) Evidence covering all the domains of patient care, personal development and context management. (2) Evidence that the person continuously undertakes critical assessment of their own performance, identifies and prioritizes areas requiring enhanced performance and takes action to improve them as appropriate. (3) Evidence that has been generated by assessments that are acceptably reliable.   

FREQUENTLY ASKED QUESTIONS

(FAQS)

Is the introduction of portfolios a fancy idea?

No. we are already late! It has now become a universal practice in all

stages (undergraduate, postgraduate, and continuing medical education) of medical training.

Why shouldn’t other assessment systems be used rather than portfolios?

Other assessment methods on their own cannot assess the ability to reflect.

Portfolio helps to make sense of all other assessments

Reflective practice is the corner stone of the practice of medicine.

Can the ‘evidence’ be the same for more than one person?

Some evidence can be common and other may be individualised.

Although the evidence are the same reflection on the evidence SHOULD BE DIFFERENT.

Will It need any support to complete the portfolio? Definitely, YES. But we need to be PROACTIVE.

The support will be provided by ‘mentors’.

We need to meet our mentors regularly to get feedback when we have written something.

Peer feedback is also acceptable.

Should It necessary to be good at written English? Yes, but not to the level of

Shakespeare. English is one of the generic skills. We should Take this as an opportunity.

Will It be possible to complete my portfolio nearer the assessment starting from scratch? A big mistake! We need to collect evidence for the

portfolio from the beginning. Regularly, our progress should be

discussed with our mentor.

OUR DRAWBACKS

Lack of experience

Lack of Practical application

Lack of proper understanding about how to compile an attractive Portfolio

TAKE HOME MESSAGE

Strong Will, Tenacious Effort and Patience can bring down anything; literally ANYTHING…

THANK YOU