Becoming a GP
Aims of this morning
Encourage reflective learning
Develop greater understanding of the curriculum and
competency framework
Value the importance of quality entries in your ePF
Help you to achieve MRCGP
and be a better GP.
Reflection
The process of reflection is a positive active
process that reviews, analyses and
evaluates experiences, draws on theoretical
concepts or previous learning and so
provides an action plan for future
experiences
(Kemmis 1985)
And…..
Reflection is a personal process that enables
the practitioner to assess understand and
learn through their experiences. This results
in some change for the individual in their
perspective of a situation or creates new
learning for them.
Why is reflection important
Because effective learning wont happen
unless you reflect.
Types of reflection
Thinking on your feet = reflection-inaction
Retrospective thinking = reflection-onaction
Gibbs Reflective Cycle
Why is this important
The outcome of reflection is learning
You need to learn to pass your CSA and AKT
You need to provide evidence in your ePF to demonstrate
learning
A large part of the ePF is the learning log and your own
ratings of competency
But…..
I don’t like writing things down….
I do it all in my head…
Reflective Writing: role and
functions
• To maximise the effectiveness of experiential
learning
• To evaluate one’s practice or a learning activity
• To promote critical thinking
• To facilitate the integration of theory with practice
• To generate theory
• To demonstrate that learning has taken place
Reflective writing: description and
feelings
What were the significant background factors to this experience?
• Describe the experience
– Sequence of events
– Actions
– Observations
• What essential factors contributed to the experience?
• What were you thinking or feeling at the time?
Reflective Writing: evaluation
• What went well; what went badly?
• Could I have dealt better with the situation?
• What other choices did I have?
• What would have been the consequences of
acting on these other choices?
Reflective Writing: analysis
• What were the consequences
of my actions?
• How do I feel about the experience?
• What factors influenced my decision and actions?
• What knowledge influenced my decision and
actions?
Reflective Writing: new
perspectives and integration
• What have I learnt from this experience?
• How has this experience affected my thinking?
• How does what has been learnt by the experience
relate to theories and concepts already held?
• What research is indicated and what relevance
may this have?
Reflective Writing: action plan
• How should I change my practice?
Behaviour
Standards
Procedures
• Should I suggest changes in policy?
• What constraints may exist?
Review changes and their effects!
Examples of descriptive and
reflective writing
Reflective writing
• Think back over last week to an event that you were directly
involved in.
• Write a reflection on your experiences
• Remember Gibbs reflective cycle
Gibbs Reflective Cycle
What do you do with your
reflection?
1. Write it in your ePF in your learning log
2. File it- is it a clinical encounter, significant event………?
3. Share it
4. Link it to the curriculum
5. Ask your CS to read it, link it to the competency framework
and comment on it
What do you do with your
reflection?
1. Write in in your ePF in your learning log
2. File it- is it a clinical encounter, significant event………?
3. Share it
4. Link it to the curriculum
5. Ask your CS to read it, link it to the competency framework
and comment on it
What do you do with your
reflection?
1. Write in in your ePF in your learning log
2. File it- is it a clinical encounter, significant event………?
3. Share it
4. Link it to the curriculum
5. Ask your CS to read it, link it to the competency framework
and comment on it
The RCGP - GP Curriculum
Statements
The Core Curriculum Statement
1
Being a General Practitioner
The RCGP - GP Curriculum
Statements
The Contextual Statements
2.01 The GP Consultation in Practice
2.02 Patient Safety and Quality of Care
2.03 The GP in the Wider Professional Environment
2.04 Enhancing Professional Knowledge
The RCGP - GP Curriculum
Statements
The Clinical Examples
3.01 Healthy People:
3.02
Genetics in Primary Care
3.03
Care of Acutely Ill People
3.04 Care of Children and Young People
3.05
Care of Older Adults
Etc….
What do you do with your
reflection?
1. Write in in your ePF in your learning log
2. File it- is it a clinical encounter, significant event………?
3. Share it
4. Link it to the curriculum
5. Ask your CS to read it, link it to the competency framework
and comment on it
The Competency
Framework
The competency framework
Medical
complexity
Prirmary care
admin
Clinical
management
Working in teams
Making a
diagnosis
Community
orientation
Maintaining
Performance
Data Gathering
Holistic care
Communication
skills
Medical ethics
Competency
Framework
Fitness to practice
What do you do with your
reflection?
1. Write in in your ePF in your learning log
2. File it- is it a clinical encounter, significant event………?
3. Share it
4. Link it to the curriculum
5. Ask your CS to read it, link it to the competency framework
and comment on it
End of post reflection
A reflective entry in your learning log
and
Completion of your own ratings of
competency