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Web-Based Portfolios: A Powerful New Tool for Surgical Education. Catherine E. Lewis MD, Areti Tillou MD, Michael W. Yeh MD, Chi Quach, Jonathan R. Hiatt MD, O. Joe Hines MD. Department of Surgery David Geffen School of Medicine at UCLA. Professional Competence.
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Web-Based Portfolios:A Powerful New Tool for Surgical Education Catherine E. Lewis MD, Areti Tillou MD, Michael W. Yeh MD, Chi Quach, Jonathan R. Hiatt MD, O. Joe Hines MD Department of Surgery David Geffen School of Medicine at UCLA
Professional Competence Competency-based model for GME - 1998 “Habit of lifelong learning” – Leach “Reflection in daily practice for benefit of individual and community” – Epstein & Hundert Surgical educators challenged to teach, assess and document competence
Portfolios:Multifunctional tool for competence Documentation: Collection of resident’s work Demonstrate learning, achievement, deficiency Assessment: Reliable and valid Requires well-defined criteria & structure Teaching and development: Guided by mentors Promotes self-assessment and growth
Specific Aims Describe UCLA portfolio system Analyze effects of the portfolio system Survey of residents Evaluations by faculty Portfolios in Surgical Education
UCLA Portfolio System Learning model Web-based, password-protected 2 GB / user Developed by expert group Development cost $25,000 Launched May 2007 Portfolios in Surgical Education
Content Portfolios in Surgical Education
Content Portfolios in Surgical Education
Content Portfolios in Surgical Education
Content Portfolios in Surgical Education
Resident Survey Design Comprehensive Voluntary Measures Understanding of system Acceptance Use Perceived effect on competencies Response rate 69% Portfolios in Surgical Education
Resident Survey Results Portfolios in Surgical Education
Faculty Evaluations Comparison pre- and post-portfolios Global assessments End-of-rotation Competency based Capture, n: Before implementation = 1488 After = 697 Portfolios in Surgical Education
Improvement in All Competencies Portfolios in Surgical Education Pre Post Practice Based Learning Systems Based Practice Patient Care Medical Knowledge Professionalism Inter-personal Skills
Patient Care Portfolios in Surgical Education
Medical Knowledge Portfolios in Surgical Education
Professionalism Portfolios in Surgical Education
Portfolios in Surgical Education Interpersonal and Communication Skills
Systems Based Practice Portfolios in Surgical Education
Portfolios in Surgical Education Practice Based Learning & Improvement Reflect critically Aptitude for change Teach others Overall PBLI
Portfolio Learning Helix Portfolios in Surgical Education PBLI Mentoring
Keys to Portfolio Success Mentorship Support and acceptance by users Minimal time commitment Portfolios in Surgical Education
Limitations of Present Study Early analysis after implementation Other improvements in residency Portfolios in Surgical Education
Conclusions Portfolios can aid in development and documentation of competence Favorable response by residents Positive effect for all competencies Valuable organizational tool Integral to lifelong learning and professional development Portfolios in Surgical Education