Introduction to the eportfolio and the nMRCGP

1. Introduction to the eportfolio and the nMRCGP KSS Deanery Dr Susan Bodgener Associate Dean for Assessment KSS Deanery

2. Registration You MUST register with the RCGP in order to obtain an eportfolio Without an eportfolio you will not be able to comply with the requirements of learning and assessment for your membership exam

3. The eportfolio Download,print and read the RCGP guidelines on the eportfolio www.rcgp.org click on portal nMRCGP after entering website “The eportfolio for GP speciality training a guide for trainees”

4. nMRCGP – A competency based examination There are 12 competencies which you need to demonstrate to a competent level by the end of your training A competency is the possession and development of knowledge, skills, attitude and experience for one to be able to effectively perform their role

5. Competency Areas Communication and consulting skills Practicising holistically Data gathering and interpretation Making a diagnosis / making decisions Clinical Management Managing complexity

6. Competency areas Primary Care administration and IMT Working with colleagues Community orientation Maintaining performance, learning and teaching Maintaining an ethical approach to practice Fitness to practice

7. nMRCGP The 12 competencies are demonstrated through the eportfolio via: Workplace based assessments Completed the learning requirements within the eportfolio College led assessments Having demonstrated Out of Hours Competencies and Completed your CPR and BLS certificates

8. 1.Workplace based assessments WPBA Case Based Discussions – CbD Consultation exercises – miniCEX Multisource feedbacks – MSF Patient Satisfaction questionnaires – PSQ Directly Observed Procedures - DOPS Clinical Supervisor reviews - CSR Educational Supervisor reviews - ESR

9. 2.Learning requirementswithin the eportfolio To record your learning and reflect on your learning within the learning log To develop a Personal Development Plan

10. 3.College led assessments Clinical Skills assessment - CSA Applied Knowledge test - MCQ It is recommended these are taken in your final year of training

11. Workplace based assessments Refer to your training manual for an explanation of these assessments Do not do your assessments in one hit but scatter these across the year These assessments are graded across the competencies You need to demonstrate competence progression Assessments need to be done by senior Drs (SPR or above) Do not expect to be competent when you first start!

12. Workplace based assessments -MINIMUM requirement in ST1 -1 6 CbD - 2 per 4 month training post 6miniCEX -2 per 4 month training post 2 MSF – Each MSF must have at a minimum of 5 replies from clinical staff– so ask more than 5 people to complete this for you each time and you should get 5 back! An MSF needs to be completed each time over a 6 week time frame or it wont count – keep an eye on how many people have replied AND

13. Workplace based assessments -MINIMUM requirement in ST1 -2 1 PSQ if one or more of your posts in the year include General Practice, (includes ITP posts) – 40 questionnaires are needed and the practice enters these into your eportfolio 1 Clinical Supervisors review at the end of each hospital post Mandatory DOPS these need to be completed by the end of the 3years of training, try and can get them signed up if you can. 2 Educational Superviosrs reviews – see later

14. Workplace based assessments - minimum requirement ST2 6 CbD - 2 per 4 month training post 6miniCEX -2 per 4 month training post 1 PSQ if one or more of your posts in the year include General Practice / ITP – 40 questionnaires are needed 1 Clinical Supervisors review at the end of each hospital post 2 Educational Supervisors reviews Mandatory DOPS these need to be completed by the end of your training, try and can get them signed up if you can NO MSF in ST2

15. Workplace based assessments – minimum requirement ST3 12 CbD 12 COT, Consultation observation (replace miniCEX) 2 MSF – Each MSF must have at a minimum 10 replies – 5 clinical and 5 nonclinical so ask more than 10 people each time to complete this for you 1 PSQ– 40 questionnaires are needed and the practice enters these into your eportfolio 8 mandatory DOPS – assessment observed and graded by supervisor Completed your self assessment of the 8 manadatory DOPs in your SKILLS LOG CSA and AKT OOH, CPR and BLS

16. How to complete assessments Refer to the college guide on the eportfolio This will involve you downloading forms and ticket codes for your assessors to complete each assessment– sounds complicated but isnt too difficult It is your responsibility to ensure the assessments are complete not for your supervisor to chase you!

17. Learning log requirements within the eportfolio The learning log contains your record of your experiences, thoughts feelings and reflections Used as additional evidence to support your understanding of the GP curriculum and to demonstrate your competency progression

18. MINIMUM requirements for the learning log - 1 Refer to learning log guide MINIMUM 2 entries per week MUST demonstrate reflective learning – descriptive events will not be accepted MUST include tutorials, clinical accounters and professional conversations The log will be looked at 6mnths into each training year and at the end of each training year by the Deanery

19. Minimum requirement for the learning log - 2 MUST INCLUDE – MANDATORY REQUIREMENTS One significant event analysis per 4mnth post Reflection on key learning points from each 4mnth post Audit during ST3 year in NOSA format – 8 criteria Statement of total leave taken Attendance record at VTS teaching

20. Minimum requirement for learning log 3 The mandatory components of the learning log, need to be referenced against the CPD criteria of minor and moderate challenges -see learning log guide for further information

21. Learning log and the PDP Ideally share your learning log with your Educational Supervisor Once your ES has read the entry and marked this as read, it will be documented against the appropriate curriculum entries Once read, if the entry needed further learning, move this into your PDP Tick off the PDP entries when learning achieved Your PDP is looked at by the Deanery at 6mnths into each year and at the end of each training year

22. Educational Supervisor (ES) reviews - 1 Occur at the 6mnth point and 9mnth point in the training year Reviews are completed by your Educational Supervisor. This person is normally a GP trainer It is UP TO YOU to make contact with your ES Your ES will be linked to your eportfolio and their name will be found on the front page of your eportfolio

23. Educational Supervisor (ES) reviews -2 Before every review you MUST complete a self assessment, (rating and comments) of each of the 12 competency areas documented in your eportfolio Your ES will then with you present, make his/her ratings and comments on each competency area Your curriculum coverage and skills log is also commented on by your ES in the review A judgement is then made on your competency progression.

24. GP practice visits One day in every 4mnth hospital post is spent in General Practice Ideally this will be the same practice as your ES This is an opportunity to keep contact with General Practice and ideally your reviews are completed at the same time It is up to you to organise this practice visit, (liase with hosp supervisor and ES)

25. Annual Review of Competency Progression – Information only Annually, following the submission of your 9mnths Educational Supervisors review your eportfolio is looked at by the Deanery. If your assessments, reviews, learning logs, PDP are all satisfactory you are automatically moved to the next year of training or signed off at the end of ST3 If your eportfolio is found to be unsatisfactory you will be expected to come to the Deanery and this may affect your training progression

26. In conclusion Enjoy your training programme Remember to keep your eportfolio up to date, to complete your assessments and reviews on time. Your chances of getting your nMRCGP exam are then hugely increased Good Luck