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The Training Log. Experienced Trainers’ Course 2005. Information gathering. Takes place all day Takes place in different contexts Comes from multiple sources Can be subtle feelings which we must record. WHO ? HOW ?. Registrar Trainer Should it be shared document

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The Training Log


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the training log

The Training Log

Experienced Trainers’ Course

2005

information gathering
Information gathering
  • Takes place all day
  • Takes place in different contexts
  • Comes from multiple sources
  • Can be subtle feelings which we must record
who how
WHO ? HOW ?
  • Registrar
  • Trainer
  • Should it be shared document
  • Contributions from other team members
  • Written or electronic
  • NOT in your head !!
blocks to recording
Blocks to recording
  • Time
  • Last task on the pile
  • Too complex and cumbersome
  • Not accessible
  • What use is it anyway?
  • Fear of writing it down
  • Not knowing what to put in
reflective diary tips
Reflective diary- tips
  • Must be handy
  • Try to write in it most days
  • Relections/actions/what am I recording?
  • About GPR
  • About me
  • About the learning environment
  • Write down ANY thoughts
why keep a log immediate needs
Why keep a log?Immediate needs
  • To aid and record reflection
  • To record learning needs perceived by learner
  • To record learning needs perceived by Trainer
  • To record negotiated curriculum plans/timetable
why keep a log medium term needs
Why keep a log? Medium term needs
  • To see progress
  • To help order your thoughts
  • Continued recording of learning needs and curriculum planning
  • To share with registrar and show model
  • Reassurance
why keep a log long term
Why keep a log? Long term
  • To aid completion of the structured trainer’s report
  • Evidence of good or bad performance
  • As future teaching resource
  • For future reference construction
what are we looking for
What are we looking for?
  • Expectations at different stages of training
  • What is normal development?
  • Without a knowledge of normal development impossible to assess accurately
  • Normal milestones
stages of development
Stages of development
  • Unconscious incompetence
  • Conscious incompetence
  • Conscious competence
  • Unconscious competence
group exercise
Group exercise
  • Working out the milestones
  • What is a normal registrar behaviour
  • First few weeks
  • At 3/12
  • At 6/12
  • At 9/12
  • At 12/12
6 weeks 1
6 weeks(1)
  • Good time keeping
  • Enthusiasm
  • Observe presentation/dress
  • Lacking in confidence
  • Worried about learning agenda
  • Identifying own learning needs topic based
  • Express some areas of expertise
  • Share background information
  • Curiosity
6 weeks 2
6 weeks(2)
  • Needs 30minutes to assess patients
  • Struggles with consultation task list
  • Struggles with computer
  • Hospital-style clinical skills
  • Makes complex diagnoses
  • Orders many or no investigations
  • Huge Dr’s agenda
  • Surprise at family dynamics
  • PEPS a bit daunting
6 weeks 3
6 weeks(3)
  • Variable team skills
  • Observe ability to cope with change
  • Keen attendance at practice meetings
  • Social skills at getting on with team
  • Early feedback from accompanying PHCT
  • Very keen to sit in
  • Finds constructing simple management plans difficult
  • “I’ll never be able to do this” is normal
at 6 52 priority objectives group work
At 6/52 priority objectivesGroup Work

PATIENT CARE

  • Should feel safe
  • Emergency care adequate
  • Basic prescribing
  • Wants to do own surgeries
  • Should be asking
  • May be dr centred
at 6 52 priority objectives group work1
At 6/52 Priority ObjectivesGroup Work

COMMUNICATION

  • Knows who/how to contact when
  • Knows referral systems including OOH
  • Will ask for help
  • Can talk and listen to patients
  • History taking hospital style
at 6 52 priority objectives group work2
At 6/52 Priority ObjectivesGroup Work

ORGANISATION

  • Can use computer
  • Knows team/telephone/ alarm
  • Starting to plan year

PROFESSIONAL VALUES

  • Punctual
  • Respect
  • Probity
  • Dress code
  • Confidentiality
at 6 52 priority objectives group work3
At 6/52 Priority ObjectivesGroup Work

PERSONAL/PROFESSIONAL GROWTH

  • Ownership of learning contract
  • Started Log for PDP
  • Still at the FEED ME stage
at 3 months
At 3 months
  • Enthusiasm
  • Chinks beginning to show through
  • 20minute consultations
  • Identifying more complex learning needs
  • Will do PEPS and share results
  • Comfortable with computer
  • Able to grasp family dynamics and is curious
  • Still follows up simple problems
  • First video
at 3 months 2
At 3 months (2)
  • Struggling with time management
  • Integrating into team
  • Still likes to sit in
  • Has ideas re audit project
  • Beginning to change consultation style
  • Able to use open questions
  • Realising that they have knowledge
  • Should have dealt with some difficult issues
  • Keen to take on tricky problems
  • Will do visits alone
at 3 months 3
At 3 months (3)
  • Responds to feedback in constructive way
  • Attitudes and beliefs beginning to show
  • Prepares well for tutorials
  • Starting to challenge Trainer
  • Plans to sit summative assessment mcq
  • Can write a good referral letter
at 3 12 priority objectives group work
At 3/12 Priority ObjectivesGroup work

PATIENT CARE

  • Consulting 20min
  • Some videos
  • Safe in emergencies
  • Basics of chronic disease
  • Minor ailments understood
  • Own home visits
at 3 12 priority objectives group work1
At 3/12 Priority ObjectivesGroup Work

ORGANISATION

  • Punctual
  • Recording accurately
  • Attends VTS
  • Keeping log
  • Dr,s bag organised has own equipment
  • Knows about the formulARY
at 3 12 priority objectives group work2
At 3/12 Priority ObjectivesGroup Work

COMMUNICATION

  • Use of computer – notes and presenting
  • Video skills
  • Record keeping adequate
  • Seeking out the team
at 3 12 priority objectives group work3
AT 3/12 Priority ObjectivesGroup Work

PROFESSIONAL VALUES

  • Has professional image
  • Asking for help comfortably
  • Values team work
  • Participating in medical meetings
at 3 12 priority objectives group work4
AT 3/12 Priority ObjectivesGroup Work

PERSONAL/PROFESSIONAL GROWTH

  • Helping to run the team
  • Reading
at 6 months
At 6 months
  • Taking responsibility and initiative
  • Has completed first audit cycle project
  • Shows inititiave in day to day work
  • Shows initiative in Learning
  • More challenging
  • Comfortable with video
  • Worry about mrcgp/video
  • Has built up own “list”
at 6 months1
At 6 months
  • Management plans more realistic
  • 15 minute appointments
  • Does not follow up simple problems
  • Integrating well into team
  • Team will go to him for help
  • Does on call sessions
  • Will cover for absent partners willingly
  • Able to deal with basic admin
at 6 12 priority objectives group work
At 6/12-priority objectives group work

PATIENT CARE

  • Good management of emergencies
  • Preventative medicine skills present
  • Chronic disease management skills present
  • Computer literate
  • Knows own role in team and contributes
  • Using video
at 6 12 priority objectives group work1
At 6/12 Priority ObjectivesGroup work

COMMUNICATION

  • 10 minute consultations

ORGANISATION

  • Computer literate
  • Audit completed
  • MRCGP planned
at 6 12 priority objectives group work2
At 6/12 Priority ObjectivesGroup Work

PROFESSIONAL VALUES

  • On time
  • Clean/not smelly
  • Respect for peers
  • Respect for patients

PERSONAL/PROFESSIONAL GROWTH

  • Developing good Log/PDP
  • Summative Assessment/MRCGP
at 9 months
At 9 months
  • 10 minute appointments
  • Managing complex organisational tasks
  • Time management good
  • Want to look at wider issues
  • Formulating own learning plans and thinking about PDP
  • Beginning to think more about the future
  • Showing an interest in finance /management/employment options
  • Increased interest in medical politics
9 months 2
9 months (2)
  • 2nd audit cycle commenced
  • Looking for new projects
  • Master of technology and presentation
  • Challenging the norm
  • Would I like this dr as a partner?
  • Real dr on show – expresses opinions
  • Ethical dilemmas discussed regularly with insight
  • Planning future education
at 9 12 priority objectives group work
At 9/12 Priority ObjectivesGroup work

PATIENT CARE

  • Independent management
  • Pro-active
  • Involved in patient groups
  • Involved in preventive care
  • Audit cycle completed
at 9 12 priority objectives group work1
At 9/12 Priority ObjectivesGroup work

COMMUNICATION

  • Teamwork functioning
  • Consulting skills developed at practitioner level
at 9 12 priority objectives group work2
At 9/12 Priority ObjectivesGroup Work

ORGANISATION

  • Chair meetings
  • Management – Understand finance and Tax
  • Involved in Staff recruitment
  • Involved in Appraisals
  • An interest in the running of the PCT
at 9 12 priority objectives group work3
AT 9/12 Priority ObjectivesGroup Work

PROFESSIONAL VALUES

  • ?least developed
  • Involved in Clinical Governance
at 9 12 priority objectives group work4
At 9/12 Priority ObjectivesGroup Work

PERSONAL/PROFESSIONAL GROWTH

  • Independent self-directed learners
  • Have produced log
  • Working on PDP
at 12 months
At 12 months
  • Do you feel safe to let them go?
  • Independent practitioner
  • Robust PDP
  • Excitement
  • Enthusiasm for the job
what to record
What to record?
  • Much easier when you know what to look for and expect
  • Use check lists? or is this too rigid
  • Must be personalised
  • There are some broad headings
  • KEEP IT SIMPLE AND ACHIEVABLE FOR YOU
section 1
Section 1
  • Timetables/Rotas.
  • Practice and Day-Release timetable
  • Important dates for GP Registrars
  • Reading list/website addresses
section 2
Section 2
  • Learning needs – an evolving list
  • Syllabus and Curriculum plans
section 3
Section 3
  • Diary – include feedback/learning points
  • PUNs DENs
  • Weekly – To-do list
section 4
Section 4
  • Tutorials – List and feedback sheets
  • Surgery debrief
  • Problem cases Analysis
  • Significant Event Analysis
section 5 feedback
Section 5 Feedback
  • Staff feedback – formal and informal
  • Videos
  • Belbin team styles
  • Honey & Mumford learning styles
  • Manchester rating scales
  • Wolverhampton grid
  • Kiddy Ring interview
  • SWOT analysis/exit questionnaire
  • Referral analysis and feedback
  • Self assessment questionnaire
  • Joint surgeries
  • PEPs
  • MEQs
  • Pigeon-hole audits
section 6
Section 6
  • Audit/project
  • MCQ
  • MRCGP information
  • Working Towards an MSc/CATS PointsFlow chart
  • What to do with VTR1/2 etc at end of year
section 7
Section 7
  • CV
  • Contract
  • Exams
  • Certificates
  • Feedback from previous jobs
section 8
Section 8
  • Structured GP Trainer’s Report
  • Out of Hours Information
  • Out of Hours Training Workbook
banbury training log
Banbury Training Log

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Horton Postgraduate Centre for £10.Please

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My email Horton.PGTutors@orh.nhs.uk

Telephone: 01295 229314