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Reflective Practice
Dr Caroline WhelanGP RegistrarAugust 2012
+Why do we need it?
We have to do it to pass
To find gaps in our knowledge so we can address them & then apply what we learn
To widen our professional boundaries
To benchmark our performance against our peers & supervisors
To develop as adaptive experts
To generate the questions that might enable service improvement or research
+What constitutes reflective practice?
Observing what is obvious & less obvious look for the unfamiliar
Self-awareness What you sense or feel about the experience Use of I
Self-regulation Recognise your own boundaries Check against competencies
+What constitutes reflective practice?
Internal conversation How you feel about the situation Write about your reaction to the situation Use feeling words
Openness You are willing to highlight areas of your performance that
fall short of what might be expected
Learning Show what you need to learn & be specific about how you
are going to achieve this
+How do we actually do it?
Learning log
Record of professional development
Quality not quantity But......if there is insufficient quantity then it is unlikely that
an adequate quality will have been demonstated & the areas of the curriculum are unlikely to have been covered.
A list of descriptive entries is not acceptable
+What to write about
Chose meaningful experiences
Important to think why have you chosen this specific case
Cover all areas of the GP curriculum (check by clicking on review preparation)
Difficult patient encounters
Difficult encounters with staff
Things which went well
Significant event analyses
+The e-Portfolio template
What happened?
What if anything happened subsequently?
What did you learn?
What will you do differently in future?
What further learning needs did you identify?
How and when will you address them?
+What happened?
Brief synopsis which puts the case into context
Include emotions you were feeling at the time so reflections can be made on these
Did the case remind you of a previous case or past experience?
Don’t be afraid to be critical of your own actions
How did your colleagues react to the situation?
+What if anything happened subsequently?
Complete the story
Reflect on how you feel about the situation now
+What did you learn?
New medical knowledge How will this help you in your future practice?
Concerns about your own ability/thought processing How it will make you change?
Insight into your own attitudes & beliefs How did the case challenge you? How will it make you change?
Implications on service provision
+What will you do differently in future?
Turn your learning needs into actions
What will you do differently next time
What would you like to improve
+What further learning needs have you identified? Specific short term goals
Relate these to the GP curriculum Can be knowledge/behaviour based
Plus longer term goals to help you become a good GP
Break it down into manageable tasks
Set a time scale (be realistic)
Move it to your PDP (then do a log entry about your learning to complete the cycle)
+PDP
Simple
Measurable
Achievable
Relevant
Time based
+Useful websites
http://eastkentgpvts.co.uk/education.htm
East of England Deanery GP page – click on resources and download the Being a Reflective GP PDF
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