Your eportfolio is a tool to store and record evidence that demonstrates your progress, clinical competencies and reflections. Try to add to your portfolio on a regular basis to avoid the rush to get forms signed at the end of a rotation. The e-portfolio will be reviewed during your rotations at meetings with your clinical and educational supervisor and ultimately used during your F1/F2 Annual Review of Competence Progression (ARCP) to allow you to progress forward in training. You may also wish to present parts of it during your further job interviews to support your statements. Bear this all in mind when completing it!
- Horus – The e-portfolio platform used in England
- Turas – The e-portfolio platform used in Northern Ireland, Scotland and Wales
Supervised Learning Events (SLE)
An SLE is an interaction between a foundation doctor and trainer (senior) which leads to feedback and reflective learning. There are different SLE tools that are utilised in the portfolio:
- Mini-Clinical Evaluation Exercise (Mini-CEX): involves direct observation of a doctor/patient clinical encounter by a trainer for teaching purposes.
- Clinical Based Discussion (CBD): A structured discussion of a clinical case managed by a foundation doctor.
- Direct Observation of Procedural Skills (DOPS): involves direct observation of a doctor/patient clinical encounter in the context of performing a practical procedure.
- Developing the Clinical Teacher (DCT): involves direct observation of a foundation doctor teaching or delivering a presentation.
They can be signed off by anyone who has completed their foundation (FY1 & FY2) training.
What do I do at the start of every rotation?
- Review the Foundation Programme curriculum (can be viewed via the portfolio) and identify what you can achieve during the rotation.
- Use the Personal Development Plan (PDP) form to set out your specific aims that you would like to achieve during your placement.
- Set up meetings with your clinical and educational supervisor, ideally in the first 2 weeks of your placement. The initial meeting form will be completed during the meeting and you will go through your PDP.
What should I do during each rotation?
Please note this may vary depending on your trust/deanery.
- 3x Mini-CEX*
- 2x CBD
- If you are struggling to obtain the above or other specific PDP aims, discuss this with your clinical supervisor.
*A minimum of 3 Mini-CEX if no DOPS are completed or minimum 2 Mini-CEX and 1 DOPS.
Don’t forget to map your SLEs to the Foundation Programme curriculum!
What should I do at the end of every rotation?
- Review your PDP and sign this off if you have met your aims.
- Organise your end of placement meetings with your clinical and educational supervisors, ideal to have a meeting within the last 2 weeks of your rotation. The end of placement form will be completed during the meeting.
Other key forms to keep on top of during the year
- Team Assessment of Behaviour (TAB): This only needs to be completed once a year, usually within your first rotation. It’s a multi-source tool collating feedback from colleagues that you have worked with.
- It is common for lots of people to not fill it in. If you don’t meet the minimum requirement you have to redo the whole thing! Send it to more people than necessary and encourage them to fill it in (cake helps!)
- Core procedures: There are 15 to complete. Before each rotation, identify which ones you think you could likely complete in the 4 months.
- Focus on things which are harder to complete. Qualified nurses & FY2s can sign you off too
- Reflections: Can be a reflection on a positive or negative experience. In some trusts, reflections as part of your portfolio is mandatory. Remember this could be accessed should there be legal issues
- Quality improvement: You must demonstrate participation in a quality improvement project each year. Try to complete a full cycle audit as it is worth a lot in future applications!
- Mandatory teaching log: New from August 2019. A must attend a minimum of 60 hours of teaching during your FY1 and FY2 rotation. At least 30 hours must be core foundation teaching. A maximum of 6 hours of e-learning can contribute to the 60 hours (e.g eLfH, BMJ learning).
- Learning encounter and reflection note (LEARN): New from August 2019 and currently optional. It will count as an SLE.
- Additional achievements: There are a number of additional forms that can be used to demonstrate achievement in your portfolio – e.g Exams, courses, interesting cases taster weeks.
By Dr Lola Meghoma (FY2)
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