Action Points: Maintaining Performance, Learning and Teaching

Action Points for the Competency Rating Scales

  • Think about how to maintain this approach when you are no longer in a training environment. What learning activities work best for you? What kind of working week do you aim for and where will you fit in time for CPD? Familiarise yourself early on with the requirements for Appraisal and revalidation.
  • Continue to use the ES workbook as this provides you with awareness of where you need most evidence, as well as detailing your attendance at day release course, etc. Linked to this is ensuring you have reflected on your own teaching role, and reflected on your posts in relation to the relevant competencies and evidence.
  • You need more entries, (especially clinical exposure derived ones) and need to complete the audit having worked on the criteria and results presentation.
  • It is essential you maintain life-long learning and regularly review guidelines, attend up-dates such as PLIs, courses, etc. You may find it useful to continue in a study group. Write up how you have done this for your first GP appraisal.
  • Consider now you have passed CSA giving tutorials to the ST1 and F2 trainees and de-briefing the F2 trainee. Don’t forget to ask them for feedback and include this on your e-P. This would demonstrate your skills as a teacher.
  • There is a very positive comment in your MSF about your teaching skills and they would like you to do more teaching. Perhaps, now you have gained confidence you could take on more of a leadership role for the junior members of the team, and write some entries on how this goes for you, and them!
  • Continue this momentum for learning and ensure you regularly review your curriculum coverage and competence coverage to ensure you cover all areas of both.
  • You need to ensure you maintain a steady momentum for learning to ensure your knowledge base increases and you succeed at AKT. Consider reading NICE Guidelines but also looking at the NICE pathways as these can be easier to follow and remember. You should always be thinking when writing up learning log entries – how did this affect me, how did it effect the patient and their carers, how did I feel, how did the patient feel, what would I do differently, what do I need to learn? I think you would benefit from joining an AKT and CSA preparation group. Don’t forget to review your PDP, ensure completed learning objectives are signed off. You complete all boxes for each learning objective especially how you will know you have achieved your learning objective.
  • Audit (or other quality improvement activities) will be an important as a source of evidence in GP. We will also have evidence from the MSF here; it  would be appropriate to have some entries looking at critical evaluation of evidence… to help you make decisions continue to do GP SEAs to learn from key experiences.
  • Become more consistent in demonstrating learning in the log and as per CSR consider how to improve strategic learning to cover the curriculum and pass AKT.
  • Keep up to date with learning log, develop effective habits to ensure you do not fall behind again. Undertake an audit or QoF reflection in GP ST1 post
  • To continue to use the learning log effectively To identify clearly focussed learning needs for the next post and for other topics where you need to increase knowledge
  • PLEASE put 2-3 entries on a week. Don’t leave things till the last minute.
  •  Do more than the minimum number of WPBA. Please keep up with the EP as a live tool. Do 2-3 entries a week and share them!
  • Use the feedback you get on your e-P entries and either do a new entry or respond with more information on the original entry.
  • Space your WBPA out to show progression. Don’t be afraid to ask seniors to do them!
  • You need more numbers and more focused log entries and improved PDP and timely entries on e-P. I do not doubt your intentions or goodwill here but you need to be more organised for lifelong learning!
  • Proactive linking of entries to PDP and then further learning bodes well for appraisal and revalidation.
  • Decide on just one periodical to follow in the next 6 months and see if you can keep up with it – If not come up with a plan for your learning.
  • Continue to gain experience in teaching juniors. Get some formal feedback on your teaching / presentations. Document use of literature searches or evidence reviews and application of findings to individual patient management.

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