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Learning Logs

As a GP trainee, you will need to maintain a learning log on your ePortfolio (provided by fourteenfish) as part of your professional development and assessment.

FourteenFish allows you to record and reflect on your clinical experiences, skills, and learning progress. Maintaining an ePortfolio is mandatory in supporting your ongoing assessments and reviews.


In 2020, RCGP partnered with FourteenFish to bring GP trainees a brand new training ePortfolio. The ePortfolio provides a comprehensive overview of your progress, tracking achievements and competencies towards each ARCP and the final CCT. 


Take me to ESR checklist ❯

FourteenFIsh | eportfolio

About  FourteenFish

FourteenFish  FourteenFish is an ePortfolio platform that will be your lifeline throughout your training. You’ll use it to log WPBAs, upload training certificates (like BLS and safeguarding), record time out of training, and reserve exams. It’s also where you can apply for prep courses for exams. Trainers will use it to leave feedback, track your progress, and assess your development. The ARCP panel will also refer to it to verify you’re meeting all your mandatory training requirements. 


How to create an account and login with FourteenFish.

Membership fees and FAQs | RCGP.


Video on 'Reflective Writing': Video

How to document a learning log on FourteenFish?: Video


What are Workplace Based Assessments | WPBA

Workplace Based Assessment (WPBA) is a set of assessments that evaluates your progress over time in areas of professional practice best tested in the workplace gathering evidences against 13 areas of professional capabilities within 9 clinical experience groups.


  • Minimum Mandatory Evidences Required | RCGP
  • List of WPBA and how to approach each of them. 
  • Read more on RCGP


1. Capabilities | What to link

Capabilities Framework ❯ | RCGP

Detailed Capabilities Descriptors ❯ pdf | RCGP


2. Clinical Experience Groups | What to link

Example of cases that may fit in Clinical groups check Appendix 1 | RCGP 


  • Example log entries | RCGP
  • Guide to Completing ePortfolio | HEE KSS

HOW TO DOCUMENT A LEARNING LOG ON FOURTEENFISH | EPORTFOLIO

What to document | Mandatory evidences required and more

  • Roadmap and Timeline for completing WPBAs

Log a Placement Planning Meeting ❯

What, When and and How?

You will need 1 PPM for each placement.

As soon as you start your new placement, whether GP or Hospital or ITP, arrange a short meeting with your supervisor preferably within 2 weeks and discuss about:


Main areas. 

A - Discuss about areas of learning opportunities in the placement

Learning opportunities from the placement.

B - Identify highlighted learning opportunities for yourself from the placement, linked to your training needs

Objectives you will focus on.

C - List a range of targets/aims you would like to achieve during the placement

How do you plan to achieve these objectives?

D - Create and discuss a SMART plan on how you will achieve these objectives


Entry ❯

Title: Placement Planning Meeting for "placement-name"

Date: date of meeting

What were the main areas discussed?: "A"

What learning opportunities were highlighted?: "B"

What objectives did you agree on?: "C"

How do you plan to achieve these objectives?: "D"


This links in the capabilities area to 'Working with colleagues and in teams', 'Fitness to practice', and 'Organisation, management, and learning'.


Log a PDP ❯

What, When and and How?



Log a Clinical Case Review ❯ 

What, When and and How?

Clinical Case Reviews (CCRs) are reflective entries of clinical encounters and patients you see during the placement. This will account for the majority of your learning logs and for linkage to the 'Capabilities' and 'Clinical Experience Groups'.


You will need 18 CCRs in every 6 months of training (if working full time) and it is recommended to start logging in early in your placement.


Once you see a patient, that on reflection you feel provided you with some learning experience or opportunity, consider Documenting ❯ it as a reflection under CCRs


Tips: 

  1. As soon as you see the patient note down the learning you had on your phone or a notebook - without any patient identifiable information.
  2. Document at least 1-2 CCRs every week and discuss with your Educational supervisor during the tutorial and receive feedbacks.


Entry ❯ 

Title:

Date: date of seeing the patient (can be changed)

Setting of Case review:

Brief description: Keep this brief and simple. Avoid making this a very extensive information about the patient's clinical case

Clinical Experience group: Choose a clinical experience group that fits the patient

Capabilities: Try to always link at least 3 capabilities unless you find it impossible ❯


Reflection: What will I maintain, improve or stop?:
Learning needs identified from this event: 


❯

The CbD is a structured oral interview designed to assess professional judgment in a clinical case. It assesses understanding and application of medical knowledge, ethical frameworks, ability to prioritise and how complexity and uncertainty of the consultation was recognised and approached. 


Care Assessment Tools ❯

The Care Assessment Tools (CATs) are structured assessments designed to evaluate professional judgement across the scope of General Practice. A CAT assesses performance against the Capabilities and looks at how holistic, balanced and justifiable decisions have been made in relation to patient care.


More details are available on the RCGP website here.


❯

A MiniCEX is an observed, real-life, interaction between you and a patient. The MiniCEX assesses your clinical skills, attitudes and behaviours. The MiniCEX is completed in the non-primary care setting. 


The COT is an expanded version of the MiniCEX and considers your face-to-face consultations with real patients in real time during your primary care placements. 


❯

Learning Event Analysis


❯

The Clinical Examination and Procedural Skills - or CEPS - assessment records evidence against the Clinical Examination and Procedural Skills capability, and assesses whether you are competent in clinical examinations and procedures.

What is required?

Full guidance for CEPS, including what's required throughout your training can be found on the RCGP website here 


❯

This reflective learning log entry enables QIA to be captured across the full training programme. 


During your primary care posts in ST1 /2 you are required to complete a quality improvement project with the aim of improving patient care. As with audits, QIPS look at the quality of care provided with the aim of improving it and both require measurements to demonstrate change. 


❯

This reflective learning log entry enables QIA to be captured across the full training programme. 


During your primary care posts in ST1 /2 you are required to complete a quality improvement project with the aim of improving patient care. As with audits, QIPS look at the quality of care provided with the aim of improving it and both require measurements to demonstrate change. 


❯

Feedback from 10 colleagues, 5 each from clinical and non-clinical colleagues


❯

Feedback from 10 colleagues, 5 each from clinical and non-clinical colleagues


❯

Prescribing Assessments


❯

Basic Life Support


❯

Child and Adult Safeguarding


❯

Time Out Of Training (TOOT)


❯

Form R


Preparing for an ESR

ESR Checklist

Workplace Based Assessments

  

What is Workplace Based Assessments (WPBA)


Workplace Based Assessment (WPBA) is basically a set of assessments that evaluates our progress over time in areas of professional practice best tested in the workplace. The different assessments cover a range of things that we do for example (COT’s for consultation skills, CEPS for clinical examination and procedural skills, conversations with colleagues (MSF,CSR & ESR) and conversations with patients (PSQ), and so on. 


Evidence is collected over all three years of training and recorded in a web-based portfolio called (Fourteenfish). This evidence is used to inform six monthly reviews, and at the end of GP training collectively forms a holistic qualitative assessment about our readiness for independent GP practice. 


WBPA provides feedback that helps drive our learning, it can also flag areas where we may be having challenges. It is learner led and we decide which evidence to show for our trainer/supervisor to review. 


The assessments used to gather evidence include:

• Case-based Discussion (CbD)

• Care Assessment Tool (CAT which includes CbD)

• Consultation Observation Tool (COT in primary care only)

• Multi-Source Feedback (MSF)

• Patient Satisfaction Questionnaire (PSQ in primary care only) 

• Direct Observation of Procedural Skills (in hospital posts)

• Mini Consultation Evaluation Exercise (Mini-CEX) (in hospital posts)

• Audio-COT (in primary care only)

• Clinical/ Educational Supervisors Report (CSR/ESR)

• Quality Improvement Activity (QIA)

• Quality Improvement Project (QIP)

• Prescribing Assessments 


Find more information about the new and existing assessments in the Trainee portfolio by clicking link below: 

https://www.rcgp.org.uk/mrcgp-exams/wpba/assessments


The minimum mandatory evidence requirements for end of each training year is shown in link below:

RCGP WPBA Minimum mandatory evidence


What does WPBA involve?

WPBA consists of a framework of twelve areas of professional capabilities against which evidence is gathered.


Click on the below link for a Professional Capabilities cheat sheet and how to use it to write up learning log entries and CBD’s. 

Professional Competencies - Bradford VTS professional capability RCGP descriptors with ram notes.pdf (bradfordvts.co.uk)


Bradford VTS website has a whole load of helpful learning resources to keep you on top of your WPBA requirements. I’ve found it incredibly helpful. Check it out!

HOME - Bradford VTS


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