The 2009 Learning Portfolio and Assessment Framework for DFT.

The 2009 Learning Portfolio and Assessment Framework

for DFT

AimsAims

• Familiarise trainers and Foundation Dentists with the new COPDEND Learning Portfolio & Assessment Framework

• Describe the educational principles and responsibilities

For reference….For reference….

• Learning Portfolio & contents

• User Guide with worked examples

Structure of DFT….Structure of DFT….

• DFT 1- Majority of trainees this will equate to 1 year VT in

GDS- Minority of Foundation Dentists (FDs) will have a

HDS / SDS post in DF1

• DF2– Majority of FDs will have 6/12 month posts in HDS /

SDS– Other models may include further experience in

primary care

Portfolio DevelopmentPortfolio Development

• Recognising the advantages of a national core portfolio and assessment framework

• Robust, based on evidence and defendable

• In consultation with stakeholders from across the UK.


• Literature review of learning portfolios

• Literature review of assessment

• Consultation with key members from all deaneries (deans, advisers, trainers, FDs, Educational supervisors, GDS, HDS, SDS)

• Consultation with GDC revalidation committee


• Recommendations based on the evidence

• Quality

Validity / Reliability / Educational impact / Feasibility / Cost

• A core portfolio that is educationally robust, defendable, flexible and user friendly

Portfolio Portfolio RecommendationsRecommendations• 16 recommendations – all approved

– “Avoid duplication, & systematically use the outcomes of monitoring, reflection and assessment exercises to plan the next stages of training in a manner that is focused on the individual needs of the trainee”

– “be mapped to the curriculum at the major competency level, to ensure content validity & educational impact…. Beyond this level the structure should be open, flexible & non-prescriptive”

Assessment Assessment RecommendationsRecommendations• 15 recommendations – all approved

– “the amount of assessment should represent a balance between feasibility and that required to ensure appropriate educational impact and validity / reliability”

– “to ensure a positive educational impact & added value for trainees, assessment should be carried out at regular intervals throughout the training”

Assessment Assessment RecommendationsRecommendations• 15 recommendations – all approved

– “there is good evidence to support the educational impact of WBA tools via the provision of immediate & structured feedback. As such the use of 1 hour / month of existing tutorial time for WBA would ensure no additional burden on trainer time & would add value to the training”

– “there is an appetite to amalgamate DOPS & MiniCEX into a single, appropriate tool for Dentistry… ”

Portfolio & Assessment FrameworkPortfolio & Assessment Framework

Not reinvented any wheels!

MonitoringMonitoring • Personal Development Plan

• Clinical Experience Log

• Assessment log

• Education / CPD Log

AssessmentAssessment ReflectionReflection• Early Stage Peer Review Exercises

• D-EP, D-CbD, MSF, PAQ

• Weekly / Monthly reflection

(progress / SEA / education)

DFTLearningPortfolio

Overview of Sections 1-5 of the Learning Portfolio

• Quality Assurance of the training:

– Of experience (Clinical Log)– Of content validity of assessment– Of education & training provided to support

identified learning needs (PDP)– Of CPD & Tutorials

• Adviser / educational supervisor signs off every 3 months

• Single reflection form for both cases (SEA) and against progress towards training outcomes.

• Weekly (1-8 weeks) then monthly thereafter.

• Additional assessment of trainees ‘insight’ in D-EPs & D-CbD

• Learning needs put in PDP log for ‘action’

• Early Stage Peer Review (weeks 1-4 DF1)– “Safe beginner”

• Monthly D-CbD and D-EP.

• 1 x PAQ (GDS) and 1 x MSF (HDS / SDS)

• Learning needs put in PDP log for ‘action’

• This is a “core” learning portfolio

• Detailed log of clinical activity

• May also include…– Audit project?– Case presentation?– Key Skills?

Learning Portfolio Sections in Detail…..

Clinical Experience Log(Worked Example in User Guide appendix)

- Includes initial self assessment & experience for trainers easy reference

- First 5 procedures at request of stakeholders

- List of procedures re-ordered to map to curriculum

SECTION 2Monitoring Progress & Achievements


Assessment Log(Worked example in User Guide appendix)

- To monitor the relative focus of cases assessed

- Easy access for trainers and advisers to see ‘gaps’

- Signed off by adviser / educational supervisor every 3 months



Personal Development Plan(Worked Example in User Guide appendix)

- Audit trail to ensure all identified learning needs are addressed

- help trainers plan training & education

- Brings together reflection, feedback from assessment and tutorials



CPD / Education Log

- Simple log, in the same basic format as GDC forms



SECTION 3Reflection

SECTION 3Reflection

SECTION 3Reflection

SECTION 3Reflection

Reflections- Single, flexible format to capture all reflections

- Progress, significant events, interesting / difficult cases, learning needs etc

- Space for trainer / adviser comments

- learning needs identified through reflection transferred to PDP

SECTION 3Reflection

SECTION 3Reflection

(Form in Portfolio / User Guide)

SECTION 4Assessment of Performance & Appraisal statements


Assessments- Early Stage Peer Review (DF1 weeks 1-4)

- A”DEP”T (D-EP assessments)

- Dental Case-based Discussion (D-CbD)

In GDS posts:

- Patient Assessment Questionnaire (PAQ) x 1

In HDS / SDS posts:

- Multi-source Feedback (TAB / MiniPAT) x 1



Early Stage Peer Review (ESPR)

(worked example in user guide appendix)

- Very similar to Clinical Peer Review / “Safe Beginner”

- For FDs in DFT weeks 1-4 only

- Informal assessment – emphasis is on feedback

- Judgements made against current stage in training



A’DEP’T (D-EP Assessments)

(Worked Example in User Guide appendix)

- Amalgamation of Mini-CEX and DOPS

- Flexible across all posts

- New insight rating…

- 1 per month



Dental Case-based Discussion (D-CbD)

(Worked Example in User Guide)

- Very similar to previous version

- “Dentalised”

- Space on reverse to record questions used to probe trainee

- New insight rating



Multi-Source Feedback

(Worked Examples in User Guide appendix)

- HDS / SDS posts ONLY

- Either TAB or Mini-PAT

- Administered by Deanery (guidance in user guide)



Patient Assessment Questionnaire (PAQ)

(User Guide Page 36/37)

- GDS posts ONLY

- 20+ completed PAQs needed for reliability

- Implementation guidance in user guide



Portfolio Requirements…..

• Schedule in Section 1 (introduction) of Learning Portfolio and in User Guide.

• Keeping Monitoring forms up to date

• 1 D-EP and 1 D-CbD per month throughout DFT

• ESPR in DFT weeks 1-4

Portfolio Requirements…..

• 1 round of PAQ in GDS posts

• 1 round of MSF (TAB or MiniPAT) in HDS and SDS posts.

• Reflection weekly (1-8) then monthly thereafter

• Monitoring forms sign off every 3 months by advisers

• Full clinical log of activity

+• Deanery-specific educational activities (non-

Core)

e.g.– Audit project– Practice meeting– Key skills info

SECTION 5Other Educational Activities

SECTION 5Other Educational Activities

The 2009 Learning Portfolio and Assessment Framework for DFT.

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Transcript of The 2009 Learning Portfolio and Assessment Framework for DFT.