Example of a Reflective Educational Diary For completion by EI GP Specimen Date and activity Learning points Impact/change in practice What further do I need to know? 01/01/2000 Directed reading following consultation with patient suffering from Heart failure -HF commonest of hospital admission >65yrs -Average age diagnosis 76yrs and 2/3rds have IHD -NYHA system based on symptoms and guides treatment not echo or Ix findings. ( NYHA1-4 see page 8 re treatments) -Understand need for referral for urgent assessment -Would now consider classification as guide to treatment -High risk condition with very poor prognosis - Clarification on lipid testing and when to fast - Confirm target of BP treatment 140/90 in HF /IHD Date and activity Learning points Impact/change in practice What further do I need to know? Add further rows as required Appendix 2 NHS EDUCATION SCOTLAND EDUCATIONAL REVIEW LOGBOOK Name of Doctor: Supervisor:
Acknowledgement: to North Western Deanery Department of Postgraduate General Practice and Dr Julian Page for developing the outline of this logbook. Developed from the 9 Point Rating Scale, it incorporates the GMC’s 14 “Duties of a Doctor” 1 History taking and examination 1 2 3 4 5 6 7 8 9 Incomplete, inaccurate, confusing history taking, cannot get patient co- operation for examination, technique poor Clear history taking, appreciates the importance of clinical, psychological and social factors, performs adequate and appropriate examinations Accomplished and concise history taker; including clinical, psychological and social factors. Skilled examination technique, effective listener Date Comment 2 Investigations 1 2 3 4 5 6 7 8 9 Inappropriate, random, unnecessary investigations no thought given. Often fails to perform investigations requested Investigates appropriately, ensures all investigations requested by the team are completed, knows what to do with abnormal results Arranges, completes and acts on investigations intelligently, economically and diligently Date Score Comment 3 Record Keeping 1 2 3 4 5 6 7 8 9 Poor, confusing records. Inadequate, illegible Clear records made in notes, medico-legally sound, others are able to understand Records his/her information accurately and efficiently. Easy for others to follow Date Score Comment
8 Team working / relationship with colleagues 1 2 3 4 5 6 7 8 9 Unable / refuses to communicate with colleagues. Can’t work to common goal, selfish, inflexible Listens to colleagues – accepts the views of others. Flexible – ability to change in the face of valid argument Able to bring together views for a common goal. Team goal is put before personal agenda Date Score Comment 9 Lifelong learning / Involvement in Teaching 1 2 3 4 5 6 7 8 9 Does not see the need for learning, does not from mistakes. Fixed blinkered approach, poor attendance at teaching sessions Positive approach to learning, participated in teaching, learns from mistakes, > 50% attendance at teaching sessions Enthusiastic approach to learning, reports own errors unhesitatingly and shows ability to learn from the experience, good attendance (> 75%) Date Score Comment 10 Has a responsible and professional attitude and approach to their work, in the following areas:- • Manners • Ethics • Dress code • Honesty • Time management • Trustworthiness • Punctuality • Confidentiality • Safeguarding (Children and Vulnerable Adults) 1 2 3 4 5 6 7 8 9 Poor attitude/ approach in above areas, possible concerns. Fails to make care of patient first concern, own beliefs prejudice care, abuses position as a doctor Reasonable attitude/ approach in above areas, a good doctor Excellent attitude / approach in above areas, a credit to the profession. Patient care is the priority Date Score Comment 11 Verbal Communication - Understanding 1 2 3 4 5 6 7 8 9 Poor comprehension of even simple sentences, unable to follow a conversation, no understanding of medical terminology and abbreviations Good comprehension of English, can follow a conversation, few misunderstandings, understands most medical terminology and abbreviations Can understand all that is said, can cope with “difficult” accents. Date Score Comment
12 Verbal Communication – Being Understood 1 2 3 4 5 6 7 8 9 Such a difficult accent that patients are unable to understand. Unable to construct sentences. Liable to be misunderstood Has a good command of spoken English, may have some accent, can use appropriate medical terminology speech, little or no accent, n misunderstandings Date Score Comment 13 Written Communication - Comprehension 1 2 3 4 5 6 7 8 9 Cannot understand a simple typed medical letter. Frequent misunderstandings Can read typed letters, can mostly understand written notes of others, and may have some difficulty with doctors’ handwriting. Can easily comprehend both type hand written text Date Score Comment 14 Written Communication – Being Understood 1 2 3 4 5 6 7 8 9 Cannot dictate or write a simple letter, cannot make suitable records that are understandable. Misuses medical terminology. Illegible Can dictate or write clear letters, notes in records understandable. Legible. Uses appropriate medical terminology. Good clear letters, able to deliver complex messages Date Score Comment 15 Social Integration and/or Adjustment For this section a score was felt to be inappropriate, a simple discussion on how the doctor and family are settling in to; a. their new life (e.g. making friends, accommodation, children’s schooling etc.) or b. coping with their return to clinical work Date Comment