The CanMEDS portfolio: a tool for reflection in a fellowship programme.

BACKGROUND: We developed a portfolio framed by the CanMEDS roles for use in a paediatric fellowship programme. The portfolio includes four components: a record of participation and achievement; career goals and professional development; physical evidence; and reflective writing.
METHODS: Once the portfolio was in use for 6 months, we studied how fellows and faculty members were using the portfolio, and what they found to be its advantages and disadvantages.
RESULTS: Fellows reported that it kept them organised and assisted them in setting their goals. They appreciated having a central place to record their accomplishments, as this allowed them to keep a thorough curriculum vitae. The portfolio was helpful in giving them the opportunity to honestly reflect on their achievements and setbacks, and, after reviewing this in their own minds, they were in a strong position to set an agenda for their meetings with supervisors. Both the fellows and supervisors were in agreement that the portfolio led to improved discussions at their meetings. Both groups also reported that this new tool was useful in furthering the career development of trainees, which was one of the main goals in its inception. Faculty supervisors also had a stronger sense of the fellows' work, and also of any gaps in training, as a result of using this tool. DISCUSSION: We hope that this reflection tool will be adapted for use in other training programmes. If it is introduced elsewhere, we would recommend that learners and staff receive ample training in its use so that it can be maximally effective. © Blackwell Publishing Ltd 2011.