Literature DB >> 22132291

Evaluating practice-based learning and improvement: efforts to improve acceptance of portfolios.

Regina Y Fragneto, Amy Noel Dilorenzo, Randall M Schell, Edwin A Bowe.   

Abstract

INTRODUCTION: The Accreditation Council for Graduate Medical Education (ACGME) recommends resident portfolios as 1 method for assessing competence in practice-based learning and improvement. In July 2005, when anesthesiology residents in our department were required to start a portfolio, the residents and their faculty advisors did not readily accept this new requirement. Intensive education efforts addressing the goals and importance of portfolios were undertaken. We hypothesized that these educational efforts improved acceptance of the portfolio and retrospectively audited the portfolio evaluation forms completed by faculty advisors.
METHODS: Intensive education about the goals and importance of portfolios began in January 2006, including presentations at departmental conferences and one-on-one education sessions. Faculty advisors were instructed to evaluate each resident's portfolio and complete a review form. We retrospectively collected data to determine the percentage of review forms completed by faculty. The portfolio reviews also assessed the percentage of 10 required portfolio components residents had completed.
RESULTS: Portfolio review forms were completed by faculty advisors for 13% (5/38) of residents during the first advisor-advisee meeting in December 2005. Initiation of intensive education efforts significantly improved compliance, with review forms completed for 68% (26/38) of residents in May 2006 (P < .0001) and 95% (36/38) in December 2006 (P < .0001). Residents also significantly improved the completeness of portfolios between May and December of 2006. DISCUSSION: Portfolios are considered a best methods technique by the ACGME for evaluation of practice-based learning and improvment. We have found that intensive education about the goals and importance of portfolios can enhance acceptance of this evaluation tool, resulting in improved compliance in completion and evaluation of portfolios.

Year:  2010        PMID: 22132291      PMCID: PMC3010953          DOI: 10.4300/JGME-D-10-00010.1

Source DB:  PubMed          Journal:  J Grad Med Educ        ISSN: 1949-8357


  13 in total

1.  Portfolios as a learning tool in obstetrics and gynaecology undergraduate training.

Authors:  K Lonka; V Slotte; M Halttunen; T Kurki; A Tiitinen; L Vaara; J Paavonen
Journal:  Med Educ       Date:  2001-12       Impact factor: 6.251

2.  Diving for PERLS: working and performance portfolios for evaluation and reflection on learning.

Authors:  Linda E Pinsky; Kelly Fryer-Edwards
Journal:  J Gen Intern Med       Date:  2004-05       Impact factor: 5.128

3.  Portfolios for assessment of paediatric specialist registrars.

Authors:  C Melville; M Rees; D Brookfield; J Anderson
Journal:  Med Educ       Date:  2004-10       Impact factor: 6.251

4.  Demonstration of portfolios to assess competency of residents.

Authors:  Patricia S O'Sullivan; Mark D Reckase; Tina McClain; Mildred A Savidge; James A Clardy
Journal:  Adv Health Sci Educ Theory Pract       Date:  2004       Impact factor: 3.853

Review 5.  Evaluating competence using a portfolio: a literature review and web-based application to the ACGME competencies.

Authors:  Carol Carraccio; Robert Englander
Journal:  Teach Learn Med       Date:  2004       Impact factor: 2.414

6.  Conditions for successful reflective use of portfolios in undergraduate medical education.

Authors:  Erik W Driessen; Jan van Tartwijk; Karlijn Overeem; Jan D Vermunt; Cees P M van der Vleuten
Journal:  Med Educ       Date:  2005-12       Impact factor: 6.251

7.  Outcomes-based evaluation in resident education: creating systems and structured portfolios.

Authors:  Eric S Holmboe; William Rodak; Glenn Mills; Michael J McFarlane; Henry J Schultz
Journal:  Am J Med       Date:  2006-08       Impact factor: 4.965

Review 8.  Assessment of competency in anesthesiology.

Authors:  John E Tetzlaff
Journal:  Anesthesiology       Date:  2007-04       Impact factor: 7.892

9.  The new paradigm of continuing education in surgery.

Authors:  Ajit K Sachdeva
Journal:  Arch Surg       Date:  2005-03

10.  Can one portfolio measure the six ACGME general competencies?

Authors:  Robert M Jarvis; Patricia S O'Sullivan; Tina McClain; James A Clardy
Journal:  Acad Psychiatry       Date:  2004
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  2 in total

1.  Visualization of aggregate perioperative data improves anesthesia case planning: A randomized, cross-over trial.

Authors:  Jonathan P Wanderer; Thomas A Lasko; Joseph R Coco; Leslie C Fowler; Matthew D McEvoy; Xiaoke Feng; Matthew S Shotwell; Gen Li; Brian J Gelfand; Laurie L Novak; David A Owens; Daniel V Fabbri
Journal:  J Clin Anesth       Date:  2020-11-01       Impact factor: 9.452

2.  Electronic portfolio use in pediatric residency and perceived efficacy as a tool for teaching lifelong learning.

Authors:  Annabel Frank; Kimberly Gifford
Journal:  BMC Med Educ       Date:  2017-11-10       Impact factor: 2.463

  2 in total

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