Tag Archives: adult learning theory

What would you ask?

As a result of this blog, and “a little help from my friends” I have a meeting next week at the Royal College of Physicians to discuss the NHS ePortfolio. I hope to articulate the discussions on this blog, and those that I have had over email, twitter and in person with many of you.

I hope to communicate the frustration felt by trainees and others about the NHS ePortfolio, along with the hope that it could be something so much better: a true educational and professional development tool to support lifelong learning. I hope to gain a better understanding of the views of the Colleges, in particular the view of the governance structures, the funding streams, and the future vision.

Broad areas I hope to discuss include:

  • lack of user input on any decisions about the ePortfolio and proposals to change this
  • poor communication of the rationale for, and timing of changes (personally, I had no warning about the change to formative and summative DOPS) and the effect this has on demoralised trainees
  • technical limitations – such as speed, which increase frustration and decrease utility
  • design limitations – such as lack of flexibility, poor organisation and visualisation of content so that it is hidden away and can’t effectively inform PDPs. These design limitations have an adverse effect on the educational utility of the ePortfolio
  • educational limitations due to lack of an app, meaning delays between a workplace-based assessment being observed, and completed online (therefore feedback becomes meaningless)
  • other limitations – lack of ability to share content with anyone other than supervisors, lack of interoperability and exportability of data for more creative uses
  • what does the College believe is the answer to the question “who owns the data in the ePortfolio?”
  • is there scope for greater collaboration between JRCPTB, RCPCH, The Foundation Programme and other groups who commission their ePortfolios through NES, to invest jointly for change – an app would be a perfect opportunity for this. The users of these systems share many basic needs, and could have individual specifics built in
  • what is the future of the ePortfolio, in technical, and educational terms, and how will this be decided?
  • how is the ePortfolio funded and commissioned? What are the plans for the future? How can we improve the process and increase transparency?
  • the concept of an ePortfolio has great potential but is not delivering what is needed. Investment is essential. User input is essential. There is a great opportunity to get this right and improve both the perception and reality of postgraduate training. Who will lead this change? Will it be the RCP?

I am very grateful to the RCP for taking the time to meet with me, and hope it will be a very constructive and positive conversation. Please let me know what else you feel is essential for me to communicate, as we begin to get closer to a process for change.

What would you ask? Please let me know by commenting below. You can also still edit the ePortfolio Trainee Roadmap

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The NHS ePortfolio fan club

A recent twitter post directed me to the blog of Dr Fiona Pathiraja, which I encourage you to read. She asks:

Am I the only member of the ePortfolio fan club? If the recent vitriol on Twitter is anything to go by, one would be forgiven for thinking that the fan club comprises n=1.

She suggests that much of the negative press is unfair, and that medics don’t know how lucky we are, especially when compared to the private sector.

However, looking more closely her comments are a mix of praise for the concept of an ePortfolio itself, the structured nature of medical training programmes, and the job security that so many others rightly envy. She is honest about the shortcomings of the NHS ePortfolio in its current form and the need for change.

Of course, the ePortfolio is far from perfect. The end user is typically generation Y and expects technology to have the beautiful aesthetics and seamless functionality of their i-products. Improving functionality e.g. linking curriculum items to assessments, and aesthetics is essential for an improved ePortfolio.

This is exactly the point. We expect more. We deserve more. It is time for investment in the NHS ePortfolio to bring its functionality and aesthetics into the era of generation Y.

She also goes beyond the technical aspects of the current ePortfolio and makes requests for: a better and more transparent evidence-base for assessment tools including WPBAs; more training for supervisors on use of assessments; and the need to treat medics as adult learners:

As a cohort of intelligent, motivated young people, we are able to take responsibility for adult learning, but need to be treated like adults in order to do so.  If the ePortfolio gods are listening—engage with us, take constructive feedback, and try to improve the portfolio to inspire the medical generation Y.

I couldn’t have said it better myself. This site is a first step in connecting users, developers, and Royal Colleges.  If we can all work together to effect these changes, I might just join the fan club myself!