Tag Archives: change

The perfect ePortfolio

Thanks to @londonlime

Thanks to @londonlime

This weekend I am at NHS Hackday in Oxford. I have written about hackdays before. I am a huge enthusiast. It is amazing to see doctors, other healthcare workers, patients, organisations and software developers coming together in their free time to make stuff that could make the NHS better. A hackday IS agile software development, speeded up, with people motivated not by profit but by intellectual curiosity and a desire to make the world a little bit better.

There are some amazing people coming to NHS Hackday Oxford. Some of them are interested in rethinking a professional ePortfolio. The one we have currently is competent. It does a job. The creators at NES are great, but they are constrained by their history and location. In my opinion an IT project that supports thousands of healthcare professionals’ development should not be run by project managers in a Scottish NHS health board. Their customers are Royal Colleges, not ePortfolio users. However great NES are at their job are they really the best people to make the perfect ePortfolio?

As trainees we want more. In relation to the software we want seamless functionality, we want flexibility, we want personalisation, we want visualisation of data, we want speed, we want interoperability, we want openness and APIs, we want mobile offline data entry, we want intuitive navigation, we want reliability, we want to be encouraged and inspired, we want beauty.

Too much to ask? I hope not. 

I need to form these vague statements into some specifics between now and tomorrow. Wish me luck!

2012 in review

The WordPress.com stats helper monkeys have prepared a 2012 annual report for me. Aren’t they nice?

Here’s an excerpt:

4,329 films were submitted to the 2012 Cannes Film Festival. This blog had 13,000 views in 2012. If each view were a film, this blog would power 3 Film Festivals

Click here to see the complete report.

This blog has had a lot of support this year. Thank you to everyone who contributed, commented, argued, debated, encouraged and supported it’s ideals along the way.

2012 was the year of debate about the purpose and functionality of the NHS ePortfolio. What will 2013 bring?

Progress

Things have been a little quiet on the site lately, and you would be forgiven for wondering whether I have lost interest in the NHS ePortfolio. You may have started to think that nothing is being achieved, and therefore not bothered to comment or contribute to the discussion.

Don’t believe it!

Progress may be slow, but real change takes time. Quick fixes are great and can have a major impact on functionality. Remember the problems with being unable to link to multiple curriculum items? Fixed! See the tech improvement shopping list for other modifications that have already happened. Quick fixes are also visible and keep up enthusiasm and morale. But they don’t address the route causes of problems and don’t change systems. Changing systems takes time.

A major breakthrough has been the creation of an ePortfolio reference group at the Royal College of Physicians. You can apply to be a member of this panel and get your voice heard directly by the College. Not a member of the RCP? Then ask your own College if they have a user group you can join. And if they don’t have one, ask why not. The systems imposed on trainees are currently not fit for purpose, and we need to make sure people in charge understand this.

Dont forget that NES, the group who run the NHS ePortfolio used by Physicians, Paediatricians and others, is holding feedback events. I’m sure that this is in no small part due to pressure from this site and discussions on Twitter. If you can, go along and make your voice heard.

People are listening.  I have meetings coming up with the Royal College of GPs who use a different ePortfolio system but share common needs. I am also having a follow-up meeting at the Royal College of Physicians. We must clarify the commissioning and costs of the ePortfolio in order to collaborate across Colleges and effect change. When money is scarce we need to make it go further. The Academy of Medical Royal Colleges Trainee Doctor Group are gathering data on the systems in use by all specialities which will be essential is informing this discussion.

It could be so much better! Please keep up your support.

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

An ePortfolio wish list – created by an NHS ePortfolio NES developer

There have been lots of great suggestions on this site as to features that would make the NHS ePortfolio better. There has also been some insightful debate on the model that we should propose for the future, from aesthetics to functionality to commissioning. When I find a free hour I will make a summary page, as the debate has extended far beyond my initial expectations, and on arriving to the site it may now be difficult to see a coherent narrative. Some ideas for improvements are summarised in the tech improvement shopping list, others are amongst the comments on various posts.

A new development is that an NHS ePortfolio NES developer @ben555 has started a wish list where you can suggest improvements and vote them up or down the list.

Make a (NHS ePortfolio-related) wish

Whilst debate over longer term issues  continues, this is a great way to gather momentum for change. I have voted for an app – this is urgent!

Make your suggestion and cast your vote now…