Identifying GP Registrar learning needs
Identifying learning needs in a GP Registrar is no different from
anyone else, really. Except it is easier - working in a training
environment means there are more potential sources of data on gaps in
knowledge, skills, and attitudes, and more time to think about them!
Here are some examples:
Own experience in direct patient care
- PUNs and DENs
- Blind spots
- Clinically-generated unknowns
- Competence standards
- Diaries
- Difficulties arising in practice
- Introducing innovations in practice
- Knowledgeable patients
- Mistakes
- Patients' complaints and feedback
- Post-mortems
- Reflection on practical experience
In the Primary Health Care team
- Clinical meetings
- Practice (business) meetings
- Practice (educational) meetings
- Mentoring
Non-clinical activities
- Academic activities
- Half-day release participation
- Conferences
- Visits to other practices
- Journal articles
- Medico-legal cases
- Press and media
- Professional conversations
- Research
Specific needs assessment
- Random case analysis
- Problem case analysis
- Video assessment of performance
- Formative assessment package
- Observation - joint surgery
- Self-assessment - confidence scales
- Objective tests of knowledge and skill
e.g. PEP CD package; Summative assessment MCQ
- Critical incident surveys
Formal quality management and risk assessment
- Audit
- Morbidity patterns
- Patient adverse events
- Patient satisfaction surveys
- Risk assessment
Peer review
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