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Purpose:
1. To make the residency experience
more tangible, more retrievable and more meaningful.
2. To make the
resident aware of the need to continuously develop more competence in basic
qualities (6 ACGME Competencies) that a physician should possess.
3. To
allow reflection and self-assessment during the residency.
Structure:
The Portfolio is a three-ring notebook
which includes eight divisions. During the course of the training program,
the resident is required to make entries AFTER EACH ROTATION to the
Portfolio. At a minimum the entries should be made at the conclusion of
each rotation. Please note that this is considered personal and individual
and should be creative.
Review of
the Portfolio:
Every six months the trainee will meet with the
Program Director and the Portfolio will be reviewed. The Portfolio will be
shared at intervals of three months by your faculty mentor who will sign to
confirm the review. Ultimately the Portfolio will be yours to keep.
Content:
It is
suggested that the resident purchase some three-ring notebook paper. The
following are introductory ideas for entries. The resident will
undoubtedly implement additional outstanding ideas.
The Portfolio is divided into the
following eight sections:
1. Patient Care
- This section should contain a
patient log (list) which includes the patient medical record number and
diagnosis.
- There should be a separate
in-patient log, and a (continuity clinic) out-patient log.
- A working procedure log should
be kept here, with a reminder to enter procedures into
WebEsprit.
2. Medical
Knowledge
- Copies of your USMLE
results
- Copies of your In-Service
exams
- Copies of any tests given
during the residency
- Copies of any excellent
handouts/key articles from conferences that you might want to refer to in the
future.
3. Practice-based Learning
and Improvement
- Utilizing the patient lists,
link to any evidence that you have explored the literature to care for these
patients, and thereby improved your medical knowledge. Include reference to
these articles or the article itself.
- Make a list of Medical Errors
and Near-Misses that you have observed, and potential corrections to avoid
these in the future.
4. Interpersonal and
Communication Skills
- Note any difficult occasions
that have allowed you to improve your skills for successful interpersonal
interactions, including interactions with patients, families, colleagues,
nursing and ancillary staff.
- Copies of any Power Point
presentations you have given.
- Copies of any handouts for
didactic sessions that you have led.
- Self-critique a Progress Note,
H&P (with a red pen!) at various times in the program so that you can
assess improvements in your written communications.
- Self-critique a sign-out
sheet.
5. Professionalism
- Make note of your role models
(physicians, nurses and other professionals) in "positive" and
"negative" columns. This can be anonymous.
- Define your ideal of
professionalism in a physician and rate your performance.
6. Systems-based
Practice
- Copies of a discharge summaries
or clinic charts that illustrate your attention to utilizing the full spectrum
of multi-disciplinary care for a patient, including arranging for Medicaid,
getting a Rehab program, PT, AA, etc.
- Self-assessment at the time of
discharge of typical patients that you have considered the economic impact of
diagnostic and therapeutic decisions.
7. Scholarly
Activity
- Add ideas for future research
projects, so that they don't "slip away" from your memory and get
lost.
- Include a copy of any
publications, presentations etc.
8. Other
- Keep a copy of your CV, and add
to it as it grows.
Have fun with this!
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