- E-Portfolios are being used to support individual learning at multiple levels in a number of different areas of study - Widely used by medical students in Europe and Australia - Several medical schools and residency education programs in the U.S. have developed portfolios for student use, with varying purposes and degrees of success. - At least one specialty board (American Board of Family Medicine) has created an online portfolio

-ACGME Outcome Project (1998): six general competencies that trainees must develop: patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practices - A driving force behind the development of a comprehensive electronic portfolio -Our hypothesis: today's technology-savvy trainees, in collaboration with their mentors, can use an electronic learning portfolio to actively

plan

,

track

,

assess

and

document

progress in support the six ACGME competencies. their

-We used a commercial collaboration software package (SharePoint, Microsoft, Redmond, WA) to construct a web based E-Portfolio for gastroenterology fellows -Trainees, educators and faculty all participated in the design of the template for the E-Portfolio -The development phase occurred under the supervision of Dr. McGee - The initial rollout for use by first-year fellows was in July 2007

- An interactive web-based professional development tool that fellows can use throughout their training: - to record , organize and plan their learning - to reflect and receive feedback on their skills - to build evidence of learning that allows them to chart their own progress over time.

- The portfolio also serves as a repository for fellows work products and professional documents, which ultimately will serve the needs of many groups, including licensing bodies and certification boards .

Plans to move to our own evaluation system in phase 2

-The program director meets formally with each fellow twice per year -

Formative Assessment

VS

Summative Assessment

- Review of the e-portfolio to identify strengths and areas for improvement - Set a plan for the upcoming six months

Back to the ACGME’s competencies: - Documenting the progression and evolution over time - Practice-based learning - Professionalism - Platform for discussion

-Expand the use of the e-portfolio to the incoming first year fellows -Development of the research and evaluation sections -Additional discussions with faculty and fellows to define potential areas of expansion: as the mentors and the fellows evolve, there will be room for additional features.