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Delivering Excellence in Revalidation Reflective writing what, why and how…… Dr Nicol Vaidya & Jamie Parker Aim To encourage you to revise your theory of reflective practice Objectives By the end of this workshop you will be able to: • Explain the relevance of reflection to appraisal and revalidation • Practice different ways of recording reflections • Create a reflection for your portfolio Learning Kolb styles Honey & Mumford Felder and Silverman's Index of Learning Styles VARK Wise words…. “Teach me my most difficult concepts in my preferred style. Let me explore my easiest concepts in a different style. Just don’t teach me all the time in your preferred style, and think I’m not capable of learning.” Reflective writing - what, why & how? - What is reflection? - Why is this important for doctors? - What sort of writing? - How to write reflection - Overcoming barriers CME Past requirements for Limitations of….no requirement to Record of attendance at meetings and courses Any other work carried out that had been approved for CME think about what you expected to learn from a meeting reflect on what you have learned demonstrate that you had put into practice what you had learned for any personal development over the years What is reflection? • Looking at what we do and why • Considering what happened in more detail • Looking back on experiences - attending to feelings - recognising values, beliefs, motivation • Examining more complex events What is the role of reflection? • Deepen our learning • Relate our previous experiences to something new • Generate knowledge from unstructured situations Supporting evidence for revalidation http://www.gmc-uk.org/Supporting_information_2_pdf_39974163.pdf ‘In discussing your supporting information, your appraiser will be interested in what you did with the information and your reflections on that information , not simply that you collected it and maintained it in a portfolio.’ Your appraiser will want to know:Theme: What you think the supporting information says about your practice. Utility: How you intend to develop or modify your practice as a result of that reflection. Impact: Any changes made to your work as a result. Types of reflective writing • Descriptive writing (not reflective) - reports events • Descriptive reflection - give reasons based on personal evaluation or judgement • Critical reflection - takes broader context into account Critical reflection ‘I went to a grand round today when a patient who received a massive transfusion after an obstetric complication was presented. This was extremely relevant to me because of the recent guidelines issued in our Trust for dealing with patients requiring massive transfusion. I will need to review our local protocols and training in the light of these new guidelines…’ Let’s do some writing • Write a short sentence or two about an experience you had at work in the last week. • Rewrite the sentence using descriptive reflection (give reasons based on personal evaluation or judgement) • Add critical reflection which takes the broader context of your work into account In summary…….. • Write in the first person • Include thoughts and feelings • Consider perspective of others involved • Connect with relevant theory • Show what you have learned • Step back, explore • Show what you are going to and analyse your own role do • Go back to it later Why could this be difficult for me? • I’ve got awful handwriting • A blank page frightens me • I don’t like writing as an activity • I can’t think of what to write • English is not my first language • I am dyslexic • Habits What can I do………. • Practice freewriting - lots of good websites / books • Start a diary, use ‘post it’ notes • Use a word processor • Different techniques - mind mapping (Tony Buzan) - drawing diagrams/maps A model for reviewing appraisee reflections ST Situation or Task A Action R Result Contact details: [email protected] ; [email protected] Resources • Leicester Structured Reflective Templates (LSRT) • Association of Medical Royal Colleges • Supporting evidence for revalidation http://www.gmcuk.org/Supporting_informat ion_2_pdf_39974163.pdf Other resources: • Free writing: http://grammar.about.com /od/fh/g/freewritingterm.ht m • Learning styles: • VARK: http://www.varklearn.com/english/index. asp • Honey & Mumford: http://www.peterhoney.c om/content/learningstyle squestionnaire.html ‘….as a man looks inwards he grows …..as he looks outwards he only dreams’ Carl Jung