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National Conference: GPs to be - 8 & 9 July 2004

Personal Learning Plans

A Guide by the Bristol GP Educationalist Team

What are they?
Why do them?
How to do them successfully
Accrediting PLPs
Feedback
Portfolios
Templates (MS Word)

What are they?

A Personal Learning Plan is a record of the learning needs you have identified as being of benefit to you, the objectives you have set yourself in order to meet that need, and a record of a process of reflection on the learning experience. 

Although it is possible to produce a PLP for any learning that you might like to undertake (for instance, learning ballroom dancing or improving your horticulture skills), we are concerned here with learning that will be useful to you in your professional life. As such, we encourage you to undertake learning that will, first and foremost, benefit you personally, but that will also, by extension, benefit your patients and the practice(s) in which you work. 

There is frequent confusion between a Personal Learning Plan and a Personal Development Plan (PDP). For clarification, see the document 'The PLP and the PDP: what is the difference?'

Why do them?

We have already partly answered this question. In addition, PLPs

allow you to take control over your learning because you set the learning agenda, rather than just respond to those learning opportunities presented to you: you learn what, how and when you want
have built into them a process of reflection which enables you to develop an awareness of how you learn best
encourage clear, achievable and measurable goals, and thus promote a feeling of satisfaction and personal achievement
help to prepare you for valuable and successful Appraisal and Revalidation
can be used as a means of claiming 30 hours PGEA
allow us, as Educationalists viewing you PLP, to provide learning opportunities for which there is a real need.

How to do them successfully

Introduction

At the back of this booklet, and on our website (www.bristolgpsolutions.org.uk), there is a proforma which we have devised to support you in producing your PLP. We suggest that you complete the first side for your planned learning, and the second as a reflection of learning that has taken place. Do feel free to adapt this proforma if you wish, or not to use it at all. However, together with the support notes below, we feel that the proforma can save you a lot of time in structuring your PLP, and lead to a very useful document.

Notes to support you in producing a PLP

The headings below refer to the various sections of the PLP proforma at the back of this booklet.

a) Learning Need

Your learning need is the reason behind your learning: what prompted you to learn more in this particular field. It could be because you saw a patient who asked you something you did not know (PUN: patient unmet need), and when you thought about it later you decided to learn more about it (DEN: doctor educational need). It could be the result of an article you read in a medical/GP newspaper or magazine, or a conversation with colleagues. It could simply be a feeling you have about a ‘hole’ in your skills or knowledge, which if ‘plugged’ would enhance your performance at work eg a belief that you have poor IT skills, which make entering information onto a computer laborious and time-consuming. There are various triggers to a learning need, but the end result is the same: the need is apparent and you wish to address it.

Learning needs give a sense of direction. They tend to be expressed as broad statements eg “To improve my IT skills” or “To become more knowledgeable about cardiology in General Practice”.

Note that the proforma here, unlike many others, encourages you to address one learning need per document. We would suggest that you aim to have 3 or 4 ‘live’ learning needs at a time ie your PLP contains 3 or 4 documents. This may seem like a lot to fill in, but we believe that a PLP is most valuable when it enables you to write at some length, if you wish to, on each component part.

b) Objective(s)

Objectives are specific goals which need to be pursued if you wish to head in the broad direction defined by the learning need. Like all journeys, you can get from A to B in many different ways: this is why there are no set objectives that are right for everyone for a specific task. Likewise, there is no set number of objectives relating to a particular learning need: there may be one, two or several.

When considering what your objectives will be, it is useful to follow the ARMPITS (!) principle. Objectives should be

Achievable ie the objective is neither over-ambitious, nor unfeasible within a fixed period of time (12 months is a good maximum period to allow).

Realistic ie neither idealistic, nor unmanageable, nor involves a cost to you (financial or in terms of time) which outweighs the benefits.

Measurable ie you will be able to notice and express a change resulting from the objective being met.

Positive ie you feel motivated to do it and you can see a real advantage in doing so.

Important ie from the great number of possibilities, you have identified and chosen to pursue something which is genuinely important to you in your work.

Time-bound ie your objective can be met in a fixed and fairly short (up to 12 months) period of time.

Specific ie clear, narrow statements of intent that give focus and impetus to your plan. It is important that objectives are much more precise and finite than learning needs.

Do spend time considering your objectives carefully. Clear, precise objectives

are motivating in themselves
help you to plan
help others understand you learning plan
facilitate evaluation

Examples of objectives which meet the above criteria:

  1. “By November, I will know three factors which influence management of hypertension in diabetic patients.”
  2. “By Easter, I will have identified two strategies that I can implement immediately to improve my time management”.

What you then do with this learning can be reflected upon within the evaluation process: see Evaluating learning below.

c) How to meet objective(s)

Many people think that learning automatically means either attending a course or reading from a book, journal or the internet. Try to think beyond this, asking yourself ‘What of learning styles do I most enjoy and benefit from?’ and ‘What learning style(s) best suit my objective(s)?’ As you become more experienced in the reflective learning of a PLP, these questions will become easier to answer. In certain circumstances you might, for instance, choose to learn within a study group, within a group of professionals at your practice, by sitting in a clinic, shadowing a specialist or following an on-line programme.

d) Evaluating learning

There are many ways to evaluate your learning, and evaluation can take place during or immediately after learning, or at a later date. Some of these are summarised below.

During learning:

self questioning (eg Do I understand? Am I feeling comfortable/interested? Are my objectives being met? Do I need to ask anything?)
effective completion of tasks
formal/informal feedback
discussion with others

Immediately after learning:

evaluation form
reflection alone (eg Was that useful? Can I apply it? How will I do so?)
follow up task
reflective/evaluative comment on PLP

At a later date:

report to colleagues
report to education provider
personal reflection in Portfolio (eg Can I still remember it? Have I used it? Has it been useful?)
observation of change in practice (audit, patient/colleague feedback, own feelings of confidence etc.)

reflection on what you did with your learning (contributed to a change in a practice protocol or policy, etc)
follow-up training session
feedback to team/practice

Evaluation should assess both outcomes and processes.

Outcomes include what has been achieved (what has been learned and the effect of the learning); whether this achievement is synonymous with your initial objectives having been met; how can you take this learning forward.

Processes include what was good/not good about the experience; whether you went about your learning in the most effective way (including the learning style you adopted); why this was/was not the most effective way; what you could have done differently.

Above all, evaluation is a reflective tool which encourages you to see the benefit of your learning, to identify any shortfalls in the learning that you still need to address, to prompt further learning and to enable you to refine your understanding of what learning is most useful to you.

This section of notes should now enable you to complete the last 5 sections of your PLP.

Bear in mind that a PLP is fluid. It will evolve over the 12 months between your submitting to us your planned learning and your reflection on that learning. You may choose not to meet all those objectives that you originally set out, and you may well add new learning needs and objectives over the year. It is helpful (both to you and to us) if, in your reflective document, you assess why you have altered your original plan, and include any learning needs and objectives that you have added.

Familiarisation with producing and actively managing a PLP is not easy. In addition to these notes, the Educationalist team is committed to further supporting PLPs through a system of workshops and study days. If you would like to take advantage of this, please contact one of the members of the team whose details are given at the end of this booklet.

Accrediting PLPs

The fee is currently £60. This buys

a review of your PLP plan by a member of the Educationalist team
feedback on the PLP once you have undertaken your proposed learning
guidance and information to help you to meet your learning needs.

The fee is payable to “Bristol Postgraduate General Practice Education”.

You are encouraged to submit the following year’s plan at the same time as the completed PLP for the past year.

Feedback

All PLP plans submitted to us will receive feedback. The template that we use is at the back of this booklet. Feedback is designed to

be constructive
recognise good practice
support your development as an independent learner.

Fully completed PLPs will receive a more detailed end of year feedback, according to the criteria you will again find at the back of this booklet. The assessment criteria are in keeping with the guidance notes given earlier. For each criterion, we will indicate if it has been fully met (f), partly met (p) or not met (m). In the latter two cases, we will add an explanatory note.

We will also provide a summative comment, giving details of any reworking of the PLP we would like to see prior to approval, and offering any advice for subsequent PLPs.

We hope that the information on the feedback and assessment forms, together with the guidance notes above, will assist you in developing your PLP. They are not intended in any way to ‘straightjacket’ you: we are happy to receive PLPs in a range of formats and which met a wide range of learning needs. Our aim is always to support you in undertaking personally valid and effective learning.

Again, if you would like additional support through attending a workshop on PLPs, please do let us know.

Please contact one of us by email or phone if you would like to discuss anything we have said about your PLP. Your PLP is confidential, and will only be seen by a member of the Educationalist team and (anyone else you choose to share it with).

Portfolios

Producing and managing a portfolio can be an extension of having a PLP.

A portfolio might include:

a summary of your learning to date
documentation tracking your learning
a description of how you would like to develop professionally in the future
past PLPs, including your evaluations of your developing learning
your active PLP
detail of what you have learned and how you have used this learning

It is a valuable, personal record of your ongoing, evolving learning.

Many people feel that, having established learning through a PLP, and possibly having participated in group PLP learning, that they would like to form or join a Portfolio group to maintain peer support in their learning.

If this would appeal to you, we would be happy to facilitate it for you.

Jo Hennessy: jhennessey@cix.co.uk

Academic Centre
Frenchay Hospital
Bristol BS16 1LE

Tel: 0117 975 3787, or 0117 970 1212 extension 3682

 

 

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