Portfolio+Overview+Examle

Resident Portfolio

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.

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