Portfolio Evidence Ideas

Ideas to help evidence the four pillars of Advanced Practice

CLINICAL:

• Examples of decision making / clinical judgement and problem solving especially in complex cases.

• Critical thinking and analytical skills – often demonstrated through critical reflections.

• Case based discussion or reflection describing complexity and how you managed it.

• Clinical governance – your contribution to and / or awareness of your governance structures and how this impacts your practice.

• Reflections on ethical decision making and what resources you used to help develop the outcome.

• Reflections on how you have become more autonomous and what has helped you move in this direction. Describe an occasion demonstrating this.

•  Examples of assessing and managing risk.

•  Examples of non-medical prescribing in complex cases.

• Service user and public involvement

•  Influencing others to incorporate vales-based care into practice.

•  Describe your abilities around managing the pathway from assessment, to diagnosis, treatment / referral, and discharge.

• Development of psycho motor skills.

• Go on placement - Please refer to the ‘Letter of Authority to Access Placements Trainee Advanced Clinical Practitioners (TACPs). An agreement to support trainees accessing clinical educational placements during training document to sign and agree between hosting organisations. To access this please contact Cheryl or Sarah Fisher.

MANAGEMENT AND LEADERSHIP:

• • Identifying the need to change and steps you took to do this.

  • Service evaluation and development.

  • Innovating new practice (new procedures, clinics, access for patients etc).

  •  Examples of negotiation and the use of influence to improve patient care and / or staff’s experience.

  • Networking – particularly wider than your immediate clinical area.

  • Team development – how you identify where there needs to be development and how you contribute to this.

  • Attendance and contribution to the wider trusts’ management / leadership teams.

  • Primary care trainees - request to observe a network meeting and discuss with the clinical director their role and impact as a leader.

  • Do you chair meetings? If not see if you can! 

  • Review board meeting notes – usually found on their internet sites. This can help aid your understanding of the wider strategic level issues. There are some free courses that you can access via the NHS leadership academy. The Edward Jenner course is free to access.

 EDUCATION:

As a teacher:

• Supporting others to develop knowledge and skills.

• Promotion of a learning environment.

• Sharing new information and up skilling your team.

• Development and giving of CPD sessions.

• Contribution to the learning of other teams / other trainees in learning exchanges.

• Mentorship and coaching of others.

• Supervision of others.

• Deliver a teaching session to other tACPs via this project – to do this get in touch with Cheryl.jenkinson1@nhs.net.

As a learner:

• Learning and evidencing the principles and of teaching and learning (modules available).

•  ACP masters module assignments and their feedback.

Reflection on new experiences learnt through placements and experiences.

• Reflection on conferences, webinars, and other learning events and what you will take away from these.

• Undertaking any supervision training and developing

• Article review – critically appraising articles and describing the learning you took away from it.

• Case based discussions with your supervisor that sign post to additional learning and then writing up what you have learnt.

• Analysis of your learning style and what changes may help increase your learning.

• Shadow a lecturer for a day at the university, write a follow up reflection.

RESEARCH:

• • Demonstrate your ability to access research and use information systems (often through assignments)

  • Examples of the critical appraisal of research.

  •  Any involvement in research – as a recruiter to principal investigator.

  • Engaging in any courses / education events about research. NIHR often have events / courses for free. National Institute for Health and Care Research | NIHR

  • Evidence of any audits or service evaluation you have done.

  • Evidence of implementing research findings into practice.

  • Contributions to conferences / posters etc.

  • Any publications you have or have contributed too.

  • Visit the Clinical research facility at Sheffield Teaching hospitals.

  • Visit your own Research department within your trust.

  • Review the latest evidence base and assess to see if your practice is working to this? e.g. prescribing audit?

  • Join PACT (the Primary care Academic ColloraTive) – this is for anyone who is clinically trained and interested in taking part in research, even if you have no research experience. Website: https://sites.google.com/nihr.ac.uk/pact/