Pediatric Nephrology Program Director ILP and SemiAnnual Review Workshop

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Pediatric Nephrology Program DirectorILP and
Semi-Annual ReviewWorkshop

• Ed Zalneraitis, MD
• John D Mahan, MD

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Objectives

• Define the objectives of the Individualized
  Learning Plan process
• Describe the components of an effective ILP for a
  Pediatric Nephrology trainee
• Define the objectives of the Semi-Annual Review
  process
• Describe the components of an effective
  Semi-Annual Review for a Pediatric Nephrology
  trainee

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Individualized Learning Plan (ILP)

• A user (student) specific strategy of learning
  that takes into consideration student's strengths
  and weaknesses.
• Presumes the needs of individual students are
  different, and thus, must be differently
  addressed.
• Generated after interaction between student and
  teacher - based upon mutual assessment.
• The ILP
• Incorporates long-term goals of the student
• Identifies specific learning objectives
• Based on mutual agreement between student and
  teacher
• Defines framework for periodic re-assessment

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Components of a Learning Plan

• Goals/Objectives
• achieve within a specific period of time
• may use sub-goals that can be realized within
  weeks or months.
• Actions
• for each learning goal/sub-goal - actual
  behaviors
• Resources
• for each action - one or more resources
• resources - observations, reading, course
  completion, discussion, writing, preparation of
  course materials, test taking, teaching,
  completing competency assessment
• Evidence of Attainment
• for each action - measurable evidence of
  attainment
• evidence - to demonstrate that action has been
  taken, progress towards the goal has been made,
  and finally that goal has been achieved (private
  vrs public).

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SMART Objectives

• SMART
• Specific
• Measurable
• Achievable
• Relevant
• Time-bound
• For example Will complete review of Pediatric
  Nephrology textbook and generate 10 board style
  questions for each chapter by 7/08

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The Learning Plan

• A learning plan is a way to clarify what you
  want to learn, show how it relates to your other
  life goals and then to provide yourself with the
  resources you need to achieve your learning and
  a way to demonstrate to oneself and to others
  that one has, at the end of the day, actually
  learned something.
• Steven Forth The Learning Citizen 2004

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ILP allows the Learner to .

• Analyze your learning needs in a systematic way.
• Create a plan for engaging in learning
  experiences based on these needs.
• Document your commitment to lifelong learning.
• Have a positive impact on your own clinical
  practice and professional development.

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ILP Requirement
ACGME Program Requirements for Graduate Medical
Education in the Subspecialties of Pediatrics.
Companion Document (Guidelines for Subspecialty
PIF Documentation) p 26. Effective July 1, 2007
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Fellow ILP

• Paper or electronic
• Available to approve, re-assess, check over time
• Useful!!!!

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Attributes of Learning

• Learner (Learning) Centered
• Knowledge Centered
• Assessment Centered
• Summative
• Formative
• Community Centered

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ILP issues

• Difficulty of fully involving learners in
  developing own of ILP
• limited knowledge of what is needed, resources,
  etc
• Amount of time needed create and review ILP
• Challenge of incorporating individual goals into
  group learning
• How to keep paperwork manageable
• how to use as ongoing guide
• how to transition from one ILP to the next
• How to keep meaningful

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ILP Activities

• Dyad activity
• Construct your own ILP for the next academic year
  review with a PD colleague
• Group activity
• Small groups construct an improved Pediatric
  Nephrology Fellowship ILP template

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Semi-Annual Review

• Definition
• Periodic review of employee/trainee/students
  accomplishments and future plans in organization
• Required by Pediatric RRC
• Good for Business

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Semi-Annual Review

• Can be good for the individual trainee and
  program
• Provides opportunity to share summative
  evaluations
• Provides opportunity to develop/assess ILP
• Provides opportunity for future and career
  planning
• Provides opportunity to collect program
  feedback/evaluations

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Pediatric RRCSemi-Annual Review Requirement
ACGME Program Requirements for Graduate Medical
Education in the Subspecialties of Pediatrics.
V. Evaluation, p 19. Effective July 1, 2007
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Semi Annual ReviewCritique

• Why are they so dreaded?
• What is the purpose?
• Weed out poor performers
• Recognize the best performers
• Provide guidance for further education, career
• Map out individual development plan
• Decision as to purpose and format is PDs

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Semi Annual ReviewPotential Value

• Can provide accurate assessment of trainees
  status at the time
• Can provide opportunity to agree on trainees
  developmental plan
• Can provide chance for advice
• Can serve as an effective tool to develop a
  stronger organization/program

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Semi-Annual Review Possible Components

• Self assessment
• Review of evaluations
• Rankings?
• Assessment of program, faculty by trainee
• Identification of education plan
• Knowledge
• Skills
• Board Preparation/Review
• Career Plans - advice

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Semi-Annual ReviewBusiness Perspective

• Employee satisfaction studies reveal more not
  less interest in performance reviews.
• Most employees want more feedback
• Frequent feedback in the course of everyday
  activities might dampen the cry for semi-annual
  reviews, but supervisors, being human, can't
  always be counted upon to give feedback when it
  should be given (although they still should be
  encouraged to give feedback when it is
  appropriate). A semi-annual review program
  institutionalizes the process of giving more
  frequent feedback.
• The idea is not popular with all employees -
  those with longer tenure tend to be satisfied
  with annual reviews.
• There is no need for a change in pay to accompany
  each review in a semi-annual review process.
  Every other review can be a point where employees
  and supervisors "check in" with each other. The
  employee benefits by not being "surprised" of a
  negative evaluation the employer benefits by
  keeping employees more focused on goals and
  objectives.
• The Business Research Lab, 2008

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Semi-Annual Review Activities

• Dyad activity
• Conduct a Semi-Annual Review with a PD colleague
• Group activity
• Small groups construct an improved Pediatric
  Nephrology Fellowship Semi-Annual Review template