Individualized Learning Plans Dan Fisher MD Kathryn Bachman

Individualized Learning Plans Dan Fisher, MD Kathryn Bachman, DO Stephanie Nader, MSW

Disclosures • We have no disclosures to report

Objectives Understand why ILP’s are important Describe how Individualized Learning Plans can be utilized to personalize resident education Develop “SMART” goals and strategies for achieving individualized educational objectives Begin the process of implementing ILPs in your own programs

ILP: Why?

ILP: Why? • Training life-long learners • Adult learning – moving beyond didactics • “Practice related learning” “Reflective practice” 1 – “In the practice-learning environment, a physician will begin an educational activity not by entering a conference room but by reflecting on his or her practice performance. ” 2 • Translating the CCC data into action 1. Donald Schon. Educating the Reflective Practitioner. Jossey-Bass Publishers, 1987 2. Barnes BE. Creating the practice-learning environment: using information technology to support a new model of CME. Acad Med. 1999; 73: 278 -281

ILP: Evidence and Experience • “Individualized Education Plans” (IEP) in K 12 • “Learning contracts” in Nursing Education literature • “Individualized Learning Plans” required of all Pediatric residents since 2006 • No published Family Medicine experiences with ILP

ILP – now everyone is on a performance improvement plan “Gifted adults can best exercise their talents and maximize their potential when they receive an individualized educational approach that focuses on providing intellectual challenges with permission to explore interest areas. ” 4 4. DA Seehusen, WF Miser. Teaching the Outstanding Medical Learner. Fam Med 2006; 38(10): 731 -5.

“The basic elements of an ILP are: 1) Reflection on long-term career goals and self-assessment of areas of strength and weakness 2) Goal generation 3) Development of plans/strategies to achieve the goal 4) Assessment of progress on goal 5) Based on assessment, revising goal/plan or generating a new goal” 3 3. ST Li, AE Burke. Individualized Learning Plans: Basics and Beyond. ACADEMIC PEDIATRICS 2010; 10: 289– 292

SMART Goals • • • Specific Measurable Achievable Results-Focused Time-Bound

Sample ILP: SMART Goal Section

Examples of Possible SMART Goals • Improve In Training Exam Scores • Improve Efficiency in Clinic • Improve CGCAHPS Scores • Improve Quality and Timeliness of Documentation • Improve Leadership Skills • Improve Comfort as a Back – Up • Improve Professional Conduct

Create Your Own SMART Goal!

ILP’s at our program • Career Goal (track/path) • Di. SC Profile • In Training Exam Score • Use of evaluation generated by CCC • Optional Timeline Section • Feedback style identified by resident

ILP’s at our Program • Frequency: Every 6 months vs Every year • Paper vs Electronic (both) • Introducing ILP: Who & When

Faculty Survey Results 4 Respondents Strongly Disagree (1) to Strongly Agree (10) 1 2 I am very comfortable at facilitating a trainee’s ILP 3 4 2 1 5 6 1 1 I am confident that the time it takes me to facilitate a trainee’s ILP is worth it to the trainee. 1 8 9 10 1 Physician self-reflection fosters better patient care. It is important to do ILPs on a regular basis. 7 1 1 2 1 1 1 2

Resident Survey Results 11 Respondents Strongly Disagree Neutral Agree Strongly Agree 2 7 1 I am confident in my ability to follow-through with a learning plan I develop. 1 ILPs are worth the time and effort spent on them. 1 1 6 3 I am willing to invest the time and energy necessary to develop and implement an effective ILP to improve my performance. 1 1 3 3 3 ILPs help me align my learning goals with my learning needs 1 1 4 4 1 ILPs help me hold myself accountable for achieving my learning goals. 1 1 2 5 1 ILPs help others (advisors, program director) hold me accountable for achieving my learning goals. 1 2 6 2 5 3 3 My learning goals are constantly changing.

Resident Experience • Challenges of creating an ILP • Benefits of creating an ILP • How it has had an impact on self-directed learning

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