The Surgical Learning and Instructional Portfolio (SLIP) as a self-assessment educational tool demonstrating practice-based learning.

Full Abstract

PURPOSE:
Time constraints on the teaching and evaluation of residents continue to alter the way in which medical knowledge must be imparted and assessed. Lifelong learning is a component of the practice-based learning competency. A portfolio is one way to assess practice-based learning, but its use is unfamiliar to most surgical programs. The authors describe the evolution of the Surgical Learning and Instructional Portfolio (SLIP) into a worthwhile educational tool.

METHODS:
In March 2001, the authors began a program to encourage residents to develop a case-based portfolio to document their experience and demonstrate acquisition of knowledge in caring for a variety of surgical diseases. The monthly case topic was chosen by the resident and reported using a template:
case history, supporting diagnostic studies, differential diagnosis, final diagnosis with ICD-9 coding, management options, treatment used, 3 lessons learned, embellishment of 1 lesson, and 2 articles supporting the experience. Initially, cases were submitted to the program coordinator and reviewed every 6 months with a faculty advisor to provide feedback.

RESULTS:
After the first 18 months of this program, resident compliance was less than 50%, satisfaction was low, and formal review did not occur. In July 2004, a single faculty member became responsible for evaluating and providing feedback on the monthly SLIPs. The assignments were handled electronically with feedback delivered within the month via e-mail. SLIP quality as measured by resident compliance and satisfaction improved.

CONCLUSION:
These SLIPs have matured into a valuable educational tool satisfying multiple ACGME competencies. This portfolio system required direct faculty feedback to become successful.

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Author information

Author/s: Webb, Travis P (TP); Aprahamian, Charles (C); Weigelt, John A (JA); Brasel, Karen J (KJ);

Affiliation: Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA. trwebb(-atsign-)mcw.edu

Journal and publication information

Publication Type: Journal Article

Journal: Current surgery (Curr Surg), published in United States. (Language: eng)

Reference: -2006 Nov-Dec; vol 63 (issue 6) : pp 444-7

Dates: Created 2006/11/06; Completed 2007/02/13; Revised 2008/11/21;

PMID: 17084776, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Clinical Competence
Competency-Based Education - methods
Education, Medical, Graduate
Educational Measurement
General Surgery - education

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