Example clinical case reviews for GP trainees. GP trainee portfolio reflection guide.

example clinical case reviews

The clinical case review entry form is among the fourteen fish GP trainee portfolios’ most essential forms. I have created a summary video to follow me as I work through a clinical case review entry. The critical take-home from this blog is that reflecting can be easy!

What is a clinical case review?

 

Clinical case reviews will account for most of your fourteen fish GP trainee portfolio entries. This is partly due to the yearly requirement of completing at least thirty-six clinical case reviews, but it is also worth noting that you will likely need more than thirty-six entries for complete capability coverage.

If you’d like to recap the importance of GP trainee portfolio capabilities please click here to read our reflecting guide, “A guide to help you with the GP trainee portfolio. Reflecting as a GP trainee.”

 

A clinical case review is a place to document all of your clinical learning experiences from a variety of settings.

If you’re already familiar with the portfolio, you can skip ahead!

 

What are the key components of the fourteen fish GP trainee portfolio?

The difference between hospital and GP based clinical case reviews?

Example clinical case review for GP trainees in a hospital rotation.

Example clinical case review for GP trainees in a GP based rotation.

 

What are the key components of the fourteen fish GP trainee portfolio?

The clinical case review entry form is among the fourteen fish GP trainee portfolios’ most essential forms. I have created a summary video to follow me as I work through a clinical case review entry. The critical take-home from this blog is that reflecting can be easy!

 

 

We’ve launched a free FourteenFish GP trainee portfolio support package. Sign up today for FREE by clicking here.

Here are the key points from my summary video!

 

Brief description:

Do not waffle! Keep your description to the point. This will save you time and will be much easier for your educational supervisor.

 

Capabilities:

Complete your capabilities at the end of each reflection. Use the “descriptor” paragraphs within your justification. Check out the video if you’d like to see an example.

 

Reflection:

There isn’t a right or wrong way to reflect, but you ideally want to focus on one or two points. This section should demonstrate the bulk of your reflective process. 

What are my feelings, what are the positives and negatives of the situation, would I do something differently, and is there a doctors educational need that I can take from this?

 

Learning needs:

You do not need a learning need every time! But when you do select one, be strategic and choose an achievable learning need that can be demonstrated in a linked entry. This will illustrate a closed-loop of reflective learning.

 

 

The difference between hospital and GP based clinical case reviews?

 

One of the annoying things with the GP trainee portfolio is how the capabilities are very primary care focused. As GP trainees, we spend eighteen months within a secondary care setting! However, it’s still very possible to meet the capabilities, as long as you consider the statements from within each capability.

Once you start your GP trainee portfolio, you will realise how difficult it is to meet the community orientation capability. Here is an example of how you can meet this capability within an obstetrics and gynaecology rotation.

 

Brief description

I was involved in the care of a patient who was delivered at 38 weeks with a post-partum bleed. Her haemoglobin on discharge was 75 and the patient had an iron infusion to help improve her haemoglobin as she was keen to avoid the use of blood products.

 

CapabilityCommunity orientation

“Reflects on the requirement to balance the needs of individual patients, the health needs of the local community and the available resources. Considers local and national protocols, e.g. SIGN or NICE guidelines.”

I have demonstrated this capability as I have balanced the needs of this patient by using local community guidelines. 

The patient required two doses of an iron infusion and a follow-up review in the post-natal clinic. I was able to use the local policy document to arrange her second iron infusion as an outpatient in the ante-natal clinic as a day case attendance, and I also arranged a follow-up appointment with a debrief for the patient for her traumatic labour.

 

To help clarify some of the points that we have covered within this GP trainee portfolio reflection guide, I will finish off with two portfolio clinical case review examples for a hospital and GP based rotation.

If you’d like to cover specific examples of how you can meet capabilities in certain rotations – please click here!

 

Example clinical case review for GP trainees in a hospital rotation.

 

The following clinical case review has been created for a psychiatry placement. Please note that this is not based on real-patient data and has been created to demonstrate how capabilities can be achieved without being specific to the placement.

 

 

Example clinical case review for GP trainees in a GP based rotation.

 

The following clinical case review has been created for a GP placement. Please note that this is not based on real-patient data and has been created to demonstrate how capabilities can be achieved without being specific to the placement.

 

 

If you’ve found this guide to be helpful, please share it with your colleagues!

We’ve recently started our RCGP capability blog series. This series will focus on how you can easily demonstrate competence in a hospital and GP placement.

Check our fitness to practice examples by clicking here!

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