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THU0590 The use of a portfolio among young rheumatologists: results of an emeunet survey
  1. M Van Onna1,
  2. F Sivera2,
  3. V Navarro-Compán3,
  4. E Nikiphorou4,
  5. A Moltό5,
  6. S Ramiro6,
  7. on behalf of the EMEUNET Working Group
  1. 1Department of Internal Medicine, division of Rheumatology, Maastricht University Medical Center +, Maastricht, Netherlands
  2. 2Rheumatology, Hospital General Universitario de Elda, Alicante
  3. 3Rheumatology, la Paz University Hospital, Madrid, Spain
  4. 4Rheumatology, Whittington Hospital, London, United Kingdom
  5. 5Rheumatology, Cochin Hospital, René Descartes University, Paris, France
  6. 6Rheumatology, Leiden University Medical Center, Leiden, Netherlands

Abstract

Background Portfolios are increasingly used in medical education. A portfolio may stimulate deep learning, deliver summative assessment and encourage reflection on clinical practice. A portfolio is seen as the key connection between learning at the organizational and the individual level.

Objectives To (1) explore the perceptions of young rheumatologists about the use of a portfolio and to (2) study the barriers and facilitators when implementing a portfolio at a national and international level.

Methods A survey was sent by email to all EMEUNET (Emerging EULAR Network) members. EMEUNET is a group of young rheumatologists and researchers within EULAR-member countries. Descriptive statistics were used to analyse initial data collected (Nov-Dec 2016). Weighted averages were calculated (i.e. mean in which each item being averaged is multiplied by a number (weight) based on the item's relative importance).

Results 132 participants responded (64% female; mean age 33.5 years (SD 4.3 years); 34 countries). In total, 56.3% of participants were working as rheumatologists; 32.8% were rheumatologists in training. 49.6% of the participants indicated that a portfolio was already used by rheumatology fellows working at their institution; in 71.9% of these cases, this portfolio was also used at a national level. 50.4% of participants did not use a portfolio during their training; of these, 86.7% (strongly) agreed that a portfolio might be a useful tool.

Several barriers for successful implementation of a portfolio were identified by the participants. The main barrier was that a portfolio was not developed at a national level, and if developed at a national level, there were often no incentives to use it (Table 1). According to participants, the top 3 competencies that should be collected and reflected upon in the portfolio were (weighted average; importance 0 (not important) – 10 (extremely important)): practical skills (e.g. ultrasound) (8.2); correct use of diagnostics and therapeutic armamentarium (7.9); clinical skills (e.g. history taking) (7.8). The skills chosen as the least important to be included in a portfolio were: information on management tasks (6.5); promoting hospital-based care (e.g. writing a protocol) (6.6); theoretical and clinical knowledge (6.7).

Conclusions A portfolio is generally considered a valuable tool and half of the participants already work with it. However, several barriers may prevent optimal implementation. Developing a core set of rheumatology-oriented competencies and a template for a portfolio to be used across institutions and eventually countries could promote implementation and harmonize training.

Disclosure of Interest None declared

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