These should make up most entries and provide most of the linkage to the Capabilities and Clinical Experience Groups. Clinical Encounters and Professional Conversations will be mapped to this new entry; the clinical learning from acute, emergency or unscheduled care experiences is entered here.
There is now the option within the Clinical Case Reviews to share the setting of the learning, to enable Trainees to document learning in a variety of settings (both in and out of standard GP hours, in addition to the type of consultations). Trainees are expected, after a brief description of the case, to reflect on what they need to maintain, improve or stop.
Before considering this though it is recommended that Trainees reflect on what went well and why, so that they can maintain these behaviours. This reflection should include actions needed in response to the Trainee’s emotional needs as well as clinical and educational actions i.e. “how did it make you feel?”
The option for the Supervisor to comment on the entry is retained. The Supervisor is encouraged to comment on each capability linked. Whenever the Supervisor disagrees with a suggested Capability or Clinical Experience Group link, their explanation should appear in the comments section:
When new learning or experiences present themselves, these should be documented in your log. It is particularly important to document learning in Unscheduled Urgent Care/ OOH care within your Clinical Case Reviews, as this will provide evidence of your understanding of working in this setting.
It is not mandatory that you complete a Clinical Case Review for each Unscheduled / OOH care session undertaken, but documentation of any attendance in this setting should be entered in the supporting documentation section of the log.
Example learning logs
You can find worked examples of log entries on the RCGP website.
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