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PortalEIR: Electronic tools for
tutoring residents




         Jose Luis de la Rosa. IAVANTE Foundation.
         Regional Ministry of Health. Andalusia
Introduction: What PortalEIR is

•
      Project managed by the Andalusian
      Regional Ministry of Health
•
      Developed by IAVANTE Foundation
•
      Web Application focused on residents
      education
•
      Financed by the European Social
      Fund
Introduction: Who is for?



            Residents

                         Tutors

                                  Teachers



             Education
             managers
Introduction: Bird-view numbers

•More than 1000 residents start each year
•Around 5000 active residents in the system
•More than 1500 tutors
•Around 70 education managers
•More than 200 teachers
•Increasing number of collaborators
Introduction: The educational approach

                    Learning



       Evaluation     PortalEIR      Teaching

                    tutor/resident




           Collaboration    Information
Deals:

•   Education management system
    geographically dispersed
•   Heterogeneous system (>40 education
    entities)
•   Old-fashioned processes
•   Resistance to change
•   Environment changes very fast
Some Generic Features
•Online groups with debates and shared
documents
•Email and SMS communications
•Local events management
•Residents and tutors portfolio
•E-learning platform
•Access to official documents.
•And a great etcetera.
Tools for tutoring residents
Tools for tutoring
•Anual evaluation
•Evaluation of rotations
•Semistructured interview
•Critical incident report
•Self-reflexion report
•Clinical session
•Some based on the Royal Decree
183/2008 by the Ministry of Health,
Government of Spain
Anual Evaluation
•Tutors can evaluate each resident's year
•Evaluation signed digitally
•They evaluate:
  – Rotations
  – Complemetary activities
  – Reports from other tutors
  – Book of resident
Anual
Evaluation
Evaluation of rotations
•Questions about knowledge, skills and
attitudes
•Mark goes directly to the annual
evaluation average
•Numerical marks are avoided by the
application
Evaluation
of rotations
Semistructured interview
•Done each 3 months
•Includes feedback about:
  –   Rotations (internal and externas)
  –   Clinical sessions
  –   Other activities (communications, etc.)
  –   Contributions to tutoring system
  –   Revision of resident's book
  –   Problems found
Semistructured
interview
Critical Incident Report
•Description of the situation
•Questions raised
•Aims of learning
Critical
Incident
Report
Self-reflexion Report
•Summary of the case or competence
adquired
•Positive things
•Things to improve
•What was the technique applied
•What you need to learn
•How you will learn it
Self-reflexion
Report
Clinical session
•Residents and tutors can publish
presentation appointment
•Anyone can see and come to the
interested sessions
•Residents and tutors can share slides
•All sessions are available in an archive to
lookup
Clinical
session
Technology Architecture

•Django
•Moodle
•Nuxeo DM
Results of test phase
•Around 20 annual evaluations

•13 critic incidents

•95 reflexion report

•102 internal rotations

•462 clinical sessions
Conclusions
•Tutors find easier to keep track of their
tutoring work
•Tutors reduce the time needed to retrieve
information about residents
•Tutors find easier to follow-up residents
learning
•Residents have a written feedback of all
their reports.
Thank you very much


joseluis.rosa@iavante.es
PortalEIR: Tools for tutoring residents

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PortalEIR: Tools for tutoring residents