This document discusses the importance of experiential and reflective learning for primary care physicians. It describes Kolb's experiential learning cycle and different levels of reflection. It also discusses portfolio-based learning and provides examples of content to include, such as learning logs, reflections on patient cases and educational events. The document provides guidance on identifying learning needs through methods like PUNs and DENs (patient unmet needs and doctor's educational needs), audits, and significant event analysis. Finally, it discusses how to develop a personal development plan to address identified learning needs through various learning activities and resources.

1. Developing a Primary Care Mental Health Personal Development Plan (PDP) Dr David Harniess MBChB MRCGP DCH DRCOG

4. How did you learn how to do your job?

5. Experiential Learning Cycle Kolb DA. 'Experiential Learning experience as a source of learning and development', New Jersey: Prentice Hall 1984

6. The wise man reflects!

12. Example 1 – Descriptive learning log entry None What further learning needs have you indentified? Perform a general examination in all patients presenting with depression, anxiety or psychoses What will you do differently in the future? How can I apply what I learnt in practice? Should examine patients presenting with mental health presentations Patients with schizophrenia have worse health than the general population What did you learn? Seminar on importance of physical examination in mental health Learning event activity 23.1.2011 Date of learning event

13. Example 2 – Reflective learning log entry Need to read mhGAP intervention guide to consider minimum investigations for new onset depression What further learning needs have you indentified? If someone presents with an acute psychotic episode I need to rule out physical causes first as historically many people have been admitted to psychiatric hospitals with underlying organic disorder Consider the SOAP acronym as a format to document my findings in the medical notes Need to develop a general practice protocol for an annual health check with patients suffering with severe mental illness What will you do differently in the future? How could I apply what I have learnt in practice? Tailoring neurological examination to check for Parkinson’s disease in older person presenting with anxiety and tremor Increased rates of obesity, ischaemic heart disease and diabetes in schizophrenic patients related to poor lifestyle and long term atypical antipsychotics What did you learn? Seminar on importance of physical examination in mental health Learning event activity 23.1.2011 Date of learning event

15. Example of PUN and DEN Attended lecture of Psychiatrist Dr Palazidou on assessing for psychoses - important to ask the patient why they believe the delusion, what evidence do they have to confirm their delusion and then gently offer the patient an alternative explanation for their delusion e.g. crack on the wall rather than listening device they believe it is What do expert psychiatrists do with someone who is experiencing delusions in their conversation with patients I have patients who present to me with new onset of delusions and I normally refer these patients directly to the psychiatrist at this point - is there anything else I could do to help the patient with their delusions whilst they are waiting to see the psychiatrist? 241/2011 Action to achieve DEN DEN PUN Date

16. Audit Cycle

17. What possible audits could you consider in mental health

20. Significant Event Analysis

21. What possible SEAs could you consider for mental health situations

23. How do you identify your learning needs?

27. How do you achieve your identified learning needs?

30. Making a plan to achieve your identified learning needs Produce practice formulary on antipsychotics and monitoring 3. Consider which is best first line antipsychotic depending on associated psychiatric presentation Keep records of case discussion of patient’s with acute pscyhosis and outcomes Discuss With colleagues 2. Know to whom to refer the patient to Summarise key points from reading Read medical text, BMJ Clinical Review article and review mhGAP Intervention guidet 1. Know how to recognise acute psychoses Significant event: I had a patient with new onset psychosis who required emergency admission to hospital. However we had failed to recognise the condition so I would like to improve my knowledge and skills in its management Learn how to manage psychosis What evidence will you keep? Activities to be used Learning objectives Reason for inclusion in development plan Educational Need