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Table 5 Reported use of formal learning plans-registrar perspective

From: Utility of learning plans in general practice vocational training: a mixed-methods national study of registrar, supervisor, and educator perspectives

Type of learning plan use

Reasons

Quotes

Registrar used learning plan as intended by RTP

 Actions:

  • Deliberative planning and goal setting (not just a log of learning activities).

  • Entered learning items into online learning planner.

  • Discussed learning plan with supervisor.

• Facilitated strategic planning.

• Facilitated keeping track of learning and planning tasks for the weeks ahead.

• Ensured outcomes were achieved (for some).

• Email reminders helpful.

“I could plan and prioritise and it kind of helped because I was in a remote area … I could plan what courses and things I actually wanted to do to get those learning objectives done and that meant I could book leave.” (GP102)

Registrar used learning plan to meet requirement but did not find it helpful

 Actions:

  • Fabricated some parts of the learning plan.

  • Inputting ‘easy’ learning activities for the purpose of ticking them off.

  • Retrospective completion (rather than prospective planning).

• Was a requirement of training but not a meaningful activity for registrar.

• Forgot about goals that were initially written down.

“… I had to find it on my computer where I’d put it … because I hadn’t seen it in 6 months, and then I’m sitting there thinking, ‘What did I write last time and what am I going to write this time? And I don’t want it to look the same’” (RTP1, GPT1&2 s)

Registrar under-used learning plan

 Actions:

  • Learning planning (process) was occurring but learning was not documented in a learning plan.

  • Use of learning plan intermittently.

  • Started but stopped using a learning plan.

• Lack of meaningful follow-up by the RTP or supervisor.

• Lack of time.

• Wasn’t a priority.

• Didn’t find it useful.

• Too complicated and overwhelming.

• Forgot to use it.

• Lost motivation.

“I’m a GP supervisor and a medical educator and it’s my impression that the vast majority of registrars don’t actively use learning plans.” (RTP3, Supervisors)

“I wouldn’t get mine actually written till maybe halfway through or something like that, I’d usually have to be nagged a bit by [the RTP] to complete it.” (GP102)

Registrar created their own learning plan (uncommon)

 Actions:

  • Generating own format was reported to be more efficient, more useful, and reflective of their own learning style.

  • Tools used for learning planning:

   -notebook

   -post-it notes

   -spreadsheet

   -pre-existing online reminder system

   -Word document

   -GoogleDocs

• Convenience

• Personal preference

• More useful

• More accessible

“I would just do it myself, make up my own spreadsheet and do it myself on the computer.” (GP102)

“I just found that more useful because it was real in terms of what was coming in. And to…it was accessible. Whereas I didn’t actually find the real learning plan accessible. But that’s just my style of learning. But I feel like a lot of people feel that way.” (GP202)