What is Naturally Occurring Evidence (NOE)?
NOE consists of reflections on workplace activities that are entered within the e portfolio learning log to provide information to allow your supervisor to make judgements on progress towards attainment of competencies as well as to record areas of the curriculum where learning has occurred.
Why has the deanery recommended a minimum amount of NOE?
It is the experience of Educational Supervisors, that NOE within the learning log is one of the essential pieces of evidence to inform the judgement of progression in training. Regular reflection on day-to-day work provides evidence that you are learning from your placement. A minimum amount of evidence is therefore necessary for your ES to adequately produce an evidence-based ESR. The Severn and Peninsula GP schools have published recommendations about the minimum NOE. The ARCP panel may give an unsatisfactory outcome if trainees have not responded to feedback to provide sufficient evidence.
Writing log entries seems like onerous extra work?
Documentation of sufficient and reflective NOE is a core expectation of GP training to demonstrate reflective practice and learning. Many trainees are already more than meeting these recommendations; your ES will support you to also achieve this.
Must I provide evidence of teaching?
Yes all trainees should be involved in teaching. To demonstrate competence you need to “Contribute to the education of students and colleagues and identify learning objectives and use teaching methods appropriate to these.”
Must I do an Audit?
Audit is a core professional activity, which is also to be a requirement for ongoing revalidation of doctors. To demonstrate competence you need to “Participate in audit where appropriate and use audit activity to evaluate and suggest improvements in personal and practice performance.” The deanery will also accept other projects that reflect on data and recommend/lead to changes in practice. guidance on audit. See guidance for QI projects
Why are SEAs so important?
Participation in SEAs is a requirement for revalidation as well as for the GP curriculum. Trainees must “engage in significant event reviews and learn from them as a team-based exercise.” They provide your ES with useful evidence of ability to recognize ethical dilemmas, as well as professional boundaries/responsibilities. SEAs should be personal, in that they have involved you in some way, and result in some personal learning for you. Your ES can give further guidance. Where significant events have involved a patient death or a "near miss", then these should also be documented on your Form 4
What about complaints?
Appropriate response to complaints and critical feedback from supervisors/colleagues is essential to demonstrate the Fitness to Practice competency. Complaints from patients must be entered as an SEA within your learning log as well as referred to in your Form R. Feedback from colleagues/supervisors should be entered as a “Professional Conversation”.
Do panels expect these recommendations?
None of the requirements to demonstrate achievement of the 13 required competencies have changed. Your ES will make a judgement as to whether adequate NOE has been provided broadly in line with these recommendations. Where they have not been followed, your ES may find it more difficult to find evidence for progression in some of the competency areas and will highlight this to the ARCP Panel.
Where do I find details of the expected minimum recommendations?
The specific learning log recommendations can be found on the WPBA page of the Deanery website.