title: A blueprint for implementation of a structured portfolio in an internal medicine residency.
abstract: The Accreditation Council for Graduate Medical Education recommends the structured portfolio as a preferred assessment tool for assessing all six of its core physician competencies. However, compared with other evaluation measures, it may be one of the most resource-intensive for learners and evaluators. Given the time and effort needed to properly develop mentors, train evaluators, and persuade learners, facilitation of the learning environment supporting a portfolio may be the most important variable determining its success or failure. The authors review the components necessary to successfully build and maintain a robust portfolio learning environment in a graduate medical education setting. These include gaining staff acceptance, staging implementation, enhancing learner participation, training mentors, choosing paper versus electronic formats, and selecting assessment methods. Their blueprint for implementing a portfolio is informed by their five-year experience with a portfolio rollout in one internal medicine residency, from 2006 to 2011.
authors.affiliation: Department of Internal Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA. donatoa@readinghospital.org
authors.forename: Anthony A
authors.initials: AA
authors.lastname: Donato
authors.forename: David L
authors.initials: DL
authors.lastname: George
mesh_terms: D000046:Academic Medical Centers; D000068:Accreditation; D002983:Clinical Competence / Q000592:standards; D003162:Competency-Based Education / Q000379:methods* / Q000592:standards; D004503:Education, Medical, Graduate / Q000379:methods* / Q000592:standards; D004521:Educational Measurement / Q000379:methods* / Q000592:standards*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000592:standards*; D008611:Mentors / Q000193:education; D010414:Pennsylvania