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Do portfolios have a future?

Erik Driessen1

  • 1Department of Educational Development & Research, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. e.driessen@maastrichtuniversity.nl.

Advances in Health Sciences Education : Theory and Practice
|March 31, 2016
PubMed
Summary

Portfolios in health sciences education face resistance due to bureaucracy and ethical concerns. Mentorship and comprehensive content are crucial for their future success and meaningful learning.

Keywords:
AssessmentCompetency-based educationMedical educationPortfolioReflection

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Area of Science:

  • Medical Education
  • Health Professions Education
  • Competency-Based Education

Background:

  • Portfolios are increasingly popular but face controversy regarding learner engagement, ethical considerations of reflection, and bureaucratic implementation in competency-based education.
  • Mass adoption without clear purpose and format may threaten the viability of portfolios in health sciences education.

Purpose of the Study:

  • To explore the resistance to portfolios from students and teachers.
  • To examine the ethics of requiring and grading student reflections.
  • To determine if competency-based education empowers or hinders learners in workplace-based learning.

Main Methods:

  • Analysis of 25 years of portfolio use in health sciences education.
  • Exploration of learner and teacher perspectives on portfolio implementation.
  • Review of ethical considerations surrounding reflective practices in portfolios.

Main Results:

  • Portfolios without mentoring are perceived as bureaucratic hurdles in competency-based education.
  • Comprehensive portfolios, integrated into the curriculum, can serve as valuable patient and learner charts.
  • Meaningful dialogue between learner and mentor in a trusting relationship is key to fostering learning through portfolios.

Conclusions:

  • Mentorship is essential for the future of portfolios; without it, they are merely bureaucratic obstacles.
  • Comprehensive, diverse portfolios integrated into the curriculum can enhance patient care and document learner progress effectively.
  • When used meaningfully with mentorship, portfolios have a promising future in medical education.