Guidance on the MJDF Portfolio of Evidence
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Aims of the Portfolio
The MJDF Portfolio is a collection of evidence where you reflect on your professional development in five core clinical and management skill areas, along with evidence of the clinical management of patients.
The Portfolio of Evidence assesses aspects of knowledge, application of knowledge, and provides workplace-based assessment of competencies across the foundation training curriculum. Completion of the Portfolio is a requirement for the award of the MJDF qualification.
The purpose of the Portfolio is to demonstrate understanding and attainment in each core skill and in the clinical management of patients.
Among the aims of the Portfolio are:
- To give you a contemporary record of activities and thoughts
- To facilitate the gathering of material in order to provide a summary of information for submission
- To help you to reflect on how you have applied your learning in clinical practice
- To facilitate reflection and writing up at the end of the course
- To help you to reflect on the learning process so you can see what was helpful/difficult/took too long/still needs to be completed, and so on
- To provide documentary evidence of learning and attainment of clinical skills.
Structure of the Portfolio
The Portfolio consists of five parts:
- Evidence of five core clinical and professional skills drawn from the candidates foundation training environment
- Evidence of clinical management through presentation of both:
- a clinical audit or research project, and
- a clinical case, case-based discussion or equivalent
- A curriculum vitae
- A record of continuing professional development activity, and
- A personal development plan.
Core clinical and professional skills
Whereas the MFGDP(UK) Coursework Module required completion of seven key skills, the requirement for MJDF is for evidence to be provided of five core skills, three of which must include the General Dental Council (GDC)'s mandatory areas for continuing professional development. Candidates may then select a further two from the options provided.
Mandatory core skills:
- Infection control
- Medical emergencies
- Dental radiography and radiation protection
Two further core skills must be selected from:
- Health and safety in clinical practice
- Record keeping
- Dental teamwork
- Prevention and dental public health
- Law and ethics.
Note: This information was updated on 27 July 2007. Some core skills listed here previously have been incorporated into the final core skill areas listed above and as detailed in the Guide to the MJDF Portfolio of Evidence.
Evidence of clinical management
A requirement of this part of the portfolio is the completion of a clinical audit or research project, and providing evidence of clinical skills through a clinical case presentation, a community or secondary care case-based clinical presentation or study, or a record of assessment of workplace-based competences. The record of assessment of workplace-based competencies is based on four commonly used workplace-based assessment methods:
- Case-based discussion (CbD)
- Mini clinical evaluation exercise (mini-CEX)
- Directly observed procedural skills (DOPS)
- Multi-source feedback (MSF)
Guide to the Portfolio
The Guide to the MJDF Portfolio of Evidence document provides detailed information for candidates when preparing the Portfolio.
View the Guide to the MJDF Portfolio of Evidence
Candidates may also find it helpful to refer to the Key Skills in Primary Dental Care e-learning package.
A summary of information in the Guide to the MJDF Portfolio of Evidence is given below.
Types of evidence
You will need to collect effective evidence showing your attainment of the core skills and clinical skills in your Portfolio of Evidence. You should include elements of the principles of evidence-based practice, which are:
- Identifying problems in clinical practice and, based on these, producing a set of needs to investigate (and for which to provide solutions)
- Identifying and searching information resources for answers and solutions
- Evaluating information resources for their usefulness; discrimination between poor and robust sources
- Implementing useful findings.
The Portfolio should contain diaries, logs and various artefacts that provide the 'evidence'.
The core skill areas have been selected because they are important in the practice of dentistry. In order to gain credit for the Portfolio:
- Five core skills should be demonstrated
- All sub-elements of each skill should be demonstrated
- Evidence additional to the five core skills should only be included with care and with an explanation as to its relevance.
More information on providing evidence of the five core skills, such as suggested evidence items and questions to ask yourself, is detailed in the Guide to the MJDF Portfolio of Evidence.
Layout and general principles
Portfolios should:
- Show attainment of specific outcomes.
- Demonstrate how the subject materials relate to practice or professional development.
- Use accurate and relevant scientific and professional terms.
- Show reflection that:
- Describes an event or situation
- Outlines the awareness of the consequences of actions
- Describes conclusions based on available evidence or authority
- Has influenced practice and thinking, analysing how the experience
modified the learning experience claimed
- Correctly cites and lists relevant reading
- Is set in context of professional development activity.
Regarding layout, it's important that:
- Your Portfolio is typed or legibly written, in grammatically correct English (including items referring to evidence, which will require translation if necessary) and have clear and concise expression
- Pages are bound in secure binder
- Your Portfolio includes dividers, with labelled side tabs, to separate sections and groups of evidenced items.
The correct layout is:
- Cover page
- Index of contents
- Personal details and CV
- Core skills
- Evidenced clinical management
- Audit project or Research project, and
- Clinical skills
- Record of CPD or Log of prior experience
- Personal development plan
- Statement of health probity
- Appendices
View the complete Guide to the MJDF Portfolio of Evidence document
Assessment of the Portfolio
From January 2008, the way in which the MJDF Portfolio of Evidence is assessed has changed. The onus has switched to local assessment under a new system.
A small proportion of candidates will still be asked to submit their portfolios centrally as part of our quality assurance procedures. Full details on the local assessment of portfolios are in the Guide to the Local Assessment of the MJDF Portfolio of Evidence. Summary information is given below.
Guide to the Local Assessment of the MJDF Portfolio of Evidence
Find out more about the transitional arrangements in the Information for Candidates document
The new system
The main change in the new system is that each component of the Portfolio may be signed off by a local assessor. This may be one person who is in a position to verify all parts of the Portfolio, but equally may be a number of different assessors who can vouch for that part of the Portfolio. For example, different parts of the Portfolio may be completed at different times in different training environments.
The MJDF Portfolio of Evidence Submission Form should be completed to cover the requirements of local assessment.
The submission form should be accompanied by a fee of £50.00 to cover the costs of administration and quality assurance. Vocational dental practitioners are exempt as long as the form is submitted within three months of the end of participation in their scheme. Please note that a copy of the VT certificate should be enclosed with the form.
Who can assess?
The assessor must be a dentist registered with the GDC, and either hold a postgraduate qualification or have appropriate experience in postgraduate education, training and assessment. The following are considered suitable. If any candidate wishes to use an assessor not falling within the categories below, but who may have equivalent skills and experience, please contact the MJDF office for advice by emailing [email protected] or on 020 7869 6762.
Approved assessors (UK-based candidates) are:
- Vocational trainers
- Hospital-based trainers (this includes university lecturers, specialist registrars consultants trainers and tutors)
- Other deanery appointments, including postgraduate tutors, vocational training advisers and regional vocational training advisers
- Primary Care Trust dental tutors, dental clinical governance leads and dental practice advisers
- FDS and FGDP(UK) local tutors
- Members of either the FDS or FGDP(UK) who hold a postgraduate qualification.
Non UK-based candidates should contact the MJDF office for advise.
Both candidates and assessors need to be aware of their professional responsibility to only sign off work if it has been completed to the required standard in accordance with the Guide to the Local Assessment of the MJDF Portfolio of Evidence.
Step-by-step guide to local assessment
- It is the candidate's responsibility to identify a suitable assessor or assessors to sign off each part or parts of the portfolio when they are satisfactorily completed.
- Candidates and assessors should use the MJDF Portfolio of Evidence Submission Form to demonstrate completion of the Portfolio.
- Section 2 of the Submission Form includes a record of Portfolio assessment. Candidates should arrange for each assessor to certify completion of each part of the Portfolio as indicated. Assessors should also be aware that in signing to confirm satisfactory completion they are doing so in accordance with the probity statement provided as a part of that form.
- Section 3 provides a separate probity statement for completion by the candidate.
- On completion, the form only should be sent to the MJDF examinations office, not the full Portfolio, unless subsequently requested.
- You will be informed within 4 weeks of submission whether your Portfolio has been accepted, or whether it will be requested for quality assurance.
- When submitting the submission form, candidates are also asked to assist the faculties by completing and enclosing the Equality and Diversity Monitoring Form.
Common reasons why the Portfolio does not reach the required standards
Core Skills component
The following statements are intended to help assessors decide if the evidence of core skills in the Portfolio of Evidence has reached required standards. These should be used in conjunction with the Guide to the MJDF Portfolio of Evidence.
The core skills evidence is disorganised and difficult to navigate. Is this acceptable?
No. The core skills evidence should be organised with a contents page, page numbers and labelled tabs.
There is inadequate reflection and discussion of the core skill(s). Does this matter?
Yes. Assessors should consider adequate reflection and discussion as the most important demonstration that the candidate understands the core skill.
The candidate should discuss and reflect on both how their practice successfully complies with the key issues in each core skill and how any perceived inadequacies have been addressed.
There is inadequate cross-referencing to other core skills and evidence items. Is it necessary to cross-reference?
Yes. Evidence items relating to each core skill should be readily found. Adequate cross-referencing also reduces the number of unnecessary evidence items.
There are a significant number of required evidence items missing and some are blank rather than filled-in examples. Is this satisfactory?
No. All required evidence items should be present, current and relevant to the candidates own work place.
There is evidence of plagiarism. What action should be taken?
The assessor should indicate that this is a serious breach of the assessment regulations and draw the attention of the candidate to the Candidate's Probity Statement.
Primary care clinical case presentation
Must original contemporaneous anonymised clinical notes accompany the case presentation?
Yes, this is a mandatory requirement.
Must I include original study models and radiographs?
Quality copies are best. Both items should only be taken if appropriate for the clinical care and must comply with published guidelines.
What is most important the quality of the operative dentistry or the logic of the clinical care?
The logic of the care and how the patients contact with the practitioner has benefited the overall heath of the patient is most important.
Is any clinical case too complex or too easy for presentation at this level?
Yes, choose something that is within your capability and has at least two disciplines. Referral for some of the care or specialist opinion is satisfactory provided that the candidate has carried most of the clinical care.
Does the clinical care have to follow accepted 'best practice'?
Yes, unless there is an overriding reason for not doing so.
What happens if the patient declines some aspect of the suggested treatment plan?
Only the care that a patient is prepared to undergo can be provided. However, patient-led treatment provision which is outside normal parameters is inappropriate.
How should informed consent be demonstrated?
As treatment options, provided both in the case presentation and in the clinical notes, along with supporting evidence, e.g. a signed treatment plan or FP17DC if a UK NHS patient.
Is the 2000 word count important?
The word count serves as a guide to the depth required for the written presentation. The most important thing is that the candidate is able to demonstrate the logic of the clinical care that has been provided and the clinical benefit to the patient.
Audit assignment
The following statements are intended to help assessors decide if an audit project has reached required standards. These should be used in conjunction with the Guide to the MJDF Portfolio of Evidence.
The audit topic chosen has no relevance to patient care or risk reduction. Is it suitable?
No, all projects should show benefit to patient care.
A reference standard of 80% has been chosen. Is this always correct?
This is acceptable if it is referenced to an external standard or marker, i.e. the FGDP(UK)s publication Standards in Dentistry or peer review. A higher initial standard may indicate that the audit topic is unnecessary because performance in that area is already reasonable.
No pilot of the capture was done to test the audit methodology. Is this acceptable?
Yes, providing the audit meets accepted standards.
The data capture sheets are not included, but graphs/charts of the results are in the written project. Is this acceptable?
No, the original date capture sheets must be available.
Some changes were implemented resulting from the first audit cycle, but the second cycle of audit was not presented. Is this acceptable?
No, this is not audit but research. The second cycle is mandatory.
There is no evidence shown of any changes being made after the first cycle. Is this acceptable?
No.
The second cycle shows little improvement. Is this acceptable?
No, this would indicate that the audit has not achieved any positive gain for patient care or safety. This may be due to inappropriate topic selection, poor methodology, or poor communication or compliance of any proposed changes after cycle.
Note: The audit must be the candidates original work. If the original work has been completed as part of a group exercise, all participants must be named and confirmation given that their participation in the same audit project was contemporaneous.
MJDF Portfolio of Evidence Submission Form
Click on the links below for a submission form. Ensure that your form is accompanied by a fee of £50.00, which covers the costs of administration and quality assurance. Vocational dental practitioners are exempt as long as the form is submitted within three months of the end of participation in their scheme, and provided that they send a copy of the VT certificate enclosed with the application form.
MJDF Portfolio of Evidence Submission Form
Note: The form includes an Equal Opportunities Monitoring Form.
If you have any question or queries, please contact the MJDF Examination Department by emailing [email protected] or on 020 7869 6762.