Portfolio-based learning encourage experience and reflection during learning, with the aim of causing deep learning which impacts thinking, behaviour, and performance.
Portfolios include a "documentation of learning, an articulation of what has been learned and a reflective account of the events documented." (Snadden and Thomas, 1998)
The role of the trainer/supervisor is critical. Flexibility, mentorship, and support are needed!
A system must be designed so as to not take very much time.
Family medicine objectives can be mapped with a portfolio.
Numbers of patients seen, procedures, clinic visits, diagnoses, etc can also be mapped.
and can be interfaced with a palm pilot.
Snadden D and Thomas ML. 1998. The use of portfolio learning in medical education. Med Teacher 1998. 20 (3):192-9.