CPD Record

Information

General CPD Record

Use this form to record a general CPD activity. Record what the activity entailed, who was involved, the individuals role(s), content and learning outcomes.

Give this record a title below for your reference within this app:
Record Title

This template was created by Greg Garrett, a paramedic from Bristol, UK who retains all Intellectual Property rights.
You are welcome to complete and adapt it for personal use however, please acknowledge its origin.
For comments, suggestions or information on how to optimise exporting - email me at greg.garrett@swast.nhs.uk
mailto:greg.garrett@swast.nhs.uk

Record of Continuing Professional Development Activity

Reference

CPD Activity Title
CPD Log Reference
CPD Activity Type
- WORK BASED LEARNING
- PROFESSIONAL ACTIVITY
- FORMAL LEARNING / EDUCATIONAL
- SELF-DIRECTED LEARNING
- OTHER
- GENERAL
What did you do?
- Learning by doing
- Case study
- Reflective practice
- Clinical audit
- Coaching from other(s)
- Discussion with colleague(s)
- Peer review
- Learning from experience
- Involvement in wider work
- Work shadowing
- Secondment
- Job rotation
- In service training
- Supervised staff
- Supervised students
- Visited other department
- Expanded role
- Analysed significant event
- Self-assessment questionnaire
- Project work
- Project management
- KSF progression
- Other
What did you do?
- Professional body activity
- Specialist interest group activity
- Lecturing
- Teaching
- Mentoring
- Examining
- Tutoring
- Branch meeting
- Developing specialist skill(s)
- Expert witness
- Presenting at conference
- Organised accredited course
- Supervising research
- National assessing
- Promotion
- Other
What did you do?
- Other
- Wrote an article or paper
- Attended conference
- Attended course
- Attended seminar
- Further education
- Research
- Distance learning
- Planned or ran a course
What did you do?
Which one?
Channel
Date/time broadcast
Web address
Date/time accessed
What did you do?
Date(s)
Date of Activity
Date started
Date finished
Venue

Record

Brief Description of Activity
Reflections on Activity
Further Actions

KSF Competencies Met

Communication
Level 1: Communicate with a limited range of people on day-to-day matters
Level 2: Communicate with a range of people on a range of matters
Level 3: Develop and maintain communication with people about difficult matters and/or in difficult situations
Level 4: Develop and maintain communication with people on complex matters, issues and ideas and/or in complex situations
Evidence meets KSF
Personal and People Development
Level 1: Contribute to own personal development
Level 2: Develop own skills and knowledge and provide information to others to help their development
Level 3: Develop oneself and contribute to the development of others
Level 4: Develop oneself and others in areas of practice
Evidence meets KSF
Health, Safety & Security
Level 1 Assist in maintaining own and others’ health, safety and security.
Level 2 Monitor and maintain health, safety and security of self and others
Level 3 Promote, monitor and maintain best practice in health, safety and security
Level 4 Maintain and develop an environment and culture that improves health, safety and security
Evidence meets KSF
Service Improvement
Level 1: Make changes in own practice and offer suggestions for improving services
Level 2: Contribute to the improvement of services
Level 3: Appraise, interpret and apply suggestions, recommendations and directives to improve services
Level 4: Work in partnership with others to develop, take forward and evaluate direction, policies and strategies
Evidence meets KSF
Quality
Level 1: Maintain the quality of own work.
Level 2: Maintain quality in own work and encourage others to do so
Level 3: Contribute to improving quality
Level 4: Develop a culture that improves quality
Evidence meets KSF
Equality & Diversity
Level 1: Act in ways that support equality and value diversity
Level 2: Support equality and value diversity
Level 3: Promote equality and value diversity
Level 4: Develop a culture that promotes equality and values diversity
Evidence meets KSF
Management & Leadership
Level 1: Focus on goals for self
Level 2: Manage a small team and lead by example
Level 3: Lead across teams and contribute to the culture of leadership
Level 4: Set the direction and tone of the organisation
Evidence meets KSF