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Journal of Graduate Medical Education logoLink to Journal of Graduate Medical Education
. 2014 Mar;6(1):15–17. doi: 10.4300/JGME-D-13-00081.1

Perspectives on Learning and Business Plans—More in Common Than Meets the Eye

Richard A Prayson, S Beth Bierer, Elaine F Dannefer
PMCID: PMC3963774  PMID: 24701304

In 2010, Palo Alto Software performed a survey of 2877 people and found that those who completed business plans were nearly twice as likely to successfully grow their businesses or obtain capital as those who did not write a plan.1 Thus, a business plan increases individuals' likelihood of success.2,3 Along the same vein, why would you embark on developing a skill or competency or better some aspect of your learning without developing a learning plan?

The self-regulated learner would argue that you would not, and although a learning plan does not guarantee success, it can increase the likelihood of achieving your learning goals.4–6 This article explores the components of structured learning plans, illustrating that they have more in common with business plans than first meets the eye. Whether you are in a mentor role, helping learners think through a plan, or a learner role, trying to change or redirect your own learning, a plan can provide an organized way of approaching the task.

The motivations behind the development of a business plan are myriad but often revolve around issues of starting or redirecting a venture and addressing an issue of limited resources or expenditure of capital in the form of equipment, material costs, and development of a new technology or renovation. In all instances, the underlying theme is the management of change.

Learning plans also focus on change. They frequently revolve around such areas as development of a new skill, mastery of a new subject, or addressing a targeted area for improvement. In other words, learning plans often focus on self-regulated learning, “renovating” oneself in a targeted learning area and trying to address the issue of one's personal limitations.

The advantages to both types of plans lie in the formal analysis of one's current situation, determining pros and cons of initiating change, assessing requisite resources, creating action, and monitoring progress throughout implementation. The goal is to create a situation that affords one the best chance to succeed.

Cohn and Schwartz7 outline typical components of a business plan in their review on the subject for a physician leadership audience. The table compares the components of a learning plan to a business plan and provides an example of how the process might play out. Although the components are presented in a numerical order, many of these may be completed simultaneously and at times in different order.

TABLE.

Typical Components of a Business Plana Versus Learning Plan

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Component 1 (Reflection)810

The learning plan is a reflective exercise, not just an instrument. The learner must buy into the need for a plan and be willing to commit to and assume responsibility for the plan. This process requires reflection on the current situation and review of the evidence or feedback (both internally and externally generated) that supports the notion that a plan is needed. The learner should give thought to what the goal of such a plan might be. The clearer and more defined the goal, the better one's chance is at constructing a plan to specifically address. Defining the issue or problem also entails thinking about the current situation. What is going well and what is not going well or needs to be changed? Reflecting on why the change is needed is important for the learner. How will the change be beneficial (ie, what is the learner hoping to gain by making a change)? How will the change impact other aspects of one's learning or the learning of others? Mentoring is important in helping the learner develop a habit of self-reflection by providing ongoing support, guidance, accountability, and an opportunity to externally validate and assess the process of plan formation and execution.11

Component 2 (Analysis of Resources and Barriers)12

The contextual analysis of a learning plan explores the environment within which the learner is functioning. What is the quality and type (eg, narrative, grades) of feedback? What is valued by that environment (eg, participation, grades) and what opportunities and resources (eg, technology, people, texts) reside within the environment? How do one's current actions impact future functioning in the environment? What are changes likely to accomplish in the environment? Such reflection may point out the need to seek alternate learning venues. Reflection on personal strengths and weaknesses and how these will impact the design and implementation of the plan is important. What are the pros and cons to addressing the issue that is the target of the learning plan? Is change feasible given the context or working environment?

Component 3 (Strategic Thinking)13

Logistics planning asks the learner to consider self-efficacy. What factors will help the learner persist in carrying out the plan or what obstacles might impede one's motivation? How does the learner feel about his or her likelihood of being able to implement the proposed plan? What is the learner's actual commitment to change? Is the plan able to be reasonably accomplished within the time frame set and are the outcomes measurable? The more concrete and doable the plan is, the more likely the learner can bring all resources to bear and successfully implement it. A commitment to and prioritization of the plan is important in order to realize potential benefits. The learner also needs to think about what can be done if the initial plan of action is unsuccessful (contingency planning). The plan should not compromise currently successful learning strategies. What foreseeable factors will impact success or failure of the plan? How can one link the plan to prior and potential future learning?

Component 4 (The “Actual” Plan)

A concise summary of the learning plan represents a clear articulation of learning objectives and specific strategies for implementation and monitoring. In a formal educational setting, this may be the written product that represents the plan. Utilization of a template may be helpful for the novice in facilitating consideration of the important aspects of plan development and implementation.14

Component 5 (Implementation and Monitoring)1518

Implementation of the actual learning plan should be guided by feasibility, clarity of purpose, and a timetable. Measurable outcomes need to be anticipated and time allotted for periodic reassessment of how the plan is proceeding. During and after the implementation of the plan, the learner needs to consider how he or she will assess the “service value” of whether the plan is working or not (ie, self-monitoring strategy). This involves thinking about types of feedback to obtain to evaluate one's progress and determine the plan's effectiveness in directing learning. Information-rich feedback in the setting of well-established performance standards will allow judgments to be made regarding learning needs. This involves being aware of the environment in which one is functioning, using possible feedback opportunities that exist within that context, and initiating potentially new feedback opportunities that currently do not exist. The learner is challenged to consider specifically the learning plan's goals to ensure the monitoring and evaluation strategies are appropriate to judge progress or the lack thereof.

There are several potential pitfalls to developing and implementing both business and learning plans. A lack of clarity and focus can derail the best of intentions in both arenas. Both plans should not be viewed as static documents; instead, they should be open to periodic reevaluation and modification if necessary. It is sometimes the journey and not the destination that can be important. There may be difficulty in selling a business plan or protocol to an investor. Similarly, there may be difficulty at times for learners to be truly convinced that a plan is needed or that they are capable of carrying out the plan. The learner ideally should be the main investor in the plan.

The best business plans, according to Sahlman,19 are like movies that highlight the people, opportunity, context of regulations, demographic and economic trends, and the risks and rewards from multiple angles. To paraphrase, the best learning plans are like movies that highlight the learner, an opportunity to change or become better, a context or environment, and an assessment of risks and benefits from multiple angles. Both represent calls to action that require some careful upfront reflection, analysis, buy-in, and change. And in the words of social psychologist Kurt Lewin, “If you want to truly understand something, try to change it.”

Footnotes

All authors are at the Cleveland Clinic Lerner College of Medicine, Case Western Reserve University. Richard A. Prayson, MD, is Professor of Pathology and Director of Student Affairs; S. Beth Bierer, PhD, is Director of Evaluation and Assistant Professor of Medicine; and Elaine F. Dannefer, PhD, is Director of Assessment and Professor of Medicine.

References

  • 1.Lesonsky R. 2010. A business plan doubles your chances for success, says a new survey. http://smallbiztrends.com/2010/06/business-plan-success-twice-as-likely.html. Accessed December 18, 2012. [Google Scholar]
  • 2.Abrams R. The Successful Business Plan: Secrets and Strategies. Palo Alto, CA: The Planning Shop; 2003. [Google Scholar]
  • 3.McKeever M. How to Write a Business Plan. Berkeley, CA: Nolo; 2000. [Google Scholar]
  • 4.Challis M. AMEE medical education guide No. 19: personal learning plans. Med Teach. 2000;22:225–235. [Google Scholar]
  • 5.Li ST, Tancredi DJ, Co JP, West DC. Factors associated with successful self-directed learning using individualized learning plans during pediatric residency. Acad Pediatr. 2010;10(2):124–130. doi: 10.1016/j.acap.2009.12.007. [DOI] [PubMed] [Google Scholar]
  • 6.Li ST, Paterniti DA, Tancredi DJ, Co JP, West DC. Is residents' progress on individualized learning plans related to the type of learning goal set. Acad Med. 2011;86(10):1293–1299. doi: 10.1097/ACM.0b013e31822be22b. [DOI] [PubMed] [Google Scholar]
  • 7.Cohn KH, Schwartz RW. Business plan writing for physicians. Am J Surg. 2002;184(2):114–120. doi: 10.1016/s0002-9610(02)00921-2. [DOI] [PubMed] [Google Scholar]
  • 8.Pelgrim EA, Kramer AW, Mokkink HG, van der Vleuten CP. Reflection as a component of formative assessment appears to be instrumental in promoting the use of feedback: an observational study. Med Teach. 2013;35(9):772–778. doi: 10.3109/0142159X.2013.801939. [DOI] [PubMed] [Google Scholar]
  • 9.Eva KW, Munoz J, Hanson MD, Walsh A, Wakefield J. Which factors, personal or external, most influence students' generation of learning goals. Acad Med. 2010;85(suppl 10):102–105. doi: 10.1097/ACM.0b013e3181ed42f2. [DOI] [PubMed] [Google Scholar]
  • 10.Sandars J, Cleary TJ. Self-regulation theory: applications to medical education: AMEE Guide No. 58. Med Teach. 2011;33(11):875–886. doi: 10.3109/0142159X.2011.595434. [DOI] [PubMed] [Google Scholar]
  • 11.Woods SK, Burgess L, Kaminetzky C, McNeill D, Pinheiro S, Heflin MT. Defining the roles of advisors and mentors in postgraduate medical education: faculty perceptions, roles, responsibilities, and resource needs. J Grad Med Educ. 2010;2(2):195–200. doi: 10.4300/JGME-D-09-00089.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Dijksterhuis MG, Schuwirth LW, Braat DD, Teunissen PW, Scheele F. A qualitative study on trainees' and supervisors' perceptions of assessment for learning in postgraduate medical education. Med Teach. 2013;35(8):e1396–e1402. doi: 10.3109/0142159X.2012.756576. [DOI] [PubMed] [Google Scholar]
  • 13.Cleary TJ, Sandars J. Assessing self-regulatory processes during clinical skills performance: a pilot study. Med Teach. 2011;33(7):e368–e374. doi: 10.3109/0142159X.2011.577464. [DOI] [PubMed] [Google Scholar]
  • 14.Anderson G, Boud D, Sampson J. Learning Contracts. London, United Kingdom: Kogan Page; 1996. [Google Scholar]
  • 15.Crommelinck M, Anseel F. Understanding and encouraging feedback-seeking behaviour: a literature review. Med Educ. 2013;47(3):232–241. doi: 10.1111/medu.12075. [DOI] [PubMed] [Google Scholar]
  • 16.Bose MM, Gijselaers WH. Why supervisors should promote feedback-seeking behaviour in medical residency. Med Teach. 2013;35(11):e1573–e1583. doi: 10.3109/0142159X.2013.803059. [DOI] [PubMed] [Google Scholar]
  • 17.Bok HG, Teunissen PW, Spruijt A, Fokkema JP, van Beukelen P, Jaarsma DA, et al. Clarifying students' feedback-seeking behaviour in clinical clerkships. Med Educ. 2013;47(3):282–291. doi: 10.1111/medu.12054. [DOI] [PubMed] [Google Scholar]
  • 18.Reed VA, Schifferdecker KE, Turco MG. Motivating learning and assessing outcomes in continuing medical education using a personal learning plan. J Contin Educ Health Prof. 2012;32(4):287–294. doi: 10.1002/chp.21158. [DOI] [PubMed] [Google Scholar]
  • 19.Sahlman WA. How to write a great business plan. Harv Bus Rev. 1997;75:98–108. [PubMed] [Google Scholar]

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