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Revalidation and CPD

This article provides an overview of revalidation and continuing professional development (CPD) for GPs. It explains what revalidation means, how GPs can be supported, and how they can support you. It also highlights the importance of good doctors for safer patients and the need for clear standards of good practice.

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Revalidation and CPD

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  1. Revalidation and CPD Rebecca Baron January 2009

  2. Overview of revalidation • What it means • How you can help GPs • How they can help you

  3. Good Doctors Safer Patients • 0.5 – 1 % problems aware of • 5 – 10% doctors have alcohol or drug problems. Not supported. • Variation in what is happening • No clear standards of good practice • Poor performance not acted on if not recognised or because of culture • GMC not as effective as should be.

  4. Revalidation = Re-licensure and Specialist recertification

  5. Every doctor will need: •A responsible organisation •A professional body

  6. Responsible organisation “re-licences” - performance Professional body “re-certifies” – knowledge and skills

  7. Both likely to use appraisal As a vehicle

  8. Relicensure and recertification

  9. Revalidation is like knitting

  10. Relicensure • Appraisal • 360 degree appraisal • Medical Director and GMC Affiliate certification – positive affirmation • Resolution of significant concerns

  11. Recertification • Evidence of clinical effectiveness • Appraisal • Clinical Audit • Patient feedback • CPD • Observation of practice • Knowledge tests • Simulator tests

  12. How will this affect appraisal?

  13. Changes to Appraisal • New forms • Review of last years PDP and how addressed • Review of the CPD ensuring 50 credits • Required evidence • Discussion of learning needs and PDP

  14. Good Medical Practice • Four new domains to form basis of generic standards: • Knowledge, skills and performance • Safety and quality • Communication, partnership and teamwork • Maintaining trust

  15. Proposals for evidence (5yr) • Annual PDP • 250 learning credits (at least 50/year) • Results of 2 Multi Source Feedback • Results of 2 Patient surveys • Review of all formal complaints with lessons learnt/actions taken • Minimum of 5 SEA that demonstrate reflection and change • Audits of care in at least 2 significant clinical areas with standards, re-audit and evidence of improvement and compliance with guidelines

  16. All the above with reflection/change/discussion in appraisal

  17. CPD Record • 50 credits per year, 250 over 5 years • As agreed by the academy of royal colleges

  18. A credit is not an hour

  19. Pilot to assess CPD model of impact and challenge.

  20. Why Impact and Challenge? What is Impact and Challenge? Timescales What does it mean to you? Reporting

  21. What is a credit? A credit is a unit of professional development which is a product of the impact of a developmental activity and to a lesser extent the challenge involved in its completion. Credits are self assessed and verified at appraisal.

  22. Impact vs Challenge table

  23. Possible examples • Becoming a training practice – 50 credits • Becoming a trainer in a practice that is already approved for training – 30 credits • Reading, sharing and implementing new NICE guidance involving all relevant practice staff – 4 credits • Doing BMJ learning module – 1 unit

  24. FAQs 1. What should I do if the number of credits suggested is well below my estimation? Consider what is the impact of your activity. If you feel the impact is worthy of higher credit then rate the activity to the level you feel you can justify. In this situation you should list your reasons in your form 3. If you feel the challenge was higher than the definitions given then you may feel that the justification in your documentation will cover this difference. You should however remember that impact is weighted more highly than challenge.

  25. Essential General Practice

  26. Essential General Practice or………

  27. 360 Degree Feedback

  28. Timescale • 2008 – pilots for essential general practice and for CPD credits system • 2009 Legislation for License to practice and License introduced • 2010 Revalidation begins – will need a year of evidence

  29. What you could do for revalidation • Collect record of complaints • Encourage PDP elements which help develop practice • Practice educational events • Encourage audit within the practice • Support Multi Source Feedback • Significant incident systems • Patient survey • Support 360 degree feedback

  30. What revalidation could do for you • Encourage : • Audits • SIA • Develop areas of the practice for PDP • Involvement in the practice survey and review results • 360 degree feedback

  31. What might you do to support the process? • What areas would you want GPs to develop?

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