Educational implication of revalidation

1. Appraisal and Revalidation Support Educational implication of revalidation March 2012

2. What is revalidation? • Confirms • that a doctor with a licence to practise continues to be fit to practise. • Requires • all doctors to engage with systems of periodic review. • Provides • confirmation that a doctor with a licence to practise is working within a governed system. • Requires • all doctors to have a prescribed connection to a designated body, and one Responsible Officer. • Is not a point in time assessment.

3. Purpose of medical appraisal? • To enable a doctor to: • Discuss their practice with their appraiser • Enhance the quality of their professional work by planning their professional development • Consider their learning needs • Ensure they are working productively and in line with the priorities and requirements of the organisation in which they practice

4. New Framework for Good Medical Practice

5. Learning from the London RST Pilots • RST Pathfinder pilot March 2010 – March 2011 • Primary Care • Medical Appraisal Guidance – Sept– Dec 2011 • Primary Care • Secondary care • Mental health • SASG • Trainee Revalidation – Sept – Dec 2011

6. Learning from the London RST Pilots • The importance of: • Strong organisational systems and support for appraisal • Clear role definition for MDs / ROs Appraisal Leads Appraisers • Clarity between appraisal and job-planning in secondary care • Conflicts of interest were recognised and managed

7. Lessons Learned from the MAG pilot • Good relationships and communication with doctors • Robust administrative systems: • Systems to contact and track doctors and their appraisals • Strict reporting and timelines • Well informed appraisal administrator / manager • Team working between admin, RO and appraisal lead

8. Learning from the London RST Pilots • Raised awareness of the importance of reflection before, during and after appraisal. • Less is more with evidence • “Judgements” were seen as helpful • Helpful for appraisers to have an educational background

9. London Deanery resources to support revalidation • Appraisal and Revalidation Team • Elearning resources • Podcasts • Appraiser training • Frontier support for appraisal and revalidation • Professional Support Unit

10. Appraisal and Revalidation Support Website

11. E-learning modules • Getting the most out of you appraisal: • presenting evidence pitched at all including those in difficult work environments • Tips for appraisers • Quality improvement activity as supporting information • Calibration / benchmarking evidence • Top tips on developing your PDP • Challenge in appraisal • Appraisal •   http://www.londondeanery.ac.uk/professional-development/appraisal-and-revalidation-support/e-learning

12. Appraisal and Revalidation Support E-Learning Resources

13. Professional Development Professional Support Unit

14. Professional Support Unit Professional development resource for London Expert shared service separate from employers Flexible and responsive to needs Professionally-led Access by self-referral Resource development Resource provision

15. Purpose and Aims Medical Revalidation Supporting the profession Supporting the Responsible Officer network Workforce imperatives Meeting the needs of patients Recognition of the need for support pan-career especially at transitions Efficiency pressures Service reconfiguration challenges Demography of the medical workforce in London

16. What the PSU offers • Advice re: • Services available and access including contracting • How the PSU might be able to help • Self-help information • Costs • Managing confidentiality For employers and educators: • Advice on accessing Occupational Health Resources

17. PSU Resources • Careers Unit • Coaching and Mentoring • Communication Skills incorporating: • LaCRU • Fresh Start • Complex cases • MedNet • Return to Practice Schemes incorporating: • GP Induction and Refresher • Clinical Apprenticeship Placement Scheme • Re-Fresh • Re-Launch

18. Learning, development, and personnel effectiveness

19. Access for clients • Self-referral to: • Specific resource • Combination of resources • Generic referral to psu@londondeanery.ac.uk • Triage including review of risks • Clinician-centred approach designed to • Build on strengths • Encourage autonomy • Meet individual needs and circumstances

20. Further information • London Deanery Home Page • Click on http://www.londondeanery.ac.uk/professional-development/professional-support-unit

21. Next steps • What can you be doing now?

22. What to do now • Start to think in terms of the Domains • Use the Domains • To reflect on your practice and approach to medicine • Reflect on the supporting evidence you have gathered and what that demonstrates about your practice according to GMP. • Identify areas of practice where you could make improvements or undertake development • 3. Begin to collect evidence of your work according to the Domains

23. Keep abreast of developments • Information sources: • Locally: Responsible Officer / Appraisal Lead • Academy of Medical Royal Colleges http://www.aomrc.org.uk/introduction.html • Revalidation Support Team http://www.revalidationsupport.nhs.uk/ • General Medical Council • http://www.gmc-uk.org