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CME/CPD in the UK

CME/CPD in the UK. FISM, Rome 28 February 2005. Edwin Borman edwin@borman.demon.co.uk. Overview. Requirements for CPD royal colleges, appraisal How doctors should be learning and how they actually do Who pays? advantages of employment Organisation and accountability

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CME/CPD in the UK

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  1. CME/CPD in the UK FISM, Rome 28 February 2005 Edwin Borman edwin@borman.demon.co.uk

  2. Overview Requirements for CPD royal colleges, appraisal How doctors should be learning and how they actually do Who pays? advantages of employment Organisation and accountability employers, colleges, revalidation

  3. Requirements for CPD It began with the Royal Colleges, as CME The usual 50 hours (as points) per year 25 internal and 25 external CPD was born from a greater awareness of the wider needs of medical practice Then came CEPD… and the Colleges decided to hand it all over

  4. CPD and Appraisal Every doctor employed in the NHS… on an annual basis… must meet with a senior clinician/manager… review their clinical practice, CPD activities, audit results and plans for the year ahead… the outcome is recorded, and confirmed for national inspection

  5. Accountable Adult Learning Agree learning plan at annual appraisal Balance core CPD and specialised CPD Ensure both active and passive learning Provide adequate resources Personal and peer review Assess outcomes and look ahead

  6. What doctors should be learning Maintaining & expanding knowledge Developing new techniques Ethics; Diversity awareness Communication skills; Teamworking How to teach (and learn?) Management skills…

  7. Preferred CPD Activities (Inter)national Conferences………………………..….40% External Courses………………………………...…….22% Books/Journals………..…………..………………...….9% Informal discussions……………...………..…………..6% Internal Meetings……………………..………………..5% Visits to other practices……………...…………….…..3% Teaching/Giving lectures………………………..……..3% Internet based learning……………...………………….3% CD-Rom/Video/Audio…………….……..…………….1% Ward rounds……………………………..……………..1%

  8. Who pays? The advantages of NHS employment 10 days of paid study leave per year reasonable expenses are re-imbursed! Specific education budgets are allocated at national and local levels A service funded from general taxation so the Government insists on control

  9. Performance accountability “Every doctor, on a regular basis, should be able to demonstrate their continuing fitness to practise”

  10. Who’s in charge? For appraisal… the NHS employer For CPD activities… the Royal Colleges For revalidation… the GMC The hidden hand… of Government

  11. Multiple accountability • “Closing the loop” • rigorous feedback, careers advice, counselling • appraisal, audit, norm-referencing • Accountability • employer : annual appraisal • professional: CPD, colleges, inspections • regulatory : 5 yearly revalidation

  12. COLLECT daily activity & CPD information MAINTAINpersonal development plan REFLECTon information collected ANNUAL APPRAISAL CONFIRMED BY MEDICAL DIRECTOR REVALIDATION DECISIONlinked to doctor’s licence to practise (every five years) Practice & CPD information Appraisal summaries REVALIDATION Revalidation : with compulsion

  13. CME/CPD in the UK FISM, Rome 28 February 2005 Edwin Borman edwin@borman.demon.co.uk

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