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Revalidation for GPs. Dr Paul Heatley. Sources of information. Article by Prof Steve Field and Prof Nigel Sparrow in GP Update September 2008 Conversation with Dr Colin Hunter who is on the RCGP revalidation working party. Purpose of Revalidation.
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Revalidation for GPs Dr Paul Heatley
Sources of information • Article by Prof Steve Field and Prof Nigel Sparrow in GP Update September 2008 • Conversation with Dr Colin Hunter who is on the RCGP revalidation working party
Purpose of Revalidation • “To reassure the public that doctors in the UK are up to date and fit to practice” • Promote CPD • Encourage team working and improvement in quality of care and communication • Identify doctors whose fitness to practice is causing concern
Role of RCGP • Still at the ideas and design stage • To develop a system focussing on recertification • To work with the GMC on developing a system of relicensure • To produce an process that will deal with both elements.
First thoughts • RCGP has 55000 GPs to quality assure • Five year cycle • Single portfolio for the whole UK? • Shape of portfolio depends on content of relicensure and recertification (still under discussion) • Plan to develop the GP Registrar e-portfolio for this purpose • Links with Appraisal Toolkit??
Content of Revalidation • Appraisal will be the key element • Five appraisals in the previous five years • Expanded Personal Development Programme (PDP) with a minimum of 50 credits per year (250 over five years) • Credits will be more about content and impact of learning rather than time spent.
RCGP Essential General Practice Update programme • Will enable GPs to be aware of new and changing knowledge relevant to General Practice • Six monthly learning modules • First pilot May 2008 • Sounds similar to BMJ Learning • Development of a “knowledge hub” available to all GPs and trainees
More evidence needed… • New system will be more prescriptive about the evidence that needs to be included in appraisal eg • MSF (360 degree feedback) but not every year • Significant events • Complaints • Audits of the individual GP’s performance • Other clinical governance indicators are being discussed • Volume of evidence should not be “excessive”
Revalidation – three phases • Preparation, over five years, of evidence that will be discussed at annual appraisal • Submission and assessment of evidence to ensure that it meets the standard for relicensure and recertification. Led by RCGP, GMC will set standards and do quality assurance • Assessment of doctors whose performance does not reach the required standard