Revalidation Danielle Mc Seveney Alena Billingsley Aims Understand
Revalidation Danielle Mc. Seveney Alena Billingsley
Aims • Understand revalidation – What – When – How • What revalidation means for doctors generally • What revalidation means for trainees, specifically
At the end of the session • Define revalidation • Understand the role of appraisal in obtaining revalidation • Be aware of what tools are available for gathering evidence • Know what revalidation means for trainees • Sources of information
What is revalidation? • Revalidation is the process by which licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practise. – Only for doctors with a licence to practice – Will occur every 5 years – Started 3 December 2012 – Most doctors would have been revalidated by March 2016
Why revalidate? • Ensures that employer and patient can be confident doctor is up to date and fit to practice
When? • First cycle – Medical leaders and the majority of responsible officers by March 2013 (year ‘zero’) – 20% of licensed doctors between April 2013 and the end of March 2014 – 40% of licensed doctors between April 2014 and March 2015 – and the remaining 40% of licensed doctors between April 2015 and March 2016 • Aiming to have revalidated all licensed doctors by March 2018
What is needed for revalidation? • • A Responsible Officer An appraisal system and appraisal policy Appraisers A system of identifying and sharing concerns about doctors
The Responsible Officer • Makes recommendations to the GMC on the revalidation of doctors • Only for doctors who ‘ have a prescribed connection to your designated body’ • Three categories of recommendation – Positive recommendation that doctor is up to date and fit to practice – Request to defer date of recommendations – A notification of doctor’s non-engagement in revalidation • A ‘suitable person’ can make revalidation recommendations for doctors who do not have a connection to a designated body.
Appraisal • Appraisal occurs annually • Four categories of supporting information – General information • Providing context about all aspects of your work – Keeping up to date • Maintaining and enhancing the quality of your work – Review of your practice • Evaluating the quality of your work – Feedback on your practice • How other perceive the quality of your work
Six Types of Evidence • • • Continuing professional development (CPD) Quality improvement activity Significant events Feedback from colleagues Feedback from patients Review of complaints and compliments
Supporting Information for Appraisal • General information – Personal details – Scope of work – Record of annual appraisals – PPD and review of PPD – Probity – Statement of Health • Keeping up to date – CPD – Tailored to specific needs and interests of you and your practice CPD should be discussed at each appraisal
Supporting information for Appraisal • Review of your practice – Quality improvement activity e. g. • Clinical audit, review of clinical outcomes, Cb. D • Involvement in quality improvement activity at least once every revalidation cycle. (Depends on nature of activity) – Significant events • Discuss at every appraisal. Numbers will vary. Focus on what is learnt/ alterations to practice. • Feedback on your practice – Colleague feedback – Patient feedback • At least once every revalidation cycle • GMC has developed questionnaires for this – Review of complaints and compliments • Discuss how dealt with and changes to practice
Gathering evidence • Can store information for appraisal electronically • RCGP revalidation portfolio allows transfer between other RCGP products – Online environment learning – Essential knowledge updates and challenge programme – Personal Education Planning (PEP) tool
What is needed at the first revalidation? • GMC licence to practice • Have signed off at least first appraisal • Collected and reflected on supporting information • No resolved issues regarding fitness to practice. • RCGP Guide to the Revalidation of General Practitioners Version 7. 0 June 2012
RCGP states following requirements • Minimum 50 learning credits in 12 months prior to last appraisal before revalidation date • SEA at least 2 for 12 month period before revalidation date • Evidence in regular participation in quality improvement activity • Colleague and patient feedback – one of each in the 5 years before revalidation recommendation • Formal complaints in the 12 month period prior to last appraisal before revalidation date
Trainees and revalidation • Responsible Officer is postgraduate dean – Mr David Wilkinson, at present • Recommendation will be based mainly on ARCP (or RITA) • ARCP and revalidation are separate processes – An issue with training does not necessarily mean that revalidation will not be recommended
Trainees and revalidation • First revalidation – CCT is automatic revalidation point – Point at which you become eligible for CCT (if training lasts less than 5 years) – If > 5 years, the first will be 5 years after gaining full registration with licence to practice, and you will revalidated again at the point at which you become eligible for CCT • When you complete your training, your designated body will change to the organisation in which you spend most or all of your practice.
Summary • Understand what revalidation is • Understand the role of appraisal in obtaining revalidation • Be aware of what tools are available for gathering evidence • Know what revalidation means for trainees • Sources of information – there is a lot of information
Useful sites • GMC – Downloadable guidance for trainees • RCGP revalidation FAQs • Yorkshire and the Humber Postgraduate Deanery
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