Transcript Appraisal & Revalidation

Appraisal & Revalidation
Dr Neil Davidson
Learning Objectives
• To describe Revalidation process and identify
the key processes
• To understand what is required in Medical
appraisal in addition to being a SUPPORTIVE,
FORMATIVE & DEVELOPMENTAL process
Medical Revalidation
ELearning version 1
http://www.nlmscontent.nesc.nhs.uk/oxpct/Rev
al%20MAG%20FINAL%20v1/player.html
Important documentation
• RST Medical Appraisal Guide
http://www.revalidationsupport.nhs.uk/CubeCore/.uploads/RSTMAGforReval0312.pdf
• Good Medical Practice (GMC, 2006)
http://www.gmc-uk.org/static/documents/content/GMP_0910.pdf
• Good Medical Practice Framework for Appraisal and
Revalidation (GMC, 2011)
http://www.gmc-uk.org/static/documents/content/GMC_Revalidation_A4_Guidance_GMP_Framework_04.pdf
• Supporting information for appraisal and revalidation
(GMC, 2011)
http://www.revalidationsupport.nhs.uk/CubeCore/.uploads/pdfs/ro_resources/Supporting_information__for_appraisal_and_reva
lidation.pdf
• The RCGP Guide to the Revalidation of General
Practitioners (Version 7.0, June 2012)
http://www.rcgp.org.uk/revalidation-and-cpd/~/media/Files/Revalidation-and-CPD/Guide%20to%20Revalidation%20v70.ashx
Time Frame
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December 2012 becomes legal
ROs by 31st March 2013
Commences April 2013
3 years (20%/40%/40%)
Majority completed by 31st March 2016
5 year cycle
Who does what?
• Designated body (PCT currently) – arrange
regular appraisal
• Appraisers - appraise
• Responsible Officers - recommend
• GMC - revalidates
Inputs to appraisal
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Personal Information
Scope & nature of work
Supporting information
Review of last year’s personal development
plan
• Achievements, challenges & aspirations
Should include all summaries of appraisal &
review all PDPs in current revalidation cycle
Supporting information
1. Continuing professional development
2. Quality improvement activity
3. Significant events
4. Feedback from colleagues
5. Feedback from patients
6. Review of complaints and compliments
Good Medical Practice
Updated edition of Good medical practice was
published 25th March 2013
Guidance will come into effect on 22 April 2013
Four Domains
of
Good Medical Practice Framework for Appraisal and Revalidation
1. Knowledge, skills and performance
2. Safety and quality
3. Communication, partnership and teamwork
4. Maintaining trust
Within each domain are three Attributes
Knowledge, skills and performance
1. Maintain your professional performance
2. Apply knowledge and experience to practice
3. Ensure that all documentation (including
clinical records) formally recording your work
is clear, accurate and legible
Safety and quality
1. Contribute to and comply with systems to
protect patients
2. Respond to risks to safety
3. Protect patients and colleagues from any risk
posed by your health
Communication, partnership and
teamwork
1. Communicate effectively
2. Work constructively with colleagues and
delegate effectively
3. Establish and maintain partnerships with
patients
Maintaining trust
1. Show respect for patients
2. Treat patients and colleagues fairly and
without discrimination
3. Act with honesty and integrity
Presenting information
RCGP E-portfolio
https://gpeportfolio.rcgp.org.uk/Login.aspx
Clarity Appraisal Toolkit
https://appraisals.clarity.co.uk/
Medical Appraisal Guide Model Appraisal Form
(MAF)
http://www.revalidationsupport.nhs.uk/CubeCore/.
uploads/PDFForm/MAG/MAGmodelappraisalformv
3.pdf
Reflection
Your supporting information is important
But
It is your reflection on that information and your
record of that reflection that should inform the
discussion
And
Leads to identification of areas for development
and improvement
Review of last year’s PDP
• Commentary
• Most objectives should be achieved within
time agreed
• However plans change and some objectives
take longer to achieve
Achievements, challenges and
aspirations
• General commentary
• Opportunity to review practice, chart progress
and plan for development
Declarations before the appraisal
discussion
Doctors should make a declaration that is visible to
the appraiser that demonstrates:
1. acceptance of the professional obligations placed
on doctors in Good Medical Practice in relation to
probity and confidentiality
2. acceptance of the professional obligations placed
on doctors in Good Medical Practice in relation to
personal health
3. personal accountability for accuracy of the
supporting information and other material in the
appraisal portfolio
Outputs of Appraisal
• Personal Development Plan
• Summary of Appraisal
• Appraiser’s statements
Personal Development Plan
• SMART & KISS
• Itemised list of personalised objectives
• Should include time scale for achievement
and
• How completion should be recognised
Summary of Appraisal
• overview of the supporting information and
the doctor’s accompanying commentary
including the extent to which the supporting
information relates to all aspects of the
doctor’s scope and nature of work
• should be structured in line with the four
domains
5 Appraiser Statements
1. An appraisal has taken place that reflects the whole of a doctor’s
scope of work and addresses the principles and values set out in Good
Medical Practice.
2. Appropriate supporting information has been presented in
accordance with the Good Medical Practice Framework for Appraisal
and Revalidation and this reflects the nature and scope of the doctor’s
work.
3. A review that demonstrates appropriate progress against last year’s
personal development plan has taken place.
4. An agreement has been reached with the doctor about a new
personal development plan and any associated actions for the coming
year.
5. No information has been presented or discussed in the appraisal
that raises a concern about the doctor’s fitness to practise.