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revalidation and anaesthesia

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revalidation and anaesthesia

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    1. Chris Dodds

    3. What’s new about revalidation? Current Process Appraisal Clinical and non-clinical Review of CPD Core topics and against job plan Matching of job plan to Trust needs Personal development plan Increasingly MSF is being used Revalidation Enhanced appraisal Clinical and non-clinical Review of CPD Core topics, higher and advanced MSF essential Personal development plan Matching of job plan to Trust needs

    4. Essential processes CPD Enhanced Appraisal Multi-source Feedback

    5. CPD Autumn 2008 Specialist societies consulted on range and levels of CPD Last few received February 09 March 2009 CPD working party refined and agreed draft matrix July 2009 Draft matrix returned to Specialist Societies for verification and final comments September 2009 Final ‘codified’ matrix locked and on web for comment

    6. CPD Matrix Three levels: Core, higher and advanced Core – knowledge based and essential Don’t do it at all and its not in my hospital Provided as e-learning Evidence from clinical practice accepted May be individual exceptions that will need evaluation Higher – directly related to on-call activity Advanced – directly related to job-planned activity

    7. Four categories

    8. Example of matrix CPD Core topics Still 50 points / year At least 60% of CPD activity has already been done The word document has been consolidated to remove repetitive items Life support includes paediatric, adult, trauma obstetric life support has re-entered the matrix

    9. CPD – final stages Archive data for all approved events from 2005 Most Fellows have certificates but no identifiable content Specialist societies to confirm data and codify if possible Electronic system for all Fellows as part of subscription Available to non-Fellows at <>60% of subscription New approval process Only electronic Approved providers Audit an intrinsic element

    10. Appraisal

    11. Appraisal This has to be robust, challenging and uniform across the UK. Assuring the Quality of medical Appraisal for revalidation (AQMAR) (RST England) The ‘gold standard’ is an appraisal by someone from your own speciality It has to map to the ‘new’ GMC Good Medical Practice domains

    12. Specialist Standards for re-certification 4 Domains adapted from Good Medical Practice Domain 1 - Knowledge, skills and performance Domain 2 - Safety and quality Domain 3 - Communication, partnership and teamwork Domain 4 – Maintaining Trust

    13. ‘Generic’ Standards Domain 1 – Knowledge, Skills and Performance – standard: 1.A.1 - maintain professional performance Sources of evidence Maintain knowledge of the law & other regulation relevant to practice (13)   Keep knowledge and skills up to date (13)     Participate in professional development & educational activities (12)     Take part in regular and systematic audit (14)     Peer Feedback Multisource Feedback References and Letters Practice Complaints and Compliments Incidents – including contribution to NPSA and confidential enquiries Outcomes   Audit National and Clinical Audit Education, Training and Development CPD E-Learning Specialty Certificates & Courses Internal Training  

    14. Maintain knowledge of the law & other regulation relevant to practice (13)

    15. Speciality specific details

    16. 1.A.3. Participate in professional development and educational activities

    17. UK wide anaesthetic appraisal Expert group met September 7th Experienced clinical directors with current appraisal practice Consensus against ‘good anaesthetist’ standards and GMC GMP generic standards Generation of appropriate topics / questions to address the generic and anaesthetic specific standards Documentation completed October Road – testing early October Presented to GMC / RST for approval Training programme for UK developed

    18. Multi-Source Feedback

    19. MSF / PF for anaesthesia Generic MSF approved by GMC Will map to the generic standards Will be ‘enough’ for 98% of practicing anaesthetists Speciality specific MSF must meet the ‘GMC standards for MSF’ (currently draft) Anaesthesia specific MSF for each attribute within GMC GMP framework to support remediation Professional Standards Committee Patient feedback (PF) at pilot stage for anaesthesia Currently ‘where appropriate’

    20. Additional activity Communication strategy CPD electronic system Revalidation e-portfolio Appraisal training Revalidation road shows

    21. Communications Multimedia process Paper to Twitter Clear mantra for anaesthesia revalidation ‘as straightforward as 1 - 2 – 3’ Escalating process until launch General details / specific examples / regular e-mail alerts Maintained helpline / support Revalidation manager – Mr Don Liu

    22. CPD Electronic Platform Commissioned Functional specification agreed ? version live Nov 2009 Fully operational January 2010 Locked and codified matrix Mandatory learning outcomes Reflective section Audit embedded – provider / user Direct links to providers Links to e-LA / on-line learning sites Personal record of activity Annual and for revalidation Identification of potential gaps

    23. Revalidation e-portfolio Not just for revalidation Intercollegiate e-portfolio group Closely mapped to trainee e-portfolio Cross transfer of data from CPD system Ability to accept other data sources / summaries Logbook data Appraisals Personal learning materials

    24. Appraisal Training Identification of ‘lead appraiser for anaesthesia’ in every Trust in the UK <> 300 Direct training in Churchill House Small group, interactive training On-line training materials E-learning platform For senior trainees New consultants and appraisers Local assessment and sign off of all anaesthetic appraisers Register of approved appraisers?

    25. Revalidation Roadshows To directly inform Trusts and Anaesthetists on the process, progress and preparation for revalidation in the UK Team: GMC AoMRC RCoA Others (later)

    26. Contact details Chris Dodds - revalidation lead chris.dodds2@btinternet.com Don Liu – revalidation manager dliu@rcoa.ac.uk Sharon Drake - education director sdrake@rcoa.ac.uk Charlie McLaughlan – professional standards director cmclaughlan@rcoa.ac.uk Jennifer McDonald - administrator jmcdonald@rcoa.ac.uk

    27. Questions?

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