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Appraisal and Revalidation Support. Educational implication of revalidation. March 2012. What is revalidation?. Confirms that a doctor with a licence to practise continues to be fit to practise. Requires all doctors to engage with systems of periodic review. Provides

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Appraisal and revalidation support

Appraisal and Revalidation Support

Educational implication of revalidation

March 2012

What is revalidation
What is revalidation?

  • Confirms

    • that a doctor with a licence to practise continues to be fit to practise.

  • Requires

    • all doctors to engage with systems of periodic review.

  • Provides

    • confirmation that a doctor with a licence to practise is working within a governed system.

  • Requires

    • all doctors to have a prescribed connection to a designated body, and one Responsible Officer.

  • Is not a point in time assessment.

Purpose of medical appraisal
Purpose of medical appraisal?

  • To enable a doctor to:

  • Discuss their practice with their appraiser

  • Enhance the quality of their professional work by planning their professional development

  • Consider their learning needs

  • Ensure they are working productively and in line with the priorities and requirements of the organisation in which they practice

Learning from the london rst pilots
Learning from the London RST Pilots

  • RST Pathfinder pilot March 2010 – March 2011

    • Primary Care

  • Medical Appraisal Guidance – Sept– Dec 2011

    • Primary Care

    • Secondary care

    • Mental health

    • SASG

  • Trainee Revalidation – Sept – Dec 2011

  • Learning from the london rst pilots1
    Learning from the London RST Pilots

    • The importance of:

      • Strong organisational systems and support for appraisal

      • Clear role definition for

        MDs / ROs Appraisal Leads


      • Clarity between appraisal and job-planning in secondary care

      • Conflicts of interest were recognised and managed

    Lessons learned from the mag pilot
    Lessons Learned from the MAG pilot

    • Good relationships and communication with doctors

    • Robust administrative systems:

      • Systems to contact and track doctors and their appraisals

      • Strict reporting and timelines

      • Well informed appraisal administrator / manager

      • Team working between admin, RO and appraisal lead

    Learning from the london rst pilots2
    Learning from the London RST Pilots

    • Raised awareness of the importance of reflection before, during and after appraisal.

    • Less is more with evidence

    • “Judgements” were seen as helpful

    • Helpful for appraisers to have an educational background

    London deanery resources to support revalidation
    London Deanery resources to support revalidation

    • Appraisal and Revalidation Team

      • Elearning resources

      • Podcasts

      • Appraiser training

  • Frontier support for appraisal and revalidation

  • Professional Support Unit

  • E learning modules
    E-learning modules

    • Getting the most out of you appraisal:

      • presenting evidence pitched at all including those in difficult work environments

  • Tips for appraisers

  • Quality improvement activity as supporting information

  • Calibration / benchmarking evidence

  • Top tips on developing your PDP

  • Challenge in appraisal

  • Appraisal


  • Professional development

    Professional Development


    Support Unit

    Professional support unit
    Professional Support Unit

    Professional development resource for London

    Expert shared service separate from employers

    Flexible and responsive to needs


    Access by self-referral

    Resource development

    Resource provision

    Purpose and aims
    Purpose and Aims

    Medical Revalidation

    Supporting the profession

    Supporting the Responsible Officer network

    Workforce imperatives

    Meeting the needs of patients

    Recognition of the need for support pan-career especially at transitions

    Efficiency pressures

    Service reconfiguration challenges

    Demography of the medical workforce in London

    What the psu offers
    What the PSU offers

    • Advice re:

      • Services available and access including contracting

      • How the PSU might be able to help

      • Self-help information

      • Costs

      • Managing confidentiality

        For employers and educators:

      • Advice on accessing Occupational Health Resources

    Psu resources
    PSU Resources

    • Careers Unit

    • Coaching and Mentoring

    • Communication Skills incorporating:

      • LaCRU

      • Fresh Start

  • Complex cases

  • MedNet

  • Return to Practice Schemes incorporating:

    • GP Induction and Refresher

    • Clinical Apprenticeship Placement Scheme

    • Re-Fresh

    • Re-Launch

  • Access for clients
    Access for clients

    • Self-referral to:

  • Triage including review of risks

  • Clinician-centred approach designed to

    • Build on strengths

    • Encourage autonomy

    • Meet individual needs and circumstances

  • Further information
    Further information

    • London Deanery Home Page

    • Click on

    Next steps
    Next steps

    • What can you be doing now?

    What to do now
    What to do now

    • Start to think in terms of the Domains

    • Use the Domains

      • To reflect on your practice and approach to medicine

      • Reflect on the supporting evidence you have gathered and what that demonstrates about your practice according to GMP.

      • Identify areas of practice where you could make improvements or undertake development

  • 3. Begin to collect evidence of your work according to the Domains

  • Keep abreast of developments
    Keep abreast of developments

    • Information sources:

    • Locally: Responsible Officer / Appraisal Lead

    • Academy of Medical Royal Colleges

    • Revalidation Support Team

    • General Medical Council