continuing professional development cpd national podiatry survey l.
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Continuing Professional Development (CPD) National Podiatry Survey. Keith G McCormick. Introduction. Clinical Governance. Development and implementation of clinical guidelines and protocols Evidence based clinical practice CPD for all staff

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Continuing Professional Development (CPD) National Podiatry Survey

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clinical governance
Clinical Governance
  • Development and implementation of clinical guidelines and protocols
  • Evidence based clinical practice
  • CPD for all staff
  • Developing clinical leadership skills and managing the performance of colleagues
  • Risk management
  • Accreditation of hospital and community departments
  • Learning from complaints
cpd and ahps
CPD and AHPs
  • An initial qualification is not enough to maintain competence over a lifetime of practice (Fraser et al 2000)
  • In a survey of 192 podiatrists 94% considered regular professional updating important (Pavey 1998)
  • The most significant individual element of lifelong learning is CPD (BMA 2000)
  • CPD activities within the PAM are uncoordinated, uni-disciplinary and not accredited (NHS Executive 1998)
pushing the boundaries
Pushing the Boundaries
  • Developing new skills and new roles (Partnership for Care 2003)
  • Extended roles based on competence and qualifications (e.g. Diabetes and Surgery)
  • Documented and accredited CPD
  • Protocols for standards and reporting of adverse events (National Patient Safety Agency NPSA)
  • Improving Safety for Patients in Scotland (Quality Improvement Scotland (QIS) 2003)
  • The only limit to clinical practice is competence and political barriers
cpd and state registration
CPD and State registration
  • Health professions Council (HPC) aims to link CPD with registration (DoH 2001)
  • Learning Together (1999) set a deadline of Dec 2000, for roll-out of Personal Learning Plans (PLPs)
  • Courses must ultimately make a difference to patient care and improve outcomes
  • Interactive workshops are more likely to improve clinical practice than Lectures (Thomson, O’Brien et al 2001)
cpd and state registration7
CPD and State registration
  • Doctors have a periodic evaluation of their registration
  • SALT - 10 sessions of CPD p.a.
  • Dietitians - 5 hrs plus an additional activity or an appropriate academic course
  • Nurses - PREP system (since 1990) 5 days study in 3 yrs to re-register
  • Physio - no specific requirements
  • The Institute of Personnel and Development (IPD) suggest 35 hrs of recorded CPD p.a.
who is responsible and how much
Who is Responsible and How Much £ ?
  • IPD places emphasis on individual responsibility for learning
  • CPD for all staff in the NHS is the responsibility of the employer
  • Learning Together (1999) recognises that investment varies widely between professions
  • Fraser et al (2000) suggest that allocation of funding for CPD bears no relationship to the requirements of different professions

To evaluate Continuing Professional

Development (CPD) activity in National

Health Service (NHS) Podiatry in Scotland,

and make recommendations for the future

post registration training and development

of Podiatrists

  • Identify the professional requirements for the post registration education and training of Podiatrists
  • Identify what CPD is currently undertaken by NHS Podiatrists in Scotland
  • To evaluate the type, level and appropriateness of CPD in NHS Podiatry in Scotland
  • Develop guidelines for the future post registration training and development of Podiatrists in Scotland
  • Local Management Support (FVPC)
  • Support from PAM CRAG Clinical Effectiveness Project leaders
  • Funding: Trust Bursary and Learn Direct Scotland
  • Ethics: Letter from Multi-centre Research Ethics Committee, and successful application to ethics committee (QMUC)
  • Questionnaire design / Pilot
  • Distribution of questionnaire to Health Board area via CE representatives
  • In total 760 questionnaire were delivered to NHS Podiatrists in Scotland
  • 259 questionnaires were returned by 28th Feb 2002 (33% return)
  • Compared to other similar studies, this was deemed to be a reasonable return
qu 8b health boards
Qu. 8b - Health Boards

It was agreed with the PAM CRAG Clinical

Effectiveness Project Leaders, that

information on specific Health Board Areas

would not be disclosed in the final report.

However this information is available on


qu 10 cpd days
Qu. 10 - CPD days

N = 238

Mean = 2.16

Median = 1.0

42.2% had 0 CPD Days

qualitative comments
Qualitative Comments
  • 22.5% of respondents included comments in the box provided. These comments were divided into 4 key areas, based on their primary theme; Resources (time/money), Podiatric Surgery, General Training and Personal comments to researcher
qu 14 cpd activities
Qu. 14 - CPD Activities
  • 26.1% did not report any CPD activities in the last 3 years
qu 14a b title duration
Qu.14a-b - Title & Duration
  • CPD activities were grouped into like categories
  • CPD activities were split into short courses (2 weeks or less) and long courses (> 1 month)
  • 91.4% were short courses
  • 8.6% were long courses
qu 14e assessment
Qu. 14e - Assessment
  • In general short courses were attendance only (83.9%)
  • Longer courses involved examination (43.9%) and course work (41.5%)
qu 14f accreditation
Qu. 14f - Accreditation
  • Short courses were generally accredited by a professional body (49.3%) or by employer (16.2%)
  • Longer courses had more involvement with the University sector (48.7%)
conclusion recommendations
Conclusion & Recommendations
  • The training & development of NHS Podiatrists, in Scotland, is a priority for all stakeholders
  • Prepare for the introduction of mandatory CPD
  • Additional resources will be required to fulfil the requirements of 30hrs CPD p.a.
  • All Podiatrists should have a PLP
  • Clinical networking, skill mix and a multi-disciplinary approach are pivotal
specialist clinicians
Specialist Clinicians
  • Visible career structure for Specialist Podiatrists
  • Podiatric triage to cut waiting lists
  • Work based professional qualifications/ exams
  • Validation by appropriate professional body
  • Rotation through Hospital departments and a pupilage for clinical specialists
podiatric triage
Podiatric Triage
  • Direct & open referral system
  • Podiatric & general assessment
  • Appropriate access to medical records
  • Limited prescription rights
  • Immediate treatment if appropriate
  • Referral for specialist assessment or community care
  • Treatment from a foot care assistant
specialist assessment
Specialist Assessment
  • Peripheral Vascular disease
  • Diabetic foot disease
  • Muscular skeletal service
    • Podiatric Surgery
    • Biomechanics
    • Rheumatology
    • Orthopaedics
  • Podo-Paediatrics
  • Sports Podiatry
develop us
Develop Us!
  • If you want to attract and retain the best people you have to train them
  • What people look for in an employer is a continuous investment in their career
  • With employee education growing far faster than academia, the workplace is becoming a campus
  • Leadership is about contaminating and being contaminated with knowledge
  • It is the job of leaders to create new leaders

Ridderstrale and Norstrom (2000)