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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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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:
        • Specific resource
        • Combination of resources
        • Generic 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