Revalidation

There has considerable talk of the eminent arrival of revalidation and annual appraisals for doctors in India. There is no clear direction or plans on how this process will be enforced or is planned. We know that this idea has been borrowed from the United Kingdom and I will try and explain how this system works here. The introduction of medical revalidation in the United Kingdom provides a key lever for healthcare improvement. Medical revalidation reinforces the duty of every doctor to meet their professional obligations as regards appraisal and revalidation. Revalidation of doctors is a key component of a range of measures designed to improve the quality of care for patients; it is the process by which the General Medical Council confirms the continuation of a doctor’s licence to practice in the UK. The purpose of revalidation is to assure patients and the public, employers and other healthcare professionals that licensed doctors are up to date and fit to practice. Doctors in the UK have to undergo an annual appraisal and revalidation every 5 years. Responsible officers rely on robust appraisal outputs to help determine their periodic recommendations about doctors to the General Medical Council. As well as supporting the requirements of medical revalidation, appraisers help the doctors they appraise to reflect on their work and to identify their learning needs and career aspirations. They then work with the doctors to plan their future development in line with these needs, integrating with those of their employer(s) and the NHS. Well, conducted appraisals can improve job satisfaction and performance and may ultimately increase the quality and safety of patient care. Medical Appraisal is an annual professional review of your entire scope of practice providing you with an opportunity to reflect and learn from the year gone by. It is not a performance review or a judgement on your skills and knowledge. An appraisal is a platform to showcase your achievements for the year and structure a SMART personal development plan for the future. A good appraisal for the purposes of revalidation meets the standards of the Good Medical Practice (GMC) Framework for Appraisal and Revalidation and is underpinned by the following principles: It is annual. It takes account of a doctor’s whole practice and conduct. It takes into account and discusses the following six types of supporting information collected by the surgeon: Continuing professional development (CPD), Quality improvement activity, Significant events, Feedback from colleagues, Feedback from patients, Review of complaints and compliments. It includes both a formative element, revolving around the surgeon’s professional development, and a summative element, assessing the performance of the surgeon since the last appraisal. The focus throughout the appraisal process should be your reflection on both your activity and the outcomes as a result. It is essential to ensure that all medical practitioners have access to an experienced appraiser who is able to guide and assist them successfully through the key medical governance processes. The Medical Support Union and Medical appraisals the UK are fine examples of organisations that are committed to working with doctors and other healthcare professionals like nurses, midwives and other healthcare professionals by providing them with a comprehensive appraisal platform that meets their professional regulatory requirements as set out by the NHS procurement framework. We hope that revalidation in India takes shape and borrows the best concepts of the UK revalidation system.

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