How to Succeed at Revalidation

How to Succeed at Revalidation
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Doctors in the UK are required to provide evidence of their fitness to practice—all doctors registered with the General Medical Council (GMC) need to revalidate to maintain their registration.  How to Succeed at Revalidation  contains up-to-date information on the current regulatory framework and step-by-step guidance to the entire revalidation process. Offering expert advice on how to undertake the process from the perspective of the appraisee, the appraiser, and the employer, this practical, quick-reference guide covers each of the Good Medical Practice (GMP) domains: Knowledge, Skills and Performance; Safety and Quality; Communication, Partnership and Team Work; and Maintaining Trust.  Throughout the text, numerous examples describe different models of appraisal and reflection, identify activities that map to each domain, and demonstrate how revalidation requirements can be achieved in the course of daily practice. This much-needed guide:  Covers regulatory processes in medicine and healthcare from both UK and international perspectives Reviews the background that led to the implementation of revalidation Discusses the new GMP requirements for all doctors in the UK Explores the possible future of revalidation How to Succeed at Revalidation  is essential reading for all qualified and trainee doctors, undergraduate and postgraduate learners, tutors and trainers seeking to navigate the revalidation process in the UK.

Оглавление

Peter Donnelly. How to Succeed at Revalidation

Table of Contents

List of Tables

List of Illustrations

Guide

Pages

How to Succeed at Revalidation

Acknowledgments

Abbreviations

Chapter 1 Introduction

Overview of the Book

Background

Challenges

References

Chapter 2 Regulation in Health – A Brief History. Introduction

What is Regulation?

Regulation in Health Professions. Professionalism and Society

Self‐Regulation

The Nursing Profession

Physiotherapy

Medicine

Physicians

Surgeons

Apothecaries

Current Health Regulators in the UK

Chapter Summary

References

Chapter 3 A History of the Current Framework. Introduction

The Establishment of the National Health Service

The Royal Commission on Medical Education (1965–1968)

The Profession's Relationship with the GMC

Changing Public Expectations

The UK Political Landscape 1980–1990

Case Drivers for Change

The Gosport Review

Bristol Royal Infirmary

Alder Hey Children's Hospital

Clifford Ayling

Richard Neale

Harold Shipman

Good Doctors: Safer Patients

The Darzi Report

The UK Revalidation Programme Board

The Responsible Officer Regulations

Revalidation is Launched

The King's Fund 2013

The Pearson Review

UK Medical Revalidation Evaluation coLLAboration (UMbRELLA) Study

Chapter Summary

References

Chapter 4 Revalidation – The Role of the Appraiser, Responsible Officer and Designated Bodies. Introduction

The Good Medical Practice

The GMC Domains

The Appraiser

Preparation Before the Appraisal Meeting

Activities in the Meeting

The Environment

Setting the Scene

Review of Last Year’s PDP

Discussion of the Supporting Information

Agreeing Relevant Material

Discussion of any Constraints

Agreeing the Provisional PDP for Next Year

Concluding the Meeting

Action Post‐meeting

Skills Required of a Good Appraiser

Active Listening

Be Aware of Your Body Language

Control Your Internal Voice

Be Aware of the Appraisee's Body Language

Verbal Interaction

Open‐ended Questions

Probing Questions

Paraphrasing

Reflection

Neutral Techniques

Summarizing

Providing Feedback

Immediacy

Self‐Disclosure

Reframing

Metaphors

Coaching Skills

The GROW model

ACHIEVE

Repeat

The Role of the Responsible Officer (RO)

The Designated Body (DB)

Requirements for Doctors in Training

Chapter Summary

References

Chapter 5 Revalidation – The Role of the Appraisee. Introduction

Key Principles

Collecting Supporting Information (SI)

How to Assess Your Own Learning Needs

Multi‐source Feedback – 360° Feedback. Introduction

Examples of Specific MSF Tools

The Doctors Interpersonal Skills Questionnaire

The Patient Enablement Instrument (PEI)

The Patient Satisfaction Questionnaire (PSQ)

The General Practice Assessment Questionnaire (GPAQ)

Summary of MSFs

Patient‐Reported Outcome Measures (PROMs) and Patient‐Reported Experience Measures (PREMS)

Peer‐to‐peer Support

Mentoring/Coaching. Mentoring

Coaching

The Johari Window

Strengths, Weaknesses, Opportunities, Threats (SWOT) Analysis

Patient’s Unmet Needs (PUNs) and Doctor’s Educational Needs (DENs)

Individual vs Team Learning Needs

Delegation

National Audits

Clinical Governance Processes

Know Yourself – Know your Learning Styles

Activists

Reflectors

Theorists

Pragmatists

Reflection. Reflective Cycles and Action Plans

Models of Reflection

Rolfe and Colleagues

Gibbs Reflective Cycle

Dewey’s Reflective Spiral

Discuss

Action

Challenges you may Face in the Process

Finding the Appropriate Learning

Time

Funding/Support from Employer

Other Challenges

Chapter Summary

References

Chapter 6 Examples of Reflections Across All GMC Domains. Introduction

The Domains Revisited

The GMC Domains

Examples of Reflective Entries

Chapter Summary

References

Chapter 7 The Future of Medical Revalidation in the United Kingdom. Introduction

The Argument against Direct Observation and Simulation Assessments

Some Resistances to Further Change

The Conundrum

Possible Solutions

Cost

Comparison of Risks

Principles of a New System

A New Model

Process to Oversee New Model

Chapter Summary

References

Index

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Peter Donnelly, MB BCH BAO, FRCPsych, BA(OU), FAcadMed, FHEA, FRCP(Ed), MMed, HonFAcadMed

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Table 2.1 Revalidation: requirements of a nurse and examples of supporting evidence.

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