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Revalidation and anaesthesia

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Participate in professional development & educational activities (12) ... 1.A.3. Participate in professional development and educational activities ... – PowerPoint PPT presentation

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Title: Revalidation and anaesthesia


1
Revalidation and anaesthesia
  • Chris Dodds

2
Whats new about revalidation?
  • Revalidation
  • Enhanced appraisal
  • Clinical and non-clinical
  • Review of CPD
  • Core topics, higher and advanced
  • MSF essential
  • Personal development plan
  • Matching of job plan to Trust needs
  • Current Process
  • Appraisal
  • Clinical and non-clinical
  • Review of CPD
  • Core topics and against job plan
  • Matching of job plan to Trust needs
  • Personal development plan
  • Increasingly MSF is being used

3
Whats new about revalidation?
  • Revalidation
  • Enhanced appraisal
  • Clinical and non-clinical
  • Review of CPD
  • Core topics, higher and advanced
  • MSF essential
  • Personal development plan
  • Matching of job plan to Trust needs
  • Current Process
  • Appraisal
  • Clinical and non-clinical
  • Review of CPD
  • Core topics and against job plan
  • Matching of job plan to Trust needs
  • Personal development plan
  • Increasingly MSF is being used

4
Essential processes
  • CPD
  • Enhanced Appraisal
  • Multi-source Feedback

Planned for 14,000 Fellows
5
CPD
  • Autumn 2008
  • Specialist societies consulted on range and
    levels of CPD
  • Last few received February 09
  • March 2009
  • CPD working party refined and agreed draft matrix
  • July 2009
  • Draft matrix returned to Specialist Societies for
    verification and final comments

6
CPD Matrix
  • Three levels
  • Core, higher and advanced
  • Core knowledge based and essential
  • Dont do it at all and its not in my hospital
  • Provided as e-learning
  • Evidence from clinical practice accepted
  • May be individual exceptions that will need
    evaluation
  • Higher directly related to on-call activity
  • Advanced directly related to job-planned
    activity

7
Four categories
8
Example of matrix
  • CPD Core topics
  • Still 50 points / year
  • At least 60 of CPD activity has already been
    done
  • The word document has been consolidated to remove
    repetitive items
  • Life support includes paediatric, adult, trauma
  • obstetric life support has re-entered the matrix

9
CPD final stages
  • Archive data for all approved events from 2005
  • Most Fellows have certificates but no
    identifiable content
  • Specialist societies to confirm data and codify
    if possible
  • Electronic system
  • for all Fellows as part of subscription
  • Available to non-Fellows costs to be determined
  • New approval process
  • Only electronic
  • Approved providers
  • Audit an intrinsic element

10
Appraisal
11
Appraisal
  • This has to be robust, challenging and uniform
    across the UK.
  • Assuring the Quality of Medical Appraisal for
    Revalidation (AQMAR) (RST England)
  • The gold standard is an appraisal by someone
    from your own speciality
  • It has to map to the new GMC Good Medical
    Practice domains

12
Specialist Standards for re-certification
  • 4 Domains adapted from Good Medical Practice
  • Domain 1 - Knowledge, skills and performance
  • Domain 2 - Safety and quality
  • Domain 3 - Communication, partnership and
    teamwork
  • Domain 4 Maintaining Trust

13
Generic Speciality Specific Standards
  • Domain 1 Knowledge, Skills and Performance
    standard
  • 1.A.1 - maintain professional performance
  • Sources of evidence
  • Maintain knowledge of the law other regulation
    relevant to practice (13)
  •  
  • Keep knowledge and skills up to date (13)
  •  
  •  
  • Participate in professional development
    educational activities (12)
  •  
  •  
  • Take part in regular and systematic audit (14)
  •  
  •  
  • Research where performed will meet governance
    requirements
  • Peer Feedback
  • Multisource Feedback
  • References and Letters
  • Practice
  • Complaints and Compliments
  • Incidents including contribution to NPSA and
    confidential enquiries
  • Outcomes
  •  
  • Audit
  • National and Clinical Audit
  • Education, Training and Development
  • CPD
  • E-Learning
  • Specialty Certificates Courses
  • Internal Training
  •  

14
Maintain knowledge of the law other regulation
relevant to practice (13)
Colour code Green three or more sources of
evidence (not all need to be used) Amber two
sources of evidence both need to be used Red
only one source of evidence, must be robustly
scrutinised
15
Speciality specific details
Colour code Green three or more sources of
evidence (not all need to be used) Amber two
sources of evidence both need to be used Red
only one source of evidence, must be robustly
scrutinised
16
1.A.3. Participate in professional development
and educational activities
17
UK wide anaesthetic appraisal
  • Expert group meeting September 7th
  • Experienced clinical directors with current
    appraisal practice
  • Consensus against good anaesthetist standards
    and GMC GMP generic standards
  • Generation of appropriate topics / questions to
    address the generic and anaesthetic specific
    standards
  • Documentation completed October
  • Presented to GMC / RST for approval
  • Training programme for UK developed

18
Multi-Source Feedback
19
MSF / PF for anaesthesia
  • Generic MSF approved by GMC
  • Will map to the generic standards
  • Will be enough for 98 of practising
    anaesthetists
  • Speciality specific MSF must meet the GMC
    standards for MSF (currently draft)
  • Anaesthesia specific MSF for each domain within
    GMC GMP framework
  • Professional Standards Committee
  • Patient feedback (PF) at pilot stage for
    anaesthesia
  • Currently where appropriate

20
Additional activity
  • Communication strategy
  • CPD electronic system
  • Revalidation e-portfolio
  • Appraisal training
  • Revalidation road shows

21
Communications
  • Multimedia process
  • Paper to Twitter
  • Clear mantra for anaesthesia revalidation
  • easy as 1 - 2 3
  • Escalating process until launch
  • General details / specific examples / regular
    e-mail alerts
  • Maintained helpline / support
  • Revalidation manager Mr Don Liu

22
CPD Electronic Platform
  • Commissioned
  • Functional specification agreed
  • ? version live Nov 2009
  • Fully operational January 2010
  • Locked and codified matrix
  • Reflective section mandatory
  • Audit embedded provider / user
  • Links to providers
  • Links to e-LA / on-line learning sites
  • Personal record of activity
  • Annual and for revalidation
  • Identification of potential gaps

23
Revalidation e-portfolio
  • Not just for revalidation
  • Inter-collegiate working party
  • Closely mapped to trainee e-portfolio
  • Cross transfer of data from CPD system
  • Ability to accept other data sources / summaries
  • Other
  • Logbook data
  • Appraisals
  • Personal learning materials

24
Appraisal Training
  • Identification of lead appraiser for
    anaesthesia in every Trust in the UK
  • ltgt 300
  • Direct training in Churchill House
  • Small group, interactive training
  • On-line training materials
  • E-learning platform
  • For senior trainees
  • New consultants and appraisers
  • Local assessment and sign off of all anaesthetic
    appraisers
  • Register of approved appraisers

25
Revalidation Roadshows
  • To directly inform Trusts and Anaesthetists on
    the process, progress and preparation for
    revalidation in the UK
  • Team
  • GMC
  • AoRMC
  • RCoA
  • Others (later)
  • Current planned events
  • Middlesbrough JCUH
  • Leeds - LGI

26
Questions?
  • The panel
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