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Revalidation: the catalyst for change in continuing professional development?

A J McKay

    Journal of the Royal College of Surgeons of Edinburgh
    |May 24, 2000
    PubMed
    Summary
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    Continuing Medical Education (CME) requirements are evolving, moving from a voluntary points system to mandatory appraisal and revalidation for doctors. This shift aims to improve patient care standards through structured review and personal portfolios.

    Area of Science:

    • Medical Education
    • Healthcare Professional Development
    • Surgical Training Standards

    Background:

    • Historically, Continuing Medical Education (CME) lacked formal recording obligations for hospital specialists.
    • A shift towards structured postgraduate training and European alignment has occurred, enabling earlier consultant appointments.
    • The previous CME points system, while widely adopted, faced criticism for its educational impact and was ignored by some.

    Discussion:

    • The medical profession faced significant criticism, risking self-regulation.
    • The General Medical Council (GMC) mandates appraisal and revalidation for all doctors to maintain national registration.
    • Royal Colleges are implementing annual reviews for surgical practice profiling.

    Key Insights:

    • The CME points system proved difficult to defend educationally and was inconsistently followed.

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  • Mandatory appraisal and revalidation represent a significant regulatory change for medical professionals.
  • The new system aims to address criticisms and ensure accountability within the profession.

    • Outlook:

    • Embracing changes like personal portfolios can enhance and demonstrate standards of care.
    • Clinical governance and revalidation are viewed as catalysts for positive change in a potentially complacent profession.
    • The new framework offers an opportunity to maintain and improve patient care through peer and public accountability.