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Verification of 'learning credits' by GP appraisers.
1NHS Education for Scotland/NHS Lanarkshire. jill.murie@nhs.net
Summary
General Practitioners (GPs) show variable ability in self-assessing Continuing Professional Development (CPD) learning credits and verifying others. This subjectivity challenges the reliability of the RCGP CPD Learning Credits system for GP revalidation.
Area of Science:
- Medical Education
- General Practice
- Professional Development
Background:
- The Royal College of General Practitioners (RCGP) CPD Learning Credits system facilitates GPs demonstrating practice-relevant knowledge and skills.
- These self-assessed credits are crucial evidence for GP revalidation, verified by appraisers based on time and impact.
- This study investigated GPs' self-assessment accuracy and their ability to standardize credit verification.
Purpose of the Study:
- To evaluate the extent to which General Practitioners (GPs) can accurately self-assess their learning credits.
- To assess GPs' proficiency in verifying learning credits as appraisers in a standardized manner.
Main Methods:
- A study involving 17 GP appraisers in NHS Lanarkshire.
- Triangulation of evidence using self-rating, peer-assessment, and workshop discussions.
- Analysis of data including self-assessed credit value, peer-assessed scores, and qualitative feedback.
Main Results:
- 15 out of 17 appraisers participated; 13 attended the workshop.
- GPs' self-assessed credits matched peer assessments in only 5 out of 15 cases.
- Significant overestimations (4/15) and underestimations (6/15) were observed, with extreme variance in an oncology module (28%-200% of self-assessed score).
Conclusions:
- GPs exhibit inconsistent understanding in awarding themselves and appraisees learning credits.
- The current verification process is subjective and arbitrary due to a lack of standardized training, validated tools, and reliability measures.
- Improvements in appraisal training and resources are necessary to ensure the validity of the RCGP CPD Learning Credits system.
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