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The United Kingdom's experience with and future plans for revalidation.

Julian Archer¹, Sam Regan de Bere

¹NIHR Career Development Fellow, Clinical Senior Lecturer and Director of the Collaboration for the Advancement of Medical Education Research & Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine & Dentistry. Julian.archer@plymouth.ac.uk.

The Journal of Continuing Education in the Health Professions

|December 19, 2013

Summary

The General Medical Council (GMC) in the UK introduced revalidation for all doctors to ensure fitness to practice. This process involves annual appraisals and a 5-year recommendation to the GMC, aiming to support professionalism and patient safety.

Keywords:

maintenance of certification/licensure physician assessment/remediation problem/dyscompetent physicians profession-physicians professionalism/ethics

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Area of Science:

Medical Regulation
Professional Standards
Patient Safety

Background:

International medical practice assurance is complex.
The UK's General Medical Council (GMC) implemented revalidation in December 2012.
Revalidation aims to govern all doctors under a structured framework.

Purpose of the Study:

To describe the UK's revalidation process for doctors.
To highlight the framework of 'Good Medical Practice'.
To explain the role of annual appraisals and responsible officers (ROs).

Main Methods:

Doctors submit and reflect on supporting documentation annually.
Evidence includes clinical governance, CPD, and feedback.
Appraisers assess doctors against 'Good Medical Practice' standards.

Main Results:

Revalidation is national, compulsory, and involves all doctors.
It links appraisal to performance moderation.
The process aims to support remediation for doctors in difficulty.

Conclusions:

Revalidation is a unique, comprehensive system for assuring medical professionalism.
It has a complex history influenced by scandals and professional/governmental delays.
A national evaluation of revalidation is currently underway.