“…1 Revalidation's goals appear to be threefold: restore public trust in the medical profession; support professional development in all doctors; and weed out the bad apples. [2][3][4] Many have pointed out that these goals may conflict (for example, professional development is a formative and supportive process, while dealing with unacceptably poor practice must surely be summative and judgemental) and that the evidence base linking the proposed input (5-yearly assessment of a portfolio) with the desired outcome (better, safer care for patients) is all but absent.…”