What do GP Educators Perceive to be the Opportunities and Challenges of Introducing Revalidation?

Agius, Steven; Baron, Rebecca; Lewis, Barry; Hayden, Jacky

doi:10.1080/14739879.2011.11494041

Cited by 5 publications

(8 citation statements)

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“…Again, this is something that is common across other jurisdictions. 23 Greater flexibility in requirements would support participation among this group.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of professional competence in Ireland: a national survey of doctors’ attitudes and experiences

et al. 2020

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ObjectivesProgrammes to ensure doctors’ maintenance of professional competence (MPC) have been established in many countries. Since 2011, doctors in Ireland have been legally required to participate in MPC. A significant minority has been slow to engage with MPC, mirroring the contested nature of such programmes internationally. This study aimed to describe doctors’ attitudes and experiences of MPC in Ireland with a view to enhancing engagement.ParticipantsAll registered medical practitioners in Ireland required to undertake MPC in 2018 were surveyed using a 33-item cross-sectional mixed-methods survey designed to elicit attitudes, experiences and suggestions for improvement.ResultsThere were 5368 responses (response rate 42%). Attitudes to MPC were generally positive, but the time, effort and expense involved outweighed the benefit for half of doctors. Thirty-eight per cent agreed that MPC is a tick-box exercise. Heavy workload, travel, requirement to record continuing professional development activities and demands placed on personal time were difficulties cited. Additional support, as well as higher quality, more varied educational activities, were among suggested improvements. Thirteen per cent lacked confidence that they could meet requirements, citing employment status as the primary issue. MPC was particularly challenging for those working less than full-time, in locum or non-clinical roles, and taking maternity or sick leave. Seventy-seven per cent stated a definite intention to comply with MPC requirements. Being male, or having a basic medical qualification from outside Ireland, was associated with less firm intention to comply.ConclusionsDoctors need to be convinced of the benefits of MPC to them and their patients. A combination of clear communication and improved relevance to practice would help. Addition of a facilitated element, for example, appraisal, and varied ways to meet requirements, would support participation. MPC should be adequately resourced, including provision of high-quality free educational activities. Systems should be established to continually evaluate doctors’ perspectives.

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“…Again, this is something that is common across other jurisdictions. 23 Greater flexibility in requirements would support participation among this group.…”

Section: Discussionmentioning

confidence: 99%

Maintenance of professional competence in Ireland: a national survey of doctors’ attitudes and experiences

et al. 2020

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“…Most mixed‐methods studies involved surveys with quantitative and qualitative components. Seventeen studies integrated theory in the design and/or analysis of the research 26,39–54 . Theories applied included those focused on process change, societal control and regulation and individual behaviour change 23,55–57 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Doctors believed that MPC was a reasonable professional duty that could be of value to the medical profession 42,58–62 . Nonetheless, several sources of evidence across multiple jurisdictions reported concerns about how MPC has been implemented and views that the process was not effectively designed to meet its intended goals or provide value 39,47,51,59,60,63–69 . A feature of the UK literature was the seemingly inconsistent beliefs held by doctors about the purpose of MPC 54,60,62,66,69–75 .…”

Section: Resultsmentioning

confidence: 99%

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Doctors' attitudes to maintenance of professional competence: A scoping review

et al. 2021

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Context Recent decades have seen the international implementation of programmes aimed at assuring the continuing competence of doctors. Maintenance of Professional Competence (MPC) programmes aim to encourage doctors' lifelong learning and ensure high‐quality, safe patient care; however, programme requirements can be perceived as bureaucratic and irrelevant to practice, leading to disengagement. Doctors' attitudes and beliefs about MPC are critical to translating regulatory requirements into committed and effective lifelong learning. We aimed to summarise knowledge about doctors' attitudes to MPC to inform the development of MPC programmes and identify under‐researched areas. Methods We undertook a scoping review following Arksey and O'Malley, including sources of evidence about doctors' attitudes to MPC in the United States, the United Kingdom, Canada, Australia, New Zealand and Ireland, and using the Preferred Reporting Items for Systematic reviews and Meta‐Analyses extension for Scoping Reviews (PRISMA‐ScR) as a guide. Results One hundred and twenty‐five sources of evidence were included in the review. One hundred and two were peer‐reviewed publications, and 23 were reports. Most were from the United Kingdom or the United States and used quantitative or mixed methods. There was agreement across jurisdictions that MPC is a good idea in theory but doubt that it achieves its objectives in practice. Attitudes to the processes of MPC, and their impact on learning and practice were mixed. The lack of connection between MPC and practice was a recurrent theme. Barriers to participation were lack of time and resources, complexity of the requirements and a lack of flexibility in addressing doctors' personal and professional circumstances. Conclusions Overall, the picture that emerged is that doctors are supportive of the concept of MPC but have mixed views on its processes. We highlight implications for research and practice arising from these findings.

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“…Appraisers are key to the process and should themselves be 'selected, trained and supported' date and fit to practice (GMC 2010). It has been stated that the appraisal process must become more robust to support revalidation (Agius 2011). 'Teaching and training' is one of the key areas within the GMC's main guidance document to doctors, thus educational responsibilities will need to form a key component of both appraisal and revalidation (GMC 2006).…”

Section: Practice Pointsmentioning

confidence: 99%

Educator appraisal—occurrence and experience of hospital consultants in North-West England

Ahearn

Bishop²,

Agius³

et al. 2012

Medical Teacher

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Background: It is recommended all hospital consultants with educational responsibilities undergo appraisal of their educational role by their employer: a key component of revalidation. To support this process locally, the North Western Deanery developed guidance on educational appraisal. We wished to establish the frequency and perceived value of educator appraisal. Methods: A web-based questionnaire of 605 hospital consultants with educational responsibilities in North-Western England was conducted to collect data. Results: Only 17.7% had been appraised for their educational responsibilities in the previous 36 months despite 92.7% undergoing appraisal of clinical work. Educational leads were statistically more likely to have had educational appraisal than Educational supervisors (ES), similarly ES were more likely to have had appraisal than Clinical supervisors (CS). Clinical specialty does not appear to be a major determining factor. The majority found the supporting documentation helpful in guiding data collection and subsequent recording of evidence. All respondents felt appraisals were conducted in a supportive manner with 76.6% stating appraisal had reassured them they were fulfilling their educational roles and helped 78.5% to identify an education personal development plan. Conclusions: The incidence of educator appraisal remains low but the experience is considered valuable and contributes effectively to educators' professional development.

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What do GP Educators Perceive to be the Opportunities and Challenges of Introducing Revalidation?

Cited by 5 publications

References 0 publications

Maintenance of professional competence in Ireland: a national survey of doctors’ attitudes and experiences

Maintenance of professional competence in Ireland: a national survey of doctors’ attitudes and experiences

Doctors' attitudes to maintenance of professional competence: A scoping review

Educator appraisal—occurrence and experience of hospital consultants in North-West England

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