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Update from the Royal College of Physicians: Job Planning, Appraisal and Revalidation

Dr Ian Starke Medical Director for Revalidation at The Royal College of Physicians, London gives an update at today’s Consultant Job Planning conference on:

  • revalidation and strengthened appraisal: what it means for job planning

  • the role of the job plan in achieving personal development goals, individual and service objectives

  • current challenges and developments

Dr Starke's full presentation is available to download at the end of this page

Dr Starke commented:

"Medical Appraisal, should be a supportive element in this"

"being an appraisers is a challenging role"

"makes it worthwhile if appraisees can see results of their appraisal being fed back into the organisation"

"Clinical audit results, Clinical outcomes, Complaints, Clinical incidents: These must provide an opportunity for service improvement"

"an appraisal that is under 2 hours is a race. The process should take time or is a waste of time"


Abstract of Dr Starke’s presentation:

The purposes of medical appraisal in the context of revalidation are now generally well known, but there are differences in the degree to which doctors, appraisers and responsible officers consider that these purposes have been met.

Since the period immediately before the start of revalidation in December 2012 there have been improvements of many aspects of the medical appraisal process towards meeting the quality criteria originally set out. These criteria are now evaluated through the Annual Organisational Audit, by means of which Designated Bodies may compare their performance with the national average.

The medical Royal Colleges have put in place a range of support mechanisms for individual doctors, their appraisers and their ROs. These have not been needed as much as was originally feared, and this is a tribute to the groundwork that was done before medical revalidation was launched. However, there are still several areas that require further work.

These include the support available to doctors ‘in difficulty’ (Responding to Concerns), particularly where the concerns are relatively low-level and the way in which feedback from patients is obtained and used.. In addition the appraisal process itself, which is the cornerstone of medical revalidation, is in danger of becoming a ‘tick-box’ exercise, and further work is needed to convince doctors of the potential benefits of appraisal when properly carried out.

Dr Ian Starke’s Biography:

Dr Ian Starke qualified from Guy’s Hospital in London in 1972 and undertook postgraduate training in General Medicine, Chest Medicine and Medicine for the Elderly. He was appointed Consultant Physician in Geriatric and General Medicine to University Hospital Lewisham in 1988 where he has been a clinical director, and has led the development of stroke services.,

Dr Starke was appointed Director of CPD to the Federation of Royal Colleges of Physicians in 2004 and Medical Director for Revalidation to the Royal College of Physicians of London in August 2007. He has led two key pilot studies into Strengthened Appraisal, the development of the Physician specialty framework for revalidation and the development of a common core specialty framework across all Colleges and Faculties. He is currently chair of the Academy of Medical Royal Colleges Revalidation and Professional Development Committee and is involved in developing support methods for doctors in difficulty and more effective methods for obtaining patient feedback.

Future conferences of interest:

Complaints Handling, Investigating, Resolving and Learning
Monday 7 December 2015, Hallam Conference Centre, London

Electronic Document Management in Healthcare: Delivering a Paperless NHS
Wednesday 9 December 2015, ICO Conference Centre, London

Masterclass: Root Cause Analysis for Beginners
Monday 18 January 2016, Cavendish Conference Centre, London

A Practical Guide to Improving Outpatient Services
Friday 22 January 2016, Hallam Conference Centre, London

Presentation Skills Masterclass
Wednesday 27 January 2016, Hallam Conference Centre, London

Measuring & Monitoring Clinical Quality
Wednesday 3 February 2016, ICO Conference Centre, London

Effective Clinical Director
Wednesday 24 February 2016, ICO Conference Centre, London

Download: ian-starke_1246.pdf

17 November 2015


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