Revalidation, CPD andRevalidation, CPD andthe RCPCH Schemethe RCPCH Scheme

Dr Alistair ThomsonDr Alistair Thomson

RCPCH Officer for CPD RCPCH Officer for CPD

AndAnd

Consultant PaediatricianConsultant Paediatrician

Leighton Hospital, CreweLeighton Hospital, Crewe

RCPCH 26/11/04RCPCH 26/11/04

Appraisal, Revalidation and CPDAppraisal, Revalidation and CPD

Revalidation will depend on 5 successful Revalidation will depend on 5 successful appraisals (GMC May 2003)appraisals (GMC May 2003)

NHS employers (NHS confederation) agree:NHS employers (NHS confederation) agree:– Provision of an RCPCH certificate of scheme Provision of an RCPCH certificate of scheme

participation at annual appraisal will be acceptableparticipation at annual appraisal will be acceptable– GMC takes a similar viewGMC takes a similar view

Participation – 20/08/03Participation – 20/08/03

SASG DoctorsSASG DoctorsNon MembersNon Members Members*Members* TotalTotal

NNoo Participating Participating 464464 278278 742742

NNoo Eligible Eligible 995995 537537 1532153211

% Participation% Participation 46.646.6 51.851.8 48.448.4  11 Figure from RCPCH census 2001 Figure from RCPCH census 2001* Assumes all Non-Members are SASG* Assumes all Non-Members are SASG

Increasing Participation of SASG DrsIncreasing Participation of SASG Drs

FactorsFactors– Uncertainty about statusUncertainty about status– Ignorance of CPD and appraisalIgnorance of CPD and appraisal

LLetter to clinical directorsetter to clinical directors– Invitation to SASG doctors to join the schemeInvitation to SASG doctors to join the scheme – Good response: > 50 repliesGood response: > 50 replies

CPD check at College hospital visitsCPD check at College hospital visits

alth

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CPD - DefinitionCPD - Definition

““CPD is intended to help paediatricians to:CPD is intended to help paediatricians to:– Maintain standards, interest and enthusiasm;Maintain standards, interest and enthusiasm;– Protect their skills and professional competence;Protect their skills and professional competence;– Develop new skills”Develop new skills”

““CPD is a systematic process of lifelong learning CPD is a systematic process of lifelong learning and professional development”and professional development”

““CPD aims is to enable paediatricians ….. CPD aims is to enable paediatricians …..

to meet the needs of children”to meet the needs of children”

Guidelines for CPDGuidelines for CPD

CPD for Career Grade PaediatriciansCPD for Career Grade Paediatricians - -

The National Scheme of the Academic Board The National Scheme of the Academic Board 77thth edition, edition, January 2004 (8January 2004 (8thth, Jan 2005), Jan 2005) Emphasises need for CPD Emphasises need for CPD Clarifies its requirementsClarifies its requirements Intended as practical, flexible and realisticIntended as practical, flexible and realistic Will help achieve CPD targetsWill help achieve CPD targets Reviewed and updated annuallyReviewed and updated annually

Who and When?Who and When?

Applies to all non-training career grades of staff Applies to all non-training career grades of staff – Consultants, hospital and associate specialists, Consultants, hospital and associate specialists, – Senior clinical medical officers, clinical medical Senior clinical medical officers, clinical medical

officers, Trust doctors, and staff gradesofficers, Trust doctors, and staff grades

For NHS, universities or independent practiceFor NHS, universities or independent practice CPD represents a commitment to lifelong learningCPD represents a commitment to lifelong learning

– Continuum with trainingContinuum with training– Join CPD scheme post-CCSTJoin CPD scheme post-CCST

What and How?What and How?

Includes CME, and all elements of practiceIncludes CME, and all elements of practice College’s system provides a means for College’s system provides a means for

– Planning CPD and Planning CPD and – Registering CPD activitiesRegistering CPD activities

Recording of this process should be easyRecording of this process should be easy ““Minimally invasive CPD monitoring”Minimally invasive CPD monitoring”

Number of CPD SessionsNumber of CPD Sessions

1 hour CPD = 1 credit1 hour CPD = 1 credit Target is 50 hours per yearTarget is 50 hours per year 1 whole study day normally = 6 credits 1 whole study day normally = 6 credits

(maximum 7 credits if evening sessions)(maximum 7 credits if evening sessions) Half a day = 3 creditsHalf a day = 3 credits At least 50% of credits to be external CPDAt least 50% of credits to be external CPD

– May vary by prior arrangement May vary by prior arrangement

Activities for CPDActivities for CPD

Range of CPD activities to be selected Range of CPD activities to be selected Balance broad-based and specialist activities Balance broad-based and specialist activities To suit individual professional needsTo suit individual professional needs Internal and external approx. equal over five Internal and external approx. equal over five

yearsyears– Minimum 25 external CPD credits p.a. Minimum 25 external CPD credits p.a.

Sub-categories Sub-categories – Clinical, academic, professional Clinical, academic, professional – About 80% of CPD credits clinical About 80% of CPD credits clinical

External CPDExternal CPD

Defined as work involving interaction with Defined as work involving interaction with colleagues outside the individual’s own colleagues outside the individual’s own departmentdepartment

Usually requiring study leave in protected timeUsually requiring study leave in protected time Includes:Includes:

– Organised meetingsOrganised meetings– Visits to other institutions to acquire skills Visits to other institutions to acquire skills – CoursesCourses

Internal CPDInternal CPD

Does not require study leave Does not require study leave Includes Includes

– Unit clinical meetingsUnit clinical meetings– Multidisciplinary meetingsMultidisciplinary meetings– Grand roundsGrand rounds– Community education sessions Community education sessions – Clinical audit meetingsClinical audit meetings

FAQsFAQs

Apprenticeship learning Apprenticeship learning Distance learning Distance learning Critical reading groupsCritical reading groups/j/journal clubs ournal clubs Preparation of examinations Preparation of examinations Preparation of new postgraduate lectures Preparation of new postgraduate lectures Writing books Writing books Editorial activities Editorial activities Internet, video links and audio tapes Internet, video links and audio tapes

CPD RecordsCPD Records

Keep details of all CPD activities in portfolioKeep details of all CPD activities in portfolio Send card quarterly to RCPCH Send card quarterly to RCPCH CPD certification period will be:CPD certification period will be:

– Preceding 5 years or Preceding 5 years or – From entry into the cycleFrom entry into the cycle

Paediatricians allocate points according to value Paediatricians allocate points according to value of educational activities of educational activities – I.e. up to one per hourI.e. up to one per hour

Professional Needs and PDPsProfessional Needs and PDPs

Need for CPD, job descriptions and contracts Need for CPD, job descriptions and contracts All doctors should have a PDPAll doctors should have a PDP Focus of CPD variesFocus of CPD varies

– Individual needs Individual needs – Departmental needsDepartmental needs– Learning stylesLearning styles

Part-time need same CPD as full time DrsPart-time need same CPD as full time Drs

CPD RegistrationCPD Registration

Return of one cardReturn of one card Can backdate (up to 5 years)Can backdate (up to 5 years) Benefits Benefits

– AppraisalAppraisal– RevalidationRevalidation– Maintains Members and Fellows ‘in good standing’Maintains Members and Fellows ‘in good standing’

RCPCH website lists registrants (List A)RCPCH website lists registrants (List A)– ‘‘Up-to-date’ is Up-to-date’ is 1 year in arrears 1 year in arrears

What is Not Allowed?What is Not Allowed?

Undergraduate teaching Undergraduate teaching Attending committeesAttending committees Reading journalsReading journals

– Reading journals is core professional activity Reading journals is core professional activity – BUT Reflective Notes are acceptableBUT Reflective Notes are acceptable

Domiciliary consultationsDomiciliary consultations Undergraduate examiningUndergraduate examining

Reflective NotesReflective Notes

Informal learning is valuableInformal learning is valuable Recognised by writing reflective notes, e.g. Recognised by writing reflective notes, e.g.

– Private reading that changesPrivate reading that changes perceptionperception– Informal discussion illuminating a clinical problemInformal discussion illuminating a clinical problem– Patient encounter/Critical incident.Patient encounter/Critical incident.

Proforma available (may be photocopied)Proforma available (may be photocopied) One credit per page of notes One credit per page of notes Clinical/academic/professional Clinical/academic/professional Maximum 20 credits per yearMaximum 20 credits per year

Compliance with CPD - AuditCompliance with CPD - Audit

Denominator population = 2896 participantsDenominator population = 2896 participants 5% sample, selected randomly5% sample, selected randomly Criteria:Criteria:

– A PDPA PDP– An up-to-date portfolio of CPD activities An up-to-date portfolio of CPD activities – Evidence of claimed ECPD – minimum 25 credits Evidence of claimed ECPD – minimum 25 credits

(programmes, receipts, publications, etc)(programmes, receipts, publications, etc)

CPD Audit ResultsCPD Audit Results

139/171 (81%) returned documentation:139/171 (81%) returned documentation:– 99% of eligible99% of eligible

136 (98%) passed criteria136 (98%) passed criteria– 99 (71%) with complete evidence 99 (71%) with complete evidence – 37 (27%) with minimum evidence of 25 ECPD37 (27%) with minimum evidence of 25 ECPD– 3 (2%) failed: 2 no evidence, 1 < 25 ECPD3 (2%) failed: 2 no evidence, 1 < 25 ECPD

Other Colleges similarly good (or bad)Other Colleges similarly good (or bad)

Non-Participation in CPD – 1Non-Participation in CPD – 1

Excludes Members/Fellows from:Excludes Members/Fellows from:– Holding College officeHolding College office– Being an examinerBeing an examiner

Undesirable from point of view ofUndesirable from point of view of– Clinical governance Clinical governance – Annual appraisal Annual appraisal – GMC re-validationGMC re-validation– Risk management and Risk management and – Medico-legal implicationsMedico-legal implications

Non-Participation in CPD – 2Non-Participation in CPD – 2

Before any sanctions imposed, reasons for non-Before any sanctions imposed, reasons for non-completion will be fully exploredcompletion will be fully explored

The College has a role in helping to prevent The College has a role in helping to prevent paediatricians coming to the attention of the paediatricians coming to the attention of the GMC’s Performance Assessment CommitteeGMC’s Performance Assessment Committee

Individuals having difficulties achieving their Individuals having difficulties achieving their CPD goals should approach the CollegeCPD goals should approach the College

‘‘In Good Standing’ ImpliesIn Good Standing’ Implies

Registration for CPDRegistration for CPD Member or Fellow or supervised SASGMember or Fellow or supervised SASG ““Only Ordinary Members and Fellows (and Only Ordinary Members and Fellows (and

Senior Members and Fellows) who are in good Senior Members and Fellows) who are in good standing are entitled to use the designation standing are entitled to use the designation MRCPCH or FRCPCH”MRCPCH or FRCPCH”

May act on behalf of RCPCH, e.g.May act on behalf of RCPCH, e.g.– College Tutor/College Visitor/ExaminerCollege Tutor/College Visitor/Examiner

‘‘In Good Standing’ and CPDIn Good Standing’ and CPD

““A Member or Fellow will be held to be in good A Member or Fellow will be held to be in good standing:…(if) participating in CPD to the level defined standing:…(if) participating in CPD to the level defined by the College”. (RCPCHby the College”. (RCPCH handbook 2004) handbook 2004)

< 1 year arrears< 1 year arrears– Annual appraisalAnnual appraisal

– RCPCH CPD AuditRCPCH CPD Audit

– RevalidationRevalidation

If in arrears with returns, (i.e. not ‘participating’ If in arrears with returns, (i.e. not ‘participating’

can make returns back to 2000can make returns back to 2000

RCPCH EC and Council 2004RCPCH EC and Council 2004

““CPD submissions should be complete a year in CPD submissions should be complete a year in arrears at the latest” arrears at the latest”

"Those that have not submitted their CPD returns "Those that have not submitted their CPD returns for the preceding year may be found not to be 'in for the preceding year may be found not to be 'in good standing' with the RCPCH, after suitable good standing' with the RCPCH, after suitable enquiries have been made”enquiries have been made”

““If an individual is considered not If an individual is considered not in good standing, this information in good standing, this information may be made available to/passed may be made available to/passed to other bodies"to other bodies"

CPD - 2004CPD - 2004

Evolution, not revolutionEvolution, not revolution– Maintenance of continuum of CPD Maintenance of continuum of CPD

Re-constitution of CommitteeRe-constitution of Committee Re-write of Guidelines for 2005Re-write of Guidelines for 2005 ADC CPD JournalADC CPD Journal On-line registrationOn-line registration

RCPCH CPD SchemeRCPCH CPD Scheme

To suit individual professional needsTo suit individual professional needs Minimally invasiveMinimally invasive Administration-liteAdministration-lite Aids PDPs, appraisal and revalidationAids PDPs, appraisal and revalidation

Helps you pass the ‘Clint Eastwood Test’Helps you pass the ‘Clint Eastwood Test’Recipe at www.rcpch.ac.uk/Recipe at www.rcpch.ac.uk/

Special CircumstancesSpecial Circumstances

Problems achieving CPDProblems achieving CPD Inadequate breadth of CPD Inadequate breadth of CPD Inadequate study leave budgetInadequate study leave budget MMaternity leave aternity leave Chronic illnessChronic illness Illness in family Illness in family UUnusual domestic commitments nusual domestic commitments No regular employment No regular employment

Problems with CPD - CaveatProblems with CPD - Caveat

GMC requires 250 points in 5 yearsGMC requires 250 points in 5 years RCPCH allowance of deferral of annual/audit RCPCH allowance of deferral of annual/audit

return cannot imply GMC approvalreturn cannot imply GMC approval GMC view on problems unclearGMC view on problems unclear Revalidation final details depend on Revalidation final details depend on

– ShipmanShipman– PRC’s pilotPRC’s pilot