top 3 challenges in planning and implementing revalidation in ireland
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Top 3 challenges in planning and implementing revalidation in Ireland
Prof Freddie WoodPresident of the Medical Council
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OverviewMedical Council of Ireland
Maintenance of Professional Competence
Current challenges
Future direction
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Why Your Training Counts?Medical Council of Ireland
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Medical Council if Ireland25 person board, nominated and elected, medical and lay (lay majority)
Medical Practitioners Act 2007
c20,000 doctors registered• 12% trainees• 42% general division - heterogeneity• 46% specialist division
Registration with annual retention – no fixed term license or annual practising certificate
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Medical Council’s role
Maintaining the register of doctorsSafeguarding education quality for
doctors
Setting standards for doctors practiceResponding to concerns about
doctors
Good professional practice for safe, high quality patient care
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Why Your Training Counts?Maintenance of professional competence
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Learning model“shift the curve”
Improvement for all
Assessment Model“tackle the tail”
Responsive or all?
Formative Summative
St George I et al, Fam Med 2004
Learning or assessment systems?
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• Enrol in a professional competence scheme operated by a recognised postgraduate training body
• Engage in activity and record with scheme• Statement each year from scheme• Declaration to Medical Council each year• Sample of doctors requested to providing supporting information –
random and risk-based• Fall short – opportunity to correct• Wilfully cease, fail or refuse to observe legal duty – complaint and
disciplinary action
Type of Activity Minimum
Credit Per Year
External maintenance of knowledge and skills
20
Internal practice evaluation and development
20
Personal learning 5
Research or teaching 2 desirable
Clinical audit 1
Current MoPC model
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Why Your Training Counts?Current challenges
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• Diversity in medical practice – general v specialist division expressing different needs?– One size fits all or different models?
• Regulatory force for maintenance of competence– Proportionality …. Raising a complaint vs withholding
registration – Hard regulatory force versus professional leadership
• Moving on from inputs to meaningful engagement with outcomes and quality of performance
Challenges
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Why Your Training Counts?Future direction
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Future direction• Regulatory infrastructure fit for purpose?– Toolkit of devices– Time-bound registration
• Move on from input – focus on in-practice objective information about performance – Who makes judgement, how and what next?
• Professional engagement – do we wait, or do we move from discussion to action?
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Why Your Training Counts?Thank you