1. Revalidation, CPD and the RCPCH Scheme Dr Alistair Thomson RCPCH Officer for CPD And Consultant Paediatrician Leighton Hospital, Crewe RCPCH 26/11/04

2. Appraisal, Revalidation and CPD  Revalidation will depend on 5 successful appraisals (GMC May 2003)  NHS employers (NHS confederation) agree: –Provision of an RCPCH certificate of scheme participation at annual appraisal will be acceptable –GMC takes a similar view

3. Participation – 20/08/03 SASG Doctors Non MembersMembers*Total N o Participating464278742 N o Eligible9955371532 1 % Participation46.651.848.4 1 Figure from RCPCH census 2001 * Assumes all Non-Members are SASG

4. Increasing Participation of SASG Drs  Factors –Uncertainty about status –Ignorance of CPD and appraisal  Letter to clinical directors –Invitation to SASG doctors to join the scheme –Good response: > 50 replies  CPD check at College hospital visits

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6. CPD - Definition  “CPD is intended to help paediatricians to: –Maintain standards, interest and enthusiasm; –Protect their skills and professional competence; –Develop new skills”  “CPD is a systematic process of lifelong learning and professional development”  “CPD aims is to enable paediatricians ….. to meet the needs of children”

7. Guidelines for CPD  CPD for Career Grade Paediatricians - The National Scheme of the Academic Board  7 th edition, January 2004 (8 th, Jan 2005)  Emphasises need for CPD  Clarifies its requirements  Intended as practical, flexible and realistic  Will help achieve CPD targets  Reviewed and updated annually

8. Who and When?  Applies to all non-training career grades of staff –Consultants, hospital and associate specialists, –Senior clinical medical officers, clinical medical officers, Trust doctors, and staff grades  For NHS, universities or independent practice  CPD represents a commitment to lifelong learning –Continuum with training –Join CPD scheme post-CCST

9. What and How?  Includes CME, and all elements of practice  College’s system provides a means for –Planning CPD and –Registering CPD activities  Recording of this process should be easy  “Minimally invasive CPD monitoring”

10. Number of CPD Sessions  1 hour CPD = 1 credit  Target is 50 hours per year  1 whole study day normally = 6 credits (maximum 7 credits if evening sessions)  Half a day = 3 credits  At least 50% of credits to be external CPD –May vary by prior arrangement

11. Activities for CPD  Range of CPD activities to be selected  Balance broad-based and specialist activities  To suit individual professional needs  Internal and external approx. equal over five years –Minimum 25 external CPD credits p.a.  Sub-categories –Clinical, academic, professional –About 80% of CPD credits clinical

12. External CPD  Defined as work involving interaction with colleagues outside the individual’s own department  Usually requiring study leave in protected time  Includes: –Organised meetings –Visits to other institutions to acquire skills –Courses

13. Internal CPD  Does not require study leave  Includes –Unit clinical meetings –Multidisciplinary meetings –Grand rounds –Community education sessions –Clinical audit meetings

14. FAQs  Apprenticeship learning  Apprenticeship learning  Distance learning  Distance learning  Critical reading groups/journal clubs  Critical reading groups/journal 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

15. CPD Records  Keep details of all CPD activities in portfolio  Send card quarterly to RCPCH  CPD certification period will be: –Preceding 5 years or –From entry into the cycle  Paediatricians allocate points according to value of educational activities –I.e. up to one per hour

16. Professional Needs and PDPs  Need for CPD, job descriptions and contracts  All doctors should have a PDP  Focus of CPD varies –Individual needs –Departmental needs –Learning styles  Part-time need same CPD as full time Drs

17. CPD Registration  Return of one card  Can backdate (up to 5 years)  Benefits –Appraisal –Revalidation –Maintains Members and Fellows ‘in good standing’  RCPCH website lists registrants (List A) –‘Up-to-date’ is  1 year in arrears

18. What is Not Allowed?  Undergraduate teaching  Attending committees  Reading journals –Reading journals is core professional activity –BUT Reflective Notes are acceptable  Domiciliary consultations  Undergraduate examining

19. Reflective Notes  Informal learning is valuable  Recognised by writing reflective notes, e.g. –Private reading that changes perception –Informal discussion illuminating a clinical problem –Patient encounter/Critical incident.  Proforma available (may be photocopied)  One credit per page of notes  Clinical/academic/professional  Maximum 20 credits per year

20. Compliance with CPD - Audit  Denominator population = 2896 participants  5% sample, selected randomly  Criteria: –A PDP –An up-to-date portfolio of CPD activities –Evidence of claimed ECPD – minimum 25 credits (programmes, receipts, publications, etc)

21. CPD Audit Results  139/171 (81%) returned documentation: –99% of eligible  136 (98%) passed criteria –99 (71%) with complete evidence –37 (27%) with minimum evidence of 25 ECPD –3 (2%) failed: 2 no evidence, 1 < 25 ECPD  Other Colleges similarly good (or bad)

22. Non-Participation in CPD – 1  Excludes Members/Fellows from: –Holding College office –Being an examiner  Undesirable from point of view of –Clinical governance –Annual appraisal –GMC re-validation –Risk management and –Medico-legal implications

23. Non-Participation in CPD – 2  Before any sanctions imposed, reasons for non- completion will be fully explored  The College has a role in helping to prevent paediatricians coming to the attention of the GMC’s Performance Assessment Committee  Individuals having difficulties achieving their CPD goals should approach the College

24. ‘In Good Standing’ Implies  Registration for CPD  Member or Fellow or supervised SASG  “Only Ordinary Members and Fellows (and Senior Members and Fellows) who are in good standing are entitled to use the designation MRCPCH or FRCPCH”  May act on behalf of RCPCH, e.g. –College Tutor/College Visitor/Examiner

25. ‘In Good Standing’ and CPD  “ A Member or Fellow will be held to be in good standing:…(if) participating in CPD to the level defined by the College”. (RCPCH handbook 2004)  < 1 year arrears –Annual appraisal –RCPCH CPD Audit –Revalidation  If in arrears with returns, (i.e. not ‘participating’ can make returns back to 2000

26. RCPCH EC and Council 2004  “CPD submissions should be complete a year in arrears at the latest”  "Those that have not submitted their CPD returns for the preceding year may be found not to be 'in good standing' with the RCPCH, after suitable enquiries have been made”  “If an individual is considered not in good standing, this information may be made available to/passed to other bodies"

27. CPD - 2004  Evolution, not revolution –Maintenance of continuum of CPD  Re-constitution of Committee  Re-write of Guidelines for 2005  ADC CPD Journal  On-line registration

28. RCPCH CPD Scheme  To suit individual professional needs  Minimally invasive  Administration-lite  Aids PDPs, appraisal and revalidation  Helps you pass the ‘Clint Eastwood Test’  Recipe at www.rcpch.ac.uk/

29. Special Circumstances  Problems achieving CPD  Inadequate breadth of CPD  Inadequate study leave budget  Maternity leave  Chronic illness  Illness in family  Unusual domestic commitments  No regular employment

30. Problems with CPD - Caveat  GMC requires 250 points in 5 years  RCPCH allowance of deferral of annual/audit return cannot imply GMC approval  GMC view on problems unclear  Revalidation final details depend on –Shipman –PRC’s pilot