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CME/CPD in the UK. FISM, Rome 28 February 2005. Edwin Borman [email protected]. Overview. Requirements for CPD royal colleges, appraisal How doctors should be learning and how they actually do Who pays? advantages of employment Organisation and accountability - PowerPoint PPT Presentation
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CME/CPD in the UKCME/CPD in the UK
FISM, RomeFISM, Rome
28 February 200528 February 2005
Edwin BormanEdwin Borman
[email protected]@borman.demon.co.uk
OverviewOverview
Requirements for CPDRequirements for CPD
royal colleges, appraisalroyal colleges, appraisal
How doctors should be learningHow doctors should be learning
and how they actually doand how they actually do
Who pays?Who pays?
advantages of employmentadvantages of employment
Organisation and accountabilityOrganisation and accountability
employers, colleges, revalidationemployers, colleges, revalidation
Requirements for CPDRequirements for CPD
It began with the Royal Colleges, as CMEIt began with the Royal Colleges, as CME
The usual 50 hours (as points) per yearThe usual 50 hours (as points) per year
25 internal and 25 external25 internal and 25 external
CPD was born from a greater awareness of CPD was born from a greater awareness of the wider needs of medical practicethe wider needs of medical practice
Then came CEPD…Then came CEPD…
and the Colleges decided to hand it all overand the Colleges decided to hand it all over
CPD and AppraisalCPD and Appraisal
Every doctor employed in the NHS…Every doctor employed in the NHS…
on an annual basis…on an annual basis…
must meet with a senior clinician/manager…must meet with a senior clinician/manager…
review their clinical practice, CPD activities, review their clinical practice, CPD activities, audit results and plans for the year ahead…audit results and plans for the year ahead…
the outcome is recorded, and confirmed for the outcome is recorded, and confirmed for national inspectionnational inspection
Accountable Adult Learning
Agree learning plan at annual appraisal
Balance core CPD and specialised CPD
Ensure both active and passive learning
Provide adequate resources
Personal and peer review
Assess outcomes and look ahead
What doctors should be learning
Maintaining & expanding knowledge
Developing new techniques
Ethics; Diversity awareness
Communication skills; Teamworking
How to teach (and learn?)
Management skills…
Preferred CPD Activities
(Inter)national Conferences………………………..….40%
External Courses………………………………...…….22%
Books/Journals………..…………..………………...….9%
Informal discussions……………...………..…………..6%
Internal Meetings……………………..………………..5%
Visits to other practices……………...…………….…..3%
Teaching/Giving lectures………………………..……..3%
Internet based learning……………...………………….3%
CD-Rom/Video/Audio…………….……..…………….1%
Ward rounds……………………………..……………..1%
Who pays?Who pays?
The advantages of NHS employmentThe advantages of NHS employment10 days of paid study leave per year10 days of paid study leave per year
reasonable expenses are re-imbursed!reasonable expenses are re-imbursed!
Specific education budgets are Specific education budgets are allocated at national and local levelsallocated at national and local levels
A service funded from general taxation A service funded from general taxation so the Government insists on controlso the Government insists on control
Performance accountabilityPerformance accountability
““Every doctor, on a regular basis,Every doctor, on a regular basis,
should be able to demonstrateshould be able to demonstrate
their continuing fitness to practise”their continuing fitness to practise”
Who’s in charge?Who’s in charge?
For appraisal… the NHS employerFor appraisal… the NHS employer
For CPD activities… the Royal CollegesFor CPD activities… the Royal Colleges
For revalidation… the GMCFor revalidation… the GMC
The hidden hand… of GovernmentThe hidden hand… of Government
Multiple accountabilityMultiple accountability ““Closing the loop”Closing the loop”
• rigorous feedback, careers advice, rigorous feedback, careers advice, counsellingcounselling
• appraisal, audit, norm-referencingappraisal, audit, norm-referencing
AccountabilityAccountability
• employer : annual appraisalemployer : annual appraisal
• professional: CPD, colleges, inspectionsprofessional: CPD, colleges, inspections
• regulatory : 5 yearly revalidationregulatory : 5 yearly revalidation
COLLECT daily activity & CPD information
RevalidationRevalidation
MAINTAINMAINTAIN personal development plan
ANNUAL APPRAISALANNUAL APPRAISALCONFIRMED BYCONFIRMED BY
MEDICAL DIRECTORMEDICAL DIRECTOR
REFLECTREFLECT on information
collected
Practice & CPD information Appraisal summariesREVALIDATIONREVALIDATION
REVALIDATION DECISIONREVALIDATION DECISION linked to doctor’s licence to linked to doctor’s licence to
practise practise (every five years)
: : with compulsionwith compulsion
CME/CPD in the UKCME/CPD in the UK
FISM, RomeFISM, Rome
28 February 200528 February 2005
Edwin BormanEdwin Borman
[email protected]@borman.demon.co.uk
