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The General Medical Council says: |
You must carry out CPD activities every year.
Your CPD activities must cover the whole of your practice, and be tailored to your scope of practice and needs. Your learning needs and plans for your CPD should be reflected in your personal development plan for the coming year. CPD should focus on outcomes or outputs rather than on inputs. You must reflect on what you have learned from the activity and how this could help maintain or improve the quality of your practice. You must reflect on your CPD activities and discuss them at each appraisal." |
Out-of-Hours GP work is considered to be GP work so does not require additional CPD or QIA to in-hours GP work.
These reflections may be done verbally during the appraisal discussion - they will be captured and recorded by the appraiser in the summary.
In your portfolio you will be asked which CPD items have made a change to your practice.
These reflections may be done verbally during the appraisal discussion - they will be captured and recorded by the appraiser in the summary.
In your portfolio you will be asked which CPD items have made a change to your practice.
What does "focus on outputs and outcomes" mean?
The GMC says, "CPD should focus on outcomes or outputs rather than on inputs."
Your appraiser will be looking for evidence that you are applying your learning to your practice.
For example:
Your appraiser will be looking for evidence that you are applying your learning to your practice.
For example:
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Input
I attended a meeting about hospital bed pressures. |
Learning
There is a new clinical service for patients with disease X. |
Output
I shared the details of the new service with my primary care team via email. |
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Input
I completed an on-line learning module on disease Y. |
Learning
Drug A should not be prescribed with drug B. |
Output
I asked a member of staff to run a computer search for patients taking both drugs. The staff then invited each patient identified to have a medication review. |
What is "learning activity"?
"Learning activity" includes:
There is an element of learning in quality improvement activities, serious untoward incident anaysis, case reviews, handling complaints, audits, clinical governance meetings and even management meetings.
- Conferences
- Lectures
- Seminars
- On-line learning modules
- Observing in an out-patient clinic
- In-house practice education
- Personal reading
There is an element of learning in quality improvement activities, serious untoward incident anaysis, case reviews, handling complaints, audits, clinical governance meetings and even management meetings.
How much CPD must I do?
The GMC says:
"Because your CPD activities need to be tailored to your scope of practice and needs, we do not mandate the number of CPD points you should collect for revalidation."
"Because your CPD activities need to be tailored to your scope of practice and needs, we do not mandate the number of CPD points you should collect for revalidation."
Guidance on supporting information for appraisal and revalidation (GMC, revised November 2020)
What makes a good personal development plan?
How to prepare a personal development plan (Fiona Tasker, October 2015, BMJ)
What makes a good PDP? (NHSE SSW, March 2014)
What makes a good PDP? (NHSE SSW, March 2014)
Which "supporting information" must i submit?
You should include a brief description of how you have kept up to date such as using issues that arise in consultations and looking them up, attending courses, completing on-line learning modules.
There is no need to provide documentary evidence of reflection on all your learning.
Reflection may be verbal during the appraisal discussion and/or written.
Quality not quantity is emphasised.
You should be selective and provide high-quality examples of reflection on your most significant learning.
Highlight the most important lessons learned and changes made as a result of your learning, but you need not reflect on every CPD credit.
For example,
"following an increase in consultations regarding HRT I did the GP women's health update and now use transdermal oestrogen with mirena or micronised progesterone as my preferred options due to their safety".
Reflection may be verbal during the appraisal discussion and/or written.
Quality not quantity is emphasised.
You should be selective and provide high-quality examples of reflection on your most significant learning.
Highlight the most important lessons learned and changes made as a result of your learning, but you need not reflect on every CPD credit.
For example,
"following an increase in consultations regarding HRT I did the GP women's health update and now use transdermal oestrogen with mirena or micronised progesterone as my preferred options due to their safety".
"Doctors are encouraged to be selective about the supporting information that they provide.
The aim is to provide sufficient information to illustrate their practice and facilitate a useful appraisal discussion that leads to insight and development, not to submit an exhaustive summary of all professional activities."
The aim is to provide sufficient information to illustrate their practice and facilitate a useful appraisal discussion that leads to insight and development, not to submit an exhaustive summary of all professional activities."
Medical Appraisal Guide 2022 (Academy of Medical Royal Colleges, June 2022)
Appraisers DO NOT want to see certificates of attendance (or minutes of meetings).
All they do is show that you attended...maybe you fell asleep at the back!
All they do is show that you attended...maybe you fell asleep at the back!
Can i choose which subjects to study?
Yes but...
...During the the five years leading to revalidation you must pick topics which cover the whole of your practice. Every year your CPD should cover your main role (e.g. general practice).
You need not cover minor roles (e.g. medical officer for a sports club) every year, but the whole scope of your practice must be covered every five years.
...If you have a special interest within your practice (e.g. women's health) you may study this more than any other single subject to retain your expertise.
However you should not neglect the breadth of general practice by doing so.
...See Mandatory training for GPs
...You are expected to complete the learning items in your Personal Development Plan.
"Your CPD activities must:
...During the the five years leading to revalidation you must pick topics which cover the whole of your practice. Every year your CPD should cover your main role (e.g. general practice).
You need not cover minor roles (e.g. medical officer for a sports club) every year, but the whole scope of your practice must be covered every five years.
...If you have a special interest within your practice (e.g. women's health) you may study this more than any other single subject to retain your expertise.
However you should not neglect the breadth of general practice by doing so.
...See Mandatory training for GPs
...You are expected to complete the learning items in your Personal Development Plan.
"Your CPD activities must:
- be based on your day to day work and what you think you will need in the future to carry out all the roles and responsibilities that are (or are likely to become) part of your scope of practice
- be relevant to the current and emerging knowledge and skills needed for your specialty or area of practice, professional responsibilities and areas of development and work
- prepare you for the unpredictable and changing nature of medical practice
- meet the needs of your patients, colleagues and employers, where appropriate."
Guidance on supporting information for appraisal and revalidation (GMC, revised November 2020)
CPD resources
There is a host of resources available to keep up to date including:Most of these are free.
For courses local to you, find your local training hub.
For courses local to you, find your local training hub.
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Key documents
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GMP Framework for appraisal and revalidation (GMC, 2013)
Guidance on supporting information for appraisal and revalidation (GMC, revised November 2020) or go to the on-line version
Good medical practice (GMC, 29 April 2019)
Factors for consideration template (AoMRC, April 2020) for doctors wishing to reassure themselves that they are competent across the whole scope of their work.
Medical Appraisal Guide 2022 (Academy of Medical Royal Colleges, June 2022)
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Requirements
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