Regulating doctors, ensuring good medical practice

What's it like to revalidate?

Professor Sir Peter Rubin revalidated on 18 December, the first UK doctor to do so, after a positive recommendation from his responsible officer. We spoke to Sir Peter about his experiences.

You can watch the whole of the interview below, or you can read some key excerpts below.  

If you are registered with a licence to practise, you will receive a letter from us with the date of your first revalidation by the end of this month (January 2013).  

Based on plans developed by the four UK countries, we expect to revalidate:

  • responsible officers and other medical leaders first, by March 2013
  • about a fifth of licensed doctors between April 2013 and the end of March 2014
  • the majority of licensed doctors by the end of March 2016
  • all remaining licensed doctors by the end of March 2018.  

Excerpts from interview with Sir Peter

What have you learnt about yourself from collecting feedback?

I’ve been collecting feedback for some time now. I think the first is the most useful exercise because it’s the very first time you see yourself as others see you.  

I had this image of myself as a really approachable person and a really good communicator. And then I read the feedback.  

The people I worked very closely with agreed with me. But the rest of the medical school – around a thousand people – were saying, ‘Who is this guy? What does he do?’  

So clearly, I wasn’t as effective a communicator as I thought I was. And that was a really useful wake up call because the image of myself I had wasn’t entirely accurate.   

Do you worry about negative feedback?

Nobody’s perfect. Most of your feedback will be very positive and that’s important because we’re often not very good at saying well done. But there will be things where people suggest you could do something better.  

Collecting feedback needs to be approached with the spirit in which it’s intended – we know at the GMC that most doctors are really good, but there will always be things we can do to take it a step further.  

What’s it like being appraised across the whole of your practice?

I’m a clinical academic employed by a university with an honorary contract with the NHS. So for about ten years now my appraisal has involved three people in a room together – a university appraiser, an NHS appraiser and me.  

That’s become normal for me, though I realise it won’t be for a lot of doctors.  It’s really important [to do it that way] because there’s always a risk that each of your employers thinks that they own you 100%, so it’s good for them to hear what the different issues are.

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Comments

7 comments

Dr.Keshav rao (12 days ago)

How can Revalidation make sure that doctors are maintaining knowledge and skills. There is no substitute for board exams as in USA.

C G Hobbs (1 month ago)

I think 360 is grand. I benefited.

However, at the risk of being disrespectful and I don't intend that, who pays for all these people's time who are involved in this voluminous revalidation process?. Its a cost to the people also who are served by the NHS.

One wonders if it would not be more cost effective to employ teams to work with doctors to ensure that they acquire people skills--or if they already have them that they are acknowledged?.

Allan Corder (1 month ago)

My organisation (an NHS acute trust) blocks U-tube so unless we use our home computers, we cannot see the video. I can do this but others may not wish to. Is there a video alternative to help the communication process? Also, I feel that the US boards system of factual testing 5 yearly would add a valuable dimension to the process. I think that you just keep taking the test until you pass. At least we older chaps will learn something factual from this process.

Ravi (1 month ago)

msf is multi source feedback, which Peter clarifies at at the beginning of the video :)

EDWARD COMPTON (1 month ago)

in the interview reference is made to 'msf' without idetifying it first.

could the 'great communicator' clarify this?

in my book it stands for 'multisystem failure'.

edward compton (1 month ago)

Sounds great but the video shows that the mind, eye and mouth movements do not coincide. Communication with a mailed fist?

I suspect that the independent practitioner is going to have a harder time filling the form.

Why has it taken twelve years and three GMC chairman to get this far?

kamaria prescod (1 month ago)

congrats on this.
As a recent trainee off of PMETB, this is something which is inbuilt in our training and i've kept this feedback process up right through my consultancy. now in 4th year.
I'm not really too au courant with the social network media. is it possible that the video can be disseminated as downloadedable link for those not too IT savvy.? thanks and
happy new year