Revalidation of the Dental Profession

1
Revalidation of the Dental Profession

• Brian Grieveson
• Postgraduate Dental Dean
• (Mersey-N.West SHA)

2
Context

• GDC a 21ST Century regulator?
• Kennedy report 2001
• Shipman Enquiry
• Trust ,Assurance and Safety-the regulation of
  Health Professionals in the 21st century White
  Paper
• Good Doctors Safer Patients
• Medical Revalidation Principles and next steps
  July 2008

3
Focus

• Fitness for registration safety to practice
• Competence in current performance should be
  assessed in the field of practice in which
  registrant performs
• System should identify those unfit for
  registration to protect patients
• Should not impose unnecessary burden to comply

4
Main Domains

• COMMUNICATION
• PROFESSIONALISM
• CLINICAL
• MANAGEMENT and LEADERSHIP

5
Methods of assessment

• FGDP(UK) Key Skills
• Work based assessments
• Appraisal and MSF/PAQs
• Audit and peer review
• Clinical Governance procedures-3rd party
  validation
• Record keeping-3rd party validation
• CPD with mandatory topics
• Professional Examinations and Training programmes
• Quality Assurance systems Independent Health
  care systemsCQC Implications 2011?
• PDPs

6
Methodology

• Each registrant will be required to complete a
  portfolio of evidence-Paper or e-
  version?evidence is registrants responsibility!
• First validation following period of provisional
  registration for all registrants?
• Step one-sift of 10 registrantsmaybe a points
  accrual process
• Step two-assessment in practice setting and
  targeted assessments-validation or moves to--
• Step threeRobust in depth assessment
  professional exam-ORE?may lead to removal from
  register!
• Repeated every five years?

7
Revalidation
STAGE ONE
STAGE TWO
STAGE THREE
8
Future regulatory framework diagram
Getting onto the register Getting onto the register Staying on the register Staying on the register Role of GDC Role of GDC
Primary qualification Possible provisional registration period Validation Full registration Revalidation (including CPD) Setting outcomes for pre- qualification education training Setting outcomes for full registration/revalidation Quality Assurance of pre- qualification education training Requiring registrants to demonstrate regularly that full registration outcomes continue to be met
Specialist listing Specialist Revalidation (including CPD) Setting outcomes for specialist training Quality Assurance of specialist education training Requiring specialist registrants to demonstrate regularly that specialist outcomes continue to be met
9

• Each group will be asked to discuss one of the
  four domains of revalidation Professionalism Co
  mmunication Clinical Leadership and management
• Suggest in each domain how a GDP
• might produce the evidence required by
• the GDC