GENERAL PRINCIPLES

Differentiating the broad type of CPD, for example clinical, research or academic, gives direction to the educational activities that doctors undertake and allows the individual to relate CPD activities to the job plan. Where used, categories such as External, Internal and Personal encourage doctors to participate in a range of balanced educational activities both within and outside the workplace. Medical Royal Colleges and Faculties vary in the categories that they use and you should refer to your College/Faculty guidelines.

Achievement of at least 50 credits per year of the revalidation cycle, or at least 250 credits over 5 years, is recommended by all Colleges/ Faculties as being the minimum time likely to be required in order to remain up to date in a medical  specialty. There are different ways of awarding credits, and these do not always relate to the number of hours spent on the activity. You should refer to the College/Faculty specific guidance.

It is important to remember, however, that 50 hours of activity does not guarantee that all educational needs have been met. Emphasis should be placed on the quality of the CPD activities rather than simply on the number of hours spent.

Generally, activities with others, away from your place of employment are external CPD, but there are different categories which vary from College to College. Please consult your College or Faculty for further advice.

You will need to produce supporting information that any online activity has an educational value. You will need to check with your College or Faculty for details on how many credits you are allowed to collect in this way, and the category to which they are allocated.

In order that you to keep up to date with your practice, whether clinical or not, it is important that you set out clearly your CPD priorities for the year in a personal development plan (PDP), which should then be agreed with your appraiser. Time and resources can then be identified by your employer. Planning prospectively helps with this process.

The pharmaceutical companies are governed by strict sponsorship guidance by the Association of the British Pharmaceutical Industry [ABPI] (in the UK and equivalent in Europe). So long as the conference is approved as being appropriate for CPD, it will generally be reasonable for you to attend. Also, you should be mindful of the GMC’s Good Medical Practice (paragraph 73), “You must be honest in financial and commercial dealings with employers, insurers and other organisations or individuals. In particular;

a) Before taking part in discussions about buying or selling goods or services, you must declare any relevant financial or commercial interest that you or your family might have in the transaction

b) If you manage finances, you must make sure the funds are used for the purpose for which they were intended and are kept in a separate account from your personal finances.”

Yes. If you participate in an activity that was of educational benefit to you, you should be able to self-accredit, for example, at a rate of 1 CPD credit per hour of educational time, up to a stated maximum number of credits per day and, for any one activity, within one year, as allowed by your College. Reflective notes are a recognised way of gathering supporting information about your learning. You should check with your College as to how many credits you can count in this way. Retain any relevant documentation as evidence of participation and record details of the activity in your CPD portfolio.

The processes that underpin medical CPD are firmly established in Colleges and Faculties and they include approval of events, provision of diary systems and quality assurance. Standards for CPD are a core issue for the Academy of Medical Royal Colleges and any major CPD developments are progressed in liaison with the GMC. We are aware of other bodies that are providing “CPD Approval” for events, that are not event or activity providers. We would strongly advise making sure that activities “approved” by these organisations are of high quality, suitable for your CPD and acceptable to your appraiser.

You should ask for an attendance certificate to be forwarded to you. Normally, you may self-accredit for the event if the content was relevant and beneficial to your job (Some Colleges have other mechanisms, for example, the Royal College of Psychiatrists uses peer group approval. Refer to your College or Faculty guidance). Retain any relevant documentation as evidence of participation and record details of the event in your CPD portfolio as supporting information.

If you exceed 250 credits in one cycle of revalidation you cannot carry the extra credits into the next five-year cycle.

If you do any reading or private research on the Internet that you find educational and relevant to your job, you should write reflective notes in the relevant section of your portfolio. These activities generally count as “Personal” CPD where Colleges or Faculties use this classification, but some Colleges have specific arrangements for formally approved distance-learning activities.

You should follow your college or faculty recommendations regarding what constitutes valid CPD activity. You are encouraged to record as much of your CPD as possible, since this aids reflection and learning. However, it is only necessary to complete the minimum requirement set by your College or Faculty. This is the number of credits against which your supporting information may be audited.

Preparation and/or presentation of undergraduate teaching does not routinely qualify for CPD credits. Where a new presentation is being prepared, some Colleges or Faculties will allow this (please see relevant College/Faculty guidelines). If a credit claim is thought justified, reflective notes can be used to illustrate points learnt. Credits are not automatically allocated for undergraduate examining alone. If a credit claim is thought justified, you should contact your College or Faculty for further advice.

The details vary between Colleges and Faculties, and you should consult your College or Faculty guidance. Credit claims should be supported by a reflective note.

Any reflective note which conforms to the DoCPD recommended model will be acceptable. In addition, many Colleges and Faculties have their own models, please refer to their guidance.

TRAINEE DOCTORS

No. However, some specialties require you to show that you have used the relevant CPD system as part of your training requirements. A minimum number of credits should not normally be required.

STAFF AND ASSOCIATE SPECIALIST DOCTORS

Yes. All doctors need to revalidate and demonstrate that they are practising to the appropriate standards in the specialty in which they are working.  For doctors in non-training grades, this includes following the relevant College/Faculty CPD guidance or another professional body’s CPD guidance which may be of more relevance to their practice.

RETIRED DOCTORS

Doctors undertaking medical-related work which requires them to be licensed will need to revalidate and participate in CPD.

Doctors who wish to retain a licence to practise will need to revalidate and therefore to continue to acquire CPD credits. If you are no longer in active medical practice of any kind there is no requirement for you to maintain your licence to practise and you will find it difficult to revalidate (Further information can be gained from the GMC website).

The details of your CPD requirements will be available in guidance from your College or Faculty. You will be responsible for making your own arrangements for meeting College CPD requirements, for example, by liaison with a local hospital to attend their specialist meetings.

If your employer requires you to keep a licence to practise, you will need to revalidate and participate in CPD.

For information about the requirements for revalidation, you should consult the GMC website.

DOCTORS ABROAD

If doctors wish to return to the UK and wish then to regain their licence to practice, keeping up with CPD would be strongly recommended. Recording your CPD in a portfolio will help to demonstrate that you are meeting the standards of your area of practice and will act as supporting information to take to subsequent appraisals. Remember you may also be required to be CPD compliant with any new professional body with which you register in order to practise abroad.

For information about meeting the requirements for revalidation while you are outside the UK, consult the GMC website.

PART-TIME DOCTORS

No. All doctors should acquire a minimum of 250 credits over a five-year period, since you will have the same responsibility to keep up to date as a full-time doctor.

NHS employers have a variable approach to funding for study leave. You should, however, be allowed sufficient time to meet your CPD requirements. If this is not the case, you should take the matter up with your Local Negotiating Committee and inform your College.

NON-CLINICAL ROLES

Your overall CPD requirement would be the same as for those in full-time clinical practice. You will need to demonstrate that your CPD activities are linked to your job-plan. You will need to undertake clinical educational activities relating to the clinical area in which you practise and non-clinical educational activities relating to your non-clinical work.

If your employer requires you to keep a licence to practise, you will need to revalidate and participate in CPD.

For information about the requirements for revalidation, you should consult the GMC website.

SPECIALIST ROLES

You will need to demonstrate that your CPD activities reflect your professional activities and discuss this at appraisal. No special recommendations are made for doctors practising in a limited/specialist area.

You will need to follow the CPD guidance which reflects the components of your job plan. As you practise mainly as a GP, you should follow the RCGP CPD guidance. In addition, you will need to demonstrate that you are following the standards set within any specialist area of practice and you should be able to take appropriate supporting information to your appraisal as required.

No. If you are employed in the independent sector, you should fulfil the same CPD requirements as a doctor in the NHS, including the recommended 50 credits per year. You may be able to achieve this by, for example, making a special arrangement with a local NHS hospital to attend their local educational meetings or by attending regional clinical meetings directly relevant to your specialty, as well as attending your specialist association’s scientific meetings.

SPECIAL CIRCUMSTANCES

The recommendation remains 250 points of CPD in five years. Short periods of absence from CPD or imbalance in one year can, and should, be redressed over the five year period. If you are unable to participate in CPD for any long period of time, for example as a result of sick leave or maternity leave, you should contact the CPD Department in your College for advice. See the Academy’s Return to Practice Guidance for more information.

Colleges are expected to encourage those currently suspended by the GMC to continue with their CPD activities as far as possible. The range of activities that are accessible may be reduced, but you should aim to satisfy the overall CPD requirement if you can. On-line learning and reflective notes may be helpful under these circumstances.

This should be discussed as part of your return to work agreement. Colleges are expected to encourage those currently suspended by the GMC to continue with their CPD activities. Suspended doctors should attempt to satisfy all CPD category requirements, including the local category requirement.

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