Scope and nature of work
The doctor should define the scope and nature of the work that they carry out as a doctor.
The GMC has confirmed that this should include all roles and positions in which the doctor has clinical responsibilities and any other roles for which a licence to practise is required.
For example, it should include work for voluntary organisations and work in private or independent practice and should include managerial, educational, research and academic roles.
The GMC guidance 'Supporting Information for Appraisal and Revalidation' sets out the six types of supporting information that a doctor will be expected to provide over the course of each five-year cycle in relation to their scope of practice:
- Continuing professional development
- Quality improvement activity
- Significant events
- Feedback from colleagues
- Feedback from patients
- Review of complaints and compliments
Collectively, this evidence should address the four domains of the Good Medical Practice Framework for Appraisal and Revalidation.
These four domains are:
- Knowledge, skills and performance
- Safety and quality
- Communication, partnership and teamwork
- Maintaining trust
Attributes within these four domains and examples of principles and values may be seen in the Good Medical Practice Framework for Appraisal and Revalidation.
The medical royal colleges and faculties have produced specialty guidance frameworks that offer additional guidance and detail and assist the doctor in preparing for appraisal. You should refer to these if you are within a specialty.
It is not always necessary for the doctor to record reflection on each and every item of supporting information. It may be more appropriate for the doctor to record reflection on a summary, or category, of the information. The appraisal process should ensure that this reflection occurs.
The preparation of the supporting information is important but it is the reflection on the information that will lead to identification of areas for development and improvement. It is not always necessary for the doctor to record reflection on each and every item of supporting information. It may be more appropriate for the doctor to record reflection on a summary, or category, of the information. The appraisal process should ensure that this reflection occurs.
Review of last year's personal development plan (PDP)
The doctor should provide a commentary on the previous year's personal development plan (PDP). It is generally expected that the previous year's objectives would have been completed although circumstances and priorities may have changed (for example, a doctor's job may have changed).
It may also be that some objectives take longer than a year to complete and it may therefore be inappropriate for the plan to be completed, although this should normally be recognised and agreed at the time the plan is written.
The appraisal portfolio should include the personal development plan and summaries of appraisal discussion for each year in the current revalidation cycle.
Achievements, challenges and aspirations
The doctor may also wish to include a commentary on recent achievements, challenges and aspirations, to help review practice and plan for future development needs.
Declarations before the appraisal discussion
Doctors should make a declaration that is visible to the appraiser that demonstrates:
- acceptance of the professional obligations placed on doctors in Good Medical Practice in relation to probity and confidentiality
- acceptance of the professional obligations placed on doctors in Good Medical Practice in relation to personal health
- personal accountability for accuracy of the supporting information and other material in the appraisal portfolio
Organisations have an obligation to assist doctors in collecting supporting information for appraisal. A doctor cannot be held responsible for genuine errors in information that has been supplied to them.