Journal ArticleDOI
The assessment of poorly performing doctors: the development of the assessment programmes for the General Medical Council's Performance Procedures.
Lesley Southgate,Jim Cox,Timothy J. David,David Hatch,Alan D Howes,Neil Johnson,Brian Jolly,Ewan B. Macdonald,Pauline A McAvoy,Peter McCrorie,Joanne Turner +10 more
TLDR
Modernization of medical regulation has included the introduction of the Professional Performance Procedures by the UK General Medical Council in 1995, which has the power to assess any registered practitioner whose performance may be seriously deficient, thus calling registration into question.Abstract:
Background
Modernization of medical regulation has included the introduction of the Professional Performance Procedures by the UK General Medical Council in 1995. The Council now has the power to assess any registered practitioner whose performance may be seriously deficient, thus calling registration (licensure) into question. Problems arising from ill health or conduct are dealt with under separate programmes.
Methods
This paper describes the development of the assessment programmes within the overall policy framework determined by the Council. Peer review of performance in the workplace (Phase 1) is followed by tests of competence (Phase 2) to reflect the relationship between clinical competence and performance. The theoretical and research basis for the approach are presented, and the relationship between the qualitative methods in Phase 1 and the quantitative methods in Phase 2 explored.
Conclusions
The approach is feasible, has been implemented and has stood legal challenge. The assessors judge and report all the evidence they collect and may not select from it. All their judgements are included and the voice of the lay assessor is preserved. Taken together, the output from both phases forms an important basis for remediation and training should it be required.read more
Citations
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Journal ArticleDOI
The relationship between competence and performance: implications for assessing practice performance.
Jan-Joost Rethans,John J. Norcini,Barón-Maldonado M,David Blackmore,Brian Jolly,Tony LaDuca,S R Lew,Gayle G. Page,Southgate Lh +8 more
TL;DR: Current views of the relationship between competence and performance are described and some of the implications of the distinctions between the two areas are delineated for the purpose of assessing doctors in practice.
Journal ArticleDOI
Multisource feedback in the assessment of physician competencies.
TL;DR: Multisource feedback (MSF), or 360-degree employee evaluation, is a questionnaire-based assessment method in which rates are evaluated by peers, patients, and coworkers on key performance behaviors, and is gaining acceptance as a quality improvement method in health systems.
Journal ArticleDOI
Teaching the surgical craft: From selection to certification
Journal ArticleDOI
Assessing health professionals
TL;DR: This chapter discusses how professional assessment can have a powerful educational impact by providing transparent performance criteria and returning structured formative feedback.
Journal ArticleDOI
Peer assessment of competence.
TL;DR: This instalment in the series on professional assessment summarises how peers are used in the evaluation process and whether their judgements are reliable and valid.
References
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Book ChapterDOI
Qualitative data analysis for applied policy research
Jane Ritchie,Liz Spencer +1 more
TL;DR: The last two decades have seen a notable growth in the use of qualitative methods for applied social policy research as discussed by the authors, which is underpinned by the persistent requirement in social policy fields to understand complex behaviours, needs, systems and cultures.
Journal ArticleDOI
The assessment of professional competence: Developments, research and practical implications.
Journal ArticleDOI
Clinical governance and the drive for quality improvement in the new NHS in England
Gabriel Scally,Liam Donaldson +1 more
TL;DR: Clinical governance is to be the main vehicle for continuously improving the quality of patient care and developing the capacity of the NHS in England to maintain high standards (including dealing with poor professional performance).
Journal ArticleDOI
The New NHS: Modern and Dependable?
TL;DR: The White paper on primary care has now been published and looks set to accelerate further the pace of change, with the move towards a commissioning model of managed care, what are the implications for primary care?
Journal ArticleDOI
All Changed, Changed Utterly. British Medicine Will Be Transformed by the Bristol Case
TL;DR: The Bristol case will probably prove much more important to the future of health care in Britain than the reforms suggested in the white papers, and its most profound effect may well be on the relationship between individual doctors and patients.