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Revalidation in Wales

Appraiser CPD

As with all roles a doctor undertakes, if they are an Appraiser they must undertake CPD specific to that role. The Revalidation Support Unit (RSU) provides many different opportunities for Appraiser development.

Please note, some modules referenced on this page will take you to the Y Ty Dysgu Platform where you will need to log in in order to complete. If you do not have an account, you will be able to register for one on the log in page.

GP Appraiser Regional Groups

GP Appraisers in Wales are employed by Health Education and Improvement Wales (HEIW) and are part of a wider structure to support GP appraisal. Each Appraiser is linked to a local Appraisal Co-ordinator who manages a team of Appraisers. Seven regional teams of Appraisers meet as a group once a quarter to discuss topics pertinent to the role including any new appraisal and revalidation guidance, updates to MARS or challenging scenarios they have encountered. This supportive peer group facilitates learning from each other in terms of good practice and improving skills in the role.

GP National Appraiser Conference (NAC)

All GP Appraisers meet annually at the National Appraiser Conference (NAC), usually taking place in the Summer. The day-long event enables the Appraisers to network amongst the wider group and share learning often facilitated by professional speakers. Previous topics have included Tricky Situations, The Various Discriminatory Practices inside the Healthcare Services, Motivational Interviewing and Negotiation Skills.

The agenda is compiled by two of our Appraisal Coordinators and the administrators within RSU, who consider ideas from the Appraisers and the wider office team. Invites are sent well in advance to maximise attendance and delegates are sent useful resources that were used during the event after its conclusion. On occasion, some of the information presented is adapted to produce online learning resources for our Appraisers.

Appraisal Quality Assurance (AQA)

All Appraisers are invited to take part in a national quality assurance exercise reviewing the quality of appraisal outputs (the appraisal summary).

The overall aim is to review the outputs of appraisal by assessing appraisal summaries from both primary and secondary care using a set of nationally agreed quality criteria. The aims are:

  1. To generate useful analysis to promote future action planning.
  2. To promote and ensure best practice for all delegates, thus developing their understanding of the quality of appraisal.
  3. Identify areas for further training.
  4. To share best practice between primary and secondary care
  5. To provide appraisers with the tools and knowledge to improve the way in which they conduct appraisals in the future.

The event is advertised via a MARS e-broadcast to all Appraisers.

AQA Calibration Exercise

The AQA Calibration Exercise is designed to help facilitate a consistent approach when marking anonymised appraisal summaries at the annual event. You can access the calibration resource on the link below:

AQA Calibration Resource

How to use the Calibration Resource

There are now two options when using this resource:

  1. You can watch the calibration video and the excerpts from the relevant summaries and scoring criteria.
  2. You can watch the calibration video and view the full summaries and scoring criteria.

You can do this by using the ‘Slides’ function on the bottom righthand of your screen. This will allow you to change between either option one or two based on your personal preference.

Appraisal Leads and Local Groups

All NHS Designated Bodies will have an Appraisal Lead/s who can be contacted for advice and guidance regarding appraisal and revalidation. An Appraisal Lead should sit alongside the formal clinical governance structure so that they can manage low level issues individually, but still escalate to the Deputy RO or RO if required. The role varies between areas but there are some common themes which all Appraisal Leads cover:

  • Personal experience of appraisal and the ability to provide advice and guidance.
  • Advocate for appraisal and it’s benefits.
  • Contact for a local Appraiser Group and facilitating network meetings.
  • Support with tricky scenarios that Appraisers may encounter.
  • The ability to undertake some form of quality assurance of appraisal within their organisation.

If you are unsure of who your Appraisal Lead is, you will need to contact your local appraisal and revalidation team for their details.

Many NHS Designated Bodies also have local Appraiser networks to enable sharing of good practice and discussion of difficult scenarios which may arise. These networks provide an opportunity for learning and development in the Appraiser role.

In this section

Enhanced Appraiser Skills

This training resource has been compiled to help medical Appraisers reflect on their current skills, as a reference to best practice and to encourage development in the role where needed. It is not intended for initial appraisal training, some of the material included would not be appropriate for new Appraisers.

Reflective Practice

When we stop to look in the mirror one morning – No really look – and by this I mean pause, examine in detail the grey hairs, the wrinkles, the furrowed brow, and we are shocked or alarmed by what we see, we may seriously consider our appearance and what we intend to do about it. The process of ‘Reflective Practice’ shares some similarities. 

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