the new rcr continuing professional development scheme: making the new cpd scheme work for audit dr...

The new RCR Continuing Professional Development Scheme:Making the new CPD scheme work for Audit

Dr David Richardson, RCR CR CPD & Revalidation LeadUniversity Hospital of North Durham

(formerly at RVI Newcastle upon Tyne)

What is CPD ?

25 years of the Hubble telescope:Black hole

What do colleagues think about CPD ?

• Collecting Points Dutifully• Career Pathway Depends• ‘Cos Prof. Demands• College Predicts Disaster• Clinical Pushy Director • Counting Points Daily• Clinical Pathway Delivery• Clearly Political Decision• Cameron Praises Doctors• Can Picasso Draw?

Continuous Professional Development

continuousAdjective

forming an unbroken whole; without interruption.

Continuous Professional Development

• Continuous

• Professional

professional[pruh-fesh-uh-nl]  •Examples•Word Origin

adjective1.following an occupation as a means of livelihood or for gain:a professional builder.

Continuous Professional Development

• Continuous

• Professional

• Development

noun1.

the act or process of developing; growth; progress:child development; economic development.

What is the aim of CPD?

25 years of Hubble telescope

Audit

What’s the point of Audit?

REVALIDATION

Revalidation

What is the point of Audit or CPD?

• Collection of points• to get revalidated• “To do” an Audit project• Increase Collection of certificates• Make CV look good• Get away from work for a day or two!• Examine other people’s mistakes!

What is the point of Audit or CPD?

• Collection of points• to get revalidated• “To do” an Audit project• Increase Collection of certificates• Make CV look good• Get away from work for a day or two!• Examine other people’s mistakes!

No, No,

NO!

Improvement in Patient Care

Aim…

25 years of the Hubble telescope

Improvement in Patient Care

• We must be more professional …

• Professional meaning…

Improvement in Patient Care

• Direct:Clinical: better ‘cure’ reduced complications Speedier diagnosis and treatment etc…

• Indirect: Management/organisational Teaching/training etc…

New CPD scheme (2014)

• Meaningful• Directed to better

patient care• Less ‘counting points’• More flexible• Modern• Encourage professional

behaviour

https://www.rcr.ac.uk/sites/default/files/docs/about/pdf/RCR%2814%293_CPD_Third.pdf

• 250 ‘points’ over 5 years• 1 point approximates to 1 hour of education

• Doctors should undertake a variety of CPD in line with their personal need, discuss at appraisal

• Documentation of CPD kept for appraisal• CPD ‘examined’ at appraisal (not by RCR)• 5 yearly certificate issued by RCR!

Main changes in 2014 edition:

Category I (generally external)Category II (generally internal) abolished

All education, wherever achieved, is education!

Internet (Dr. Google!),reading, meetings …

100 points from going to meetings – “only” restriction

• “extra” value from meeting colleagues• Encourage Trusts to fund CPD• Ensure variety of CPD – not simply internet!

• Presentation of new developments etc

Importance of outcomes of CPD

• Point for CPD activity• Extra point for considered reflection• Another ‘impact’ point for improvement in patient

care (may be months later)

Aim of new scheme: think about CPD, Use to improve care

Research the problemLearn about new topics

How are the ‘best’ performing?Is it realistic in my unit?

Learn about data collectionAppropriate interpretation of data

Management techniquesEducate colleaguesResearch equipment…

Manage staffPurchase new equipment …

CPD for Audit

Research re. subject

Background medical, statistics …

Reading around audit methods

Presentation of audit projects

Reflection on effect of audit

Putting improvements into place for better patient care

TemplatesReflection –

help guide

thoughts-

to be useful

Evaluating impact of CPD

CPD summary

Templates: designed to helpNot mandatory

Recording CPD important for Appraisal/revalidation:How? … personal choice

Encourage doctors…

• Move on from “counting points”, filling portfolio etc

• Use CPD, Audit, examination of errors/SUIs etc. constructively for learning

• Be professional about “Appraisal” SI

• Endeavour to use our education for better patient care!

Work for better patient care…

…and write it down!

Thank you

https://www.rcr.ac.uk/sites/default/files/documents/RCR%2814%293_CPD_Third.pdf

cpd@rcr.ac.ukwww.rcr.ac.uk/cpddavid.richardson@cddft.nhs.uk