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BMJ 2005;330:1446 (18 June), doi:10.1136/bmj.330.7505.1446
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EDITOREsmail and Kmietowicz give an inaccurate account of the General Medical Council's policy development on revalidation, ignoring an iterative process with interested parties since 1998 in an attempt to introduce the most fundamental change to medical regulation since its foundation in 1858.1 2 The GMC clearly has had regard to the legitimate interests of three principal groupsgovernment and the NHS, patients and the public, and the various tribes that make up the UK medical profession.
Despite suggestions to the contrary, an initial exploratory meeting on revalidation convened by Sir Donald Irvine in June 1998 was held in the context of a high profile professional conduct case, but well before the Bristol inquiry report and absolutely nothing to do with Rodney Ledward or, indeed, Harold Shipman. It was recognised then that some doctors were not keeping fully up to date nor were they indulging in reflective practice. Irvine correctly proposed
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Brian D Keighley, general practitioner
The Clinic, Balfron, Stirlingshire G63 0TS Bkeighley@aol.com
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