Consultation competence should be assessed in revalidation procedures

It is now clear that revalidation and clinical governance will drive continuing professional development in the United Kingdom. The primary screening procedures proposed so far, however, use indirect methods, such as reviewing patients' notes and record keeping. On p 712 McKinley et al present a case for the primacy of obtaining direct evidence of competence of any doctor being revalidated. They say that because the consultation is the single most important event in clinical practice, consultation competence should be the central focus of revalidation. Such an assessment should satisfy five criteria: reliability, validity, acceptability, feasibility, and educational impact.

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Relevant Article

Model for directly assessing and improving clinical competence and performance in revalidation of clinicians

Robert K McKinley, Robin C Fraser, and Richard Baker
BMJ 2001 322: 712-715. [Extract] [Full Text] [PDF]