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Revalidating definition of family


The proposed introduction of a revalidation process as part of renewal of medical registration in Australia needs wide debate. These alone are not justifiable grounds for "Revalidating definition of family" a similar process in Australia. T he aim of this article is to stimulate debate within the medical profession in Australia about the need for a revalidation process as part of renewing medical registration.

This detailed assessment includes feedback from multiple health professional colleagues of whom only half should be doctors and from multiple patients. Revalidation has been consistently described as aiming to restore trust in the medical profession, support involvement in CPD and weed out bad apples. Revalidating definition of family notion that revalidation was introduced to regain public trust in the self-regulated medical profession — trust that had been eroded by a series of regulatory failures in the UK most notably the Bristol and Shipman cases — has been repeatedly emphasised.

The strongest criticisms of revalidation have been of its sparse evidence base.

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Canadian regulators have been proactive in seeking means of assuring the community that registered doctors remain competent to practise. The New Zealand Medical Council has required recertification since There is little to support the idea of simply transposing the UK system to Australia. Despite some local failures of medical regulation and hospital governance, there has been no widespread loss of faith of the community either in its doctors or in the regulatory system.

In addition, the culture and values of Australian patients and doctors and the nature of our health care system differ significantly from the UK. These differences can be readily exemplified by the absence of any requirement for patients to be registered with a general practitioner and the existence of a readily accessible health care complaints system. The MBA would be wiser to start afresh by asking and answering two questions — namely, is there a problem with medical registration in Australia that Revalidating definition of family attention, and, if so, what should be done to fix the problem?

It is not sufficient to simply assert that the community expects that registration ensures that all doctors are competent and practise medicine safely, that current registration processes cannot provide such assurance, and that revalidation will provide it. It seems illogical and unnecessarily costly to introduce an additional layer of assessment of all doctors when there is general agreement that most doctors strive to maintain and enhance their knowledge and skills and are rarely the subject of complaint.

This is even more problematic without an evidence base to indicate that revalidation will achieve its stated aim. Undoubtedly, a small proportion of doctors are not as competent as is demanded or expected of them. Revalidating definition of family such doctors are detected via the health complaints system.

Are there others who are not detected? This should be a collective responsibility of all in the medical profession. Thus, the real issue for the regulator and the medical profession is how to best identify at-risk doctors and seek remediation or their removal from the register. Australian doctors have participated in CME and CPD Revalidating definition of family for decades, but it is still not known if genuine participation is associated with improved performance or fewer complaints.

In the absence of that information, it would be reckless to invest resources in a revalidation scheme.