Revalidation checklist Revalidation Recommendations Doctor GMC No. Designated body Appraisers Last appraisal date Revalidation due date Evidence provided once Information provided by Doctor – Advice of names of previous designated bodies in past 5 years or since April 2012 (whichever is least) DB1 Name: n/a DB2 Name: n/a DB3 Name: n/a Notes: Appraiser Information collated by revalidation teams – Appraisers have been trained Notes: No conflict of interest with appraisers Notes: Appropriate appraisals conducted (with the five statements completed) reviewing reflective notes and producing summary notes Notes: Annual Appraisal review for each appraisal in the 5 year cycle noting any gaps and – reasons for them Discussion of last year’s PDP Notes : Supporting information and CPD matches doctor’s of practice Notes:
Revalidation checklist Revalidation Recommendations Doctor GMC No. Designated body Appraisers Last appraisal date Revalidation due date Evidence provided once – Information provided by Doctor Advice of names of previous designated bodies in past 5 years or since April 2012 (whichever is least) DB1 Name: DB2 Name: DB3 Name: n/a n/a n/a Notes: Appraiser – Information collated by revalidation teams Appraisers have been trained Notes: No conflict of interest with appraisers Notes: Appropriate appraisals conducted (with the five statements completed) reviewing reflective notes and producing summary notes Notes: Annual Appraisal – review for each appraisal in the 5 year cycle noting any gaps and reasons for them Discussion of last year’s PDP Notes : Supporting information and CPD matches doctor’s of practice Notes:
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