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1.1 Develop and maintain your professional performance

Further resources in this section 

Surgeons are responsible for keeping themselves up to date and maintaining competence in all areas of their practice. In meeting the standards of Good Medical Practice, you should:

  • Demonstrate and maintain competence in your area of clinical practice and the full scope of your professional work, including, where relevant, management, teaching and research.
  • Keep up to date with current clinical guidelines in your field of practice, and be fully compliant with ethical and legislative guidance in relation to your practice.
  • Ensure that your skills and knowledge are up to date by undertaking continuing professional development (CPD) and educational activities in all aspects of your work. These activities must be relevant to your practice and support your current skills, knowledge and career development. CPD should be planned in discussion with your appraiser and reflected in your annual personal development plan.
  • Where relevant, make appropriate use of simulation to support learning of new procedures.
  • Undertake all mandatory training required as part of your contractual arrangements with your place of employment.
  • Dedicate appropriate time each week for activities that are essential to the long-term maintenance of the quality of the service such as CPD, education, structured teaching, audit, research, clinical management and service development. The surgical royal colleges and surgical specialty associations recommend a minimum of 50 hours of CPD activity per year, or 250 hours of CPD activity across the 5-year revalidation cycle.
  • If your job plan does not allow you to keep up to date, you should address this in discussion with your appraiser and medical director.
  • Develop and maintain an accurate portfolio of evidence of all your procedures and clinical activity (for example, a logbook). Such evidence must encompass your whole practice wherever this is delivered, including private practice.
  • Engage in quality assurance processes and quality improvement activities, including participation in national and local audit, measuring validated outcome data, peer review, multidisciplinary meetings and morbidity and mortality meetings.
  • Participate in performance reviews and in the local annual appraisal process, taking time to reflect critically on your whole practice (including non-clinical roles and private practice). You should have a constructive discussion with your appraiser using evidence gathered throughout the year, as outlined in the surgery guidance on supporting information for revalidation.

 « Previous: Domain 1 - Knowledge, Skillls and Performance
Next: 1.2 Apply knowledge and experience to practice »


Title/Links Author Published Date
Good Medical Practice GMC 2013
Good Medical Practice Framework for Appraisal and Revalidation GMC 2012
Supporting Information for Appraisal and Revalidation GMC 2012
Guidance on Supporting Information for Revalidation for Surgery
AoMRC and Joint Committee on Revalidation 2012
Checklist on Supporting Information for Revalidation for Surgery
AoMRC and Joint Committee on Revalidation 2012
Revalidation Guide for Surgery
Joint Committee on Revalidation 2012
Revalidation Guidance for SAS Surgeons Joint Committee on Revalidation 2013
Continuing Professional Development. Guidance for all doctors GMC 2012
Continuing Professional Development: A summary guide for Surgery Joint committee on Revalidation 2013
Example Appraisal Portfolios Joint committee on Revalidation 2013-2014
Advice on Supporting Professional Activities AoMRC 2010
Supporting Professional Activities RCS 2010


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