Portfolios, Appraisal, Revalidation, and All That: a User's Guide for Consultants

Overview

Journal Arch Dis Child

Specialty Pediatrics

Date 2005 Jan 25

PMID 15665172

Citations 1

Authors

H Davies

N Khera

J Stroobant

Affiliations

Soon will be listed here.

Abstract

From April 2005 all doctors in the UK will be expected to be able to demonstrate their fitness to practice as part of the GMC revalidation procedures. The revalidation process is explicitly linked to the consultant appraisal process implemented in 2001. Central to both processes is the development of a folder (portfolio) of supporting evidence. Many consultants have no experience of developing portfolios and are unclear about how to meaningfully do so and what sort of evidence is suitable for revalidation. Furthermore, they are uncertain about whether there is any evidence to support their use for appraisal or assessment. This paper describes what a portfolio is, summarises the evidence for their use in appraisal and assessment, and provides guidance on the collection of evidence for revalidation purposes. In addition, it explores the distinction between appraisal and revalidation. Some evaluation data on perceived benefits and drawbacks by participants in appraisal in a paediatric setting is also included to inform conclusions and thoughts on planning for the future.

Citing Articles

Surgical portfolios: A systematic scoping review.

Chong E, Wang M, Lim J, Shen G, Chow M, Koh K Surg Pract Sci. 2025; 10():100107.

PMID: 39845583 PMC: 11749990. DOI: 10.1016/j.sipas.2022.100107.

Paper trials: a qualitative study exploring the place of portfolios in making revalidation recommendations for Responsible Officers.

Furmedge D, Griffin A, OKeeffe C, Verma A, Smith L, Gill D BMC Med Educ. 2016; 16:66.

PMID: 26887892 PMC: 4756457. DOI: 10.1186/s12909-016-0592-6.

References

Roberts C, Newble D, ORourke A . Portfolio-based assessments in medical education: are they valid and reliable for summative purposes?. Med Educ. 2002; 36(10):899-900. DOI: 10.1046/j.1365-2923.2002.01288.x. View

Glen S, Hight N . Portfolios: an 'affective' assessment strategy?. Nurse Educ Today. 1992; 12(6):416-23. DOI: 10.1016/0260-6917(92)90132-8. View

Hall W, Violato C, Lewkonia R, Lockyer J, Fidler H, Toews J . Assessment of physician performance in Alberta: the physician achievement review. CMAJ. 1999; 161(1):52-7. PMC: 1232653. View

Forker J, McDonald M . Methodologic trends in the healthcare professions: portfolio assessment. Nurse Educ. 1996; 21(5):9-10. DOI: 10.1097/00006223-199609000-00006. View

Pitts J, Coles C, Thomas P . Enhancing reliability in portfolio assessment: 'shaping' the portfolio. Med Teach. 2002; 23(4):351-356. DOI: 10.1080/01421590120057021. View

Snadden D, Thomas M . Portfolio learning in general practice vocational training--does it work?. Med Educ. 1998; 32(4):401-6. DOI: 10.1046/j.1365-2923.1998.00245.x. View

Webb C, Endacott R, Gray M, Jasper M, Miller C, McMullan M . Models of portfolios. Med Educ. 2002; 36(10):897-8. DOI: 10.1046/j.1365-2923.2002.01318.x. View

Lockyer J . Multisource feedback in the assessment of physician competencies. J Contin Educ Health Prof. 2003; 23(1):4-12. DOI: 10.1002/chp.1340230103. View

Norcini J . Peer assessment of competence. Med Educ. 2003; 37(6):539-43. DOI: 10.1046/j.1365-2923.2003.01536.x. View

10.

Mathers N, Challis M, HOWE A, Field N . Portfolios in continuing medical education--effective and efficient?. Med Educ. 1999; 33(7):521-30. DOI: 10.1046/j.1365-2923.1999.00407.x. View

11.

Ramsey P, Wenrich M . Peer ratings. An assessment tool whose time has come. J Gen Intern Med. 1999; 14(9):581-2. PMC: 1496733. DOI: 10.1046/j.1525-1497.1999.07019.x. View

12.

Fox A, Palmer R, Crossley J, Sekaran D, Trewavas E, Davies H . Improving the quality of outpatient clinic letters using the Sheffield Assessment Instrument for Letters (SAIL). Med Educ. 2004; 38(8):852-8. DOI: 10.1111/j.1365-2929.2004.01898.x. View

13.

Driessen E, van Tartwijk J, Vermunt J, van der Vleuten C . Use of portfolios in early undergraduate medical training. Med Teach. 2004; 25(1):18-23. DOI: 10.1080/0142159021000061378. View

14.

Friedman Ben David M, Davis M, Harden R, Howie P, Ker J, Pippard M . AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment. Med Teach. 2002; 23(6):535-551. DOI: 10.1080/01421590120090952. View

15.

Finucane P, Barron S, Davies H, Kaigas T . Towards an acceptance of performance assessment. Med Educ. 2002; 36(10):959-64. DOI: 10.1046/j.1365-2923.2002.01314.x. View

16.

Violato C, Marini A, Toews J, Lockyer J, Fidler H . Feasibility and psychometric properties of using peers, consulting physicians, co-workers, and patients to assess physicians. Acad Med. 1997; 72(10 Suppl 1):S82-4. DOI: 10.1097/00001888-199710001-00028. View

17.

Sitzia J . How valid and reliable are patient satisfaction data? An analysis of 195 studies. Int J Qual Health Care. 1999; 11(4):319-28. DOI: 10.1093/intqhc/11.4.319. View

18.

Tiwari A, Tang C . From process to outcome: the effect of portfolio assessment on student learning. Nurse Educ Today. 2003; 23(4):269-77. DOI: 10.1016/s0260-6917(03)00012-1. View

19.

Myerson K . Appraisal and revalidation need sensitive handling. Anaesthesia. 2001; 56(3):199-201. DOI: 10.1046/j.1365-2044.2001.01972.x. View

20.

Cleary M . Using portfolios to assess student performance in school health education. J Sch Health. 1993; 63(9):377-81. DOI: 10.1111/j.1746-1561.1993.tb06164.x. View