Ensuring continuing fitness to practice in the pharmacy workforce: Understanding the challenges of revalidation

Research in Social and Administrative Pharmacy

Volumn 9, Issue 2, 2013, Pages 199-214

  Schafheutle, Ellen Ingrid ^a   Hassell, Karen ^a   Noyce, Peter R ^a  

^a UNIVERSITY OF MANCHESTER   (United Kingdom)

Author keywords

Appraisals; Certification; Competence assessment; Continuing education; Continuing professional development; Fitness to practice; Performance assessment; Performance monitoring; Pharmacists; Pharmacy owners; Pharmacy technicians; Recertification; Registration; Regulation; Revalidation; Standards

Indexed keywords

CLINICAL COMPETENCE; HUMAN; LEGAL ASPECT; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PHARMACIST; PHARMACY; PROFESSIONAL COMPETENCE; PROFESSIONAL STANDARD; REVIEW; STANDARD; UNITED KINGDOM;

CLINICAL COMPETENCE; EMPLOYEE PERFORMANCE APPRAISAL; GREAT BRITAIN; HUMANS; PHARMACEUTICAL SERVICES; PHARMACISTS; PHARMACISTS' AIDES; PROFESSIONAL COMPETENCE; PROFESSIONAL ROLE;

EID: 84875526530     PISSN: 15517411     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.sapharm.2012.08.007     Document Type: Review

References (108)

1. Schmitt K., Shimberg B. Demystifying Occupational and Professional Regulation: Answers to Questions You May Have Been Afraid to Ask 1996, The Council on Licensure, Enforcement and Regulation, Lexington, KY.
2. Pharmacist, The Free Dictionary by Farlex. Available at:. Accessed 09.07.12. http://medical-dictionary.thefreedictionary.com/pharmacist.
3. Changes in Healthcare Professions' Scope of Practice: Legislative Considerations 2009, National Council of State Boards of Nursing, NCSBN, Chicago, IL.
4. Welcome to CHRE, Council for Healthcare Regulatory Excellence. Available at:. Accessed 02.08.12. http://www.chre.org.uk.
5. Smith J.E. Exploring the efficacy of continuing education mandates. JONAS Healthc Law Ethics Regul 2004, 6:22-31.
6. Davis D., O'Brien M.A.T., Freemantle N., Wolf F.M., Mazmanian P., Taylor-Vaisey A. Impact of formal continuing medical education: do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?. JAMA 1999, 282:867-874.
7. Forsetlund L., Bjørndal A., Rashidian A., et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev 2009, 2:CD003030.
8. Continuing Professional Development, General Pharmaceutical Council, Available at:. Accessed 06.07.12. http://www.pharmacyregulation.org/regulatingpharmacy/educationandprofessionaldevelopment/continuingprofessionaldevelopmentcpd/index.aspx.
9. Continuing Professional Development (CPD), Accreditation Council for Pharmacy Education. Available at:. Accessed 09.07.12. http://www.acpe-accredit.org/ceproviders/CPD.asp.
10. Dopp A.L., Moulton J.R., Rouse M.J., Trewet C.B. A five-state continuing professional development pilot program for practicing pharmacists. Am J Pharm Educ 2010, 74:28.
11. Continuing Professional Development, Pharmaceutical Society of Northern Ireland. Available at:. Accessed 02.08.12. http://www.psni.org.uk/continuing-professional-development/cpd-intro-page.php.
12. Registration Standards, Pharmacy Board of Australia. Available at:. Accessed 09.07.12. http://www.pharmacyboard.gov.au/Registration-Standards.aspx.
13. Continuing Professional Education (CE) Resource Page, Singapore Pharmacy Council, Available at:. Accessed 06.08.12. http://www.spc.gov.sg/html/1138759577215/SPB_CPE.html.
14. Recertification, Pharmacy Council of New Zealand. Available at:. Accessed 06.08.12. http://www.pharmacycouncil.org.nz/cms_display.php%3fst%3d1%26;sn%3d206.
15. Donyai P., Herbert R.Z., Denicolo P.M., Alexander A.M. British pharmacy professionals' beliefs and participation in continuing professional development: a review of the literature. Int J Pharm Pract 2011, 19:290-317.
16. Schafheutle E.I., Cutts C., Higginson P.J., Noyce P.R. Pharmacy technicians' views of learning and practice implementation. Int J Pharm Pract 2012, 20:141-147.
17. Haughey S.L., Hughes C.M., Adair C.G., Bell H.M. Introducing a mandatory continuing professional development system: an evaluation of pharmacists' attitudes and experiences in Northern Ireland. Int J Pharm Pract 2007, 15:243-249.
18. McConnell K.J., Newlon C.L., Delate T. The impact of continuing professional development versus traditional continuing pharmacy education on pharmacy practice. Ann Pharmacother 2010, 44:1585-1595.
19. Driesen A., Verbeke K., Simoens S., Laekeman G. International trends in lifelong learning for pharmacists. Am J Pharm Educ 2007, 71:52.
20. Rethans J.J., Van Leeuwen Y., Drop R., Van Der Vleuten C., Sturmans F. Competence and performance: two different concepts in the assessment of quality of medical care. Fam Pract 1990, 7:168-174.
21. Principles for Revalidation: Report of the Working Group for Non-medical Revalidation; Professional Regulation and Patient Safety Programme 2009, Department of Health, Crown Copyright, London, UK.
22. What is "Fitness to Practise" ? General Pharmaceutical Council. Available at:. Accessed 06.07.12. http://www.pharmacyregulation.org/raising-concerns/raising-concerns-about-pharmacy-professional/what-fitness-practise.
23. Schafheutle E.I., Jee S.J., Hassell K., Noyce P.R. What could the NHS appraisal system contribute to revalidation in pharmacy?. Pharm J 2011, 286:82.
24. Jee S.D., Jacobs S., Schafheutle E.I., Elvey R., Hassell K., Noyce P.R. An exploration of the utility of appraisals for the revalidation of pharmacy professionals in community pharmacy in Great Britain. Res Social Adm Pharm 2013, 9:155-165.
25. Jacobs S., Schafheutle E.I., Jee S.D., Elvey R., Hassell K., Noyce P.R. Existing arrangements for monitoring community pharmacies in England: can they have a role in the revalidation of pharmacists?. Res Social Adm Pharm 2013, 9:166-177.
26. Elvey R., Schafheutle E.I., Jacobs S., Jee S.D., Hassell K., Noyce P.R. Revalidation arrangements for pharmacy professionals in industry and academia in Great Britain: a qualitative study. Res Social Adm Pharm 2013, 9:178-187.
27. Potter H., Hassell K., Noyce P.R. Pharmacists' and pharmacy technicians' views on a process of revalidation of pharmacy professionals in Great Britain. Res Social Adm Pharm 2013, 9:142-154.
28. Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984-1995. Command Paper: Cm 5207 2001, Department of Health, The Stationary Office, London, UK.
29. The Shipman Inquiry. Fifth Report. Safeguarding Patients: Lessons from the Past-Proposals for the Future. Command Paper: Cm 6394 2004, Department of Health, The Stationary Office, London, UK.
30. Learning from Tragedy, Keeping Patients Safe 2007, HM Government, The Stationery Office, London, UK.
31. Scally G., Donaldson L.J. Clinical governance and the drive for quality improvement in the new NHS in England. BMJ 1998, 317:61-65.
32. Good Doctors, Safer Patients: Proposals to Strengthen the System to Assure and Improve the Performance of Doctors and to Protect the Safety of Patients. A Report by the Chief Medical Officer Sir Liam Donaldson 2006, Department of Health, Department of Health, London, UK.
33. Department of Health. Supporting Doctors, Protecting Patients: A Consultation Paper. London, UK: Crown Copyright; 1999.
34. Revalidation, General Medical Council. Available at:. Accessed 10.07.12. http://www.gmc-uk.org/doctors/revalidation.asp.
35. BMA warns revalidation for GPs unlikely to begin this year, British Medical Association. Available at:. Accessed 18.05.12. http://www.gponline.com/News/article/1126542/BMA-warns-revalidation-GPs-unlikely-begin-year/.
36. The Regulation of the Non-medical Healthcare Professionals. A Review by the Department of Health, Chaired by Andrew Foster 2006, Department of Health, Department of Health, London, UK.
37. Trust, Assurance and Safety-The Regulation of Health Professionals in the 21st Century 2007, Department of Health, Stationery Office, London, UK.
38. Creating a New Professional Regulator for Pharmacy: Health Care and Associated Professions-The Pharmacy Order 2009: Proposals for Consultation 2008, Department of Health, Crown Copyright, London, UK.
39. The Pharmacy Order 2010-Statutory Instrument 2010 No 231 2010, HM Government, The Stationery Office, London, UK.
40. What the Pharmaceutical Society of Northern Ireland Does, Pharmaceutical Society of Northern Ireland. Available at:. Accessed 02.08.12. http://www.psni.org.uk.
41. Royal Pharmaceutical Society of Great Britain. A Draft Model for Revalidation in Pharmacy. Report to the Department of Health. London, UK: RPSGB; 2009.
42. Standards of Practice, Ontario College of Pharmacists. Available at:. Accessed 06.01.12. http://www.ocpinfo.com/client/ocp/OCPHome.nsf/web/Standards+of+Practice.
43. Model Standards of Practice for Canadian Pharmacists 2009, National Association of Pharmacy Regulatory Authorities, NAPRA, Ottawa, Canada.
44. Good Medical Practice 2009, General Medical Council, General Medical Council, London, UK.
45. Austin Z., Croteau D., Marini A., Violato C. Continuous professional development: the Ontario experience in professional self-regulation through quality assurance and peer review. Am J Pharm Educ 2003, 67:56.
46. Revalidation: Recommendations From the Task and Finish Group (Council meeting 12 January 2012, Public Business), General Pharmaceutical Council, Available at:. Accessed 13.02.12. http://www.pharmacyregulation.org/sites/default/files/Revalidation%20Recommendations%20from%20the%20RG%20-%20Council%20January%202012.pdf.
47. The Good Medical Practice Framework for Appraisal and Revalidation 2011, General Medical Council, GMC, London, UK.
48. Standards of Conduct, Ethics and Performance 2010, General Pharmaceutical Council, GPhC, London, UK.
49. Code of Ethics for Pharmacists and Pharmacy Technicians 2007, Royal Pharmaceutical Society of Great Britain, Royal Pharmaceutical Society of Great Britain, London, UK.
50. Code of Ethics 2009, Pharmaceutical Society of Northern Ireland, PSNI, Belfast, Northern Ireland.
51. Pre-registration Manual 2011, General Pharmaceutical Council, GPhC, London, UK.
52. Schmitt M.R., Desselle S.P. Pharmacists' attitudes toward technician certification: a qualitative study. J Pharm Technol 2009, 25:79-88.
53. Alkhateeb F.M., Shields K.M., Broedel-Zaugg K., Bryan A., Snell J. Credentialing of pharmacy technicians in the USA. Int J Pharm Pract 2011, 19:219-227.
54. Hassell K, CPWS Briefing Paper. GPhC Register Analysis 2011, General Pharmaceutical Council & The University of Manchester. Available at:. Accessed 17.07.12. http://www.pharmacyregulation.org/sites/default/files/Analysis%20of%20GPhC%20Pharmacist%20Register%202011.pdf.
55. Welcoming Pharmacy Technicians to the Register, General Pharmaceutical Council. Available at:. Accessed 17.07.12. http://www.pharmacyregulation.org/welcoming-pharmacy-technicians-register.
56. Seston E., Hassell K. An overview of the main findings from the 2008 pharmacy workforce census. Pharm J 2009, 283:419-420.
57. Seston L., Hassell K. Pharmacy Workforce Census 2008: Main Findings 2009, RPSGB & CPWS, London & Manchester, UK.
58. Seston L., Hassell K. Pharmacy Technician Workforce Census 2010: Main Findings 2011, University of Manchester, Manchester, UK.
59. Regulation-Less Is More. Reducing Burdens, Improving Outcomes 2005, Better Regulation Task Force, Crown Copyright, London, UK.
60. Guidance on Appraisal for General Practitioners Working in the NHS 2002, Department of Health, Department of Health, London, UK.
61. Wood L., Hassell A., Whitehouse A., Bullock A., Wall D. A literature review of multi-source feedback systems within and without health services, leading to 10 tips for their successful design. Med Teach 2006, 28:e185-e191.
62. Leigh I.W., Smith I.L., Bebeau M.J., et al. Competency assessment models. Prof Psychol Res Pr 2007, 38:463-473.
63. Colleague and Patient Feedback for Revalidation, General Medical Council. Available at:. Accessed 10.07.12. http://www.gmc-uk.org/doctors/revalidation/colleague_patient_feedback.asp.
64. Shepherd A., Lough M. What is a good general practitioner (GP)? The development and evaluation of a multi-source feedback instrument for GP appraisal. Educ Prim Care 2010, 21:149-164.
65. MacKillop L., Armitage M., Wade W. Collaborating with patients and carers to develop a patient survey to support consultant appraisal and revalidation. Clinician Manag 2006, 14:89-94.
66. Revalidation Supporting Tools. Colleague (MSF) and Patient Questionnaire (PSQ) Tools, Royal College of General Practitioners. Available at:. Accessed 10.07.12. http://www.rcgp.org.uk/_revalidation/revalidation_supporting_tools.aspx.
67. Richards S.H., Campbell J.L., Walshaw E., Dickens A., Greco M. A multi-method analysis of free-text comments from the UK general medical council colleague questionnaires. Med Educ 2009, 43:757-766.
68. Elwyn G., Lewis M., Evans R., Hutchings H. Using a "peer assessment questionnaire" in primary medical care. Br J Gen Pract 2005, 55:690-695.
69. Campbell J., Narayanan A., Burford B., Greco M. Validation of a multi-source feedback tool for use in general practice. Educ Prim Care 2010, 21:165-179.
70. Campbell J.L., Richards S.H., Dickens A., Greco M., Narayanan A., Brearley S. Assessing the professional performance of UK doctors: an evaluation of the utility of the General Medical Council patient and colleague questionnaires. Qual Saf Health Care 2008, 17:187-193.
71. Hill J.J., Asprey A., Richards S.H., Campbell J.L. Multisource feedback questionnaires in appraisal and for revalidation: a qualitative study in UK general practice. Br J Gen Pract 2012, 62:e314-e321.
72. Owens J. Is multi-source feedback (MSF) seen as a useful educational tool in primary care? A qualitative study. Educ Prim Care 2010, 21:180-185.
73. Overeem K., Wollersheim H., Driessen E., et al. Doctors' perceptions of why 360-degree feedback does (not) work: a qualitative study. Med Educ 2009, 43:874-882.
74. Burford B., Illing J., Kergon C., Morrow G., Livingston M. User perceptions of multi-source feedback tools for junior doctors. Med Educ 2010, 44:165-176.
75. Thistlethwaite J., Charlton R., Coomber J. Revalidation for relicensing: reflections on the proposed British model. Aust Fam Physician 2012, 41:70-72.
76. Cohen D., Rhydderch M. Making an objective assessment of a colleague's performance. Clin Teach 2010, 7:171-174.
77. The NHS Information Centre Prescribing and Primary Care Services. General Pharmaceutical Services in England 2001-02 to 2010-11 2011, Health and Social Care Information Centre, London, UK.
78. Standards for Pharmacy Owners and Superintendent Pharmacists of Retail Pharmacy Businesses 2010, General Pharmaceutical Council, GPhC, London, UK.
79. The Medicines (Pharmacies) (Responsible Pharmacist) Regulations 2008; 2008.
80. Guidance for Responsible Pharmacists 2010, General Pharmaceutical Council, GPhC, London, UK.
81. The NHS Knowledge and Skills Framework (NHS KSF) and the Development Review Process 2004, Department of Health, Department of Health, London, UK.
82. Hassell K., Shann P. The national workforce census: (1) locum pharmacists and the pharmacy workforce in Britain. Pharm J 2003, 270:658-659.
83. Shann P., Hassell K. Flexible working: understanding the locum pharmacist in Great Britain. Res Social Adm Pharm 2006, 2:388-407.
84. The National Health Service (Performers Lists) Regulations 2004 2004, National Health Service England, SI, No. 585.
85. Health and Social Care Act 2012 2012, TSO (The Stationery Office), London, UK.
86. Finlay K., McLaren S. Does appraisal enhance learning, improve practice and encourage continuing professional development? A survey of general practitioners' experiences of appraisal. Qual Prim Care 2009, 17:387-395.
87. McKinstry B., Peacock H., Shaw J. GP experiences of partner and external peer appraisal: a qualitative study. Br J Gen Pract 2005, 55:539-543.
88. Judkins K. Appraisal and revalidation for doctors: complement or conflict?. Clinician Manag 2004, 12:191-196.
89. Hassell K, Jacobs S, Potter H, Prescott J, Schafheutle E, Seston L. Managing performance concerns about pharmacists. A report for the National Clinical Assessment Service. NCAS, CPWS The University of Manchester. March 2010.
90. Phipps D.L., Noyce P.R., Walshe K., Parker D., Ashcroft D.M. Risk Assessment in Pharmacy Practice 2010, General Pharmaceutical Council, London, UK.
91. Phipps D., Noyce P.R., Walshe K., Parker D., Ashcroft D.M. Assessing Risk Associated with Contemporary Pharmacy Practice in Northern Ireland. A Report for the Pharmaceutical Society of Northern Ireland 2011, PSNI & University of Manchester, Belfast & Manchester, UK.
92. Phipps D.L., Noyce P.R., Walshe K., Parker D., Ashcroft D.M. Risk-based regulation of healthcare professionals: what are the implications for pharmacists?. Health Risk Soc 2011, 13:277-292.
93. Schafheutle E.I., Seston E.M., Hassell K. Factors influencing pharmacist performance: a review of the peer-reviewed literature. Health Policy 2011, 102:178-192.
94. Phipps D.L., Noyce P.R., Walshe K., Parker D., Ashcroft D.M. Pharmacists subjected to disciplinary action: characteristics and risk factors. Int J Pharm Pract 2011, 19:367-373.
95. A Review of the Extension of the National Clinical Assessment Service to Pharmacists. April 2009-June 2010 2010, National Clinical Assessment Service, NCAS NPSA, London, UK.
96. Austin Z. Continuous professional development and foreign-trained health care professionals. Results of an educational needs assessment of international pharmacy graduates in Ontaria (Canada). J Soc Adm Pharm 2003, 20:232-241.
97. Ziaei Z., Hassell K., Schafheutle E.I. Perceived communication barriers of internationally trained pharmacists in Great Britain. Int J Pharm Pract 2011, 19:14.
98. Registration, General Pharmaceutical Council, Available at:. Accessed 03.08.12. http://www.pharmacyregulation.org/registration.
99. About BPS, Board of Pharmacy Specialties. Available at:. Accessed 10.07.12. http://www.bpsweb.org/.
100. What Does a Pharmacy Technician Do? General Pharmaceutical Council, Available at:. Accessed 20.01.12. http://www.pharmacyregulation.org/raising-concerns/raising-concerns-about-pharmacy-professional/what-expect-your-pharmacy/what-does.
101. Approval of Courses, General Pharmaceutical Council, Available at:. Accessed 19.07.12. http://www.pharmacyregulation.org/education/approval-courses.
102. Quality Assurance System, Higher Education Funding Council for England. Available at:. Accessed 19.07.12. http://www.hefce.ac.uk/whatwedo/lt/qa/qualityassurancesystem/.
103. Phipps D.L., Noyce P.R., Walshe K., Parker D., Ashcroft D.M. Career breaks and changes in sector: challenges for the revalidation of pharmacists. Res Soc Admin Pharm 2013, 9:188-198.
104. Hassell K., Nichols L., Noyce P. Part of a global workforce: migration of British-trained pharmacists. J Health Serv Res Policy 2008, 13:32-39.
105. Schafheutle E.I., Hassell K. Internationally trained pharmacists in Great Britain: what do registration data tell us about their recruitment?. Hum Resour Health 2009, 7:51.
106. Crossing the Quality Chasm. A New Health System for the 21st Century 2001, Institute of Medicine, National Academy Press, Washington, DC.
107. Health Education England, Department of Health. Available at:. Accessed 06.08.12. http://www.dh.gov.uk/health/tag/health-education-england/.
108. Revalidation, General Pharmaceutical Council. Available at:. Accessed 06.08.12. http://www.pharmacyregulation.org/education/revalidation.