As the government launches its consultation on medical performers list (MPL) regulations, it seems timely to review the assessment of those returning to UK general practice after a period away from clinical practice. An issue that causes considerable controversy.1
The evidence of specific patterns of deterioration of clinical skills after absences from the workplace is thin, and not directly applicable to primary care.2 Practitioners vary both in their baseline clinical knowledge, and in the rate of deterioration during their time away.
Severn Deanery launched a ‘Returners’ Scheme' in 2007.
Entry is restricted to those out of practice in excess of 2 years. It includes a structured interview with a senior GP educator, and a national computer-marked knowledge test and simulated surgery. Each is standard set by experienced GP trainers following international best practice. Applicants are required to achieve a minimum entry score before progressing (Table 1).
A recent review of the scheme provides some evidence of the educational value of the programme.3
Primary care organisations are responsible for ensuring that the competency of practitioners admitted to their MPL. Our data suggests that many are not, after 2 years away from the workforce. This proportion increases with additional time away.
- © British Journal of General Practice 2013