The Independent Route

 
Many members working overseas will consider this route, but it does require quite a lot of self sufficiency and we feel a certain degree of familiarity with concepts of medical education to fulfil the requirements. To use this route you have to demonstrate to the GMC that you are adopting the principles of “Good Medical Practice” within your professional practice and that you are undertaking appropriate continuing medical education or professional development. You will have to draw on what you have actually done in your particular work during the period of revalidation and provide the various evidences under each of the headings of Good Medical Practice, for which we would also recommend Good Medical Practice for General Practitioners. Many of our Members working overseas are working in isolation, geographically, culturally or professionally and will have to think imaginably how the various criteria and standards in these documents can be translated to their particular context. For instance, the portfolio you will produce will need to be orientated to those members of the GMC who will assess this, perhaps including a non medical reader. They will need to understand the context of the work that you are undertaking both in terms of geography, culture, health systems, language and so forth, thus your portfolio might include quite descriptive accounts of your situation as well as any epidemiological and morbidity data as well as the role of the general practice or family doctor in that particular setting, which may be quite different from the UK. You will then need to work through the various headings described and interpret these in context of your work and provide as much evidence as it possible that you have addressed the standards of “the excellent GP”. We do think you are going to have think widely and imaginatively about this. Unfortunately, at this early stage, there are not clear guidelines in the General Medical Council as to what evidence you actually need to provide. This will no doubt become clearer in the light of the implementation of the revalidation process.
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