Clinically owned reflective practice and tick box exercises: comparative analysis of GP and consultant appraisal in practice

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Abstract:

The paper compares two separate studies on GP appraisal and consultant appraisal in the British National Health Service (NHS). Both found potential for appraisal to be a developmental process, which enabled clinicians to reflect on and improve their practice, or to become a 'tick box exercise'. We explain the contextual factors leading to appraisal outcomes and suggest that clinical ownership is critical to the success of appraisal. It seems, however, that more often importance is placed upon 'ticking the boxes' so that clinicians and NHS organisations are seen to have conducted appraisals, regardless of effectiveness in practice.

Keywords: APPRAISAL; AUDIT; CONSULTANTS; GPS; PROFESSIONAL DEVELOPMENT; REFLECTIVE PRACTICE

Document Type: Regular Paper

Publication date: July 1, 2006

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