Regular Practice Review
Regulators in Australia and New Zealand are requiring all doctors to engage in evidence-based review of practice as one element of their continuing professional development1 2.
From 2019 all Fellows are being encouraged, through changes to the MyCPD framework, to complete CPD activities that review performance and measure outcomes.
Regular Practice Review (RPR) is one process designed to review performance.
The primary purpose of RPR is to help maintain and improve standards of the profession. RPR is a quality improvement process. RPR may also assist in the identification of poor performance which may adversely affect patient care. The goal of RPR is to help individual doctors identify areas where aspects of their performance could be improved, benefiting not only their own professional development but also the quality of care that their patients receive.1
The development of the RACP’s Practice Review framework has been driven by the following beliefs:
- It is critical to examine not only how an individual clinician is functioning within their workplace or workplaces, but that a whole systems approach must be adopted if health services are to be delivered at an optimal level.
- Practice Review should be implemented within current work places with minimal disruption to the doctor’s clinical practice.
- The Framework should reduce the compliance burden on Physicians by meeting as many stakeholder (College, regulator and employer) requirements as possible.
In the 2019 MyCPD Framework, Regular Practice Review is an activity that sits under Category 2 – Reviewing Performance at 3 credits per hour.
Practice review trials
Practice Review trials have been and continue to be conducted in New Zealand. The trials are testing a framework for practice review in two parts:
A Professional Development Review (PDR) which is a formative review of the individual physician's practice including clinical, professional skills, job satisfaction and job sizing.
The College intends that the PDR will meet MCNZ requirements for RPR and DHB requirements for annual performance review.
While the PDR has been developed to meet MCNZ requirements it can be used by Australian Fellows to review their performance. See PDR notes.
An overarching Service Development Survey (SDS) of the unit or department in which the doctors who have completed the Professional Development Review are practising.
The Service Review outlines in broad terms the key elements of health delivery for a particular service. It will provide insight into the health care delivery across a service area and the infrastructure that supports it and the Physicians involved.
Note: The forms and the process have not been officially approved by the College as they are still under development.
If you choose to use the trial forms, please provide us with your feedback to assist us with their ongoing development. Email your feedback to firstname.lastname@example.org
Read a summary of the latest RACP trials.
Process and guidelines
The RACP is currently revising the Practice Review guidelines.
1 Medical Council of New Zealand. Policy on Regular Practice Review. Updated: 26 October 2016
2 Medical Board of Australia. Expert Advisory Group on re-validation. Final Report, November 2017. p34 onward (Accessed December 2018).