Health professionals back to practice Jon Billings Director of Strategy, Nursing and Midwifery...
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Transcript of Health professionals back to practice Jon Billings Director of Strategy, Nursing and Midwifery...
Health professionals back to practice
Jon BillingsDirector of Strategy, Nursing and Midwifery Council, UK
Dubai Health Regulation Conference, 22-23 October 2014
General Medical Council, UKYou must recognise and work within the limits of your competence.
Nursing and Midwifery Council, UK39. You must recognise and work within the limits of your competence40. You must keep your knowledge and skills up to date throughout your working life41. You must take part in appropriate learning and practice activities that maintain and develop your competence and performance
Healthcare Professions Council, UKRegistrant practitioners must:1 be able to practise safely and effectively within theirscope of practice1.1 know the limits of their practice and when to seek advice or refer to another professional
Limits of competence
Career-long variables
Limits of competence
Sco
pe
of
pra
ctic
eSpecialisationSpecialisation
Career changeCareer change
TrainingTraining
HealthHealth
Absence from practice
Absence from practice
Return to practice factors to consider
• Duration of absence
• Age of practitioner
• Nature of practice (technical e.g. surgery, interventional radiology v clinical e.g. psychiatry)
Elizabeth S. Grace MD, Elizabeth J. Korinek MPH, Lindsay B. Weitzel PhD, Dennis K. Wentz MD., Physicians reentering clinical practice: Characteristics and clinical abilities†, 22 SEP 2010
Different approaches
Nursing and Midwifery Council, UK•Mandatory minimum 450 hours in 3 years and CPD•Approved return-to-practice programmes
Academy of Medical Royal Colleges, UK•Guidance•Three month threshold•Checklists
Federation of State Medical Boards of the USA•Over half of boards have policy on physician re-entry
Conclusions• Use scope of practice v limits of competence
principles
• Review evidence where available
• Understand regulatory requirements where they exist
• Plan ahead – agree return arrangements in advance
• Develop organisation policies – incorporate supervision and simulation where indicated
Thank you
Jon Billingswww.nmc-uk.org@nmcnews@billingsjon