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6 Recertification and revalidation as concepts in pediatric endoscopy
Priya Narula and Mike Thomson
Direct Operational Procedural Skills (DOPS) assessment, as occurs in training, will become standard in due course in peer review of maintenance of endoscopic skill.
Ensuring ongoing competency in GI endoscopy in pediatrics will require monitoring of key performance indicators, reviewing outcome data and adverse event rates and evidence of engagement in educational and clinical activities.
Revalidation and/or recertification are processes whereby doctors demonstrate on a regular basis that they are up to date and fit to practice with the help of a portfolio of evidence or supporting information that can include continuous professional development, peer and patient feedback, quality improvement or audit and significant events [1]. They represent a shift towards a broader culture of accountability and a proactive approach. Medical revalidation was introduced in the UK in 2012 and is similar to New Zealand’s practicing certificate and recertification and the American maintenance of licensure and certification [2]. Revalidation and recertification schemes seek to improve patient care by the ongoing review of individual medical practice [2].
Such processes, considered predominantly summative, are underpinned by a progressive, intrinsically motivated ambition to define and drive up quality standards [1]. As professionals engaged with implementation and experienced the realities of revalidation in practice in the UK, stakeholders found that dealing with concerns about poor practice (professional regulation) and seeking to improve professional standards (professionalism) were complementary processes [1].
Whilst these schemes are more generic, there are currently no established revalidation or recertification schemes for pediatric endoscopists.
The goals of recredentialing or recertification in GI endoscopy are to ensure continued clinical competency, promote continuous quality improvement, and maintain patient safety [3]. Ensuring ongoing competency in GI endoscopy in adults requires monitoring
