Towards an understanding of how appraisal of doctors produces its effects: a realist review.

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Abstract

Revalidation was launched in the UK to provide assurances to the public that doctors are up to date and fit to practice. Appraisal is a fundamental component of revalidation. Approximately 150 000 doctors are appraised annually, costing an estimated £97 million over 10 years. There is little understanding of the theory of how and why appraisal is supposed to produce its effects. A realist review of the literature was utilised to explore these issues, as they generate context-mechanism-outcome (CMO) configurations, resulting in the creation of theories of how and why appraisal of doctors produces its effects.

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Journal

Journal ID (iso-abbrev): Med Educ

Title: Medical education

Publisher: Wiley

ISSN (Electronic): 1365-2923

ISSN (Print): 0308-0110

Publication date (Electronic): Oct 2017

Volume: 51

Issue: 10

Affiliations

[1 ] Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA), Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK.

[2 ] NIHR CLAHRC South West Peninsula (PenCLAHRC), Institute of Health Research, University of Exeter Medical School, Exeter, UK.

[3 ] Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

[4 ] Peninsula Technology Assessment Group (PenTAG), University of Exeter Medical School, University of Exeter, Exeter, UK.

Article

DOI: 10.1111/medu.13348

PubMed ID: 28758237

SO-VID: 5ca51784-ada1-425a-8791-d02ec9903d6d

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