The community in Australia has high levels of trust in doctors and expects medical practitioners to provide safe care to patients. The Medical Board of Australia has designed a Professional Performance Framework to ensure that all registered medical practitioners practise competently and ethically throughout their working lives.
The Professional Performance Framework will support doctors to take responsibility for their own performance and encourage the profession collectively to raise professional standards and build a positive, respectful culture in medicine that benefits patients and doctors.
There are five pillars to the professional performance framework. In brief, they are:
Download the Board’s Professional performance framework
Download a copy of the five pillars of the professional performance framework
The Board has previously announced that it is committed to developing a process that supports medical practitioners to maintain and enhance their professional skills and knowledge and remain fit to practise medicine. It used the term ‘revalidation’ for this process and appointed an Expert Advisory Group to provide it with expert advice.
The EAG, chaired by Professor Elizabeth Farmer, has delivered its final report. Download the EAG final report
The EAG’s recommendations are designed to improve public safety. They recommend an integrated approach that will help improve public safety and better identify and manage risk in the Australian healthcare setting by:
proactively identifying doctors who are either performing poorly or are at risk of performing poorly, assessing their performance and if necessary, supporting their remediation. The EAG identified that age, professional isolation and multiple complaints are all risk factors for poor performance.
The Board has accepted the evidence provided by the EAG and its recommendations, including to not adopt the term ‘revalidation’ as this does not accurately describe the Board’s approach. The Professional Performance Framework is the Board’s response to the EAG final report.
The Board’s Professional Performance Framework is evidence-based, integrated and builds on existing initiatives. It will be implemented progressively, with some elements already in place and others requiring significant planning, consultation and development.
There is a lot of work to be done before the Professional Performance Framework is implemented. While many of the elements are in place already or only require fine tuning, others will require more substantial work. The Board is committed to working in partnership with the medical profession and others in the health sector to implement the Professional Performance Framework. It is also committed to ongoing consultation about the various elements.
To implement the Professional Performance Framework, the Board will:
Consult on and propose to Australia’s Health Ministers a new health related registration standard to provide assurance that doctors can continue to provide safe care to patients throughout their working lives.
Strengthen its assessment and management of notifications to better manage medical practitioners subject to multiple substantiated complaints.
Work with stakeholders to develop and implement models for peer review of performance.
Commission clinical advice on what constitutes a practical and effective health check for doctors aged 70 years and over.
Commission ongoing research and evaluation to ensure this work is effective, evidence based and fair.
Foster partnerships and collaborations to promote a positive culture of medicine that is focused on patient safety, based on respect and encourages doctors to take care of their own health and well-being.
Building a Professional performance framework
Pillars of the Professional Performance Framework
Final Report of the Expert Advisory Group on revalidation
Media statement: New Professional Performance Framework for patient safety
Questions or comments about the professional performance framework can be sent to: email@example.com
Full interim report of the expert advisory group on revalidation
Executive summary of the interim report
Discussion paper about the proposed approach for revalidation
Media statement: Medical Board consults on revalidation in Australia 16 August 2017
Expert Advisory Group on revalidation terms of reference
Consultative Committee on revalidation terms of reference
Medical Practitioners' ongoing fitness and competence to practise: A report of social research into community and doctors’ views about trust, confidence and fitness to practise in the medical profession
International research from the Collaboration for the Advancement of Medical Education Research and Assessment (CAMERA) The evidence and options for medical revalidation in the Australian context, published 2015