For those with access to MJA Insight, Gauging Revalidation is an article by Marie Bismark which considers four aspects of the revalidation discussion raised by the Medical Board of Australia.

Dr Bismark argues that:

  • An effective screening program should target an important problem with a well understood natural history. There is little question that doctors whose performance is impaired due to health, conduct or performance concerns pose a risk to the public;
  • Screening tools should be capable of differentiating between high and low risk individuals to identify genuine concerns, while minimising the resource and personal costs associated with false positive;
  • Screening programs are of little benefit if effective remediation for identified problems is not available;
  • Such a screening program should be acceptable, cost-effective and sustainable.