Recertification in the medical specialties: a way forward.

Revalidation will have two core components: relicensure and specialist recertification. All doctors wishing to practise in the UK will require a licence issued by the General Medical Council and those on the specialist register will also be required to demonstrate that they meet the standards that apply to their medical specialty. Eight methods of evaluating performance are considered in this paper--all provide opportunities to reflect on clinical practice and to raise standards. A blueprint might be used to ensure that relicensure and specialist recertification sample different domains of clinical practice during the five-year cycle, but time and money will be required to develop standards that are valid, reliable and assessable, as well as to pilot and implement the specialty-specific tools required for assessing such standards. The Royal College of Physicians and the medical specialties must engage with this process so that specialist recertification is acceptable and achievable.