The imminent introduction of revalidation, ‘the process by which doctors will, in future, demonstrate to the General Medical Council (GMC) on a regular basis that they remain up to date and fit to practise’,1 obliges us to ask what guiding principles should be addressed as we implement revalidation? Seven years ago Good Medical Practice (GMP) for GPs stated, ‘the unacceptable GP has little knowledge of developments in clinical practice; has limited insight into the current state of his or her knowledge or performance; selects educational opportunities which do not reflect his or her learning needs; does not audit care in his or her practice, or does not feed it back into practice,’ and ‘is hostile to external audit or advice.’2,3
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