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The New Zealand Medical Journal

 Journal of the New Zealand Medical Association, 08-June-2012, Vol 125 No 1356

Recertification of generalists
Dear Sir
The introduction of the recertification process for those doctors not in vocational-training programmes has been a public relations fiasco. It has alienated many of those involved who would have accepted a properly reasoned explanation.
What we have had from the two protagonists, the Medical Council and bpacnz (Best Practice Advocacy Centre), has been limited. What has been offered is simply a welter of rhetoric which goes nowhere near allaying the concerns of the 2500 doctors involved.
It seems it is now too late to stop the juggernaut. Nevertheless, if the two major players wish the support and cooperation from those afflicted they need to give credible answers to these questions:
  1. Why is it necessary to introduce the programme when the much vaunted review in 2010 said that 73% of patients interviewed were very confident in the skills and knowledge of the last doctor they saw?
  2. What is wrong, in the general practice setting, with the present system of collegial supervision and reporting?
  3. Has the collegial supervisory system ever been monitored by Council for its accuracy in determining a doctor’s ability and safety to practise?
  4. Can either Council or bpacnz justify the application of the same programme over a wide range of practitioners, from newly qualified overseas graduates to those with a long experience in their discipline?
In their initial programme guide, bpacnz state they reserve the right to review the annual fee, presently set at $1200. So the final question is:
  1. Have Council overriding control of the annual fee-setting process?
There is support for the need for continuing education. What is proposed, and the manner of its introduction, seems an unnecessarily convoluted and expensive way of providing it.
Humphrey B Rainey
Upper Hutt
     
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