Professional performance can be defined as the quality of clinical practice in the workplace. Performance is a complex construct and is dependent on context. It is difficult to assess objectively because it is underpinned by a range of knowledge, skills, attitudes, judgements, beliefs and values. Indicators, or measures, of performance must be fair, valid and reliable. It is essential that individual pathologists recognise measures of performance as being relevant to their practice whilst at the same time performance measures are seen to be robust and in the interests of patients and the public.

The College recommends that professional standards and performance are best maintained through:

• participation in CPD
• participation in clinical audit and audit of own performance
• participation in annual appraisal or individual performance review processes
• receiving and acting on feedback and peer review processes
• practicing to meet external clinical targets
• ensuring the best possible clinical outcomes.

The vast majority of pathologists who routinely undertake these activities will be improving their practice, practicing to high standards and collecting evidence along the way to demonstrate that they are doing so. This demonstration of good practice feeds back into individual performance review as well as demonstrates to patients and the public that the highest standards are being maintained. This cycle of improvement will naturally feed into the GMC revalidation process, showing that the vast majority of doctors are fit to practice and remain on the medical register.

Further information on Revalidation and Good Medical Practice in Pathology

Occasionally a small number of pathologists may have problems and concerns may be raised about their performance. In this event, performance review may be required through the College or the National Clinical Assessment Service. Performance review should be based on the same performance indicators that are being used routinely to demonstrate good practice.

For more information on the work of the National Clinical Assessment Service please visit their website www.ncaa.nhs.uk