On the day after CCT, the ARCP framework disappears. In its place: annual appraisal with a trained GP appraiser, and five-yearly revalidation confirming your GMC licence to practise. The principles are familiar — CPD, reflection, quality improvement, feedback — but the format and expectations differ.
Annual Appraisal
A structured conversation with a trained GP appraiser covering: CPD activities, quality improvement projects, significant events, colleague and patient feedback, health and probity declarations. You present evidence; the appraiser discusses it. The output is a summary and PDP for the coming year.
Revalidation
Five-yearly. Based on cumulative evidence from annual appraisals. Your Responsible Officer recommends to the GMC whether to revalidate your licence. Requires: sufficient CPD evidence, quality improvement activity, colleague feedback, patient feedback, no unresolved fitness-to-practise concerns.
CPD Requirements
RCGP recommends minimum 50 credits per year — a mix of personal CPD (courses, reading, conferences) and practice-based CPD (audit, SEA, peer review). Document everything — undocumented CPD does not count.
What Changes from Training
No minimum learning log counts. No WPBAs. No FourteenFish training map (though many GPs continue using FourteenFish for appraisal). No educational supervisor — you manage your own development. No ARCP panel — appraisal is a conversation, not a tribunal.
Common NQP Mistakes
Not starting appraisal evidence from day one post-CCT. Assuming someone will tell you what to do. Letting CPD accumulate without documentation. Not arranging colleague and patient feedback early enough in the revalidation cycle.
Where iatroX Fits
iatroX's CPD module supports post-CCT professional development — mapping learning activities to professional domains for appraisal evidence, with adaptive quiz maintaining clinical knowledge currency.