What are the difficulties with Continuing Professional Development (CPD) in Palliative Medicine?
Lloyd-Williams, M., University of Liverpool, Liverpool, UK, Kite, S., St James Hospital, Leeds, UK, Hicks, F, St James Hospital, Leeds, UK, Todd, J., Trinity Hospice, London, UK, Ward, J., St Gemma’s Hospice, Leeds, UK

Introduction: All doctors need CPD - for good practice and for the purposes of annual appraisal and re-validation. The medical workforce in palliative medicine is diverse. Many doctors work on a part time basis, with the same CPD requirements as those working fulltime. Aims This survey was undertaken.
• To establish whether doctors had fulfilled their CPD requirements in the year 2001-2002
• To identify problems or difficulties experienced by doctors when obtaining CPD
Method: A questionnaire was sent to all doctors known to be working in non-training posts within palliative medicine in October 2002, requesting information on CPD undertaken between 1 April 2001 and 31 March 2002. Questions were also asked regarding knowledge and understanding of appraisal and revalidation.
Results: The response rate was (53%) (381/721). Palliative medicine was the main post for 276 (72%) respondents and 169 were on the specialist register (44%). The subgroup most likely to have fulfilled CPD requirements were those on the Specialist Register (64%), and those least likely were those holding a contract with a charitable organisation (33%). Less than half of those not on the specialist register understood CPD and revalidation requirements. Overall, only 43% of respondents were meeting the CPD requirements (median 25 credits; range 5 -375 hours) CPD.
Discussion: This study has highlighted widespread barriers to the successful planning, participation in, and recording of, CPD for palliative medicine doctors, with those who are not on the specialist register appearing to be particularly disadvantaged. Individual doctors’ information needs need to be addressed, but organisational support for CPD is also required.