How often should I have an appraisal if I'm not working/abroad?

Under GMC requirements, doctors typically need a medical appraisal every 12 months as part of their revalidation cycle. However, if you have gaps in your practice due to periods of non-working, working abroad, or other reasons, the frequency and necessity of appraisals depend on several factors:

1. If You Are Not Working for Part of the Year

• If you have a short gap (e.g., a few months), you should still aim to have an annual appraisal.

• If you take a longer break (e.g., a full year off), you should inform your responsible officer (RO) or designated body or contact the GMC for advice. They may allow a deferral of your appraisal, but this is not automatic.

2. If You Are Working Abroad

• If you maintain a UK licence to practise, you are still expected to have an annual appraisal.

• If you give up your UK licence while abroad and later reinstate it, you will need to complete a revalidation process, which may include an appraisal before resuming UK practice.

• Most doctors working abroad arrange appraisals with a UK-based appraisers like GMC Appraisals, to meet revalidation requirements.

3. Exceptional Circumstances

• You can request a deferral of appraisal due to personal or professional reasons, but this should be discussed with your responsible officer or the GMC in advance.

• A deferral does not affect revalidation directly, but repeated deferrals may lead to a revalidation review.

4. Keeping Your Revalidation on Track

• Even if you miss an appraisal, you should aim to complete the full five-year revalidation cycle with at least four documented appraisals.

• If you anticipate gaps, it's best to keep records of CPD, reflections, and feedback to demonstrate continued professional development.