Thank you for undertaking this survey. The College of Emergency Medicine is trying to establish if there are doctors working in Emergency Medicine who may have difficulties revalidating using the proposed process due to the complexity of their working arrangements.

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1. Do you work in any of the following roles outside your acute trust? (Please select all that apply)

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2. Are you retired or planning to retire within the next 5 years and want to maintain your license to practice?

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3. Do you have an annual appraisal in Emergency Medicine?

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4. Who undertakes your annual appraisal?

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5. Do you have an annual appraisal in more than one specialty? If yes, please give a brief description of how this works (e.g. if you work some sessions in EM and some sessions in another specialty - do you have a combined appraisal or separate ones?)

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6. Are there any aspects of your work (including voluntary roles) that are not appraised annually?

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7. Do you anticipate difficulties in identifying who your Responsible Officer will be or in having an annual appraisal for all aspects of your work?

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8. Do you know who your Responsible Officer will be when revalidation starts?

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