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Concerns regarding a poorly performing doctor should be raised as they occur - this happens in other professions. What is worrying is the amount of doctors who do not understand what is expected of them for Revalidation. Doctors who have been scheduled to Revalidate in Year 1 are already panicking. On the whole, I think Revalidation is a good thing, not only for assruing patients and the public but also for the doctors own reflection of their practice. Five years may seem a long time but Governments stay in office for 4 years and look how well they are performing !