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Table 2 Threats to reliability and validity of SI in revalidation

From: Paper trials: a qualitative study exploring the place of portfolios in making revalidation recommendations for Responsible Officers

• The ability of the appraisee to ‘cherry-pick’ favourable SI
• The subjective and inconsistent interpretation of SI by appraisers
• The subjective and inconsistent interpretation by appraisees
• Access to SI, for example patient feedback, which may not be ready  available for some medical professionals
• Some SI may be important to certain medical professionals, for  example outcome data for surgical specialties, currently not mandatory
• The administration of MSF
• ‘Assessing’ the quality of reflection