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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