Annual Review of Competence Progression ARCPs

ST1 induction Oct 2014

C/S from Scultetus' Auctarium ad Armamentarium Chirurgicum 1653

ARCPs

• Review training since the previous ARCP • Ensure future training of maximum benefit • Identify any deficits in knowledge and skills • Ensure all requirements can be met before

end of training programme

• Know that career plans are realistic

ARCPs

• Within KSS, our aim is for doctors in training – to be safe – to develop the habits of ‘lifelong’ learning – to achieve appropriate standards of practice – by regulating the progress of doctors in

training, the ARCP process protects patients and directs the training process

• Complete the Trainee Revalidation process

O&G ST1

RCOG Training Matrix

www.rcog.org.uk/en/careers-training/about-specialty-training-in-og/assessment-and progression-through-training/arcp/

Clinical skills and curriculum completion

ARCPs

ST1 First on call Progress with signing off basic competences ST2 Initially first on call; develop competences so can be 2 nd on call by end of ST2 Completion of basic logbook competences

Examination

ARCPs

ST1 ST2 Part 1 MRCOG

ARCPs

ST1 ST2

Formative OSATS showing evidence of training since last ARCP

Fetal blood sampling Manual removal of placenta Uncomplicated LSCS Non-rotational ventouse & forceps Surgical management of miscarriage Hysteroscopy Laparoscopy Basic ultrasound modules in O&G

ARCPs

ST1

At least 3 summative OSATS confirming competence by more than one assessor - at least 1 by a consultant. Can be achieved prior to the specified year.

Perineal repair Opening and closing abdomen (at LSCS) ST2 Caesarean section (uncomplicated) Non-rotational ventouse and forceps Fetal blood sampling SMM Manual removal of placenta Perineal repair (continuing competence by cons or ST6/7)

Evidence of at least one consultant observed summative OSAT confirming continuing competency since last ARCP.

ARCPs

ST1 ST2 Perineal repair (continuing competence by cons or ST6/7)

Apache Indian in labour. Management of cephalopelvic dystocia

Mini – CEX

ARCPs

ST1 8 (4 Obs + 4 Gynae) ST2 8 (4 Obs + 4 Gynae)

CbDs

8 (4 Obs + 4 Gynae) 8 (4 Obs + 4 Gynae)

Reflective practice

8 8

NB MUST be evenly spread throughout the year

ST1

ARCPs

ST2

Obligatory courses

Basic practical skills CTG training (usually e-learning package)

Regional teaching

All regional training days (RTDs) 4/6 min.

Obstetric simulation course (eg ALSO/PROMPT/other) Basic ultrasound Courses for basic competences not in RTDs Third-degree tear All RTDs 4/6 min.

ARCPs

ST1

Team observation forms

TO2s at approx 4 & 8 months Minimum of 10 TO1s per TO2 (at least 3 consultants or ST6/7) Ditto ST2 Summary should not raise significant concerns to ARCP panel

ARCPs

ST1

Clinical governance (Audit/risk management/ quality/safety)

One completed & presented audit Evidence of attendance at local risk management meetings Ditto ST2

Teaching

ARCPs

ST1 Documented evidence of teaching Ditto ST2

Leadership / management

Evidence of departmental responsibility

Presentation

Department presentation Ditto

Interim Review & ARCP

• See KSS Deanery website for full

information

•

kss.hee.nhs.uk

• Education & Training

• Specialty School

• O&G • ARCP & Interim Reviews

ARCPs – Interim Review

• Face to face meeting June - 8 months into year – TPD or HoS & another consultant •

Document list sent by Deanery

• Review of e-portfolio • Assessment of progress against matrix • Ideally TWO TO2’s • Outstanding items listed and deadline given

ARCPs – Interim Review

• NOT necessary to complete full year’s matrix here • Outcome not issued, just advice for final ARCP • Preference sheets for next post – decision based primarily on educational needs •

Load all certificates for courses etc into Courses section under Trainee Profile (confirmed by ed supervisor)

ARCP - final

• – Progress assessed by a panel

including HoS, TPD, Lay Chair, External Representative

• Annual RCOG educational supervisor report •

ARCP September

– Trainee not present unless concerns – Ensure outstanding items achieved – Trainee’s responsibility to get this done

Outcome issued

•

2 week deadline for missing items

ARCP Advice

CHECK FEEDBACK FROM YOUR INTERIM REVIEW THE MATRIX IS YOUR BIBLE

ARCP Advice

•

IT IS YOUR RESPONSIBILITY TO MEET ARCP REQUIREMENTS

•Don’t leave assessments to the last minute • Ensure e-portfolio and CV are regularly kept up-to-date •

Everything must be on you e-portfolio

• Talk to your Educational Supervisor EARLY if you are having

difficulties

ARCP Advice

•Keep Deanery informed of changes in contact details • If your attendance is required at your ARCP, confirm your

ability to attend as soon as possible

• It is your responsibility to know what will be assessed • If you don’t provide evidence by the ARCP date, you cannot be

issued with a Satisfactory Outcome - NO exceptions

Pawnee Indian in labour. Shaman blows smoke into the vulva to assist delivery

Trainee Support

KSS Deanery is committed to supporting Trainees who are in difficulty or at risk of being in difficulty through the Trainee Support Group Guidance available online: http://kss.hee.nhs.uk/education-and training/specialty/support/trainee-support/

ALL Trainees are monitored for satisfactory progress, not just those experiencing difficulties.

Trainees that may need additional help are discussed by the Trainee Support Group to ensure all routes of support are explored.

If you have concerns about your own progress, get in touch early, don’t wait! Talk to: Educational Supervisor (in the first instance), or Clinical Tutor, or Deanery school administration team

With help from your Educational Supervisor, develop a plan If your ability to progress is at risk, your Head of School and the Trainee in Difficulty Committee will be kept informed of your progress. They are able to offer additional support if required.

The aim is to get you ‘back on track’ and for training to continue successfully. Exam failures Deanery planning for possible remediation