Transcript The ARCP (Powerpoint 199

The ARCP
An Overview
A Trained ARCP Panel?
Purpose of the ARCP
Normally at least annually
• A review and record of the trainee’s progress
• Allows judgement to be made about the
competences acquired by a trainee and their
suitability to progress to the next stage of training
• Provides final statement of trainee’s successful
attainment of the competences and thereby
completion of the training programme
ARCPs Applicable To:
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All specialty trainees and core trainees
Academic trainees
Trainees OOP
LTFT trainees
FTSTAs
LATs
Documentation Required
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Educational supervisors report
Updated CV
Form R (updated demographic details)
If a trainee is ‘in difficulty’ it may be necessary for
the TPD to submit an additional report (which must
be shared with the trainee before the ARCP)
Panel Composition
A minimum of 3 people appointed by the RTC
• A Deanery representative such as a Deputy or
Associate Dean or the TPD
• Two other panel members who may include the
Chair of the RTC, the TPD, an associate TPD or
educational supervisors.
• Local policy is to aim to have an academic
representative present for ST3+ ARCPs
Panel Composition (2)
Externality – 10% of outcomes should be
reviewed by an external representative
Lay Representation - 10% of outcomes should
also be reviewed by a lay representative
GIM – Specialties involving GIM should usually
have their representative on the GIM RTC
present
All panel members must have up-to-date
equal opportunities training
Preparation for the Day of
the ARCPs
• Identifying the trainees that need to attend is the
joint responsibility of the specialty coordinator and
the TPD.
• Advantageous to review eportfolios before the day
of the ARCPs
• If a trainee is likely to have an adverse outcome
which requires a period of additional training, then
warn the Deanery in advance as a senior Deanery
representative may attend
The Invitation to the
Trainee
• Must be sent at least 6 weeks before the ARCP
• Reminds them that they need to get an
educational supervisors report
• Reminds them to update their CV
• Reminds them about the relevant JRCPTB Decision
Aid(s) and sends them the link(s)
Reminder to Trainees
• A reminder about the ARCP is sent if they do not
reply within 10 days
• The Deanery does not check the eportfolios for
Educational Supervisors reports or send reminders
about these (not recommended in the Gold Guide)
The Day of the ARCPs
The panel should convene 15-30 minutes before the
first ARCP and agree:
• Who will chair the panel
• Who will complete the electronic and the
handwritten records
• Who will feedback to the trainee, including their
training needs
The Day of the ARCPs (2)
• Two computers allow the ARCP form to be
completed while reviewing aspects of the eportfolio
• Trainee presentations are optional
• If your trainee is due for ARCP, you should withdraw
for that trainee’s ARCP
ARCPs – The Procedure
The eportfolio should be reviewed before inviting the
trainee into the room:
• Previous ARCP(s)
• The educational supervisors report
• The specialty curriculum, the GIM curriculum if
appropriate (‘plenty of yellow, green and brown’)
• Assessments, especially MSF.
Assessments
• Generally formative
• Try to ensure that they are done by appropriate
people
• The MSF can be valuable
ARCPs – The Procedure (2)
• The JRCPTB decision aid(s) should be consulted
• The outcome should be decided before seeing the
trainee
ARCPs – The Procedure (3)
The trainee is then invited into the room
• Welcomed, panel members introduced
• Purpose of ARCP explained
• Outcome discussed (aim to be positive, supportive)
• CCT date reviewed and if appropriate, Period of
Grace discussed (entered in comments section on
ARCP proforma in eportfolio)
• Training to date and training needs discussed
Handwritten Notes
Please record:
• The outcome
• The planned CCT date
• Any maternity leave details
• For senior trainees whether they plan to take up
their Period of Grace
• Comprehensive notes if the trainee is deemed to
be ‘in difficulty’ or is to be given an adverse
outcome (2,3 or 4)
Additional Records
Some RTCs keep separate folders/records
• This is acceptable
• In the event of an adverse outcome the trainee
would be entitled to a copy
• Be very careful about what is written (even in emails
between panel members that may be kept on file)
Outcome 1
Satisfactory progress
Fulfils all of the criteria on the JRCPTB decision aid
Outcome 2
Development of specific competences required –
additional training time not required
• Acceptable progress
• Some competences not achieved
• Not expected that overall progress (and therefore
the CCT date) will be delayed
• The trainee can ask for this outcome to be reviewed
but cannot appeal
Outcome 3
Inadequate progress by the trainee – additional
training time required
• The panel considers that a period of additional
training is required which will extend the duration of
training
• If this outcome is likely the trainee must be present.
• The panel gives recommendations about the
additional training. The Deanery decides the
details, based on the panel’s recommendations
• Usual maximum 1 year
• The trainee can appeal
Outcome 4
Released from training programme with or without
specified competences
• Insufficient and sustained lack of progress, despite
additional training
• Panel should ensure that competences that have
been achieved are documented
• Trainee required to give up their NTN
• The trainee can appeal
Outcome 5
Incomplete evidence presented – additional training
time may be required
• Examples include absent educational supervisor’s
report, insufficient assessments, insufficient
competences signed off
• The trainee should submit a written explanation to
the panel within 5 working days
• The panel can require trainee to submit the
necessary documentation by a designated date
• Once documentation received, the panel can issue
an assessment outcome (they don’t have to meet)
Outcome 6
Gained all required competences – will be
recommended as having completed the training
programme and for award of a CCT (or CESR)
Outcome 7
FTSTAs or LATs
• The panel should give this outcome to FTSTAs and
LATs, documenting the competences achieved
Outcome 8
Out of programme for research, approved clinical
training or a career break
• If the trainee is on a clinical placement, which has
been prospectively approved by the GMC/PMETB,
the usual documents for a clinical placement
should be reviewed
• If the trainee is in research the panel should receive
a research supervisors report
Outcome 9
Doctors undertaking top-up training in a training post
• Applies to doctors applying for a CESR where the
GMC has recommended top-up training and they
have been appointed competitively to a gap in a
training programme.
• The panel consider evidence including assessments
to decide whether the objectives set by the GMC
have been met
Trainees with an Adverse
Outcome (2,3,4)
Supplementary documentation should be completed
by the ARCP panel and made available to:
• The trainee
• TPD
• Educational supervisor
• Medical director and Trust HR department
• JRCPTB
Fitness to Practice Issues
• Any concerns about the trainee’s fitness to practice
arising out of the ARCP process must be reported to
the Postgraduate Dean for further advice and
guidance.
After the ARCPs
• Make plans to review additional documentation
from trainees with Outcome 5
• If a trainee is given Outcome 2, the panel ‘should
identify in writing the further development….
required’.
• If a trainee is given Outcome 3, liase with the
Deanery about remedial training. The details need
to be shared with the employer.
• If a trainee is given an unsatisfactory outcome, the
TPD and educational supervisor should arrange to
meet with the trainee
Additional or Remedial
Training
The panel must recommend the ARCP outcome on
the basis of the evidence presented, however
• Consider mitigating factors (eg ill health or
maternity leave)
• When determining recommendations for additional
training, consider the training environment (eg level
of supervision available)
• The outcome of this training will be reviewed by the
ARCP panel which may take further and external
advice from senior clinicians in the specialty
Out of Programme Research
Documentation required:
• OOPR return
• Report from research supervisor
This should indicate whether appropriate
progress has been made with the research
and ‘that the planned date of completion..
has not changed’
Out of Programme Research
Duration of research:
• Should not normally exceed 3 years
• A request to exceed 3 years must be made
by the research supervisor to the Dean at
least a year in advance
Outcome:
• The panel should issue an OOP outcome,
recommending continuation of the OOPR or
it’s termination, with a date
Less Than Full Time
Training
• LTFT trainees should still have ARCPs annually
• Important to review CCT date carefully taking into
account LTFT training
PYAs
• An external advisor must always be present
• Separate PYAs for Specialty and GIM
• The external advisor’s report will list mandatory and
desirable requirements for the trainee to complete
their training
Final ARCP
The panel will:
• Review progress against the decision aid(s)
• Check that all of the external advisors’ mandatory
requirements have been completed (Specialty and
GIM, if appropriate)
Before issuing an…..
Outcome 6
Question Time