Transcript The Role of the Programme Director and the ARCP/RITA process

ARCPs & Recruitment
Sarah Harries
ARCP
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Annual Review of Competence Progression
All post MMC core & specialty trainees are required to
undertake an annual assessment of their progress
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CT1-ST7
LTFT
Out-of-programme
Fixed term training contract e.g. LAT, MTI
No ARCP - Cannot progress to next training level
Some conceptual differences compared to the RITAs
The ARCP
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Panel reviews evidence of competence contained
in the trainees portfolio
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Educational Supervisors ARCP structured report: ESSR
Meeting the trainee is not part of the assessment
process
ARCP panels cannot assess competence, only
look at the evidence
E-portfolio in ARCP in 2013 for CT1-ST6 trainees
Feedback generally positive from trainees!
Biggest change!
ARCP Outcomes (Programme)
Satisfactory Progress
1. Achieving progress and competences at the expected rate
Unsatisfactory or insufficient evidence (trainee must meet with panel)
2. Development of specific competences required – additional
training time not required
3. Inadequate progress by the trainee – additional training time
required
4. Released from training programme with or without specified
competences
5. Incomplete evidence presented – additional training time may be
required
Recommendation for completion of training
6. Gained all required competences
ARCP Outcomes (Fixed term)
Satisfactory Progress
7.1 Achieving progress and competences at the expected rate
Unsatisfactory or insufficient evidence (trainee must meet with panel)
7.2 Development of specific competences required – additional
training time not required
7.3 Inadequate progress by the trainee – additional training time
required
7.4 Incomplete evidence presented – additional training time may be
required
ARCP CT outcomes 2013
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23 CAT trainees:
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7 x Outcome 3 – failed primary FRCA or UoT
CT2 Attrition – 1
CT1 Attrition - 1
9 ACCS-Anaes trainees:
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4 x outcome 3 – failed primary FRCA
Attrition - 2
ARCP ST Outcomes 2013
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26 ST4 trainees:
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3x Outcome 3 – 2x failed final FRCA, 1 failed
modules
1 resignation
ST7 output 2013
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23x Outcome 6 & CCT recommendations
6 Substantive Consultant posts
8 Locum Consultant posts
7 UK fellowships, 2 overseas fellowships
ARCP 2014
ARCP 2014
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E-portfolio for all trainees
Timetable for 2014 - www.welshschool.co.uk
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January 14th – Feb prog, call-backs, out-of-synch
June 3rd - ST7 & CT2 programme
June 19th – Regional: CT1, CT2 & LAT (fixed term
appt), Cardiff
TBC – Regional: North Wales
July 1st - ST4, to include intro to higher training day
July 2nd - ST5 & STC
July 3rd – ST3 & ST6
ARCP preparation
‘Gold Guide’ states:
 ‘The educational supervisor is the crucial link between the
educational and workplace based appraisal process since the
trainer’s report provides the summary of the assessment
evidence for the annual review process. The outcome from the
annual review underpins and provides evidence for the
workplace based appraisal process which is designed to
reassure employers that the performance of doctors in
postgraduate training is satisfactory’
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‘The trainee’s educational supervisor must ensure that the
trainee:
 Is aware of his/her responsibility to initiate workplace based
assessments
 Maintains an up-to-date log-book
 Ensures that the trainee’s professional portfolio is adequately
developed….”
ARCP preparation
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“Trainees will not be ‘chased’ to provide the
documentation by the required date, but should be
aware that failure to do so will result in the panel
failing to consider their progress”
Failure to produce evidence will inevitably lead to
delay in training progression.
The paperwork is the trainee’s responsibility..but..
Experience shows that a pro-active Educational
Supervisor does help the trainee
Structured report
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ESSR key document within e-portfolio
In addition, the College Tutor completes College Tutor
training summary to include:
 List of completed units of training
 College tutor assessment based on:
 Consultant group feedback from specialist modules;
paeds, cardiac, neuro, ICM, 1 year of general training
 Different emphasis to MSF, which will continue as
normal
 Welsh School standardised Consultant feedback form
Interim supervisors report
 ES to complete at end of 6 month placement
ARCP Checklists
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Every training year has relevant checklist
All checklists for 2014 are available on
www.welshschool.co.uk – Annual review
section
Mapped to the RCoA blueprint
Blueprint for intermediate training
ARCP Checklists
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Every training year has relevant checklist
All checklist can be found on
www.welshschool.co.uk
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Training >
ARCP
ARCP in practice
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Portfolio review 10-15min
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Trainee called to see panel
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Assessment of the submitted evidence
No direct assessment of the trainee
Panel decide Outcome
Clarify any issues raised by portfolio
Trainee feedback
Placement/training feedback
Annual planning with TPD
EPEF & logbook data collection
ARCP in absence
Unsatisfactory ARCP Outcome
(Outcomes 2,3)
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Advance notice must be given to the Welsh
School if an unsatisfactory outcome is a
possibility
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Unsatisfactory WPB Assessment tools
Attitudes and behaviour concerns
Exam failure
Failed or incomplete units of training
FEEDBACK
CT2 vs CT3 trainees
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CT3 year uniquely approved by GMC for Welsh
School of Anaesthesia
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Optional year; Medicine, EM, ICM with Anaesthesia
Apply early in CT2 year
Basic level curriculum MUST be completed in 2 years,
all UoTs and Primary FRCA
If BLTC not achieved, 6 month ‘remedial’ training
extension required
ACCS trainees – same 6 month ‘remedial’ training
extension if BLTC not achieved
ST training extension
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Outcome 3 at end of ST4 Year
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Failure to pass Final FRCA
Failed UoTs
Attitude & behaviour concerns
6 month - 1 year training extension permitted
Second year of training extension only
permitted in exceptional circumstances at
discretion of Dean & TPD
ARCP training
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Wales Deanery ARCP Induction
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Powerpoint presentation
Equality & Diversity training
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Wales Deanery
Links will be forwarded
ARCP Summary
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Trainers do the assessments
Educational Supervisors do the appraisal/annual
report
College Tutors complete training summary
The ARCP panel reviews the evidence
Without the assessment, the appraisal and the
evidence – the trainee will not progress
Everyone is welcome to attend!
Keep in touch with www.welshschool.co.uk
Recruitment
National co-ordinated 2014
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Twice yearly NCR, Autumn & Spring
Run by West Midlands Deanery for RCoA
Entry levels:
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CT1 Anaesthesia (2+optional 3rd year prog)
CT1 ACCS-Anaesthesia (3 year prog)
CT2 (1 year fixed-term post) – WALES only!
ST3 (5 year programme)
Eligibility criteria
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CT1
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ACCS CT1
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18 months or less experience of ACCS components by Aug
2014
CT2
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18 months or less experience of anaesthetics by Aug 2014
At least 12 months experience/training in anaesthetics
ST3
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At least 21 months experience of anaesthetic training & 3
months ICM at CT/SHO level by Aug 2014
Pass the Primary FRCA (London or Ireland) by time of
interview
Interview format
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3 national standardised stations
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Presentation station (10 minutes)
Structured clinical scenario (10 minutes)
Portfolio review (20 minutes)
2 “independent” assessors
Questions drawn from National approved bank
Assessment of attributes / NTS
Global rating score - ‘gut feeling’ score!
Interview
Attributes
Assessor
Commitment to
specialty / UoA
Communication
Clinical judgment /
decision making
A
B
Portfolio
C
D
5
5
E
F
5
5
5
5
Reflective practice
5
5
5
5
Working Under
Pressure
5
5
10
10
50
10
10
5
Team Working
Selection
Centre Total
10
5
Organisation
Global Rating
Totals
Content of Portfolio
Presentation
5
5
20
10
10
10
10
50
50
5
5
20
10
10
60
150
200
50
Recruitment timeline
Wales recruitment 2014
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CT1
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CT2
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~ 6 posts, deanery led recruitment
ST3
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4 CAT posts (February start)
24-28 CAT posts (August start)
8 ACCS-Anaes posts (August start)
4 posts & LATs (February start)
20 posts (August start)
Wales interviews
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January 27th & 28th - CT1 CAT & ACCS-Anaes
April 7th, 8th & 9th – ST3
NCR CT1 Spring 2014
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CT1 Anaes/ACCS-Anaes - 1 x UoA
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Complete revised self-score sheet
Long-listing only
Guaranteed single interview
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Can apply for multiple specialities
Interview : Post ratio – 3:1
Preference training programme at time of
application & offered training programme
NCR CT1 Spring 2014
Advert Nov 7
Applications to CT1
Anaes/ACCS
1 UoA
Nov 12 - Dec 5
CT1 posts in Wales
24-28 Anaesthetics
8 ACCS-Anaes
Interviews
January 27-28
STO Cardiff
OFFERS Feb 10
UK HOLD March 12
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July
NCR CT1 Spring 2014
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National cut-off score 100/200
UKOFFS across all specialities
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Candidates cannot hold 2 different specialty offers
Programme upgrade option
No clearing interviews but a clearing process
based on national interview station score
ACCS recruitment
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Anaesthesia & AM linked to parent
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Local interviews
ACCS-EM
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4 selection centres; Wales interviews in Severn
Co-ordinated via London deanery
NCR ST3 Spring 2014
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ST3 - 1 x UoA
Category 2 removed for 2013
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Either hold full Primary FRCA (January sitting)
Hold Irish MCQ but eligible to sit Irish Primary Oral
in March 2013
Complete revised self-score sheet
Long-listing only
Guaranteed single interview
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Interview : Post ratio – 3:1
NCR ST3 Spring 2014
Applications to ST3
1 UoA
Feb 12 – March 12
ST3 posts in Wales
~20 Anaesthetics
Interviews
April 7-9
STO Cardiff
OFFERS May 12
Clearing & LAT Ints
June Birmingham
Feb
Mar
Apr
May
June
July
Aug
NCR Spring 2013
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National agreed ST3 cut-off score
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110/200 (max 200 x 3 stations)
2nd interview (clearing) – 100 ST3 unless veto
Preference training programme at time of
application & offered training programme
Trial of ORIEL
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Programme upgrade option
Advise trainees to rank every programme
ICM recruitment
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National interviews, co-ordinated & run within WMD
ST3 anaesthesia appointees from August 2012 can
only apply for dual CCT w ICM
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77/88 posts filled in August 2013
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Future proposal to end 18 month window rule & make upper
limit at end of ST5
If >18 months, possible to apply & seek CESR (CP)
62% had an anaesthetics background & planning dual CCT
ICM aspiration to exceed 100 posts in August 2014
Assessor training
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Developed over last 12 months by RCoA
Not mandatory but strongly recommended
E-learning based training
All interviewer panel members will be given
login
1 hour = 1 CPD point
Dates for your diary…..
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CT1 interviews – Jan 27 & 28
ST3 +/- CT2 interviews – April 7,8 & 9
ARCP & Interview dates on
www.welshschool.co.uk
SPA/Professional leave