What evidence is needed to be successful
at ARCP?
March 2012
Dr Helen Goodyear
Head of the Postgraduate School of Paediatrics
Associate Postgraduate Dean - flexible training and careers
What is ARCP
• Annual review of competence progression
• Each year whether full or part time
• Electronic evidence no paper work will be
considered
What evidence is needed
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Meetings with educational supervisor
Work place based assessments
MSF (360 degree assessment)
Supervisors reports
Completion of all parts of E Portfolio
All certificates eg PLS, APLS, NLS safeguarding
JEST and GMC trainees survey to be in
Personal library
Meetings - Paediatric specialty
trainees
• Induction
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Within 2 weeks of the start of the post
Complete induction meeting on e Portfolio
Plan use of assessment tools
Discuss problems/ any PDP objectives not achieved in
last post
Update PDP
Career planning including RPCCH membership exams
Audit
Curriculum
Overview of E Portfolio
Midpoint meeting
• Fill in midpoint review at 3 months
• Reviews
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Attendance at educational sessions
Check progress of workplace based assessment tools
Has MSF been done?
Feedback on performance
Sick and study leave, courses (APLS & PLS)
Review PDP, reflective learning, curriculum,
developmental and skill logs, audit progress, career
intentions, MRPCH ,courses
End of post meeting
• Fill in end of post review – annual review if the
end of 12 months
• Reviews
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attendance at educational sessions
Check right number of WBA tools
Feedback including MSF
Sick and study leave
Review PDP, reflective learning, curriculum,
developmental and skill logs, audit progress, career
intentions, MRCPCH
What forms does your educational
supervisor need to fill in
• Induction meeting
• Midpoint meeting – supervision meeting form
• End of post report
• The educational supervisor at the end of 12
months needs to fill in the annual review form
Workplace based assessments
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Mini-CEXs
DOPs
TO BE DONE THROUGHOUT THE
YEAR AND NOT ALL IN THE LAST
CbDs
2 MONTHS PRIOR TO ARCP
SAIL
CCF
YOU MUST HAVE THE MINIMUM NUMBER
FOR YOUR YEAR OF TRAINING
Minimum number of WBAs per
year of training
ST1-3
Level one
ST4-5
Level two
ST6-8
Level three
DOPs – listed for each level of
training
Procedure
Code
Collection of blood from central lines
01
Umbilical vessel sampling
02
Umbilical Artery cannulation
03
umbilical Venous cannulation
04
Venesection (venous blood sampling)
05
Peripheral venous cannulation
06
Capillary blood sampling
07
Suprapubic aspiration of urine
08
Urethral catheterisation
09
Electrocardiogram (ECG)
10
Non-invasive blood pressure measurement
11
Lumbar puncture
12
Bag, valve and mask ventilation
13
External chest compression
14
Tracheal intubation of term newborn babies
15
Peripheral arterial cannulation
16
Perform basic lung function tests
17
Administer intradermal injections
18
Administer subcutaneous injections
19
Administer intramuscular injections
20
Administer intravenous injections
21
Percutaneous long-line insertion
22
Needle thoracocentesis for pleural effusion or pneumothorax
23
Intubation of newborn infants of most gestations
24
Administration of surfactant
25
Insertion of intraosseous needle
26
Who can I choose as an assessor?
• MiniCEX - an experienced higher level trainee or
consultant. Not ST4 for ST3 trainee
• CbD - consultant
• DOPS - senior nurse, experienced higher level
trainee or consultant
• ePaedMSF (formerly eSPRAT) - a variety of
assessors; senior nurse, experienced higher level
trainee, consultant, junior nurse, junior trainee,
trainee of equivalent training level, administrative
staff
MSF (360 degree assessment)
• The RCPCH Assessment Strategy requires one
satisfactory ePaedMSF per training year
• Ensure you do self rating on e SPRAT
• Deanery policy is 1 MSF per 6 months
- so 1 TAB as well – 12 raters to include
Consultants, nursing staff, peers, junior
colleagues, wardclerks/secretaries
• Educational Supervisor will make feedback
available to you
E Portfolio
• Complete the curriculum . Must achieve
– level 1 competencies in ST1-3
– level 2 in ST4-5
– level 3 in ST6-8
• Skills log
• Developmental and skills logs
• PDP
• Remember to share what you have put in
otherwise we will not be able to access it for
your ARCP
Curriculum
• Fill in the generic and specialty curriculum for
the appropriate level of training
• Link to evidence – not enough just to rate
yourself as competent
Developmental log
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Certified courses
Clinical questions
Relections/critical incidents
Educational meetings/CPD
Teaching/presentations
Governance including audit
Research
Child protection
Management
Clinics
ALL
NEED TO
BE
FILLED
IN
Skills log
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Airways and respiratory
Circulation
Diagnostic procedures
Neonatal procedures
Subspecialty procedures
Skills log
• A DOPS means you can do a procedure on one
day in one child
• Skills log needs to show you are competent –
so collect several venepunctures in a range of
children, several intubations etc
PDP
• Remember to keep up to date
• Each objective needs a new line – do not put
all together
ARCP process
• Not an assessment of the trainee but of the
documentation and submitted evidence
presented by the trainee
• Trainees do not attend the panel unless an
unsatisfactory outcome is anticipated
• If unsatisfactory outcome, all trainees are
invited to attend a subsequent face to face
meeting
ARCPs
• July 2012
• ARCP face to face meetings September for
those with outcome other than 1
ARCP outcomes
Satisfactory Progress
1. Achieving progress and competences at the expected rate (clinical)
Achieving progress and competences at the expected rate (academic)
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
Released from academic programme
5. Incomplete evidence presented - additional training time may be required
Recommendation for completion of training
6. Gained all required competences (clinical)
Gained all required competences (academic)
Outcomes for trainees out of programme or not in run-through training
7. Out of programme experience for approved clinical experience, research of career break
8 .Fixed-term specialty outcome - competences achieved identified above
Annual planning meeting
• Face to face meeting to discuss your career
• Currently being held in April/May prior to ARCPs
• Led by Head of School/Programme
director/Regional advisor
• 2 other consultants per panel
• Chance to “take stock” and look at career
• Feedback on posts
• Essential for those going out of
programme/National grid/not able to complete
all competencies
Annual planning meetings
• They are booked on line
• http://www.westmidlandsdeanery.nhs.uk/Spe
cialtySchools/PostgraduateSchoolofPaediatrics
/UpcomingCourses.aspx
• Link is active – NB you will need to scroll down
courses page
START
• Specialty Trainee Assessment of Readiness for
Tenure, formerly ST7
• All trainees entering level 3 (ST6) on or after 1
August 2011 compulsory for CCT
• Cost £850
• 9-10th November 2012, 14th & 15th March 2013
• RCGP Assessment Centre in Euston
• http://www.rcpch.ac.uk/start
ARCP Summary
• ARCP is an electronic review of the Portfolio of
evidence for ST1-8 trainees
• It depends on you building up that evidence
over a one year period.