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-andprogression-through-training/arcp/
ARCPs
ST1
Clinical skills
and curriculum
completion
First on call
Progress with
signing off basic
competences
ST2
Initially first on call;
develop competences
so can be 2nd on call
by end of ST2
Completion of
basic logbook
competences
ARCPs
ST1
Examination
ST2
Part 1 MRCOG
ARCPs
ST1
Formative
Fetal blood sampling
OSATS showing
evidence of
Manual removal of placenta
training since
last ARCP
Uncomplicated LSCS
Non-rotational ventouse &
forceps
Surgical management of
miscarriage
ST2
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)
ARCPs
ST1
Evidence of at
least one
consultant
observed
summative OSAT
confirming
continuing
competency since
last ARCP.
ST2
Perineal repair (continuing
competence by cons or ST6/7)
Apache Indian in labour. Management of cephalopelvic dystocia
ARCPs
ST1
ST2
Mini – CEX
8 (4 Obs + 4 Gynae) 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
ARCPs
ST1
Obligatory Basic practical skills
courses
Regional
teaching
ST2
Obstetric simulation
course (eg
CTG training (usually ALSO/PROMPT/other)
e-learning package) Basic ultrasound
Courses for basic
competences not in RTDs
Third-degree tear
All RTDs 4/6 min.
All regional training
days (RTDs) 4/6 min.
ARCPs
ST1
Team
TO2s at approx 4 & 8 months Ditto
observation
forms
Minimum of 10 TO1s per TO2
(at least 3 consultants or
ST6/7)
Summary should not raise
significant concerns to ARCP
panel
ST2
ARCPs
ST1
Clinical
governance
(Audit/risk
management/
quality/safety)
One completed &
presented audit
Evidence of attendance
at local risk management
meetings
ST2
Ditto
ARCPs
ST1
Teaching
Documented evidence of
teaching
Leadership /
management
Presentation
ST2
Ditto
Evidence of
departmental
responsibility
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
•
•
ARCP September
– Trainee not present unless concerns
– Ensure outstanding items achieved
– Progress assessed by a panel
including HoS, TPD, Lay Chair,
External Representative
Annual RCOG educational supervisor report
– 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-andtraining/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