The ARCP- For Core

trainees

Dr Kate Lovett – Head of School of Psychiatry-

Southwest Peninsula Deanery March 2013

Annual Record of Competency Progress

Gold Guide A Reference Guide for Postgraduate Specialty Training in the UK (fourth edition, 2010)

Specialist Training In Psychiatry A Comprehensive guide to training and assessment in the UK for trainees and local educational providers (January 2010 RCPsych OP69)

Why ?

To provide formal assessment of trainees progress annually throughout training

Protect public – ensure patient safety –links to GMC- Good Medical Practice

How?

Panel –at least 3 members

Looks at paper evidence of training activities

Trainee not always required to be present but majority of trainees seen in Peninsula seen face to face

Requirements

Electronic portfolio-links training activity to curriculum (this should have been reviewed by educational supervisor prior to ARCP)

Evidence of NHS appraisal within past 12 months. This should be carried out by the educational supervisor

Educational Supervisors report (on-line)

College Tutor’s report (scanned and uploaded)

Evidence of audit activity

360 degree appraisal – at least two rounds of mini pat feedback

Workplace Based Assessments as per OP 69

ie. 3 ACEs (2 for CT1), 4 Mini-ACEs, 2 CBDs/ year. This is the minimum requirement and the majority of trainees by far exceed this.

In addition, trainees are expected to demonstrate curriculum psychotherapy competencies using the relevant WPBAs.

Less than full-time trainees are required to produce pro-rata evidence.

Participation in ECT, journal club, case presentations, teaching and non-clinical activities will also be assessed using relevant WPBAs eg DOPs, AOT, DONCs etc

Enhanced Form R (requirement from 2013 for purposes of revalidation). Trainee to complete form prior to ARCP

Employers declaration (requirement from 2013 for purposes of revalidation). Employee to submit to Deanery prior to ARCP

What are we looking for

Triangulated evidence of competency at level of training and progression towards consultant practice

Evidence linked to Intended Learning Outcomes

Evidence that trainees are able to meet competencies within required training period. eg evidence of at least one written exam pass for MRCpsych prior to entry into CT3/ ability to obtain psychotherapy competencies before end of core training

What Goes Wrong

Evidence not available ie. not included in portfolio

Tasks not done eg. No audit project/too few WPBAs

Poorly presented portfolio

Trainee late/not arranged cover/on holiday/acts of God etc

Outcomes

Most trainees will obtain outcome 1 (achieving satisfactory progress)

Trainees obtaining outcome 2 will have specific targets identified/The core Training Programme Director will liaise with trainer and check progress prior to next ARCP

Trainees identified as requiring an extension to training (outcome 3) will have specific targets set and be offered the opportunity to meet with senior Deanery staff to ensure that they have appropriate support

It is expected that only in exceptional circumstances will trainees obtain outcome 5 –insufficient evidence submitted

Trainee Responsibilities

To be proactive in organising the e-portfolio/NHS appraisal/workplace based assessments/ educational supervisors review and ensuring they are freed up from clinical commitments on days of ARCP

To ensure that all evidence is made available to the panel at least 2 weeks before the ARCP

Deanery responsibilities

To set dates for ARCPS

Arrange selection of and Convening of panels

Chair panel discussion

Enable panel to review evidence beforehand

Support panel to make judgement about outcomes awarded

Communicate outcomes to trainers especially when remedial action necessary

Feedback to trainees re outcomes

Ensure process is fair and complies with antidiscriminatory legislation etc

School of Psychiatry Vision

That the ARCP is a positive experience marking an important milestone in the professional journey

To use the educational expertise of the panel to provide valuable feedback to trainees and insights into strengths and weaknesses or gaps

Mature, adult learners take ownership for their own learning and trainees welcome the opportunity for review

The ARCP is just part of a journey of lifetime commitment to continuing professional development and a process which will continue into consultant practice

Training doctors to provide safe, effective and compassionate care to patients is the focus of all School of Psychiatry activities.