Each trainee will have an end of year ARCP assessment which will usually take place in July. Those trainees who require an ARCP at another point in the year, or whose CCT date is not in August, will be scheduled for a separate date. Each annual assessment is carried out by a small specialty-based panel as detailed in the Gold Guide. It will provide an opportunity for the trainee to provide comments on their training to date, as well as reviewing their progress/competences and identifying specific training needs.
The paperwork will be assessed without the trainee being present. The trainee will then have a face to face meeting with the ARCP panel. The purpose of this meeting will be to clarify any issues relating to the ARCP outcome and to plan future training as well as to give the trainee the opportunity to feed back on the training they have received. The dates for these meetings will be released well in advance to allow trainees to make the necessary arrangements to attend.
The following spreadsheets detail the minimum evidence required for the ARCP:
ARCP Requirements: Hints & Tips - Version 3
We recognize that the ARCP process can be stressful and confusing so, to help alleviate some of this we have compiled the following list of documents and evidence to provide the trainees with some guidance about the information to be collated for ARCP with their Educational Supervisor.
Trainees must complete the RCEM ARCP checklist for the relevant year of training and either complete this electronically in the educational meetings section or print & scan into personal library of their e-portfolio.
If in the e-portfolio please make sure it is clearly labelled for easy identification e.g. ST4 Checklist 2017.
For each section in the checklist the requirements to be recorded are:
- dates undertaken & consultants involved.
b) Curriculum Coverage
- A proportionate and sensible spread of evidence for 27 curriculum topics in the form of WBAs/e learning/teaching/ESLE/reflective/audit
- greater than 50 % should be WBAs
c) Paediatric majors/acute presentations
- complete any missing WBAs for paediatric majors/acute presentations
d) USS level 1
- current progress to achieve final sign off
- Level 1 must be signed off by end of ST5
- must attend local finishing school for final sign off
- maintain USS logbook on e-portfolio
e) STR (Structured Training Report)
Must be completed for each post completed (so 2 required in ST3 – 1 PEM + 1 EM) All should be completed as specified in template including:
• WBAs – dates undertaken, topic covered, assessor name, outcome
• MSF - minimum of 12 respondents with at least 3 consultants and representation from all staff groups ES may want to input into spread of seniority of staff requested for MSF. Minimum of 1 x MSF in 12 months but worth having 2 x MSF for ST3 year (PEM/ EM)
• Logbook of numbers of pts seen (total:majors:minors:paeds) also maintain logbooks for USS & practical procedures on e-portfolio
• Regional teaching days attended & not attended with reasons for non- attendance
• Record any complaints/incidents and should be noted on form R by trainee,
any reflective learning/notes from these should be present in e-portfolio
• OOPE - early notification of OOPE interest or subspecialty in future plans for trainee
f) MSF (as above in STR)
g) FRCEM exam
- progress in relevant sections of the exam
- CA/SAQ/OSCE/Mx portfolio/QIP
h) QIP or CTR progress
- 1st draft of topic by end of ST4 year
i) Management Portfolio
- summary of management portfolio topics covered in that training year
j) Common competencies/Clinical curriculum
• Progress towards level 4 in Common Competencies must be signed off by both educational supervisor & trainee on e-portfolio. Level 4 percentage required varies depending on year of training (see RCEM curriculum)
• Supervisors DO NOT sign to affirm competency by their own judgments but are signing to confirm that they have examined the evidence linked to that area and that it is of suitable quantity and quality to evidence competency and that it is up to date.
• Evidence of Clinical Curriculum coverage with appropriate evidence of ongoing activity/competency in all areas must be maintained throughout training and up to the point of exiting the programme.
Advanced Life Support Courses or FRCEM are NOT appropriate evidence of such other than APLS which can account for a maximum of 4 x PMPs at ST3 level only.
Supervisors signing these domains do so again to confirm that they have scrutinized the evidence linked to each domain and to confirm that is of quality & quantity to meet the evidence required for that competency.
There should be a MINIMUM of one WBA evidence linked to all elements of the curriculum prior to CCT and it is expected that each area will have several elements of supporting evidence.
• Practical procedures undertaken/taught should be recorded in the e-portfolio section
k) Regional Teaching
• Evidence of number of regional teaching days attended must be provided ( see above in STR). Reasons for non-attendance must be provided and compliance with the Deanery electronic register should be maintained.
l) Current status of ALS/ATLS/APLS or equivalent
• Date of re-certification must be recorded and reviewed as all 3 must to be in date for CCT
m) Safeguarding children/Child Protection level 3 completion
n) Complete & send Local Trainee feedback about posts to trainee reps
o) Previous year of training ARCP outcome to ensure progression through training
p) Faculty Governance/Education Statement
• To be completed by educational supervisor and must include names of clinical supervisors/consultants who have had input into the FGS and STR
q) Both educational supervisor & trainee must sign the ARCP checklist
Must be completed and scanned into personal library section of e-portfolio.
This must include a description of any work taken out-with your training post including all locum work and any medically related voluntary work.
Any complaints or SUIs that you have been involved in must be declared.
All Time out of Training for ANY reason must be declared – All Sick Leave/ Maternity Leave/ Compassionate Leave /Other
Regular Educational Review Meetings
The e-portfolio should contain the record of regular educational meetings with Educational Supervisor.
Evidence of initial meeting/3 month/mid-term/9 month meetings should be available
Must be recorded and requested through the appropriate channels via Intrepid with evidence of approval from Educational Supervisor.
Please record study leave in e portfolio in Study Leave summary within the Personal Library and also include evidence of any declined requests for SL and the reasons for that.
Time Out of Training
ANY/ALL days away from work other than Annual & Study leave must be recorded in the Absence area within the Profile section of e portfolio.
This includes all sick/compassionate/carer or any other leave or absence as this may affect your CCT date.
This is also required on your Form R as stated above
Please ensure updated curriculum and checklists are being used from RCEM website or e-portfolio.
For further information, please see RCEM website or contact Kash Aujla or Lisa Munro-Davies
Opportunities for Trainees to Provide Feedback About Their Training
The School of Emergency Medicine is dedicated to providing high quality training to high quality trainees. Improvements in the training programme can only be made if trainees are given an opportunity to feedback to their trainers about the training they received.
All trainees are encouraged to give regular feedback to their trainers about their training to make improvements at a local level.
There are also more formal opportunities to provide feedback to those responsible for the organisation of your training to make improvements. This is very valuable information and trainees are encouraged to complete these surveys even if at times they do not feel they will result in making any changes. Repeated reports about areas of poor training areas are taken seriously by HEE South West and the School of Emergency Medicine.
Annual GMC Survey - All trainees in all specialities are required to complete this survey. The results are collated by the GMC and a summary of the results is published on their website for all to see with areas of training below standard highlighted.