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

www.rcog.org.uk/en/careers-training/about-specialty-training-in-og/assessment-and-progression-through-training/arcp/

RCOG Training Matrix

ARCPs

ST1 ST2

Clinical skills and curriculum completion

First on call

Progress withsigning off basiccompetences

Initially first on call; develop competences so can be 2nd on call by end of ST2

Completion ofbasic logbookcompetences

ARCPs

ST1 ST2

Examination Part 1 MRCOG

ARCPsST1 ST2

Formative OSATS showing evidence of training since last ARCP

Fetal blood sampling

Manual removal of placenta Uncomplicated LSCS

Non-rotational ventouse & forceps

Surgical management of miscarriage

Hysteroscopy

Laparoscopy

Basic ultrasoundmodules in O&G

ARCPsST1 ST2

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)

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)

ARCPsST1 ST2

Evidence of at least one consultant observed summative OSAT confirming continuing competency since last ARCP.

Perineal repair (continuing competence by cons or ST6/7)

Apache Indian in labour. Management of cephalopelvic dystocia

ARCPs

ST1 ST2

Mini – CEX

CbDs

Reflective practice

8 (4 Obs + 4 Gynae)

8 (4 Obs + 4 Gynae)

8

8 (4 Obs + 4 Gynae)

8 (4 Obs + 4 Gynae)

8

NB MUST be evenly spread throughout the year

ARCPs

ST1 ST2

Obligatory courses

Regional teaching

Basic practical skills

CTG training (usually e-learning package)

All regional trainingdays (RTDs) 4/6 min.

Obstetric simulation course (eg ALSO/PROMPT/other) Basic ultrasound Courses for basiccompetences not in RTDsThird-degree tearAll RTDs 4/6 min.

ARCPs

ST1 ST2

Team observation forms

TO2s at approx 4 & 8 months

Minimum of 10 TO1s per TO2 (at least 3 consultants or ST6/7)

Summary should not raise significant concerns to ARCP panel

Ditto

ARCPs

ST1 ST2

Clinical governance(Audit/risk management/quality/safety)

One completed &presented audit

Evidence of attendance at local risk managementmeetings

Ditto

ARCPs

ST1 ST2

Teaching

Leadership / management

Presentation

Documented evidence of teaching

Department presentation

Ditto

Evidence of departmental responsibility

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-and-training/

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, orDeanery 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