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

• 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– 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

• 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 • 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

• Mini-CEXs• DOPs• CbDs• SAIL• CCF YOU MUST HAVE THE MINIMUM NUMBER FOR YOUR

YEAR OF TRAINING

TO BE DONE THROUGHOUT THE YEAR AND NOT ALL IN THE LAST 2 MONTHS PRIOR TO ARCP

Minimum number of WBAs per year of training

ST1-3Level one

ST4-5 Level two

ST6-8Level three

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

DOPs – listed for each level of training

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• 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

• 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 outcomesSatisfactory 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/SpecialtySchools/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.