ARCPs & Recruitment
Sarah Harries
ARCP
Annual Review of Competence Progression All post MMC core & specialty trainees are required to
undertake an annual assessment of their progress CT1-ST7 LTFT Out-of-programme Fixed term training contract e.g. LAT, MTI
No ARCP - Cannot progress to next training level Some conceptual differences compared to the RITAs
The ARCP
Panel reviews evidence of competence contained in the trainees portfolio Educational Supervisors ARCP structured report: ESSR
Meeting the trainee is not part of the assessment process
ARCP panels cannot assess competence, only look at the evidence
E-portfolio in ARCP in 2013 for CT1-ST6 trainees Feedback generally positive from trainees!
Biggest change!
ARCP Outcomes (Programme)Satisfactory Progress
1. Achieving progress and competences at the expected rate
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
5. Incomplete evidence presented – additional training time may be required
Recommendation for completion of training
6. Gained all required competences
ARCP Outcomes (Fixed term)
Satisfactory Progress7.1 Achieving progress and competences at the expected rate
Unsatisfactory or insufficient evidence (trainee must meet with panel)7.2 Development of specific competences required – additional training time not required7.3 Inadequate progress by the trainee – additional training time required7.4 Incomplete evidence presented – additional training time may be required
ARCP CT outcomes 2013
23 CAT trainees: 7 x Outcome 3 – failed primary FRCA or UoT CT2 Attrition – 1 CT1 Attrition - 1
9 ACCS-Anaes trainees: 4 x outcome 3 – failed primary FRCA Attrition - 2
ARCP ST Outcomes 2013
26 ST4 trainees: 3x Outcome 3 – 2x failed final FRCA, 1 failed
modules 1 resignation
ST7 output 2013 23x Outcome 6 & CCT recommendations 6 Substantive Consultant posts 8 Locum Consultant posts 7 UK fellowships, 2 overseas fellowships
ARCP 2014
ARCP 2014
E-portfolio for all trainees Timetable for 2014 - www.welshschool.co.uk
January 14th – Feb prog, call-backs, out-of-synch June 3rd - ST7 & CT2 programme June 19th – Regional: CT1, CT2 & LAT (fixed term
appt), Cardiff TBC – Regional: North Wales July 1st - ST4, to include intro to higher training day July 2nd - ST5 & STC July 3rd – ST3 & ST6
ARCP preparation
‘Gold Guide’ states: ‘The educational supervisor is the crucial link between the
educational and workplace based appraisal process since the trainer’s report provides the summary of the assessment evidence for the annual review process. The outcome from the annual review underpins and provides evidence for the workplace based appraisal process which is designed to reassure employers that the performance of doctors in postgraduate training is satisfactory’
‘The trainee’s educational supervisor must ensure that the trainee: Is aware of his/her responsibility to initiate workplace based
assessments Maintains an up-to-date log-book Ensures that the trainee’s professional portfolio is adequately
developed….”
ARCP preparation
“Trainees will not be ‘chased’ to provide the documentation by the required date, but should be aware that failure to do so will result in the panel failing to consider their progress”
Failure to produce evidence will inevitably lead to delay in training progression.
The paperwork is the trainee’s responsibility..but.. Experience shows that a pro-active Educational
Supervisor does help the trainee
Structured report ESSR key document within e-portfolio In addition, the College Tutor completes College Tutor
training summary to include: List of completed units of training College tutor assessment based on:
Consultant group feedback from specialist modules; paeds, cardiac, neuro, ICM, 1 year of general training
Different emphasis to MSF, which will continue as normal
Welsh School standardised Consultant feedback form Interim supervisors report
ES to complete at end of 6 month placement
ARCP Checklists
Every training year has relevant checklist All checklists for 2014 are available on
www.welshschool.co.uk – Annual review section
Mapped to the RCoA blueprint
Blueprint for intermediate training
ARCP Checklists
Every training year has relevant checklist All checklist can be found on
www.welshschool.co.uk Training > ARCP
ARCP in practice Portfolio review 10-15min
Assessment of the submitted evidence No direct assessment of the trainee Panel decide Outcome
Trainee called to see panel Clarify any issues raised by portfolio Trainee feedback Placement/training feedback
Annual planning with TPD EPEF & logbook data collection ARCP in absence
Unsatisfactory ARCP Outcome(Outcomes 2,3)
Advance notice must be given to the Welsh School if an unsatisfactory outcome is a possibility Unsatisfactory WPB Assessment tools Attitudes and behaviour concerns Exam failure Failed or incomplete units of training
FEEDBACK
CT2 vs CT3 trainees
CT3 year uniquely approved by GMC for Welsh School of Anaesthesia Optional year; Medicine, EM, ICM with Anaesthesia Apply early in CT2 year
Basic level curriculum MUST be completed in 2 years, all UoTs and Primary FRCA
If BLTC not achieved, 6 month ‘remedial’ training extension required
ACCS trainees – same 6 month ‘remedial’ training extension if BLTC not achieved
ST training extension
Outcome 3 at end of ST4 Year Failure to pass Final FRCA Failed UoTs Attitude & behaviour concerns
6 month - 1 year training extension permitted Second year of training extension only
permitted in exceptional circumstances at discretion of Dean & TPD
ARCP training
Wales Deanery ARCP Induction Powerpoint presentation
Equality & Diversity training Wales Deanery Links will be forwarded
ARCP Summary
Trainers do the assessments Educational Supervisors do the appraisal/annual
report College Tutors complete training summary The ARCP panel reviews the evidence Without the assessment, the appraisal and the
evidence – the trainee will not progress Everyone is welcome to attend! Keep in touch with www.welshschool.co.uk
Recruitment
National co-ordinated 2014
Twice yearly NCR, Autumn & Spring Run by West Midlands Deanery for RCoA Entry levels:
CT1 Anaesthesia (2+optional 3rd year prog) CT1 ACCS-Anaesthesia (3 year prog) CT2 (1 year fixed-term post) – WALES only! ST3 (5 year programme)
Eligibility criteria
CT1 18 months or less experience of anaesthetics by Aug 2014
ACCS CT1 18 months or less experience of ACCS components by
Aug 2014 CT2
At least 12 months experience/training in anaesthetics ST3
At least 21 months experience of anaesthetic training & 3 months ICM at CT/SHO level by Aug 2014
Pass the Primary FRCA (London or Ireland) by time of interview
Interview format
3 national standardised stations Presentation station (10 minutes) Structured clinical scenario (10 minutes) Portfolio review (20 minutes)
2 “independent” assessors Questions drawn from National approved bank Assessment of attributes / NTS Global rating score - ‘gut feeling’ score!
Recruitment timeline
Wales recruitment 2014 CT1
4 CAT posts (February start) 24-28 CAT posts (August start) 8 ACCS-Anaes posts (August start)
CT2 ~ 6 posts, deanery led recruitment
ST3 4 posts & LATs (February start) 20 posts (August start)
Wales interviews January 27th & 28th - CT1 CAT & ACCS-Anaes April 7th, 8th & 9th – ST3
NCR CT1 Spring 2014 CT1 Anaes/ACCS-Anaes - 1 x UoA
Can apply for multiple specialities Complete revised self-score sheet Long-listing only Guaranteed single interview
Interview : Post ratio – 3:1 Preference training programme at time of
application & offered training programme
NCR CT1 Spring 2014
Dec Jan Feb Mar Apr May June July
Advert Nov 7Applications to CT1
Anaes/ACCS1 UoA
Nov 12 - Dec 5
CT1 posts in Wales24-28 Anaesthetics
8 ACCS-Anaes
Nov
InterviewsJanuary 27-28STO Cardiff
OFFERS Feb 10UK HOLD March 12
NCR CT1 Spring 2014
National cut-off score 100/200 UKOFFS across all specialities
Candidates cannot hold 2 different specialty offers Programme upgrade option No clearing interviews but a clearing process
based on national interview station score
ACCS recruitment
Anaesthesia & AM linked to parent Local interviews
ACCS-EM 4 selection centres; Wales interviews in Severn Co-ordinated via London deanery
NCR ST3 Spring 2014 ST3 - 1 x UoA Category 2 removed for 2013
Either hold full Primary FRCA (January sitting) Hold Irish MCQ but eligible to sit Irish Primary Oral
in March 2013 Complete revised self-score sheet Long-listing only Guaranteed single interview
Interview : Post ratio – 3:1
NCR ST3 Spring 2014
Mar Apr May June July Aug
Applications to ST31 UoA
Feb 12 – March 12ST3 posts in Wales
~20 Anaesthetics
Feb
InterviewsApril 7-9
STO Cardiff
OFFERS May 12
Clearing & LAT IntsJune Birmingham
NCR Spring 2013
National agreed ST3 cut-off score 110/200 (max 200 x 3 stations) 2nd interview (clearing) – 100 ST3 unless veto
Preference training programme at time of application & offered training programme
Trial of ORIEL Programme upgrade option Advise trainees to rank every programme
ICM recruitment
National interviews, co-ordinated & run within WMD ST3 anaesthesia appointees from August 2012 can
only apply for dual CCT w ICM Future proposal to end 18 month window rule & make upper
limit at end of ST5 If >18 months, possible to apply & seek CESR (CP)
77/88 posts filled in August 2013 62% had an anaesthetics background & planning dual CCT
ICM aspiration to exceed 100 posts in August 2014
Assessor training
Developed over last 12 months by RCoA Not mandatory but strongly recommended E-learning based training All interviewer panel members will be given
login 1 hour = 1 CPD point
Dates for your diary…..
CT1 interviews – Jan 27 & 28 ST3 +/- CT2 interviews – April 7,8 & 9
ARCP & Interview dates on www.welshschool.co.uk
SPA/Professional leave