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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