Dr Becky Gove CT1 Psychiatry - HEKSS An Idiot’s Guide to the Annual Review of Competence and Progression (ARCP) for Core Trainees in Psychiatry Start Dr Becky Gove CT1 Psychiatry - HEKSS

Menu Why do we have to go through the ARCP? How do we satisfy the panel? What happens prior to the ARCP? Who is in an ARCP panel? What happens on the day of the ARCP? What are the possible outcomes? For Less than Full Time Trainees What happens next? Useful links

Why do we have to go through the ARCP? Think of it as your very own vital signs……it’s difficult to progress an assessment of a patient without these and it is difficult to progress your career without a satisfactory ARCP outcome It documents a judgement and recommendation about whether your progress has been satisfactory It provides feedback to you on your progress It ensures public safety in demonstrating that doctors are properly trained Links in with revalidation which occurs every 5 years and at Certificate of Completion of Training (CCT) for doctors once they are fully licensed to practise (ie. F2 and above) The responsible officer involved in revalidation will use the ARCP documentation to recommend revalidation to the GMC

How do we satisfy the panel? (1) By demonstrating the good work you have done via your eportfolio Completion of work based assessments. Start early and try and gain more than the minimum recommendations Ensure your educational supervisor’s level 1 report for both placements for that year have been completed. This is a fairly long document so may take more than one sitting Upload a current, dated, Curriculum Vitae. Upload your current GMC certificate. You can access this via your login at the General Medical Council’s website. Upload letters of thanks/complaints to your eportfolio (anonymise these!) Show evidence of engagement with the MRCPsych examinations

How do we satisfy the panel? (2) LEADER form - one for each of your placements. Available for download at the bottom of this webpage: http://www.ksseducation.hee.nhs.uk/specialty/psych/progression/psych-arcpir/ Evidence of research, audit and teaching Evidence of engagement with Balint Group - Case Based Discussion Group Assessment (CBDGA) Evidence of competency with psychotherapy cases - Structured Assessment of Psychotherapy Expertise (SAPE) Engagement with courses and conferences Reflections. Aim for one per month at least Complete your enhanced Form R Completion of the GMC National Trainee Survey, upload your completion code to your eportfolio List of absences

What happens prior to the ARCP? An interim review takes place roughly 6 months prior to the ARCP. You will meet with the Training Programme Director who will review with you how you are doing and advise you at the end of the meeting if your progress so far means you will need to attend the ARCP in person and in which case you are potentially going to receive an unsatisfactory outcome (see later). A training plan will be made at this stage leading up to ARCP. 2 weeks prior to the ARCP all of your evidence must be uploaded to your eportfolio otherwise your outcome will be affected. Any ongoing complaints or investigations should be declared and those previously resolved should have been reflected on in your eportfolio. These should not make the event easily identifiable but draw on personal conclusions without assigning blame. The evidence used includes that in your eportfolio, interim reviews, supervisor reports, teaching and Balint group attendance, exam results and coverage of the speciality curriculum.

Who is in an ARCP panel? There must be at least three people One of these three must be the Head of School, the Postgraduate Dean (or deputy) or a Training Programme Director Other appropriate members include speciality school representatives, deanery representatives, employer representatives The panel will also have input from a lay advisor (a normal person who has been given training in the ARCP process). The lay member’s role is to ensure that the process of the ARCP is being followed in the correct way as opposed to giving an opinion on your outcome If a panel member is a supervisor of you and has concerns about you then they will withdraw temporarily from the process while your outcome is being discussed

What happens on the day of the ARCP? You should have been informed prior to the ARCP panel date if there is a risk that you will be given an unsatisfactory outcome Although some outcomes are referred to as “unsatisfactory”, often the need for an extension, or particular focussed training, will have been planned and agreed between the doctor, the educational supervisor, and the training program director,  so that a positive plan comes to the ARCP panel for agreement As a result of this pre-warning you may be asked to be present on the day You will not be present for the ARCP discussion of your outcome but you may be invited to meet with the panel afterwards to discuss your outcome and to talk about the next steps Satisfactory outcomes are outcome 1 or 6, outcomes 2-5 are unsatisfactory Each unsatisfactory outcome comes with an explanatory code eg. U5 = single exam failure

What are the possible outcomes? 1) Satisfactory Progress 2) Development of specific competences required 3) Inadequate progress 4) Released from training programme 5) Incomplete evidence presented 6) Gained all the required competences 7) Fixed-term posts 8) Out of programme N) No outcome

Outcome 1: Satisfactory Progress Achieving progress and the development of competences at the expected rate You are doing just fine and achieving your competences at the rate required of you

Outcome 2: Development of specific competences required Additional training time not required Your overall progress has been acceptable but you have some competences that need to be further developed You will receive, in writing, the specific further development that is required usually with a timetable to do this If you meet these specifics then your training programme length will not need to be extended

Outcome 3: Inadequate progress Additional training time required You will need to complete a formal additional period of training which will lengthen the time you spend in training Usually six months but may be less, or tied to attaining a particular competence e.g. an exam pass. A further extension beyond the six months is only agreed in special circumstances, confirmed by the Postgraduate Dean as being exceptional You can have your training extended by a period of one year over the course of your training (core and higher training)

Outcome 4: Released from training programme With or without specified competences Following an outcome 3 and additional training time if you have still not made adequate progress you will be asked to leave the training programme

Outcome 5: Incomplete evidence presented Additional training time may be required You have not submitted the required evidence in order for the panel to make a decision about you Within 5 days of the panel you will have to write to the panel explaining why you have not provided them with the documentation needed You will then be informed of the time limit in which you need to provide them with the evidence needed If you forget to complete and submit your form R you will be given an outcome 5!

Outcome 6: Gained all the required competences Will be recommended as having completed the training programme (core or specialty) and if in a run-through training programme or higher training programme, will be recommended for award of a CCT/CESR(CP)/CEGPR(CP) Well done you!

Outcome 7: Fixed-term posts (e.g. LATs) 7 is used as a prefix for trainees in LAT posts The suffix is .1,.2,.3 as outcomes described above however 7.4 means that you have not provided sufficient evidence and not that you are leaving the training programme

Outcome 8: Out of programme Out of programme for clinical experience, research or a career break (OOPE/OOPR/OOPC) To be used if you are currently taking a break from training for any of the reasons listed You will still need to provide the panel with evidence of what you are doing with your time, usually a form or a report depending on what you are doing

Outcome N: No outcome You will not receive an outcome if you are absent due to maternity or sick leave or where your training has been suspended

For Less than Full Time Trainees Your ARCP will take place annually with everyone else Your progress will be assessed proportionately with how much you are working (eg. 60%)

Unsatisfactory outcome What happens next? Satisfactory outcome Unsatisfactory outcome

Satisfactory outcome If you have received an outcome 1 or 6 then give yourself a pat on the back and carry on with your training or enjoy your consultant post!

Unsatisfactory outcome Follow the recommendations made by the panel and engage with your local training programme director, educational supervisor and employer in order to plan how you will achieve the required competences If you do not agree with the outcome then you can request a review or you can appeal A review is where the original panel reconsiders whether their original decision was appropriate An appeal is where a different individual/group to the original panel considers the original decision of the panel and reviews any new evidence provided For outcome 2 you can request a review but you cannot appeal For outcome 3 or 4 you can request an appeal and you have a right to address the appeal panel with or without a representative

Useful links HEKSS School of Psychiatry Core Trainee Handbook 2015/2016: http://www.ksseducation.hee.nhs.uk/files/2015/06/HEKSS-Core-School-of-Psychiatry-Handbook-2015-2016.pdf HEKSS ARCP requirements: http://www.ksseducation.hee.nhs.uk/specialty/psych/progression/psych-arcpir/ RCPsych Core Curriculum: http://www.rcpsych.ac.uk/pdf/Core%20Curriculum_FINAL%20Version_July2013_updatedJun15.pdf RCPsych Work Place Based Assessment Guide: http://www.rcpsych.ac.uk/pdf/WPBA%20Guide%20for%20Core%20Psychiatry%20Training%20(June%202010).pdf The Gold Guide: A reference guide for postgraduate speciality training in the UK: http://copmed.s3.amazonaws.com/publications/gold-guide/Gold%20Guide%206th%20Edition%20February%202016.pdf?AWSAccessKeyId=AKIAIGEGZICS6K7TFJ5Q&Expires=1463739475&Signature=tn9tzO7OjqTCexrGTZ6MJFgy8h8%3D

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