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

progression-through-training/arcp/ RCOG Training Matrix

ARCPs ST1ST2 Clinical skills and curriculum completion First on call Progress with signing off basic competences Initially first on call; develop competences so can be 2 nd on call by end of ST2 Completion of basic logbook competences

ARCPs ST1ST2 ExaminationPart 1 MRCOG

ARCPs ST1ST2 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 ultrasound modules in O&G

ARCPs ST1ST2 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)

ARCPs ST1ST2 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 ST1ST2 Mini – CEX CbDs Reflective practice 8 (4 Obs + 4 Gynae) 8 8 (4 Obs + 4 Gynae) 8 NB MUST be evenly spread throughout the year

ARCPs ST1ST2 Obligatory courses Regional teaching Basic practical skills CTG training (usually e-learning package) All regional training days (RTDs) 4/6 min. Obstetric simulation course (eg ALSO/PROMPT/other) Basic ultrasound Courses for basic competences not in RTDs Third-degree tear All RTDs 4/6 min.

ARCPs ST1ST2 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 ST1ST2 Clinical governance (Audit/risk management/ quality/safety) One completed & presented audit Evidence of attendance at local risk management meetings Ditto

ARCPs ST1ST2 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: 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, or Deanery 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