1. ARCPs: Are you ready for Progress?
School of Paediatrics, Y&H

3. Key messages Tag all entries – SLEs, Dev and Skills Log
Domain and level of competency
Map learning to RCPCH Domains
Clinical and non-clinical
Level of competency – your level or above
Demonstrate progression

4. ARCPs - Purpose Summative assessment Formative assessment and guidance
Assess each training year
Progress to next training year?
Gained competencies at each level?
Confirm/ recalculate CCT date
Recommendation for revalidation
Formative assessment and guidance
Provide feedback on e-portfolio
Set SMART objectives for next training year

5. ARCPs – Timing (1) ARCP – assessment only done during training
Assess each training year ……… Annual ARCP
Pass to next training year? At the end of each training year
Gained competencies at each level? And end of level
Absences from training (OOPC/ OOPE/ OOPR)
During OOP: Form R reviewed, ARCP outcome 0 (non-assessment)
Before OOP: outcome 1 is essential prior to OOPE/R/T
Inform HEE if you are planning to apply for OOPE/R/T/C

6. ARCPs – Timing (2) Acceleration through training
Educational supervisor and TPD’s recommendation – interim
Advance to next training year
Early outcome 6 (completion of training)
Doctor needs additional support/ training
When concerns flagged by ES/ CS – TPD’s recommendation
Review after adverse outcome: months

7. Your role as a Specialty Doctor in Training (1)
Manage Learning & Collect Evidence of Progress
Keep e-portfolio up to date
Initiate supervision meetings and reports
Initiate assessments (SLEs, MSF, START) and respond to feedback
Meet ARCP requirements by deadline (on School website)

8. Your role as a Specialty Doctor in Training (2)
Keep Up to Date with Requirements for Training
Maintain contact with HEE and TPD
Act on and respond to s
Familiarise yourself with
RCPCH Curriculum and assessments
GMC requirements
HEE YH School of Paediatrics website
YH Paediatrics ARCP e-portfolio review tool

9. ARCP STANDARDS – Progress Curriculum
Progress in ALL Generic Professional Capabilities in each LEVEL
Level 1 ACQUIRE KNOWLEDGE BASE
Level 2 APPLY KNOWLDEGE TO CLINICAL PRACTICE
DEMONSTRATE AUTONOMY
Level 3 DEVELOP PROFESSIONAL EXPERTISE, ANALYSE & EVALUATE KNOWLEDGE, TEACH & DEVELOP OTHERS

10. Progress Curriculum (1)
Progression in all GPCs relating to direct clinical care is mandatory in each training year
Professional Values and Behaviour
Professional Skills and Knowledge – Communication
Clinical Procedures
Patient Management
Safeguarding
Health Promotion and Illness Prevention
Patient Safety - includes Safe Prescribing

11. Progress Curriculum (2)
Level 1: Progress in one or more of the non-clinical GPCs is mandatory during each year
Level 2 & 3: Progress in two or more non-clinical GPCs is mandatory during each year
Leadership and Team working
Quality Improvement
Education and Training
Research

12. E-portfolio Evidence Required for ARCP
MANDATORY:
(RCPCH and YH HEE)
OPINIONS:
Supervisors’ meetings and reports
ASSESSMENTS:
Summative and formative
DEMONSTRATION OF PROGRESS:
Your evidence

13. Evidence in ARCP folder (1)
Mandatory (RCPCH)
Form R completed and signed
GMC survey receipt
Up to date Curriculum vitae
Mandatory courses (APLS, NLS/ ARNI, Safeguarding as per level)
Essential (HEE YH)
Tag ALL SLEs and entries in development and skills log
Completed CCT calculator
Panel will calculate date of end of training year and CCT

14. Evidence in e-portfolio – TAGGING
Tag EVERYTHING – SLEs, Skills & Development log
Tag Domain
Tag Level of competency
If you do not tag, the ARCP panel may not see and give you credit for it

15. Supervisors’ Opinions (1)
Clinical supervisor
Observation and feedback from MDT
Educational supervisor (triangulates evidence)
Clinical Supervisor’s Trainer’s Report
Assessments (MSF, SLEs & START)
Your evidence – development & skills log

16. SUPERVISION MEETINGS & REPORTS (2)
Number of meetings per 6 month placement/ calendar year same for FT and LTFT
CLINICAL SUPERVISION
(3 meetings/6 months calendar placement
EDUCATIONAL SUPERVISION (3 meetings/year)
One may be via phone
CS Trainer’s report
CSTR post 2 previous year
Post 1
Post 2
Long term career goals:
Initial meeting and Personal development plan
Essential
Mid-point review
End of term
Trainer’s report

17. Assessments - Summative and Formative (3)
Multi-source feedback and START
Reflection
Address areas for development
Supervised Learning Events
Generate Learning Objectives – SMART PDP
Evidence of achieving the objectives
Development and Skills Log
SLEs

18. DEMONSTRATE PROGRESS IN TRAINING
Experience
Reflection
Learning objectives/
PDP
CPD &/or
DevelopmentSkills log
Assessments (SLEs, MSF)

19. Assessments – LEVEL 1 ACQUIRE KNOWLEDGE BASE MSF
1/per calendar year (not training year) unless OOP
Separate MSF - general paediatrics and neonatal placements
MRCPCH EXAMINATIONS:
ST1: 1-2 written exams desirable
ST2: 2 written exams essential
ST3: Full MRCPCH exam essential
SUPERVISED LEARNING EVENTS:
At least one of each mandatory SLE by consultant or senior SSAG/ speciality doctor
Demonstrate learning  reflection 
develop SMART PDPs 
and complete objectives

20. MANDATORY ASSESSMENTS: LEVEL 1
Mandatory clinical cases (per level):
Respiratory, gastroenteritis, convulsions, fever, rash, abdominal pain
DOPS: 1 each in level 1:
 bag & mask ventilation  tracheal intubation of newborn infants
peripheral venous cannulation  umbilical venous cannulation
lumbar puncture
Safeguarding CBD: 1/training year Demonstrate knowledge of recognition and response as per level 2 safeguarding training
HAT: 1/level
Demonstrate appreciation of patient safety, risk, ability to prioritise clinical issues
CBDs: Minimum 1, suggest 4
Demonstrate reasoning, decision making, application of knowledge to patient care
Mini-CEX: Minimum 1, suggest 4
Demonstrate good clinical care

21. ASSESSMENTS: LEVEL 1
Demonstrate learning: reflection, develop SMART PDPs, and complete objectives
ACAT:
Demonstrate ability to assess risk and prioritise tasks when managing clinical workload in acute settings over a period of time – day shift
DOCS:
Letters – referral/ clinical/ discharge, medical reports, medical notes
Demonstrate ability to document pertinent information accurately
LEADER:
Apply to a clinical case or clinical problem – how could the management of this situation be improved?

22. Assessments – LEVEL 2 (slide 1)
APPLY KNOWLDEGE TO CLINICAL PRACTICE,
DEMONSTRATE AUTONOMY
MSF
1/per calendar year (not training year) unless OOP
One each in general paediatrics, community child health and neonatal placements
SUPERVISED LEARNING EVENTS:
Must complete SLEs in all these settings:
General paediatrics, neonates, community child health, ward and out-patient clinics.
At least one of each mandatory SLE by consultant or senior SSAG/ speciality doctor
Demonstrate learning  reflect  develop SMART PDPs  complete objectives

23. MANDATORY ASSESSMENTS: LEVEL 2 (slide 2)
Demonstrate learning: reflect, develop SMART PDPs, complete objectives
Safeguarding CBD: 1/training year
Demonstrate skills to assess, form and opinion and manage per level 3 safeguarding training
HAT: 1/ training year
Demonstrate plans to maximise patient safety, minimise risk and prioritise and action relevant clinical tasks
LEADER: 1/training year
Apply to a clinical case or clinical problem- how will you improve your leadership and the NHS system?
ACAT: mandatory 1/level
Demonstrate autonomy in managing clinical workload in an acute setting over a period of time – day shift
DOCS: 5/level
Letters – referral/ clinical/ discharge, medical reports, medical notes

24. ASSESSMENTS: LEVEL 2 (slide 3)
DOPS:
Demonstrate autonomous practice and evolving proficiency to deal with complications
CBDs:
Minimum 1, suggest 4
Demonstrate reasoning, decision making, application of knowledge to patient care
Mini-CEX:
Demonstrate good clinical care

25. Assessments – LEVEL 3 (slide 1)
DEVELOP PROFESSIONAL EXPERTISE,
ANALYSE & EVALUATE KNOWLEDGE,
TEACH & DEVELOP OTHERS
MSF
1/per calendar year (not training year) unless OOP
ST8: Must support ability to perform at consultant level by CCT date
START:
Must demonstrate completion of learning objectives highlighted in feedback
Demonstrate this in skills and develop log and through SLEs
CSAC PROGRESSION FORM:
Doctors undertaking Subspecialty Grid training

26. MANDATORY ASSESSMENTS: LEVEL 3 (slide 2)
SUPERVISED LEARNING EVENTS:
At least one of each mandatory SLE by consultant or senior SSAG/ speciality doctor
Demonstrate learning  reflect  develop SMART PDPs  and complete objectives
Safeguarding CBD: 1/training year
Demonstrate ability to take overall responsibility in managing safeguarding issues in CYP
LEADER: 1/training year
Demonstrate leadership in improving own and team’s performance, and in improving NHS clinical systems
HAT: 1/level
Demonstrate appreciation of patient safety, risk, ability to prioritise clinical issues
DOCS: 5/level
Letters – referral/ clinical/ discharge, medical reports, medical notes

27. ASSESSMENTS: LEVEL 3 (slide 3)
Demonstrate learning: reflection, develop SMART PDPs, and complete objectives
DOPS:
Demonstrate autonomous practice and evolving proficiency to deal with complications
HAT:
Demonstrate leadership in managing team to maximise patient safety, minimise risk and prioritise and action relevant clinical tasks
ACAT:
Demonstrate leadership skills in managing clinical team in an acute setting over a period of time – day shift
CBDs:
Minimum 1, suggest 4
Demonstrate reasoning, decision making, application of knowledge to patient care
Mini-CEX:
Demonstrate good clinical care

28. Evidence Presented by You for ARCP (4)
E-portfolio of learning
Response to SLEs, MSF and START
Personal development plan - GOALS
Development log
Skills log

29. Responses to SLEs, MSF and START (3)
IDENTIFY learning objective(s)
DEVELOP SMART PDP
Evidence of achieving GOAL

30. Personal Development Plan
SMART PDP
Clinical GPCs
Non- Clinical GPCs
REVIEW
Regularly
Set new goals
COMPLETE
Dev / Skills Log
Assessments

31. Development Log (3) Patient Safety safe prescribing
Clinical procedures,
Patient management,
Safeguarding
Professional values & behaviours,
Communication
Leadership and Teamwork
Quality Improvement
Educational and Teaching
Research
Patient Safety safe prescribing
Health Promotion & Illness Prevention

32. Skills Log (3) Expert Proficient Autonomous practice Competent
Can teach
Proficient Autonomous practice
Competent
Knows > Knows how > Shows how > Does

33. Key messages
TAG EVERYTHING
RCPCH Domains
PROGRESSION through levels

34. Take home message
TAG!