1. ARCPs & Recruitment
Sarah Harries

2. 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
Process for the trainee, PG Dean & HB employers to document that competencies that are being achieved at the required rate & with the appropriate experience

3. 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!

4. Biggest change!
ARCP

6. 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

7. ARCP Outcomes (Fixed term)
Satisfactory Progress
7.1 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 required
7.3 Inadequate progress by the trainee – additional training time required
7.4 Incomplete evidence presented – additional training time may be required

8. ARCP CT outcomes 2013 23 CAT trainees: 9 ACCS-Anaes 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

9. ARCP ST Outcomes 2013 26 ST4 trainees: ST7 output 2013
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

10. ARCP 2014

11. ARCP 2014 E-portfolio for all trainees
Timetable for
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
Trainee invited to the ARCP, Invite letter outlines all required evidence with relevant checklist, Minimum 6 weeks notice

12. 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….”

13. 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

14. 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

15. ARCP Checklists Every training year has relevant checklist
All checklists for 2014 are available on – Annual review section
Mapped to the RCoA blueprint

16. Blueprint for intermediate training

17. ARCP Checklists Every training year has relevant checklist
All checklist can be found on
Training >
ARCP

18. ARCP in practice Portfolio review 10-15min Trainee called to see panel
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

19. 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

20. 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

21. 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

22. ARCP training Wales Deanery ARCP Induction
Powerpoint presentation
Equality & Diversity training
Wales Deanery
Links will be forwarded

23. 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

24. Recruitment

25. 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)

26. Eligibility criteria CT1 ACCS CT1 CT2 ST3
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

27. 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!
Standardised interview format consists of 3 stations of 10 mins duration. 2 independent assessors score each applicant so that each applicant has assessments made by 6 individual consultants.
Each station has a scoring framework for the attributes tested at that station plus a global rating score is awarded by each assessor 27

28. Selection Centre Total
Interview
Portfolio
Presentation
Selection Centre Total
Assessor A B C D E F
Attributes
Commitment to specialty / UoA 5 10
Communication
Clinical judgment / decision making
Organisation 20
Reflective practice
Team Working
Working Under Pressure
Global Rating 60
Totals 50
150
Content of Portfolio
200

31. 31

32. Recruitment timeline

33. Wales recruitment 2014 CT1 CT2 ST3 Wales interviews
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

34. 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

35. NCR CT1 Spring 2014 Advert Nov 7 Applications to CT1 Anaes/ACCS 1 UoA
Nov 12 - Dec 5
CT1 posts in Wales
24-28 Anaesthetics
8 ACCS-Anaes
Interviews
January 27-28
STO Cardiff
OFFERS Feb 10
UK HOLD March 12
Nov
Dec
Jan
Feb
Mar
Apr
May
June
July

36. 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

37. ACCS recruitment Anaesthesia & AM linked to parent ACCS-EM
Local interviews
ACCS-EM
4 selection centres; Wales interviews in Severn
Co-ordinated via London deanery

38. 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

39. NCR ST3 Spring 2014 Applications to ST3 1 UoA Feb 12 – March 12
ST3 posts in Wales
~20 Anaesthetics
Interviews
April 7-9
STO Cardiff
OFFERS May 12
Clearing & LAT Ints
June Birmingham
Feb
Mar
Apr
May
June
July
Aug

40. 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

41. 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

42. 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

43. Dates for your diary….. CT1 interviews – Jan 27 & 28
ST3 +/- CT2 interviews – April 7,8 & 9
ARCP & Interview dates on
SPA/Professional leave