Emergency Medicine


ARCP (Annual Review of Competency Progression)

An assessment of evidence of competency progression is made annually by a panel of at least three individuals made up of a training programme director or head of school and two other trainers.

All  ACCS AN, EM and AM trainees must have their portfolios ready for review by 6th June 2017.

The information included up to this date will be noted as part of either a face to face or (from June 2017) a remote panel review process i.e. the trainee does not need to attend in person.

All Trainees must upload a completed ARCP checklist into their personal library. Each  section of the checklist should indicate where the relevant assessments are uploaded. This will enable the reviewer to easily find information for all ACCS groups.


Anaesthetic trainees should upload  any paper based WBPA onto  the RCOA eportfolio. This must include evidence mapped to the ACCS common competences. List where uploaded WBPAs have been filed on the ARCP checklist


ARCP (who should attend a face to face meeting)

 The following trainees will be expected to attend their ARCP as a face to face meeting (unless out of programme at the time)

1. All CT/ST1 ACCS, AN, AM and EM.

2. All EM CT3 (not ST3 i.e. Only the non run through trainee), ALL DRE EM year 1 and some DREEM year 2, ST5 and ST6.

3. Additonally: There will be a select group of trainees that the TPDs will inform the School of EM outside of the above groups, who will also be seen face to face at ARCP. This group of trainees will be made known to the School of EM by 26th April.

Face to face meetings

If you are invited to a face to face meeting, the meeting will go through the ARCP outcome, give narrative feedback about the year, offer career advice and listen to any concerns about training. For those with an adverse outcome at ARCP, problems with progression will be discussed and educational prescriptions formulated.

ARCP (who does not need to attend a face to face meeting)

All other trainees not included in the above list will have a remote ARCP unless indicated to the School of EM by the TPD in advance . i.e. they will NOT need to attend a face to face meeting. The panel will review the evidence presented in the e-portfolio in advance of the actual ARCP date and complete an ARCP checklist  to bring to the panel whereby an outcome recommendation will be made.


There is external validation of this process. At least 10% of ARCP panel decisions are reviewed by a trained lay representative and an experienced member of another Deanery School of Emergency Medicine.


In the ARCP meeting the panel will review the ePortfolio, with particular regard to the Educational Supervisor’s structured training report . A checklist of the elements required by the Royal College of Emergency Medicine is used in this meeting. This checklist is taken directly from the 2015 curriculum.

The checklists that you will be assessed against are available by following the links at the bottom of this page. Please familiarise yourself with them from the outset of your first year of training. More detail can be found on the Royal College of Emergency Medicine 2015 Curriculum and the ACCS website.

The primary purpose of the ARCP meeting is to ensure that:

  1. All evidence that has been requested is in place, and that
  2. The evidence collated indicates that the trainee is gaining the requisite clinical and professional skills to progress in training.

If all elements are in place and the evidence indicates that the trainee is progressing as expected, then an ARCP outcome 1 is issued.

If all required evidence is not available for review, then the trainee will be issued an Outcome 5. This requires the trainee to write formally to the Head of School to explain the shortfall in evidence. Following this explanation the ARCP panel may decide that outcome 5 assessment will form part of the trainee’s record. The trainee will be informed of what further evidence is required and a time scale for delivery. If this is not achieved within the academic year then training will need to be extended - i.e. an ARCP outcome 3 issued.

The ARCP process usually occurs in June and July. It is important, however, that the requisite evidence is collated throughout the year.

For a more detailed guide to ARCP please see section 7 of the Gold Guide.


How to pass your ARCP: CT1

How to pass your ARCP: CT2

How to pass your ARCP: CT3

How to pass your ARCP: ST4

How to pass your ARCP: ST5

How to pass your ARCP: ST6

How to pass your ARCP: ST7 (Paediatric Emergency Medicine sub-speciality training)

How to pass your ARCP: DRE-EM: Acute Medicine

How to pass your ARCP: DRE-EM: Anaesthetics

How to pass your ARCP: DRE-EM: Emergency Medicine

How to pass your ARCP: DRE-EM: ICM

How to pass your ARCP: DRE-EM:PEM

Faculty Educational Governance Statement

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