Annual Review Competence Progression.

Annual Review Competence Progression.

The ARCP is the formal process by which a GPStR’s progression through training is reviewed and assessed. 

The ARCP panel of assessors confirms progress in each of the specialty training years and approves progress from one year to another.

The final ARCP panel at the end of training will make a recommendation on the award of a Certificate of Completion of Training (CCT). This recommendation will be based upon evidence that the GPStR has covered the GP curriculum, including satisfactory workplace based assessments, the completion of all components of the MRCGP exam and reports submitted by both their Educational and Clinical Supervisors. The Panel Chair will sign off the ARCP form for approval by the RCGP.

Once you have left the training programme, Health Education England working across Yorkshire and the Humber would be grateful for feedback on your experiences by completing a short survey located here.

Gold Guide requires that your Clinical Supervisor and Educational Supervisor reports are completed at least 2 weeks  before the ARCP date.

 

 

Advice on Requirements and Best Practice

It is possible to define the requirements for the WPBA and associated evidence that are expected of all GPSTRS and link these back to the authority which has defined them. However it is important to note that only looking at the requirements but not at advised Good Practice both in the document attached here and elsewhere on the Y&H website may result in a higher risk of the portfolio being found to be missing important evidence of training progression.

GPST ePortfolio Guidance for Satisfactory Progression at ARCP Panels

Applied Knowledge Test

Further information on the AKT is available here. 

Clinical Skills Assessment

Further information on the CSA is available here. 

Form R and Revalidation

Revalidation is the General Medical Council’s new way of regulating licensed doctors. As a Doctor in training in Yorkshire and the Humber, your Responsible Officer (RO) is Mr David Wilkinson the Postgraduate Dean. The RO makes his recommendation about revalidation based on your participation in the Annual Review of Competence Progression (ARCP) process.. The Form R has 2 parts, Part A which is completed upon initial registration for a training programme and Part B which is completed annually.

Doctors in training must complete a Form R Part B ahead of their Annual Review of Competence Progression (ARCP), this is essential as it:

  • Ensures the doctor is registered on the Health Education England working across Yorkshire and the Humber database
  • Initiates the Annual Review of Competence Progression (ARCP) process
  • Forms a part of the mandatory Revalidation Process. Trainees cannot be revalidated without this.

The Form R will be sent to trainees by a member of the programme support team a few weeks before the scheduled ARCP. Guidance on how to complete the Form R (Parts A and B) can be found here:

GPSTR Guidance for completion of Registration Form (Form R Part A)

GPSTR Guidance on Revalidation Self-declaration (Form R Part B) YH GP School

View the more detailed information on the Revalidation process

Naturally Occurring Evidence

Full information on how to complete the NOE Workbook is available here. 

Work Place Based Assessments

WPBA is supported through the eportfolio and includes a variety of tools to gain a comprehensive understanding of competencies and development. These include:

  • Case-based Discussion
  • Consultation Observation Tool (in primary care only)
  • Multi-Source Feedback
  • Patient Satisfaction Questionnaire  (in primary care only)
  • Clinical Examination and Procedural Skills (CEPS)
  • Clinical Evaluation Exercise (Mini-CEX)  (in hospital posts)
  • Clinical Supervisors Report

Who can do my WPBA

Mini CEX

The appropriate people to undertake this are defined by RCGP as a staff grade doctor, nurse practitioner, clinical nurse specialist, an experienced specialty registrar (ST4 or above) or consultant. The observer should not be a peer - a fellow GP trainee or specialty trainee at a similar stage in training. http://www.rcgp.org.uk/training-exams/mrcgp-workplace-based-assessment-wpba/minicex-tool-for-mrcgp-workplace-based-assessment.aspx

CbD

In hospital

The CbD should be carried out by a consultant, an associate specialist or experienced registrar in the speciality concerned (ST4 or above).  

In GP

The CbDs should be carried out by trainers approved by the GP School as Clinical and Educational supervisors.

In ST3, one out of the minimum requirement of 12 COTs can be carried out by a prospective trainer who has been trained for this as part of the pathway to becoming a trainer.

CbDs should not be carried out by other GPs employed in the practice, even those who have been on the GP School Autumn and Spring courses for partners of trainers. CbDs should not be carried out by OOH supervisors.

COT

COTs should only be carried out in General Practice placements. The COTs should be carried out by trainers approved by the GP School as Clinical and Educational supervisors.

In ST3 one out of the minimum requirement of 12 COTs can be carried out by a partner of a trainer who has been trained for this role by attending the Partners of GP trainers workshop at the spring and autumn school, or by an intending trainer who has been trained for this as part of the intending trainer pathway.

COTs cannot be carried out in hospital posts and should not be assessed by OOH GPs unless this person is also a GP trainer.

Where a trainee offers more than the minimum requirements of COT or CbD for their stage of training it is appropriate for some or all of the "extra" assessments to be done by intending GP trainers or (for COTS only) partners who have been on the Spring and Autumn school course training them to do this.

CEPS and DOPS

The single process of assessment of skills that was DOPS has been replaced by CEPS in which different sorts of evidence should be used to demonstrate competence in Clinical and procedural skills. The GMC has however mandated that as well as demonstrating the competency overall, all trainees must be competent in 5 mandatory intimate examinations breast, male and female genital examinations, rectal and prostate examinations).

Full details of this can be found in the CEPS manual for which there is a link below.

View more information about the eportfolio.

View further details about the GP curriculum.

View the CEPS manual 2015

10 things to know about DOPS and CEPS

There is naturally occurring evidence (NOE) that you can be demonstrated through learning which can include: curriculum coverage, learning log entries, personal development plans, CPR and AED competency, Out of Hours experience, audit, presentations, and end-of- post reflections. Please see the NOE page for more detailed information.

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