ARCPs & Recruitment

Sarah Harries

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

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!

Biggest change!

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

ARCP Outcomes (Fixed term)

Satisfactory Progress7.1 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 required7.3 Inadequate progress by the trainee – additional training time required7.4 Incomplete evidence presented – additional training time may be required

ARCP CT outcomes 2013

23 CAT 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

ARCP ST Outcomes 2013

26 ST4 trainees: 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

ARCP 2014

ARCP 2014

E-portfolio for all trainees Timetable for 2014 - www.welshschool.co.uk

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

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….”

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

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

ARCP Checklists

Every training year has relevant checklist All checklists for 2014 are available on

www.welshschool.co.uk – Annual review section

Mapped to the RCoA blueprint

Blueprint for intermediate training

ARCP Checklists

Every training year has relevant checklist All checklist can be found on

www.welshschool.co.uk Training > ARCP

ARCP in practice Portfolio review 10-15min

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

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

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

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

ARCP training

Wales Deanery ARCP Induction Powerpoint presentation

Equality & Diversity training Wales Deanery Links will be forwarded

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 www.welshschool.co.uk

Recruitment

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)

Eligibility criteria

CT1 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

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!

Recruitment timeline

Wales recruitment 2014 CT1

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

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

NCR CT1 Spring 2014

Dec Jan Feb Mar Apr May June July

Advert Nov 7Applications to CT1

Anaes/ACCS1 UoA

Nov 12 - Dec 5

CT1 posts in Wales24-28 Anaesthetics

8 ACCS-Anaes

Nov

InterviewsJanuary 27-28STO Cardiff

OFFERS Feb 10UK HOLD March 12

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

ACCS recruitment

Anaesthesia & AM linked to parent Local interviews

ACCS-EM 4 selection centres; Wales interviews in Severn Co-ordinated via London deanery

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

NCR ST3 Spring 2014

Mar Apr May June July Aug

Applications to ST31 UoA

Feb 12 – March 12ST3 posts in Wales

~20 Anaesthetics

Feb

InterviewsApril 7-9

STO Cardiff

OFFERS May 12

Clearing & LAT IntsJune Birmingham

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

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

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

Dates for your diary…..

CT1 interviews – Jan 27 & 28 ST3 +/- CT2 interviews – April 7,8 & 9

ARCP & Interview dates on www.welshschool.co.uk

SPA/Professional leave