What should I do before ARCP? Handbook for trainees (2023)

ARCP stands for Annual Skills Progress Review and is an essential part of the training program.Click here to watch a video explaining the ARCP process.

In summary, all trainees need an annual review of the ARCP calendar, usually on the anniversary of the start of training. This includes apprentices who have participated in less than full-time training (LTFT). If the trainee is OOP (Out of Programme), such as on sick or maternity leave, it is not possible to take the ARCP, although the trainee must still submit a Form R for renewal.

Key points:

• All trainees require an annual calendar review and this is usually done locally.
• All interns currently on sick/maternity/unpaid leave will not have a formal ARCP but will still be required to submit an R form
• Participants who plan to be absent from training, e.g. maternity leave, must have an ARCP set before the start of the absence
• Ideally, ST3 trainees undergoing standard training programs should have their final check within the first two weeks of June as it takes up to 6 weeks to obtain a CCT during the peak CCT summer and the time when all referrals need to be made to the GMC usually occurs around July 20.

Most annual ARCPs are held between June and July, as interns typically begin training in August. However, if a trainee started training in February, their ARCP calendar year will be in December and January. Trainees who do not align with normal training program schedules as a result of maternity leave, LTFT work, OOP or any other paid or unpaid leave will still have their annual ARCP calendar at the time that reflects the start of training. Ideally, they should have an ESR and ARCP just prior to a planned break from training and should have a planned ESR within 2 months of returning to training. This could be in the form of a formal ESR or a planning discussion recorded as a Teacher's Note. They will continue to have an annual ARCP calendar until they are close to completing their training. At this time, the ESR and ARCP final review period will be adjusted to include one review within 2 months of the CCT date.

An ESR (Educational Supervisor Review) must be completed before you can receive an ARCP.

Make sure it is between 2 and 8 weeks from your ARCP date.

Learn more about ESR by clicking here.

If you do not submit an ESR, you will automatically receive a grade of 5 (incomplete evidence) for your ARCP. For more information on potential ARCP results, see the "Results" link in the clickable box above this link.

Form R must be completed prior to each ARCP.

Form R is a self-declaration form completed by trainee doctors. Until January 2014, participants had to fill out the Extended R form for registration and renewal. To avoid duplication and reduce the amount of unnecessary form completion by trainees, this combined form is now split into two separate parts, Part A and Part B, so that you do not always need to complete both parts when only one is required.

You can find an additional explanation of the R form and a link to download itby clicking here.Please read the instructions carefully, especially how to accurately record any absences that count as "Training Break" and watch the instructional video to ensure you have completed them correctly.Many trainees can avoid unnecessary worry by taking the time to record information accurately.

Be sure to attach Form R to your ePortfolio as a journal entry.

If you do not submit Form R, you will automatically receive a grade of 5 (incomplete evidence) for your ARCP. For more information on potential ARCP results, see the results link in the clickable box above this one.

If you have had an ARCP before, you may see previous ARCP forms in your ePortfolio.

Be sure to read it and if the previous commission instructed you to do something, definitely do it.

Make sure you have completed the ePortfolio assessments required for your training phase.

RCG requirements for ST1, ST2 and ST3 stages of training, including LTFT (less than full-time trainees), can be foundby clicking here.

THAT. In the new electronic portfolio, there are different types of journal entries that you can enter. You should try to take advantage of 13 career opportunities during each ST phase. The following are the minimum requirements for a learning record:

• 3 continuous clinical case reviews (CCR) per month (36 per ST)
• 1 Learning Event Analysis (LEA) for the ST phase
• At least one entry per year that demonstrates the practical application of knowledge about the protection of adults and children in clinical practice. Attention. Childcare is not mandatory if the positions during the year do not include childcare
• Quality Improvement Activities (QIA). One for each ST phase where you are not conducting a Quality Improvement Project (QIP).
• Leadership activity. One in ST3.
• If you were involved in significant events or major contingencies listed on your R form, there should be a record in your electronic portfolio that reflects that situation.

Other types of diary entries are recommended and can help demonstrate the range of clinical experience of groups.

• Your PDP must be active, ie goals must be defined between ESRs (or before the first ESR).

• Your goals must be SMART: (specific, measurable, achievable, relevant and timed)

• Although it seems obvious, your goals must be achieved! We don't expect you to complete all of these before each ARCP, but we do expect progress toward some PDP goals between ARCP panels. It is better to have a few meaningful and important PDP goals than a dozen superficial goals.

• If this is your last ARCP before qualifying as a primary care physician, you must have open PDP goals that you plan to achieve before your first assessment as a qualified primary care physician. The assessment is an annual requirement for all GPs, so by planning your PDP this way you will be less busy before your first post-CCT assessment.

There is no minimum number of participants in any training phase. However, CEPS assessments are useful for demonstrating performance in clinical trial competencies and process skills. It can also be demonstrated through log entries and observations as part of other assessments (eg COT, CSR) and certification of training in specific skills (eg basic life support). However, if you do, it will be easier to demonstrate the development of this ability.

Interns are considered based on where they have been. For example, it may be typical for an intern to not have a CEPS at a psychiatric post. However, it would be highly unusual for a trainee not to undergo CEPS for a female genital examination after a placement in obstetrics and gynecology.

for your final ARCPyou must complete all mandatory CEPS examsI got it: breast examination, male genital examination, bilateral right examination and female speculum, prostate examination and rectal examination.Note that the prostate exam and the rectal examtwo different ratingsboth assessments must also have separate supporting documents.

CEPS must be supervised by an ST4 or higher physician or nurse appropriately trained and competent to perform the procedure being evaluated. (For example, a nurse working in a breast clinic is competent to assess a breast exam, but a nurse working in an orthopedic ward generally cannot).

To obtain a final ARCP before qualifying as a GP (in addition to the normal ARCP requirements) you will need the following documents:

• exam points
  • Passes AKT and CSA exams.
• Completion of mandatory CEPS assessments
  • There are five intimate examinations that need to be considered in detail as they are required by the GMC. This includes examination of the breast, rectum, prostate, male genitalia and two-handed examination of women and speculum examination. Note that the prostate exam and the rectal examtwo different classifications,both assessments must also have separate supporting documents.
• Evidence of life support training
  • Participants can demonstrate their life support skills in ONE of the following ways:
    • ABLS and AED certificate valid after CCT date. Since the BLS certificate is only valid for 1 year, this means that it must be obtained at the appropriate ST3 time of year. On-site training is also required.
    • ALS certification is not sufficient unless supported by proof of direct BLS and AED training current after the date of your CCT. (Please note that the ALS course is not eligible for GP school funding as it is not part of the RCGP curriculum requirements. If required for a hospital post, the hospital is responsible for funding the course.)
• Evidence of urgent and unplanned care (UUC)
  • Evidence of UUC can be provided for work in primary and secondary health care settings. This can also be shown during or outside of working hours. Evidence may include workplace assessments and learning records for urgent and unscheduled care. You won't be able to prove this group of clinical experience if you haven't worked in traditional out-of-hours settings, so it's important to arrange a few out-of-hours shifts and provide evidence of this.
• Level 3 security test
  • This requirement can be met by ensuring:
    • Participants must complete Level 3 Adult and Child Protection training at the start of the training and record in the e-Portfolio.
    • There should be an annual update on the protection of adults and children, under that heading. They are usually provided as part of a half-day publishing program.
    • Annually, they are entered in a diary that shows the practical application of knowledge acquired in clinical practice for the protection of adults and children. This may include attending safety meetings, job interviews, or actively participating in safety issues.
• prescription assessment
  • You must start this when you are on ST3 for the full 3 month period
• MSF leadership and leadership activity
  • Must be taken in ST3. MSF leadership must be related to the leadership activity you have undertaken.
• Evidence of skills in all 13 professional skills
  • Your final ESR must be marked "Competent in Licensing" in all 13 professional qualifications.

Combined training is where a trainee can have previous relevant clinical experience which allows them to shorten the normal three year training program by 6 months. There are 3 categories:

ATC UK specialist training - Combination of other GMC approved specialist training with GP training

UK CCT (CP) experience (formerly CEGPR) - combining other relevant previous UK experience with GP training

CCT(CP) Foreign training or experience (former CEGPR)

To qualify, all applicants must have at least 12 months of relevant experience (general practice) and this must occur within 5 years of starting the GP Training Programme.

There are certain criteria that must be met

• The desire to use the combined training process must be expressed by the trainee doctor when submitting an application for participation in family training through the website of the NRO.
• Upon successful appointment for GP training, a CV will need to be uploaded to the ePortfolio indicating relevant experience to be considered. HEE will confirm eligibility and then confirm that the intern is eligible.
• Eligible interns will then complete a section in the ePortfolio, mapping their previous experience across 13 career opportunities. The Royal College of General Practitioners and the Dean will consider this evidence and the time that can be reduced for the standard three-year training programme.
• In general, the trainee should have achieved a grade 1 (satisfactory progress) on the ARCP at the time of leaving the previous course.
• If the result of the final ARCP is unsatisfactory, candidates for combined training must submit a letter from their former supervisor stating that they are suitable for combined training.
• The appropriate ARCP form must be uploaded to the trainee's GPe wallet to be available on the ST1ARCP board.
• When trainees are assessed as eligible for blended training, they will be required to obtain a completed ESR and ARCP after 6 months to determine if a reduction in training time should be applied. Please note that all required ST1 workplace assessments and clinical case reviews must be completed at this stage.
• Typically, the ARCP panel assigns a score of 1 and decides whether a training restriction should be applied at this stage. If the interns are successful, they will become an ST2 at this point, but may be required to continue working in hospital positions until their next scheduled rotation.
• Please note that once you have been accepted onto a blended training course, you will not be able to extend your training program further.
• If the trainee does not make satisfactory progress during this period, the ARCP panel is likely to give an unsatisfactory result and the trainee will remain ST1.

Maternity leave or shared parental leave may disrupt normal ESR and ARCP schedules. It is important to us that graduates, where possible, complete the updated ARCP before maternity leave, avoiding completing multiple ESRs and ARCPs.

1. If the trainee's planned joint maternity/paternity leave starts within 3 months of the normal ESR and ARCP appointment, the local administrator must contact the trainee and their Education Officer (ES) to advise them to postpone the ESR, i.e. within 4-6 weeks of the expected start of the joint maternity /parental leave. Then you should quickly start the local virtual ARCP.
2. The GP Trainee must still submit Form R at the normal ARCP time based on the training start date. This is to fulfill the requirements for revalidation
3. Since the normal maximum period between ARCPs is 15 months, if the trainee's planned joint maternity/paternity leave starts more than 3 months after the normal hours of VHS and ARCP, the procedure will have to be repeated for both ESR and ARCP. This would mean taking the ESR and ARCP at the usual time, and then both repeats before the start of shared maternity/parental leave.
4. As the start of shared maternity/paternity leave can sometimes be unpredictable, with trainee consent and assuming an ESR has occurred, the ARCP panel can still be conducted within the first 2 weeks of that shared maternity/paternity leave.
5. If it is not possible to complete the ESR and ARCP before maternity leave/joint parental leave, they must be completed within 3 months of returning to work.
6. If both the ESR and ARCP occurred before the joint maternity/parental leave, the trainee should discuss the return to work with their ES within 3 months of returning to work. This can be done in person, by phone or email and must be recorded as a note to the professor in the intern's portfolio. This will put ESR back to work.
7. After returning to work, trainees should plan the next most convenient time for their ESR and ARCP, bearing in mind that ESR should generally occur every 6 months, a maximum of 9 months, and ARCP should generally occur once a year for a maximum of 15 months. month.
8. If there is any doubt as to the optimal timing for ESR and ARCP, the local administrator will first discuss this with the local training program directors and, if further clarification is needed, with the county vice chancellor or assessment manager.

academic trainees

All trainees currently undertaking the academic component of their training in the TS year being assessed will have an ARCP to ensure consideration of the academic report. Trainees are generally not required to participate. Trainees may be invited to training only in case of doubtpaintel central(which often happens in Microsoft teams).

Participants in the Academy Program will be required to complete the full training program and meet the requirements of the Academy Program. They must have an academic mentor who will generally be different from their clinical mentor. This academic SE is responsible for developing an academic training program with the intern, with clear milestones for implementation. Both supervisors must be familiar with the trainee's general clinical and academic requirements.

The intern will meet regularly with both educational supervisors and an annual assessment of learning progress should take place one month prior to the ARCP Joint Academic/Clinical Panel. concludes the academic tutorScientific progress reportform which, after agreement with the intern, is submitted to the jury.

ST4 Colleagues

These interns are evaluated similarly to academic interns, by a combination of clinical/commissioning supervisors and a panel. They must continue to provide WPBA in proportion to the time spent in general practice and demonstrate the ability to provide emergency and unscheduled care.