Annual Review of Competence Progression ARCPs ST1 induction Oct 2016

C/S from Scultetus' Auctarium ad Armamentarium Chirurgicum 1653

ARCPs Review training since the previous ARCP Ensure future training of maximum benefit Identify any deficits in knowledge and skills Ensure all requirements can be met before end of training programme Know that career plans are realistic

RCOG Training Matrix www.rcog.org.uk/en/careers-training/about-specialty-training-in-og/assessment-and-progression-through-training/arcp/

RCOG Training Matrix www.rcog.org.uk/en/careers-training/about-specialty-training-in-og/assessment-and-progression-through-training/arcp/

ARCPs ST1 ST2 Clinical skills and curriculum completion First on call Progress with signing off basic logbook competences Initially first on call; develop competences so can be 2nd on call by end of ST2 Completion of basic logbook competences (everything “white”)

ARCPs

ARCPs

ARCPs

ARCPs ST1 ST2 Examination Part 1 MRCOG

ARCPs ST1 ST2 Formative OSATS showing evidence of training since last ARCP Fetal blood sampling Manual removal of placenta Uncomplicated LSCS Non-rotational ventouse & forceps Surgical management of miscarriage Hysteroscopy Laparoscopy Basic ultrasound scanning with OSATs

ARCPs ST1 ST2 At least 3 summative OSATS confirming competence by more than one assessor - at least 1 by a consultant. Can be achieved prior to the specified year. Perineal repair Opening and closing abdomen (at LSCS) Caesarean section (basic) Non-rotational ventouse and forceps Fetal blood sampling SMM Manual removal of placenta

ARCPs ST1 ST2 Perineal repair Evidence of at least one consultant observed summative OSAT confirming continuing competency since last ARCP. Perineal repair

Apache Indian in labour. Management of cephalopelvic dystocia

NB MUST be evenly spread throughout the year ARCPs ST1 ST2 Mini – CEX CbDs Reflective practice 8 (4 Obs + 4 Gynae) 8 NB MUST be evenly spread throughout the year

ARCPs ST1 ST2 Obligatory courses Regional teaching Basic practical skills CTG training (usually e-learning package) Obstetric simulation (eg ALSO / PROMPT) Regional training days (RTDs) 4/6 min. Basic ultrasound Courses for basic competences not in RTDs Third-degree tear Resilience course eg STEP-UP Obstetric simulation eg ROBUST RTDs 4/6 min.

ARCPs ST1 ST2 Team observation forms TO2s at approx 4 & 8 months Minimum of 10 TO1s per TO2 (at least 3 consultants or ST6/7) Summary should not raise significant concerns to ARCP panel Ditto

ARCPs ST1 ST2 Clinical governance (Audit/risk management/ quality/safety) Simulation training One completed & presented audit Evidence of attendance at local risk management meetings 1 formative OSAT – basic laparoscopy skills Ditto

ARCPs ST1 ST2 Teaching Leadership / management Presentation Documented evidence of teaching Department presentation Ditto Leadership WBA Evidence of department responsibility

Interim Review & ARCP Secondary care See KSS Deanery website for full information www.ksseducation.hee.nhs.uk Secondary care O&G Progression ARCP & Interim Reviews

ARCPs – Interim Review Face to face meeting June - 8 months into year 2 or 3 consultants Document list requirement sent by HEKSS Review of e-portfolio Assessment of progress against matrix Ideally TWO TO2’s Outstanding items listed and deadline given

ARCPs – Interim Review NOT necessary to complete full year’s matrix here Outcome not issued, just advice for final ARCP Preference sheets for next post decision based primarily on educational needs Load all certificates for courses etc into Courses section under Trainee Profile (confirmed by ed supervisor)

ARCP - final ARCP September Trainee not present unless concerns Ensure outstanding items from IR achieved Progress assessed by a panel of consultants including HoS, TPD, Lay Chair, External Representative Annual Educational Supervisor Report Trainee’s responsibility to get this done Outcome issued 2 week deadline for missing items

CHECK FEEDBACK FROM YOUR INTERIM REVIEW READ THE TRAINING MATRIX ARCP Advice CHECK FEEDBACK FROM YOUR INTERIM REVIEW READ THE TRAINING MATRIX

ARCP Advice IT IS YOUR RESPONSIBILITY TO MEET ARCP REQUIREMENTS Don’t leave assessments to the last minute Ensure e-portfolio and CV are regularly kept up-to-date Everything must be on you e-portfolio Talk to your Educational Supervisor EARLY if you are having difficulties

ARCP Advice Keep HEKSS informed of changes in contact details If your attendance is required at your ARCP, confirm your ability to attend as soon as possible It is your responsibility to know what will be assessed If you don’t provide evidence by the ARCP date, you cannot be issued with a Satisfactory Outcome - NO exceptions

ARCP – common failings Not referring to IR for list of missing items Not referring to Training Matrix for requirements Educational Supervisor’s Report not on eportfolio and signed by both ES & trainee Log book competencies not signed off both within the individual modules and also on the Logbook Output Report page Can’t find information – construct a logical, well labelled personal library

Pawnee Indian in labour Pawnee Indian in labour. Shaman blows smoke into the vulva to assist delivery

Guidance available online: Trainee Support KSS Deanery is committed to supporting Trainees who are in difficulty or at risk of being in difficulty through the Trainee Support Group Guidance available online: www.ksseducation.hee.nhs.uk/trainee-support/tsgroup/

ALL Trainees are monitored for satisfactory progress, not just those experiencing difficulties. Trainees that may need additional help are discussed by the Trainee Support Group to ensure all routes of support are explored. If you have concerns about your own progress, get in touch early, don’t wait! Talk to: Educational Supervisor (in the first instance), or Clinical Tutor, or Deanery school administration team