1. Sandeep Kapur Consultant Surgeon, NNUH Chair, CST committee EoE
ARCP
Sandeep Kapur
Consultant Surgeon, NNUH
Chair, CST committee EoE

2. When?
CT1: June
CT2: July

3. How?
Online
Interview
Deanery
Panel
20-30mins

4. What is ARCP? Annual review of competence progression Summative event
Determines your level of achievement and define your progress
Use annual review checklist

5. What happens? Key documents:
AES report
Learning agreement
Panel checks (outcome is decided before you enter the room!)
Progress on learning objectives
WBAs
CEX, DOPS/PBAs, CBD, MSF
Exams
Logbook
Courses
Any other activity – audits, publication, presentations

6. Learning agreement
Was the level of achievement you and your AES agreed realistic?
Was the proposed level of achievement aimed for at the end of training feasible in the time, given your entry level?
Based on the written evidence in the portfolio, were appropriate checks and balances in place in terms of feedback including a mid-point appraisal?
Was the period of training and/or support legitimate?
Factors such as illness, curtailment of services and so on can contribute to a trainee not achieving the terms of the learning agreement and should be recorded. It is on the basis of this information that the ARCP panel will be in a position to receive your presentation and discuss the next steps in your training with you

7. Outcomes
Achieving progress and the development of competencies at the expected rate
Development of specific competencies required – additional training time not required
Inadequate progress by the trainee – additional training time required
Released from training programme with or without specified competencies
Incomplete evidence presented – additional training time may be required
Gained all required competencies; will be recommended as having completed the training programme and for award of a CCT or CESR

8. Outcomes 2 & 3 Not entirely negative!
In an outcomes-based curriculum such as this we would expect some trainees to require more training or time than others and some less
Important that there is evidence to show that your rate of progression is achieving firmly based competencies.
Clearly, repeated failure to progress cannot be allowed to continue and in those circumstances you and your programme director must have a realistic discussion of where your professional future best lies.

9. If you don’t agree You have the right to appeal
Over the way the process was conducted
Legitimacy of your training
ARCP judgement
Each Deanery will have a specified appeals process which you will be pointed towards
“Gold Guide” for Postgraduate Specialty Training

10. Remember Update your portfolio & logbook contemporaneously
WBAs regularly
numbers as per learning agreement
1/week
50% need to be consultant signed
AES / CS reviews