1. East Midlands LETB
ANNUAL REVIEW OF COMPETENCE
PROGRESSION
THE ARCP PROCESS
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2. HOW TO USE THIS PRESENTATION
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3. IMPORTANT QUESTIONS
This is your annual review
As a of competence
Foundation Trainee
progression. All trainees
you need to ensure your e-
• What is an ARCP? portfolio is up toprocess
undertake this date and
that you have a month of
after each 12 full set
training period. Your
evidence to demonstrate
The outcomes differ
progress is reviewed
you have met the
• What do I need to do? through your those
between electronic
requirements of the
undertaking the process
evidence by a panel of
programme. As a
during the FY1 year and
minimum you Training
Foundation must have
Programme Directorsthe
those undertaking and
achieved all of the
process during If your
a lay person. the FY2
• What outcomes may I receive? requirements indicated in
year. These outcomes are
the Foundationbeen
progress has School
satisfactory later Your e-
explained and youthis
Sign off policy.
in have
presentation.
achieved all the
portfolio must be up to
requirements ( timeyour
date by the date of and
Foundation Year 1 Trainees competence)which will be
ARCP panel for that year
of foundationby your FTPD
given to you training you
will be able to move to the
Foundation Year 2 Trainees
next stage of your training.

4. FOUNDATION YEAR 1 TRAINEES ARCP
OUTCOMES
Inadequate progress: additional training time required:
• This outcome is used whenpresented – additional training time may be required level of
Incomplete evidence the FY1 trainee has not reached and maintained the
•
There are 4 outcomes that a FY1 trainee may
competence required or Released from trainingtime in the programme, to in the F1 Sign
When an e-Portfolio doescompleted adequate programme: as set down move to full
not contain all the required of F1
Satisfactory completion evidence
•
• receive after an ARCP panel reviews their e-
registration with thepaneluse this outcomeafor outcome 3to reachrecorded on the ARCP
Off This outcome is rare, but assign a traineetrainee fails 5. be doctors who meet the
• Policy, the ARCP GMC.will will occurfor the those foundation and maintain the
The F1 ARCP panel will The reason if an outcome will
form panel National acompetence after two full years at FY1the e-portfolio and associated
Therequired level ofcodes. deadline forof F1.
requirements for satisfactory completion completion of level.
using will set revised
•• portfolio. Click on each number to understand
The Other reasons that be aware through meetings with their educationalprogrammetheir
evidence. will already may lead to aapply forbeing dismissed from a supervisor and
• trainee
These doctors are then eligible to trainee a Certificate of Experience from
• FTPD the revisedthe outcome evidence will receive.GMC e-portfolio an outcome 1 will
If on that this is deadline full thatcriminal submitted in the
include University and all or they is with the
graduatingserious misconductregistration activity.
• more about the outcomes:
Therecorded alongside the outcome 5 in the e-portfolio. a further one complete year of
be Foundation School will offer trainees in this position
• FY1 training.
If on the revised deadline the evidence is not submitted, the trainee will be invited to
• The individual if subsequently successful in gaining all FY1 competencies further 1 year of
interview by the Associate Foundation School Director who may offer a will move to FY2
in the August of the following year.
training at the FY1 level. Training beyond 2 full time years at FY1 level will not be offered.
• An extension beyond one year will not be offered.

5. EVIDENCE FOR FY1 SIGN OFF
The following evidence, as a minimum is
required for sign off:
CompletionRecord12Summative Assessments:
of of months F1 training
Recordof Attendance at Teaching:
• Satisfactory Educational of the Formative Assessments: programme
completion Supervisors reports
Record of F1 generic foundation skills
• Record of the requiredengagement in quality review: Events 2)
Completion oftraining day number of Supervised Learning
formative of year report
assessments
• 2x educational supervisor end of placement reports (posts 1 and
Simulation Record of
Completion of 12 months F1 training:
• 1x educational9 e-learningend
Safe prescribing direct observation of doctor/patient interactions (i.e.
Minimum of supervisor Module
•• Clinical Supervisors ende-learning 6 must be School end of placement surveys
• Safe of of Insulin of in all Foundation for
Evidence useparticipation at least Module Mini CEX
Record permitted absence from foundationeach of thehospital teaching
ofofsummative assessments 3 posts.
Mini CEX or DOPS) – placement report
The maximumof 70% attendance at training, other than annual leave, during
• Satisfactory completion of:
(x3 per year)
• Minimum 6 Case Based discussions
Minimum generic
• sessions. of completion of theThis period includes absences due to sick ,
Evidence year of four weeks. GMCClinical Teacher survey
the FY1 is
• 2 Team Assessment of Behaviour (TAB) trainee
Minimum 1 Developing the annual rounds
• Attendance atcore procedures maternity leave.
valid GMC mandated teaching
compassionate, carers and
A • 15Immediate Life Support (or equivalent) certificate
Record of engagement in quality review
Click on Icon for sign off checklist

6. • Include an easy to follow index in your personal library for the
ARCP panel.

7. FOUNDATION YEAR 2 TRAINEES ARCP
OUTCOMES
Inadequate progress: additional training time required:
• This outcome is used when the FY2 trainee has not reached and maintained the level of
Incomplete evidence presented – additional training time may be required
There are 5 outcomes that a FY2 trainee may
• competence required ornot contain all adequate time in the set out in the F2 Sign
When an e-Portfolio does completed the required evidence as programme to be
Recommendation for the award of the Foundation Achievement of Competence
Off Policy, the for the award of thefrom training programme:
Released a trainee an outcome 5.
receive after an ARCP panel reviews their e-
recommendedARCP panel will out ofFoundation Achievement of Competence Document.
Time assign Foundation Programme:
• traineewill set revised willthrough completion of thereach and maintain the and
Document:
• TheThis outcome isarare, but deadline for meetings with their educationaland associated
panel will already be aware occur if a trainee fails to e-portfolio supervisor
FTPD that this is the outcome that they will receive. The level.
evidence. level of competence after two full years at FY2 However, the panel will be
required
portfolio. Click on each number to understand
It is unusual for foundation doctors to take a career break.reason for outcome 3 should
• Other reasons that the
Following consideration of may foundation trainee being dismissed from awill recommend
doctor’s e-Portfolio, the panel programme
• recorded on the ARCP formall leadnational codes. indicating what they are doing 1 of
If on the revised deadline using to a doctor
receive documentation from theevidence is submitted in the e-portfolio an outcomeoutwill
foundation
more about the outcomes:
the award of serious misconduct or criminal activity. has met all of the requirements for
the FACD if the Foundation Doctor
• Theinclude their expected offer of 5 in the this position
programme andalongside the outcome return.ine-portfolio. a further one complete year of
be recorded
Foundation School will date trainees
satisfactory completion of F2. The Foundation School will issue the FY2 trainee with a
• FY2 training.
If on the revised deadline the evidence is not submitted, the trainee will be invited to
certificate of FACD upon receipt of Form R which must be completed by all FY2 trainees.
• The individual if subsequently successful in gaining all FY2 competencies further eligible of
interview by the Associate Foundation School Director who may offer a will be 1 year to
apply for specialty training FY2 in beyond 2recruitment round. level will not be offered.
training at the FY2 level. Training the next full time years at FY2
• An extension beyond one year will not be offered.

8. EVIDENCE FOR FY2 SIGN OFF
The following evidence, as a minimum is
required for sign off:
CompletionRecord12SummativeinAssessments: e-learning module
ofofof Formative Assessments: training day
of months Psychiatry
Record of Attendance at Teaching:
• Satisfactory completion engagement 
Record of the F2
Record
 F2 training
quality review:
• Satisfactory Educational Supervisors reports Public health
•• Record ofhaving managed, analysed  F2 training:cessation e-learning
Completion of formative assessments at least 1 quality
Evidence of the required number Supervised Learning Events
and presented
generic educational skills programmeofplacement reports (posts 1 and 2)
• 2x foundation supervisor of 12 months Smoking
Completion end of
• Minimum of 9 direct observation of module patient care.
 Advanced Life and used with
improvement projectSupport – the results todoctor/patient interactions (i.e.
improve
• 1x educational supervisor end of year report
• Evidence CEX or DOPS) – at least 6 must Minimum end of placement surveys
Clinical Supervisors end of placement •report other than the attendance at
Mini of participation in all Foundation Mini CEX
be School of annual leave,
•The maximum permitted absence from training,for each of 70%3 posts. during
valid certificate
Record oftraining day discussions
(x3 per year) ofsummative assessments hospital teaching
• the FY2 year is four weeks.
 Minimum 6 Case Based
Simulation foundation generic
• Satisfactory completion of: This period includes absences due to sick ,
• Evidence of completion of the GMC annualTeacher survey
• Minimum ofe-learning moduleClinical maternity
 Alcohol IBA 1 Developing the trainee
sessions.
• Attendance at of the F2 destination survey.
Evidence of completion teaching
• 2 Team Assessment of Behaviour (TAB) rounds leave.
compassionate, carers and
 Child
• Evidenceprotection out procedures required by GMC
of carrying e-learning
module
Record of engagement in quality review
 Consent e-learning module
Click on Icon for sign off checklist

9. • Include an easy to follow index in your personal library for the
ARCP panel.

10. FORM R
• All FY2 trainees are required to complete the
Form R at the end of their FY2 year.
• This form is the first step in the process of
revalidation.
• All specialty trainees are required to update and
sign a Form R at the completion of each ARCP
cycle.
• The Form will be available on the UKFPO website,
our VLE and it is hoped on your e-portfolio.
• Your FACD certificate will only be issued by the
school once we have received your Form R.

11. We hope that you have found this presentation
helpful. If it has raised any questions or concerns
please contact your Educational Supervisor, your
Foundation Training Programme Director or the
Foundation School who will endeavour to answer
your questions and allay your concerns.
Dr Bridget Langham
Director of Foundation Training
for the East Midlands