ARCPs - Frequently Asked Questions

Where in 'The Gold Guide' can I find further information on the ARCP process? 

Sections 7.27 - 7.146 (pages 52 - 78).

 

I have been asked to submit paperwork/update my e-portfolio for a Documentation Review. What is a Documentation Review?

The Documentation Review convenes to review paperwork/e-portfolio only.

For many specialties, trainees are not required to attend. Please consult with the School Administrator on whether you need to attend.

 

If my paperwork/e-portfolio is not deemed satisfactory at the Documentation Review, what happens next?

If following the Documentation Review the panel note any trainees that are not at the required standard of training, they will be invited to attend the ARCP, also, failure to produce timely, adequate evidence for the Documentation Review panel will result in an incomplete outcome (Outcome 5) and will require the trainee to explain to the ARCP panel and HEEoE in writing the reasons for the deficiencies in the documentation. 

The ARCP panel will also review 10% of the Documentation Review recommendations for satisfactory outcomes.

Once the 10% has been confirmed as satisfactory, all the ARCP Certificates are produced.

 

What are the outcomes that I could receive? 

 Annual Review of Competence Progress (ARCP) Outcomes:

  • Outcome 1: Satisfactory Progress - Achieving progress and the development of competences at the expected rate
  • Outcome 2: Development of specific competences required – additional training time not required
  • Outcome 3: Inadequate progress– additional training time required
  • Outcome 4: Released from training programme with or without specified competences
  • Outcome 5: Incomplete evidence presented – additional training time may be required
  • Outcome 6: Gained all required competences - will be recommended as having completed the training programme and for award of a CCT or CESR/CEGPR

Outcomes for trainees in FTSTAs, LATs, OOP, or undertaking “top-up” training within a training programme:

  • Outcome 7: Fixed-term Specialty Trainee (FTSTAs) or LATs
    • Outcome 7.1: Satisfactory progress in or completion of the LAT / FTSTA placement
    • Outcome 7.2: Development of Specific Competences Required – additional training time not required
    • Outcome 7.3: Inadequate Progress by the Trainee
    • Outcome 7.4: Incomplete Evidence Presented
  • Outcome 8: Out of programme for research, approved clinical training or a career break (OOPR/OOPT/OOPC)
  • Outcome 9: doctors undertaking top-up training in a training post Recommendations for Revalidation

Record of In-Training Assessment (RITA) Outcomes:

  • Form C: Record of Satisfactory Progress within the Specialist Registrar Grade
  • Form D: Recommendation for Targeted Training
  • Form E: Recommendation for Intensified Supervision/Repeated Experience
  • Form F: Record of Out-of-Programme Experience
  • Form G: Final Record of Satisfactory Progress

The RO has three options in making a recommendation. Whilst these are only in draft form at present, they are, in summary:

  1. Positive recommendation
  2. Deferral request
  3. Notification of non-engagement

Outside of the revalidation process, doctors about whom an RO or medical director has serious concerns regarding their fitness to practise will be referred to the GMC at any time using regular Fitness to Practise channels.

This decision should be made when the need arises and not wait until the next revalidation recommendation is due. A GMC team of Employer Liaison Advisers is available to provide advice and support on such cases.

Please note that the ARCP and Revalidation processes are interlinked, but they are not co-dependent.

For example:

  • A trainee achieving outcome 6 at ARCP for completion of training would do so based upon their achievement and demonstration of all required competencies in the curriculum. Providing there are no on-going clinical governance concerns the Responsible Officer will be able to make a positive revalidation recommendation. However if the trainee had, for example, an on-going GMC fitness to practise investigation for drink-driving, but had achieved all the necessary competencies in line with their curriculum they can gain their CCT and move out of training but their revalidation recommendation will need to be deferred until the conclusion of the GMC investigation.
  • A trainee has received outcome 4 at ARCP and been released from programme due to repeated exam failure. Whilst this is considered "unsatisfactory", provided there are no concerns about the doctor's Fitness to Practice it should not, in itself, impede revalidation in the future or prevent the Responsible Officer from making a positive revalidation recommendation. 

 

I do not agree with the outcome I have been given, what do I do?

Appeals should be made in writing to the Postgraduate Dean within ten working days of the trainee being notified of the panel’s decision.

There are 2 steps to appeal:

Step 1: Discussion
Step 2: Formal appeal hearing

If a trainee does not accept the outcome of Step 1, they should inform the Postgraduate Dean within ten working days of it.

Postgraduate Deans will then arrange a formal, appeal hearing (Step 2) which should normally take place within fifteen working days of receipt of a request for an appeal where practicable.

Members of the original annual review panel must not take part in the appeal process.

Please see The Gold Guide 7.120 -7.146 for further details.

 

RITA

Form/Outcome

ARCP

A

Deanery training programme registration form. Must be completed annually and signed by trainee.

R

C

Satisfactory progress. Achieving progress and competences at the expected rate

1

D

Development of specific competences required – additional training time not required

2

E

Inadequate progress by the trainee – additional training time required

3

F

Out of programme (OOPE/OOPR/OOPC) some time may or may not count towards training depending on activity undertaken. Note: OOPT outcomes fall under 1-5

8

G

Recommendation for completion of training having gained all required competencies

6

Additional ARCP Outcomes

4

Released from training programme with or without specified competencies

5

Incomplete evidence provided. Additional time may be required but trainee will be asked to provide and explain first.

7.1 to 7.4

Fixed Term & LAT specialty outcomes equivalent to outcomes 1-5

9

Top up training required for CCT by the GMC with specific competencies achieved

Revalidation outcomes

A Fitness to Practice outcome for revalidation will sit alongside your ARCP outcome 

 
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