Dear CT1s,

Your first ARCP (Annual Review of Competence Progression) will take place in June and you are expected to attend.

There are two parts to the ARCP – evidence for the Responsible Officer (the Dean in your case) to put to the GMC to allow revalidation, and evidence to me the TPD and the Deanery (who pay most of your salary and study leave expenses) that you are progressing in the programme

The ONLY evidence that will be allowed is that uploaded on the ISCP

You need to come smartly ( but not interview smartly) dressed and make sure you have done what is required of you in the Global Objective on ISCP… which will be spelt out again below.  You do not need to bring a physical Portfolio File.

The panel will assess the online evidence before you come in and then tell you what your outcome is. You will not be allowed to argue the outcome given.

You will also receive critical appraisal of your portfolio and guidance on what you need to do to maximise your potential for application for ST3.

It is vital that I know of any extenuating circumstances before the day (family bereavements, illness, divorce, significant training issue etc.


What Outcomes Could I Get?

Outcome 1 – you are achieving at an appropriate level, and all you paperwork, FormR, Learning agreement & AES report, MSF, WPBAs, logbook, audit

Outcome 5- there is not enough evidence on you online portfolio, not enough WPBAs, miniPAT not finished, AES report not done. This is uncommon and you will have 5 days to complete the evidence required. You will only get this if it possible to sort in the 5 dyas

You will have 5 days to fix otherwise you will get an outcome 2/3

Outcome 2 – lack of evidence in Portfolio but additional training time NOT proscribed

Outcome 3 – competencies not achieved, additional training time required. I will have let you know if you are likely to get this outcome before the day itself and you will have a chance to appeal the decision but if upheld, an interim ARCP the following January 2019 to see where you are at


What If I Can’t Attend?

We can assess you in absentia but you REALLY need to make sure ALL the online evidence is up to date


What Evidence Is Required?

Katarina Szycgala will send you an ARCP checklist and a Form R ( evidence towards revalidation) to complete. There is also a link below for the ARCP checklist. You need to make sure you return the Form R SIGNED either before the day or bring on the day. You should also upload your completed ARCP checklist and signed Form R under “Other evidence” on ISCP. Electronic signatures are not allowed but you can sign, scan and send. It is an automatic 5 if no Form R.

Look on the Portfolio Tab on ISCP:

  • Upload current CV
  • Learning agreements – need complete set for first six month job and initial meeting and ideally interim for second. THE AES report for the first job must be completed and to do this before your final meeting the Clinical Supervisor has to add some comments to allow this to happen. Make sure you sort early. You should have completed AES report and LA for 2nd by now! If you are doing 12 months in the same speciality it needs to be split into 2 six month periods
  • A TOTAL of 40 VALIDATED WPBAs by a week before your ARCP – do not whinge London Deanery require 80!!!!
  • Case Base Discussions – need at least 12 VALIDATED by ARCP and half by a consultant (minimum 6) please make sure new consultants have ‘upgraded’ themselves from trainee as this causes problems every year
  • CEXs – again at least 12 VALIDATED and half by consultant ( minimum 6)
  • DOPS and PBAs – at least 12 of a mixture of both and half by consultant
  • A completed MSF that has been signed off by your AES
  • An assessed audit
  • A fully completed Evidence section documenting training days attended, attempts at exam( please put PASS by them if gained and upload certificate) , publications, presentations and courses attended. If you attended any of ATLS or BSS prior to CST please document this.
  • Assessment of teaching
  • Logbook – please ask your AES to check you have ticked the appropriate box on elogbook so it is visible. Only operations in the training period will accepted.

The ARCP panels and I have to look at up to 100 online portfolios so we need you to upload all your evidence (including validation for WPBAs) at least a week in advance.


What about the Exam?

It is vital that you get to the point where you have attempted part B by the end of 23 months, otherwise if there are no extenuating circumstances you will be released from core surgical training. (JCST March 2014)

You should aim to have passed Part A by the end of your CT1 year. You are only allowed an extra six months of training within the Gold Guide rules in which to get Part B exam (which means you have to have Part A by the end of your CT1 year to do the October Part B sitting).

If you gain MRCS B outside the programme  you need to provide a special application form to apply for ST3 with support from Dean, Head of School and TPD) and after completion of SpR /ST training will be awarded a CESR (CP) NTN and not a CCT NTN.

Once you have failed Part A twice we STRONGLY recommend you get referred by your educational supervisor to the PSW who can help with exam technique, anxiety relieving techniques and check you are not a high functioning dyslexic. They are also helpful sorting out extenuating circumstances and give us a lot more leeway to allow extra training time. It is also important to know if have had more than 14 days off sick.


Hope this sorts out some commonly asked Qs and see you all in June

Claire Edwards CST TPD


To reiterate… I am not allowed to flip you into an empty clinical fellow job (non-training post) in your trust no matter what the consultants say as this would essentially mean you leaving CST! – not my ruling.. wish it were so.

Monday, 24 December, 2018
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Monday, 24 December, 2018