Sign Off and ARCP
An Annual Review of Competence Progression (ARCP) process has been introduced nationally for all foundation trainees from 2013. The ARCP incorporates the process by which foundation trainees are signed off for Foundation Year 1 (F1) and Foundation Year 2 (F2).
The sign off checklist (accessible below) lists the criteria that will be considered by the ARCP panel. The list for F1 is slightly different from the one for F2. Most of this information needs to be recorded directly in your e-portfolio but you will need to hand some of it into your postgraduate education centre.
The Foundation Programme Curriculum Resource Guide 2016 provides weblinks to a number of online resources which may be used as additional evidence on the teaching mapping document to demonstrate learning where formal teaching sessions have been missed.
Guidance about the evidence you need to submit
Most of the evidence requirements are straightforward. The areas where you are likely to need some guidance are given below. If you have any other queries, please contact your foundation programme training director or foundation administrator as soon as possible.
Evidence of curriculum outcomes
Within your e-portfolio you need to link relevant evidence for your achievement of each curriculum outcome and self rate against each outcome. Evidence is likely to include clinical supervisor reports, educational supervisor reviews, TAB, SLEs and reflective records. It may include on-line learning certificates but these are more appropriate for demonstrating knowledge than performance.
Quality of evidence is more important than quantity e.g. just because your induction meeting highlights an opportunity to meet an outcome, linking your induction form does not demonstrate that you have met that outcome. The evidence should be as specific and relevant to each outcome as possible. A good portfolio would include a trainee comment for each outcome, highlighting how that outcome has been met, rather than simply listing a multitude of tenuously relevant evidence for the panel to sift through. Although there is no maximum you may want to consider linking no more than 4-6 pieces of evidence for each outcome, so that your evidence is clearly focussed.
Any material that identifies patients must be anonymised appropriately in your e-portfolio.
F1s only: Specialty application paper portfolio
F1s are required to submit their e-portfolio. In addition, they must submit either an up to date CV or a paper portfolio orientated towards their chosen specialty (10 pages max). This is an opportunity for trainees to have a specialty focussed paper portfolio reviewed and to get feedback to help develop it for their specialty application. There is no pass/fail grade for the work itself; trainees need only submit the portfolio or CV to fulfil the requirement.
Please see guidance below about how to compile a portfolio for specialty application on the foundation school webpages under the sign-off section, where you will also find hints and tips for putting together a CV.
All Foundation trainees: Enhanced Form R for Revalidation
As you will be aware, from December 2012, the GMC has introduced revalidation for all practising doctors who have full registration (includes all F2s and specialty trainees). Licensed doctors are required to demonstrate on a regular basis that they are up to date and fit to practise and will have to revalidate, usually every five years. The Postgraduate Dean is the Responsible Officer for making recommendations to the GMC that trainees should be revalidated.
Over each 5-year period, you need to collect supporting information to show you are meeting the GMC's professional standards. As a trainee, you will be gathering this information anyway in order to meet the requirements of your training programme. The Postgraduate Dean, as your Responsible Officer, will use the outcomes of your ARCP process to inform their recommendation to the GMC.
In addition, you are required to make a self-declaration of your scope of practice and whether you have been involved in any conduct, capability or formal Serious Untoward Incidents/Significant event investigations or named in complaints. This declaration is called an Enhanced Form R and you need to provide one for your ARCP panel. The Responsible Officer will use the information that you submit on your Form R, in conjunction with that declared to us by your employer, in the revalidation decision.
The Enhanced Form R will be available within your Horus e-portfolio under Forms.
For more information on Revalidation please see the GMC website.
Trainees who have been identified as being at risk of not being signed-off and a minimum random 10% of the cohort are required to attend a face-to-face panel meeting.
2019 ARCP dates
All trainee portfolios must be completed by Wednesday 29th May 2019
ARCP Panel dates - Monday 3rd June - Friday 14th June. Exact trust dates tbc
Final ARCP outcomes - by Friday 28th June 2019 at the latest
Appeals Deadline - Friday 12th July 2019
You will receive one of the following outcomes, whether you attend a face-to-face panel or not, and which will be recorded on an ARCP outcome form in your e-portfolio.
|F1 ARCP review panel outcome:||F2 ARCP review panel outcome:|
Satisfactory completion of F1
Satisfactory completion of F2 - Recommendation for the award of the Foundation Achievement of Competence Document (FACD)
|Outcome 3: Inadequate progress – additional training time required|
|Outcome 4: Released from training programme|
|Outcome 5: Incomplete evidence presented – additional training time may be required|
Further documents designed to assist trainees with the sign-off process can be accessed below - we hope all these documents will help F1s (in particular) gain an idea of what will be required so that portfolios can be built throughout the year to satisfy requirements.
Foundation Trainee Supervision Help sheet - a useful guide of what you and your supervisor need to do and when.
Target timeline (updated August 2018) - a quick reference guide designed to help you stay on track with your e-portfolio throughout the year
The Foundation Programme is both time and outcome-based. Foundation Doctors must complete 12 months in approved Foundation Year 1 (F1) placements and 12 months in approved Foundation Year 2 (F2) placements as well as meeting the other requirements of the programme. The GMC guidance for absence states that if trainees miss any time they were due to be on duty this will count as an absence whether it was a weekday, weekend or night shift. The maximum number of days a trainee can be absent when they were due to be on duty is 20.
Should Foundation Doctors feel they need additional support, for example, because of problems in their personal life, health or performance as a doctor, Peninsula Postgraduate Medical Education has produced a help sheet to offer guidance for anyone experiencing difficulties and to help point them to where they can find help. A copy of this document is accessible below: