Annual Review of Competence Progression: F1 specialty portfolio

This is an opportunity to submit a portfolio orientated towards your application for specialty training and receive constructive feedback before completing the exercise for real. It is not a pass/fail exercise – the feedback is purely formative. The portfolio
should be no more than 10 pages double-sided. Trainees who choose not to submit this portfolio must, as a minimum, submit a CV.

General Approach

For each of the specialties, there is a person specification for CT1/ST1 entry level. The person specification outlines the essential and desirable knowledge, skills and attributes that a CT1/ST1 doctor should have. While there is some overlap, there are
also important differences and degrees of emphasis between the specialties with regard to the kind of person they are looking to recruit. 

Your first step should be to look for the person specification for your chosen specialty at the national specialty training website Read it so that you have a good understanding of the characteristics valued by this specialty and how you might present your portfolio to reflect your profile in relation to these characteristics.

Your second step should be to find out whether the body responsible for recruiting to your preferred specialty provides any information about what kind of portfolio they require or if the information you might present in a portfolio is considered on the
application form instead. There is a network of organisations (Postgraduate Medical Education organisations and Colleges) that take responsibility for recruitment and these are summarised with relevant web-site details at the end of this page.

There is no strict format for a portfolio but the following is given as guidance. There are a number of ways to structure your portfolio: three are given below. For the purpose of this exercise, you do not need to submit any appendix of supporting
material although you may want to make reference to supporting documents in the portfolio itself e.g. you may want to quote from teaching feedback in your portfolio but refer to a full summary of teaching feedback that would be provided in the
appendix.

You should aim for a portfolio that is personal, reflects well on you, is focussed and relevant for its purpose and has clearly considered its reader. Try using descriptive summaries for each section rather than just listing evidence.

Example CV formats

1. An expanded CV
An expanded CV layout might include the following sections. If you use this format you should also use a mapping document so that you can identify which parts of your portfolio contain evidence to support Good Medical Practice. For most of these sections, you would summarise and give examples of your achievements in these areas, with reference to source material in an appendix.
i. Personal details
ii. Contents page
iii. Mapping Document (to GMC Domains of Good Medical Practice)
iv. Personal statement outlining your commitment to, motivation and suitability for the specialty for which you are applying
v. CV
vi. Certificates (Degrees, CRB, Completion of Foundation etc.)
vii. Self-appraisal & personal development plan
viii. Posts held
ix. Appraisal meetings
x. Review forms
xi. Assessments of competence (If you have large numbers of work based assessment forms then you can include them but it would be best to put them all together in an appendix with a list summarising the assessments &
types of cases done)
xii. Reflective practice
xiii. Teaching (with feedback)
xiv. Presentations (with feedback)
xv. Audit
xvi. Research & Publications
xvii. IT Skills
xviii. Careers
xix. Extra-curricula activities

2. Based on GMC’s Good Medical Practice
These sections would be preceded by a CV summarising your personal details and experience to date together with a personal statement outlining your commitment to, motivation and suitability for the specialty for which you are applying.

i. Good Medical Care
Examples of appropriate evidence:
Log book, Supervisor reports; Foundation sign off form; Personal Development Plan(s); Audit, reflections, changes in practice documented; Complaints/ outcomes/reflections; Critical incidents reflection; Reflections on own practice, training and progress

ii. Maintaining Good Medical Practice
Examples of appropriate evidence:
Attendance at local and regional teaching sessions; Certificates of successful completion of courses such as ILS, ALERT, ALS; Examination results to demonstrate your professional development; Record of clinical governance activities, including audit activities and attendance at your clinical team's meetings; Record of research activities and outcomes (e.g. publications, presentations); Record of Study Leave

iii. Working relationships with colleagues
Examples of appropriate evidence:
For each post/placement e.g. rotating round ward etc... a description of the setting within which you work and the team structure; Four line statement of clinical setting with personal account of how you feel you are relating to, and are part of, the team; Relevant extract from supervisors' reports and multi-source feedback

iv. Relations with patients
Examples of documentation, which may be appropriate, are:
Personal statement; Statements from Trainers/Tutors/Consultants/Work Colleagues; Patient questionnaires/reviews; Thank you letters; Complaints with outcomes; Relevant extract from clinical supervisor’s report and multi-source feedback.

v. Teaching and Training
Examples of documentation, which may be appropriate, are:
Record of Teaching Activity including feedback where appropriate or available and teaching - Courses - Small groups 1-to-1; Training in Teaching; Evidence of formal research commitments.

3. Based on the Person Specification for your Specialty
In the person specification for your specialty, you will see a number of domains and characteristics that the specialty has identified as being important. You could choose to present your portfolio in relation to those domains, starting with an abbreviated CV that summarises your personal details and experience to date together with a personal statement outlining your commitment to, motivation and suitability for the specialty for which you are applying. The following template uses the person specification for Core Medical Training as an example.
i. Qualifications
ii. Eligibility:
For full registration with the GMC at time of appointment and hold a current licence to practise; Evidence of achievement of Foundation competences including Good clinical care; Maintaining good medical practice; Good relationships and communication with patients; Good working relationships with colleagues; Good teaching and training; Professional behaviour and probity; Delivery of good acute clinical care Eligibility to work in the UK.
iii. Fitness to Practise:
iv. Language Skills: details of education, training and employment undertaken in English and/or relevant English language qualifications
v. Career Progression:
Description of complete employment history
Outline of any experience in the specialty (not including foundation)
vi. Clinical Skills: evidence of appropriate knowledge base and ability to apply sound clinical judgement to problems
viii. Academic / Research Skills: evidence of relevant academic & research achievements, e.g. degrees, prizes, awards, distinctions, publications, presentations, other achievements; Evidence of active participation in audit; Evidence of interest and experience in teaching
ix. Personal Skills: evidence of Communication Skills; Problem Solving & Decision Making; Managing Others & Team Involvement; Empathy & Sensitivity; Organisation & Planning; Vigilance & Situational Awareness; Coping with Pressure
x. Probity: evidence of Professional Integrity
xi. Commitment To Specialty: evidence of realistic insight into specialty and commitment to personal and professional development


If you have any queries about your portfolio, please discuss with your educational supervisor, a consultant from the specialty in which you are interested or your foundation programme director

Postgraduate Medical Education organisations and Colleges

Most recruitment is organised nationally by one of the Royal Colleges or by a lead deanery on behalf of all the deaneries. This means that you complete one online application and state your deanery preferences, rather than submitting multiple applications. more information on the application system can be found on the national specialty training website