Sign Off and ARCP 

The following information relates to the Sign off process for last year.  This will be updated for 2022 in due course.

 

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.

F1 ARCP evidence required 2021

F2 ARCP evidence required 2021

The Foundation Programme Curriculum Resource Guide 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.

Curriculum evidence and portfolio extras 

Advice for Linking Evidence to the Foundation Curriculum 

  • Items uploaded against each section of the foundation curriculum should provide evidence for how this part of the curriculum has been addressed during the year of training 

  • All 20 FPCs must have between 1 and 5 mappings, we recommend a minimum of 3. 1 piece of e-learning can be used. More than 5 mappings will not be assessed and will be returned to the trainee for amending.  

  • Each of the 20 foundation professional capabilities are associated with 'descriptors' which give indicative examples of how the capability can be demonstrated. The descriptors can be seen by clicking the link at the top right of the curriculum overview page in each trainee’s portfolio: 

Types of Evidence for Linking 

Evidence can take many forms, most commonly including: 

  • Reflection on clinical or professional experiences 

  • Supervised learning events 

  • Evidence of formal training / eLearning (certificates) 

  • Evidence of participation in evidence-based medicine (guidelines, posters, presentations) 

  • Quality improvement work  

  • Multi-source feedback / Team Assessment of Behaviour (TAB)  

  • PDP Progress (self-evaluation form) 

Each linked piece of evidence should be clearly related to the relevant capability 

E-learning and/or attendance at a teaching session can only be used ONCE per capability 

The same piece of evidence can only be linked a maximum of 5 times across the 20 capabilities 

Essential linking requirements 

  • All trainees should link their most recent audit or quality improvement project to Section 4. Safety and Quality: 20; Contributes to Quality Improvement. 

F1s 

  • Evidence of passing the Prescribing Safety Assessment. Section 3. Clinical Care: 13; Prescribes safely 

  • Evidence of passing Immediate Life Support (or ALS if applicable). Section 3. Clinical Care: 15; Is trained and manages cardiac and respiratory arrest. This section should also link evidence of involvement in a clinical case / experience of carrying the crash bleep or similar. Simulation alone is not sufficient. 

F2s 

  • Evidence of passing Advanced Life Support. Section 3. Clinical Care: 15; Is trained and manages cardiac and respiratory arrest. This section should also link evidence of involvement in a clinical case / experience of carrying the crash bleep or similar. Simulation alone is not sufficient.  

  • All trainees should link their most recent audit or quality improvement project to Section 4. Safety and Quality: 20; Contributes to Quality Improvement.  

Extra Evidence 

  • A recent CV should be uploaded in the section Extra-curricular achievement 

  • A mandatory teaching log must be completed to evidence a minimum of 30 hours core foundation teaching and a total of 60 hours minimum.  

  • F1 and F2 study leave log needs to be upload onto the e-portfolio under Additional Achievement – Course/seminar/other learning attended. 

  • At least 1 Placement Supervision Group (PSG), ideally 1 per placement. 

These options can be found under the Forms section of the portfolio. 

CV template for sign off

All Foundation trainees: Enhanced Form R for Revalidation

The GMC 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.

ARCP Panel

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. 

2021 ARCP dates 

All trainee portfolios must be completed by 2nd June 2021

ARCP Panel dates - 7-18th June 2021

  • North Devon- 9th and 10th June
  • Cornwall-Truro-9th and 10th June
  • Exeter - F1 14th and 14th June, F29th June
  • Plymouth-TBC
  • Torbay-TBC

Final ARCP outcomes - by 1st July 2021

Appeals Deadline - 15th July 2021


ARCP outcomes

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:

Outcome 1:

Satisfactory completion of F1

Outcome 6:

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 - 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:

Trainee Support Foundation Helpsheet