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Tales from the panel. or How to keep your TPDs happy. Nag Nag Nag. Nag Nag Nag. CSA? AKT?. WPBA?. Intended Learning Outcomes. In 60 minutes time you will......... Understand the ARCP process (what, why, when, who). Know how to navigate it with the minimum of palaver.
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Tales from the panel • or • How to keep your TPDs happy
Intended Learning Outcomes • In 60 minutes time you will......... • Understand the ARCP process (what, why, when, who). • Know how to navigate it with the minimum of palaver. • Have looked at some Panel scenarios
Acronyms • CSA • AKT • CSR • ESR • IDT • CCT • CPR • WPBA • PDP • OOH • TLA • BMA • ARCP • SEA • DOP • COT • CBD • OOP
ARCP • What? • Why? • When? • Who? • How?
Timing • ESR and CSR completed within 2 months of an ARCP. • All panels should be preceded by an ESR. • ARCP every 12 calendar months or “gateway” or IDT.
Out of Programme? • ESR at start of OOP created by Deanery administrator. ESR on return to programme. • If OOP > 12 months then 3 month extension but determined by Deanery case by case. • If < 6 weeks remain then penultimate ESR and ARCP state fully competent and recommended for CCT once remainder of training complete. • If outcome 6 already awarded and new evidence suggests should not receive CCT then contact Certification Unit.
Process • No expectation to "chase" trainees. • Trainees should have >six weeks notice of ARCP. • Documentation received at least 2 weeks before ARCP. • Incomplete evidence so no judgement means Outcome 5 and written explanation. • Full details in the Gold Guide https://www.mmc.nhs.uk/specialty_training/specialty_training_2012/gold_guide.aspx
What is looked at PDP • Plan of learning based on needs identified through reflection on practice. • A "living document" with at least one appropriate PDP entry in six months prior to ESR/ARCP.
What is looked at Log entries • Educational Supervisors encouraged to read and comment on entries to motivate and provide feedback. • A lack of log entries may indicate a lack of progression towards Competence 10: Maintaining performance, learning and teaching.
Good Practice Log entries • Information provided. • Critical Analysis. • Self-Awareness. • Evidence of Learning. • Linkage to curriculum and competence.
What is looked at Log entries • Educational Supervisors encouraged to read and comment on entries to motivate and provide feedback. • A lack of log entries may indicate a lack of progression towards Competence 10 (MPLT).
What is looked at Log entries • Linkage • Cover the whole curriculum by end of training. • no zeros. • ES should review linkage.
What is looked at Log entries • Links to professional competences (validation). • Must be Competent in all 12 areas by end of ST3. • There must be sufficient evidence to confirm competence.
What is Looked at • Rating the competences • Trainees to make detailed reference to the evidence in their ePortfolio. • May highlight "eye-catching" evidence for ES and ARCP. • ES rating backed up by evidence with variety of sources for triangulation. • Good practice if specific, dated and narrative.
What is looked at 3 essential questions for the ES • Where is the evidence? • What does the evidence say? • Where do we go from here?
WPBA minimums Assessments (COTs DOPs etc) • All mandatory WPBA completed for CCT. • Extensions include assessments as current evidence of competence. • Number determined by Deanery and may be more than the standard minimum and communicated to trainee.
What is looked at • DOPS • Undertaken by senior colleagues. • Observer should not be a peer. • Cannot be retrospective. • Cannot be completed in a skills lab.
What is looked at Quality Improvement Activity • Clinical audit. • Review of clinical outcomes. • Case review or discussion. • Audit and monitor teaching programme. • Evaluate impact of health policy or management practice.
What is looked at Why do an audit? • Example of quality improvement. • Excellence in competence 7: primary care admin IMT plus in competence 10: maintaining performance, learning and teaching. • Eight point or full audit cycle not mandatory but "gold standard."
What is looked at SEA • ARCP panels check trainee engaged in process and learnt from them as team based exercise.
What is looked at Child Protection • Level 3 training in child protection. • Strongly recommended rather than mandatory.
What is looked at OOH • Contractual: BMA model contract- 72 hours in ST3. • Educational: COGPED guidance- A 4-6 hour session a month. • Missing sessions from ST1 or 2 to he completed. • Mechanisms to check booked sessions are completed. • Upload copies of OOH record sheets and describe hours.
What is looked at CPR • Valid for 3 years and carried out during a GP post.
What is looked at CSR • Provide a CSR for each post.
The Outcomes • Achieving progress and competencies at the expected rate. • Development of specific competencies required – additional training time not required. • Inadequate progress made by the trainee – additional training time required. • Released from training programme with or without specified competencies. • Incomplete evidence presented – additional training time may be required. • Gained all competencies: completed the training programme and for the award of a CCT. • Outcome for Fixed-Term Specialty Training (FTSTA). • OOP. • Top up training in a training post.
Summer 2013 • Form R. • ESR - commentary not evidence. new ESR should fix this. • Competent for licensing? • Validating competences - variable. • Occ’ Health. • AKT fails. • Outcome 5.
