Appraisal and Assessment (for ARCP info scroll down)
We hope you are now familiar with the e-portfolio, the workplace based assessments, and the overall assessment process. Much of what you need to know about is already available on the websites of the nhsePortfolio (www.nhseportfolios.org.uk) and the Joint Royal Colleges Physicians Training Board (JRCPTB). This is the successor body to JCHMT and is at www.jrcptb.org.uk.
e-portfolio
You must be registered for use of the ePortfolio. It remains a work in progress, and improvements to the portfolio will continue as experience and feedback increase. You will receive a personal password for your portfolio soon after your post starts. Your Educational supervisor and Clinical Supervisor will receive separate passwords to allow them to access the portfolio when needed (such as in preparing for an appraisal meeting).
The portfolio will record the details of your appraisal meetings, your workplace based assessments, and will contain your Record of Competencies. As you use it you will find that it is closely related to the General (Internal) Medicine Acute and Generic Curricula. This is quite deliberate, and I urge you to study both the curricula – they are easily found on the Joint Royal Colleges Physician Training Board (JRCPTB) site (this is the body which is now in overall control of training in medical specialties).
The portfolio will be an important aid to your new Clinical Supervisor when you move between posts.
The other important point about the portfolio is related to assessment. Achieving satisfactory results in the various components of the portfolio at various timepoints is required for progression through the programme. This process has been called RITA for registrars up to now; for you it will be the Annual Record of Competency Progression.
Workplace based assessement methods
Current guidance on workplace based assessments is as below:
ACAT: minimum of 3 per year (aim for 6 per year)
Mini-CEX: minimum of 4 per year
CbDs: minimum of 4 per year
DOPS: repeated until independence in procedures demonstrated
MSF: 1 per year – months 6 or 7 in ST1, month 15 - 16 in ST2.
Below is the current JRCPTB guidance on the minimum standards for the assessment processes that you will undergo. We will explain this to you in more detail, but it gives an impression of how the contents of your portfolio will be important in confirming your satisfactory progress.
ARCPs
The month 16 ARCPs will be completed before the end of December 07. Please ensure you have sufficient evidence in your portfolio to pass. If you are having problems you must contact you educational or clinical supervisor, your CMT programme director / RCP Tutor or one of the Heads of CMT (see contacts). It is possible that the ARCP evidence in your portfolio will inform the allocation process.
Core Medical Training ARCP Decision Aid – minimal standards for recognising satisfactory Progress
| ARCP Month 8 | ARCP Month 16 | ARCP Month 23 | |
|---|---|---|---|
| Emergency Presentations | Some experience of all | Level 1 competent in all | Level 1 competent in all |
| Top 20 Presentations | Some experience of 1/2 (mini-CEX / CbD / ACAT evidence) |
Level 1 competent in 1/2 (mini-CEX / CbD / ACAT evidence) Some experience of all |
Level 1 competent in all (mini-CEX / CbD / ACAT evidence) |
| Other Presentations | Level 1 competent in 1/2 relevant to specialties experienced so far (mini-CEX / CbD / ACAT evidence) |
Level 1 competent in 1/2 relevant to specialties experienced so far (mini-CEX / CbD / ACAT evidence) |
Level 1 Competent in all relevant to specialties experienced so far (mini-CEX / CbD / ACAT evidence) |
| Procedures | Competent in all procedures relevant to specialties experienced so far (DOPS evidence) |
Competent in all procedures relevant to specialties experienced so far and Competent in 1/2 of all procedures (DOPS evidence) |
Competent in all procedures (DOPS evidence) |
| Generic Competencies (Focus areas) | Some experience of 1/2 of Mandatory Level 1 Competency Focus Areas (mini-CEX / CbD / ACAT evidence) |
Some experience of all Level 1 areas Level 1 competent in 1/2 (mini-CEX / CbD / ACAT evidence) |
Level 1 competent in all Level 1 Competency Focus areas Some experience of 1/2 of Level 2 Competency Focus areas (mini-CEX / CbD / ACAT evidence) Satisfactory progress in MSF |
| Examinations | - | Review MRCP (UK) Part I progress | MRCP (UK) Part I |
| ALS | Valid | Valid | Valid |
| Minimum number of workplace assessments | Minimum of 3 ACATs should be done per year (aiming for 6 per year) + min of 4 mini-CEX per year + min of 4 CbD per year + DOPS until independence in procedures demonstrated + 1 MSF per year | ||
| Events giving concern | The following events occurring at any time may trigger review of trainee’s progress and possible remedial training: issues of professional behaviour; poor performance in work-place based assessments; poor MSF performance; issues arising from supervisor report; issues of patient safety | ||
page updated 29/07/2008