ARCP and the e-Portfolio update

1. ARCP and the e-Portfolio update

2. ARCP panel expectations • Curriculum coverage • Number of QUALITY entries • Breadth of domain coverage • 1 mini audit per year and 1 big audit with completion of two cycles with the 3 ST years • 3x SEA per 6 months • Case presentation every six months • PSQs (ST2), DOPs, CDBs and COTs • PDP

3. E-portfolio changes • Entries no longer have to be read to be sent to PDP • Comments by Trainers are clearly flagged • Educators Notes (Ed Sups & Trainers) • Review form and Ed Sup form changes • Downloads

4. Case Presentations • This can be a presentation of a clinical case study, literature review, a research project, a discussion paper or notes review; such a presentation may have been given in a departmental setting or VTS group. Key points considered in the assessment of this work are: • Discussion of how practice relates to the evidence base • Demonstration of relevance to career in GP

5. OOHs • 36 hours OOH experience (a balance of telephone triage, visits and OOH surgeries) per six months of GP • Most Pennine GPSTs will have to do 96 hours OOH prior to the May summative Educational Supervision at the end of ST3. • But those that have done a palliative care APE only have to do 72 hours!

6. Pennine Exit Course • Day One • Introduction & managing transition from GPST to GP • How to get a job • Life in portfolio careers • Avoiding professional isolation • Life as a salaried GP • GMS vs PMS vs APMS • Preparing for the informal visit • Preparing for the job interview • Day Two • Mock interviews & debrief • When things go wrong – LMC, BMA, MPS, GMC • Navigating the first few months of your salaried post/partnership • Financial planning                                                      • Appraisal, revalidation & certification                                                      • Career development – GPWSPI, Trainer, LMC, Appraiser, LTFTT, Returners & Retainers etc • March 15 & 16th - £250 GPS TO ACT AS INTERVIEWERS X3 AND NAVIGATING THE FIRST 2 YEARS X2 REQUIRED

7. IMGs • In 2009 there are 527 GPSTs in the West and North & East (not including Northern Lincs ) Localities. Of these, 143 are International Medical Graduates = 27% • Pennine figures are in line at  15/53 = 28%

8. IMGs – One of the challenges • 2008 RCGP report details performance • CSA fail rate for UK grads = 8.4% • Non UK, Non EU fail rate = 46% • AKT fail rate for UK grads = 9.3% • Non UK, Nin EU fail rate = 28.9%

9. Key CSA domains • CSA feedback statement                     IMG vs UK grads • Does not develop a management plan  20% vs 9.6% • Does not identify ICE or Cues                14.9% vs 5.1% • Does not use explanations relevant • or understandable to the patient           10.3% vs 3.1% • No shared management plan                  14.4% vs 5.2% • Does not recognise the challenge        13.8% vs 6.3% • Inappropriate doctor centeredness        10.2% vs 2.9%

10. Working in groups of four • Using the IMG feedback sheet to gain a flavour of issues and reflect on the strengths, problems & challenges and how you utilised them/addressed them • Write down your scenario and the key issues and your solutions • Work as a group sharing scenarios and listing potential solutions • Present your group work