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ARCP Panels. What’s is all about?. What is ES doing when deciding on the outcome of an educational review?. Making a recommendation to the ARCP panel based on your expert knowledge of the trainee 3 outcomes: satisfactory unsatisfactory panel opinion requested. ES Recommendation.
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ARCP Panels What’s is all about?
What is ES doing when deciding on the outcome of an educational review? • Making a recommendation to the ARCP panel based on your expert knowledge of the trainee • 3 outcomes: satisfactory unsatisfactory panel opinion requested
ES Recommendation • ES knows trainee best • ES expert recommendation is usually most important piece of evidence used by ARCP panel in determining outcome • Usual outcomes should be satisfactory or unsatisfactory • Only use POR if genuinely unsure
Satisfactory - ideal! • All assessments complete and the trainee has performed to the required standard • Learning Log is of an acceptable quantity and quality • PDP is active and SMART • No concerns in MSF, PSQ, CSR or Educator’s notes
When to ask for a panel opinion? • ‘Genuine uncertainty’ • For a second opinion • NOT for a ‘telling off’ • ? Discuss with TPD first • Try to avoid in January if possible
ARCP Panel • Sits once per year in June • No routine panel in February • Special panels may be convened in particular circumstances or for those out of step in training • Every trainee must have an ARCP review in a 12 month period • All of training must be covered by an ARCP • ARCP must be informed by an ESR that is less than 2 months old
WOS: 3 stage procedure Level 1 • Screening panel • TPD ? discussion with AD • All trainees scrutinised • If satisfactory progress 3 possible outcomes: 1 satisfactory progress 6 completion of training 8 OOP • Any concerns or missing evidence referred to level 2
Level 2: • Electronic panel • 1 or 2 TPDs from other programmes + Trainer + lay person + admin rep +/- RCGP External Advisor • Detailed scrutiny of e-portfolio +/- additional evidence • Outcomes: 1 satisfactory 6 completion of training 5 unsatisfactory additional training may be required (letter re concerns, 2 weeks to reply with an action plan, ES/TPD monitor) referred to level 3 (face to face interview)
Level 3: • Face to face interview • May consider additional evidence/extenuating circumstances ? Health problems • Made up of Assistant Director, TPDs, Trainers, lay reps, NES admin staff +/- RCGP EA • Further scrutiny of evidence
Level 3 outcomes: • 1 satisfactory • 6 satisfactory completion of training CCT • 2 unsatisfactory, specific competencies needing developed, no additional training • 3 unsatisfactory, specific competencies and additional training required (remedial) • 4 removed from training (must have had previous outcome 3 at some point). Right of review of outcome 2 and appeal of outcomes 3 and 4
Step 1 appeal • Original panel meet to re-consider evidence available. • Usually has new chairperson • Trainee re-interviewed • Can uphold or overturn original decision
Appeals panel • Dean or another GP Director • Lay rep • External RCGP rep • TPD (different specialty) • Senior trainee (different specialty) Reconsider all evidence. Re-interview trainee, call informants (ES, TPD, AD) Trainee can be accompanied Decision is final.
ARCP Outcomes: • 1 – Satisfactory progress • 6 – Satisfactory progress completion of training • 5 – Unsatisfactory progress - additional training time may be required (missing evidence) • 2 – Unsatisfactory progress no additional training time required • 3 – Unsatisfactory progress additional training time required (remedial) • 4 – Unsatisfactory progress removed from training • 8 – Out of programme
Trainee cases for discussion • Appoint a chairperson • Consider the evidence • What more information may have been helpful? • What are the main issues for this trainee? • What questions would you ask at interview • What support would be available/appropriate? • Indicative outcome • Next stage for trainee
Specific Requirements: • Panel make specific recommendations for areas to be focused on in next 6 months • Specify minimum number of assessments to be undertaken (may be more than RCGP standards) • May make suggestions re educational activity/exam preparation Recorded on ARCP form for trainee signature.
Common issues at Interview: • Trainee not engaging despite advice • Repeated exam failure • Multiple MRCGP component failure • Dyslexia assessment advice • Lack of insight • Trainee feels unsupported by ES/Training Practice • Underperformance despite remediation • Trainee health problems