Tales from the panel

1. Tales from the panel • or • How to keep your TPDs happy

2. Nag Nag Nag........

3. Nag Nag Nag........

4. CSA? AKT?

5. WPBA?

6. 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

7. Acronyms • CSA • AKT • CSR • ESR • IDT • CCT • CPR • WPBA • PDP • OOH • TLA • BMA • ARCP • SEA • DOP • COT • CBD • OOP

8. ARCP • What? • Why? • When? • Who? • How?

9. 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.

10. 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.

11. 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

12. 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.

13. 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.

14. Good Practice Log entries • Information provided. • Critical Analysis. • Self-Awareness. • Evidence of Learning. • Linkage to curriculum and competence.

15. 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).

16. What is looked at Log entries • Linkage • Cover the whole curriculum by end of training. • no zeros. • ES should review linkage.

17. 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.

18. 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.

19. 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?

20. 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.

21. 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.

22. 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.

23. 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."

24. What is looked at SEA • ARCP panels check trainee engaged in process and learnt from them as team based exercise.

25. What is looked at Child Protection • Level 3 training in child protection. • Strongly recommended rather than mandatory.

26. 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.

27. What is looked at CPR • Valid for 3 years and carried out during a GP post.

28. What is looked at CSR • Provide a CSR for each post.

29. 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.

30. 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.