Dr S Pathmanathan GIM TPD HEEYH

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1 Dr S Pathmanathan GIM TPD HEEYH

2

3 ARCP outcomes should not be a surprise Generic ES training is good but doesn t address e-portfolio and specific specialty or GIM requirement. Training is trainee led. The GIM SAC now mandates a separate GIM ES report.

4 ES Report CMT Requirements GIM STR requirements ARCP Process PYA Adverse Outcome ARCP 6

5

6 Initial meeting Regular updates Prepare for ARCP Support

7 Make it as early as possible, on rotation, and allocate adequate time. Review previous ARCPs, ES reports, Form R Consider an agenda

8 Identify training needs and how they will be achieved; WBPAs, study leave, attachments elsewhere. Ensure GIM & Speciality issues are addressed. Refer to ARCP decision aids Populate the PDP and an honest, achievable timetable

9 Mark progress against ARCP decision aids Ensure the curricula are linked appropriately and the ES signs off competencies Use the free text to justify competency WBPAs, MSF, MCR Identify and escalate concerns early Clear targets for next meeting

10 Allow plenty of time for the ES reports Seperate ES report for GIM and speciality. ARCP outcomes are predictable! Remember the lockdown date- 1 st May for GIM

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13 ALS CPD ACAT, assessments ES report/mcr/msf GIM Logbook Curriculum GIM placement Adequate Reflection Other

14 Valid- 4 years Must be valid at ARCP If expired, local trust must be informed Instructor status allowed Must be in certificates section and verified by ES NO ALS= Automatic 2

15 Minimum 18 at CCT for STR s Must be GIM- 2 allowed from speciality Minimum 5 patients Must be on AAU/ACU Must all be satisfactory Ideally lead the ward round Allowed up to 8 links 10 assessments per year

16 4-6 per year for STR s At least 2 should be from GIM consultants- AAU, other MEDICAL specialities Should all be Satisfactory Should not use ES, and avoid MSF consultants

17 At least 2 satisfactory Minimum 12 responders Minimum 3 consultants A mix of clinical and non-clinical staff

18 Must be signed off by BOTH ES and Trainee At least 2 links per item Only 1 can be a reflection Emergency Presentations complete by end of ST3 Mandatory procedures complete by ST3

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22 Cannot use assessments from prior to Training Programme Max number of Links: ACAT 8 Mini-cex 2 CBD - 2

23 1- ST3 Unless first year is in a Teaching hospital with no GIM 2 ST4 6 If second year is in a DGH, aim to have Stage 2 signed off CCT- ST6-7

24 Minimum 3 years of GIM Acute on calls ICU exposure CCU cover- assessments Ideally at least months of DGH At least 3 months GIM in final year

25 Minimum 100 hours Must be external- not from speciality Can have up to 15 hours online- RCP, BMJ Upload certificates Can also count SAM conference, RCP updates

26 Firth Calculator Updated yearly Signed by ES to verify

27 Management course Evidence of leadership GIM Audit- out-with speciality Need assessment Teaching course Evidence of teaching non clinicians ( excl med students)

28 Must have reasonable Detail

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30 Joint ARCP with speciality Remote assessment Minimum panel of 3 Follow decision aid Outcome decided remotely Must have an updated Form R Lockdown date for requirements to be met

31 1- Satisfactory outcome 2- Lack of evidence, no additional training 3- Lack of evidence, additional training 4- Released from programme 5- Incomplete Evidence 6- recommend for CCT

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34 Face to Face Presence of APD No OOPE Reviewed after 6 months Consecutive adverse outcome may extend training 2 x 5 = 2 2 x 2 = 3 2 x 3 = 4

35 No ALS No ES Report No Form R Insufficient Assessments Insufficient Curriculum sign offs Not at appropriate stage Unsatisfactory report/assessments

36 2- Assessment/evidence not undertaken 5- Assessment/evidence completed, but made available 5 can be upgraded to 1- but has to be done by specified time- usually 2 weeks Cannot have more than 1 outcome 5 Either outcome means you CANNOT Accelerate

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38 At least months prior to CCT Undertaken by external assessor Local TPD Present Full assessment of Eportfolio and documentation Presentation and CV

39 Mandatory Targets Set Specified time for targets CCT can be altered Must match parent speciality THIS IS NOT AN ARCP

40 If OOPE/Maternity is taken after PYA, A repeat PYA may be needed if CCT date is 2 years or more from PYA Virtual PYA

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42 Completed E portfolio and requirements Must have a panel of 3 PYA targets must be completed Sent to external for scrutiny- PYA Assessor RCP GMC Need at least 2 months for completion

43 DO NOT RESIGN UNTIL YOU HAVE BEEN GIVEN YOUR CCT!

44 STR Quality Criteria Return to Work Programme Simulation

45 Organise your portfolio Make it easy to be assessed Keep up to date with assessments Remember your dates Continuous update Give your ES time Be pro-active Use the decision aid

46 Refer to the decision aid Or contact: Dr Hogg_ Wakefield Dr Kallankara- Hull Dr Aye- Hull Dr El-Kossi- Doncaster Dr Aslam - Sheffield

47 ne/ neral-internal-medicine-gim re-medical-training-and-acute-carecommon-stem-medicine

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