Dr S Pathmanathan GIM TPD HEEYH
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.
ES Report CMT Requirements GIM STR requirements ARCP Process PYA Adverse Outcome ARCP 6
Initial meeting Regular updates Prepare for ARCP Support
Make it as early as possible, on rotation, and allocate adequate time. Review previous ARCPs, ES reports, Form R Consider an agenda
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
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
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
ALS CPD ACAT, assessments ES report/mcr/msf GIM Logbook Curriculum GIM placement Adequate Reflection Other
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
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
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
At least 2 satisfactory Minimum 12 responders Minimum 3 consultants A mix of clinical and non-clinical staff
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
Cannot use assessments from prior to Training Programme Max number of Links: ACAT 8 Mini-cex 2 CBD - 2
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
Minimum 3 years of GIM Acute on calls ICU exposure CCU cover- assessments Ideally at least 18-24 months of DGH At least 3 months GIM in final year
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
Firth Calculator Updated yearly Signed by ES to verify
Management course Evidence of leadership GIM Audit- out-with speciality Need assessment Teaching course Evidence of teaching non clinicians ( excl med students)
Must have reasonable Detail
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
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
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
No ALS No ES Report No Form R Insufficient Assessments Insufficient Curriculum sign offs Not at appropriate stage Unsatisfactory report/assessments
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
At least 12-18 months prior to CCT Undertaken by external assessor Local TPD Present Full assessment of Eportfolio and documentation Presentation and CV
Mandatory Targets Set Specified time for targets CCT can be altered Must match parent speciality THIS IS NOT AN ARCP
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
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
DO NOT RESIGN UNTIL YOU HAVE BEEN GIVEN YOUR CCT!
STR Quality Criteria https://www.jrcptb.org.uk/quality/supportinghigh-quality-training-registrars Return to Work Programme Simulation
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
Refer to the decision aid Or contact: Dr Hogg_ Wakefield Dr Kallankara- Hull Dr Aye- Hull Dr El-Kossi- Doncaster Dr Aslam - Sheffield
http://www.yorksandhumberdeanery.nhs.uk/medicine/general_(internal)_medici ne/ https://www.jrcptb.org.uk/specialties/ge neral-internal-medicine-gim https://www.jrcptb.org.uk/specialties/co re-medical-training-and-acute-carecommon-stem-medicine