In HEKSS, our aim is for doctors and dentists in training to be safe, to develop the habits of ‘life-long’ learning and to achieve appropriate standards of practice. Regulating the progress of doctors in training protects patients and directs the training process.
It is done through three linked steps:
The Interim Review: a face to face meeting reviewing and discussing evidence of progress, preparing for the ARCP.
The Annual Review of Competence Progression (ARCP): a review of evidence, to issue an outcome for the period of training. It may be face-to-face, or an electronic process done remotely.
Revalidation: The GMC requirement on all registered doctors, managed for doctors in training through the ARCP, with some additional documentation. The dates for the Psychiatry interim reviews and ARCPs will be advertised to you via email. Please ensure that you do not book any leave on these dates. Specific time slots will be allocated nearer the time. As you will be given advance notice of these dates, failure to attend will only be accepted in exceptional circumstances and must be ratified by the TPDs.
You should ensure that your ePortfolio and CV are kept up to date for the IRs and ARCPs, and that your assessments are not left to the last minute!
Please keep the School informed of any changes in contact details.
The Interim Review is a formal face-to-face meeting where a panel including at least one of the Training Programme Directors will review all the evidence in your portfolio partway through your training year. This allows the panel to check that you are on track for a satisfactory ARCP outcome. It also allows you the time to discuss your training and experience with a consultant who is not your assigned educational supervisor. Every trainee will be invited to attend an interim review.
It is expected that the ePortfolio will be up to date, and that a proportionate number of WPBAs (usually 50%) will have been completed. (You should talk to your Educational Supervisor and TPD early if you are having difficulties with this). The panel may suggest steps still needed to achieve a satisfactory subsequent ARCP, or conclude that a face-to-face ARCP interview will be needed.
The expected competencies will reflect the stage that you are at.
The Interim Reviews will usually be held locally, usually in January and June
Date: June 28th and 29th in Stewart House, London
ANNUAL REVIEW OF COMPETENCE PROGRESSION, ARCP
Your Annual Review of Competence Progression (ARCP) is the mechanism for recording the review of your progression through your training programme.
It will take place generally towards the end of the training year. Your portfolio needs to be up to date two weeks before the ARCP, so that the panel will then review it before the ARCP meeting.
Although this is usually an electronic process done remotely, you may be called for interview (usually planned at the IR.) If your attendance is required at your ARCP, please confirm your ability to attend as soon as possible after the notification.
You will be assessed for the time you have spent in programme at that level of training. – i.e. if you are in the programme for only three months you will be expected to achieve competences relevant for that period of time.
The ARCP’s are centrally assessed by a panel consisting of the head of school and/or Training Programme Director, lay external representative and academic representative where required.
Please note that registering with your specialty college is a Gold Guide requirement: please ensure you have registered before your forthcoming ARCP and speak to your local training programme director / college tutor if you have any queries.
The ARCP Panel will review training to date (particularly since the previous ARCP) and ensure that the future training will be of maximum benefit. It will identify any deficits in knowledge and skills, to ensure that all requirements can be satisfied before the completion of the training programme.
The process is two-way (for instance looking at whether career plans are realistic) and is also an opportunity for the Training Programme Director to establish whether your requirements are being met.
If you do not provide evidence by the ARCP date, you cannot be issued with a satisfactory outcome.
For all revalidation queries please see the revalidation section of the PGMDE Support Portal.
Please click here
Newly appointed trainees should receive an Enhanced Form R from HEKSS to register their details with the School. The Enhanced Form R has two purposes; to allow trainees to register with the Deanery and Specialty Training Programme, and to allow trainees to self-declare for revalidation.
Please ensure the following documents are available on your e-portfolio for the ARCP panel to review 7-10 days before your ARCP:
- ARCP structured report (which emphasizes the learning, experience and competencies met through the training received to date).
- A current curriculum vitae (dated)
- Relevant part of college examination (for Core Psychiatry doctors; this is now uploaded automatically by the College.)
- Form R part A&B – completed with revalidation questions, amendments and signed.
- List of absences (relating to sickness, parental, carers or maternity leave) taken over the year (entered in Form R).
- Current GMC certificate
- GMC National Trainee Survey completion
- Letters of thanks/commendation (anonymised)
- Letters of complaints/grievance s(anonymised)
- Participation in clinical leadership – LEADER evidence Form – (see download below)
- WPBA, audit, teaching, reflection etc.
- Psychotherapy progression; Balint group, or long and short cases
- Previous ARCP outcomes for each completed training year – (entered by the School after the ARCP)
More detail on ARCPs can be downloaded below:
A Core Psychiatry doctor’s perspective: Idiots-Guide-to-the-ARCP-for-Core-Trainees
A Higher Training doctor’s perspective: ARCP-Best-Practice-Guide-for-HSTs
Training Programme Director advice: Making-ARCPs-Work-for-Trainees
For more information about ARCP and Revalidation please visit Policies and Procedures on our Home Page.
WPBA Guides for Core and Advanced Psychiatric Training
For further information regarding the guides, please click here
At Surrey and Sussex, doctors can gain experience working in a busy acute medical unit as a foundation doctor, GP trainee, Core medical trainee and Specialty registrar. We have a purpose built unit with designated ambulatory and assessment areas as well as in-patient beds for up to 72 hours from admission.
We work to an average length of stay of 1 day. The Acute Medical team manage the acute medical take each day until 12.30 and provide support to ambulatory care until 5pm. We have currently:
StR level doctors- placements can include 6 months respiratory or 6 months acute geriatric medicine. Support is given to develop existing skills including Echocardiography, bedside Ultrasound and medical education activities.
Core medical trainees will gain experience of acute unselected on-call and top 20 medical conditions, experience running the acute take ‘acting up’ as StR under supervision, practical procedures, support to complete a quality improvement project. The CMT also runs a weekly TIA clinic session (supervised by a Consultant)
GP trainees- ST1/2 level- will gain experience of managing acute medical illness from secondary care perspective.
Foundation doctors- will gain invaluable experience in a busy unit, time management skills, prioritisation of tasks, common medical conditions, basic clinical and procedural skills, ward round skills.
Doctors in Training have the opportunity and are encouraged to take part in audit, quality and service improvement projects as well as patient experience initiatives. Previous trainees have been involved in Trust videos, the #hellomynameis campaign, electronic prescribing and white board technology and also the development of a junior doctor mobile phone app.
This not only improves the experience of the Doctor in Training working on the unit in terms of non-clinical skills, it allows them additional opportunities in their personal development. We encourage our trainees to develop their critical thinking and writing skills and have supported many in presenting at national and international conferences. In the last two years we have had over 15 posters and 4 oral presentations at national and international conferences and we strongly recommend juniors to contribute to the Society for Acute Medicine conferences.