London School of Paediatrics Summer 2020 ARCPs- Information for Trainees

 What is different about ARCPs this Summer Round?

The 4 Statutory Education Bodies (SEBs) across the UK and the RCPCH  acknowledge the disruption to training and the challenges caused by the Coronavirus pandemic and are keen to ensure, that where possible and patient safely permitting, trainees progress through training at the normal rate this year as long as there were no concerns about their capabilities and competency acquisition pre-Covid.

 

In summary, these are key changes to ARCPs agreed for this year only:

-The prioritisation of ARCPs for trainees at key progression points in their training and for trainees where there are pre-existing concerns about their clinical capability/fitness to practice.

-Defining critical progression points for each Specialty Training Programme.

-For paediatrics, the RCPCH has defined the critical progression points as the end of level 1 (ST3 trainees moving into ST4) and end of level 3 (trainees completing training and about to CCT)

-The use of minimum curriculum requirements and pared down evidence as defined by the specific Colleges compatible with maintaining patient safety for each year of training to inform when a trainee can progress (the RCPCH has issued specific guidance for each level of training which can be found further down in this guide.

-The composition of ARCP panels have been changed to allow a minimum of 2 panel members. All panels will include a HoS or TPD and panel reviews will take place remotely via videoconference.

-The introduction of two new ARCP Outcomes-Outcome 10.1 and 10.2 to be used where a trainee was achieving progress and developing competencies and capabilities at the expected rate previously (prior to the 17th of March) but this has been curtailed or disrupted by the Covid-19 pandemic.

-The Form R has been combined with a trainee self-declaration and assessment section to be completed electronically and a pdf copy uploaded onto eportfolio and also sent by the trainee to their educational supervisor.

 

We plan on carrying out ARCP reviews in this round for the following group of trainees:

All Level 1 trainees

-ST5 trainees where progression to ST6 is expected

-Trainees intending to CCT this summer

-Trainees with pre-existing competency issues

-Most ST7 Trainees (unless they had an ARCP in winter-February 2020)

-Trainee’s who have not had ARCPs since 2018 (due to statutory leave)

 

All other trainees (mainly ST4 and ST6 trainees) will have their ARCPs deferred to the winter ARCP round (February 2021) but will progress to the next training year.

 

COVID-19 specific Educational Supervision (ES) Report

For this round of ARCPs where evidence and capability acquisition may have been affected by the COVID-19 pandemic, there will be an abridged RCPCH COVID-19 Educational Supervisor Report for ARCP 2020. This is trainee-led and will reduce the time required for completion for both parties. (Sample ES Form enclosed).

 

My supervisor has not completed an Educational Supervisor Trainer’s Report.  What will happen?

For ARCP, every post completed within the assessment period must have an Educational Supervisor Trainer’s Report.

If an ES has been unable to complete the report due to Covid-related issues (for instance, if an ES is shielding), the ARCP panel will look to use alternative evidence if possible, e.g. trainee self-assessment form etc to make a judgment.

An appropriate Covid Outcome 10 will then be issued.

If the ES report unavailability is unrelated to Covid, this will mean insufficient evidence has been presented and an Outcome 5 will be issued.

 

ST2 Trainees

Due to the disruption to examinations caused by the Covid pandemic, ST2 trainees will progress to ST3 in this ARCP round even if they have not passed two written examinations.

 

ST3 Trainees due to progress to ST4

The RCPCH curriculum usually requires ST3 trainees to have passed all parts of the MRCPCH to progress to ST4. In this ARCP round, ST3 trainees will move to ST4 as long as their eportfolio and educational supervisor report support their suitability to move to level 2, taking into account capabilities described by the RCPCH guidance for ARCP in the Covid-era (guidance document link enclosed).

They will be issued with a Covid outcome 10.1 and will have one year in which to pass all parts of the membership examinations.

 

Trainees coming to the end of training

Trainees at the point of completion of training and intending to CCT must have undertaken the START assessment with evidence of remediation if required completed and clearly documented on Eportfolio in a sub-folder entitled ‘START Reflection and Remediation’ which should be placed in the ARCP Summer 2020 folder.

To ensure that your CCT is delayed, it is important that all correct documentation is submitted on time.

Please refer to the RCPCH standards for satisfactory completion of level 3 for more details.

Your educational supervisor trainer’s report from your current post must specifically state that you are able to progress to being a consultant.

 

Grid Trainees 

In addition to the educational supervisor report, grid trainees should also ensure that they have a CSAC progression report on Kaizen that has been completed within 6 months of the date of the ARCP.  This is required annually for sub-specialty trainees.

Grid trainees will receive two separate ARCP outcomes – one for their general paediatric training and one for their sub-specialty training.

Please contact your CSAC ASAP to arrange a CSAC review with a recommendation for the subspecialty component of ARCP outcome if you have not had one recently.

 

 

Trainees on OOP

All trainees on OOP (except OOPC) must complete an “Out of Programme Trainee Update Form for ARCP Panel” indicating the type of OOP they are on with a summary of current OOP activity. The form must be signed by their current supervisor in order to demonstrate adequate progress (or not) during the time on OOP.

Many trainees on OOP and academic trainees (ACLs/ACFs) will have been redeployed to acute clinical services over the past few months.

The directive is that trainees on OOPE and OOPR should be given an OOP outcome 8 for this current ARCP.

*Any clinical work undertaken and supervised should be documented in the trainee’s eportfolio. This will be reviewed and accredited at the next clinical ARCP.

 

Trainees on OOPT will be assessed as per a clinical ARCP and should therefore submit everything outlined in the clinical ARCP checklist, along with a completed “OOP update form for ARCP”.

Trainees on OOPR: An academic supervisor report is necessary to document your academic progress through the year. If any time has been agreed to count toward your training and CCT, please state this and upload the approval letter from the Regional Adviser.

All trainees on OOPE, OOPR and OOPT should also complete the Form R and CCT calculator as well as the Exams & Courses Pro Forma.

Trainees on OOPC should complete and submit a Form R.

 

Impact of Redeployment due to the Covid-19 Pandemic 

Many trainees will have been redeployed to other services, including adult services and some may have had to change hospitals due to the coronavirus pandemic.

The Progress curriculum is outcomes-based and affords some flexibility in allowing progression as it does not mandate specific experience or length of rotations, plus the key capabilities described are specific to each training level and are not requirements for every training year.

Where there are issues with capability acquisition due to Covid, it is hoped that trainees will be able to ‘close the capability gap’ in the next training year.

This will be reviewed at the next ARCP. If necessary, future placements may change to facilitate this.

 

I am on maternity leave/ long-term sick leave.  Do I need to take part in the ARCP process?

Trainees who are not currently actively in the programme due to maternity leave/ long-term sick leave are not required to maintain their eportfolio or participate in the ARCP process.  We will still require you to submit a Form R.

You will be issued with an Outcome 0 and the relevant ‘N’ code to indicate why you were not reviewed this year.

 

 

What are the dates and deadlines for the Summer ARCPs?

22nd June and 24th June: All Trainees at end of training intending to CCT

The deadline for locking down eportfolios (ensuring completion of all ES reports, WBPAs and MSF as well as the online submission of Form R which includes the trainee self-declaration section) is the 14th of June

20th July-29th July: ST1, ST2, ST3, ST5 and ST7 trainees and trainees who have not had an ARCP since 2018.

The deadline for locking down eportfolios (ensuring completion of all ES reports, WBPAs and MSF as well as online submission of Form R including the trainee self-declaration section) is the 12th of July.

 

What are the required minimum number of WBPAs and SLEe?

The minimum evidence requirements for progression have been modified for this summer ARCP and are indicated in RCPCH Covid-19 minimum evidence requirements guide summarised in the tables below.

Covid-19 minimum evidence requirements

Level Level 1 Level 2 Level 3
Grade ST1 ST2 ST3 ST4 ST5 ST6 ST7 ST8
SLEs Safeguarding CBD minimum 2 per training level

Minimum 1 Handover Assessment Tool (HAT) by end of ST3

Safeguarding CBD minimum 1 per training level

Minimum 1 ACAT observed by supervising clinician

1 HAT per level

1 LEADER per level

Safeguarding CBD minimum 2 per training level

2 LEADER per level

1x MSF during ST1 1x MSF during ST2 or ST3 1x MSF during level 2 2x MSF during level 3
AoP Minimum 1 satisfactory DOPS for compulsory procedures
Life support Valid life support evidence, APLS, NLS, EPALS or equivalent by end of ST3 Continued valid life support evidence, APLS, NLS, EPALS or equivalent Continued relevant valid life support evidence
Level Level 1 Level 2 Level 3
Exams and other assessments ST1-2 = none mandatory

ST3 = need all theory exams by end of ST3

ST3 can progress to ST4 without full MRCPCH* (will need by end of ST4)

N/A Completion of and reflection from RCPCH START assessment
Trainer’s report Satisfactory Educational supervisor report for each training year

ST3 can progress without MRCPCH as long as ES report explicitly states suitability (will require covid outcome 10.1)

Satisfactory Educational Supervisor report for each training year Satisfactory Educational Supervisor report for each training year

 

 

 

I am a Less than Full-time trainee.  How many WPBAs do I have to complete? 

Trainees who work LTFT must still complete an annual assessment and should still follow the standard checklist.

The only difference is that you will complete a pro-rata amount of WPBA according to the % WTE that you have worked. The panel will generally round upwards when calculating pro-rata requirements.

 

What happens if I do not complete all the requirements in time?

At the time that the ARCP panel conducts the eportfolio review, all necessary assessments and reports etc must be clearly evident. If this is not the case, trainees will be issued with an Outcome 2 or infrequently, an Outcome 5.

 

An Outcome 5 is an outcome issued when trainees have not provided evidence of all of the requirements for a satisfactory outcome.

The outcome summary will specify what requirements have not been met/ what evidence is missing.

Trainees have 2 weeks from the date on which the Outcome 5 is issued in which to submit the outstanding information requested

The ARCP panel chair will then review the eportfolio, complete another ARCP and hopefully issue a satisfactory outcome.

Failure to do so is likely to result in the issuance of an Outcome 2 or 3.

 

What about the Form R?

The Form R is required every year for revalidation and to ensure that HEE records of trainee personal information details are up to date.

This year, the Form R has been combined with a Self-assessment and declaration section.

In the self-assessment section, trainees are asked to

-assess their progress up to the point of Covid-19

-comment on whether their training may have been impacted by Covid-19

-indicate if they would like to have a discussion about their training and if they have concerns about their training and/or wellbeing

-indicate any changes to their placements as a result of Covid-19

 

The completed form will be sent to your educational supervisor for validation.

The form can be assessed from the link below:

https://healtheducationyh.onlinesurveys.ac.uk/london-and-kss-form-r-and-supplementary-information-2

 

What are the ARCP Outcomes?

Outcome 1

Satisfactory progress-achieving progress and the development of competencies at the expected rate

Outcome 2

Development of specific competencies required-Additional training time not required

Outcome 3

Inadequate progress-Additional training time required

Outcome4

Released from training programme-With or without specified competencies

Outcome 5

Incomplete evidence presented-Additional training time may be required

Outcome 6

Gained all required competencies-will be recommended as having completed the training programme and recommended for the award of a CCT

Outcome 8

Out of Programme for clinical experience (OOPE) research (OOPR) or a career break (OOPC)

 

Covid Outcomes

In addition to the usual outcomes above, there are 2 new Covid-19 specific  outcomes:

An outcome 10 will be considered by the ARCP panel only when the trainee has been unable to evidence components of the assessment pathway that are mandatory for progression to the next level of training because of COVID-19.

Outcomes 10.1 and 10.2 recognise that the progress of the trainee has been satisfactory and acquisition of capabilities by the trainees has been delayed by COVID-19 disruption. These are therefore ‘no-fault’ outcomes.

 

Outcome 10.1

Clinical progress is satisfactory but the acquisition of competencies/capabilities has been delayed by Covid-19 disruption. The trainee is not at a critical progression point in their programme and can progress to the next stage of their training but will be reviewed at the next ARCP and may require additional training time following that review.

Outcome 10.2

Clinical progress is satisfactory but the acquisition of competencies/capabilities has been delayed by Covid-19 disruption. The trainee is at a critical progression point in their programme and additional training time is required.

 

N Codes

No Outcome issued as trainee is not actively in the training programme (parental leave or other statutory leave)

Why do I have two outcomes showing on Kaizen?

-If you are a Grid trainee, you will receive two outcomes for each assessment round – one for your generic paediatric training and one for your subspecialty training.

-If you have spent part of the year Out of Programme (OOP), you will receive an outcome 8 for the portion of the year spent OOP and a separate outcome for the time spent in clinical training.

-If you have received an Outcome 5, this will always be followed by a final outcome (e.g. outcome 1, 2 or 3) at a later date.  However, the Outcome 5 will remain on your record.

 

ARCP Checklist

-Have your training posts been logged on Kaizen?     ☐

-Do you have the required minimum WBPAs completed on eportfolio?    ☐

-Do you have completed trainee-led educational supervisor report/s?   ☐

-Have you completed a Form R and trainee self assessment and declaration form?    ☐

-Have you completed the Placement and Exams/Courses Pro-forma and CCT calculator?    ☐
 

Links to relevant and helpful Documents:

https://www.rcpch.ac.uk/sites/default/files/generated-pdf/document/Supporting-the-COVID-19-response—managing-annual-review-of-competency-progression-%2528ARCP%2529-for-paediatrics-training.pdf

https://www.hee.nhs.uk/coronavirus-information-trainees

https://www.rcpch.ac.uk/resources/covid-19-rcpch-trainee-progression-uk-through-2020

https://www.rcpch.ac.uk/resources/covid-19-developing-capabilities-around-progress-curriculum