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Screening for future issues

This page explains how to use the Annual Review of Competence Progression (ARCP) and the matrix of educational progression to screen for potential future issues.

The matrix of educational progression (PDF, 461 kb) is a useful objective tool for benchmarking trainees. The information below provides guidance regarding the ARCP outcome for each of the standards within the matrix.

If a trainee receives an outcome 2 or 3, an educational plan should be set up with SMART targets (specific, measurable, achievable, realistic, timely). The original ARCP panel should agree the timeframe for completing this educational plan following senior local advice. The trainee’s progress should be assessed at a follow-up ARCP.

Other specific guidance

  Outcome 2 Outcome 3
Ultrasound modules Failure to complete the Intermediate ultrasound module of normal fetal anatomy by end of ST5 by a trainee who had planned to commence the fetal medicine ATSM**** If the Basic USS modules are not completed by end of ST3. (For trainees starting as ST1 from August 2013 onwards)
If the Basic USS modules are not completed by end of ST5 (For trainees starting as ST1s before August 2013 or equivalent)
Work based assessment When the number of CBDs and minicex are sufficient but the quality or timing, or evidence of learning is of concern. Specifically trainees should be obtaining WBAs throughout the training year When the number completed is below that noted in the matrix
For persistent inappropriate timing and quality (e.g. insufficient senior clinical input) of WBAs
Reflective practice Quality of reflective practice is poor For not completing the number of reflective practice forms as stated in the matrix or where the reflective practice shows ongoing lack of insight
Courses Attendance at Deanery Teachings below the regional guidance Failure to attend courses that are required to pass a Way Point (e.g. ALSO/Prompt before end of ST2).
Persistent failure to achieve attendance targets at regional teaching
Team Observation forms Some concerns noted by ARCP panel; these are not major nor recurrent
RCOG guidance for TO forms not followed
Major or recurrent issues noted
Recurrent failure to follow RCOG TO form guidance
TEF Non completion of TEF alone will not generate an adverse outcome at ARCP  
Clinical Governance Falls below the standard set out in the matrix Persistently and significantly falls below matrix standard
Teaching experience Falls below the standard set out in the matrix Persistently and significantly falls below matrix standard
Leadership and management Falls below the standard set out in the matrix Persistently and significantly falls below matrix standard
Presentations Publications Falls below the standard set out in the matrix Persistently and significantly falls below matrix standard

**If a ST2 trainee has evidence of formative training in MROP but lacks 3 summative assessments due to difficulty gaining exposure to these cases an outcome 2 should be give and progression into ST3 should not be delayed. Trainees should not however undertake MROP as ST3 without direct supervision until the competency is signed off with 3 summative OSATs in the usual way.

Trainees who fail to complete the intermediate module-ultrasound of normal fetal anatomy by the end of ST5 will be unable to commence the ATSM in fetal medicine. ARCP panels should then decide whether the trainee should select a different ATSM to commence in ST6 or whether an outcome 2 can be given to allow the trainee to progress into ST6 whilst focusing on completing the ultrasound module and then commencing the Fetal medicine ATSM no later than the start of ST7.This will require individualised judgement based on the likelihood of the trainee completing the USS module and the choice of the 2nd ATSM in order to ensure 2 ATSMs are likely to be completed in ST6-7

Notes

Manual removal of placenta (MROP)

  • If a trainee (ST2) has evidence of formative training in MROP but lacks 3 summative assessments due to difficulty in gaining exposure to these cases, an outcome 2 should be given and progression into ST3 should not be delayed
  • Trainees should not undertake MROP as ST3 without direct supervision until the competency is signed off with 3 summative OSATs

Fetal Medicine ATSM

  • Trainees who fail to complete the intermediate module-ultrasound of normal fetal anatomy by the end of ST5 will be unable to commence the ATSM in fetal medicine. ARCP panels should then decide whether the trainee should select a different ATSM to commence in ST6 or whether an outcome 2 can be given to allow the trainee to progress into ST6 whilst focusing on completing the ultrasound module and then commencing the Fetal medicine ATSM no later than the start of ST7.This will require individualised judgement based on the likelihood  of the trainee completing the USS module and the choice of the 2nd ATSM in order to ensure 2 ATSMs are likely to be completed in ST6-7

Contact us

If you have any questions about ARCPs that can’t be resolved at deanery/local level, please email the Policy Coordinator or call +44 20 7772 6348.

Elsewhere on the site

Resources for trainers
A range of resources to support trainers to deliver the specialty training programme in O&G
Curriculum
The complete specialty training programme in O&G – core modules, ultrasound, ATSMs, subspecialty and academic