Effective Strategies for ARCP Success in Medical Training

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Discover essential insights on navigating ESR in a structured manner, making informed decisions, avoiding common pitfalls, and understanding ARCP panel expectations. Learn how to assess trainees effectively, utilizing evidence-based judgment and concise commentary. Gain valuable tips on reinforcing ESR preparation and enhancing capabilities for independent practice.

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Uploaded on Sep 19, 2024 | 0 Views

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ESR AND ARCP SATHISH SELVAN

AIMS AND OBJECTIVES LEARN HOW TO NAVIGATE THE EP IN A STRUCTURED WAY FOR THE ESR LEARN HOW TO MAKE DECISIONS AND JUDGEMENTS FOR THE CAPABILITIES LEARN ABOUT THE COMMON ESR PITFALLS NOTED IN ARCP LEARN HOW TO REINFORCE THE IMPORTANCE OF ESR PREPARATION AS AN ES TO THE DIT

WHAT THE ARCP PANEL IS LOOKING FOR. ES TO HAVE CHECKED REQUIREMENTS AND MANDATORY EVIDENCE IS PRESENT FOR CORRECT STAGE OF TRAINING, PARTICULARLY IF REVIEW PERIOD CROSSES ST YEARS. ES TO CLEARLY USE ESR TO MAKE JUDGEMENTS BASED ON THE EVIDENCE PRESENTED IN THE PORTFOLIO AND USE CONCISE BUT USEFUL COMMENTARY TO JUSTIFY THIS. ES TO REQUEST A PANEL OPINION IF ANY CONCERNS ABOUT PROGRESS, INCONGRUENT EVIDENCE OR ANY CAPABILITY BELOW EXPECTATIONS. TRAINERS EXPECTED TO USE PERSONAL EXPERIENCE AS A GP TO JUDGE WHETHER THE EVIDENCE FOR EACH CAPABILITY AREA AND THE TOTALITY OF EVIDENCE INDICATE THAT THE DIT IS READY FOR INDEPENDENT PRACTICE. BASED AND ADAPTED FROM KERRY BURNETTS PRESENTATION

COMMON PITFALLS MISSING MANDATORY EVIDENCE, NOT COMMENTED, SIGNED AS COMPLETED BY DIT RECOMMENDATIONS AND PROGRESS FROM LAST ARCP NOT COMMENTED/ACTIONED DIT INADEQUATE SELF NARRATIVE / LINKING NOT COMMENTED UPON MINIMUM NUMBER OF WPBA NOT COMPLETED, COMMENTED UPON MISMATCH BETWEEN WPBA RATING S AND ESR GRADING EDUCATOR NOTE THEMES AND TPS OBJECTIVES- NOT LINKED TO CAPABILITIES/OVERLINKED CSR- STATING MORE SUPERVISION REQUIRED, NO COMMENTS BELOW RATED MSF/LMSF/PSQ LACK OF REFLECTION FROM DIT NOT COMMENTED, COMMENTS NOT LINKED TO CAPABILITIES

COMMON PITFALLS ST3 FINAL ALL REQUIREMENTS NOT COMPLETED, BUT MARKED CFL FINAL- MARKED BE SOLELY FOR EXAMS, PRESCRIBING ASSESSMENT AND REFLECTION MISSING, MISSING URGENT AND UNSCHEDULED CARE COMMENT. MISSING ES NARRATIVE LEADERSHIP AND QIA SAME FOR ST3

EP NAVIGATION FOR ESR OPEN EP AND FLOW CHART DOCUMENT AND GO THROUGH ESR THE STEPS.DOCX

HOW TO DECIDE ON CAPABILITY RATING JUSTIFY RATING USING EVIDENCE WEIGH OBJECTIVE AND SUBJECTIVE EVIDENCE USE SEARCH FACILITY FOR EVIDENCE IN EP IF NEEDED NARRATIVE IF GIVING A DIFFERENT RATING TO DIT S SELF RATING CONCISE NARRATIVE ON HOW JUDGEMENT REACHED CONSIDERING ALL EVIDENCE AVAILABLE FOR THAT CAPABILITY, LINKING EXTRA EVIDENCE IF APPROPRIATE AND QUOTING EDUCATOR NOTES

EDUCATOR NOTES HELPFUL TO DOCUMENT INFORMATION THAT USEFUL FOR ARCP IN RELATION TO DIT PROGRESS BOTH POSITIVE AND DEVELOPMENTAL. HELPFUL TO DOCUMENT MITIGATING FACTORS THAT HELP EXPLAIN ANY DIFFICULTIES OR TIME OUT OF TRAINING THAT IS RELEVANT TO PROGRESS. HELPFUL TO DOCUMENT SPECIFIC EXAMPLES IF PERSISTING CONCERNS AROUND PERFORMANCE OR PATIENT COMPLAINTS. HELPFUL TO USE FOR SHARING IMPORTANT INFORMATION ABOUT MISSING WBPA OR SIGNPOSTING ARCP PANEL TO RELEVANT EVIDENCE. HELPFUL TO USE IN RELATION TO MENTIONING ABOUT POSSIBLE EXAM SITTING DATES IF NOT ALREADY BOOKED AND HEADING TOWARDS END OF TRAINING.

WHEN TO REFER ANY CAPABILITY AREAS BELOW EXPECTATIONS ST3-1 OR BELOW. ANY CAPABILITY AREAS LESS THAN COMPETENT AT ST3 FINAL REVIEW. MISSING WBPA AT END OF ST YEAR (REMEMBER FOR LTFT THIS MIGHT NOT BE CALENDAR YEAR). MISSING EVIDENCE INCLUDING ANY MANDATORY EVIDENCE (OR IDEALLY SUGGEST DIT COMPLETES PRIOR TO PANEL AND UPLOAD EDUCATORS NOTE ONCE COMPLETED) ANY CONCERNS RE INCONGRUENT/MIXED EVIDENCE AND UNCERTAINTY ABOUT PROGRESS AND PANELS OPINION WOULD BE HELPFUL.