Please refer to the ARCP decision aid for your specialty / CMT to determine whether the patient survey is required and whether it is mandatory or recommended. If it is a requirement, the decision aid provides guidance on when it should be be carried out. Patient survey and guidance forms are available on the JRCPTB website.
Recording and editing assessments
On each curriculum there is a link icon at the end of each row. This tool enables you to link to evidence to support your self-rating. Evidence might include assessments, reflections or certificates. This link is reciprocal so you might find it easier to link an assessment or reflection to relevant competencies at the time you record it. See the trainee user guides for more details.
Trainees should collect the evidence needed to demonstrate exploration of the curriculum and learning against the competencies set out in the curriculum.The ARCP decision aids define the minimum numbers of assessments required and the JRCPTB has produced guidance on specialty trainee assessment review which provides advice linking assessment to curriculum competencies.
Ultimately, it is the trainee's responsibility but a supervisor us able to request assessments if they feel it is appropriate following a review of a trainee's development.
Evidence can include supervised learning events (SLEs) and other workplace based assessments, reflective logs, certifcates and examiations as evidence of learning and exploration of the curriculum.
For mini-CEX, ACAT and CBDs assessors can be any doctor with appropriate experience beyond CMT level (SpR/ ST3 grade and above). For DOPS assessors can be anyone with expertise in the procedure, including experienced nurses and allied health professionals as appropriate. Trainees should not be assessed by colleagues of the same grade (other than during multi-source feedback).
Only a supervisor can see individual MSF assessment forms. They can also see a summary table. A minimum of 4 MSF must be completed before the supervisor can release the summary. Once this has be released this will be visible to the trainee.
Multiple consultant report
Trainees on earlier versions of the curriculum should obtain the same number of MCRs as set out in the latest ARCP decision aid. Trainees who have an ePortfolio should follow the same process and ticket clinical supervisors to complete the MCR (please refer to ePortfolio guide for requesting an MCR).
At the start of a placement the educational supervisor and trainee should identify the clinical supervisors who should provide feedback on the trainee's performance in the placement. It is advisable that those identified are made aware that they may be approached for a report. Trainees will need to make a ticket request for clinical supervisors who are not linked to their placement. The MCR should ideally be completed in the last four-six weeks of a placement. The educational supervisor and trainee should take into account the date of the ARCP and ensure that sufficient reports will have been received in time for the summary report to be available. This may mean that reports from a final placement cannot be included for the ARCP. The clinical supervisor should acknowledge areas of excellence and when a trainee is graded ‘below expectations' specific details and examples are required.
ePortfolio guides for trainees and supervisors on the use of the MCR are available on the JRCPTB website.
Trainees out of programme who will be undertaking some clinical practice should discuss and agree with their ES whether MCRs should be completed. The number required should relate to the proportion of clinical time the trainee will undergo and the number of consultants who will be able to comment on their clinical performance. Trainees who are out of programme and will not be undertaking any clinical practice will not be expected to have MCR reports.
Trainees on academic placements in core medical training (CMT) should discuss and agree with their educational supervisor the appropriate number of MCRs that should be obtained in the training year taking into account the non-clinical time.
Specialty certificate exam
In order to be eligible for the postnominal, all the following conditions need to be met:
- Hold MRCP(UK) or a CCT in a GMC approved specialty
- Complete the SCE
- Complete training through an approved medical training programme in the UK in the same specialty as the SCE