ARCP decision aids

Annual Review of Competence Progression (ARCP)

The Annual Review of Competence Progression (ARCP) is the formal method by which a trainee's progression through their training programme is monitored and recorded as described in the Gold Guide (sixth edition). Deaneries/HEE local offices are responsible for organising and conducting ARCPs. The evidence to be reviewed by ARCP panels should be collected in the trainee's ePortfolio.

ARCP Decision Aids

ARCP Decision Aids define the targets that have to be achieved for a satisfactory ARCP outcome at the end  of each training year for internal medicine training (IMT), core medical training (CMT) and higher medical training. Trainees on a dual CCT programmes with General Internal Medicine (GIM) should use the GIM decision aid in addition to their specialty version. ARCP decision aids will be revised to reflect curricula amendments and the documents below are the most current versions. Where a new curriculum has been implemented and there is a transition period there will be two versions of the ARCP decision aid. Trainees should ensure they use the correct version.  


The decision aid and guidance below should be used for IM Stage 1 in 2022 in light of the ongoing impact of the pandemic. 

IMT ARCP Decision Aid 2019 (2022 update)

IMT Stage 1 ARCP guidance 2022

ARCP decision aids for trainees on new curricula

Please see the individual specialty webpage for the ARCP decision aid for the new curriculum implemented in 2021 and 2022. 

ARCP decision aids for trainees on pre-2021 curricula

IMT ARCP Decision Aid 2019 (2022 update)

IMT Stage 1 ARCP guidance 2022

PDF icon Core Medical Training

PDF icon Acute Internal Medicine

PDF icon Allergy
PDF icon Audiovestibular MedicinePDF icon Aviation and Space Medicine
PDF icon CardiologyPDF icon Clinical Genetics
PDF icon Clinical Neurophysiology

PDF icon Clinical Phamacology and Therapeutics

PDF icon DermatologyPDF icon Endo and Diabetes
PDF icon Gastroenterology and HepatologyPDF icon General Internal Medicine
PDF icon GUM ARCP decision aid for 2021PDF icon Geriatric Medicine
PDF icon HaematologyPDF icon Immunology
PDF icon Infectious diseases

PDF icon Medical Oncology

PDF icon Medical OphthalmologyPDF icon Metabolic Medicine
PDF icon NeurologyPDF icon Nuclear Medicine
PDF icon Paediatric CardiologyPDF icon Palliative Medicine ARCP Decision Aid for 2021
PDF icon Pharmaceutical MedicinePDF icon Rehabilitation Medicine
PDF icon Renal MedicinePDF icon Respiratory Medicine single CCT
PDF icon Respiratory Medicine dual CCTPDF icon Rheumatology
PDF icon Sport and Exercise MedicinePDF icon Stroke Medicine

 PDF icon Tropical Medicine


ARCP and ePortfolio

The ePortfolio should be used to present evidence in an organised way to enable the educational supervisor and the ARCP panel to determine whether satisfactory progress is being made to proceed to the next phase of training. Evidence that may be linked to the competencies listed on the ePortfolio curriculum record include supervised learning events, DOPS, reflections on clinical cases/events/personal performance, teaching attended or other learning events undertaken e.g. e learning modules, audit or quality improvement project reports, feedback on teaching delivered and examination pass communications.

Educational supervisor reports covering the whole training year are required before the ARCP. The educational supervisor will receive feedback on a trainee's clinical performance from other clinicians via the multiple consultant report (MCR). This report should bring to the attention of the panel events that are causing concern eg patient safety issues, professional behaviour issues, poor performance in workplace based assessments, poor MSF report, issues reported by other clinicians. 

Pre-ARCP checklist

JRCPTB recommends that trainees have an ePortfolio review with their educational supervisor or training programme director prior to the ARCP. This provides an opportunity to ensure the required evidence has been recorded in the ePortfolio and that any concerns are identified at an earlier stage. A pre-ARCP checklist for educational supervisors and trainees was developed in 2013 with the help of the trainee representative on the Rheumatology SAC. The guidance was updated in August 2015.

PDF icon Pre-ARCP checklist (updated August 2015)