ICM ARCP requirements 2023
Prior to your next ARCP please ensure that you have uploaded on the ICM eportfolio.
- your posts accurately
- exams dates and any absences
- an up to date ESSR
- annual MSF
- updated your competencies and top 30 cases
- ICM logbook
- Current CV
- WPBAs
- Evidence of teaching/presentations (loaded in personal library or professional activities preferably with feedback)
- Evidence of attendance of M&M’s – 4/year with evidence of reflection from 1 each year (loaded in Personal library or professional activities)
- Journal club – presentation each year of training (loaded in personal library or professional activities
- Airway skills – especially documented for non-anaesthetic trainees (personal library)
- QI project
- Reflective practice evidence
For dual trainees – we need a separate ESSR in each eportfolio (or LLP) and the evidence of all your hard work needs to be reflected on both eportfolio’s – even if you have not done any recent ICM attachments (eg doing their partner specialty attachments).
Each year for training counts towards both ICM and partner CCT so must be properly accounted for.
The ‘shut down’ date for this year’s ARCP is one week prior to your ARCP date (you will be notified of your ARCP date by Julie Flowers).
2021 ICM curriculum ARCP requirements (V3 September 2022)
ARCPs are designed to be an annual assessment of progression in the training scheme. The purpose is to ensure that trainees are achieving adequate progress through the curriculum towards CCT at an appropriate time. There are detailed requirements for each ARCP detailed in the ICM CCT curriculum, available on the FICM website. ARCPs are held every year in a trainee’s programme at a minimum. Additional ARCPs can be required if necessary.
In particular, there will be an interim review/ ARCP if a trainee completes stage 1 or 2 outside of the annual schedule. This should be supported by a recent ESSR (within the previous 3 months).
At every ARCP there should be some evidence achieved towards each of the 14 HiLLOs.
Each HiLLO needs to be completed and signed off by an ES at the conclusion of each stage of training (ie Stage 1, 2 or 3). A HiLLO can be completed by a FICM Educational Supervisor or Faculty Tutor, with evidence reviewed in detail and commented on in the Learning Outcome Form and ESSR which is prepared for each ARCP. This should be done contemporaneously for specialist ICM placements (eg medicine/ anaesthesia in stage 1; paeds/ cardiac/ neuro in stage 2).
TIMESCALES:
It is strongly recommended to that your portfolio is complete at least 2 weeks before your ARCP date. This is because:
- To complete an ESSR a trainee must create the form in LLP and send to their Educational Supervisor, who then reviews the evidence assigned and completes the form. This is likely to be done in conjunction with a face to face meeting.
- Once that is complete it then must be sent to and countersigned by the Faculty Tutor.
- Then it is submitted for ARCP – this must be at least one week before the ARCP date.
Therefore in comparison with the (old) NHS e-portfolio, the ESSRs must be reviewed by both ES and Faculty Tutor before submission – ensure you allow sufficient time for this in your planning.
ARCP dates are available on this website, and the School will give plenty of forward notice direct to trainees.
ESSR dates:
When you create an ESSR, you must set the start date to the day after your last ARCP.
This way it will automatically populate the ESSR with everything you have added since your last ARCP – this is especially useful if you have completed an interim ESSR on moving hospitals, or because of an end-of-stage review, for example.
Dual Specialty trainees:
There must be a separate ESSR from your partner specialty, with both ESSR and ARCP outcome form uploaded to the LLP.
If you have not yet had your annual ARCP in your partner specialty, then confirmation from your ES (eg in your ESSR) that you have been making good progress is adequate.
ARCP and Career Progression Meetings
The ARCP is usually done by a review of the LLP from the RA, TPD and other members of the STC. An outcome form is issued which will detail good points and aspects which need further focus.
You will be invited to a career progression meeting which is usually on the same day as the ARCP. You should make every effort to attend as this is the best opportunity to discuss your overall training progression with the regional trainers for further advice or feedback.
Although these meetings will be conducted on-line, you should make every effort to attend in a professional capacity, including reliable IT equipment and environment. Having detailed discussions online via a mobile phone or in public areas is not appropriate.
There are a number of requirements for a satisfactory ARCP outcome:
|
Evidence |
Frequency |
Location within LLP |
|
Placement details |
Ensure your placements are correctly completed to include the post, stage of training and supervisor |
Placements |
|
Progress toward HiLLOs |
Continuous (A HiLLO does not have to be signed off as completed until the end of each stage but there should be evidence collated throughout training where possible) |
Linked to each HiLLO |
|
Completed LOC forms |
At end of specific placements All 14 must be completed by end of each stage of training |
Linked to each HiLLO |
|
MSF |
Annually, or more frequently if required |
Stored in MSF section in ‘Development’ section on trainee homepage. MSF from old portfolio should be stored in ‘Certificates’ section. |
|
End of placement report/ ES meeting from each placement undertaken in ARCP period |
End of each placement |
Document store |
|
ESSR (ensure that the ESSR before an ARCP covers all placements since last ARCP) |
Before every ARCP. Ensure that Supervisor comments are completed, summarising the evidence in each field and confirming capability levels |
ESSR records |
|
Evidence of progress in partner specialty (dual trainees only): - ESSRs from partner specialty - ARCP Outcome form
|
Every ESSR or ARCP completed in partner specialty |
ARCP outcomes should be stored in ‘ARCP Outcomes’ section. ESSRs from partner specialty should be clearly labelled and uploaded to document store. Link to relevant HiLLOs where possible. |
|
Multi-Consultant feedback/ report |
Ideally each placement, minimum annually, in addition to MSF. FICM will be launching a specific trial MCR report at some point. |
Clearly labelled in document store |
|
Procedural Logbook |
Continuous |
Document store |
|
Educational development time log |
Continuous |
Either separate document, or highlighted in ES meetings and ESSR |
|
Logbook of anaesthesia cases |
In anaesthesia placements, or to evidence anaesthesia days if required |
Document store, clearly labelled |
|
CV |
Annually |
Clearly labelled in document store |
|
Completion of SSY report/ reflection |
On completion of SSY if appropriate (single CCT trainees only) |
In SSY section |
|
Reflection |
Minimum one per year |
In appropriate HiLLO |
|
M&Ms |
Minimum 2 per ICM training stage |
Linked to appropriate HiLLO |
|
Journal Club |
Minimum one per ICM training stage |
Linked to Research and data management HiLLO |
Below is a list of evidence suggested for each HiLLO – this is replicated from the LLP.
NB – on LLP, each HiLLO has a list of evidence suggestions to be attached next to the title of the HiLLO. The majority of these should be complete.
|
HiLLO |
FICM suggestion |
Severn suggestions – ie not essential for progression |
|
ACAT CBD MSF Clinical policies and procedures Attendance at management meetings Further study/experience in leadership and management Portfolio evidence eg e-LFH ES report |
Compliments Any self-directed learning on ethics Professional or generic skills courses Annual MSFs are essential |
|
ACAT CBD Mini-CEX DOPS MSF Involvement in quality improvement Portfolio evidence of self study ES report |
Audits Surveys Datix reports QI courses |
|
ACAT CBD Qualifications or further study in research eg Good Clinical Practice Journal clubs or similar ES report |
Portfolio reflection on case where evidence based medicine was used (better done in a CBD) |
|
ACAT MSF Feedback and learning from teaching delivered Postgraduate qualifications or evidence from further study in medical education ES report |
Portfolio reflection on teaching episodes – direct observation could be done in a CBD Examples of positive or constructive feedback for colleagues Departmental presentations Regional presentations |
|
ACAT CBD Mini-CEX DOPS Logbook of procedures Transfer courses FFICM examinations ES report Simulation |
Predominantly SLE-based evidence Learning from M&M cases – either direct involvement or reflection |
|
ACAT CBD Mini-CEX DOPS Formal USS accreditation with maintenance of skill eLfH FFICM examinations ES report Simulation |
Predominantly SLE-based evidence Could also include presentations of interesting cases – departmentally or regionally, although this would be better done as a CBD with a supervisor. Procedural logbook Learning from M&Ms |
|
ACAT CBD Mini-CEX DOPS e-LfH FFICM examinations ES report Simulation |
Predominantly SLE-based evidence Learning from M&Ms |
|
ACAT CBD DOPS Mini-CEX e-LfH FFICM ES report Simulation |
Regional teaching day reflections Organ donation sessions |
|
ACAT CBD MSF FFICM exam Postgraduate qualifications ES report Simulation |
Professional and generic skills courses Audit/ service development projects Compliments and feedback from outside ICU
|
|
CBD Mini-CEX DOPS FFICM exams ES report Simulation MSF |
Logbook of theatre cases – for the current period of training and also for career total Difficult airway training
|
|
ACAT CBD Mini-CEX DOPS e-LfH FFICM examinations ES report MSF Simulation |
ALS certificate MDT meetings Learning from palliative care sessions |
|
ACAT CBD Mini-CEX DOPS eLfH FFICM exam ES report Simulation |
Attendance at regional teaching sessions (specify)
Stage 1 suggestions:
|
|
ACAT CBD Mini-CEX DOPS eLfH APLS course Safeguarding courses FFICM ES report Simulation |
Learning Outcome Completion form from PICU Consultant or other FICM educational supervisor Paediatric resuscitation cases undertaken outside of UHBW Presentations Journal club learning |
|
ACAT CBD Mini-CEX DOPS eLfH FFICM examinations ES report Simulation |
Evidence of learning in cardiothoracic theatre cases Logbook of cardiothoracic cases undertaken Attendance at relevant regional teaching (specify)
Stage 1 suggestions:
|