2021 ICM curriculum ARCP requirements

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 some 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:

  • To complete an ESSR a trainee must create the form and send to their Educational Supervisor, who then reviews the evidence assigned and completes the form.
  • 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.

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

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:

 

HiLLO

FICM suggestion

Severn suggestions – ie not essential for progression

1.  Professionalism

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

2.  Patient safety and quality improvement

ACAT

CBD

Mini-CEX

DOPS

MSF

Involvement in quality improvement

Portfolio evidence of self study

ES report

Audits

Surveys

Datix reports

QI courses

3.  Research and data interpretation

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)

4.  Teaching and training

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

5.  Resuscitation, stabilisation and transfers

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

6.  Investigation and management of the critically ill

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

7.  Peri-operative medicine

ACAT

CBD

Mini-CEX

DOPS

e-LfH

FFICM examinations

ES report

Simulation

Predominantly SLE-based evidence

Learning from M&Ms

8.  Consequences of critical illness and end of life care

ACAT

CBD

DOPS

Mini-CEX

e-LfH

FFICM

ES report

Simulation

Regional teaching day reflections

Organ donation sessions

9.  Leadership and management

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

 

10.  Anaesthesia

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

 

11.  Medicine (ward based care)

ACAT

CBD

Mini-CEX

DOPS

e-LfH

FFICM examinations

ES report

MSF

Simulation

ALS certificate

MDT meetings

Learning from palliative care sessions

12.  Neuro ICM

ACAT

CBD

Mini-CEX

DOPS

eLfH

FFICM exam

ES report

Simulation

Attendance at regional teaching sessions (specify)

 

13.  Paediatric emergencies

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

14.  Cardiothoracic ICM

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)