ARCP a Training Schools Perspective

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ARCP a Training Schools Perspective

• Angus McGregor
• Chair of Histopathology Training Schools Board

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Histopathology Year 1

• Very intensive year
• 3 weeks block teaching
• Around 3 weeks additional local training
• Workplace-based assessment
• Multi-source feedback
• Mock OSPE and real OSPE
• and all in a new specialty

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Histopathology Training Schools

• Arose because of a manpower crisis
• Recruiting and training cohorts (in first year)
• Defined structure to balance training and
  apprenticeship
• Very intensive training and assessment

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Run-through training

• No competitive hurdle between SHO and SpR
• Robust check at the end of year 1 to quality
  assure progression
• End of Year (Stage) Review

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End of Year / Stage Review (EYR / ESR)

• Triangulation of evidence
• OSPE result
• Multi-source feedback
• Educational supervisors report

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ARCP has replaced ESR

• The paperwork
• ESSR documents progress against relevant
  standards the form is good and user-friendly
• Documents main achievements including WBA, MSF,
  OSPE and composite trainers report
• Documents training achievements (log-book, audit
  , teaching etc)

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ARCP is the emphasis right?

• Evidence of competence?
• All trainees can get 18 satisfactory WBA
• Poor trainees may get an acceptable MSF
• Passing the OSPE is not enough to progress
• Almost all trainees carry out an audit an do
  teaching

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ARCP is the emphasis right?

• The professional view of trainers is important!
• The Composite Trainers Report is very important
  and should explicitly be part of the process

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ARCP is the emphasis right?

• Workload is also important
• The College has produced targets for workload
  (500 surgicals, 20 post mortems, 300 cytology)
• Had they been applied rigorously last year many
  would not have progressed no flag at ARCP

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ARCP to see or not to see?

• The Histopathology Training Schools Board
  unanimously agreed that Year 1 Histopathology
  Trainees should be seen face-to-face at ARCP
• WHY?

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Why see trainees?

• No stigma in having to attend
• 8-9 months into a new specialty
• Reinforce achievements during the year (good or
  bad)
• If paperwork is incomplete / incorrect can
  resolve simply and quickly
• Guarantee to sign off paperwork same day

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Why see trainees?

• We look after trainees in year 1
• They do everything else together
• Agree remedial training plans if required and
  could facilitate cross-boundary support
• RCPath does not trust trainers view to sit the PM
  exam (and surgicals?)
• The professional views of trainers are important
  and should be recognised

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Why not see trainees?

• Because it says so in the guidance
• Because its quicker (if everything goes to plan)
• Because reports written by educational
  supervisors are always fully accurate and
  completeand they always know what they are doing

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ARCP process

• The local model
• Large centre with panel of examiners including
  lay and external representative
• Standardised review with every trainee
• Most did not have ESSR form fully completed
• At least one trainees paperwork raised eyebrows

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ARCP the process

• The Oxford model
• 6 centres together with trainers from each plus
  lay representative
• ESSR completed for every trainee
• Detailed training plans agreed for every trainee

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ARCP so what?

• What are the issues?
• Basically a good process supported by good
  paperwork
• Do all educational supervisors know what is
  required of them?

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ARCP so what?

• What are the issues?
• Current documentation could be improved (e.g.
  explicit documentation of workload, professional
  view of trainers) in the context of the
  curriculum

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ARCP so what?

• What are the issues?
• Just because the experts say we cant see
  trainees does not mean that they are right
• and they may be after year 1 anyway

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ARCP

• Sufficient documentary evidence should be
  available to make a full judgement of a trainees
  competency
• That should be made easier by actually having the
  trainee in the room
• Trainees dont all look the same

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