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Trainee information

Annual Review of Competence Progression (ARCP)

The Scottish Foundation School have agreed that evidence for all Annual Reviews of Competence Progression (ARCPs) must be submitted by 31st May 2022 via your Turas portfolio. Please see the ARCP outcomes page for more information about ARCP outcomes. Any submissions after the deadline will be considered as late submissions and you are likely to initially receive an outcome 5. 

It is your responsibility to sign the ARCP form in your e-portfolio after it has been completed. 

Please use the links below to find information about your ARCP requirements including explanations of SLEs, examples of summary narratives, and lots more hints and tips on how to complete your portfolio.

 

Please click here for the ARCP requirements for out-of-sync Foundation doctors who are currently remaining on the 2016 curriculum. These requirements will apply for those doctors until July 2022.

If these requirements apply to you, your Training Programme Administrator will contact you and tell you. Otherwise, you will be following the new requirements for the 2021 curriculum.

All Foundation doctors in Scotland follow the Foundation curriculum as detailed on the UKFPO website You will be required to evidence that you have covered 100% of the curriculum.  This will be formally assessed at ARCP in June.  It is your responsibility to provide the evidence so choose carefully how you demonstrate coverage.  There are mandatory assessments and evidence that will be assessed by your Foundation Programme Director (FPD).  At your induction you should have received details on how to access and complete your Turas Portfolio and your FPD and programme administrators can provide you with additional help.  Please also upload a photograph into your Portfolio.

A Foundation doctor can only progress from F1 to F2 if they receive a satisfactory outcome (outcome 1) at their ARCP which is held toward the end of the Foundation year (June/July).  The evidence to determine your progress is recorded in the e-portfolio and it is your responsibility to ensure that it is completed.  The e-portfolio also helps you keep track of your own progress.  

ARCP Requirements

This guidance should be used in conjunction with the Foundation Programme CurriculumPlease click here for 2021 UKFPO Curriculum resources. This includes details about Supervised Learning Events (SLEs) and the Placement Supervision Group (PSG). Please also review the helpful tips on How to Build a Portfolio. If you have any queries about your ARCP requirements, please contact your Foundation Programme Director. 

Please note that if you have been absent from work for more than 20 working days (apart from Annual Leave) including Sick Leave, Paternity Leave, Special Leave etc. this will trigger a review and you may need to complete additional training time This is due to GMC regulations where sign off is related to both competence and time. If this situation arises then you will meet with your Foundation Associate Postgraduate Dean to discuss any requirements.  

It is your responsibility to sign the ARCP form in your e-portfolio after it has been completed. 

Supervised Learning Events (SLEs) 

Details of the different types of SLEs can be found in your portfolio. SLEs are an interaction between a foundation doctor and a trainer which leads to immediate feedback and reflective learning. They are designed to help foundation doctors develop and improve their clinical and professional practice and to set targets for future achievements. 

It is accepted that in some posts SLEs will be more difficult to achieve. There is no specific number of SLEs that need to be undertaken however you are required to provide enough evidence for each of the 13 FPCs and should use some SLEs for this purpose. You should start to record your evidence from the start of the training year and do not leave it to your last block. 

e-Learning for Health (e-LfH) has produced a module about SLEs which can be completed on the e-LfH website. 

Team Assessments of Behaviour (TABs)  

Guidance about TABs can be found in your portfolio.

You must receive 1 satisfactory TABs during the year from a suitable variety of assessors including at least 2 consultants or equivalent for each TAB. This must include a TAB from your Educational Supervisor. 

You should aim to usually complete the TAB in your first post of the year. Your supervisor will review the TAB feedback at the end of your post and release the feedback to you. If the TAB is not satisfactory either due to insufficient numbers of respondents or areas for improvement identified. You will be asked to complete at least one further TAB to show improvement. You may then be asked to complete an additional TAB in the third block if necessary. 

Placement Supervision Group (PSG)

The PSG is initiated by your supervisors and guidance can be found on the UKFPO websiteYour PSG will usually be completed in block 2 however your clinical supervisor may wish to create this in block 1. This feedback is from senior staff members and provides you with detailed feedback and advice on your clinical skills and how you perform as a doctor. It provides additional complementary information to the TAB and you may find that it is feedback that you will want to have in your portfolio for interviews. In this form there is a section for you and the supervisor to record areas where you have demonstrated excellence i.e. a high level piece of QI, a GREATIX, or anything else worthy of comment. Guidance from the UKFPO about the importance of the PSG can be found here.

Supervisors’ Reports 

You should have an induction meeting with both the Clinical and Educational Supervisor for all placements. For the majority of posts your Clinical and Educational Supervisor will be the same person and therefore a combined induction form can be completed. 

You must have End of Placement Review meetings with both the Clinical and Educational Supervisor for all placements of which two must be satisfactory. The final End of Placement Review must be satisfactory. For the majority of posts your Clinical and Educational Supervisor will be the same person and therefore a Combined Supervisor End of Placement Report can be completed. 

General Meeting Form 

Your supervisor may also complete a General Meeting Form for any meetings they have with you out with those described above. 

Certificates 

If you have successfully passed the Prescribing Safety Assessment (PSA) the Foundation School will have uploaded this information to your portfolio. If you are in possession of a valid PSA certificate at the start of F1, you must upload your certificate to your e-portfolio during your first block. 

If you have not passed PSA at the start of F1, or passed more than two years prior to starting Foundation training, you will have opportunities to sit this during the year.  If you have any queries regarding the PSA, please contact Gillian Carter, Foundation School Administrative Officer. 

Further information about the PSA can be found on the MSCA website. 

Delivered Educational Programme (Core Learning) and Non-core Learning  

You must demonstrate a total of 60 hours of teaching attendance. 

Firstly, you must demonstrate attendance at 30 hours of the formal Foundation Delivered Educational Programme (core learning). Ideally this will be face-to-face however due to challenges of COVID-19 and social distancing it may be delivered via a platform such as Microsoft Teams or Zoom. Some sessions may be recorded in advance and uploaded to your regional TURAS Learn tile or other platform in your region. You will be provided with information regarding how your teaching will be delivered. 

Secondly, you must also complete 30 hours of non-core learning. Non-core learning should not include statutory or mandatory training delivered by your employer. Statutory training is the training your health board requires you to do as part of your employment and varies between boards. Examples include fire lectures, moving and handling etc. 

e-learning   

 Recommended e-learning modules which are relevant to your training:

  • Learning in Foundation Training (LIFT) modules. They are accessed through your e-portfolio. These have been developed through the Scotland Deanery and the learning is based on your curriculum. They will count as core learning. 
  • e-Learning for Health modules. You should receive a log-in for these and many are Foundation related but there is a vast range of topics. There is a specific foundation section and the content has been developed to complement your foundation learning. Some of the induction modules are quite England-focused as it is developed by HEE but the medical knowledge modules are very good. Record these as non-core learning. Please note that the statutory/mandatory induction modules on e-LfH are not suitable for your training in Scotland. They are designed for English Trusts and Foundation doctors in England. You should complete the statutory/mandatory training modules advised by your employer.

In previous years we have restricted the percentage of e-learning modules that can be used to contribute to the 60 hours to 10% i.e. 6 hours. This was to protect you from having to spend your precious time off doing modules if you were unable to attend teaching in paid work time. Given the challenges of COVID-19 and social distancing we have removed this limit, but please attend the Delivered Educational Programme preferentially and use the modules to ‘top up’ or to explore your interests. 

If you perceive you will have difficulties in meeting the minimum of 60 hours, please raise this with your Foundation Programme Director immediately.

Recording your learning 

When you attend a teaching session you should record this in your portfolio under the Mandatory Learning Log. When you open this drop-down you will find a form which allows you to record learning as core or non-core. 

Those who do not manage to attend the minimum hours of delivered education or complete the minimum hours of non-core learning may receive an outcome 5 in the first instance and may be asked to do further learning following ARCP. This will be at the discretion of the ARCP panel and dependent on the extent of the deficit, the reasons for missed teaching and the overall quality of evidence in the e-portfolio. 

Curriculum coverage 

The Foundation Programme Curriculum can be found on the UKFPO website. 

You must ensure that you have provided a range of evidence that you have covered the F1 curriculum which contains 13 Foundation Professional Capabilities (FPC) with a variable number of descriptors in each section. The portfolio will allow up to 10 pieces of evidence per FPC and each piece of evidence can be linked up to 3 times. You will evidence FPCs by linking to the related descriptors. Within the curriculum, the assessment section contains a blueprint of assessments and how they relate to the outcomes. 

Summary narrative

The rationale behind the Summary Narrative is that the Foundation doctor will review their learning progress and ensure that they have the required range of evidence. As a consequence of the reduced burden of assessments and having removed the minimum numbers of SLEs the Foundation doctor and their supervisors will need to be confident that the Higher Learning Outcomes (HLOs) have been met.

The summary narrative allows the Foundation doctor to write a supporting piece that will explain to the Educational Supervisor why they have selected the evidence they have for sign off. It will allow the Educational Supervisor to understand the rationale for the evidence provided.

The practicalities of writing the summary narrative are simple. Each HLO will require a 300-word maximum piece that explains the rationale for the selection of the evidence provided.

Ideally the Foundation doctor should start writing each summary narrative towards the end of post 1 to help them critically appraise their progress and help inform their PDP for the subsequent posts. The Educational Supervisor will be able to review this progress.

The content of the summary narrative is not summative (i.e. pass/fail) however having 3 completed summary narratives in place by ARCP will be mandatory.

Examples of summary narratives can be found below.

Example 1

Example 2

Reflection 

You should complete reflections throughout the year. 

QA/QI 

You must demonstrate evidence of participation in systems of QA/QI. The is no recommendation on number of QI projects to be done in Foundation but you can evidence QI, attending teaching, working on modules for QI etc.

Surveys 

In blocks 1 and 2 you should complete the Scottish Trainee Survey (STS). In block 3 you should complete the GMC National Trainee Survey (NTS). You can record participation under “Achievements" in your e-portfolio using the completion code or other relevant information.  

Other 

Ahead of your ARCP the Training Management team will send you a request to submit an absence declaration via Questback which will be sent to you in Spring. You will also need to complete an annual SOAR declaration and the link will be sent to you ahead of your ARCP.   

All Foundation doctors in Scotland follow the Foundation curriculum as detailed on the UKFPO websiteYou will be required to evidence that you have covered 100% of the curriculum. This will be formally assessed at ARCP in June. It is your responsibility to provide the evidence so choose carefully how you demonstrate coverage. There are mandatory assessments and evidence that will be assessed by your Foundation Programme Director (FPD). At your induction you should have received details on how to access and complete your Turas Portfolio and your FPD and programme administrators can provide you with additional help. Please also upload a photograph into your Portfolio.

A Foundation doctor can only complete F2 if they receive a satisfactory outcome (outcome 6) at their ARCP which is held toward the end of the Foundation year (June/July). The evidence to determine your progress is recorded in the e-portfolio and it is your responsibility to ensure that it is completed. The e-portfolio also helps you keep track of your own progress. 

ARCP Requirements

This guidance should be used in conjunction with the Foundation Programme CurriculumPlease click here for 2021 UKFPO Curriculum resources. This includes details about Supervised Learning Events (SLEs) and the Placement Supervision Group (PSG). Please also review the helpful tips on How to Build a Portfolio. If you have any queries about your ARCP requirements, please contact your Foundation Programme Director. 

Please note that if you have been absent from work for more than 20 working days (apart from Annual Leave) including Sick Leave, Paternity Leave, Special Leave etc. this will trigger a review and you may need to complete additional training time This is due to GMC regulations where sign off is related to both competence and time. If this situation arises then you will meet with your Foundation Associate Postgraduate Dean to discuss any requirements.  

It is your responsibility to sign the ARCP form in your e-portfolio after it has been completed. 

Supervised Learning Events (SLEs) 

Details of the different types of SLEs can be found in your portfolio. SLEs are an interaction between a foundation doctor and a trainer which leads to immediate feedback and reflective learning. They are designed to help foundation doctors develop and improve their clinical and professional practice and to set targets for future achievements.

It is accepted that in some posts SLEs will be more difficult to achieve. There is no specific number of SLEs that need to be undertaken however you are required to provide enough evidence for each of the 13 FPCs and should use some SLEs for this purpose. You should start to record your evidence from the start of the training year and do not leave it to your last block. 

e-Learning for Health (e-LfH) has produced a module about SLEs which can be completed on the e-LfH website. 

Team Assessments of Behaviour (TABs)  

Guidance about TABs can be found in your portfolio.

You must receive 1 satisfactory TABs during the year from a suitable variety of assessors including at least 2 consultants or equivalent for each TAB. This must include a TAB from your Educational Supervisor. 

You should aim to usually complete the TAB in your first post of the year. Your supervisor will review the TAB feedback at the end of your post and release the feedback to you. If the TAB is not satisfactory either due to insufficient numbers of respondents or areas for improvement identified. You will be asked to complete at least one further TAB to show improvement. You may then be asked to complete an additional TAB in the third block if necessary. 

Placement Supervision Group (PSG)

The PSG is initiated by your supervisors and guidance can be found on the UKFPO websiteYour PSG will usually be completed in block 2 however your clinical supervisor may wish to create this in block 1. This feedback is from senior staff members and provides you with detailed feedback and advice on your clinical skills and how you perform as a doctor. It provides additional complementary information to the TAB and you may find that it is feedback that you will want to have in your portfolio for interviews. In this form there is a section for you and the supervisor to record areas where you have demonstrated excellence i.e. a high level piece of QI, a GREATIX, or anything else worthy of comment. Guidance from the UKFPO about the importance of the PSG can be found here.

Supervisors’ Reports 

You should have an induction meeting with both the Clinical and Educational Supervisor for all placements. For the majority of posts your Clinical and Educational Supervisor will be the same person and therefore a combined induction form can be completed. 

You must have End of Placement Review meetings with both the Clinical and Educational Supervisor for all placements of which two must be satisfactory. The final End of Placement Review must be satisfactory. For the majority of posts your Clinical and Educational Supervisor will be the same person and therefore a Combined Supervisor End of Placement Report can be completed. 

General Meeting Form 

Your supervisor may also complete a General Meeting Form for any meetings they have with you out with those described above. 

Delivered Educational Programme (Core Learning) and Non-core Learning  

You must demonstrate a total of 60 hours of teaching attendance. 

Firstly, you must demonstrate attendance at 30 hours of the formal Foundation Delivered Educational Programme (core learning). Ideally this will be face-to-face however due to challenges of COVID-19 and social distancing it may be delivered via a platform such as Microsoft Teams or Zoom. Some sessions may be recorded in advance and uploaded to your regional TURAS Learn tile or other platform in your region. You will be provided with information regarding how your teaching will be delivered. 

Secondly, you must also complete 30 hours of non-core learning. Non-core learning should not include statutory or mandatory training delivered by your employer. Statutory training is the training your health board requires you to do as part of your employment and varies between boards. Examples include fire lectures, moving and handling etc. 

Simulation

You will attend an immersive simulation session of which you should record evidence of attendance and this can be linked to your curriculum. This time can count towards core learning.

e-learning   

 Recommended e-learning modules which are relevant to your training:

  • Learning in Foundation Training (LIFT) modules. They are accessed through your e-portfolio. These have been developed through the Scotland Deanery and the learning is based on your curriculum. They will count as core learning. 
  • e-Learning for Health modules. You should receive a log-in for these and many are Foundation related but there is a vast range of topics. There is a specific foundation section and the content has been developed to complement your foundation learning. Some of the induction modules are quite England-focused as it is developed by HEE but the medical knowledge modules are very good. Record these as non-core learning. Please note that the statutory/mandatory induction modules on e-LfH are not suitable for your training in Scotland. They are designed for English Trusts and Foundation doctors in England. You should complete the statutory/mandatory training modules advised by your employer.

In previous years we have restricted the percentage of e-learning modules that can be used to contribute to the 60 hours to 10% i.e. 6 hours. This was to protect you from having to spend your precious time off doing modules if you were unable to attend teaching in paid work time. Given the challenges of COVID-19 and social distancing we have removed this limit, but please attend the Delivered Educational Programme preferentially and use the modules to ‘top up’ or to explore your interests. 

If you perceive you will have difficulties in meeting the minimum of 60 hours, please raise this with your Foundation Programme Director immediately.

Recording your learning 

When you attend a teaching session you should record this in your portfolio under the Mandatory Learning Log. When you open this drop-down you will find a form which allows you to record learning as core or non-core. 

Those who do not manage to attend the minimum hours of delivered education or complete the minimum hours of non-core learning may receive an outcome 5 in the first instance and may be asked to do further learning following ARCP. This will be at the discretion of the ARCP panel and dependent on the extent of the deficit, the reasons for missed teaching and the overall quality of evidence in the e-portfolio. 

Curriculum coverage 

The Foundation Programme Curriculum can be found on the UKFPO website. 

You must ensure that you have provided a range of evidence that you have covered the F1 curriculum which contains 13 Foundation Professional Capabilities (FPC) with a variable number of descriptors in each section. The portfolio will allow up to 10 pieces of evidence per FPC and each piece of evidence can be linked up to 3 times. You will evidence FPCs by linking to the related descriptors. Within the curriculum, the assessment section contains a blueprint of assessments and how they relate to the outcomes. 

Summary narrative

The rationale behind the Summary Narrative is that the Foundation doctor will review their learning progress and ensure that they have the required range of evidence. As a consequence of the reduced burden of assessments and having removed the minimum numbers of SLEs the Foundation doctor and their supervisors will need to be confident that the Higher Learning Outcomes (HLOs) have been met.

The summary narrative allows the Foundation doctor to write a supporting piece that will explain to the Educational Supervisor why they have selected the evidence they have for sign off. It will allow the Educational Supervisor to understand the rationale for the evidence provided.

The practicalities of writing the summary narrative are simple. Each HLO will require a 300-word maximum piece that explains the rationale for the selection of the evidence provided.

Ideally the Foundation doctor should start writing each summary narrative towards the end of post 1 to help them critically appraise their progress and help inform their PDP for the subsequent posts. The Educational Supervisor will be able to review this progress.

The content of the summary narrative is not summative (i.e. pass/fail) however having 3 completed summary narratives in place by ARCP will be mandatory.

Examples of summary narratives can be found below.

Example 1

Example 2

Reflection 

You should complete reflections throughout the year. 

QA/QI 

You must demonstrate evidence of participation in systems of QA/QI. The is no recommendation on number of QI projects to be done in Foundation but you can evidence QI, attending teaching, working on modules for QI etc.

Surveys 

In blocks 1 and 2 you should complete the Scottish Trainee Survey (STS). In block 3 you should complete the GMC National Trainee Survey (NTS). You can record participation under “Achievements" in your e-portfolio using the completion code or other relevant information.  

Other 

Ahead of your ARCP the Training Management team will send you a request to submit an absence declaration via Questback which will be sent to you in Spring. You will also need to complete an annual SOAR declaration and the link will be sent to you ahead of your ARCP.   

 

F1 trainees who have successfully completed their F1 year and have achieved an Outcome 1 in their ARCP will be issued with an Foundation Year 1 Certificate of Completion document. This document is your end of year certificate and will be signed-off by the Foundation School Director or other authorised signatory in the Foundation School.

Your certificate of experience (CoE) required by the GMC to allow full registration will not be processed unless you have a F1CC. This process usually takes place in June/July of each year.

The F1CC is generated electronically, signed digitally and stored in your e-portfolio. There is NO paper copy. These will be released automatically in the last week of July.

Further information about applying for GMC full registration can be found here.

 

F2 trainees who have successfully completed their F2 year and have achieved an Outcome 6 in their ARCP will have a "Foundation Programme Certificate of Completion" Document (FPCC) issued. This document is your end of year certificate and will be signed by the Foundation School Director or other authorised signatory in the Foundation School.

This document is generated electronically, has a digital signature and is stored in your e-portfolio. There is NO paper copy. These are released in the last week of July.

This document is an important document and will be required before starting Specialty Training. You may be asked to produce a copy for future employers and training programmes. You do this by downloading from your e-portfolio. The Scottish Foundation School will not provide paper copies or sign downloaded forms from the e-portfolio.

This page was last updated on: 25.11.2021 at 10.43


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