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ARCP Process

Workplace Based Assessments | Way PointsFurther Information | NOTSS

Specialty Specific Additional Requirements:

As well as the requirements outlined on the ARCP webpage, O&G trainees are expected to   
 complete the following for their ARCP and upload to the personal library section of the


The ARCP Process: 

The Annual Review of Competence Progression (ARCP) is a formal process that uses the evidence gathered by the trainee relating to their progress in training over the previous year. These include work place based assessments, team observation forms, an educational supervisor’s report, progress through the log book and compliance with the RCOG training matrix.

The trainee will be asked to provide this evidence in advance of the ARCP; the ARCP panel will evaluate this and issue an outcome. The trainee will meet with members of the panel afterwards for a feedback appointment, to be informed of the outcome and reasons for the decision.

A pregnant woman sitting at a table at home looking at laptop computer.The ARCP is also when the trainee’s educational needs for the coming year are reviewed and discussed with them. Prior to the ARCP the trainee should meet with their educational supervisor to go through the evidence to be submitted. The educational supervisor should be able to indicate the likely outcome.

The ARCP panel consists of the College Tutors from each Trust, Educational Supervisors, the Training Programme Directors, Head of School, an external RCOG representative and a Lay Advisor. There will also be a member of Deanery staff usually the Programme Manager and/or Programme Co-ordinator.

Following the review of evidence and panel discussion the outcome is decided. Most trainees progress well into their next training year but sometimes specific training needs are identified that result in a different outcome.

Workplace Based Assessments:

These comprise of mini clinical evaluations (Mini CEX), case based discussions (CbD) and objective structured assessment of technical skills (OSATs).

Eight Mini CEXs and eight CbDs are required at ARCP using a combination of obstetric and gynaecology cases. They should be conducted throughout the training year with a variety of assessors including consultants.

The type and number of OSATs required at ARCP will vary with the training year. Independent competency is deemed to have been achieved when a trainee has three OSATs signed off as independently competent. At least one of the competent OSATs must be signed off by a Consultant. More details can be gained from the RCOG Training Matrix (pdf)

One specific area where our standard is more stretching is at the end of ST2 where the school expects independent competence in both ventouse and forceps delivery, therefore three independent OSATs will be required for each. The RCOG matrix does not specify the instrument.

Trainees also need to perform regular reflective practice with a minimum of four completed in a training year. Team observation forms (TO1s) are organised by the College Tutors in each unit prior to the ARCPs and are expected to take place twice within each training year to ensure trainees receive regular feedback.

Way Points & ARCP Timings:

There are way points in training at the end of ST2 and ST5. At these points particular attention is paid to the required competencies as they mark a time when trainees move from junior to middle grade level (ST2-3) and middle grade to senior level (ST5-6).

The training matrix details all the competencies and achievements expected and an outcome three would normally be awarded if these are not met. Included in these achievements are the requirement to have passed MRCOG part one by the end of ST2 and MRCOG part two by the end of ST5.

The ARCP should occur within the last 2-4 months of each year of training for full-time trainees to determine suitability for progression to the next year of training.  So for you, it is really important to know the date that you are entering your next year of training.  If you have had any breaks in your training, adverse outcomes or are working LTFT your ARCP will not always occur when you have had them in the past. 

A trainee with an ARCP outcome 2 will remain on an Outcome 2 until their next annual ARCP.  An interim review to determine progress will occur however, an ARCP outcome 2 does not change the timing of subsequent ARCPs or your CCT date.

A trainee with an ARCP outcome 3 will receive a further ARCP a month proceeding completion of the extension, which will review the evidence of completion of the learning objectives and will result in an ARCP outcome.  Subsequent ARCPs will then occur on the anniversary of the review of extension to training for full-time trainees, ie progression to the next year of training.   An ARCP Outcome 3 will require a formal change of CCT date.

Further Information & Guidance:

Additional advice and guidance on the ARCP process within the School of O&G, written by our Programme Directors, is available here: O&G ARCP Process.

More information can be gained on the RCOG website.

Non Technical Skills for Surgeons: 

Further information and guidance can be found for NOTSS.

Guidance (word) for completing a Labour Ward NOTSS.

Labour Ward NOTSS Form (word)

Guidance (word) for completing a Gynae NOTSS

Gynae Operating NOTSS Form (word)

Peer Observation Form:

Peer Observation Forms Clinical 2013 (pdf)

Peer Observation Forms Classroom 2013 (pdf)

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