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The ARCP Process and Revalidation

Whilst the Revalidation process will be broadly aligned to the ARCP/RITA process the two are not the same.

Revalidation is a process which all doctors must undergo within the timescales set out by the GMC, it is solely concerned with your Fitness to Practise in relation to your License to Practice.

The ARCP / RITA process is predominantly concerned with your achievement of competences in relation to the curriculum set down by the Royal College or Faculty of the specialty in which you are seeking to achieve CCT.  Whilst each curriculum is of course in line with and incorporates the GMC "Good Medical Practice" guidelines the main focus is on education and attainment.

There are six types of supporting information that doctors will be expected to provide in their portfolios and discuss in their annual appraisals at least once in each five year cycle, it is expected that most will be covered by your specialty curriculum:

An image of two annual report documents

1.       Continuing Professional Development

2.       Quality Improvement Activity

3.       Significant Events

4.       Feedback from Colleagues

5.       Feedback from Patients (where applicable)

6.       Review of Complaints and Compliments.

ARCP and RITA Outcomes

Your annual assessment of achievements in training will continue to be carried out in much the same way as it has in previous years.  You will submit evidence to the panel who will review it in line with the specialty curriculum and any local guidance or requirements that have been set.

The full list of ARCP outcomes is available from the Gold Guide and RITA outcomes are available from A Guide to Specialist Registrar Training 1998.

ARCP and RITA have outcomes which are considered to be "satisfactory" or "unsatisfactory", whilst these outcomes will continue to be used they are not necessarily an indicator of your recommendation for revalidation:

"Satisfactory" Outcomes "Unsatisfactory" Outcomes
ARCP Outcome 1 – Achieving progress and development of competences at the expected rate. ARCP Outcome 2 – Development of specific competences required – additional training time not required.
ARCP Outcome 6 – will be recommended as having completed the training programme and for award of a CCT or CESR/CEGPR. ARCP Outcome 3 - Inadequate progress - additional training time required.
ARCP Outcome 7.1 – Satisfactory progress in or completion of the LAT / FTSTA placement. ARCP Outcome 4 - Released from training programme with or without specified competences.
ARCP Outcome 8 – Out of programme for research, approved clinical training or a career break (OOPR/OOPT/OOPC). ARCP Outcome 5 - Incomplete evidence presented - additional training time may be required.
RITA C – Record of Satisfactory Progress within Specialist Registrar Grade. ARCP Outcomes 7.2 (Fixed term training) - Development of specific competences required – additional training time not required.
RITA F – Record of Out-of-Programme Experience. ARCP Outcomes 7.3 (Fixed term training) – Inadequate Progress by the Trainee).
RITA G – Final Record of Satisfactory Progress. ARCP Outcomes 7.4 (Fixed term training) – Incomplete evidence presented.
  RITA D – Recommended for Targeted Training – Stage 1 of “Required Additional Training”. 
  RITA E – Recommended for Intensified Supervision/Repeated Experience – Stage 2 “Required Additional Training”.

 

Whilst annual review outcomes are split into these two distinct groups, the implication is not directly related to revalidation.

For example:

  • A trainee achieving outcome six at ARCP for completion of training would do so based upon their achievement and demonstration of all required competencies in the curriculum. Providing there are no on going clinical governance concerns the Responsible Officer will be able to make a positive revalidation recommendation. However if the trainee had, for example, an on going GMC fitness to practice investigation for drink-driving, but had achieved all the necessary competencies in line with their curriculum they can gain their CCT and move out of training but their revalidation recommendation will need to be deferred until the conclusion of the GMC investigation.  

  • A trainee has received outcome four at ARCP and been released from programme due to repeated exam failure. Whilst this is considered "unsatisfactory", provided there are no concerns about the doctor's Fitness to Practice it should not, in itself, impede revalidation in the future or prevent the Responsible Officer from making a positive revalidation recommendation.

 

ARCP/RITA and Revalidation are intertwined but are not interdependent. 

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