ARCP & Portfolio

ARCP CHECKLIST

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ARCP Essentials for Respiratory Trainees

Supervisor Reports

ES Report covers [eg. June 2024–June 2025] (or relevant dates if post started earlier [eg if training started April then April 2024 - April 2025]
If multiple posts (e.g. ITU then ward), ensure ES report for each post
New curriculum: Single ES report (covers Generic, IM & Respiratory CiPs)
Old curriculum: Two ES reports (one for IM, one for Respiratory)

Supervised Learning Events (SLEs)

6 ACATs (aim for 4 GIM + 2 Resp in future
ACATs may be split days and combined to reach 5 new patients
Observed ward rounds looking after patients new to the ward; a minimum of 5 patients to be seen)
9 Mini-CEX/CbDs suggested (6 Respiratory + 3 IM) is AIM (decision guide currently 6) (Follow decision aid if not yet updated)
DOPS for IM and Resp procedures

(Final year: summative bronchoscopy + chest drain DOPS)

MCR: Minimum 4 assessors; 6 recommended
MSF: At least 12 responses, including 3 consultants

→ If concern raised: Repeat MSF required in same year

Patient Feedback & QI

Patient survey in ST5 and ST7
QIP or Audit project:

→ One in ST4–5

→ One in ST6–7

→ Include QIPAT, linked to Generic CiP 4

Useful Links

Respiratory Medicine 2022 ARCP Decision Aid

This document outlines the assessment requirements for Respiratory Medicine trainees, including the number and types of workplace-based assessments (WPBAs), Multi-Source Feedback (MSF), and other evidence needed for a satisfactory ARCP outcome.

Download the Respiratory Medicine 2022 ARCP Decision Aid (PDF)

Internal Medicine Stage 2 (IMS2) ARCP Decision Aid

This decision aid details the expectations for IMS2 training, including capabilities in practice (CiPs), procedural competencies, and other assessment requirements.

Download the Internal Medicine Stage 2 ARCP Decision Aid 2022 (PDF)

Internal Medicine Stage 2 Curriculum (2022)

The curriculum provides comprehensive information on the learning outcomes, training structure, and assessment methods for IMS2.

Download the Internal Medicine Stage 2 Curriculum (PDF)

Rough Guide to Respiratory Medicine 2022

Concise breakdown of key expectations, entrustment levels, and progression guidance.

View PDF

Example Logbook: Maintain records for bronchoscopy, pleural procedures, NIV, acute take totals, and 20 non-respiratory GIM clinics—ensure no patient-identifiable data.

Respiratory Logbook – The Federation UK

Section	Requirement	Location in NHS ePortfolio	GIM req.
Educational Supervisor's Report (ESSR)	1 per training year	Educational Supervisor's Report	Same
Capabilities in Practice (CiPs)	All 14 CiPs must be self-rated and supervisor-rated > ES to confirm trainee meets expectations	Curriculum → Capabilities in Practice	Same
Multiple Consultant Reports (MCRs)	Minimum 4 per year (4-6)	Assessments → MCR	x2 MCR GIM
Multi-Source Feedback (MSF)	1 MSF with ≥12 raters (ensure ES release)	MSF Section	x4 raters from GIM if in IM training
Supervised Learning Events (SLEs)	ACAT ×6 (>5 cases/ACAT) CbD/Mini-CEX ×6 per year	Assessments → SLEs	If training in CiP1, 4 ACATs to be carried out by consultants supervising in the acute unselected take/post take setting + 3 CbD/CEX
DOPS	All mandatory procedures signed off	Assessments → DOPS
Patient Survey (PS)	1 satisfactory in ST4-ST5 1 satisfactory in ST6-ST7 (min 20 responses)
Quality Improvement / Audit	At least 1 full-cycle QIP per year (participation) - completion with satisfactory QIPAT by ST6	Under section QI/Audit	At least one QI project to be completed in IMS2 and assessed with QIPAT or equivalent
Teaching Evidence	Minimum 1 teaching session per year with feedback and evaluation	Assessed with TO tool	At least one by end of IMS2
Clinics	Indicative minimum of 20 clinics in specialties other than the trainee’s specialty by the end of IMS2		Indicative minimum of 20 clinics in specialties other than the trainee’s specialty by the end of IMS2
Clinical Activity (Take)	Active involvement in the care of an 750 patients presenting with acute medical problems by the end of IMS2, with 100 in final year		Active involvement in the care of an 750 patients presenting with acute medical problems by the end of IMS2, with 100 in final year
Continuing ward care of patients admitted with acute medical problems	12 months by end of IMS2, including 3 months in final year of IMS2 training		12 months by end of IMS2, including 3 months in final year of IMS2 training
Examinations	SCE for CCT (recommended by end ST6)	Certificates Section
Simulation	12 hours during IMS2, including at least 4 hours in the final year of IMS2 training		12 hours during IMS2, including at least 4 hours in the final year of IMS2 training
Study Leave	75 hours of recognised IM study leave by end of IMS2 with 20 hours in final year of IMS2 training		75 hours of recognised IM study leave by end of IMS2 with 20 hours in final year of IMS2 training
ALS Certification	Must be in date for ARCP	Certificates Section	Same
Personal Development Plan (PDP)	Minimum 1 updated PDP with SMART goals	PDP Section
Reflective Entries	Ongoing throughout year; recommended monthly	Reflective Log
Management	Evidence of management capability (e.g. completion of a management course)	Management course certificate
Form R (Revalidation)	Part A & Part B annually before ARCP (Gold Guide §5)	Revalidation → Form R

C O M B I N E D R E S P / G I M
S I G N - O F F S

Procedure	Minimum Competence Required	Notes
Advanced cardiopulmonary resuscitation (CPR)	Leadership of CPR team	Must be able to lead and coordinate a resuscitation effort
Ascitic tap	Competent to perform unsupervised
Direct current (DC) cardioversion	Competent to perform unsupervised
Lumbar puncture	Competent to perform unsupervised
Nasogastric (NG) tube insertion	Competent to perform unsupervised
Pleural aspiration for fluid (diagnostic)	Competent to perform unsupervised	Assumes ability to decompress large symptomatic pneumothorax
Abdominal paracentesis	Skills lab or satisfactory supervised practice
Access to circulation (femoral vein or intraosseous)	Skills lab or satisfactory supervised practice	At least one of the two methods for emergency access is required
Central venous cannulation (IJV or subclavian)	Skills lab or satisfactory supervised practice
Intercostal drain for effusion*	Skills lab or satisfactory supervised practice
Intercostal drain for pneumothorax*	Skills lab or satisfactory supervised practice
Temporary cardiac pacing using an external device	Skills lab or satisfactory supervised practice

G I M P R O C E D U R E C H E C K L I S T

Outline grid of levels expected (CiPs)

Table 1 & 2: Outline grid of levels expected for Internal Medicine clinical capabilities in practice (CiPs) Level descriptors

Level 1: Entrusted to observe only – no clinical care

Level 2: Entrusted to act with direct supervision

Level 3: Entrusted to act with indirect supervision

Level 4: Entrusted to act unsupervised

R E S P I R A T O R Y S P E C I A L T Y C I P ' S

Specialty CiP	ST4	ST5	ST6	ST7
1. Managing all aspects of thoracic malignancy and advanced or terminal respiratory disease including diagnostic pathways and working with the MDT	2	3	4	4
2. Managing integrated respiratory medicine across the primary and secondary care interface including management of long-term disease	2	3	4	4
3. Managing complex and unusual respiratory infection including contact tracing and public health (in particular atypical pneumonia)	2	3	4	4
4. Managing the service and patients with respiratory failure in multiple settings including hospital and in the community	2	3	3	4
5. Tertiary subspecialties interface: managing patients across the secondary and tertiary interface; in particular patients with lung and heart transplants and pulmonary hypertension	2	2	3	4
6. Managing the use of drugs and therapeutic modalities specific to the practice of respiratory medicine	2	3	3	4

I N T E R N A L M E D I C I N E S P E C I A L T Y C I P ' S

Internal Medicine CiP	ST4	ST5	ST6	ST7
1. Managing an acute unselected take	3	3	3	4
2. Managing the acute care of patients within a medical specialty service	2	3	3	4
3. Providing continuity of care to medical inpatients	3	3	3	4
4. Managing outpatients with long term conditions	3	3	3	4
5. Managing medical problems in patients in other specialties and special cases	3	3	3	4
6. Managing an MDT including discharge planning	3	3	3	4
7. Delivering effective resuscitation and managing the deteriorating patient	4	4	4	4
8. Managing end of life and applying palliative care skills	3	3	3	4