Global Objectives and ARCP Requirements for North West Core Surgical Trainees
Last Reviewed August 2019
Below is an outline of the requirements for completion of Core Surgical Training (CST) and the competencies you are expected to achieve at various stages of your Core Surgical Training.
You are expected to join the ISCP website, assign a TPD, and actively engage with it from the beginning of your training programme. For trainees on run-through programmes, please refer to the guidance on how to enter your placements on ISCP.
You should familiarise yourself with the Core Surgical Training syllabus (2017 PDF document).
By the end of the Core Surgical Training Programme you are expected to have:
- Completed the common content module;
- Completed the core specialty module for each 6-month placement relating to the specialty of the post, and;
- Completed the ST3 preparation module for your chosen specialty.
Meeting with your Assigned Educational Supervisor (AES)
It is your responsibility to arrange an objective setting meeting with your AES within 4 weeks of starting your posts. Use the syllabus and these objectives as a guide to set yourself specific and achievable objectives for each placement.
An interim meeting should take place at around 3 months (2 months for 4-month placements).
A Clinical Supervisor (CS) report must be completed for each placement.
A final meeting and a final AES report (please note that final meeting and final AES report are not the same) must be completed for each placement (this includes every 4-month placement e.g. Plastics placements) and validated by trainer and trainee before the deadline date for ARCP and Interim Progress Review evidence submission.
Workplace Based Assessments (WPBAs)
You are expected to complete a minimum of 7 Case Based Discussions, 7 Clinical Evaluation Exercises and 7 DOPS/PBAs for each six-month placement and aim to carry out an assessment every week. You must link every WPBA to topics on the Core Surgery Syllabus (2017). At least 50% of WPBAs must be verified by a consultant who is a GMC approved trainer and also recognised as a consultant trainer / supervisor on ISCP. This may require the consultant to contact the ISCP team to ensure that they are designated as such within ISCP if they do not already appear as such, and you may need to prompt your consultant to do this.
You are expected to complete the mandatory WPBAs as outlined in the CST 2017 syllabus before the first Interim Progress Review in CT1. The mandatory WPBA checklist, will be emailed to you prior to your Interim Progress Reviews and ARCPs, providing evidence of completion, and must be uploaded to the “Other Evidence” section of ISCP under “Miscellaneous” before the deadline date for Interim Progress Review evidence submission.
Multi-Source Feedback (MSF)
You should complete at least one (MSF) per year. It is advisable to start to identify your raters and complete a self-assessment in month 4 of your placement so it’s completed prior to your final meeting with your educational supervisor.
You should complete and present or publish a minimum of one audit per year and upload the evidence to the “Other Evidence” section of ISCP under “Audit”.
At least one assessment of audit WPBA (AoA) must be completed by a consultant and evidenced on ISCP during core training.
You should deliver a minimum of one teaching session in 2 years with feedback and evidence uploaded as a WPBA (Observation of Teaching, OoT).
You should complete at least two reflective pieces per year, in addition to that on WPBAs, and upload them as a word document titled “reflective practice 1”, etc.to the “Other Evidence” section of ISCP under “Miscellaneous”.
A minimum of 70% attendance at regional teaching sessions is mandatory for each placement. A record of attendance for the full day of teaching is kept centrally as a record. If you are not able to attend a teaching session for valid reasons an email should be sent to firstname.lastname@example.org, with your AES copied in to the email, explaining the reasons for your non-attendance.
You must have completed an ATLS or APLS by your Interim Progress Review in your CT2 year. You are also recommended to have completed a Basic Surgical Skills course by the end of CT1 and a CCRISP course by the Interim Progress Review in your CT2 year. Evidence of completion of these courses, even if they were completed before you started CST, must be uploaded in the “Other Evidence” section of ISCP under the “Courses / e-learning” heading. You are encouraged to attend relevant courses to help you complete ST3 specialty preparation module requirements.
You must keep an up-to-date logbook on e-logbook. As a guide you are expected to have been involved in a minimum of 60 cases for each 6-month placement. You should refer to the CST syllabus (2017) and the relevant core specialty and ST3 specialty module checklists (see checklists at bottom of this page) to get an indication of index procedures you are expect to be involved in and level of competency you are expected to achieve for each specialty. Aim to complete at least one PBA for each index procedure.
Membership of the Royal College of Surgeons (MRCS)
You are expected to sit and pass MRCS Part A by the end of your CT1 year. You must have passed the MRCS Part B or DO-HNS Part 2 by the end of Core Surgical Training. Possession of DO-HNS without MRCS is not an adequate qualification to satisfy the requirements of the curriculum. Evidence of every MRCS attempt must be entered on your ISCP portfolio in the “Other Evidence” section under “Examinations”, using the titles “MRCS Part A – PASS” or MRCS Part A – Unsuccessful” etc.
Curriculum Vitae (CV)
You should have an up to date CV uploaded to ISCP by the deadline for ARCP and Interim Progress Review evidence submission.
The Form R is a mandatory requirement from the GMC for all ARCPs. Both Part A&B of the Form R must be completed for every ARCP (the Form R is not required for Interim Progress Reviews). The Form R must be completed within 4 weeks of the ARCP and by the deadline for evidence submission. If a Form R has not been completed within the month prior to the ARCP or is incomplete the panel will be unable to issue a satisfactory outcome.
It is important any ongoing or closed investigations/complaints since your last Form R are included.
You must make sure that all parts of the Form R are fully completed including the scope of practice section. The Scope of practice should include:
- Each of your training posts if you are or were in a training programme;
- Any time out of programme, e.g. OOP, maternity leave, career break, etc;
- Any voluntary or advisory work, work in non-NHS bodies, or self-employment;
- Any work as a locum. For locum work, please group shifts with one employer within an unbroken period as one employer-entry. Include the number of shifts worked during each employer-period.
The links to the Form R (Part A&B) are:
- Form R Part A: https://www.nwpgmd.nhs.uk/form-r-part
- Form R Part B: https://www.nwpgmd.nhs.uk/form-r-part-b
Trainees should raise any concerns initially with their CS or AES. Trainees/supervisors should contact the Surgical Tutor for their Trust or the Training Programme Director if there are any ongoing concerns at an early stage.
Feedback and Surveys
You are expected to complete the CST HEE NW feedback survey for each placement. You will receive an email with a link near the end of your placement. You are also expected to complete the JCST survey for each placement and the annual GMC survey.
The ARCP panel reviews the evidence provided by you and your supervisor before deciding on the outcome. As such, it is essential that you upload the evidence as requested and by the deadline stated. Note the deadline is 10 days before the date of the ARCP Assessment panel.
You must complete the ARCP checklist and upload it in the “Other Evidence” section of ISCP under the heading “miscellaneous” before each ARCP and Interim Progress Review deadline. You must also complete the relevant core specialty and ST3 specialty preparation module checklist prior to each ARCP and Interim Progress Review. The checklists are availabel at the bottom of this page.
You should attend at least one face to face meeting a year (commonly the Interim Progress Review halfway through the year). The end of year ARCP Assessment Panel is not face to face, it is a review of the evidence you have provided on ISCP. If your progress is not deemed to be satisfactory you will be required to attend a face to face ARCP Feedback panel a few weeks after the ARCP Assessment Panel.
ARCP Dates can be found on the HEE North West website here:
You must ensure that you are available to attend the Interim Progress Review and the ARCP Feedback Panel if required. As such, you should avoid booking holidays on those dates and inform your host trust well in advance.
Mehdi Motamed, Core Surgery Training Programme Director (East Sector, South)
Mark Tomlinson, Core Surgery Training Programme Director (East Sector, North)
Chris Grocock, Core Surgery Training Programme Director (West Sector)
The ARCP & interim review checklist must be completed and uploaded to ISCP for every interim progress review and ARCP.
One core specialty module checklist must be completed and uploaded to ISCP for every post. Please complete the correct specialty checklist for the post.
Please complete one ST3 preparation module checklist for your chosen specialty and upload to ISCP before your ST2/CT2 interim progress review you must also update the checklist and upload to ISCP before your ST2/CT2 ARCP. One ST3 preparation module must be completed before the end of core training.
All mandatory WPBAs as listed in the Core Surgical Training Curriculum (2017) must be completed before your first Interim Progress Review in CT1/ST1. Please upload a completed “Mandatory WPBA checklist” and upload to ISCP.
Page Last Updated 16 October 2019