Doctors in Training (DiT) FAQs
Please click here for a downloadable PDF version of the DiT questions
Question List:
The first ARCP panel at 6 months (WTE) will review the application and evidence for Combined Training, the recommendations from the deanery and ARCP prelimenary assessments (all in the DiT portfolio) and progress to date to make the final decision on how much time can contribute.
Combined training (rcgp.org.uk)
ARCP panels occur annually, from your first date in programme. Your ARCP date will be listed on your Fourteen Fish Timeline once we have allocated it to you. They are held annually, usually in Summer and Winter months
If you are a ATC DiT (Shortened programme) your first ARCP will take place upon your first 6 months in programme. Then afterwards they will be held annually.
Other exceptions to the rule are if you are planning to go out of programme or on parental leave, then a panel should take place before the start date of this period.
Even if you are on sick leave a panel will still be convened and you must engage with the ARCP process.
We will notify you of your ARCP by email or by updating Fourteen Fish. If you are unsure, or do not have a ARCP date in your portfolio, please email us at england.gptraining.nw@nhs.net.
Further information on the ARCP process is here: https://nwpgmd.nhs.uk/arcp
Your ARCP Outcome will be available on Fourteen Fish once the ARCP panel has been completed, and available for your review and sign off by the end of the same day.
We will usually go through the next day to check if your ARCP Form has been signed off by the panel chair. If you haven’t heard anything by the Friday of that week, please email us at england.gptraining.nw@nhs.net where we can chase the sign off from the Panel Chair. If you’ve received an adverse outcome then we will need to deliver this face to face via Microsoft Teams and someone from the GP Support Team will be in touch via email regarding this appointment.
Further information on the ARCP process available here: https://nwpgmd.nhs.uk/arcp
Outcome 1 - Satisfactory progress – Achieving progress and the development of competences/ capabilities at the expected rate
Outcome 2 - Development of specific competences/capabilities required – Additional training time not required
Outcome 3 - Inadequate progress – Additional training time required
Outcome 4 - Released from training programme – With or without specified competences/ capabilities
Outcome 5 - Holding outcome - Incomplete evidence presented – Additional training time may be required. This is NOT an adverse outcome and CANNOT be appealed.
Outcome 6 - Gained all required competences/capabilities – Will be recommended as having completed the training programme.
Outcome 7 - Fixed-term posts (e.g. LATs). This is not used in GP training.
Outcome 8 - Out of programme for clinical experience, research or a career break (OOPE/OOPR/OOPC). N Codes are often used in conjunction with this, further details will be on your portfolio if you receive an OOP Outcome.
Further details can be found in the gold guide here: https://www.copmed.org.uk/publications/gold-guide/gold-guide-9th-edition
DiTs will all receive an ARCP email before each peak season (summer & winter) reminding them of the ARCP process. However we recognise that some DiTs maybe out of sync and therefore if you should fall within this category please ensure you submit your full ESR and Form R no earlier than 8 weeks and no later than 2 weeks before before your ARCP panel. For those DiTs in sync you can find submission dates HERE.
Your ESR should ideally cover a 6-month period, the first date should be your first date in programme or begin a day after your last ESR review end date.
You should submit a full ESR for your annual ARCP panel, and an interim ESR (iESR) can be submitted within the first 6 months of each training phase (ST1, ST2 & ST3)
No, ESR submission deadlines are provided to you with enough notice to allow for completion prior to your ARCP. Should you have mitigated circumstances that you think may delay your ARCP or ESR (not to include annual leave) then please email the team at england.gptraining.nw@nhs.net with your request.
You can do this yourself, please follow these handy links:
No earlier than 8 weeks and no later than 2 weeks before before your ARCP panel.
The Form R fills in the gaps that would normally be filled in by your appraisal meeting with your Educational Supervisor. It is imperative that the Form R is filled in correctly so that the GMC can keep you as a valid doctor on the GMC register.
We have created a useful guide to help you fill in your Form R correctly: https://www.nwpgmd.nhs.uk/arcp
If you require more information on the TIS self service system then pelase visit https://tis-support.hee.nhs.uk/trainees/
A video from our fellow deanery in the East of England: https://www.youtube.com/watch?v=8CTYBJcXoBM
Please follow this link for our helpful guide on it: https://nwpgmd.nhs.uk/arcp
Please try using this method: https://support.fourteenfish.com/hc/en-gb/articles/360016671257-Uploading-Form-R
Please follow this link for our helpful guide: https://www.nwpgmd.nhs.uk/arcp
Please visit Workplace Based Assessment (rcgp.org.uk) for the requirements at ARCP.
You will need to create a new review period and link the evidence to this. If you are trying to upload your evidence to a review period that has been signed off, the portfolio will not allow you to do so.
Please try using these links to trouble shoot:
Please ensure evidence of a booked course is added as an eductaor note by your Educational Supervisor prior to your ARCP. The panel may still issue an Outcome 5 or which is a holding outcome which will then be reviewed against a later panel after the course has been compelted for your satisfactory outcome to be awarded. (As long as there are no other training concerns on your portfolio).
The ARCP panel needs to see a formal certificate for your course which clearly states your full name, the date you have completed the course and/or how long it is valid for, plus the logo of the company that completed the training with you. In some cases, we have accepted a formal letter confirming all this information only if the course providers do not issue certificates.
You will need to submit a Form R Part B. If you are OOP, then you don’t need to submit an ESR.
You will need to submit a Form R Part B. Depending on how long you have been out of programme it would be useful to have an ESR, however with assistance from the GP Support Team we can help plan when you should complete your next ESR once you return to the programme.
Please ask your Educational Supervisor about your educational requirements. You can also look up your requirements here: https://www.rcgp.org.uk/training-exams/training/mrcgp-workplace-based-assessment-wpba.aspx
If you are still unsure, you can liaise with your Training Programme Director.
Please visit our page here: https://www.nwpgmd.nhs.uk/policies-guidance
Please visit our page here: https://www.nwpgmd.nhs.uk/policies-guidance
In the first instance please contact your Training Programme Director to arrange a meeting to discuss your return to work.
We now run a Support Return to Training Programme. It was designed to improve the experience for all post graduate doctors who have been out of training for 3 months or more.
Please visit our page here for further information https://www.nwpgmd.nhs.uk/supported-return-to-training
If this information is not already available to you on Fourteen Fish, then please contact your Training Programme Director or local programme support team.
If you are unsure who your Training Programme Director is, please visit this link: https://www.nwpgmd.nhs.uk/general-practice/contacts
If your placement information is missing or incorrect on Fourteen Fish, then please contact your Training Programme Director or local programme support team.
If you are unsure who your Training Programme Director is, please visit this link: https://www.nwpgmd.nhs.uk/general-practice/contacts
If your ESR covers more than one placement, it will only show the Clinical Supervisor from the first placement on Fourteen Fish. Once your ESR review period switches, your new Clinical Supervisor will be visible once you switch ESR periods.
Your Clinical Supervisor should be able to access your portfolio, if they cannot, you can add them using this method: https://support.fourteenfish.com/hc/en-gb/articles/360012204837-My-trainee-is-not-appearing-on-my-account
For all updates on the NPL (National Performers list) Please see link below:
https://pcse.england.nhs.uk/services/performers-lists/gp-performers-list-for-england/new-performers/
The majority of DiTs joining GP Training from August 2021 and beyond will do 12 months hospital and 24 months GP (not necessarily in that order), however, in some areas, the original structure of 18 months GP is still in place. Your Training Programme Director will let you know what structure they are able to offer.
Please refer to the RCGP website for further information https://www.rcgp.org.uk/getmedia/774ee702-0bea-425a-9d6d-5d9b391f0866/guidance-managing-time-out-training-gp.pdf
Please note that TOOT is calculated in calendar days and weekends are included as part of this (for example 1 week is 7 days, 1 year is 365 days)
It is all DiTs responsibility to check and ensure any time out of trianing are added to the portoflio and Form R and the stages of trianing are correct, further guidance can be located HERE
Please ensure after every ARCP you re-check your CCT date, to ensure any TooT has not exceeded the minimum requirment for your stage of training (14 days per ST year) and amended your CCT.
Please note that failure to do so may result in a delay in receiving your CCT.
Review Periods
Using Previous Evidence: https://support.fourteenfish.com/hc/en-gb/articles/360005540057-I-have-an-entry-in-a-previous-Review-Period-that-I-want-to-now-use-as-evidence
DiTs are expected to pay for their Fourteen Fish Portfolio.
Please try using these trouble shooting links, if you are still unable to see your DiT/s then contact the GP Support Team - england.gptraining.nw@nhs.net . if we are unable to resolve this issue then we will refer you on to the Fourteen Fish support team - support@fourteenfish.com .
Please try these trouble shooting links below, but if you’re still having issues let us know and we’ll do our best to help or refer you to support@fourteenfish.com .
Review Periods –
DiTs have the facilities within their own portfolio to amend details of their Educational/Clinical Supervisors and or placements details by following the links below:
If you need us to amend your placement details, please let the GP Support team know on england.gptraining.nw@nhs.net
Your Educational Supervisor can amend this for you, please follow the links below: