IMT1 induction. arcp. internal medicine training 2025

internal medicine training. portfolio

1. Portfolio and ARCP IMT induction 19 th Aug 2025 Maddie Garcia IMT3 1

2. Decision aid Make a list at start of the year of what you need Differences between IMT1 and 2 (progression point) MCRs: ¾ need to be by consultants who have supervised you in acute take setting – this must be the unselected acute take (i.e., not specialty take such as respiratory) in IMT2 ARCP MRCP requirements – Part 1 in IMT1, full MRCP in IMT2 QI requirements – project plan in IMT1, QIPAT form and complete project in IMT2 At least 1 MCR to be completed by geriatrician & crit care during IMT1/2 Procedures – covered on next slide Identify which ones need 'summative unsupervised' by end of IMT2 8/18/25 2

3. Workplace-based assessments (WBAs) ACATs: must have at least 5 patients OPCATs: at least 3 patients Only count consultant WBAs for ARCP When requesting MCRs, ask consultants to fill in the setting in which they have seen you work (i.e., in IMT2, need to have seen you on acute take or post take) MCRs: need one by crit care, one by geris consultants Need evidence of simulation in IMT2 – postgrad offer a sim session for everyone in IMT2 year Personal advice: I’d be very specific to consultants that you need it signed off as ‘competent to perform unsupervised’ 8/18/25 3

4. Procedure requirements All skills can be signed off in skills lab in IMT1 – this will be organised for you by postgrad team 'DOPS' form to be used to sign off procedures – need 'summative' DOPS to be signed off as competent to perform without supervision By end of IMT2 you need the following signed off as 'competent to perform unsupervised' (the rest can still be skills lab) Ascitic tap LP (acute take is a good place for opportunities) NG tube Pleural tap (pleural clinic – Wythenshawe) DCCV (elective cardioversion list – Wythenshawe) For CPR – end of IMT2 year – need to be rated as 'participation in on call team'. By end of IMT3 – need a DOPS showing 'led CPR team' 8/18/25 4

5. Personal library Organise at start of the year and start to put things into folder throughout Remember Form R: Part B for ARCP – needs to go in 'ARCP' folder Acute take + teaching logs into 'logbook' folder Don't worry about 'PYA' - not relevant unless you are CCT- ing Exams and ALS – these are requirements for ARCP – will show as 'needing confirmation'. Need to get your ES to 'sign' these before ARCP so they are validated 8/18/25 5

6. Clinics, acute take log & teaching hours Three things need logging all year Keep a log of clinics & dates attended on your phone Patients clerked – auto-calculator is fine Spreadsheet for acute take / outpatient experience / procedures (100 acute take, 20 clinics min for IMT1/2/3 years. 80 clinics total in IMT) Spreadsheet that auto-calculates teaching hours (50hrs needed per year, 20 of which must be IMT teaching) Upload to personal library under 'ARCP' folder Don't include patient numbers/details 8/18/25 6 Acute take / outpatient log sheet Teaching hours calculator

7. Curriculum linking CiPs : 'capabilities in practice' form the curriculum - 6 general, 8 clinical Link to curriculum as you go along Some areas are trickier to link than others You can only link certain things to certain CiPs on curriculum Drop down section on portfolio where it shows you which things are appropriate to link and where I've made a 'cheat sheet' summarising which parts are linkable – accessible via QR code At end of the year, both you and your ES must individually rate each CiP on the curriculum 8/18/25 7

8. QIP requirements In IMT1: need to have a 'project plan' (there is a form for this on ePortfolio you can fill it at the end of the year) In IMT2: need to have completed a whole project with QIPAT form filled in + signed by supervising consultant (must have this for it to count) QIPAT form is a word document – must upload this to Personal Library There are other forms called 'project report' and 'project plan' but these don't count at ARCP. Need QIPAT signed + uploaded 8/18/25 8

9. Additional requirements not on decision aid Complete PDPs for each rotation Have regular meetings with ES (mid-point meeting isn't compulsory) Initial and end of attachment forms for each rotation Do some reflections and link to curriculum (no 'set' number required for ARCP) Reflections and eLFH are good tools to 'pad out' curriculum – if you don't have much to link to a certain curriculum point. Ones I found more difficult to link were: Generic CiP 1: able to function successfully within NHS organisational and management systems Generic CiP 5: carrying out research and managing data Clinical CiP 2: managing an acute specialty-related take (can be hard if not at Wythenshawe where you do respiratory take) 8/18/25 9

10. Summary of progress Summary page where you can match up your progress with the curriculum requirements Send MSF in first rotation if possible Some bits your ES needs to 'confirm' - do this at end of the year If an academic trainee, need 2 ES reports – one clinical and one academic Need to manually enter number of clinics attended, acute take numbers and teaching hours on ' progress summary' page and upload log to personal library Interim reviews take place in Feb/March next year Necessary curriculum requirements: Procedures 4 months (whole time equivalent) of geris 10 weeks (WTE) of ICU 8/18/25 10 At the start of May, aim to: Fill in your self-ratings on CiPs (curriculum points) Do form R Part B (don't do earlier than 4 weeks pre-ARCP date). Used to need Part A too, but rules changed last year Organise ES end of year meeting (long form, fill out together, leave time) Ask ES to confirm exams / ALS certificates on portfolio Ask ES to rate all CiPs

11. CiP ratings needed by ES at end of year meeting 8/18/25 11

12. Go through portfolio & questions 8/18/25 12