Foundation Programme Formal Assessments
Foundation Programme formal assessments include reports from the clinical and educational supervisors at the end of each placement, the Team Assessment of Behaviour (TAB), and the educational supervisor’s end of year report. At the end of both years of foundation training, the Annual Review of Competence Progression (ARCP) acts as the formal review of the doctor’s progress – evaluating the reports from the trainee’s clinical and educational supervisors, and the evidence in the e-portfolio. Doctors will also partake in Supervised Learning Events, or SLEs, which are informal assessments, allowing doctors to gain some feedback during their training.
Clinical and Educational Foundation Programme Supervisors
At the start of each placement, foundation doctors must arrange a meeting with both their educational and clinical supervisors. Trainees will discuss their educational goals and learning opportunities, and record their educational agreement and learning plan in their e-portfolio.
At the end of July, F1 and F2 doctors undergo an ARCP, with all F2 doctors being required to revalidate. The GMC recommends that F1 doctors also revalidate but it is not mandatory. Additionally, at the start of both years, trainees should create a personal development plan (PDP) with their supervisor – identifying objectives for their placement, and overall career. At the end of both foundation years, an ARCP panel meets to conduct a review of the trainee and records the outcomes of the review in the e-portfolio using an F1/F2 ARCP Outcome Report Form. Therefore, it is essential that foundation doctors gather evidence to show that they have met the outcomes that are expected for their level of training.
Supervised Learning Events (SLEs)
Foundation doctors also need to complete supervised learning events during their training. During the SLE’s, doctors will interact with patients, and perform practical procedures whilst observed by consultants and other senior colleagues. SLEs also involve both a mini-clinical evaluation exercise and multiple case-based discussions. These are not formal assessments, but an opportunity for doctors to receive feedback on areas that need further development.
The Foundation Programme E-Portfolio
Each foundation doctor has a responsibility to keep an up-to-date record of their progress called an e-portfolio. It is used to record the trainee’s achievement of the 20 foundation professional capabilities – such as reflections on clinical practice, formal training certificates, evidence of participation in the development of guidelines, and presentations. Supervisors use the e-portfolio to record their feedback and assessments, but also the educational supervisor’s annual report and sign-off.
Applicants may access the e-portfolio with details provided by the foundation schools. In general, e-portfolios include sections for
- the Personal and Professional Development Plan, or PDP;
- a record of meetings with educational and clinical supervisors,
- outcomes of assessments,
- reflections on clinical practice,
- the ARCP, and
- other evidence of learning abilities and achievements, such as formal training certificates.