The Annual Review of Competence Progression (ARCP) is the formal method by which a trainee’s progression through her/his training programme is monitored and recorded each year. ARCP is not an assessment – it is the review of evidence of training and assessment.

The curriculum states that, in addition to the components of the ePortfolio (meetings, workplace-based assessments, MSF, teaching observations, MCR and audit assessment), trainees should gather evidence of:

  • An anonymised record of bronchoscopy experience, including details of exact techniques used, for example, transbronchial biopsy and transbronchial needle biopsy, as well as a record of the positive histology rate for visible tumour. (see logbook)
  • An anonymised record of pleural interventional experience. (see logbook)
  • An anonmyised record of NIV experience.  (see logbook)
  • Formal sign off of their NIV competence (perhaps best done as DOPS, miniCex and relevant courses)
  • Formal sign off of their Intensive Care Medicine experience (could be end of placement appraisal, letter from supervisor etc)
  • Details of training in appropriate specific subject areas within Respiratory Medicine, such as lung cancer and sleep breathing disorders (captured in clinic log and miniCex and CbD in specialist posts)
  • Details of special interest training, particularly in transplantation, pulmonary hypertension, adult cystic fibrosis, domiciliary NIV and occupational and environmental disease.

Please ensure that anything uploaded to the personal library section of your ePortfolio is clearly labelled. Anything that eases the job of the ARCP panel will be much appreciated!



The JRCPTB have also published an ARCP Decision Aid for the GIM curriculum.

  • 186 clinics  (these may include General Respiratory clinics and even Lung Cancer clinics where new GP referrals are seen which are often in the nature of “Cough ?cause”)
  • 1000 patients seen on the acute take – from 2015 onwards the Firth Calculator should be used, rather than a logbook of patients.
  • 6 ACATS per year which should include a minimum of 5 cases.
  • Record of 100 hours of GIM (not including Respiratory) CPD hours over the whole period of training – see training programme for more details
  • A separate GIM Educational Supervisor Report, in addition to one for Respiratory, in any post which includes GIM. THis is a common reason for trainees not getting an outcome 1. The reports must be separately logged, even if they are both written by the same supervisor.


%d bloggers like this: