What You Need To Do

Register with the Joint Royal College of Physicians Board (JRCPTB)

It is a mandatory requirement for all trainees to be registered with the appropriate Royal College, therefore all trainees must be registered with the JRCPTB.  If you are not registered KSS will be unable complete your Annual Review of Competence Progression (ARCP).


In order to register you will require the following codes:

·        KSS Deanery Renal Medicine GMC training approval code: LON/SRT290

·        National Training Number.   

·        To register for an account, trainees are required to follow the links on the JRCPTB website


Meet with your Educational & Clinical Supervisors

You will be allocated to an educational supervisor either for the whole of your rotation / for each clinical placement. The Educational Supervisor (ES) has an overview and is responsible for your educational planning and career development. The local College Tutor will work with your Educational and Clinical Tutors to assist you with meeting the competencies stipulated in the curricula.  

It is your responsibility to arrange regular meetings with your ES to ensure your ePortfolio is reviewed.  It is recommended that ES should spend the equivalent of 1 hour per week per trainee to allow time for educational support through appraisal, assessment, teaching or support:

As you rotate through each post you will also be supervised clinically by an allocated clinical supervisor who is responsible for your on-the-job, day-to-day clinical work. Please understand that completion of your required appraisals, assessments and ePortfolio record is your responsibility.

Ensure you keep a steady update of your ePortfolio and completion of assessments; arrange appointments with your ES in a timely fashion. The more (quality) evidence you have in your ePortfolio the more likely the time spent with your ES will be productive in terms of addressing your PDP and educational planning.


Review the ARCP Decision Aid

The JRCPTB have produced an ARCP Decision Aid which advises on the number of assessments required at each stage of your Renal Medicine training. This along with more detailed guidance on the ARCP process can be found on the Annual Review of Competence Progression page.


Complete Workplace Based Assessments (WBA’s)

All trainees are required to undertake regular workplace-based assessments which illustrate their learning throughout the course of their training. These WBA’s are reviewed against the Renal Medicine Decision Aid at each ARCP in order to recognise the progress of each trainee.


Workplace Based Assessments include:

  • Mini clinical evaluation exercise (mini-CEX) - is a workplace based method where direct observation of a trainees clinical skills during an everyday clinical encounter is assessed. These skills include medical interviewing ability, communication and clinical judgment and vary depending on the speciality.


  • Case based discussion (CbD) - is a discussion generally in a reasonably formal setting centred on the trainees reflection on his/her patient notes. The discussion will bring out key messages of trainees knowledge, case management, diagnostic skills and planning etc. A CbD might be included as part of case presentations at department meetings dependent on the speciality.


  • Directly Observed Procedural Skills (DOPS) - is a clinical encounter evaluating the trainees competence in a particular procedure for example central line insertion, tracheal intubation or primary sutures.


  • Multi Source Feedback (MSF) - is a version of the 360 degree assessment. A number of multidisciplinary raters anonymously score a trainee against a number of domains mostly concerned with attitudes and behaviours.


  • Acute Care Assessment Tool (ACAT) - this is applicable to all grades from CT1 to their CCT. ACAT is an observed take measuring 8 domains for example clinical assessment, record keeping and handover. The ACAT is trainee led (choosing the take period and may be observed by an SpR/StR) and takes no more than 15 minutes. This is a formative assessment and is used in medical specialities only.


  • Patient Survey (PS)     Patient Surveys address issues, including behaviour of the doctor and effectiveness of the consultation, which are important to patients. It is intended to assess the trainee's performance in areas such as interpersonal skills, communication skills and professionalism by concentrating solely on their performance during one consultation. 


  • Audit Assessment (AA)The Audit Assessment tool is designed to assess a trainee's competence in completing an audit. The Audit Assessment can be based on review of audit documentation OR on a presentation of the audit at a meeting. If possible the trainee should be assessed on the same audit by more than one assessor.  


  • Teaching Observation (TO)The Teaching Observation form is designed to provide structured, formative feedback to trainees on their competence at teaching. The Teaching Observation can be based on any instance of formalised teaching by the trainee which has been observed by the assessor. The process should be trainee-led (identifying appropriate teaching sessions and assessors).