Skip to content. Skip to navigation


Please note that this page contains general information the ARCP process in Clinical Radiology. Current trainees can find more in depth information by following this link to Synapse.

As a trainee, your progress must be reviewed at least once a year. This applies to you whether you are a LAT or hold a National Training Number (NTN). The Annual Review of Competence Progression (ARCP) is therefore necessary to maintain patient safety and ensure that you are provided with appropriate support for your development as a doctor. From 2012, all trainees within a London Deanery managed training programme are required to attend an in person review. These are held in central London and take place over two days in June. Trainees are given at least 12 weeks notice of the date and time of their review as well as a checklist of evidence they will be required to produce. The process includes input from a Lay Advisor and External advisor (a representative from the Royal College of Radiologists), whose role is not to assess trainees but to review the process in general.

Evidence of training progress

The evidence required at the ARCP varies according to when the trainee started in programme and which curriculum they are on. The ARCP covers all the evidence for the level being reviewed so trainees should complete all their assessments by the time of their review rather than by the end of their training year. For trainees who started after 1 August 2010 it includes the E-Portfolio, which comprises clinical and educational supervisors’ appraisals, multisource feedback and workbase-placed assessments. These are reviewed in-house by the educational supervisor who constructs a structured report which is the key source document for the ARCP. Without this an outcome cannot be issued.

The Day of the Review

On the day of the ARCP each trainee is seen by a panel of Consultants from training programmes across London. This panel reviews all the evidence presented and if this demonstrates appropriate progress a satisfactory outcome is issued. If there is any outstanding evidence or if there are any concerns over progress the trainee may be referred to another panel which will include the Head and Deputy Head of School, a senior member of the School Executive as well College and Lay Representation. This panel then decides the final outcome, as well as setting any objectives necessary for the next period of training.

Unsatisfactory outcomes

If a trainee has not completed all of the required milestones for their stage of training they will be issued with an unsatisfactory outcome (either an Outcome 2 or 3 if undertaking an ARCP, or a RITA D or E if undertaking a RITA). As part of this process the trainee will be set objectives to meet by the time of their next review. These objectives will be SMART (Specific, Measureable, Achieveable, Realistic and Timebased).

A trainee is issued with an ARCP Outcome 5 (or no outcome after their RITA) if they have not produced enough evidence for the panel to reach a decision on their progress. Any trainee issued with this outcome will be expected to produce all of the outstanding documentation within five working days of the review; if this is not produced within that time the panel will be unable to sign off that stage of training and may issue an unsatisfactory outcome.