This is an integrated framework of exams, assessments in the workplace and judgements made about the trainee gathered throughout the training programme The purpose is to ensure that trainees are achieving the expected level of performance at critical progression points in the curriculum and to demonstrate satisfactory completion of training as per curriculum requirements, which are based on the Annual Review of Competence Progression (ARCP) decision aid.

The following methods of assessment or tools can be used to provide evidence of progress:


  • MRCP(UK)
  • Supervised learning events (SLEs) – ACAT, CbD, mini-CEX
  • Workplace-based assessment (WPBA) – DOPs, MSF, QIPAT
  • Multiple Consultant Report (MCR)
  • End of year Educational Supervisor Report (ESR)
  • Feedback from Local Faculty Groups


ARCPs are conducted annually towards the end of the training year, where evidence about the doctor’s performance is systematically reviewed in a holistic way and decisions on outcome and progression in training is made.