The Foundation Programme is both time and competency-based. Provisionally registered doctors with a licence to practise must complete one year (full-time equivalent) in an approved foundation programme to be eligible to apply for full registration with the GMC.
The GMC has approved the Curriculum published by the Academy of Medical Royal Colleges Foundation Committee and the four UK health departments. The outcomes set out in The Trainee Doctor have been mapped to the Foundation Programme Curriculum (the Curriculum). F1 doctors must demonstrate the outcomes set out in the Curriculum on different occasions and in different clinical settings as a professional in the workplace, demonstrating a progression from the level of competence required of a medical student. F1 doctors are also encouraged to gain additional appropriate experience.
F1 Annual Review of Competence Progression (F1 ARCP)
The ARCP provides a formal process for reviewing foundation doctors’ progress which uses the evidence gathered by them and supplied by their supervisors. The ARCP is not an additional method of assessment.
While all foundation doctors should present evidence for review towards the end of F1, it may be necessary to convene a panel earlier if there are significant concerns about the foundation doctor’s progress. Therefore, the review may be conducted more frequently if there is a need to deal with progression issues outside the annual review.
The ARCP fulfils the following functions:
- To document the judgement about whether a foundation doctor has met the requirements and has provided documentary support for the satisfactory completion of F1;
- To document recommendations about further training and support where the requirements have not been met; and
- To document the judgement about the outcomes demonstrated by a foundation doctor in a locum appointment for training post or rotation and to document these accordingly.
Further information on the ARCP process is available in the Foundation Programme Reference Guide (section 10).