ICM Annual Review of Competence Progression (ARCP)

ICM Annual Review of Competence Progressions (ARCPs) are required each year to determine if the trainee is able to progress to the next training year.  ICM training is complicated as time is spent acquiring competence in other specialties as well as ICM.  Some competences can only be acquired during an ICM module but many can be acquired in any of the acute specialties.  It is important for trainees on dual programmes to cross reference competencies so they can be double counted.  Those trainees on single CCT programmes will acquire the competences within the ICM programme but may well be undertaking acute medicine or anaesthesia modules.  For the purpose of the ARCP the trainee will be expected to have achieved the competences on a pro rata basis e.g. Stage 1 is usually of 24 months duration and hence at the ARCP after the first year the trainee will be expected to have achieved 50% of what is required to complete Stage 1 in order to be given an outcome 1.

The ARCP provides a formal process which uses the evidence gathered by the trainee, relating to his/her progress in the training programme. It should normally be undertaken on an annual basis for trainees in specialty training and will enable the trainee, the Postgraduate Dean and employers to document that the competences required are being gained at an appropriate rate and through appropriate experience. The process may be conducted more frequently if there is a need to deal with progression issues outside the annual review. Plans for future training can then also be agreed.   Progress is detailed against GMC approved curricular. A detailed explanation can be found in the Gold Guide.

Further details regarding the ARCP process can be found on the Health Education West Midlands website.

ARCP Documentation Packs

HEWM have put together a comprehensive documentation pack for each curriculum.

HEWM ICM ARCP Documentation Packs are provided in downloadable, editable word document packs to fill in as you complete your training.

ARCP Checklist

FICM have put together a comprehensive PDF checklist for ARCPs


All trainees must be registered with the General Medical Council (GMC).

All Intensive Care Medicine trainees must be registered with the Faculty of Intensive Care Medicine (FICM).

Details of how to register with FICM can be found on the FICM website.

Portfolio of Training

All trainees are required to keep a portfolio of training.  This is used to record evidence of achievement of competencies and will be used as part of the ARCP process.


The ICM ePortfolio electronically records all ICM Training progress.   Trainees must ensure that they are registered on the ePortfolio system, have an educational supervisor and record their Work Place Based Assessments (WPBA) and relevant evidence in the ePortfolio.  It is not suitable for trainees on the Joint CCT programme and should not be used.

Click here for a guide to the FICM ePortfolio.

Full details of the requirements for the evidence of training can be found at the FICM Curriculum Part II.

Work Place Based Assessments (WPBAs)

The following is a
FICM blueprint of WPBAs mapped against the FICM curriculum.

The FICM website offers additional Assessments and Logbook guidance.



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