These are reason codes used to supplement ARCP outcome codes 3, 4 or 5, where sign off is not recommended for the foundation doctor. A description of the U codes relevant to the Foundation Programme is below. More than one reason may be selected by the ARCP panel.
U1: Record Keeping and Evidence
Notes: FD failed to satisfactorily maintain their Royal College/Faculty/foundation e-portfolio including completing the recommended number of Workplace-Based Reviews; Supervised Learning Events, Audits; Research; structured education supervisors report; in accordance with recommendations for that particular Year of Training in line with the Royal College/Faculty/foundation curriculum requirements.
[Also used in specialty training (ST): Yes]
U2: Inadequate Experience
Notes: Training post(s) did not provide the appropriate experience for the year of training being assessed in order to progress. As a result the FD was unable to satisfy the Royal College/Faculty/foundation curriculum requirements for the year of training.
[Also used in specialty training (ST): Yes]
U3: No Engagement with Supervisor
Notes: FD failed to engage with the assigned educational supervisor or the training curriculum in accordance with the Royal College/Faculty/Foundation requirements for that particular year.
[Also used in specialty training (ST): Yes]
U4: Trainer Absence
Notes: Nominated educational supervisor or trainer did not provide the appropriate training and support to the FD because of their absence on a sabbatical; through illness or other reasons; and no nominated educational supervisor deputy took over to ensure that an appropriate level of training was maintained. As a result the FD was unable to satisfy the Royal College/Faculty/foundation curriculum requirements for the year of training.
[Also used in specialty training (ST): Yes]
U7: FD requires Deanery Support
Notes: FD has issues to do with their professional personal skills for example: – behaviour / conduct / attitude / confidence / time keeping / communications skills etc. and requires the support of the Deanery Performance Team.
[Also used in specialty training (ST): Yes]
U8: Other
Notes: This may include the FD having failed to participate in systems of quality assurances and quality improvement projects. (Please specify)
[Also used in specialty training (ST): Yes]
U9: Inadequate attendance
Notes: FD exceeded the maximum permitted absence of four weeks from training (other than annual leave) and/or has unsatisfactory attendance at formal teaching sessions.
*This code should NOT be used to describe a less than full-time (LTFT) foundation doctor who has satisfactorily attended their pro-rata FP/formal teaching sessions.
[Also used in specialty training (ST): No]
U10: Assessment/Curriculum outcomes not achieved
Notes: FD has failed to meet the outcomes of the FP curriculum and/or pass the assessments required for satisfactory completion of F1/F2. Formal assessments include:
– TAB
– Placement Supervision Group (PSG)
– Clinical Supervisor end of placement reports
– Educational supervisor end of placement reports and educational supervisor end of year report.
[Also used in specialty training (ST): No]