A GP fellowship project looking at whether the multi-source feedback and the educational supervisor's report can be used to identify trainees at risk of difficulty.

As a Wessex General Practice (GP) fellow working within the annual review of competency progression (ARCP) team, we wanted to identify trainees at an early stage of GP training who might be at risk of difficulty during their training scheme. Early identification would allow more time for these trainees to access additional training and wider deanery support. This project aimed to identify retrospectively whether the multi-source feedback (MSF) and the educational supervisor's report (ESR) completed in the first year of speciality training (ST1) could be used to identify trainees at risk of needing additional time in training beyond the three-year training programme. For the purposes of this project, a trainee at risk of difficulty is one who received a developmental outcome 3 (OC 3) at their final ARCP in their last year of GP speciality training (ST3) where the desired outcome is an outcome 6 (OC 6). This fellowship project demonstrated it is possible to use the first MSF in GP training alongside the ESR before their ARCP in ST1, to identify a large proportion (88%) of trainees who may be at risk of difficulty further in their training.