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Less than Full-time Training. Who can do it - and how. Dr R K Roden. Less than Full-time Training (LTFT). What’s it all about? Who does it and why? Pros and Cons How can I find out more?.
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Less than Full-time Training Who can do it - and how. Dr R K Roden
Less than Full-time Training (LTFT) • What’s it all about? • Who does it and why? • Pros and Cons • How can I find out more?
All Doctors can apply to train less than full-time but they must prove that they have ‘well founded individual reasons’ to do so before they can be considered for inclusion in a scheme.
Top Priority • Doctors with disabilities or suffering from ill- health • Doctors caring for young children • Doctors caring for ill or disabled partners, relatives or other dependants
“Category Two” • Doctors training for national or international sporting events • Doctors who take on short-term ‘extraordinary responsibility’ eg membership of national committees • Doctors training for religious roles • Doctors undertaking non-medical professional development
LTFT should provide… • Identical training over a longer period • Same hoops, hurdles and high jumps as full-time training • Competitively appointed • Regular assessments • Competencies demonstrated • No short cuts or early baths!
Training Placements • Part of programme • Educationally approved • May be: • Supernumerary • Slot share • Within full-time post • Any specialty, any grade
Less than Full-time TrainingExample – FY2 Placement / Job Share • Two doctors sharing an FY2 Placement • Work at 50% • Split out of hours between them • Cover all the duties of the post • Pro-rata holiday / study • 6 x 4 month placements • Same competencies required • Excellent hand over / organisation skills / relationship with department
What works well? • Allows training in medicine to continue alongside ill health, personal commitments, etc. • Often enhances training • Allows greater experience, greater maturity
“How can Doctors possibly understand the needs of their patients if they cannot understand their own needs…” I.W.L.
Challenges • Requires great organisation • Often give more of own time • Extended training (can return to full-time)
3 Big C’s • Continuity of Care • Credibility • Consultant Progression
Some specialties (eg Anaesthesia, Emergency Medicine, Paediatrics) are better suited • You reap what you sow
How do I access it? • Need a game plan • Need a job! • Need to be eligible • Discussion with Training Programme Director / Deanery • Resources • Placement
You are probably spending more time planning your holiday than your career.
Game Planning4 Major Choices • What are my career options and which is the best one for me? • Will I make career sacrifices to follow or support my partner? • Will I take an opportunity to work abroad? • Will I follow my career whole-heartedly or have other roles? (eg Parent, career breaks, other education, sport)
Summary • Career plan – its never to early (or too late) • Opportunities exist to train less than full time and it can be successful • The work-life balance only happens if you work at it