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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

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Less than full time training

Less than Full-time Training

Who can do it - and how.

Dr R K Roden

Less than full time training ltft

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?

Less than full time training

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

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

“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

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

    Training Placements

    • Part of programme

    • Educationally approved

    • May be:

      • Supernumerary

      • Slot share

      • Within full-time post

  • Any specialty, any grade

  • Less than full time training example fy2 placement job share

    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

    What works well?

    • Allows training in medicine to continue alongside ill health, personal commitments, etc.

    • Often enhances training

    • Allows greater experience, greater maturity

    Less than full time training

    “How can Doctors possibly understand the needs of their patients if they cannot understand their own needs…”




    • Requires great organisation

    • Often give more of own time

    • Extended training (can return to full-time)

    3 big c s

    3 Big C’s

    • Continuity of Care

    • Credibility

    • Consultant Progression

    Less than full time training

    • Some specialties (eg Anaesthesia, Emergency Medicine, Paediatrics) are better suited

    • You reap what you sow

    How do i access it

    How do I access it?

    • Need a game plan

    • Need a job!

    • Need to be eligible

    • Discussion with Training Programme Director / Deanery

    • Resources

    • Placement

    Less than full time training

    You are probably spending more time planning your holiday than your career.

    Game planning 4 major choices

    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)

    Less than full time training

    Any Questions?



    • 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

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