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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

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?
slide3
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
slide10
“How can Doctors possibly understand the needs of their patients if they cannot understand their own needs…”

I.W.L.

challenges
Challenges
  • 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
slide13
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
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)
summary
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
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