LTFT training is training part-time for those with well-founded personal reasons, usually those with the domestic commitments of young children or dependent relatives, or those who cannot work full time for health reasons. The part-time training, which is often 50% but may be as high as 80% of full-time with pro-rata on-call commitments, results in a proportional lengthening of training.
There are currently many trainees in the East Midlands, across all specialties and training grades doing LTFT (a recent estimate suggested over 500). Health Education England - East Midlands supports LTFT although availability can be constrained by the ability of the employing Trusts to accommodate LTFT trainees within the service. If after reading the relevant section on LTFT on our website (see either the Foundation Programme, General Practice or Secondary Care pages, as appropriate) you wish to apply, please complete the web based application or contact the relevant administrator detailed for more information.
Arranging to work abroad is a complex process and the following points may be useful. Do visit the Health Careers - working abroad website for a more expansive discussion of the factors to be considered.
What are you considering doing?
Think carefully about what you are hoping to gain from working abroad. Are you considering going abroad with the intention of doing clinical work, voluntary work, expanding your knowledge and experience in a particular area? Think about what the benefits will be, both personally and professionally.
When's the 'best' time to go?
Although there is not a simple answer to this question, advice from your HEE local office and training programmes suggest that there will be implications to be considered whichever option is chosen.
Going after medical school: Check that you wil still be eligible to apply for the foundation programme later on by looking at the most up to date information and guidance on the UKFPO website.
Going after F1: This may depend on your individual circumstances, e.g. whether you want to do your F2 year abroad or take time out of foundation training. Please contact your foundation programme director, Foundation School or Foundation Programme section of the website for further advice.
Going after completing foundation: This option ensures that you have the requisite competencies signed off to be eligible to apply for specialty training but will again depend on your individual circumstances as to whether this is right for you as an option.
Going during specialty training: You can get a placement abroad during your specialty training which could count towards your accredited training. Read the Gold Guide on guidelines for "Out of programme" training" (OOPT). Some doctors aim to spend time after qualification as a GP or Consultant to work abroad and this can be a useful addition to your CV and career experience overall.
Give yourself enough time to plan effectively
Returning to work in the UK
Although they may not be obvious, there are many other options outside the NHS that can offer you a satisfying and fulfilling career. This could be in something totally unrelated to your medical studies or it could be in alternative medically related careers.
You may need help in considering alternatives as it can be somewhat overwhelming. Sources of help can be senior colleagues, family and friends, professional advisers (coaches, counsellors, mentors). East Midlands trainees may seek one to one support and workshops from the careers team to help further.
If you are considering your options it is important to seek support, by talking to people who can help you in your decision making process. Think about the different networks you already have around you;
The site has a suite of career planning tools to help all those within the medical field come to a well informed and realistic decision about their career by looking at self-assessment, career exploration, decision making and plan implementation.