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Flexible Training in Surgery

There are eligibility requirements for trainees wishing to enter less than full-time training, and it is advisable to start the process of applying for, and arranging less than full-time training as early as is possible. Also bear in mind that it will take you longer to complete your training if you are not working full-time. 

Less than full-time trainees can return to full-time training at any stage providing there is availability of a full time slot.

The College has issued a position statement outlining recommended general principles, training programme content and organisation.The requirements for less than full time training are available in the NHS Employers publication Principles underpinning the new arrangements for flexible training

The College’s flexible working adviser, Felicity Meyer, is available as a source of advice and information to those contemplating less than full time training in surgery and to those involved in setting up less than full time training programmes, encouraging training programme directors to recognise the benefits of less than full time training and to publicise the option of training flexibly. You can contact Felicity via email at

Less Than Full Time (LTFT) Training in Surgery: JCST Policy Statement

Less Than Full Time (LTFT) training has been available for some time, however the experiences of LTFT can vary widely. A number of issues have been identified which contribute to low levels of satisfaction among trainees. The survey was carried out by the Association of Surgeons in Training (ASiT) and British Orthopaedic Trainees Association (BOTA). These include; variable attitudes among trainers, fellow trainees and employers, as well as worrying reports about bullying and harassment. Difficulty accessing elective and emergency training opportunities also contribute to low levels of satisfaction.

The JCST Policy Statement includes a vast number of recommendations to improve LTFT trainee satisfaction. The full policy statement is available here.

Are you considering less than full time training? Hosted by Felicity Meyer, our free members webinar will shed light on guidance and rules surrounding flexible training and working. 



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