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LTF T training<br />

matters<br />

Less than full time (LTFT) training remains a<br />

popular option for anaesthetists. The most<br />

recent data from the GMC survey in 2014 show<br />

that 12.8% of anaesthetic trainees worked LTFT,<br />

up from 8.5% in 2011. Unsurprisingly the vast<br />

majority of these trainees are female, although<br />

the number of male trainees has now increased<br />

to nearly a fifth of those anaesthetists training<br />

LTFT. Anaesthetics is the seventh most popular<br />

specialty for LTFT training by percentage, and<br />

of the overall 6,010 trainees working LTFT we<br />

represent 7.4% (27% are GP trainees).<br />

There are challenges associated with training<br />

generally, and of course many of these are<br />

shared with LTFT training. However there are<br />

also issues unique to working LTFT: some related<br />

to access to and application for posts, funding<br />

and rota writing; some related to managing<br />

training over a prolonged period and others<br />

about maximising opportunities at work while<br />

balancing this with the reason you work LTFT.<br />

The most recent article on LTFT training in<br />

<strong>Anaesthesia</strong> <strong>News</strong> was in 2011 and we thought<br />

it was time for an update. The eligibility criteria<br />

and process for application for LTFT training<br />

remains the same, so here we report on some<br />

of the recent initiatives to increase access to<br />

information about LTFT training for trainees and<br />

those who support them. This has improved in<br />

recent years but could still be better, especially<br />

for those training LTFT in Intensive Care<br />

Medicine (ICM), and those training LTFT for<br />

health reasons. These represent the minority of a<br />

minority group and we are keen to work out ways<br />

that we can support these groups better.<br />

A-Z of LTFT training in<br />

<strong>Anaesthesia</strong> and ICM<br />

This is a fantastic resource for LTFT trainees. It has been written by<br />

a team from the Northern School of <strong>Anaesthesia</strong> and has recently<br />

been updated. As its name suggests it is a comprehensive guide<br />

to LTFT training and the latest version has an expanded section<br />

for those training LTFT in ICM. It is available to download from<br />

both the AAGBI and the RCoA <strong>web</strong>sites and is a good place to<br />

start when looking for information about LTFT training.<br />

https://www.aagbi.org/professionals/trainees/training-issues/ltft-training<br />

http://www.rcoa.ac.uk/careers-training/training-anaesthesia/special-areasof-training/ltft-anaesthesia-z-guide<br />

LTFT advisors, lead trainees<br />

and the LTFT network<br />

The RCoA has a Bernard Johnson advisor for LTFT training who<br />

supports trainees and trainers and is responsible for confirming<br />

CCT dates. Dr Carolyn Evans was the previous advisor and<br />

stepped down in 2015. With Dr Sarah Gibb from GAT, Dr Evans<br />

worked tirelessly to support LTFT trainees and improve the return<br />

to work process, and we will continue to build on their good work.<br />

Most regions also have a local LTFT Specialty Advisor and lead<br />

trainee who are experienced in negotiating LTFT training and can<br />

listen to, advise, direct and be an advocate for trainees. GAT has<br />

recently set up a network of LTFT contacts across Great Britain<br />

and Ireland. This includes the Lead LTFT trainees in each school<br />

as well as many of the consultant advisors and the representatives<br />

from ICM. We send regular emails to network members to keep<br />

them updated on LTFT issues. We know it is not always easy to<br />

find out who is LTFT training in a School, so if you want to get in<br />

touch with your local LTFT representative you can find out who<br />

they are on the AAGBI LTFT <strong>web</strong> pages on the LTFT network<br />

map. If you would like us connect you with them, please email<br />

us at ltft@aagbi.org. As well as the names on the map, some of<br />

the regions have also put together a summary of useful pointers<br />

regarding LTFT training in their region, which you can download.<br />

http://www.aagbi.org/professionals/trainees/training-issues/ltft-training<br />

Shape of LTFT Training 2015<br />

In May 2015 the RCoA hosted the 2nd National LTFT day, which<br />

was jointly organised with the AAGBI. It was a great opportunity to<br />

meet other LTFT trainees, consultants and supervisors, to discuss<br />

topical issues and to attend a selection of workshops. The first<br />

joint endeavour from the LTFT network was to put together a<br />

summary of the meeting for those who couldn’t make it, which is<br />

available on the LTFT training pages of the AAGBI <strong>web</strong>site, along<br />

with all the resources from the meeting. As the meeting was such<br />

a success we are hosting a similar event this year on the 26 May<br />

2016 at 21 Portland Place, London. Booking will be available<br />

online and we hope to meet many of you there.<br />

Parent and baby room<br />

Having a parent and baby room is now routine at all AAGBI<br />

conferences and it is regularly frequented. All lectures are streamed<br />

to the room and we ensure that there is a good supply of tea and<br />

coffee so you can catch up on CPD and meet other parents while<br />

looking after your baby. This is particularly well used by people on<br />

maternity leave, and is a good use of Keeping in Touch days. We<br />

are hoping to have a parent and baby room at the LTFT seminar in<br />

May, to enable those embarking on LTFT training to attend.<br />

Returning to work<br />

We appreciate that returning to work after a break is not just an<br />

issue for LTFT doctors, although it is likely that someone working<br />

LTFT has had time away from work at some point. In recent years,<br />

following the establishment of the popular GAS Again course<br />

(www.gasagain.com), increasing numbers of locally run return to<br />

work courses have been established. We have highlighted which<br />

areas they are currently available in on the LTFT network map on<br />

the AAGBI <strong>web</strong>site. The AAGBI previously held a return to work<br />

seminar, and we would be interested to know if there was demand<br />

for this to be run again. In the meantime we will continue to provide<br />

a parent and baby room at conferences and to highlight the<br />

regional courses available. Again, if you would like to find out more<br />

please get in touch.<br />

Contracts<br />

By the time this article is published we may have more information<br />

about how the new contract will impact on those working LTFT.<br />

The AAGBI has voiced serious concerns about the fact that pay<br />

progression will be reduced and the gender gap for pay in medicine<br />

is likely to widen as a result. This feels like a backward step for<br />

many and over the coming weeks and months we will be closely<br />

following the contract negotiations and will continue to highlight<br />

this issue.<br />

AAGBI and RCoA LTFT<br />

<strong>web</strong>pages<br />

We regularly re-organise and update the LTFT pages on the AAGBI<br />

<strong>web</strong>site and the same occurs at the RCoA. Links to all of the<br />

information above can be on our <strong>web</strong>sites, so please take a look:<br />

www.aagbi.org/professionals/trainees/training-issues/ltft-training<br />

www.rcoa.ac.uk/training-and-the-training-programme/<br />

less-fulltime-training-ltft<br />

Finally, the GAT committee currently has four LTFT trainees as elected members, so we hope to provide representation at a national level. As<br />

we hope is evident from this article, this is an area where the AAGBI and RCoA work closely together. Please do join us on the 26 May 2016 for<br />

our LTFT seminar and in the meantime if you have any questions at all, you can either email the AAGBI (ltft@aagbi.org) or the RCoA (training@<br />

rcoa.ac.uk) and we will do our best to help.<br />

22 <strong>Anaesthesia</strong> <strong>News</strong> February 2016 • Issue 343<br />

Emma Plunkett and Anna Costello<br />

AAGBI GAT Committee LTFT Leads<br />

Susan Underwood<br />

RCoA Bernard Johnson Advisor for LTFT Training<br />

<strong>Anaesthesia</strong> <strong>News</strong> February 2016 • Issue 343 23

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