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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