Less Than Full Time Training

Information regarding KSS LTFT Training guidance will be published once this is available. 

LTFT in Foundation

While the application and other processes are similar in foundation to specialty training, there are additional considerations.  

Reduction in choice of placements  

Currently students are allocated two-year foundation programmes.  If someone decides to train LTFT, their programme will obviously need to be extended.  Salary is reduced accordingly.  

Usually, extensions are for one or more full 4 month placements, as this provides a better educational experience.  

For example, a one-year F1 or F2 programme would need to be extended as follows:  

  • At 0.8 WTE to 16 months (4 x 4-month placements)  
  • At 0.6 % WTE  20 months (5 x 4-month placements)  
  • At 0.5 WTE 24 months (6 x 4-month placements)  

In practice this means that later placements will need to be changed.  

For example, below is a typical 2-year full-time foundation programme.  

F1  General Medicine  General Surgery  Paediatrics  
F2  Emergency Medicine  General Practice  Acute Medicine  

  If a doctor decided to do this instead at 60% for both F1 and F2, then this would take 2 x 20 months i.e. 40 months instead of 24 months  

F1  General Medicine  General Surgery  Paediatrics  
  Geriatrics  General Medicine  F2 Acute Medicine  
F2  Psychiatry  Emergency Medicine  Geriatrics  
F2  Old age psychiatry      

While there would be no change to the initially allocated F1 programme, apart from this being LTFT, additional placements would need to be found to complete the F1 year as emergency medicine and general practice are usually only suitable for doctors with full registration.  

The third placement in the original F2 year could still be utilised, as the doctor has achieved full registration, but the subsequent placements will need to be found from those which are vacant.  This is because the planned F2 year will have already been allocated to another doctor in the following year as part of their two-year programme.  

Local vacancies are often rare, meaning that the priority is given to ensuring a balanced programme including community exposure, but that there is little choice for the doctor concerned.    

In addition, the usual programme balance rules may not apply as each placement is less than full-time, and so in the example above the doctor is repeating psychiatry as in two 4-month placements they will only have done an equivalent of 4.8 months full-time.