Advice for trainers

 

LTFT Advice for Trainers and other educationalists and other trainees.

There are increasing numbers of trainees who work LTFT, and Full Time Trainees who wish to explore this in the future. The College is committed to support trainees who wish to work LTFT to continue to recruit and retain the required medical workforce to support quality mental health services. Trainees who work full time and trainers and other educationalists often report that they do not have sufficient knowledge of LTFT training to support individual trainees. 

Information on LTFT training and working can be found in the Training and Members Sections on the College website. Specifically it may help trainers to be aware:

  1. Trainees who work LTFT work in a variety of ways including slot shares and LTFT in a full time post.
  2. LTFT trainees are often very experienced, have been working in Psychiatry for many years, are more experienced and able than their actual stage of training, are efficient and work significantly more than their contracted hours. Other LTFT trainees, like their FTE colleagues, may have recently returned to training after an extended period of leave, including statutory leave; and may in the short term need additional educational support.
  3. If a trainee is working LTFT in a full time slot, it may be obvious, but they are not expected to do the same amount of clinical work of a full time trainee. They are expected to do pro rata amount of clinical work of a full timer; and have pro rata time for non clinical competencies, including teaching, audit, management and special interest sessions (if a Higher Trainee). 
  4. Core trainees may need proportionately more or less time in any given training post in order to be able to achieve their psychotherapy competencies. This is because, if they work say 60% LTFT of a full time colleague, they cannot do 60% of a long case, but need to do 100% of that long case in that training year. But in subsequent years, they may have no long case to complete, and so have proportionately more time for other training. 
  5. LTFT trainees need to evidence pro rata achievements in each training year, including pro rata numbers of WPBAs, audit, management and other ILOs. 
  6. All trainees, whether LTFT or Full time, need to submit evidence every calendar year for ARCP. For LTFT trainees, this will be less evidence that their full time colleague. But the same ARCP College forms will need to be completed each calendar year.
  7. Trainers will be able to seek further advice and support of the LTFT trainee from their College Tutors, TPDs, Trust Champion of Flexible Training, and Head of School.