Working Week Guidance

LTFT Working Week

Guidance for LTFT Trainees

This guidance may help LTFT trainees and their trainers to plan the working week. However, it should be remembered that an individualised approach may be needed, depending on a trainees’ educational needs.

For those trainees who are less than full time, ePortfolio evidence can be gathered on a pro-rata basis. This approach means that LTFT trainees will collect the same amount of evidence as full-time trainees, but over a longer period of time.

Trainees will continue to have regular educational reviews. For these interim reviews supervisors make a judgment of progression for the stage of training normally based on pro-rata evidence as a minimum. However, there may be situations dependent on individual trainees’ performance and progression where more than the minimum evidence is required.

A full-time trainee works 5 days, 10 sessions or 40 hours a week. The division of teaching/learning time for a 100% trainee is 7 clinical sessions or 28 hours and 3 learning sessions or 12 hours a week.

Recognised Learning activities are:
• VTS teaching i.e VTS sessions and small group work;
• Practice protected educational activities e.g. tutorial time, feedback time, observed surgeries for COTs, practice educational meetings; and
• Personal Study Time e.g to attend clinics, courses, online learning and e-portfolio updating, further small group work, and other activities (e.g. Audit).

An 80% LTFT trainee works 80% of the week, i.e. 4 days. It takes 15 months to complete 12 months of WTE training. Every four weeks an 80% trainee will complete the same training commitment as a 100% trainee will complete over 3 weeks.

In 3 weeks a full time trainee has 3 x 7 = 21 clinical sessions and 3 x 3 = 9 educational sessions.

It follows, therefore, that every four weeks an 80% LTFT trainee will also expect 21 clinical sessions and 9 educational sessions.

If this trainee has 5 clinical sessions each week and attends VTS every week, they would have practice educational activity each week and personal study time each week, except for the fourth week when they would need to have an extra clinical session (6) and only one educational session in addition to VTS, this could be tutorial one month and personal study the next.

Given clinical practice is essential to being a GP and crucial for success at CSA, it is important to ensure clinical time is not lost,

A 60% LTFT trainee works 60% of the week, i.e. 3 days. It takes 20 months to complete 12 months of WTE training. Every five weeks a 60% trainee will complete the same training commitment as a 100% trainee will complete over 3 weeks.

Every 3 weeks a full time trainee has 3 x 7 = 21 clinical sessions and 3 x 3 = 9 educational sessions.

It follows, therefore, that every five weeks a 60% trainee will also expect 21 clinical sessions and 9 educational sessions.

If this trainee has 4 clinical sessions each week and attends VTS every week, they would have practice educational activity one week and personal study time the next, except for the fifth week when they would need to have an extra clinical session (5) and only one educational session or over a year they would be losing out on over ten clinical sessions a year.

Given clinical practice is essential to being a GP and crucial for success at RCA, It is important to ensure clinical time is not lost. One might make it an observed surgery from time to time to cover all requirements.