Time out for clinical training in the UK or abroad which is not part of your training program (e.g. secondment to another training programme, a Fellowship post) . 

• usually 1 year max

• can be full time or part time

• counts towards CCT – hence no delay to CCT date

• needs prospective GMC approval

This is not the same as dual/triple accrediting with ICM.

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Time out for research purposes (e.g. Master's, PhD)

• does not normally exceed 3 years but may be extended at the discretion of the TPD (Training Programme Director)

• may/may not count towards award of CCT 

• NB: applications for an OOPR are normally not considered in the final year of training

Check out the different research groups on the OOP page!

Time out for other interests (e.g. entrepreneurship, work in industry domestic responsibilities)

• Usually limited to 2 years max

• Considered on individual merit

This should not be used for sickness or parental leave.

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A specific type of OOP (Training) where final year trainees "act up" as a consultant prior to CCT. ​

• usually 3 months max

• should be a vacant funded consultant post in the UK 

• trainee is on the consultant rota but retains support from ES

• needs approval from TPD, unit where trainee is on trainee rota and unit where trainee would be acting up

This is not the same as a locum consultant post.

Time out for experience  (e.g. medical leadership, education, voluntary service overseas)

• Usually 1 year max

• Does not count towards CCT

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​Time to step out of formal training – no need to give a reason

• Currently limited to 1 year

• If any competencies gained whilst out of training, can be assessed on return in order to see if can contribute to CCT

• Instituted in the wake of the COVID-19 pandemic