Download an out of programme experience application form here.
The following must be included with your application for unpaid leave from your Specialist Registrar training programme. Without the details below the Postgraduate Dean will not be able to consider your request:-
- Name
- Specialty
- Current contact address
- Training number
- Current CCST date
- Current placement
- Proposed leave:
- dates
- details of research/ clinical training
- location
- source of funding
- Support from:
- Consultant Supervisor
- Programme Director
- Medical Director where vacancy will occur
- SAC confirmation of educational credit for proposed time to be spent out of programme.
- Please attach a copy of the correspondence from the SAC confirming they approve your out of programme time.
Both Deanery and SAC approval must have been given before a Specialist Registrar can leave the programme.
Please return the form to the:
Medical Personnel Manager
Oxford PGMDE
The Triangle
Roosevelt Drive
Headington
Oxford
OX3 7XP
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