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Getting approval

How much notice do I need to give?

You must give your postgraduate dean and current employer a minimum of three months’ notice. We advise you don’t give notice until you have received our approval - if it's needed.

If you are applying for an out of programme training, out of programme research or acting up consultant post, there are three organisations involved in the approval process. You must prepare well in advance of leaving the training programme.

We recommend you start the process six months before the post starts if you want the time to count towards your certificate of completion of training or CESR/CEGPR (combined programme).

Get your deanery or LETB’s support

You must check your home deanery or LETB’s own process to find out what information they need from you.

You must get signatures from your training programme director and your educational supervisor.

Your LETB or deanery may ask you to use the out of programme request and annual review form found in appendix 4 of A reference Guide for Postgraduate Specialty Training in the UK – The Gold Guide for this. Your postgraduate dean must also sign appendix 4.

If you don’t meet the conditions set out in this form you may lose your National Training Number.

Get royal college or faculty endorsement

Check your royal college or faculty to find out what information they need from you and when.

If they endorse your out of programme, they will provide you with a letter that confirms:

  • your name
  • whether the post is out of programme training, out of programme research or acting up consultant
  • the location of the post, including address
  • the post start date
  • the post end date
  • how much time they recommend to count towards your certificate of completion of training or CESR/CEGPR (combined programme).

GMC approval

We only consider applications sent by your deanery or LETB and they must contain all the information we need.

If we receive the application after the post has started, we will not approve it.

We will process a complete application within five working days of receiving it.

A complete application is a fully completed CN18 form by your deanery or LETB and your royal college or faculty endorsement letter.

If any information is missing, or if the information conflicts with your royal college or faculty endorsement letter, we will close the application and tell your deanery or LETB.