The Training Programme Director needs to make sure that the clinical rotas are filled; there is sometimes a reluctance to allow OOPR on a short timescale.  Even though the GMC guidance seems to suggest that only 3 months notice is needed, the initial “flagging up” is done to the Postgraduate Dean, who sets a 3 month clock ticking – it’s only after that that if they agree the TPD starts their clock running – general experience suggests that you should be letting them both know at least 6 months ahead. See BMA guidance for more detailed information.

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