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I read with great interest, Dr Trewby’s letter – New scheme for staff
shortages - suggesting that “trust posts” could be established and use
Medical Training Initiative (MTI) Scheme to fill them.
Traditionally “trust posts” are non-training posts and locums are
appointed mainly for service provision or for fulfilling compliance of on-
call rota with EWTD. Dr Trewby has rightly pointed out that for such trust
posts to be filled in by doctors under the MTI scheme, the relevant Royal
College and the Deanery need to be approached for grant of approval as
‘recognised for purposes of training’. Secondly, one has to demonstrate
that the new post will not adversely affect training offered on existing
training posts. Each time table has to be titrated according to individual
overseas doctors training needs.
Having recruited doctors since then inception of this scheme, my personal
view is that the process takes in excess of 6-7 months. As clinical lead
at our health board, often I am told only of short term projections. The
MTI scheme is not suitable for short term vacancies. In the current
financial climate, most Trusts would be reluctant to make a long term
commitment to the scheme.