7. Programme Type Is the Programme a rotation? Yes No 8. Placements (Please continue on a separate sheet if necessary, a job description for each placement must also be included with the submission form.) Duration Guaranteed Job attached Availability Description Placement Hospital / Centre Educational Supervisor Name (Months) (name and e-mail if (Y/N) (Y/N) Different from given in .5) [e.g. Wessex Neonatal 24 1 Fellow] 2 3 PLEASE NOTE: ALL MTI(p) doctors must undertake a period of time at ST1-3 (3-6 months ordinarily, based on individual progression) before progressing to ST4+. Please ensure the post can accommodate this. 9. Rotation Details – please provide full details of rotations along with timescales. Host Trusts are expected to guarantee rotations as agreed with candidates in line with their educational goals. 10. Hospital accommodation Will hospital accommodation be available if required? Yes No 11. MTI Buddy Scheme (Name and e-mail address of the MTI 12. MTI administrative fee By signing this form the declares to pay for the administrative fee of £1400 (+VAT) for each MTI placement. This fee is reduced to £700 per MTI placement above a threshold of 5.
7. Programme Type Is the Programme a rotation? Yes No 8. Placements (Please continue on a separate sheet if necessary, a job description for each placement must also be included with the submission form.) Hospital / Centre Placement Name Duration (Months) Educational Supervisor (name and e-mail if Different from given in .5) Availability Guaranteed (Y/N) Job Description attached (Y/N) 1 [e.g. Wessex Neonatal Fellow] 24 2 3 PLEASE NOTE: ALL MTI(p) doctors must undertake a period of time at ST1-3 (3-6 months ordinarily, based on individual progression) before progressing to ST4+. Please ensure the post can accommodate this. 9. Rotation Details – please provide full details of rotations along with timescales. Host Trusts are expected to guarantee rotations as agreed with candidates in line with their educational goals. 10. Hospital accommodation Will hospital accommodation be available if required? Yes No 11. MTI Buddy Scheme (Name and e-mail address of the MTI 12. MTI administrative fee By signing this form the declares to pay for the administrative fee of £1400 (+VAT) for each MTI placement. This fee is reduced to £700 per MTI placement above a threshold of 5.
0_-_MTI_p__Post_Submission_Form.docx