- Out of programme for research (OOPR): undertake an MD or PhD; time spent may count towards training with approval.
- Out of programme for training/experience (OOPT/OOPE): gain approved experience elsewhere.
- Clinical fellowships: NHS, university or overseas posts, often one year.
- Funding: NIHR, Wellcome Trust, Royal Colleges, charities and universities.
- Approval: needs your training programme director, deanery and the GMC where it affects the CCT.
How to choose a fellowship
- Start with the skills you need for the job you want, then find the units that train them.
- Ask recent fellows about case volume, supervision and whether the post counts toward your CCT.
- Plan finances and family needs: some fellowships are unfunded or overseas.
A year-by-year view
| Stage | Typical activity |
|---|---|
| Early higher training | Choose a special interest, attend courses, start projects |
| Mid-training | OOPR for MD/PhD, or OOPE in a specialist unit |
| Final year | Apply for post-CCT fellowships and consultant jobs, often together |
This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.