These ATPs are approved for advanced training in Hepatology, including experience in a transplant unit, with a view to subspecialty accreditation providing other requirements are met. They are not just for aspiring transplant hepatologists – equally valid for DGH Hepatology but some will be better suited. Posts are recruited through a standardised national process hosted by Health Education South London. The recruitment window will open in November for 4 weeks and interviewing will be during the 2nd half of January 2019 with interviewers from the host centres, typically a panel of 4 or 5. Posts will commence in line with the national rotation date for Gastroenterology. Of note academic trainees ie those holding an NTN(A), typically in a CL post, do not require an ATP year outwith their CL but must ensure 3 m in a transplant centre.

The posts are aimed primarily at trainees who will be entering ST6 although entry at ST5 or ST7 is also permissible. Trainees need to complete the 12 months in order for the post to count towards accreditation. If a trainee exits a post early due to unforeseen circumstances (eg pregnancy, but not research) every attempt will be made to re-accommodate the trainee at a later date without the need for re-application. Trainees should not apply if their CCT date will not allow post completion – further advice should be sought from the parent LETB. Regarding LTWT, at 60% a trainee will have to do the post twice (and will be re-accommodated automatically). At 80% a trainee will be deemed to have completed the post after 12 months but accreditation will still require at least 18 months whole time equivalent of level 2 or 3 Hepatology training prior to CCT. If a successful candidate leaves their parent LETB an OOPT form will be required with usual notice.

Trainees are encouraged to contact individual host centres if require specific information. Of note there is usually only a short window between offer and acceptance (48 hours).