Time out of training should reflect days absent from the training programme since your last ARCP or since initial registration to the programme. This is considered by the ARCP panel in recalculation of the date you should end your current training programme. This is a requirement of the GMC if you have taken more than 14 days’ absence when you would normally be at work.

TOOT should include:

short- and long-term sickness absence

unpaid/unauthorised leave

maternity/paternity leave

compassionate paid/unpaid leave

jury service

career breaks within a programme (OOPC) and
non-training placements for experience (OOPE)

TOOT should not include:

study leave

paid annual leave

prospectively approved Out of Programme Training/Research (OOPT / OOPR)

periods of time between training programmes
(e.g. between core and higher training)