Postgraduate Deans will review any health matters (including occupational health advice) with trainees to ensure appropriate decisions are made regarding training. Absences from training, other than for study leave or annual leave, may have an impact on a doctor’s ability to demonstrate competence and progression through the curriculum. The GMC has therefore determined that within each 12-month period where a trainee has been absent for a total of 14 days or more (when a trainee would normally be at work), a review will be triggered to decide whether the trainee needs to have their core training programme end date or CCT/CESR(CP) date extended. This review would normally occur at the ARCP.