All programmes should, ideally, be educationally balanced and provide exposure to a range of specialties during the two years to enable foundation doctors to acquire foundation competencies.

Where feasible, generally this means that:

  • No more than 6/12 of the F2 year should be spent in the same specialty
  • No more than 12/12 of the 2 year programme should be spent in surgical specialties.
  • No more than 12/12 of the 2 year programme should be spent in medical specialties.
  • No more than 2 placements of the two year programme should be spent in one specialty (e.g. Trauma and Orthopaedics or Health Care of the Elderly).
  • Some specialties undertaken in F1 can be repeated again in F2. However, a trainee cannot usually repeat 2 specialties within a two-year programme.

NB: Generally revisiting surgical or medical specialties, e.g. Vascular Surgery, is not ideal but it is not necessarily inappropriate for the trainee to have experience of the same specialty at F1 and F2 level, as different experiences may be gained (e.g. out- patient work in F2.)