Demographic changes among junior doctors are driving demand for increased flexibility in advanced physician training, but flexible training posts are lacking.
Suitable flexible training models include flexible full-time, job-share and part-time positions.
Major barriers to establishing flexible training positions include difficulty in finding job-share partners, lack of funding for creating supernumerary positions, and concern over equivalence of educational quality compared with full-time training.
Pilot flexible training positions should be introduced across the medical specialties and educational outcomes examined prospectively.
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