Although the concept of dual training (within which an ST4-6 trainee is provided with training to acquire the CCT knowledge and competencies involved in two recognised psychiatric specialties) is supported within the Gold Guide, the general tide of change associated with the introduction of run through, fixed length, specialist training has seen a reduction in the availability of opportunities to follow this route.

The School supports the provision of dual training for all trainees who:


  • Have chosen to specialise in an area of practice within which the knowledge and competencies associated with acquisition of a CCT in more than one recognised speciality would be essential. Good examples of this would be consultant posts in Forensic Psychotherapy or Child and Adolescent Forensic Psychiatry.
  • Indicated at their assessment interview for ST4 training that they are seeking dual training.
  • Can realistically access the training that would be involved in the acquisition of a chosen dual CCT with the School.

The School do not support the provision of dual training to trainees on the basis of their having not decided by ST4 which specialty they wish to make their career choice. In the past, for example, a number of trainees followed dual training in Old Age and General Adult Psychiatry largely for this reason.

The School would also not support the provision of dual training as a means of delaying acquisition of a CCT for a trainee who was concerned that they were “not ready” for a consultant post or anxious that no suitable consultant posts were likely to be immediately advertised within their preferred geographical working area.

In 2014 the GMC changed their rules on dual training from that time trainees may be able to count time spent in a previous CCT specialty towards their new CCT specialty if the posts they have completed are approved for both specialties. This will be subject to the approval of their Training Programme Director and ARCP Panel who will make an individual decision for each trainee taking into account their knowledge of the dual programme and the trainee’s competencies.