There is no right or wrong time to step out of training for research, and much of the decision regarding timing will depend on your personal circumstances and reasons for thinking about gaining research experience It might
be the case that you have always known that a PhD and a career in academic neurology was for your - or you fancied a break from clinical training in order to develop skills in a new area, and an advertised research placement
caught your eye - and everything in between! Timing will also depend on the duration of your planned placement (one-year fellowship, or three-to-four years for a research placement), and whether taking time out of programme
is feasible (see below).
There are arguments for both taking time out earlier and later in specialist training for research, particularly for a longer period that might contribute towards a research degree (MD or PhD). The advantage of taking time
out earlier in training is that it gives you plenty of time to try (and fail) and obtaining research funding for a PhD. It also provides more time in specialist training after your PhD where you can obtain post-doctoral
experience and pilot data that might contribute to an intermediate fellowship (or equivalent) application, which might be of importance. However, earlier in your training you might have less experience of subspecialities
or which areas of research interest you; whilst it is not impossible to complete a PhD and then specialise in a completely different area, this does bring its own challenges. The advantage of taking time out later in specialist
training is that you might have a better idea of which subspecialist areas interest you and therefore might be able to better tailor your research placement. However, be aware that many PhD funding schemes are primarily
open to those still in specialist training (i.e. prior to completion of training and CCT); if you do take time out to do research late in specialty training, there is a risk you might CCT before successfully obtaining PhD
funding (which can sometimes take two or three attempts), and then be ineligible for these funding schemes. It might also limit the amount of time you have for post-doctoral research prior to CCT, which is usually the time
at which people make applications for intermediate fellowships (and equivalents). Speak to your mentor about this for independent advice (more information can be found on our Mentorship page.
It is also worth investigating whether some of your research time might be counted towards your training; research time can count for up to one year of your training. This is generally easier when agreed prospectively with
your Training Programme Director (TPD), rather than claiming back time retrospectively having completed a period of research. You are likely be expected to complete a certain amount of clinical work during your research
time in order for this time to count towards your training; this might include specialist clinics relating to your area of research, neurology on-calls, general neurology clinics, or other specialist clinics that align
with areas of your curriculum where you need more supporting evidence. In any case, discuss your plans with your TPD sooner rather than later, so you can agree a plan ahead of time. It can be difficult to balance clinical
commitments with research ones (for example, the impact of clinic admin or recovery from on-call shifts), so think carefully about the nature of your clinical commitments and how much time they are really going to take
up; the danger is spending so much of your research time on clinical work that the research suffers (which defeats the point!).
If you are planning to have dedicated research time during your clinical training, then you will need to formally apply for time Out of Programme (OOP). Different options for OOPs are available, including research or clinical
experience and applications for OOP need to be submitted well in advance of your planned project start date.
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In the post-doctoral period, timing can be even more critical; as described in the relevant pages, this is a real bottleneck in the clinical academic pathway. If you
do want to pursue a career in clinical research, it can be crucial to have a continuous track record of academic outputs, without any large gaps. The structure of the post-doctoral period, particular with regard to integrated
academic training, might change with Shape of Training; there is a suggestion that post CCT fellowships might become more important and relevant, and these have the potential to become an alternative method for pursuing
post-doctoral research in the run-up to an intermediate fellowship (or equivalent) grant.