Box 1.

Reasons not to take an out of programme experience

> To improve your CV
 There are far easier ways to improve your CV eg writing case reports, service quality improvement projects, attending trust management meetings etc.
> Because someone tells you to
 You will need to have self-motivation, diligence and dedication to complete a higher postgraduate degree.
> You might get a better consultant job
 A consultant job is usually offered to the applicant who is most suited to that particular role, therefore having experience (or a higher degree) in something that is not relevant to that particular post may not be an advantage in the job application process.
> To postpone having to apply for a consultant job
 Whether you take on a higher science degree, teaching fellowship or management/leadership role, you will need to have a great deal of dedication and commitment; it is not just time for an easy life!
> It sounds better than being on call
 Time is generally more flexible in an out of programme experience than working in the hospital, but with deadlines for papers, grants, or experimental research, you may find yourself working in the evenings and at weekends.