Former UK Usage
| Old system | New system (Modernising Medical Careers) | |||
| Year 1: | Pre-registration house officer (PRHO) - one year | Foundation Doctor (FY1 and FY2) - 2 years | ||
| Year 2: | Senior house officer (SHO) a minimum of two years, although often more |
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| Year 3: | Specialty Registrar (StR) in a hospital speciality: minimum six years |
Specialty Registrar (GPST) in general practice: three years |
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| Year 4: | Specialist registrar four to six years |
GP registrar- one year | ||
| Year 5: | General practitioner total time in training: 4 years |
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| Years 6-8: | General practitioner total time in training: 5 years |
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| Year 9: | Consultant total time in training: minimum 7-9 years |
Consultant total time in training: minimum 8 years |
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| Optional | Training may be extended by pursuing medical research (usually two-three years), usually with clinical duties as well |
Training is competency based, times shown are a minimum. Training may be extended by obtaining an Academic Clinical Fellowship for research or by dual certification in another speciality. |
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Entry to the grade of SpR is now closed (replaced by Specialty Registrar) and thus information is largely historical. Some doctors who were appointed to this grade are still completing their training and when they do the grade will become obsolete.
The entry into Specialist Registrar posts was regarded as highly competitive and so tough. Regional advertisements were placed by local deaneries, which controlled the number of places and the funding for posts. Open competition was afforded and, via shortlisting and interviews, successful applicants were given posts for 4–6 years depending on the speciality. A National Training Number was awarded concurrently and was attached to the post rather than the doctor, again historically. The number of posts available was strictly linked to the number of consultants required in a particular speciality, and therefore in the more popular specialities such as Cardiology, General Surgery and Sub-Specialties, Orthopaedics and Plastic Surgery it often took many attempts to get a post - leading to what was known as the "SHO bottleneck", whereby doctors were stuck at the grade of senior house officer for a number of years. Changes in postgraduate medical training (Modernising Medical Careers) are underway to alleviate this problem. Choice of final specialty is now limited by success in application, rather than time spent waiting for a post to be available and offered.
Read more about this topic: Specialist Registrar
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