315:. This change took place in 2007. Amongst the many changes, many doctors who had completed their Foundation Training were now appointed into a "run-through" training programme that incorporated the previous SHO and specialist registrar grades. The job title changed from "SHO" to "ST1/ST2" (specialist trainee year 1 & year 2). Part of this decision was subsequently reversed in a number of specialties, with competitive entry into the registrar grade ("uncoupled training"), and in these specialties the SHO level posts are referred to as "CT1/CT2" (core trainee year 1 & year 2) and in some "CT3".
102:), after which time, they are known as SpRs (Specialist Registrars). SpR programmes typically last for between 3–6 years. On completion of an SpR programme, doctors are eligible to apply for consultant positions, although the majority opt to undertake 1–2 years of fellowship training – often abroad – prior to appointment at consultant level.
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In
Ireland, physicians typically spend one year as an intern, before becoming a Senior House Officer (SHO). Most doctors spend between 2–4 years working as an SHO. Advancing to registrar level is dependent on experience and aptitude within a specialty; in most cases, becoming a registrar depends
330:
The term still applies to non training posts, those organised by a hospital/trust as opposed to a
Deanery, where a physician is employed at a level after full registration with the GMC and before entering higher specialty training. These posts are typically referred to as "Trust SHO", "Junior
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and many
Commonwealth countries. SHOs usually have a minimum of 1 year post medical school training. SHOs are supervised in their work by consultants and registrars. In training posts these registrars and consultants oversee training and are usually their designated clinical supervisors.
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primarily on having successfully passed postgraduate examinations such as MRCP/MRCS, although this is not a strict requirement. Most doctors work at registrar level for 1–3 years before being accepted onto a training programme in a particular subspecialty (e.g.
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Specializing post-graduate clinical students are still referred to as Senior House
Officers in many other countries around the world, most of which were British colonies and adopted the British education system like Uganda.
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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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298:", merging the PRHO year and the first year of SHO training into a "foundation programme" (FY1 and FY2). This programme was formally introduced in August 2005.
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130:. They would typically work as an SHO for 2–3 years, or occasionally longer, before going on to a certain subspeciality where they would take up a
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309:, published a report titled "Unfinished Business", which focused on reforming SHO training. The SHO grade was abolished and renamed
142:, MRCP). SHO jobs typically lasted four or six months in various departments and were often provided in one- or two-year rotations.
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In the United States, physicians in training are also sometimes referred to as "senior house officers" in their later years of
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post to train as a specialist in that particular field. To qualify for these, SHOs had to be in posts approved by a regional
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in an unofficial capacity for physicians in FY2 and CT1/2 year, who often have similar working patterns in duty shift rotas.
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Training may be extended by pursuing medical research (usually 2–3 years), usually with clinical duties as well
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announced reforms in the training of newly qualified doctors under the banner of "
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Before MMC, physicians applied for SHO posts after completing their mandatory
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474:"Unfinished Business; Proposals for reform of the Senior House Officer grade"
343:, but the term is more variable in its American than its European usage.
114:(MMC), grades in the UK differ from those in the Republic of Ireland.
398:"Career Pathway - Postgraduate Specialist Training Opportunities"
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400:. Royal College of Physicians of Ireland. Archived from
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NCHD grades in order, from most junior to most senior:
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Consultant, minimum 7–9 years total time in training
138:, as well as passing postgraduate exams (such as the
452:"Operational framework for foundation training"
59:, and informal use of the term persists there.
140:Membership of the Royal College of Physicians
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533:Healthcare occupations in the United Kingdom
217:hospital speciality (SpR), minimum 5 years
270:, minimum 7 years total time in training
212:general practice (GPST), minimum 3 years
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528:Medical education in the United Kingdom
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259:minimum 5 years total time in training
331:Clinical Fellow" or other such terms.
51:grades also applied previously in the
422:Department of Health, UK government.
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454:. The Stationery Office. 2005-07-18
126:(PRHO) year after qualifying from
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81:Senior house officer — (PGY ≥ 2)
246:4 years total time in training
368:Non-consultant hospital doctor
301:In August 2002, Professor Sir
184:Pre-registration house officer
124:pre-registration house officer
37:non-consultant hospital doctor
1:
424:"Modernising Medical Careers"
151:Medical career grades of the
118:British postgraduate training
347:Use in the rest of the world
323:Some hospitals use the term
199:minimum 2 years; often more
472:Donaldson L (August 2008).
296:Modernising Medical Careers
164:Modernising Medical Careers
146:Modernising medical careers
112:Modernising Medical Careers
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110:Since the introduction of
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319:Current status in the UK
180:(FY1 and FY2), 2 years
153:National Health Service
53:National Health Service
244:General practitioner,
47:The same structure to
378:Consultant (medicine)
373:Internship (medicine)
307:Chief Medical Officer
215:Specialty registrar,
93:Fellow (PGY variable)
84:Registrar — (PGY ≥ 3)
325:senior house officer
292:Department of Health
255:General practitioner
226:Specialist registrar
195:Senior house officer
132:specialist registrar
88:Specialist registrar
29:senior house officer
18:Senior House Officer
508:UK medical training
312:specialty registrar
208:Specialty registrar
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41:Republic of Ireland
236:registrar, 1 year
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76:post-graduate year
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178:Foundation doctor
136:postgraduate dean
16:(Redirected from
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513:MMC home page
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486:on 2011-09-27
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363:Junior doctor
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488:. Retrieved
481:the original
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456:. Retrieved
432:. Retrieved
428:the original
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305:, the then
90:— (PGY ≥ 4)
63:Irish usage
522:Categories
490:2011-08-19
458:2011-08-19
434:2011-08-19
408:2015-09-02
384:References
268:Consultant
230:4–6 years
100:Cardiology
341:residency
278:Optional
169:Previous
162:Current (
357:See also
55:in the
39:in the
35:) is a
197:(SHO),
72:Intern
484:(PDF)
477:(PDF)
159:Year
251:6–8
74:— (
33:SHO
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443:^
264:9
257:,
241:5
234:GP
228:,
222:4
210:,
204:3
191:2
174:1
166:)
78:1)
57:UK
27:A
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31:(
20:)
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