304:. 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".
91:), 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
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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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287:", 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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119:. 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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298:, published a report titled "Unfinished Business", which focused on reforming SHO training. The SHO grade was abolished and renamed
131:, 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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463:"Unfinished Business; Proposals for reform of the Senior House Officer grade"
332:, but the term is more variable in its American than its European usage.
103:(MMC), grades in the UK differ from those in the Republic of Ireland.
387:"Career Pathway - Postgraduate Specialist Training Opportunities"
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389:. 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
127:, as well as passing postgraduate exams (such as the
441:"Operational framework for foundation training"
48:, and informal use of the term persists there.
129:Membership of the Royal College of Physicians
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522:Healthcare occupations in the United Kingdom
206:hospital speciality (SpR), minimum 5 years
259:, minimum 7 years total time in training
201:general practice (GPST), minimum 3 years
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517:Medical education in the United Kingdom
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248:minimum 5 years total time in training
320:Clinical Fellow" or other such terms.
40:grades also applied previously in the
411:Department of Health, UK government.
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443:. The Stationery Office. 2005-07-18
115:(PRHO) year after qualifying from
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70:Senior house officer — (PGY ≥ 2)
235:4 years total time in training
357:Non-consultant hospital doctor
290:In August 2002, Professor Sir
173:Pre-registration house officer
113:pre-registration house officer
26:non-consultant hospital doctor
1:
413:"Modernising Medical Careers"
140:Medical career grades of the
107:British postgraduate training
336:Use in the rest of the world
312:Some hospitals use the term
188:minimum 2 years; often more
461:Donaldson L (August 2008).
285:Modernising Medical Careers
153:Modernising Medical Careers
135:Modernising medical careers
101:Modernising Medical Careers
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99:Since the introduction of
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308:Current status in the UK
169:(FY1 and FY2), 2 years
142:National Health Service
42:National Health Service
233:General practitioner,
36:The same structure to
367:Consultant (medicine)
362:Internship (medicine)
296:Chief Medical Officer
204:Specialty registrar,
82:Fellow (PGY variable)
73:Registrar — (PGY ≥ 3)
314:senior house officer
281:Department of Health
244:General practitioner
215:Specialist registrar
184:Senior house officer
121:specialist registrar
77:Specialist registrar
18:senior house officer
497:UK medical training
301:specialty registrar
197:Specialty registrar
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30:Republic of Ireland
225:registrar, 1 year
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65:post-graduate year
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167:Foundation doctor
125:postgraduate dean
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468:. Archived from
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415:. Archived from
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175:(PRHO), 1 year
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491:External links
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292:Liam Donaldson
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502:MMC home page
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475:on 2011-09-27
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393:on 2015-07-18
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352:Junior doctor
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477:. Retrieved
470:the original
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445:. Retrieved
421:. Retrieved
417:the original
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395:. Retrieved
391:the original
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294:, the then
79:— (PGY ≥ 4)
52:Irish usage
511:Categories
479:2011-08-19
447:2011-08-19
423:2011-08-19
397:2015-09-02
373:References
257:Consultant
219:4–6 years
89:Cardiology
330:residency
267:Optional
158:Previous
151:Current (
346:See also
44:in the
28:in the
24:) is a
186:(SHO),
61:Intern
473:(PDF)
466:(PDF)
148:Year
240:6–8
63:— (
22:SHO
513::
432:^
253:9
246:,
230:5
223:GP
217:,
211:4
199:,
193:3
180:2
163:1
155:)
67:1)
46:UK
16:A
482:.
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400:.
20:(
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