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Here is a broad outline of the most common job titles/grades in the NHS. There are many more.

 

Title / Grade Abbreviation Short description
Foundation programme    The Foundation Programme is a two-year training programme for new doctors and started in August 2005. It incorporates the PRHO year and first year of SHO training.
Pre-registration House Officer / Foundation Year 1   PRHO /

F(1)

A newly qualified doctor who is completing his/her internship. After successfully completing the F(1) year, the doctor is eligible for full registration with the GMC. During this F(1) year trainees will do at least three months in medicine and three months in surgery. Some rotations offer six months of medicine and six months of surgery, but most placements will be for four months.
Senior House Officer / Foundation Year 2 SHO /

F(2) 

Placements in F(2) will typically consist of three 4-month placements.
Registrar - As above, a doctor on a training rotation, but has passed at least 1 specialty exam.
Specialist Registrar SpR Specialist registrars have passed their specialty exams and are appointed for about 3 or 4 year of higher training. Most specialist registrars will eventually become consultants.
Associate Specialist - This is a sub-consultant grade. Associate specialists are always experienced doctors and they have usually passed their specialty exams.
Consultant - A doctor with specialist qualifications and who is on the specialist register. (Equivalent to a second degree specialist)
Staff Grade - This is called a non-training grade but some continuing professional development is expected. Staff grade are not on training rotations and some remain in the post for years. These doctors are experienced in their field, and sometimes do not have any specialist qualifications.
General Practitioner GP This is a family doctor. Almost all referrals to specialists come from GPs (click here for further information about GPs)
Resident Medical Officer RMO

These doctors generally work in private hospitals, providing basic medical care around the clock (similar to SHO jobs). Doctors work in 7 or 14 day shifts and do not leave the hospital premises during that time. Usually these doctors need to have special Life Support qualifications (ALS, ACLS and PALS).

 

If none of these titles are applicable to you, please select "other" on the registration 

page and explain in the "Comments" box. 

 

For more information on the new Foundation Programme, follow the links to the BMA's website or the Modernising Medical Careers (MMC) website  (new window will open).

 

The BMJ Career Focus published an excellent summary of trust grade and other 

unusual job titles. Follow this link to this article (a new page will open).

Click here to go back to registration page.

 

 

 

 

  

Commission for Social Care Inspection

Cert. No. H570002088

 

CIPD       

Chartered Institute of Personnel and Development Organisation Member  

 

 

 

Ó Original art work by Linda Benton

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Last modified: September 11, 2006