Pre-registration house officer

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NHS Medical Career Grades
Old System New System (Modernising Medical Careers)
Year 1: Pre-registration House Officer (PRHO) - one year Foundation Programme - 2 years
Year 2: Senior House Officer (SHO) a minimum of two years, although often more.
Year 3: Specialty Registrar (StR) in a hospital speciality: six years Specialty Registrar (StR) in general practice: three years
Year 4: Specialist Registrar - four to six years. GP Registrar - one year

Year 5: General Practitioner

total time in training: 4 years

Years 6-8: General Practitioner

total time in training: 5 years

Year 9: Consultant

total time in training: minimum 7-9 years

Consultant

total time in training: 8 years

Optional Training may be extended by pursuing medical research (usually two-three years), usually with clinical duties as well Training may be extended by obtaining an Academic Clinical Fellowship for research.

Pre-registration house officer (PRHO) is the title given to medical graduates in the UK who have passed their final year exams at medical school and have received their medical degrees but are not fully registered with the General Medical Council. PRHO is the lowest grade in the medical hierarchy in the National Health Service. Traditionally, PRHOs worked for six months in general medicine and six months in general surgery, after which the PRHO would be granted registration by the General Medical Council. Following changes in postgraduate medical education, the PRHO year forms the first year of Foundation Training (F1 Year), and trainees will spend at least three months in general surgery, three months in general medicine, and the remainder of the time in training posts in other specialties.

Although the PRHO year is taken after graduating from university, the supervision of the PRHO is the responsibility of the medical school from which the PRHO graduated, and a representative of that medical school is responsible for signing the registration forms which go to the General Medical Council to certify that the PRHO year has been completed successfully.

In other parts of the world, this stage is generally referred to as medical internship.

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