Specialty Registrar (StR)

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Specialty Registrar is a new training grade introduced in 2007 into UK medical training as part of the Modernising Medical Careers program. It is intended to replace the old Specialist Registrar training places used to train doctors up to the specialist level needed to become a Consultant Doctor. In the UK medical system, a specialist is someone has the necessary experience and qualifications to be placed on the GMC's Specialist Register. Only persons on the Specialist Register can be appointed consultants in the National Health Service (NHS). The knowledge of the role of registrars is necessary to pass many medical school exams.

Training to become a General Practioner will also involve a Specialty Registrar training scheme and completion will lead to eligibility for entry on the new General Practice Register[1].

Specialty Registrar training involves structured specialist or general practitioner training programmes that begin directly after completion of the 2 year foundation training programme[1]. Completing the training scheme will lead to the award of a Certificate of Completion of Training (CCT), subject to satisfactory in-training assessment and progress; this is a necessary pre-requisite for entry onto the Specialist Register or GP Register[1].

The curricula used for the different specialty training schemes will be set by the relevant medical royal college[2]. Under the old system, before applying for the old Registrar posts, applicants were required to have sat and passed part, or all, of a medical royal college's membership examinations while still a Senior House Officer. Under the new system Foundation doctors do not need to sit these exams as they play no part in the selection process and are actively discouraged from doing so[3]. The appropriate royal college exams will now be taken during the first year or two of the Specialty Registrar training scheme[3].

NHS Medical Career Grades
Old System New System (Modernising Medical Careers)
Year 1: Pre-registration House Officer (PRHO) - one year Foundation House Officer - 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.


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