Non-consultant Hospital Doctor
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Non-consultant Hospital Doctor
Non-consultant hospital doctor (NCHD), sometimes also referred to as junior doctor, is a term used in Republic of Ireland, Ireland to describe qualified medical practitioners who work under the (direct or nominal) supervision of a Consultant (medicine), consultant in a particular speciality. It is an umbrella term, encompassing doctors on formal postgraduate training schemes as well as doctors in "service" roles outside of postgraduate training. The clinical duties and responsibilities of NCHDs are varied but centre around the provision of medical care to patients. Examples of work carried out by NCHDs includes the diagnosis and treatment of medical conditions, performing therapeutic and diagnostic tests and interaction with other healthcare professionals. A clinical team made up of a consultant, or group of consultants, along with a cohort of NCHDs, is the core of medical service delivery in the Irish hospital system. A NCHD may be in a training programme or in a non-training role. ...
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Republic Of Ireland
Ireland ( ga, Éire ), also known as the Republic of Ireland (), is a country in north-western Europe consisting of 26 of the 32 counties of the island of Ireland. The capital and largest city is Dublin, on the eastern side of the island. Around 2.1 million of the country's population of 5.13 million people resides in the Greater Dublin Area. The sovereign state shares its only land border with Northern Ireland, which is part of the United Kingdom. It is otherwise surrounded by the Atlantic Ocean, with the Celtic Sea to the south, St George's Channel to the south-east, and the Irish Sea to the east. It is a unitary, parliamentary republic. The legislature, the , consists of a lower house, ; an upper house, ; and an elected President () who serves as the largely ceremonial head of state, but with some important powers and duties. The head of government is the (Prime Minister, literally 'Chief', a title not used in English), who is elected by the Dáil and appointed by ...
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Medical Practitioner
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the ''science'' of medicine—and also a decent competence in its applied practice—the art or ''craft'' of medicine. Both the role of the physician and the meaning ...
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Consultant (medicine)
In the United Kingdom, Ireland, and parts of the Commonwealth, consultant is the title of a senior hospital-based physician or surgeon who has completed all of their specialist training and been placed on the specialist register in their chosen speciality. Their role is entirely distinct from that of general practitioners, or GPs. The primary objective of a consultant is to use expert knowledge and skill to diagnose and treat patients while retaining ultimate clinical responsibility for their care. A physician must be on the Specialist Register before they may be employed as a substantive consultant in the National Health Service (NHS). This usually entails holding a Certificate of Completion of Training (CCT) in any of the recognised specialities, but academics with substantial publications and international reputation may be exempted from this requirement, in the expectation that they will practice at a tertiary level. "Locum consultant" appointments of limited duration may b ...
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Internship (medicine)
A medical intern is a physician in training who has completed medical school and has a medical degree but does not yet have a license to practice medicine unsupervised. Medical education generally ends with a period of practical training similar to internship, but the way the overall program of academic and practical medical training is structured differs depending upon the country, as does the terminology used (see medical education and medical school for further details). Australia In Australia, medical graduates must complete one year in an accredited hospital post before they receive full registration. This year of conditional registration is called the intern year. An internship is not necessarily completed in a hospital at the same state as the graduate's medical school. Brazil In Brazil, medical school consists of six years or twelve semesters. The final two years (or one and a half years, depending on the University in question) are the internship. During this time, st ...
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Senior House Officer
A senior house officer (SHO) is a non-consultant hospital doctor in the Republic of Ireland. 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. The same structure to junior doctor grades also applied previously in the National Health Service in the UK, and informal use of the term persists there. Irish usage NCHD grades in order, from most junior to most senior: * Intern — ( post-graduate year 1) * Senior house officer — (PGY ≥ 2) * Registrar — (PGY ≥ 3) * Specialist registrar — (PGY ≥ 4) * Fellow (PGY variable) 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 primarily on having succe ...
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Specialist Registrar
A specialist registrar (SpR) is a doctor in the United Kingdom or the Republic of Ireland who is receiving advanced training in a specialist field of medicine in order to become a consultant in that specialty. After graduation from medical school, a specialist registrar will undertake several years of work and training as an intern or pre-registration house officer, and as a senior house officer. It may be required to take diploma examinations in order to enter registrar training. These are administered by the medical royal college or in some cases a separate postgraduate training body responsible for that specialty and are usually termed "memberships". This means membership to the Royal College of their specialty. For example, those wishing to specialise in general medicine must take the examination for Membership of the Royal College of Physicians. Doctors will work in specialist registrar posts for around four to six years, depending on their speciality. They gain experience ...
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Specialist Registrar
A specialist registrar (SpR) is a doctor in the United Kingdom or the Republic of Ireland who is receiving advanced training in a specialist field of medicine in order to become a consultant in that specialty. After graduation from medical school, a specialist registrar will undertake several years of work and training as an intern or pre-registration house officer, and as a senior house officer. It may be required to take diploma examinations in order to enter registrar training. These are administered by the medical royal college or in some cases a separate postgraduate training body responsible for that specialty and are usually termed "memberships". This means membership to the Royal College of their specialty. For example, those wishing to specialise in general medicine must take the examination for Membership of the Royal College of Physicians. Doctors will work in specialist registrar posts for around four to six years, depending on their speciality. They gain experience ...
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Fellowship (medicine)
A fellowship is the period of medical training, in the United States and Canada, that a physician, dentist, or veterinarian may undertake after completing a specialty training program (residency). During this time (usually more than one year), the physician is known as a fellow. Fellows are capable of acting as an attending physician or a consultant physician in the specialist field in which they were trained, such as internal medicine or pediatrics. After completing a fellowship in the relevant sub-specialty, the physician is permitted to practice without direct supervision by other physicians in that sub-specialty, such as cardiology or oncology. United States In the US, the majority of fellowships are accredited by the Accreditation Council for Graduate Medical Education ("ACGME"). There are a few programs that are not accredited, yet are actually well received, given the importance of being a Board Certified Physician in a primary specialty, where a Fellowship is often more ...
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Foundation Doctor
A foundation doctor is a grade of medical practitioner in the United Kingdom undertaking the Foundation Programme, a two-year, general postgraduate medical training programme which forms the bridge between medical school and specialist/general practice training. Doctors in the first year of the programme are known as Foundation Year 1 (FY1) doctors, and those in the second year are known as Foundation Year 2 (FY2) doctors. Being a foundation doctor is compulsory for all newly qualified medical practitioners in the UK starting from 2005 onwards. The grade of foundation doctor has replaced the traditional grades of pre-registration house officer and senior house officer. Foundation doctors have the opportunity to gain experience in a series of posts in a variety of specialties and healthcare settings. Learning objectives for each stage are specific and focused on demonstration of clinical competences. Emphasis was on the assessment and management of acutely ill patients, but cha ...
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Medical Resident Work Hours
Medical resident work hours refers to the (often lengthy) shifts worked by medical interns and residents during their medical residency. As per the rules of the Accreditation Council for Graduate Medical Education in the United States of America, residents are allowed to work a maximum of 80 hours a week averaged over a 4-week period. Residents work 40–80 hours a week depending on specialty and rotation within the specialty, with residents occasionally logging 136 (out of 168) hours in a week.
Some studies show that about 40% of this work is not direct patient care, but ancillary care, such as paperwork.
Trainee doctors are often not paid on an hourly basis, but on a fixed salary; in ...
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Modernising Medical Careers
Modernising Medical Careers (MMC) is a programme for postgraduate medical training introduced in the United Kingdom in 2005. The programme replaced the traditional grades of medical career before the level of Consultant. The different stages of the programme contribute towards a "Certificate of Completion of Training" (CCT). It has been dogged by criticism within and outside the medical profession, and an independent review of MMC led by Professor Sir John Tooke criticised many aspects of it. MMC refers to both the programme itself, and also to the temporary organization, formed in 2003, responsible for its nationwide implementation. Structure Foundation Programme From 2005 new medical graduates embarked on a two-year Foundation Programme in place of the former one-year Pre-registration house officer (PRHO) term and the first year of the former Senior house officer (SHO) term, with the older titles nominally replaced by "Foundation House Officer 1" or F1 and "Foundation House Offic ...
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Physician
A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases and their treatment—the ''science'' of medicine—and also a decent competence in its applied practice—the art or ''craft'' of medicine. Both the role of the physician and the meaning ...
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