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Senior House Officer
A senior house officer (SHO) is a non-consultant hospital doctor in Ireland 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. 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 wi ...
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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 Ireland to describe qualified medical practitioners who work under the (direct or nominal) supervision of a 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. Non-training doctors are employed most com ...
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Deanery (NHS)
An NHS deanery is a regional organisation responsible for postgraduate medical and dental training, within the structure of the National Health Service (NHS) in Scotland, Wales and Northern Ireland. In 2013, restructuring of the NHS in England led to its deaneries being incorporated into new bodies, known as Local Education and Training Boards (LETBs), that have taken over these functions. Role Each deanery is responsible for coordinating postgraduate medical and dental education within a given region, to standards that are set by the General Medical Council and the General Dental Council. Deaneries are each advised by a Specialty Training Committee (STC), which includes consultants. Postgraduate medical education begins as doctors start their initial Foundation Programme (F1/F2) jobs, where they are closely supervised and their progress is monitored across two years of training. The recruitment of doctors into Speciality Training Programmes is managed by deaneries. Once a doct ...
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Consultant (medicine)
In the United Kingdom, Republic of Ireland, Ireland, and parts of the Commonwealth of Nations, Commonwealth, consultant is the title of a senior hospital-based physician or surgeon who has completed all of their Medical specialist, specialist training and been placed on the specialist register in their chosen speciality. The primary objective of a consultant is to use expert knowledge and skill to diagnose and treat patients and 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 be given to those with cl ...
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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 Ireland to describe qualified medical practitioners who work under the (direct or nominal) supervision of a 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. Non-training doctors are employed most com ...
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Junior Doctor
In the United Kingdom, a resident doctor, previously (until 2024) known as a junior doctor, is a qualified medical practitioner who is either engaged in postgraduate training or employed in a non-training post. The period of being a resident doctor starts when they qualify as a medical practitioner following graduation with a Bachelor of Medicine, Bachelor of Surgery degree and start the UK Foundation Programme. It culminates in a post as a consultant, a general practitioner (GP), or becoming a SAS doctor, such as a specialty doctor or specialist post. The term ''resident doctor'' currently incorporates the grades of foundation doctor, core trainee (in some specialties, such as surgery, medicine, and psychiatry), and specialty registrar. Before 2007, it included the grades of pre-registration house officer, senior house officer and specialist registrar. During this time, resident doctors will do postgraduate examinations to become members of a medical royal college relevant t ...
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Residency (medicine)
Residency or postgraduate training is a stage of graduate medical education. It refers to a qualified physician (one who holds the degree of MD, DO, MBBS/MBChB), veterinarian ( DVM/VMD, BVSc/BVMS), dentist ( DDS or DMD), podiatrist ( DPM), optometrist ( OD), pharmacist ( PharmD), or Medical Laboratory Scientist ( Doctor of Medical Laboratory Science) who practices medicine or surgery, veterinary medicine, dentistry, optometry, podiatry, clinical pharmacy, or Clinical Laboratory Science, respectively, usually in a hospital or clinic, under the direct or indirect supervision of a senior medical clinician registered in that specialty such as an attending physician or consultant. The term ''residency'' is named as such due to resident physicians (resident doctors) of the 19th century residing at the dormitories of the hospital in which they received training. In many jurisdictions, successful completion of such training is a requirement in order to obtain an unrestricted l ...
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Specialty Registrar
A specialty registrar (StR), previously known as and still commonly referred to as a specialist registrar (SpR), is a doctor, public health practitioner or dentist who is working as part of a specialty training programme in the UK. This is known as a training grade as these doctors are supervised to an extent, as part of a structured training experience that leads to being able to undertake independent practice in a hospital specialty or working as a general practitioner. This training grade was introduced into UK postgraduate medical training in 2007 as part of the Modernising Medical Careers programme with the specialty registrar training places being created instead of the Senior House Officer (SHO) and Specialist registrar (SpR) posts. Background In the UK medical system, a specialist is someone who 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 Nationa ...
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Chief Medical Officer (United Kingdom)
In the United Kingdom, a chief medical officer (CMO) is the most senior government advisor on matter relating to health. There are four chief medical officers in the United Kingdom who are appointed to advise their respective governments: * His Majesty's Government (CMO for England and medical advisor to the United Kingdom government) * Scottish Government * Welsh Government * Northern Ireland Executive Each CMO is assisted by one or more deputy chief medical officers, and complemented by a chief nursing officer. The chief medical officer is a qualified medical doctor whose medical speciality traditionally was public health medicine, and whose work focused on the health of communities rather than health of individuals. More recently, some appointees have been senior clinicians without training in public health medicine. In the UK, the CMO is one of the chief professional officers who advise the government in their respective health and social care disciplines. The CMO has ind ...
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Liam Donaldson
Sir Liam Joseph Donaldson (born 3 May 1949) is a British physician. He was formerly the Chief Medical Officer for England, being the 15th occupant of the post since it was established in 1855. As such, he was principal advisor to the United Kingdom Government on health matters and one of the most senior officials in the National Health Service (NHS). In December 2009 it was announced that he planned to retire from this role in May 2010, although he said that, if the influenza pandemic should unexpectedly worsen, he would have postponed his retirement. On 1 July 2010 he was appointed the Chairman of the Independent Monitoring Board overseeing the polio eradication initiative coordinated by the World Health Organization. In the 2002 New Year Honours List he was awarded a knighthood in recognition of his achievements in health and health care. Between 2009 and 2019 he served two terms as Chancellor of Newcastle University. Career Donaldson qualified in medicine from the Univ ...
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British Department Of Health
The Department of Health and Social Care (DHSC) is a ministerial department of the Government of the United Kingdom. It is responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with three ministers of state and three parliamentary under-secretaries of state. The department develops policies and guidelines to improve the quality of care and to meet patient expectations. It carries out some of its work through arms-length bodies (ALBs), including executive non-departmental public bodies such as NHS England and the NHS Digital, and executive agencies such as the UK Health Security Agency and the Medicines and Healthcare products Regulatory Agency (MHRA). The DHSC also ...
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Membership Of The Royal College Of Physicians
Membership of the Royal Colleges of Physicians of the United Kingdom (MRCP(UK)) is a postgraduate medical diploma in the United Kingdom (UK). The examinations are run by the Federation of the Medical Royal Colleges – the Royal College of Physicians of London, the Royal College of Physicians of Edinburgh, and the Royal College of Physicians and Surgeons of Glasgow. The three Royal Colleges of Physicians share this common three part assessment in general medicine which consists of two written parts and one clinical examination. Examinations are held throughout the UK and in overseas centres. Holders of the MRCP(UK) can subscribe as "collegiate members" to any or all of the three UK Royal Colleges of Physicians. Thus the MRCP(UK) qualification has replaced the former MRCP(Lon), MRCP(E), and MRCP(G) qualifications. (Similarly, the MRCS is also now intercollegiate.) There is a separate MRCPI qualification, run by the Royal College of Physicians of Ireland, based in Dublin in the ...
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Specialist Registrar
A specialty registrar (StR), previously known as and still commonly referred to as a specialist registrar (SpR), is a doctor, public health practitioner or dentist who is working as part of a specialty training programme in the UK. This is known as a training grade as these doctors are supervised to an extent, as part of a structured training experience that leads to being able to undertake independent practice in a hospital specialty or working as a general practitioner. This training grade was introduced into UK postgraduate medical training in 2007 as part of the Modernising Medical Careers programme with the specialty registrar training places being created instead of the Senior House Officer (SHO) and Specialist registrar (SpR) posts. Background In the UK medical system, a specialist is someone who 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 Nation ...
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