This is the senior resident who is responsible for directing the activities of other residents and is the boss of those below them. (Old Specialist Registrar), I WANT TO WORK AT SHO LEVEL IN MY FIRST UK…. Not to be confused with specialty registrar.

The foundation doctor grade replaces the traditional grades of ‘house officer’ and ‘senior house officer’. The title of these various types of specialty doctors is ‘doctor’.

Although they are able to carry out a number of duties including doing ward rounds for inpatients, reviewing emergency referrals and even carrying out emergency operations when on call, all their work is done in the name of a consultant in whom they are answerable and they are duty-bound to ask for help or advice if they feel it is needed.
Many who were in this grade moved to the ‘Specialty Doctor’ grade instead.

You are likely to come across plenty of these – doctors who have done their five years at medical school and are now embarking on their two year foundation doctor training or its subsequent specialty registrar training. They may or may not have any authority in the hospital and may just observe other doctors give treatment.

The following is the sub division of this category of physicians for your better reference and understanding.

Most hospital follows this structure and this is how designations of physicians are decided. They are in little contact of patients. Virtually all consultants in the UK are employed by the NHS. The title of an associate specialist doctor is ‘doctor’.

Also known in some hospitals as Clinical Fellow. Consultant: A Consultant is a Specialist doctor who has completed Specialty Training and has gained a CCT (Certificate of Completion of Training). Hospitalists are those physicians who pay attention to the care and treatment of patients who are hospitalized.


Every pre-med should understand the medical hierarchy …

This is the lowest level of doctor in the hierarchy. A consultant is a senior physician/doctor who has completed all of their specialist training and has been placed on the Specialist Register in their chosen speciality.

Junior Grades1. SAS Grades1. Here is a list of UK doctors’ ranking, listed from the lowest down the ladder up to the highest. Within a hospital, there is a hierarchy of physicians. This is basically a generalized term which is used to refer to residents or cover doctors who are in-training. This is a two-year general postgraduate medical training programme which is the link between medical school and specialist or general practice training which comes next.


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