Video Guide to Doctors' Job Titles in the NHS14 August, 2023
One of the best thing about the NHS is that there are several career paths available to domestic and international doctors. Each pathway comes with ...
One of the best thing about the NHS is that there are several career paths available to domestic and international doctors. Each pathway comes with a set of job titles and with so many different terms to contend with it's easy to get confused.
Our video on NHS Doctors' Job Titles explains everything you need to know right from junior doctors graduating after medical school, through to consultant level doctors at the height of their career. In this video you'll learn the encompassing terms like 'junior' or 'middle grade' as well as the more intricate terms like clinical fellow, SHO or Locum Consultant.
You can skip ahead to the title you'd like to learn about with these timings:
00:00 - Intro
00:30 - Junior Doctor Job Titles
02:07 - Middle Grade Job Titles
03:23 - Specialty Doctor Job Titles
04:12 - Specialist Job Titles
04:49 - Consultant Job Titles
05:18 - GP Job Titles
06:04 - Locum Doctor Job Titles
06:41 - Summary
You Can also read our article on NHS Doctors Titles Explained which supports this video with further information.
BDI Resourcing are proud to have helped over 1500 medical doctors with placements in to over 100 NHS Trusts. So if you're an IMG or NHS based doctor looking to move to a new role then please get in touch with BDI Resourcing via apply@BDIResourcing.com and we'll be happy to help.
00:07 Hi everyone and welcome to today's
00:08 episode of the Vlog series.
00:10 One question we get asked all the time by
00:12 IMG doctors is what are the different job titles?
00:16 So we're going to run through them all, from Junior Doctor
00:18 right up to Consultant, and a few of the strange ones
00:21 that you might not have heard of before as well, to
00:23 hopefully give you an idea of what they all mean and
00:25 where they all fit into the UK system.
00:34 Alright, so the first title we're
00:35 going to explain is "Junior Doctor".
00:37 Now, officially, in the UK, a junior doctor
00:40 is any doctor below a consultant level, so
00:43 it's actually a very encompassing term.
00:45 The vast majority of the time, though, when you're
00:47 talking about it in day to day life, you're probably
00:49 thinking that it refers to what's called an a
00:53 senior house officer, which, again, is old terminology.
00:56 And the new version of this is for doctors to be
01:00 called either FY1 or FY2, and then CT1
01:04 and CT2, or ST1 and ST2.
01:07 So in rank order, you start with your
01:10 foundation years, your FY years, and during those,
01:13 that's when you've just graduated from medical school.
01:16 So FY1 would be the very first
01:17 year that you'd be working in a clinical
01:19 setting through to FY2, when, of course,
01:22 you get your foundation competencies signed off.
01:26 You then commence at either CT1 or CT2,
01:29 ST1 and ST2.
01:31 And the difference there is just the training
01:33 route that you choose to go through.
01:35 So for medical specialisms, for example.
01:37 So in medicine, you do core training (CT) where
01:40 you rotate amongst the different specialisms across medicine.
01:44 Whereas some of the run through specialisms that
01:47 run straight the way through from ST1,
01:50 right, the way through to ST6
01:51 include those like radiology or histopathology where you don't
01:55 need to do core training and rotate amongst
01:57 different specialisms before getting into the long term
02:01 specialism that you intend to concentrate on.
02:10 Okay, so the next set of job titles are
02:13 usually encompassed by the term middle grade doctor.
02:17 So this is what you might know in your
02:19 home country as a registrar or a resident, and
02:22 it's usually where your specialist training goes on.
02:26 So in the UK, if you're an official CCT trainee,
02:31 then you're going through the route known as ST3,
02:34 ST4, ST5, ST6 and so on.
02:37 Some of the specialisms have a year or two more.
02:39 So ST7 and ST8 do exist as well.
02:42 If you're not in a training post, then
02:45 you might hear the terms Trust Grade or
02:47 Senior Clinical Fellow used as well.
02:49 They're exactly the same.
02:51 They just mean a middle grade doctor, a
02:53 registrar doctor, an ST3 level doctor.
02:56 At this stage, you are specialising
02:58 in one field or chosen area.
03:01 So if you've come through CT1 and CT2
03:05 as a Core medicine trainee, you might then
03:08 go on to specialise in Cardiology, for example.
03:11 Or if you've gone ST1 and ST2
03:13 of course, that run through route continues.
03:15 So you might be an ST3,4,5,6
03:16 in Radiology, for example.
03:25 So the speciality doctor grade.
03:28 This is a grade which is basically
03:30 equivalent to anything ST3+.
03:34 And in the UK, it tends to be used for
03:36 those that have decided that they don't want to carry
03:38 on with their training, or maybe they want to take
03:39 a break from their training and rejoin it later on.
03:42 So it could be for very senior registrars who've decided
03:45 they don't want to sit CCT, or perhaps they've not
03:47 passed it and they need to do some more work.
03:49 So they opt out and could come back in if they need to.
03:52 But it's actually a very accessible route for senior
03:55 doctors from overseas who wish to enter the UK,
03:58 but still have those years of specialised experience recognised.
04:01 So it is a non training grade when
04:04 talked about in the UK, but for international
04:07 doctors, it can be a very appealing route.
04:15 So the specialist grade. This is not
04:17 to be confused with speciality doctor.
04:19 A specialist is something quite different in the NHS.
04:23 It's a new grade that's been brought in
04:26 for those that are not quite at consultant
04:28 level, perhaps they're not on the specialist register,
04:30 but they are seen as more senior than
04:32 a middle grade or registrar level doctor.
04:35 So it could be a very good route for
04:37 an international doctor who's practising as a consultant overseas
04:41 and wishes to enter the system above a middle
04:43 grade, but isn't quite yet on the specialist register.
04:52 So a consultant is the final point on the scale
04:56 for NHS doctors and this is the point at which
04:59 you will have completed all of your specialised training.
05:02 So right at the very top of the ladder, the main
05:06 focus for consultants in the UK is that you must be
05:08 able to practise independently and to be a substantive consultant, you
05:12 will need to be on the specialist register too.
05:21 So general practitioners, or GPs, as they're commonly
05:24 known in the UK, tend to be the
05:26 first point of call for most patients.
05:28 So they'll go and see a
05:30 GP in a local community, practise.
05:32 And the GP's job is to ascertain what's wrong
05:35 and perhaps make a referral onto an acute hospital.
5:39 They actually make up a huge part of the population
05:41 of doctors in the NHS, so it's a term you
05:44 might not be familiar with, because the tertiary care sector,
05:47 the general practise sector overseas, isn't often as big.
05:50 People are often seen just in acute hospital settings, but
05:54 here in the UK it's very, very different.
05:56 And most patients get seen in the first
05:58 instance in the community at GP practises.
06:07 So a locum doctor "locum tenens" is a Latin
06:11 term, basically means a temporary member of staff.
06:15 So if you're a locum doctor, you're working on
06:17 a fixed term contract, you're not there permanently.
06:21 There's two types of locums.
06:23 So agency locums are those who
06:25 are employed by a private agency.
06:27 They're often paid an hourly rate,
06:29 which tends to be quite expensive.
06:31 Or or you can be an NHS locum,
06:33 which means you work directly for the NHS
06:35 and you're employed on a direct staff contract.
06:44 If you're not sure where you might fit into
06:46 the UK NHS system, then do get in touch.
06:49 We can definitely help point you in the right
06:51 direction or take a look at your CV to
06:53 find out which would be the most equivalent role.
06:56 We really appreciate you listening to today's episode of the
06:59 Vlog series, and if you've got any questions, we'll put
07:01 our contact details up at the end of the video.