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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.

For more information visit The National Recruitment Office for General Practice Training and the Personal Injury.