Hierarchy of UK doctors

[goldenc]

Hello just recently finished working through the NMC to become a nurse here in the UK, I am from the US. I am a bit confused about the hieracy of doctors here in teaching hospitals. In the US we have attendings, fellows, then 3rd, 2nd, 1st year residents, medical students. Does anyone have a good resourceful site that can break down equivalence of these positions? thanks!

[XB9S, BSN, MSN, EdD, RN, APN]

I can do that for you

we have our medical students but they are students and not ever counted as part if the workforce they have to be supervised and watched all of the time

then our qualified junior doctors start at foundation year ( f1) one or house officer, these are doctors in thier first year

you then have the foundation year two ( f2) or Senior house officer these are just deciding specialities and can be at this level for a few years whilst they build experience

your next level is a core trainee (ct) this is a bit of a new breed. They are working within thei. Chosen speciality and are junior registrar / senior sho level

specialist registrar is next and these doctors can be at this level for a few years whilst they become experts in thier specialities and take exams

Finally consultant who is the senior doctor and responsible for the patients in his / her care

there you go, any questions

[XB9S, BSN, MSN, EdD, RN, APN]

http://www.bma.org.uk/patients_public/doctorsqual.jsp

A link to the BMA

[Ginger's Mom, MSN, RN]

Thanks for the link, I see the major difference is medical training, most US medical Schools, require a 4 year college degree before admission in a program. In the UK the medical student bypass the College degree. To become a physician in the US you need 4 years college and 4 years medical school, and a large number of medical schools also have a Masters degree prior to medical school. My daughter had 4 years college 1 year Ms prior going to Medical School. Then have to complete at least 3 years Post grad training to get employment.

The other big difference is US doctor often graduate with over $500,000 in student loans, and are in there 30's before they can make a living wage. In the UK if graduate at age 22 or 23 plus 5-6 years of post graduate training they are still in there 20's and don't have a tremendous debt burden. I also believe the UK doctors time is closely monitored.

[XB9S, BSN, MSN, EdD, RN, APN]

The UK doctors time is very closely monitored

[goldenc]

thanks, very helpful. Link is very informative. Would you typically see a f1 house officer in an ICU? or is that reserved for higher level f2's and so on?

[XB9S, BSN, MSN, EdD, RN, APN]

It would be rare and if they do go to ICU it's in a supernumary capacity rather than to make clinical decisions.

[ayla2004, ASN, RN]

Fy1 are pre reg not licenced the rotat between medical surgical and primary care

gotta love em though they get lot of on call

kinda babies.

[Ginger's Mom, MSN, RN]

Fy1 are pre reg not licenced the rotat between medical surgical and primary care

gotta love em though they get lot of on call

kinda babies.

Sounds similar to PY 1 doctors in the us, the do not get an independent license until they complete their first year. And Medical Students have no clinical responsibilities at all and not counted as staff in the USA.

What I find interesting is that US makes doctors to jump through hoops to become a physician, while the UK has seemed to streamline the process to become a physician and it has been my experienced the UK trained Docs where as qualified or even more qualified then US docs.

[XB9S, BSN, MSN, EdD, RN, APN]

Fy1 are pre reg not licenced the rotat between medical surgical and primary care

gotta love em though they get lot of on call

kinda babies.

Your right the F1s' are the old pre-reg house officer, they have provisional registration with the General Medical Council under which they are licensed to practice medicine, on completion of their F1 year they get full registration with the GMC

http://www.gmc-uk.org/education/postgraduate/new_doctor.asp

[ZippyGBR, BSN, RN]

FY1 are only licenced to practice medicine in their approved training posts, they cannot work as a Doctor or Prescribe outside of those posts .

also don't for forget Staff Grades, Associate Specialists and staff Specialists ... the none trainee middle grades and not-quite consultants that keep the service running and provide much needed stability in medical teams

[XB9S, BSN, MSN, EdD, RN, APN]

FY1 are only licenced to practice medicine in their approved training posts, they cannot work as a Doctor or Prescribe outside of those posts .

also don't for forget Staff Grades, Associate Specialists and staff Specialists ... the none trainee middle grades and not-quite consultants that keep the service running and provide much needed stability in medical teams

Had forgotten about those, we don't have many staff grades. Should also remember clinical fellows as well