Higher Surgical Training In UK

Non-Training Posts

There are several non-training grades available (both at SHO level and Registrar level) within the NHS. These posts are not funded by the Dean and not supported by the Royal College. Hence they lack the necessary training and educational approval. They often require full registration with GMC. Also for extension of Visa these may not be acceptable by the Home Office for issuing a ‘permit-free training’ as by definition these are not training posts.

These posts are also not accountable for examination (MRCS, FRCS) purposes. So it is essential for an overseas doctor to realise these before taking up such appointments. However, they may act as a useful bridging period to fill a short gap between two training posts. Some examples are as follows:

Clinical Fellow (SHO grade and registrar grade)
Trust Doctor (SHO grade and registrar grade)
Registrar LAS (Locum appointment for Service)
Staff Grade

Visiting/Observer/Attachment

These positions offer a good source of experience for a new junior entering UK to observe the system, as well as learn some bedside aspects before they take up their exams. They might also provide excellent opportunity for experienced overseas doctors to observe some new techniques (ie. laparoscopy, transplant etc).

Honorary contract is issued for short periods following arrangement with the supervising consultant. No GMC registration is required. Often a visitor visa (which lasts for 6 months) is suitable for such appointments. Health clearance, especially Hepatitis B is often required by the local trusts.