Table 2.
Ideal career progression from graduation to completion of specialty training under Calman, pre-MMC system
| Year after graduation | Grade | Details |
|---|---|---|
| 1 | PRHO | 6 months' medicine, 6 months' surgery |
| Formal application process/competitive entry | ||
| 2–5 | SHO | 6-month posts in accident and emergency, general surgery, orthopaedics, vascular, cardiac, plastic surgery, paediatric surgery, ITU and neurosurgery |
| MRCS examinations | ||
| Formal application process/competitive entry | ||
| 6–12 | SPR | Trauma and orthopaedics. Experience of all aspects of management of trauma and elective orthopaedics. After year 4, eligible to sit FRCS(Orth) specialty examinations |
| FRCS(Orth) examinations | ||
| 13 | Post CCST, senior fellow | Subspecialty fellowship in UK or abroad |
| Formal application/competitive entry | ||
| 14+ | Consultant | Independent practitioner |