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Department of Dermatology, Cardiff University, Cardiff. The Diploma in Dermatological Sciences is a structured programme designed for doctors who wish to ...
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Indian J Dermatol Venereol Leprol July-August 2004 Vol 70 Issue 4 256
Shernaz Walton, Andrew FinlayShernaz Walton, Andrew FinlayShernaz Walton, Andrew FinlayShernaz Walton, Andrew FinlayShernaz Walton, Andrew Finlay* Hull and East Yorkshire Hospitals NHS Trust and Hull York Medical School (H.Y.M.S.), Hull, UK and *Department of Dermatology, Cardiff University, Cardiff, UK
Address for correspondence: Dr. S. Walton, Department of Dermatology, The Princess Royal Hospital, Saltshouse Road, Hull, HU8 9HE UK. E-mail: Shernaz.Walton@hey.nhs.uk
There has been a recent surge of overseas trainees arriving in the U.K. and applying for clinical attachments. Most of these doctors have obtained the Professional and Linguistic Assessment Board (P.L.A.B.) certificate prior to seeking training posts. The General Medical Council (G.M.C.) offers limited registration to trainees after obtaining a suitable post. After successful completion of a year, they can be considered for full registration. To avoid disappointments in fulfilling one’s goals in career progression, a good understanding of the training system needs to be obtained before embarking on a difficult and often lengthy career path.
A. Higher Medical Training Dermatology requires a minimum of four years (whole time equivalent) as a Specialist Registrar in a Dermatology Training Programme. These posts are awarded in competition which is often very strong. They are advertised in the British Medical Journal (BMJ). Successful completion of formal training (known as type 1 programme) will lead to the award of a Certificate of Completion of Specialist Training (CCST). Many overseas doctors will be employed as Visiting Specialist Registrars (VSpR) and will be engaged in training in either short programmes (known as type 2 programmes) that do not lead to a CCST or a type 1 programme where they are eligible. Obtaining the CCST
makes them eligible to be placed on the Specialist Register and hence apply for Consultant posts.
B. Entry Requirements for Higher Medical Training · Prior to entry into specialist training, all trainees are required to complete a minimum period of 2 years General Professional Training (GPT) in approved Senior House Officer (SHO) posts, including 6 months of acute unselected medical admissions. A period of similar training in India may be considered by the Joint Committee on Higher Medical Training (JCHMT) on an individual basis. · MRCP (UK or Ireland). Most trainees in the U.K. or Ireland will have obtained this diploma during their 2 years of GPT. Applicants who do not hold the MRCP diploma must satisfy the appropriate higher training body i.e. the JCHMT, that their qualifications and experience are equivalent to those required of U.K. applicants. The following overseas qualifications in General Internal Medicine are currently recognised as equivalent to the MRCP for entry into specialist training:
American Boards of Internal Medicine FCPS (Pakistan) FRACP Part 1 FCP (South Africa) MHKCP
How to cite this article: Walton S, Finlay A. Dermatology Training and Career Options in the U.K. for Indian Graduates. Indian J Dermatol Venereol Leprol 2004:70;256-9. Received: ?????, 2004. Accepted: ????, 2004. Source of Support: Nil.
257 Indian J Dermatol Venereol Leprol July-August 2004 Vol 70 Issue 4
MD (Columbo) M Med (Singapore) FRCP (Canada) M Med (Malaysia)
Aspiring trainees with other qualifications would be unwise to assume that their qualification is equivalent and should obtain the MRCP(UK) if they wish to train in the UK.
Further information on the JCHMT and specialist training in the UK may be found on: http:// www.jchmt.org.uk
C. Changes in organisation of higher medical training The above summarises the situation in 2004. However, it is important to know that there are major changes about to be introduced in the structure of medical posts and careers from the time of qualification onwards. These changes are being introduced in 2005-2006. After gaining a medical degree the pre-registration house job year and first Senior House Officer (SHO) year are
being redesigned as two Foundation years. Following completion of the two foundation years doctors will compete for SHO 2-3 year rotations before becoming eligible to apply for SpR training posts.
D. Other Career Options In Sub-Consultant Grades Dermatology Postgraduate Training in the UK currently requires a period of training of at least 7 years after gaining a medical degree. The period of training will be between 7 and 9 years after the above reorganisation takes place(details have yet to be finalized-some double counting of experience may be possible). Some overseas trainees may need to consider other options especially if they have arrived in the UK as mature graduates or have been unable to obtain, or who do not wish to sit the MRCP diploma. These non-training career grades include Hospital Practitioner grade and Staff Grade doctors who may progress to Associate Specialist after 4 years. Full registration with the GMC is required for Staff Grade and Associate Specialist doctors.
TRAINING NON-TRAINING 2yrs GPT + MRCP (^) WITHOUT MRCP (Limited or Full Registration) or EQUIVALENT
HIGHER MEDICAL TRAINING Hospital Practitioner (Specialist Registrar SpR) (Limited or Full Registration)
Award of CCST Staff Grade (Full Registration)
Consultant (Full Registration) Associate Specialist (Full Registration) TRAINING in 2005- M.B.,B.S or M.B.,Ch.B.
2 foundation years (competence-based learning)
Basic Specialty Training in General Medicine (current SHO grade) (2-3 year rotations)
Higher Specialty Training in Dermatology (current SpR)
Consultant in Dermatology
4 years
4 years
Take MRCP
4 years
259 Indian J Dermatol Venereol Leprol July-August 2004 Vol 70 Issue 4
For further details: E-mail: derm-courses@kcl.ac.uk
KEY POINTS
guarantee a training post
ACKNOWLEDGEMENT
We are grateful to Professor David J Gawkrodger, Lead Clinician, Department of Dermatology, Royal Hallamshire Hospital, Sheffield for his helpful comments.