Modernising medical careers.

摘要

Over time there have been major changes in nearly all aspects of the National Health Service (NHS), for example in clinical practice, management, organisation and delivery. In this context, it is all the more surprising that the nomenclature for doctors in training - house officer, senior house officer (SHO) and registrar - have changed little since the inception of the NHS. It must, however, be conceded that the terms 'registrar' and 'senior registrar' have now been abolished and merged into a single grade of specialist registrar. This was not just a change in terminology, but reflected the introduction of a formal training programme, the annual assessment of competencies and the completion of comprehensive logbooks.