Career Pathway for a UK Doctor in Training

  • October 03, 2022
 

The NHS offers extensive training schemes and career development for all of its doctors, and such programmes are recognised as a gold standard across the medical world. 

Training in the NHS is always in keeping with advances in medical sciences and the progressive landscape of the medical profession, including the more complex ailments of a growing and ageing population. The NHS frequently updates and develops its training programmes, making them attractive to UK graduates and doctors, as well as overseas doctors seeking the very best training. 

In this article we will cover the following topics: 

Skip ahead to the relevant section if you know what you're looking for.

The NHS Training Pathway

Many IMGs looking to move to the UK (particularly more junior doctors) will be keen to enter into UK Specialty Training at some point, and as such it is important to understand the UK training pathway from start to finish in order to map your NHS career effectively.

Furthermore, greater understanding of the NHS structure and training offered to doctors in the UK will help an IMG to understand at what grade they can likely enter the system and the salary most appropriate for them. 

The NHS Training Pathway describes the journey from medical school to completion of specialist training and is the path most commonly followed by UK trainees.

Graduation to Foundation Training

After graduating from a medical school, doctors gain provisional registration with the GMC allowing them to enter the Foundation Programme - a two-year work-based training programme.

Upon completion of the first year (FY1 or F1) doctors will gain full registration with the GMC and can apply for further study and training in a specialised area – known as Core or Specialty Training, depending on the specialty.

Specialty Training Programmes

Completion of the Foundation Programme allows doctors to apply for Specialty Training in an area of medicine or general practice. There are 60 different specialties to choose from. 

A doctor entering year one of Specialty Training is known as an ST1 or CT1 doctor.

Specialty Training programmes can take between three and eight years depending on the specialism chosen.

Doctors can pass through the training quicker depending on how fast they achieve their competencies. 

Sometimes doctors do not complete the training pathways in the indicated time for a variety of reasons and it can take between 1 - 4 years longer than indicated in the curricula. 

Types of Specialty Training Programmes

There are two different structures for Specialty Training programmes, and these vary between specialties.

Run-through Training Programmes

For these training programmes, you only have to apply once at the beginning of the programme. This is because you are recruited for the full duration of Specialty Training.

These training programme can last from approximately three years for general practice, to five or seven for other specialties such as histopathology.

Uncoupled Specialty Training Programmes

These programmes are split into Core Training and Higher Specialty Training.

Core Training lasts for either two or three years and once complete, allows you to apply for Higher Specialty Training, which can take from three to five years. 

Overall, Specialty Training programmes can take anywhere from 5 – 8 years in their entirety, depending on your medical specialty, for example 6 years for psychiatry.

Doctors are known as ST1-3 or CT1-3 during their Core Training and ST4+ level during Higher Specialty Training programmes.

Higher Specialty Training programmes are very competitive, and completion of a UK Core Training programme does not guarantee a Higher Specialty Training post.  Anchor

Completion of Specialty Training Programme

Upon successful completion of either a run-through or coupled training programme, doctors are awarded a Certificate of Completion of Training (CCT).

At this point doctors are able to make an application for Specialist Registration (or GP Registration) and are able to take up permanent consultant posts.

Training Positions vs Service Posts

As above, competition for places on training programmes within the NHS is very high. As such, we advise that IMGs who are interested in entering core or specialty training in the NHS first obtain a service post for 1 – 2 years.

Following this contract, you can apply for a training post, for which you will be given priority. Not only will this approach give you the best chance of securing excellent training and career progression opportunities in the NHS, it will also give you the chance to settle in to the UK and the NHS system, and help you understand the training post that will suit you the most. 

Service posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded. 

Specialist Registration for IMGs

IMGs that enter the UK training programmes later on and have not completed the full programme can still get on the specialist register via the CESR-CP route (Certificate of Eligibility for Specialist Registration via a Combined Programme)

Check to see if you're eligible for CESR-CP via the GMC website or read through our detailed blog through our IMG Resources library.

Secure a Trust Doctor Post (with the view to securing a training post at a later date)

You can apply for Trust Doctor or Service Role online via the NHS Jobs website

However, working with IMG Connect can offer more jobs than are available online with the added benefit of an IMG Consultant speaking directly with services on your behalf to expedite the process and negotiate the best doctor salary for you.


Getting started

Read more useful articles on finding an NHS trust doctor job, training pathways, doctor salaries in the UK, relocation and much more!  

Don’t hesitate to get in touch with our team to learn more about the opportunities available to you once as an IMG new to the UK.

For the latest news and updates, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation:

            

 

Relevant Jobs

105,504- 139,882

A large NHS teaching hospital in the East Midlands is looking for a Consultant in Clinical Oncology with an interest in lung, gynaecology, and/or colorectal cancer. The oncology department comprises a team of over 20 consultants and is supported by a large team of specialty doctors and junior trainees.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

JOB REQUIREMENTS AND DETAILS

This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.

FRCR (or equivalent) and extensive oncology experience are required for this role, and anyone with an interest in lung, gynaecology, and/or colorectal cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.

  • Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.

  • Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.

  • Contribute to clinical governance, service development, and research initiatives across the Trust.

LIFE IN THE EAST MIDLANDS

This role is based in the East Midlands, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in Derby or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful Peak District on its doorstep, the East Midlands is a popular choice for healthcare professionals relocating to the UK.

HOW WILL IMG CONNECT SUPPORT YOU?

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

£105,504 - £139,882

This exceptional opportunity beckons Consultant Histopathologists specializing in Gynae oncopathology to become integral members of an NHS Trust that is a global beacon in cancer research and treatment. This role offers a chance to contribute to a consultant-led, subspecialist histopathology team, making a significant impact on the forefront of cancer care. We invite enthusiastic candidates to explore this exciting career prospect through NHS Jobs in the UK.

The NHS Foundation Trust, standing as Europe\'s largest comprehensive cancer center, commands an impressive annual budget of £360 million, employing over 3,500 staff, including 335 medical professionals. Acknowledged for its excellence, the Trust consistently ranks among the top four in national surveys, affirming its commitment to delivering high-quality patient care. The Histopathology Department, under the leadership of esteemed professionals, manages a substantial caseload, processing around 21,000 surgical pathology accessions annually. This involves the examination of approximately 280,000 slides, with a notable 1,000 cases annually seeking second opinions, underscoring the department\'s dedication to providing comprehensive diagnostic support.

This role is tailor-made for ambitious consultants looking to expand their career horizons. The well-funded department is a hub for impactful research, underscored by its recognition in a recent CQC report as an area of outstanding practice. The NHS Foundation Trust has a strong reputation for education and training, supporting junior doctor training programs across various specialties.

Living in London, a vibrant metropolis, provides a unique lifestyle enriched by cultural diversity. Residents can explore scenic spots like Hyde Park and the Thames River. World-renowned schools, including Imperial College London and University College London, contribute to the city\'s intellectual vibrancy. Excellent transport links facilitate easy travel within the city and to major cities and airports. Housing options, ranging from historic townhouses to modern apartments, accommodate diverse preferences, ensuring a comfortable and enriching life for medical professionals in the heart of London.

Apply now for a dynamic career at the forefront of cancer care, complemented by the vibrant and diverse urban lifestyle offered by the capital city.

AM I ELIGIBLE FOR THIS ROLE?

Non-EEA candidates: 

  • FRCPath
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

EEA candidates: 

  • Specialist certification in Histopathology
  • Experience in Histopathology (sub specailised in Gynae oncopathology)

UK candidates: 

  • CCT, CESR or within 6-12 months of specialist registration 
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

 

83,519 - 126,025

A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP qualifications are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
  • Participate in the middle-grade tier rota, including on-call duties.
  • Support the clinical management of patients in various units, including emergency and intensive care.
  • Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.

LIFE IN THE CHANNEL ISLANDS

The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements Family support for finding schools and any other aspects of pastoral care
105,504 - 139,882

A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.

The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.

This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.

JOB REQUIREMENTS AND DETAILS

  • Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team

  • Contract: 8 Programmed Activities (PAs) per week – Part-Time

  • Contract Type: Permanent
  • Salary: £105,000 – £139,000 (pro rata, dependent on experience)

Applicants must have:

  • Full GMC registration with a licence to practise
  • GMC Specialist Register in Child & Adolescent Psychiatry
  • Section 12(2) MHA approval, or a willingness to complete this upon appointment
  • Experience working in child, adolescent, or neurodevelopmental psychiatric services
  • Strong leadership, multidisciplinary collaboration, and communication skills
  • The ability to travel independently across service sites, including schools and service users\' homes

CORE DUTIES OF THIS ROLE

  • Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.

  • Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
  • Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
  • Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
  • Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
  • Support transitions from child to adult mental health services in line with protocol.
  • Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
  • Maintain clear and timely medical documentation and support audit and quality improvement initiatives.

MANAGEMENT & STRATEGIC RESPONSIBILITIES

  • Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.

  • Contribute to the development of service-wide clinical guidelines and care pathways.
  • Support service planning and transformation initiatives based on emerging need.
  • Actively participate in governance activities, clinical audit, and performance monitoring.
  • Engage with stakeholders and external partners at strategic and operational levels.

LIFE IN THE REGION

This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.

The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
 

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV preparation with a bespoke session with one of our specialists.
  • Application support with expert knowledge of NHS specialisms & recruitment practice.
  • At least two video interview preparation sessions.
  • Contract and offer negotiations for salary, relocation packages, tenure, and more.

Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:

  • Document gathering and checking.
  • COS and Visa Application support, if applicable.
  • Support sourcing short- and long-term accommodation.
  • Travel arrangements and family support for finding schools and other aspects of pastoral care.
105,504- 139,882

An NHS teaching hospital in Kent is looking for a Consultant in Clinical Oncology with an interest in urology. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR are most encouraged to apply.CCT in Clinical Oncology or equivalent experience, including CESR pathway candidates.

  • The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.

  • Attend relevant MDT meetings and coordinate treatment planning with other specialists.

  • Participate in departmental research initiatives and contribute to national and local clinical trials.

  • Contribute to training and supervision of junior doctors and participate in clinical governance activities.

Life in Kent

The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.

Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.

Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new role, including:

  • Document gathering and checking

  • COS and Visa Application support, if applicable

  • Support sourcing short- and long-term accommodation

  • Travel arrangements

  • Family support for finding schools and any other aspects of pastoral care

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