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
An NHS hospital in South West England is looking for a Consultant Gastroenterologist with an interest in gastrointestinal endoscopy and general gastroenterology. The Gastroenterology department is made up of a team of consultants and supported by middle-grade doctors. This role is open to both UK-based and international candidates, with preference given to those holding MRCP (UK) or equivalent and CCT in Gastroenterology +/- General Internal Medicine (GIM).

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

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCP (UK) or equivalent and be eligible for CCT in Gastroenterology +/- GIM (or obtain within six months of interview).
  • Experience in gastrointestinal endoscopy, ward-based gastroenterology, and outpatient services is required.
  • The salary will be between £93,666 – £126,281 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Provide treatment and care for gastroenterology patients, including inpatient, outpatient, and endoscopy services.
  • Participate in the on-call rota for gastroenterology emergencies and out-of-hours ward cover.
  • Engage in teaching and training of junior doctors, contributing to their professional development.
  • Support clinical governance activities, including audits, quality initiatives, and structured judgement reviews.
LIFE IN SOUTH WEST ENGLAND

This hospital is located in a scenic region of South West England, offering a mix of urban and rural living. Candidates can choose to live in a lively market town with excellent amenities or opt for a more peaceful setting in the surrounding countryside. The region provides good transport links, excellent schools, and a variety of leisure activities including hiking, cycling, and water sports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and strong local traditions, making it a great place to live and work.

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

An excellent NHS hospital in the UK is seeking a Consultant in Dermatology with a focus on skin cancer and paediatric dermatology. The department consists of three experienced consultants and is supported by a diverse team of middle-grade doctors. This role is open to both UK-based and international candidates, with preference for those holding GMC Specialist registration or equivalent.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • GMC Registration with a licence to practice is required for this role, and individuals with a special interest in skin cancer and paediatric dermatology are encouraged to apply.
  • The salary will range from £105,504 and £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality dermatology care, specializing in skin cancer and paediatric dermatology.
  • Engage in the education and training of junior staff and medical students.
  • Participate in clinical governance, audit, and continuing medical education.
  • Contribute to the Cornwall Skin Cancer MDT and other department activities.

LIFE IN THE REGION

The area offers a perfect mix of urban and rural living. The main city provides vibrant city life, while rural areas offer quiet retreats with breathtaking views of the coastline. There are excellent transport connections with easy access to London, and multiple leisure opportunities are available, including outdoor activities like hiking and sailing.

The region is rich in history, particularly maritime history, and is home to several iconic landmarks. The local hospital is a significant part of the community, offering outstanding medical services.

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 your new role 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 any other aspects of pastoral care
105,504 - 139,882

A leading NHS hospital in the UK is seeking a Consultant in Hepatology to join its growing Gastroenterology and Hepatology team. The department consists of experienced consultants and specialist nurses, providing a dedicated hepatology service. This role is open to both UK-based and international candidates, with preference for those holding CESR or entry on the GMC Specialist Register.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • Full GMC Registration and CESR or entry on the GMC Specialist Register are required.
  • The role includes responsibilities in outpatient hepatology, inpatient care, and endoscopy.
  • The salary will range from £105,504 to £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver specialist hepatology care, including managing liver disease, cirrhosis, and hepatobiliary conditions.
  • Work as part of a multi-disciplinary team, collaborating with gastroenterologists, radiologists, and oncologists.
  • Participate in endoscopic procedures, including diagnostic and therapeutic interventions.
  • Take part in teaching, training junior doctors and medical students.
  • Engage in clinical governance, research, and quality improvement projects.
  • Contribute to the on-call gastroenterology service and weekend cover.

LIFE IN THE REGION

This role is based in a highly desirable UK region, known for stunning landscapes, excellent transport links, and a rich cultural history. The area offers outstanding schools, a range of family-friendly activities, and a fantastic work-life balance.

With historic landmarks, world-famous attractions, and a modern healthcare infrastructure, the region provides an ideal environment for professionals looking to develop their careers.

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 and family support for finding schools and any other aspects of pastoral care.
96,990 - 107,155
An independent healthcare service is looking for a Staff Grade Psychiatrist to join a Community Mental Health Team. The department comprises a multidisciplinary team providing care for individuals with severe mental health challenges. This role is open to both international applications and UK-based doctors.

JOB REQUIREMENTS AND DETAILS
  • A medical degree, full professional registration, and suitable psychiatric qualifications are required for this role. Experience in community or inpatient mental health services is essential.
  • The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Conduct psychiatric assessments and formulate treatment plans for individuals with severe mental health challenges with adult populations. 
  • Participate in multidisciplinary team meetings and care planning sessions.
  • Provide supervision to junior doctors and engage in research or quality improvement projects.
  • Maintain professional standards through continuous learning and contribution to educational activities.
LIFE IN THE REGION

This position is based in a location offering both urban and rural living options, with easy access to local amenities, beaches, and countryside homes. Families will appreciate the excellent schools, transport links, and diverse leisure activities available in the area. The region is known for its rich history, scenic landscapes, and vibrant community, making it an attractive place to live and work.
105,504 - 139,882
An NHS district general hospital in South West England is looking for an Interventional Radiology Consultant with an interest in vascular and non-vascular intervention. The Radiology department consists of a team of interventional radiologists and is supported by a large team of middle-grade doctors. This role is open to both international and UK-based doctors, with preference given to those holding FRC or equivalent, Radiology training CCT or CESR.

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

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold FRCR or equivalent, full GMC registration, and Radiology training
  • Three years of Radiology speciality training is required for this role, and anyone with a experience in Vascular and Non-Vascular IR should apply.
  • The salary will be between £93,666 – £126,281 per annum dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Perform a wide range of vascular and non-vascular interventional radiology procedures, including aneurysm repair, peripheral and visceral revascularisation, catheter-assisted thrombolysis, and embolisation procedures.
  • Provide on-call interventional radiology services as part of a regional network rota, covering vascular and non-vascular cases.
  • Contribute to diagnostic imaging and reporting, as well as participation in vascular and aortic aneurysm MDTs, IR clinics, and general radiology reporting.
  • Support the teaching and training of junior doctors, radiographers, and medical students, with opportunities for research and development.
LIFE IN SOUTH WEST ENGLAND

Located in a scenic region of South West England, this hospital serves both urban and rural communities. Candidates can choose to live in a bustling market town with easy access to major cities or opt for a more peaceful setting in the countryside, surrounded by national parks and coastal areas. The region offers excellent schools, strong transport links, and a wide range of leisure activities including hiking, cycling, and watersports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and vibrant local traditions, making it an attractive place to live and work.

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

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