Senior house officer grade needs reform, says report
The senior house officer grade for junior doctors in the United Kingdom should be reformed so that all senior house officers pass through basic specialist training programmes that are managed, are of limited duration, and have clearly defined end points, according to a recent report published by Liam Donaldson, chief medical officer for England.
The consultation report on the modernisation of the grade has taken two years to produce and involved the health departments of all four countries in the United Kingdom.
Qualified medical students move on to the senior house officer grade after spending a year as preregistration house officers after medical school. They then opt to become either a specialist registrar or GP registrar. Nearly half of all doctors in training in the United Kingdom are at the senior house officer grade (almost 20 000, a third of whom are non-UK graduates).
Until now, senior house officer appointments