Consultancy
The area of medical consultancy is normally considered to be the remit of a consultant, a senior doctor who has completed their specialist training and been placed on the specialist register (UK). Consultancy holders lead teams of doctors ("firms") which consist of specialist registrars, SHO (senior house officers) and PRHO (Pre-registration house officers), all training to work in the consultant's specialty. The consultancy firm will have other career grade doctors, such as clinical assistants, clinical fellows and staff grade doctors involved.
Until recently, the career path to full consultancy involved spending a year as a PRHO, then the following two years, or more, as an SHO. From there, the next 4-6 years would be spent either as an SHO in specialist training, or in preparation for General Practice. Consultancy practitioners will normally have studied, post-university, for 7 to 9 years
More recently, consultancy careers have been restructured so that the first two years are spent as an FHO (Foundation House Officer). In year three, consultancy moves to an StR (Specialty Registrar), then on to full consultancy and further specialist studies, reducing time spent to a full consultancy role by one year.
Substantive consultant positions are consultancy posts with long-term contracts for one, or several, hospital trusts. Consultancy employment with overall management, or particular responsibility for, a hospital offers positions as senior consultant, clinical director or medical director.
In consultancy, doctors who have just qualified as consultants may be employed as locum consultants. These consultancy posts carry the same clinical responsibility, but no responsibility for management or training of junior staff. These consultancy roles are usually
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